Bichectomy Valencia

Bichectomy in Valencia is a cosmetic facial surgery procedure that reduces the volume of the cheeks by removing the Bichat fat pads, creating a more defined and slimmer facial contour. It is one of the most requested treatments for patients who want a more sculpted face without changing their natural features.

Many patients feel their face looks too round or puffy even when they are slim. In many cases, that fuller appearance is not caused by excess weight but by naturally prominent buccal fat pads. That is why diet, exercise or facial treatments do not always produce the desired result. Bichectomy offers a direct surgical solution when the problem is structural rather than lifestyle-related.

At Asensio Dental Clinic, bichectomy is performed by Dr. Lucía Asensio Romero, a specialist in oral surgery with extensive experience in facial procedures. We assess your facial anatomy in detail before recommending treatment, because not every round face benefits from the same surgical approach.

What is bichectomy and what is it for?

Bichectomy is a minor surgical procedure that removes part of the buccal fat pads located inside the cheeks. These fat pads are normal anatomical structures that help shape the middle third of the face. In some patients they are particularly prominent, creating a softer or heavier facial appearance even when body fat is low.

The aim of the procedure is not to transform the face completely, but to refine the cheek contour, improve definition around the cheekbones and jawline, and create a more harmonious facial balance. The result is usually elegant and subtle when the case is well indicated.

Who is a good candidate for bichectomy?

The best candidates are patients with a naturally full lower-cheek area who want a more defined face and whose facial structure supports volume reduction without making the face look gaunt over time. That is why preoperative diagnosis matters so much.

Bichectomy is usually suitable for:

• Adults with persistently round or bulky cheeks.
• Patients in good general health.
• People seeking a permanent facial contouring treatment.
• Patients with realistic expectations about subtle facial refinement.

It is not recommended in every case. Patients with already thin faces, significant facial asymmetry or expectations of dramatic transformation may need a different approach. At our clinic we only recommend surgery when it is likely to improve facial harmony in the long term.

How bichectomy is performed

The procedure is performed under local anaesthesia through small incisions inside the mouth, so there are no visible scars on the skin. The surgeon accesses the buccal fat pads carefully, removes the appropriate amount of tissue on each side, and closes the incisions with resorbable sutures.

The surgery usually takes around 30 to 45 minutes. Because the incisions are intraoral, postoperative hygiene and the choice of foods during the first days are essential for a smooth recovery.

Recovery after bichectomy

Recovery is usually quick. Mild swelling is normal during the first days, and patients are generally able to return to routine activities within a short period. The face does not show the final result immediately because tissues need time to settle. The slimming effect becomes more visible gradually over the following weeks.

During the recovery period, we normally recommend:

• Soft or semi-liquid food for the first days.
• Strict oral hygiene with the prescribed antiseptic mouthwash.
• Avoiding smoking and alcohol during initial healing.
• Following all review appointments to monitor symmetry and healing.

Advantages of bichectomy

When properly indicated, bichectomy offers several advantages:

• Permanent reduction of cheek volume.
• No visible external scars.
• Short surgical time.
• Fast recovery in most patients.
• More defined facial contour and cheekbone prominence.

Why choose Asensio Dental Clinic for bichectomy in Valencia?

At Asensio Dental Clinic, facial procedures are approached with the same philosophy we apply to advanced oral surgery: accurate diagnosis, conservative planning and safe execution. We assess the proportions of the whole face before recommending surgery, not just the cheeks in isolation.

Dr. Lucía Asensio Romero performs bichectomy within a medically supervised clinical environment with full preoperative assessment and postoperative follow-up. If facial fullness is related to another structural issue, we will tell you clearly before suggesting surgery.

Frequently asked questions about bichectomy in Valencia

Is bichectomy permanent?

Yes. The removed buccal fat does not regenerate. Weight gain may still change your overall facial appearance, but the extracted fat pads do not grow back.

Does bichectomy hurt?

The procedure is performed under local anaesthesia, so it is not painful during surgery. Afterwards, discomfort is usually mild and manageable with standard postoperative medication.

Are there scars after bichectomy?

No visible external scars are left because the incisions are made inside the mouth.

When will I see the final result?

You will notice improvement progressively as swelling goes down. The final contour is usually appreciated after several weeks, once the tissues have fully settled.

How much does bichectomy cost in Valencia?

The price depends on the case and whether it is combined with any other treatment. To understand the cost factors, you can also read our article on bichectomy price.

This information is part of our dental implants in Valencia specialist area.