Bichectomy is a facial plastic surgery that involves partially or totally removing Bichat's fat pads, fat deposits located in the cheeks, to achieve a more sculpted face with more defined cheekbones and a more prominent facial oval.
At our clinic in Bogotá, each bichectomy is custom-designed. We evaluate your facial structure, the amount of fat in your cheeks, and your facial proportions to determine how much tissue to remove and achieve a natural and proportionate result, without the face appearing excessively thin.
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Dalí Medical Center
It all begins with a consultation. We evaluate your facial bone structure, the amount of fat in your Bichat fat pads, and your facial proportions. Together, we define every detail to achieve a result that enhances your natural beauty.
We analyze your cheekbone, jaw, and chin to determine how much volume to remove without compromising your facial harmony.
We determine whether to remove the Bichat fat pads partially or totally, depending on the desired outcome. The entire pad is not always removed — the key is balance.
We evaluate whether to complement with chin liposuction, mentoplasty, or other complementary procedures for more complete facial contouring.
We discuss your expectations, keeping in mind that the result is permanent and that your face will continue to change with age.
Explore the results in our bichectomy patients
It sculpts the mid-face and highlights the cheekbones. By combining bichectomy with chin liposuction, we achieve comprehensive facial contouring that addresses two key areas of the face simultaneously.
It removes excess fat accumulated under the chin and in the neck, refining the profile and eliminating the "double chin" effect. These procedures are performed during the same surgical session, which reduces costs, recovery times, and the need for a second intervention.
Buccal fat removal can be an excellent option for both women and men who identify with any of these situations:
• You feel your face looks too round or "chubby" despite being at a healthy weight.
• You want to highlight your cheekbones and achieve a more defined facial oval.
• You want facial contouring that looks natural and proportionate to your features.
• You are looking for a procedure with quick recovery and immediate results.
During the consultation, we evaluate your facial structure and determine if buccal fat removal is the right procedure to achieve the results you are looking for.
We evaluate your facial structure, the amount of fat in your cheeks, and your expectations. Together, we define the scope of the surgery and whether it will be combined with other procedures.
We will provide you with pre-surgical tests and specific care instructions to ensure you are in optimal condition.
We operate in certified premium operating rooms within the Dalí Medical Center.
Scheduled follow-up appointments to support you through every stage of your post-operative recovery.
We know that every decision related to your health and appearance is important, which is why we have compiled the most common questions about our procedures to provide you with all the information you need.
If you have any additional questions or want to know which treatment is ideal for you, don't hesitate to contact us to schedule a consultation.
These are fat deposits located in the cheeks, between the cheekbone and the jaw. Everyone has them, but in some people, they are more prominent, giving the face a round or "chubby" appearance. Buccal fat removal partially or completely removes these pads to contour the face.
No. The incision is made inside the mouth, on the cheek's mucous membrane. There are no visible scars on the outside of the face. The sutures are absorbable and dissolve on their own.
Recovery is very quick. Most patients resume their normal activities within 2 to 3 days. It's normal to experience mild swelling during the first week, which gradually subsides. Definitive results are visible between 4 and 8 weeks when the swelling has completely resolved.
Yes, when performed by an experienced plastic surgeon, blepharoplasty improves appearance without changing the face's natural expression, resulting in a fresher, more rejuvenated look.
Yes, it's one of the most requested and effective combinations. Bichectomy with submental liposuction allows for defining both the cheeks and the neck and jawline in a single procedure, achieving comprehensive facial contouring with a single recovery period.
No. Although there's a myth that removing buccal fat pads causes premature aging, the reality is that cheekbone support depends on the malar bone, not the buccal fat. The key is to remove the appropriate amount based on each patient's facial structure to maintain a harmonious long-term result.
It's not necessary. Bichectomy is a definitive procedure; the buccal fat pads do not regenerate once removed. The result is permanent from the first intervention.
In addition to submental liposuction, bichectomy can be combined with mentoplasty to define the chin, with rhinoplasty to harmonize the entire profile, or with hyaluronic acid in the cheekbones to enhance definition. Each combination is evaluated individually during the consultation.
No, the procedure is performed under local anesthesia with sedation, so you won't feel any pain during the surgery. After the procedure, it's normal to experience mild discomfort similar to a tooth extraction, which can be managed with pain relievers and a soft diet for the first few days.
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