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Negative consequences of removing bish lumps. How long does the seams disappear after the removal of Bish's lumps. Options for getting rid of Bish's lumps and their features

In surgical cosmetology, the removal of Bish's lumps is becoming increasingly popular. This aesthetic surgery allows you to get rid of excessive roundness of the cheeks and give the oval of the face, especially its lower sections, more expressive and refined outlines.

Anatomy and function of Bish's lumps

They consist of three lobes and are accumulations of adipose tissue enclosed in capsules. Located around the parotid duct salivary gland, as well as between the superficial and chewing muscles of the face from the infraorbital region to mandible, they give the face a certain rounded contour, especially in the lower third.

Their function is to reduce muscle friction while eating in childhood. Giving tone to the cheeks, Bish's lumps facilitate the act of sucking. Fat lumps in children also perform the function of protecting the mimic muscles and nerves from injury. Gradually, in the process of growing up, these functions lose their significance. In adults, the data fat accumulations smoothen the areas of the face under the cheekbones, give the appearance of swelling on the cheeks, increase the volume of the lower part of the face, and with age - sag, forming nasolabial folds and skin folds in the lower jaw.

Indications and contraindications for removal

Attempts to follow a certain diet do not lead to a rapid decrease in the volume of Bish's bodies. Regardless of the shape and size, they are not a pathology. indication for their prompt removal is the desire of the patient to improve the shape of the face for aesthetic purposes when:

  1. Round shape of the face, enhanced by deposits of adipose tissue.
  2. The presence of clearly excessive fat deposits on the face.
  3. Age-related changes in the form of drooping cheeks with the formation of wrinkles and skin folds.
  4. Plastic surgery on the face - skin tightening, liposuction of the chin, and the introduction of zygomatic implants. In these cases, the removal of Bish's fat pads acts as an additional method of correction.

Sometimes not removal is performed, but the movement of fat bodies under zygomatic bones in order to create additional volume in this cheek area.

Contraindications to the operation are:

  1. Acute respiratory infections.
  2. Inflammatory processes in the face, neck, oral cavity.
  3. Chronic systemic diseases and decreased immunity.
  4. Diabetes.
  5. Violation of blood coagulation processes.
  6. chronic liver disease, mental illness and epilepsy.
  7. Age up to 25 years: adipose tissue before this age can decrease on its own.
  8. A significant deviation (about 25%) of the patient's body weight from the norm in a positive or negative direction.
  9. Planning to increase or decrease your weight in the near future. The operation in this case is possible only after its stabilization.

Operation technique

The operation to remove Bish's lumps is carried out in two ways - the usual method or using endoscopic equipment. Namely:

  • internal access, in which an incision of the mucous membrane 1.5-2 cm long is made from the side of the oral cavity; after exfoliation of the muscles, the fat bodies are pulled up, exfoliated from the surrounding tissues and removed along with their shell;
  • external access after skin incision; this method is used only if the removal of fatty formations is performed as an additional one during plastic surgery on the face.

In the first variant, absorbable sutures are applied to the mucous membrane at the incision site. The operation is performed under local anesthesia for 25-30 minutes. Patients with unstable nervous system, a pronounced psycho-emotional reaction or, if desired, general intravenous anesthesia is performed.

Video of the operation to remove Bish's fat lumps

During the operation itself, complications are associated only with allergic reaction on local anesthetic or (when conducting general anesthesia) with complications characteristic of anesthesia - respiratory depression, decreased blood pressure and cardiac dysfunction, vomiting and aspiration of saliva or vomit. There are almost no complications associated with the technical execution of the operation itself.

The healing of the mucous membrane, due to its good blood supply, occurs within 2-3 days. However, within 4-5 days, soreness, swelling in the mouth and cheeks may be disturbed, which disappear on the 4-12th day after the operation.

Within 3 weeks it is desirable:

  • avoid general loads and loads on the chewing and facial muscles of the face;
  • use liquid food;
  • refuse to visit the sauna and long bathing;
  • sleep on a high pillow on your back.

Opinion of surgeons about the effectiveness of the operation

The effect of removing Bish's lumps is expressed in a decrease in the volume of the cheeks, a decrease in the width of the face in its lower sections, the acquisition of a clear oval, a decrease in the depth or complete disappearance of folds, restoration of facial proportionality and rejuvenation appearance. The result of the operation is saved for life.

The opinion of the majority of surgeons in relation to the removal of Bish's fat bodies is more than restrained. They attribute the operation's popularity to its novelty. A clear effect is observed only in a small number of patients. Due to the fact that the lumps have a very small volume, positive result there is no operation at all in people with a relatively full face.

Some surgeons are skeptical about the operation. This is due to the short duration of the effect if the balanced nutrition. It is also possible to form asymmetry of the face in the area of ​​the masticatory muscles due to uneven scarring at the site of the removed tissue.

Another reason negative attitude- This is a gradual decrease in subcutaneous fatty tissue of the face in most people after 35 years. As a result of this, the face is even more reduced in volume, acquires a tired senile look.

Due to doubts about the cosmetic effectiveness of the operation to remove Bish's lumps, many cosmetic surgeons offer it only as a additional method to plastic surgery. And as an alternative - facial muscles, reducing overall weight through compliance rational nutrition and performing physical activities.

Bish's lumps are body fat in the cheeks, under the cheekbones, they do not pose a health hazard. However, today the operation to remove Bish's lumps for aesthetic reasons is becoming more and more popular. It is worth remembering that not only before, but also after the operation, it is necessary to follow all the recommendations of the doctor in order to avoid complications and for a positive result.

About Bish's lumps

Everyone has Bish's lumps, they are especially noticeable in infants and children. Closer to 25 years, fatty formations on the cheeks become much smaller. Therefore, their removal is rather a tribute to fashion and a desire to look more attractive. Today there is a trend of defined cheekbones and sunken cheeks, which are shown to us from TV screens and newspaper pages by celebrities and supermodels.

If you nevertheless decided and performed an operation to remove Bish's lumps, then you need to follow a few clear rules during the rehabilitation period.

It should be remembered that the recovery period begins from the moment the effect of anesthesia on the body ceases and lasts an average of two weeks to a month. During this period, it is very important to follow the recommendations of the doctor, namely:

  • Follow a diet and for the first time for 3 days use only liquid food, broths, soups, mashed potatoes. It is necessary to reduce the load on the chewing muscles of the face, this will help the speedy healing of the sutures. You should not take too cold or hot food, and after each meal, rinse and rinse your mouth.
  • It is best to limit any visit to baths, saunas and other places with high temperatures.
  • Do not abuse physical activity rest is recommended.
  • Avoid strong manifestations emotions: laughter, screaming, grimace.
  • To sleep, you need to pick up a high pillow and sleep exclusively on your back, this will help reduce swelling.
  • Do not be zealous when brushing your teeth, do it carefully and delicately.
  • Alcohol and smoking are prohibited.
  • For prevention, your doctor may prescribe a course of antibiotics.

If the operation was performed on inside oral mucosa, then swelling after the operation lasts up to 3 days, during the first month after the operation there will be no obvious changes in appearance, rather, on the contrary, the cheeks will increase in size. At proper observance all recommendations, the sutures will dissolve within a week. A noticeable effect can be observed a month after the operation, when the swelling subsides and the muscles tighten. Complete tissue healing and the final result will be 3-5 months after the operation.

What do experts say about removing Bish's lumps?

Despite the fact that the removal of Bish's lumps is a fairly simple aesthetic operation, the opinions of experts in this field are divided. Let's find out the pros and cons of this operation.

"For" the removal of Bish's lumps:

  • Safe facelift. With the help of this operation, you can significantly improve facial features, make it more symmetrical, correct the shape of the cheeks and cheekbones. In addition, the face becomes more toned and there is a rejuvenation effect.
  • The operation is The best way get rid of fatty deposits. Removal of Bish's lumps takes about 30-40 minutes, while the operation gives a 100% result, and a significant effect in a short time.
  • For patients over 40 years old, the operation to remove Bish's lumps is also accompanied by a rejuvenating effect. Most often, such operations are carried out together with a facelift. Removing fatty deposits from the cheeks, you can get rid of wrinkles and blemishes.

"Against" the removal of Bish's lumps:

  • Experts note that the effect of such an operation may be short-lived. It depends on the patient himself, for example, if he starts to gain weight, then Bish's lumps will reappear.
  • If the result after the operation does not satisfy the patient and excessive thinness of the face appears, then eliminate this modern methods cosmetology is quite difficult.
  • Possible severe consequences after general anesthesia. Despite the fact that the operation is simple, it is most often performed under general anesthesia. It can cause cardiac dysfunction vascular system, cause allergies or exacerbation of chronic diseases.

Chubby cheeks are not part of the modern canons of fashion and do not cause that cute image, like baby dolls. Many women set themselves the goal of removing “hateful lumps” by any means.

The operation to remove Bish's pouches, the very fat packs left from birth and presumably forming excessive roundness of the cheeks and lower third of the face, has gained widespread popularity.

In the article, we will discuss what rehabilitation rules should not be neglected after the removal of Bish's lumps, as well as what complications you may encounter.

The procedure for removing Bish's fat pads is very short in duration and therefore considered by many to be simple. Also, some plastic surgeons are somewhat cunning, calling rehabilitation simple, but they are generally silent about complications.

After the operation - removal of Bish's lumps:

  • An extract from the clinic is made on the day of the operation, after a couple of hours - under local anesthesia. General anesthesia most often involves discharge the next day after surgery.
  • For the initial rehabilitation period, it is better to take a week's vacation.
  • Don't try to check, grope with your fingers postoperative sutures - you can introduce an infection or accidentally damage the stitches.
  • It is necessary to drink the prescribed antibiotic and other medicines, even if you do not feel like it, as there are risks of infection after the operation.
  • Wearing a compression mask in accordance with the instructions of the attending physician.
  • Food for 5-7 days should be liquid, pureed or grated, without dense ingredients. Large, hard pieces of food can cause seams to come apart. The food temperature is preferably warm so as not to cause additional trauma to the oral cavity.
  • After each meal - rinse your mouth (for a week). It is important to rinse your mouth gently - rolling water, without muscle tension. As a rule, the doctor prescribes an additional rinsing agent for the final rinsing of the mouth.
  • Brushing your teeth - the movements are smooth, no quick friction, so as not to damage the seams and cause additional discomfort. In the recommendations of some surgeons, you can find a ban on brushing your teeth (for a short period), the removal of plaque and food particles is done only by rinsing your mouth.
  • After removing Bish's lumps, you need to sleep on your back, you can slightly raise the pillow (with an inclination angle of 30 degrees) to minimize postoperative swelling st. Also, when sleeping on the back, there is no pressure on the muscles and nerves that are no longer "hidden" by the fat pack.
  • A few days after the removal of Bish's lumps, active facial expressions should be minimized - laughter, hyperactive facial expressions, screaming and singing, attempts to draw in swollen cheeks and other facial activities.
  • Alcoholic drinks of any strength and smoking are prohibited for at least two weeks, as they suppress regeneration processes during restoration. Also alcoholic drinks may cause severe swelling and hyperemia.
  • sports training, visiting gym, Pilates and yoga are banned for two to four weeks. Classes are resumed only after consultation with the attending physician, some areas of yoga may be approved after a shorter period of time.
  • Cryosauna, hammam, bath, sauna and other warm rooms of bath complexes are banned for 2-3 weeks. A visit to the solarium, being in the sun in the city or on the beach in hot weather is canceled for the same period.
  • Recovery after removing Bish's lumps also implies a ban on long-term water procedures, so as not to overcool and not overload the muscles of the face. At the same time, water should not get into the mouth - if you cannot guarantee yourself that there will be no liquid getting into the swim from swimming, you must refuse for a period until the stitches are removed / resorbed.

The full result of the operation should be expected after 4-6 months. During this period, residual slight asymmetry may be observed.


  • Soreness in the seams and cheeksnormal phenomenon, after surgery. Pain after removal of Bish's pouches will pass on average in 3-7 days. At the same time endure pain not necessary - stop it with an analgesic recommended by the surgeon.
  • Edema after removal of Bish's lumps- patients are very surprised, because in their opinion the intervention was insignificant. However, the removal of fat pads is an operation and swelling is inevitable, it subsides gradually over two weeks. Puffiness can be very strong and exceed the volume of the face before surgery, and swelling can be more pronounced on one side. During this period, a compression mask is worn.
  • Numbness of the cheek - may appear due to the grazing of the nerves that just lie next to Bish's lumps. Muscle tissue may also be affected. Gradually, nerve conduction is restored, this may take a month or more, depending on the damage.
  • Bruises - sometimes appear during the operation, resolve on their own, in consultation with the surgeon, a resolving agent may be prescribed to quickly eliminate hematoma and edema.
  • Inflammation - appears when hygiene and asepsis regulations are violated, antibiotics are refused if there was an infection in the body.
  • Facial asymmetry- occurs due to: different-sized fat packages, due to their removal, an asymmetric structure is detected. The situation can be reversed, when lumps of fat hid the difference in structure.
  • After removing Bish's lumps, cheeks sagged- this complication is not uncommon and accompanies patients different ages and facial structures. Tissue gravity is an inevitable and sometimes very fast process. Without support (Bish's lumps), cheeks and skin crawl down.
  • Blockages in the cheek area and early aging- often occurs after this operation, especially on thin faces - the complication does not develop immediately, but gradually with the woman's age. This unpleasant complication can be well studied on the faces of celebrities who have undergone surgery (Mary Kate Olsen, Angelina Jolie and others). Bish's lumps are removed once and for all, in the future the person may recover, but the fat sacs themselves are formed before birth (they only decrease in the future).
  • Over time (after 5-7 years), peculiar mesh wrinkles form in the area of ​​removal, and their appearance does not go in parallel with the general aging of the skin. This complication is caused by ptosis of the skin and lack of support from fat pads.

It would seem that a person is a unique system, thought out to the smallest detail, in which all organs are simply irreplaceable. But the "crown of nature" in the pursuit of perfection now and then finds "superfluous" in itself: then the appendix will be removed without special indications, then tonsils ... And if such operations can still be justified by the possible risk of developing pathology in the future, then plastic surgery is guided solely by aesthetics and fashion. This is not about rhinoplasty, without which a person's life, especially for women, can be inferior, but about dubious trends. For example, a list of the most popular aesthetic procedures recent years replenished with an operation to remove Bish's lumps. The reason for such an unhealthy hype around the fat deposits that are in the cheeks (Bish's lumps) was the fashion for sunken cheekbones. Many screen stars immediately turned to surgeons for help, not really thinking about the possible disadvantages and negative consequences of this manipulation in old age. In today's article, we will try to answer questions about what Bish's lumps are, whether they need to be removed, how rehabilitation is going on, and whether there is swelling after plastic surgery. We will also touch on topics about the cost of this operation and ways to correct Bish's lumps at home ( real reviews with before and after photos, video).

Bish's lumps - what is it and where are the fat deposits in the cheeks

So what are Bish's lumps and where are these hated fatty deposits in the cheeks? As you might guess from the question, Bish's lumps are deposits of adipose tissue inside the cheeks. Despite their apparent uselessness, these formations perform very important role in infancy. Thanks to Bish's lumps, the child can suck and then learn to chew. Lumps of fat act as shock absorbers that reduce pressure on the jaw muscles during the development of the child. With age, the need for large fat deposits inside tickles, and Bish's lumps gradually decrease. By the way, these fat deposits got their name in honor of the French physiologist Marie Bisha, who was the first to discover lumps and made an assumption about their functions.

Where are the fat (Bish's lumps) in the cheeks

Where exactly are the fat deposits in the cheeks? Bish's lumps consist of three parts - front, middle and back. Each of the parts has its own localization: the anterior lobe surrounds the duct of the parotid salivary gland, and the posterior part stretches from the infraorbital groove to the upper edge of the lower jaw. The middle lobe is located between them and it is she who causes chubby cheeks.

How Marie Bisha's lumps are removed: how much does plastic surgery on the cheeks cost?

The trend for sunken cheekbones and the desire to have aristocratic facial features have led many to seek to surgically get rid of Bish's lumps. Let's see how Marie Bish's lumps are removed and how much such plastic surgery on the cheeks costs. Let's start with the fact that by the standards of aesthetic surgery, this surgical intervention is considered quite simple and painless. The end of the procedure does not require special rehabilitation and often does not even have such a characteristic postoperative consequence as edema. The operation itself lasts about 30-45 minutes and can be performed under general or local anesthesia. A small incision is made inside the cheek, through which the surgeon partially removes excess fatty tissue in the middle lobe. At the same time, the processes of Bish's lumps remain intact, since their removal can lead to a violation of the facial architecture.

How much does plastic surgery cost to remove lumps Marie Bisha

Despite the simplicity of the operation, the removal of Bish's lumps cannot be called a budgetary procedure. Its value is largely determined by the level surgical clinic, which has licensed specialists to carry out this surgical intervention. For example, the cost of an operation to remove Marie Bish's lumps in Moscow varies from 25 to 50 thousand rubles. At the same time, when choosing a clinic, you need to be guided not only by its pricing policy but also by the level of specialists. Please note that not everyone plastic surgeon may conduct this procedure and it is better to trust a doctor who has undergone specialized training.

What will happen if Marie Bisha's fat lumps are removed: Consequences, reviews with photos before and after the operation

Now let's discuss what will happen if Bish's fat lumps are removed and what consequences patients should expect (reviews with before and after photos below). First of all, let's talk about positive changes after operation. The main effect that those who decide on this manipulation are waiting for is a change in the shape of the face and the appearance of sunken cheekbones. Indeed, the removal of excess fat in the middle part of the face leads to the fact that the cheeks “disappear”, and in their place there are cute looking hollows. But this result is possible only if Bish's lumps are really hypertrophied. Then their removal gives the effect of an “aristocratic” face with pronounced cheekbones and a sharp chin.

In addition, many doctors are sure that the timely operation to cut out Bish's lumps is an excellent prevention of the appearance of fleas. There is also an opinion that the absence of excess fat in the cheeks helps to avoid sagging facial contours in adulthood.

Consequences and reviews after the removal of fatty lumps Marie Bisha, photos before and after

KomkiBisha: the main disadvantages of removal and negative consequences after plastic surgery and in old age

Like any other plastic surgery of the face, the removal of Bish's lumps has its drawbacks and negative consequences, which can manifest themselves both after surgery and in old age. First, it must be understood that this surgical intervention should only be indicated. In other words, in order to see the desired effect, the direction for the removal of fatty lumps in the cheeks should be given by a surgeon who, by examination, established their hypertrophy. Otherwise, guided solely by fashion and the desire to do “something” with your face, you will not notice any difference.

Secondly, you need to be aware that the removal of lumps of fat inside the cheeks does not change the natural data. Therefore, if you are a chubby young lady, then you will not be able to achieve an elongated oval face using this procedure. IN best case You won't notice any difference after the operation. And at worst, the intervention of the surgeon will lead to the appearance of a grotesque facial expression. Agree, two large depressions are absolutely round face look very comical.

Cons and negative consequences in old age after removing Bish's lumps

Apart from the absence visible result, the removal of Bish's lumps can have more serious negative consequences in old age. First of all, the absence of excess fat on the cheeks in adulthood can create the effect of an exhausted and painful face. This is due to the exposure of bone tissue, which is protected by a fatty barrier. In addition, some doctors are sure that surgery in this part of the cheeks in the future may lead to a violation of the symmetry of the face. Also, some experts believe that in patients with removed fatty lumps in the cheeks, the risk of developing a “blurred” oval with age is quite high.

KomkiBisha: how to remove fat deposits in the cheeks without surgery at home, video

Considering possible risks plastic surgery, many are wondering if it is possible to remove body fat (Bish's lumps) at home. Fortunately, it is possible, but not without special efforts. Firstly, often the hypertrophy of the fatty layer in the cheeks is corny associated with increased body weight. Therefore, dietary adjustments active image life help in the fight against thisproblem.

How to remove fat deposits in the cheeks (Bish's lumps) without surgery at home, video

Secondly, special gymnastics gives an excellent result in removing fatty deposits in the cheeks. These are highly targeted exercises from the popular Facebook building technique, which, when performed regularly, will significantly reduce Bish's lumps without surgery. Considering that this gymnastics does not cost anything, has no minuses, and negative consequences in the form of rehabilitation and edema, as after plastic surgery, it is simply stupid not to use it. In addition, real reviews with photos before and after such exercises prove them. high efficiency. Even screen stars, who strive to look spectacular even in old age, are mastering Facebook building! Next up is a video of simple exercises to reduce the volume of the cheeks at home.

Bish's lumps are formed from compacted adipose tissue of the face, enclosed in a shell of connective tissue(fascia). Each person has these anatomical formations.

Despite the similar characteristics, the shapes and sizes of fat bodies are individual. In some people, they cause the formation of a massive lower face and dissatisfaction with their appearance.

The trend towards aristocratic face shapes with sunken cheeks and pronounced cheekbones has led to the mass removal of Bish's lumps. surgical method. However, relatively simple procedure resection (removal) has clear recommendations and contraindications, often has no reasonable grounds and can lead to serious consequences.

First time on fat bodies in the cheek area, the French anatomist Marie Francois Xavier Bichat drew attention. He studied and described the morphological characters and physiological properties encapsulated lumps of fat. They in the future received his name.

Bish's lumps are located between the chewing and superficial muscles of the face, they consist of three parts tightly connected to each other. They occupy almost the entire surface of the cheeks from the temporal region to the lower jaw.

During childhood, adipose tissue performs a number of functions:

  • reduce muscle friction during chewing;
  • facilitate sucking actions;
  • protect internal muscles and nerve endings face from injury.

As the facial skeleton strengthens and develops muscle tissue these functions are not needed. Bish's lumps are formed only up to 7 years. Therefore, after an increase in the facial skeleton, they visually decrease.

Laser or surgical resection?

Clinics aesthetic medicine offer resection of Bish's lumps performed with a scalpel or laser knife. Both methods make it possible to achieve desired results: visual reduction of the cheeks, narrowing of the lower part of the face and emphasizing the cheekbones.

laser

Laser resection has several advantages over scalpel surgery. This method involves minimal trauma to surrounding tissues and a lower risk of complications in the postoperative period.

With help laser beam ultra-precise cuts are made that are impossible with a scalpel.

The laser beam has antiseptic and regenerating properties. This prevents infections and promotes rapid healing of wounds. The coagulating effect of the laser on the vessels prevents bleeding.

This reduces the soreness of the tissues after surgery and reduces the duration rehabilitation period. The disadvantages of the laser resection method are the relative high cost of the procedure and the lack of equipment in some clinics.

Is it possible to remove Bish's lumps with a scalpel?

The traditional method of resection of Bish's lumps is scalpel. This procedure is cheaper, but loses a lot to laser resection.

With scalpel resection, the risk of inflammatory complications is high, blood loss and injury to surrounding tissues are possible. The recovery period after surgery is long and painful.

However, with any tool important criterion The quality of the operation remains the qualifications and skills of the doctor, proper planning and execution of the procedure only in recommended cases.

Indications for the removal of Bish's lumps

The main reason for the removal of fatty bodies on the face is the desire of the patient. However, according to surgeons, only 20% of patients have completely valid reasons to remove Bish's lumps.

Resection of Bish's lumps is not a physiological necessity. Fat lumps do not bring physiological discomfort and do not threaten health, regardless of shape and size. Therefore, the word "testimony" in this case is not correct.

The procedure is advisable to carry out when the fat bodies are hypertrophied or due to age-related changes.

  • a certain structure of the facial skeleton (Asian type of face);
  • age-related omissions of soft tissues (, with the participation of fatty bodies);
  • discrepancy between the size of fat lumps and the face;
  • in combination with facelift procedures.

It is possible to move fat bodies to the cheekbones. This procedure is part of a volumetric facial modeling, in which excess fat in one part compensates for the deficiency in another. It is this option that is the most optimal, allowing you not to delete adipose tissue, the lack of which leads to the early appearance of wrinkles.

Contraindications

Despite the relative simplicity, resection of Bish's lumps is a surgical intervention in the body, which also involves anesthesia. Therefore, with certain pathologies or individual characteristics of the patient's body, it is not carried out.

Contraindications:

  • diabetes;
  • deviation of body mass index by 25% in any direction;
  • malignant pathologies;
  • infectious diseases;
  • low levels of hemoglobin and blood clotting;
  • connective tissue defects of the face;
  • foci of inflammation in the body.

Often, young girls under 25 years old turn to clinics with a request to remove fat lumps. The procedure before this age is not recommended. This is justified by the growth of the facial skeleton up to 25 years and the corresponding structural changes in the structure of the face.

The need for surgery can be fully assessed only after reaching this age. In the vast majority of cases, the desire of girls to remove fat bodies after 25 years passes.

The doctor's opinion on the removal of Bish's lumps, whether it is worth removing them, how the operation to remove fatty deposits on the cheeks takes place, can be found by watching the video.

Stages of the operation for the correction of fat deposits

For resection of Bish's lumps, they turn to clinics that have qualified and well-established plastic surgeons on staff.

Achievement maximum results in correction and warning possible consequences involves a serious approach to the procedure. This is a detailed examination of the patient's body and the collection of anamnesis, the preparatory period, the quality of the operation and recovery period.

Preparation period

During the interview, the doctor finds out information about previous operations, chronic pathologies, the presence of hypersensitivity of the body to medications. Inspection is carried out in standing and lying positions by palpation. In this case, the thickness, location and size of Bish's lumps are evaluated.

In some clinics, patients are offered computer simulation. This makes it possible to evaluate the appearance of the face after the removal of fatty bodies and make a final conclusion about the need for the procedure.

Laboratory and instrumental examinations:

  • general urine analysis;
  • blood test for coagulation levels, hemoglobin;
  • research on HIV, syphilis, viral hepatitis;
  • electrocardiogram;
  • fluorography.

Do not drink alcohol, smoke or take medications before the operation. On the day of the procedure, the use of any cosmetics is excluded.

Bish's lump removal operation

It is performed under local anesthesia or general anesthesia. Most commonly used local anesthesia. This is argued by the short duration of the operation, minimal tissue trauma and relatively low level side effects.

The decision to use general anesthesia is made in case of complex and lengthy complex operations or severe psychological discomfort of the patient. General anesthesia is characterized by complex recovery after surgery, the need long stay in the clinic and a high risk of side effects.

Depending on the place of access to Bish's lumps, resection is carried out in two ways.

Internal access

The incisions are made on the inside of the cheek. The tissues are dissected to a length of 1-1.5 cm, the muscle is stratified, the fat bodies are removed from the capsule. After that, it is applied cosmetic seam, an antiseptic pad is placed. WITH outside cheeks are tightened with an elastic band.

Resection by internal access relatively simple operation, which is well tolerated by patients and leads to best results. The advantages of the method are the absence of visible scars and fast healing under the bactericidal influence of saliva.

On average, the operation lasts 30-40 minutes. Resection of fat bodies does not affect vital important organs therefore long-term medical supervision is not required. Patients go home immediately after the procedure.

Outdoor access

Bish's lumps are removed through incisions in the parotid region. This method is used only in combination with SMAS-MACS-lifts and other types of facelift. The inclusion of various manipulations in one complex allows you to manage with minimal tissue trauma.

Rules of care and lifestyle during the recovery period

The rehabilitation period begins from the moment the anesthesia ends. The patient must adhere to certain restrictions for 2-3 weeks.

Healing of the mucous membrane of the cheeks occurs after 3-5 days, during this period the patient's ability to work is also restored. Nagging pain and edema are observed for 2 weeks.

Recovery period rules:

  • exclusion of thermal water procedures(bath, hot shower);
  • limitation of facial expressions (laughter, screaming, grimaces);
  • gentle brushing of teeth;
  • refusal of alcohol, tobacco smoking.

You need to sleep on your back, and keep your head higher than your legs. This contributes to the rapid outflow of fluid from injured tissues, swelling will be less pronounced.

In the first 3 days, only liquid and grated food is consumed. You can not eat too cold and hot dishes. Solid food, high and low temperatures lead to additional wound injury. After every meal oral cavity rinsed with antiseptic solutions.

The patient is prescribed decongestant and regenerating drugs, and, according to certain indications, anti-inflammatory and antibacterial medicines. Full recovery body after resection of Bish's lumps occurs after 2 months.

Possible complications and consequences

Each patient who decides to get rid of Bish's lumps should be aware of possible complications and consequences. Their main reasons are the operation without recommendations, violations during the procedure and during the recovery period.

A possible complication during the recovery period is the addition of a secondary infection. This often happens when the recommended disinfection of the oral cavity is not observed or additional injury to the mucous membrane. In this case, it is important to immediately consult a doctor and get indications for treatment.

Delayed complications are more dangerous, some of them are irreversible or difficult to correct.

During the operation, damage to the nerve fibers is possible. In these cases, the innervation of this part of the face with the central nervous system is disturbed. In this case, asymmetry of the face, restrictions in facial movements may develop.

Removal of Bish's lumps in early age without advice leads to premature aging. After 35 years, the amount of fatty tissue that provides turgor gradually decreases. As a result, hollow senile cheeks and deep wrinkles form in place of Bish's lumps.

How to get rid of the problem without surgery?

The resection of Bish's lumps has a lot of opponents, including among doctors plastic surgery who consider it unreasonable interference in the body. In addition, cases are not uncommon when surgery is contraindicated due to individual characteristics the patient's body.

In these cases aesthetic problem can be solved harmless and enough effective method correction of the appearance of the face. These are complexes of massage and face-building.

Massage

Mechanical and reflex action on subcutaneous fat improves oxygen access to each cell, blood circulation, microcirculation and metabolism,

This contributes to the conclusion excess fluid from the problem area, eliminates flabbiness and sagging. The cheek area is tightened, and due to the removal of liquid, Bish's lumps are visually reduced.

For greater efficiency, beauticians are advised to consult a specialist. Massage technique requires professional knowledge, skills and individual approach in every case. In the future, after training, you can do massage at home.

facebuilding

This is a system of phased training of facial muscles in order to strengthen them and build an oval. Performing specially designed exercises involve the superficial and deep muscles of the face.

To achieve a visible reduction in Bish's lumps is possible only with prolonged and regular exercise. However, the results of Facebook building are worth it.

Directed study of the muscles reduces the volume of the cheeks and the severity of the nasolabial folds, eliminates mimic wrinkles.

Facebook building combines sets of exercises for each area of ​​the face. Specialists in this field develop individual complexes for each case, combining qualitative and quantitative impact on different zones. This approach leads to fast results.

To correct Bish's lumps in this way, you need to contact a Facebook building instructor who will develop a set of exercises and teach you the execution technique.