Bichectomy

A Bichectomy is a minimally invasive procedure for the permanent removal of cheek fat, also known as Bichat’s fat pads. The goal is to make the face appear slimmer and more defined, particularly in the area beneath the cheekbones. After the procedure, facial features often become more pronounced, giving the overall profile greater contour and expression.

A Bichectomy is suitable for individuals with fuller cheeks who have a rather round or youthful face despite a normal body weight. Those seeking a more V-shaped facial appearance can achieve a noticeable slimming of the mid-face area through the procedure.

The procedure is usually performed under local anesthesia and takes only about 20 to 30 minutes. Through small incisions inside the cheeks, the excess fat tissue is removed on both sides. The wounds are closed with dissolvable stitches, leaving no visible scars.

In the first few days after the procedure, mild swelling may occur. Patients should eat soft foods for about 3–5 days and rinse the mouth with an antiseptic solution. Smoking and alcohol should be avoided during this time to not interfere with the healing process.

The first changes are usually noticeable after just a few weeks. The final result, a slimmer, more contoured face, appears after about four to six weeks, once the swelling has completely subsided.

No, the fat pads that are removed during a buccal fat removal procedure do not grow back. The change in your face is permanent, unless you gain a lot of weight or lose fat in your face in an unusual way.

Yes, in the first few days after the operation, a soft or liquid diet is often recommended so that the oral mucosa is not unnecessarily strained. An antiseptic mouthwash can help to reduce the risk of infection.

No, the fat is removed through a small incision inside the mouth, so no scars are visible from the outside.

Soft foods are recommended for the first few days. After that, you can usually return to your normal diet as long as you have no complaints.

Yes, if you gain a lot of weight after bichectomy, other parts of your face may also grow, which may partially diminish the slimming effect.