Buccal Fat Removal (Bichectomy)

Bichectomy reduces fullness in the mid-cheek by removing a carefully selected portion of the buccal fat pad. The goal is not radical fat loss but a subtler contour between cheekbone and jawline so the face appears slimmer at rest and in profile. We plan conservatively and anatomically: a modest reduction can refine the cheeks and visually emphasise the jawline; overly aggressive resections look unnatural, accelerate hollowing with age, and are deliberately avoided. Indication is selective—not every “round face” benefits. Key factors: tissue thickness, skin elasticity, fat distribution, dental bite and mimetic muscle tone.