Removal of Bisha’s lumps (Bichectomy)

If you want the oval of your face to become clearer and more pronounced, the removal of Bisha’s lumps will be an effective solution. In the professional language of surgeons, this operation is called bichectomy. It comprises removing accumulations of adipose tissue from the cheeks. It is Bish’s lumps that “hide” the line of the cheekbones and make the face more round and plump.

Contact the clinic MC “Dobrobut” - here you can remove Bish’s lumps with a minimum period of subsequent rehabilitation. Our specialists use only the latest methods of aesthetic medicine, which can reduce the invasiveness of plastic procedures.

How is the operation to remove Bish’s lumps performed?

Usually, a bichectomy is performed under local anesthesia. The procedure takes 30-60 minutes. The surgeon gains access to the fatty layer of the cheeks through the internal mucous membrane of the mouth. After antiseptic treatment of the operating field, the doctor makes incisions - 1-2 cm on each cheek. We emphasize again - all manipulations are carried out on the inside of the cheeks. Therefore, after removing Bish’s lumps, no scars will remain on the face.

Fat accumulations are removed through small incisions - in whole or in part. Sometimes, Bish’s lumps are not removed but moved higher to give expressiveness to the cheekbones.

After all the manipulations, special absorbable sutures are applied that do not need to be removed.

When you may need to remove Bish’s bags

Indications for bichectomy are:

excess fat in the cheeks, including after losing weight;
congenital swelling of the cheeks;
age-related drooping of the cheeks, the appearance of nasolabial folds;
the need for additional correction of the cheek area during other plastic surgeries.

As we already said, Bish’s lumps can be used for lipofilling of the cheekbones. Therefore, insufficiently voluminous cheekbones are another indication of a bichectomy.

Contraindications

The set of contraindications for removing Bisha’s bags is standard, as in other plastic surgeries:

active chronic diseases;
blood clotting disorder;

diabetes;
infectious diseases;

oncology;
regular significant fluctuations in body weight.

If the patient plans to significantly reduce or increase weight in the future, it is definitely worth telling the plastic surgeon about this. Since jumps in weight can affect the result of surgical interventions.

The operation to remove lumps of Bish in Ukraine: how to prepare

Preoperative diagnostic tests are an important stage in patient preparation. The doctor prescribes a certain set of tests to make sure there are no contraindications. The list of laboratory tests includes:

Clinically detailed biochemical blood tests.
Coagulation analysis - coagulogram.
Tests for HIV, hepatitis.

If necessary, the specialist prescribes instrumental diagnostic studies: ECG, ultrasound of the abdominal cavity. It all depends on the individual patient and his condition.

Removal of Bichat’s bags is a procedure that is carried out directly through the oral cavity. Therefore, a consultation with a dentist before surgery is also required.

The day before the scheduled date of the operation, it is worth giving up some medications (if the surgeon requires it), smoking, and alcoholic beverages. It is allowed to take food and water for a maximum of 5-6 hours before the operation.

What to do after removing Bish’s lumps

For 7-10 days, there may be swelling in the cheek area, which is completely normal. You will go home within an hour after the operation, but do not forget to attend the check-up after 7 days. A special compression bandage should be worn for 3 days after the bichectomy.

Full rehabilitation occurs when the muscle and skin tissues finally adapt to the results of the intervention. This can take up to 1 month.

In the first postoperative week, it is recommended to reduce the salt content in the diet, as it slows down the convergence of edema.

Benefits and results of removing Bish bags in Kyiv

After the swelling subsides, you will notice the first positive changes in your appearance. When the skin fully adjusts to the new relief, you will see that:

cheekbones became more expressive;
the oval of the face has decreased, as well as the cheeks themselves;
the lower part of the face has become visually lighter;
deep folds are not formed in the nasolabial area.

If we talk about the advantages of surgery to remove Bish’s lumps in our clinic, we highlight:

high level of professionalism of surgeons;

high-tech operating rooms, due to which the duration and invasiveness of operations are minimal;

quick rehabilitation under the supervision of specialists.

attentiveness from the nursing staff;

The cost of surgical intervention depends on the amount of work and the price of the materials used and is calculated by the doctor in each case individually.

Sign up for your first appointment at the Dobrobut MC right now, and soon you will get the desired appearance. Each doctor’s action will be aimed at the most effective and safe result.

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Bibliography

Bitik, Ozan. Sub-SMAS transposition of the buccal fat pad. Aesthetic surgery journal 40.4 (2020): NP114-NP122.
Moura LB, Spin JR, Spin-Neto R, Pereira-Filho VA. Buccal fat pad removal to improve facial aesthetics: an established technique?. Med Oral Patol Oral Cir Bucal. 2018;23(4):e478-e484. Published 2018 Jul 1.
Benjamin M, Reish RG. Buccal Fat Pad Excision: Proceed with Caution. Plast Reconstr Surg Glob Open. 2018;6(10):e1970. Published 2018 Oct 16.
Roman-Torres, C. V. G., et al. Bichat’s buccal fat pad removal: cheek reduction surgery. J Dent Health Oral Disord Ther 7.4 (2017): 00250.