Hollywood Cheek (Buccal Fat Removal)

The Hollywood cheek appearance, also known as buccal fat removal (bichectomy), is a surgical procedure performed to highlight the cheekbones and achieve a more proportionate facial appearance by removing excess buccal fat pads. Medically referred to as bichectomy, this method has become one of the more common aesthetic surgery procedures in recent years. It may help slim the face, emphasize the cheekbones, and contribute to a more defined facial profile.

Why Is Buccal Fat Removal Performed?

Buccal fat pads can be more prominent than usual due to genetic or structural factors. This can make the face appear rounder or fuller. Since this fat is not easily reduced through diet or exercise, buccal fat removal may be considered as an option for suitable candidates to achieve a slimmer and more contoured facial appearance.

Who Is It Suitable For?

Hollywood cheek surgery may be considered for people who are unhappy with having a round face and wish to achieve a slimmer appearance. Suitable candidates usually meet the following criteria:

• Good overall health,

• Completed facial development (typically over the age of 18),

• No temporary changes in face shape caused by significant weight fluctuations,

• Realistic expectations.

However, it is generally not recommended for people with naturally thin or narrow faces, as fat removal in such cases may increase the likelihood of a hollowed appearance with age.

How Is Buccal Fat Removal Performed?

The procedure is usually carried out under local anesthesia or sedation. A small incision is made inside the mouth, and the excess buccal fat is carefully removed. Both cheeks are typically treated, and the incisions are closed with sutures. Since the cuts are made inside the mouth, no external scars are visible. The operation usually takes around 30–45 minutes.

Recovery Process

In the first few days after the procedure, swelling, sensitivity, or mild bruising may occur in the cheeks. These effects generally subside within a few days. Patients are usually advised to consume soft or liquid foods during the first week. Proper oral hygiene and mouth rinses help minimize the risk of infection.
The sutures used are often dissolvable, so they do not need to be removed. Results typically begin to show within 2–3 weeks once swelling subsides, though full contouring of the face may take 2–3 months.

Potential Benefits

Buccal fat removal may provide several aesthetic benefits for suitable individuals:

• A more contoured facial structure,

• Enhanced prominence of cheekbones and jawline,

• A more balanced overall facial profile.

For some people, the procedure can also contribute to improved satisfaction with appearance. However, results vary from person to person. A detailed evaluation of facial anatomy and an open discussion with the surgeon about expectations are essential before undergoing the procedure.