Buccal Fat Removal (Bichectomy) Surgery Before and After in TurkeyAnkara Aesthetics Clinic
Many people who want to slim down their puffy cheeks prefer bichectomy, a surgical procedure that offers both aesthetic and functional benefits. This treatment has recently become very popular, especially in Turkey, a centre for health tourism.
What is buccal fat extraction (bichectomy)?
Bichectomy is a technique used to reduce the cheek fat pad. This surgical procedure involves the removal of the cheek fat pad (BLP). Connective tissue covers this round mass of fat, which primarily contributes to the facial appearance of fullness. This appearance of fullness does not change with weight loss, and this method is a permanent solution for those who want a slimmer face.
This operation serves both aesthetic and functional purposes. Aesthetically, bichectomy aims to achieve the inverted triangular face shape and sharper facial contours that are especially popular among women. Functionally, it can solve problems such as constant cheek biting (morsicatio buccarum) or discomfort when chewing. In rare cases, the buccal fat pad is used in medical treatments such as buccal sinus fistula closure or chin reconstruction.
Usually performed through a small incision in the mouth, bichectomy involves removing part of the BFP (buccal fat pad). The results are smoother facial contours, defined cheekbones, and thinner cheeks. As a minimally invasive procedure, it leaves no visible external scarring and is ideal for those who want a natural yet effective change.
What are buccal fat pads (BFP)?
Buccal fat pads (BFP), located deep in our cheeks, are innate masses of fatty tissue. These fat masses located between the chewing muscles make the face look full and round, prevent the cheeks from collapsing inward during sucking in infants, support the inward movement of the cheeks during chewing, and play a role in shaping the face. The BFP can be of different sizes in each person. It is more prominent in people with a genetically full face and in some ethnicities (e.g., Asian and Latino populations). It is not very affected by weight gain and loss, so it does not melt away completely with diet.
Bichectomy is the surgical removal of the buccal fat pads (BFP) in the cheeks for those who want to permanently slim their facial contour. Bichectomy is a permanent solution for those who want thinner and sharper facial contours.
How to reduce facial fat?
There are various methods, both surgical and non-surgical, to reduce fatty tissue in the face.
- Bichectomy: surgical removal of only the buccal fat pads on the face.
- Liposuction (facial liposuction): removal of fat accumulations in the face and chin area, under the cheeks and neck area by vacuuming or with special cannulas.
- Radiofrequency: ultrasound treatments and fat-melting injections. A nonsurgical option is the MFU (microfocus ultrasound) treatment. MFU increases collagen production by heating the subcutaneous tissue and slightly reduces cheek volume.
- Regular facial exercises
- Nutrition regulation
- Mesotherapy
Surgical methods:
Non-surgical methods:
How is bichectomy done?
The bichectomy procedure consists of the following stages.
- Mostly general anesthesia is preferred; in some cases, local anesthesia and sedation can be applied.
- The duration of anesthesia is 45-60 minutes on average.
- Chlorhexidine, a compound with a strong antiseptic and antimicrobial effect, is applied into the mouth, and the mouth is disinfected.
- The Stensen's duct (salivary duct) is marked and protected.
- A small incision of 1.5-2 cm is made at the level of the upper second molar.
- The buccal fat pad is reached.
- The fat package is detected.
- Approximately 2-4 grams of fat tissue are removed (depending on the anatomical needs of the patient).
- The surgical area is closed with sutures.
Preparation and evaluation:
You may be uncomfortable with the excessive fullness of your cheeks; the fat on your face does not decrease even if you lose weight, or you may want aesthetically sharper facial features. Whatever your situation, our surgeon will first do a comprehensive facial analysis of your face, taking into account your wishes. He will also use 3D simulations for this purpose. He will order various blood tests to reveal your general health status. In the meantime, he will talk to you and consider whether you have any chronic conditions that are not under control.
If everything is in order and you are eligible for a bichectomy, our surgeon will ask you to stop taking blood thinners one week before surgery and advise you to avoid alcohol and smoking.
Anesthesia administration:
Bichectomy surgical procedure:
Postoperative care:
Our surgeon will give you detailed information about what you should pay attention to in your recovery process after bichectomy, when to come for regular checkups, etc. Following the instructions of our surgeon during the healing process will help you complete it in a shorter time.
What are the advantages of bichectomy?
Bichectomy provides many aesthetic and functional benefits:
- It reduces cheek volume, accentuates cheekbones, and provides an inverted triangular face shape.
- It reduces cheek biting and improves chewing comfort.
- Slimmer and sharper facial features improve self-confidence and quality of life.
- It is completed in 15-20 minutes with local anesthesia; the healing process is easy.
- Faces are preserved even with weight gain.
- Shows a natural adaptation with aging.
Bichectomy recovery time:
The recovery process after a bichectomy varies from person to person.
- First 15-20 Days: Swelling and bruises decrease, and the first changes in facial features are noticeable.
- 45th Day: Significant thinning and the appearance of cheekbones are observed.
- 3rd Month: The facial contour is almost finalised.
- 4-6 Months: Swelling completely disappears, and final results are seen.
How long will bichectomy last?
Bichectomy is, of course, permanent in its consequences. This is because the buccal fat packets removed during surgery are not replaced by the body. Therefore, as long as you maintain your ideal weight, the slimmer facial features you achieve will last a lifetime.
However, there are important points to be aware of. Firstly, if you gain significant weight, other fatty tissues in your face may expand, which may partially mask the slimming effect of the bichectomy. To maintain results in the long term:
- Maintain a healthy weight
- Follow appropriate care routines to support your skin health
- Consider treatments that support collagen production against signs of aging
Buccal Fat Removal Before and After Procedure
Bichectomy is a cosmetic procedure designed to remove excess fat from the cheeks, helping you achieve a slimmer and more contoured facial appearance. This treatment is ideal for those who desire a more V-shaped or structured look rather than a round face. With bichectomy, your facial features can become more defined, enhancing the harmony of your cheekbones and jawline. If you're looking for a refined and elegant facial structure, our expert team is here to guide you through the process. Let us help you achieve the look you desire!
Before:
- Full, rounded cheeks
- Less defined cheekbones
- Cheek biting and chewing discomfort
After:
- Slimmer cheeks with more prominent cheekbones
- Inverted triangular facial shape
- More defined jawline
- Improved self-confidence
Bichectomy Turkey cost
Bichectomy prices in Turkey vary according to the clinic, the region where the clinic is located, and the experience of the surgeon who will perform the procedure. The price of a bichectomy procedure in Turkey varies between €800 and 1,600 on average. You can contact our clinic to get current prices.
Bichectomy side effects:
Bichectomy is a safe procedure. But as with any surgical intervention, there can be risks and side effects. Common side effects include:
First 2 weeks
- Swelling and bruising: Especially evident in the first 3-5 days,
- Mild pain and discomfort: Can be controlled with painkillers,
- Temporary numbness: may last for several weeks in the cheek area,
- Slight changes in speech: It is due to a change in language habits and is temporary.
Difficulty chewing: Feeding soft foods is recommended for the first week,
1-3 Months:
- Risk of asymmetry: very low
- Slightly sunken appearance: This can happen especially in the case of excessive fat intake.
- Feeling of stiffness in the inner cheek: Temporary fibrosis in the fat removal area.
Rare complications:
- Infection
- Bleeding
- Salivary gland injury
- Nerve damage
Frequently Asked Questions
What is the best age for bichectomy?
The best time for bichectomy is between the ages of 25 and 35, when facial development is complete but the aging process has not yet begun. However, this may vary according to the facial structure and needs of the person.
Is bichectomy painful?
No, you will not feel pain during the operation because the procedure is performed under anesthesia.
Is bichectomy safe in Turkey?
Yes, the bichectomy procedure in Turkey is performed by specialized doctors in clinics with modern technical equipment and is completely safe.
How long does buccal fat surgery last?
The results of the procedure with the bichectomy method are permanent.
Can you eat after a bichectomy?
You can eat soft foods for the first 48 hours after bichectomy surgery. It is also very important to drink plenty of fluids.
Is buccal fat removal better than jaw Botox?
These two methods are applications to meet different needs. Bichectomy is a surgical procedure that involves the permanent removal of the buccal fat pads in the cheeks, while chin Botox is a non-invasive procedure. Thanks to botulinum toxin injected into the masseter muscle, the volume of the chewing muscles is reduced. Here are the situations where both procedures are needed:
Bichectomy:
- Those whose cheek fullness does not decrease even if they lose weight
- Those with prominent fat pads on the face
- Those who want a permanent solution
- Those who do not have a health problem that prevents surgical intervention
Chin Botox:
- Those who complain of a wide jawline
- Those who suffer from teeth clenching or grinding
- Those who do not want to have surgery
- Those who can settle for temporary solutions
Which country is best for buccal fat removal?
Turkey offers the best value (€800-1,600).
The prices in other countries:
|
Country |
Price Range |
Cost Relative to Turkey |
|
Turkey |
€800-1,600 |
Baseline |
|
UK |
£2,500-4,000 |
3-4 x higher |
|
Germany |
€2,000-3,500 |
2-3 x higher |
Advantages of choosing Turkey
- Significant cost savings (60-70% less than in Western countries)
- High quality accredited facilities
- Comprehensive medical tourism packages
- Streamlined visa processes for medical visitors
- Vacation opportunities due to treatment
Please contact us for additional information or to schedule a consultation for tummy tuck surgery.