• Buccal fat removal

Enhance Your Facial Contours with Buccal Fat Removal (Bichectomy)

What is Buccal Fat Removal?

Buccal fat removal is a cosmetic surgery procedure that is recommended for people who, despite diet and exercise, cannot get rid of their chubby cheeks. Also known as bichectomy, buccal lipectomy and Hollywood Cheeks, the procedure creates a more contoured facial appearance by removing excess fat pads (buccal fat pads) from the cheek area.

The area under your cheekbones and in front of your ears is susceptible to accumulating fatty tissue. It is responsible for the appearance of “chipmunk cheeks”, which could be a result of weight gain, genetics, ageing or a combination thereof. This excess tissue may cause jowls to form or drooping skin on the neck and jawline. Surgery that removes the buccal fat can help improve the facial appearance by removing any asymmetry caused by this type of fat in the cheeks.

Bichectomy procedures are relatively straightforward. The procedure is performed under local anaesthesia with the surgeon making small incisions on the inside of the cheeks—so there is no visible scarring.

During the procedure, the excess fat pads are removed, and the wounds sutured. The entire process is relatively quick, taking around an hour to complete.

Who is a Good Candidate for Buccal Fat Removal?

It is designed for those who are looking to reshape their face and jawline, but it is not recommended for patients with a lot of excess fat. The ideal candidate for the procedure:

  • is aged between their mid-20s to 40s who want to get rid of puffy or chubby cheeks
  • wants to achieve a more sculpted appearance
  • maintains a stable, healthy weight

You are unlikely to be a candidate for buccal lipectomy if you:

  • have a narrow face and no fullness in the cheeks
  • are an older patient where the ageing process has caused volume loss in the cheek and midface area as the procedure may cause sunken cheeks

Benefits of Buccal Fat Removal

Some of the benefits of buccal fat removal include:

  • Improved facial contouring
  • Rejuvenated, harmonious facial shape
  • No scarring
  • Subtle changes
  • Quick recovery

What is the Recovery Following Removal of Buccal Fat?

Typically, it takes between 7-14 days for the mouth tissues to recover from cheek reduction surgery.

A soft, cold-food or liquid diet is recommended for the first few days following surgery to prevent dislodging the stitches or irritating the tissue at the incision sites. Make sure you follow the instructions from your surgeon and take any medication or special mouthwash as prescribed.

Most people resume the majority of their usual activities the day after surgery. The swelling usually peaks at 3 days and then subsides in the following days.

There may be some minor swelling for up to 6 weeks following surgery, and it is 3-6 months before the areas are completely healed.

Is Buccal Fat Removal Permanent?

If the entire buccal fat pad is removed it is permanent and once the fat is removed from your cheeks, it does not come back. If it is partially removed, or other methods of fat removal have been used in the lower cheek, the buccal fat may return if you put on weight.

Fluctuations in weight may affect the appearance of the results over time, as will the natural ageing process that causes fine lines, wrinkles and skin laxity which results in sagging.

Can Buccal Fat Removal Be Combined with Other Procedures?

Buccal fat removal reduces cheek volume and should make the cheekbones and jawline more prominent. However, if you do not have a good cheekbone projection to start with, removal or reduction of buccal fat may not give you the appearance of the high, prominent cheekbones you desire.

Thus, a consultation with an expert in plastic surgery is vital so that your cheekbone structure is analysed to determine whether this procedure alone will give you the result you want.

The good news is that buccal fat removal procedures may be combined with other surgical or non-surgical procedures to provide an enhanced effect, including cheek implants, fat transfer and dermal fillers.

Other facial plastic procedures that you can combine with buccal fat removal are:

What are the Risks of Buccal Far Removal Surgery?

The surgery is a relatively uncomplicated procedure, but it is important to note that all surgery carries some risk. Most side-effects following surgical procedures, such as discomfort, swelling and bruising are short-lived and subside within weeks.

Complications may include anaesthetic risks (if general anaesthesia is used), haematoma (blood accumulation), seroma (fluid accumulation), damage to nerves or salivary glands and facial asymmetry.

One of the risks of buccal fat reduction is removing too much. During the ageing process, the fat pad can shrink. Thus, an experienced surgeon will take a conservative approach when removing the fat in younger patients to maintain a natural appearance when they are older.

Risks and complications are rare in the hands of a plastic surgeon with expertise in facial aesthetics. Talk to someone who understands the complexities of buccal fat removal and schedule an appointment for your bichectomy at Antiaging Group Barcelona.

How Much Does a Buccal Fat Removal Cost?

The price of a Buccal Fat Removal surgery is 1,320 euros (approximate cost).

Since we know that cost is important, we welcome you to visit our facilities for a free, no-obligation visit. You’ll have time to consult with the plastic surgeon, ask questions, and talk about any concerns. We’ll identify the best solution and the best price for you.

Why Choose Doctor Jesús Benito for Your Bichectomy in Spain?

We’re so glad you asked! With over 20 years of experience, Doctor Jesús Benito is one of the best board certified plastic surgeons in Europe. He’s a global authority in plastic, reconstructive, and cosmetic surgery and he’s pioneered many new techniques and surgical processes.

Doctor Jesús Benito is a member of many international plastic surgery organizations, has won numerous awards, and is dedicated to his patients. His world-class medical center in Spain is sought out for its excellence and state-of-the-art procedures. A highly trained team supports Doctor Benito and provides superb care for every patient.

Bibliography & Publications:

Complications associated with bichectomy surgery: a literature review.  Alcantara MT, Ribeiro NR, Abreu DF. Minerva Stomatol. 2020 Nov

Photobiomodulation in the Postoperative of Bichectomy Surgeries: Case Series. Bernal Rodriguez CG, Kraul LF, Cardoso TW, Eduardo CP, Aranha ACC, de Freitas PM. Photomed Laser Surg. 2018


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    Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito

    Antiaging Group Barcelona

    Ronda del General Mitre, 84, 08021 (Barcelona, Spain)

    Nearest Metro Stations: Les Tres Torres / La Bonanova

    Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito
    Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito

    Antiaging Group Barcelona

    Ronda del General Mitre, 84, 08021 (Barcelona, Spain)

    Nearest Metro Stations: Les Tres Torres / La Bonanova

    Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito
    Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito