Women are willing to go to any lengths to perfect their looks. For example, about ten years ago, the fashion for model sharp cheekbones pushed beauties to remove Bish's pouches. Now this operation is gaining popularity again among patients of plastic surgeons, but more and more doctors are trying to dissuade women from removing fat lumps.
Cheek fat body
Fat formations, which are located between the superficial and buccal muscles of the face, are present in absolutely all people. They are especially noticeable in children. It is believed that these fat bodies make it easier for the baby to suck and chew. Bish lumps improve muscle gliding and provide protective cushioning.
As a person grows older, fatty formations undergo reverse development. Many doctors are sure that Bish's lump loses its function as soon as infancy ends - the lump becomes useless for the humanorganism.
It is believed that the removal of Bish's pouches allows you to emphasize the cheekbones, improve the line of the lower jaw and chin, and visually rejuvenate the face. The use of lipolytics in this area is ineffective. The fat lump will not be destroyed, and the patient may develop dips on the cheeks, so the only reliable way is surgery.
In many patients, after manipulation, the oval improves, the cheekbones are outlined, the nasolabial folds and fleas disappear. Unfortunately, this doesn't happen to everyone. In some patients, the volume of the cheeks changes slightly. In addition, the absence of Bish's lumps can lead to the fact that with age the lower part of the face will become more massive.
When looking at photos of stars before and after removing Bish's pouches, you need to remember that celebrities have the opportunity to regularly adjust their appearance. In case of failure, the best surgeons and the latest developments in the field of cosmetic medicine will be at their service, but even this does not always help to save the situation and correct the mistakes made.
Indications and contraindications
Fat sacs in the cheek area are a natural necessity for a baby. This is by no means a pathology. Nevertheless, there are situations when the removal of Bish's pouches becomes a necessity. The indication for the operation is:
- Inflammatory process in the cheek tissue. For example, if it caused an impressive increase in the amount of adipose tissue.
- Cheek sagging and deepeningnasolabial creases due to muscle weakness.
- In the case of a necessary correction measure for a circular facelift, liposuction of the chin and implants in the cheekbones.
- Correction of cheek volume by moving fat lumps under the cheekbone.
- The desire of the patient to have more refined features.
The procedure is performed under general anesthesia, but in some cases only local anesthesia can be used. Despite the fact that the operation is quite simple, it is contraindicated in the following cases:
- Oncology.
- Epilepsy.
- Diabetes.
- Under 25 years of age.
- Obesity.
- Connective tissue dysplasia.
- Pathologies of the liver.
- Poor blood clotting, low hemoglobin.
- Purulent inflammation.
- Infectious diseases.
Arguments in favor of the operation
Despite the fact that fat lumps from the cheeks have been removed for patients for many years, doctors still have not come to a consensus on the benefits of this procedure. Some experts see only advantages, while others only see disadvantages. Benefits of removing Bish's pouches:
- Creating a correct and proportional oval. The ability to emphasize the cheekbones and reduce the cheeks.
- The only effective way to remove excess fat due to genetics. For example, to reduce voluminous cheeks in thin girls.
- The ability to achieve a lifting effect inin the case when the fat lump pulls the tissues of the face down, forming jowls.
- Fight against progressive nasolabial wrinkles.
- Manipulation does not adversely affect chewing function.
- The duration of the operation does not exceed 40 minutes.
- The effect of the procedure lasts throughout life (unlike the use of fillers).
Arguments against the operation
In order to make the right decision about the need for surgery, it is recommended to consult with several specialists. It must be remembered that this procedure is irreversible, it will not work to return the fat to the cheek. Cons of removing Bish's pouches:
- Clearly drawn cheekbones look beautiful only if such data were laid down by nature for a person. The hollowness of the cheeks, artificially created with a scalpel, visually ages the face.
- The faces of the girls who removed Bish's lumps about 10 years ago look sickly and tired.
- As a result of the natural aging process, the cheeks are drawn inward a little. When removing fatty lumps, this effect is enhanced several times. As a result, the lower part of the face looks more massive, square.
- The consequences of removing fat from the cheeks are irreversible. In the future, it will be problematic to introduce any drug into this area, as it will instantly resolve. There will also be nothing to attach the implant to.
- The scar that forms on the buccal mucosa can dissolve within a year.
- You can safely emphasize the cheekbones with a filler without cutting out fatlumps.
- In the vast majority of cases, the operation is performed under general anesthesia. We must not forget that it has a negative effect on the human body.
- Removing pouches can cause wrinkles on the cheeks.
Preparation and operation
If, having studied all the pros and cons of removing Bish's pouches, the patient decides that an operation is necessary, he should find a qualified surgeon. An experienced doctor should study in detail the information about the he alth of the client. Palpation is performed to determine the thickness and location of lumps.
After the examination, the patient will have to do a fluorography and an electrocardiogram. He will need to donate blood for biochemical research, tests for hepatitis and HIV.
After the doctor sets the date for the operation, the patient should refrain from drinking alcohol, certain drugs and smoking. During the procedure, the skin must be absolutely clean, so the use of cosmetics is unacceptable.
The operation begins with anesthesia, the type of which is determined by the anesthesiologist. The surgeon performs a small incision on the buccal mucosa, about 1.5 - 2 cm, removes Bish's pouches and applies a cosmetic suture. When the patient recovers from anesthesia, they are sent home.
Rehab
Edema that forms after surgery subsides within three days. The rehabilitation period lasts about four weeks. During this time, the following rules should be followed:
- Refusevisits to the sauna, solarium and baths.
- Limit sports.
- Avoid stress.
- Carefully monitor facial expressions (do not grimace or scream).
- Use a high pillow while sleeping.
- For three days after the operation, eat mashed dishes.
- Use antiseptic mouthwash after eating.
- Do not drink alcohol or smoke for a month after surgery.
- Gently brush your teeth.
- If the doctor prescribes antibiotics, you should drink the entire course.
Possible side effects
Side effects rarely develop after removing Bish's lumps. Their development can be caused by the negligence of the surgeon, improper preparation for the procedure, violation of the doctor's recommendations during rehabilitation or ignoring contraindications.
Negative consequences of removing Bish's pouches:
- Facial asymmetry that occurs when fat is not completely removed.
- Allergic reaction. It develops during the procedure due to the action of anesthesia (respiratory depression, skin rashes, pressure drop, cardiac dysfunction).
- Damage to nearby tissues.
- Inflammatory process of the mucous membranes.
- Shaping a blurry oval.
Cheek volume reduction at home
You can reduce the volume of adipose tissue in the cheeks at home, without surgery. Unfortunately, it will not be possible to achieve such a noticeable effect asafter surgical removal of Bish's pouches. Photos of those who tried to use various non-surgical methods confirm this. True, it is quite possible to tighten the cheeks and reduce the depth of the nasolabial folds on your own.
An alternative to surgery is myofascial and intraoral massage. In addition, a set of Facebook building exercises copes well with the problem.
