
Buccal Fat Removal in Frankfurt
Buccal fat removal:
At a glance
Cost
from €2,000
plus anesthesia, clinic
Duration
0.5 to 1 hour
Anesthesia
Local anesthesia, twilight sedation if needed
Hospital stay
Outpatient
Back to social life
After approx. 5 days
Sports
after 10 days
Aftercare
Self-dissolving sutures, liquid diet for 3 days, regular follow-up appointments as agreed
Removing cheek fat with a bichectomy: a slimmer face with Dr. Nichlos
A V-shaped face, in which the cheekbones stand out slightly and the face tapers down slimly, is considered attractive by many people today. Anyone not blessed with such a V-shape from birth and who has rather full cheeks can reduce them with buccal fat removal. In the course of this surgical face slimming, the so-called buccal fat pad is removed from the cheeks. The goal is a slimmer face shape with emphasized cheekbones and clearly defined contours.
As a specialist in plastic and aesthetic surgery, Dr. Nichlos has the expertise needed for the procedure. He takes care to achieve natural-looking results and takes the patient’s individual face shape into account. Schedule an appointment now and get non-binding advice on the options for face slimming at our practice in Frankfurt!
What is buccal fat removal?
So-called buccal fat removal (bichectomy) is a still fairly new method in plastic surgery for removing full cheeks (“chipmunk cheeks”) and slimming the face. The goal is to achieve a more V-shaped face.
The method for face slimming originally comes from the USA but is becoming more and more popular here as well. In this treatment, excess fatty tissue is removed through access from the inside of the cheek. This emphasizes the cheekbones, makes the chin area appear slimmer and the facial features more contoured, and the face can look younger overall.

Experiences with buccal fat removal at Dr. Nichlos
What are the benefits of buccal fat removal in Frankfurt?

Specialist for buccal fat removal in Frankfurt
Dr. med. Emmanouil Nichlos has specialized in buccal fat removal for over 17 years and has extensive experience in aesthetic facial surgery.
Through the targeted reduction of the cheek fat pads, Dr. Nichlos creates defined facial contours and a slimmer profile. Dr. Nichlos personally looks after freshly operated patients. In the first 24 hours after the operation, he is available to them for questions or problems.
What are the reasons for buccal fat removal?
So-called “chipmunk cheeks” or “chubby cheeks” cause no medical complaints but can greatly disturb the aesthetic sense of the women and men affected. Buccal fat removal is performed for aesthetic reasons. The slimming makes the contours clearer and sharpens the profile. The operation can also help correct asymmetries or conceal a pronounced chewing muscle.
Important: A bichectomy is suitable for removing genetically determined cheek fat that stubbornly persists despite a healthy diet, plenty of exercise and a normal weight. In cases of significant overweight, weight loss should come first; often the “chubby cheeks” disappear along with the extra pounds. If not, buccal fat removal in Frankfurt could be a suitable treatment method.

How does buccal fat removal work?
The bichectomy is a relatively standardized surgical procedure that varies only in details. Basically, the fat lying deep in the cheek (“buccal fat pad”) is removed in a small surgical procedure. Access is through a small incision in the oral cavity. This has the advantage that no externally visible scars remain later.
The amount of fat removed varies depending on the individual anatomy and the desired effect. In rare cases, the amount of fat to be removed can differ between the left and right side.
Self-dissolving sutures are used for closing, which dissolve on their own within 7 to 14 days, so suture removal is not necessary.
What happens before buccal fat removal?
After a thorough examination at our practice in Frankfurt, Dr. med. Nichlos advises you on the options of buccal fat removal and whether this treatment method is suitable for you to achieve the changes you want.
In the personal consultation, Dr. Nichlos informs you about the course of the treatment and explains what you need to pay attention to before and afterward so that a good result can be achieved. Among other things, this includes informing us about any pre-existing conditions and medication and avoiding alcohol and nicotine before and after the procedure. Of course, you have the opportunity to ask your questions in the consultation and later as well.
Based on your wishes and your individual face shape, the specialist then plans the slimming.
Buccal fat removal in Frankfurt: How does the procedure work?
The buccal fat pad removal takes approx. 30 to 60 minutes and is performed by Dr. Nichlos in the modern operating rooms of our affiliated clinic in Frankfurt under local anesthesia (with twilight sedation on request).
As soon as the anesthesia takes effect, Dr. med. Nichlos makes a small incision on each side from inside the oral cavity and removes the fat pads through it. He then closes the incisions with self-dissolving sutures. First changes are visible immediately after the procedure; the final result of the operation can be assessed after 1 to 3 weeks.
Healing after buccal fat removal: What to keep in mind
You are usually socially presentable again after about 5 days and do not have to plan a long downtime. In the first 3 days, however, you should have a liquid diet and avoid solid food so as not to damage the fine stitches in the mouth.
Cool the cheeks gently so that swelling, which can occur in the face after the operation, subsides faster. Allow yourself some rest in the days after the procedure and avoid any form of physical exertion for about 10 days.
Pay attention to good oral hygiene and rinse your mouth thoroughly after eating in the first days. This can reduce the risk of infection during healing.
What are the risks of buccal fat removal?
The buccal fat pad removal should only be performed by a physician with comprehensive anatomical knowledge, a delicate touch and experience such as Dr. Nichlos, in order to reduce the risk of bleeding and tissue trauma.
What cannot be ruled out after the procedure, however, is mild swelling or bruising in the surgical area, which usually subsides after a few days. Over-the-counter pain relievers help against any wound pain that may occur.
How much does buccal fat removal cost in Frankfurt?
What is included in the price?
The cost of a bichectomy is made up of various medical services. These usually include:
- detailed consultation (€100, fully credited if you go ahead with the treatment)
- analysis of the face shape and treatment planning
- surgical procedure by the specialist
- medical care during the treatment
- aftercare and follow-up appointments
Since the procedure is performed in a specialized clinic, anesthesia and clinic fees also apply.
The cost of buccal fat removal (bichectomy) depends above all on the extent of the treatment and the individual anatomical conditions. In this procedure, the so-called cheek fat (“buccal fat pad”) is removed to slim the facial contours and emphasize the cheekbones more strongly.
At our practice in Frankfurt, the cost of buccal fat removal generally starts at:
- Buccal fat removal: from €2,000
The final price can vary depending on the individual facial structure and the desired treatment result. After a personal examination, Dr. med. Nichlos prepares an individual treatment and cost plan that presents all services transparently.
Can you finance buccal fat removal?
For surgical aesthetic procedures, it is generally also possible to finance the cost in monthly installments.
Financing is handled through an external financing partner and can be tailored individually to your financial situation. This allows the treatment to be conveniently paid off with a monthly installment.
We are happy to inform you about the requirements and the financing process in a personal consultation.
Finance your desired treatment flexibly
You can conveniently pay your treatment costs in monthly installments, tailored to your financial situation. The application is straightforward, and processing is handled by our financing partner.
Your benefits at a glance:
- Flexible monthly installments for medical and cosmetic services
- Terms of up to 72 months to choose from
- Financing also possible for smaller amounts
- Desired amount and installment size freely selectable
- Attractive terms with an effective annual interest rate of 9.90% and a fixed borrowing rate of 9.48%
- Apply conveniently online or submit the form as a PDF
- Financing only through participating partners, subject to credit approval
Non-binding example calculation from a financing amount of €300 with an effective annual interest rate of 9.90% and a fixed borrowing rate of 9.48%. Financing only through participating partners, subject to credit approval.
To the installment calculator
Medically reviewed by Dr. med. Emmanouil Nichlos
Dr. med. Emmanouil Nichlos is a specialist in plastic and aesthetic surgery in Frankfurt and has specialized in buccal fat removal and contouring procedures in the facial area for over 17 years.
All content on this page has been personally reviewed by him and reflects the current medical knowledge as well as the specialist standards of plastic and aesthetic surgery.



Frequently asked questions about buccal fat removal in Frankfurt
From what age is buccal fat removal possible?
As a rule, the procedure makes sense from around the mid-20s, when the facial features are fully developed and stable.
How long does the result last?
The result is generally long-lasting, since removed fat cells do not grow back. However, age-related changes such as skin laxity can affect the result in the long term.
When is the result visible?
A first change is usually visible shortly after the procedure. The final result shows after 1 to 3 weeks, once the swelling has gone down.
Is buccal fat removal painful?
Thanks to the local anesthesia, you feel nothing during the procedure. In the days afterward, a feeling of tightness and mild pain are possible, which can usually be treated well.
Can visible scars remain?
As a rule, no. Access is through the oral mucosa, so no externally visible scars are left.
Can buccal fat removal be combined with other treatments?
Yes, the treatment is often combined with a jawline optimization or chin contouring to achieve a harmonious result.
Does health insurance cover the cost?
No. This is an aesthetic procedure that is not covered by statutory health insurance. Dr. med. Nichlos also has no statutory health insurance accreditation.
How much does buccal fat removal (bichectomy) cost?
The cost of buccal fat removal starts at €2,000 plus anesthesia and clinic. Dr. Nichlos will give you the exact price after the examination, as it depends on the extent of the treatment and your facial structure. You can find further prices on the prices page.
Is buccal fat removal worth it, and what are the downsides?
Buccal fat removal can be suitable if you have full cheeks that bother you despite a normal weight and a healthy diet. In cases of significant overweight, weight loss should come first, because the “chubby cheeks” often go down along with the extra pounds. Among the limits is that the fat is removed only surgically, and if too much tissue is removed, the face can look hollow with age. In addition there are temporary swelling and bruising, as well as costs you bear yourself.
Does buccal fat removal also remove a double chin?
No, the procedure targets the cheeks. In buccal fat removal, the fat lying deep in the cheek is removed through the oral mucosa, not the fat under the chin. Depending on the findings, a double chin can be treated with other methods, for example liposuction or fat-dissolving injections. You can read more on our page double chin removal.
Your practice in Frankfurt’s Westend
At our practice on Grüneburgweg, Dr. Nichlos takes the time for your personal consultation. Bright rooms, short distances and a calm atmosphere help you feel well looked after from your first appointment.
Preliminary examination, consultation and aftercare take place here. Dr. Nichlos performs the surgery itself at the affiliated clinic in Frankfurt.
Plastic Surgery Dr. Emmanouil Nichlos
Grüneburgweg 95, 60323 Frankfurt am Main





Schedule a consultation now
Would you like slim cheeks with defined cheekbones? With a surgical face slimming, the face shape can change toward a V-shape. For this, Dr. Nichlos removes fatty tissue from the cheeks, taking your wishes and your face shape into account. Call us now or use our online form to request an appointment and get non-binding advice on the options of this trending procedure at our practice in Frankfurt!
- 1Send your inquiry via the form
- 2We will get back to you promptly
- 3Personal consultation with Dr. Nichlos at the practice








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