Lumps of Bisha

Bichat's lumps are formations of adipose tissue surrounded by a membrane. On the sides, they are covered with superficial facial and cheek muscles, on top they border on the cheekbones, on the bottom - on the lower jaw. Removing or moving lumps of Bisha is performed for an aesthetic purpose; without them, the cheekbones acquire chiseledness, nobility and grace.

There are two possible techniques for working with Bish's Lumps:

• Removal of Bish Lumps

• Moving lumps of Bish

When Bisha's Lumps are moved, 30% of the adipose tissue is removed, and 70% is moved to the middle third, the cheek-cheekbone zone, as a result, the face acquires a beautiful outline, the middle third becomes replenished and young. Also, it is recommended as prevention of premature aging, the appearance of nasolabial folds, flews and gravitational ptosis.

Relative indications for the removal of Bish's lumps are:

• hypertrophy of fat nodes due to inflammation in the buccal tissues or anatomical abnormalities in the structure of the facial skeleton.

• Progressive sagging of the cheeks and an increase in the folds of the nasolabial triangle due to age-related decrease in muscle tone.

• Volumetric modeling, when it is planned to compensate for the lack of fatty layer in other areas of the face with the removed lumps of Bish.

Despite the fact that the plastic surgery of Bish's lumps is considered a conditionally safe procedure, it still belongs to surgical interventions that require anesthesia. In view of this, there are a number of contraindications for the operation.

These include:

• malignant neoplasms of any localization;

• diseases associated with metabolic disorders;

• inflammation of a different nature on the face;

• pathology of the blood coagulation system;

• infectious diseases in the acute stage;

• problems with the connective tissue of the face.

With internal resection, the healing of the sutures occurs on the third to fifth day. The swelling of the cheeks and soreness may persist for up to two weeks. Self-absorbable sutures are most often used as suture material, but if they need to be removed, then the procedure for removing the sutures is carried out on the fifth to eighth day after the manipulations. Also, wearing a compression bandage for 14 days.

During the rehabilitation period after removal / movement of Bish's lumps, it is recommended to strictly adhere to the following doctor's prescriptions:

• exclude water procedures (hot shower, sauna, swimming pool, bath);

• reduce physical activity;

• gently and gently brush your teeth;

• control facial expressions, avoiding strong emotions;

• give up alcohol and smoking;

• sleep on your back, on a high pillow.