The operation to remove Bish's lumps has recently become incredibly popular. With the help of it, patients strive to emphasize the cheekbones, make the face thinner with clearly defined contours, get rid of chubby "children's" cheeks. Also, patients are attracted by the fact that the operation does not take much time and usually does not require a long hospital stay. But is it really that safe? The editorial staff of Passion.ru decided to make out the nuances of this manipulation.
Natalya Kozhevnikova Cosmetologist of the CIDK network of clinics
What are lumps of Bisha
Bisha's lumps are a formation of adipose tissue, enclosed in a dense connective tissue capsule, it is located in the cheek area between the subcutaneous tissue and muscles. This education is necessary for the infant to perform the act of sucking, with age, as a rule, the fatty body of the cheek decreases.
How is the operation performed
The operation to remove Bisha's lumps is performed both under general anesthesia and under local anesthesia. On the inside of the cheek, on the mucous membrane, an incision is made through which the surgeon removes the lumps and sutures the mucous membrane with absorbable sutures. When the removal of the cheek fat is part of a larger surgical procedure, it is accessed through the skin.
Benefits of removing lumps of Bisha
A decrease in the volume of the cheeks, the lower part of the face becomes more harmonious.
Highlighting cheekbones.
The nasolabial folds become less pronounced.
Easy and short rehabilitation.
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Side effects of removing lumps of Bish
Infections of the soft tissues of the face are possible.
Allergic reactions to used drugs.
Damage to the facial nerve.
Asymmetry.
Postoperative swelling and soreness and physical discomfort when using general anesthesia are considered predictable consequences.
Contraindications to the removal of Bish's lumps
Contraindications are standard, as for all surgical interventions: the presence of infectious diseases, diabetes mellitus, problem blood clotting, mental disorders, inflammatory processes. The operation is not recommended for patients under 25 years of age, elderly patients, people with flaccid skin and thin.
Tamara Beridze Plastic surgeon of the family clinic chain
“The operation is indicated for chubby girls with thick skin and initial age-related changes, it is simple and safe: it lasts only 30-60 minutes and is performed through a small incision in the oral cavity. There is no need to stay in the hospital, you can go home in two hours. If there are no pronounced cheeks, the operation is useless. The only medical indication for the removal of Bisha's lumps: the patient chronically bites his cheek, all other indications are only aesthetic ones, in order to achieve clear facial contours. One way or another, but the decision is made by the patient and the doctor together, the most important thing here is to have all the information and thoroughly consult with a professional surgeon."
Whether to remove lumps of Bish: pro et contra
Reviews of patients and plastic surgeons about the results of this operation are quite contradictory. On the one hand, it allows you to emphasize the cheekbones, make the face less "heavy", and on the other hand, sunken cheeks can visually age the face, the lower jaw can seem more massive, in patients with excess weight and a very full face, the result is hardly noticeable, age-related changes associated with atrophy and displacement of the fatty compartments of the face become more visible after surgery. The most important thing: if the result of the operation is not satisfactory, you will not be able to return everything back. However, plastic surgeons often use the removal or movement of Bishat's lumps during the SMAS facelift, since the simultaneous reduction in cheek volumes and soft tissue tightening allows a more harmonious and natural result to be obtained.
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Alternative methods
As for alternative methods that are worth considering along with bisectomy, injections of special lipolytic drugs created specifically for this area are used to delicately reduce the volume of fatty tissue of the face.
To emphasize the cheekbones, injections of biodegradable fillers are used in a special technique (for example, sigma-shape, top model look, vector lifting, and others), which can make the contours clearer, and the perception of the face as more slender. Also for this purpose, methods of ultrasonic lifting are used, after which the tissues of the middle third of the face are denser, tightened, a visual effect of reducing the volume of the cheeks is created.
Elena Uvarova Plastic surgeon, maxillofacial surgeon, Ph. D., @ dr.uvarova
“To remove lumps of Bish or not is a question that does not have a clear answer. The boom in the removal of Bisha's fatty bodies has long passed, but the topic that they cannot be removed is very popular today among surgeons. Let's figure out what is true and what is not. So, personally, I have been familiar with Bish's lumps for more than 20 years, and when I studied in residency in maxillofacial surgery, they often fell out in the oral cavity during various operations, it was necessary to refill the fat, since it was impossible to touch them, and about that, to remove them, and there was no question. No one then knew that this manipulation led to a decrease in the cheeks - it was believed that Hollywood stars allegedly removed the upper wisdom teeth.
What does the removal of Bish's lumps ultimately give? The cheekbones do not increase, there is no lifting, in thin patients there is a failure of the cheek under the cheekbones, but in full faces the oval will be more elegant. The operation gives a stunning effect on round Asian faces, since their skin is quite dense and contains a large amount of collagen and elastin. By the way, many patients who have previously undergone this procedure regret it. In my practice, there was a patient from whom I removed Bish's lumps, and after five months I had to do a facelift. Yes, the cheek can fail, especially if the operation was performed by an inexperienced doctor, so you can't save money in any case."
Photo: depositphotos
