Removing lumps of Bish: indications for surgery



Nowadays, the fashion for the custodian forms in women, as well as the plump ruddy cheeks, has sunk into oblivion. And now almost every woman dreams of an “aristocratic” facial oval with clearly defined cheekbones, as can be recognized by conventional sex - the symbols of world cinema.

However, with the help of a simple diet and cosmetic procedures to achieve this is difficult, because in most cases the shape of the cheeks is due to hereditary factors.



Removing lumps of Bisha is a plastic surgery, the main purpose of which is to correct the shape of the cheeks and to change the outlines of the facial contours.

These formations are encapsulated fat capsules located between the muscle fibers of the cheek and the outer muscles of the face. They got their name by the name of a French doctor, famous for his studies in the field of histology and pathology, Marie François Xavier Bisch.

About what function in the body performs this structure, scientists argue to this day. However, most experts are inclined to believe that Bish’s lumps are very important in infancy. They take part in the act of swallowing while feeding with a mixture or breast milk and contribute to better chewing of food as the introduction of complementary foods. Also, this structure performs a protective function, preventing damage to the mucous membrane of the inner surface of the cheeks from the outside. But with age, these formations gradually atrophy, so the removal of lumps of Bish does not have negative consequences and does not affect the functioning of the oral cavity.

Surgical intervention is safe, the capsules with adipose tissue are removed through a small incision. At the same time, there are no traces on the skin, since the extraction of lumps of Bish is carried out through the mucous membrane of the oral cavity. The rehabilitation period takes only a few days; even there is no need for the patient to stay in the hospital.

There are no medical indications for such a plastic surgery. Therefore, removal of lumps of Bisha is carried out only if the woman wants to appear more attractive in the eyes of men.

A cosmetologist may recommend a similar surgical procedure for:



• excessive accumulation of fat in the lower part of the face;
• sagging of the cheeks and changing the shape of the nasolabial folds as a result of age-related changes, because closer to old age, the subcutaneous muscles of the face weaken and are unable to maintain facial contours;
• for the correction of facial contours, especially in combination with other plastic operations to eliminate double chin and correct other defects.

In some cases, only partial removal of lumps of Bish is performed. This is necessary to increase the volume of the cheeks in the cheekbones .

At numerous forums devoted to issues of plastic surgery, reviews of women who performed this operation are given, prices for carrying out a similar procedure are also indicated. However, any intervention poses a certain risk to the patient, especially since the removal of lumps of Bish is performed in the immediate vicinity of the salivary glands and nerve fibers that provide facial movements of the face.

Therefore, it is necessary to make a decision about the operation after evaluating all the pros and cons factors, having analyzed all the risks. To understand what will happen on the operating table, you can view several videos with a description of the surgical intervention.

What are Bisha’s lumps, preparation for surgery, limitations to the procedure, the course of surgery

To perform the operation, it is necessary to contact a specialized clinic with many years of experience, where the classification of doctors is beyond doubt. Before surgery, the patient must be recorded to see a doctor, who will conduct the operation.

He will explain what Bisha’s lumps are, how the procedure goes. The doctor examines and palpates the cheeks and cheekbones of the patient in detail, some clinics provide a computerized 3D modeling service.

Thus, the doctor can demonstrate to the woman what her face will look like after removing lumps of Bish.

After discussing all the details of the upcoming operation, the doctor issues directions for the necessary laboratory tests. It is mandatory to pass clinical blood and urine tests, tests for infectious diseases (HIV, syphilis, hepatitis), coagulogram.

During surgery, the doctor makes a superficial incision, so general anesthesia is not an urgent need, the operation can be performed under local anesthesia. However, if the patient insists on general anesthesia, in most cases she is met to meet. In such a situation, an anesthesiologist's consultation and additional studies are necessary. As soon as all the test results are obtained, you can prescribe the day of surgery, and the patient will soon forget what Bisha’s lumps are.

But there are certain contraindications for surgical intervention:

• intolerance to anesthetics and other drugs used for anesthesia, an allergic reaction to the components of the suture material;
• bleeding disorders of any origin;
• the period of pregnancy and lactation;
• severe pathologies of the endocrine system;
• age up to 18 years, however, experts recommend not to remove Bisha’s lumps up to 25-35 years, as this may affect the further formation of the facial contours and cause premature formation of deep wrinkles and fleshes;
• acute respiratory diseases, lesions of the oral mucosa (stomatitis, gingivitis, glossitis, etc.), but the operation can be performed after the end of the course of treatment and the disappearance of the symptoms of infection;
• inflammation and ulceration of the face;
• dental infections, since such diseases increase the risk of wound infection in the postoperative period;
• overweight or, conversely, too little weight.

The operation itself to remove the formations, named after the French doctor, lasts 30-60 minutes (although this time may be longer during general anesthesia). After the anesthetic acts, the doctor makes a small incision (its size does not exceed 1-2 cm) on the buccal mucosa in the “wisdom” teeth and removes a dense capsule filled with fatty tissue. Then, in the same way, the lump (body) of Bisha is removed from the opposite side. The wound is sutured with a self-absorbable suture.

Near the site of the incision are clusters of nerve cells, salivary glands and tissue of the facial muscles. Therefore, after the cessation of anesthesia drugs, the doctor must ensure that the function of these structures is preserved in full. If the operation was successful, the patient does not need to stay in the hospital. The doctor talks about the features of the rehabilitation period and lets the patient go home.

Removal of fatty lumps of Bisha, the process of rehabilitation and recovery

After the suturing operation is completed, the surgeon applies a sterile pad soaked in a disinfectant solution, and outside the cheeks in the cheekbones support an elastic bandage. Often, the removal of fatty lumps of Bisha is carried out in parallel with the elimination of fatty deposits in the chin area and other minimally invasive operations to correct the facial contours.

The rehabilitation process takes only a few days. But in the first three days it is strictly forbidden to eat solid food, and in the next 2-3 weeks the diet consists only of ground products and soups - mashed potatoes. Meals should be warm, in order not to injure the mucous membrane in addition, hot tea, coffee and other drinks are prohibited, too cold drink is also contraindicated. It is necessary to gently brush your teeth, at the time to abandon the use of an electric toothbrush and toothpicks. Until complete healing of the wound, avoid visiting saunas and baths, tanning beds, physical exertion. It is necessary to sleep on the back on a high pillow to avoid edema and postoperative bleeding.

Removal of fatty lumps of Bisha must be accompanied by the mandatory intake of antibacterial agents. Often, doctors prescribe disinfectant solutions for treating the oral mucosa. Pain, which often occurs within a few days after surgery, is eliminated with the help of analgesics (doctors recommend Nimesil or Ketanol).

The entire rehabilitation process takes from 4 to 6 weeks. During this period a slight swelling and soreness may persist, aggravated during the meal. But after this period, a woman can fully appreciate the aesthetic effect of plastic surgery.

Removal of Bisha pouches: the result and possible complications, the cost of the operation

In some cases, surgery can cause certain complications:

• Allergic reaction . Usually manifested as edema, rash and itching. However, allergies are very dangerous, since severe swelling of the mucous membranes can cause obstruction of the airways.
• Damage to nerve fibers and muscles . As a result of an inaccurate incision, facial expressions may suffer, asymmetry of the facial contours may occur.
• Pain It may persist for the first week after surgery, otherwise it is necessary to consult a doctor.
• Suppuration of the wound . Accompanied by severe pain, fever, redness of the cheek, in severe cases - a specific taste and smell from the mouth.
• The appearance of wrinkles . Usually occurs if the removal of the Bisha sacs was carried out at an early age or with a sharp decrease in body weight.
• The reappearance of body fat . As a rule, occurs when weight gain or hormonal disorders.

The price of removing Bisha's pouches depends on the prestige of the clinic and the qualifications of the doctors performing the surgery. But on average, the cost of surgery ranges from 50,000 rubles. This amount may increase if other defects are corrected in parallel. Most patients are satisfied with the effect of the intervention. It is relatively non-invasive, rarely causes complications, and the result of the operation is noticeable almost immediately.