bisha lumps remove or leave

our expert plastic surgeon - talks about the fashion for aristocracy and how to approach the trend.
bisha lumps
Bisha's lumps are encapsulated local fat deposits located in the buccal region, in the thickness of the muscles. In infancy, they have a certain function - they help the child with the feeding of mother's breast milk. That is, it performs the function of sucking. As soon as the child moves to solid food and masters chewing, the function of lumps of Bisha fades away, and they turn into rudimentary formations. In adulthood, Bish’s lumps do not have any function - they do not help the muscles slip, do not make up the skeleton of the face. These statements are only leisure speculation, not having any scientific justification.

As a teenager, Bish’s lumps give the face a rounded shape, which makes these faces very attractive. But as soon as the first manifestations of gravitational ptosis begin, prone to puffiness and bulky clumps begin to play a cruel joke with us. They make the face heavier, which makes it visually coarse, and accelerates the process of deformation of the oval, thereby aggravating the age-related changes that occur to a person starting at 25 years of age. The following tendency is observed: the larger and heavier the lumps of Bish, the more they pull the face down. In addition, encapsulated local fat deposits easily take water and give it up poorly. In other words, if you have a tendency to edema, then the presence of lumps of Bish makes your face constantly swollen, puffy and heavy. Puffiness additionally pulls the face down, simultaneously stretching the muscles, mucous membranes and skin,
 bisha lumps remove or leave
It's no secret that a narrow lower third of the face gives aristocratic features to the features of the face. Previously, fashion was thin, aristocratic person, with a somewhat painful, ascetic look. We can say that today the fashion of aristocracy has returned. If you combine all the above factors: the fashion for aristocracy, the effects of gravitational ptosis plus the excess volume in the middle third of the face, which Bisha’s lumps give, then it becomes obvious why Bishat’s lumps have become so popular.

The indications for the operation are: disharmonious person with an excessive volume of the middle third, premature manifestation of gravitational ptosis, inflammatory processes in these body fat. As well as the desire of a girl or young man to look more refined and prevent the subsequent deformation of the oval face.

The operation to remove lumps of Bish is simple and does not require long-term rehabilitation. However, this intervention requires the necessary skills from the surgeon. This should be a specialist who has a good knowledge of anatomy and is familiar with the features of the location of Bish's lumps with certain features of the facial skeleton. This knowledge is necessary in order to extract Bisha’s lumps through a small incision (only 0.5 cm) from the oral mucosa. The muscles in this operation are not damaged, they are only moved apart in a blunt way, exposing Bish's lumps. The lumps themselves are removed completely, without residue, since any piece of these deposits left after surgery can cause serious postoperative inflammation.
remove lumps of Bish
xCurrently, many experts combine the removal of Bish's lumps with excision of the mucous membrane from the side of the mouth. During the intervention, a rectangular piece of mucous membrane measuring approximately 1.5-2 cm is excised and stitched in such a way as to cause a pronounced lifting of the tissues. In combination, these two operations help not only to reduce the volume of the cheeks, but also to correct the outlined manifestation of gravitational ptosis. Closure of the mucous membrane gives a visually beneficial recession of the sub-temporal area in the form of a beautiful strip

Contraindications to the procedure for removing Bisha’s lumps are: pregnancy, lactation period, some somatic diseases in the decompensation stage, autoimmune diseases, childhood and mental disorders.

Currently, all medical aesthetes are divided into 2 camps: some for removing lumps of Bish, others - against. Opponents of removal believe that it leads to premature aging, the face after a bisectomy looks drawn and tired, the function that these fat deposits perform suffers. Some claim that Bish's lumps are a skeleton of the face, their removal will lead to ptosis. This statement is fundamentally wrong: since the skeleton of the face is, first of all, the facial skeleton and SMAS (muscular aponeurotic layer). Some of the opponents say that the removal causes muscle damage, which is also not true. In fact, all these arguments are without any evidence. The fashion for broad, puffy faces has long passed. And if you want to look younger and turn to a specialist for so-called “beauty shots”, it turns out that layer upon layer of fillers is applied to your local fat deposits, and as a result you get an unnaturally swollen face. It turns out the so-called effect of "the face of a rich alcoholic." The timely implementation of this operation deprives the income of both cosmetologists who work according to the old scheme “covering” wrinkles with huge volumes of filers and surgeons who still specialize in a rather dangerous operation - a circular facelift. By the way, when the thread lifting only appeared, he also had many opponents from among surgeons specializing in circular tightening, who argued that the presence of threads significantly complicates or makes impossible the process of surgical tightening. This myth was subsequently dispelled, but here and there we can still hear such an opinion. But more often in the context of surcharges for surgical intervention. In conclusion, we can say the following: plastic surgery does not stand still, but develops by leaps and bounds, new methods of rejuvenation are being constantly invented and tested - safer and more effective. Bish's lump removal and mucosal filing are new techniques that have already gained popularity among patients.

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