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What Is Buccal Fat Removal (Bichectomy)?

Buccal fat removal, also known as bichectomy, is a cosmetic surgical procedure preferred by individuals who want to achieve a slimmer and more contoured facial appearance. During this operation, the Bichat fat pads located inside the cheeks are removed to create sharper facial contours and more defined cheekbones and jawline.

Who Is a Good Candidate for Bichectomy?

  • Individuals with round, full facial structures
  • Those with genetic fat accumulation in the cheek area
  • Those desiring a more contoured jawline and prominent cheekbones
  • Individuals with a body mass index within the normal range
  • Patients with realistic aesthetic expectations
  • Those in overall good health

Note: Results may be less noticeable in overweight individuals. In such cases, weight management is recommended prior to surgery.

When Is the Ideal Time for Bichectomy?

There is no strict age limit for bichectomy, but it is recommended after the mid-20s when the facial fat has settled. Performing the procedure at an earlier age may result in excessive volume loss over time, giving the face an aged or overly slim appearance.

How Is the Procedure Performed?

Performed by Dr. Emre Güvercin at his clinic in Ataşehir, Istanbul, the procedure typically takes 30–45 minutes under local anesthesia.

Procedure Steps:

  • A 1–1.5 cm incision is made inside the cheek (intraoral)
  • The buccal fat pad is carefully removed
  • The incision is closed with dissolvable sutures
  • No external scars are left

Pre-Operative Considerations

  • Discontinue blood-thinning medications at least 5–7 days before surgery
  • Maintain oral hygiene; treat any dental issues beforehand
  • Avoid or reduce smoking before and after the procedure
  • Weight fluctuations may affect long-term results — timing is important

Recovery Process

  • Same-day discharge is typical
  • Mild swelling and discomfort may occur in the first 2–3 days
  • Antiseptic mouthwash is used to ensure oral hygiene
  • Return to social life is usually possible within one week
  • Visible changes become noticeable in 3–4 weeks
  • Final results are typically evident within 3 months

Bichectomy Pricing

The cost of bichectomy may vary depending on the surgeon’s experience, the clinic’s facilities, the type of anesthesia used, and personalized treatment planning.

Please contact us directly for detailed pricing information.

Take the First Step Toward Sharper Facial Contours

If you are looking for more defined facial contours and an aesthetically refined profile, bichectomy may be the ideal option for you. Contact Dr. Emre Güvercin for a personalized consultation and detailed assessment.

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📞 +49 157 536 970 40
📍 Dr. Emre Güvercin Clinic, Istanbul
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