The Complete Guide to Buccal Fat Removal in Tunisia

This is the pedagogical guide. The procedure itself — how the operation is performed, the stay, the aftercare and what is included — is set out on our bichectomy cheek contouring in Tunisia page, and the wider context sits in our facial surgery in Tunisia overview. Figures are compared in our plastic surgery prices in Tunisia guide.

Three things before you read further.

• It is irreversible, and the fat does not come back. That matters more than for almost any other facial procedure, because the face loses volume with age, and a cheek that was hollowed at twenty-five will be hollower at fifty.
• Most patients who ask for it should not have it. A meaningful proportion of those who enquire have a full lower face from the masseter muscle, from the jaw bone, or from simple facial fullness — none of which this operation addresses.
• And the result is modest. The images circulating are frequently the product of weight loss, jaw filler, camera angle and contouring makeup, and a surgical result is subtler than patients expect.

One thing distinguishes Tunisia: it is a French-speaking country. Not a clinic with French-speaking staff — a country where French is a working language across medicine and daily life. This guide is organised around your journey: deciding, preparing, the stay, and the years that follow.

Part one — Deciding

1. What the buccal fat pad is

The anatomy. A discrete, encapsulated pad of fat sitting in the cheek, deep to the facial muscles and separate from the subcutaneous fat. It has a main body and several extensions, and it sits in a space bounded by the masseter muscle behind, the cheekbone above, and the jaw below. It is not the fat you can pinch. That is subcutaneous fat, and this operation does not touch it.

What it does. It is a functional structure — it cushions the muscles of chewing, and it fills the space between them. In infants it is prominent and assists with suckling — the “sucking pad.” And it persists throughout life, with relatively little change from weight gain or loss — which is why it can persist as fullness in an otherwise slim person.

What removal does. It reduces the fullness in the lower cheek, below the cheekbone, which can sharpen the contour, emphasise the cheekbone by contrast, and produce a subtle hollow beneath it — in a specific group of patients, described below.

2. What it is not

Set out early, because the term is used loosely.

• It is not a facelift. It removes volume; it does not reposition tissue.
• It does not slim the jawline — jaw width comes from the bone and the masseter muscle.
• It does not treat a double chin — our double chin treatment in Tunisia guide covers that, and the causes are entirely different.
• It does not remove the fat you can pinch — that is subcutaneous, and liposuction of the cheek is a different and generally inadvisable thing.
• And it does not create cheekbones. Cheekbone projection is bone — and where it is lacking, fat grafting or an implant is the answer, not removal.

3. Irreversibility: the section that matters most

And the reason we assess these requests carefully.

The fat does not come back. Removed buccal fat does not regenerate. And it changes very little with weight — so a patient who gains weight afterwards does not refill that space.

What the face does with age. Facial fat compartments deplete progressively from the thirties onward. The cheek hollows. The temples hollow. The midface loses projection. This happens to everyone, and it is one of the principal drivers of a face looking older — which is why fat grafting is such a common part of facial rejuvenation.

Putting those together. A patient who removes buccal fat at twenty-five has less volume in a compartment that will deplete further over the following decades. At fifty she may have a gaunt, hollowed lower cheek — and replacing it with fat grafting is possible and considerably less predictable than not having removed it.

The honest framing. This is an operation that looks best in the year after it is performed, and progressively less good as the face ages. Which is the opposite of most facial surgery, and which is why the age question matters.

What we tell patients. That the fat does not come back. That her face will lose volume anyway. And that a conservative removal is safer than a generous one, because taking more can be done later and putting it back cannot. Ask yourself: do you want this face at fifty, or this face at twenty-five?

4. It is frequently not the buccal fat

The diagnostic section, and the reason most enquiries are redirected.

The four causes of a full lower face.

• Masseter hypertrophy — an enlarged chewing muscle, producing width at the angle of the jaw. Common in people who clench or grind, and it is the commonest cause of a square, wide lower face. Treated with botulinum toxin, not surgery — and the effect is genuine, reversible, and requires repeating. Test it yourself: clench your teeth and feel the muscle at the angle of your jaw. If it bulges firmly, that is the masseter.
• Jaw bone width — a wide mandibular angle. Structural, and the only surgical option is bone reduction, which is a substantial operation.
• Subcutaneous fat — the fat you can pinch, which reflects overall body fat. Responds to weight change, and this operation does not touch it.
• The buccal fat pad itself — a deep fullness below the cheekbone, which does not change with weight and cannot be pinched.

How to tell. Look in a mirror. Where is the fullness? Below the cheekbone, in the middle of the cheek — possibly buccal. At the angle of the jaw, near the ear — masseter or bone. Clench: if it bulges and hardens, it is muscle. Pinch: if you can grasp it between finger and thumb, it is subcutaneous.

Why this matters. Because a patient whose fullness is masseter or bone will have buccal fat removed and see almost no change — and she will have lost a compartment permanently for nothing. This is the commonest error in this area.

What we do. Assess which of the four applies, and tell you. A meaningful proportion of patients who enquire about buccal fat removal are redirected to botulinum toxin, to weight management, or to nothing at all. Ask: « Ma joue est-elle pleine à cause de la boule de Bichat, du masséter, de l’os, ou de la graisse sous-cutanée ? »

5. The result is modest

The expectations section.

What changes. A subtle reduction in lower cheek fullness. A slightly more defined contour beneath the cheekbone. Visible to you, and to people who know you well.

What the images show. The dramatic before-and-after images circulating are frequently the product of several things at once: weight loss between photographs; jaw and chin filler, added separately; contouring makeup, which does a great deal of this; camera angle — a lower camera and a lifted chin sharpen any jawline; and filters.

What a surgical result looks like. Subtler than the photographs. And it emerges slowly, with swelling masking it for months.

Why this matters. Because the commonest disappointment here is not a complication. It is a patient who expected the images and received a subtle change in a compartment she cannot get back.

6. Who it genuinely suits

The narrow group.

• A slim patient — because in a patient carrying weight, the fullness is subcutaneous and the buccal pad is not the issue.
• With genuine buccal fullness — a rounded lower cheek that persists despite being slim, and which does not bulge on clenching and cannot be pinched.
• Ideally in the late twenties or older, because facial volume loss compounds it.
• With good cheekbone projection, or none that she wants emphasised at the expense of long-term fullness.
• And realistic expectations of a subtle change.

Who it does not suit.

• Patients whose fullness is masseter, bone or subcutaneous fat.
• Patients who are already slim in the face — and this includes a number of patients who request it, in whom removal produces a hollowed, prematurely aged appearance.
• Patients under about twenty-five, generally.
• Patients with a naturally narrow or long face, where removal accentuates it.
• Patients planning significant weight loss — which will hollow the face anyway.
• And patients whose expectation is the images.

What we do. Say no where it applies, and explain what would address the concern instead.

7. Age: the argument for waiting

Worth its own section.

The pattern. Requests for this operation come disproportionately from patients in their late teens and early twenties. And it is the age group in whom the long-term consequence is greatest.

Why waiting matters. The face continues to change into the mid-twenties — and a fullness at nineteen is frequently less at twenty-five without any intervention. And a patient who removes fat at twenty has sixty years of facial volume loss ahead of her.

Our position. We do not perform this on anyone under eighteen. And between eighteen and the mid-twenties, we assess carefully and frequently recommend waiting — because the fullness may resolve, and because the decision is permanent. That conversation is not always welcome. It is the right one.

And the trend consideration. Aesthetic preferences change. A hollowed cheek is fashionable now and has not always been — and a patient making a permanent anatomical change in response to a trend is worth pausing with. We raise it.

8. Where surgery is not the answer

Masseter hypertrophy. Botulinum toxin to the masseter, which reduces muscle bulk over weeks, is reversible, and requires repeating. The right treatment for a square, wide lower face, and frequently what a patient asking about buccal fat actually needs.

Weight. Where facial fullness reflects body weight, weight change addresses it — and facial fat is frequently among the first areas to change.

Makeup and technique. Honestly, contouring achieves a substantial proportion of what the images show, and it is reversible daily.

Nothing. Where the face is within normal fullness and the request is trend-driven — and that is a legitimate recommendation.

9. Where we would want more information first

• Previous facial surgery or filler, which changes the anatomy.
• Any facial nerve weakness.
• Dental or oral infection — treated first, because the incisions are intraoral.
• Bleeding tendency or anticoagulants.
• Smoking — four weeks before and after, and it matters for intraoral healing.
• And significant planned weight loss — stabilise first.

10. Your Canadian options

Not covered. And a practical point: this is a short operation and the absolute cost saving is modest. Travelling for it alone is worth weighing — and where it is combined with other facial surgery, the arithmetic changes.

Part two — Preparing

11. From first contact to confirmed dates

The online consultation. Send photographs:

• Front, relaxed, neutral expression.
• Front, clenching your teeth — which shows the masseter. This is the photograph most often missing.
• Both profiles.
• Both three-quarter views.
• A photograph with the chin slightly lifted.
• And a smiling photograph.

Natural daylight, no makeup, no filters, hair back. Plus: your age, your height and weight, what specifically bothers you and where, whether you clench or grind your teeth, previous facial surgery or filler, any planned weight loss, dental problems, medications, whether you smoke, and your weight stability.

What you receive. A plan stating which of the four causes applies to you, whether buccal fat removal would address it, what is realistically achievable, and where we would recommend against it. Within 24 to 48 hours. And where botulinum toxin, weight change or waiting would serve you better, the plan will say so.

Questions worth asking before you commit.

• « Ma plénitude vient-elle de la boule de Bichat, du masséter, de l’os ou de la graisse sous-cutanée ? » — the key question.
• « Combien allez-vous retirer ? » — and conservative is safer.
• « Quel sera l’effet dans vingt ans ? » — a fair question, and a surgeon who engages with it honestly is worth listening to.
• « Suis-je trop jeune ? »
• « Où votre chirurgien a-t-il été formé ? »

What to arrange at home before you travel. Have any dental problems treated — the incisions are inside the mouth. Stop smoking, four weeks before and after. Stabilise your weight. And arrange time off — one to two weeks, with facial swelling.

Part three — The stay

12. Your stay in Tunisia

Five to seven days.

Day 1 — Arrival. Your driver meets you at the airport and takes you to your hotel with your companion. Nothing clinical today.

Day 2 — Consultation and assessment. Full facial assessment:

• The location of the fullness, and which of the four causes applies.
• Masseter assessment on clenching.
• Facial fat distribution and overall fullness.
• Cheekbone projection.
• Skin quality and laxity — because in an older patient, removing volume can worsen laxity.
• Dental and oral examination.
• Documentation of pre-existing asymmetry — and facial asymmetry is present in almost everyone.
• Photographs, blood tests, anaesthetic assessment.

Then the planning conversation, including the long-term consequence and how much would be removed. Where we recommend against it, we say so here.

Day 3 — Surgery. Thirty to forty-five minutes, frequently under local anaesthesia with or without sedation. A small incision inside each cheek, opposite the upper molars. The fat pad is identified through the buccinator muscle, and a measured portion is teased out and removed — not all of it, and conservatively. Dissolvable sutures inside the mouth. No external incision and no external scar. Day case.

Days 4 to 6 — Recovery. Swelling, peaking at day two to three — and paradoxically your cheeks will look fuller than before surgery, which surprises patients. Discomfort on chewing and opening, for several days. Soft diet, and mouth rinses as instructed. Ice, and medication on schedule. Review appointments.

Day 7 — Final review and departure. Final examination, and your documentation: an operative report stating how much was removed on each side; written aftercare in French or English, including oral hygiene; and a letter for your Canadian physician. Then your transfer to the airport.

13. The first weeks

Swelling. Peaks at day two to three, and your face will look fuller, not slimmer — which patients find disconcerting. Substantially settled by three to four weeks.

Discomfort. On chewing and on opening the mouth, for several days. Manageable with simple analgesia.

Diet. Soft, cool food for the first days, progressing over a week. Nothing sharp or crunchy near the incisions. And avoid very hot food initially.

Oral hygiene. Antiseptic mouth rinses as instructed, and gentle brushing away from the incisions. This matters — intraoral incisions are in a bacterial environment, and hygiene is what prevents infection.

Restrictions. No strenuous activity for two weeks. No smoking. No wide mouth opening for a week, including at dental appointments — tell your dentist.

Part four — What follows

14. The result over time

The timeline.

• Weeks 1 to 3 — swelling, and a fuller face than before.
• Weeks 4 to 8 — swelling settling, the contour beginning to emerge.
• Months 3 to 6 — the result becoming apparent.
• Months 6 to 12 — the settled result.

And it is a slow reveal — patients expecting a change at three weeks are disappointed by swelling.

And over years. The result will look most striking in the first year or two, and progressively more hollowed as the face loses volume with age. Which is the honest long view, and which very few pages on this procedure state.

If it becomes hollow. Fat grafting can add volume back — and it is less predictable than not having removed it. Our facial fat grafting in Tunisia guide covers it.

15. If we recommend against it

Stated explicitly, because it happens frequently. If, at the consultation, we conclude that buccal fat removal would not address your concern or would not serve you well, we will say so. And explain what would — botulinum toxin to the masseter, weight change, or nothing. No pressure and no renegotiation.

Ask about deposit terms before you travel, and get the answer in writing. A clinic willing to remove a permanent structure from a patient who does not need it, because she has already flown, is not one to travel to.

16. Your Canadian follow-up

Little is required medically, though arrange a physician who will see you if needed.

What warrants attention.

• Increasing pain, swelling or fever after day three — infection, and intraoral wounds are in a bacterial environment.
• Difficulty opening the mouth that is worsening.
• Numbness or weakness of the cheek or the corner of the mouth — and while the buccal branch of the facial nerve runs near the field, injury is uncommon and should be assessed.

Take your operative report.

Canadian coverage. Not covered. Treatment of any complication is covered.

Part five — Practical matters

17. Canadian patients: travelling to Tunisia from your region

Aylan Clinic works with patients from every province and territory in Canada. And this is a short operation with a modest result — travelling for it alone is worth weighing.

Montreal and the surrounding region. Montreal is our largest Canadian source for Tunisia, with connections through Paris, Frankfurt or Istanbul. Patients from Laval, Longueuil and Brossard are within easy reach of the airport. For a five to seven day stay this is manageable.

Quebec City and across the province. From Quebec City and the Capitale-Nationale region including Lévis, most patients connect through Montreal — as do patients from Trois-Rivières, Sherbrooke, Drummondville and Saint-Jérôme. Gatineau patients depart from Ottawa or drive to Montreal.

On this operation the francophone advantage is at the assessment, and specifically at the conversation about twenty years from now. Explaining that the fat does not come back, that the face loses volume anyway, and that a result that looks sharp at thirty may look gaunt at fifty is a nuanced and unwelcome message. Patients consistently tell us they took it in properly in their own language — and a number changed their minds.

Acadia and New Brunswick. We work with patients from Moncton, Fredericton and Saint John. Moncton and the surrounding Acadian communities are served in French throughout.

Francophone Ontario. Sudbury, Thunder Bay and Sault Ste. Marie all have substantial francophone populations, served in French from first contact onward. Ottawa patients typically connect through Montreal.

Greater Toronto Area and southern Ontario. Toronto patients connect through European hubs. Across the wider Greater Toronto Area: Mississauga, Brampton, Markham, Vaughan, Richmond Hill and Oshawa. Along the lake: Hamilton, Burlington, Oakville, St. Catharines and Niagara Falls. In southwestern Ontario: London, the Waterloo region — Kitchener, Waterloo and Cambridge — plus Guelph, Windsor and Barrie. Kingston patients generally drive to Toronto or Montreal.

Vancouver and British Columbia. Vancouver patients face the longest journey — typically two connections. And for a thirty to forty-five minute procedure with a subtle, permanent result, that is a substantial journey — worth weighing carefully, and better combined with something larger. Across the Lower Mainland: Surrey, Burnaby and Richmond. From Victoria and Nanaimo, ferry or short flight. Kelowna, Abbotsford and Kamloops connect through Vancouver or Calgary.

Alberta. Calgary and Edmonton both offer European connections. Red Deer and Lethbridge patients generally drive to Calgary.

Manitoba and Saskatchewan. Winnipeg patients connect through Toronto or Montreal. Saint-Boniface is served in French. From Saskatoon and Regina, a domestic connection plus two further flights.

Atlantic Canada. Halifax routes through Montreal or Toronto. From Charlottetown and St. John’s, two or three connections.

Northern Canada. We work with patients from Whitehorse in Yukon, and from communities across the Northwest Territories and Nunavut. We would say plainly that a multi-connection journey for a short procedure with a subtle and permanent result is rarely proportionate alone. And that where the assessment concludes botulinum toxin is what you need, that is available closer to home. We plan the full stay plus buffer where you do travel.

How we handle the logistics. Your coordinator arranges transfers, confirms your hotel, and builds your schedule around your arrival time.

Five recommendations. Send the clenching photograph — it is the one most often missing. Do the mirror tests above. Ask what this will look like in twenty years. Ask how much will be removed. And consider waiting if you are in your early twenties.

18. What your package includes

• Free consultation in French or English, with a diagnosis of which of the four causes applies to you
• An honest statement of the long-term consequence
• Full on-site assessment: the location of the fullness, masseter assessment on clenching, facial fat distribution, cheekbone projection, skin quality, and dental and oral examination
• Documentation of pre-existing facial asymmetry
• Standardised photography, blood tests, anaesthetic assessment
• Buccal fat removal through intraoral incisions, conservatively and with the amount recorded
• No external scar
• Local anaesthesia with or without sedation, or general where combined
• Dissolvable sutures, antiseptic mouth rinse and medication
• Day case
• Review appointments across the stay
• Operative report stating how much was removed on each side
• Written aftercare in French or English, including diet and oral hygiene
• A letter for your Canadian physician
• Continued contact in French or English after you return
• Hotel accommodation, full board, with a soft diet for the first days
• A companion at no extra cost, accommodated and fed in the same room
• Airport–clinic–hotel transfers
• A personal coordinator from arrival to departure
• French-speaking care throughout, with English available on request

The clinical team. Plastic or maxillofacial surgeon, frequently French-trained; an anaesthetist where sedation or general anaesthesia is used; and a dedicated nurse.

19. Results by patient profile

The right patient. A patient of thirty-one, slim, with a rounded lower cheek that persisted despite a low body weight, which did not bulge on clenching and could not be pinched. A conservative removal, with the amount recorded. At six months her contour was subtly sharper — and she had been told plainly what it would look like at fifty.

Where it was the masseter. A patient who wanted a narrower lower face. Her fullness was at the angle of the jaw and bulged firmly on clenching. Botulinum toxin to the masseter, not surgery. Reversible, effective, and available in Canada — and this is the commonest redirection on this page.

Where it was subcutaneous fat. A patient carrying weight, whose cheek fullness could be pinched. We explained that buccal fat removal does not address subcutaneous fullness. She lost weight over a year and did not need surgery.

Where we said wait. A patient of twenty-one with a rounded face. We explained that the face continues to change into the mid-twenties, and that removing a compartment permanently at twenty-one has sixty years of volume loss ahead of it. She did not proceed. We consider that the right outcome, and she may still choose it at thirty.

Where the expectation was the images. A patient who brought before-and-after photographs. We explained that they reflected weight loss, jaw filler, contouring and camera angle. She chose not to proceed.

Where it would have hollowed her. A patient of forty-four, already slim in the face, with early midface volume loss. We explained that removal would accentuate hollowing rather than sharpen contour — and that fat grafting was closer to what she needed.

A patient from Montreal. A patient who chose Tunisia so the long view could be explained in French. Her comment was about the twenty-year question: « On m’a demandé si je voulais ce visage à trente ans ou à cinquante. Personne ne m’avait posé la question dans ce sens-là. »

20. Practical points to know

What to expect. A diagnostic assessment of which of four causes applies — and a real possibility that this is not your operation. A thirty to forty-five minute procedure, frequently under local. No external scar. Swelling making your face fuller for three to four weeks. A slow reveal over three to six months. And a permanent change in a compartment that does not come back.

Recognised points. Buccal fat removal is a straightforward procedure with a low complication rate. Your surgeon will discuss the considerations relevant to you. The main ones: over-resection, producing a hollowed, prematurely aged appearance — irreversible, and the principal concern; progressive hollowing with age; asymmetry, including uneven removal; facial nerve injury — the buccal branch runs near the field, and injury is uncommon and usually temporary; injury to the parotid duct, uncommon; bleeding or haematoma; infection, in a bacterial environment; trismus — difficulty opening the mouth, usually temporary; numbness of the cheek, usually temporary; and the general risks of the anaesthetic used.

Three things within your control. Doing the mirror tests before you enquire. Asking what it will look like in twenty years. And accepting a conservative removal, because more can be taken later and none can be put back.

Who this suits. A slim patient with genuine buccal fullness, ideally late twenties or older, with realistic expectations of a subtle change and an understanding of the long-term consequence.

Who should not have it. Anyone whose fullness is masseter, bone or subcutaneous fat. Anyone already slim in the face. Anyone in their early twenties, generally. Anyone planning significant weight loss. And anyone whose expectation is the circulating images.

21. Price: how it is built and how to compare it

What determines your price. Whether it is performed alone or combined. The anaesthetic. And the length of stay. Itemised, and fixed once you approve it.

What is included. Everything listed in the package above. A companion is accommodated and fed at no additional cost.

What sits outside it. Flights, travel insurance, and any future fat grafting should hollowing occur.

How to compare quotes properly — four checks.

• Has the clinic diagnosed which of the four causes applies to you? The most important check by a wide margin — and a quote issued without it may be for an operation that changes nothing.
• Has the long-term consequence been explained? A clinic that does not mention that the fat is gone permanently, in a face that will lose volume, is not giving you informed consent.
• How much will be removed, and is it recorded?
• Would the clinic decline? A clinic that performs this on anyone who asks is not assessing.

Why the lowest quote is the wrong question here. Because the operation is short and the price difference is small. And because the commonest poor outcome is not a complication — it is a permanent removal in a patient who did not need it, or who will regret it at fifty. That is an assessment failure, and it costs nothing to prevent.

Canadian coverage. Not covered. Treatment of any complication is covered.

Getting your assessment. Send photographs including the clenching view — the one most often missing — plus front, both profiles, three-quarters and smiling, in daylight and unfiltered. Plus your age, height and weight, where exactly the fullness is, whether you clench or grind, previous surgery or filler, planned weight loss, dental problems, and whether you smoke. A response follows within 24 to 48 hours, in French or English — including where we would recommend against it. You can request a free, personalised quote at any time.

22. Glossary

23. How Canadians search for this

• “Buccal fat removal Tunisia cost” — the most common search.
• “Bichectomie Tunisie” — how most Quebec patients search.
• “Buccal fat removal regret” — the fat does not come back, and the face loses volume with age.
• “Buccal fat removal aging” — a result that looks sharp at thirty can look gaunt at fifty, and this is the honest long view.
• “Is my face fat or muscle” — clench and feel the angle of your jaw. If it bulges firmly, it is masseter.
• “Masseter Botox vs buccal fat” — entirely different problems. Toxin for a wide jaw angle; buccal fat for a rounded lower cheek.
• “Buccal fat removal before and after” — frequently weight loss, jaw filler, contouring and camera angle as well as surgery.
• “Buccal fat removal at 20” — generally too early, because the face changes into the mid-twenties and the decision is permanent.
• “Buccal fat removal recovery” — swelling making the face fuller for three to four weeks, and a slow reveal over months.
• “Can buccal fat come back” — no. It does not regenerate and it changes little with weight.
• “French speaking facial surgeon abroad” — Tunisia’s distinguishing feature.

In summary

This guide spends most of its length explaining who should not have this operation, because most patients who ask for it are in that group.

A full lower face has four possible causes — the masseter muscle, the jaw bone, subcutaneous fat, and the buccal fat pad — and only the last is addressed here. Clench your teeth and pinch your cheek, and you will have a good idea which is yours.

And the operation is irreversible in a compartment that will deplete anyway. Facial fat is lost progressively from the thirties onward — which means a result that looks sharp at thirty can look gaunt at fifty, and replacing it with fat grafting is possible and considerably less predictable than not having removed it. The result is also modest, and the images circulating are frequently weight loss, jaw filler, contouring makeup and camera angle as much as surgery.

At Aylan Clinic Tunisia that means a diagnostic assessment of which cause applies, an honest conversation about twenty years from now, a conservative removal with the amount recorded, and a willingness to say no — which we do frequently. It takes place in a French-speaking country, which matters at a conversation that is nuanced and frequently unwelcome. With accommodation, full board and a companion at no extra cost, for up to 60% less than Canadian private prices.

Five things to hold onto.

• Clench and pinch. If it bulges at the jaw angle it is muscle; if you can pinch it, it is subcutaneous — and neither is treated by this operation.
• The fat does not come back. And your face will lose volume anyway — which is why this ages differently from most facial surgery.
• Ask what it will look like in twenty years. A surgeon who engages with that honestly is worth listening to.
• Conservative is safer. More can be taken later; none can be put back.
• If you are in your early twenties, consider waiting. The face still changes, and the decision is permanent.

Send your photographs, including one with your teeth clenched, and you will have an honest answer within 24 to 48 hours — including where we would recommend against it.

When you are ready to look at the operation itself, read our bichectomy cheek contouring in Tunisia page, compare figures in our plastic surgery prices in Tunisia guide, browse the wider facial surgery in Tunisia overview, or request a free, personalised quote.