In selected patients, the nose and cheek contour are planned together — not as two separate operations, but as one balanced result. Because a refined nose looks its best when the whole face is in harmony.
Rhinoplasty isn’t only a surgery that changes the shape of the nose — it affects how the whole face is perceived, including the cheeks, cheekbones, chin line and side profile. In some patients, fullness in the cheek area stops the change achieved with rhinoplasty from being fully reflected in the overall look; even a naturally shaped nose can leave the face looking round or heavy because of prominent buccal fat pads.
For suitable patients, bichectomy planned together with rhinoplasty can help the cheekbones appear more defined, create a slimmer, more balanced contour, and let the new nose look more harmonious with the rest of the face. The aim is never to make the face look excessively thin — it’s to protect natural expression while the nose and facial contours complement each other.
Before & after
Before & after
Before & after
Before & after
Before & after
Before & after
Before & after
Photos shared with patient consent. Individual results vary.
A beautiful nose alone may not be enough to create the balance you want. The nose sits at the centre of the face, but its effect depends on the structures around it — the cheeks, cheekbones, jawline, chin and forehead all influence how it appears.
So rhinoplasty shouldn’t always be planned by looking at the nose alone. In selected cases, a fuller facial analysis shows that cheek fullness, weak contour or a lack of midface definition is affecting the final result — and bichectomy may be considered as a complementary step when it can support the overall balance.
Its effect depends on the cheeks, cheekbones, jawline, chin and forehead around it.
A nose refined in isolation can fall flat if the midface isn’t in balance.
Sometimes the whole face needs reading, not just the nose.
Bichectomy — also known as buccal fat removal — reduces the buccal fat pads in the lower cheek area, which can create a rounder or fuller mid-lower face. In suitable patients, reducing this fat can reveal the cheekbone area more clearly and create a more defined contour, with a more balanced transition between the cheekbones, cheeks and jawline.
It isn’t a weight-loss procedure, and it isn’t suitable for every face — some people naturally have full cheeks at a stable weight. The most important point is patient selection: removing too much volume, or operating on a face that’s already thin, can create an aged, hollow or unnatural look over time.
Rhinoplasty changes the central facial structure; bichectomy affects the cheek contour and mid-lower definition. Planned together in suitable patients, the two can support a more balanced result. A wide or prominent nose can be refined by rhinoplasty — but if the cheeks are very full, the face may still look heavy or less defined. Reducing that fullness can help the cheekbones show and the nose look more proportional within the face.
Refines the central feature — nasal shape, profile and proportion.
Refines the cheek contour, so the cheekbones and jawline read more clearly.
Combined surgery may suit patients with both nasal aesthetic concerns and prominent cheek fullness — a face that looks round, heavy or less defined even at a stable weight. The decision is made only after a detailed facial evaluation of structure, cheek volume, skin quality, age, nasal shape and overall proportions.
In many patients, rhinoplasty alone is enough. But in some facial types the nose isn’t the only structure affecting the look — if the cheeks are very full, the midface can seem less defined, and the cheekbone area may stay hidden behind lower-cheek fullness even after a successful rhinoplasty.
This doesn’t mean every rhinoplasty patient needs bichectomy.
Some patients simply benefit from reading the whole face, not just the nose.
Not “should everyone have bichectomy?” but “does this face need cheek refinement for harmony?”
Planning begins with a detailed facial analysis. The nose is evaluated from the front, side and three-quarter views — bridge, tip, nostril shape, profile and breathing — and at the same time the cheek area, cheekbone projection, jawline, chin position and facial fullness are examined, to see whether cheek fullness is affecting the overall balance.
Bridge, tip, nostril shape, profile and breathing function.
Cheekbone projection, jawline, chin position and facial fullness.
When bichectomy and rhinoplasty are planned together, both are performed according to your individual anatomy. The combined plan stays conservative and balanced — both procedures working toward the same goal: a natural-looking face with better proportion and harmony.
Share a few photos for an honest opinion on whether the nose alone — or the nose and cheeks — should be planned.
A video consultation in English, Turkish, and Greek to determine the goal and appropriate technique.
Open rhinoplasty and, if planned, bichectomy in one session under general anaesthesia.
You’re monitored overnight, with the clinic team alongside you.
The nasal splint is removed at a check-up before you travel home.
Remote check-ins as the nose and cheek contour settle over the months that follow.
Detailed visibility of the nasal structures; bridge, tip, cartilage support and function addressed as planned.
Small incisions inside the cheek mean no visible external scar; buccal fat reduced by the planned amount.
Both procedures work toward one goal — a natural face with better proportion and harmony.
Recovery involves healing in both the nose and the cheek area — swelling and bruising are expected early, along with nasal congestion, facial sensitivity and cheek swelling. The first week is the most sensitive stage: protect the nose from pressure and impact, and because the bichectomy incisions are inside the mouth, oral hygiene matters; soft foods may be recommended at first.
Swelling around the nose and cheeks is expected. A nasal splint may be used after rhinoplasty, and cheek swelling may be visible after bichectomy.
Bruising and swelling usually decrease and the face starts to look more balanced — though the final result isn’t visible yet.
Cheek definition gradually becomes clearer as swelling reduces, and the nose continues to settle slowly, especially around the tip.
Rhinoplasty refinement can continue for months and the nasal tip takes longest; the cheek contour also becomes more natural as tissues heal.
The goal of combining bichectomy and rhinoplasty isn’t a dramatic or artificial transformation — it’s a result that looks balanced, natural and compatible with your own facial identity. Bichectomy shouldn’t make the face look hollow, and rhinoplasty shouldn’t make the nose look disconnected from the rest of the face; both are planned with restraint and precision.
A successful result makes the features look more harmonious — nose, cheeks, cheekbones and jawline supporting each other naturally.
There’s no single price — a combined plan is personalised to your face and what it needs. The quickest way to a real, all-inclusive figure is to send a few clear photos for a free assessment.
Because your plan depends on your nose and your facial contour, a few clear photos help the team give you a real, all-inclusive quote:
No deposit, no obligation. Your photos are used only to assess your case.
A personalised quote is built around the full surgical program — not bundled into a fixed package.
Hotel, flights and airport transfer can be arranged separately, on request.
"I had my rhinoplasty done by Dr. Nuran, and I couldn't be happier. She was incredibly professional, talented and attentive throughout. The outcome exceeded my expectations and truly changed my life — I feel so much more confident now. What impressed me most was how smooth the recovery was: almost no swelling or bruising, which speaks volumes about her skill. My nose looks beautiful and natural, exactly what I hoped for."
"I come from Germany and had my nose operated on by Dr. Nuran Erkalp a week ago. I'm very happy with my decision to have the operation in Turkey. The doctor and her team are very friendly and competent — the operation and the whole organisation went really well, and I was looked after very well at the hospital. I can now breathe much better than before. If I had to choose again, I would have her operate on me."
"Knowledge and experience are built up over time. For a patient, the doctor is everything — you first look at their manner, their style, their knowledge, and above all their warmth. Dr. Nuran has all of this and more: her professional knowledge is beyond excellent, and her energy and approach are perfect in every way. I'd go so far as to say she's among the very finest ENT surgeons in the world."
"My years-long inability to breathe was solved thanks to Dr. Nuran. I was so happy with the care from her and her team before, during and after surgery. She shaped my nose to suit my face and resolved my breathing problem at the same time. I'm absolutely delighted."
"She performed a perfect rhinoplasty and deviation surgery, correcting my nasal passages like an architect. I hadn't realised I wasn't really breathing — thanks to her my oxygen levels rose and I made peace with life. My one condition was that the outside of my nose shouldn't change at all, and she kept it exactly as promised. She even stayed by my side until I came round from the anaesthesia. With gratitude, in every deep breath."
"Dr. Nuran is a true master. I'm someone who's wary of recommendations — especially in medicine — yet I recommend her to everyone without hesitation. She's been my doctor for years and has never left a complaint of mine uncured. A month ago I had deviation surgery and an endoscopy for sleep apnoea. In 57 years I've never met anyone so skilled, so dedicated and so full of energy. My breathing feels like childhood again, and I'm free of the sleep apnoea risk."
"I'm now past the first month after my operation and already have exactly the nose I wanted. Even though it's still slightly swollen, it suits my face beautifully. People can't believe I had surgery — it looks incredibly natural. Everyone at the clinic was attentive and so helpful. I'm very happy."
"Dr. Nuran performed my rhinoplasty. She managed the whole process before and after surgery beautifully and answered every question with patience. My nose now looks both natural and perfectly suited to my face. I'm so glad I chose her, and I recommend her wholeheartedly."
"I met Dr. Nuran through a friend, and the wait for my nose surgery was truly worth it — the result is beyond even my dreams. Most importantly, I never have any trouble breathing. Health matters just as much as aesthetics, and everything turned out perfect. Thank you, Doctor."
"On a friend's recommendation I chose Dr. Nuran Kalekoğlu. I had my surgery 2.5 months ago — I had both a breathing problem and a drooping nose I was unhappy with. I trusted her completely and everything went perfectly. She looks after her patients wonderfully and is always ready to help. Özlem was kind and helpful in every way too."
"Thank you so much to Dr. Nuran and her team. I was very anxious before surgery, but I'm so grateful they showed me there was nothing to fear. Afterwards I had no pain and nothing that disrupted my daily life. It hasn't even been a month, and my nose already looks just the way I wanted. My advice to anxious patients like me: you can trust Dr. Nuran with your eyes closed."
"Endless thanks to Dr. Nuran and her team, who supported me through a very successful rhinoplasty. Their constant support on every matter and the warm, family-like atmosphere made the surgery and recovery so much easier to get through."
"Once again — I'm so glad I met Dr. Nuran and had my nose surgery. I had some reservations beforehand, but it was never as hard as I expected and I got through it without pain. With the right choice of doctor we achieved a wonderful result. So glad I chose you."
"Dr. Nuran is a true expert in her field. She took great care at every stage and left no question unanswered — I only wish I'd come sooner. You can place your trust in her with complete confidence. I absolutely recommend her."
"Dr. Nuran performed my husband's nose surgery a month ago. Between her surgical skill and her warm manner, she made us feel incredibly relaxed and safe. She and her team answered every question and message as quickly as possible, which made us very happy. Thank you again."
Dr. Nuran Kalekoğlu ENT Specialist | Rhinoplasty & Facial Aesthetic Surgeon evaluates each patient’s face in detail before recommending bichectomy with rhinoplasty, focusing on personal anatomy, facial balance, natural expression and functional needs. The aim isn’t to add procedures unnecessarily — if bichectomy isn’t suitable for your face, it isn’t included in the plan. When cheek fullness is affecting facial harmony, it may be considered as a complementary step.
Sometimes a beautiful nose alone isn’t enough; the true result comes from the harmony of all the facial features. For suitable patients, bichectomy and rhinoplasty can be planned together for a more balanced, natural and refined appearance.
The nose evaluated alongside the cheeks, cheekbones and jawline — not in isolation.
If bichectomy doesn’t suit your face, it simply isn’t part of the plan.
Contouring with restraint, so the face stays soft and unmistakably yours.
ENT & Rhinoplasty Surgeon · İstanbul
Dr. Nuran Kalekoğlu ENT Specialist | Rhinoplasty & Facial Aesthetic Surgeon completed her specialty training in Otorhinolaryngology (ENT) and Head & Neck Surgery at İstanbul University Cerrahpaşa — one of Türkiye’s most respected surgical programmes. With nearly 30 years of experience, she plans the shape and the breathing of every nose together, never one at the expense of the other.
Yes, in suitable patients, bichectomy and rhinoplasty can be planned together. The decision depends on facial anatomy, cheek fullness, nasal structure and overall aesthetic goals.
No. Bichectomy is not necessary for every rhinoplasty patient. It may be considered only when cheek fullness affects facial harmony and the patient’s anatomy is suitable.
A well-planned bichectomy should not make the face look excessively thin. The aim is subtle contouring, not over-reduction.
Bichectomy is performed through incisions inside the mouth, so there is no visible external scar on the face.
Early recovery usually improves within the first weeks, but swelling continues to decrease gradually. Rhinoplasty results may continue to refine for several months.
In selected patients, reducing cheek fullness may help the new nose shape look more harmonious with the overall face. However, this depends on individual facial anatomy.
There is no single price — a combined plan is personalised to your face and what it needs. The fastest way to an all-inclusive figure is to send a few clear photos for a free assessment.
We recommend an average stay of 7 nights / 8 days, covering the examination, surgery, one night in hospital and a check-up before you travel home.
Send a few photos and Dr. Nuran will tell you honestly whether refining the nose alone — or the nose and cheek contour together — would give you the most natural, balanced result. One working day, no obligation.
