Bichectomy
A bichectomy is also referred to as “buccal fat removal” or “cheek reduction surgery.””. A bichectomy is a cosmetic surgery that aims to alter the buccal fat pads to sculpt the cheeks and define the jawline. This surgery is strictly cosmetic and does not improve or affect the function of the cheeks.
Lorenz Heister (1732) identified the buccal fat pads as a gland-like structure. It took another 70 years for these to be correctly identified as fatty tissue. Manipulating this fatty tissue to change facial aesthetics gained popularity in the 1980s. With time, the improvement in surgical techniques and equipment has made the procedure mainstream and highly effective.
The amount of buccal fat differs from person to person. Genetics significantly determines the thickness and number of buccal fat pads. That is why some people have fuller cheeks and rounder faces. The buccal fat pad on both sides of the face is not always symmetrical.
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Bichectomy in Turkey
Considering a bichectomy in Turkey? This popular cosmetic procedure, also known as buccal fat removal surgery, is designed to reduce the fullness of the cheek area by removing the buccal fat pads. Turkey is renowned for offering high-quality cosmetic surgeries at affordable prices, making it an excellent choice for those looking to achieve a more contoured facial appearance.
Buccal Fat Removal Cost
The cost of buccal fat removal in Turkey is competitive, making it an accessible option for many. When considering this procedure, it’s important to factor in the surgeon’s experience and the quality of care you will receive. Always choose a qualified professional to ensure the best possible final results.
In summary, a bichectomy in Turkey offers an affordable and effective way to enhance your facial contours. By understanding the procedure, associated costs, and recovery process, you can make an informed decision about whether buccal fat removal is right for you. If you’re considering this surgery, be sure to consult with a board-certified plastic surgeon to discuss your options and set realistic expectations for your results.

Bichectomy Side Effects
Like any surgical procedure, a bichectomy comes with potential risks. Bichectomy side effects may include swelling, bruising, and temporary numbness in the cheek area. However, these are usually mild and resolve on their own. Visible scarring is minimal since the procedure involves a small incision inside the mouth, leaving no external scars.
Consultation & Preparation
Not everyone is an ideal candidate for buccal fat removal. This procedure is best suited for individuals with chubby cheeks who are looking to achieve a more defined facial structure. A consultation with a board-certified plastic surgeon can help determine if you’re a good fit for the surgery.
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How Is a Bichectomy Performed?
The basic steps for a bichectomy procedure are as follows:
Consultation
Your first consultation with the plastic surgeon is crucial to the surgical outcome. Therefore, you should ensure that all your requirements are communicated to the surgeon. This provides a chance to gain a technical understanding of the surgery.
Ask any questions you have concerning the surgery. A bichectomy will significantly alter the aesthetics of your facial features. Gather as much relevant information as you can before making the final decision.
Preparation
The surgical staff will take a thorough history before the surgery. Answer all their questions openly and to the best of your knowledge. This is followed by detailed examinations, investigations, and scans.
Certain medications need to be discontinued before surgery (blood thinners, NSAIDs, and aspirin). Smoking and alcohol consumption affect the skin, decrease immunity, and delay healing. It’s recommended to avoid engaging in either activity at least 6 weeks before surgery. Non-smokers are better candidates for a bichectomy.
Once the results of all the exams and investigations are in, the evaluation begins. After reviewing the data, your plastic surgeon will develop a surgery plan. The plan is put into motion after you consent to it.
Anesthesia
There are two options for anesthesia during a bichectomy. For a standalone procedure, surgeons use local anesthesia with conscious sedation. If a Bichectomy is part of a more extensive restoration, general anesthesia is preferred.
General anesthesia increases the overall cost of the surgery. The extra cost is for the services of the anesthetist and the extra equipment and medication used. General anesthesia has dangers and potential problems. Your surgeon will provide detailed explanations if applicable to your surgical plan.
A bichectomy involves making an incision inside the mouth. It is on the inner surface of the cheeks on both sides. A bichectomy incision is relatively small and compact. After exposing the buccal fat pad, the surgeon uses forceps to grasp it. This is followed by the excision of a desirable amount of buccal fat from both cheeks. Absorbable sutures are employed to seal the incisions.
A bichectomy is an elective, outpatient procedure. You can return home once the procedure is completed. The surgical staff will keep you under observation for a while to confirm your health status. Once the surgeon gives you an all-clear, you are allowed to leave.
The surgical staff will thoroughly brief you on all the aftercare instructions. Follow their advice diligently for a faster recovery process. The aftercare requirements for a bichectomy are to:
- Use the special mouth rinse to care for the incision site
- Sleeping with your head raised and on your back
- Avoid touching the stitches with your tongue
- Taking all the medications as prescribed
- Staying on a liquid diet for two day
- Gradually adding solids to the diet (starting from soft and easily chewable food)
- Do not miss your first follow-up visit
- Keep an eye out for excessive swelling, bruising, or numbness

How Long Does a Bichectomy Take to Heal?
The healing process after a bichectomy is relatively quick. How long does a bichectomy take to heal? Most patients can expect the final results to be visible within a few weeks, with a full recovery taking about one to two months. It’s essential to follow your surgeon’s aftercare instructions to prevent infections and ensure the best outcome.
What Are the Recovery Protocols for a Bichectomy?
The initial recovery period for a bichectomy is approximately 3 weeks. Most individuals may return to work after 7–10 days. Your face will slowly adapt to the changes, and the full results may take up to a year to be fully appreciated. The protocols for a faster and unremarkable recovery process include:
- Maintaining strict oral hygiene (brush, floss, use mouthwash)
- Avoiding strenuous activities
- Avoiding high-impact workouts
- Avoiding habits detrimental to the healing process (smoking, alcohol consumption)

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How Long Does It Take for the Swelling Resolve After a Bichectomy?
Swelling and bruises on the face are expected after surgery. Both resolve to a large extent by the end of the first week. A complete resolution may take longer.
After one week
Normal post-treatment swelling gradually improves during the first 7 days. Significant swelling at the end of the first week may be a sign of slow wound healing.
After 2 to 3 weeks
Swelling and bruises often subside by the third week after surgery. Although mild swelling may persist, it is not a cause for concern.
After 3 months
Three months after the procedure, no noticeable swelling should be present. Some people may need up to a year to make full improvements.
The progress of recovery is unique to each patient. Some heal quickly, while others may see gradual improvement. Either way, diligently following your surgeon’s instructions and maintaining your health status improves the chances of an uneventful recovery.
It is crucial to keep up with follow-ups. Your surgeon is better equipped to pick up on any potential risks and complications.


Is There a Difference in the Bichectomy Procedure for Males and Females?
Surgically, there is no difference between performing a Bichectomy in a male patient and performing one in a female patient. The overall procedure and surgical steps are the same.
The difference lies in the aesthetics, outcome, and amount of buccal fat removal. For male patients, the emphasis is on more chiseled cheekbones and a more aesthetically pleasing jaw. The buccal fat removal is done in a controlled manner to maintain the masculinity of the features.
In male patients, pairing a bichectomy with chin augmentation and jawline sculpting procedures is more common. The surgeons aim to maintain and augment the masculine features of the patients unless specified otherwise.
How much does it cost for buccal fat removal in Turkey?
Istanbul is a medical tourism hub in Turkey. The cost of a bichectomy in Istanbul is significantly lower than in other parts of the world. There are multiple reasons for this, including favorable currency exchange rates and a low cost of living.
The average cost of a Bichectomy here varies based on the expertise of the surgeon, choice of surgical facility, specific surgical package, and other amenities.
This by no means impacts the level of care offered. Due to its popularity as a reliable medical tourism destination, clinics here strive to provide the best healthcare options to their patients.

Frequently Asked Questions
Is a bichectomy reversible?
No, a bichectomy is not reversible. The anatomical alterations made during the surgery are permanent. The buccal fat pads cannot regrow, and there is no way to replace them.
Is a bichectomy long-lasting?
The outcome of a buccal fat pad removal is permanent. The effects last a long time with proper maintenance. Natural aging changes and extreme fluctuations in weight compromise the outcome of a bichectomy.
How much does a bichectomy surgery cost?
The cost of a bichectomy differs between various surgical clinics. The overall cost depends on many factors. Generally, most cosmetic surgery facilities will quote you a final price after a surgical plan is agreed upon.
What should I avoid after buccal fat removal?
The two things that have a significant impact on the outcome of a bichectomy are natural aging and weight fluctuations. Therefore, excessive sun exposure, smoking, and alcohol consumption should be avoided to prevent premature aging changes. A proper skincare routine, a healthy diet, and an active lifestyle ensure the longevity of the results.
What is the healing time for a bichectomy?
The rate of healing is unique to each patient. Some heal faster than others. In general, the stitches are removed in 7–10 days, and incisions and swelling fully heal by 6 weeks. Some people may take up to a year to see full improvements.
Is buccal fat removal painful?
Mild pain and discomfort are present in the early postoperative period. Pain medication is prescribed to make the patients comfortable. The level of discomfort increases while chewing, which is why a liquid diet and soft foods are consumed during the first week. Most people get relief from pain and suffering within the first week.
Is Buccal Fat Removal a Bad Idea?
You might be wondering, is buccal fat removal a bad idea? The answer depends on your individual goals and facial structure. While buccal fat removal procedures can create a more sculpted look, it’s crucial to have realistic expectations. Consulting with a board-certified plastic surgeon is the best way to determine if you’re an ideal candidate for this procedure.
How Much is Buccal Fat Removal in Turkey?
How much is buccal fat removal in Turkey? The bichectomy Turkey price typically ranges from $1,200 to $2,500, depending on the clinic and surgeon’s expertise. This is significantly lower than the cost in many other countries, making Turkey an attractive option for those seeking quality care at a more affordable price.