A well-contoured face is a hallmark of beauty and youth. While makeup and facial exercises can only do so much, surgical solutions like buccal fat removal, also known as bichectomy, offer permanent refinement for individuals with overly round or full cheeks. At our clinic in Istanbul, we perform this minimally invasive procedure to help patients achieve a slimmer facial profile and more defined cheekbones—with no visible scars.

What Is Buccal Fat and Why Is It Removed?

Deep within the cheeks lies a naturally occurring pad of fat called the buccal fat pad. This structure provides fullness to the lower part of the face, especially in younger individuals. However, in some people, this fat remains prominent into adulthood, creating a soft, rounded facial appearance that may not reflect their overall body weight or bone structure.

Over time, aging, weight fluctuations, or simply genetics can cause these fat pads to enlarge. When this happens, the face may appear heavier or less defined, even in lean individuals. Buccal fat removal targets these pads to sculpt the face, enhance the cheekbones, and reduce the width of the lower face for a more V-shaped silhouette.

The Procedure: Minimally Invasive, Maximum Effect

Performed under local anesthesia with sedation or general anesthesia, buccal fat removal is a straightforward procedure that typically lasts about 45–60 minutes.

At Dr. Guncel Ozturk’s clinic in Istanbul, the procedure is carried out entirely from inside the mouth, meaning no external incisions or visible scars. A small incision is made in the inner cheek, and the buccal fat pad is gently extracted using advanced surgical techniques. Once removed, the incision is closed with dissolvable sutures.

Patients can return home the same day, and most resume their daily routines within a few days. Though initial swelling is expected, the final contour of the face becomes visible over the following few weeks.

Am I a Good Candidate for Buccal Fat Removal?

You may benefit from buccal fat removal if:

• Your face appears overly round or full despite a healthy weight

• You desire more prominent cheekbones and a slimmer lower face

• You are in good general health and have realistic expectations

• You have no history of significant facial surgery or chronic conditions affecting healing

Patients with thin faces or significant facial volume loss may not be suitable candidates, as the procedure could lead to a gaunt or aged appearance. A detailed facial analysis with a board-certified plastic surgeon is crucial to determine suitability.

What About Recovery?

Recovery from buccal fat removal is generally quick and comfortable. Most patients experience mild soreness, especially when chewing, for a few days. To speed up healing and avoid complications:

• Avoid alcohol and smoking for at least one week before and after surgery

• Refrain from taking blood thinners like aspirin unless advised otherwise

• Stick to a soft-food diet for the first few days

• Maintain good oral hygiene to prevent infection

Results are permanent, and as the swelling subsides, the face gradually takes on a more contoured and defined appearance. One of the advantages of this procedure is that the buccal fat pads do not regenerate, so once removed, they are gone for good.

Final Thoughts

Buccal fat removal offers an elegant solution for those seeking to enhance their facial harmony without undergoing extensive surgery. At our fully accredited clinic in Istanbul, we combine advanced imaging systems with personalized treatment planning to deliver natural, beautiful results.

If you’re considering cheek slimming surgery in Turkey or buccal fat removal in Istanbul, we welcome you for a consultation to evaluate your goals and facial anatomy in detail.