BICHAT FAT PADS REMOVAL
ONLINE CONSULTATION

To check if you are a good candidate for this procedure, please fill in below tables and upload relevant photos. Please note that our online feedback is always preliminary. It must be re-confirmed during a consultation in our clinic in Warsaw, Poland.

Fill in tables below:


    1. Your personal data

    2. Attach good quality photos of your face. Attach a photo up to 5MB.

    3. What treatments for face you had and when were they performed?

    4. Have you had any facial plastic surgeries in the past? YesNo

    Please add more information:

    7. Additional information for Dr. Osuch.
    Make sure you included short description of your expectations. The more info you provide, the more tailor-made our feedback can be.

    8. Do you suffer from any chronic diseases? YesNo

    If yes, please add more information:

    9. Do you take any medications on a regular basis? YesNo

    If yes, please add more information:

    I voluntarily agree for direct marketing, including receiving commercial information and newsletter by means of telecommunications terminal equipment and automatic calling systems, including electronic means of communication as well as for processing of my personal data provided in the above online form for above purposes by Piotr Osuch Chirurgia Plastyczna, address: ul. Puławska 488 in Warsaw (02-884), NIP: 5212843906.

    *Note: the heavier photos you attach, the longer it will take to send your message.