Bichectomy
Define your face and remove Bichat Balls

Bichectomy
Define your face and remove Bichat Balls

Bichectomy
Removal of the Bichat Balls

MADRID | ZURICH

Bichat balls are small accumulations of fat in the cheeks that have no relevant function. Through a minor intervention, known as a bichectomy, it is possible to remove these deposits to refine and stylise the lower part of the face. This procedure, increasingly requested by both women and men, also enhances the cheekbone area and is performed quickly under local anaesthesia, with immediately visible results.

  • DURATION 20 minutes
  • DISCHARGE FROM THE CLINIC Outpatient clinic
  • BACK TO WORK 4 days
  • DURATION 20 minutes
  • DISCHARGE FROM THE CLINIC Outpatient clinic
  • BACK TO WORK 4 days
  • SUITABLE FOR SOCIETY 1 day
  • ANESTHESIA Local
  • FULL RECOVERY 7 days
  • SUITABLE FOR SOCIETY 1 day
  • ANESTHESIA Local
  • FULL RECOVERY 7 days

Surgical Technique

The surgical technique begins with small incisions inside the mouth, so that scars are not visible. Between 5 and 9 grams of fat (the so-called “Bichat's balls”) are removed through these incisions and then closed with minimal sutures. The procedure usually takes less than an hour and, being minimally invasive, the recovery time is short.

Learn more about Bichectomy procedures on our Instagram profile.

Postoperative Care

  • Oral hygiene: After the procedure, it is recommended to maintain good oral hygiene using rinses and mouthwashes to reduce the risk of infection.
  • Inflammation and discomfort: Swelling can be reduced more quickly by applying local cold to the cheek area. The pain is usually mild and does not require more than basic painkillers if necessary.
  • Results and follow-up: The final results can be seen after a few weeks, once the inflammation has completely subsided. A check-up is suggested to assess the progress and, if necessary, make minor adjustments.


This surgery can be combined with other facial rejuvenation techniques, such as blepharoplasty, hyaluronic acid fillers or lip lift, in order to achieve a more harmonious and balanced result. Before any additional intervention, a personalised study of the patient's anatomy is carried out to ensure optimal planning.

Real case results
before and after bichectomy

Dr. Richard Fakin
international elite surgeon

Dr. Richard Fakin is Plastic, reconstructive and aesthetic surgeon with solid experience in gender affirmation procedures. He specializes in breast surgery, facial surgery, and advanced body procedures. His practice combines technical precision, aesthetic sensitivity, and a deeply personalized approach to each procedure

At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to offer rigorous medical care, but friendly in its human approach. Each patient receives individualized support, from the first consultation to post-operative follow-up.

As a boutique plastic surgery clinic, the approach is neither massive nor standardized. The team dedicates the necessary time to understand expectations, analyze anatomy, and design a surgical plan precisely tailored to each case. This structure allows us to maintain a high level of quality, confidentiality, and attention to detail in every procedure. Dr. Fakin employs refined surgical techniques that prioritize safety, natural-looking results, and optimized recovery. Meticulous planning and the use of advanced technology allow us to offer harmonious results that reflect each individual's unique identity.

Beyond the technique, Dr. Fakin and his team's commitment is reflected in transparent, honest, and personalized care, where Each patient is treated with dedication and professionalism in all phases of the process.

Our facilities

Madrid

  • C. de Velázquez, 109, 28006 Madrid, Spain
  • madrid@drrichardfakin.com
  • +34 679 85 86 39
  • C. de Velázquez, 109, 28006 Madrid, Spain
  • madrid@drrichardfakin.com
  • +34 679 85 86 39

Zurich

  • Giesshübelstrasse 45, 8045 Zurich
  • zurich@drrichardfakin.com
  • +41 78 206 44 88
  • Giesshübelstrasse 45, 8045 Zurich
  • zurich@drrichardfakin.com
  • +41 78 206 44 88

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