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Удаление комков Биша

Bisha's Taurus Removal (Bischectomy)

What is Bisha's body?

Bisha's body is an accumulation of adipose tissue in the deep parts of the middle third of the face. Bisha's bodies are responsible for the fullness of the cheeks. 

Bischa's body or fatty body of the cheek is surrounded by a thin capsule and is located deeper than the superficial fat packets of the face, ligaments, namely between the buccal and masticatory muscles, chin arch and lower jaw, below Bisha's bodies lie actually on the skin. due to the fact that in the process of aging and reducing the turgor of the skin. the entire mass of this fat under the action of gravity presses on the skin below, which in turn can lead to bulging of the fatty body of Bisha.

It has been scientifically proven that Bisch lumps at the age of 10 to 20 years increase in volume by 2 times or more, and then during life remain virtually stable formations, even with extreme exhaustion and weight loss (cachexia) - Bisch bodies remain stable structures . 


What is the function of Bisha's Taurus?

In infancy, the fatty body of the cheek helps the baby to create a vacuum in the mouth during breastfeeding and thus facilitates the sucking of breast milk. This feature is completely lost in adulthood. 

However, at present the role of Bisha's Taurus is not clearly described.

Why remove Bisha's bodies?

Bischectomy (removal of Bisha's bodies) is a surgical procedure in which partial removal of Bisha's bodies is performed in order to eliminate excessive roundness of the face, emphasize the protrusions of the chin bones, as well as form clear permanent lines of makeup in the cheeks.

Photos before and after the removal of Bisha's bodies very clearly show the changes in appearance for the better after the removal of Bisha's bodies. 


When to expect the effect of removing Bisha's bodies?

The effect after the removal of Bisha's bodies is noticeable immediately after the procedure. Then, due to edema, the volume of the cheeks is restored and even increased. The final effect occurs in 2-3 months, and in some cases in 6 months. 

Indications for removal of Bisha's bodies:

  1. The patient's desire to reduce too round cheeks.

  2. Emphasize the cheekbones, create permanent make-up lines in the cheeks and oval face, delicate facial contours.  

  3. Round face shape, obvious excess fat deposits in the face and cheeks.

  4. Age-related changes in the form of gravitational ptosis and sagging cheeks, oval face, skin folds and wrinkles (nasolabial folds, lumps, puppet wrinkles, etc.) - in this situation, the removal of Bisha's bodies is considered and carried out in combination with face lifting and other anti-aging measures .

Contraindications to bisectomy:

Like any other surgical procedure, removal of Bisha's bodies has a number of contraindications:

  1. Age up to 20 years (skeleton and facial anatomy are just being formed).

  2. Pregnancy and breastfeeding.

  3. Inflammatory processes in the face, neck and mouth.

  4. Diabetes.

  5. Blood coagulation disorders, anemia.

  6. Chronic systemic diseases and decreased immunity (immunodeficiencies).

  7. Chronic diseases of internal organs (liver, kidneys, heart, etc.).

  8. Cancer.

  9. Mental illness. Epilepsy.

  10. Infectious diseases in the acute period, including acute respiratory diseases.

  11. Instability of body weight and the presence of excess weight. Operation in this case is possible only after stabilization of weight and its maintenance at one level (+ \ - insignificant fluctuations) not less than 6 months.

  12. Bone asymmetry of the face caused by a violation of the prix or other skeletal deformities. In this case, the type and degree of deformation can be assessed only by the surgeon during the eye examination and examination and give a conclusion: shown the removal of Bisha's bodies or not.

If you have any medical history or surgery, you need to tell your surgeon!

Features of the operation to remove Bisha's bodies:

More often, the operation to remove Bisha's bodies is performed under local anesthesia in an outpatient setting completely painless. 


In addition, the removal of Bisha's bodies can be combined with other operations. such as SMAS lifting, face lifting in the presence of gravitational ptosis of the soft tissues of the face.

In the presence of facial asymmetries due to occlusal disorders and skeletal deformities, the removal of Bisch's bodies can be combined with orthognathic surgery to correct occlusion and deformity. 


All manipulations are performed from the oral cavity, no traces remain on the skin.

Bisha lump is removed through a small incision on the mucous membrane of the oral cavity, the incision is not more 

1 cm. 

After the operation to remove Bisha's bodies are allowed:

  1. Some pain at the site of manipulation. .

  2. Edema.

  3. Small bruise (hematoma). swelling and bruising last for several days. 


In the first days after surgery, the cheeks may seem even bigger than before, due to swelling. Don't be afraid of that. The swelling will pass and you will see the result of removing Bisha's bodies.

Preparation for Bisha lump removal operation:

  1. Pre-surgery consultation is mandatory for all patients. Conducted in the clinic or online by video chat. 

  2. Pass the necessary examinations and pass the tests. 

  3. Recommendations before the procedure of removing Bisha's calf:  

  4. - to exclude excessive physical exercises;

  5. - exclude visits to saunas and baths;

  6. - exclude smoking and alcohol consumption;

  7. - rehabilitation of the oral cavity;

  8. - on the day of surgery: eating an hour before surgery, to exclude hot drinks and cases, careful oral hygiene.

Rehabilitation after removal of Bisha's bodies:

  1. applying a bandage for a few days after the procedure (how to apply a bandage you will be shown at our clinic)  

  2. Oral hygiene

  3. Avoid excessively hot, spicy, salty and solid foods 

  4. For 2 - 3 days after the procedure, prefer soft, liquid food 

  5. Exclude smoking and alcohol consumption

  6. Exclude gym visits. saunas, baths, excessively hot showers / baths 

  7. Avoid excessive cheek tension (do not inflate the cheeks, postpone a visit to the dentist, avoid excessive facial expressions, etc.) _ cc781905-5cde-3194-bb3b-136bad5cf58d_

  8. Do not sleep "face to pillow" for 2 weeks


Photo of the results before and after the removal of Bisha's bodies


Rhinoplasty and rhinoseptoplasty
(plastic nose and nasal septum)

Nasal plastic surgery or rhinoplasty is an operation aimed at changing the external contours and proportions of the nose in order to correct deformities. Rhinoplasty can be combined with septoplasty - an operation to eliminate the curvature of the nasal septum and restore nasal breathing.

Indications for rhinoplasty:

  • Big, long or wide nose.

  • Saddle-shaped nose.

  • "Hump" on the nose.

  • The tip of the nose is thickened, sags or sinks.

  • Asymmetrical or wide wings of the nose.

  • Large or flared nostrils.

  • Congenital or acquired (due to trauma) deformities of the nose.

Ринопластика до після.JPG

What defects can be removed with rhinoplasty:

  • Correction of curvature of the back of the nose;

  • Reducing the width of the back of the nose;

  • Correction of the shape of the tip of the nose;

  • Reducing the size of the nostrils and correcting the wings of the nose;

  • Correction of all other defects of the nose, as well as the nasal septum, including congenital and acquired as a result of injury.


Rehabilitation after rhinoplasty:

The rehabilitation period after rhinoplasty surgery is 10 - 14 days. By this time, edema and bruising usually occur, swelling of the tip of the nose may persist longer. After the operation, which was accompanied by correction of the back of the nose, it is necessary to wear an individually made splint for 1-2 weeks. The first days it is recommended to sleep with your head raised. 

Photos of results before and after rhinoplasty:

Cheiloplasty - plastic of the upper lip

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