Advanced Buccal Fat Removal in Hyderabad
India’s Premier NMC-Compliant Hospital for Facial Sculpting. Achieve a permanent, chiseled V-shape with Scarless Bichectomy by Board-Certified M.Ch Surgeons.
Sculpt Your Mid-Face. Reveal Your Bone Structure.
Permanent, Scarless Buccal Fat Removal (Bichectomy) Protocol.
Visualize with Vectra 3D | NMC Compliant Hospital Facility
*Volumetric results are permanent, as excised buccal fat pads do not biologically regenerate.
* All invasive facial contouring procedures are performed exclusively by Board-Certified M.Ch Plastic Surgeons.
Specialists For This Treatment
Dr. Prem Sunder Thum
Director & Consultant Plastic, Reconstructive and Cosmetic Surgeon
Dr. Udaysree Ellori
Anesthesia and Intensive Care Specialist
Dr. Niharika Manne
Consultant Plastic Surgeon
Dr. M. Arjun Reddy
Cosmetic & Plastic Surgeon
Dr. K Y. Naveen
Ananesthesia and Pain Medicine
Dr. Ramesh Ranaveyina
Consultant ENT Surgeon
V. Krishna Deepika
Sr. Clinical Nutritionist
Dr. Vivaswan Boorla
Psychiatrist
Why Consider This Treatment
at Cosmo Radiance?
Surgical execution exclusively by Board-Certified Plastic Surgeons (M.Ch) with advanced, specialized expertise in micro-facial anatomy.
01India's leading center integrating Vectra H2 3D mapping with conservative, age-conscious buccal fat sculpting protocols.
02100% NMC 2025/2026 Compliant hospital facility featuring registered Class-100 Modular OTs and a fully equipped on-site ICU.
03Absolute zero external scarring policy—all incisions are meticulously placed and closed entirely within the intraoral cavity.
04Comprehensive post-operative oral hygiene and clinical monitoring protocols to ensure rapid, infection-free tissue healing.
05Hospital-Grade Safety Architecture
In-House ICU
A dedicated 3-bed intensive care unit for safe, immediate post-operative monitoring under critical care specialists.
APS ETO Sterilization
Hospital-grade ultrasonic and ETO sterilization of all micro-instruments to guarantee a 0% infection rate in oral procedures.
RF Cautery Precision
Advanced radiofrequency energy utilized for bloodless fat extraction and to significantly minimize post-operative tissue edema.
Dräger Anesthesia Systems
Safe, controlled sedation administered by senior MD Anesthetists for a highly comfortable 'walk-in, walk-out' experience.
24/7 Tertiary Care Backup & ICU Facility
Ideal Candidates
Individuals presenting with a persistent 'Baby Face' or excessively round lower cheeks despite maintaining a low, stable systemic body weight.
Patients seeking to permanently reveal prominent cheekbone structure and achieve a more mature, chiseled, 'high-fashion' facial profile.
Individuals whose localized mid-face fullness makes them appear visually heavier than their actual BMI indicates.
Healthy non-smokers committed to maintaining strict post-operative oral hygiene during the critical 7-day healing phase.
* Final candidacy is determined during a 3D Vectra H2 imaging consultation.
Facial Fullness Grading (Mid-Face Adiposity)
Mild Fullness (Lower Cheek)
Minor lack of definition; often related to muscle rather than fat. May be best suited for Masseter Neurotoxin reduction instead of surgery.
Moderate Roundness
Visible 'Baby Face' appearance obscuring the cheekbones despite a low systemic BMI. The ideal clinical candidate for standard Buccal Fat Removal.
Severe Sub-Zygomatic Fullness
Gross mid-face volume completely obscuring the cheekbone and jawline definition. Requires Bichectomy combined with Micro-VASER Jawline Liposuction.
What is Buccal Fat Removal (Bichectomy)?
Buccal Fat Removal (Bichectomy) is a precision surgical procedure designed to permanently reduce lower cheek fullness by targeting Bichat's fat pad, located deep within the mid-face hollows. Executed exclusively through a micro-incision (1cm) inside the oral cavity, the procedure leaves absolute zero external facial scars. At Cosmo Radiance, our M.Ch Plastic Surgeons strictly adhere to a 'Conservative Resection' protocol. Rather than aggressively extracting the entire fat pad, we meticulously sculpt the tissue to highlight your natural zygomatic (cheekbone) and mandibular (jawline) architecture. This critical approach ensures a chiseled, athletic appearance while preserving sufficient mid-face volume to prevent a hollow or 'gaunt' look as you age naturally.
Types of Treatment
- Top RecommendedStandard BichectomyGold Standard
- Top RecommendedPartial (Conservative) ResectionGold Standard
- Top RecommendedComprehensive V-Line SculptingGold Standard
Standard Day-Clinic vs. Cosmo Hospital Protocol
Why settle for standard when you can have high-definition?
Extraction Volume
VSStandard Cosmetic Clinic
Aggressive (High risk of 'gaunt' aging)
Cosmo Radiance (NMC Hospital)
Conservative (Preserves Natural Aging)
Surgical Technology
VSStandard Cosmetic Clinic
Standard Manual Scalpel
Cosmo Radiance (NMC Hospital)
RF Cautery + 3D Volumetric Simulation
Medical Safety Backup
VSStandard Cosmetic Clinic
Basic On-Call Support Only
Cosmo Radiance (NMC Hospital)
In-house ICU + MD Anesthetist Present
Infection Control Standards
VSStandard Cosmetic Clinic
Standard Outpatient Room
Cosmo Radiance (NMC Hospital)
Registered Class-100 Modular OT
The Cosmo Radiance
Clinical Advantage
Scarless Intraoral Access
100% invisible results. Because all micro-incisions are made on the inside of the cheeks, there are absolutely no external bandages, stitches, or visible facial marks post-surgery.
Vectra 3D Volumetric Simulation
Objectively preview your chiseled 'after' results and sub-zygomatic shadows on a high-definition digital avatar before the first incision is made.
V-Line Hybrid Protocol
The unique clinical ability to safely combine surgical Bichectomy with non-surgical Masseter reduction injections for total lower-face sharpening in a single session.
Hospital Safety Network
Our integrated hospital setup eliminates the risks inherent to standalone cosmetic day-clinics, providing full critical care backup for every patient.
Preparation Tips
- 01
Maintain rigorous oral hygiene (brushing, flossing, and antiseptic rinses) for 7 days prior to surgery, and resolve any outstanding dental issues (e.g., cavities).
Pre-Op Requirement - 02
Cease all blood-thinning medications (Aspirin, NSAIDs, Green Tea, Vitamin E) for 14 days prior to surgery to minimize intraoral ecchymosis (bruising).
Pre-Op Requirement - 03
Strictly discontinue smoking and all nicotine consumption for 2 full weeks prior to ensure rapid, complication-free healing of the oral mucosa.
Pre-Op Requirement
Procedure Steps
1. 3D Digital Mapping
Advanced virtual simulation using Vectra H2 to objectively agree on the exact volume of buccal fat to be extracted.
2. Hospital-Grade Preparation
Administration of local anesthesia accompanied by light IV sedation by our MD Anesthetists within the sterile Class-100 OT.
3. Intraoral Micro-Incision
A tiny 1cm surgical incision is meticulously placed on the inside of the cheek mucosa, near the upper molars.
4. Fat Extraction (Bichectomy)
Gentle, precise extraction of the targeted buccal fat pad lobules to immediately highlight the underlying bone structure.
5. Suture Closure
The intraoral incision is closed using specialized, self-dissolving sutures; absolutely no external bandages are required.
Recovery Timeline
Day 1
Same-day discharge following brief observation. Patients initiate a strict liquid diet and prescribed antiseptic mouthwash regimen.
Day 3-5
Patients are cleared to return to desk work. Initial internal surgical edema (the 'chipmunk' swelling) begins to steadily resolve.
Week 2
The oral mucosal incisions are fully healed; patients can typically safely resume a completely normal, solid diet.
Month 3
The final, beautifully chiseled aesthetic results are achieved as the facial tissues fully settle into their new, refined contour.
Recovery & Aftercare
Strict Oral Hygiene
MandatoryDiligently use the prescribed hospital-grade antiseptic mouthwash after every meal to prevent intraoral infection.
Cold Therapy
MandatoryApply prescribed cold packs externally to the lower cheeks to effectively manage immediate post-operative swelling.
Soft Diet Protocol
Strictly avoid spicy, crunchy, hard, or highly acidic foods while the internal incisions are in the active healing phase.
Long-Term Results
Permanent eradication of the excised buccal fat pads; the specific adipocytes (fat cells) removed do not biologically regenerate.
Lifelong structural improvement in mid-face definition and cheekbone shadowing, which settles fully within 3 months as tissue edema resolves.
Natural-looking, highly athletic contours that age gracefully, safeguarded by our surgeons' strict adherence to conservative resection protocols.
Combination Procedures
Bichectomy + Masseter Neurotoxins: The ultimate, comprehensive protocol for dramatic lower-face 'V-Line' sharpening and width reduction.
Buccal Fat Removal + Micro-VASER Chin Lipo: Simultaneously eradicating fullness in the mid-face cheeks and the submental (under-chin) region.
Face Slimming + Malar (Cheekbone) Dermal Fillers: Creating maximum structural contrast by hollowing the lower cheek while augmenting the high cheekbone.
Non-Surgical Alternatives
Risks & Complications
Expected post-operative 'chipmunk' swelling for the initial 3 to 5 days as the intraoral tissue naturally responds to the surgical extraction.
Minor bruising or tenderness localized inside the mouth, which is highly manageable and soothed with prescribed hospital-grade antiseptic mouthwashes.
Temporary paresthesia (numbness) of the inner cheek mucosa, which resolves entirely naturally as peripheral sensory nerves regenerate within a few weeks.
Uncompromising Safety: Our NMC Compliance
Specialist-Only Execution
Every Bichectomy is performed exclusively by Board-Certified M.Ch. Plastic Surgeons possessing advanced craniofacial training; technician-led fat removal is strictly prohibited.
Aseptic Oral Suites
Surgeries are conducted in registered Class-100 Modular OTs featuring active HEPA filtration, ensuring a flawless sterile environment for intraoral incisions.
Conservative Resection Mandate
Adherence to the 2025 'Natural Aging' clinical consensus—extracting only optimal fat volumes to actively prevent premature facial hollowing in later decades.
Ethical 3D Prognosis
Adhering to the 2026 ethics code by uniquely using the Vectra H2 3D system to provide medically accurate, objective visual outcome simulations.
India's Premier NMC-Compliant Center for Facial Sculpting
Cosmo Radiance is a 15,000 sq. ft. tertiary-care surgical facility in Miyapur, distinguished as the first integrated aesthetic center in India to fully satisfy 100% of the 2025/2026 National Medical Commission (NMC) safety guidelines. We merge the microscopic precision of Board-Certified M.Ch. Plastic Surgeons with hospital-grade safety infrastructure. Featuring registered Class-100 Modular OTs dedicated to facial sculpting and continuous MD Anesthetist support, we guarantee unparalleled physiological safety and sterility for intraoral contouring procedures.
Hospital-Grade Surgical Infrastructure
Signature Branding Wall
The illuminated Cosmo Radiance insignia wall, reflecting the clinic's modern aesthetic and commitment to transformation.
Touchless Automated Entry
Grand entrance featuring ASSA ABLOY automatic sensor doors, ensuring a hygienic, touch-free, and accessible welcome.
Parametric Reception Artistry
A stunning parametric wooden reception desk that blends architectural art with clinical precision, welcoming guests in style.
Branding & Interior Detail
Close-up of the signature parametric design and Cosmo Radiance branding, reflecting a commitment to aesthetic excellence.
Designer Reception & Lounge
Sophisticated reception desk and premium waiting lounge featuring modern parametric ceiling design and comfortable seating.
Architectural Landscaped Entrance
A tranquil outdoor waiting lounge and entrance featuring therapeutic landscaping and natural orchids for a healing environment.
Individual Privacy Booths
Secluded waiting areas designed with acoustic privacy shields to ensure confidentiality and comfort for every patient.
Pure Air Waiting Lounge
A health-first waiting environment integrated with advanced air purifiers and fresh-air technology for a pollutant-free experience.
Private Waiting Booths
Individualized waiting booths with frosted privacy shields, offering a discreet and comfortable environment for every patient.
Hygienic Smart Washrooms
Premium gender-neutral washrooms equipped with touch-free sensor taps and antimicrobial surfaces for superior hygiene.
Surgeon Consultation Suite
Executive consultation room equipped with Vectra H2 3D body simulation technology and international surgical accreditations.
Vectra H2 3D Workstation
Dedicated 3D imaging station featuring the Vectra H2 camera system for realistic pre-surgical body and face simulations.
HEPA-Filtered IPD Corridors
Sterile patient corridors designed with integrated HVAC fresh-air systems and HEPA filtration to maintain clinical purity.
Central Nursing Command
24/7 Nursing Station managed with the Etticos nurse-call system and equipped with emergency crash carts for rapid response.
Executive Suite Corridor
A hotel-inspired private corridor with warm wooden paneling leading to the exclusive inpatient luxury suites.
Premium Recovery Suite
Private recovery room featuring an automated bariatric bed, Dräger bedside monitoring, and premium marble-finish interiors.
Luxury Suite with Attendant Bed
Spacious private suite equipped with a premium automated patient bed and a dedicated attendant bed for family comfort.
Sterile OT Complex Entry
Restricted-access surgical zone integrated with CSSD and LABMAN Ultrasonic B-Class high-pressure autoclave systems for absolute sterilization.
Modular Surgical Suites (OT 01 & 02)
Class-100 surgical suites built with antimicrobial Delta Panel cladding and hermetically sealed automatic doors.
Advanced Bariatric OT
Modular Operation Theater with Stryker 4K visualization, Magnetek surgical table, and medical-grade Jeoflor anti-static flooring.
Expertise & Technology
Dr. Prem Sunder with the VASER 2.0 VentX console, the gold standard technology for high-definition 4D body contouring.
VASER 2.0 Surgical Suite
Specialized Plastic Surgery OT featuring the VASER 2.0 system, VentX console, and seamless Jeoflor medical flooring.
In-Patient Amenities
Integrated in-house pharmacy and private patient changing rooms featuring premium wooden acoustical doors.
Surgeon's Executive Lounge
Private relaxation quarters for medical staff, featuring ergonomic rest areas and massage chairs to ensure peak surgical performance.
Secure Post-Operative Zone
Restricted-access entry to the post-operative recovery suite, featuring automated privacy doors to ensure absolute patient seclusion.
In-House Critical Care Unit
Specialized ICU setup with high-end patient monitoring, ventilated support, and dedicated bedside nursing stations.
3-Bed Critical Care Backup
Tertiary-level ICU with a 3-bed capacity, featuring Dräger monitors and Maquet ventilators for maximum patient safety.
Treatment Investment
Starting Estimate
Experience premium facial contouring at India's leading aesthetic hospital. Transparent pricing starts securely at ₹35,000 for scarless Buccal Fat Removal. Your comprehensive surgical package includes Board-Certified M.Ch Surgeon fees, Vectra 3D facial mapping, OT daycare charges, and 12 months of clinical follow-up. 0% EMI financing is readily available.
*Final cost depends on BMI grading, treatment zones, and clinical complexity.
Frequently Asked Questions
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