What is
Bichectomy?
Bichectomy, also referred to as buccal fat removal, is a surgical procedure aimed at reducing cheek size by removing the buccal fat pads. It is commonly sought after by individuals desiring a slimmer facial profile. Here, we will delve into the benefits, features, risks, recovery time, side effects, and the procedure of bichectomy.
Bichectomy Benefits and Features
The benefits and features of bichectomy encompass:
Facial Contouring: Bichectomy aids in achieving a more sculpted and contoured appearance by reducing cheek fullness.
Enhanced Facial Symmetry: The procedure contributes to improved facial symmetry and proportion, resulting in a more balanced aesthetic.
Improved Self-Esteem: Individuals who are self-conscious about their cheek appearance may experience increased confidence and satisfaction with their facial look post-bichectomy.
Bichectomy Procedure
The bichectomy procedure typically involves the following steps:
Consultation and Evaluation: The surgeon conducts a comprehensive assessment and discusses the patient’s aesthetic goals to ascertain their suitability for bichectomy.
Surgical Plan: A personalized surgical plan is devised, detailing the amount of buccal fat to be removed and the specific technique to be employed.
Surgical Procedure: Bichectomy is carried out under local or general anesthesia, with small incisions made inside the mouth to access and carefully remove the buccal fat pads.
Closure and Recovery: The incisions are closed with dissolvable sutures, and the patient is provided with post-operative care instructions for optimal healing and recovery.
Follow-Up Care: Patients are scheduled for follow-up appointments to monitor healing, address any concerns, and ensure a smooth recovery process.
Bichectomy offers individuals the potential to achieve a slimmer facial profile and improved facial symmetry. While the specific benefits, risks, recovery time, side effects, and procedure details can vary based on individual considerations, it’s crucial to consult with a qualified and experienced surgeon to discuss potential outcomes, associated considerations, and personalized recommendations for bichectomy.
Recovery Time for Bichectomy
The recovery period for bichectomy can vary among individuals. Patients may experience swelling, bruising, and discomfort in the days following the procedure. Full recovery and resolution of swelling typically occur over several weeks to a few months.

Bichectomy Risks
The risks associated with bichectomy may include:
Nerve Damage: There is a potential risk of temporary or permanent damage to the facial nerves, leading to altered sensation or movement in the cheeks.
Asymmetry: In certain cases, there may be a risk of post-operative facial asymmetry if the removal of buccal fat is not balanced between both sides.
Infection or Hematoma: Similar to any surgical procedure, there is a risk of infection or hematoma formation, although this is uncommon when post-operative care is diligently followed.
Bichectomy Side Effects
Common side effects associated with bichectomy may include:
Swelling and Bruising: Patients can anticipate some degree of swelling and bruising in the cheek area following the procedure, which gradually diminishes over time.
Discomfort: Mild to moderate discomfort is common after bichectomy, although this can be managed with pain medication as prescribed by the surgeon.
Numbness: Temporary numbness in the cheeks is normal due to the tissue manipulation during the procedure, with sensation gradually returning over time.