Medically reviewed by Dr. David Neagu, licence no. 58693, Dr. Álvaro Sada Malumbres, licence no. 282871759Published on 11 November 2026
Buccal fat removal cost in 2026: how much a bichectomy is
At Instituto de Benito, buccal fat removal (bichectomy) starts at €3,500 (VAT not included). It is done under local anesthesia through a small incision inside the mouth, with no visible scars. The final price depends on the technique and whether it is combined with another treatment. It includes the operating room, anesthesia and follow-up visits, and can be financed over up to 60 months.
A bichectomy removes part of the buccal fat pads, the deep fat in the cheeks, to slim the middle of the face. Its page explains the technique and recovery. Here we answer what people ask most before booking: how much it costs and what that price pays for.
How much does buccal fat removal cost?
At Instituto de Benito, from €3,500 (VAT not included). It is a short surgery under local anesthesia, done in an operating room with monitoring. We give you a fixed quote after the consultation.
What does the price of a bichectomy depend on?
1. Whether it really is the buccal fat
Many round faces are not round because of the buccal fat pads, but because of bone, the masseter muscle, the glands or weight. In the consultation we look at where the volume comes from. If it is not the fat pads, a bichectomy is not indicated and we will tell you, even if that is what you came for.
2. How much fat is removed
Not all of it. Only part is removed, just enough to slim the face without it looking hollow over the years. What is removed does not come back, so the decision is permanent.
3. Whether it is combined with another treatment
Sometimes the contour improves more with an added step: double chin removal, a mid-face lift or non-surgical facial harmonization treatments. Each one is quoted separately.
What is included in the quote, and what isn’t?
Included:
- Fees for the surgeon and the rest of the medical team
- Materials specified in the quote
- Operating room
- Anesthesia
- Nursing care
- Follow-up visits with the specialist
- Pre-op tests (blood work, ECG…)
In Barcelona it also includes the Synapta® recovery protocol.
Not included:
- Assessments or approvals from other specialists, if needed
- Medication after discharge
- Complementary recovery treatments (lymphatic drainage, physiotherapy, laser…)
- Costs of complications not attributable to the surgery
- Touch-ups or revisions that were not planned
- Travel, accommodation and meals
Are there non-surgical alternatives, and how much do they cost?
If what you want is more defined cheekbones and jawline, sometimes nothing needs to be removed; instead, structure is added where it is missing. Jawline contouring and facial harmonization use hyaluronic acid, have no downtime and are reversible. Harmonization starts at €1,200. A bichectomy, on the other hand, is permanent.
| Facial harmonization | Bichectomy | |
|---|---|---|
| What it does | Adds volume and structure with hyaluronic acid | Removes part of the deep cheek fat |
| Price at IdB | From €1,200 | From €3,500 |
| How long it lasts | Temporary | Permanent |
| Operating room | No | Yes, under local anesthesia |
What should you ask if you are quoted a much lower price?
Some clinics advertise bichectomies for far less than this. Before you decide, ask:
- Who will operate on you, and whether it is the same person who saw you in consultation.
- Whether it is done in an operating room with monitoring.
- How many follow-up visits are included, and who sees you if there is swelling or an infection.
- Whether anyone has checked that your volume actually comes from the buccal fat pads.
Does it cost the same in Barcelona and Madrid?
Yes, the starting price is the same at both of our clinics.
How do I get a quote, and can I finance it?
The exact price is given by the surgeon who would operate on you, after seeing you. The first visit costs €80 and is deducted from the bichectomy if you decide to go ahead with us.
You can finance it over 12 months interest-free or up to 60 months. The terms are on our financing page.
Frequently asked questions about the cost of buccal fat removal
How much does it cost to remove buccal fat?
At Instituto de Benito, from €3,500 (VAT not included), including the operating room, local anesthesia and follow-up visits.
Is a bichectomy permanent?
Yes. The fat that is removed does not come back. That is why only part is removed, after a careful assessment of the face.
Does it leave a scar?
Not a visible one. The incision is small and inside the mouth, at cheek level.
Does it hurt?
It is done under local anesthesia, so it usually does not hurt during the procedure. Afterwards there may be mild discomfort, controlled with medication.
When will I see the result?
Gradually. At first there is swelling, and the result shows as it goes down, over weeks or months.
Can I finance it?
Yes, over 12 months interest-free or up to 60 months.