How much does the face change with bichectomy?

News, Tips and Aesthetic Care Blog

Published by Dr MIguel Fernadez Calderón: 13/09/2023


When patients are interested in bichat ball surgery, it is normal that many doubts arise about it, because there are many myths and erroneous beliefs. Today we want to explain what it is and how much it changes the face with bichectomy and the benefits of this procedure.

What is bichectomy?

Bichectomy in Madrid Spain, a procedure to remove fat deposits in the face, called bichat balls, which have no function in the body. And so your face will have a better shape, thinner and more profiled.

Bichectomy is a surgical procedure that can sculpt and slim the face by removing the bichat balls in the cheeks. These pockets of fat are located in the lower section of the cheeks, and sometimes descend into the jawline as we age, leading to that childlike appearance.

The goal of this procedure is to remove excess "baby fat" while preserving the naturally soft appearance of the face.

Do you feel you have a very round face? Do you think your cheeks make you look less mature? Do people mistake your age because you have a childish face shape due to excess fat?

Round or chubby cheeks are genetically made that way, your overall weight has very little to do with having a round face shape or poorly defined cheeks. But that's what this quick and effective procedure was created for, which will allow you to achieve a more mature appearance and the desired face contour.

face bichectomy

Benefits of buccal fat removal

Bichectomy is a surgery with a purely aesthetic purpose. Therefore, its benefits are directly associated with personal appearance and the patient's perception of himself.

Improved facial appearance

Removing the Bichat balls, achieves an immediate effect on facial appearance, as the patient will get a more defined and thinner face. This is possible due to the reduction of the size of the cheeks and thus the cheekbones become more prominent, highlighting this feature.

This surgery can even improve the symmetry of the face and define the chin.

Increased self-esteem and confidence

Those who are unhappy with the way their face looks, and more specifically those who are uncomfortable with the way their cheeks look, find in bichectomy a procedure that can restore their self-esteem and self-confidence.

Patients who change the appearance of their cheekbones, and achieve a more symmetrical and contoured face, will feel more comfortable and confident in their personal and professional relationships as well as with themselves.

How much does the face change with bichectomy?

Fat on the face is necessary to some extent, it helps maintain a youthful appearance. Too much cheek fat can make you look very baby-faced, even chubby. That baby fat usually disappears in adulthood, but if it doesn't, you have options for slimming your face.

READ Cauliflower ear: causes, prevention and cosmetic solutions

La grasa no deseada en las mejillas puede hacerte ver con una cara redondeada, ocultado la definición de los pómulos que te hace ver mucho más atractiva o atractivo. Ante este problema, la solución será la cirugía de bolas de Bichat, que se recomienda para pacientes que buscan deshacerse de la cara redondeada con una bichectomía.

The rounded face bichectomy is a simple and quick surgery, an excellent option. Besides, the incisions will be inside the mouth, so you will not have visible scars.

Cambios inmediatos en el contorno facial

When in doubt about how much the face changes with bichectomy, you should know that it will make you look thinner or slimmer, with a more balanced facial appearance. You will reduce excess fat in the cheeks.

After surgery, in three weeks you should be recovered and see the first results of the bichectomy, but it could take months to see the full results. It is important to be patient and follow the postoperative period.

The change you will get in your face with this surgery will help you gain self-esteem and self-confidence. You will be able to compare the bichectomy before and after, and you will be able to see a big difference in your face.

With Bichat ball surgery, these bags are removed and the face has a slimmer, more contoured appearance. They can be removed completely or a portion, this will give balance and symmetry to the face.

In general, your face will change with bichectomy because it slims the cheek area. But if you want a complete change of the face, you will need to complement this procedure with a facelift, which will improve the jawline, neck and further refine the face.

Bichectomy will make you look and feel more attractive, give you confidence, which can lead to a happier life. It is a simple procedure that goes a long way in improving the appearance of your face, and with it, your self-esteem.

Results and recovery after bichectomy

Will my face look sunken after a bichectomy?

There is a widespread belief that bichectomy ages people. This is because by removing excess fat the cheeks become thinner, but this depends on the individual patient.

Depending on the person's facial structure, bichectomy may cause a sunken appearance in those who do not have good bone structure, or who have very stretched skin. If this happens, it is not due to the surgery, but to the lack of prominence of the cheekbones, which are the basis of good jaw projection.

A good surgeon will analyze your bone structure first, so they can tell you if you are a good candidate for a bichectomy. In this case they may suggest other procedures to improve your facial appearance and will explain how bichectomy works vs. other procedures.

Mejora de mentón y definición de la mandíbula

La bichectomía te puede ayudar a eliminar la apariencia de doble mentón y te dará un mejor contorno de la cara, una apariencia más madura y delgada de tu cara.

READ Mastopexy price: what you should know about the procedure

El exceso de grasa en las mejillas puede acentuar el exceso de grasa debajo de la barbilla. Ya que puede añadir un peso extra a tu cara, lo que difumina la línea de la mandíbula y puede dar la ilusión de que tus mejillas están directamente conectadas a tu grasa debajo de la barbilla. Y si esto no es suficiente, podrías complementar la bichectomía con una mentoplastia.

You can also consult with your surgeon what is the price of a rhinoplasty in Madrid Spain.

Recuperación post-bichectomía

After a bichectomy it is normal for the patient to have a lot of swelling and mild pain, including tenderness in the cheeks. Let's review how is the recovery after this surgery.

Recovery time and postoperative care

The bichectomy is a surgery that requires a relative rest of one week, time after which the surgeon will check that everything is in order and proceed to remove the stitches. After this first week, the patient will be able to resume his or her daily activities normally.

Although the recovery time is quick, the changes in the face really start to become visible after two to three weeks; and the definitive results after six months.

As for the necessary care during the postoperative period, we can highlight that it is required:

  • A liquid diet.
  • Speak little to avoid unnecessary effort.
  • To have an adequate oral hygiene.
  • In addition, the physician may also indicate the use of a compression bandage for 2 days.
  • The patient should avoid smoking or drinking alcoholic beverages.
  • You should not perform high intensity physical exercise until that area of the face is completely healed, in order to avoid the risks of bichectomy in the postoperative period.

When will I see the results of the bichectomy?

You already know how much the face changes with the bichectomy, but it is important to be clear that you will not see this result immediately, but when you are fully recovered.

Dependiendo de la cantidad de grasa eliminada, y de acuerdo a los testimonios de pacientes bichectomía, algunos de ellos han notado inmediatamente su cara más delgada. Pero es importante que sigas todas las recomendaciones del cirujano para el postoperatorio.

Keep in mind that the Bichat balls will not grow back, the results are permanent; although there is always the possibility that fat cells remaining in the area may grow if you gain weight.

Resultados a largo plazo y factores que los afectan

Mantenimiento del contorno facial con el paso del tiempo

La mejor forma de asegurar que los resultados de esta cirugía sean permanentes es mantener tu peso corporal estable y seguir un estilo de vida saludable.Ten en cuenta que hacer ejercicio con regularidad ayuda a fortalecer los músculos de la cara. Utilizar protector solar contribuye a tener una piel más sana. Y que fumar y beber causa flacidez en la piel.

READ How much does liposculpture cost?

Factores que pueden influir en el cambio 

The results of a bichectomy are long-lasting, however, there are some factors that can affect, over time, the result obtained.

Por ejemplo, los cambios de peso, impactan directamente en la apariencia del rostro.  Aunque las bolas de Bichat no vuelven a formarse, al subir de peso se pueden ver los pómulos más llenos, y bajar mucho de peso las hará lucir muy delgadas.

Además, dependiendo de la edad del paciente, los resultados de la bichectomía pueden variar. En pieles jóvenes la elasticidad y firmeza contribuyen a resultados que destacan, mientras que en personas de mayor edad pueden lograr un aspecto más envejecido. En este último caso se puede combinar con procedimientos como un lifting facial.

Cada persona tiene una estructura ósea diferente y esta es la base del rostro, por lo que el resultado de la bichectomía está directamente relacionado con la estructura de los huesos faciales y la cantidad de grasa eliminada.

Cómo elegir la clínica o el cirujano adecuado 

Credenciales, experiencia y resultados previos

La elección del cirujano adecuado es esencial para obtener mejores resultados de una bichectomía y reducir posibles complicaciones. Es por ello, que debes asegurarte de revisar sus credenciales para verificar que sea un profesional calificado y con experiencia en este tipo de cirugías.  

Además, se recomienda solicitar referencias o revisar el sitio web y las redes sociales del cirujano. En una consulta inicial también puedes solicitar al médico fotografías de sus trabajos anteriores, para chequear los resultados que ha logrado en pacientes anteriores.

En Sculpture Clinic somos especialistas en cirugías faciales como la bichectomía y en corporales como la abdominoplastia Madrid.

¿Qué preguntas realizar antes de someterse al procedimiento?

Estas son algunas de las preguntas básicas que puedes hacer al cirujano en la primera consulta:

  1. ¿Cuántos años de experiencia tiene realizando bichectomía?
  2. ¿Soy un buen candidato adecuado para una bichectomía?
  3. ¿Cómo es el procedimiento detallado de una bichectomía? ¿Qué tipo de anestesia requiere?
  4. ¿Cuáles resultados debo esperar?
  5. ¿Cuáles son los riesgos o posibles complicaciones?
  6. ¿Cuál es la preparación que se requiere antes de la cirugía?
  7. How is the post-operative period?

Conclusión: ¿vale la pena la bichectomía?

Una bichectomía es una cirugía que ofrece resultados excelentes e inmediatos para quienes desean tener un rostro más definido, con pómulos más marcados. Se trata de un procedimiento poco invasivo, seguro y que no deja cicatrices visibles; sin embargo, es esencial tener expectativas realistas con relación a los posibles resultados y para ellos debes saber elegir un profesional con experiencia y certificado.

Now that you have a better idea of how much the face changes with bichectomy, you can decide whether or not you want to opt for this procedure. Contact us for an evaluation with our expert surgeons and to find out the average price of a bichectomy.

Picture of Dr. Miguel Fernández Calderón – Cirujano plástico

Dr. Miguel Fernández Calderón - Plastic Surgeon


Degree in Medicine from the University of Castilla-La Mancha, with training in Plastic, Aesthetic and Reconstructive Surgery at the University Hospital La Paz. Member of the Spanish Society of Plastic, Reconstructive and Aesthetic Surgery (S.E.C.P.R.E).

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