Cheek surgery (removal of Bisha's lumps)

Indications and contraindications for surgery

Chicklifting is a plastic surgery on the cheeks that is widely popular due to its good aesthetic results and high safety profile of the procedure. Indications for intervention are:

• age-related changes in the skin of the cheeks, which are accompanied by loss of elasticity with the formation of deep wrinkles;
• sagging cheeks;
• deep pits or enlarged buccal area causing discomfort to the patient;
• congenital or acquired abnormalities of the skin in the specified area.

Individual consultation

Thank you for your application.
Our operator will contact you from 8:00 to 22:00 Applications received after 22:00 will be processed the next day. Chicklifting is an intervention that SM-Plastic surgeons perform in 85-90% of cases without the use of traditional incisions. However, surgery is not suitable for everyone. Contraindications are:

• severe somatic diseases in the acute stage;
• pathology of the thyroid gland in the stage of decompensation;
• diabetes mellitus without proper glycemic control;
• severe diseases of the cardiovascular system (myocardial infarction, stroke);
• acute skin infection in the surgical area.

Causes of sunken cheeks:

1. First of all, age-related changes are atrophic processes in the fat layer of the skin, loss of firmness and elasticity of the skin.
2. Loss of teeth, most often after the removal of “fives”, “sixes” or “sevens”. Due to the absence of teeth, the soft tissues of the skin of the cheeks simply fall into the middle of the mouth.
3. Sunken cheeks can be the result of inherited anatomical features of the facial structure. In this case, the problem of sunken cheeks may appear even at a young age.
4. The cause may also be sudden weight loss through dieting or as a result of an illness.
5. An unhealthy lifestyle (smoking, lack of sleep, poor environment) primarily affects the condition of facial tissues.

How is the operation performed?

"SM-Plastic" is a specialized center that provides patients with a full range of plastic surgeries. The clinic's surgeons have been working in this field for more than 10 years. This is the key to the high quality of the services provided.

At SM-Plasty, surgeons perform surgery to enlarge/reduce cheeks or remove dimples using a traditional and minimally invasive method. In the first case, regular incisions are used in the lower eyelid area, followed by correction of the corresponding area.

In the second case, the surgeon operates using high-precision instruments and an optical device. This allows you to control the progress of the operation down to the smallest detail. The result is a smooth and rapid course of the postoperative period.

The entire operation lasts 1.5-3 hours, depending on the characteristics of the clinical case. At SM-Plasty, the intervention is performed under local or regional anesthesia. The doctor dissects the tissues of the lower eyelid, tightens the cheeks and fixes them. If the patient wishes to enlarge the cheek area, lipofilling is additionally performed. Using his own fat cells taken from another part of the body, the surgeon gives the desired volume.

Operation description. Peculiarities. What problems can cheek surgery help solve?

Cheek plastic surgery, which usually involves the removal of so-called Bisha's lumps, is one of the most popular aesthetic surgeries.
Bisha's lumps are fatty accumulations under the cheekbone, located between the skin and the mucous membrane of the cheeks. It is these fat formations that add unwanted volume to the lower part of the face.

It is no secret that it is extremely difficult to get rid of fat deposits on the face, and often a patient complains of “heavy cheeks” to a plastic surgeon when diets and exercise do not give the desired result.

Bish's lumps also form in older people with weak muscle tone.

With age, the cheeks sag, creating so-called “jowls” on the sides of the lower jaw, which gives the face an unesthetic appearance.

It is worth noting that after such an operation the oval of the face will not fundamentally change - it will be much clearer, which will make the patient visually younger.

Surgery to remove Bisha's lumps can be performed both under local anesthesia and general anesthesia.

After making incisions no more than two centimeters long on the inner surface of the cheeks, the surgeon will be able to remove unwanted fat deposits.

Sometimes the fat is not simply removed, but moved to the cheekbone area, which helps to better correct the shape of the face. The use of this method depends on the individual characteristics of the patient and requires consultation with a doctor.

Recovery after surgery

An operation to reduce cheeks or to completely remove them is considered to be low-traumatic. Swelling on the face may persist for 3-4 days. However, by the end of the first week you will already be able to see noticeable results. Sutures are removed 7-10 days after the intervention.

Full recovery may take up to 2 months. At this time, you need to avoid smoking cigarettes, going to baths, saunas, and swimming pools. SM-Plastic doctors recommend eating right - increasing the amount of fresh vegetables and fruits in your diet, drinking at least 2 liters of water per day.

Contraindications and possible complications

It is important to note that there are a number of contraindications for such an intervention. In particular, these are insufficient or excess body weight, blood diseases, infectious diseases, and periods of exacerbation of chronic diseases.

Removal of Bisha's lumps is not indicated for patients under 25 years of age - this is due to the fact that the fat layer continues to form until this age.

Complications after such an intervention are quite rare. It is important to consider that a competent examination before surgery will help minimize the risk of developing any complications.

Effect of the operation

The final result of chicklifting is assessed only after the end of the recovery period. After surgery, each patient can notice a change in their facial features, acquiring a more rounded shape, smoothing out wrinkles and increasing the elasticity of the skin. Tissue lifting changes facial features, making it more sophisticated and restrained.

“SM-Plastic” is a specialized center that offers beauty and health to every patient. The extensive experience and qualifications of our doctors, the use of modern equipment allows us to perform plastic surgeries at the highest level.

For more information and/or to make an appointment, please call +7 (495) 777-48-05 . Polite consultants will provide all the necessary information.

The price of cheek lift surgery is indicated in the price list on the clinic’s website. Contact professionals and be beautiful!

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How is the postoperative period going?

The rehabilitation period after removal of Bisha's lumps is quite short - the patient can leave the hospital 2 hours after the end of the operation. Swelling, usual for any surgical intervention, persists from 3 to 7 days, after which all that remains is to remove the stitches (if self-absorbable threads were not used).

It is very important to avoid physical activity, try not to overload the facial muscles (watch facial expressions, etc.), try to sleep exclusively on your back to prevent swelling and injury to the operated areas.

You will also need to follow a simple diet: food should be small, mostly liquid, and then you should abstain from solid food for some time so as not to injure the scars and mucous membranes of the cheeks. Also, the oral cavity will need to be disinfected regularly.

Surgery and rehabilitation at the Center for Maxillofacial Surgery and Implantology

At the Center for Oral and Maxillofacial Surgery and Dentistry, cheek plastic surgery is performed exclusively by the most experienced surgeons and anesthesiologists in our own hospital. Immediately after the operation to remove Bisha's lumps, you can go home, but if you wish, you can spend time in the comfortable conditions of the Center's own hospital under medical supervision. Our clinic has all the capabilities for this: the most modern equipment, cozy rooms and highly qualified medical staff.

The first days after removing Bisha's lumps, the cheeks may still seem plump, but the swelling quickly goes away. It is important to follow a sleep and nutrition schedule:

• sleep only on your back, with the head of the head raised,
• do not strain your facial muscles,
• Avoid any physical activity for 2–3 weeks,
• exclude visiting the pool, sauna, prolonged exposure to the sun,
• Follow a liquid diet, food should be moderately warm.

Removal of Bisha's lumps and correction of the shape of the cheeks, performed by specialists with extensive experience in plastic surgery, does not cause complications, and allows you to emphasize the line of the cheekbones in the shortest possible time and obtain a more elegant, refined and rejuvenated oval of the face.

What is the essence of the method?

As a result of sagging (ptosis) of the soft tissues, the face loses clear contours and looks tired and stale. In order to correct these unpleasant manifestations, it is necessary to restore the lost volume. Cheek correction with fillers is an injection technique that involves introducing special compounds based on hyaluronic acid into problem areas. These products help restore the cheek-zygomatic area's elasticity and lost volume. In addition, they stimulate the production of collagen and elastin in tissues, which provides a long-lasting rejuvenating effect. The skin becomes firmer, more hydrated, and wrinkles become less noticeable.

We work with fillers from the brands Juviderm, Restyline, Belotero, etc.

Types of cheek lift surgeries

Check-lifting is characterized by minimal trauma; during it, sagging cheeks, wrinkles and other defects are removed; can be combined with lower eyelid surgery. Advantages of the technique:

• minimum procedure time and number of incisions;
• natural result;
• long-term effect.

SMAS lifting is aimed not only at correcting skin defects, but also at strengthening the superficial muscle frame. During it, excess skin is removed, and then natural tension occurs, which ensures that facial expressions are preserved.

Endoscopic lifting of “jowls” on the face is an operation to move fat pads upward and position them above the cheekbones, resulting in a lift.

Indications for operations of all types:

• ptosis of tissues in the middle part of the face;
• “bags” in the cheekbones and under the eyes;
• age-related changes;
• failed surgeries in the past;
• sagging skin in the middle part of the face;
• patient dissatisfaction with the appearance of the cheeks.

Features of cheek surgery

The technique of cheek plastic surgery in Moscow plastic surgery clinics follows a single algorithm. The operation takes place in several successive stages:

1. Using a special marker, the surgeon makes marks on the face, marking the areas of correction, which allows you to achieve an ideal result;
2. then anesthesia is administered, in most cases, for the comfort of the patient, general anesthesia is used;
3. as soon as the anesthesia takes effect, the doctor makes an incision under the eyelash line of the lower eyelid (as in the case of classic blepharoplasty);
4. through the incision, the surgeon gains access to internal tissues, the ability to tighten skin and muscles, remove or redistribute excess fatty tissue;
5. Finally, the tissue is sutured in layers, and an external suture connecting the skin flaps is applied to minimize the severity of the scar in the future, while maintaining the attractiveness of the face.

Are there any contraindications?

Both methods are considered low-traumatic: the skin is damaged only at the puncture sites, these wounds heal quickly, the procedures can be done without falling out of the usual rhythm of life. But there are still some health restrictions:

• severe autoimmune diseases:
• endocrine disorders;
• taking blood thinning medications;
• inflammatory and infectious processes at the sites of injection of filler or threads.

To make an appointment for cheek correction in Moscow, fill out the form on our website or call to make an appointment at a convenient time. We are within walking distance from the Oktyabrskoye Pole metro station and the Panfilovskaya MCC. Our medical center employs experienced specialists, we work with the most modern materials from reputable and reliable suppliers.