Buccal Fat Removal (Bichectomy) is a surgical procedure that removes excess fat tissue from the cheeks. This operation sharpens facial features and provides a slimmer, more defined appearance. With bichectomy, the face takes on a more triangular shape and the cheekbones become more prominent.

Individuals with genetically full cheeks opt for bichectomy to slim down their facial shape. Weight loss does not always reduce cheek fat. In such cases, bichectomy clarifies facial contours and creates a balanced, aesthetic look.

How is Bichectomy Performed?

The procedure is carried out under local anesthesia. The doctor makes a small incision inside the cheek and removes excess fat tissue. The operation usually takes 30-45 minutes. Since the stitches are inside the mouth, no external scars are visible. After a short recovery period, the patient can return to daily life.

Mild swelling and tenderness may occur on the face after the procedure. These effects generally subside within a few days. Following the doctor’s instructions ensures a quick and comfortable recovery. The results are permanent and give the face a slimmer appearance.

Preparations Before Bichectomy

Have a detailed consultation with your doctor and share your expectations. Stop smoking and consuming alcohol at least one week before the procedure. Discontinue blood-thinning medications, certain vitamins, or herbal supplements under medical supervision.

On the day of the procedure, eat a light meal and wear comfortable clothes. Maintain good oral hygiene. These preparations speed up the healing process and help you get the best results from the operation.

Post-Procedure Care

Apply cold compresses and rest during the first 48 hours after the procedure. Maintain oral hygiene by using antiseptic mouthwash and avoid vigorous brushing. Avoid very hot or spicy foods for the first few days; prefer soft and warm foods.

Do not smoke or consume alcohol after the procedure; this accelerates healing and reduces swelling. Avoid heavy physical activities and exercise during the first week. Sleep with your head slightly elevated and avoid sleeping on your stomach. Attend follow-up appointments and consult your doctor if you experience unexpected pain or swelling.

Who is Suitable for Bichectomy?

Bichectomy is suitable for those who want to define their facial features. It is ideal for individuals with oval or round face shapes who desire sharper cheekbones and a more defined jawline. Adults with good general health who want permanent results and those who have not achieved desired results with non-surgical methods can also undergo bichectomy.

The age limit is generally 18 and above. At this age, the bone structure and fat tissue of the face have fully settled, resulting in better outcomes. In older individuals, where skin elasticity decreases, bichectomy may be combined with other aesthetic procedures.