What is a bichectomy?

It consists of the elimination of the fat balls that we have inside the cheeks in order to obtain a more beautiful face. Initially described in 1732 by Heister, it was later analyzed in 1801 by the French anatomist Xavier Bichat.


It has a biconvex shape and is located in the buccal space limited by the bucinator muscle on the inside, the facial muscles on the outside, and the parotid gland behind it. Despite losing weight, this fat persists due to a different metabolism from its fat. It measures between 7 and 8 ml on average. Its elimination or “Bichectomy” produces a youthful and aesthetic appearance by harmonizing the face.

Who is the ideal candidate?

The ideal candidate is the patient who has high and well defined cheekbones, but hidden due to too prominent cheeks causing excessive roundness and heaviness.

Improves the appearance of the middle third of the face, defining more cheekbones and cheeks. Therefore, we advise against it in patients with small or poorly defined cheekbones. Therefore we do not recommend it in patients with small or poorly defined cheekbones.

Surgical Steps

The bichectomy is performed through a small incision inside the mouth, under local anesthesia. It can also be removed, mobilized and displaced in the context of a facelift. If it is large, it is reduced and if it is lowered by the effect of gravity and loss of support over the years, we raise it through a series of sutures. Sometimes they are also removed in the course of orthognathic surgery.


The postoperative period is quite gentle, it does not hurt, and the swelling from surgery usually lasts 3 or 4 days. The definition of the new cheek shape is visible after 10 days to two weeks. During this time, you can lead a normal life avoiding strenuous exercise and smoking.


We have a cranial and facial Physiotherapy unit for a better post-surgical recovery.

What can be achieved with a bichectomy?

Younger Appearance

Facial Harmony

Well-defined cheeks.

Our Recommendations

Why have an operation at Birbe Clinic?

We are specialists in designing faces and smiles.


At Birbe Clinic we have a great team, mentored by Dr. Joan Birbe, with more than 20 years of experience treating patients; always up to date with news and selecting the innovations that really bring improvements to our treatments. As in the case of virtual simulations of facial surgeries, intraoral scanners, customization of facial prostheses, the use of the microscope, etc


Our priority is to achieve excellence in treatment. All this with a personalized, honest and trustworthy treatment. In addition, our facilities offer maximum hygiene, sterilization and comfort.


We help you carry out the intervention you need

After a rigorous evaluation we will offer you a personalized and closed estimate with all the necessary forms of payment and financing, so that you can carry it out.

Contact Us

Contact us during our business hours of:

  • Monday, Thursday and Friday from 8.00h to 16.00h.
  • Tuesday and Wednesday from 8.00h to 18.00h.
  • Phone Number: +34 93 212 47 37.


Outside of our business hours you can send us a WhatsApp or a form and we will answer you as soon as possible. Being located in Barcelona, ​​we receive patients from all over the national and international territory.


During your first consultation we will provide you with:


Personal diagnosis by oral and facial examination.

✔ Closed estimate with different financing possibilities.

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