Buccal Fat Removal (Bichectomy)
Buccal fat removal is a facial contouring procedure that reduces fullness in the lower cheeks to create a more sculpted, defined appearance. If you feel your face looks “round” or “puffy” even when you are at a stable weight, this may be an option worth exploring. Dr. Daria Hamrah approaches cheek contouring with an emphasis on balance and natural-looking refinement.
What Is Buccal Fat Removal (Bichectomy)?
Buccal fat removal (also called buccal fat pad reduction) is a procedure that reduces a naturally occurring pocket of fat in the lower cheek. The goal is not to make you look hollow, but to refine the area beneath the cheekbones so your facial shape looks more defined.
This procedure may be considered when:
- Your cheeks stay full even with a healthy lifestyle and stable weight
- You want more lower-face definition
- You prefer a long-lasting solution rather than temporary contouring options
Buccal fat removal can be performed alone or combined with other facial procedures when appropriate.
What to Expect
Your consultation is focused on facial proportions, skin quality, and your long-term goals. Dr. Hamrah will help determine whether buccal fat removal fits your anatomy and will discuss alternatives if a different approach would better support natural-looking results.
In general, you can expect:
- A carefully planned approach based on your facial structure
- A discreet incision placement inside the mouth (no visible external scar)
- Swelling early on, with gradual refinement over time
- A final result that continues to settle as swelling resolves
Who Is a Candidate for Buccal Fat Removal (Bichectomy)?
You may be a good candidate if you:
- Are bothered by lower cheek fullness or a round facial shape
- Are at a stable, healthy weight
- Want a subtle, refined change rather than a dramatic transformation
- Have realistic expectations and want results that look balanced
Buccal fat removal may not be ideal if you naturally have a thinner face or if significant volume loss could make the cheeks appear hollow over time. Your consultation is the best place to confirm what will look most natural for you.
Recovery + Results
Recovery varies, but most patients can return to normal routines relatively quickly with appropriate aftercare instructions.
Common recovery notes include:
- Mild to moderate swelling in the cheeks during the first week
- Gradual reduction in swelling over several weeks
- Refinement that continues to improve as the cheeks settle
- Results designed to look natural and proportional—not overdone
Dr. Hamrah will provide clear aftercare guidance and monitor your healing during follow-up visits.
Benefits of Buccal Fat Removal (Bichectomy)
Patients pursue buccal fat removal to support goals such as:
- A slimmer, more contoured lower cheek appearance
- Enhanced definition beneath the cheekbones
- Improved facial balance and proportions
- A refined result that still looks like you
Before + After
Before
After
Why Choose Dr. Daria Hamrah?
Dr. Daria Hamrah is Virginia’s only triple board-certified facial cosmetic surgeon, recognized for his advanced expertise in both surgical skill and aesthetic artistry. With years of experience in advanced facial procedures, his philosophy is to create natural, harmonious results that respect each patient’s individuality.
Follow Dr. Daria Hamrah
Join a community of over 445K people who prioritize longevity, optimal health, and cellular wellness. As a leading expert in facial cosmetic surgery and anti-aging medicine, Dr. Hamrah shares insights on aging, surgical and non-surgical solutions, and how to make informed choices for your health, beauty, and overall well-being.
