What Is Bichectomy?

Bichectomy is an aesthetic surgical procedure that involves the removal of the Bichat fat pad, a fat deposit located in the cheeks. This procedure reduces fullness in the mid-face area, highlights the cheekbones, and creates a more slim, defined, and balanced facial contour.

It is especially suitable for individuals with genetically fuller cheeks that do not slim down even with weight loss.

What issues does bichectomy address?

• Excess fullness in the mid-face
• Round or wide facial appearance
• Poorly defined cheekbones
• A “baby-face” or heavy facial expression

Bichectomy enhances facial contours without altering natural facial features.

Advantages of Bichectomy

1. Slimmer facial appearance
2. Natural-looking results
3. No visible scars — incisions are made inside the mouth
4. Short procedure time (20–40 minutes)
5. Long-lasting results — removed fat does not return

Who Is Bichectomy Suitable For?

• Individuals with genetically full cheeks
• Those seeking more defined facial contours
• People with normal body weight but persistent facial fullness
• Patients in good overall health

Note: Bichectomy may not be suitable for very slim individuals or those at risk of excessive facial thinning with age. A medical consultation is essential.

Surgery and Recovery

Bichectomy is usually performed under local anesthesia. The Bichat fat pads are removed through intraoral incisions.

• Mild swelling during the first few days
• Swelling subsides within 5–7 days
• Final results appear within 2–4 weeks
• A soft-food diet is recommended during early recovery

Conclusion 

Bichectomy is a modern aesthetic surgical procedure that helps eliminate excess fullness in the mid-face area, resulting in a more slim, contoured, and balanced facial appearance. The operation does not drastically alter facial features; instead, it enhances the cheek and jawline contours, giving the face a more mature, refined, and aesthetically pleasing expression.

One of the key advantages of bichectomy is its natural-looking and long-lasting results. The removal of the Bichat fat pad provides permanent slimming, and when properly planned, it does not lead to an artificial or overly gaunt appearance over time. Therefore, bichectomy is considered a safe and effective option for patients whose facial anatomy has been carefully evaluated.