Procedure Full cheeks can be reduced by removal of buccal fat (=bichectomy). This is often performed in younger patient from inside the cheek and can also be done as part of a facelift. The surgery involves a cut in the inner cheek opposite the second upper molar tooth through which the fat is removed. The wounds are repaired with dissolvable sutures which don’t require removal. Soft food and mouth wash are advisable for one week.
Scars 1cm inside the upper cheek
Operation time 1.5 hours
Anaesthesia General or Local
Hospital Stay Day Surgery
Benefits Cosmetic, Psychological
Risks Bleeding, Infection, Scar problems (thick, retracted etc.), Skin discoloration, Wound separation, Slough, Pain, Nerve injury (Numbness, weakness, paralysis), Injury to parotid (=salivary) duct, Bruising, Swelling, Overcorrection (hollowness), Undercorrection, Asymmetry, Cosmetic imperfections, Seroma, Problems with jaw movement, Functional problems, Contour irregularities, Need for further surgery, Allergic reaction
(General Anaesthetic: Chest infection, Heart attack, Stroke, Blood clots in legs & lungs)
N.B. Most complications are unlikely and serious risks are rare
Risk factors Smoking within 6 weeks of surgery, overweight, high blood pressure, bleeding tendency, diabetes
(General Anaesthetic: Contraception / flights within 6 weeks of surgery)
Optimising factors Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage
Discomfort 1 – 2 weeks
Bruising 2 – 3 weeks
Recovery Light activities and driving 3 – 7 days, Physical work & sports 4 weeks
Acceptable appearance 2 – 4 weeks for most patients (This is subjective)
Final result 6 – 18 months
Alternatives No Surgery, Make–up, Weight loss, Lipolysis, Liposuction

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