
One of the leading aesthetic trends in recent years is bichectomy. Lately, among procedures that define facial contours and provide a sharper, more feminine appearance in photos, this procedure stands out by far. Frequently chosen by social media influencers, famous makeup artists, and trans women preparing for FFS (facial feminization surgery), this minor operation actually brings about a much more comprehensive change than it appears. However, this procedure is not a passing fad, but a serious cosmetic operation with permanent and effective results.
So what is behind the popularity of bichectomy (buccal fat removal)? Does it really offer a miraculous transformation, or is it necessary to manage expectations correctly? Let’s take a look behind the scenes together.
Table of Contents
What is Bichectomy and Why is it so Popular?
Bichectomy is the surgical removal or reduction of the Bichat fat pads inside the cheeks. The natural structure of the cheek area varies from person to person; in some people, this fatty tissue is more pronounced, making the face appear rounder or more “baby-faced.” This is precisely where the motivation behind bichotomy lies: to achieve angular, defined facial features that reflect light better.
From the perspective of trans women, the situation is even more specific. One of the fundamental elements of a feminine facial structure is the appearance of the cheekbones slightly higher and the cheek area having a thinner contour line. Bichectomy can contribute to the process of facial feminization at this point, giving the jawline and cheek contour a more aesthetic line. For this reason, the procedure is gaining increasing attention not only as an influencer trend but also as a complementary part of FFS.
The Psychological Factors Behind Its Popularity
One of the elements that makes bichectomy appealing is its psychological dimension. In modern aesthetic perception, having “shapely” facial features can help a person feel more powerful, confident, and feminine.
Especially in the age of social media, as the importance of photogenic appearance has increased, this procedure has almost become a kind of “visual signature.” However, there is one point to note here:
Bichectomy may not create the desired effect if it is not done in harmony with the rest of the face. In other words, the procedure is not a magical touch that changes everything on its own; it requires the right candidate selection and good planning.
Real Results and Balancing Expectations
Many people expect immediate results from bichectomy, but the truth is that effective results take time to appear. Swelling occurs in the cheeks during the first few weeks after the procedure. The face may appear larger and tighter than usual. This temporarily prevents the real results from being visible. However, this is normal. As these effects subside, the refinement process begins, and results typically become apparent within 8–12 weeks.
An important detail for trans women is this:
If bichectomy is performed as part of FFS, it can be considered alongside other procedures. For example, if procedures such as cheekbone filling or jawline contouring are being considered, bisoctomy completes the aesthetic framework of this transformation. In other words, the procedure is often considered not as an individual procedure, but as part of a combined aesthetic approach.
At this point, keeping expectations realistic is the most important part of the process. Bi-sculpting does not completely transform the face, but it provides a visible, elegant contour by giving the facial features a more feminine angle.
Risks and Common Misconceptions
As its popularity has grown, so have the misconceptions surrounding bichectomy. It would be helpful to clarify some of these:
- “The face sags.”
Bi-choktem causing facial sagging is only a possibility in older individuals. If the face is naturally prone to losing volume, this risk is assessed by the surgeon. It generally does not pose a problem in younger individuals. - “It is a procedure suitable for everyone.”
No. In individuals who already have small cheek fat pads, the procedure makes the face appear unnecessarily harsh. Even among trans women, the needs of each facial structure are different. - “The results are irreversible.”
The procedure can be reversed, but this is not always recommended. Therefore, the decision to undergo surgery should be made in consultation with a surgeon who specializes in facial feminization.
Why is it special for trans women?
There are several reasons why bisoktemi stands out in FFS procedures:
- It enhances feminine proportions. As the cheeks become thinner, the cheekbones become more prominent.
- It clarifies facial contours. It provides a sharper expression on camera or in daily life.
- It is compatible with filler and contouring applications. It makes combined aesthetic results more balanced.
- It requires low maintenance. The recovery process is relatively easy.
For this reason, many trans women prefer this procedure as a small but effective touch when feminizing their faces.
Conclusion

Bichectomy (buccal fat removal)is not just a trend brought about by fashion. Considering its effects in achieving prominent cheekbones and a refined contour, it is timeless. It significantly impacts the transformation, especially for trans women, and also facilitates psychological transformation.
It can be a highly effective option for individuals who want to define their facial features, aim for a feminine contour, and seek a stronger expression in their mirror image. For trans women, the procedure is a complementary part of facial feminization. Trans women who have benefited from this procedure report satisfying results. It is an important procedure for anyone who values their beauty, themselves, and their feminine appearance at any stage of life.
The key is to make an informed decision based on your own facial proportions without being swayed by its popularity. Because the best result is a procedure that preserves the individual’s naturalness, adding a touch of elegance without altering the essence of their face.
We hope that this article has provided you with useful information and solutions to your problems, and has inspired you to pursue your dreams and goals. If you have any questions, comments, or feedback, please feel free to contact us or leave a comment below. We would love to hear from you and to help you in any way we can. Thank you for reading and have a wonderful day!Follow our blog for more. You can also reach us on our contact page for any questions you may have. Ffs center is an LGBT community friendly organization.

