Buccal fat removal Turkey

Buccal Fat Removal in Turkey bichectomy through the mouth, conservative removal and a 3–4 day stay

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.

  • 3–4 days in Istanbul
  • 30–60 minutes, day case
  • No visible skin scar

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Editorially reviewed by the Vivid Clinic Surgical Board · Last reviewed September 2026

Woman with curly red hair and round glasses holding a finger to her lips against a yellow background
At a glance

What is buccal fat removal, and what to expect

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.

Buccal fat removal Turkey: medical illustration showing the location of the buccal fat pad between cheek muscles
The buccal fat pad sits deep in the cheek, below the cheekbone.Illustration
Procedure time
30–60 minBoth sides, usually a day case
Stay in Istanbul
3–4 daysMost fly home on day 4
Back to desk work
2–5 daysSoft, cool food for several days
Stitches
DissolveUsually gone in 1–2 weeks
Slimmer cheeks visible
Weeks 2–4Cheeks may look fuller in week 1
Final contour
3–6 monthsRemoved fat does not grow back
See all procedure details
Buccal fat removal at a glance
Procedure timeTypically 30–60 minutes
AnaesthesiaLocal anaesthesia, often with sedation; general anaesthesia if combined with other surgery
Hospital stayUsually none (day case)
Recommended stay in Istanbul3–4 days
Back to desk workAround 2–5 days
ExerciseLight activity after a few days; strenuous exercise after about 2 weeks
DietSoft, cool food for several days
StitchesDissolvable stitches inside the mouth, usually gone in 1–2 weeks
Final resultVisible as swelling settles; final contour at around 3–6 months
Results lastLong-lasting; removed fat does not grow back, but the face keeps ageing
Candidacy

Who is buccal fat removal right for — and who should avoid it?

Buccal fat removal may suit you if

  • You are an adult, usually in your 20s to 40s, with full lower cheeks at a stable, healthy weight
  • Your face looks rounder or heavier than your body
  • You are a non-smoker in good general and dental health
  • You want subtle definition, not dramatic hollowing

It is better to avoid it or wait if

  • Your face is naturally thin, narrow or long, or your cheeks are already starting to hollow with age
  • Your fullness comes from excess weight, or facial width from large jaw muscles or bone
  • You have an active gum or dental infection, until it is treated

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.

Your options

Buccal fat removal options at Vivid Clinic

Most patients have a bichectomy on its own. Combinations or non-surgical routes are suggested only when they suit your proportions better.

Illustration of a surgeon assessing cheek fullness and facial proportions before buccal fat removal
Assessing cheek fullness from several angles before planning surgery.Illustration
Most common

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
Facial contouring

Combined procedures

Bichectomy can be combined with chin liposuction, a chin implant, a lip lift or dimple creation.

Anaesthesia
May need general
Recovery
One recovery period
Stay
Sometimes slightly longer
Not surgery

Non-surgical alternatives

Masseter Botox suits width from strong jaw muscles. Fillers can add contrast when cheekbones are flat.

Treats
Jaw muscle or flat cheekbones
Removes fat
No
Botox effect
Temporary

Combinations are planned only when they improve overall balance — see our guide to facial balancing in Turkey and natural-looking injectables in Istanbul.

Step by step

How buccal fat removal is done

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.

  1. Assessment

    Face checked at rest and smiling; fat confirmed as the cause.

  2. Anaesthesia

    Inner cheek numbed; light sedation usually offered.

  3. Incision

    About 1–2 cm inside the cheek, away from the salivary duct.

  4. Removal

    Fat pad teased out gently; only a measured portion removed.

  5. Closure

    Dissolvable stitches, then repeated on the other side.

  6. Recovery

    Back to your hotel the same day with mouth-care instructions.

Illustration of the small incision inside the mouth used for bichectomy, away from the salivary duct
The incision is made inside the cheek, so no skin scar is visible.Illustration
Your Istanbul journey

Three to four days, fully coordinated

Day 1

Arrival

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

Consultation and procedure

A face-to-face consultation, routine tests and the procedure. You return to your hotel the same day.

Day 3

Check-up

Your surgeon checks swelling and the incisions and reviews your mouth-care routine.

Day 4

Fit to fly

Most patients are cleared to fly home, with follow-up by photo or video call. The 24/7 support line stays available.

Send your face photos. Get an honest answer.

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.

Recovery

Buccal fat removal recovery timeline

Most people are back at desk work within a few days. Expect the cheeks to look fuller before they look slimmer.

  1. Days 1–3Cheeks feel swollen and tight; opening wide may be uncomfortable. Soft, cool food, prescribed mouthwash, head raised.
  2. Week 1Swelling starts to go down; most people return to desk work and social plans.Cheeks may look fuller than before
  3. Weeks 2–4Stitches dissolve, normal eating and exercise resume, and a slimmer lower cheek becomes visible.
  4. Months 3–6Residual swelling settles and the final contour appears. Judge your result now, not in the first weeks.

What to expect, and how long it lasts

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.

Illustration of a procedure room prepared for a local anaesthetic facial procedure
Short facial procedures are usually performed as day cases.Illustration
Slimming the face

Buccal fat removal vs masseter Botox

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.

CriterionBuccal fat removalMasseter Botox
What it treatsFat in the lower cheekJaw-muscle width
SurgeryYes, through the mouthNo, injections
How long it lastsLong-lastingTemporary; repeated every few months
Changes jaw widthNoAims 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.

Price and packages

What determines your buccal fat removal quote

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.

Your all-inclusive package

Typically covers:

  • Consultation and tests
  • Procedure and anaesthesia
  • Medication and mouthwash
  • Hotel accommodation
  • VIP airport and clinic transfers
  • Patient coordinator or interpreter
  • Post-operative check and remote follow-up
  • 24/7 post-operative support line

Your price depends on

  • Bichectomy alone, or combined with other facial procedures
  • Type of anaesthesia: local with sedation, or general
  • Length of your stay in Istanbul
  • Hotel category
Why Vivid Clinic

Why patients choose Vivid Clinic for buccal fat removal

Meet our medical team
  • Plastic surgeons, with medical review by Prof. Dr. Özgür Pilancı
  • A conservative removal philosophy, with an honest no when it does not suit you
  • All-inclusive coordination of transfers, hotel, tests and aftercare
  • A multilingual patient team, coordinators and interpreters
  • 24/7 support line and remote follow-ups after you return home
5.0 157 Google reviewsVivid Clinic Google Business Profile · checked September 2026 Read reviews

Medical review

This page was medically reviewed by a plastic surgeon on the Vivid Clinic team.

Portrait of Prof. Dr. Özgür Pilancı, plastic surgeon on the Vivid Clinic team

Prof. Dr. Özgür Pilancı

Plastic, Reconstructive & Aesthetic Surgeon

  • Plastic surgery specialist since 2006 (Cerrahpaşa, Istanbul)
  • Associate professor since 2015
  • Clinical fellow in Rio de Janeiro in 2016
View profile
Safety

Risks of buccal fat removal and how we reduce them

Buccal fat removal is a relatively short procedure, but it is still surgery.

Possible effects

  • Over-removal, with a gaunt look as the face ages
  • Asymmetry, as the two fat pads are not always the same size
  • Salivary (parotid) duct or facial nerve branch injury, which is uncommon
  • Bleeding or infection, which are uncommon
  • Swelling and tightness, with limited mouth opening at first

How we reduce them

  • Careful patient selection: no bichectomy for thin or already hollowing faces
  • Conservative removal of only a measured portion of each pad
  • Comparing both sides during surgery
  • Precise incision placement away from the duct, and gentle technique
  • Antiseptic mouthwash, oral hygiene and prescribed medication

General guidance on cosmetic procedures is available from the NHS and the American Society of Plastic Surgeons.

FAQ

Frequently asked questions about buccal fat removal in Turkey

How many days should I stay in Istanbul for bichectomy in Turkey?

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.

Buccal fat removal Turkey: will my face look hollow when I am older?

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.

Can bichectomy Istanbul surgery be combined with other facial procedures?

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.

Buccal fat removal Turkey: when will I see my final result?

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.

Is buccal fat removal Turkey suitable if I already have a slim face?

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.

When can I return to work after buccal fat removal in Turkey?

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.

Will buccal fat removal make my jaw narrower?

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.

Free assessment

Plan your buccal fat removal in Istanbul

Send photos of your face from the front, both sides and a three-quarter view, relaxed and smiling. It is free and there is no obligation.

  1. Share your details and photosHere, or by WhatsApp on +90 545 742 3565.
  2. Medical review within 24 hoursAn honest answer on whether bichectomy suits your face, or which option would serve you better.
  3. Your personalised Istanbul planDates, hotel, transfers and your coordinator’s contact.

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