Removing the Bichat Fat Pad

Removing the Bichat fat pad is a surgical way to reduce the volume of the cheeks, by resecting the Bichat fat pad.

The size of the lumps of Bichat is individual, but can reach the size of a chicken egg. Presence of the lumps of Bichat is of great importance in childhood: they increase the tone of the cheeks and improve the process of sucking, later - reduce the load on the chewing muscles. In addition, these formations protect the facial muscles and nerves from trauma. However, later, in the period of adulthood, these auxiliary functions of the liqueur lice lose their meaning and often cause a "heavier" oval face, and over time, exacerbate some aesthetic defects: the expression of the folds in the nasolabial triangle and chin.

Plastic surgery of the cheeks (resection of the lumps of Bichat) is performed under both local and general anesthesia (at the request of the patient). During the surgical intervention, a small incision is made (usually up to one and a half centimeters in length), which is located in the mucous membrane of the cheek, on its inner side. The amount of fat that will be removed is determined individually, based on the characteristics of the face. The general rule here is this: the fuller the face, the larger the volume can be removed. Sometimes the Bichat lump can be moved to the area of the cheekbones (to create more clearly defined contours of the face). After excising or moving the lump of Bichat on the inner side of the cheek superimposed cosmetic sutures.


  • round face with excessive fatty deposits on cheeks


There is no special preparation for this operation, it is enough to hand over a small set of tests and consult a surgeon


  • Pregnancy and lactation.
  • Diabetes
  • Inflammatory processes on the face in the acute stage
  • Infectious diseases in the acute stage
  • Bleeding disorder


The rehabilitation period after the operation is quite short and runs smoothly. Within 3 days after the operation, swelling of the tissues may persist - therefore, the cheeks may appear even more than before the operation. Do not worry about this, swelling is the body's reaction to manipulation. The joints are removed on the 5th-8th day after the operation. Within two weeks should refrain from physical exercises, and return to full-fledged sports can be no earlier than a month after the operation. During the first few days, the prescribed (gentle) diet should be observed - during the first 3 days, a liquid diet is preferred, and then, within two to three weeks, avoid foods that require long chewing or increase the risk of infection. After each meal, rinse your mouth thoroughly. We will also have to avoid long conversations. The constant tension of the facial muscles can adversely affect the healing of the joints and the formation of scars.