Buccal Fat Pad Removal
How to reduce the cheeks? Buccal fat extraction for 30 minutes will allow you to increase your cheekbones and make your face look thinner (Kyiv, Ukraine)

Bichat’s Fat Pads are small clusters of fat tissue responsible for sucking movements in infancy (helping to feed on mother’s milk). In adulthood, they serve no useful purpose, but they make the face appear heavier, rounder, and more massive. As age progresses and tissue ptosis becomes more pronounced, these fat deposits pull the cheeks downward, further enhancing age-related changes.
Removal of Bichat’s Fat Pads is recommended as a preventive measure against tissue sagging in individuals with a heavy lower face and for those desiring a slimmer, more refined face.
However, this method is not suitable for people with long, elongated faces. If Bichat’s fat pads are removed in such cases, their cheeks will cave in. Furthermore, for individuals with excess weight, plastic surgeons at ANACOSMA recommend first removing the excess fat through facial liposuction or losing weight through diet, and then performing the Bichat’s fat pads removal surgery.
For older patients or those with loose, sagging skin around the chin, ANACOSMA surgeons recommend combining the removal of Bichat’s fat pads with thread lifting (ligature lifting). If the volume of sagging tissue is relatively small, cosmetic or surgical mesothreads can be used. These threads help to strengthen and lift the skin. No visible scars remain after the procedure, and the rehabilitation process takes up to 2 weeks.
Removal of Bichat’s Fat Pads is a relatively simple plastic surgery procedure but with its own nuances. The surgery can be performed under local anesthesia or general anesthesia (especially if multiple procedures are done simultaneously).
During the operation, the plastic surgeon makes a small incision (1-2 cm) on the inside of the cheek, then pulls and removes the Bichat’s fat pads. At this stage, the professionalism of the surgeon is crucial, as sometimes only part of the fat pad needs to be removed. There are cases when the fat pad needs to be shifted rather than removed. This is done to achieve an aesthetic result and avoid complications such as sunken cheeks.
The removal of Bichat’s fat pads in Kyiv at ANACOSMA can be combined, upon the doctor’s recommendation, with facial liposuction or a facelift to achieve the desired rejuvenation effect or to get sharp, refined facial contours. Facial liposuction at ANACOSMA is performed using the latest generation of nutational liposuction. It is the safest type of liposuction in the world with the fastest recovery. Nutational liposuction is available exclusively at the ANACOSMA clinic in Ukraine.
*”removal of Bish’s lumps” in this case and throughout the website www.anacosmo.ua means removal of Bish’s fat bodies in the buccal region.
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| № | Surgery | Price, UAH |
|---|---|---|
| 1 | Removing buccal fat pad (by plastic surgeon, MD) | 19490 |
| 2 | Removing buccal fat pad (by plastic surgeon, MD, PhD) | 42560 |
| 3 | Medical services (local anesthesia, consultation of therapist before and after surgery, check-ups during the month, a set of medicines for postoperative care etc) | 17500 |