Fat bodies in the cheek area, the removal of which allows you to simulate the outlines of the face, make the cheekbones chiseled, are called Bisha's lumps. Many are interested in the price of the bisectomy procedure, but before the operation it is also important to familiarize yourself with the features of the procedure, indications, contraindications, possible consequences immediately after the removal procedure, as well as decades later.
Functions of Bish's lumps in the body
Bisha's lumps (removal, price are indicated below) look like small fatty accumulations, which are also called Bisha's bodies. They are located in the depths of the subcutaneous layer of the perioscular zone, between the cheekbone line, above the lower jaw.
Lumps are protected by a mucous membrane, from the outside - by the skin. The name of the fat capsules on behalf of the medical scientist from France Marie François Xavier Bichat, who was the first to describe the characteristics, functions.
They consist of three lobes, which are concentrated along the parotid duct, which is responsible for the secretion of saliva. Visually, the bodies round off the lower part of the oval, smoothing the angularity of the zygomatic line. Their density is so high that it is almost impossible to remove the severity of "chubby cheeks" by physical intense exertion, as well as diets.
Taurus perform several functions in the human body:
- provide protection of facial nerves, facial muscles from injury, friction;
- in infancy, help to facilitate the absorption of breast milk;
- promote the sliding of the chewing muscle during meals in childhood.
For an adult organism, the capsule accumulations will not fulfill their defining functions, so their removal is safe. After 30 years, they tend to shrink, their growth, unlike other internal tissues, stops.
After 40 years, they can sink together with the tissues that have lost their tone, forming unaesthetic flews. The operation to remove them is, first of all, aesthetic in nature, as it helps to restore clear lines to the features, a more youthful appearance, and to correct an unnecessarily wide lower part of the face.
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Bish's lumps for an adult do not carry a functional load in the body, but the opinions of specialists in terms of their removal were polarized. The price of such an intervention is quite affordable, but before the procedure, it is important to know the pros and cons of bisectomy.
The advantages of such an operation include the following effects:
- Correction. By removing the fat cells under the cheekbone line, you can give the lower part of the face clarity, the severity of the features, and return a toned look, which will create a noticeable rejuvenating effect.
- Deliverance from excess fat. Unlike a liposuction procedure similar in effect, the elimination or movement of Bish's lumps has a persistent effect, while a higher degree of safety of the method is noted. After the operation, the face looks more refined.
- Eliminate signs of aging. When the cheeks sag, facial features change, which provokes the appearance of deep skin folds.When removing fatty accumulations pulling down, the skin is tightened, nasolabial wrinkles are eliminated.
- Modeling. Sometimes, with small facial features, the lumps can be disproportionately pronounced, which violates the proportions of the face. Bisectomy allows you to make the features more proportional, harmonious. Also, with a round face with excessive fat deposits, such a procedure can be performed as indicated for aesthetic correction.
- Slimming. The intensity of exercise and diet can change the proportions of the body, but often even after losing weight, due to the severity of the lumps, the effect of chubby cheeks remains. Bisectomy will help achieve the full effect of weight loss.
In addition to the advantages of this procedure, there are also opinions against it.
Experts attribute the following to disadvantages:
- No Warranties. Removal does not guarantee a 100% result; many surgeons consider this procedure ineffective.
- The likelihood of consequences. Since bisectomy is a surgical intervention, there is a risk of negative consequences after surgery and the use of general anesthesia. Also, the method is not recommended under the age of 25, since the tissues tend to change, which is highly likely to lead to sagging cheeks, early aging.
- Short duration result, the difficulty of achieving an aesthetic result. This lack of procedures is individual, it is associated with an unstable weight. The disadvantage is of a private nature, yet it must be taken into account when deciding on a surgical intervention.
A disadvantage, or rather a feature of the procedure, is the irreversibility of the result. According to experts, it is quite difficult to return the face to roundness, to remove excessive thinness.
The drugs administered to the patient tend to dissolve quickly, and the implant is technologically difficult to fix. As a safer alternative in some cases for aesthetic correction, the use of fillers is recommended, which is a less radical method of cosmetology.
Contraindications
When removing fatty accumulations, tissues are minimally damaged, therefore, rehabilitation as a whole takes a short period, being easier in comparison with liposuction.
Despite the general safety of the procedure, there are a number of contraindications to bisectomy:
- the presence of acute viral, respiratory, infectious diseases at the time of the procedure;
- the presence of diabetes mellitus in the stage of decompensation;
- inflammatory processes occurring in the treated area;
- acute inflammation of the mucous membrane, stomatitis, gingivitis and other lesions of the oral cavity;
- a tendency to increase blood pressure;
- systemic (chronic) diseases;
- decreased immunity due to prolonged illness or for other reasons;
- the presence of malignant oncological formations, especially in the area of removal;
- poor blood clotting, other diseases of the circulatory system;
- certain cardiovascular diseases;
- psycho-emotional disorders, psychosomatic etiology disorders, epilepsy.
A contraindication to bisectomy is also a deviation of weight from the norm by more than 1/4 in the positive or negative direction. If a change in weight is planned in the future, the procedure must be carried out after stabilization. Also, according to many surgeons, a contraindication is the age of up to 25 years, the thickness of internal tissues and fat accumulations up to this age can independently decrease.
Preparation for surgery to remove Bish's lumps
Bisha's lumps (removal, the price depends on the professionalism of the doctor and the popularity of the clinic) form an oval in the lower part, if desired, they are removed surgically. Having made the decision to carry out this procedure, it is necessary to choose a clinic, an experienced specialist surgeon.
Preparation for a bisectomy includes several important stages:
- Consultation. Before surgical procedures, you must consult a doctor. The patient is provided with comprehensive information on the technique of conducting, features, indications and contraindications.
- Poll. The specialist finds out all the information about the state of health, the anamnesis preceding the procedure, the presence of systemic diseases, allergies to certain medicinal or anesthetic agents.
- Palpation. The doctor palpates problem areas in two positions, first examining in a prone position, and then standing. Such an examination allows you to make the necessary conclusion about the exact location and size of the fat capsules.
- Modeling stage. At this stage, the doctor determines the technique of the operation, chooses the area, place, direction of the future incision. In modern clinics, the preparatory stage is carried out by computer modeling.
- Laboratory research... After collecting anamnesis and detailed specification of the course of the operation, the necessary examinations are carried out. The patient needs to submit a biomaterial (blood, urine), undergo compulsory fluorography, electrocardiogram and other studies prescribed by the doctor on an individual basis. Mandatory tests include tests for HIV, syphilis, hepatitis C and B.
Until the appointed day of the operation, the patient must adhere to certain rules, such as refusal from alcohol, a light diet, the exclusion of certain medications (the list is determined by the doctor).
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The classic method of bisectomy is with a surgical scalpel.
Such an operation is necessarily performed on an empty stomach, the process is divided into several main stages:
- Anesthesia. The patient is put into a state of general anesthesia, the type of anesthesia and the dosage are calculated based on the individual characteristics, the selected removal technology. In some situations, the manipulation to remove the capsules is carried out under local anesthesia.
- In the previously marked areas on the inner mucous membrane, incisions are made with a scalpel. Since all manipulations are performed from the inside, this method ensures that there are no postoperative sutures on the outside.
- From incisions no more than 1-2 cm long, the doctor extracts the body of Bish's lumps. Taurus can be removed completely or moved, it all depends on the simulation and the selected operation technology.
- After the completion of the extraction or movement, the incisions are sutured with a cosmetic suture with biodegradable threads.
- At the final stage, disinfectant pads are applied to the seams, and the outer side of the cheeks is tightened with elastic tape.
The operation itself is not a complex surgical manipulation; the time for performing a bisectomy with a scalpel is no more than 40 minutes.
Most often, it can represent one of the stages of a complex plastic surgery. Due to the fact that non-important organs and functions are not impaired, the patient after removal from anesthesia can be observed on an outpatient basis.
The cost varies depending on several factors:
- the level and location of the clinic;
- experience and qualifications of a doctor;
- the selected type of anesthesia;
- the amount of adipose tissue removed;
- technology and additional services.
The average cost of removing Bisha's lumps with a scalpel in the capital's clinics is from 35,000-45,000 rubles, in the regions - from 25,000 rubles.
Laser removal
Bish's lumps (removal, price and all features of the operation are described below) can be eliminated with a laser. This modern method allows you to perform manipulations faster than the classical method with a scalpel. One of the advantages of the laser technique is a lower risk of bleeding, since the vessels are coagulated (cauterized) during the removal process.
Such a procedure is usually performed under local anesthesia - the administration of anesthetics into the buccal mucosa, which is also an advantage of laser bisectomy. The laser beam injures tissues less, cannot be a source of infection, therefore the risk of infection is much lower, and rehabilitation is less long and painful.
Removal of Bisha's lumps with a laser is carried out according to the following algorithm:
- On the inside (mucosa), small incisions are made with a directed laser beam.
- When muscle separation has occurred, access to the fat capsules is open, the doctor extracts or moves the little bodies, separating them from other tissues with a laser.
- After removal or redistribution of fat, absorbable sutures are applied.
The laser removal operation itself does not take more than 30 minutes. Elastic bandages are applied to the cheeks, and a disinfectant pad is placed on the inside. The cost of removing Bish's lumps with a laser in the capital's clinics of aesthetic surgery is from 55,000 rubles, in the regions - from 40,000 rubles.
Rehabilitation period
The rehabilitation period after this surgical intervention lasts on average 2-3 weeks from the moment of the operation. Immediately after recovery from anesthesia, but in the absence of any complications and disorders, the patient can be observed on an outpatient basis, but subject to all the doctor's recommendations.
There are a number of restrictions during the recovery period:
- It is not recommended to visit the sauna, bath, any thermal procedures.
- It is worth limiting physical activity during the entire rehabilitation period.
- It is necessary to avoid stressful situations, control the psychoemotional state, avoid active facial expressions on the face - pronounced laughter, grimaces, screams and other emotions.
- To get rid of postoperative edema, it is necessary to use a high position of the pillow for sleeping, it is recommended to sleep exclusively on your back.
- The teeth must be cleaned with high quality, but with less intensity, avoiding injury to the wound on the mucous membrane.
- Drinking alcohol and smoking during the recovery period is strictly prohibited.
- To prevent the development of inflammatory processes on the mucous membrane, antibiotics are prescribed on an individual basis.
In the presence of painful sensations at the site of removal, it is permissible to take painkillers, but as prescribed by a doctor. It is very important to follow a diet during the rehabilitation period.
It is necessary to reduce the load on the chewing muscles, therefore, for the first 3 days after the operation, it is permissible to take only liquid food. Gradually, the menu can be supplemented with mashed and mashed dishes. Solid food can be added to the diet no earlier than 14 days after surgery.
It is important to monitor the temperature of the food, excluding too cold and hot.
Each meal should be completed with an antiseptic rinse to avoid infection and irritation of the postoperative area.
Possible postoperative complications
With the correct removal technology, as well as compliance with all the rules of septic tanks, anesthesia and other important operational processes, there is practically no risk of complications.
However, after removing Bish's lumps with a scalpel or laser, the following complications may develop:
- violation of the outflow of fluid, swelling, redness;
- allergic reactions, accompanied by rashes, respiratory failure, cardiovascular system, lowering blood pressure;
- disruption of the salivary gland, facial muscles, tissue integrity;
- pain syndrome, which generally goes away for 2-3 rehabilitation periods;
- blood accumulation under the skin;
- numbness of the lower face;
- the occurrence of asymmetry with uneven removal of fat accumulations.
One of the negative effects after surgery is often the patient's dissatisfaction with his new appearance. Visible asymmetry may appear on the face, as well as signs of aging caused by the removal of fat cells.
If the patient concealed the presence of inflammation on the mucous membrane immediately before the operation, damaged the postoperative wound or did not take into account the doctor's recommendations during the rehabilitation period, the risk of complications increases many times.
If the preparation stages are not followed and there is no complete clinical picture before the operation, the risk of serious complications during the rehabilitation period, as well as the development of the inflammatory process, is higher.
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Bish's lumps (removal, the price depends on the chosen technology) make the face more rounded. The bisectomy trend has gained popularity thanks to the popularization of the procedure by Hollywood stars. To make the cheekbones chiseled and the face thinner, the fat bodies were removed by Kim Kardashian, Angelina Jolie, Natalie Portman, Megan Fox and other celebrities.
The aesthetic effect is long-term, therefore, before deciding on this procedure, the patient should be aware of the consequences that can occur after a decade and in old age:
- With age, the result will be less impressive, negative changes in facial features are possible.
- In the long term, there is a high risk of facial asymmetry. The process of formation of new cells and scar tissue takes a significant time period. Changes can appear after years in the form of asymmetry in the lines of the cheekbones.
- With significant weight gain, the effect will come to naught, as new fatty deposits will appear. The face will become round again, the beautiful effect of a well-defined oval and cheekbones will disappear.
- When losing weight, the oval of the face is visually stretched, the effect of fatigue and a haggard look may appear.
A decrease in the amount of fat in the facial area can trigger the activation of early aging. For this reason, doctors do not recommend resorting to removing Bish's lumps until 25-30 years old. The chances of developing early wrinkles are high.
It can be compared to the effect of a balloon: as long as it is filled with air, it is round, smooth, when the air is released, it shrinks, losing volume.
The decision to perform a bisectomy should be balanced, taken strictly on an individual basis, and not under the influence of fashion trends. Removal should be carried out only after a comprehensive assessment of the possible consequences, projecting the result of the operation for many years to come.
Change in the shape of the face before and after removal of Bish's lumps
A complete picture of aesthetic changes can be observed 5-6 months after the operation, when the wounds heal and the internal cells and tissues are restored.
The face after the removal of fat cells changes noticeably:
- the volume of the cheeks is significantly reduced;
- the oval of the face becomes clearer, more elongated;
- the contours change, the line of the cheekbones is especially emphasized;
- the chin has a less heavy appearance, it becomes more defined, expressive;
- there is a visible rejuvenation effect on the face;
- the depth of the nasolabial fold is reduced, wrinkles in the adjacent area are eliminated.
It is allowed to combine the procedure with other anti-aging procedures. Removal of Bish's lumps is combined with reinforcement with gold threads, plastic lifting, ultrasonic lifting.
A comprehensive program is developed by the doctor after assessing the aesthetic problem. The result obtained after a bisectomy is permanent, which must be taken into account before deciding on a surgical procedure.
Fat capsules (Bish's lumps) are functionally necessary for a person only in infancy. Removal does not pose a threat to the body, and the price of a bisectomy procedure varies depending on several factors.
It is important to assess the postoperative risks and possible consequences before removal. After a positive decision, it is necessary to give preference to a clinic with an impeccable reputation and a highly qualified specialist.
Article design: Mila Friedan
Video about removing lumps of Bish
Myths about removing Bish's lumps: