Bichectomy (Cheek aesthetics)

Buccal Fat Removal (Bichectomy)

Buccal fat removal, medically known as bichectomy, is a surgical procedure in which excess fat tissue is removed from the cheeks. This aesthetic operation aims to create sharper and more defined facial contours by enhancing the prominence of the cheekbones. It is commonly preferred by individuals who wish to eliminate full or round cheeks, resulting in a slimmer and more sculpted facial appearance. Often referred to as the “Hollywood cheek” procedure, this technique has gained increasing popularity in aesthetic surgery and offers an ideal solution for those seeking a youthful, contoured look. With its long-lasting results, buccal fat removal is an effective option for addressing aesthetic concerns related to facial fullness.

The surgery is performed under local anesthesia through a small incision made inside the mouth. The surgeon removes the buccal fat pads and closes the incision with dissolvable sutures. This procedure reduces cheek volume, enhances the cheekbones, and creates a more refined facial contour. After the operation, patients often achieve a younger and more dynamic look, with more prominent facial features thanks to the slimming of the cheeks. Recovery is typically quick, and most individuals can return to their daily routines shortly after the procedure.

How Is Buccal Fat Removal Performed?

Buccal fat removal is carried out step by step as follows:

1. The procedure begins with local anesthesia to ensure the patient feels no pain.

2. The surgeon makes an incision of approximately 1 cm inside the mouth.

3. The buccal fat pads are carefully extracted, with attention to maintaining facial symmetry.

4. The incision is closed using dissolvable sutures, completing the operation.                                              This minimally invasive technique typically takes around 30 to 45 minutes.

How Long Does Buccal Fat Removal Take?

The procedure usually lasts 30 to 45 minutes, depending on the surgeon’s expertise and the patient’s cheek structure. Since it is performed under local anesthesia, patients can be discharged the same day. The short duration allows for a quick return to normal daily activities.

How Long Does Buccal Fat Removal Lasts?

Buccal fat removal is considered a permanent procedure, as the removed fat pads do not regenerate. Therefore, the slimmer cheek appearance achieved can last a lifetime. However, factors like aging and weight gain can influence facial shape over time. Maintaining a healthy lifestyle helps prolong and preserve the results.

Is Buccal Fat Removal a Difficult Procedure?

Buccal fat removal is not a difficult procedure. It is performed using a minimally invasive approach under local anesthesia, so the patient does not feel any pain. The risk of complications is low. Mild swelling may occur after the surgery, but typically resolves within a few days. The simplicity and success of the operation largely depend on the experience of the surgeon.

How Many Years Younger Can Buccal Fat Removal Make You Look?

Buccal fat removal can make the face appear 5 to 10 years younger. The slimming of the cheeks and enhanced definition of the cheekbones contribute to a more youthful appearance. The degree of rejuvenation varies depending on the individual's facial anatomy. It also provides a more dynamic and refreshed aesthetic expression.

What Are The Risks of Buccal Fat Removal?

These are risks of Buccal fat removal: 

• Infection at the incision site inside the mouth, though it is rare and can be prevented with antibiotics. 

• Temporary numbness due to possible impact on facial nerves, although this is uncommon. 

• Facial asymmetry if the fat is removed unevenly.
  These risks can be minimized when the procedure is performed by an experienced plastic surgeon.

How Many Months Is Needed For Bichectomy to Settle?

In the first few weeks after the procedure, mild swelling and edema are normal. As this subsides, slimming of the facial contours typically becomes noticeable within 2 to 4 weeks. However, final results usually take shape between 3 to 6 months, as the tissues heal and adjust to the new facial contours.

Are There Any Age Limitations For Bichectomy?

Buccal fat removal is not recommended for individuals under 18, as facial development may not be complete. While it can be performed from the age of 18 onward, the ideal age range is typically between 20 and 35. In patients over 35, the procedure should be approached with caution, since facial fat naturally decreases with age. In such cases, removal may lead to undesirable hollowness or an aged appearance. Therefore, the decision should be made after a thorough evaluation by a plastic surgeon, taking into account facial structure, age, and aesthetic goals.

How Long Does It Take to Recover from Buccal Fat Removal?

Full recovery from buccal fat removal generally takes 1 to 2 weeks. Some swelling and mild discomfort may occur in the initial days, which is completely normal. A soft diet and proper oral hygiene can help speed up healing. The initial results become clear within 3 to 4 weeks.

Does Buccal Fat Removal Leave Scars?

No, buccal fat removal does not leave visible scars. Since the incision is made inside the mouth, there is no external scarring. The use of dissolvable stitches also eliminates the need for suture removal and enhances the aesthetic outcome. This is considered a major advantage for many patients.

FAQ’s

Who Performs Buccal Fat Removal?

Buccal fat removal is performed by board-certified plastic or aesthetic surgeons. It is important to choose a doctor experienced in facial anatomy. The surgeon’s expertise and the quality of the clinic are critical to achieving safe and satisfying results.

Buccal Fat Removal Prices in 2025

As of 2025, the cost of buccal fat removal varies depending on several factors such as the surgeon’s experience, the location of the clinic, and the type of anesthesia used. The overall price is tailored to the patient's needs and treatment plan. For up-to-date pricing, it is recommended to contact aesthetic clinics directly. To receive a detailed quote for buccal fat removal, feel free to get in touch with us.

Patient Reviews After Buccal Fat Removal

Most patients who undergo buccal fat removal express satisfaction with the increased definition of their facial contours. The quick recovery and absence of visible scarring are often praised. Some patients report experiencing temporary swelling, but note that it subsides quickly. Overall, the procedure has a high satisfaction rate.

Is Buccal Fat Removal Painful?

No, the procedure is not painful, as it is performed under local anesthesia. Some mild discomfort may occur after surgery, but it is typically well managed with over-the-counter pain medication.

Is It Difficult to Eat After Bichectomy?

Soft foods are recommended in the first few days following the procedure, but most patients return to their normal diet within a few days. In short, eating is not significantly affected, especially when following the doctor’s instructions.

Who Is A Good Candidate For Buccal Fat Removal?

The procedure is suitable for healthy individuals who wish to reduce facial fullness and achieve more defined cheek contours. It is especially popular among those who are dissatisfied with naturally round or chubby cheeks.

Is Buccal Fat Removal Covered by Insurance?

Buccal fat removal is considered a cosmetic procedure, so it is not covered by public health insurance (SGK) in Turkey. Cosmetic procedures are generally excluded from coverage. However, if there is a medical necessity—such as for reconstructive purposes—it may be worth consulting with SGK. In most cases, however, the cost is paid out-of-pocket by the patient.