Buccal Fat Removal (Bichectomy)

This article was medically reviewed by Dr. Uğur Tosun

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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