Bichectomy, also known as buccal fat removal or cheek reduction, is a minimally invasive procedure that targets the buccal fat pad, an area located deep in the cheeks on both sides of the face. Removing the buccal fat produces a more contoured and defined lower face.

Cheek reduction surgery can be performed as a standalone procedure or combined with other procedures to improve the overall appearance of the face, such as:

Eyelid Reduction (Blepharoplasty)
Face Lift
Neck Lift

What are the benefits of Bichectomy?

After the cheek fat is removed, your face will have a sharper and more defined appearance. Traditional facial liposuction cannot give the same results as this area cannot be treated with liposuction. Patients with resistant face fat that does not respond to dieting and exercising are the ones who benefit most from this procedure.

Am I a suitable candidate for Bichectomy?

Cheek reduction is suitable for patients of all ages who are concerned about the look and feel of the lower half of their face due to excess fat. It is an ideal treatment for patients with face fat deposits that are resistant to diet and exercise. Having larger cheeks is not always proportional to the patient’s weight because even slim patients can have fuller cheeks.

If you already have prominent cheekbones and just want to rejuvenate the overall appearance of your face, it is crucial to have realistic expectations for the results of your cheek reduction surgery. At the time of your consultation, your surgeon will work with you to determine if you are a good candidate for this procedure.

How is buccal fat removal performed?

Cheek reduction can be performed under local or general anesthesia and takes about one hour. During the procedure, the surgeon makes a small incision inside the mouth, leaving no visible scars, then they will remove the fatty deposits through the incision.

It should be noted that fat pads in the cheeks can’t be removed using liposuction techniques due to their location. Liposuction can be used only when removing fatty deposits in the jawline area.

What is the recovery time for Bichectomy?

The recovery time for this procedure is very limited. Most patients prefer to have their surgery on Thursday so that they are ready for work on Sunday. We highly recommend that you arrange for a friend or a family member to drive you home after the procedure because it is best not to drive after the cheek fat removal even after local anesthesia.

Bruising and swelling can be expected and can be controlled with an ice compress. It may take up to 3 weeks for you to see the final results.

Most of the swelling goes away within the first few days of recovery. Any pain or discomfort you may feel can be relieved with ice compressions or pain medications.