Bichectomy: More Defined Facial Contour
Slim the cheeks and define the facial contour for a more stylized and harmonious face
Starting from: 3,500€

Duration of the surgery:
60-90 minutes
Recovery time:
4 to 7 days
Pain-free surgery:
Included
What is bichectomy?
The bichectomy is an aesthetic surgical procedure that involves the partial removal of the Bichat's fat pads, which are accumulations of fat located in the middle part of the cheeks, with the aim of slimming and defining the facial contour.
It is performed through a small incision inside the mouth, so it does not leave visible external scars. The result is a face with a more streamlined appearance and greater definition in the cheekbone and jawline area.
It is a procedure indicated for people who wish to reduce the volume of the cheeks when it does not respond to weight loss and who seek a more defined and harmonious facial profile.
Types of Bichat Ball Augmentation with Surgery
Intraoral Extraction
A small incision is made inside the mouth, usually at the level of the inner cheek mucosa. Through this opening, the Bichat ball is accessed and partially extracted. It leaves no visible external scars.

Customized Partial Bichectomy
Instead of removing all the fat, the specialist extracts only a part to avoid a too sunken or aged appearance.

Combined Extraction
In some cases, it is performed alongside other surgeries or aesthetic treatments (for example, facial harmonization), aiming to improve the overall contour of the face.

What does a Bichat ball extraction involve at IdB?
The bichectomy is performed through a small incision inside the mouth, at the level of the cheeks, allowing access to the Bichat balls without leaving visible external scars. Through this opening, a controlled portion of the fatty tissue is extracted, adjusting the amount to each person's facial structure to achieve a balanced and natural result. It is an outpatient procedure, usually with local anesthesia and of short duration.
Valoración médica personalizada

Before Bichat ball surgery, an assessment is conducted with the surgeon who will perform the procedure. During this consultation, the facial structure is analyzed to determine if the procedure is suitable for achieving a harmonious result. To book the appointment, a prior payment of €80 is required.
Ultrasound analysis (optional)

NESAI ultrasound thoroughly analyzes the condition of your face: we measure collagen density, evaluate the impact of actinic (solar) aging, and check your hydration reserves.
Preparation for the procedure

Preoperative medical tests are conducted, and all necessary instructions are provided to ensure you arrive at the surgery with maximum safety and peace of mind.
The procedure

The procedure is performed in state-of-the-art operating rooms, under general anesthesia, with continuous patient monitoring.
Comfortable recovery

At the Instituto de Benito, we have developed an exclusive method to make the mentoplasty experience much more comfortable, with a very significant reduction in postoperative pain, facilitating a faster and more comfortable recovery.
Start seeing yourself the way you want to feel.

After surgery, a recovery process begins, closely accompanied by our medical team, with periodic check-ups to ensure correct progress and a stable, natural, and lasting result.
Preparation and recovery: The IdB protocol


What is the price of the bichectomy?
The indicative price of bichectomy at the Instituto de Benito starts from €3,500, and may vary according to the individual characteristics of each case and the aesthetic goals defined during the personalized assessment.
Are you the ideal candidate for removing the Bichat balls at IdB?
The surgery is recommended for people who wish to:
- 01
Excess volume in cheeks
If your cheeks maintain a rounded appearance even with weight changes, bichectomy can help you slim down the mid-facial third.
- 02
Poorly defined face
When the cheekbones and facial contour are not clearly defined, the reduction of Bichat balls can provide greater definition.
- 03
Desire for a more stylized face
Indicated for those seeking a more sculpted and harmonious appearance without altering their facial identity.
- 04
Prominent cheeks with structural shape
Ideal in cases where the volume is not superficial, but deep and determined by anatomy.
- 05
Seeking greater cheekbone projection
By reducing the lower volume, the upper structure of the face is visually enhanced.
- 06
Realistic expectations and proper evaluation
It is essential to have a professional evaluation that confirms the intervention is suitable for your face type.

Before and after photos of Bichectomy balls
Our medical group in extracting Bichat balls
The Instituto de Benito is a world leader in plastic surgery, aesthetic medicine, and wellness, with over 30 years of experience and thousands of satisfied patients.
Our team combines surgical art, technical precision, and emotional care, ensuring natural, safe results in harmony with each face.
Commitment to cheekbone extraction surgery
Safety is the cornerstone at the Benito Institute.
The experience of our surgeons, with over 35 years in plastic and facial surgery, ensures high-quality interventions even in complex cases, achieving natural, harmonious, and long-lasting results.
However, our technological and technical excellence is complemented by an unwavering human commitment. We understand that the surgical process requires closeness, which is why we offer direct personal follow-up, with availability to address questions through personal calls even on weekends. At the Benito Institute, your peace of mind is our absolute priority.
Where to have a bichectomy surgery
Related treatments
Frequently asked questions about bichectomy
Will my face look too sunken after a bichectomy?
It should not happen if the intervention is well indicated and performed in a personalized manner. The goal is to refine the face while maintaining harmony and naturalness.
When will I start noticing the results?
The change is progressive. Initially, there is swelling and the result is better appreciated as the face deflates, generally in weeks or months.
Does bichectomy change my facial expression?
It does not modify the expression or the way of smiling; it simply reduces the deep volume of the cheeks to stylize the contour.
Is it a painful procedure?
It is performed with local anesthesia, so there is usually no pain during the intervention. Afterwards, there may be mild discomfort controllable with medication.
Will I be able to lead a normal life afterwards?
Yes, although it is recommended to avoid intense exercise and follow a soft diet during the first few days to promote recovery.
Are there any risks or possible complications?
Like any surgical procedure, bichectomy can carry certain risks, although they are rare when performed by qualified professionals and after a proper prior assessment. Possible complications include prolonged swelling, bruising, infection, asymmetries, or temporary alterations in sensitivity in the treated area. In exceptional cases, injury to nearby structures may occur if the technique is not performed properly.
Following pre and postoperative instructions, maintaining proper oral hygiene, and attending scheduled check-ups helps minimize risks and promote safe and progressive recovery.
Can bichectomy be reversed?
No, since the fat is removed permanently. That's why a proper prior assessment is key.
Does age influence the decision to undergo a bichectomy?
Yes, the indication depends on facial structure and natural aging, as not all faces benefit from this procedure.

















