Lumps of Bisha. What is it, how is it removed, the operation, how to clean it at home

Age-related changes are manifested primarily on the face. If the appearance of wrinkles and dry skin can be eliminated with cosmetic procedures, then it will not work to remove excess volume and swelling of the cheeks due to Bish's lumps.

Bish's fat lumps - what are they?

Looking great in adulthood is often hampered by the extra volume in the cheek area, which creates lumps of Bisha. It is known to be such a special seal. It makes the face wider and more massive... You can remove such lumps by surgery.

Lumps have a supporting and protective function, participating in the process of sucking and chewing in childhood. Doctors say that Bish's lumps are such an formation that with age it ceases to fulfill its functions.

When a person becomes an adult, such pillows become unnecessary. Over time, fat deposits can increase in size, sink down the cheeks, making the oval indistinct and rounding it.

Where are Bish's lumps on the face - anatomy

It is Bish's lumps that play the main role in the formation of the round shape of the cheeks. What it is was first discovered and described by a French physician. Fat bodies got their name by the name of the anatomist.

Bisha's lumps are called fat deposits in the capsule, which are located deep under the skin and muscles.... Both lumps are tightly grouped around the salivary gland between the muscles of the face and have 3 lobes. The lumps are located in the area between the cheekbones and the jaw and look like small processes that differ in shape and structure from the surrounding tissue.

Lump structure:

• the anterior lobe, located at the outlet of the parotid salivary gland;
• middle, located above the upper jaw between other parts;
• posterior, located between the infraorbital sulcus and the ramification of the lower jaw.

This photo gives a visual representation of what Bisha's lumps are.

At the age of 25, the lumps stop growing, their volume is individual and depends on the characteristics and structure of the body. Over time, the lumps become more visible, changing the shape of the face.

For this reason, women increasingly want to get rid of such a fat pad and make their face more neat. The doctor may prescribe the procedure for other indications.

Elimination of such a cosmetic defect is carried out surgically, taking into account all possible consequences.

The main indication for elimination is the patient's desire. In this case, the specialist takes into account age-related changes and features of the structure of the face.

Indications for the operation

Aesthetic indications for truncation:

• sagging skin with the formation of folds;
• large lumps;
• asymmetry of the face;
• additional service for complex liposuction and face lifting;
• full face;
• inconsistency in the shape of the face with general thinness;
• the occurrence of deep folds in the nasolabial area up to 35 years.

Whether to remove lumps of Bish. Cons of removing lumps of Bisha

Not all medical experts recommend removing lumps of bisha, arguing that such removal is not very effective in some cases.

This intervention may not have a pronounced cosmetic effect if the patient has a very full face, the oval of which is also formed by other fat deposits. In addition, non-observance of the diet and high-calorie foods after the procedure often lead to the fact that the result of removing lumps will be leveled out in a short time.

When deciding to change the shape of the cheeks for thin patients, one should take into account that with age, the volume of adipose tissue decreases, which makes the forms unnecessarily thin, emaciated and gives extra age.

The disadvantages of plastic surgery are as follows:

• removal is a surgical intervention that can cause a negative reaction of the body to anesthesia, antibiotics, and the use of other drugs;
• the feeling of discomfort persists for some time after the operation;
• in some cases, age-related changes are more pronounced;
• irreversible procedure;
• it is completely impossible to simulate the shape of the face after resection of fat lumps;
• psychological trauma;
• getting overly sunken cheeks, changing the proportions of the face;
• dependence on surgeries to improve appearance, which can be hazardous to health.

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Contraindications

Despite the fact that bisectomy belongs to the category of simple operations, there is a list of contraindications that the beautician introduces to the patient at the initial examination and consultation.

Contraindications:

• age under 25;
• inflammation in the face, dental diseases;
• acute viral infection;
• diabetes mellitus and other chronic pathologies;
• decreased immunity;
• blood disease, blood cell clotting disorder;
• psychical deviations;
• oncological neoplasms;
• weight instability, excessive weight or thinness;
• allergic reactions to drugs, anesthesia.

Where are Bish's lumps removed

The operation for resection of Bisha's fat pad is performed in plastic surgery clinics or cosmetic rooms of a polyclinic with the possibility of outpatient and inpatient treatment.

In this case, you need to make sure that the doctor has many years of experience in this work and the appropriate qualifications. The operation is planned and involves several stages. At the first visit, a consultation and acquaintance with the medical history are carried out.

How is the operation to remove Bisha's lumps

Lumps of bisha, what a patient is, can learn in detail when visiting a surgeon. In addition, he receives detailed information about the features of the procedure and the possible consequences. Then the doctor prescribes an examination, which includes taking tests, visiting specialists, modeling on a computer and eliminating contraindications.

In accordance with the results of the analyzes, the location and condition of the operable area, the specialist chooses the method of excision, determines the technique and volume of work. At the next stage, the patient undergoes preparation for surgery, which lasts at least a week.

Preparation includes:

• rejection of bad habits;
• refusal to take medications, dietary supplements, vitamins;
• do not use cosmetics on the day of the event.

This kind of plastic surgery is performed under general or local anesthesia with the possibility of using additional analgesic drugs. The method of anesthesia is chosen by the doctor, based on the characteristics of the patient's body with the chosen method of excision.

In this case, the fatty layer is completely removed or its amount is reduced. The excision is performed once and takes from 40 to 60 minutes.

In accordance with this, there are 2 ways of carrying out the procedure:

1. Outer. It is an additional manipulation during a certain set of cosmetic procedures or plastic surgery.
2. Interior. This method is a separate type of surgery, in which the lumps are removed through incisions in the mouth.

Another option for changing appearance is modeling surgery, in which the fat pad is not removed, but moved to the cheekbones, creating additional volume and improving aesthetic perception. Such manipulation is prescribed for women in the older age category, when body fat becomes thinner.

There are 3 options for surgical intervention: the classical method using a scalpel, an endoscope, or the use of a laser technique.

Scheme of carrying out in the classical way:

• the introduction of anesthesia;
• treatment of the skin of the face and mucous membranes of the cheeks with an antiseptic composition;
• making an incision of 1-2 cm on the inside of the cheeks;
• muscle stratification and tightening of the layer in the capsule;
• getting access to the lumps, the doctor performs a bisectomy or moves the adipose tissue higher;
• suturing incisions with biodegradable threads with a cosmetic suture;
• the imposition of a disinfectant pad and elastic tape.

Laser resection

Using a surgical laser is a less painful and traumatic method of removal that does not cause complications. The beam has an antiseptic and hemostatic effect. The laser is delivered using a cannula and a probe, targeting only adipose tissue.

Lumps of bisha (what is it mentioned above), which are not cut out, but evaporated by a laser beam, do not delaminate into parts and do not leave fragments of their structure. Precision adjustment and penetration depth make the operation faster and more accurate, allowing you to achieve complete cheek symmetry.

Recovery period

The recovery period begins from the moment after the end of the anesthesia and lasts 1-2 months. Only then can you see the effect of the operation. After the operation, the patient is observed for several hours, if there are no abnormalities in the state of health, he is discharged from the clinic.

Further rehabilitation will take place at home. The doctor gives recommendations and prescribes medication to prevent complications and speedy recovery.

The course of medicines for regeneration and prevention of infection includes: antibacterial, regenerating and stimulating drugs, formulations to improve microcirculation and reduce edema.

After an internal bisectomy, a sign of intervention can only be facial edema, which occurs due to tissue damage and makes the cheeks even larger than before the procedure.

After a few days, lymph outflow occurs and the swelling subsides.

The stitches on the inside of the cheeks dissolve after a week. Some patients notice pain in the first few days after surgery, in which case they can take pain relievers prescribed by a doctor. Complete overgrowth and deposition of tissues occurs after a few months.

Recommendations for the patient after surgery

After the operation, the patient must adhere to certain recommendations that contribute to a quick recovery.

Food:

• adherence to a sparing diet (refusal of spicy, salty, hot dishes);
• during the week it is necessary to eat only liquid pureed food, excluding solid food during the month;
• limit the consumption of meat and fish dishes as a possible source of infection;
• rinsing the mouth after eating.

Mode and restrictions:

• refusal to visit baths, saunas, swimming pools;
• limitation of physical activity, temporary cessation of sports;
• easy labor;
• avoid stress on the muscles of the face, watch facial expressions (screaming, laughter, grimaces);
• sleeping on your back with a high headboard and a large pillow.

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Removal of Bisha's lumps: consequences, possible complications

Negative consequences after bisectomy are rare and are associated with poorly performed manipulations, negligence of doctors and insufficient study of the patient's medical history when there are contraindications.

Surgical intervention can lead to the following complications:

• infection of wounds with the formation of inflammation;
• bleeding after surgery;
• allergic reactions in the form of rashes, redness, vomiting, respiratory depression, dysfunction of the heart;
• scarring;
• damage to facial tissues (muscles, salivary gland, facial nerve);

The negative consequences of removal can appear at the time of the operation, during the recovery period if recommendations are not followed, or be delayed.

Effects:

• facial asymmetry and incorrect tissue redistribution;
• not meeting expectations;
• painful sensations.

How much does it cost to remove Bish's lumps. Price

The cost of the operation to remove Bish's lumps depends on many factors. The average price for this procedure is 30-60 thousand rubles... The total amount may consist of the cost of the materials and drugs used, the method of exposure and the mode of stay in the clinic. In addition, the pricing policy and image of the organization, the surgeon's rate and the cost of additional services are important.

Along with the removal of the lumps, the patient can choose to partially trim the fat pad, which takes more time and requires close attention and professionalism.

In addition, at an older age, ladies choose a complex procedure, which may include cosmetic and plastic methods of influence.

In this case, the complex may contain:

• circular facelift;
• resection of bisha lumps, This is such a removal that is carried out simultaneously with endoscopic lifting, which reduces the operation time;
• change in eye shape, rhinoplasty;
• anti-aging cocktail injections.

How to remove lumps of Bisha without surgery at home

If surgery cannot be performed or fear is stronger than the intended effect, you can use methods of cheek reduction at home.

At the same time, there are several methods, the regular use of which allows you to get good results: proper nutrition, massage and exercise.

How to remove with massage

The massage will help to tighten the muscles of the face, making the contour clearer, enhance metabolic processes, which reduce the fat layer and reduce visible wrinkles. Massage is carried out in the evening for 10 minutes daily.

Before the procedure, the face must be cleansed and moisturized with a cream. With light circular stroking and pinching movements, move from the center of the face to the temples and ears. In this case, touching should promote blood flow, increasing the tone, and not stretching the skin. At the end of the procedure, you can perform acupressure or apply the Japanese Asahi technique.

Another option for affecting the skin of the face is to use a terry towel, which is twisted into a tourniquet and dipped in a salt solution. Then you need to apply a towel to the chin with patting movements.

Exercises

To reduce the volume of the cheeks, you can use one of the sets of exercises:

1. When inhaling, puff out your cheeks, fold your lips with a tube and slowly exhale air through your mouth. Repeat 5-8 times.
2. Pinch a pen or pencil with your lips and draw letters in the air;
3. Do movements that simulate mouthwash for 2-3 minutes.
4. Pronounce vowel sounds loudly and clearly, opening your mouth wide, repeat 15-20 times.
5. Squeeze your teeth tightly for a few seconds.
6. Putting your elbows on the table, press your chin to your palms strongly, try to open your mouth, repeat 10 times.

The stars that removed Bish's lumps.What they look like without lumps of Bisha

Lumps of Bisha - removal: reviews

1. Having studied the information, I decided to remove Bish's lumps. It turned out that the operation is simple and can be done in our city. The result pleased me very much, but it became noticeable only after a month.
2. After the operation, there was swelling of the face and neck, I took ointment and pills. And for a long time the incisions healed, it was painful to open my mouth. But when everything healed, the result was simply amazing! I'm glad.
3. I had a full face, and in photographs, I turned out terrible. I am very pleased with the result of the operation. Beautiful and neat cheekbones. You have to be patient, but it's worth it.

Lumps of Bisha: before and after photos

Having decided on the resection of lumps of bisha, you need to know what removal is - this is an operation that has a number of contraindications, it must be performed by a qualified surgeon in the clinic. The procedure gives a good result only if all the doctor's recommendations are followed.

Author: Olya Shchelchkova

Video about Bish's lumps. What is it and how to treat

Bisha's lumps - what is it and how to remove it:

The procedure for removing lumps of Bish: