By Bahar Ozbal • Medical review by Serhat Tuncer, MD on February 04, 2021

What is Buccal Fat Removal (Bichectomy) ?

Buccal fat removal (also known as a buccal lipectomy or cheek reduction surgery or bichectomy ) is a type of plastic surgery to perform a slim face with distinctive lines to reach the ideal look for most people. The surgery is also popular in the names cheek fat removal, Bishectomy and hollywood cheek.

Buccal fat is located in the hollow areas just beneath your cheekbones. The size of the buccal fat pad varies with each individual. Larger buccal fat pads usually result in a fuller-looking face or chubby cheeks. With buccal fat removal or reduce it is possible to achieve a slimmer face.

How Much Does Buccal Fat Removal Cost in Turkey?

In Turkey buccal fat removal costs are performed between $700 - $5000. The average price is $1750. Surgery, accommodation, transfers, transportation, and consultation fees are included to the prices given.

How Much Does Buccal Fat Removal ost in İstanbul?

When you take a bichectomy surgery in Europe, you have to pay a number of additional costs. But getting your buccal fat removal surgery in Istanbul you may get an all inclusive package prepared for the foreign visitors which means there will be no extra fees for your treatment. Most of the all inclusive packages includes all the treatment fees, accommodation, transfers, transportation, and consultation. (flights are excluded) In İstanbul buccal fat removal costs are performed between $1,700 - $5000.

What Are The Pros and Cons of a Bichectomy?

Bichectomy surgery results are permanent so it is important to keep in mind that the individuals with thin features must avoid getting under cheek reduction surgery.


  • Bichectomy surgery provides a slimmer face with more defined cheeks, 

  • Since the incisions are hidden inside the mouth there will be no visible scarring after cheek fat removal surgery,

  • As we mentioned the results are permanent and as the fat cells removed you will never gain weight to the face.

  • Performing Hollywood cheek is a comfortable surgery with short downtime and fast recovery period.


  • After cheek fat removal surgery for a couple of weeks there will be swelling. This is the normal period of the healing and the individuals has to be patient for the final results.

  • As taking age the buccal fat pads naturally shrink. This is the main fact that the individuals has to consider.

  • There may be asymmetric problems.

  • Rare but possible risks includes; during the surgery the salivary ducts may get hurt, hemorrhaging, and facial-nerve damage. 

  • In time as the individual looses weight or get aged the face may look overly gaunt.

How is Buccal Fat Removal Performed?

A buccal fat removal procedure takes about 45 minutes, performed under local anesthesia, sedation or general anesthesia. Your doctor will recommend the best anesthesia choice for you.

The surgery starts with the anesthesia administered for your comfort during the surgical procedure. After the surgeon will do an incision about a half-inch long, on the inside of the mouth, on the inner portion of your cheek. The surgeon will remove the the fat pad through those incisions. The last step is closing the incisions. All the incisions will be inside the mouth and it is important not to play with the sutures with the tongue.

Is Bichectomy Surgery a Painful Procedure?

Bichectomy surgery is performed under a type of anesthesia. As the cheeks are fully numb from the anesthesia, the individuals will not feel any pain. After the surgery the individuals may experience pain and discomfort that can be controlled by pain medications. It is recommended to apply ice after the surgery to reduce swelling and pain.

What Should You Expect During Bichectomy Recovery?

Bichectomy recovery takes about 3 weeks. During this period the individuals has to take care of the doctor’s directions for self-care and eating.

After the cheek fat removal surgery, during the recovery time the individuals has to progress on a liquid diet for the first several days. After liquid diet you may continue with soft foods before returning to your normal diet.

You should expect to experience some swelling and bruising during Bichectomy recovery. This is the part recovery and, once you fully heal all will be diminished. 

Can You Brush Teeth After Buccal Fat Removal?

Yes, you can brush your teeth after buccal fat removal but you must pay attention to incision areas. The individuals has to brush their teeth genty and must not rinse the mouth.

Is Buccal Fat Removal Permanent?

Yes, Buccal Fat Removal results are permanent, even if you gain weight. 

Is Buccal Fat Removal Worth It?

Most of the individuals who've had buccal fat removal surgery says it is "Worth It".

Risk and Side Effects

Buccal Fat Removal also known as Hollywood cheek is relatively a risk-free, short-term, simple procedure with satisfactory results.

The complication risk is very low but as with any surgery, there’s a risk of infection and bleeding. Rare but possible risks are; tissue trauma, hemorrhaging, trismus and facial-nerve damage. These side effects and risks are usually temporary but in some cases it can be permanent.

The Advantages of Bichectomy in Turkey

There are many advantages of getting Bichectomy in Turkey. Each year millions of people visits Turkey for aesthetic surgeries. Not only the affordable prices is the reason for those who puts Turkey to the top of the list, when you travel to Turkey you will get your treatment in A-Class Hospital options with the top level of medical equipment. Also the experience of the Turkish doctors in the field of aesthetic surgeries are equal or higher to the worlds most famous aesthetic surgeons.

Traveling to Turkey for Bichectomy surgery is also refers the best holiday combined with cultural and natural beauties. You may consider a vacation of sea and sun or culture and sightseeing... Flights to Turkey cheap as well. You may continue your trip in five star holiday options, get the perfect treatment and unforgettable journey.

The Advantages of Buccal Fat Removal in Istanbul

Taking Buccal Fat Removal surgery in Istanbul has many advantages. Istanbul is commonly preferred in health services. This popularity brings the opportunity of increase in the number of qualified doctors and clinics. The most experienced doctors of Turkey serves in İstanbul. Besides the doctors’ experience, the medical equipments are highly developed and of high quality which means you will get the best treatment with latest technology. With an increased significantly Buccal fat removal surgeries in İstanbul he surgeons of this field has gained experience and are accustomed to the procedure details. Before deciding, you will be able to find before and after works of the surgeons operations.

Written on 08/12/2017


Last Update: 28/07/2022

Buccal Fat Removal (Bichectomy) Before & After Photos

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