06.05.2021

What is the “lumps of Bisha”

Lumps of Bysshe 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 baby with the feeding of breast milk. That is, it performs the function of sucking.

As soon as the child passes on solid food and masters chewing, the function of Bisha lumps fades away, and they turn into rudimentary formations. In adulthood, Bish’s lumps no longer carry any function – they do not help gliding muscles, do not make up the frame of the face. These statements are mere idle speculations that have no scientific justification.

Lumps of Bisha: delete or leave

Our expert, plastic surgeon Madina Bayramukova, talks about fashion for aristocracy and ways to get closer to the trend.

As a teenager, Bisha lumps give a face a rounded shape, which makes these faces very attractive. But as soon as the first manifestations of gravitational ptosis begin, prone to swelling and voluminous lumps begin to play a trick on us. They make the face heavier, which makes it visually rude, and accelerate the process of oval deformation, thereby exacerbating the age-related changes that occur with the face from the age of 25.

The following trend can be traced: 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 poorly. In other words, if you have a tendency to swelling, then the presence of Bisha lumps makes your face constantly swollen, puffy and heavy. Puffiness additionally pulls the face down, simultaneously stretching the muscles, mucous membranes and skin,

It’s no secret that the narrow lower third of the face gives aristocracy to the features of the face. Thin, aristocratic faces, with a somewhat painful, ascetic look, used to be in fashion. We can say that today the fashion for aristocracy has returned. If we combine all of the above factors: the fashion for aristocracy, the effects of gravitational ptosis plus the excessive volume in the middle third of the face that Bisha’s lumps give, it becomes obvious why bishectomy (the procedure for removing Bisha’s lumps) has become so popular lately.

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

The operation to remove lumps of Bisha is simple and does not require long-term rehabilitation. However, this intervention requires the necessary skills from the surgeon. This should be a specialist with good knowledge of anatomy and versed in the peculiarities of the arrangement of Bisha lumps with various structural features of the facial skeleton.

This knowledge is necessary in order to extract Bisha lumps through a small incision (only 0.5 cm) from the side of the oral mucosa. The muscles in this operation are not damaged, they only move apart in a blunt way, exposing Bisha’s lumps. The lumps themselves are removed completely, without residue, since any piece of these deposits left after surgery can cause serious postoperative inflammation.

Currently, many experts combine the removal of Bisch lumps with excision of the mucosa from the mouth. During the intervention, a rectangular piece of mucosa about 1.5–2 cm in size is excised and sutured in such a way as to cause pronounced tissue lifting. In combination, these two operations help not only reduce the volume of the cheeks, but also correct the incipient manifestation of gravitational ptosis. Suturing the mucosa gives a visually beneficial retraction of the sub-zygomatic region in the form of a beautiful strip.

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

Currently, all medical esthetes are divided into 2 camps: some for removing lumps of Bish, others against. Opponents of the removal believe that it leads to premature aging, the face after a bisectomy looks haggard and tired, the function that these fatty deposits perform is suffering. Some say that Bisha’s lumps are a frame of the face, their removal will lead to ptosis. This statement is fundamentally false: since the face frame is, first of all, the facial skeleton and SMAS (muscle-aponeurotic layer). Some of the opponents say that removal leads to muscle damage, which is also not true. In fact, all these arguments have no evidence base.

The fashion for wide, puffy faces is long gone. And if you want to look younger and turn to a specialist for the so-called “beauty injections”, then it turns out that your local fat deposits are superimposed layer by layer on a file, and as a result you get an unnaturally swollen face, although without a single wrinkle. 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 of “covering” wrinkles with huge volumes of fillers, and surgeons who still specialize in a contentious and dangerous operation – a circular facelift. By the way, when the thread lifting appeared, he also had many opponents from among the surgeons specializing in circular lifting, who claimed 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 a similar 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 constantly invented and tested – safer and more effective. Removal of Bish lumps and hemming of the mucosa are new methods that have already gained popularity among patients.

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