Basal Cell and Squamous Cell Carcinoma Signs and Symptoms

The most common warning sign of skin cancer is a change on the skin, especially a new growth or a sore that doesn’t heal. The cancer may start as a small, smooth, shiny, pale or waxy lump. It also may appear as a firm red lump. Sometimes, the lump bleeds or develops a crust.

Both basal and squamous cell cancers are found mainly on areas of the skin that are exposed to the sun — the head, face, neck, hands and arms. But skin cancer can occur anywhere.

An early warning sign of skin cancer is the development of an actinic keratosis, a precancerous skin lesion caused by chronic sun exposure. These lesions are typically pink or red in color and rough or scaly to the touch. They occur on sun-exposed areas of the skin such as the face, scalp, ears, backs of hands or forearms.

Actinic keratoses may start as small, red, flat spots but grow larger and become scaly or thick, if untreated. Sometimes they’re easier to feel than to see. There may be multiple lesions next to each other.

Early treatment of actinic keratoses may prevent them from developing into cancer. These precancerous lesions affect more than 10 million Americans. People with one actinic keratosis usually develop more. Up to 1 percent of these lesions can develop into a squamous cell cancer.

Actinic keratoses are most common in people older than 40, but can appear in younger individuals with extensive sun exposure. Because they can turn cancerous, affected areas should be regularly examined and treated by a primary care doctor or dermatologist.

Basal cell carcinoma is the most commonly diagnosed skin cancer. In recent years, there has been an upturn in the diagnoses among young women and the rise is blamed on sunbathing and tanning salons.

Basal cell carcinoma is rarely fatal and doesn’t typically spread, but it’s important to catch it in the early stages so the surgical removal is as non-invasive as possible. It generally occurs on sun-exposed areas and often looks like pink bumps with the following features:

• Pearly or waxy appearance
• Sunken center
• Irregular blood vessels on surface
• Tendency to bleed easily after injury

Squamous cell carcinoma is the second most common skin cancer after basal cell. It’s rarely deadly, but may spread or recur if not caught early. It’s often found on the head, hands, ears, back of neck and forearms — areas with more sun exposure. Characteristics include:

• Raised, dull-red skin lesion
• Thick crusted scale
• Ulcerated appearance

Types of swelling and lumps in the body

Common unexplained type of lumps and swelling

An unexplained lump or swelling under the skin most commonly occurs in these areas of the body:

Facial swelling and lumps

Lumps or swelling can occur on the face as a direct result of injury. In instances where a lump or swelling cannot be explained, it may be as a direct result of another condition, infection or even allergic reaction.

Unexplained facial swelling or lumps can be a symptom of one of the following:

• Mumps: A contagious viral infection, commonly affecting children, mumps causes swelling in the parotid glands (side of the face). Swelling gives a person with the infection a distinctive ‘hamster face’ appearance. Along with swelling a person may experience symptoms of headaches, joint pain and may run a high fever a few days before noting any changes to their face.
• Allergic reactions: Many types of allergies can cause a swelling reaction, such as  angioedema in the deeper layers of the skin. For instance, an allergy to peanuts or even medications can trigger swelling under the skin. Angioedema normally isn’t too serious, but it can be a recurring problem for some. ⁽²⁾ Where breathing difficulties are noted as well, this type of allergic reaction can be life-threatening and must be attended to by a medical professional immediately.
• A dental abscess: When a collection of pus caused by a bacterial infection forms on the inside of the teeth, in the gums or even in the bone structure surrounding the teeth, swelling in the side of the mouth can occur. An abscess that develops at the end of a tooth is known as a periapical abscess. An abscess in the gum is known as a periodontal abscess. Along with swelling both types of abscesses can be painful or not. In either instance, they should be treated by a dentist.
• A salivary gland stone: Saliva constantly flows from the salivary glands inside your mouth. When chemicals in saliva crystallise, forming a stone (salivary calculi) in the duct (tube), it causes a blockage of flow in the salivary gland. This results in swelling near the jaw, often accompanied by some degree of pain too.

Lumps and swelling in the neck or throat

Common types of swelling or lumps are:

• Swollen lymph glands: Swelling in the lymph glands is typically a sign of infection.  Colds, flu or glandular fever (also known as infectious mononucleosis, or “mono”) are common infections with symptoms of swelling. Swollen glands tend to subside once the cause of the infection is treated and cleared. Lymph glands (or lymph nodes) can sometimes have a more serious cause and will require medical assessment and appropriate treatment.
• Cysts: A cyst is a fluid-filled lump that is often harmless and may heal without any need for treatment at all. ⁽³⁾ Harmless cysts, when pressed with one’s finger (palpated), often feel like a pea under the surface of the skin. If accompanied by pain or if the lump feels hard when pressed, it is advisable to see a medical professional for assessment.
• Skin tags: These are soft wart-like, skin-coloured growths that hang off the skin and feel knobbly to the touch. Common, skin tags are most often harmless and can vary in colour and size – from as little as a few millimetres, up to 5 centimetres wide. Skin tags can also occur in the armpits, around the groin area, under the breasts, in the folds of the buttocks, and even grow on the eyelids.
• A goitre: This is an abnormal swelling of the thyroid gland (a butterfly-shaped gland in the neck) which results in a lump in the front of the neck. This lump will move up and down the neck as you swallow. The thyroid gland, located just in front of the windpipe (trachea) produces thyroid hormones which help to regulate metabolism in the body, as well as other chemical processes. The size of a goitre varies from person to person, but in most cases, the occurrence of swelling is small and usually doesn’t cause any other symptoms. If other symptoms such as coughing, a tight feeling in the throat, changes to your voice, or difficulties with swallowing or breathing occur, it is best to consult your doctor.

Lumps on the back, shoulder, chest or arm and armpit

Lumps and swelling that most often occur on these areas of the body are:

• Lipoma and cysts: Cysts can resemble a lipoma as both contain fluid (usually pus). The difference is that a cyst forms closer to the surface of the skin than lipoma (which occurs deeper under the skin) and are firm to the touch.
• Swollen lymph glands: Lumps that occur as a result of a swollen lymph gland commonly develop in the armpit. Swelling is usually as a response to some form of infection in the body, often accompanied by other symptoms. Glands in the armpit can swell up to a few centimetres in size, but usually go down when the cause of the infection is treated. Swelling in the lymph glands can sometimes be more serious, although it is fairly uncommon for the lump to be diagnosed as lymphoma (a form of cancer).
• Skin tags

Lumps on the hand, wrist or fingers

Common lumps on the hand, wrist or finger include:

• Ganglion cysts: This type of cyst forms around the joints and tendons and can commonly appear at the back of the wrist. The cyst contains a thick jelly-like fluid which feels smooth and soft under the skin. These types of cysts are common among those suffering an injury to the joint or tendon. These can be left if there is no presence of pain or discomfort, as they often disappear with no need for treatment. ⁽⁴⁾
• Warts: These are small rough lumps that develop on the hands, often as a result of the human papilloma virus (HPV). Warts are contagious, but usually harmless and generally clear up without treatment.

Lumps in the breast

It is increasingly common for lumps to occur in the breast, however, they have several causes (not just breast cancer). Any unusual changes to the breasts are cause for concern and should be checked as soon as possible by a physician. Common causes of lumps found in the breast are:

• Mastitis: Breast tissue becomes swollen and painful as a result of inflammation. Sometimes mastitis is caused by an infection in the breast. It is also fairly common among breastfeeding women in the first three months following the birth of their baby. If breastfeeding is found to be the cause, this type of swelling or inflammation may be referred to as lactation mastitis or puerperal mastitis. Where breastfeeding isn’t the likely cause, periductal mastitis may be diagnosed.
• Enlarged milk ducts
• A  fibroadenoma (non-cancerous growth)
• Cysts
• Skin tags: These can occur on the overlying breast skin or the nipple.
• Lipoma: These are soft, fatty lumps that form under the skin. Lipomas form as a result of an overgrowth of fat cells in the body and feel ‘doughy’ to the touch. If small and painless, these lumps are generally harmless and benign (non-cancerous), and can be left alone. Lipomas can grow anywhere in the body where there is the presence of fat cells, but are more commonly found around the shoulders, neck, chest, arms, thighs, back and buttocks. Lipomas range from the size of a pea to a few centimetres wide. Lipomas tend to develop deeper inside the body, making them more unnoticeable.

Lumps in the groin area

Common causes of lumps in this area of the body are:

• Cysts
• Swollen glands
• Hernia: This occurs when an internal part of the body between the chest and the hips, pushes through a weakeness in the muscle or surrounding tissue wall. Most experience very few symptoms, but swelling or lumps in the abdomen (stomach) or groin area are common complaints. Lumps often shift when you lie down, moving deeper inside the body. ⁽⁵⁾
• An enlarged vein: This is known as saphena varix and is generally caused by a defective valve inside the vein. When you lie down, the lump tends to ‘disappear’  (move deeper inside the body).
• Genital warts: These are soft, fleshy growths on or around the genital or anal area that are usually as a result of a sexually transmitted infection (STI). Genital warts are a viral skin infection caused by the human papilloma virus (HPV). Usually painless, these warts are generally not serious and aren’t likely to have any effect on your fertility.

Lumps and swelling in the testicle

In general, most lumps found in the testicle aren’t cancerous or harmful. ⁽⁶⁾ Lumps and swelling is a fairly common symptom for boys and men, and have a number of different causes. Only a small percentage of testicular lumps, however, result in testicular cancer. The vast majority are as a result of other benign (non-cancerous) conditions and may not even require treatment. Any changes noted, however, should be checked by your physician, especially if any sudden or severely painful swelling occurs.

Swelling or lumps noted in the testicle can be:

• Varicoceles: Swollen veins inside the scrotum.
• Hydroceles: A build-up of fluid around the testicle.
• Epididymal cysts: Lumps are caused by a build-up of fluid in the epididymis (the coiled tube behind the testicles).
• Epididymo-orchitis: This is an inflammation of the epididymis and testicles.
• Inguinal hernias: Fatty tissue or part of the bowel pokes through the groin, causing the scrotum to become enlarged.

Lumps around the anus

Swelling or lumps around the anus (bottom) usually appear for one of the following reasons:

• Haemorrhoids (piles): This is a swollen blood vessel that hangs on the outside of the anus.
• Skin tags
• An abscess: A collection of pus caused by a bacterial infection, and which can be painful. Abscesses can develop anywhere on the body. A skin abscess develops under the skin. Internal abscesses can develop anywhere inside the body including in an organ or the space between organs.
• A rectal prolapse: This occurs at the end of the bowel where part of the rectum protrudes out of the anus.
• Genital warts

References:

^{2. niDirect Government Services. January 2018. Angioedema: https://www.nidirect.gov.uk/conditions/angioedema [Accessed 29.08.2018]}

^{3. HealthDirect. May 2017. Cysts: https://www.healthdirect.gov.au/cysts [Accessed 29.08.2018]}

^{4. HealthDirect. January 2018. Ganglion Cyst: https://www.healthdirect.gov.au/ganglion-cyst [Accessed 29.08.2018]}

^{5. National Institute of Diabetes and Digestive and Kidney Diseases. June 2014. Inguinal Hernia: https://www.niddk.nih.gov/health-information/digestive-diseases/inguinal-hernia [Accessed 29.08.2018]}

^{6. Victoria State Government – Better Health Channel. August 2015. Testicular Cancer: https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/testicular-cancer [Accessed 29. 08.2018]}

Mr Luke Cascarini – removal of cysts, moles, lumps & bumps

Luke manages the removal of benign and malignant head and neck lumps and bumps.

Mr Luke Cascarini offers facial surgery for medical problems only but his skill provides an excellent cosmetic outcome. Your treatment begins with an initial consultation to confirm your diagnosis and then he will develop a surgical plan to remove the required tissue while minimising scarring as much as possible.

Facial skin surgery comprises any surgery of the exterior skin of the face. This is separate from maxillofacial surgery, which includes surgery to the jawbone and the skull. Facial skin surgery can be performed for medical reasons, such as skin cancer removal, or cosmetic reasons, such as the removal of cysts or other blemishes.

What conditions are treated by facial skin surgery?

• Skin cancers – the tumour and a healthy margin of surrounding tissue is removed to prevent the cancer from spreading.
• Epidermoid and pillar cysts – surgery is used to remove unsightly lumps and bumps caused by cysts beneath the skin. These cysts are benign sacs that are filled with viscous fluid. They do not pose a risk to health but may compromise function (an eyelid cyst may obscure vision), cause problems with wearing spectacles or cause a loss of confidence.
• Lipomas – small sacs of fatty tissue just below the surface of the skin can be removed easily. Like cysts, these do not pose a threat to health, but may be removed for functional or cosmetic reasons.
• Moles – these are often removed for cosmetic reasons, but they may also pose a risk of skin cancer and are removed either for biopsies or to prevent problems in the future.

Find out more about the removal of skin lesions including moles, lumps and bumps.

Facial surgery techniques

The technique chosen by Luke will depend on the condition being treated. Facial surgery techniques include:

• Excision – this is the most common form of facial skin surgery, in which tissue, such as a tumour or cyst, is simply cut away or removed from beneath the skin surface.
• Curettage and electrocautery – this is a highly skilled technique in which cells are scraped away using a sharp spoon like instrument, with the skin surface then immediately cauterised by a heated loop or needle to stop the bleeding.
• Mohs micrographic technique – this is a specialist cancer surgery technique that is used to minimise the amount of healthy tissue that is removed. The tumour is cut away in small sections, with each section immediately analysed under a microscope to check for cancer cells. Surgery is stopped as soon as no cancer is detected, reducing the need for a margin of error.

If facial surgery involves the removal of a significant amount of tissue, it may be necessary to use a skin graft or a skin flap to repair the wound site.

• A skin graft is a thin layer of skin that is taken from elsewhere on the body with an intact blood supply. Common source sites are behind the ears or from the inner thigh. The skin is stitched in place over the wound site and its blood supply is connected with the local blood supply near the wound.
• A skin flap is neighbouring skin that is stretched over the wound site and stitched into place, retaining some of its original blood supply.

In both cases, the new skin is carefully selected to match the original area as closely as possible, and will heal and fade over time to blend in with its surroundings.

Luke uses skin flaps extensively when performing facial reconstruction surgery in trauma and accident patients.

Skin coloured lumps and bumps – 12 cases

Quiz

Skin coloured lumps and bumps – 12 cases

Skin coloured lumps and bumps may be difficult to distinguish one from another. It is helpful to consider body site, location within the skin, size, consistency and morphology. Some common lesions are described here.

First, a reminder about terminology in dermatology.

• A papule is a small palpable lesion (less than 0.5 cm)
• A nodule is a larger rounded lesion
• A plaque is a flat palpable lesion
• A cyst is fluctuant because it contains fluid or semi-fluid material

For each of the twelve cases, study the image(s) and then answer the questions. You can click on the image to view a larger version if required.

Each case should take approximately 2 minutes to complete. There is a list of suggested further reading material at the end of the quiz.

Case 1

Name this skin coloured condition.

Dermal melanocytic naevus

Describe the disorder

Moles, or melanocytic naevi, may occur at any site and are quite variable in appearance. They mostly present as stable and well-demarcated papules, nodules and plaques. Moles first appear during childhood, adolescence and early adult life. They vary in colour depending on the activity of melanocytes and the depth of pigment within the skin. Skin coloured moles are dermal naevi without melanin. They may be soft to firm in consistency. They may be pedunculated and ‘wobbly’, or more deeply situated and fixed in position. Histology reveals nests of intradermal melanocytes, which may be neural-type i.e. they may have a spindle-shaped structure.

Mark question

Next Question

Cosmopolitan Dermatology

There are literally hundreds of different kinds of lumps, bumps and cysts associated with the skin. Fortunately, the vast majority of these are harmless and painless. The chart below provides a guide for some of the most common forms of skin lumps, bumps and cysts.

Dermatofibromas

Characteristics

• Red, brown or purple growth; generally benign
• Usually found on arms and legs
• Feels like a hard lump
• Can be itchy, tender to the touch and sometimes painful

Treatment

• Usually does not require treatment
• Most common removal by surgical excision or cryotherapy (freezing it off with liquid nitrogen)

Epidermoid Cysts (Sebaceous Cysts)

Characteristics

• Round small bumps, usually white or yellow
• Forms from blocked oil glands in the skin
• Most commonly appear on the face, back, neck, trunk and genitals
• Usually benign; occasionally leads to basal or squamous cell skin cancers
• If infected, will become red and tender
• Can produce a thick yellow, cheese-like discharge when squeezed

Treatment

• Antibiotics might be prescribed if there is an underlying infection
• Dermatologist removes the discharge and the sac (capsule) that make up the walls of the cyst to prevent recurrence
• Laser surgery may be used for sensitive areas of the skin, like the face

Folliculitis

Characteristics

• Red pimples around areas having hair
• Inflammation of the hair follicles
• Caused by infection or chemical or physical irritation (e. g., shaving, fabrics)
• Higher incidence among people with diabetes, the obese or those with compromised immune systems

Treatment

• Topical antibiotics
• Oral antibiotics
• Antifungal medications
• Eliminating the cause

Keratoacanthoma

Characteristics

• Red, dome-shaped, thick bumps with craters in the center
• Abnormal growth of hair cells
• Triggered by minor skin injury such as a cut or bug bite
• Ultraviolet radiation from sun exposure is the most common risk factor

Treatment

• Cryotherapy (freezing off the bump with liquid nitrogen
• Curettage (surgically cutting out or scraping off)

Keratosis Pilaris

Characteristics

• Small, rough white or red bumps that neither itch nor hurt
• Usually worse during winter months or when there is low humidity and the skin gets dry

Treatment

• Usually does not require treatment
• In most cases disappears on its own by age 30
• Intensive moisturizing is the first line of treatment
• For more difficult cases, use of medicated creams with urea or alpha-hydroxy acids

Lipomas

Characteristics

• Soft fatty tissue tumors or nodules below the skin’s surface
• Usually slow growing and benign
• Appear most commonly on the trunk, shoulders and neck
• May be single or multiple
• Usually painless unless putting pressure on a nerve

Treatment

• Usually does not require treatment unless it is compressing on the surrounding tissue
• Easy to remove via excision

Neurofibromas

Characteristics

• Soft fleshy growths under the skin
• Slow growing and generally benign and painless
• Pain may indicate a need for medical attention
• May experience an electrical shock at the touch

Treatment

• Usually does not require treatment, particularly if it does not cause any symptoms
• If it affects a nerve, it may be removed surgically

Skin Cysts

Characteristics

• Closed pockets of tissue that can be filled with fluid or pus
• Can appear anywhere on the skin
• Smooth to the touch; feels like a pea underneath the surface
• Slow growing and generally is painless and benign
• Only needs attention if it becomes infected or inflamed

Treatment

• Usually does not require treatment; often disappears on its own
• May need to be drained by a physician
• Inflamed cysts respond to an injection of cortisone, which causes it to shrivel

Swollen Glands, Hernias, and Other Lumps Under the Skin

Are you concerned about swollen glands or other lumps under the skin?

Yes

Concern about swollen glands or lumps under skin

No

Concern about swollen glands or lumps under skin

How old are you?

Less than 12 years

Less than 12 years

12 years or older

12 years or older

Are you male or female?

Why do we ask this question?

• If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
• If your symptoms aren’t related to those organs, you can choose the gender you identify with.
• If you have some organs of both sexes, you may need to go through this triage tool twice (once as “male” and once as “female”). This will make sure that the tool asks the right questions for you.

Can you feel a lump in the neck or throat?

Yes

Lump in throat or neck

No

Lump in throat or neck

Did the lump develop quickly (over hours)?

Yes

Lump in neck or throat developed quickly

No

Lump in neck or throat developed quickly

Are you having trouble breathing (more than a stuffy nose)?

Yes

Difficulty breathing more than a stuffy nose

No

Difficulty breathing more than a stuffy nose

Are you having trouble swallowing?

Can you swallow food or fluids at all?

Yes

Able to swallow food or fluids

No

Unable to swallow food or fluids

Is your voice hoarse for no clear reason?

Yes

Unexplained hoarseness

No

Unexplained hoarseness

Do you have any symptoms of hyperthyroidism or hypothyroidism?

The thyroid gland sits in your neck in front of your windpipe. It can become swollen if it’s not working properly.

Yes

Symptoms of hyperthyroidism or hypothyroidism

No

Symptoms of hyperthyroidism or hypothyroidism

Are there red streaks leading away from the area or pus draining from it?

Do you have diabetes, a weakened immune system, peripheral arterial disease, or any surgical hardware in the area?

“Hardware” includes things like artificial joints, plates or screws, catheters, and medicine pumps.

Yes

Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area

No

Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area

Do you think you may have a fever?

How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?

8 to 10: Severe pain

Severe pain

5 to 7: Moderate pain

Moderate pain

1 to 4: Mild pain

Mild pain

Has the pain lasted for more than 3 days?

Yes

Pain for more than 3 days

No

Pain for more than 3 days

Is it a soft lump near the belly button, the groin, or the site of a past surgery?

This type of lump could be a hernia.

Yes

Soft lump near belly button, groin, or surgical site

No

Soft lump near belly button, groin, or surgical site

Does the pain go away when you press on the lump?

Yes

Pain goes away when lump is pressed

No

Pain goes away when lump is pressed

Have you had the lump or swollen gland for more than 2 weeks?

Yes

Swollen gland or lump for more than 2 weeks

No

Swollen gland or lump for more than 2 weeks

Many things can affect how your body responds to a symptom and what kind of care you may need. These include:

• Your age. Babies and older adults tend to get sicker quicker.
• Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
• Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
• Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
• Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

Try Home Treatment

You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.

• Try home treatment to relieve the symptoms.
• Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.

Pain in adults and older children

• Severe pain (8 to 10): The pain is so bad that you can’t stand it for more than a few hours, can’t sleep, and can’t do anything else except focus on the pain.
• Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it’s severe when it’s there.
• Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.

Symptoms of infection may include:

• Increased pain, swelling, warmth, or redness in or around the area.
• Red streaks leading from the area.
• Pus draining from the area.
• A fever.

Certain health conditions and medicines weaken the immune system’s ability to fight off infection and illness. Some examples in adults are:

• Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
• Long-term alcohol and drug problems.
• Steroid medicines, which may be used to treat a variety of conditions.
• Chemotherapy and radiation therapy for cancer.
• Other medicines used to treat autoimmune disease.
• Medicines taken after organ transplant.
• Not having a spleen.

Hyperthyroidism occurs when your body has too much thyroid hormone.

Symptoms of hyperthyroidism may include:

• Tiredness.
• Muscle weakness.
• Weight loss.
• Sweating and not being able to tolerate hot temperatures.
• Fast heart rate.
• Feeling edgy or anxious.
• Enlarged thyroid gland (your thyroid gland is in your neck).

Hypothyroidism occurs when the thyroid gland does not make enough thyroid hormone.

Symptoms of hypothyroidism may include:

• Tiredness and weakness.
• Weight gain.
• Depression.
• Memory problems.
• Constipation.
• Dry skin, brittle nails, and coarse, thinning hair.
• Not being able to tolerate cold temperatures.

A soft lump in one of these areas (belly button, groin, past surgical site) may be a hernia. A hernia can occur when there is a weakening in the muscle wall and part of an internal organ (often part of the bowel) pushes through.

With a hernia, the lump may go away when you press on it or lie down, and it may get worse when you cough. It may or may not be painful.

Symptoms of difficulty breathing can range from mild to severe. For example:

• You may feel a little out of breath but still be able to talk (mild difficulty breathing), or you may be so out of breath that you cannot talk at all (severe difficulty breathing).
• It may be getting hard to breathe with activity (mild difficulty breathing), or you may have to work very hard to breathe even when you’re at rest (severe difficulty breathing).

Seek Care Today

Based on your answers, you may need care soon. The problem probably will not get better without medical care.

• Call your doctor today to discuss the symptoms and arrange for care.
• If you cannot reach your doctor or you don’t have one, seek care today.
• If it is evening, watch the symptoms and seek care in the morning.
• If the symptoms get worse, seek care sooner.

Seek Care Now

Based on your answers, you may need care right away. The problem is likely to get worse without medical care.

• Call your doctor now to discuss the symptoms and arrange for care.
• If you cannot reach your doctor or you don’t have one, seek care in the next hour.
• You do not need to call an ambulance unless:
  • You cannot travel safely either by driving yourself or by having someone else drive you.
  • You are in an area where heavy traffic or other problems may slow you down.

Make an Appointment

Based on your answers, the problem may not improve without medical care.

• Make an appointment to see your doctor in the next 1 to 2 weeks.
• If appropriate, try home treatment while you are waiting for the appointment.
• If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

Sometimes people don’t want to call 911. They may think that their symptoms aren’t serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.

Lumps and Bumps Removal | Dr Glancey Clinics

We offer a full range of services to remove unsightly lumps and bumps and moles from the face and body. Safe and effective, we provide biopsy checks to give you peace of mind. Whilst most skin lesions are harmless, some can be a sign of a more serious underlying problem.

When considering removal of any type of lesion it is extremely important to have it checked by an expert in order to diagnose it correctly and ensure it is safe before any removal is carried out. Dr Lucy Glancey has treated thousands of patients with skin lesions and has the medical knowledge and experience to ensure you get the very best treatment. With raised awareness of skin cancer and the need to protect against the sun we have become more vigilant in checking moles and lumps and bumps that appear on our face and body.

Dr Lucy Glancey’s medical background working in the NHS, surgically removing cysts and lumps and bumps, ensures you are getting expert advice to diagnose and treat.

Luckily a large proportion of moles and lumps and bumps turn out to be totally innocent. However they can be cosmetically unattractive and annoying. Many NHS practices no longer treat these types of benign lesions even though some patients find them unpleasant and upsetting.

Here at our clinics we offer a lumps and bumps clinic for diagnosis and removal of a range of lesions and can also arrange biopsy testing for suspicious lesions.

We can treat and remove:

• Skin tags
• Viral warts,
• Benign Moles,
• Campbell de morgan spots
• Solar keratosis
• Spider naevi
• Xanthelasmata
• Sebaceous cysts

Treatment Time

For small lesions the treatment time can be just 5 minutes. Multiple lesions can be treated at one time and you would then be advised on specific times.

Recovery Period

For small lesions the recovery period can be a matter of days. For larger lesions the recovery can be 7-10 days.

Results Duration

Permanent! Most lesions can be removed permanently in one session.

Treatment Price

Prices start from as little as £50

Bisha’s lumps: to remove or not

The course of the operation is determined by the surgeon, depending on the anatomical features. “Usually Bish’s lumps are removed together with their shell from the side of the oral cavity. The external method, in which an incision is made and lumps are removed through it, is rarely used, ”says Aliyeva. The result will be final after six weeks from the date of the operation, when all the swelling has subsided.

When to remove the lumps?

“When correcting age-related changes, this operation is ideally performed during a midface lift or open lift (SMAS).Like any rejuvenating operation, it is aimed at returning the structure, ”says Mollaeva.

If these are fatty deposits, then why are they not formed again in the same place?

The human body contains a certain number of adipocytes (fat cells). They do not divide, but can only increase in size. “If we remove a fat cell, then a new one will not form in its place. Bichat’s lumps are also classified as fatty deposits, and like other fat cells, they no longer form.The same applies to the removed subcutaneous fat in the operation area, ”says Mollaeva.

What are the consequences of the operation in a few years?

If the operation was not performed according to the indications, then as a result the patient will receive an emaciated, tired face, sunken cheeks. “It will look like a painful skull covered with skin. Especially if the patients continue to lose weight, lose subcutaneous fat on the face and cheeks, this will have the opposite effect: make the girl look older, not younger.Therefore, if a slender girl comes to me without indications for surgery, I will not undertake to operate on her and at the consultation I will explain what the consequences can be if she shows persistence and does the operation with a less responsible surgeon, ”explains Mollaeva. Dr. Alieva also agrees with her: “Since Bish’s lumps create an anatomical frame for the middle lower third, after their removal this zone will sag first, and transverse and longitudinal wrinkles will appear. To correct these wrinkles, the patient turns to a beautician, hardware techniques are done, injection techniques to replenish the volume.Vicious circle. Before considering an operation, consult your doctor – there are many alternative solutions to this issue: from the correction of the middle third with a filler to hardware technologies, thread lifting and combined techniques. ”

What alternative ways to make cheekbones and visually narrow the face are available now?

Victoria Klishko, cosmetologist, chief physician of the Remedy Lab clinic answers:

Remove Bisha’s lumps, price for removal in Stavropol

One of the most popular operations at the moment after breast augmentation is plastic surgery on the face, or rather the removal of Bish’s lumps.These are fat deposits that look like small balls up to 3 centimeters in diameter. Located between the skin and the muscle tissue of the cheeks. This phenomenon was described by an anatomist from France Xavier Bish. These lumps were named after him.

Why are Bish’s lumps needed and is it worth removing them

Bisha’s lumps are a necessary thing for small children, helping with sucking (because of this, babies have chubby cheeks). Lumps of fat help with food intake by providing proper sliding of the chewing and cheek muscles.

In adulthood, Bish’s lumps do not interfere. With the growth of the body, the lumps seem to decrease, in fact, they do not stand out, since their growth stops. The plumpness from childhood falls off the cheeks, Bish’s lumps become invisible.

Natural fat deposits on the cheeks can interfere with those with:

1. Excess fat on the face, mainly on the cheeks.
2. Round face, prone to excessive fat deposits.
3. Age (face and cheeks dropped, so-called “flews” and nasolabial wrinkles were formed).
4. Aesthetic problems (those who don’t like chubby pikes).

The method of operation is mainly resorted to by those who have managed to lose weight, but the face remains plump and large because of these very lumps of Bish. Facial plastic surgery is very popular in those circles of people whose cheeks sagged with age and Bish’s lumps greatly spoil their face.

From a medical point of view, Bish’s lumps cannot cause any discomfort, since they are not felt. However, from the point of view of aesthetics, this phenomenon does not add attractiveness.Many people turn to cosmetologists and plastic surgeons just because of their beauty beliefs.

Elimination of lumps of Bisha

There are two options for operations on Bish’s lumps:

• Delete. Puffy cheeks have a low aesthetic appearance due to lumps of fatty deposits.
• Displacement of Bichat’s lumps to reduce the effect of chubby cheeks and increase the volume of the cheekbones.

First, an incision is made on the inside of the cheek, two to three centimeters in diameter, to access the lumps.Later, depending on what the client has chosen: deleting or moving, one or another procedure takes place. When the process and all the planned actions are completed, the surgeon sutures the incision with a cosmetic suture.

Postoperative step

After the end of the anesthesia, the patient is allowed to leave the clinic. The operation does not require special recovery. Swelling can last up to 3 days, the stitches are removed for about 5-8 days. At first, only liquid food is allowed, after the average temperature is food, which will not need to be chewed thoroughly and for a long time, so as not to create additional stress on the muscles.It is necessary to sleep on a pillow, on your back; it is not recommended to lie on the seams. For the first month, it is strictly forbidden to shout, laugh, and wry.

The final result will be visible only after six months, when the puffiness subsides and the face acquires its final appearance.

Removal of lumps of Bisha | Prices for surgery in Mediaesthetic SPb

Bisha’s lumps are fatty clots that are located under the cheekbone between the mucous membrane and the skin of the cheek. Their structure is slightly different from ordinary fat – all people, even the thinnest, have Bish’s lumps.They are responsible for the volume in the lower part of the face.

Why remove Bish’s lumps?

Usually they are removed if the excessive volume of the cheeks pursues a person even after losing weight, or when muscle tone weakens and flews and nasolabial folds are formed. Bisectomy makes the face contour proportional and creates a lifting effect in obese and elderly patients.

Is it dangerous?

In adulthood, Bish’s lumps cease to perform their function and, in principle, become unnecessary for us.It is during infancy that they facilitate the sucking process and protect the cheek muscles from external injuries. Bisectomy in adults will not affect the chewing process in any way and will not lead to any health problems.

Progress

This procedure is not difficult. It can be performed under local anesthesia and is tolerated by patients normally. 1-2 cm incisions are made from the mucous side, no visible scars remain on the face. Through a small access, the doctor will remove the fat lumps in whole or in part.The whole operation takes up to 40 minutes.

Contraindications

Surgeons recommend not to carry out this operation until the age of 25, as well as to patients with initially thin faces and large cheekbones. Firstly, before the age of 25, a person can still change and lose weight on their own. Secondly, the removal of Bish’s lumps on an already refined face can lead to the effect of too sunken cheeks and an unhealthy appearance of the patient. Also, this procedure should be performed when the patient’s weight is stabilized. If the patient plans to lose weight or gain weight, it is better to postpone the operation.

Of course, this operation also has general surgical contraindications:

• blood diseases
• exacerbation of chronic diseases
• oncological diseases
• infectious diseases
• foci of inflammation or purulent diseases on the face
• liver diseases
• epilepsy and mental illness.

Bisectomy results

The effect depends on the initial data of the patient, on the volume of the removed lump.It is noted that the lower part of the face becomes less massive, the face in general is refined. A depression appears, which favorably highlights the cheekbones.

Rehabilitation

Rehabilitation after removal of Bishat’s lumps goes pretty quickly. For three to four days after the procedure, swelling may persist – because of this, the cheeks may temporarily become even larger than they were. Then the puffiness subsides and gradually the face in the lower part will lose weight. The tissues will completely settle in about six months after the operation.

Author’s technique “French cheeks”, or How to give your face an aristocratic look No.4 (82), 2016

A clear oval of the face, large eyes with high eyebrows, a neat nose, sensual lips and sunken cheeks, emphasizing graceful cheekbones, always add face grace and aristocracy. It is believed that it is French women who “never get fat” and are the happy owners of the appearance of a noble origin. You can achieve mysterious sophistication using the French Cheeks technique.

What are bisha lumps?

Fat capsules, which are located around the duct of the parotid salivary gland and between the masticatory muscles of the face, are named Bichat’s lumps after the name of the French anatomist. The main function of Bisha’s lumps is to facilitate the sucking function in infants, which is why almost all children have such chubby cheeks. In the process of life, they lose their meaning, turn into hernias and subsequently go down. This gives the face an unhealthy, tired appearance.

Indications for surgery

• Round face shape.
• Excessive fat deposits on the face.
• Age-related drooping of the cheeks with further formation of skin folds and wrinkles.
• Additional correction after undergoing plastic surgery.

The essence and process of Operation French Cheeks

The essence of the operation is a combination of laser resection of Bish’s lumps and excision with further tightening of the mucous tissue to create the effect of sunken cheeks.

In the oral cavity through the internal access, a 1.5–2 cm long incision is made in the mucous membrane. After the muscles are separated, the fat bodies are tightened, exfoliated from the surrounding tissues and removed together with their membrane, then the mucosa incision is extended in the form of a petal to 3–4 cm. Next, the tissues are excised and the first sutures are applied to the buccal muscle, which serve as an additional frame for pulling the tissues from the inside. After excision and application of the first sutures, the mucous membrane itself is sutured.

For each client, the size of the excised tissue and the manipulation of the sutures on the buccal muscle are determined in accordance with the individual anatomical features, i.e. the thickness of the mucous tissue, as well as the desired result (how much the client wants to see the effect of sunken cheeks on himself).

Results

This technique helps to eliminate excess volume in the cheek area in the shortest possible time and allows you to emphasize high cheekbones. For women aged 35 and over with pronounced drooping of the corners of the mouth, deep nasolabial folds, drooping of the soft tissues of the lower and middle zones of the face, visible changes in the oval of the face, “French cheeks” should be combined with MACS-lifting.And at the first signs of drooping eyelids, there is an easy and minimally invasive temporal lobe lifting operation, which raises the eyebrows.

The technique is unique not only in the approach of combining mucosal tissue excision with the application of a double suture and resection of Bish’s lumps, but also in the use of a CO2 laser, which reduces the risk of hematomas and vascular coagulation, and also shortens the recovery period.

Removal of Bisha’s lumps: reviews, prices, photos before and after

Removal of Bisha’s lumps is a minimally invasive plastic surgery to reduce the volume of the cheeks (Bisha’s fat bodies) and modeling the relief of the cheekbones.After removing Bish’s lumps, the face looks thinner and sexier. The purpose of this operation is to recreate the correct architecture of the face with expressive cheekbones. Volumic fat deposits in the cheek area are often hereditary – they are called “fat traps”.

The fact is that the so-called lumps of Bish are small dense areas of adipose tissue that are located directly under the cheekbone. They are vital only in infancy: these areas are involved in the process of sucking milk.Subsequently, their function is lost, leaving us only a swelling of the cheeks. The peculiarity of these fatty tissues is that neither weight loss nor fitness exercises can reduce them. Bish’s lumps do not lend themselves to correction even with the help of injection cosmetology. The operation allows you to remove them in one surgical procedure. The technique of performing the operation excludes scars on the skin. Re-removal of Bish’s lumps is not required – fat deposits are no longer formed here.

REMOVAL OF BISH COMES IN THE PIROGOV CLINIC IS AN OPERATION IN THE BEST CLINIC OF PLASTIC SURGERY IN ST. PETERSBURG.

* according to the rating of the portals “Doctor Peter” and “Fontanka.ru” in 2021. Read more.

The operation to remove Bish’s lumps allows:

• to beautify the oval of the face;
• visually reduce the cheeks;
• to outline the cheekbones;
• Make the chin angle more defined.

How is the operation to remove Bish’s lumps going?

The operation can be performed either under local or general anesthesia.During the intervention, the surgeon makes a small (1-2 cm) incision through the oral mucosa. By pushing the tissue apart with thin instruments, the plastic surgeon removes the fatty bag, coagulates the vessels and applies a suture. After removing Bish’s lumps, no traces remain on the face. How much adipose tissue needs to be removed is determined depending on the wishes of the patient and the characteristics of the face shape. This operation is not suitable for everyone. In some patients prone to thinness, facial skeletonization is possible, which means that the result of an operation to remove Bish’s lumps may look unsuccessful after a few years.Plastic surgeons at the Pirogov clinic are always on the side of their patients. After being examined at a consultation, the doctor will certainly inform you about the risks, if any.

In some cases, the adipose tissue is not completely removed, but for example is moved to a higher position. This operation is often combined with an endoscopic midface lift. This surgical tactic allows, on the one hand, to make up for the lack of volume in the cheekbones, on the other hand, to preserve the fat cells necessary to maintain skin tone.

The duration of the operation to remove Bish’s lumps is 40 minutes. Hospitalization is not required.

Recovery after surgery to remove lumps of Bish

Pain after the operation is not very pronounced – you do not need to wear any bandages, so you can return to your usual life the next day after the operation. The first time after the operation, it is recommended to eat liquid food and use an antibacterial dental gel.The stitches are removed 8-10 days after the removal of Bish’s lumps. The final result of the operation can be assessed in 2-3 weeks.

Cost of removing lumps of Bish

The cost of surgery to remove Bishat’s lumps depends on the type of anesthesia, hospitalization and possible simultaneous interventions. You can make an appointment with a plastic surgeon or contact us on social networks. There is a special offer in our clinic – free appointments of plastic surgeons for primary patients.Estimated prices for plastic surgery can be found on our website. Have you searched but did not find the information you are looking for? The specialists of our call-center will be happy to help you – leave a request for a call back through our website or call 320-70-00

Advantages of removing Bisha’s lumps in the Pirogov clinic (St. Petersburg)

• Pirogov’s Clinic was recognized as the best clinic for plastic surgeons and according to the popular rating of private clinics in St. Petersburg, the medical portal “Doctor Peter” and the city portal “Fontanka.ru “in 2021;
• qualified plastic surgeons with extensive experience in aesthetic operations;

90,033 positive reviews from patients on the operation to remove Bish’s lumps;

• opportunity to undergo all preoperative examinations in the clinic within one day;
• own laboratory: test results – quickly and with a guarantee of reliability;
• Equipping operating rooms with the most advanced medical equipment from leading Western companies;
• attentive and responsible medical staff: a team of anesthesiologists, resuscitators, assistants and nurses smoothly and quickly resolve any issues around the clock;
• modern comfortable hospital;
• Rapid return to normal life: as a rule, patients are discharged the very next day after the intervention;
• the ability to carry out several operations at the same time, which means that you get the best result in one intervention;
• departments of medical cosmetology and laser dermatology carry out procedures for the fastest possible tissue regeneration, allowing you to start enjoying the result as soon as possible;
• interest-free payment by installments for any transactions, credit;
• online consultations for plastic surgeons.

Make an appointment

Removal of lumps of Bisha in Minsk, prices

Taking care of you

We value your trust and work for you, observing all safety standards:

• We disinfect surfaces and rooms.
• We provide masks, shoe covers and hand sanitizers.
• We observe an increased interval between recordings for procedures.
• Strengthened personal hygiene measures and health monitoring of staff and doctors.

We recommend that you pay attention to the following visiting rules:

• If you are not feeling well or have signs of SARS, it is better to postpone or cancel the entry.
• To exclude patients from contacting each other, come to the procedure strictly at the appointed time.
• To avoid large crowds, please visit the center only with booked appointments.

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The older we get, the more age is given by fatty deposits in the cheek area, which are also called Bisha’s lumps.By about 30-40 years of age, the muscles of the face no longer support these fatty lumps, the cheekbones become massive and lose their shape. Unsurprisingly, many people remove clumps of fat for aesthetic reasons.

How is the operation to remove Bish’s lumps in ShineEst

We perform cheek fat removal through small internal punctures. The procedure lasts no more than an hour and is carried out under local anesthesia, therefore, hospitalization after it is not provided.

To avoid complications (edema, bruising and swelling), we recommend the following rehabilitation rules:

• For 2-3 weeks, reduce the mimic load: smile less, do not cry or grimace;
• Reduce physical activity: stop exercising for 2-3 weeks, including jogging.
• Refuse to visit the sauna, bath and long bathing (for 3 weeks).
• Sleep on a high pillow (2-3 weeks). At the same time, it is advisable to sleep on your back so as not to injure the operated areas during sleep.
• The first 3 days after the operation, it is necessary to eat only liquid food, for the next 2-3 weeks, you should not eat solid food, which must be chewed vigorously and for a long time. Control the temperature of food and liquids (tea, water): do not eat anything hot or cold, food should be of medium temperature.
• Monitor oral hygiene after each meal: rinse your mouth thoroughly and brush your teeth if possible.
• Take antibiotics or alternative drugs prescribed by your doctor to help avoid inflammation and infections on the internal tissues of the facial area.

A complete list of recommendations is made by the attending physician – for each we draw up an individual recovery plan.

The healing of the mucous membrane of the cheeks, due to their good blood supply, occurs within 2-3 days after the operation.However, within 4-5 days, the patient may be concerned about soreness in the cheeks, swelling in the mouth and cheeks, which should go away within 4-12 days after the operation.

What does the removal of Bish’s lumps give?

After the operation, the face acquires aristocratic lines. Changes in the chin and cheekbones are especially noticeable. This quick and effective procedure gives the face a youthful appearance and moderate thinness.

It will be possible to evaluate the result of the operation to remove Bish’s lumps in 2-3 weeks, when the postoperative puffiness disappears.The final appearance of the face and cheeks will acquire only 5-6 months after the operation, when complete healing and deposition of the tissues of the cheeks occurs. The result of the operation to remove Bish’s lumps is preserved for life.

Removal of Bisha’s lumps can be combined with with a plastic facelift, or ultrasonic SMAS lifting, which will give greater effect if the patient’s goal is to rejuvenate the face, gaining more refined, thinner cheekbones and cheeks.

Before making an appointment for an operation, we recommend that you consult with a ShineEst doctor – you can choose a convenient time online or by calling the center 7180.

Removal of lumps Bisha – Clinic Manufactura

– THE COST OF THE DOCTOR’S SERVICES ED KOVAL –

Upper blepharoplasty

25300 UAH

Lower blepharoplasty

33800 UAH

Circular blepharoplasty

59100 UAH

Rhinoplasty (primary)

65600 UAH

Rhinoplasty (repeated)

UAH

Rhinoseptoplasty

35000 UAH

Lipostructure of the face (lipofilling / fatgrafting)

31200 UAH

Neck liposuction (“double chin”)

18750 UAH

– COST OF SERVICES DOCTOR DABIZH A.YU. –

Upper blepharoplasty, 1st category of complexity

22500 UAH

Upper blepharoplasty of the 2nd category of complexity

23900 UAH

Upper blepharoplasty, 3rd category of complexity

25300 UAH

Lower blepharoplasty, 1st category of complexity

28100 UAH

Lower blepharoplasty of the 2nd category of complexity

30900 UAH

Lower blepharoplasty, 3rd category of complexity

33800 UAH

Circular blepharoplasty, 1st category of complexity

50600 UAH

Circular blepharoplasty of the 2nd category of complexity

54800 UAH

Circular blepharoplasty, 3rd category of complexity

59100 UAH

Facelift 2/3 persons 1st category of complexity

126500 UAH

Facelift 2/3 persons of the 2nd category of complexity

140500 UAH

Eyebrow Lift

33800 UAH

Forehead lift of the 1st category of complexity

56200 UAH

Forehead lift of the 2nd category of complexity

61800 UAH

Correction of the neck (platysmoplasty)

28100 UAH

Neck correction (platysmoplasty + liposuction)

39400 UAH

Surgical lip augmentation

16900 UAH

Mentoplasty (chin plastic)

42200 UAH

Otoplasty (ear plastic)

33800 UAH

Face lipofilling

8500 UAH

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