Buccal fat removal, or bichectomy, is a minimally invasive cosmetic surgery that involves the partial removal of the buccal fat pads located in the cheeks.
The goal is to slim and contour the face, highlighting the cheekbones and defining the jawline, for a more sculpted and harmonious appearance. It is ideal for patients with a rounder face shape or those seeking greater definition in the mid and lower face.
The procedure is carried out under local anesthesia with mild sedation. A small incision is made inside the mouth to extract the buccal fat pad. There are no visible scars, and the surgery typically lasts 30–45 minutes.
Results:
Recovery is quick. Mild swelling is normal during the first few days and is managed with cold compresses and simple medication. Most patients return to normal activities within 3–5 days, avoiding intense physical effort.
No, the incision is intraoral, leaving no external marks.
Initial swelling may mask them; final results are usually visible after 4–6 weeks.
No, it generally causes only mild discomfort.
Yes, buccal fat does not regenerate once removed.