What is bichectomy and why is it becoming popular?
Bichectomy, also known as buccal fat removal, is a facial cosmetic procedure that removes small pads of fat from the cheeks (Bichat’s fat pads). These fat deposits are located deep within the cheeks and can give the face a round or full appearance even in slim individuals.
By removing them, the lower face appears more sculpted, the cheekbones become more prominent, and the jawline gains better definition — all without external scars or major surgery. In recent years, bichectomy has become a go-to procedure for patients seeking subtle, elegant facial slimming.






Why choose the Dominican Republic for your bichectomy?
The Dominican Republic has become a trusted destination for dental and facial aesthetic tourism, combining world-class expertise with more accessible prices than those in the U.S. or Europe.
Patients choose to undergo bichectomy here because:
- The procedure is performed by highly trained dental surgeons with experience in facial aesthetics
- Clinics use modern equipment and meet international standards
- It’s a walk-in, walk-out treatment — ideal for medical tourists
- Recovery time is short, allowing visitors to enjoy the island while healing
- Total costs, including consultation and follow-ups, are often 50–70% less than in other countries
What to expect from the procedure
Bichectomy is a minimally invasive, outpatient treatment that takes around 30 to 45 minutes. Here’s what the process looks like:
- The patient receives local anesthesia.
- A small incision is made inside the mouth — no visible scars.
- The buccal fat pads are gently removed.
- Dissolvable sutures are placed.
- The patient goes home the same day with simple post-op instructions.
Mild swelling is expected during the first few days, and results gradually appear over 4–6 weeks. Most patients resume normal activity within a week.
Trusted care with natural-looking results
At Perez Draiby Dental Clinic in Santo Domingo, Dr. Anny Ruiz is known for her natural aesthetic approach and expertise in bichectomy. As a dental surgeon with a deep understanding of facial anatomy, she performs this procedure with precision and care, ensuring balance and harmony in every case.
The clinic offers a warm, professional environment and coordinates follow-up care for international patients. It’s the ideal setting to combine expert treatment with a relaxing dental tourism experience in the Caribbean.
Is bichectomy right for you?
This procedure is best for patients who:
- Have full or rounded cheeks and desire a slimmer facial contour
- Maintain a stable weight
- Are in good general health
- Want long-lasting, scar-free results without major surgery
A personal evaluation is always necessary. In your consultation, Dr. Anny Ruiz will assess your facial structure and confirm whether you’re a good candidate for this treatment.
Frequently Asked Questions
Is bichectomy painful?
No. The procedure is performed under local anesthesia, so you won’t feel pain during the treatment. Mild swelling or soreness after is common but manageable with over-the-counter medication.
How long does it take to recover?
Initial swelling usually resolves within 5 to 10 days. Most patients return to daily activities after 3–5 days, and full results become visible after 4 to 6 weeks.
Will there be any visible scars?
No. All incisions are made inside the mouth, leaving no marks on the skin.
Are the results permanent?
Yes. Buccal fat pads do not grow back once removed, so results are long-lasting. Maintaining a healthy lifestyle helps preserve the aesthetic outcome.
Is it safe to travel after the procedure?
Yes. Most international patients can travel within 48–72 hours. You’ll receive detailed post-op instructions and have access to remote follow-up support if needed.