Bisha’s lumps: fat removal on thick cheeks.
Puffy cheeks and plump cheekbones delight women except in childhood. With age, fatty lumps, which are located between the cheekbones and the lower jaw, become a real problem for many. Owners of “cheeks” seem to be too big, from them the lower part of the face takes on a massive heavy look, and the cheekbones lose their sharpness. You can get rid of Bish’s fatty lumps with the help of resection.
Removal of Bish’s fat lumps
Fat lumps between the skin and the mucous membrane of the cheeks were first described by the French anatomist Bish, who gave them his name. Bish’s lumps are by no means pathological and are not any consequence of a genetic or hormonal disorder, as many believe. This is a completely physiological phenomenon: wen helps babies to develop the sucking reflex, and also contribute to the sliding of the baby’s chewing muscles in the first years of his life. Dense wen protects the jaw from external injuries.
At the age of 5–7 years, Bish’s lumps grow, after which – up to 25–30 years old – they begin to dry out. They do not go away at all, there is always a small fat reserve in the cheek, which serves as a “lubricant” for the facial muscles, but for some women this “reserve” turns out to be somewhat larger than we would like. The resection method comes to the rescue – surgical drying out of lumps.
It may be necessary to remove thick wen even if the skin that has lost its tone with age has sagged, and so-called “flews” have formed on the face – folds around the mouth, going down to the chin
It is curious that often Bisha’s lumps are present in slender and even thin women, which indicates that diets or sports training will not be able to affect wen, they have a completely different nature, obviously higher density.
The operation to remove Bichat’s wen is not considered plastic, it does not lead to a change in the anatomical shape of the face. However, it is the resection that returns an even and taut contour, outlines the cheekbones and “removes” the massiveness of the jaw. Today, the surgical removal of Bisha’s lumps is considered the only available method for reducing the cheeks, although cosmetologists have long been trying to fight them with the help of cavitation and a laser.
The lumps are excised by a surgeon under local or general anesthesia. However, resection is not always necessary, it happens that it is enough to move the lumps (most often – to raise them under the cheekbone) in order for the anatomical defect to be eliminated.
The complexity of operations for resection of Bish’s lumps is that an inexperienced surgeon is unlikely to be able to remove an equal amount of fat from both cheeks. The difference in the size of the wen left behind can cause a distorted face.
The doctor makes an incision on the mucous membrane in the oral cavity, pushing the patient’s cheek with a wide spatula. 2 centimeters is considered enough to extract a 50-gram wen. Removing lumps is not at all recommended, therefore, the amount of excised material is determined by the doctor and the patient. Often, before the operation in large clinics, women are offered the service of modeling the “future” of the face; for this, a computer program has been developed that processes photographs of women “before” and “after” on the basis of simple calculations.
After the operating period
The suture is usually fixed with two or three staples, they do not need to be removed, the only significant drawback is serious restrictions in the postoperative period. The swelling on the cheek lasts at least 3-5 days, which greatly frightens women, because the cheeks often become larger than they were before the intervention. It is impossible to sleep on your side, but it is difficult on your back, therefore, to alleviate the condition, it is recommended to use high pillows or Chinese “chairs” for sleeping, you can do this yourself, you just need to twist a blanket or a non-perforated pillow very tightly.
You will also have to refuse food. Three days after the operation, it will be physically possible to consume only liquids, chicken broths and cereals will be salvation. The next month, the food will be dietary: mashed potatoes, boiled meat, steamed fish. Nothing hard, spicy, salty, or burning. After each meal – oral hygiene. Antibiotics will be added to the food – the doctor will prescribe at least two courses of 7-10 days with a break for rest.
The operation is simple, but only an experienced doctor should do it, because the excision is performed close to the facial nerves
Bath, sauna, swimming pool, any physical activity, inclines, weight lifting under a categorical ban for three months. The result will be visible only six months after the operation, while every month it is imperative to be examined by a surgeon.
Removal of Bisha’s lumps is a full-fledged operation, and therefore, if the patient has an intolerance to anesthesia, poor blood clotting, an acute phase of a viral or chronic disease is observed, the doctor will not dry out the wen.
A refusal to perform the operation will also be the poor condition of the teeth: in the presence of caries, periodontitis and other inflammatory processes in the oral cavity, there is a high risk of infection.
It is very important to perform the operation on women with a stable weight, i.e. if you follow a strict diet, undergo a course of therapy for weight loss, it is reasonable to contact a surgeon only a couple of weeks after the end of the course. Weight instability can disfigure your face.
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