Removing Bisha's lumps: 7 consequences and their prevention

A beautiful oval face without “hamster” cheeks - isn’t this what every woman dreams of? But nature has blessed few people with beautiful cheekbones and a complete absence of fat on the face. Some people turn to cosmetologists to correct their oval shape, while the more daring ones decide to undergo surgery.

Removing Bish's lumps can hardly be called a serious surgical intervention. The main thing is to get into the hands of a qualified surgeon and you will be guaranteed a beautiful oval face with sunken cheeks. However, what will happen to the face in old age, because the removal of fatty bags leads to drooping of soft tissues?! Let's look at the issue of removing Bish's lumps, as well as all sorts of emanating consequences and complications.

Characteristics of Bisha lumps on the face

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.

Recommendations for resection of Bisha's lumps:

a certain structure of the facial skeleton (Asian face type);
age-related sagging of soft tissues (formation of jowls, nasolabial folds 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 its 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;
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.

What is considered normal after plastic surgery?

When preparing a patient for surgery, the specialist must explain what to expect after the procedure. This will allow you to avoid force majeure and stressful situations. Anesthesia is an integral part of surgery. Doctors prefer to use general anesthesia. After waking up, the patient may feel dizziness, slight weakness, sometimes nausea, as well as pain in the areas where the plastic surgery was performed. To reduce discomfort, doctors sometimes prescribe analgesics, but for minor procedures medications are usually not required.

After blepharoplasty, the patient wakes up with a blindfold. It is removed after a few hours. Surgeons advise people who suffer from claustrophobia to take this point into account.

Within 1–3 days after plastic surgery, swelling, hematomas, and bruises appear on the patient’s face. Doctors explain that this is normal if surgery has taken place. Compresses can be applied to injured skin. Medications that should be used only as prescribed by the attending physician will also be effective. Swelling may subside in the evening and appear in the morning. Everything will return to normal when natural lymph and blood flow improves.

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.

Preparation 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 urine analysis;
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

It is 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.

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);
moderate physical activity;
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. Complete recovery of the body after resection of Bisha's lumps occurs after 2 months.

Rehabilitation period

Recovery of the body after surgery lasts from 2 to 6 weeks and is determined by the method of plastic surgery, as well as the individual characteristics of each patient’s body.

So, when making an incision inside the oral cavity, it is recommended to adhere to the following general recommendations:

Eating liquid food that does not require chewing for 3-7 days. Avoiding hard foods for up to one month.
Following a special diet (avoiding hot, spicy, salty or overly sweet foods) during the entire recovery period.
Limiting the consumption of meat and fish during the rehabilitation period (these categories of products can cause infection).
Mandatory rinsing of the mouth after eating for 4-6 weeks.

It is important to follow a diet after surgery

If the operation was performed using an external method, then special attention should be paid to limiting the following external factors:

High temperatures. You should not visit baths, saunas, steam rooms, or swimming pools.
Mechanical pressure. It is forbidden to massage or sleep on your stomach with your face in the pillow.

Ideally, all types of recommendations should be followed, regardless of the method of intervention. It is also necessary to reduce physical activity to the maximum, do not shout, and avoid active facial movements. The treatment of sutures with antiseptic drugs and the use of painkillers should be agreed upon with the surgeon. The specialist can prescribe additional, individual rehabilitation measures for the patient.

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.

Side effects

The main postoperative danger is the development of infection. This occurs as a result of violation of sterility during manipulation, during the rehabilitation period. The seams are located in a delicate area, damage is possible due to careless actions.

The threat of inflammation increases if there was a destructive process in the body before the operation.

Damage to the facial nerve is called a complication if the operation is performed incorrectly. The phenomenon is rare. More often, patients observe asymmetry due to uneven removal of lumps.

Sometimes plastic surgery clients receive results that do not meet their expectations. This significantly spoils the impression of the manipulation.

Opponents of removing Bisha's lumps argue that the intervention leads to sunken cheeks, and later age-related changes change the face to a greater extent. As a result of manipulation, excess skin may appear, which forms folds. It will not be possible to correct the result, obtaining the previous appearance, without radical interventions.

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 complexes of massage and face building.

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.

Eliminating Bisha's lumps at home

You can remove Bish's lumps at home. Photos taken before and 2-3 months after the start of the fight against chubby cheeks will allow you to judge the changes that have occurred.

A combination of the following methods for reducing fat deposits will help reduce the size of cheek fat pads:

diet;
performing certain physical exercises;
use of special industrial and homemade cosmetics;
face massage.

However, each designated method of independent influence on cheek fat deposits is characterized by an almost absolute absence of contraindications, as well as benefits not only for the target area, but also for the body as a whole.

Compliance with all the stated principles must be reasonable and absolutely safe for health:

The diet should be compiled taking into account all the body's needs for nutrients and microelements, in quantities necessary not only for weight loss, but also for the harmonious functioning of all vital systems.
A set of physical exercises should be compiled with the participation of a specialist, since every movement performed during training should be aimed at achieving the goal, and not be done in vain due to an incorrect (amateurish) approach.
Before using home or industrial cosmetics, it is necessary to evaluate the feasibility of using the product, taking into account all indications and contraindications.
Before you begin massaging the problem area, you should study the technique and algorithm of work, since incorrect actions during the massage can lead to stretching of the skin, its further sagging and thinning.

Face and neck massage

The main goal of massage of the neck and face is to increase blood circulation in these areas. Pinching or patting movements directed from anywhere on the face towards the temples will help increase blood flow without stretching the skin.

Massage movements in the neck area should also be performed in the direction from the collarbones to the chin. Both when massaging the face and when massaging the neck, movements should initially be intense, sharp (but not traumatic) in order to increase blood flow to the treated areas.

The final stage of the massage should consist of stroking and relaxing movements in the recommended direction (towards the temples and chin). Preliminary application of moisturizer helps to have minimal impact on the skin while having maximum impact on the subcutaneous layers.

Facial gymnastics exercises

Facial gymnastics will not only reduce the volume of Bisha's lumps, but also tone and tighten the facial skin in the area of the lower jaw. Photos before the start of the exercises and a week after will allow you to judge the undoubted effectiveness of such gymnastics.

Popular massage techniques to prevent the appearance of “jowls” are available on the Internet or on paper. The methods of Carol Maggio, Eva Fraser, as well as many manuals on yoga for the face will allow you to choose the most suitable option for each trainee, depending on the level of their abilities and the degree of initial training.

Losing weight and rationalizing nutrition

A change in diet should be associated not only with a revision of the daily caloric intake and the ratio of consumed nutrients, but also be accompanied by the regulation of water-salt metabolism in the body, the violation of which leads to edema and difficulties in the functioning of the body’s lymphatic system, which, in turn, does not allows cells and tissues to get rid of toxins and waste products.

Masks, scrubs and oils

Cosmetics used as a component of a system for influencing fatty deposits in the cheek area should be characterized as products that penetrate deeply into the skin and act not on its surface, moisturizing and protecting from external influences, but also act on the deeper subcutaneous layers.

The reduction of Bisha's lumps, whose size was reduced through the use of any means, can be assessed by numerous photos before and after using this or a means.

Article design: Mila Friedan

Reviews

I was a fairly plump girl as a child and, naturally, my cheeks were always expressive. The weight did not go away with age, and at 23 I decided to take care of myself. I lost 16 kg. The only thing that remains the same size is the cheeks. Against the background of a thin figure, they began to look unnatural.
After reading a large amount of literature, I realized that the reason was Bish’s lumps, or rather their size. This was later confirmed by a doctor at the clinic. After weighing all the pros and cons, I finally decided to remove them. I'm tired of being embarrassed by my appearance.
I had a laser resection with local anesthesia. The procedure was quick and painless, and after 1 hour I was already going home. Among the unpleasant manifestations after the operation, I can only note mild nagging pain and swelling, and it is also somewhat difficult to eat and brush my teeth.
However, in my case, all these inconveniences were worth the result I got. The face became narrower, and the cheekbones were pronounced and beautiful. Now there is no obvious discrepancy between full cheeks and a thin body.

Alena Valikhojaeva, 27 years old

Often, resection of Bisha's lumps gives a short-term aesthetic result. Before deciding on the procedure, it is important to take into account age-related changes that will affect every person.

Plastic surgeons, aimed at long-term results, do not approve of the client’s wishes dictated by the current trend. In addition, everyone knows about the physiological characteristics of the body. Therefore, it is better to listen to alternative suggestions that will help find a better solution to the problem.