Bichectomy on its own
A partial reduction of both buccal fat pads under local anaesthesia with sedation.
- Anaesthesia
- Local with sedation
- Hospital stay
- Usually none
- Stay in Istanbul
- 3–4 days
Buccal fat removal (bichectomy) reduces part of the deep fat pad in the lower cheeks through a small incision inside the mouth. It suits adults with naturally full, round lower cheeks, not thin faces. Plan 3–4 days in Istanbul.
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The buccal fat pads are two deep pockets of fat in the lower cheeks, between the cheek muscles and below the cheekbones. When they are naturally large, the face looks round in a way diet and exercise do not change. Bichectomy removes part of each pad to soften that fullness, aiming for refinement rather than a hollow look.

| Procedure time | Typically 30–60 minutes |
|---|---|
| Anaesthesia | Local anaesthesia, often with sedation; general anaesthesia if combined with other surgery |
| Hospital stay | Usually none (day case) |
| Recommended stay in Istanbul | 3–4 days |
| Back to desk work | Around 2–5 days |
| Exercise | Light activity after a few days; strenuous exercise after about 2 weeks |
| Diet | Soft, cool food for several days |
| Stitches | Dissolvable stitches inside the mouth, usually gone in 1–2 weeks |
| Final result | Visible as swelling settles; final contour at around 3–6 months |
| Results last | Long-lasting; removed fat does not grow back, but the face keeps ageing |
Buccal fat is part of the face's structural volume, and the face loses volume with age. That is why your surgeon removes only a measured portion and matches both sides as closely as possible.
Most patients have a bichectomy on its own. Combinations or non-surgical routes are suggested only when they suit your proportions better.

A partial reduction of both buccal fat pads under local anaesthesia with sedation.
Bichectomy can be combined with chin liposuction, a chin implant, a lip lift or dimple creation.
Masseter Botox suits width from strong jaw muscles. Fillers can add contrast when cheekbones are flat.
Combinations are planned only when they improve overall balance — see our guide to facial balancing in Turkey and natural-looking injectables in Istanbul.
The procedure is performed through the inside of the mouth, so no skin incision is needed. Only a measured portion of each fat pad is removed.
Face checked at rest and smiling; fat confirmed as the cause.
Inner cheek numbed; light sedation usually offered.
About 1–2 cm inside the cheek, away from the salivary duct.
Fat pad teased out gently; only a measured portion removed.
Dissolvable stitches, then repeated on the other side.
Back to your hotel the same day with mouth-care instructions.
Day 1
A VIP transfer takes you from the airport to your hotel, and your patient coordinator welcomes you. An interpreter is available if needed.
Day 2
A face-to-face consultation, routine tests and the procedure. You return to your hotel the same day.
Day 3
Your surgeon checks swelling and the incisions and reviews your mouth-care routine.
Day 4
Most patients are cleared to fly home, with follow-up by photo or video call. The 24/7 support line stays available.
Front, both sides and a three-quarter view, relaxed and smiling. A plastic surgeon tells you whether buccal fat removal suits your face, or whether another option would serve you better. Free, no obligation.
Most people are back at desk work within a few days. Expect the cheeks to look fuller before they look slimmer.
Expect slightly slimmer lower cheeks and a clearer contrast between cheekbones and jaw, most noticeable in three-quarter views. It is not a weight-loss procedure and will not change the width of your jaw.
Removed fat cells do not grow back, so the effect is long-lasting. Your face will still continue to age and lose volume over time.

In short: buccal fat removal treats fat in the lower cheek. If your face looks wide because of strong jaw muscles, masseter Botox is usually the better fit.
| Criterion | Buccal fat removal | Masseter Botox |
|---|---|---|
| What it treats | Fat in the lower cheek | Jaw-muscle width |
| Surgery | Yes, through the mouth | No, injections |
| How long it lasts | Long-lasting | Temporary; repeated every few months |
| Changes jaw width | No | Aims to reduce muscle width |
Fat under the chin needs chin or neck liposuction instead — see our double chin guide. For sagging and jowls in older faces, buccal fat removal usually makes things worse; see our deep plane facelift page. Facial contouring cases are in our before and after gallery, and all options are on our face aesthetics page.
Your quote is given only after a surgeon has reviewed your photos, because we first need to confirm the procedure is right for your face. Turkey is often more affordable than the UK, US or much of Europe, and the consultation is free.
Typically covers:
Your price depends on
This page was medically reviewed by a plastic surgeon on the Vivid Clinic team.

Plastic, Reconstructive & Aesthetic Surgeon
Buccal fat removal is a relatively short procedure, but it is still surgery.
General guidance on cosmetic procedures is available from the NHS and the American Society of Plastic Surgeons.
Three to four days is usually enough. You arrive on day one, have your consultation and procedure on day two and go back to your hotel the same day. A check-up on day three confirms healing, and most patients fly home on day four. Stitches are dissolvable, so you do not need to return for removal, and later follow-ups can be done by photo or video call.
It can if too much fat is removed or if the procedure is done on the wrong face. The buccal fat pad naturally shrinks with age, so over-removal can make the cheeks look gaunt later. Our surgeons remove only a measured portion and do not recommend bichectomy for naturally thin faces or for people whose cheeks are already starting to hollow. Fillers or fat grafting can help if volume loss appears later.
Yes, in suitable patients. It is commonly combined with chin liposuction, a chin implant, a lip lift or dimple creation, and sometimes with rhinoplasty. Combining can mean one recovery period, but it may require general anaesthesia and a slightly longer stay. Your surgeon will only suggest combinations that improve overall facial balance, not simply because they are possible in the same session.
The cheeks are swollen at first and may look fuller than before for a week or two. Most people notice a slimmer lower face after three to four weeks, but the final contour usually takes around three to six months, as deep swelling settles slowly. Judge the result at that point and compare with standardised photos taken before surgery, in the same light and from the same angles.
Usually not. If your face is already slim or narrow, removing buccal fat can make it look gaunt, especially as you age. People with slim faces who want more definition often benefit more from cheekbone filler, jawline refinement or simply accepting their natural contour. Your surgeon will review photos taken from the front and three-quarter view and will tell you honestly if bichectomy is not right for you.
Most people return to desk work within about two to five days. In the first three days the cheeks feel swollen and tight, and opening the mouth wide may be uncomfortable. Eat soft, cool food and rinse with the prescribed mouthwash after meals. Light activity is fine after a few days, while strenuous exercise usually waits about two weeks, until your surgeon agrees.
No. Buccal fat removal reduces fullness in the lower cheek, which can give a clearer contrast between cheekbones and jaw. It does not change the width of your jaw, and it is not a weight-loss procedure. If your face looks wide because of strong jaw muscles, masseter Botox may be more suitable, and bone-related width needs a different treatment. Your surgeon confirms the cause from your photos and examination.
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