A recent dive into Google Trends indicates a worldwide surge in interest for buccal fat removal surgery, or bichectomy, peaking between late 2022 and early 2023 — its highest since 2004.
Though not a novel procedure, its resurgence in popularity can be credited to celebrities like Bella Hadid, Lea Michele, and Chrissy Teigen. Designed to refine the lower face and sculpt the cheeks, it can occasionally result in an overly gaunt appearance. This potential outcome stirs debate around the procedure, and we're here to address the most pressing inquiries about this contemporary trend.
But, first things first:
What is Buccal Fat Removal?
Buccal fat removal, also known as bichectomy or cheek reduction surgery, is a cosmetic procedure for partially removing the buccal fat pads from the cheeks and slimming the lower face. These fat pads are located in the lower portion of the face, and their removal can lead to a more contoured, sculpted appearance. Facial fullness or roundness and chubby cheeks are associated with a child-like appearance, and a more contoured look is conventionally found more attractive, which is why this procedure is so popular.
How Long Does the Procedure Take?
Typically, buccal fat removal is a quick outpatient procedure, taking about 30 minutes to an hour, depending on the individual and the extent of the removal. It's often performed under local anesthesia or light sedation.
Are the Results of Buccal Fat Removal Permanent?
Yes, once the buccal fat pads are removed, they do not grow back. This means that the results of the procedure are permanent. However, it's essential to note that our face naturally loses volume as we age, which might affect our overall appearance over time.
How is the Procedure Done?
A small incision is made on the inside of the cheek, ensuring no visible scars on the face. Through this incision, a modest portion of the buccal fat pad is extracted. The incision is then sutured closed. The procedure is typically done on both cheeks to maintain symmetry. In most patients, bruising or swelling is minimal, resulting in very little downtime.
Pressing Questions About Buccal Fat Removal
1. Does buccal fat removal cause premature facial aging or a gaunt look?
A common misconception is that buccal fat removal leads to premature aging or a gaunt appearance. In reality, when performed judiciously and appropriately, the results can be subtle and beautiful. However, if too much fat is removed or done on an individual with minimal buccal fat, it can lead to a sunken appearance, which might resemble premature aging. Buccal fat removal is definitely not for everyone, and the skill and judgment of the plastic surgeon play a pivotal role here.
In addition, if a patient plans to lose substantial weight, it is best to evaluate their buccal fat removal candidacy after their weight is stabilized. Dramatic weight loss can impact facial fat, potentially leading to an overly hollow appearance.
2. Does buccal fat removal slim the jawline?
Buccal fat removal targets the cheeks and creates a more contoured appearance; it does not alter the jawbone or the jaw muscles. Other procedures such as jaw contouring or Masseter botox are needed to create a more refined jawline. Your surgeon can guide you through the best procedures to create the facial enhancements you want.
3. Does buccal fat removal cause nasolabial folds?
Buccal fat removal does not directly cause nasolabial folds. However, if too much fat is removed, it can lead to a relative prominence of these folds due to the changed landscape of the face. Proper evaluation by an experienced surgeon before the procedure is crucial to avoid such outcomes.
4. Can you reverse buccal fat removal?
Buccal fat removal is permanent; once the fat is removed, it cannot be naturally replaced. However, for individuals dissatisfied with their results, options like dermal fillers or fat grafting can restore volume to the cheeks.
5. Do I need a buccal fat removal or cheek liposuction?
While both procedures aim to reduce facial fullness, they target different areas and have varied methods. Buccal fat removal focuses on removing the buccal fat pads from the inside of the lower cheeks. In contrast, cheek liposuction removes excess fat deposits from the cheek areas, including the sides of the face, and can cover a broader region than just the buccal fat pads. If you want a slimmer face and more contoured cheeks, the best course of action can be determined after a consultation with a plastic surgeon.
When performed correctly, buccal fat removal is a potent tool for facial contouring. As with any cosmetic procedure, it's essential to consult with a qualified and experienced plastic surgeon who can evaluate whether the procedure is right for you and guide you through the process. Dr. Bora Ok is a sought-after surgeon for patients from 50+ countries including the USA and UK, who desire natural-looking results. Contact us on WhatsApp to schedule a consultation and step into your transformation journey today!