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Bichectomy, commonly known as a Buccal Fat Removal, is a popular cosmetic procedure that aims to create a slimmer and more contoured lower cheek profile. Let’s dive into what exactly this surgery entails.

Bichectomy Buccal Fat Removal Guide

What is Bichectomy?

Bichectomy is a surgical procedure designed to reduce the size of the buccal fat pads located in the lower cheeks. The buccal fat pads contribute to the roundness and fullness of the face. By removing a portion of these fat pads, individuals can achieve a slimmer and more contoured appearance.

Reasons for Bichectomy:

Facial Contouring

Many people desire a more sculpted and defined facial appearance. Bichectomy can help enhance the facial contours, providing a more chiseled look.

Reasons for Bichectomy:

Slimming Effect

Individuals with naturally fuller cheeks may feel self-conscious about their facial shape. Bichectomy offers a solution by reducing the volume in the buccal fat pads, creating a slimmer facial profile.

Reasons for Bichectomy:

Correcting Proportions

Some individuals have disproportionate cheek fat, which can make other facial features appear smaller or less defined. Bichectomy can restore balance and harmony to the face by reducing excessive fat in the cheeks.

Reasons for Bichectomy:

Boosting Confidence

Enhancing one’s physical appearance can have a positive impact on self-esteem and confidence. Bichectomy can help individuals feel more comfortable and satisfied with their facial aesthetics.

The Procedure:

Consultation and Evaluation

The first step is to consult with a qualified and experienced cosmetic surgeon. During the consultation, the surgeon will evaluate the patient’s facial structure, discuss their goals, and determine their suitability for the procedure.

The Procedure:

Preparing for Bichectomy

Before the surgery, the surgeon may provide specific instructions regarding medication, smoking, and fasting. It is essential to follow these guidelines to ensure a successful procedure and minimize risks.

The Procedure:

The Surgery

Bichectomy is typically performed under local anesthesia with sedation or general anesthesia. The surgeon creates small incisions inside the mouth, allowing access to the buccal fat pads. The excess fat is carefully removed, and the incisions are closed with dissolvable sutures.

The Procedure:

Recovery and Aftercare

After the surgery, patients can expect some swelling and bruising, which is normal and temporary. The surgeon will provide detailed aftercare instructions, including pain management, dietary restrictions, and oral hygiene practices. It is crucial to follow these instructions for a smooth recovery.

Expected Results

The results of Bichectomy are not immediately noticeable due to post-surgical swelling. However, as the swelling subsides, patients will begin to see a more defined and contoured facial appearance. The final results can typically be seen within a few months after the procedure.

Choosing a Surgeon

Selecting a skilled and reputable surgeon is crucial for a successful Bichectomy. When choosing a surgeon, consider the following:

  • Board certification
  • Experience and expertise
  • Before-and-after photos of previous patients
  • Patient testimonials
  • Communication and rapport


Bichectomy, or Buccal Fat Removal, is a surgical procedure that offers individuals the opportunity to achieve a more contoured and slimmer facial appearance. By understanding the process, risks, and alternatives, individuals can make informed decisions about whether Bichectomy is the right choice for them. Consulting with a qualified cosmetic surgeon is the first step towards achieving the desired facial aesthet

Frequently Asked Questions


  • Is Bichectomy a painful procedure?
  • How long does the recovery process take?
  • Are the results of Bichectomy permanent?
  • Can Bichectomy be combined with other cosmetic procedures?
  • How long does the Bichectomy procedure take?
  • Will there be visible scarring after Bichectomy?
  • Are there any age restrictions for Bichectomy?
  • Can Bichectomy be reversed?
Is Bichectomy a painful procedure?

Bichectomy is performed under anesthesia, so patients do not experience pain during the surgery. However, some discomfort and swelling can be expected during the recovery period.

How long does the recovery process take?

The initial recovery period typically lasts around one to two weeks. However, complete healing and the final results may take several months.

Are the results of Bichectomy permanent?

Yes, the results of Bichectomy are permanent. Once the buccal fat pads are removed, they do not grow back. However, the natural aging process can still affect facial appearance over time.

Can Bichectomy be combined with other cosmetic procedures?

Yes, Bichectomy can be combined with other procedures such as rhinoplasty or facelift, depending on the individual’s goals and the surgeon’s recommendations.

How long does the Bichectomy procedure take?

The duration of the Bichectomy procedure can vary depending on individual factors. On average, the surgery takes around 1-2 hours to complete.

Will there be visible scarring after Bichectomy?

Since the incisions for Bichectomy are made inside the mouth, there is no visible scarring on the face. The scars will be hidden inside the cheeks and will fade over time.

Are there any age restrictions for Bichectomy?

Bichectomy can be performed on adults of any age who are in good overall health. However, it is important to consult with a qualified surgeon to determine if the procedure is suitable based on individual circumstances.

Can Bichectomy be reversed?

Bichectomy is considered a permanent procedure as the removed buccal fat pads do not grow back. Reversing the effects of Bichectomy would require additional surgical procedures such as fat grafting.

Do you have any further questions?

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