What are Bish's lumps?
Bish's lumps are fatty tissue lumps. They are located under the cheekbone, between the mucous membrane of the cheeks and the skin, and are present in every person from birth.
But if in childhood Bish's lumps are clearly visible, then in adults they are less noticeable. But sometimes such fat deposits are also noticeable in adults, which is why the cheeks look puffy, and folds may appear in the lower part of the face. In such cases, their removal is indicated - bischectomy.
The operation to remove Bish's lumps is performed mainly for aesthetic purposes, if the patient is not satisfied with the shape and oval of the face.
Indications for removing Bish's lumps:
- there are excess deposits of fatty tissue on the cheeks. It is especially important to remove Bish's lumps after losing weight, when the whole body has reached the desired shape, but the face still seems plump
- excess fatty tissue on the cheeks is congenital, so it is present even with normal weight
- if you want to rejuvenate your face, because with age the eyelids droop, jowls and nasolabial folds may appear
- as part of a face contour correction during a facelift.
Bish's bags can also be removed during lipofilling. In this case, the obtained fatty biomaterial is used to create volume in the cheekbone area.
Removal of Bish's lumps is contraindicated in the following cases:
- if there are oncological diseases
- with decompensated diabetes mellitus
- during infectious diseases
- during exacerbation of chronic diseases
- if pregnancy is planned in the near future or significant weight fluctuations are possible
- there are problems with blood clotting
- with individual intolerance to anesthesia, as well as the presence of contraindications to anesthesia
- weight loss is planned in the future — removal of Bish's lumps is advisable to perform after weight stabilization
- in case of infectious diseases of the oral cavity, caries
- in the presence of mental disorders
- in case of epilepsy in the patient's history, severe pathologies of the cardiovascular system
- also, the operation is not performed on pregnant women, breastfeeding women, and persons under 18 years of age.
Proceedings of the operation
Surgical intervention to remove Bish's lumps is performed both under general anesthesia and under local anesthesia. The operation lasts on average from 30 minutes to one hour.
The main features of the operation are as follows:
- Access to the Bish's lumps is provided through the oral cavity.
- Incisions are made in the cheek area.
- After the operation, self-dissolving sutures are applied.
- There is no need to stay in the hospital.
Recovery period
In order for the desired effect to be consolidated after the operation, it is important to follow all the doctor's recommendations during the recovery period. It is important to refrain from serious physical activity for a month, do not visit the sauna, bathhouse and swimming pool. It is advisable to refuse spicy, salty and hard food that is difficult to chew.
The first two to three weeks, while the swelling on the face remains, it is advisable to wear a compression mask. And most importantly - After removing the lumps of Bish, you should monitor your weight. If you gain weight, it is possible that fatty tissue will accumulate again in your face.
