Bisha lumps are contraindications. Bish's lumps. How to remove without surgery using folk remedies and salon procedures. How is the operation to remove Bisha's lumps performed?

Alas. With age, the face loses clear contours and sagging cheeks appear. Even if your name is Michael Douglas or Susan Sarandon, shrews do not ask permission and simply impose their company.

The advertisement assures that getting rid of sagging cheeks is not at all difficult - just use cream X and serum Y, and if you add mask Z to them, your great-granddaughter will envy your youthful beauty! Let's figure out if this is true and what methods of fixing the problem really work.

To solve the problem, you first need to understand why your cheeks sag.

Video

Where do bulldog cheeks come from?

The first question to answer is what is causing the problem. There are three main reasons.

Firstly, Subcutaneous fat is deposited in the cheek area.

Therefore, the more fatty tissue on the face, the heavier the cheeks, and the more they sag. Such jowls can appear even in youth. In this case, it is possible to remove bulldog cheeks if you lose weight.

Secondly, The cheek area is a kind of “warehouse” where reserves of facial adipose tissue are stored. This warehouse - Bisha's pouches - is the same fat depot as the thighs or abdomen. And unlike subcutaneous fat, Bish’s lumps are almost impossible to lose weight - they can only be removed.

However, there is also third reason- age. After approximately 30 years in the body collagen production decreases and elastane, which kept the skin toned. The leather frame, which has become insufficiently dense, sags, and the skin of the cheeks (often under the weight of Bish’s lumps) moves down and forms an unsightly fold.

From the point of view of the science of biology, everything is clear - by this age, according to Mother Nature, a woman has already fulfilled her functions: she has charmed the right man and gave birth to a child, which means you don’t have to waste any more collagen. But since we completely disagree with nature in this regard, a logical question arises: what to do?

In this material, we will evaluate the effectiveness of popular methods of preventing and eliminating jowls - from free to radical plastic surgery techniques.

How to remove bulldog cheeks on your face yourself

If sagging cheeks are associated with excess fat, then the task is clear: you need to remove excess fat. Moreover, with a successful combination of circumstances, the result can be obtained even at home: unlike the thighs or upper arms, the face loses weight quite quickly. In order to start the process, you will have to review your diet and increase your level of physical activity.

Expert comment:

We say a resounding “yes” to fruits and vegetables, fish and seafood, lean meats, dairy products, and cereals. Baked goods, sweets, fatty, smoked, salty foods, fast food - a resounding “no”. Add morning exercises, dancing or jogging in the park to your new diet - and in a few months your facial shape will change significantly.

Drink plenty of clean water

Bulldog cheeks are adipose tissue that has the unpleasant property of retaining fluid and increasing in size. To get rid of swelling in the cheek area, you need to drink up to 3 liters of clean water and minimize salt intake. Sugar has a similar effect and should also be limited.

How to fix sagging cheeks with makeup

Decorative cosmetics cannot tighten sagging cheeks, but they make them less noticeable.

Rule #1. To correct a face with bulldog cheeks using makeup, you need to visually distract attention from them.

A simple system will help you:

dark eyeliner (after 45, give preference to brown rather than black shades),
double layer of mascara on eyelashes,
blush that perfectly matches the tone of your face.

Rule #2. Dark shades visually reduce the area to which they are applied.

Therefore, after completing your makeup, carefully brush the bronzer brush over your lower jaw and in the chin-neck area. This way you will visually disguise sagging skin and align it in tone with the shadow under the lower jaw. Jowls will visually merge with this shadow, but remember the sense of proportion!

The line of the lower jaw corrected with bronzer will merge with the shadow under the chin and visually rid the face of small jowls.

Gymnastics for sagging cheeks

Exercises against sagging cheeks, like exercises for the body, are designed to strengthen the facial muscles.

Puff out your cheeks strongly and, counting to five, release the air through pursed lips.

Hold a pencil between your lips and actively write the alphabet in the air, from A to Z. Feel how the muscles of your face and neck work.

If doing exercises against sagging cheeks seems boring to you, you can start painting real canvases by holding the brush with your lips. In the photo: artist Mariam Pare at work.

Each exercise must be performed daily.

Expert commentary

Effective prevention of jowls - what is it?

We have already said that shaved cheeks are formed 60% due to the fault of “packets” of adipose tissue - Bisha lumps.

Expert comment:

How to lift sagging cheeks without surgery

If the sagging of the tissues is already noticeable, go to the mirror and conduct a simple experiment. Pull the skin in the cheekbone area slightly upward. You will see bulldog cheeks disappear as if by magic.

Of course, there is no magic here, and the secret is simple: sagging tissues need to be lifted, and the contour of the face will become much younger, clearer, and more beautiful.

For this purpose, inject into the cheekbone area plasmafiller or dense hyaluronic acid gel Belotero. The cheekbones fill out, become higher, the facial tissues return to their rightful place, and the first jowls disappear, as if they never existed.

Gives a similar effect installation of a zygomatic implant, but this procedure requires surgery.

Andrey Iskornev at work. Preparation (marking) and carrying out Celebrity Lift - the star cheek lift using Radiesse and Belotero gels.

Removal of Bisha's lumps is becoming increasingly popular in surgery. This operation is aesthetic. With its help, a person’s face becomes more refined and expressive, as excessive roundness of the cheeks is removed. People who have had Bisha's bags removed look completely different before and after surgery.

Every person has Bish's lumps. They are not pathological and are not dangerous to human health.

They consist of three lobes and are capsule-enclosed accumulations of adipose tissue. They are located near the salivary duct parotid gland, as well as between the masticatory and superficial facial muscles from the infraorbital region to the lower jaw. These bags give the oval of the face a certain rounded contour, especially in its lower third.

The function of Bisha's bags is to reduce friction of the facial muscles in childhood during meals. By adding tone to the cheeks, they make sucking easier. In children, fatty lumps perform a protective function against injury to nerves and facial muscles. With age, these functions lose their purpose. In an adult, these fat deposits smooth out the areas of the face located under the cheekbones and increase bottom volume face, on the cheeks they give the appearance of swelling. Closer to old age, they sag, forming folds of the skin in the lower jaw and nasolabial folds.

Indications and contraindications for surgery

Although these bags are not a pathology, there are still situations when they should be removed. Indications for surgery are the following factors:

The need to increase volume by moving the bags under the cheek bones in the facial area.
The patient's dissatisfaction with his appearance, as well as his desire to have more graceful facial features.
If an additional method of facial correction is necessary in combination with other plastic surgeries: introduction of zygomatic implants, skin tightening, chin liposuction.
Age-related weakening of the facial muscles with further sagging of the cheeks and worsening nasolabial folds.
A significant increase in the size of these fat deposits for any reason: due to the physiological characteristics of the individual or due to inflammation in the tissues of the cheeks.

Along with the indications, there are also some contraindications when it is prohibited to carry out this procedure:

Mental illnesses.
Epilepsy.
Liver diseases.
Age that does not exceed 25 years. Until this age, a natural reduction in the volume of fat cells is possible.
Purulent diseases or the presence of foci of inflammation on the skin of the face.
Connective tissue dysplasia.
Poor blood parameters (poor coagulation, low hemoglobin, etc.).
Infectious diseases.
Oncological diseases.
Diabetes mellitus.
Obesity.

When removing Bisha's lumps, a noticeable cosmetic effect. As a result of the operation, a person acquires more expressive and refined lines, getting rid of excessive roundness of the face.

Patients over 50 years of age with sagging cheeks due to weakening muscles notice a better appearance, which can be equated to surgical lift faces.

Pros and cons

Any intervention by surgeons, and especially if it is plastic surgery that is harmful to health and does not bring any benefit to physical health, has its own consequences. opponents and supporters. Removing Bisha's lumps is no exception.

People who are adherents of this operation claim that its advantages are as follows:

In the presence of age-related changes, a rejuvenating effect occurs. When a person develops sagging cheeks with age, wrinkles form involuntarily. Removing lumps that weigh down the cheeks allows you to tighten the skin and correct the situation. With age, they lose their functions and become less important.
This method is the best for removing fatty lumps on the cheeks. Compared to liposuction, complete or partial removal of Bisha's bags provides a more noticeable and lasting effect. Moreover, the procedure is safer and takes less time.
Safe correction of facial contours. After elimination fat body the lower facial part becomes more toned and gains definition. And this creates a noticeable rejuvenating effect. Using this manipulation, you can correct the shape of your cheekbones and cheeks, as well as give your face the correct shape.

But opponents of this correction see the following disadvantages in it:

The risk of severe irreversible consequences after anesthesia. This simple operation, performed under general anesthesia, can provoke the development of health problems: cause an exacerbation of chronic ailments, cause an allergic reaction, and provoke a disruption of the heart.
The ability to use less radical measures to correct the contours of the face: myostimulation of the facial muscles, absorbable gels (fillers), cosmetic preparations. Compared to surgery and disruption natural structure They do not pose any danger to facial soft tissue.
Irreversibility of consequences. There is an opinion that it is very difficult to get rid of excessive thinness of the face, since there is nothing to attach the implants to, and the injected drugs quickly dissolve.
In some patients it is very difficult to achieve an optimal result or the effect is short-lived. This is due to weight instability, if the patient either gains or loses body weight. These statements are individual in nature, but must still be taken into account.
High risk of developing negative consequences. This may occur in people who have not reached 25 years of age. This is due to the natural loss of fat under the skin of the cheeks with age. If these fatty tissues are removed early, the cheeks may sag, which will visually make the face look older.
There is no 100% result. Many surgeons believe that such an operation should not be performed unnecessarily, since it is ineffective. Their opinion is based on cases where, due to the individual characteristics of the organism, the result was not noticeable.

Features of the operation

In order for the effect of the operation to be obvious, it is worth carefully and correctly preparing for it. To carry it out, there are certain preparation rules, technology, as well as general recommendations for the rehabilitation period. They will help you avoid negative consequences if you follow them.

Preparatory stage

After a person has decided to have such plastic surgery done on his face, he needs to choose a clinic and consult a doctor. The main preoperative procedures are:

Inspection. The medical specialist must find out all the information about the patient’s health, namely: the presence of an allergic reaction to anesthetic drugs or certain medications, chronic diseases, previous operations, and it is also important to exclude possible contraindications.
Palpation and inspection. During the conversation, the doctor examines the patient in two positions - lying and standing - to identify the thickness of the lumps, as well as accurately determine their size and location.
Modeling. Based on the location of the fatty lumps, the doctor accurately determines the optimal direction and area of the incision. Modern clinics use computer modeling.
Examination. Each person is required to take a urine and blood test, as well as undergo a fluorography and electrocardiogram. IN mandatory Tests are taken for syphilis, hepatitis C and B, and HIV.

When the date of the operation is known, the person must eliminate smoking, alcohol and some medicines(this list should be obtained from your doctor). The operation is performed on an empty stomach. The skin must be clean, so the use of cosmetics is prohibited.

Carrying out the operation

The process begins with anesthesia. The type of anesthesia depends on the individual characteristics of the person, as well as on the private technology that the surgeon has developed.

It is no secret that many people, being emotional, experience some discomfort during surgical procedures, and especially when working with the facial area. But in many cases, local anesthesia is used, since general anesthesia can lead to a long recovery and negative reactions of the body.

At the beginning of the operation, the surgeon makes small incisions on the buccal mucosa. It is known that if they are done from the inside of the cheek, there will be no scars, and healing will occur more quickly, since the wound is exposed to the bactericidal effect of saliva. The incisions are small, approximately 1 or 2 centimeters. It is through them that the fat body is carefully removed.

It can be partially removed or moved to another part of the cheek, if this was discussed at the preparation stage. Upon completion of the process, the surgeon makes a cosmetic suture and places a disinfectant pad along it, and the outer side of the cheeks is tightened with a special elastic tape.

This procedure is quite simple. Its duration is 30−40 minutes. Since there is no effect on vital organs, the patient can go home after recovering from anesthesia.

Rehabilitation period

The rehabilitation period begins from the moment when the administered anesthesia completely stops working. and ends in approximately 14-21 days. The patient can leave the clinic, but must adhere to some of the specialist’s recommendations.

During the rehabilitation period there are the following restrictions:

If necessary, a specialist may prescribe antibiotics. This is necessary to prevent the inflammatory process on the oral mucosa.
Smoking and drinking alcoholic beverages are strictly prohibited during the rehabilitation period.
Intensive brushing of teeth is also not recommended.
It is worth following a special diet, which is aimed at reducing the load on the facial masticatory muscles. The patient during the first three days should consume only liquid food, and then pureed foods are included in the diet. Avoid eating too hot or cold foods. Eating ends with rinsing the mouth using antiseptics.
A high pillow is used during sleep. It is necessary to sleep only on your back to ensure rapid relief from swelling.
Psycho-emotional overload should be avoided. This also includes facial expressions of emotions: screaming, laughter, grimaces.
It is advisable to limit physical activity.
Saunas and other thermal procedures are prohibited.

If the operation was performed correctly and the patient followed all the recommendations, the swelling will subside within 3 days. But you will see the effect of the operation only after 3 weeks, when the facial muscles are slightly tightened.

Undesirable consequences

Basically, no undesirable consequences are observed. But there are cases when the appearance of consequences is still observed: the operation was performed contrary to contraindications, improper preparation or negligence of the surgeon.

These consequences include:

Allergy. During the operation, surgeons use general and local anesthesia, to which allergies may occur, manifested by vomiting, decreased blood pressure, impaired cardiac function, respiratory depression, and rash.
Damage to nearby tissues. The surgeon’s inexperience leads to disruption of the integrity of the facial muscles that are located nearby, as well as the facial nerve and salivary gland.
Pain. Present for 1-3 days, after which it becomes weaker. In general, after 7 days it is no longer there.

It is necessary to choose an experienced surgeon and the right clinic. Some consequences may be caused by improper behavior during the rehabilitation period or the physiology of the patient.

Bisha's lumps are formed from compacted fatty tissue of the face, enclosed in a sheath of connective tissue (fascia). Every person has these anatomical structures.

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

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

For the first time, the French anatomist Marie François Xavier Bichat drew attention to the fatty bodies in the cheek area. He studied and described the morphological characteristics and physiological properties of encapsulated fat lumps. In the future they received his name.

Bisha's lumps are located between the masticatory and superficial facial muscles and 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 the internal muscles and nerve endings of the face from injury.

As the facial skeleton strengthens and muscle tissue develops, the need for these functions disappears. Bish's lumps are formed only up to 7 years of age. Therefore, after increasing the facial skeleton, they visually decrease.

Laser or surgical resection?

Aesthetic medicine clinics offer resection of Bisha's lumps, performed with a scalpel or laser knife. Both methods achieve the desired results: visual reduction of the cheeks, narrowing of the lower part of the face and emphasizing the cheekbones.

Laser

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

Using a 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 blood vessels prevents bleeding.

This reduces tissue pain after surgery and shortens the recovery 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 Bisha's lumps is scalpel. This procedure is cheaper, but is much inferior to laser resection.

With scalpel resection there is a high risk of inflammatory complications, possible blood loss and injury to surrounding tissues. The recovery period after surgery is characterized by duration and severe pain.

However, with any instrument, the most important criterion for 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 removal of Bisha's lumps

The main reason for removing facial fat is the patient’s desire. However, according to surgeons, only 20% of patients have fully justified reasons for removing Bisha's lumps.

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

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

a certain structure of the facial skeleton (Asian face type);
age-related prolapse 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 cheekbone area. This procedure is part of volumetric facial modeling, in which excess fat in one part compensates for the deficiency in another. This option is the most optimal, allowing you not to remove fatty tissue, the lack of which leads to the early appearance of wrinkles.

Contraindications

Despite relative simplicity, resection of Bisha's lumps is a surgical intervention in the body, which also involves anesthesia. Therefore, for certain pathologies or individual characteristics of the patient’s body, it is not performed.

Contraindications:

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

Often young girls under 25 years old come to clinics to remove fatty lumps. The procedure is not recommended before this age. This is justified by the growth of the facial skeleton up to 25 years of age 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, girls’ desire to remove fat pads goes away after 25 years.

You can find out the doctor’s opinion about the removal of Bisha’s lumps, whether it is worth removing them, and how the operation to remove fatty deposits on the cheeks is performed by watching the video.

Stages of surgery to correct fat deposits

To perform resection of Bisha's lumps, contact clinics that have qualified and well-established plastic surgeons on staff.

Achieving maximum results in correction and preventing possible consequences requires a serious approach to the procedure. This is a detailed examination of the patient’s body and collection of anamnesis, a preparatory period, a high-quality operation and a recovery period.

Preparatory period

During the interview, the doctor finds out information about previously performed operations, chronic pathologies, and the presence of hypersensitivity to medications. The examination is carried out in standing and lying positions using palpation. In this case, the thickness, location and size of Bisha's lumps are assessed.

Some clinics offer computer modeling to patients. This makes it possible to evaluate the appearance of the face after removal of fatty bodies and make a final conclusion about the need for the procedure.

Laboratory and instrumental examinations:

general urinalysis;
blood test for levels of coagulation, hemoglobin;
tests for HIV, syphilis, viral hepatitis;
electrocardiogram;
fluorography.

Before surgery, you should not drink alcohol, smoke or take medications. On the day of the procedure, the use of any cosmetics is excluded.

Surgery to remove Bisha's lumps

Performed under local anesthesia or general anesthesia. Local anesthesia is most often used. This is due to the short duration of the operation, minimal tissue trauma and a relatively low level of side effects.

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

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

Internal access

Incisions are made on the inside of the cheek. The tissues are dissected to a length of 1-1.5 cm, the muscle is dissected, and the fat bodies are removed from the capsule. After this, a cosmetic suture is applied and an antiseptic pad is placed. The outer side of the cheeks is tightened with an elastic band.

Resection using an internal approach is a relatively simple operation that is well tolerated by patients and leads to better results. The advantages of the method are the absence of visible scars and rapid healing under the bactericidal influence of saliva.

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

External access

Bisha's lumps are removed through incisions in the parotid area. This method is used only in combination with SMAS-MACS-lifting and other types of facelift. The inclusion of various manipulations in one complex allows for 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 buccal mucosa occurs after 3-5 days, during which time the patient’s ability to work is restored. Nagging pain and swelling are observed for 2 weeks.

Recovery period rules:

exclusion of thermal water procedures (bath, hot shower);
restriction of facial expressions (laughter, screaming, grimaces);
gentle teeth cleaning;
giving up alcohol and smoking tobacco.

You need to sleep on your back and keep your head higher than your feet. This promotes rapid drainage of fluid from injured tissues, swelling will be less pronounced.

In the first 3 days, eat only liquid and pureed food. You should not eat too cold or hot foods. Solid foods, high and low temperatures lead to additional injury to wounds. After each meal, the mouth is rinsed with antiseptic solutions.

The patient is prescribed decongestant and regenerating drugs, and for certain indications anti-inflammatory and antibacterial drugs medicines. Complete recovery of the body after resection of Bisha's lumps occurs after 2 months.

Possible complications and consequences

Every patient who decides to get rid of Bisha's lumps should be aware of the 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 followed or additional trauma to the mucous membrane occurs. In this case, it is important to immediately consult a doctor and obtain indications for treatment.

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

Nerve fibers may be damaged during surgery. In these cases, the innervation of this area of the face with the central nervous system is disrupted. In this case, facial asymmetry and restrictions in facial movements may develop.

Removing Bisha's lumps at an early age without recommendations leads to premature aging. After 35 years, the volume of fatty tissue that provides turgor gradually decreases. As a result, in place of Bisha's lumps, sunken, senile cheeks and deep wrinkles are formed.

How to get rid of the problem without surgery?

Resection of Bisha's lumps has quite a lot of opponents, including among plastic surgery doctors, who consider it an unjustified intervention in the body. In addition, there are often cases when surgery is contraindicated due to the individual characteristics of the patient’s body.

In these cases, the aesthetic problem can be solved with a harmless and fairly effective method of correcting the appearance of the face. These are massage and face-building complexes.

Massage

Mechanical and reflex effects on subcutaneous fat tissue improve oxygen access to each cell, blood circulation, microcirculation and metabolism,

This helps remove excess fluid from the problem area, eliminates sagging and sagging. The cheek area is tightened, and due to the removal of fluid, Bisha's lumps are visually reduced.

For greater effectiveness, cosmetologists advise contacting a specialist. Massage technique requires professional knowledge, skills and an individual approach in each case. In the future, after training, you can do massage at home.

Facebook building

This is a system of step-by-step training of facial muscles with the aim of strengthening them and building an oval shape. Performing specially designed exercises involves the superficial and deep muscles of the face.

A visible reduction in Bisha's lumps can only be achieved with long-term and regular exercise. However, the results of Facebook building are worth it.

Targeted muscle work reduces the volume of the cheeks and the severity of nasolabial folds, eliminates facial wrinkles.

Facebuilding combines sets of exercises for each area of the face. Specialists in this field develop individual complexes for each case, combining qualitative and quantitative effects on different zones. This approach leads to quick results.

To correct Bisha's lumps using this method, you need to contact a face-building instructor who will develop a set of exercises and teach the technique.

Removing Bish's lumps allows you to make facial features more expressive. Many women are willing to undergo procedures of varying complexity in order to achieve the desired refined facial features and thin cheekbones. You can evaluate the results using reviews with photos before and after using various techniques.

Bisha's lumps are deposits of fat reserves in the form of lumps inside the cheeks, consisting of 3 lobes: anterior, posterior, middle. The formations are localized between the parotid salivary gland, the infraorbital groove and the upper edge of the lower jaw.

These fat accumulations visually enlarge the lower part of the face, which is especially noticeable in young children. It is thanks to such swellings that babies have such plump cheeks. Scientist Marie Bisha discovered and substantiated her theory about the fatty tissues of the cheeks, their characteristics and functional significance; in honor of his name, the name Bisha's lumps appeared.

Reasons for appearance

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

Lumps of fatty tissue perform important shock-absorbing functions for the developing muscles of the child's jaw.
Helps develop sucking and chewing skills in infancy.
Perform a protective function against possible external damage.

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

Reasons for removal

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

Common indications for surgery:

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

Contraindications

Possible danger of removing Bisha's lumps

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

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

Surgery to remove Bisha's lumps

Preparing for surgery

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

Stages of surgery on the inside of the cheeks

One of the ways to carry out the operation is to remove inner surface cheeks, is considered the safest due to the close proximity of the lumps to the inside of the cheek wall.

Correction stages:

The total procedure time is no more than 30 minutes. Approximate cost: 25,000-50,000 rubles . Such a wide range of prices is due to the popularity of the clinic and the reputation of the doctor.

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

Surgery through incisions on the face

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

Sequence of actions during the operation:

Choice of anesthesia.
The surgical site is delimited by surgical material.
Treating the operating area with antiseptic agents.
An incision is made in the cheek through which fatty lumps are removed and cut off.
In case of damage, small vessels are cauterized.
The incisions are sewn together with a special cosmetic suture.
At first, the mark from the suture will be noticeable, but upon completion of rehabilitation it will become invisible.

Approximate price: 30000-60000 rub.

Rehabilitation and recovery

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

Basic principles of the rehabilitation period:

Consequences and possible complications after surgery

Negative consequences are rare.

Sometimes a surgeon’s mistake or failure to follow the rules for preparing for surgery can lead to the following consequences:

Allergic manifestations in the form of a rash, breathing problems or heart function. Also common signs include pressure changes and bouts of vomiting.
Due to the carelessness of the surgeon, the integrity of the tissues located next to the operated area (muscles, glands, nerves) may be compromised.
Severe pain syndrome. On average, the pain subsides completely within one week.

Possible complications:

The development of inflammation on the inside of the cheek as a result of injury to soft tissues by hard food or accidentally during sleep, can also be caused by the presence of foci of replenishment in the body before surgery.
Facial asymmetry.
Infection of incisions.

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

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

Using a laser

Removal of fatty tissue from the cheeks with a laser beam is called bishectomy. The main feature is minimal trauma, significantly reducing the risk of complications. Laser exposure promotes rapid tissue regeneration, shortening the recovery period. The coagulative properties of the rays ensure instant sealing of blood vessels.

Main stages:

Once the local anesthetic begins to take effect, a laser incision is made on the inside of the buccal mucosa.
The fat body is separated and removed.
Self-absorbing sutures are applied.
You need to wear an elastic bandage on your face for some time.

Average price of the procedure: 45,000 rubles.

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

Methods for removing fatty lumps at home

Exercises

Various techniques are known to remove fatty lumps without surgery.

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

After training, you should perform stretching and muscle relaxation exercises. Gently tilt your head from side to side to stretch the muscles of your neck and face to the maximum possible amplitude.

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

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

Oil and masks

A good effect can be achieved by performing a facial massage using various oils. Oils have a wide range beneficial properties, thanks to which the skin becomes elastic, tightened and fresh. Massage improves blood circulation in problem areas, fills cells with oxygen and starts accelerated exchange substances.

Using improvised means at home is economical and affordable way care

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

Examples of recipes for preparing oils:

Add a little honey to the almond oil and massage your face in a circular motion for about 5 minutes. This composition ensures smoothing of unevenness and fine wrinkles.
IN sunflower oil add lemon, bergamot and cypress oils.
With a base of almond oil Rose, jasmine and cedar oils are mixed.

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

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

1 tbsp. yeast dissolves in a small amount of milk. The resulting solution must be evenly distributed over the surface of the face in several layers. You need to wait until one layer dries, then start applying the next one. The mask is suitable for daily use.
Mix a couple of spoons of oatmeal with natural yogurt and leave for 20 minutes until the flakes become voluminous enough. Apply the resulting mixture in a thick layer over the entire face, rinse thoroughly after 30 minutes. You can repeat the procedure every other day.
Stir blue clay with water until you obtain a consistency similar to sour cream. Apply to face and let dry, which will take about 15 minutes. It is recommended to use twice a week.
Using suppositories to treat hemorrhoids as an emergency way to combat swelling on the face. This drug is known for its quick-acting calming properties. To prepare the mask, you need to melt a candle and apply it to the skin of your cheeks at night. This method not intended for regular use. Only one-time application is allowed for special occasions.

Treatment without surgery

Lymphatic drainage massage

The essence of the procedure is to stimulate lymph outflow(excess fluid containing breakdown products and other substances from the intercellular space). Carrying out a massage once a week will help you gain a pronounced oval face, get clearer cheekbones and smooth out wrinkles in the lip area.

There are many techniques for lymphatic drainage massage; it is possible to perform it yourself or in a salon.

Description of the basics of the technique:

You need to cleanse the skin; fruit peeling or a honey mask are good for this purpose.
Preparing the skin with a warming massage.
Strengthening the forehead - the palms located at the temples should be brought to the middle of the forehead and moved back, repeat three times. Important point– It is the muscles that should be massaged, not the skin.
Puffiness of the eyes is relieved by moving your finger from the inner corner of the eyes to the outer. It is necessary to perform 5 repetitions and change the direction of the massage.
Smooth out wrinkles near the lips - find the middle of the chin and press on this point with your fingers. With this pressure, move your fingers to the middle of the nasolabial fold, the number of repetitions is 5 times.
To lift your cheeks, open your mouth and relax your muscles. Using both hands, lift the lower jaw towards the upper jaw about 3 times. Next, from the point in the corners of the lips, draw a line to the outer corner of the eye with moderate pressure, then to the earlobe and back to the lips. As you reach each point, you need to stop for a couple of seconds. and keep moving. The number of repetitions is approximately 5 times on each side.
The cheeks are taken with your fingers and using force, but at the same time gently, the skin is pulled in different directions. Perform several repetitions.
Folded hands, palm to palm, are placed towards the nose. Then the face is smoothed out under pressure.
With three fingers, grab your cheeks and stretch the skin; at the end point you need to twist the skin and release. Repeat three times.

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

In the presence of inflammation, after plastic reconstructions, with nearby vessels, this technique is not recommended.

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

RF lifting

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

Description of the stages of the radio frequency method:

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

Mesotherapy

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

Step-by-step description of the technique:

Preliminary consultation with a doctor and collection of information about the patient, possible contraindications, and the presence of allergic manifestations.
Cleansing procedures for facial skin.
The drug is administered either manually or by machine.
A soothing mask is applied.
You should follow your doctor’s recommendations for about a week, do not touch your face with your hands, and treat your skin with antiseptic agents.
The redness disappears after a few days.

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

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

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

Surgeons' opinions on the effectiveness of the operation

Many surgeons agree that changing the shape of the face using surgical methods is advisable. The main reason for this opinion is that removing Bisha's lumps helps to achieve the correct proportions of the face.

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

Unlike other correction methods, the results after surgery last a lifetime.

At the same time, it must be taken into account that surgery is not the only option, or rather, a last resort. After all, there is a large selection of less radical manipulations to visually reduce chubby cheeks (injections, cosmetic threads, fillers). A competent surgeon will always offer an alternative to surgery, if possible.

Modern cosmetology provides a wide range of techniques for combating Bish’s lumps. It’s not difficult to get acquainted and decide on an acceptable option. All the necessary information is available with photographs before and after using any of the techniques.

Article format: Svetlana Ovsyanikova

Video on the topic: Bisha's lumps

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

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

There are few people who would be completely satisfied with their appearance. This is especially true for the face - some people dream of a different eye shape, some want to remove wrinkles and tighten the oval, and some want to make it visually thinner.

One of the most popular aesthetic operations in this area today is removal of Bisha's lumps - a fatty body that is located below the cheekbone, between the skin of the face and the buccal mucosa. It is these lumps, located between the chewing and cheek muscles, that form additional volume in the lower part of the face.

This operation is often resorted to by patients who are unable to lose weight naturally - fat deposits from the face disappear extremely slowly and even after achieving slim figure you can be left with overly plump cheeks. Removal of fatty lumps is no less in demand among people whose skin and facial muscle tone has weakened with age, which has led to their sagging and the formation of “jowls” - unesthetic folds that descend on both sides of the lower jaw.

What are Bisha's lumps?

The fatty tissues in the cheeks are called lumps (lumps) of Bichat after the French anatomist who first described their characteristics and properties. In the body they perform two main functions:

make it easier for babies to suck (that’s why almost all children have such chubby cheeks)
ensure smooth gliding of the chewing and cheek muscles while eating, and also protect them from possible external injuries.

With age, the need for lumps disappears; they gradually decrease in size, or rather, they do not grow against the background of the development of other tissues. Childhood swelling disappears from the cheeks, dimples appear, and cheekbones stand out more clearly.

Indications for surgery

Fat deposits under the skin of the cheeks can cause patients only aesthetic inconvenience; from a medical point of view, they are not a pathology, regardless of size and shape. As a rule, they are removed, reduced or moved if the patient:

there are obvious excess fat on the cheeks;
initially round face shape, reinforced by fat deposits;
with age, the cheeks sank, “jowls” formed and the nasolabial folds deepened;
other aesthetically sound prerequisites for .

It is important to understand that by excision of lumps it is impossible to form a completely new oval of the face - however, you can significantly correct its lower part, visually rejuvenate and smooth it out.

The operation can be performed under local anesthesia or general anesthesia. The choice of pain relief method is at the discretion of the doctor. The surgeon makes a small (1-2 cm) incision on the inner surface of the cheeks, through which he gains access to excess fat. Exactly how many to remove is determined depending on the wishes of the patient and the characteristics of the face shape.

In some cases, fat is not extracted, but is moved to the cheekbone area to create additional volume. After completing all the planned actions, the incision on the inside of the cheek is closed with a cosmetic suture.

How the operation is performed. Photo 1 - making an incision to access Bisha's lumps:

Photo 2 – removal of lumps and suturing:

The rehabilitation period is quite short. Already on the day of the operation, having recovered from anesthesia, the patient can go home. Swelling of the tissues on the face persists for 2-3 days, which is why visually the cheeks may appear even wider than they were. Sutures (if self-absorbable material is not used) are removed after 5-8 days.

As with any other surgery, patients will need to cancel physical activity for 2-3 weeks, avoid visiting the sauna and prolonged swimming. Also, during this period, it is not recommended to put excessive stress directly on the facial muscles (writhing, laughing, screaming, etc.), and you will have to sleep on a high pillow to avoid swelling, and mainly in a position on your back, so as not to accidentally injure operated areas.

After removal of Bisha's lumps, special requirements are placed on the patient's diet: for the first 3 days a liquid diet is indicated, for the next 2-3 weeks it is necessary to avoid solid food, which must be chewed for a long time and with effort. All food should be at medium temperature - nothing hot or cold. After each meal, you should rinse your mouth thoroughly and, if possible, brush your teeth. Additionally, the doctor will prescribe a course of antibiotics or alternative drugs to avoid inflammatory processes in the internal tissues of the face.

It will be possible to evaluate the results of the operation in a couple of weeks, when the swelling subsides, and the final appearance of the face will take place in 5-6 months, after complete healing and settling of the tissues.

Photos before and after operations to remove Bisha's lumps:

Contraindications and possible complications

Removal of fat from the cheeks is not recommended for patients whose body weight deviates significantly from the norm, up or down, or if a significant decrease or gain is planned. Like any other plastic surgery, removal of Bish's lumps must be carried out after weight stabilization. Besides, Other general surgical contraindications also apply: problems with blood clotting, infectious diseases, exacerbations of chronic diseases, etc.

Also, it is not recommended to perform plastic surgery before the age of 25, since until approximately this age the natural decrease in the thickness of the fat layer continues, and a previously operated person may end up looking thin or emaciated - and it will be very difficult to restore the lost fat volume.

The likelihood of complications developing is minimal. In rare cases, it is possible to develop an inflammatory process in the internal tissues of the cheeks - if the patient initially had foci of inflammation in the body or if the soft tissues of the mucous membrane were injured (for example, involuntarily during sleep, playing sports or chewing solid food).

How much does it cost to remove Bisha's lumps? Current prices

Costs to the patient will depend on the amount of fat removed, the technique used by the surgeon, and the anesthesia method chosen. Average prices for removing Bisha lumps in Moscow are 25-50 thousand rubles. As with other operations, this figure may vary (mostly upward) depending on the status of the specialist and the clinic.

Despite the fact that the procedure is considered quite simple, it is not worth saving on it. The fact is that all manipulations are carried out in close proximity to the facial nerves and an inexperienced surgeon has a chance of damaging them. In addition, there are cases where fat from different cheeks was removed unevenly, and as a result the face looked asymmetrical.