What Is Bichectomy (Cheek Reduction Surgery)?

Bichectomy, commonly referred to as cheek reduction surgery or buccal fat removal, is an aesthetic procedure performed to refine and contour the lower face. The operation involves removing a portion of the buccal fat pad through a small incision made inside the mouth. The goal is to enhance facial definition, creating a more sculpted, V-shaped, and symmetrical appearance. Since gaining popularity in the 1990s, the procedure has become widely associated with the so-called “Hollywood aesthetic.” While it is often preferred by younger individuals with fuller cheeks, it is suitable for anyone seeking sharper, more balanced facial contours.

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Bichectomy Procedure Process and Technique

Bichectomy surgery is typically performed under local anesthesia, though sedation or general anesthesia may be used if necessary. The procedure generally proceeds as follows:

Incision: A small incision, approximately 1 cm in length, is made inside the mouth, leaving no visible external scar.
Buccal Fat Removal: The surgeon carefully removes the buccal fat pad to slim and contour the cheeks.

Duration: The procedure usually takes around 30–45 minutes and is often performed on an outpatient basis.

Who Is a Suitable Candidate for Bichectomy?

Ideal candidates for bichectomy include:

Adults (18+) with a round or fuller facial structure
Individuals seeking more defined and symmetrical facial contours
Physically healthy patients who do not smoke
Those with realistic expectations regarding aesthetic outcomes

Bichectomy Recovery Process and Results

Recovery after bichectomy is generally rapid:

Mild swelling and stitches inside the mouth are common; most sutures are absorbable.
Initial results become noticeable within 2–4 months, with the final outcome visible around 3–6 months.

To support the healing process:

Consume soft foods.
Maintain proper oral hygiene.
Follow your doctor’s instructions regarding antibiotics or antiseptic use.
Apply cold compresses to help reduce swelling.

Bichectomy: Potential Risks and Precautions

As with any surgical procedure, bichectomy carries certain risks; however, these can be minimized when performed by an experienced surgeon. Potential complications include: