Removing Bisha's lumps

Bichectomy is an operation that removes fatty deposits, makes facial features slimmer, and gives them an aristocratic, refined expression. This intervention attracts the attention of not only women, but also men who strive for harmony and perfection of their appearance.

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Bisha's lumps: what are they and why are they needed?

Bisha's lumps are fat deposits located in the area of the lower cheekbones and upper part of the lower jaw. They give the face certain volumes that affect the perception of facial features. Over the years, the shape and size of fat deposits change, which is a reason for some people to consider options for their correction.

Bish's lumps usually form in childhood and can have a variety of shapes and sizes. These structures perform several important functions in early childhood:

  • Protection of facial structures: Bisha's lumps serve as a barrier to the facial nerves and muscles, protecting them from possible injury.
  • Breastfeeding support: makes breastfeeding easier for babies.
  • Help in chewing: in childhood, they help chew food more comfortably.

Over time, when the facial skeleton and muscles become more developed, the functional significance of fat capsules decreases.

Plastic surgery doctor examining face

What is bischectomy

Bichectomy is a modern solution for cheek correction. This is a surgical procedure in which excess fat deposits are removed to give the face a slimmer, more defined contour.

In addition to the aesthetic effect, this procedure has practically no medical indications, since Bish's lumps lose their original function over time.

When should you consider a bichectomy?

Main indications

  1. Obvious and excessive fat deposits in the cheekbone area
  2. The face is round
  3. Signs of aging: drooping cheeks and skin folds
  4. Planning other procedures, such as chin correction or cheekbone contouring, where removing bisha's lumps may enhance the effect

Contraindications

When considering removal surgery, it is important to keep some key points in mind. These include:

  1. Significant weight fluctuations that may affect the results of the procedure
  2. Young people, whose facial fat tissue naturally changes with age, may find that the results are short-lived
  3. Acute infectious diseases, especially respiratory ones
  4. Blood clotting problems or general weakening of the immune system may increase the risk of complications after surgery
  5. Epilepsy and serious mental disorders may be a risk factor

Also, active inflammatory processes on the skin of the face or in the oral cavity can become an obstacle to a successful bischectomy.

General information about the procedure

Classic method

The main tool in this method is a scalpel. Let's consider the 3 main stages of the classical procedure:

  1. Selecting a location for the incision. The surgeon makes a small incision on the inside of the cheek, approximately at the level of the 6th molar. The length of the incision is about 1-2 cm
  2. Access to adipose tissue. Once the surgeon manages to gain access, he carefully removes the fatty tissue, taking into account the individual characteristics of the patient's facial structure
  3. Closing the cut. Once the procedure is complete, the incision is closed using biosoluble sutures. This method of suturing guarantees the absence of visible scars, since the seam is located inside the oral cavity

The patient is advised to use an antiseptic pad. For better healing and to prevent swelling, it is recommended to secure the area with an elastic bandage.

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Laser method

Thanks to technological advances, the removal of Bisha's lumps can be carried out using laser technology.

The process resembles the classical method, but the main difference is the use of laser radiation instead of a scalpel.

Main advantages of the method:

  • Fast
  • Minimal tissue damage
  • Coagulation of blood vessels, which reduces the risk of bleeding

But it is worth considering that laser bichectomy may be more expensive due to the cost of equipment.

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Potential consequences of bischectomy

As with any medical intervention, the removal procedure is associated with certain risks and potential complications. Understanding these aspects will allow the patient to make informed choices based on comprehensive information.

First of all, it is worth noting that you may encounter temporary complications such as pain, swelling and discomfort during eating or hygiene procedures. Symptoms disappear within a few days.

However, there is a risk of more serious complications. These could be:

  • Allergic reactions to medications used
  • Damage to nerves and salivary glands
  • Surgical site infections

However, with the right approach and highly qualified surgeon, these risks are minimized.

For the long term, it is also worth considering the natural changes with age. Over time, the structure of the face changes, and in the absence of Bisha's lumps, the cheekbones may become too contrasting, giving the face a certain "skeleton" appearance.

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Preparation for surgery

This is a responsible event that requires careful preparation on the part of both medical personnel and the patient. Preparation is necessary to ensure patient safety and prevent possible complications.

Before the procedure, the patient will undergo several tests, including:

  • General blood test
  • Biochemical analysis
  • Coagulogram to determine blood clotting
  • Tests for HIV, RW and viral hepatitis
  • General urine analysis

If general anesthesia is necessary, a preliminary consultation with an anesthesiologist is required. Based on the information provided about diseases, allergies and other factors, the doctor will determine the most appropriate method of pain relief.

Instrumental studies involve ECG and FLG to assess the function of the heart and lungs, respectively.

It is recommended to refrain from smoking and drinking alcohol for several days before the intervention. There is no need to take blood thinning drugs to avoid possible complications. During general anesthesia, the last meal should be the night before.

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Removal process

Before you begin removal, you need to understand in detail each stage of this process. Let's look at the key points of the procedure.

  1. Preparation and start of the procedure. First of all, the doctor prepares the patient. At the first stage, anesthesia is administered. Depending on the specifics of the procedure and the patient's condition, this may be local anesthesia or general anesthesia. After this, the surgeon ensures the sterility of the surgical field by treating it with a special solution
  2. Main stage. The next step is to create access. The doctor makes a small incision that does not exceed 2 cm in length, depending on the chosen technique. Through this access, fatty deposits are carefully removed
  3. Completing the procedure. After removal, the wound surface is closed. The surgeon uses special sutures that completely dissolve over time. Then the outer surfaces of the seams are treated with an antiseptic to prevent possible complications

The entire bischectomy process takes from 30 to 40 minutes. Due to its simplicity and high technology, the intervention is considered low-traumatic. One of the advantages of the procedure is the ability to perform the operation on an outpatient basis, which allows the patient to return home immediately after the anesthesia wears off.

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Rehabilitation after bishectomy

After the intervention, proper rehabilitation is important to ensure a safe and rapid recovery.

In the first days, patients feel pain and swelling in the intervention area, and may also experience difficulty swallowing. To reduce discomfort, it is recommended to use cold compresses and take pain relievers as prescribed by your doctor.

It is recommended to sleep on your back, avoid active facial expressions and stress on the facial muscles. It is also important to refrain from visiting baths, saunas and solariums, limit alcohol consumption and quit smoking.

Although initial symptoms subside in approximately 2-3 weeks, full recovery and visible results become noticeable after 1-2 months, when the swelling has subsided.

The main result of a bishectomy is manifested in a change in the contours of the face: reduction of the cheeks, highlighting of the cheekbones and oval of the face. The effectiveness and duration of the effect depend on the individual characteristics of the patient and his strict adherence to recommendations in the postoperative period.

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Our doctors

Adamyan Ruben Tatevosovich
Experience 40 years
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Adamyan
Ruben Tatevosovich
Deputy Chief Physician for Plastic Surgery, Plastic Surgeon
Meloyan Mkhitar Misakovich
Experience 39 years
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Meloyan
Mkhitar Misakovich
Plastic surgeon
Gulyaev Igor Valerevich
Experience 22 years
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Gulyaev
Igor Valerevich
Plastic surgeon
Mitoyan Ruzanna Esaievna
Experience 14 years
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Mitoyan
Ruzanna Esaievna
Plastic surgeon
Telnova Galina Sergeevna
Experience 8 years
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Telnova
Galina Sergeevna
Plastic surgeon
Mithish Elena Valeryevna
Experience 15 years
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Mithish
Elena Valeryevna
Surgeon
Kapitanova Yulia Dmitrievna
Experience 8 years
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Kapitanova
Yulia Dmitrievna
Plastic surgeon
Volenko Ivan Alexandrovich
Experience 14 years
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Volenko
Ivan Alexandrovich
Surgeon-oncologist-mammologist, plastic surgeon
Sinanyan Ariana Mushegovna
Experience 3 years
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Sinanyan
Ariana Mushegovna
Plastic surgeon
Korenevich Oleg Sergeevich
Experience 8 years
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Korenevich
Oleg Sergeevich
Plastic surgeon
Djamilov Sherali Radjabalievich
Experience 9 years
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Djamilov
Sherali Radjabalievich
Surgical oncologist, mammologist, reconstructive plastic surgeon
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Price

Primary appointment with a plastic surgeon
from 7 875 ₽
Repeated appointment with a plastic surgeon
from 7 035 ₽
Facial contouring (unilateral removal of Bisha's lumps)
from 49 100 ₽
Facial contouring (removal of Bisha's lumps, bilateral)
from 89 950 ₽

Reviews 10

Thanks to the reviews on the site, I went to have surgery with Ivan Aleksandrovich. I confirm every kind word about him. He is a great professional in his field. The suture looks very neat and aesthetically pleasing, he preserved the shape and volume of the mammary gland, despite the fact that he had to remove a fairly large part. The doctor inspires calm, confidence and a positive attitude. Ivan Aleksandrovich is very caring towards patients. You will definitely not feel embarrassed or afraid. Everything is very comfortable, professional and somehow very sensitive in a human way. A great doctor and person!
07.04.2025
F. Svetlana
Проходила операцию по поводу фиброаденомы молочной железы у Ивана Александровича, и он впечатлил меня на всех этапах: от диагностики и консультации до подготовки к операции и внимательного наблюдения после неё. Его аккуратность в перевязках, готовность помочь и внимание к восстановлению — это настоящий эталон для врача. Операция была проведена настолько профессионально и ювелирно, что иногда даже другие врачи не могут сразу найти шов! Огромная благодарность! Если вы выбираете врача, могу смело рекомендовать Ивана Александровича.
02.03.2025
Софья К.
Уважаемый Шерали Раджабалиевич! Огромное спасибо за быстрое, четкое и безболезненное удаление фиброаденомы из груди. Все прошло очень быстро и психологически комфортно, после операции я даже не потребовала обезболивающих. Вы внимательно и чутко отнеслись к моим просьбам, и я безмерно благодарна за то, как гладко прошел весь процесс. Шов получился аккуратный, ровный и зажил без проблем. Два разных врача на перевязках сделали комплимент вашему мастерству! Желаю вам всего наилучшего и удачи в вашей работе!
20.02.2025
Екатерина Ч.
Рак правой молочной железы — операцию проводил Иван Александрович. Это действительно врач от Бога, с золотыми руками! Работа на высшем уровне, швов почти не видно, все сделано ювелирно. Он очень внимателен, даже когда был уставшим после нескольких операций, приходил в палату по несколько раз, чтобы узнать, как я себя чувствую. Желаю, чтобы таких врачей было больше!
15.02.2025
Ксения З
В марте 2021 года я прошла операцию по удалению фиброаденомы молочной железы у Ивана Александровича. Спустя время с уверенностью могу сказать, что он — настоящий профессионал своего дела, врач с «большой буквы». Во-первых, его советы всегда по существу, подкреплены как практическим опытом, так и теоретическими знаниями. Во-вторых, операция прошла успешно, практически безболезненно, а шов после неё получился очень аккуратным. В-третьих, Иван Александрович всегда относился ко мне с дружелюбием, с улыбкой объясняя все детали. Желаю ему огромных жизненных успехов и выражаю благодарность от его пациентов. Также хочу поблагодарить весь профессиональный и дружелюбный коллектив первой онкологической больницы — здоровья вам и новых побед!
24.01.2025
Василиса М.
Моя мама попала в руки Ивана Александровича для частичной резекции молочной железы с диагнозом "карцинома 2 стадии", и это оказалось настоящим подарком судьбы. Иван Александрович — не только высококлассный профессионал, но и невероятно чуткий человек, который всегда внимательно относится к каждому пациенту. Огромное спасибо ему за операцию высочайшего уровня, за внимательное послеоперационное наблюдение, подробные консультации и его доброе сердце.
30.12.2024
Полина З.
Я обратилась за помощью к Шерали Раджабалиевичу и с большим удовольствием выражаю благодарность за операцию по удалению листовидной опухоли, к счастью, доброкачественной. Операция прошла 29 августа, и шва практически не видно, не было никаких осложнений. На перевязке сказали, что шов выполнен настоящим профессионалом! Внимание к пациенту было на 100%, он ответил на все мои вопросы. Очень рада, что попала именно к нему!
19.12.2024
Елизавета С.
Я обратилась к доктору Воленко Ивану Александровичу с диагнозом онкологии молочных желёз. Операция была проведена 31.01.23, и я благодарна этому замечательному врачу за его профессионализм и внимательное, чуткое отношение к пациентам. Благодаря Ивану Александровичу, я чувствую себя прекрасно, несмотря на диагноз и мой возраст (71 год). Хочу пожелать ему всего наилучшего и успехов в его трудной, но такой важной работе, которая возвращает людям здоровье и радость жизни!
07.12.2024
Алия П.
Выражаю искреннюю благодарность хирургу-онкологу Джамилову Шерали Раджабалиевичу за внимание и помощь, оказанную мне в период пребывания в стационаре с 26 апреля по 02 мая 2024 года. Огромное спасибо за проведённую операцию 27 апреля 2024 года, которая была выполнена на высочайшем профессиональном уровне. Благодарна за его золотые руки, доброе сердце, внимание и отзывчивость! Желаю вам крепкого здоровья и успехов в вашем благородном деле!
02.12.2024
Вера К.
I was admitted to the clinic with carcinoma. I am happy that I ended up in the hands of Ivan Aleksandrovich. A very competent, attentive to the patient, and most importantly - an honest doctor. I received answers to all my questions and was offered several options for subsequent plastic surgery. The doctor came personally for dressings, after discharge I could always ask questions at subsequent dressings. If you have a choice and have the opportunity to go to Ivan Aleksandrovich - know that you are in reliable and good hands.
01.08.2024
Elizaveta Igorevna
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