Face · Surgical procedure

Buccal Fat Removal

Buccal fat removal (bichectomy) takes out the Bichat fat pads — fat compartments in the cheeks — to slim the lower third of the face. It is performed through internal incisions, in the lining of the mouth, with no external cuts.

Illustration — Buccal Fat Removal

Goals of the procedure

  • Slim the contour of the cheeks

  • Use internal incisions, with no visible external scars

  • Use local anesthesia, with or without sedation

  • Typically quick recovery in most cases

Every surgical procedure involves risks. An individual evaluation with a plastic surgeon is essential to determine the appropriate treatment for each case.

Frequently asked questions

What patients most often ask.

Is buccal fat removal permanent?

Yes — the removed fat does not return. That is why the indication is assessed carefully, considering the face as a whole and the natural changes that come with age.

Who is it indicated for?

For those with pronounced volume in the cheeks who wish to slim the contour of the face. An individual evaluation confirms whether it is indicated in your case.

What are the anesthesia and incisions like?

The procedure is performed under local anesthesia, with or without sedation, through an internal incision near the upper molars — with no external cuts.

What is the recovery like?

Swelling usually improves within about a week. In the first few days, special attention to diet and oral hygiene is recommended, as directed.

The next step

Discuss Buccal Fat Removal with a surgeon.

Every case is unique — and that is exactly how we treat it. Book a consultation and speak with someone who lives this specialty.

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