Bichectomy

What is buccal Bichectomy?

Buccal fat removal is a minimally invasive cosmetic procedure that involves the partial extraction of the Bichat fat pads—accumulations of fat in the cheeks that can make the face appear rounder or fuller.

This procedure is designed to slim the face, enhance cheekbone definition, and improve facial contouring without affecting muscle function or the patient’s natural expressions.

Recovery Time

Recovery from buccal fat removal is quick and straightforward:

First 24–48 hours: Mild swelling and minimal discomfort may occur. A soft diet and relative rest are recommended.
First week: Swelling begins to subside, and initial results become noticeable.
4–6 weeks: Facial contour progressively improves as tissues adapt.
Final results are visible after three months, once all swelling has completely resolved.

It is recommended to avoid very hot, spicy, or hard-to-chew foods during the first few days, as well as to maintain proper oral hygiene to prevent infections.

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Antes y después

You're a Good Candidate for Buccal Fat If...

Not recommended for individuals with very thin faces, as natural fat reduction over time may accentuate sagging.

Buccal Fat Removal vs. Other Buccal Fat Removal vs. Other

Feature

Buccal Fat Removal

Chin Liposuction

Hyaluronic Acid Fillers

Focus

Reduces cheek volume

Removes submental fat

Adds volume/definition

Technique

Internal fat extraction

Localized liposuction

Dermal injections

Results

Permanent

Temporary (6–12 months)

Recuperación

Quick, no external scars

Moderate, mild swelling

Immediate, no downtime

Benefits at TOPS

Define los rasgos faciales sin alterar la expresión natural.

Enhances facial features without altering natural expressions.

Quick, safe procedure with minimal downtime.

Progressive, natural results with no visible scarring.

No long-term touch-ups or maintenance required.

How is the procedure performed?

Buccal fat removal is a quick, safe surgery performed under local anesthesia or mild sedation.

Procedure Steps:

Personalized assessment to determine candidacy.
Local anesthesia for a painless experience.
Small internal incisions (inside cheeks)—no visible scars.
Controlled extraction of Bichat fat pads for harmonious results.
Closure with dissolvable sutures (no external stitches).
Duration: Approximately 30–45 minutes.

Frequently Asked Questions (FAQ)

How does TOPS minimize risks?

We perform detailed facial analysis to ensure the procedure is right for each patient. Advanced, minimally invasive techniques further reduce complication risks.

When will I see results?

Changes become noticeable between 4–6 weeks, but final results appear around 3 months post-op, once swelling fully resolves.

Does buccal fat removal leave visible scars?

No. Incisions are made inside the mouth, leaving no external scarring.

Can it be combined with other procedures?

Sí. La bichectomía se puede complementar con armonización facial, lipopapada, hilos tensores o rinomodelación para lograr un resultado más equilibrado y estilizado.

Is buccal fat removal reversible?

No. Once Bichat fat pads are removed, they do not regenerate. A thorough pre-op evaluation is essential.

Can I get it if I already have a thin face?

Not recommended for very thin faces or those prone to premature sagging, as it may lead to an aged appearance over time.