How to remove lumps of Bisha. How to clean at home, massage, exercise, diet, surgery. Before and after photos

Bishat's lumps are fatty formations located between the buccal muscle and the superficial muscles of the face (chewing, large and small zygomatic) on each side. These fatty deposits, surrounded by the capsule shell in the subcutaneous tissue of the cheeks, form the lower contour of the human face and therefore play an important role in facial aesthetics.

Removal of lumps can be done by surgery, as well as by cosmetic procedures and regularly performed facial gymnastics - special exercises for the facial muscles. Photos before and after procedures show the results of the methods and their effectiveness.

Scalpel surgery and laser removal

For lipectomy (surgery to remove Bishat's lumps), one of the following surgical techniques can be used:

• interoral method using a scalpel;
• interoral method using a laser;
• extraoral method using a scalpel.

The difference between the first and the second method lies only in the use of different instruments for excision of the intrabuccal surface, while the differences between the inter- and extraoral method are cardinal.

• With interoral (intraoral) In this method, the removal of fat capsules is carried out through an incision inside the mouth.
• Extraoral removal of Bisha's lumps is carried out through incisions on the surface of the skin and is usually an element of a complex facelift (rhytidectomy) along with liposuction, as well as correction of the shape of the cheekbones and chin.

Indications for surgery to remove Bisha's lumps

Most indications for surgery are aesthetic and dictated the patient's desire to change the face contour into the correct - more attractive shape:

• the need to correct the contour of the face;
• prevention of age-related sagging of the cheeks due to the weakening of the facial muscles;
• hypertrophied buccal fat capsules;
• redistribution of body fat for facial sculpting.

Contraindications

Contraindications to the surgical removal of Bisha's lumps relate to the presence of inflammation and diseases that impede the healing and restoration of tissues in postoperative period:

• age under 25;
• hemifacial atrophy;
• oncological diseases;
• diabetes;
• inflammatory and purulent-inflammatory processes in the face and neck.

The main part of contraindications is a common part for all surgical interventions in the human body.

In fact, lipectomy of Bishat's lumps as such is contraindicated only for people with Parry-Romberg syndrome, in which the number of facial muscles and skin is gradually reduced (hemifacial atrophy), as well as for people under 25 years old, since up to this point a natural change in the volume of buccal fat capsules is possible ...

Preparing for surgery

Preparation for surgery is typical for preoperative procedures and consists of several stages:

1. Conversation with a specialist about the patient's health status, individual characteristics of his body, past illnesses and possible allergic reactions.
2. Examination of the patient in several projections.
3. Determination of the location and thickness of fat capsules in order to plan the incision site (can be performed on a computer).
4. Necessary analyzes (urine, blood) and examinations (fluorography, ECG).
5. Appointment of the date of the operation and discussion of the algorithm of actions of the patient and the doctor before and during the operation.

Regardless of whether the chosen medical institution is a large institution or a small clinic, the place for performing surgical procedures should be a place specially equipped taking into account the peculiarities of these procedures (sterility, availability of the necessary equipment). The procedure should not take place in the same room where patients are received.

How is the operation going

Typically, an interoral lipectomy of Bisch's lumps is performed under local anesthesia.

Operation progress:

1. An incision is made on the inside of the cheek with a scalpel or laser. An incision is made in the maxillary gingivobuccal sulcus or in the buccal mucosa at the level of the bite line.
2. After cutting the mucous membrane with a scalpel or laser, the buccal muscle is cut.
3. Bichat's lump is grasped with a clamp and, with simultaneous short-term external pressure on the patient's cheek, is pulled out of the tissues, after which it is cut out.
4. The incision is sutured with a cosmetic suture and covered with a disinfectant wipe. Outside, the cheek surface can be fixed with an elastic bandage.

The intraoral method of removing fat capsules does not take much time, since the procedure in this case takes about half an hour.

Removal of Bisha's lumps as part of a number of plastic face corrections is a completely different type of surgical intervention that lasts several hours and requires general anesthesia. The algorithm of the surgeon's work in this case depends on the procedures accompanying the removal of Bisha's lumps.

Don't miss the most popular column article: Plasmolifting of the face - what it is, how it is performed, results, photos before and after the procedure.

Recovery period

Bichat's lumps (photographs before and after the operation show an impressive result in a few hours) are removed by a short and uncomplicated interoral surgical procedure. The recovery period also does not take much time, which is facilitated by the wound-healing property of human saliva.

After the operation, the patient must adhere to certain rules:

• For the first 3 days after the procedure, do not eat food that requires chewing. Only liquids, soups-purees and other homogenized food of neutral taste, which should not contain excessive amounts of salt and spices, are allowed.
• It is recommended to sleep and lie mainly on the back on a high pillow to avoid the accumulation of fluids in the tissues.
• Limit physical activity - increased blood circulation can lead to postoperative bleeding.
• Whiten or intensively brush your teeth.
• Drink alcohol or nicotine.

Consequences and possible complications

Bisha's lumps can not always be removed without consequences for the body.

After the operation, the following complications may occur:

• the appearance of postoperative hematomas;
• trismus (tight clenching of the jaws caused by a spasm of the chewing muscles);
• damage to the parotid gland;
• damage to the trigeminal nerve;
• the appearance of seals in the cheek area;
• asymmetry of the lower part of the face.

Injuries to the facial nerve or parotid salivary gland are among the rarest consequences of surgery, while asymmetry as a result of resection of buccal fat capsules occurs in 8% of postoperative complications.

The incidence of complications is much higher when using the extraoral surgical method, since, in addition to the consequences of using general anesthesia, the patient is at a greater risk of developing various complications due to the specificity of the method itself: the likelihood of damage to the trigeminal facial nerve in this case is much higher.

In addition, the recovery period after this type of surgery is much longer due to the longer process of skin regeneration.

Among the possible undesirable consequences there are those that do not appear immediately, but after 10 years or when a person reaches an old age. Removing Bisha's lumps will avoid such an age-related phenomenon as the appearance of flews.

However, the skin, which loses its elasticity and becomes thinner with age, is prone to ptosis (sagging), as it does not have the appropriate fat "support". Sunken cheeks - an aesthetic effect, for the sake of which, in most cases, patients decide on an operation - give the face of an elderly woman a haggard look.

Where does it take place and how much does it cost

Interoral surgical procedure for removing lumps of Bisha is included in the list of services of most cosmetology clinics, due to the simplicity and speed of the operation. Extraoral intervention, requiring the use of general anesthesia and, in fact, being part of many hours of plastic surgery, is performed in large medical institutions specializing in plastic surgery.

The cost of removing fat capsules, carried out from the side of the mucous membrane and does not require the use of general anesthesia, ranges from 28,000 to 47,000 rubles.

Cosmetology procedures to remove lumps

Despite the fact that the surgical removal of buccal fat is most effective, the procedure has a number of contraindications and undesirable consequences. It is also possible to reduce the volume of Bisha's lumps and change the contours of the face when applying cosmetic procedures without resorting to using a scalpel or laser.

Lymphatic drainage facial massage

Bisha's lumps (before and after photos demonstrate the effectiveness of the procedure) can be reduced in volume with the help of lymphatic drainage massage. Without affecting adipose tissue directly, massage is aimed at stimulating the body's lymphatic system.

Under the influence of massage, the lymphatic vessels are toned, as a result of which the main functions of the human lymphatic system - drainage and transport - are better realized.

Active drainage of excess fluid from the intercellular space in facial tissues, improvement of microcirculation and supply of tissues with the necessary substances help to accelerate metabolism, reduce the volume of adipose tissues, as well as tone and strengthen the skin of the face as a whole.

The lymphatic drainage massage procedure consists of several stages:

1. Cleansing the facial skin with a special gel and preparing it for further manipulations.
2. Applying a moisturizer to make the patient feel more comfortable during the procedure.
3. Massage of the lymph nodes located in the supraclavicular area.
4. Lymphatic drainage massage of the neck (hardware or manual).
5. Lymphatic drainage massage of the face (hardware or manual).
6. Applying moisturizer to treated areas.

The lymphatic drainage procedure has a number of contraindications:

• pregnancy and the period of breastfeeding;
• the presence of acute respiratory viral diseases;
• inflammatory processes on the skin of the face or neck;
• thyroid disease;
• oncological diseases;
• blood clotting disorders.

The cost of the procedure in specialized institutions ranges from 1200-1500 rubles.

RF lifting

Radiofrequency lifting is an effective cosmetic procedure designed to restore the elasticity of the skin of the face, neck and décolleté. The essence of this non-invasive procedure is that high-frequency waves generated by a special device penetrate the skin and, bypassing its surface layers, affect the deeper ones.

The diathermal effect ("warming up" of the subcutaneous tissues) contributes to the remodeling of the contours of the face and neck, and also stimulates the epidermal cells to regenerate due to the active production of collagen and elastin.

Due to the fact that a complex chemical process of synthesis of special proteins is triggered in the process of radio frequency exposure to subcutaneous tissues in their cells, the result from several sessions of radio frequency lifting is noticeable for several months.

The synthesized proteins provide the extensibility and strength of the connective tissues, and also help to increase the tone of the facial skin, preventing it from sagging and sagging.

Under the influence of radio frequency waves in fat cells, the process of decay of fat molecules - lipolysis is catalyzed. This cosmetic procedure allows you to sculpt the face, tone and tighten the skin in the cheeks and lower jaw, which will achieve an effect visually similar to the result of removing Bisha's lumps.

RF-face lifting is contraindicated in the following cases:

1. pregnancy and the period of breastfeeding;
2. age under 25;
3. inflammatory processes in the face and neck;
4. cosmetic and dental metal implants ("threads", braces, crowns) that can heat up excessively during the procedure and burn the surrounding tissues;
5. a large number of moles;
6. performed early lipolifting of the face;
7. the presence of a pacemaker or other devices that can be damaged by electromagnetic radiation.

The cost of a radiofrequency face lift is about 5,000 rubles.

Mesotherapy

Bisha's lumps (before and after photos can be studied as examples of the effectiveness of the procedure) can be reduced using mesotherapy.

During this procedure, the following injections can be made:

• Hyaluronic acid Getting under the skin, it stimulates intracellular metabolism and catalyzes the formation of collagen and elastin. The synthesized proteins are natural remedies for combating aging and sagging skin. Improving microcirculation and accelerating metabolism can significantly reduce the subcutaneous fat layer, which affects the change in the contours of the face, giving it a more aesthetic and healthy look.
• Lipolytics. Substances that disrupt the structure or completely destroy fat cells.

Acting locally, the injected substances affect only directly the injection zone, which is suitable for reducing the volume of Bish's lumps, but does not give the desired result in the case when fat is required to be removed from large areas.

Mesotherapy has the following contraindications:

• pregnancy and the period of breastfeeding;
• acute respiratory viral diseases;
• inflammatory processes in the face and neck;
• oncological diseases;
• disorders of the thyroid gland;
• blood clotting disorders.

The procedure is included in the list of services of most beauty salons. The cost of a session is 1200-1500 rubles, the duration of the course is 10 sessions.

Elimination of Bish's lumps at home

You can also remove Bish's lumps at home. Photos taken before and 2-3 months after the start of the fight with chubby cheeks will allow you to judge the changes that have occurred.

A combination of the following fat reduction strategies can help you reduce the size of your cheeks:

• adherence to a diet;
• performing certain physical exercises;
• use of special industrial and homemade cosmetics;
• facial massage.

The effect of compliance with the listed conditions is not as fast and obvious as, for example, the result of surgical removal of Bish's lumps.

Nevertheless, each designated method of independent action on the buccal fat deposits is characterized by an almost absolute absence of contraindications, as well as benefits not only for the target area, but also for the body as a whole.

Compliance with all the indicated principles must be reasonable and absolutely safe for health:

• The dietary food ration should be compiled taking into account all the body's needs for nutrients and microelements, in quantities necessary not only for losing weight, but also for the harmonious work of all vital systems.
• A set of physical exercises should be compiled with the participation of a specialist, since each movement performed during training should be aimed at achieving the goal, and not be wasted due to the wrong (amateurish) approach.
• Before using home or industrial cosmetics, it is necessary to assess the appropriateness of using the product, taking into account all indications and contraindications.
• Before starting to massage the problem area, you should study the technique and algorithm of work, since improper actions during massage can lead to stretching of the skin, its further sagging and thinning.

Massage for face and neck

The main purpose of the neck and face massage is to increase blood circulation in these areas. To increase blood flow, but at the same time not to stretch the skin, pinching or patting movements from any point of the face directed to the temples will help.

Massaging movements in the neck area should also be performed in the direction from the collarbone to the chin. For both face and neck massage, the movements should initially be intense, abrupt (but not traumatic) in order to increase blood flow to the treated areas.

The final stage of the massage should consist of stroking and relaxing movements in the recommended direction (towards the temples and chin). The minimum effect on the skin, while having a maximum effect on the subcutaneous layers, is facilitated by the preliminary application of a moisturizing cream.

Facial gymnastics exercises

Facial gymnastics will allow not so much to reduce the volume of Bisha's lumps, but to tone and tighten the skin of the face in the lower jaw area. The photo before the start of the exercises and a week after will already allow us to judge the undoubted effectiveness of such gymnastics.

Popular massage techniques to prevent flapping are available online or in hard copy. The techniques of Carol Maggio, Eva Fraser, as well as many yoga manuals for the face will allow you to choose the most suitable option for each trainee, depending on the level of his capabilities and the degree of initial training.

Weight loss and nutritional rationalization

Changes in the diet should be associated not only with a revision of the daily calorie intake and the ratio of nutrients consumed, but also be accompanied by the regulation of water-salt metabolism in the body, the violation of which leads to edema and difficulties in the functioning of the lymphatic system of the body, which, in turn, does not allows cells and tissues to get rid of toxins and waste products.

Masks, scrubs and oils

Cosmetics used as a component of the system for affecting fat deposits in the cheek area should be characterized as agents that deeply penetrate the skin and act not on its surface, moisturizing and protecting from external influences, but also affect the deeper subcutaneous layers.

The reduction of Bish's lumps, whose size was reduced by using any means, can be estimated from numerous photos before and after using this or means.

Author: Svetlana (thesvetkas)

Article design: Mila Friedan

Video about Bisha's lumps

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