Today there are effective surgical techniques that deliver harmonious and natural results to correct the shape of your cheeks. We are talking about bichectomy in Madrid, a procedure with which you will reduce your cheeks and subtly define your face.
Bichat’s fat pads are fatty tissue located in the cheeks, beneath the cheekbones. When we are babies they are more pronounced, tending to decrease as we grow. As adults, they remain larger or smaller depending on each person’s genetics. Here diet and exercise can do little.
At Sculpture Clinic we are specialists in all types of facial plastic surgery techniques, always surrounded by the best team of professionals. We will conduct a detailed study of your case to assess whether bichectomy suits your needs and expectations.
What does bichectomy involve?
Bichectomy is an outpatient procedure in which fat is removed from the Bichat’s fat pads to reduce cheek size.
When properly indicated, the results are harmonious and very satisfactory.
- Slims and lengthens the face.
- Accentuates the contours of the lower third.
- Improves facial symmetry.
- Enhances the cheekbones.
The procedure is straightforward, with a quite good postoperative period, but it requires precise diagnosis and an experienced surgeon to be effective and safe.
Benefits of bichectomy
By removing part of these fat deposits in the cheeks, several notable benefits are achieved. Among them we can mention:
- With bichectomy, the cheekbones are highlighted and the facial contour is refined. This results in better face definition and a more sculpted appearance.
- You will also achieve a more stylized face, thanks to the reduction of puffy cheeks.
- A more harmonious facial appearance is achieved due to the slimming effect.
- If the procedure is applied correctly, the results are more natural and it won’t be noticeable that you had surgery.
Your health is our priority
We will only recommend surgery if it is safe for you and worthwhile.
At Sculpture Clinic you will receive professional, transparent and human care focused on your well-being.
- We offer both in-person and virtual consultations to adapt to your needs.
- Skip the trip: virtual consultation is free depending on the physician you wish to assess your case.
- 3D Bichectomy for a more defined face, you can complement your treatment with neck liposuction (additional cost)
- Sleep in your own bed that night: painless procedure in 30 minutes without hospitalization.
- Natural result with no visible scars.
- Comfortable recovery without compression chin strap.
- Close follow-up with postoperative visits, video calls and WhatsApp.
Bichectomy procedure
Preparation for Surgery
Before undergoing buccal fat removal in Madrid, you’ll need to follow several steps beginning with an initial consultation with the surgeon. During this appointment, the specialist will listen to your objectives and evaluate your condition to determine whether this procedure is suitable for you.
It’s important to discuss your expectations with the surgeon during the consultation. They will also ask questions to learn more about your health condition and lifestyle. Additionally, they will review your medical history and provide details about the procedure.
Next, the surgeon will conduct a more thorough medical evaluation to assess your overall health. This way, they can determine whether you are a suitable candidate for surgery.
If the surgeon decides you’re a good candidate, the procedure planning begins. This involves defining details such as the amount of fat to be removed and the technique to be used.
Finally, you’ll receive specific instructions on how to prepare for surgery. This may include fasting and discontinuing certain medications.
Procedure Steps
The standard procedure steps are as follows:
- Local anesthesia is applied to the cheek areas to ensure your comfort during surgery.
- The surgeon makes small incisions inside the mouth, which means no visible scars will remain.
- Part of the Bichat fat pads is removed to achieve the desired effect.
- The incisions are closed with absorbable sutures.
The procedure typically lasts approximately one hour. After a brief recovery period at the clinic, you can return home the same day.
Postoperative Care
After buccal fat removal, it’s crucial to follow your surgeon’s recommendations to ensure successful recovery. These include rest during the first few days and avoiding intense physical activities.
For at least the first week, you should maintain a soft diet and avoid hard or spicy foods, as they may irritate the incisions. Additionally, you should maintain good oral hygiene and take the medication prescribed by your doctor.
Finally, you must attend follow-up appointments to ensure you’re healing properly.
Frequently Asked Questions About Buccal Fat Removal in Madrid
How much does buccal fat removal cost?
The cost of buccal fat removal in Madrid varies depending on your specific needs, so it’s not possible to set an exact price. To give you an idea, the cost starts from €950.
Who is the best buccal fat removal surgeon in Madrid?
The best buccal fat removal surgeon in Madrid is Dr. Miguel Fernández Calderón. As a specialist, he will evaluate your case and advise you on whether surgery is the best option to achieve balance and harmony in your face.
Dr. Miguel Fernández Calderón’s precision and attention to detail will allow you to achieve the best results. Additionally, he will maintain transparent, honest, and warm communication with you at all times.
If you’re considering buccal fat removal, Dr. Fernández Calderón is your best choice. Book your appointment to have your case evaluated.
What is the postoperative period like?
It’s quite comfortable, since you won’t even need to wear compression garments like girdles or chin straps. You’ll simply need to follow these guidelines:
- Avoid alcohol and tobacco.
- For a few days it’s advisable to follow a soft diet to avoid straining your chewing muscles. For the first 24 hours after surgery, consume only liquids.
- Maintaining good oral hygiene will be important. It will help you prevent infections.
- You can apply cold compresses or ice to your cheeks to relieve swelling.
The doctor will provide you with all guidelines after surgery.
They will also schedule follow-up appointments at the clinic at 15 days and 3 months to ensure everything is progressing well.
Will I age faster if I have buccal fat removal?
No, if your skin is in good condition and you meet all the clinical criteria for the procedure. This is why a prior free assessment is essential to confirm you’re a suitable candidate.
When will I see the final results?
Results typically become apparent at 2-3 months, although it depends on each patient.
Does it have any type of risk?
Yes, like all surgeries. In this case, infection, facial paralysis, or hemorrhage. When an experienced professional performs the procedure and the patient follows the recommended care, the risks are minimal.
Could my face end up looking hollow?
No, because the Bichat fat pads are not completely removed, only the appropriate amount for proper facial contouring. This is another reason why proper diagnosis is essential.
Is recovery complicated?
It is common for the cheeks to swell during the first week and for there to be some discomfort, but by following medical recommendations recovery is smooth and passes quickly.
How is it performed?
First, local anesthesia is applied to the inner surface of the cheeks, inside the mouth, then a small incision is made. Through it, the Bichat fat pads are removed and closed with a resorbable suture that does not need to be removed during a follow-up visit. The stitches fall out on their own.
In 3D bichectomy, in addition to this, the fat in the jawline and chin area is removed to define the mandibular arc through liposculpture.
It is also possible to perform cheekbone lipofilling with the extracted fatty tissue to further define your facial features.
Will they grow back after bichectomy?
No, they will not grow back once removed. If you gain weight, you may recover some facial roundness due to an increase in subcutaneous fat, not from the Bichat fat pads.
Who is the procedure recommended for?
For all those people with a healthy weight who have a round face and cannot slim down despite diet and exercise. When there is excess weight, it is not recommended, as the effects are barely noticeable.
What is the best age to have it done?
It is mainly recommended between 18 and 45 years old, as the face is fully formed and will not undergo significant changes. Performing it later, when the face naturally tends to lose fat, could result in an undesired outcome.
In any case, it is essential that the doctor evaluates whether you are a candidate for surgery during your free initial consultation.
Does the procedure hurt?
Bichectomy is performed under local anesthesia, so you will not feel anything. It is painless.
When can I return to my normal routine? And sports activities?
You can resume your daily life 24 hours after the procedure, although it is recommended that you avoid physical exertion for at least 2 weeks afterward. As for work, you may prefer to take a few days off if your cheeks swell.











