Buccal Fat Removal (Bichectomy)

Refining facial contours without creating hollowness

Buccal Fat Removal is a procedure that reduces or reshapes the fat pads in the lower cheek area.

The goal is not simply to remove volume, but to improve facial proportions and create a more defined contour.

What is Buccal Fat Removal?

Buccal fat pads are natural fat compartments located in the lower part of the cheeks.

In some patients, they create:

• a round or heavy facial appearance
• lack of definition in the cheek and jawline area
• a “full” lower face even with low body fat

Buccal fat surgery is used to refine this area and create a more structured look.

Important to understand

At Estetica Lounge, buccal fat is not completely removed in most cases.

Complete removal can lead to:

• hollow cheeks
• premature aging
• loss of natural facial softness over time

Instead, we use a more controlled approach:

• partial removal
• redistribution of the fat pad when needed

The technique is always adapted individually.

This is critical to avoid future sagging and to preserve natural facial balance.

What effect does it create?

• slimmer lower face
• more defined cheek contour
• improved transition between cheek and jawline
• more sculpted facial appearance

The result should look refined, not “sunken”.

Who is a good candidate?

• naturally full or heavy lower cheeks
• round facial shape
• lack of definition in the mid-to-lower face
• patients seeking subtle contouring

Not suitable for:

• very thin faces
• patients with low facial volume
• advanced aging with volume loss

Correct indication is essential.

How is the procedure performed?

• performed under local anesthesia with sedation or general anesthesia
• small incision inside the mouth
• access to the buccal fat pad
• controlled removal or repositioning of fat
• no external scars

The procedure is precise and conservative.

Will it look natural?

Yes — when done correctly.

Over-removal creates an artificial, aged appearance.
A controlled approach preserves natural structure.

The goal is definition without loss of softness.

Can it be combined with other procedures?

Yes.

Common combinations:

• Temporal Lift
• Chin Aesthetic
• Facial Fat Injection
• Deep Plane Facelift

Combination allows better overall contouring.

Recovery

Recovery is relatively quick.

First days
Swelling in the cheek area.

7–10 days
Swelling begins to decrease.

2–3 weeks
Face starts looking more defined.

1–3 months
Final contour becomes visible.

How long does the result last?

The result is long-lasting.

Once fat is removed or repositioned, the change remains stable.

Scars

Incisions are made inside the mouth.

No visible external scars.

Why Estetica Lounge

• conservative, controlled approach
• no complete fat removal
• individualized technique
• focus on long-term facial harmony

Buccal Fat Removal

Buccal fat surgery is not about aggressive slimming.

It is about precise contouring.

At Estetica Lounge, the focus is on preserving natural structure while creating a more defined, balanced face.