Removal of Bisha's lumps. Before and after photos, consequences, rehabilitation period. How to remove without surgery

Removing Bisha's lumps allows you to make facial features more expressive. Many women are ready to undergo procedures of varying complexity in order to acquire the desired sophisticated facial features and thin cheekbones. You can evaluate the results by looking at the reviews from the photo before and after applying a variety of techniques.

What are Bisha's fat lumps

Bish's lumps are deposits of fat reserves in the form of lumps inside the cheeks, consisting of 3 lobes: front, back, middle. Formations are localized between the parotid salivary gland, infraorbital sulcus and the upper edge of the lower jaw.

These fatty accumulations visually enlarge the lower part of the face, which is especially noticeable in young children. It is thanks to such swelling that babies have such chubby cheeks. The scientist Marie Bichat discovered and substantiated his theory about the fatty tissues of the cheeks, their features and functional significance, in honor of his name the name of Bichat's lumps appeared.

Reasons for the appearance

The appearance of fatty bodies in the lower part of the face is due to the following reasons:

• Lumps of adipose tissue perform important cushioning functions for the developing muscles of the baby's jaw.
• Helps to learn sucking and chewing skills in infancy.
• They perform a protective function against possible external damage.

Over time, the need for fat stores in this area decreases, and the lumps decrease in size.

Reasons for removal

Bisha's lumps (photos before and after various procedures will be presented below) of any size and shape are not a sign of pathology, removal occurs solely for aesthetic reasons. The specificity of lumps lies in the special density of adipose tissue, even after general weight loss, the lumps do not decrease in size.

Common indications for surgery:

1. The presence of excess fat reserves in combination with a round face shape.
2. The consequences of age-related changes in the form of loss of facial muscle tone, deep nasolabial wrinkles, the appearance of flews.
3. As an additional manipulation with other interventions and plastic surgeries for face correction.
4. The patient's desire for thinner cheekbones.

   

5. Surgical interventions to move fat bodies and place them under the cheekbones.

Bisha's lumps (photos before and after removal):

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Contraindications

There are situations in which surgery to remove fat accumulations in the cheeks is not recommended:

• The patient's age is up to 25 years. It is believed that at this age, the lumps can change in size on their own in a natural way.
• The presence of inflamed lesions located on the face and neck.
• The progressive stage of obesity.
• Diabetes.
• Oncological and chronic diseases, various infections.
• The presence of diseases that affect blood clotting.
• Connective tissue dysfunctions.
• Liver disease.
• Epilepsy.
• Unstable psychological state.

Possible danger of removing lumps of Bish

The most dangerous outcome of removing Bish's lumps is associated with the possible consequences of general anesthesia... Among which there is an additional load on the heart, the emergence of susceptibility to weather changes, exacerbation of chronic diseases. The risk of postoperative complications is not always justified, since there is a possibility of complete absence of the correction effect.

With age, changes in the structure of the skin occur, the lack of fat reserves can add a tired and unhealthy look to the face.

Operation to remove lumps of Bish

Preparing for surgery

At the stage when the clinic and the doctor have already been selected, it is necessary to undergo preparatory preoperative measures:

• Initial consultation - consists of a mandatory survey of the patient, during which the details of the state of health, the presence of allergic reactions, and all kinds of contraindications are clarified. Also, the doctor must give exhaustive answers to all the moments of interest to the patient about the future operation, regarding the recovery period, and discuss the possible consequences.
• A procedure for visual examination of the patient and palpation of the operated area, which is necessary for the surgeon to plan the correction.
• Modeling the result of the intervention - using a computer program, the client can visually assess the future appearance of the face after the correction.
• Medical examination and testing. Before carrying out surgical interventions, a blood test for HIV, hepatitis, syphilis is always taken. Other tests include urine tests, ECGs, and fluorography.
• Compliance with the doctor's recommendations, such as a ban on alcohol, smoking, and certain medications.
• The operation takes place on an empty stomach, the skin must be cleansed of all kinds of cosmetics.

Stages of the operation on the inside of the cheeks

One of the methods of performing the operation is removal from the inner surface of the cheeks, it is considered the safest due to the close location of the lumps with the wall of the cheek from the inside.

Correction stages:

1. General or local anesthesia, depending on the patient's wishes and the doctor's recommendations.
2. Disinfecting treatment with a special solution.
3. The incision site is palpated and determined.
4. An incision of the mucous tissue is made within 2 cm.
5. The muscles move apart, lumps are separated from their surface.
6. The lumps are cut and removed.
7. Symmetry is checked by comparing the size of the lumps.
8. Sutures are applied, the scars from which dissolve without a trace over time.

The total time of the procedure is no more than 30 minutes. Estimated cost: 25000-50000 rubles. Such a wide range of prices is due to the popularity of the clinic and the reputation of the doctor.

Bisha's lumps (photos before and after surgery, what the lumps look like):

Operation through facial incisions

This technique is used in addition to any other surgical correction that involves cutting the skin on the face. A more complex and traumatic method requires special surgical skill, since nerve endings and salivary glands are concentrated at the site of the incisions.

The sequence of actions during the operation:

1. Choice of anesthesia.
2. The surgical site is delimited by surgical material.
3. Treatment of the operating area with antiseptic agents.
4. A cheek incision is made, through which the fatty lumps are removed and cut off.
5. In case of damage, small vessels are cauterized.
6. The incisions are sutured with a special cosmetic suture.
7. At first, the trace from the seam will be noticeable, but upon completion of rehabilitation it will become invisible.

Estimated price: RUB 30,000-60000

Rehabilitation and recovery

After the completion of the operation and complete recovery from anesthesia, the patient can leave the clinic. The duration of rehabilitation is approximately 2-3 weeks.

Basic principles of the rehabilitation period:

• All thermal procedures are prohibited (visits to saunas, baths and other similar places).
• Limitation of physical activity.
• You should limit the facial expression of emotions.
• It is recommended to sleep on your back with a high pillow to relieve swelling more quickly.
• Eat a specially formulated diet that can minimize stress on the facial muscles. During the first days, food is consumed only in liquid form. Then mashed potatoes and grated products are gradually introduced. Hot or cold foods should not be consumed. Be sure to rinse your mouth with antiseptic solutions after eating.
• Teeth cleaning should be done in a gentle way.
• Alcohol and smoking are strictly prohibited for the entire recovery period.
• Observe all doctor's prescriptions, take antibiotics if necessary.

Consequences and possible complications after surgery

Negative consequences are rare.

Sometimes a surgeon's mistake or non-observance of the rules for preparing for an operation can lead to the following consequences:

• Allergic manifestations in the form of a rash, respiratory or heart failure. Also, pressure drops and bouts of vomiting are common signs.
• Due to the inattention of the surgeon, the integrity of the tissues located near the operated area (muscles, glands, nerves) can be violated.
• Severe pain syndrome. On average, the pain subsides completely within one week.

Possible complications:

• The development of inflammation on the inner side of the cheek as a result of injury to soft tissues by hard food or accidentally in a dream, and the presence of foci of replenishment in the body before surgery can also serve as a reason.
• Facial asymmetry.
• Infection of the incisions.

You should not save on your own health by choosing a dubious clinic, agreeing to the experiments of an inexperienced surgeon.

It is important to monitor the weight gain, the return of extra pounds is fraught with the renewal of fat deposits in the cheeks.

Laser use

Removing the fatty tissue of the cheeks with a laser beam is called bisectomy. The main feature is minimal trauma, which significantly reduces the risk of complications. Laser exposure promotes rapid tissue regeneration, shortening the recovery period. The coagulative properties of the rays provide instant sealing of the vessels.

The main stages of the conduct:

1. With the onset of the local anesthetic, a laser is cut into the inside of the cheek mucosa.
2. The fatty body is separated and removed.
3. Self-absorbing sutures are applied.
4. You will need to wear an elastic bandage on your face for a while.

Average price of the procedure: 45,000 rubles.

Bisha's lumps (photo before and after removal using a laser beam):

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Ways to remove fat lumps at home

Exercises

Various techniques are known to remove fat lumps without surgery.

For home use, you can use a set of exercises:

• Before starting a workout, you should warm up and prepare your muscles for work. This is easiest to do by patting, then pinching in a circular motion all over your face.
• It is necessary to puff out the cheeks strongly, then release the air slowly, forming the lips into a pipe shape. Perform 30 repetitions.
• Raise your cheeks in the same way as before smiling, only with the help of the neck muscles. You cannot use any other muscles. Tighten the muscles for 3 minutes.
• Pinch your lips in a bow shape and perform circular movements with your lips for 2 minutes.
• Through the closed jaws, try to move the distant muscles. With the right technique, the sensations are like chewing meat. Gradually increase the training time to 5 minutes.
• A slow smile technique with a closed mouth, only the zygomatic muscles should act.
• The mouth opens wide and as much air as possible is drawn in. It is necessary to stick out your tongue and exhale with a loud sound. The number of repetitions of the exercise is 10 times.
• With a pencil or any other object clamped in your lips, draw letters and numbers in the air.
• About 3 min. imitate rinsing the mouth by drawing air into it.
• Place your chin on your hands, elbows on the table. By straining the muscles of the face, you need to open your mouth.

Stretching and muscle relaxation should be done after exercise. Gently tilting the head from side to side, stretch the muscles of the neck and face to the maximum possible amplitude.

The first noticeable results of using facial fitness will be noticeable after a month of regular exercise.

But don't expect big changes. Without an integrated approach in combination with nutrition, massage and hardware techniques, it is difficult to achieve clear success.

Oil and masks

A good effect can be achieved by performing a facial massage using various oils. Oils have a wide range of beneficial properties, thanks to which the skin becomes firm, taut and fresh. The massage improves blood circulation in problem areas, fills cells with oxygen and starts an accelerated metabolism.

Using available tools at home is an economical and affordable way to care.

Sunflower or olive oil is better for normal skin, St. John's wort oil, jojoba oil for oily skin, almond oil has a pronounced tightening effect.

Examples of recipes for cooking oils:

• Add a little honey to the almond oil and massage your face in circular motions for about 5 minutes. Such a composition provides smoothing of irregularities and fine wrinkles.
• Add lemon, bergamot and cypress oil to sunflower oil.
• Rose, jasmine and cedar oils are mixed with an almond oil base.

The prepared mixtures should be kept in the refrigerator., but before use it is better to take it out and leave to stand for a while to reach room temperature. It is recommended to do massage with oil in courses, if necessary, repeat 1-2 times a week to maintain skin tone. In addition to oils, the use of masks in a variety of variations is common.

Several recipes for masks used in combination with other techniques to reduce the volume of curvy face shapes:

• 1 tbsp yeast dissolves in a small amount of milk. The resulting solution must be evenly distributed over the surface of the face in several layers. You need to wait until one layer is dry, then start applying the next. The mask is suitable for daily use.
• Stir a couple of tablespoons of oatmeal with natural yogurt, leave for 20 minutes, so that the flakes become bulky enough. Apply the resulting mixture in a dense layer over the entire face, rinse thoroughly after 30 minutes. You can repeat the procedure every other day.
• Stir blue clay with water until a sour cream-like consistency is obtained. Apply to face and let dry, which will take about 15 minutes. Recommended to apply twice a week.
• The use of suppositories for the treatment of hemorrhoids as an emergency method in the fight against puffiness on the face. This drug is known for its fast-acting sedative properties. To prepare the mask, you need to melt the candle and apply on the skin of the cheeks overnight. This method is not intended for regular use. Only one-time application is allowed for special occasions.

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Treatment without surgery

Lymphatic drainage massage

The essence of the procedure is to stimulate the outflow of lymph (excess fluid containing decay products and other substances from the extracellular space). Massaging once a week will help to achieve a pronounced facial contour, get clearer cheekbones and smooth out wrinkles in the lip area.

There are many lymphatic drainage massage techniques, it is possible to perform it independently or in the salon.

Description of the basics of technology:

1. It is necessary to cleanse the skin, for this purpose fruit peeling or honey mask is well suited.
2. Preparing the skin with a warming massage.
3. Strengthening the forehead - the palms located at the temples need to be brought down to the middle of the forehead and spread back, repeat three times. An important point - it is the muscles that should be massaged, not the skin.
4. Puffiness of the eyes is removed by finger movements from the inner corner of the eyes to the outer one. It is necessary to perform 5 repetitions and change the direction of the massage.
5. To smooth out wrinkles near the lips - find the middle of the chin and press on this point with your fingers. With this pressure, lead the fingers to the middle of the nasolabial fold, the number of repetitions is 5 times.
6. To lift your cheeks, open your mouth and relax your muscles. With both hands, raise the lower jaw to the upper one about 3 times. Then draw a line from the point at the corners of the lips to the outer corner of the eye with moderate pressure, then to the earlobe and back to the lips. As you reach each point, you need to stop for a couple of seconds. and keep driving. The number of repetitions is about 5 times on each side.
7. The cheeks are taken with the fingers and with the use of force, but at the same time gently, the skin is pulled in different directions. Perform multiple repetitions.
8. The folded hands, palm to palm, are placed to the nose. Then the face is smoothed under pressure.
9. With three fingers, grab the cheeks and stretch the skin, at the end point you need to twist the skin and release. Repeat three times.

In a salon, lymphatic drainage technology is supplemented with special equipment (lpg), cupping massage or the effect of cosmetic electrodes is used.

In the presence of inflammation, after plastic reconstruction, with a close arrangement of the vessels, this technique is not recommended.

Bisha's lumps (photos before and after a course of lymphatic drainage massage):

RF lifting

RF-lifting (the second name of the thermolifting procedure) is an electromagnetic effect on the skin and subcutaneous fatty tissue. Provides fat burning and skin tightening.

Description of the stages of the radio frequency method:

1. Cleansing the skin from the remains of cosmetics.
2. Sometimes anesthesia is applied with a special cream.
3. In accordance with the device, which will be performed the procedure, it may be necessary to apply markings on the face for more accurate work.
4. The tip of the device is used to process the skin of the face, heating is carried out in the range of 40-44 degrees.
5. Microscopic changes occur in the tissues, which ensure collagen remodeling for several months.
6. Application of a soothing lotion after correction.

The first results of the lifting are noticeable immediately, the tightening effect gradually increases within about 2 months after the procedure.

Mesotherapy

It is one of the methods of injection correction. Special solutions are injected into problem areas under the skin. The basis of meso cocktails is always hyaluronic acid - the main source of elastin and collagen production, stimulates metabolic processes, and has a beneficial effect on the burning of fatty layers. Other components include amino acids, vitamins, enzymes.

Step-by-step description of the technique:

1. Preliminary consultation with a doctor and collection of information about the patient, possible contraindications, the presence of allergic manifestations.
2. Facial cleansing procedures.
3. The drug is administered either manually or by apparatus.
4. A soothing mask is applied.
5. For about a week, you should adhere to the doctor's recommendations, do not touch your face with your hands, treat the skin with antiseptic agents.
6. Redness disappears after a few days.

The effectiveness of mesotherapy depends on the patient's initial data (age, tissue condition, individual characteristics), the level of professionalism of the cosmetologist and the correct composition of the injected substances. Noticeable changes appear after the second procedure.

The average amount of the course is 7 procedures with an interval of one week. It is recommended to repeat the course every six months.

Bisha's lumps with an example of the result after a course of mesotherapy (photo before and after):

Surgeons' opinion on the effectiveness of the operation

Many surgeons agree that changing the oval of the face with an operative method is advisable. The main reason for this opinion is that removing Bisha's lumps helps to achieve the correct proportions of the face.

The undeniable fact remains that surgery is the most effective method of getting rid of excess fat in the cheeks. Other techniques can only partially shrink tissue. This correction in combination with a facelift gives the maximum effect in the fight against age-related changes.

Unlike other correction methods, the result after the operation lasts for life.

At the same time, it should be borne in mind that surgery is not the only option, or rather, an extreme measure. After all, there is a large selection of less radical manipulations to visually reduce chubby cheeks (injections, cosmetic threads, fillers). A competent surgeon will always offer an alternative to surgery, if possible.

Modern cosmetology provides an extensive selection of techniques to combat Bish's lumps. It is not difficult to get acquainted and decide on an acceptable option. All necessary information is available with photographs before and after using any of the techniques.

Article design: Svetlana Ovsyanikova

Video on the topic: lumps of Bisha

What are Bisha's lumps. Photos before and after removal:

Bisha's lumps: removal operation, before and after photos: