The Definitive Guide to Buccal Fat Removal (Bichectomy)
Many individuals struggle with the appearance of overly round or full cheeks. They seek a more refined, angular aesthetic to better define their facial structure. A procedure known as Buccal Fat Removal Bichectomy offers a targeted and effective cosmetic solution to this common concern.
This procedure, also known as Bichectomy, permanently addresses the volume caused by deep cheek fat pads. It creates a desirable shadow effect beneath the cheekbones. This results in a slimmer, more contoured, and generally sculpted facial look.
The treatment has gained immense popularity globally for its ability to deliver permanent, visible changes through a minimally invasive approach. This comprehensive guide explores all essential aspects of Bichectomy, from the surgical details to planning a safe recovery abroad.
Understanding Buccal Fat Removal: Procedure and Candidates
Buccal Fat Removal is a specialized cosmetic surgery focused entirely on the lower cheek area. Surgeons remove the buccal fat pads, which are naturally occurring masses of fat located deep within the cheek.
This targeted action reduces the volume in the lower face significantly. Specialists perform the procedure to achieve a more slender and defined facial profile. The reduction enhances the natural contours of the cheekbones and jawline.
Identifying the Ideal Candidate Profile
Determining the ideal candidate is the critical first step toward successful Buccal Fat Removal. This elective surgery works best for specific facial structures and health profiles. It requires patients to have realistic expectations for the final outcome.
Ideal Buccal Fat Removal Candidates:
- Have naturally round, full cheeks that often hide the jawline.
- Seek a distinctly slimmer and more contoured facial shape.
- Maintain excellent overall physical health before the elective surgery.
- Are non-smokers committed to following post-operative care strictly.
- Understand the permanent nature of the fat removal and results.
These established criteria help ensure the patient experiences maximum benefit and safety from the procedure. All prospective patients must consult a board-certified surgeon to confirm their suitability confidently.
Step-by-Step Bichectomy Procedure Details
The Buccal Fat Removal surgery is quick and minimally disruptive to the patient’s life. The surgeon begins by making a small, controlled incision inside the mouth. This cut is located on the inner cheek, near the upper molars.
Through this carefully created access point, a portion of the deep buccal fat pad gently emerges. The surgeon then skillfully removes the targeted volume of fat. Precision is essential to ensure a natural and symmetrical result.
Once the fat volume is reduced, the internal incision is closed carefully. Dissolvable stitches are always used for this internal closure. This means the patient avoids any need for future stitch removal appointments.
The entire procedure usually takes only 30 to 60 minutes to complete successfully. Surgeons may perform Bichectomy under local anesthesia for simple cases. Alternatively, general anesthesia can be used based on the patient’s preference and the doctor’s recommendation.
Recovery, Results, and Longevity
Understanding the expected recovery timeline is vital for proper planning. Buccal Fat Removal is known for its relatively quick initial recovery, allowing patients to resume normal life rapidly.
Patients can generally return to their professional work and typical routine activities within two to three days following the surgery. This quick return is highly valued by individuals with demanding schedules.
However, mild swelling and minor bruising inside the cheeks are expected immediately after the procedure. These common side effects improve noticeably and continually within the first one to two weeks of healing time.
The good news is that discomfort is typically mild and highly manageable. Patients often report only slight tenderness or a sensation of fullness within the cheeks. Prescribed pain medications easily control any temporary discomfort.
Scarring and Final Aesthetic Outcome
A major benefit of Buccal Fat Removal is the complete absence of visible external scars on the face or cheek area. Since the necessary incision is meticulously placed inside the mouth, scarring remains fully concealed.
The initial contour changes are usually noticeable to the patient after only a few weeks of recovery. However, the final, most refined results of the Bichectomy procedure only become fully visible after two to four months.
This longer waiting period is entirely normal and necessary. It allows all deep swelling to fully subside and the tissues to settle completely into their new, slimmer shape. Patience is a key virtue during this phase of the process.
The results of Buccal Fat Removal are considered permanent for the patient. The specific fat cells removed during the surgery do not grow back. Therefore, the improved facial contour is long-lasting and durable.
Natural aging will continue to change the overall facial appearance over decades. However, the treated area maintains its reduced volume permanently. Risks are minimal but include potential nerve injury or excessive hollowing, which a skilled surgeon minimizes.
Planning Bichectomy Abroad: The Istanbul Advantage
International travel for cosmetic procedures continues to grow rapidly worldwide. Istanbul, Turkey, has firmly cemented its reputation as a leading global center for exceptional facial plastic surgery expertise.
The city attracts numerous medical tourists seeking specialized care like Bichectomy. This popularity stems from the availability of highly skilled facial and maxillofacial surgeons practicing in advanced, accredited clinics.
Affordable pricing for premium surgical services is a major factor. Istanbul also offers comprehensive medical tourism support services. This structure effectively eases the entire logistical burden for international travelers.
Choosing a Reliable Surgeon and Clinic
Selecting the right surgeon, particularly when planning to travel abroad, demands careful research and due diligence. Patients must always verify the surgeon’s board certification in plastic or maxillofacial surgery first.
The next step involves extensively checking before-and-after photos of previous Bichectomy patients. These visual results confirm the surgeon’s aesthetic skill and consistent success rate with the procedure.
Furthermore, verify the clinic’s accreditation status and read recent, verified reviews. This process helps ensure the facility maintains strict international standards for patient safety, hygiene, and overall quality of care.
The Value of All-Inclusive Medical Tourism Packages
Many top-tier clinics in Istanbul streamline the international patient experience. They proactively offer comprehensive, attractive all-inclusive packages. These deals cover all the critical steps of the surgical journey.
Typical All-Inclusive Packages Often Include:
- The initial consultation, the Bichectomy surgery, and all anesthesia fees.
- Necessary medications and professional, dedicated post-operative care.
- High-quality hotel accommodation for the recommended recovery period.
- Reliable airport transfers and professional translation services as required.
These structured packages significantly reduce the stress associated with complex international planning. They provide clear costs and necessary logistical support for a smooth, worry-free medical trip experience.
Essential Travel and Aftercare Considerations
Planning Your Recovery Stay and Travel Safety
Patients planning their Bichectomy trip to Istanbul should schedule a short but appropriate recovery stay. Most surgeons recommend a stay of only three to five days for the procedure and the initial crucial healing phase.
This duration allows the surgeon to perform necessary post-operative check-ups and monitor the incision site effectively. It ensures the patient is fully stabilized before they attempt to travel back to their home country.
A common query involves the safety of flying after a Buccal Fat Removal procedure. Since the surgery is minimally invasive, patients can usually fly within just a few days post-operation, provided they feel well.
However, all patients must strictly follow the specific oral care and general recovery instructions given by their surgical team. Following this advice minimizes any risk of post-operative complications during travel.
Post-Return Aftercare and Communication
After returning home, the commitment to diligent aftercare must continue daily for optimal results. The Istanbul clinics provide patients with comprehensive oral care instructions specifically designed for the internal incision site.
Maintaining excellent oral hygiene is paramount to preventing infection during the healing process. Many progressive clinics also arrange remote follow-up appointments and necessary check-ins via secure email or video consultation platforms.
This dedicated remote support allows the surgical team to monitor the patient’s healing progress effectively from a distance. The aim is to ensure total confidence throughout the two-to-four-month period until the final results appear.
Language issues are rarely a problem at reputable Turkish clinics that cater to medical tourism. They maintain professional staff who are English-speaking coordinators and medical personnel.
Interpreters are always available on-site as a further precaution to facilitate complex medical discussions. This ensures the patient’s comfort and guarantees clear, unambiguous communication at all critical stages.
When packing for the medical trip, patients should consider a few essential items for comfortable recovery. They should pack any prescribed medications and soft foods necessary for the first few days after the surgery.
Antiseptic mouthwash, if the clinic does not provide it, is crucial for oral care. Loose, comfortable clothing and the possibility of a travel companion are also highly recommended for a stress-free experience abroad.
Final Thoughts on Facial Contouring
Buccal Fat Removal is a highly sought-after procedure that successfully transforms the lower face. It delivers a slimmer, more contoured, and visually attractive facial structure that is permanently maintained.
The entire process, whether performed locally or through medical tourism in Istanbul, demands careful planning and realistic expectations. The permanent nature of the fat removal makes selecting an expert surgeon absolutely crucial.
Patient safety, procedural accuracy, and ultimate aesthetic satisfaction remain the highest priorities at all times. This commitment minimizes risk and maximizes the potential for achieving stunning, lasting contouring results.
We strongly recommend that you initiate your journey by scheduling a consultation with a certified facial plastic surgeon immediately. Discuss your specific aesthetic goals and obtain a personalized assessment to begin your transformative Bichectomy experience.



Chloe R., London-UK –
I’m so glad I chose Turkey for buccal fat removal. The procedure was simple, the clinic was spotless, and my face looks more defined.
Jonas K., Berlin-Germany –
Meine Bichat-Fettentfernung in der Türkei war eine positive Erfahrung. Das Ergebnis sieht natürlich aus und mein Gesicht wirkt definierter.
Emily S. from New York –
My buccal fat removal in Turkey gave me a slimmer face and sharper cheekbones. The recovery was quick, and the result looks very natural.
Amélie T., Paris/France –
Mon retrait de boules de Bichat en Turquie s’est très bien passé. Mon visage paraît plus fin et élégant.