Bichectomy

Procedure Details

What Is Bichectomy (Hollywood Cheek)?

Bichectomy is a cosmetic surgical procedure that involves the removal of the buccal fat pads that are located in the lower cheeks. By reducing this fat volume, facial lines become more defined, cheekbones appear more prominent, and the overall face shape becomes slimmer and more V-shaped.

The bichectomy procedure is considered permanent as the removed fat tissue does not regenerate.

How Is Bichectomy Performed?

Generally, bichectomy is performed under local anesthesia. A small incision of approximately 1-2 centimeters is made inside the mouth, on the inner cheek area. Through this small incision, the buccal fat pads are carefully removed.

Because the incision is made inside the mouth, there is no external scarring. The incision is closed with dissolvable stitches, and the procedure typically takes around 30 to 45 minutes. Oftentimes, patients are discharged the same day. 

Who Is a Good Candidate for Bichectomy?

While a thorough consultation is essential in order to ensure that the facial structure and fat distribution are suitable for the procedure, bichectomy may be suitable for individuals who:

• Desire a slimmer or V-shaped facial appearance

• Want more defined cheekbones and jawlines

• Have full or round cheeks despite being at an ideal weight

• Are in good general health

• Have realistic expectations about results

Risks / Benefits

Risks of Bichectomy

Bichectomy is generally a safe procedure when performed by experienced surgeons. However, as it is with any surgical procedure, there can be possible temporary side effects. Such as:

• Swelling and bruising in the cheeks

• Mild pain or discomfort

• Temporary numbness

• Risk of infection (rare with proper care)

Serious complications are uncommon

Benefits of Bichectomy

Potential benefits include:

• Slimmer and more contoured facial appearance

• More prominent cheekbones

• Permanent results

• No visible scarring

• Short procedure time

• Quick recovery

• Facial contours remain slim even with future weight gain

Recovery and Outlook

Recovery after bichectomy tends to be fast and quite uncomplicated. Generally, the bichectomy recovery timeline can look like:

• First 1–2 days: Swelling and mild discomfort

• First week: Gradual reduction in swelling

• Weeks 2–3: Facial contours become more defined

• 1–3 months: Final results become fully visible

During the healing process, patşents are advised to follow dietary recommendations and oral hygiene instructions carefully to achieve desired results.

When to Call the Doctor

Patients should contact their doctor if they experience:

• Increasing pain or swelling

• Signs of infection

• Excessive bleeding

• Persistent numbness or discomfort

A prompt evaluation can help to ensure smooth recovery after the bichectomy procedure.

Additional Common Questions

At what age is bichectomy most commonly performed?

Bichectomy is typically preferred by adults over the age of 20, once facial fat distribution has fully matured. Performing the procedure too early may increase the risk of excessive facial hollowing later in life.

Does bichectomy affect facial expressions or smiling?

No. When performed correctly, bichectomy does not interfere with facial muscles or nerves responsible for expression, smiling, or chewing.

 What is the average cost of a bichectomy in Turkey?

The average cost of bichectomy in Turkey is between $3,000-$4,000.