
Dr. Andrés Pérez Nieto
Specialized Plastic Surgery

Bichat's bags are accumulations of fat located inside the cheeks that, depending on their size, provide volume to this area of the face. In certain patients, this volume can generate a rounded or poorly defined facial appearance.
Bichectomy is a minimally invasive surgical procedure that seeks to strictly remove part of these fat bags to achieve a thinner, more stylized face with greater definition in the cheekbone area.
With over 25 years of experience, Dr. Pérez performs this surgery with a conservative and highly aesthetic approach, always taking care of long-term facial harmony. His technique is characterized by:
Performing a small intraoral incision, that is, inside the mouth, which guarantees the absence of visible scars.
Carrying out a partial and controlled resection of Bichat's bags, avoiding an excessive result that could generate sinking or an aged appearance over time.
Using absorbable sutures, which facilitates recovery and avoids the need to remove stitches.
This procedure is indicated for:
Dr. Pérez highlights the importance of a prior professional assessment to determine if bichectomy is really necessary. Many patients request this procedure without being ideal candidates, so an honest and detailed evaluation is key to obtaining natural and harmonious results.