Bichectomy, also known as buccal fat removal or Hollywood cheek surgery, is a cosmetic procedure that involves removing excess fat from the buccal (cheek) area to create a more defined facial contour. It enhances cheekbone definition and creates a slimmer, more sculpted appearance—especially in the lower face.
This technique is popular among both women and men who desire a V-shaped, more contoured facial look.
You may be a good candidate for bichectomy if you:
Have full or round cheeks due to excess buccal fat
Are at a healthy, stable weight
Desire more definition in the mid and lower face
Are over 18 years old
Are in good health and do not smoke
Have realistic expectations
Note: Bichectomy is not suitable for individuals with naturally thin faces, as further volume loss may lead to a gaunt appearance over time.
Performed under local anesthesia (or light sedation if desired)
A small 1–2 cm incision is made inside each cheek (no external scars)
Buccal fat pads are gently removed in a controlled amount
Incisions are closed with dissolvable sutures
The procedure takes 30–45 minutes and is done on an outpatient basis
Bichectomy is often combined with:
Jawline fillers or slimming (masseter Botox)
Chin augmentation
Neck liposuction
Facial harmonization procedures
One
Local anesthesia
Immediately
7 days
None
* For informational purposes only, be sure to consult your doctor for diagnosis and treatment.
No. All incisions are made inside the mouth, leaving no visible external scarring.
Yes. Once the buccal fat is removed, it does not grow back. Results are permanent, though future weight changes may affect overall facial shape.
Most patients experience only mild discomfort. Local anesthesia prevents pain during the procedure, and recovery is typically quick and manageable.
If you have a naturally slim or angular face, your surgeon may advise against bichectomy to prevent an overly hollow appearance later in life. Ideal candidates have full cheeks to begin with.
Initial swelling resolves in 1–2 weeks, but final contour results appear gradually over 1–3 months as tissues heal and settle.
Yes, but soft foods are recommended for the first few days. Avoid hot, spicy, or acidic foods to prevent irritation.
Absolutely. Many male patients choose bichectomy to achieve a more chiseled jawline or reduce baby-faced roundness.
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Bichectomy targets deep buccal fat pads inside the cheeks, while facial liposuction removes surface fat under the skin. They address different fat compartments and may be combined for enhanced contouring.
Yes. It is commonly performed alongside jawline contouring, chin filler, or masseter Botox for full lower-face shaping.
No. When done properly, bichectomy does not affect facial muscles or nerves. Your smile and expressions remain natural.
Medipol University Hospital, being the justifiably proud of Medipol Education and Health Group in Turkey and in the world, resulting in this spirit, is a health complex having JCI standards accepting patients from all over the world.
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