Bichectomy, or buccal fat removal, is a cosmetic surgical procedure designed to enhance facial definition by removing fat from the cheeks.
It’s especially popular among people seeking a slimmer, more sculpted appearance. But is it right for you?
Let’s explore how it works, who it’s for, and what results you can expect. 👇
🤔 What is Bichectomy?
Bichectomy involves the removal of the buccal fat pads, which are small pockets of fat located deep within the lower cheeks.
By eliminating this fat, the procedure accentuates the cheekbones and sharpens the jawline, offering a more contoured look.
🛠️ How is Bichectomy Performed?
⏱️ Procedure Duration: 30 to 60 minutes
💉 Anesthesia: Local anesthesia is typically used
Steps:
- A small incision is made inside the cheek (no external scars)
- The buccal fat pad is gently extracted
- The incision is closed with dissolvable stitches
The entire process is minimally invasive and leaves no visible marks.
📌 When is Bichectomy Necessary?
Though mostly cosmetic, bichectomy can address functional issues like frequent cheek biting due to overly full cheeks.
You may consider it if:
✅ You want a slimmer, more contoured face
✅ Your cheeks feel overly full or round
✅ You experience discomfort from excess inner cheek fat
💎 Benefits of Bichectomy
✨ Enhanced Facial Contour – Creates a slimmer and more sculpted appearance
✨ Improved Jawline Definition – Sharpens the lower face for a balanced profile
✨ Quick & Minimally Invasive – Fast recovery with minimal scarring
✨ Confidence Boost – Many patients feel more confident post-procedure
⚠️ Risks and Side Effects
As with any surgery, there are potential risks:
🔸 Swelling and bruising
🔸 Temporary numbness or discomfort
🔸 Infection (rare with proper care)
🔸 Over-removal of fat can lead to a sunken look as you age
✅ Ideal Candidates for Bichectomy
This procedure is best for:
✔️ People with naturally full or round faces
✔️ Adults in good health
✔️ Individuals with realistic expectations
✔️ Those not significantly overweight, as facial fat distribution affects results
🚫 Who Should Avoid It?
Bichectomy might not be suitable if you:
❌ Have a thin or narrow face
❌ Are prone to facial fat loss with age
❌ Have conditions like diabetes or bleeding disorders
❌ Expect dramatic results instead of subtle contouring
🩺 Recovery Process
Day 1–3: Expect swelling, bruising, and mild discomfort.
Diet: Stick to soft, bland foods like mashed potatoes or yogurt.
Oral Hygiene: Use antiseptic mouthwash and follow aftercare instructions.
Full Recovery: Most swelling subsides in 2–3 weeks. Final results appear in 3–6 months.
💰 Cost of Bichectomy
The price depends on surgeon expertise and location.
In the U.S., the average cost ranges from $2,000 to $5,000.
❓ FAQs About Bichectomy
1. 🧊 Is bichectomy permanent?
Yes, once the buccal fat pads are removed, they don’t grow back.
However, weight gain can still affect facial appearance.
2. 🆚 Bichectomy vs. Cheek Liposuction
Bichectomy removes buccal fat pads only.
Cheek liposuction targets overall cheek fat.
3. 👄 Does it enhance the jawline?
Yes! It enhances the cheekbones and jawline, creating a V-shaped face.
4. 🎯 Is there an ideal age?
Recommended for ages 18–40.
Older individuals may risk a hollowed look due to natural aging.
5. ⏳ When will I see results?
Initial results: 2–3 weeks
Final results: 3–6 months, once all swelling resolves.
6. 💉 Are there non-surgical alternatives?
Yes—dermal fillers, makeup contouring, or RF facial sculpting offer temporary enhancements.
7. 🧓 Long-term risks?
Over time, natural facial fat loss + bichectomy can result in a prematurely aged look.
8. 👃 Can it be combined with rhinoplasty?
Absolutely! Many patients pair it with rhinoplasty for a balanced facial profile.
9. 🆚 How does it compare to other facial surgeries?
It’s less invasive than facelifts or implants, making it a popular choice for subtle enhancements.
10. 🍲 What can I eat afterward?
Stick to soft, bland foods:
✅ Soups
✅ Mashed potatoes
✅ Yogurt
✅ Scrambled eggs
11. 😬 Can I get bichectomy if I have braces?
It’s best to wait until your orthodontic treatment is complete.
12. 🔁 Is it reversible?
No. Once the fat is removed, it cannot be restored, so careful consideration is key.
🧠 Final Thoughts
Bichectomy offers a safe, subtle way to sculpt your face and enhance natural contours.
While it’s not for everyone, it can be a confidence-boosting choice when done by a skilled surgeon and with the right expectations.👉
Thinking about it? Consult a certified facial plastic or cosmetic surgeon to determine if it’s the right move for your goals.