PD Dr. Richard Fakin / Plastic Surgery / Bichectomy


Madrid | Zurich

Bichat balls are small fatty accumulations in the cheek region, which have no function and that can be removed through a small surgery called Bichectomy.

This intervention aims to refine the cheeks’ contour by reducing their prominence. Bichectomy is becoming increasingly popular among men and women who wish to have a more refined-looking lower facial area, while at the same time enhancing the appearance of the cheekbones.

It is a fast surgery, performed under local anaesthesia, rendering immediate results.


20 – 30 min



Fit to go back to work

1 days

Fit for everyday activities



Recovery time

7 days

Surgical technique

Scars are just 1cm long and concealed inside the mouth. This incision allows for the removal of 3-9cm³ of fat, or “Bichat balls”. The incision requires just a single sealing stitch.

To learn more about our Bichectomy see our Instagram posts.

Post-operative care

It is recommended to keep an adequate mouth hygiene after the intervention, using a mouth rinse.

Swelling might subside faster by applying cold to the area. Generally, no painkillers are needed.

This Intervention can be combined with others such as blepharoplasty, hyaluronic acid filling or lip lift.

To learn more about our Bichectomy see our Instagram posts.

Before and after, real cases

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