

Bichectomy, known as Buccal Fat Removal, unlocks a snatched jawline with high cheekbones and defined angles that exude elegance and confidence. At Aria Cosmetic Surgery in Missouri, this refined procedure reveals your true facial structure, surpassing temporary makeup techniques. For those whose fuller cheeks conceal their natural contours, Bichectomy offers a permanent, sophisticated solution
At Aria Cosmetic Surgery, we see this procedure not as a change, but as a revelation: the art of unveiling the magnificent bone structure that has always been there.
“True elegance isn’t about standing out, but about being remembered. Your face is your signature.”
The Source of Facial Fullness: The Buccal Fat Pads
To understand the solution, one must first identify the cause. We are all born with encapsulated pads of fat within our cheeks, known anatomically as the Buccal Fat Pads. In childhood, these pads assist with suckling and contribute to a tender, “chubby-cheeked” appearance. While these fat pads naturally atrophy in many adults, for others, they persist due to genetics, regardless of body weight or fitness level. This can create a perpetually full or rounded facial appearance that may not be in harmony with their overall physique.
This is where Bichectomy becomes the sculptor’s definitive tool. It is a procedure meticulously designed to precisely and artistically remove these fat pads.
The Consultation: Beyond Symmetry, Towards Artistry
Your journey at Aria Cosmetic Surgery begins with an in-depth consultation. This is not a mere check-up; it is a collaborative dialogue about your aesthetic goals and a comprehensive artistic evaluation. Your surgeon will not only confirm your candidacy for the procedure but will also analyze:
- Facial Harmony: The proportional relationship between your cheekbones, cheeks, and mandible will be carefully assessed.
- Skin Quality: Good skin elasticity is crucial to ensure the skin will retract smoothly over the new, refined contours.
- Your Aesthetic Goals: We will discuss the degree of definition you desire. The objective is never a gaunt appearance, but rather a naturally sculpted and sophisticated result. Your surgeon will explain how the removal of this specific fat will enhance the light reflection on your cheekbones and the shadow beneath them—the core principle of contouring.


The Procedure: Elegance in Simplicity
The brilliance of the Bichectomy lies in its minimally invasive approach and its high-impact results.
- Anesthesia and Comfort: The procedure is performed comfortably under local anesthesia in our state-of-the-art facilities. You will be awake but will feel no discomfort.
- The Concealed Incision: The surgeon makes a minuscule incision, no larger than 2 centimeters, inside the mouth within the buccal mucosa (the inner lining of the cheek). This is a critical detail: it leaves absolutely no visible external scar.
- Artistic Excision: Through this small access point, the Buccal Fat Pad is identified and delicately excised. The volume of fat removed is a precise, artistic decision made by the surgeon to ensure a symmetrical and natural-looking outcome.
- Closure: The incision is closed with one or two absorbable sutures, which will dissolve on their own. The entire procedure is typically completed within 45 to 60 minutes.
The Recovery: A Smooth Transition to Definition
The recovery period is surprisingly swift. You can anticipate a level of inflammation comparable to that of a wisdom tooth extraction.
- First 2-3 Days: This is the peak period for swelling. A diet of soft, cool foods is recommended, along with the external application of cold compresses.
- First Week: Swelling subsides significantly. Most patients comfortably return to work and social activities, as any residual swelling is generally unnoticeable to others.
- First Month: A distinct change becomes visible as a new definition emerges.
- 3 to 6 Months: The final, sculpted result is revealed. The skin has fully adapted to the new facial contours, showcasing a more refined face, more prominent cheekbones, and the coveted “V-line” silhouette.


Define Your Features, Elevate Your Confidence
A Bichectomy is far more than a passing trend. It is a procedure that delivers a subtle yet powerful transformation, capable of fundamentally changing how you feel in your own skin and how you present yourself to the world. It is the definitive step in aligning your external appearance with the most confident and elegant version of yourself. At Aria Cosmetic Surgery, we don’t just perform a surgery; we reveal the masterpiece within.