• Buccal fat removal

Enhance Your Facial Contours with Buccal Fat Removal (Bichectomy)

There’s nothing wrong with having big, full cheeks. However, your face could look overall too round or full. You may also feel a little self-conscious about having a “baby face.”

Indeed, even though some fullness in the cheeks can give you a youthful effect, too much fullness can turn into a less than appealing chubby-cheeked look.

So, if you want to make your cheeks smaller, buccal fat removal, also called bichectomy, is the right choice for you.

This procedure can reduce the cheeks and define facial angles. Prepare to display defined cheek hollows in a very Bella Hadid style!

You will look as if you were puckering your lips or blowing a whistle in a flattering, very sophisticated manner. Also, you will get a more balanced facial appearance.

Indeed, buccal fat removal is the way to go if you want a chiseled and slender look, which can boost confidence and self-esteem.

So keep reading to find out everything about this relatively small yet very effective cosmetic procedure.

What Is Buccal Fat Removal?

Buccal fat removal is a cosmetic surgery procedure recommended for people who, despite heavy diet and exercise, cannot get rid of their chubby cheeks.

Also known as bichectomy, cheek reduction surgery, 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 buccal fat pad is a rounded mass of fatty tissue responsible for your cheek’s appearance. It is located between facial muscles, in the hollow area beneath your cheekbone, and front of your ears.

This area is susceptible to accumulating fatty tissue. Hence, it is responsible for the appearance of “chipmunk cheeks,” which could result from weight gain, genetics, or simply ageing.

The size of your buccal fat pads can greatly impact your face shape. For example, if you have large buccal fat pads, your face could look too round or full.

This excess fatty tissue may also cause jowls or drooping skin on the neck and jawline. Hence, the impact of overly full cheekbones goes beyond the mid-face area.

So buccal fat removal is an effective and safe procedure that aims to improve your cheekbones’ contours by strategically reducing the fat volume in the hollow part of your cheeks.

In men, the reduction of facial cheek volume translates into a chiseled jawline and cheeks. On the other hand, women aim for a delicately sculpted and slender facial contour.

Also, surgery that removes the buccal fat can help improve the facial appearance by eliminating any asymmetry.

It is important to note that the size of the buccal fat pads can differ on each side of the cheeks in the same patient.

How Is the Procedure?

Bichectomy procedures are relatively straightforward. The procedure can be performed in a hospital or a doctor’s office as a day case procedure.

If you’re only having buccal fat removal surgery, the procedure is performed under local anaesthesia and sedation if you feel anxious. You won’t feel any pain or discomfort, but you’ll be awake during surgery.

The surgeon makes small incisions on the inside of the cheeks (approximately 15 mm) —so there are no visible scars, and you get minimal downtime.

Then, he will apply place pressure on the outside of your cheek to expose the buccal fat pad.

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. If you’re having more procedures done, though, you will have surgery in an operation room under general anaesthesia instead.

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

Who is a Good Candidate for Buccal Fat Removal?

Bichectomy is designed for those who are looking to reshape their face and jawline. However, this surgery is not recommended for patients with a lot of excess fat.

The ideal candidate for buccal fat removal:

  • is aged between their mid-20s to 40s.
  • wants to get rid of puffy or chubby cheeks.
  • wants to achieve a more sculpted appearance.
  • maintains a stable, healthy weight (within 30% of his/her ideal weight).

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

  • have a narrow face and no fullness in the cheeks. The procedure may give you sunken cheeks as you age!
  • are an older patient, and the ageing process has already caused volume loss in the cheeks and midface area. The procedure could emphasize jowls and other signs of facial aging.
  • have hemifacial atrophy (Parry-Romberg syndrome). This rare genetic disorder causes the skin on one side of the face to shrink, including the buccal fat pad.

Whichever your case, during your first consultation with Dr. Benito, he will review your medical history and assess the anatomy of your cheeks.

Then, based on the clinical findings and your expectations, he will decide if you are an ideal candidate for buccal fat removal. Also, he will elaborate on realistic goals and a treatment plan specially tailored for you!

What is the Recovery Following Removal of Buccal Fat?

Typically, it takes about three weeks for the mouth tissues to recover from cheek reduction surgery. Although, most patients can return to all their regular activities within 5-7 days after surgery.

We strongly advise stopping smoking at least two weeks prior to your bichectomy and two weeks after the procedure to optimize your healing process. Smoking can significantly impair your post-operative recovery and increases the risk of complications.

A soft, cold-food or liquid diet is recommended for the first week following surgery to prevent dislodging the stitches or irritating the tissue at the incision sites. Then, you can progress to soft foods before returning to your regular diet.

Make sure you follow the instructions from your surgeon and take any medication or special mouthwash as prescribed to prevent infection.

Minimal discomfort is expected, and bruising is uncommon.

The swelling usually peaks on the 3rd day and then subsides in the following days. However, it may persist for up to 6 weeks following surgery.

You should avoid strenuous exercise and bend over on the first days. Also, sleeping in an elevated upper body position can help control post-operative swelling and protect your incisions.

You will have to wait nearly three months before the areas are completely healed and see the final results. It takes time for your cheeks to settle into their new shape.

Is Buccal Fat Removal Permanent?

If the entire buccal fat pad is removed, it is permanent. Once the fat is removed from your cheeks, it does not come back.

If your surgeon removes it partially, or other fat removal methods have been used in the lower cheek, the buccal fat may return if you put on weight.

Important fluctuations in weight may affect the appearance of the results over time!

The same applies to the natural ageing process. It can cause volume loss, fine lines, wrinkles, and sagging skin.

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 high, prominent cheekbones you desire.

Thus, a consultation with an expert in plastic surgery is vital so that your cheekbone structure is analyzed to determine whether bichectomy alone will give you the results 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?

A bichectomy is a relatively safe 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 temporary 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.
  • 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

BOOK AN APPOINTMENT WITH DOCTOR BENITO.

The first visit is free and without obligation.

You can contact us on WhatsApp or Viber at +34 657 460 421.

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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