Plastic surgery to remove the cheeks. Where they are? Massage with terry towel

AT aesthetic surgery cosmetic removal of Bish's lumps is very popular. In 1800, the French scientist M. Bisha drew attention to fat bodies between the chewing and buccal muscles. Yes, in scientific world the name Bisha's lumps (massas Bisha) appeared.

Do you know? Bish's lumps are popularly called fleas and "bulldog cheeks".

In the opinion of plastic surgeons, girls aged 25-30 are most often asked to give their faces sophisticated and expressive forms. For this age, it is enough to remove the lumps. And for more middle age such a surgical intervention is performed in a complex facelift.

What are Bish's lumps, how are they removed and what actions to take after the operation will be discussed in this article.

What are Bish's lumps

Bish's lump is present in all people. It helps young children suckle milk. Over the years
its purpose is lost, and it partially ceases to function.

Bish's lump is a clot of adipose tissue located between the cheek muscle and the superficial muscles of the face on each side. The clot volume varies from 2 to 10 mm, but can be increased for several reasons:

• with inflammation of the cheek;
• after plastic surgery on the face;
• a fat clot can condense on its own in view of the physiology of an individual person.

By about the age of 25, in a person, Bish's lumps lose volume, and in some this does not happen. And if a girl or young man do not like swollen cheeks, and older people are annoyed by volume and sagging lower cheek, then you should think about the operation.

You should also be aware of contraindications:

• Overweight;
• Diabetes;
• Infectious diseases;
• Oncology;
• blood diseases ( poor clotting, low hemoglobin etc.);
• Inflammatory and purulent diseases facial skin;
• Connective tissue dysplasia.

The surgeon will tell you more about contraindications at the first consultation;

It's important to know: Bish's lumps can only be removed in a clinic where professional plastic surgeons work and the necessary sterility is present.

Preparing for the operation

If you decide to remove Bish's lumps, then you need to prepare for this procedure. What needs to be done:

1. Visit a plastic surgeon who will examine, find out about chronic diseases, allergic reactions to drugs and determine the need surgical intervention.
2. Pass the tests prescribed by the doctor.
3. Prepare yourself mentally for the procedure.
4. On the appointed day, do not use cosmetics.
5. Come to surgery in a good mood.

Important to know: a few days before the procedure, you should not drink alcohol, smoke or take medication.

Briefly about the operation

Operation happens: internal and external.
With internal intervention, an incision is made in the mucous membrane in the oral region. It is small, a few mm, a lump is removed through it.

An operation to remove bish lumps is not done to patients under 25 years of age. Before this age, the processes of natural formation of the fat layer take place and “chubby cheeks” may disappear on their own, and the operation may lead to a emaciated face in the future.

If the face is thin, then the fat clot moves a little higher. After the operation, absorbable sutures are applied, which do not need to be removed later. An elastic bandage is applied to fix the cheek.

The external method is used as an addition to facial plastic surgery.
The operation is carried out under local anesthesia and general anesthesia and last 25-30 minutes. The patient is not in the clinic for a long time, after 30 minutes he can leave the clinic and get home on his own. Surgeons turn to general anesthesia in rare cases due to various postoperative complications.

Complications during surgery can occur in the form of an allergic reaction to painkillers and general anesthesia. The surgical procedure itself excludes complications.

Video recording of Bish's lump removal (Strictly 18+)

In order to consolidate the result of the surgical procedure, you should remember and follow the basic rules:

1. The patient must be prepared for the fact that within a few days the face will be swollen.
2. Avoid physical activity, apply thermal treatments for 2-3 weeks.
3. Take control of emotions that can negatively affect the face: grimaces, laughter, screaming.
4. Follow the diet prescribed by the doctor: only liquid food for 2 days, mashed food for 3-4 days, avoid solid and hard food for 2 weeks. Food temperature should not be cold or hot.
5. Rinse your mouth after eating antiseptic preparations, on the advice of a doctor.
6. Gentle teeth cleaning.
7. Place a high pillow under your head while you sleep.
8. You can take anti-inflammatory and pain medications.

Photos of patients Before and After removal of Bish's pouches

Opinions of surgeons about removal

Some surgeons who plastic surgery, are critical to the removal of Bish's lumps. And they justify it with the following arguments:

• the operation does not give a positive result;
• deletion in young age in the future will affect the shape of the face and premature wrinkles;
• facial asymmetry may occur;
• when gaining weight, patients will again have roundness of the face;
• when losing weight, the face can stretch out and become tired and senile.

Cost of the procedure

If you want to remove Bish's lumps, then you should turn to those recommended on the market plastic surgery clinics where the price of this procedure fluctuates from 25,000 to 50,000 rubles.

For all the seeming simplicity of this operation, it is not worth saving on it and turning to “sharazhkin offices”. In such clinics, you can not only perform a poor-quality operation, but also get an infection and damage your facial nerves and your face will forever turn into a lifeless grimace.

Having learned the nuances of removing Bish's lumps, you decide to do the operation yourself or not. Only you can weigh the pros and cons. And a professional surgeon will be able to carry out the procedure, give recommendations and advice.

And yet I really want to be beautiful no matter what.

Related videos

Almost all women are obsessed with their appearance and that is why they strive to do everything so that their appearance is always perfect. But if in youth all problems can be solved exclusively proper care, then with the onset of a more mature age, creams and massages no longer give the desired result.

Most of all, the processes of growing up can be seen, of course, on the face. Most often, people begin to annoy the so-called Bish's lumps, which make a woman's face more plump and massive. To get rid of this problem, the fair sex has to go to extreme measures, that is, remove them surgically. We will talk about what Bish's lumps are and whether they should be removed in our article.

What are Bish's fat lumps, where are they located on the face in adults and children?

Bish's lumps are called fatty deposits that have a capsular-type shell and are located between the cheekbones and the lower jaw. This name was given to them in honor of the first anatomist who found them and described them in as much detail as possible. On the face of a person there are two similar lumps, each of which consists of three small segments, quite tightly grouped around salivary duct located in the ear area.

Initially, it was believed that Bish's lumps are helpers of facial muscles and facial nerves. But over time, scientists have found that when human body ceases to develop (the aging process begins), then these fat deposits cease to perform all their functions, and more precisely, they become unnecessary. And due to the fact that they consist exclusively of adipose tissue, they begin to gradually increase, forming ugly folds on the human face.

For this reason, most people quite easily agree to an operation to remove them and almost painlessly return them to their face. former beauty. As for children, Bish's lumps are vital for them. As scientists have proven, it is they who in the first months of life help to significantly reduce muscle friction, maintain cheek tone and help the baby to suckle the mother's breast correctly.

Why remove Bish's lumps on the face?

As you probably already understood main reason The fact that people decide on an operation to remove Bish's lumps is that over time they make their cheeks more plump and protruding. And if small child it only decorates, then an adult, at least, adds age. Another reason that pushes people to take this step is the asymmetry of the face. Sometimes, although very rarely, one lump increases dramatically, while the other remains as it was.

As a result of this visually, the person's face begins to look as if twisted. And then the man or woman has no choice but to resort to surgical intervention. But perhaps the most common cause, along which Bish's lumps are removed, is the desire of people to make their face neater and thinner. Such an operation can be performed upon reaching the age of 25, provided that the person does not have any serious problems with health.

Bish's fat lumps on the face: indications and contraindications for surgery

In most cases, the indication for an operation to remove Bish's fat lumps is the patient's desire. As practice shows, a large number of specialists do not see any medical reason. In view of this, patients, having weighed all the pros and cons, independently seek help from a plastic surgeon.

But one should not think that doctors perform this operation on everyone without exception. As a rule, they refuse people who have not reached the age of 25 and those whose lumps have not yet begun to sag. After all, no matter how sad it may be to admit it, but sometimes complications arise that do not make the face better.

Indications for the operation:

• Very plump cheeks with general thinness
• Unnatural wrapping of the skin in the cheek area (occurs against the background of age-related changes)
• The formation of deep nasolabial folds at a young age (up to 35 years)
• Well-marked facial asymmetry
• Too obvious deposition of fat in the cheek area against the background of obesity
• Facelift and chin lift

Contraindications for surgical intervention:

• Childhood and adolescence
• Initially too thinned fat layer on the face
• Too big or too little weight(deviation from the norm by more than 25%)
• Diseases inflammatory nature flowing in the face, neck and oral cavity
• The presence of cancer

Where is Bish's fat lumps removed on the cheeks, how much does the operation cost?

I would immediately like to say that, although such an operation seems very simple, it is carried out under anesthesia. What it will be local or general is decided by the doctor himself, taking into account the amount of fat and the condition of the patient's body. And since in order to get to Bish's lumps, the surgeon needs to make quite noticeable incisions, then carry out this operation it is necessary exclusively in sterile conditions, that is, in the operating room.

Only then can you be sure that the operation will take place successfully, and recovery period will last the longest minimum time. As regards prices for similar procedure, then if we talk about Moscow, then its cost starts from 30 thousand rubles. Moreover, not very popular and promoted clinics require such a fee. If you want to carry out this operation in a more popular place, then its cost may increase by at least another 10 thousand rubles.

In addition, pain medications and the amount of fat that needs to be removed can affect the cost of the operation. At the very end, I want to say one thing, remember, Bish's lumps are very close to the facial nerves, in view of this, it will be better if your problem is solved experienced doctor who made many successful operations.

Which of the stars removed Bish's lumps: before and after photos

World-class stars and local media faces sooner or later decide on an operation to remove Bish's lumps. In most cases, they think that a more beautiful and sculpted face will help them become even more popular and in demand. And no matter how ridiculous it may sound, quite often it works and they begin to receive offers that they had never dreamed of before.

If you want to know who decided on such an operation, then look at the photos posted a little higher. Having carefully examined them, you can see how much the appearance of a person changes after the hated fat lumps have been removed.

Methods and techniques for removing Bish's lumps on the cheeks

If you were attentive, you probably realized that removing Bish's lumps is like a mini-operation that provides minimum load on the body. That is why after its implementation, people quickly recover and return to their normal way of life.

True, you must understand that the length of the recovery period directly depends on the method by which the operation will be performed. As practice shows, if the procedure is carried out with minimal tissue injury, then a person can feel quite normal after seven days.

Operation methods:

• Classic. In this case, anesthesia is administered to the person, and then the surgeon makes a small incision with inside cheeks. Having gained access to the capsule with adipose tissue, he simply cuts it out with a scalpel, cauterizes the vessels and sutures the wound. Usually, after the effect of anesthesia ends, a person feels quite strong discomfort in the incision area.
• laser. Since in this case the standard scalpel is replaced by laser ray the operation is less painful and traumatic. That is why most patients who agree to laser removal are given local anesthesia, which gives less stress on the heart and blood vessels.
• Modeling. In this case, an incision is also made, simply adipose tissue not removed, but redistributed in such a way that Bottom part jaw as well as possible in harmony with the top. As a rule, such an operation is performed on older patients. age category in which the fat layer is depleted against the background of age-related changes.

Rehabilitation and recovery after surgery to remove Bish's lumps on the cheeks

Rehabilitation after removal of Bish's lumps is carried out in a standard way. Immediately after suturing, the wound is treated antiseptics and the patient is transferred to the ward to recover from anesthesia.

If no complications are observed, then by the evening the person is sent home, and he, in his usual conditions, is waiting for the wound to heal. All that he will have to do at this time is to rinse his mouth several times a day with a solution that will disinfect the wound and stimulate faster tissue regeneration.

In addition, patients must adhere to the following rules:

• Do not eat too hot or too cold food
• Eat only liquid and soft foods (mashed soups and cereals are best)
• Be sure to brush your teeth and rinse your mouth after breakfast, lunch and dinner
• Sleep on high pillows
• Try not to strain your facial muscles (do not laugh, do not scream or cry)
• Do not visit baths, pools and saunas
• Need to limit strength training
• It is categorically impossible to do facial massage for the entire recovery period.

Yes, and if you notice that your pain has increased or an unpleasantly smelling discharge has begun to appear from the wound, then immediately see a doctor. It is likely that this is how she began to manifest herself. latent infection, which, without timely therapy, will complicate the healing of the wound and, as a result, your recovery will be delayed for weeks.

Resection, removal of lumps, Bish's balls on the face in women and men: pros and cons, is it worth removing?

If you still doubt whether to remove Bish's lumps or not, then just sit down and think about how much moral discomfort they give you. If the presence of round cheeks does not particularly bother you, then you should not do the operation.

After all, no matter how harmless it is, complications after it still happen. Therefore, if you do not like to take risks, then it is better to leave everything as it is. In the event that fat lumps do not allow you to calmly look in the mirror, then carry out the operation without hesitation.

Arguments for the operation:

• After the operation, the oval of the face becomes clearer and more noticeable, the skin on the cheeks is tightened, thereby visually rejuvenating the person.
• In comparison with the standard procedure for pumping fat from under the skin, removing Bish's lumps gives much best result. As practice shows, the visible effect of the operation lasts at least 5 years.
• This is the only operation that can effectively eliminate age-related changes (bulldog cheeks and skin laxity).

Arguments against the operation:

• If the operation is performed poorly, then there is a possibility that part of the adipose tissue will remain in its place.
• Sometimes, after the removal of fatty lumps, a person's face begins to look unnaturally thin (as a rule, this happens in older patients).
• There is a possibility that the human body will not respond adequately to anesthesia and he will begin to have problems with the kidneys and heart.
• When medical error you will not be able to return your face to its former appearance.

What is the danger of removing Bish's lumps, what could be the consequences?

Immediately I want to say that complications after the removal of Bish's lumps are extremely rare. If the operation is carried out correctly and it is done by a professional, then, as a rule, everything goes perfectly.

The wound heals quickly enough and after 10 days a person observes a beautiful and rejuvenated face in the mirror. In the case of a person who did not undergo a thorough examination, or the specialist did something wrong, then there is a possibility that the operated person may have problems.

Unpleasant consequences of the operation:

• Inflammation of the tissues in the incision area. Most often, all such a complication occurs if a person had some kind of infection in his mouth at the time of the operation.
• There are cases when, after an incorrectly performed operation, the face, as they say, slips, and becomes too elongated and thin. In this case, after recovery, women have to carry out an additional facelift.
• If, immediately after removal, a person loses a lot of weight, then this immediately affects the face. Since this inevitably leads to the fact that the skin becomes less elastic, it is visually perceived as painful.
• If the specialist chooses the wrong anesthesia, the patient may develop allergic reaction, which will manifest itself as a rash, itching and other unpleasant sensations. In this case, the recovery process will necessarily be accompanied by the intake of antiallergic drugs.
• In very rare cases, inexperienced surgeons damage tissues that are in close proximity to Bish's lumps. As a rule, this leads to a more explicit pain syndrome and slightly more cheek swelling after surgery.

Bish's lumps on the cheeks: unsuccessful operations - photo

As you already understood, although the operation to remove Bish's lumps is not very difficult, there is still a possibility of complications. In view of this, before going under the surgeon's scalpel, first go through the most thorough examination. Be sure to ask a specialist if you have problems with the heart and blood vessels, check how well your blood coagulates. Also, be sure to contact your dentist and ask him to give you a conclusion that there are no wounds or other foci of infection in your oral cavity.

This must be done, because in the event of complications, you will look like women in the photographs posted a little higher. It is clear that you will definitely not walk with such a face, which means you will need plastic surgery, which will cost a lot of money. If you have official papers on your ideal state of health in your hands, then you can seek compensation through the court for part of the money paid for the operation.

How to remove Bish's fat lumps without surgery at home?

If for some reason you do not want to do the operation, you can try to get rid of Bish's lumps less painful methods. But remember to achieve visible result you need to take care of yourself every day. If you only occasionally do some cosmetic procedures you won't get the desired effect.

Home methods for dealing with Bish's lumps:

• Give up food that provokes the accumulation of body fat and be sure to bring it back to normal water balance body. After some time, your body will begin to properly process food and, against this background, weight will begin to decrease, which is also the cause of excessive puffiness of the cheeks.
• Do facial self-massage regularly. This will help enhance everything. metabolic processes in the dermis and, as a result, all fat cells located in the face area will decrease in size. Such a massage is carried out with the help of pinching, stroking and patting.
• Another good way to help get rid of this problem is simple home gymnastics for the face. If you inflate your cheeks as much as possible and at the same time try to drive air inside the oral cavity, you can slightly reduce the thickness of the fat layer by such actions, thereby removing swelling of the cheeks.

Bish's fat lumps on the face - removal: reviews

Alexandra: Due to weight issues, my face has always been chubby. And when I turned 35, the so-called bulldog cheeks began to decorate it. And no matter what I tried to do (lose weight and engaged in face-building), they did not disappear. So, with some hesitation, I decided to surgical operation. Everything went so perfectly that I even began to regret that I had not done it earlier.

Valentine: Too obvious lumps of Bish are hallmark all the women in our family. Both grandmother, and mother, and aunt's cheeks are so plump that their head visually looks like a small ball. While I was small, I even liked it, but when I grew up, I realized how ugly it was. Therefore, as soon as I turned 25, I immediately found a clinic and removed fat lumps. I was satisfied with the operation and, most importantly, now my face looks very beautiful, sophisticated and aristocratic.

Video: Plastic surgery. Bish's lump removal

Beauty knows no bounds, and women, in turn, always desire perfection. Some people think that cheekbones are perfect proper makeup. And others are sure that you should not spend a lot of time on cosmetics every day. Today we will talk about Bish's lumps, their true purpose and how you can permanently make your cheekbones more defined.

The main thing in the article

What are Bish's lumps: functions and anatomy

Bish's lump removal is a step towards perfect cheekbones

• As a child, for sure, everyone went through a stage when adults approached you and pulled your cheeks. At the same time, the process was accompanied by a replica - "Oh, how pretty, how sweet." Cheeks like a child's are very cute, but only if we are talking about a child's face. In adulthood, chubby cheeks give some women good looks and take off several years. But fashion is such a thing: one did it, and the rest want it the same way. So it is with cheekbones.
• Each person has a different volume of lumps. Therefore, with age, some children's swelling disappears. But this does not mean that they do not have fatty formations, they just have less volume. And some cheeks remain like a child. In old age, due to loss of elasticity and less collagen production, lumps fall and subsequently form flew.
• The operation to remove fatty formations is aesthetic in nature, since in the process it does not change the contour of the face, but simply removes lumps. As a result, the cheekbones stand out better, and the cheeks look a little sunken.

Who is shown the removal of Bish's lumps?

It is possible to carry out an aesthetic operation to remove formations if:

• Age-related sagging of the skin in the cheek area and the formation of folds;
• Too large lumps;
• Additional procedure for liposuction or facial skin tightening;
• Inconsistency of facial features with the volume of body fat;
• Round face.

There is a procedure that does not remove lumps, but moves them over the cheekbones to give the latter a more pronounced appearance.

Contraindications to the removal of Bish's lumps

The road to surgery is not open to everyone. Formations cannot be removed by persons:

• under the age of 25, since before this age the facial skeleton grows, so it is likely that the formations will be less pronounced;
• with a deficiency of fatty layer on the face;
• overweight or underweight by more than 25% of the normal height-to-weight ratio.
• undergoing planned drying or weight gain;
• with inflammation in the cheeks and nearby locations: neck, mouth, face, ears.

During the operation, the patient undergoes tests and is consulted by a specialist who gives general recommendations. The doctor determines the indications for surgery not only by outward signs, but also on the basis of the results of the analyses.

Bish's bag removal operation: technology with photo

Lumps are removed in two ways:

Internal way- carried out in the oral cavity.

• The surgeon makes an incision inside the cheek no larger than 2 cm.
• Then it exfoliates the muscles and, with the help of a special tool, pulls up the capsule of the fatty formation and separates it from the adjacent tissues.
• After that, the doctor removes the lump along with its shell.
• Then he puts in stitches that dissolve on their own.
• After performing the operation on one cheek, the surgeon performs the same actions on the other cheek.

outdoor method- carried out only when combined with plastic surgery, for example, a facelift or the introduction of zygomatic implants.

It should be noted that complete removal lumps are not carried out, as this worsens the appearance of the patient. In addition, the absence of an interlayer leads to rapid aging faces.

Several types of instruments are used for the operation:

• Scalpel- the most common option for the operation.
• endoscope– the use of this equipment does not distinguish the operation from the one performed with a scalpel. But the use of an endoscope less traumatizes the tissues, which reduces the number of sutures to one.
• Laser- the use of a laser is more effective, since it has an antiseptic effect, which prevents any infection of the wound. Pain are minimal, and the adjusted accuracy on the equipment allows you to achieve a symmetrical facial contour. The incision with the use of this equipment has a minimum size.

The operation is carried out in 30 minutes using local anesthesia. General intravenous anesthesia is rarely used and is performed at the request of the client or with increased excitability.

The effectiveness of the operation to remove Bish's bags

• At first, after the procedure, the cheeks will look even plumper than before the intervention of the surgeons. But after a couple of days swelling will subside and cheeks will decrease in size.
• After a few weeks, if all recommendations for recovery after surgery are followed, the client can observe a more pronounced contour of the face and cheekbones.
• And after complete healing, which on average varies up to six months, the patient can enjoy clear outlines of his newfangled face.

Bish's lump removal: before and after photos

For a better visual representation of how patients look before and after surgery, we present you photos of women who have removed fatty formations.

The fashion for removing Bish's lumps and Hollywood stars and the domestic sky has not bypassed, but how they suit them more - with or without cute plump cheeks, judge for yourself:

Removal of Bish's lumps: reviews of the operation

Feedback from patients who have undergone surgery to give their face a clear contour is observed both positive and negative. Some were not satisfied with the result, others were not fully informed, while others were fine.

Before seeking help, choose your surgeon carefully. Pay attention not only to the reviews of his patients, but also to his qualifications. Remember that your appearance depends on his hands.

How much does it cost to remove Bish's lumps?

The price range varies on average from 25000 before 50000 rubles. Depending on the region, the qualifications and experience of the specialist, as well as the status of the clinic, the price may change, mainly upwards.

It is also important to note that with such a simple operation, it is not worth saving on it. The fact is that the intervention is carried out near the facial nerves. And the inexperience of the doctor can affect during the operation, and then the consequences will be significant.

Removal of Bish's lumps: possible complications

After the operation, there may be complications:

• If the procedure was performed at the Balzac age, then the cheeks can be so sunken that it will visually age the woman.
• Against the background of large hollows in the cheeks, the jaw may look larger and more massive, which is undesirable for a feminine face.
• After removing the lumps, Bisha will become impossible operation on the introduction of implants for the cheekbones, since there will be nothing to attach them to.

Rehabilitation after removal of Bish's lumps

• After removal of formations, the client is allowed to go home on the same day without observation. The recovery period lasts an average of a month.
• Immediately after the operation, the face swells, but this does not last long, in just a few days the swelling disappears.
• Stitches are applied by special ones that do not require removal, they dissolve themselves within a week.
• AT preventive purposes the client is prescribed a course of antibiotics, which lasts according to the doctor's recommendation. Laser surgery does not require the use of antibiotics.

Upon completion of the operation, the doctor gives the patient recommendations for a quick recovery:

• first days and the next few weeks it is necessary to eat only liquid food so as not to strain the chewing muscles;
• food temperature should be acceptable, neither hot nor cold;
• until complete healing, it is not recommended to eat solid and hard food;
• after each meal, be sure to rinse your mouth and brush your teeth;
• until complete healing, you can not strain the muscles of the face: grimace, laugh, talk for a long time, scream, cry;
• it is necessary to sleep and rest only on the back and on a high pillow until all the seams heal;
• visiting water and hot places is strictly prohibited, these include: a bath, a swimming pool, a sauna, swimming in the sea, a pond and other bodies of water. It is necessary to wash in the shower.
• until complete healing, it is strongly recommended to minimize or completely eliminate physical activity.

Is it possible to remove Bish's lumps without surgery?

• Up to 25 years old the facial skeleton is in the growth stage, so it is likely that children's cheeks will be less visible on an adult face.
,"about" and "a" for stretching, as well as puffing out the cheeks.
• Mesotherapy may give an alternative effect of surgery to remove formations.
• strobing face will help to achieve clear facial features without surgery.
• contouring also help to highlight the cheekbones with the help of shadow play on the face.

Losing weight will not lead to the disappearance of lumps, since these fatty formations have nothing to do with body fat.

Video: Bish's lump removal operation

All people are individual, nature has awarded some with clear contours and lines of the face, others with "childish" chubby cheeks. Worth appreciating and enjoying natural beauty, as the fashion will pass, and the face will remain with you forever. And our article will help you make the right choice.

Valery Yakimets, presenter plastic surgeon clinic "Estet Clinic". Active member of the SPRE (Society of Plastic, Reconstructive and Aesthetic Surgeons) and ISAPS ( International Society aesthetic plastic surgery).

1. I am for the removal of Bish's lumps, because by reducing the cheeks and emphasizing the cheekbones, you can achieve the correct proportions of the face. You should not expect that you will immediately turn into Keira Knightley. This is not about creating a new oval of the face, but about the correction, as a result of which it will become more proportional.

2. I am for the removal of Bish's lumps, because this is the most effective method get rid of excess fat genetic type faces. Liposuction can only partially eliminate them. Bish's lumps have a slightly different nature than other body fat, all people have them, even slender girls.

3. I am for the removal of Bish's lumps, because such a procedure allows you to deal with age-related changes caused by weakening facial muscles. With its help, you can avoid the deepening of the nasolabial folds, the formation of flares (sagging areas of the skin and subcutaneous fat in the area mandible and neck) and ptosis (drooping) of the cheeks. Especially it concerns fat girls, whose face Bish's lumps eventually "pull" down due to excess weight. Well, in combination with a facelift, such an operation can provide the strongest lifting effect even with pronounced signs of aging.

4. I am for the removal of Bish's lumps, because with age they cease to fulfill their functions. When they are deformed, the jaws are not protected from external damage, and the masticatory muscles are not protected from friction that occurs during meals.

5. I am for the removal of Bish's lumps, but only if an experienced doctor takes up the matter. The specialist will definitely Exploratory survey, will ask about intolerance to anesthesia, previous surgeries and medications you are taking. If this does not happen, run away, otherwise you risk facing an unsatisfactory result or its absence.

6. I am for the removal of Bish's lumps, because this is the most operational way get rid of too plump cheeks. The whole procedure will take about 40 minutes.

7. I am for the removal of Bish's lumps, because such an operation does not deliver severe discomfort. Of course, you can’t get away from a three-day stay in a bandage and swelling (after all, we work with a scalpel, not magic wand). In addition, make sure that for some time after the operation you will have to follow the regimen: give up training and cosmetic procedures, wear a mask and attend special procedures. But the result, which you will see in about a month, is worth it.

8. I am for the removal of Bish's lumps, because this manipulation does not affect the chewing function in any way. You will have to be content with liquid food for no more than three days.

9. I am for the removal of Bish's lumps, because the result of such an operation lasts a lifetime, unlike the same fillers, which, depending on the density, dissolve after a couple of years, or even after a few months.

Otari Gogiberidze, chief physician Clinic "Beauty Time" Member of the European Confederation of Plastic Reconstructive Surgery; board member of the regional public organization Society of Aesthetic Surgeons.

1. I am against the removal of Bish's lumps, because a slight swelling of the cheeks visually rejuvenates. Of course, naturally thin faces of models with traced cheekbones look beautiful. But when we are not talking about natural data, but about a fundamental change anatomical structure facial surgery, then that's another story. As a rule, an artificially created hollowness of the cheeks visually ages a person.

2. I am against the removal of Bish's lumps, because I know how the girls who had such an operation ten years ago look now: they look tired and painful. The reason for that is hormonal changes that accompany the aging process (usually they make themselves felt at the age of 28-38). If in normal conditions this causes deformation of Bish's lumps and, as a result, the appearance of mild retracted cheeks, then when they are removed, this effect increases significantly. As a result, the lower part of the face looks more massive, and this certainly does not add grace to women.

3. I am against the removal of Bish's lumps, because the consequences of this operation are irreversible. Any methods maxillofacial surgery will be powerless. For example, if you try to inject some drug into the area chewing muscles, then it will simply dissolve. In this case, implants will not work either - there simply will not be anything to fix them on.

4. I am against the removal of Bish's lumps, because this operation is nothing more than a tribute to fashion. Once upon a time, girls ran to clinics for this procedure, having seen enough of Demi Moore. Now, after several years of silence, the operation is gaining popularity again, but with a new generation. I think that after a few years, surgeons and patients will see the result and will not be happy that they chose this particular method.

5. I am against the removal of Bish's lumps, because there are less radical ways visually reduce the cheeks. For example, you can increase the volume of the cheekbones with the help of fillers. Well, if we are talking about cases where Bish's lump is deformed, then it would be wiser not to cut it out completely, but to “pick it up” and move it a little higher. Such a manipulation will give a powerful lifting effect, and most importantly, it will preserve the volume of the face.

6. I am against the removal of Bish's lumps, because rehabilitation after such an operation will take at least three days. By the way, they will have to be held in a bandage. This is one of the reasons why I vote for fillers. If you give preference to them, you can go out immediately after the procedure.

7. I am against the removal of Bish's lumps, because after the procedure you will feel discomfort due to a scar on the cheek mucosa. Completely it will resolve only after six months.

8. I am against the removal of Bish's lumps, because this operation takes place under general anesthesia, which negatively affects human health. For example, they may escalate chronic diseases and dependence on weather conditions, and it also implies a serious strain on the heart.

9. I am against the removal of Bish's lumps, because I am worried about the result with which the patient will leave me. At the beginning of my career, I myself performed similar operations, but I stopped when I saw the effect that they give years later. Now, if a girl comes to my clinic with a request to cut out Bish's lumps, I will try to dissuade her. Yes, yes, I am a “well-fed” surgeon and I can refuse to operate. The only trouble is that she will go to other doctors and sooner or later she will find someone who will agree to take it on.

We all know how to achieve beautiful figure need to eat right, exercise exercise. But what to do if you can’t get rid of chubby cheeks, even observing strict diets? There is a way out - a popular operation among the stars to remove fatty deposits on the cheeks.

Bish lumps - what is it

Fat deposits on the cheeks it is very clearly visible in small children, with age, when the face is drawn out, their number becomes less. If a person suffers overweight, or exists genetic predisposition, then the fat on the cheeks, located near parotid gland- Bish's fat lumps become more pronounced. With age, these dense fat sacs can sink, making the oval of the face uneven, giving out age and forming more pronounced nasolabial folds.

Removing Bish's lumps

The operation to excise fat accumulations on the cheeks is one of the simplest in plastic surgery, but despite its simplicity, there are certain contraindications and recommendations for this procedure. Removal of Bish's lumps is not desirable until the age of 25, since growth processes are still taking place in the body and fat in the cheeks can go away naturally. The main contraindications are:

• excess or insufficient body mass index;
• inflammatory processes in the oral cavity;
• diabetes;
• reduced coagulability blood;
• oncological processes;
• connective tissue dysplasia.

The effect of the procedure for cutting out encapsulated fatty formations in the cheeks is visible after a week: the face is significantly rejuvenated, the cheekbones are drawn, and the volume of the cheeks is reduced. The main indication for surgery is the desire of the patient to get rid of cosmetic defect. Before the operation, the surgeon conducts a detailed consultation and medical examination for availability possible contraindications. The procedure has the following main advantages:

• reduction in the volume of the cheeks;
• the formation of a clear oval of the face;
• reduction of nasolabial folds;
• general facial rejuvenation.

Bish's lump removal - before and after

To understand what Bish's lumps are and what effect is achieved after their excision, you can compare photos of ordinary patients before and after the removal of Bish's lumps. The photo clearly shows how the oval changes, the face becomes more elongated, neat. For some, after the procedure, the cheek muscle becomes more pronounced, expressive cheekbones are formed and nasolabial folds are removed, which add age. But in all the photos you can trace the positive dynamics and the effect of rejuvenation.

The stars that removed Bish's lumps

Appearance stars never cease to amaze us, especially how young and fit they look. However, most of the star girls, who can boast of refined cheekbones, have Bish's pouches removed in the area of ​​the chewing superficial muscles of the face, the zygomatic minor and the zygomatic major muscles. The stars who removed Bish's lumps will not be able to hide this fact, because the effect of the operation is visible to the naked eye, if you compare the appearance before and after the procedure. Stars who have rejuvenated themselves by removing fat pads in their cheeks include:

• Megan Fox;
• Angelina Jolie;
• Victoria Beckham;
• Jennifer Aniston;
• Kim Kardashian;
• Polina Gagarina;
• Alsou and others.

The operation to remove lumps of Bish

There are two ways in which cheek reduction surgery is performed: internal intervention using endoscopic equipment and external. The operation to remove lumps of Bish different methods differs in the following:

• with internal extraction, Bish's bags are cut out from the inside of the cheek. The incision is made with a laser and has a small size, after removing the fat pads, sutures are applied that do not need to be removed, they dissolve over time and do not leave scars. The procedure itself does not take more than 30 minutes and is performed under local anesthesia. If desired, and for some indications, they can carry out the procedure under general anesthesia;
• external intervention is possible when cheek reduction is included in the complex surgical procedures on the face. In this case, the incision is made with outside cheeks traditional method. This procedure is performed under general anesthesia.

Price for removing Bish's lumps

The procedure in which Bish's fat lump is removed is available to everyone. How much does such a procedure cost? Compared to other plastic surgeries, it has a low cost. But there is no need to chase after a favorable price, choosing between several clinics. In the case of operations, even such simple ones, you should not save money and put yourself and your face at risk, because mistakes are possible if an inexperienced surgeon performed the procedure. The price for removing Bish's lumps depends on the qualifications of the doctor and the clinic in which it is performed.

Bish lumps - how to remove at home

Opponents surgical interventions they write on women's forums how to remove Bish's lumps at home. In search of a non-radical solution, the girls study in detail the instructions on how to remove Bish's lumps without surgery: they go on diets, go for massages, perform special exercises. All of the above will help you remove some volume in the cheeks and tighten the skin, but effective removal cheeks - a sac with fat without surgical intervention is impossible: fat sacs remain, they cannot be removed by any diets.

Removing Bish's lumps - consequences

Before deciding on a procedure, girls often do not limit themselves to consulting a surgeon, but also analyze reviews on the Internet to find out: is it safe to remove such fat accumulations in bags, what are the complications and consequences of removing Bish's lumps. A detailed study of the information can protect you in case of contraindications and help you weigh the pros and cons, because the procedure has its drawbacks:

• extremely rarely, inflammation of the oral mucosa can develop;
• the accumulation of fat in the bags may not be completely removed or asymmetrically;
• after cutting out the bag early age at the age of 35-40 years, the face may become too thin.

Video: Bish's lump removal

Bish's lump removal - reviews

Marina, 35 years old

The idea to remove Bish's lumps came to me when I noticed that deep folds appeared near the lips, which are not hidden even with makeup. I read reviews on the Internet and for the first time I learned about what a fat bag is in the cheeks, where such an accumulation came from and what methods of dealing with it are. I am going to consult a surgeon, I hope for a result.

Hope, 40 years old

I did the procedure inexpensively 5 years ago, when it was not so popular. I was amazed at that moment by the photos that the surgeon showed me at the consultation and I immediately agreed to remove it. The operation to remove Bish's lumps was successful, now I do not regret it, but I am only glad that I decided and did everything on time.

Margarita, 45 years old

My friend did a facial resection, because the surgeon said that the usual removal of fat lumps is not enough. By nature, she always had a plump face, but with age, this began to create extra wrinkles. I’m even afraid to name the price of all procedures, because she approached rejuvenation in a complex way. Everything would be different if the lumps were removed on time.

Alina, 32 years old

I want to do a procedure to remove the volume of the cheeks, but many dissuade me, fearing the consequences. When I studied all the reviews on the Internet, talked with the doctor, then all my doubts disappeared. There are indications and a desire, there are no contraindications, so it’s better if you have such a problem now - remove it, do not tighten it, so that later you don’t have to go under the knife, removing deep wrinkles.