Buccal fat removal

Your team of experts

Dr. med. Yohan Ko


José Francisco Suárez Sánchez (M.D.)


Facts on bichectomy

Treatment duration:approx. 30-45 minutes
Anaesthesia:Local anaesthetic; sedation if required
Stay in clinic:Outpatient
Recovery time:approx. 5 days
Rest from sport:10 days
Price:from 2,200 €

What is a bichectomy?

Most people perceive a slim, V-shaped face as attractive. By contrast, plump, rounded cheeks – often called “chubby cheeks” – can create a child-like appearance and make otherwise slim people look overweight. Bichectomy, also known as buccal fat removal, originated in the USA. It aims to make a person’s face slimmer and remove excess fatty tissue. In this procedure, we remove fat from the inside of the cheeks, thereby emphasising and accentuating the cheekbones. The result is a slimmer, younger-looking face.

Who would be a candidate for buccal fat pad removal?

If you feel dissatisfied with your facial proportions and suffer from round cheeks that make your face look chubby, a bichectomy would be a suitable procedure to remove excess fat from your cheeks, contour your face and accentuate your features.

As men and women have different bone and fat structures, we generally remove less fat from our male patients than from our female patients. When performing this procedure on female patients, we are mindful of ensuring we create aesthetic cheekbone contours.

What does a bichectomy involve?

At our practice for plastic and aesthetic surgery in Frankfurt, we perform bichectomy under local anaesthetic and, upon request, with twilight sedation. We make a small incision inside the mouth in order to remove the buccal fat pad. This leaves behind no externally visible scars and allows us to make the individual’s face slimmer and more contoured.

Here at Central Aesthetics, we would be happy to hold a one-to-one consultation with you to discuss buccal fat removal at our practice in Frankfurt.

What should I consider after a bichectomy?

The day after buccal fat removal, you should not eat solid foods. This is because a bichectomy involves placing small sutures in your mouth. You will be able to eat solid foods again two days after the procedure. To protect against infection, you should make sure to clean your mouth regularly. You will hardly notice the stitches following the bichectomy and they will fully dissolve on their own within a few days.

Swelling and bruising, which may develop for around 2-3 weeks after the procedure, can be treated with a cold compress. However, patients are presentable and able to attend to their social obligations immediately after a bichectomy.

The final results of the treatment will be visible 3 weeks after the procedure.

What are the risks involved in buccal fat removal?

As a general rule, bichectomy is considered low-risk due to the low incidence of complications. Needless to say, however, the surgeon performing the treatment needs to have a complete understanding of the patient’s anatomy. Only then will they be able to achieve satisfying results. If the treatment is performed by a surgeon without the requisite expertise, it can result in tissue trauma and bleeding.

Frequently asked questions about bichectomy

If you suffer from round, chubby cheeks despite not being overweight, a buccal fat removal procedure can help you achieve aesthetic and well-proportioned facial features.

You should not take blood-thinning medications (such as aspirin) for 7 to 10 days before a buccal fat pad removal procedure.

Patients aged between 20 and 25 in particular tend to suffer from declining elasticity in their connective tissues. When this happens, the fat tissues in their cheeks also begin to sag – which makes removing the fat pads in the cheeks a particularly effective treatment for patients in this age group.

Buccal fat pad removal is not painful. It is a minor procedure performed under local anaesthetic. The procedure takes around 30-45 minutes.

The costs of buccal fat removal depend on each patient’s individual circumstances and the scope of the treatment they require, which means it is not possible to provide a blanket figure. However, you should expect to pay in the region of €2,200 for the treatment. We would be happy to discuss the costs of a bichectomy during a one-to-one consultation here at our practice in Frankfurt.


Central Aesthetics by Dr. Deb
Mainzer Landstraße 65
60329 Frankfurt am Main

Opening hours

Monday8:30am - 6:00pm
Tuesday8:30am - 6:00pm
Wednesday8:30am - 6:00pm
Thursday                   8:30am - 6:00pm
Friday8:30am - 6:00pm

and by appointment