What is Bichat cushion removal and when does it make sense
Bichat cushion removal, also known as bicectomy, is a surgical procedure to reduce selected fatty structures of the cheeks to improve the proportions of the midface.
Bichat’s jowls are naturally occurring fatty structures located in the cheeks that affect the volume and shape of the midface. In selected cases, their excessive volume can cause the appearance of rounded features, regardless of the patient’s weight.
Surgical removal of Bichat’s cushions allows subtle slimming of the cheeks and better enhancement of facial contours, while preserving the natural proportions and harmony of the features. The extent of the procedure and indications for its performance are always assessed individually during the surgical consultation.
Bichectomy procedure May be considered when:
- The middle part of the face has excessive volume
- facial features appear rounded
- a permanent surgical slimming effect is expected
- Other methods of correction do not produce the expected result
How the Bichat cushion removal procedure goes
The Bichat cushion removal procedure is a surgical procedure ( facial surgery ) planned individually, taking into account the facial structure and the desired aesthetic effect.
1. consultation and qualification
During the consultation, the surgeon evaluates the facial anatomy, the volume of the cheek fat pads and the proportions of the midface. The indications for the procedure, possible outcomes and safety of the procedure are discussed.
2. treatment planning
Based on the clinical examination, the scope of the procedure and surgical technique are determined. The treatment plan takes into account the preservation of natural facial features and the harmony between the cheeks, jaw and facial line.
3. surgical procedure
Bichat cushion removal is performed under conditions that ensure complete medical safety. The procedure is carried out from an intraoral access, which avoids visible scars on the facial skin.
4. recovery and follow-up
After the procedure, the patient remains under the care of the medical team. Follow-up visits and post-operative recommendations promote proper healing and stabilization of the treatment effect.

Safety of the procedure and qualification for removal of Bichat pads
Bichat cushion removal is a surgical procedure that requires careful qualification and individual evaluation of the patient’s facial anatomy.
The safety of treatment begins at the surgical consultation stage. During the visit, the doctor evaluates the facial structure, the volume of the fatty structures of the cheeks and the anatomical relationships in the midface. On this basis, the indications for the procedure and its scope are determined.
The procedure is planned to preserve the natural proportions of the face and avoid excessive slenderness. The surgeon’s experience and the precision of the procedure are crucial, allowing for a predictable and safe treatment result.
Qualifications for the procedure include:
- evaluation of the anatomy of the middle part of the face
- analysis of the volume of the fat pads of the cheeks
- discussion of the possible effects of the treatment
- Exclusion of contraindications to surgical treatment
The individualized approach to qualification and control of the scope of the procedure allow the treatment to be carried out safely and in accordance with the patient’s anatomy, respecting the natural facial features.
Frequently asked questions about the removal of Bichat cushions (FAQ)
Bichat cushion removal, also known as bichectomy, is a surgical procedure that requires individual qualification and precise planning. In this section, we answer the most common questions about the course of treatment, safety and recovery.
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What is the removal of Bichat cushions?
This is a surgical procedure to partially remove the fat pads of the cheeks to slenderize the lower face.
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What are Bichata pillows?
Bichat pads are naturally occurring fatty tissue in the cheeks, responsible for their volume.
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For whom is the Bichat cushion removal procedure intended?
For those with full, rounded cheeks who want a more slender facial contour.
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Who is not eligible for a bicectomy?
People who are very thin, have a thin face or tend to have sunken cheeks with age.
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Does age matter when removing Bichat cushions?
Yes, the procedure is usually performed in adults, after facial development is complete.
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Is it safe to remove the Bichat cushions?
Yes, provided the procedure is properly qualified and performed by an experienced surgeon.
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Does the procedure to remove the Bichat pads hurt?
The procedure is performed under anesthesia, and postoperative discomfort is usually minor.
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What kind of anesthesia is used for a bicystectomy?
Local anesthesia is most often used.
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What are the possible complications after removal of Bichat pads?
Swelling, hematoma, infection or temporary sensory disturbance may occur.
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What tests are required before the procedure?
Usually basic blood tests as prescribed by the doctor.
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How to prepare for Bichat cushion removal surgery?
Follow your doctor’s advice, including discontinuing selected medications and avoiding smoking.
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How long does the Bichat pad removal procedure take?
The treatment usually takes about 30-60 minutes.
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Does the removal of Bichat pads require hospitalization?
No, this is a procedure performed on an outpatient basis.
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Does the procedure leave scars on the face?
No, the incisions are made inside the mouth.
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What is recovery like after a bicectomy?
There is swelling of the cheeks, which gradually subsides in the following weeks.
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How long does the swelling last after the procedure?
Most often from 1 to 3 weeks.
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When can I return to work after removing the Bichat pads?
Usually after a few days, depending on how you feel.
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When are the first effects of bichectomy visible?
The first effects are visible after the swelling is reduced, usually after a few weeks.
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After how long does it take to see the final result of Bichat’s cushion removal?
The final effect is assessed after several months, when the tissues have fully healed.
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Is the effect of removing the Bichat cushions permanent?
Yes, removed fat does not rebuild, but the face naturally changes with age.
Price list of Bichat cushion removal procedures in Wroclaw, Poland
The approximate cost of the procedure to remove Bichat pads depends on the scope of the procedure and the patient’s individual anatomical conditions. The final treatment plan and cost are determined during the surgical consultation.
Book a surgical consultation
Make an appointment for a consultation, during which the doctor will evaluate the indications for the procedure and propose the optimal surgical solution, tailored to your anatomy and expectations.
Contact Information – Stomo Clinic – a good dentist in Wrocław
- Clinic address: Powstańców Śląskich 60
53-333 Wrocław - Appointment Line: 71 880 90 50
- Email: kontakt@stomo.pl
- Opening Hours:
- Mon–Fri 08:00-20:00,
- Sat 09:00-14:00,
- Sun closed
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