Bichectomy surgery has gained popularity with the acceptance of thin, contoured, sharp facial line in today’s world. Bichectomy, which is applied to people whose face looks round and round due to excess fat pads in the cheek area, gives the face an oval, thin, shaped structure. This surgery, which is easy to perform, painless and risk-free, provides the person with both an aesthetic appearance and lifelong ideal facial contours.

What is Bichectomy?

The removal of fat in the cheek area of people with round cheeks and round face is called bichectomy. The ratio of fat pads in the cheek area is different in each person. Some people have more cheek pads than normal. This condition, which usually occurs due to hereditary reasons, makes the person look overweight and old. In these people, the ideal aesthetic appearance cannot be achieved because the facial features lose their prominence.

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Bichectomy surgery, also known as intra-cheek fat removal, has become famous for shaping the faces of Hollywood stars and has become popular with the demand of famous people in our country. Bichectomy surgery, which is easy and practical to apply, provides a slim and fit appearance on the face where it is applied. In this way, the person reaches the ideal facial proportion and aesthetics.

Who Is Bichectomy Performed?

Bichectomy; It is applied to people who look overweight due to cheek fat and are not satisfied with the loss of facial features.

What Should Be Done Before Bichectomy?

Smoking and alcohol consumption should be reduced at least 1 week before bichectomy surgery. Blood thinners should not be taken before the operation and herbal tea should not be drunk. If there are regularly used medications, they should be shared with the doctor and the doctor’s recommendations should be applied.

How Is Bichectomy Surgery Performed?

The person is first examined to determine whether he/she is suitable for bichectomy. The surgery plan is prepared by determining how much fat will be removed from the cheek area and how the person wants to look. Bichectomy is performed under local anaesthesia or sedation by making an incision through the cheek. Through a 1cm incision, the required amount of fat pads are removed and the incision is closed with sutures. Bichectomy is applied to both cheeks or one cheek. The purpose of bichectomy; In addition to giving the face a thin, prominent, shaped structure, it is also to provide facial proportion and symmetry.

What are the Advantages of Bichectomy?

The advantages of bichectomy are as follows:

  • With bichectomy, the person gets a thin, oval, contoured face.

  • After the operation, the person is discharged on the same day. It is not necessary to stay in hospital.

  • It is performed without general anaesthesia.

  • Since no incision is made on the skin surface, there is no surgical scar.

  • Fast recovery is provided.

  • It is a painless and risk-free procedure.

  • Even if the person gains weight, his/her face does not return to its former state.

Bichectomy Prices

Bichectomy prices vary depending on factors such as the quality of the materials to be used, the size of the application area, the experience of the doctor, whether it is combined with other procedures. You can come to our centre and find out the price of bichectomy surgery and whether this procedure is suitable for you.

What Should Be Considered After Bichectomy?

After the operation, the person is discharged on the same day. The healing process takes 2-3 weeks. During this period, it is necessary to pay attention to the following situations:

  • Care should be taken for oral hygiene and care.

  • Teeth should be brushed twice a day and mouthwash should be applied.

  • Strenuous activities should not be performed.

  • Liquid and soft foods should be fed in the first week. Intense chewing should not be done.

  • Smoking should be avoided.

  • It should not be exposed to direct sunlight.

When Will Edema and Swelling Pass After Bichectomy?

Edema formation in the mouth and cheek area after bichectomy is normal. Edema and swelling decrease and disappear within 1-2 weeks. Cold compress should be applied to relax in this process. Following the doctor’s instructions and not neglecting personal care facilitates the healing process.

When Does Bichectomy Take Effect?

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The healing process after bichectomy surgery takes up to 14 days. During this period, effects such as pain, swelling, oedema, bruising disappear gradually. The desired effect in the cheek area occurs within an average of 1 month. In 6-12 months, the effect of the surgery is fully established and the effect of thinness, sharpness and youth is felt throughout the face.

Is Bichectomy Permanent?

Bichectomy is a procedure that provides permanent results. By removing the fat pads in the cheek, there is no fat accumulation in this area again. The person can use the thin, oval face appearance for a lifetime.

Is Bichectomy Risky?

Since bichectomy surgery is performed through the mouth and contact with this area cannot be prevented, the risk of infection is higher than other procedures. After the surgery, it is very important for the person to ensure intraoral hygiene by following the doctor’s recommendations. The area where the bichectomy is performed is an area where facial nerves pass. It requires expertise and experience to prevent damage to these nerves during surgery. Bichectomy surgery is a risk-free and safe procedure when performed by an experienced plastic surgeon.

Is Bichectomy Painful?

Since bichectomy is performed with local anaesthesia or sedation, no pain is felt during the operation. Even if some pain is felt after the operation, it can be relieved by taking painkillers.

Which Procedures can be Combined with Bichectomy?

Since the facial structure and genetics of each person are different, the applications required to achieve the desired result are also different. In some people, bichectomy surgery alone may not be sufficient to provide oval (V-shaped) face shape, thin, sharp facial structure. When necessary, procedures such as jawline filling, chin aesthetics, chin filling can be performed in combination with bichectomy.

Does Bichectomy Reduce Face?

Bichectomy does not reduce the face. After the surgery, the face reaches a thin, distinct structure. This is perceived as the face shrinking and weakening. Bichectomy is a procedure with a very high success rate in providing an aesthetic, proportional facial appearance.

Is There a Non-Surgical Bichectomy?

Cheek thinning can be achieved non-surgically with radiofrequency energy applications. These procedures are performed by sending radiofrequency energy through the skin to stretch under the skin, dissolve fat, and revitalise collagen tissues.

However, the bichectomy effect is not fully achieved in these applications, moreover, non-surgical procedures are not permanent. Bichectomy surgery permanently realises the desired effect in the cheek area by removing the cheek cushions.

Which Face Type Does Bichectomy Suit?

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Bichectomy is not performed on people with a thin, V-shaped (oval) face and no excess fat on the cheeks. Bichectomy is applied to people whose face is round (U-shaped) or square, whose contours are lost, and whose cheek area is bulk. Whether bichectomy will suit the person or not is determined by the mutual consultation of the doctor and the patient after the examination.

Can a Bichectomy be Reversed?

Bichectomy is an operation that provides a permanent effect. Even if the person gains weight or advances in age, the cheek appearance does not return to its preoperative state. It can be used for a lifetime after bichectomy.

How Much Fat Is Removed In Bichectomy Surgery?

Fat pads taken in bichectomy surgery are of different sizes in everyone. Since everyone’s facial structure and anatomy are different, the rate of fat to be removed is also different. In bichectomy surgery, an average of 40% (2-3cc) of the total fat in the cheek area is removed. All of the fat is never removed for the aesthetic appearance and health of the person.

Is Bichectomy Also Performed on Men?

Bichectomy can also be performed on men with round, round faces to provide a slim and shaped face appearance. Bichectomy surgery for men is planned to provide masculine and attractive facial features.

dr.leyla arvas
Author : Op. Dr Leyla ARVAS

Dr Leyla Arvas is an internationally recognised specialist in aesthetic surgery based in Istanbul. Graduated in 1998 from Istanbul University Faculty of Medicine, she has developed her expertise by studying in Taiwan, Japan and Spain during her 20 years of experience.

This article February 13, 2025 was updated on
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