During bichectomy, these fat tissues in the patient's cheek area are removed to make the cheekbones more prominent and create a new aesthetic appearance of facial features. While the preferred surgical approach may vary, generally the fat tissues are accessed and removed through a small incision inside the mouth. Following surgery, the incisions in the cheeks are closed with absorbable sutures, and patients can return to normal eating within 2 days. This surgery can be performed under local anesthesia, and patients can be discharged on the same day. Patients typically report that all swelling subsides after 3 weeks.