Facial Plastic Surgery
Bichectomy in Madrid
Bichectomy in Madrid (buccal fat removal): the surgery that slims the lower third of the face by removing the buccal fat pads to define the cheekbones and contour the cheeks, with a natural, permanent result.
Bichectomy partially and precisely removes the buccal fat pads (bolas de Bichat) —the fat deposits in the cheeks— to slim a rounded face, sharpen the facial contour and enhance the cheekbones. It suits people with full cheeks or a youthful, round face who want a more sculpted profile; it does not replace weight loss or treat sagging.
The price of bichectomy in Madrid depends on the technique and whether it is combined with other facial procedures. It is a simple, outpatient procedure under local anaesthesia. In your first consultation with Dr. Barreno de Castro, a maxillofacial surgeon, she assesses whether you are a good candidate and provides a detailed written quote.
How bichectomy works
Bichectomy is performed in the clinic under local anaesthesia and takes 30 to 45 minutes. The incision is intraoral (inside the mouth), so it leaves no visible scar on the face. You go home the same day.
Recovery is mild: for the first few days there may be swelling and slight discomfort when chewing, managed with pain relief and a soft diet. Most people return to normal life in two or three days and to social activity within about a week.
The final result of bichectomy appears gradually between six weeks and six months, as the swelling subsides and the face adapts. It is a permanent change, since the buccal fat pads do not grow back.
FAQ about bichectomy
How much does bichectomy cost in Madrid?
The price depends on the case and whether it is combined with other treatments. In your first consultation your face is assessed and you receive a closed written quote.
What is recovery from bichectomy like?
It is mild: swelling and slight discomfort when chewing for the first few days, with a soft diet. Normal life resumes in two or three days and social activity within about a week.
Does bichectomy leave a scar?
No. The incision is made inside the mouth (intraoral), so there is no visible scar on the face.
Is the result of bichectomy permanent?
Yes. The removed buccal fat pads do not grow back, so the facial slimming is permanent.
Who is a good candidate for bichectomy?
People with full cheeks or a rounded face who want to slim the lower third of the face. It is not advisable if the face is already thin, since the face tends to lose volume with age.
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