Dr. Caspari - Facharzt für Plastische, Ästhetische und Rekonstruktive Chirurige
DEEN

Buccal Fat Removal

Bichectomy for a defined facial contour and aesthetic V-shape at Dr. Caspari Plastic and Aesthetic Surgery Clinic

Facts at a Glance

Application Areas

  • Chubby cheeks / hamster cheeks
  • Round or poorly defined cheeks
  • Desire for clear facial contour (V-shape)

Treatment Duration: approx. 30-60 minutes

Anesthesia: local anesthesia, optionally twilight sleep or general anesthesia

Aftercare: rest, cooling, soft food for 2-3 days

Social Downtime: after approx. 1 week

Sports: possible after approx. 2 weeks

What is Buccal Fat Removal?


Buccal Fat Removal - technically known as bichectomy - is a surgical procedure in which the buccal fat pad is removed through small incisions inside the mouth. This makes the face permanently appear slimmer, more defined, and gives it an aesthetic V-shape.


Who is suitable for this procedure?


The procedure is particularly suitable for patients with genetically rounded faces or pronounced cheek pads that persist despite diet or exercise. However, if the excess volume is more in the jaw or chin area, alternative treatments such as jawline contouring or double chin liposuction are more appropriate.


Causes of Excessive Cheek Fat

  • Genetic predisposition

  • Individual fat distribution

  • Weight gain

  • Age-related tissue changes


Treatment Process


Before Treatment

Before the operation, a thorough examination and consultation takes place. Blood-thinning medications may need to be discontinued about 10 days before the procedure.


The Operation

The operation is performed through small incisions inside the mouth. The fat pad is exposed and completely removed. The procedure takes about 30-60 minutes.


After Treatment

After the operation, cooling, rest, and soft food are recommended for a few days. Mild swelling is normal and usually subsides within a week.


When are results visible?


Results are visible immediately after treatment. Residual swelling usually disappears within a week, allowing the final result to be well assessed.


How long do results last?


The result is permanent as the buccal fat pad does not regrow. Age or weight-related changes to facial contour may occur over time but do not affect the removed tissue.

Frequently Asked Questions

About 10 days before the procedure, you should discontinue blood-thinning medications such as aspirin. Alcohol and nicotine should also be reduced.
The procedure is usually performed under local anesthesia. Twilight sleep or general anesthesia are also optionally available.
The operation takes about 30-60 minutes.
No, after sufficient recovery you can leave the clinic on the same day.
In the first few days, you should eat soft food, rest your mouth area, and cool regularly. Avoid sports for about 2 weeks.
Initial results are visible immediately. The final result can be assessed after the swelling subsides, usually after about one week.
After about one week, when the swelling has subsided, you will be fully socially presentable again.
Satisfied Patients

Reviews from Jameda and Google

Loading reviews...
Jameda Qualitätszertifikat 2023 - Dr. med. Peter Caspari
Jameda Logo

Quality Certificate 2023

5.0 out of 5 stars

Based on our patients' experience reports, we were awarded the highest rating by Jameda.

View Reviews on Jameda

Discover All Our Treatments

From breast surgery to facial surgery to modern laser treatments – find the perfect treatment for your individual needs.

View All Treatments (26)

If you don't find the desired treatment here, we'll be happy to advise you individually.
Every patient has unique needs, and we offer tailored solutions for your personal concerns.
Contact Us free of charge by phone or email – our experienced medical team is available for a detailed consultation.

Ready for Your Consultation?

Book your appointment today for a personal consultation

+49 89 / 12 11 46 80