Bichectomy removes part of the buccal fat pads to slim the middle third of the face, and not every case is a candidate. During your consultation we assess whether your facial volume is really due to this fat or to another cause, because that determines whether the result will be the one you expect.
From: 3.500 € VAT not included
Surgery duration:
60-90 minutes
Recovery time:
4 to 7 days
Synapta® protocol:
Included in Barcelona
Anesthesia:
Local
Hospital stay:
Same-day discharge
Social life:
In 5–10 days
Bichectomy (buccal fat removal) is a cosmetic surgical procedure that involves partially removing the buccal fat pads (Bichat's fat pads), pockets of fat located in the middle of the cheeks, in order to slim and define the facial contour.
It is performed through a small incision inside the mouth, so it leaves no visible external scars. The result is a slimmer-looking face with greater definition in the cheekbone area and the angle of the jaw.
It is indicated for people who want to reduce cheek volume that does not respond to weight loss and who are looking for a more defined, harmonious facial profile.
A small incision is made inside the mouth, usually in the inner lining of the cheek. Through this opening the surgeon reaches the buccal fat pad and partially removes it. It leaves no visible external scars.
Instead of removing all the fat, the specialist removes only part of it to avoid an overly hollow or aged appearance.
In some cases it is performed together with other surgeries or aesthetic treatments (for example, facial harmonization), with the aim of improving the overall contour of the face.
VAT not included
Bichectomy at Instituto de Benito starts from €3,500, varying according to the technique used, the type of anesthesia, the length of the procedure and the tests and follow-up included, and is adapted to each patient.
You can finance this procedure at 0% interest. See the options on our financing page.
*Prices valid in 2026. The exact price is given after the visit, once the surgeon has assessed your case.
Bichectomy is performed through a small incision inside the mouth, at cheek level, which gives access to the buccal fat pads without leaving visible external scars. Through that opening, part of the fatty tissue is removed in a controlled way, adapting the amount to each person's facial structure to achieve a balanced, natural result. It is an outpatient procedure, usually performed under local anesthesia, and it is short.
Before buccal fat pad surgery, the consultation takes place with the surgeon who will perform the procedure. In this visit the facial structure is analyzed and it is determined whether the procedure is suitable for achieving a harmonious result. To book the appointment, a payment of €80 is required in advance. If you cannot travel, the first visit can also be done by video call with the surgeon who would operate on you: it costs €50, which is deducted if you decide to have surgery.
NESAI ultrasound analyzes the condition of your face in depth: we measure collagen density, assess the impact of actinic (sun-related) aging and check your hydration reserves.
The preoperative medical tests are carried out and you are given all the instructions you need to arrive at surgery with the greatest possible safety and peace of mind.
The procedure is performed in an operating room, under local anesthesia and with continuous patient monitoring.
In Barcelona we apply the Synapta® protocol to make the post-op period more manageable.
After surgery, a recovery process begins, closely supported by our medical team, with regular check-ups to ensure proper progress and a stable, natural and long-lasting result.
Traditionally, bichectomy has been associated with a recovery involving swelling, a feeling of pressure and some discomfort in the cheek area. At Instituto de Benito we have evolved this experience with Synapta®, an approach developed by specialists to support the body during recovery.
Unlike approaches focused solely on medication, Synapta® works on the body's response after the procedure. Through specific techniques applied at key points, the aim is to make the post-op process more manageable and gradual, especially in an area as delicate as the face.
Every bichectomy case is different, so a personalized consultation is needed. These protocols aim to slim the facial contour and, at the same time, provide a comfortable recovery adapted to each patient.
*Synapta® is included in surgeries performed in Barcelona.
Carlos Alsina
Surgery is recommended in the following cases:
If your cheeks keep a rounded appearance even with changes in weight, bichectomy can help slim the middle third of your face.
When the cheekbones and facial contour are not clearly defined, reducing the buccal fat pads can provide greater definition.
Indicated for those looking for a more sculpted, harmonious appearance without altering their facial identity.
Ideal in cases where the volume is not superficial but deep and determined by anatomy.
By reducing the volume below, the upper structure of the face is visually enhanced.
It is essential to have a professional assessment confirming that the procedure is suitable for your type of face.
Buccal fat pad removal
Buccal fat pad removal
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Start with a video consultation with our surgeons. The surgeon who will operate on you assesses your case, answers your questions and gives you an exact, personalised quote. No travel needed for the first visit.
50 €
video consultation with your surgeon
Dr. David Neagu
Facial and maxillofacial surgery
Dr. Álvaro Sada
Facial and maxillofacial surgery
Although bichectomy is a minimally invasive facial surgery with a well-established safety profile, there are situations in which it is contraindicated or should be postponed. In the preoperative consultation we always analyze facial anatomy, tissue quality, general health and the patient's expectations before recommending the procedure. A properly indicated bichectomy does not depend solely on the wish to slim the face, but on there being a real excess of volume in the buccal fat pads and on the expected result maintaining facial harmony in the long term.
| Contraindicación | Motivo |
|---|---|
| Contraindication Reason Thin face or little facial fat | In patients with little facial fat, removing the buccal fat pads can lead to an excessively hollow or aged appearance over the years. |
| Contraindication Reason Thin face or little facial fat In patients with little facial fat, removing the buccal fat pads can lead to an excessively hollow or aged appearance over the years. Marked facial aging or significant sagging | The natural loss of volume associated with aging can become more pronounced after bichectomy and worsen facial sagging. |
| Active oral, dental or systemic infection | Infections increase the risk of surgical contamination, poor healing and postoperative complications. Surgery must be postponed until the infection has fully resolved. |
| Uncontrolled systemic diseases | Poorly controlled cardiovascular, respiratory, metabolic or immunological conditions increase anesthetic risk and compromise recovery. |
| Severe coagulation disorders | They increase the risk of bruising, intraoperative bleeding and postoperative complications. They require prior medical assessment. |
| Active smoking | Nicotine reduces blood supply to the tissues and increases the risk of infection, delayed healing and problems in the oral mucosa. We recommend stopping smoking at least 4 weeks before and after surgery. |
| Untreated dental problems or periodontal infections | The surgery is performed through an intraoral approach, so any dental source of infection increases the risk of deep infection. |
| Body dysmorphic disorder or unrealistic expectations | When there is a distorted perception of facial image or expectations incompatible with the patient's anatomy, surgery will not resolve the aesthetic dissatisfaction. |
| Under 18 years of age | Facial development must be complete before considering cosmetic surgery to slim the face. |
| Significant facial asymmetries or structural abnormalities that have not been investigated | Some asymmetries may be due to bone, muscle or gland abnormalities that require a specific diagnosis before a bichectomy is indicated. |
| Active autoimmune diseases or significant immunosuppression | They can increase the risk of infection, poor healing and postoperative complications. They require individualized assessment. |
| Treatment with anticoagulants or antiplatelet drugs | It is not an absolute contraindication, but it requires adjustment or temporary suspension supervised by the responsible physician. |
| Recent facial surgery or injuries that have not stabilized | The tissues need to have recovered properly before another cosmetic procedure is performed. |
| Pregnancy or breastfeeding | Any elective cosmetic surgery should be postponed until this stage is over, for anesthetic safety and proper recovery. |
| Significant instability in body weight | Significant changes in weight can modify facial volume and alter the aesthetic result obtained. |
| Parotid gland disorders or a history of salivary surgery | The anatomical proximity between the buccal fat pad, the parotid gland and the salivary duct calls for an especially careful surgical assessment in these patients. |
Slim your face with bichectomy
Bichectomy is a minimally invasive facial surgery with a well-established safety profile when performed by qualified specialists, after proper patient selection and with precise knowledge of facial anatomy. Although it is a relatively simple procedure, removing the buccal fat pads requires careful technique because of the proximity of important anatomical structures such as branches of the facial nerve, blood vessels and the parotid gland duct.
At Instituto de Benito we work under strict medical criteria, with an individualized facial consultation, an accredited operating room and safety protocols designed to preserve both aesthetic harmony and facial function. The correct indication is especially important in this surgery, since not every face benefits from a reduction in volume in the midface area.
If after surgery you experience severe pain that does not improve with the prescribed medication, a fever above 38 °C, significant progressive swelling, persistent bleeding, discharge from the intraoral wound, difficulty opening your mouth, marked facial asymmetry or changes in facial movement, you should contact the clinic immediately or go to the nearest emergency department. Most complications can be resolved properly when they are detected early.
(usually self-limiting during the first 7–10 days)
(greatly reduced when the surgery is performed with the correct indication and proper technique)
The best way to minimize risks in a bichectomy does not depend solely on surgical technique, but on selecting the patient correctly and preserving the natural balance of the face. That is why, before recommending buccal fat pad removal, we individually assess facial structure, tissue quality and how the face is expected to age in the long term.
Instituto de Benito is a leading center for plastic surgery, aesthetic medicine and wellness, with more than 40 years of experience and thousands of satisfied patients.
The team combines surgical technique with a personal approach, aiming for a natural result in harmony with each face.
«Bichectomy is not just about reducing volume, but about respecting facial harmony»
«Every face is unique, which is why we carefully assess facial structure before recommending a bichectomy»
«Proper planning makes it possible to slim the cheeks and define the facial contour progressively»
«Experience and technique are essential to achieving a harmonious result»
At Instituto de Benito we have more than 40 years of experience in facial plastic and cosmetic surgery, with a strong specialization in facial surgery. Over the course of our career we have performed more than 7,000 facial surgeries, building a high level of precision, safety and natural results.
Our practice is backed by membership of recognized international scientific societies such as SECPRE (Spanish Society of Plastic, Reconstructive and Aesthetic Surgery), ISAPS (International Society of Aesthetic Plastic Surgery) and SCCPRE (Catalan Society of Plastic, Reconstructive and Aesthetic Surgery), which ensures ongoing training and the application of the most advanced techniques.
We place special emphasis on facial harmony and on personalizing each treatment, supporting the patient throughout the whole process with complete post-op follow-up to ensure an optimal recovery and satisfactory results.
The first step is not surgery: it is a consultation with the surgeon who would perform your procedure. They will assess your case, answer your questions and, after the visit, give you the exact price.
The first consultation costs €80, which is deducted from the cost of surgery if you decide to have your procedure with us. You can also call us.
It should not happen if the procedure is properly indicated and performed in a personalized way. The goal is to slim the face while maintaining harmony and a natural look.
The change is gradual. At first there is swelling, and the result becomes clearer as the swelling in the face goes down, generally over weeks or months.
It does not change your expression or the way you smile; it simply reduces the deep volume of the cheeks to slim the contour.
It is performed under local anesthesia, so there is usually no pain during the procedure. Afterward there may be mild discomfort that can be managed with medication.
Yes, although you are advised to avoid strenuous exercise and follow a soft diet for the first few days to support recovery.
Like any surgical procedure, bichectomy can carry certain risks, although they are uncommon when it is performed by qualified professionals and after a proper prior assessment. Possible complications include prolonged swelling, bruising, infection, asymmetries or temporary changes in sensation in the treated area. In exceptional cases, nearby structures may be injured if the technique is not performed properly.
Following the pre- and postoperative instructions, maintaining good oral hygiene and attending your scheduled check-ups helps minimize risks and supports a safe, gradual recovery.
No, because the fat is removed permanently. That is why a proper prior consultation is key.
Yes, the indication depends on facial structure and natural aging, since not every face benefits from this procedure.
Medical review
N.º de colegiación 282871759
Surgeon specializing in facial and oral and maxillofacial surgery
Average rating: 4.8 / 5
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Cristina Betancor
Googlehace 12 meses
Encantada con el resultado y con el trato recibido por la doctora Marina y todo su equipo. Muy profesionales, atentos y cercanos en todo momento.
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Nora Haxha
Googlehace 1 año
Such a lovely team and experience! From my first visit to the online follow-ups, everyone has been so kind, caring, and professional. Dr. Neagu and Dr. García are truly exceptional I couldn’t feel in better hands. Thank you for everything! 🤍
Teresa Pacho
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Trato profesional y cercano. Excelencia en la cirujana Marina Garcia y todo el equipo. Honestidad en la comunicación.
Dolores Peñalver
Googlehace 1 año
Mi experiencia en el Instituto de Benito ha sido excelente. Agradecer a la Doctora María Gijón y a todo su equipo por su gran profesionalidad y por ayudar a los clientes ante cualquier duda o aclaración
Marisa Canseco
Googlehace 1 año
El doctor Fernández y su enfermera Cristina son profesionales excelentes y dan un estupendo trato. Los recomiendo al 100%. Los resultados se ajustan totalmente a lo que se comprometen.
Sandra TB
Googlehace 1 año
Agradecer enormemente a la Doctora Marina por el trato durante todo el proceso y por el resultado final. Mi experiencia ha sido maravillosa. Agradecer también a Montse por hacer que esto sea posible.
julia juan fornes
Googlehace 1 año
La Dra Marina Garcia muy profesional y transmite muchísima confianza desde el primer momento.
Maragda L
Googlehace 9 meses
Mi experiencia ha sido de lo mejor, me he sentido totalmente cuidada en todo el proceso de mi operación desde Mónica siempre atenta a mis consultas, hasta las chicas de los masajes y cómo no, con el doctor Orestes Fernández con quién me he sentido acompañada en toda la operación y sobre todo recuperación. Sin duda...
Paula Roldan Martinez-checa
Googlehace 11 meses
La Doctora Marina Garcia es totalmente un acierto. Sinceridad desde el primer momento, te escucha y te aconseja conforme tu idea y de manera que quede lo más natural y bonito posible, siendo siempre realistas. El resultado totalmente bonito, más natural y mejor de lo que incluso yo me pensaba. Una recuperación súper...
Susi Rodríguez Suárez
Googlehace 1 año
La Dra. Marina es maravillosa. Un equipo de profesionales de 10.
Carlos rubio miguel
Googlehace 1 año
Profesionales excelentes con un trato personal inmejorable. Muy recomendado!
Soraya Araujo Criollo
Googlehace 1 año
La profesionalidad de todo el equipo hace que te sientas segura a la hora de pasar por quirófano. Además en mi caso llevo yendo con Eva desde hace casi 8 años y no puedo estar más contenta.
Maria Roig
Googlehace 1 año
Encantada con todos los profesionales de IdB, especialmente con la Dra Marina, Julia y Mónica. No he podido estar en mejores manos. Gracias por todo. Muy feliz con el resultado!
Ana Alvarez Soto
Googlehace 1 año
Mi experience en Instituto de Benito ha sido excelente. El Dr Neagu es una persona estupenda, gran profesional y el trato es entrañable. Tiene un equipo muy competente trabajando con él y siempre me han acompañado durante todo el proceso de una manera impecable.
Ari Li
Googlehace 1 año
Una buena experiencia en la clínica de Benito,excelente personal y muy buenos profesionales. Estoy contenta🥰
