Buccal Fat Removal in Kyiv — Bichectomy at Med-Deo Clinic

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Initial consultation with a doctor

The cost of a consultation: 1000 UAH.

Appointment by phone:

(044) 394 90 94

Buccal fat pads, also known as Bichat’s fat pads, are natural pockets of fat located in the cheek area.

They are positioned between the cheekbones and the lower jaw. These fat pads are responsible for a "chubby" or rounded facial appearance, which can persist even in naturally thin individuals.

Removal of Bish's lumps price 2026

Service name

Price, UAH.

Removal of Bish's lumps

29800 ₴

Initial consultation with a maxillofacial surgeon with a PhD in medical sciences

1200 ₴

Repeated consultation of a maxillofacial surgeon, candidate of medical sciences

800 ₴

Initial consultation with an oral and maxillofacial surgeon

700 ₴

Repeated consultation with an maxillofacial surgeon

500 ₴

Dressing

200 ₴

First aid for maxillofacial wounds up to 3 cm

3000 ₴

First aid for maxillofacial wounds from 3 cm to 5 cm

5200 ₴

Application of delayed sutures

1000 ₴

Frequently Asked Questions:

Where are buccal fat pads located?

Buccal fat pads are located on both sides of the face between the buccinator muscle and the superficial facial muscles. They are most prominent in the lower cheek area, near the jaw corners, and can create the appearance of chubby or sagging cheeks, especially when the chewing muscles are active.

Will buccal fat pads return after removal?

No, as long as you maintain a stable weight and follow your doctor’s post-operative recommendations.

How long does swelling last after the surgery?

Swelling typically lasts for 3–5 days, after which it begins to subside. It usually disappears completely within one month.

Is there pain during or after the procedure?

No, the procedure is painless as it is performed under anesthesia. Some mild discomfort or pain may occur during the first three days, which can be easily managed with standard pain relievers.

Does the surgery affect chewing function?

No, it does not. However, for the first week after surgery, your diet should consist of liquids, followed by soft foods, until the chewing function fully returns to normal.

At what age can buccal fat pads be removed?

No earlier than 18 years old, but it is generally recommended after the age of 25.

Will there be scars after the surgery?

No, the procedure is performed through small incisions on the mucous membrane (inside the mouth), and self-absorbing sutures (dissolvable stitches) are used.

Is hospitalization required?

No, the surgery typically takes 30–60 minutes. If local anesthesia is used, you will stay in the clinic for a few hours for observation. If general anesthesia is used, you can usually go home after 24 hours.

Our doctors²

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Davyd Keyan

Oral Surgeon Oral and Maxillofacial Surgeon

Orest Pürko

Oral Surgeon Oral Implantologist Pediatric Oral and Maxillofacial Surgeon

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Reviews about the removal of Bish's lumps at the Med-Deo clinic

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Based on reviews

Анастасія

2026-06-17

Довго думала над цією процедурою, але дуже рада, що наважилася. Обличчя стало більш виразним, а результат виглядає природно, без перебільшення.

Аліна

2026-04-17

Робила видалення грудок переживала за результат. Лікар заспокоїв і пояснив всі нюанси. Все пройшло швидко і без ускладнень. Дякую за професіоналізм і підтримку.

Євгенія

2026-02-11

Довго сумнівалась, бо боялась, що буде занадто худе обличчя. Але все виглядає гармонійно, просто менше об’єму в щоках.

Дарія

2026-01-28

Після операції був набряк, але лікар одразу попереджав. Через кілька тижнів контур став акуратніший, фото до і після реально відрізняються.

Анна

2025-12-10

Обличчя стало більш чітким, з’явилися вилиці. Результат не різкий, а дуже природний. Саме такого ефекту і хотіла.

What are Buccal Fat Pads and Where are They Located?

Anatomically, buccal fat pads are specialized fat deposits in the cheek area. They are situated between the zygomatic bone (cheekbone) and the lower jaw. More specifically, buccal fat pads are located between the buccal mucosa (the lining of the cheek) and the skin. This is a dense fatty tissue of a small size—much smaller than most patients imagine. On the face, the buccal fat body consists of three lobes:

temporal;
pterygoid (palatine);
orbital.

Bichat’s fat bodies are present in everyone from birth. It is these fat pads that make children’s cheeks look so adorable and “pinchable.”

Author of the article: Davyd Keyan

Functions of Buccal Fat Pads at Different Ages

The functions of buccal fat pads vary depending on age. In infants, Bichat’s fat pads facilitate the processes of sucking and feeding and support immature facial muscles. During childhood, these fat bodies protect facial muscles during falls and impacts. In adults, they shape the facial contour and serve an aesthetic function. With age, buccal fat pads usually decrease due to the gradual atrophy of subcutaneous fat, making the cheeks look hollow and the facial features sharper. However, they can remain large even in older individuals due to excess weight, poor diet, or disorders of the endocrine and lymphatic systems. Under their own weight, the fat bodies begin to sag, causing the facial contour to appear “blurred” and leading to the formation of jowls below the cheeks. This often creates the desire to undergo buccal fat removal.

Why Buccal Fat Pads Become Noticeable

Excessive prominence of buccal fat pads isn’t caused by age-related changes alone. The reasons can vary:

genetic predisposition;
metabolic characteristics;
endocrine disorders;
excess weight;
facial bone structure;
harmful habits (smoking, alcohol abuse);
fluid retention — facial edema (swelling);
chronic fatigue;
poor posture.

Buccal fat pads can remain prominent even after weight loss. Facial skin may begin to sag due to loss of tone, gravity, and a lack of collagen and elastin. Visually, the cheeks appear full, the face looks round, and the cheekbones lose their definition. To restore aesthetic appeal to the face, doctors suggest performing buccal fat removal surgery.

Author of the article: Davyd Keyan

Indications for Buccal Fat Removal

Indications for the removal of buccal fat pads, or bichectomy, can be based on medical or aesthetic factors. A physician determines whether the removal of these fat pads is appropriate. Often, the process begins with psychological aspects, such as a patient being dissatisfied with their appearance or wishing to look younger. In some cases, rapid weight loss can lead to the appearance of jowls. While aesthetic indications are identified by the individual, medical indications are determined only by a doctor. Here are several cases where the removal of buccal fat pads may be considered:

Aesthetic Indications

Aesthetic indications for buccal fat removal stem from a desire for a different facial appearance. These reasons include:

Naturally full cheeks at a normal weight.
A genetically round facial oval.
Disproportion between the upper and lower parts of the face.
A desire for more prominent cheekbones.
A pursuit of more refined facial features.

The surgery yields the best results when the patient strictly follows the surgeon’s pre-operative and post-operative recommendations.

Age-Related Considerations

Removing buccal fat pads is generally recommended only after the face has fully formed, which typically occurs no earlier than 18–20 years of age. At this stage, the distribution of facial fat tissue and the bone structure of the skull are complete. Premature removal of these pads can potentially lead to signs of premature facial aging. The optimal age for the procedure is often cited as 25–35 years old, when early age-related changes begin to appear. In these cases, removal may help:

Reduce the deepening of nasolabial folds.
Address the appearance of jowls.
Counteract the sagging of facial tissues.
Restore the definition of the facial oval.

For patients over the age of 45, these procedures are typically performed only for specific medical indications, as facial fat volume naturally decreases with age.

After Weight Loss

Diet and exercise often have little impact on buccal fat pads because they are distinct anatomical fat formations rather than standard subcutaneous fat. These pads are located between the cheek muscles and have a dense structure. While the face often thins during weight loss, these specific fat pads may remain prominent. Following significant weight loss, the face may appear to sag due to the position of these pads, making bichectomy a consideration in such cases.

It is essential to consult with a qualified medical professional to discuss the risks, benefits, and suitability of any surgical procedure.

Author of the article: Davyd Keyan

Contraindications to Surgery

Bichectomy is not recommended for all patients seeking the perfect facial contour. There are absolute and relative contraindications. Absolute contraindications for buccal fat removal include:

oncological diseases;
endocrine disorders;
blood clotting issues;
acute infections;
chronic diseases in the acute stage;
mental health disorders;
pregnancy and lactation;
age under 18.

In the presence of these conditions, even a simple surgery can cause complications and harm the patient. Relative (temporary) contraindications include factors that, once resolved, allow for the procedure to take place: unstable weight; planned pregnancy; dental caries (cavities) and inflammatory processes in the oral cavity. This does not mean that individuals for whom surgery is contraindicated cannot achieve an ideal facial contour. Other procedures are available, information about which can be found on the Med-Deo website, along with details on buccal fat pad plastic surgery.

Author of the article: Davyd Keyan

Preparation for Buccal Fat Removal Surgery

Buccal fat resection, like any surgical intervention, requires proper patient preparation. First, it is necessary to undergo the following medical tests:

Complete Blood Count (CBC);
Biochemical blood test;
Coagulation test (blood clotting assessment);
Urinalysis;
ECG (Electrocardiogram);
HIV and Hepatitis screenings.

The plastic surgeon will review the results and conduct a physical examination. During the consultation, you can receive an assessment of the indications, discuss whether the removal is advisable, and learn about the cost. Most importantly, you can discuss the expected results and use computer imaging to visualize the “before and after” effect.
Next is a consultation with an anesthesiologist to select the appropriate anesthesia method. Preparation for the surgery also includes mandatory oral cavity sanitation, refraining from alcohol and smoking at least one week prior, and adjusting any medications that affect blood clotting. The surgical technique and the price of buccal fat removal depend on the individual characteristics of the patient.

Author of the article: Davyd Keyan

How the Surgery is Performed: Surgical Technique

During the consultation, your doctor will explain the step-by-step process of the bichectomy procedure. It begins with anesthesia—either local or general. Each has its advantages and disadvantages. Local anesthesia wears off faster but may not be recommended for patients with high sensitivity. General anesthesia is more potent but may require recovery time and anesthesiologist observation for up to 24 hours post-surgery.

Once the anesthesia takes effect, the surgeon makes small incisions (up to one centimeter in length) on the inner surface of the cheeks—on the mucous membrane. These incisions provide access to the fat capsules. Typically, the buccal fat pads are not removed entirely; only the central portion is resected. During this process, the surgeon ensures the symmetrical removal of the fat tissue.

Next, the incisions are closed using self-absorbing sutures, which eliminates the need for a painful stitch removal process. The surgery itself lasts 30–60 minutes. A minimally invasive technique is used to preserve the condition of the mucous membrane and accelerate healing.

Buccal fat removal in Kyiv can be performed at the Med-Deo Center. Experienced plastic surgeons perform the operation using the latest equipment and modern methods. You can see how the buccal fat removal process looks in our photos.

Author of the article: Davyd Keyan

Recovery Period After Buccal Fat Removal

For the first few hours after the buccal fat removal surgery, the patient remains at the clinic under medical supervision. If general anesthesia was used, the stay may be extended up to 24 hours. If local anesthesia was used, the patient is typically discharged on the same day.

During the first 3–5 days, swelling and bruising on the cheeks are possible. Mild pain is considered normal and can be managed with prescribed pain relievers. Other key recommendations include:

Diet: Only liquids during the initial period, followed by rinsing the mouth after every meal.
Suture care: Do not touch the stitches to prevent infection.
Facial expressions: Avoid active mimicry, shouting, loud laughing, singing, or sucking in your cheeks.
Compression: A compression garment (mask) must be worn for the first two weeks.
Physical activity: Limit exercise for 2–4 weeks.
Lifestyle: Refrain from smoking and alcohol for 2–4 weeks.
Sleep position: Sleep with your head elevated at a 30-degree angle to minimize swelling.

Over the course of a month, the swelling will gradually subside, and bruises will disappear. You can then return to your normal lifestyle, though some restrictions remain until full healing: avoid swimming in pools or open water, and do not consume extremely hot, cold, or spicy foods.

The final result of the healing process after buccal fat removal is typically achieved within 2–3 months, at which point the final facial contour is fully formed.

Author of the article: Davyd Keyan

Buccal Fat Removal Results: Before and After

The first visible results after buccal fat removal appear once the initial swelling subsides—usually within 2–3 weeks, when a reduction in cheek volume becomes noticeable. Intermediate results begin to show after 1–2 months as the new facial contour starts to take shape.

The final result is achieved within 3–6 months. By this time, the patient enjoys a defined jawline, prominent cheekbones, and harmonious facial proportions.

During this period, the full aesthetic effect is realized: features become more refined, the face looks rejuvenated, and the cheekbone area is more pronounced. The longevity of these results depends on following the doctor’s recommendations:

Daily skincare: cleansing, moisturizing, sun protection, and gentle facial massage.
Regular physical activity: gym workouts, running, swimming, or face yoga to maintain skin tone.
Healthy lifestyle: adequate sleep, limiting alcohol and smoking, avoiding stress, and maintaining a balanced diet.

It is crucial to maintain a stable weight. Significant weight gain or loss will inevitably cause changes in facial skin volume and may negate the surgical effect.

Author of the article: Davyd Keyan

Possible Complications and Risks

Surgical intervention for buccal fat removal involves normal post-operative phenomena: swelling, bruising, discomfort while chewing, slight numbness, and a minor fever—typically lasting 3–5 days. These subside after taking prescribed medication. However, certain symptoms require immediate medical attention. Rare complications include:

Infection: indicated by high fever, bad breath, inflammation, and increasing pain.
Facial asymmetry: caused by non-compliance during the post-operative period or uneven fat removal. This is addressed through an individualized correction plan.
Sensory impairment (numbness): occurs if nerve endings are affected during the procedure. It can be temporary or persistent, lasting from a week to several months until the nerve tissue recovers.
Suture dehiscence (opening of stitches): requires re-suturing and is usually caused by failing to follow care recommendations.
Bleeding: the causes and treatment are determined by the surgeon.

Long-term risks of buccal fat removal may include: excessively hollow cheeks due tob aggressive fat removal; unnatural appearance; premature facial aging. Unsuccessful buccal fat surgeries are exceptions, not the rule. Such outcomes can be avoided if the surgeon is highly qualified and follows all protocols—as practiced at the Med-Deo Center—and if the patient strictly adheres to all post-operative instructions.

Author of the article: Davyd Keyan

Alternative Methods for Facial Contour Correction

Buccal fat removal is not the only method for achieving an aesthetic facial contour. Alternatives include injectable treatments, energy-based device therapies, and thread lifts. These options allow for cheekbone and jawline correction in patients for whom surgical bichectomy is contraindicated. Here is a brief overview of each method:

Injectable Methods

Lipolytics for localized fat reduction: This involves the administration of fat-burning substances over 4 to 10 sessions (or more) at two-week intervals. They target subcutaneous fat but have limited effectiveness on the specific buccal fat pads. The effect is noticeable after the first course.
Cheekbone contouring with fillers: Hyaluronic acid fillers are used in a single procedure. The effect lasts from 6 to 18 months, creating the appearance of defined cheekbones without the need for surgery.

Energy-Based Device Therapies

RF Lifting (Radiofrequency): Uses radio waves to affect the subcutaneous fatty tissue. A course typically requires 8 to 10 sessions, with results appearing after the first treatment. The course can be repeated as needed.
SMAS Lifting: A non-surgical lift using ultrasound to target deep subcutaneous tissues and fat capsules. The effect is visible after a single session, and maintenance is recommended every four months.

Thread Lifting – this procedure improves the facial contour without injections or surgery by lifting sagging tissues using synthetic or biocompatible threads. The results can last up to 7 years.
The most effective and long-lasting method for each patient is determined by the doctor. During the consultation, the physician will explain the pros and cons of these alternatives compared to bichectomy, as well as the cost of each procedure.

Author of the article: Davyd Keyan