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Buccal Fat Removal (Bichectomy) & Facial Slimming

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What is bichectomy exactly?
Bichectomy is a surgical procedure that removes the buccal fat pads located in the deep cheeks. It produces a more defined and sculpted facial appearance, enhancing cheekbone definition and jawline clarity. The procedure is performed through small incisions inside the mouth, leaving no external visible scars.
Who is the ideal candidate for buccal fat removal?
The ideal candidate has overly full cheeks or an excessively round face due to prominent buccal fat pads, and has reached full facial maturity (typically over 22 years). It is not suitable for those with an already thin face or facial volume deficiency.
Will buccal fat removal make my face look aged later?
Proper patient selection significantly minimizes this risk. Those with notably full cheeks are the most suitable candidates. Since the face naturally loses volume with aging, the procedure is not recommended for those with average or below-average facial volume. Careful evaluation determines suitability and long-term expectations.
Can bichectomy be combined with other procedures?
Yes, bichectomy is commonly combined with rhinoplasty, facial fillers, chin augmentation, and masseter Botox for jawline slimming. Combining with complementary facial procedures achieves more harmonious overall facial refinement.
How long is the recovery after bichectomy?
Recovery is relatively quick. Initial swelling peaks within 2-3 days and mostly resolves within one to two weeks. Soft foods are recommended during the first week. The result gradually becomes more apparent over 3-6 months as subtle residual swelling fully resolves.