- 0 min read

Bichectomy, interchangeably referred to as buccal adipose tissue extraction, constitutes an aesthetic surgical intervention classified under the umbrella of reconstructive surgery, conducted by a proficient plastic surgeon. The primary objective of this operation lies in augmenting facial allure by crafting a sleeker and more distinct visage. Customarily, a board-accredited plastic surgeon, possessing specialized acumen and dexterity in craniofacial maneuvers, carries out the bichectomy. In recent epochs, this procedure has witnessed burgeoning interest, especially among individuals seeking a sculpted and well-defined mien. (1) (2)

A treatise delves into the efficacy of pressure dressing during postoperative bichectomy, addressing grave ramifications such as hemorrhage and subcutaneous pneumatocele. The methodology encompasses creating diminutive lacerations within the oral cavity's inner lining, granting access for the gentle extraction of buccal adipose deposits. This operative technique is characterized by minimal invasiveness and typically necessitates a brief convalescence period. Nevertheless, akin to all surgical interventions, potential hazards and adverse outcomes warrant thorough contemplation prior to embracing bichectomy. (3)

Procedure Details
Duration 1 hour
Age Limit + 18 years old
Pain after surgery 1-2 days
Working after surgery 1 Day
Anesthesia General Anesthesia
Hospital Stay Same-day Discharge
Recovery Time 1-2 Month
Surgical Procedure Yes

Definition and Overview

The buccal fat pads located in the cheeks are the focus of the aesthetic surgical treatment known as bicichectomy, sometimes known as buccal fat removal. These fat pads, often referred to as Bichat's fat pads, are what give cheeks their natural roundness and fullness. The goal of bichotomy is to reduce the size and prominence of these fat pads, resulting in a more sculpted and refined facial contour.

Bichectomy gives people the chance to obtain a smaller and more contoured appearance by eliminating only a section of the buccal fat pads. The operation focuses on strengthening the face's natural angles, especially those around the cheek and jawline, to create a pleasing balance and draw attention to the person's naturally beautiful facial features.


An outpatient bichectomy is a thorough technique that is frequently carried out while the patient is under local or general anesthesia. Small, barely noticeable incisions are first made by the surgeon inside the mouth, close to the lower cheeks. There won't be any obvious exterior scars due to this careful placement.

The surgeon can access the buccal fat pads using these expertly designed incisions. To obtain the desired result, the surgeon carefully and expertly eliminates a piece of the fat. The patient's unique goals and facial anatomy decide how much fat is eliminated. By improving face contours and contouring the cheeks, the surgeon hopes to achieve a harmonious equilibrium.

Dissolvable sutures are used to close the incisions once the necessary fat has been removed. This makes it unnecessary to remove the sutures and enables a more pleasant healing phase. Over time, the dissolvable sutures gradually disappear, leaving no visible remnants.

It is crucial to remember that a Bichectomy should only be carried out by a qualified plastic surgeon with extensive knowledge of facial anatomy and aesthetics. Their experience guarantees that the surgery is carried out with the greatest accuracy, minimizing any possible dangers and consequences.

Bichectomy Risks and Side Effects

According to the American Society of Plastic Surgeons, individuals considering buccal fat removal must evaluate if the aesthetic benefits align with their aspirations, despite the inherent surgical risks.

Potential complications encompass:

  • Risks linked to anesthesia.
  • Uneven contours of the face.
  • The occurrence of bleeding.
  • The risk of deep vein thrombosis along with heart and lung issues.
  • Formation of seroma, a pocket of fluid.
  • Hematoma, a collection of blood outside blood vessels.
  • The threat of infection.
  • Damage to a salivary duct.
  • Injury to facial nerve branches, possibly leading to muscle weakness.
  • Sensation changes, including numbness.
  • Chronic pain may persist.
  • Incisions that heal poorly.
  • The need for additional corrective surgery.
  • Excessive swelling lasting for extended periods.
  • Results that may not meet aesthetic expectations or yield only subtle improvements.


People who want a more defined facial contour and are unhappy with the roundness or fullness of their cheeks make excellent candidates for Bichectomy. Suitable applicants frequently display the following traits:

Excessive cheek fullness: People who have larger buccal fat pads due to hereditary inheritance may consider Bichectomy to get a thinner face appearance.

Unbalanced facial features: Bichectomy may be useful for people who have round or chubby cheeks in order to achieve face harmony.

Desire for a contoured appearance: Bichectomy is a procedure used to improve the facial structure of those who wish to have a more defined jawline and prominent cheekbones.

Realistic expectations: Candidates should be aware of the procedure's potential outcomes and restrictions, as well as have reasonable expectations for the outcomes.


Patients can anticipate a period of healing and recovery following Bichectomy. Temporary bruising, swelling, and minor discomfort are frequent side effects of treatment. But for a speedy recovery and the best outcomes, it's essential to follow the surgeon's post-operative recommendations exactly. Here are some key principles to remember:

Cold compresses can help reduce swelling and relieve discomfort when applied to the affected region. As directed by the surgeon, use a clean cloth or an ice pack wrapped in a thin towel gently for brief intervals.

Taking prescription painkillers: To treat any post-operative discomfort, the surgeon may prescribe painkillers. To maintain proper pain control, it's crucial to adhere to the recommended dosage and regimen.

Following a soft diet can help with optimal recovery in the first few days following the treatment. Consuming things like soups, smoothies, mashed potatoes, and yogurt may fall under this category. Avoiding foods that are hard, chewy, or spicy can aid in avoiding discomfort or harm to the treated region.

Avoiding severe activity: For the specified time frame, refrain from engaging in any strenuous activities or exercises that could cause swelling or interfere with the healing process. Allowing the body to recuperate naturally without undue effort is crucial.

The importance of sustaining appropriate dental hygiene during the healing process cannot be overstated. A mouthwash prescription, gentle tooth brushing, and any further instructions from the surgeon should all be followed to reduce the risk of infection and encourage good healing.

Keep planned follow-up meetings with the surgeon in order to track the progress of the healing process. The surgeon can evaluate the healing, resolve any issues or queries, and offer additional advice for optimum healing during these appointments.

It is crucial to remember that every person's healing process is unique, and it could take several weeks for the swelling to completely go down and the final results to show. To achieve the intended result of a more refined and contoured face appearance, patience and following to the post-operative instructions are crucial.


Bichectomy has immediate effects, albeit the full impact may not become apparent for some time following the treatment. Patients will be able to notice improved facial contours and a more sculpted appearance when the swelling goes down and the tissues mend.

Once the swelling has entirely subsided, the full effects of a Bichectomy can normally be observed within a few months. Individual healing rates can differ, therefore it's important to practice patience throughout this period. People can improve the procedure's outcome by adhering to post-operative care recommendations and showing up for follow-up appointments.


By focusing on lowering the amount of the buccal fat pads, bichectomy enables people to obtain a more defined and contoured facial appearance.

  • (1) - -

    (2) -

    (3) -