What is Buccal Fat Removal (Bichectomy)?

Buccal fat removal, also known as bichectomy, is a cosmetic surgical procedure designed to reduce cheek fullness, slim down facial contours, and create a more defined facial appearance. By removing buccal fat pads from the cheeks, this surgery helps achieve sharper facial features and a slimmer look.

What is a Bichectomy Surgery?

Bichectomy involves the surgical removal of buccal fat pads located inside the cheeks. These pads contribute to roundness and fullness of the face. Through small incisions inside the mouth or under the chin, surgeons carefully remove the fat pads, leaving nearly invisible scars. The result is a more contoured, youthful, and refined facial structure.

What is the Jawline?

The jawline is the area formed by the jawbone and chin muscles. A well-defined jawline enhances the attractiveness and balance of the face. Various cosmetic procedures can improve jawline aesthetics, and buccal fat removal contributes to a sharper jawline by reducing cheek fullness.

Who is a Candidate for Bichectomy?

Bichectomy is typically considered by individuals who:

• Feel bothered by cheek fullness and want a slimmer facial appearance

• Have naturally round facial contours and wish for a more oval shape

• Are genetically predisposed to excess fat in the cheek area

• Seek to enhance facial harmony and achieve more defined contours

Each case is unique, and suitability should be determined through a professional consultation.

Steps of a Buccal Fat Removal Procedure

The buccal fat removal surgery is carried out in several stages:

Anesthesia

Patients receive anesthesia to ensure comfort and a pain-free procedure.

Incisions

Small incisions are made inside the mouth, usually in the natural creases of the cheeks, to keep scars hidden.

Identification of Buccal Fat Pads

The buccal fat pads inside the cheeks are located through these incisions.

Removal of Fat Pads

The fat pads are carefully removed, creating slimmer and more defined facial contours.

Closure of Incisions

The incisions are closed with sutures, which support proper healing.

Before and After Care for Bichectomy

Before Surgery

• A thorough consultation is carried out to assess health and expectations

• Patients may be asked to stop smoking and avoid certain medications

• Preoperative tests and health checks are often required

• Fasting may be necessary before the operation

After Surgery

• Swelling, bruising, and mild pain are common but temporary

• Rest and adequate sleep are essential for recovery

• A soft and liquid-based diet is usually recommended

• Pain medications prescribed by the surgeon help manage discomfort

• Follow-up visits are scheduled to monitor healing progress

Side Effects of Buccal Fat Removal

Like any surgery, bichectomy may involve some side effects:

• Swelling and bruising: Common in the first days and gradually subsides

• Pain and discomfort: Usually managed with prescribed medication

• Temporary sensory changes: Numbness or altered sensation in the cheeks may occur

• Infection: A potential risk if proper sterile conditions are not maintained

• Asymmetry: Minor unevenness may appear, depending on healing and surgical precision

• Cheek hollowing over time: Natural aging may enhance the sunken appearance of the cheeks after fat removal

Conclusion

Buccal fat removal (bichectomy) is a popular aesthetic procedure for those seeking slimmer, more defined facial contours. When performed by an experienced surgeon, it can enhance jawline definition, reduce cheek fullness, and provide a lasting improvement in overall facial harmony.