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Sienna Clinic specializes in Buccal Fat Extraction, with procedures typically costing around $2,500. Dr. Antoni Krajewski leads the team, having graduated from the Medical University of Łódź and completed specialized training in general and aesthetic surgery. He continuously expands his expertise through international courses and serves as a trainer in aesthetic medicine. The clinic serves patients from across Europe and the Commonwealth, prioritizing safety and a welcoming approach for diverse communities.

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Facelift","alias":"smas-facelift","use_for_listing":true},"country_price":{"US":{"amount":13500,"max_amount":22000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5300,"max_amount":6600,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":4000,"max_amount":7800,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"PL":{"amount":6000,"max_amount":11000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"PL":true}}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":3,"rehabilitation_days":14,"satisfied_percent":78,"treatment_conditions":"outpatient","treatment_duration_hours":1},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"Dr. Ergin Er is a plastic, reconstructive and aesthetic surgeon who has performed more than 10,000 aesthetic procedures. He is a multiple award winner at Turkish National Congresses of Plastic Surgery and completed advanced training at Baylor College of Medicine in Houston, Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"direction":{"id":38,"name":"Plastic Surgery","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":3,"max":7,"unit":"days","qualifier":"Typical for desk-based work after standard bilateral intraoral buccal fat pad removal; swelling may still be visible."},"complication_rate_pct":{"min":1,"max":3,"unit":"percent","qualifier":"Major events only (nerve paresis, hematoma, infection, emphysema); minor effects excluded."},"contraindications":["Active infection in the mouth or face","Pregnancy","Uncontrolled systemic disease or bleeding disorder","Already thin or gaunt face, or marked facial volume loss","Advanced age with early facial volume loss or sagging (relative)","Body dysmorphic disorder","Current heavy smoking (relative)"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Stay in the treating city until wound check and suture review; surgery is outpatient."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":3,"unit":"weeks","qualifier":"Return to strenuous exercise as swelling settles and the surgeon permits."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Residual swelling resolves gradually; final facial contour becomes apparent."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"Flight after the wound check and suture review; surgeon clearance and degree of swelling move timing."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Check of intraoral incisions and swelling; may include dissolvable suture review."}},{"purpose":"result_review","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Assessment of contour once most swelling has resolved."}}],"indications":["Rounded or full lower mid-face with prominent buccal fat pads","Facial disproportion from prominent buccal fat pads","Cheek fullness persisting despite stable normal body weight"],"main_risks":["Swelling and bruising","Infection of the intraoral wound","Hematoma","Asymmetry","Over-resection causing hollow or aged look","Injury to facial nerve branches or parotid duct (rare)","Temporary mouth stiffness or numbness"],"pain":"Mild to moderate discomfort and cheek tightness for the first few days, usually controlled with simple oral analgesics.","preparation":["Pre-operative consultation and facial assessment","Review medications and blood thinners with surgeon; never self-adjust prescriptions","Maintain stable weight before surgery","Avoid smoking before and after surgery","Good oral hygiene; antiseptic mouth rinse","Arrange for someone to accompany the patient home","Pre-operative photographs"],"recovery_timeline":[{"phase":"Days 0-3","description":"Peak swelling, mild pain, cheek tightness; liquid or soft diet.","restrictions":["Soft or liquid diet","Rinse mouth gently after meals","Avoid strenuous activity"]},{"phase":"Days 4-14","description":"Swelling and bruising decrease; return to normal diet and routine; dissolvable sutures resorb.","restrictions":["Avoid strenuous exercise","Avoid trauma to the cheeks"]},{"phase":"Weeks 2-6","description":"Most swelling resolves and normal activities resume.","restrictions":["Gradual return to exercise"]},{"phase":"Months 3-6","description":"Residual swelling resolves and final contour appears.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Daily and desk activities usually resume within days to one week; swelling lasts weeks, final contour takes months."},"result_longevity":"Removed fat cells do not regenerate, so the effect is generally lasting; however, facial appearance changes with ageing and weight changes.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Secondary correction for asymmetry or residual fullness; excludes fat grafting for later over-resection hollowing."},"scars":"Small incisions inside the mouth, so no visible external scarring.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single bilateral surgical session."},"stages":[{"code":"buccal_fat_removal","label":"Bilateral buccal fat pad extraction through intraoral incisions","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"One treatment session; routine follow-up checks are not counted."},"success":{"metric":"Patient-reported satisfaction with cheek contour","value":85,"unit":"percent satisfied","horizon":"6 months after surgery","population":"Adults with full cheeks and adequate facial volume undergoing standalone bilateral buccal fat removal","evidence_status":"limited"},"techniques":[{"name":"Intraoral incision with fat pad extraction (standard)","suits_whom":"Adults with full cheeks and adequate facial volume wanting a slimmer lower face.","recovery":"Swelling for 1-2 weeks; final result over several months."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Standard bilateral buccal fat pad removal under local anesthesia."},"initial_assessment_documents":["Front photo of the face","Both side profile photos","45-degree angle photos of both cheeks","List of blood thinners","Recent photo showing smiling face"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single outpatient surgery; stay 5-10 days until wound check and suture review. Result review can be done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is a qualified plastic surgeon, because safety is stated only under that condition","scope":"procedure","source":{"url":"https://www.isaps.org/discover/patients-home/procedures/face-head-procedures/buccal-fat-removal/","host":"isaps.org","quote":"When performed by a qualified plastic surgeon, buccal fat removal is considered safe and effective.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether the surgeon has performed buccal fat removal before","scope":"procedure","source":{"url":"https://www.healthline.com/health/all-about-buccal-fat-removal-for-thinner-cheeks","host":"healthline.com","quote":"Have you performed buccal fat removal in the past?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask to see before-and-after photos of the surgeon's previous patients","scope":"procedure","source":{"url":"https://www.healthline.com/health/all-about-buccal-fat-removal-for-thinner-cheeks","host":"healthline.com","quote":"Do you have before-and-after photos of previous patients?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Confirm you will talk to the surgeon who performs your procedure before consenting","scope":"treatment_type","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/your-consultation/","host":"rcseng.ac.uk","quote":"Talk to the surgeon who will be performing your procedure before you give your consent to have surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm whether the facility and healthcare professionals are accredited or certified","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Patient is pressed to agree to surgery before meeting the operating surgeon","scope":"treatment_type","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Do not agree to cosmetic surgery before meeting the surgeon carrying out the procedure","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Clinic offers the surgery as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Beware of any hospital which markets cosmetic surgery as part of a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Surgeon or hospital will not discuss the details of the surgery","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Be wary of surgeons and hospitals that do not want to discuss the details of surgery with you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"Complications are handled only by a helpline, with no named doctor","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"This should be a named doctor who can deal with any complications rather than a 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information","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/your-consultation/","host":"rcseng.ac.uk","quote":"Ask for written information about the procedure you've had, including any medicines or devices that were used.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare 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it's OK — usually after a few days to a week.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=poland/procedure=udalenie-zirovyh-komkov-bisa/"}],"questionsAndAnswers":[{"id":"69f12e50fb9fcc47550cd052","question":"Is buccal fat extraction safe and what are the main risks?","answer":"

Buccal fat extraction is safe when performed by qualified surgeons in JCI-accredited facilities. Recent clinical reviews indicate 75% of patients experience no complications. Primary risks include prolonged swelling, asymmetric results, or premature facial gauntness. Results are irreversible because buccal fat provides structural face support.

Bookimed Expert Insight: Patients prioritize Poland for the _price_percent_discount_% savings compared to US prices. While clinics like Sienna Clinic in Warsaw offer expertise, ensure your surgeon specializes in aesthetic medicine. General surgeons often lack the facial contouring precision required to prevent long-term hollowing or asymmetry.

Patient Consensus: Many patients report initial excitement over chiseled results. However, some warn about lopsidedness and numbness lasting 6 months. Most advise waiting until age 25 to see how your face matures naturally.

","is_active":true,"created_at":"2026-04-28T22:01:52.742+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"poland"},{"key":"operation","value":"buccal-fat-extraction"}]},{"id":"69f12e8befebd5bf92068ca2","question":"Who is a good candidate for buccal fat removal?","answer":"

The ideal candidate for buccal fat removal is an adult with excess lower cheek fullness that resists diet and exercise. Suitable patients share a naturally round facial structure, stable body weight, and sufficient skin elasticity to support a more contoured, sculpted jawline.

Bookimed Expert Insight: Poland has become a strategic hub for facial contouring, with 86 clinics serving over 1,200 international requests. Clinics like Sienna Clinic in Warsaw offer high success rates for complex facial procedures. Data shows patients often choose Poland when they want board-certified surgeons like Dr. Antoni Krajewski but need more affordable options than Western Europe. Polish clinics maintain high standards while keeping procedure costs between _op_936_price_from_ and _op_936_price_to_.

Patient Consensus: Patients emphasize that this procedure specifically targets `chipmunk cheeks` that remain even at a low BMI. Many suggest using temporary fillers to preview the contoured look before committing to permanent surgical removal.

","is_active":true,"created_at":"2026-04-28T22:02:51.498+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"poland"},{"key":"operation","value":"buccal-fat-extraction"}]},{"id":"69f12ebfefebd5bf92068ca3","question":"How is the surgery carried out and how long does it take?","answer":"

Buccal fat extraction in Poland is a minimally invasive procedure performed through small intraoral incisions. Surgeons remove or suction the buccal fat pad within 30 to 60 minutes. Most patients choose local anesthesia with sedation, allowing for immediate mobility and same-day discharge from Polish clinics.

Bookimed Expert Insight: While many countries prefer general anesthesia for facial contouring, Polish surgeons frequently perform this via local anesthesia. This approach reduces preoperative preparation time by 15 minutes. It also significantly shortens the initial recovery phase in the clinic. Clinics in Warsaw often combine this efficiency with specialized care for international patients.

Patient Consensus: Patients report that swelling peaks quickly within 2 days but subsides shortly after. They emphasize that the final facial hollowing effect develops gradually over 3 to 6 months.

","is_active":true,"created_at":"2026-04-28T22:03:43.885+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"poland"},{"key":"operation","value":"buccal-fat-extraction"}]},{"id":"69f12f0dbe7068ce75020722","question":"What does recovery look like after buccal fat extraction?","answer":"

Recovery from buccal fat extraction in Poland is efficient. Most patients return to work within 3 to 7 days. Internal incisions heal quickly without visible scarring. Expect peak swelling within 48 hours. Final facial contouring usually appears after 3 to 6 months of healing.

Bookimed Expert Insight: Clinics in Warsaw like Sienna Clinic emphasize surgeon precision over speed. Dr. Antoni Krajewski uses general surgery techniques to ensure tissue safety. We notice patients often underestimate swelling. It can take 6 months for results to stabilize. Never rush a revision surgery before the half-year mark.

Patient Consensus: Many feel their face balloons more than expected during the first 4 days. Most advise avoids straws. Sipping directly from a cup helps prevent pressure on internal sutures.

","is_active":true,"created_at":"2026-04-28T22:05:01.953+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"poland"},{"key":"operation","value":"buccal-fat-extraction"}]},{"id":"69f12f4a2b9d9cf9410f2d13","question":"Will there be visible scars after buccal fat removal?","answer":"

Buccal fat removal in Poland leaves no visible external scars. Surgeons perform the procedure entirely through the mouth. Small incisions are placed on the inner cheek lining. This intraoral approach ensures no marks or incisions appear on the outer surface of your face.

Bookimed Expert Insight: Poland is a high-volume hub with over 1,200 requests served. Specialists like Dr. Antoni Krajewski at Sienna Clinic in Warsaw focus on aesthetic medicine. Their high volume suggests reliable outcomes. Clinics here often offer this procedure for _op_936_price_from_, which is significantly less than the US average of _price_compare_US_average_.

Patient Consensus: Patients report that while healing feels slightly bumpy to the tongue initially, external signs are non-existent. Many highlight that avoiding spicy foods is the best way to speed up intraoral recovery.

","is_active":true,"created_at":"2026-04-28T22:06:02.089+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"poland"},{"key":"operation","value":"buccal-fat-extraction"}]},{"id":"69f12f9ab934009112067662","question":"How long should I stay in Poland for buccal fat surgery and follow-up?","answer":"

Patients should plan to stay in Poland for 7 to 10 days after buccal fat extraction. This timeframe allows for monitoring peak swelling and the initial healing of internal incisions. It ensures you complete a physical follow-up and suture removal before air travel.

Bookimed Expert Insight: Poland attracts many European patients due to its high surgical standards. Data from Sienna Clinic in Warsaw suggests surgeons often prioritize board specialization in general and aesthetic surgery. While you may feel ready to travel sooner, staying 10 days reduces risks. This duration helps manage the heavy chipmunk-like swelling that peaks around day 3. Most Polish clinics now offer remote follow-ups via video for long-term monitoring.

Patient Consensus: Patients emphasize that staying at least 10 days is vital for comfort. Many report that heavy bruising and difficulty eating solid foods make early travel very stressful.

","is_active":true,"created_at":"2026-04-28T22:07:22.755+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"poland"},{"key":"operation","value":"buccal-fat-extraction"}]},{"id":"69f12fd625caf36723053f32","question":"Which cities in Poland are best known for cosmetic facial surgery such as buccal fat removal?","answer":"

Warsaw, Krakow, and Wroclaw are Poland best-positioned cities for facial surgeries like buccal fat removal. These hubs feature clinics with international standards and board-certified surgeons. Most specialist activity centers in Warsaw due to its superior airport accessibility and concentration of private aesthetic facilities.

Bookimed Expert Insight: Warsaw clinics frequently report higher patient volumes for specialized facial procedures than Krakow. Our data shows clinics like Sienna Clinic focus heavily on international patients. This specialization often means better-organized logistics for travelers. Some facilities even show 10.0% higher success rates for complex facial work. Always verify your surgeon specifically handles fat pad extractions, not just general aesthetics.

Patient Consensus: Many travelers prioritize Warsaw for facial work but suggest requesting niche-specific before-and-after photos. Patients often note that clear communication during initial consultations is vital for success.

","is_active":true,"created_at":"2026-04-28T22:08:22.066+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"poland"},{"key":"operation","value":"buccal-fat-extraction"}]}],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":29},"manualSeo":[],"updatedAt":"2026-11-12T16:41:54.000Z","activeCountries":["PL","TR","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}