Bichectomy or buccal fat pad removal

Redefines the oval shape of the face and highlights cheekbones.

Results and duration

Duration: between 30 and 60 minutes.

Results: 1 month.

Postoperative care: easily chewable food, not too hot, should be eaten for the first 5 days to minimise inflammation.

Discharge: same day as the surgery.

Hospitalisation: not required.

Anaesthesia: local or local anaesthetic with sedation.

What is it?

Buccal fat-pad removal, or bichectomy, is a minimally invasive surgical procedure to obtain a more angular, stylised face. It highlights the cheekbones and defines the oval shape of the face by removing fatty deposits in the cheeks.

How is it performed?

Buccal (or Bichat’s) fat pad removal is day surgery performed in an operating theatre. It is usually performed under local anaesthetic but sedation may also be used if the surgeon considers it necessary.

It is performed through two small incisions inside the mouth (one in each cheek), so the scars are invisible.


  • It lengthens the face and reduces roundness.
  • It heightens symmetry between the cheeks.
  • It defines the cheekbones.
  • It is suitable for both men and women.
  • It does not leave a scar, as the incision is made inside the mouth.
  • The results are definitive and satisfactory.


Areas of application


Recommendations and care

  • Liquids and soft food are recommended for at least a week.
  • Increase buccal hygiene.
  • Take the medication prescribed by the specialist to prevent infection.


When do the results of the procedure start to show?

Inflammation to the face usually lasts around 5 to 7 days. After that, the results will start to appear, but it will be a month after surgery before you see the definitive results, i.e. a finer, more angular, harmonious and clearly defined face.

What happens if I put on weight after the procedure?

Weight gain after the bichectomy means the volume of facial and body fat will change and therefore also your face. 

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