Bichectomy: cosmetic surgery to refine the face and define cheekbones

Bichectomy is a surgical procedure that removes buccal fat to refine cheeks and contour the face, achieving a more defined, elegant and natural appearance, ideal for patients seeking facial harmony without visible scars.

What is bichectomy and how does it improve facial aesthetics?

Bichectomy, also called buccal fat removal, involves partially removing the fat pads in the cheeks to reduce their volume and improve cheekbone definition. This procedure corrects the appearance of rounded cheeks that don't respond to diet or exercise, refining the lower third of the face and providing a more sculpted and natural facial contour. The results are permanent, and the procedure, which is quick and minimally invasive, leaves no visible scars.

Benefits of bichectomy in Marbella

This treatment offers facial contouring and cheekbone definition with natural and permanent results, providing greater harmony and confidence to the patient.

Refines cheeks naturally

Define the contour of the cheekbones

Permanent and lasting results

Quick and safe procedure

No visible external scars

How is a bichectomy performed step by step?

1

Initial consultation and assessment

We evaluate facial anatomy, fat volume, and aesthetic expectations to plan personalized surgery.
2

Local anesthesia and preparation

Topical and local anesthesia is applied, ensuring comfort during the procedure, similar to a dental procedure.
3

Internal incision and fat removal

Small 3 mm incisions are made inside the mouth, removing a portion of buccal fat approximately the size of a walnut.
4

Closure with absorbable sutures

The incisions are closed with self-absorbing stitches, without needing to be removed later.
5

Postoperative instructions

Nighttime compression bandages, antibiotics, and medicated mouthwash are applied to promote healing and reduce the risk of infection.
6

Initial recovery

Apply ice, maintain a soft diet and avoid very hot or spicy foods for 24 hours, reducing swelling and discomfort.

Results of bichectomy: a more stylized and natural face

After recovery, which can take between three and six months to see the final result, the face shows slimmer cheeks, defined cheekbones, and a harmonious contour. The results are natural, balance facial proportions, and maintain the patient's individual expression.

After After
Before Before

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Frequently Asked Questions

Everything you need to know about bichectomy

No, the incisions are made inside the mouth, so there are no external marks left on the skin.

The procedure lasts approximately 20 minutes, being quick and minimally invasive.

Patients with full cheeks or a round face seeking facial slimming and cheekbone definition.

Initial swelling lasts 1–2 weeks; visible results progress between 1 and 6 months, with definitive facial contouring.

Yes, the removed fat deposits do not regenerate, guaranteeing long-lasting results.

Generally not; mild discomfort is controlled with medication and cold measures during the first few days.

Use of compression band, soft diet, proper oral hygiene and application of local cold as medically indicated.

At Premium Aesthetic Clinic, with facial surgery specialists who offer personalized assessment and safe treatment.

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