Overview
What Is Bichectomy?
Bichectomy, also known as buccal fat removal or cheek reduction surgery, is a cosmetic surgical procedure designed to slim the cheeks and refine facial contours. During the procedure, the buccal fat pads located deep inside the cheeks are partially removed to create a more sculpted facial appearance.
What Problems Can Bichectomy Correct?
Bichectomy can improve several aesthetic concerns:
- Round or ‘baby face’ appearance
- Excess cheek fullness
- Lack of cheekbone definition
- Wide midface contour
- Poor jawline definition
Removing buccal fat can create a slimmer and more V-shaped facial contour.
Who Is a Good Candidate for Bichectomy?
You may be a suitable candidate for buccal fat removal surgery if you:
- Have naturally full or round cheeks
- Want a slimmer facial appearance
- Are at a stable and healthy weight
- Are in good overall health
- Have realistic expectations about surgical results
How Is Bichectomy Surgery Performed?
Bichectomy is usually performed under local anesthesia or sedation. Small incisions are made inside the mouth and the buccal fat pads are carefully removed. The incisions are then closed with dissolvable sutures. Because the cuts are inside the mouth, there are no visible external scars.
How Long Does Bichectomy Surgery Take?
The procedure usually takes between 30 and 60 minutes and is typically performed as an outpatient surgery.
What Is Recovery Like After Bichectomy?
Typical recovery timeline:
- 3–5 days: mild swelling and discomfort
- 7–10 days: return to normal activities
- 3 weeks: swelling significantly reduced
- Several months: final facial contour becomes visible
Are Bichectomy Results Permanent?
Yes. The buccal fat pads removed during surgery do not grow back, making the results permanent.
Does Bichectomy Leave Scars?
No visible scars are usually present because the incisions are made inside the mouth.
Is Bichectomy Painful?
Bichectomy is generally not considered a painful procedure. Most patients experience mild swelling, temporary discomfort, and slight bruising.
Can Bichectomy Be Combined with Other Procedures?
Yes. Bichectomy is often combined with other facial procedures such as rhinoplasty, chin augmentation, jawline contouring, or facelift.
Is Bichectomy Safe?
When performed by an experienced surgeon, bichectomy is considered a safe cosmetic procedure.
Can Bichectomy Make Your Face Too Thin?
In carefully selected patients the procedure provides natural facial contouring. However, excessive fat removal could potentially create a hollow appearance.
What Age Is Best for Buccal Fat Removal?
Most surgeons recommend the procedure for adults whose facial structure is fully developed, usually after the age of 18.
How Long Do Bichectomy Results Last?
Results are permanent because the removed fat pads do not regenerate.
Will My Face Continue to Change After Bichectomy?
Aging, weight changes, and lifestyle factors can still affect facial appearance over time.
How Soon Can I Return to Work After Bichectomy?
Most patients return to work within 5–10 days once swelling improves.
Can Men Have Bichectomy?
Yes. Both men and women may benefit from buccal fat removal when they desire a slimmer facial contour.
What Should I Eat After Bichectomy?
Patients are usually advised to follow a soft diet and maintain good oral hygiene during early recovery.