Bichectomy (Buccal Fat Removal)

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Bichectomy (Buccal Fat Removal)

Bichectomy is an aesthetic surgical procedure aimed at creating a slimmer, more defined, and contoured appearance in the lower third of the face by surgically removing the buccal fat pads located in the lower cheeks. This surgery sharpens facial features, enhancing the prominence of the cheekbones and jawline. Bichectomy can be an effective facial contouring method when the right patients are selected; however, it is not suitable for everyone.

What is a Buccal Fat Pad?

The buccal fat pad is deep fat tissue located in the cheek area between the chewing muscles, providing fullness to the lower face. In some individuals, this fat pad is prominent, making the face appear rounder and wider than it actually is.

Who is a Candidate for Bichectomy?

  • Those with fullness in the lower cheek area
  • Patients with round facial features
  • Individuals with less prominent cheekbones
  • Those seeking a sharper facial contour
  • Young individuals with good skin elasticity

Goals of Bichectomy Surgery

  • Reduce fullness in the lower part of the face
  • Make the cheekbones more prominent
  • Define the jawline more sharply
  • Balance facial proportions
Bichectomy is not a weight loss surgery; it is a contouring procedure.

Surgical Technique (Bichectomy)

  • The incision is made inside the mouth
  • No external scars
  • The buccal fat pad is carefully removed
  • Symmetry is meticulously maintained
  • The mucosal incision is closed with aesthetic sutures
During the procedure, facial nerves are not harmed, and deep anatomical planes are not entered.

Surgical Procedure

  • Local anesthesia ± sedation
  • Duration: 20–40 minutes
  • Same-day discharge is possible

Postoperative Recovery

  • Swelling in the cheeks during the first days is normal
  • Oral hygiene should be carefully maintained
  • Soft foods are recommended for 2–3 days
  • Return to daily activities within 3–5 days
  • The final facial contour appears within 1–3 months

Possible Risks and Complications

  • Temporary swelling
  • Asymmetry
  • Infection (rare)
  • Risk of hollowing due to excessive fat removal

Longevity of Results

  • The removed fat does not return
  • Weight gain may increase overall facial fullness
  • Aging continues; therefore, proper patient selection is critical

F.A.Q

Does buccal fat removal age the face?

Incorrect patient selection and excessive fat removal can lead to an aged appearance.

No. The incisions are made inside the mouth.

No. It is not suitable for patients with a thin face.

As the swelling decreases, within 1–3 months.

No. Therefore, planning must be done carefully.

Plan a safe and personalized consultation with Dr. Mert Okumuş. We are here to guide you through your aesthetic needs, facial analysis, surgical options, or any questions you may have. Fill out the form below to schedule your appointment.

If you have general questions about our services, treatment processes, or Dr. Mert Okumuş, you can reach us via email or contact us directly.

Email

dr.mertokumus@gmail.com

Phone

+90 532 781 51 23

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