Buccal Fat Removal (Bichectomy)

This article was medically reviewed by Dr. Uğur Tosun

What is Buccal Fat Removal (Bichectomy)?

Buccal fat removal is a surgical procedure that involves the removal of the buccal fat pads located in the lower cheeks. These pads can vary significantly in size from person to person. The procedure is relatively straightforward and is often performed under local anesthesia. It’s particularly popular among individuals who feel their face appears overly full or chubby, even with a healthy body weight.

Benefits of Buccal Fat Removal

The primary benefit of this procedure is the reduction of lower cheek fullness, which can enhance the cheekbones and give the face a more defined appearance. This can lead to increased confidence and self-esteem, as the face often appears slimmer and more mature. Buccal fat removal can also bring balance and proportion to facial features, making it a sought-after procedure for those aiming for a specific aesthetic look.

The Buccal Fat Removal Procedure

The procedure involves making small incisions inside the mouth, on the inner side of the cheek. The surgeon then gently teases out the buccal fat pads and removes them. The incisions are closed with dissolvable sutures. The entire process typically takes less than an hour, and patients can usually go home the same day.

Recovery and Aftercare Following Buccal Fat Removal

Recovery from buccal fat removal is relatively quick, with most patients experiencing minimal discomfort. Swelling and bruising are common but typically subside within a week or two. Patients are advised to follow a soft diet and maintain good oral hygiene to prevent infection. Strenuous activities should be avoided for a short period post-surgery.

Buccal Fat Removal vs. Other Facial Sculpting Procedures

Unlike injectable fillers or facial liposuction, buccal fat removal offers a permanent solution to reducing cheek fullness. It’s a more targeted approach compared to liposuction and is specifically designed for contouring the lower cheeks. Fillers, on the other hand, add volume to the face, which can be counterproductive for patients seeking to reduce fullness.

Buccal fat removal can play a significant role in facial aesthetic enhancement. It offers a permanent and effective solution for individuals seeking to diminish cheek fullness and achieve a more contoured, refined facial appearance. As with any cosmetic procedure, it’s crucial to have a detailed consultation with a qualified surgeon to ensure this procedure aligns with your aesthetic goals and expectations.

Ideal Candidates for Buccal Fat Removal

Ideal candidates are those seeking facial contouring or have a “chubby” facial appearance they wish to alter. Candidates should be healthy, have realistic expectations, and preferentially, possess a stable weight. The consultation process will help determine if buccal fat removal is the right choice for you.

Benefits of Buccal Fat Removal

The primary benefit is enhanced facial contouring and definition, leading to a more sculpted, aesthetically pleasing facial structure. Many patients report increased confidence and satisfaction with their facial appearance post-procedure.

Reasons for the Popularity of Buccal Fat Removal (Bichectomy) in Turkey

  1. Highly Skilled Surgeons: Turkey is home to some of the world’s most skilled and experienced plastic surgeons, many of whom have trained internationally. These surgeons are adept at performing Buccal Fat Removal, ensuring patients achieve their desired facial contours with minimal risks.
  2. Cost-Effectiveness: Compared to many Western countries, cosmetic procedures in Turkey are significantly more affordable without compromising on quality or safety. This cost advantage makes it an attractive option for patients looking to undergo Buccal Fat Removal without breaking the bank.
  3. State-of-the-Art Medical Facilities: Turkish medical institutions and private clinics are equipped with the latest technology and adhere to international standards of care. Patients can expect top-notch service, modern facilities, and comprehensive care throughout their surgical journey.
  4. All-Inclusive Packages: Many clinics offer all-inclusive packages for international patients, which cover the surgery, hospital stay, post-operative care, and sometimes even accommodation and airport transfers. This hassle-free approach appeals to those looking for a convenient and stress-free medical tourism experience.
  5. Cultural and Touristic Appeal: Turkey’s rich cultural heritage, stunning landscapes, and warm hospitality make it an attractive destination. Patients often combine their medical trips with a vacation, exploring historical sites, enjoying Turkish cuisine, and relaxing in beautiful settings before or after their procedure.
  6. Stringent Healthcare Regulations: The Turkish government has strict regulations in place to ensure the quality and safety of medical care provided to both locals and international visitors. These measures have bolstered confidence in Turkey’s healthcare system and its cosmetic surgery offerings.
  7. Global Accreditation: Many Turkish hospitals and clinics have received accreditation from international organizations, such as the Joint Commission International (JCI), which further reinforces their commitment to maintaining high standards of patient care and safety.
  8. Rapid Recovery and Privacy: The privacy afforded by traveling abroad for surgery allows patients to recover away from the public eye. Additionally, the efficient and focused recovery programs offered by Turkish clinics ensure patients can return home with confidence in their new appearance.
  9. Personalized Treatments: Turkish surgeons are known for their personalized approach to cosmetic surgery, carefully tailoring procedures to meet the unique needs and aesthetic goals of each patient. This bespoke approach ensures optimal results and patient satisfaction.

In essence, Turkey offers quality surgery at a reduced cost along with appealing travel opportunities.

General Surgeon
Prof. Dr. Ahmet Türkoğlu

General Surgery

Reyap Hospital – Istanbul, Turkey

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FaQ – Buccal Fat Removal (Bichectomy)

Ideal candidates are those in good general health, non-smokers, and have realistic expectations. It’s best suited for individuals with full or round cheeks looking for more facial definition.

While some changes may be noticeable immediately, the final results typically become evident once the swelling subsides, which can take several weeks.

Buccal fat removal is a permanent procedure. Once the fat pads are removed, they do not grow back, making it important to have a thorough consultation to ensure this aligns with long-term aesthetic goals.

Buccal fat removal can create a more contoured facial appearance in the short term, but it’s important to consider how facial volume loss naturally occurs with aging. Removing buccal fat might accelerate the appearance of aging in some individuals by contributing to a more hollowed appearance later in life.

Yes, buccal fat removal can be combined with other procedures such as rhinoplasty, chin augmentation, or face lifts to enhance overall facial harmony. Your surgeon can recommend a comprehensive approach based on your aesthetic goals.

While relatively rare, potential complications can include infection, asymmetry, damage to the facial nerves, and excessive removal of fat leading to an overly gaunt appearance.

The procedure typically takes about one hour to complete and is often performed under local anesthesia with sedation or under general anesthesia, depending on the patient’s and surgeon’s preferences.

During the initial consultation, the surgeon will assess your facial structure, discuss your aesthetic goals, explain the procedure, and evaluate your overall health to determine if you’re a good candidate for buccal fat removal.

Preparation may include avoiding certain medications and supplements that can increase bleeding, stopping smoking to improve healing, and arranging for someone to drive you home after the procedure.

Facial symmetry is an important consideration, as removing buccal fat can have a significant impact on the balance and proportions of your face. A skilled surgeon aims to enhance facial harmony while avoiding an unnatural or asymmetric appearance.

It’s important to have realistic expectations and understand that while buccal fat removal can enhance facial contours, the results vary based on individual facial structure and the amount of fat removed. A thorough discussion with your surgeon about the anticipated outcomes is crucial.

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