Facial Cosmetic Surgery
Bichectomy
Bichectomy is a cosmetic procedure that removes the buccal fat pads, or Bichat's fat pads, located in the cheeks. This procedure refines the face, sculpts the cheekbones, and creates a highly sought-after “hollow cheek” effect. At Nobel Clinic Istanbul, this simple procedure is performed from inside the mouth, leaving no visible scars.
Request an evaluation- Duration
- 30 to 45 minutes
- Anesthesia
- Local anesthesia
- Hospitalization
- Outpatient (same-day discharge)
- Safety
- Certified protocols
The procedure in video
Computer-generated illustrative footage. It is neither the recording of a real procedure nor a patient result.
Price
1 600 €
1 900 €
Current offer- Duration of stay
- 1 day
Package details
Included
- consultation with our surgeon
- pre-operative blood tests
- general anaesthesia
- transfers within Istanbul
- specialised medical interpreter
- 1 compression garment / girdle / cushion depending on the procedure
- compression stockings
- post-operative follow-up
Not included
- flights
- medication
- lymphatic drainage massages
Indicative price, subject to a personalized medical assessment.
Request a quoteGoals and Benefits
- Facial and cheek refinement
- Cheekbone enhancement
- Creation of a hollowed-out cheek effect
- Improved facial contour definition
- Harmonious and lasting results
Indications
- Round face with full cheeks
- Desire to slim the mid-face
- Persistent “hamster cheeks” despite a normal weight
- Want to accentuate the cheekbones
- Patients aged approximately 18 to 50
Why choose our clinic for this procedure?
- Intraoral procedure (no visible scarring)
- Minimally invasive technique
- Permanent result
- Rapid recovery
- Preservation of vital structures (Stensen's duct)
Preoperative Preparation
- Consultation with facial proportions analysis
- Standard pre-operative assessment
- Good oral hygiene
- Smoking cessation 2 weeks prior
- Discontinuation of anticoagulants
How the Procedure Is Performed
Consultation and assessment
Consultation with facial proportions analysis
Duration and anaesthesia
The procedure lasts 30 to 45 minutes under local anesthesia.
Incision inside the cheek
The surgeon makes a small incision inside each cheek, in the oral mucosa.
Removal of the Bichat fat pads
The buccal fat pads are carefully located and removed.
Closure with absorbable sutures
The incisions are closed with absorbable sutures.
No external scar
No external scarring is visible.
Safety & Protocols
Before the procedure
See the preoperative preparationDuring the procedure
Intraoral procedure (no visible scarring)
Minimally invasive technique
Preservation of vital structures (Stensen's duct)
After the procedure
Permanent result
Rapid recovery
Postoperative Follow-up and Recovery
Day 0
Outpatient (same-day discharge)
Days 3 to 5
Very rapid recovery in 3 to 5 days
First week
Swelling of the cheeks for one week
First days
Soft food for the first few days
Mouth care
Antiseptic mouthwash
Days 2 to 3
Resumption of normal activities after 2-3 days
From 3 weeks to 3 months
Visible result after 3 weeks (reduction of swelling), final result in 2-3 months
Indicative timelines: every recovery is specific to the patient and follows the surgeon's instructions.
Expected Results
Bichectomy offers a slimmer, more sculpted face with accentuated cheekbones. The result is permanent and natural. The effect improves further over time as the tissues stabilize.
Frequently asked questions
Which anesthesia is used?
Local anesthesia
How long does the procedure take?
30 to 45 minutes
Does the procedure require a hospital stay?
Outpatient (same-day discharge)
When can I resume my activities?
Very rapid recovery in 3 to 5 days Swelling of the cheeks for one week Soft food for the first few days Antiseptic mouthwash Resumption of normal activities after 2-3 days Visible result after 3 weeks (reduction of swelling), final result in 2-3 months
Is the result long-lasting?
Bichectomy offers a slimmer, more sculpted face with accentuated cheekbones. The result is permanent and natural. The effect improves further over time as the tissues stabilize.
How much does the procedure cost?
From 1 600 €. Indicative price, subject to a personalized medical assessment.
Medical Evaluation
Receive a personalized analysis of your case by our surgical team.