Buccal fat removal, or bichectomy, is a surgical procedure that reduces fullness in the cheeks by extracting a portion of the buccal fat pad, a natural fat compartment located in the lower cheek area. The surgeon makes a small incision inside the mouth to access and remove the fat, leaving no external scars. This procedure creates a more sculpted or angular cheekbone appearance.

Candidates typically have fuller cheeks and desire a more defined or sculpted facial structure. The procedure works best for those with realistic expectations and adequate cheek fullness to safely remove. A qualified surgeon will assess your facial structure and discuss whether this procedure suits your goals.

Buccal fat removal is performed under local or general anesthesia, depending on your surgeon's recommendation. The surgeon accesses the buccal fat pads through small incisions inside the mouth and carefully extracts the desired amount of fat. The procedure typically takes 30 to 45 minutes, and you remain awake or under sedation throughout.

Most people can return to light activities within a few days, though swelling and bruising in the cheeks and jaw area typically persist for one to two weeks. Avoid strenuous exercise, intense heat, and hard or hot foods during the initial healing period. Complete healing takes several weeks, and you may notice gradual refinement of results as swelling subsides.

Results become visible as swelling decreases, typically within two to four weeks, though full results may take two to three months to appear. The removed fat does not return, making the results generally permanent. However, natural aging and changes in weight can affect overall facial contours over time.