Bichectomy, also known as buccal fat removal, is a cosmetic surgical procedure that enhances facial contours by removing excess fat from the cheeks. This procedure is designed to create a slimmer, more sculpted appearance, particularly in the midface area. It is a popular choice for individuals seeking a more defined jawline and cheekbones.
The procedure involves making small incisions inside the mouth, through which the surgeon removes the buccal fat pads located in the lower cheeks. Since the incisions are internal, there are no visible scars. The surgery is minimally invasive and typically performed under local anesthesia, with the entire process lasting about 30–60 minutes.
Bichectomy is ideal for individuals with full, round cheeks who desire a more angular facial structure. It is not recommended for those with naturally thin faces, as removing too much fat could result in a hollow or aged appearance over time. Candidates should be in good health, non-smokers, and have realistic expectations about the outcomes.
The main advantage of bichectomy is the enhancement of facial definition, resulting in a slimmer and more contoured look. The procedure is quick, minimally invasive, and leaves no visible scars. Additionally, the results are permanent, provided there are no significant changes in weight. For many, the surgery boosts self-confidence by aligning their appearance with their aesthetic goals.
Recovery from bichectomy is relatively quick, with most individuals resuming daily activities within a few days. Swelling and mild discomfort are common but subside within 1–2 weeks. Patients are advised to follow a soft diet for a few days and maintain good oral hygiene to prevent infection. Final results become evident as the swelling diminishes over several weeks.