
Bichectomy (Buccal Fat Removal)
Bichectomy is a cosmetic facial surgery that removes part of the deep cheek fat pads to create a slimmer and more defined facial appearance with sharper cheekbone definition. This buccal fat pad removal treatment is usually chosen by adults in their 20s to 40s who have naturally fuller lower cheeks and stable body weight. During the procedure facial contour surgeons make a small cut inside the inner cheek near the upper molar area to reach the buccal fat pad. The surgeon then removes part of the deep cheek fat carefully to create a slimmer facial shape while keeping the cheeks balanced. The surgery is usually done under local anesthesia and most procedures take around 30 to 60 minutes. Patients usually go home the same day after surgery. Swelling tightness and mild discomfort are common during early healing and final cheek shape becomes more noticeable gradually as swelling improves. The cheek fat removal cost may differ depending on the surgeon clinic location and treatment plan. Some people look for bichectomy abroad because some clinics offer lower cost surgery with recovery support and treatment planning together. CureMeAbroad helps patients compare experienced facial surgeons and treatment options before surgery.
Overview
Bichectomy is a cosmetic facial surgery that removes part of the deep cheek fat pads to create a slimmer and more defined facial appearance with sharper cheekbone definition. This buccal fat pad removal treatment is usually chosen by adults in their 20s to 40s who have naturally fuller lower cheeks and stable body weight. During the procedure facial contour surgeons make a small cut inside the inner cheek near the upper molar area to reach the buccal fat pad. The surgeon then removes part of the deep cheek fat carefully to create a slimmer facial shape while keeping the cheeks balanced. The surgery is usually done under local anesthesia and most procedures take around 30 to 60 minutes. Patients usually go home the same day after surgery. Swelling tightness and mild discomfort are common during early healing and final cheek shape becomes more noticeable gradually as swelling improves. The cheek fat removal cost may differ depending on the surgeon clinic location and treatment plan. Some people look for bichectomy abroad because some clinics offer lower cost surgery with recovery support and treatment planning together. CureMeAbroad helps patients compare experienced facial surgeons and treatment options before surgery.
Surgery Time
Most bichectomy procedures take around 30 to 60 minutes.
Recovery Timeline
Swelling and tightness are common during the first 1 to 2 weeks after surgery and cheek shape becomes more noticeable around 3 to 6 months during healing.
Common Side Effects
Swelling, difficulty in opening the mouth, pain and uneven cheek shape are some common early side effects after surgery.
Complication Rate
Around 1 in 4 patients may experience some type of complication after bichectomy surgery so proper surgeon selection and treatment planning are important.
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Things to Check for Bichectomy (Buccal Fat Removal) Abroad
- Check if your cheek fullness is mainly caused by buccal fat because bichectomy may not help all face shapes.
- Check how facial fat loss with aging may affect your long term facial appearance after surgery.
- Ask your surgeon how much cheek fat will be removed because removing too much fat may create a hollow facial look later.
- Choose a facial plastic surgeon who has proper experience with buccal fat pad removal surgery.
- Before surgery ask about the full treatment cost including clinic charges, medicines and later doctor visits.
Risks And Complications of Bichectomy (Buccal Fat Removal) Abroad
- Swelling and tightness inside the cheeks are common during the first few weeks after surgery.
- Some people may find it difficult to open the mouth fully during early healing after bichectomy surgery.
- Uneven cheek shape may happen if both sides heal differently after surgery.
- Some patients may notice a hollow or thinner facial appearance later if excess cheek fat is removed.
- Temporary numbness or sensitivity inside the cheeks can happen during healing.
Do’s
- ✓Verify surgeon credentials (e.g. ISAPS, JPRAS)
- ✓Ask for before-after photos
- ✓Check language barriers
- ✓Review aftercare and follow-up options
- ✓Consider local laws on medical malpractice
Don'ts
- ✗Don't Choose a Clinic Based Only on Price
- ✗Don't Rely Solely on Social Media or Influencers
- ✗Don't Ignore Language Barriers
- ✗Don't Rush Into Surgery Without Research
- ✗Don't Assume You Can Fly Back Immediately
Under Cosmetic/Plastic Surgery
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Bichectomy (Buccal Fat Removal)
This procedure involves specific medical techniques tailored to address particular health conditions. Your doctor will explain the detailed process based on your case.
Bichectomy (Buccal Fat Removal)
Eligibility depends on your medical history, current condition, and treatment goals. A consultation and evaluation will determine if you are a suitable candidate.
Bichectomy (Buccal Fat Removal)
Preparation may include lab tests, imaging, medication adjustments, fasting, or lifestyle recommendations. Your healthcare provider will give you personalized instructions.
What does this procedure involve?

Bichectomy (Buccal Fat Removal)
This procedure involves specific medical techniques tailored to address particular health conditions. Your doctor will explain the detailed process based on your case.



