Buccal Fat Removal, also known as Bichectomy, is a surgical approach that focuses mainly on creating a sharper facial contour by permanently removing the naturally occurring pad of fat accumulated in the cheek hollow area. 

Fat accumulation within the cheeks can be viewed as a virtue according to many beauty standards, as naturally soft and filled out face grants an eternally youthful look. Meanwhile, some people may preview their faces as too full, even chubby.

 In Trust Care, our doctors evaluate the clients thoroughly and prioritize their needs and concerns regarding their perceived body image.  Prior to Bichectomy, the future results are discussed between you and the doctor and an approach of refining the convex buccal fat pads is determined.

Buccal Fat Removal, or Bichectomy, is not typically an optimal choice for those with skinny, bony faces as removal of the fat may result in the face to appear slimmer and gaunter with age. 

  • Am I a good candidate for Buccal Fat Removal Surgery (Bichectomy)?

Bichectomy procedure can be safely performed for adults of all age groups. If you have any of the complains below, you certainly are a good candidate for Bichectomy: 

  • You have a healthy medical history with no chronic diseases
  • You are not a smoker or a heavy drinker 
  • You suffer from chubby cheeks, or double chin
  • You have a normal BMI
  •  You want to rejuvenate the appearance of your face 

Steps of after Buccal Fat Removal (Bichectomy) 

  1. Anaesthesia: 

Generally, Buccal Fat Removal (Bichectomy) is done under general anaesthesia where sedative drugs are administered for your comfort during the surgery. In some case where solitary Bichectomy is performed without any other surgeries in the face, local anaesthesia can be applied as well. 

  1. Making the bilateral incisions:

For those who constantly worry about the post-op scars around the area of procedure. We must note that an incision is made on the inside the mouth, within the inner portion of your cheeks. 

Sometimes, a combination of many aesthetic surgeries may be suggested by the doctor according to patient needs. An example is performing a single incision behind the ears for both Facelift Surgery and Buccal Fat Removal (Bichectomy). 

  1. Securely closing the incisions

The plastic surgeon will make sutures for the purpose of securely closing the incisions made inside the mouth. Sutures are typically made of dissolvable material that gets absorbed and disappear with time. 

  1. Reviewing the results

In Trust Care, our doctors strive to help patients get a natural and beautiful appearance of the face. Our plastics surgeons first make sure that any procedure achieves harmony in the face, and to achieve this goal, a treatment plan tailored to each patient is developed.

Tips Before Buccal Fat Removal (Bichectomy)

  1. We recommend you do the medical laboratory tests requested by our plastic surgeons prior to Buccal Fat Removal (Bichectomy)
  2. It is highly recommended to quit smoking and alcohol completely and to avoid antibiotics and blood thinners such as aspirin, not less than two weeks before the operation.
  3. During the examination, you can provide the doctor with all health information, chronic diseases such as pressure or diabetes.
  4. You must also provide the doctor with all information and reports on any previous operations you have performed, such as madibuloplasty.
  5. Do not take blood-thinning medications, such as aspirin or ibuprofen.
  6. Stay away from blood-thinning drinks such as green tea or ginger.
  7. Our plastic surgeons explain all the stages of the surgery and help the patient to set realistic expectations for the recovery phase after a Buccal Fat Removal (Bichectomy).

Tips After Buccal Fat Removal (Bichectomy)

  1. Patients may notice swelling around the face area. It is a natural and temporary event that begins to recede within the first three days and disappears completely within ten days to two weeks. Trust Care advises valued patients to use Arnica Ointment, which is an effective treatment for bruising and swelling.
  2. It can also be switched between ice and warm compressors every 20 minutes
  3. The doctor will recommend you use a special mouth rise after Buccal Fat Removal (Bichectomy). Regular use of mouth rise wash must protect the patient from risk of infection. 
  4. Some patients may feel weakness of the facial muscles during the first 48 hours after the operation, which is normal and temporary.
  5. The recovery phase ranges from three to four months, depending on the patient’s lifestyle, age, and nature of food. One of the most important factors influencing an optimal recovery is the choice of an experienced doctor and a hospital with good service.
  6. Ensure the body is hydrated by drinking an adequate amount of water and avoiding hot foods, tea and coffee that cause dehydration in the body and an increase in wrinkles
  7. Avoid exposure to the sun after the operation and make sure to apply the appropriate cream that the doctor prescribes for you.
  8. It is possible to return to work and normal life after 10-14 days of the operation.
  9. It is possible to return to the usual exercises after three weeks of the operation.

Frequently Asked Questions 

  • What are the life-long results after Buccal Fat Removal (Bichectomy)?

Patients who have undergone Buccal Fat Removal, or Bichectomy, are usually able to see visible results several months following surgery once the swelling has subsided.

  • What is the ideal age for Buccal Fat Removal (Bichectomy)?

Age is not considered a major detrimental factor. Moreover, the ideal time to do Buccal Fat Removal (Bichectomy) is based on the patient, their requirements, and concerns. 

  • How do I take care of myself after Buccal Fat Removal (Bichectomy)?

There are many factors that play a role in achieving good post-op results, such as diet and weight fluctuations. In Trust Care, our medical advisors make sure to stay in contact with the patients for up to six months to one year to make sure their weight is stable, and they are taking well care of themselves.