What Is the Cost of Bichectomy (Buccal Fat Removal) in Germany?
The cost of bichectomy (buccal fat removal) in Germany typically ranges from $2,500 to $22,000 USD, depending on the hospital, city, and type of procedure.
Bichectomy, or buccal fat removal, takes out part of the fat pads in the cheeks to give a slimmer lower face. It is done through small cuts inside the mouth. In Germany, the total depends on:
- One or both sides: both cheeks are usually treated.
- Anaesthesia: local anaesthetic or sedation.
- Combined procedures: such as other facial surgery.
- VAT: purely cosmetic procedures are not exempt.
How Buccal Fat Removal Is Done
A small cut is made inside each cheek, and part of the buccal fat pad is gently removed. There is no external scar.
The procedure is usually short and done as an outpatient. Swelling inside the mouth and cheeks is expected for some days.
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Risks and Long-Term Effects
The American Society of Plastic Surgeons lists injury to branches of the facial nerve, which can cause temporary or permanent weakness, injury to the salivary duct and asymmetry as risks.
Facial fat naturally decreases with age, so removing cheek fat may affect how the face looks in later years. Discuss this with your surgeon.
Buccal Fat Removal in Germany
German statutory insurers do not pay for cosmetic procedures that are not medically necessary, and procedures carried out for purely aesthetic reasons are not exempt from VAT.
In Germany the title 'Schönheitschirurg' (cosmetic surgeon) is not legally protected, whereas 'Facharzt für Plastische und Ästhetische Chirurgie' is a recognised specialist qualification, so check the surgeon's specialist title.
NHS advice on cosmetic surgery abroad suggests checking the surgeon's qualifications, allowing a cooling-off period between consultation and surgery, and asking who will manage any complications after you return home.
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Frequently Asked Questions Related to Bichectomy Cost in Germany
Bichectomy, or buccal fat removal, removes part of the fat pads in the cheeks. It aims to give the lower face a slimmer look.
No, the cuts are made inside the mouth, so there is no visible scar. The inside of the cheeks heals within weeks.
It is usually done under local anaesthetic or sedation as an outpatient procedure. Some surgeons use general anaesthetic.
The American Society of Plastic Surgeons lists facial nerve injury, salivary duct injury and asymmetry among the risks. Nerve weakness can be temporary or permanent.
Facial fat decreases naturally with age, so removing cheek fat may affect how the face looks later. Discuss this before surgery.
Swelling inside the mouth and cheeks is expected for some days and settles gradually. The final result appears once swelling has gone.
The cost of bichectomy (buccal fat removal) in Germany typically ranges from $2,500 to $22,000 USD, depending on the hospital, city, and type of procedure.
Soft foods are usually advised for the first days while the inside of the cheeks heals. Rinsing after meals helps keep the wounds clean.
People with full lower cheeks and otherwise healthy facial fat may be considered. A surgeon assesses the face before advising.
No, statutory insurers do not pay for cosmetic procedures that are not medically necessary. Purely aesthetic procedures are not exempt from VAT.














