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Buccal Fat Reduction (bichectomy)

Conveniently located to serve Washington DC, Arlington, Bethesda

What is buccal fat removal?

Some patients naturally have a round face which may cause them to look overweight. The cause is often an excess of fat in the buccal fat pad.  These are discrete pockets of fat that can be removed from inside the mouth with no external incision or scar.  This surgery thins the face and increases definition of the cheekbones. 

How is this performed?

This procedure is done awake in the office and takes less than 30 minutes.  A small incision is made inside the mouth and the fat pad is identified.  This fat is teased out and has a different appearance from normal facial fat.  Once the fat pad is removed, the incision is usually closed or left to heal by itself. 


Recovery is very quick and only consists of some minor diet modifications for a few days, mouthwash. You can return to work the next day and generally swelling resolves quickly.

Your Buccal Fat Reduction will be performed in Dr. Praful Ramineni‘s surgery center located in Washington, DC.

This has been an amazing experience from the consultation to post-surgery!!! I honestly can’t even express how happy & grateful I am with the results. Everyone….Dr. Ramineni and his whole team are impeccable, to say the least. A very thoughtful, professional, kind, and knowledgable team. I will 100% always refer anyone I know to this amazing team…Dr. Ramineni had a challenge when I came to see him with my issue but he 1000% went above & beyond to achieve perfection with my results. I can’t thank this team enough!! I genuinely want to thank you so much!

- Sally T.

Dr. Ramineni was recommended to me by my plastic surgeon as a masterful surgeon who could figure out why I was having complications. He diagnosed the problem correctly and fixed it. I am grateful for his openness, his honesty, and skill.

- Saiyyaed A.

Life-altering surgeon. He helped make my dreams come true with the most flawless surgery I’d been waiting my whole life to get. Healing and recovery has been almost disturbingly easy and pain-free. I could not recommend enough. Everyone there is so sweet as well!

- Katie C.

Before & After

Buccal Fat Removal Before & after

Dr. Praful Ramineni


Dr. Ramineni is the founder of District Plastic Surgery. He is board certified and has over 15 years of experience in plastic and reconstructive surgery. He started his career as one of the busiest surgeons at Medstar Washington Hospital Center with a focus on complex reconstructive surgery including cancer and trauma reconstruction, microsurgery and aesthetic surgery.

Dr. Praful Ramineni

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