Intro
Bichectomy, medically referred to as buccal fat removal, is a facial surgical procedure designed to reduce cheek fullness by removing excess buccal fat pads.
This article explains bichectomy in a neutral and educational manner, covering anatomical considerations, surgical technique, recovery, risks, long-term implications, and expected outcomes.
What is bichectomy?
Bichectomy involves the partial removal of the buccal fat pads, which are natural fat compartments located deep within the cheeks.
The procedure aims to enhance facial contour by creating a slimmer midface and more defined cheekbones and jawline.
Anatomy of the buccal fat pad
The buccal fat pad is a distinct anatomical structure that contributes to facial volume, particularly in the lower cheek area.
Its size varies significantly between individuals and is not directly related to overall body fat.
Why consider buccal fat removal?
Bichectomy may be considered for individuals who:
- Have persistently full or rounded cheeks
- Desire a more sculpted facial appearance
- Do not achieve facial slimming through weight loss
Who is a suitable candidate?
Bichectomy may be suitable for individuals who:
- Have naturally prominent buccal fat pads
- Have good skin elasticity
- Are in good general health
- Have stable body weight
- Have realistic expectations
It is generally not recommended for individuals with thin faces or advanced facial aging.
How is the procedure performed?
The procedure is typically performed under local anesthesia with or without sedation, or under general anesthesia if combined with other facial surgeries.
Small incisions are made inside the mouth, allowing access to the buccal fat pads without external scarring.
Treatment timeline
Before the procedure
- Facial assessment and photographic analysis
- Evaluation of cheek volume and symmetry
During the procedure
- Careful removal of a portion of the buccal fat pad
- Preservation of surrounding structures
After the procedure
- Swelling in the cheek area
- Mild discomfort or tightness
Recovery & aftercare
Swelling may persist for several weeks, with final facial contour becoming apparent over a few months.
Patients are advised to maintain good oral hygiene and follow dietary recommendations during healing.
Possible risks & considerations
- Overcorrection or excessive facial hollowing
- Asymmetry
- Infection
- Long-term facial aging concerns
Expected results
Bichectomy aims to create a more contoured and defined facial appearance.
Results are permanent, as removed fat does not regenerate.
Frequently asked questions
Is buccal fat removal reversible?
No. Removal of buccal fat is permanent.
Will my face continue to slim with age?
Yes. Natural aging causes further facial fat loss, which should be considered carefully.
Can bichectomy be combined with other procedures?
Yes. It is often combined with facelift, jawline surgery, or fat grafting.
Important medical disclaimer
This content is provided for informational purposes only and does not replace a professional medical consultation. Treatment plans, suitability, techniques, and outcomes vary per patient and are determined by a licensed medical professional following an individual assessment.