What is Bichectomy and How is it Performed? - Clinic Glow
Bichectomy Shape Your Check Bones
Bichectomy Shape Your Check Bones

What is Bichectomy and How is it Performed?

Bichectomy, or buccal fat removal, trims excess fat in the cheeks, creating a slimmer facial look. Learn about this cosmetic procedure and its transformative effects. Here’s an overview of what bichectomy is and how it is typically performed:


  1. Patient Evaluation: Before undergoing bichectomy, a patient consults with a board-certified plastic surgeon or a qualified facial specialist. During this consultation, the surgeon evaluates the patient’s facial anatomy, discusses their goals, and ensures they are a suitable candidate for the procedure.
  2. Anesthesia: Bichectomy is usually performed under local anesthesia with or without sedation, or in some cases, under general anesthesia. The choice of anesthesia depends on the surgeon’s recommendation and the patient’s preference.
  3. Incisions: The surgeon makes small incisions on the inside of the mouth, typically in the upper part of the cheeks, near the molars. These incisions are made on the inside to avoid visible scarring on the face.
  4. Fat Pad Removal: Through the incisions, the surgeon locates the buccal fat pads and carefully removes an appropriate amount of fat tissue. The goal is to achieve a balanced and aesthetically pleasing result without over-reduction.
  5. Closure: Once the desired fat has been removed, the incisions are closed with dissolvable sutures. There are no external stitches or visible scars on the face.
  6. Recovery: Bichectomy is usually performed as an outpatient procedure, and patients can typically go home on the same day. Swelling and bruising are common after the surgery, but they gradually subside over several weeks. Patients are advised to follow post-operative instructions, including dietary restrictions and proper oral hygiene, to minimize complications.

Results: The final results of bichectomy become more apparent as swelling decreases. Patients can expect a slimmer and more defined facial appearance, particularly in the cheek area.


  • Bichectomy is a permanent procedure, and the removed fat does not typically return.
  • The success of the surgery depends on the surgeon’s skill and the patient’s individual facial anatomy.
  • It is essential for patients to have realistic expectations and a clear understanding of the potential risks and benefits before undergoing bichectomy.

It’s crucial to choose a qualified and experienced surgeon for bichectomy to ensure a safe and aesthetically pleasing outcome. Patients should discuss their goals and concerns thoroughly with the surgeon during the consultation process.


Materials used for Bichectomy Treatment
Materials used for Bichectomy Treatment

Materials used for Bichectomy Treatment

Bichectomy, or buccal fat removal, is a surgical procedure that typically requires minimal materials and equipment. The key materials used in a bichectomy treatment are as follows:

1- Surgical Instruments:

  • Scalpel: A scalpel is used to make incisions inside the mouth to access the buccal fat pads.
  • Surgical Forceps: Forceps are used to hold and manipulate tissues during the procedure.
  • Surgical Scissors: Surgical scissors may be used to trim or remove excess buccal fat.
  • Suturing Materials: Dissolvable sutures are used to close the incisions inside the mouth.

2- Anesthesia Supplies:

  • Depending on the type of anesthesia used (local anesthesia with or without sedation or general anesthesia), the necessary anesthesia equipment and medications are prepared by the anesthesia team.

3- Surgical Drapes and Sterile Covers:

  • These are used to maintain a sterile surgical field during the procedure.

4- Local Anesthetic Agents:

  • Local anesthesia is administered to numb the treatment area and ensure patient comfort during the procedure.

5- General Anesthetic Agents (if applicable):

  • If the patient undergoes bichectomy under general anesthesia, the appropriate anesthetic medications and equipment are used to induce and maintain anesthesia throughout the surgery.

6- Sterile Gloves and Surgical Attire:

  • The surgical team wears sterile gloves and attire to maintain aseptic conditions during the procedure.

7- Sterilization Equipment:

  • Surgical instruments and equipment are sterilized using autoclaves or other sterilization methods to prevent infection during the procedure.

8- Wound Dressings:

  • Depending on the surgeon’s preference, sterile gauze or dressings may be used to protect and dress the incision sites after the procedure.

9- Monitoring Equipment (if applicable):

  • If the patient is under general anesthesia, monitoring equipment such as EKG machines, pulse oximeters, and blood pressure monitors may be used to ensure the patient’s safety and vital signs are stable throughout the surgery.

It’s important to note that bichectomy is a surgical procedure that should only be performed by qualified and experienced healthcare professionals, typically plastic surgeons or facial specialists. The choice of materials and equipment used may vary among surgical facilities and based on the surgeon’s preferences and the specific circumstances of the procedure. Patient safety and infection control are paramount during bichectomy surgery, and all materials and equipment must meet stringent sterilization and safety standards.

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