Removing lumps of bish. Bish's lumps are encapsulated fat formations that give the cheeks plumpness

Beauty knows no bounds, and women, in turn, always desire perfection. Some people think that perfect cheekbones need the right make-up. And others are sure that you should not spend a lot of time on cosmetics every day. Today we will talk about Bish's lumps, their true purpose and how you can permanently make your cheekbones more defined.

The main thing in the article

What are Bish's lumps: functions and anatomy

Bish's lump removal is a step towards perfect cheekbones

• As a child, for sure, everyone went through a stage when adults approached you and pulled your cheeks. At the same time, the process was accompanied by a replica - "Oh, how pretty, how sweet." Cheeks like a child's are very cute, but only when it comes to a child's face. In adulthood, chubby cheeks give some women good looks and take off several years. But fashion is such a thing: one did it, and the rest want it the same way. So it is with cheekbones.
• Each person has a different volume of lumps. Therefore, with age, some children's swelling disappears. But this does not mean that they do not have fatty formations, they just have less volume. And some cheeks remain like a child. In old age, due to loss of elasticity and less collagen production, lumps fall and subsequently form flew.
• The operation to remove fatty formations is aesthetic in nature, since in the process it does not change the contour of the face, but simply removes lumps. As a result, the cheekbones stand out better, and the cheeks look a little sunken.

Who is shown the removal of Bish's lumps?

It is possible to carry out an aesthetic operation to remove formations if:

• Age-related sagging of the skin in the cheek area and the formation of folds;
• Too large lumps;
• Additional procedure for liposuction or facial skin tightening;
• Inconsistency of facial features with the volume of body fat;
• Round face.

There is a procedure that does not remove lumps, but moves them over the cheekbones to give the latter a more pronounced appearance.

Contraindications to the removal of Bish's lumps

The road to surgery is not open to everyone. Formations cannot be removed by persons:

• under the age of 25, since before this age the facial skeleton grows, so it is likely that the formations will be less pronounced;
• with a deficiency of fatty layer on the face;
• overweight or underweight by more than 25% of the normal height-to-weight ratio.
• undergoing planned drying or weight gain;
• with inflammation in the cheeks and nearby locations: neck, mouth, face, ears.

During the operation, the patient takes tests and consults with a specialist who gives general recommendations. The doctor determines the indications for surgery not only by external signs, but also by the results of the tests.

Bish's bag removal operation: technology with photo

Lumps are removed in two ways:

Internal way- carried out in the oral cavity.

• The surgeon makes an incision inside the cheek no larger than 2 cm.
• Then it exfoliates the muscles and, with the help of a special tool, pulls up the capsule of the fatty formation and separates it from the adjacent tissues.
• After that, the doctor removes the lump along with its shell.
• Then he puts in stitches that dissolve on their own.
• After performing the operation on one cheek, the surgeon performs the same actions on the other cheek.

outdoor method- carried out only when combined with plastic surgery, for example, a facelift or the introduction of zygomatic implants.

It should be noted that the complete removal of lumps is not carried out, as this worsens the appearance of the patient. In addition, the absence of a layer leads to rapid aging of the face.

Several types of instruments are used for the operation:

• Scalpel- the most common option for the operation.
• endoscope– the use of this equipment does not distinguish the operation from the one performed with a scalpel. But the use of an endoscope less traumatizes the tissues, which reduces the number of sutures to one.
• Laser- the use of a laser is more effective, since it has an antiseptic effect, which prevents any infection of the wound. Pain is minimal, and the adjusted accuracy on the equipment allows you to achieve a symmetrical facial contour. The incision with the use of this equipment has a minimum size.

The operation is performed in 30 minutes using local anesthesia. General intravenous anesthesia is rarely used and is performed at the request of the client or with increased excitability.

The effectiveness of the operation to remove Bish's bags

• At first, after the procedure, the cheeks will look even plumper than before the intervention of the surgeons. But after a couple of days, the swelling will subside and the cheeks will decrease in size.
• After a few weeks, if all recommendations for recovery after surgery are followed, the client can observe a more pronounced contour of the face and cheekbones.
• And after complete healing, which on average varies up to six months, the patient can enjoy clear outlines of his newfangled face.

Bish's lump removal: before and after photos

For a better visual representation of how patients look before and after surgery, we present you photos of women who have removed fatty formations.

The fashion for removing Bish's lumps and Hollywood stars and the domestic sky has not bypassed, but how they suit them more - with or without cute plump cheeks, judge for yourself:

Removal of Bish's lumps: reviews of the operation

Feedback from patients who have undergone surgery to give their face a clear contour is observed both positive and negative. Some were not satisfied with the result, others were not fully informed, while others were fine.

Before seeking help, choose your surgeon carefully. Pay attention not only to the reviews of his patients, but also to his qualifications. Remember that your appearance depends on his hands.

How much does it cost to remove Bish's lumps?

The price range varies on average from 25000 before 50000 rubles. Depending on the region, the qualifications and experience of the specialist, as well as the status of the clinic, the price may change, mainly upwards.

It is also important to note that with such a simple operation, it is not worth saving on it. The fact is that the intervention is carried out near the facial nerves. And the inexperience of the doctor can affect during the operation, and then the consequences will be significant.

Removal of Bish's lumps: possible complications

After the operation, there may be complications:

• If the procedure was performed at the Balzac age, then the cheeks can be so sunken that it will visually age the woman.
• Against the background of large hollows in the cheeks, the jaw may look larger and more massive, which is undesirable for a feminine face.
• After the removal of Bish's lumps, the operation to introduce implants for the cheekbones will become impossible, since there will be nothing to attach them to.

Rehabilitation after removal of Bish's lumps

• After removal of formations, the client is allowed to go home on the same day without observation. The recovery period lasts an average of a month.
• Immediately after the operation, the face swells, but this does not last long, in just a few days the swelling disappears.
• Stitches are applied by special ones that do not require removal, they dissolve themselves within a week.
• For preventive purposes, the client is prescribed a course of antibiotics, which lasts according to the doctor's recommendation. Laser surgery does not require the use of antibiotics.

Upon completion of the operation, the doctor gives the patient recommendations for a quick recovery:

• first days and the next few weeks it is necessary to eat only liquid food so as not to strain the chewing muscles;
• food temperature should be acceptable, neither hot nor cold;
• until complete healing, it is not recommended to eat solid and hard food;
• after each meal, be sure to rinse your mouth and brush your teeth;
• until complete healing, you can not strain the muscles of the face: grimace, laugh, talk for a long time, scream, cry;
• it is necessary to sleep and rest only on the back and on a high pillow until all the seams heal;
• visiting water and hot places is strictly prohibited, these include: a bath, a swimming pool, a sauna, swimming in the sea, a pond and other bodies of water. It is necessary to wash in the shower.
• until complete healing, it is strongly recommended to minimize or completely eliminate physical activity.

Is it possible to remove Bish's lumps without surgery?

• Up to 25 years old the facial skeleton is in the growth stage, so it is likely that children's cheeks will be less visible on an adult face.
,"O" And "A" for stretching, as well as puffing out the cheeks.
• Mesotherapy may give an alternative effect of surgery to remove formations.
• strobing face will help to achieve clear facial features without surgery.
• contouring also help to highlight the cheekbones with the help of shadow play on the face.

Losing weight will not lead to the disappearance of lumps, since these fatty formations have nothing to do with body fat.

Video: Bish's lump removal operation

All people are individual, nature has awarded some with clear contours and lines of the face, others with "childish" chubby cheeks. It is worth appreciating and enjoying natural beauty, as fashion will pass, and the face will remain with you forever. And our article will help you make the right choice.

aesthetic surgery, oriented to the modern consumer, is obliged to meet the most widespread potential client requests. Against the background of a fairly built body, representatives of the weaker sex, there is a clear tendency to change the size and fullness of the face.

More and more women decide to have an operation in order to remove Bish's lumps, in this regard, it is important to understand their function in as much detail as possible, indications for surgery to remove them, rehabilitation and the possibilities of their reduction non-surgical by .

Bisha - Bisha's fat bodies

Bish's lumps are essentially fatty formations consisting of three lobes enclosed in a capsule that separates them from the buccal muscle and superficial muscles of the face. These formations owe their names to the French physiologist - anatomist Marie Francois Xavier Bichat.

The question of the role of Bish's lumps in the human body is debatable. The medical literature supports the opinion that their presence is due to the stimulation of the active sucking, and later chewing function of infants. Up to six, maximum seven years of age, these lumps grow and increase in size. With further maturation, their size remains unchanged, they visually decrease due to an increase in the face as a whole and the reverse development of the lumps themselves.

A secondary possible function of Bish's lumps is to protect the sensitive muscles of the face from mechanical influences.

An aesthetic look at Bish's lumps

Due to its location Bish's lumps can give the shape of the face an overly rounded and puffy appearance, adding volume to the oval of the face from below. Even naturally slender ladies who are not overweight can be owners unnaturally plump cheeks.

Encapsulated fat in Bish's lumps cannot be removed through diets and training, it has a special nature of occurrence and standard methods of dealing with excess fullness are ineffective in this case. To correct the appearance, burdened by the presence of such formations, it is necessary to perform their partial or complete removal.

Bish's lump removal

The presence of large bags of Bish in a patient is not a pathology and does not threaten the health of their owner. The indications for the removal of Bish's lumps are the aesthetic wishes of patients.

Bish's pouches are resected in the following cases:

• reduction of facial skin tone, provoked aging;
• enhancing the roundness of the face in the presence of excessive body fat;
• when modeling cheekbones and cheeks.

The operation to remove Bish's bags is aimed at correcting the oval of the face, this operation cannot radically change the appearance. However, as a result of such an intervention, it is really possible to refresh and smooth the contours of the face, ennobling its lower part.

The operation is performed on an outpatient basis, the method of anesthesia is chosen individually. The surgeon makes an incision on the inner surface of the cheek and provides access directly to fat capsules. The amount of fat to be removed is calculated individually and directly depends on the patient, the desired shape of the face and its features.

With simultaneous correction of the cheekbones, fat transported above and creates additional volume of this area. After completing all the necessary manipulations, the incision is sutured absorbable material .

Contraindications to Bish resection surgery

To successfully remove Bish's lumps, the doctor needs to exclude a number of contraindications, among them :

• the presence of inflammation in the mouth, on the face and neck of the patient;
• caries, periodontitis;
• acute period of infectious disease;
• blood clotting disorder;
• diabetes;
• acute or chronic liver disease;
• history of mental illness;
• history of epileptic seizures;
• overweight or underweight of the patient, exceeding 25% of the normal body weight;
• dynamic weight loss or weight gain by the patient during surgery;
• young age, when Bish's lumps have not yet completed the stages of their reduction.

Rehabilitation after removal of Bish's lumps

Given the quality of modern services, the occurrence of complications during the rehabilitation period is usually associated with allergic reactions to the anesthetic and suture material. Also, an individual reaction to anesthesia is not ruled out. Duration rehabilitation period is limited to a couple of weeks.

rehabilitation period characterized swelling of the cheeks and moderate pain in the face and neck for one and a half to two weeks. Internal the surface of the cheeks heals within 2-4 days. If the surgeon has not used bioabsorbable material, then the sutures are removed after 6-8 days.

Fairly light postoperative the period is still associated with a number of restrictions for the patient:

• it is necessary to cancel physical activity for 2-3 weeks;
• limit the load on the muscles of the face as much as possible;
• do not visit saunas and do not stay in the water for a long time;
• To avoid swelling, you should sleep on your back with a high pillow under your head.

A number of restrictions distributed by for the patient's diet:

• the first three days the patient is limited to liquid nutrition;
• for the next 2-3 weeks, solid food should be excluded from the diet, thereby protecting the muscles of the face from overstrain;
• do not injure the oral cavity with too cold or too burning food and drinks.

In addition, one should pay increased attention to oral hygiene after each meal. Follow your doctor's instructions for taking anti-inflammatory drugs.

The results of the prompt removal of Bish's lumps will become clear after the end rehabilitation period, however, it is recommended to fully evaluate the transformation after 4-6 months, when the damaged tissues finally heal.

Remove Bish's lumps without surgery

Unfortunately, Bish's lumps cannot be removed by physical activity, diets and massages. ineffective in reducing them and specialized cosmetic lipolytics and face-building. The only way to deal with fat lumps is an operation.

Star practice of removing Bish's lumps

Expressive cheekbones and a refined oval of the face are the standard for the appearance of many modern women. Many famous ladies did not neglect the operation to remove Bish's lumps. In particular, the recognized beauty Angelina Jolie corrected shape of the face through such an intervention, the result is clearly visible in the photographs before and after the operation.

J. Lo, Victoria Beckham, Jennifer Aniston, Sarah-Jessica Parker and countless other celebrities, of varying degrees of stardom, resorted to the services of aesthetic surgery to remove Bish's fat lumps.

Among domestic stars, this manipulation is also extremely popular. Celebrities of the first echelon decided on such an intervention - Lyudmila Gurchenko, Nadezhda Babkina, Kristina Orbakaite, Lolita.

Given the relative simplicity and short postoperative period, the operation to remove Bish's lumps is becoming more and more popular. The cost of the operation is relatively low, which increases its availability. The average price of the operation is 30,000 rubles. Of course, the fee can be much higher, but it will depend on the status and promotion of the clinic.

When choosing a medical institution for such an operation, you should adhere to the golden mean rule. Too democratic price for the services of a doctor is an absolute risk for the patient. A doctor inexperienced in this kind of surgery can damage the facial nerves that are in direct proximity to Bish's lumps, and this, in turn, will lead to irreversible consequences.

Trusting a trusted specialist and following simple rules for postoperative care, you can improve significantly. But, perhaps, the main thing in the pursuit of beauty is not to lose individuality and keep common sense.

Video: Bish's lump removal

Plastic surgery is very popular today among people of different ages and even social groups. So, not only public people strive to correct their appearance, but even citizens of the most ordinary, far from secular professions. Now I want to talk about such a procedure as removing Bish's lumps: when and how this operation is performed.

What it is?

Initially, you need to understand the terminology and find out what exactly will be discussed. Bish's lumps are an accumulation of fat masses in the cheek cavity, which form this particular part of the body. That is, this is a formation that is hidden under the skin and creates an oval of the face, giving additional volume in its lower part.

Bish's lumps are named after the scientist who first described these formations in detail - the French physiologist and anatomist Marie Francois Xavier Bish.

Functions of Bish's lumps

It should be noted that even if these formations are in the human body, scientists still have not been able to understand why exactly they are needed. In this regard, there are several versions, thanks to which the purpose of Bish's lumps is explained:

1. This is a special gasket in the oral cavity, thanks to which a person can chew food at the lowest cost to the body.
2. Like other fat deposits, Bish's lumps protect the face from various kinds of injuries and damage.
3. According to the latest version, their main purpose is to improve the sucking reflex in newborn babies.

Also, scientists argue that in adulthood, these educations do not play any role at all. Moreover, over the years, they become more and more noticeable, and closer to venerable years, they can even weigh down the lower part of the cheeks. That is why often people want to get rid of them completely.

In children, Bish's lumps are more noticeable, which gives the kids' cheeks a nice swelling. With age, these formations become less visible, since they do not grow along with other tissues of the body. It is also important to note that if a person wants to lose weight, the size of Bish's lumps will remain the same. After all, these are very dense fatty formations that practically do not change in size.

Indications for the use of the operation

In what situations can the doctor prescribe the removal of Bish's lumps? So, you need to remember that this is an operative intervention, which in any case will affect the body. So this procedure must be approached very seriously, weighing all the pros and cons of the operation. Most often, specialists prescribe the procedure as an aesthetic improvement in the shape of the face. Other indications:

• Age-related omission of the lower part of the cheek.
• The round shape of the patient's face, in connection with which Bish's lumps make the cheeks even more rounded.
• Visually, Bish's lumps are too large in comparison with the body shapes.
• Also, these formations can be removed if the nasolabial folds are too pronounced. After the operation, the curves of the face become much softer.

It should also be noted that before the operation, the patient should be offered a facial service. In this case, the person will be able to see how he will look after the procedure, and decide whether he is satisfied with such a result.

Things to keep in mind when deciding to have surgery

It should be noted that the operation to remove Bish's lumps is a procedure that is practically harmless to the body (except for the effect of anesthesia). However, a person must first know a couple of simple nuances:

• The operation itself takes an average of 35 minutes. After it, there is no need to spend time in the hospital.
• During surgery, both local and general anesthesia can act.
• After the operation, the incisions will not be visible, scars can also not be afraid. There will be no visual reminder of the procedure.
• Removal of Bish's lumps can be carried out either completely or partially. That is why it is very important to choose a good specialist who can decide how much fat to keep and how much to remove.

It should also be noted that it is possible to correct the shape of the face not only by completely removing these formations. Moving Bish's lumps to the zygomatic region is another subspecies of the operation. In this case, the cheekbones will stand out more clearly in a person. But, again, this is decided by the doctor together with the patient himself on the final result.

Contraindications for the procedure

In what cases can the doctor refuse to perform the procedure to remove Bish's lumps:

• The patient's age is up to 25 years. After all, lumps can still decrease on their own.
• Health problems: various chronic diseases, inflammatory processes. A contraindication is diabetes mellitus, as well as a violation of blood clotting.
• Also, doctors will not undertake to operate on those patients whose weight indicators are unstable.

Preparing for the operation

It is very important to prepare for the operation to remove Bish's lumps. So, for this you need to prepare in advance:

1. It is necessary to pass all the necessary tests.
2. It is also important to talk to your doctor about possible complications. At the same time, the doctor is obliged to find out all the information about the patient's health problems, about his chronic diseases and other nuances.
3. It is also important to make sure that the doctor correctly understands what the patient expects from the operation. Although the result after the operation is noticeable, the face correction will not be as radical as a person can hope for.

And what else is important to say: the operation should be carried out exclusively in a medical institution, and not in a beauty salon. Indeed, in case of complications (although they occur extremely rarely), you need to have all the necessary medical equipment at hand.

A little about the operation itself

As it has already become clear, the removal of Bish's lumps is carried out by surgical intervention. In this case, there are two main methods that experts use to choose from:

1. You can remove formations through the inside of the cheek.
2. You can remove the formations through an incision on the outside of the cheek.

The first technique is the least dangerous and less traumatic. After all, Bish's lumps are located closer to the inside of the cheek. So, the specialist makes an incision on the mucous membrane, exfoliates the muscles and removes a lump of fat. After that, the simplest suture is applied, which simply dissolves after a certain period of time. There is absolutely no harm to the mucous membrane. Also, this type of operation does not require a long process of restoration of the skin on the face.

The anatomy of a person's face is such that it is easier to remove Bish's lumps through incisions on the inside of the cheek. Doctors may offer to extract these formations through the outside only in the case of another, parallel operation. And the removal of Bish's lumps will be carried out simply as an application. After all, this technique is much more complicated and traumatic, the process of tissue repair after such a procedure is longer and more difficult. And there is a huge risk of damage to the nerve endings, as well as the salivary glands, which are located next to the lumps.

It is also important to note that this operation is not considered plastic. After all, the anatomy of the face in this case does not change. The purpose of the procedure is to correct the appearance of the patient.

Postoperative period

It should be noted that if the operation was carried out by making an incision on the inside of the cheek, then the recovery process will be quite quick and simple. After the patient recovers from anesthesia, and the doctor makes sure that everything is in order with the person, you can go home. There is no need to stay in the hospital. Edema, of course, will be. But they will completely disappear on the third day. If the doctor did not use bioresorbable material, after 7-8 days you will need to drive up in order to remove the stitches.

If the removal of Bish's lumps was an additional procedure for another operation, then most likely the recovery process will not be so quick and easy. In this case, you just need to carefully listen to the surgeon and carefully follow all the doctor's instructions. And then everything will return to normal in the shortest possible time.

Recovery process after surgery

How does the removal of Bish's lumps end? Patient reviews indicate that the recovery process is completely simple. So, for a couple of weeks you will have to give up physical exertion on the whole body, including the jaw. At first, you will have to eat only liquid food, then you will need to avoid dishes that require thorough chewing. The temperature of food should be exceptionally average. Hot or cold food should be avoided. It is also important to maintain oral hygiene: after eating, brush your teeth or at least rinse your mouth.

The doctor will not prescribe medication. That's just can prescribe drugs that will help prevent the occurrence of inflammation on the inside of the cheek.

Important nuances to know and remember

What else do you need to know about when deciding to remove Bish's lumps? Before and after the operation, the appearance of a person will not differ too much. Although these will be removed, the oval of the face will not change so significantly. Appearance will only be corrected. So, you should not expect something supernova in appearance.

How much does it cost to remove Bish's lumps? The price of the procedure may be different, but varies between 300-500 dollars. If a clinic or beauty salon offers a lower price, it is worth doubting whether everything is in order here. In this case, you need to check the reputation of the institution and all the documents of the doctor who will perform the operation.

Round, plump cheeks touch us on children's faces. At the same time, such cheeks on the face of an adult do not always look attractive. In pursuit of a clear contour of the face, trying to get rid of plumpness, ladies follow the most severe diets, lose weight, but - alas! - the shape of the cheeks does not change, they remain the same round. And the reason for this is Bish's lumps (or, in other words, Bish's bags).

What are Bish's lumps?

These are fatty deposits surrounded by a capsule shell and located deep under the skin and muscles of the face, in the space between the cheekbones and the lower jaw. They were named after the French anatomist Bish, who first described them.

Each lump (there are two in total - one on each cheek) consists of three lobes grouped around the duct of the salivary parotid gland. Visually, these formations round off the lower third of the oval of the face.

In infancy, Bish's lumps make it easier for the child to suck and chew, maintaining cheek tone and reducing muscle friction. In addition, it is believed that these fatty lumps perform a protective function in relation to the facial muscles and facial nerves. On the faces of babies, these formations are very clearly visible.

With age, Bish's pouches become virtually unnecessary. They do not grow, but they do not disappear either, falling down in older people and forming the so-called "flews" - skin folds in the lower jaw.

Why remove Bish's lumps?

The presence of these fatty deposits in the depths of the cheeks is not a pathology, but a normal phenomenon. But their shape and size are individual for each person. And if in some people, as they grow older, facial features become thinner, more elegant, cheekbones stand out, then in others this does not happen. Their cheeks for life remain as plump as in childhood.

Attempts to lose weight through diet or exercise do not have any effect on the size of Bish's lumps. The fat in these formations has a high density and does not dissolve even when the whole body noticeably loses weight.

Therefore, if the patient is obsessed with the desire to change the contour of a round, heavy face and get the appearance of "a la Demi Moore" - with sunken cheeks and protruding cheekbones - she is offered an aesthetic operation to remove Bish's lumps. This operation is considered precisely aesthetic, and not plastic, since it does not change the anatomical structures of the face.

Indications and contraindications for surgery

The only indication for the operation to remove Bish's lumps is the patient's desire to aesthetically improve his appearance.

The operation is effective in the following cases:

• with a round face shape, aggravated by fat deposits in the cheek area;
• with age-related omission of the lower part of the cheeks and the formation of skin folds;
• with a clear visual discrepancy between too large lumps of Bish and small facial features;
• with pronounced nasolabial folds;
• as an adjunct to facial skin tightening, liposuction of the cheeks and chin, etc.

Sometimes Bish's bags are not removed, but they are moved higher, under the cheekbones, in order to give additional volume to a too thin face (plastic of Bish's lumps).

Contraindications for surgery:

• age up to 25 years, since up to this point the facial skeleton is still growing and Bish's lumps are relatively decreasing;
• too thin face with thinned fat layer;
• deviation of the patient's body weight from the norm by more than 25% (in any direction);
• planning for weight loss or, on the contrary, weight gain - the operation is possible only with a stable body weight;
• inflammatory diseases with localization in the neck, face, oral cavity.
• The remaining contraindications are generally accepted for any operations.

Before removing Bish's lumps, in many centers of aesthetic surgery, the patient is offered to model the face on a computer. This program will show how the client's face will look after removing fat lumps. Thus, the patient will be able to find out which version of his appearance he likes more, and whether it is worth performing the operation at all.

Removal technique

When removing Bish's lumps, either internal or external access to the fat sacs is used.

• 1. With internal access, the cheek incision is made from the inside, from the oral cavity. On the buccal mucosa, the surgeon makes a small (1.5-2 cm long) incision, through which, after exfoliating the muscles, he pulls up the capsule of the fat lump, separates it from the surrounding tissues and removes part of the lump along with the shell. Complete removal of Bish's formations is not recommended, otherwise the face may take on a haggard, aged look. Self-absorbable sutures are applied to the mucosa. Manipulation is carried out on each cheek.
• 1. External access with a cheek skin incision is used only in the case of combining the resection of Bish's lumps with a skin tightening, sewing in zygomatic implants or other plastic surgeries on the face.

As a tool, the surgeon can use a scalpel (traditional option), endoscopic equipment or a laser (so far only used in laser surgery centers).

• 1. The course of endoscopic intervention practically does not differ from the traditional operation, however, the use of special equipment minimally injures tissues. The incision on the mucous membrane is quite small, after peeling the fat lump, it is enough to apply a single absorbable suture. Complications after surgery are extremely rare.
• 1. Removing Bish's lumps with a laser (not to be confused with laser lipolysis!) Has a number of advantages over using other tools. The antiseptic effect of the laser beam is guaranteed to prevent infection of the surgical wound. The patient practically does not feel pain. The accuracy of the laser settings allows you to get an absolutely symmetrical oval of the face. The recovery period, already short, is reduced due to the rapid healing of the incision.
• 1. Whatever tool the surgeon uses, the operation is performed using local anesthesia and takes 25-30 minutes. General intravenous anesthesia is used only in rare cases, at the request of the patient or with his excessive psycho-emotional excitability.

Stationary observation after this simple operation is not carried out; the same day the patient goes home.

Recovery period

After an operation performed with an internal access, i.e. through the mucous membrane of the cheeks, the recovery of the body occurs very quickly. The entire rehabilitation period takes about a month.

Surgery leaves swelling on the face. As a result, the patient's cheeks increase in size. But this phenomenon is temporary, swelling spontaneously disappear after 2-3 days. The sutures dissolve within 5-7 days, or the surgeon removes them after the same period.

To prevent infectious complications, the patient is prescribed antibiotics (2 courses for 7 days with a 5-day break). After laser exposure, antibacterial prophylaxis is not applied.

• 1. food in the first 3 days is allowed only liquid (broths, liquid cereals, etc.), so that the chewing muscles do not strain. Dishes should be neither hot nor cold. In the next 2-3 weeks, you can not eat solid, spicy, salty foods. The menu consists of mashed soups, cereals, mashed potatoes, soufflés. Meat and fish can be consumed heavily boiled. Every time after eating, brushing your teeth and rinsing your mouth is obligatory.
• 1. Within 2-3 weeks, you need to monitor your facial expressions, trying not to strain your facial muscles. It is advisable to keep a calm facial expression: do not grimace, do not laugh out loud, do not talk for a long time, and even more so do not scream.
• 1. In order not to accidentally touch the areas of the face that have undergone surgery in a dream, you need to sleep only on your back, on a high pillow.
• 1. Exclude for 2-3 weeks visiting the bath, swimming pool, sauna, swimming in open water. It is better to take a shower instead of a bath.
• 1. At the same time, reduce or eliminate, if possible, physical activity.

Long-term consequences of removing Bish's bags

Operated patients may experience undesirable consequences that are delayed. The model hollowness of the cheeks is beautiful in youth, and in adulthood, a slight puffiness of the cheeks rejuvenates a woman. At the age of 30-40, women experience hormonal changes associated with aging, and they cause deformation of Bish's lumps - the cheeks are slightly retracted; if the lumps are removed, then the effect is more pronounced - the jaw becomes more massive than it could be.

Operation cost

The cost of the operation to remove Bish's pouches is influenced by a number of factors: the method of surgical intervention; method of anesthesia; the amount of fat to be removed; the status of the clinic and the status of the specialist who will operate; finally, the city where the clinic is located.

As a result, the price of resection of Bish's lumps fluctuates over a fairly wide range: from 25,000 to 80,000 rubles.

"Stars" and Bish's lumps

Alternative Cheek Reduction Methods

Many patients are interested in the question of whether it is possible to remove Bish's lumps without surgery. Unfortunately, these fatty deposits can only be removed surgically.

However, you can achieve the effect of sunken cheeks in other ways, without removing Bish's formations. Alternative methods include cheek liposuction and laser lipolysis. Both methods are aimed at removing fat from the subcutaneous fat and are quite suitable for patients with excess fatty deposits on the cheeks. Bish's lumps, located much deeper, are not available for the impact of these technologies.

Cheek liposuction

The technique is reduced to the translation of fat into a liquid state (emulsion) with subsequent vacuum suction of this emulsion. The most commonly used tumescent liposuction is when Klein's solution (a mixture of lidocaine, adrenaline and saline) is used to thin the fat. This mixture is injected subcutaneously through a needle-cannula inserted into a micro-incision.

Klein's solution provides the transformation of fat into an emulsion, anesthesia and vasoconstriction (i.e. reduction of blood loss) at the site of manipulation. The fat emulsion is removed by vacuum suction through the same cannula. The procedure takes 1-2 hours. Traces of incisions on the cheeks disappear after 1.5-2 months.

The disadvantage of the technique is the possible sagging of the skin where the fat layer has been removed.

Laser lipolysis

The principle of the method is the same as for liposuction: vacuum removal of liquefied fatty tissue. However, the transfer of fat into an emulsion occurs under the influence of heating by a laser beam. This heating also stimulates the synthesis of collagen fibers in the skin. The skin tone is restored, it does not sag.

Removal of lumps (bags) of Bisha: BEFORE and AFTER photos

Resection of Bish's lumps is not considered a difficult operation, but only an experienced surgeon can successfully carry it out without affecting the facial nerves passing nearby and remove exactly the same amount of fat from the right and left cheeks, while maintaining facial symmetry.

Almost all women are obsessed with their appearance and that is why they strive to do everything so that their appearance is always perfect. But if in youth all problems can be solved only with the right care, then with the onset of a more mature age, creams and massages no longer give the desired result.

Most of all, the processes of growing up can be seen, of course, on the face. Most often, people begin to annoy the so-called Bish's lumps, which make a woman's face more plump and massive. To get rid of this problem, the fair sex has to go to extreme measures, that is, remove them surgically. We will talk about what Bish's lumps are and whether they should be removed in our article.

What are Bish's fat lumps, where are they located on the face in adults and children?

Omission of Bish's lumps

Bish's lumps are called fatty deposits that have a capsular-type shell and are located between the cheekbones and the lower jaw. This name was given to them in honor of the first anatomist who found them and described them in as much detail as possible. On the face of a person there are two similar lumps, each of which consists of three small segments, rather densely grouped around the salivary duct located in the ear area.

Initially, it was believed that Bish's lumps are assistants to the facial muscles and facial nerves. But over time, scientists have found that when the human body stops developing (the aging process begins), these fat deposits cease to perform all their functions, and more precisely, they become unnecessary. And due to the fact that they consist exclusively of adipose tissue, they begin to gradually increase, forming ugly folds on the human face.

For this reason, most people quite easily agree to an operation to remove them and almost painlessly return their former beauty to their face. As for children, Bish's lumps are vital for them. As scientists have proven, it is they who in the first months of life help to significantly reduce muscle friction, maintain cheek tone and help the baby to suckle the mother's breast correctly.

Why remove Bish's lumps on the face?

Bish's lump removal

As you probably already understood, the main reason that people decide to have an operation to remove Bish's lumps is that over time they make their cheeks more plump and protruding. And if it only decorates a small child, then at least it adds age to an adult. Another reason that pushes people to take this step is the asymmetry of the face. Sometimes, although very rarely, one lump increases dramatically, while the other remains as it was.

As a result of this visually, the person's face begins to look as if twisted. And then the man or woman has no choice but to resort to surgical intervention. But, perhaps, the most common reason why Bish's lumps are removed is the desire of people to make their face neater and thinner. Such an operation can be performed after reaching the age of 25, provided that the person does not have any serious health problems.

Bish's fat lumps on the face: indications and contraindications for surgery

Indications for the operation

In most cases, the indication for an operation to remove Bish's fat lumps is the patient's desire. As practice shows, a large number of specialists do not see any medical reason for this. In view of this, patients, having weighed all the pros and cons, independently seek help from a plastic surgeon.

But one should not think that doctors perform this operation on everyone without exception. As a rule, they refuse people who have not reached the age of 25 and those whose lumps have not yet begun to sag. After all, no matter how sad it may be to admit it, but sometimes complications arise that do not make the face better.

Indications for the operation:

• Very plump cheeks with general thinness
• Unnatural wrapping of the skin in the cheek area (occurs against the background of age-related changes)
• The formation of deep nasolabial folds at a young age (up to 35 years)
• Well-marked facial asymmetry
• Too obvious deposition of fat in the cheek area against the background of obesity
• Facelift and chin lift

Contraindications for surgical intervention:

• Childhood and adolescence
• Initially too thinned fat layer on the face
• Too much or too little weight (more than 25% deviation from the norm)
• Inflammatory diseases occurring in the face, neck and oral cavity
• The presence of cancer

Where is Bish's fat lumps removed on the cheeks, how much does the operation cost?

Operations to remove Bish's lumps should be carried out in good clinics

I would immediately like to say that, although such an operation seems very simple, it is carried out under anesthesia. What it will be local or general is decided by the doctor himself, taking into account the amount of fat and the condition of the patient's body. And since in order to get to Bish's lumps, the surgeon needs to make quite noticeable incisions, this operation must be carried out exclusively under sterile conditions, that is, in the operating room.

After all, only in this case you can be sure that the operation will be successful, and the recovery period will last the most minimal time. As for the prices for such a procedure, if we talk about Moscow, then its cost starts from 30 thousand rubles. Moreover, not very popular and promoted clinics require such a fee. If you want to carry out this operation in a more popular place, then its cost may increase by at least another 10 thousand rubles.

In addition, pain medications and the amount of fat that needs to be removed can affect the cost of the operation. At the very end, I want to say one thing, remember, Bish's lumps are very close to the facial nerves, in view of this, it will be better if an experienced doctor who has done many successful operations will solve your problem.

Which of the stars removed Bish's lumps: before and after photos

Polina Gagarina

Changing the line of the cheekbones of the singer Alsou

Natalia Portman's face without Bish's lumps

World-class stars and local media faces sooner or later decide on an operation to remove Bish's lumps. In most cases, they think that a more beautiful and sculpted face will help them become even more popular and in demand. And no matter how ridiculous it may sound, quite often it works and they begin to receive offers that they had never dreamed of before.

If you want to know who decided on such an operation, then look at the photos posted a little higher. Having carefully examined them, you can see how much the appearance of a person changes after the hated fat lumps have been removed.

Methods and techniques for removing Bish's lumps on the cheeks

Ways to remove Bish's lumps

If you were attentive, you probably realized that removing Bish's lumps is like a mini-operation that has a minimal burden on the body. That is why after its implementation, people quickly recover and return to their normal way of life.

True, you must understand that the length of the recovery period directly depends on the method by which the operation will be performed. As practice shows, if the procedure is carried out with minimal tissue injury, then a person can feel quite normal after seven days.

Operation methods:

• Classic. In this case, anesthesia is administered to the person, and then the surgeon makes a small incision on the inside of the cheek. Having gained access to the capsule with adipose tissue, he simply cuts it out with a scalpel, cauterizes the vessels and sutures the wound. Usually, after the effect of anesthesia ends, a person feels quite strong discomfort in the incision area.
• laser. Since in this case the standard scalpel is replaced by a laser beam, the operation is less painful and traumatic. That is why most patients who agree to laser removal are given local anesthesia, which gives less stress on the heart and blood vessels.
• Modeling. In this case, an incision is also made, just the adipose tissue is not removed, but redistributed in such a way that the lower part of the jaw harmonizes as well as possible with the upper one. As a rule, such an operation is performed on patients of the older age category, in whom the fat layer is depleted against the background of age-related changes.

Rehabilitation and recovery after surgery to remove Bish's lumps on the cheeks

Rehabilitation and recovery after surgery

Rehabilitation after removal of Bish's lumps is carried out in a standard way. Immediately after suturing, the wound is treated with antiseptic agents and the patient is transferred to the ward to recover from anesthesia.

If no complications are observed, then by the evening the person is sent home, and he, in his usual conditions, is waiting for the wound to heal. All that he will have to do at this time is to rinse his mouth several times a day with a solution that will disinfect the wound and stimulate faster tissue regeneration.

In addition, patients must adhere to the following rules:

• Do not eat too hot or too cold food
• Eat only liquid and soft foods (mashed soups and cereals are best)
• Be sure to brush your teeth and rinse your mouth after breakfast, lunch and dinner
• Sleep on high pillows
• Try not to strain your facial muscles (do not laugh, do not scream or cry)
• Do not visit baths, pools and saunas
• Need to limit strength training
• It is categorically impossible to do facial massage for the entire recovery period.

Yes, and if you notice that your pain has increased or an unpleasantly smelling discharge has begun to appear from the wound, then immediately see a doctor. It is likely that a latent infection began to manifest itself in this way, which, without timely therapy, will complicate the healing of the wound and, as a result, your recovery will be delayed for weeks.

Resection, removal of lumps, Bish's balls on the face in women and men: pros and cons, is it worth removing?

Arguments for the operation

If you still doubt whether to remove Bish's lumps or not, then just sit down and think about how much moral discomfort they give you. If the presence of round cheeks does not particularly bother you, then you should not do the operation.

After all, no matter how harmless it is, complications after it still happen. Therefore, if you do not like to take risks, then it is better to leave everything as it is. In the event that fat lumps do not allow you to calmly look in the mirror, then carry out the operation without hesitation.

Arguments for the operation:

• After the operation, the oval of the face becomes clearer and more noticeable, the skin on the cheeks is tightened, thereby visually rejuvenating the person.
• In comparison with the standard procedure for pumping fat from under the skin, the removal of Bish's lumps gives a much better result. As practice shows, the visible effect of the operation lasts at least 5 years.
• This is the only operation that can effectively eliminate age-related changes (bulldog cheeks and skin laxity).

Arguments against the operation:

• If the operation is performed poorly, then there is a possibility that part of the adipose tissue will remain in its place.
• Sometimes, after the removal of fatty lumps, a person's face begins to look unnaturally thin (as a rule, this happens in older patients).
• There is a possibility that the human body will not respond adequately to anesthesia and he will begin to have problems with the kidneys and heart.
• In the event of a medical error, you will not be able to restore your face to its previous appearance.

What is the danger of removing Bish's lumps, what could be the consequences?

Unpleasant consequences of the operation

Immediately I want to say that complications after the removal of Bish's lumps are extremely rare. If the operation is carried out correctly and it is done by a professional, then, as a rule, everything goes perfectly.

The wound heals quickly enough and after 10 days a person observes a beautiful and rejuvenated face in the mirror. In the case of a person who did not undergo a thorough examination, or the specialist did something wrong, then there is a possibility that the operated person may have problems.

Unpleasant consequences of the operation:

• Inflammation of the tissues in the incision area. Most often, all such a complication occurs if a person had some kind of infection in his mouth at the time of the operation.
• There are cases when, after an incorrectly performed operation, the face, as they say, slips, and becomes too elongated and thin. In this case, after recovery, women have to carry out an additional facelift.
• If immediately after removal a person loses a lot of weight, then this immediately affects the face. Since this inevitably leads to the fact that the skin becomes less elastic, it is visually perceived as painful.
• If the specialist chooses the wrong anesthesia, then the patient may develop an allergic reaction, which will manifest itself as a rash, itching and other unpleasant sensations. In this case, the recovery process will necessarily be accompanied by the intake of antiallergic drugs.
• In very rare cases, inexperienced surgeons damage tissues that are in close proximity to Bish's lumps. As a rule, this leads to more pronounced pain and a little more swelling of the cheek after surgery.

Bish's lumps on the cheeks: unsuccessful operations - photo

Photo #1

Photo #2

Photo #3

As you already understood, although the operation to remove Bish's lumps is not very difficult, there is still a possibility of complications. In view of this, before going under the surgeon's scalpel, first go through the most thorough examination. Be sure to ask a specialist if you have problems with the heart and blood vessels, check how well your blood coagulates. Also, be sure to contact your dentist and ask him to give you a conclusion that there are no wounds or other foci of infection in your oral cavity.

This must be done, because in the event of complications, you will look like women in the photographs posted a little higher. It is clear that you will definitely not walk with such a face, which means you will need plastic surgery, which will cost a lot of money. If you have official papers on your ideal state of health in your hands, then you can seek compensation through the court for part of the money paid for the operation.

How to remove Bish's fat lumps without surgery at home?

Exercises for lifting the cheeks and oval of the face

If for some reason you do not want to have an operation, you can try to get rid of Bish's lumps with less painful methods. But remember, in order to achieve a visible result, you will need to practice yourself every day. If you only occasionally do some cosmetic procedures, then you definitely won’t get the desired effect.

Home methods for dealing with Bish's lumps:

• Refuse food that provokes the accumulation of body fat and be sure to normalize the water balance of the body. After some time, your body will begin to properly process food and, against this background, weight will begin to decrease, which is also the cause of excessive puffiness of the cheeks.
• Do facial self-massage regularly. This will help enhance all metabolic processes in the dermis and, as a result, all fat cells located in the face area will decrease in size. Such a massage is carried out with the help of pinching, stroking and patting.
• Another good way to help get rid of this problem is simple home gymnastics for the face. If you inflate your cheeks as much as possible and at the same time try to drive air inside the oral cavity, you can slightly reduce the thickness of the fat layer by such actions, thereby removing swelling of the cheeks.

Bish's fat lumps on the face - removal: reviews

Bish's lumps on the face: reviews

Alexandra: Due to weight issues, my face has always been chubby. And when I turned 35, the so-called bulldog cheeks began to decorate it. And no matter what I tried to do (lose weight and engaged in face-building), they did not disappear. Therefore, having some doubts, I decided to have a surgical operation. Everything went so perfectly that I even began to regret that I had not done it earlier.

Valentine: Bisha's too obvious lumps are a hallmark of all women in our family. Both grandmother, and mother, and aunt's cheeks are so plump that their head visually looks like a small ball. While I was small, I even liked it, but when I grew up, I realized how ugly it was. Therefore, as soon as I turned 25, I immediately found a clinic and removed fat lumps. I was satisfied with the operation and, most importantly, now my face looks very beautiful, sophisticated and aristocratic.

Video: Plastic surgery. Bish's lump removal