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What Is It, Causes, Symptoms, Types, Treatment

Overview

What is a lipoma?

A lipoma is a round or oval-shaped lump of tissue that grows just beneath the skin. It’s made of fat, moves easily when you touch it and doesn’t usually cause pain. Lipomas can appear anywhere on the body, but they’re most common on the back, trunk (torso), arms, shoulders and neck.

Lipomas are benign soft tissue tumors. They grow slowly and are not cancerous. Most lipomas don’t need treatment. If a lipoma is bothering you, your healthcare provider can remove it with an outpatient procedure.

How common are lipomas?

Lipomas are very common. About 1 of every 1,000 people has a lipoma. Lipomas appear most often between ages 40 and 60, but they can develop at any age. They can even be present at birth. Lipomas affect people of all genders, but they are slightly more common in women.

Symptoms and Causes

What are the symptoms of a lipoma?

Lipomas aren’t usually painful, but they can be uncomfortable if they press against a nerve or develop near a joint. Many people who have a lipoma don’t notice any symptoms. Lipomas are usually:

Encapsulated: They don’t spread to the tissues surrounding them.
Painless: However, some lipomas cause pain and discomfort depending on their location, size and if blood vessels are present.
Round or oval-shaped: The fatty lumps of rubbery tissue are usually symmetrical.
Moveable: They sit just beneath the skin’s surface and move when you touch them.
Smaller than 2 inches in diameter: In a few cases, lipomas can be larger than 6 inches wide.

Where do lipomas grow?

Lipomas can develop anywhere on the body. Rarely, lipomas grow on the muscles, internal organs or brain. The majority of people with a lipoma only have one, although more than one lipoma can grow. Most lipomas develop just under the skin on the:

Arms or legs.
Back.
Neck.
Shoulders.
Trunk (chest and torso).
Forehead.

What causes a lipoma?

Healthcare providers aren’t sure what causes lipomas to grow. They are inherited (passed down through families). You’re more likely to develop a lipoma if someone in your family has one.

Some conditions cause multiple lipomas to form on the body. Lipoma-causing conditions include:

Dercum’s disease: This rare disorder causes painful lipomas to grow, most often on the arms, legs and trunk. It’s also called adiposis dolorosa or Anders’ syndrome.
Gardner syndrome: A form of a disorder called familial adenomatous polyposis (FAP), Gardner syndrome causes lipomas and a range of health problems.
Hereditary multiple lipomatosis: Also called familial multiple lipomatosis, this disorder is inherited (passed down through families).
Madelung’s disease: This condition occurs most often in men who drink alcohol excessively. Also called multiple symmetric lipomatosis, Madelung’s disease causes lipomas to grow around the neck and shoulders.

Diagnosis and Tests

How are lipomas diagnosed?

Providers usually diagnose a lipoma during a physical examination. Your provider will touch the lipoma and ask if it’s painful or tender. You may need a biopsy to confirm that the lipoma isn’t cancer. During this procedure, your provider removes a sample of the lipoma and sends it to a lab for testing.

Oftentimes, these may be mistaken for a cyst. To see a clear picture of this lump, your provider may order an imaging test such as an ultrasound, magnetic resonance imaging (MRI) scan, or computed tomography (CT) scan . These imaging studies help your provider determine if it is a lipoma versus a cyst. It can also help identify the lipoma’s location and how deep it is if it has blood vessels and whether it’s pressing against nerves or other tissues.

What are the types of lipomas?

All lipomas are made of fat. Some lipomas also contain blood vessels or other tissues. There are several types of lipomas, including:

Angiolipoma: This type contains fat and blood vessels. Angiolipomas are often painful.
Conventional: The most common type, a conventional lipoma contains white fat cells. White fat cells store energy.
Fibrolipoma: Fat and fibrous tissue make up this type of lipoma.
Hibernoma: This kind of lipoma contains brown fat. Most other lipomas contain white fat. Brown fat cells generate heat and help regulate body temperature.
Myelolipoma: These lipomas contain fat and tissues that produce blood cells.
Spindle cell: The fat cells in these lipomas are longer than they are wide.
Pleomorphic: These lipomas have fat cells of various sizes and shapes.

Management and Treatment

What is the treatment for lipomas?

Most lipomas don’t need treatment. If a lipoma is bothering you, your provider can remove it surgically. Lipoma removal procedures are safe and effective, and you can usually go home the same day.

As an alternative to lipoma surgery, your provider may recommend liposuction to remove the lipoma. Your provider uses a long, thin needle to remove fatty tissue from the growth.

Prevention

Can I prevent lipomas?

Lipomas (and many of the conditions that cause lipomas) are inherited. Since they’re passed down through families, it isn’t possible to prevent them. You can lower your risk of developing Madelung’s disease (a condition that causes lipomas to grow) by limiting the amount of alcohol you drink.

Outlook / Prognosis

What is the outlook for people with lipomas?

Many people live with lipomas, and they may not even notice them. Most lipomas don’t need treatment, but providers can remove them if necessary. Lipomas rarely grow back after lipoma treatment, but another one may grow in a different spot on your body.

Living With

When should I see my healthcare provider about lipomas?

If you have a skin growth, lump or knot under your skin, see your provider. It’s essential to get evaluated and rule out serious conditions, such as liposarcoma (a type of cancer). Symptoms of liposarcoma are similar to signs of a lipoma.

If you have a lipoma, see your provider if you notice any changes, such as sudden pain. Call your provider if it’s growing rapidly (over weeks), feels hard or doesn’t move as easily when you touch it. Your provider will check the lipoma to see if it has blood vessels, which is a sign of a rare type of painful lipoma called an angiolipoma.

A note from Cleveland Clinic

Millions of people live with lipomas. They can be annoying and unsightly, but they don’t usually cause problems. Most lipomas don’t need treatment. But if a lipoma causes pain or you’re concerned about its size or location, see your provider. Usually, providers can remove lipomas during an outpatient procedure, which means you’ll probably go home the same day. Lipomas rarely grow back after they’ve been removed.

What Is It, Causes, Symptoms, Types, Treatment

Overview

What is a lipoma?

How common are lipomas?

Symptoms and Causes

What are the symptoms of a lipoma?

Lipomas aren’t usually painful, but they can be uncomfortable if they press against a nerve or develop near a joint. Many people who have a lipoma don’t notice any symptoms. Lipomas are usually:

Encapsulated: They don’t spread to the tissues surrounding them.
Painless: However, some lipomas cause pain and discomfort depending on their location, size and if blood vessels are present.
Round or oval-shaped: The fatty lumps of rubbery tissue are usually symmetrical.
Moveable: They sit just beneath the skin’s surface and move when you touch them.
Smaller than 2 inches in diameter: In a few cases, lipomas can be larger than 6 inches wide.

Where do lipomas grow?

Arms or legs.
Back.
Neck.
Shoulders.
Trunk (chest and torso).
Forehead.

What causes a lipoma?

Healthcare providers aren’t sure what causes lipomas to grow. They are inherited (passed down through families). You’re more likely to develop a lipoma if someone in your family has one.

Some conditions cause multiple lipomas to form on the body. Lipoma-causing conditions include:

Dercum’s disease: This rare disorder causes painful lipomas to grow, most often on the arms, legs and trunk. It’s also called adiposis dolorosa or Anders’ syndrome.
Gardner syndrome: A form of a disorder called familial adenomatous polyposis (FAP), Gardner syndrome causes lipomas and a range of health problems.
Hereditary multiple lipomatosis: Also called familial multiple lipomatosis, this disorder is inherited (passed down through families).
Madelung’s disease: This condition occurs most often in men who drink alcohol excessively. Also called multiple symmetric lipomatosis, Madelung’s disease causes lipomas to grow around the neck and shoulders.

Diagnosis and Tests

How are lipomas diagnosed?

What are the types of lipomas?

All lipomas are made of fat. Some lipomas also contain blood vessels or other tissues. There are several types of lipomas, including:

Angiolipoma: This type contains fat and blood vessels. Angiolipomas are often painful.
Conventional: The most common type, a conventional lipoma contains white fat cells. White fat cells store energy.
Fibrolipoma: Fat and fibrous tissue make up this type of lipoma.
Hibernoma: This kind of lipoma contains brown fat. Most other lipomas contain white fat. Brown fat cells generate heat and help regulate body temperature.
Myelolipoma: These lipomas contain fat and tissues that produce blood cells.
Spindle cell: The fat cells in these lipomas are longer than they are wide.
Pleomorphic: These lipomas have fat cells of various sizes and shapes.

Management and Treatment

What is the treatment for lipomas?

Most lipomas don’t need treatment. If a lipoma is bothering you, your provider can remove it surgically. Lipoma removal procedures are safe and effective, and you can usually go home the same day.

As an alternative to lipoma surgery, your provider may recommend liposuction to remove the lipoma. Your provider uses a long, thin needle to remove fatty tissue from the growth.

Prevention

Can I prevent lipomas?

Outlook / Prognosis

What is the outlook for people with lipomas?

Living With

When should I see my healthcare provider about lipomas?

A note from Cleveland Clinic

What Is It, Causes, Symptoms, Types, Treatment

Overview

What is a lipoma?

How common are lipomas?

Symptoms and Causes

What are the symptoms of a lipoma?

Lipomas aren’t usually painful, but they can be uncomfortable if they press against a nerve or develop near a joint. Many people who have a lipoma don’t notice any symptoms. Lipomas are usually:

Encapsulated: They don’t spread to the tissues surrounding them.
Painless: However, some lipomas cause pain and discomfort depending on their location, size and if blood vessels are present.
Round or oval-shaped: The fatty lumps of rubbery tissue are usually symmetrical.
Moveable: They sit just beneath the skin’s surface and move when you touch them.
Smaller than 2 inches in diameter: In a few cases, lipomas can be larger than 6 inches wide.

Where do lipomas grow?

Arms or legs.
Back.
Neck.
Shoulders.
Trunk (chest and torso).
Forehead.

What causes a lipoma?

Healthcare providers aren’t sure what causes lipomas to grow. They are inherited (passed down through families). You’re more likely to develop a lipoma if someone in your family has one.

Some conditions cause multiple lipomas to form on the body. Lipoma-causing conditions include:

Dercum’s disease: This rare disorder causes painful lipomas to grow, most often on the arms, legs and trunk. It’s also called adiposis dolorosa or Anders’ syndrome.
Gardner syndrome: A form of a disorder called familial adenomatous polyposis (FAP), Gardner syndrome causes lipomas and a range of health problems.
Hereditary multiple lipomatosis: Also called familial multiple lipomatosis, this disorder is inherited (passed down through families).
Madelung’s disease: This condition occurs most often in men who drink alcohol excessively. Also called multiple symmetric lipomatosis, Madelung’s disease causes lipomas to grow around the neck and shoulders.

Diagnosis and Tests

How are lipomas diagnosed?

What are the types of lipomas?

All lipomas are made of fat. Some lipomas also contain blood vessels or other tissues. There are several types of lipomas, including:

Angiolipoma: This type contains fat and blood vessels. Angiolipomas are often painful.
Conventional: The most common type, a conventional lipoma contains white fat cells. White fat cells store energy.
Fibrolipoma: Fat and fibrous tissue make up this type of lipoma.
Hibernoma: This kind of lipoma contains brown fat. Most other lipomas contain white fat. Brown fat cells generate heat and help regulate body temperature.
Myelolipoma: These lipomas contain fat and tissues that produce blood cells.
Spindle cell: The fat cells in these lipomas are longer than they are wide.
Pleomorphic: These lipomas have fat cells of various sizes and shapes.

Management and Treatment

What is the treatment for lipomas?

Most lipomas don’t need treatment. If a lipoma is bothering you, your provider can remove it surgically. Lipoma removal procedures are safe and effective, and you can usually go home the same day.

As an alternative to lipoma surgery, your provider may recommend liposuction to remove the lipoma. Your provider uses a long, thin needle to remove fatty tissue from the growth.

Prevention

Can I prevent lipomas?

Outlook / Prognosis

What is the outlook for people with lipomas?

Living With

When should I see my healthcare provider about lipomas?

A note from Cleveland Clinic

Causes, Symptoms, Diagnosis, and Removal

What Is a Lipoma?

A lipoma is a lump of fat that grows in your body’s soft tissues. Though it’s classified as a tumor, it’s usually harmless.

It’s the most common tumor to form beneath your skin. About 1 person out of every 1,000 will get one at some point. You most often find them in your upper body, arms, or thighs.

Symptoms of Lipoma

They usually appear as small, soft lumps. They’re typically less than 2 inches wide. You could have more than one.

When you press on the lipoma, it may feel doughy. It will move easily with finger pressure. They don’t normally hurt, but they can cause pain if they bump against nearby nerves or have blood vessels running through them.

Causes of Lipoma

It isn’t clear what causes them. Middle-aged men and women tend to get them more. They also run in families.

Lipomas often show up after an injury, though doctors don’t know whether that’s what makes them form.

Inherited conditions can bring them on. Some people who have a rare condition known as Madelung’s disease can get them. This most often affects men of Mediterranean ancestry who have alcohol use disorder.

When to Call a Doctor

If you notice a lump or swelling on your body, have a doctor check it out. They can let you know whether it’s a harmless lipoma or something that needs more tests.

Lipomas can form inside muscles or internal organs, but this doesn’t happen often. If one is causing pain or affecting your muscles, you might have to get it removed.

It’s rare, but a lump may be a type of cancer called a liposarcoma, which grows rapidly and can be painful. If your doctor suspects this condition, they’ll suggest more tests.

Lipoma Diagnosis

Lipomas can usually be diagnosed with a physical exam. But you may need a biopsy, in which a small piece of the tissue is removed and looked at under a microscope, to confirm the diagnosis. Tests like X-rays, CT scans, and MRIs can also give a clearer picture.

Lipoma Removal and Treatment

Since lipomas aren’t harmful, doctors often leave them alone. You may need to keep an eye on it between visits.

If one hurts or you don’t like the way it looks, you might want to have it removed. Your doctor can take it out surgically with a small cut. You’ll get a shot of medication to numb the area so it won’t hurt. You should be able to go home after it’s done. You may have to go back within a couple of weeks to get a few stitches taken out.

Other possible treatments include:

Steroids: This type of drug can help shrink a tumor.
Liposuction: The doctor uses a needle and syringe to draw out the fatty tissue.

Large Lipomas

Lipomas bigger than 2 inches are sometimes called giant lipomas. They can cause nerve pain, make you feel self-conscious about your looks, or change the way your clothes fit.

It’s a little harder to take out one of these. The doctor will probably give you medication that will help you sleep through the procedure. You’ll need someone to drive you home afterward.

Lipomas rarely come back once removed. Having one doesn’t make it more likely that you’ll get other diseases.

Lipoma and liposarcoma | DermNet NZ

Author: Vanessa Ngan, Staff Writer, 2003.

What is a lipoma?

A lipoma is a non-cancerous tumour that is made up of fat cells. It slowly grows under the skin in the subcutaneous tissue. A person may have a single lipoma or may have many lipomas. They are very common.

Lipomas

Who gets lipomas?

Lipomas can occur in people of all ages, however, they tend to develop in adulthood and are most noticeable during middle age. They affect both sexes equally, although solitary lipomas are more common in women whilst multiple lipomas occur more frequently in men.

What causes a lipoma?

The cause of lipomas is unknown. It is possible there may be genetic involvement as many patients with lipomas come from a family with a history of these tumours. Sometimes an injury such as a blunt blow to part of the body may trigger the growth of a lipoma.

What are the signs and symptoms of lipoma?

People are often unaware of lipomas until they have grown large enough to become visible and palpable. This growth occurs slowly over several years. Some features of a lipoma include:

A dome-shaped or egg-shaped lump about 2–10 cm in diameter (some may grow even larger)
It feels soft and smooth and is easily moved under the skin with the fingers
It may have a rubbery or doughy consistency
Lipomas are most common on the shoulders, neck, trunk and arms, but they can occur anywhere on the body where fat tissue is present.

Most lipomas are symptomless, but some are painful when applying pressure. A lipoma that is tender or painful is usually an angiolipoma. This means the lipoma has an increased number of small blood vessels. Painful lipomas are also a feature of adiposis dolorosa or Dercum disease.

How is the diagnosis of lipoma made?

Diagnosis of lipoma is usually made clinically by finding a soft lump under the skin. However, if there is any doubt, a deep skin biopsy can be performed which will show typical histopathological features of lipoma and its variants, such as a hibernoma.

Liposarcoma

The rare fatty cancer, liposarcoma, almost never arises in the skin. Liposarcoma is a deep-seated tumour, and most often grows on thigh, groin or at the back of the abdomen. If your lipoma is enlarging or becomes painful, check with your doctor. A skin biopsy may be required to exclude liposarcoma.

What treatment is available?

Most lipomas require no treatment. They eventually stop growing and persist without causing any problems. Occasionally, a lipoma that interferes with the movement of adjacent muscles may require surgical removal. Several methods are available:

Simple surgical excision
Squeeze technique (a small incision is made over the lipoma and the fatty tissue is squeezed through the hole)
Liposuction.

Lipoma | Other Conditions | Cancer Research UK

A lipoma is a non cancerous (benign) lump that forms due to an overgrowth of fat cells. You can get a lipoma anywhere on the body where you have fat cells.

Lipomas are not cancer. Cancerous tumours of the fat cells are called liposarcomas. They are a type of soft tissue sarcoma.

It is very rare for lipomas to turn into a cancerous sarcoma. It is still important to tell your doctor if your lipoma changes in any way or if you get any new lumps.

Who gets lipomas?

Lipomas are fairly common. Around 1 in 100 people (1%) will develop a lipoma.

We don’t know what causes them, but some people develop them because of an inherited faulty gene. This condition is known as familial multiple lipomatosis and is not common.

People with familial multiple lipomatosis will develop more than one lipoma. The exact number they have can vary but it can be many.

Symptoms

Lipomas are usually just under the skin and feel soft to touch. They are usually shaped like a dome.

Most lipomas don’t cause any pain or other symptoms. But this depends on where in the body it is. If a lipoma is deeper inside your body, you won’t be able to see or feel it, but it might press on other organs or nerves. For example, a lipoma might affect the bowel and can cause a blockage. If this happens you may become constipated and feel sick.

Diagnosing

To make a diagnosis your doctor will feel and look at your lump. In most cases your doctor can recognise and diagnose a lipoma easily. Sometimes you might need an ultrasound scan of the area.

If any lipoma increases in size or becomes painful, you must tell your doctor, as it can be a sign that the lipoma is changing.

Rarely, doctors can’t tell for certain whether the lump is a lipoma or not. Lipomas can be confused with malignant (cancerous) tumours, called liposarcomas.

Your doctor may feel it is best to remove it or take a biopsy so that they can be certain it is a lipoma. They will also make a referral to a specialist.

Treatment

Lipomas don’t usually need removing. But in some cases, your doctor, or you, might want your lipoma removed. This might be because:

your doctor wants to be certain it is a lipoma
your lipoma is large, or is growing larger
your lipoma is causing symptoms, for example by pressing on a nerve, or blocking the bowel
you want to have your lipoma removed for cosmetic reasons

You usually need a small operation under local anaesthetic to remove a lipoma that’s under the skin. You might have a very slight scar once the wound has healed. The removed lipoma should then be sent to the laboratory to be looked at under the microscope.

It’s likely that you would need to pay privately to have your lipoma removed for cosmetic reasons.

Liposarcoma | Johns Hopkins Medicine

A liposarcoma is a rare type of cancer that develops in your fatty tissue. This type of tumor can grow anywhere in your body. Common places include your abdomen, thigh, and behind your knee.

A liposarcoma is a malignant tumor. This means your cancer can spread to other areas, including vital organs. You must get treatment.

Symptoms

Often, no symptoms occur with a liposarcoma. Sometimes, a visible lump develops under your skin. This usually isn’t painful at first. Clear warning signs include:

A new lump anywhere on your body, or an existing lump that grows persistently
Painful swelling or numbness in the area around your lump
Blood in your stool, or black or tarry stool (an indication of blood)
Blood in your vomit
Abdominal pain or cramping

Who’s at risk

A liposarcoma is a very rare type of cancer. Experts aren’t exactly sure how you develop soft tissue sarcomas. A few factors that may increase your risk. These include certain genetic syndromes, exposure to radiation during treatment for another cancer, exposure to some chemicals, and a damaged lymph system. Liposarcomas tend to appear between ages 50 and 65.

Diagnosis

To determine whether you have a liposarcoma, your doctor will probably order a biopsy. This is a test that removes some of your suspicious tissue, either by surgery or with a needle and syringe. A pathologist, a doctor who examines tissue samples under a microscope, will check for cancer cells. If he or she identifies liposarcoma, your doctor may order tests to determine the extent of your cancer and how far it has spread. The tests could include X-rays, an MRI (magnetic resonance imaging), a CT (computed tomography) scan, or an ultrasound.

Treatment

The most common treatment for a liposarcoma is surgical removal of your tumor. This can be a delicate process, especially if your tumor is close to a vital organ. Typically, radiation or chemotherapy, or both, will follow surgery. This helps to kill cancer in any surrounding tissues. Sometimes, your doctor will recommend radiation therapy or chemotherapy before your surgery to help shrink your tumor.

Complications

A liposarcoma is a malignant tumor. This means it’s cancerous and can spread to other parts of your body, including vital organs and tissues surrounding the original tumor. If left untreated, a liposarcoma can ultimately be life-threatening. Early detection and treatment of a liposarcoma are critically important.

When to call the doctor

A liposarcoma is often difficult to spot. See your doctor immediately if you notice a new or unusual lump underneath your skin, or anywhere on your body. Also see your doctor if you have any of the other warning signs.

Lumps of Bisha – what is it

Removal of Bisha’s lumps is an aesthetic surgery operation, the purpose of which is to improve the facial contour, create an expressive zygomatic eminence, and rejuvenate the cheeks and face as a whole. Surgical intervention is performed under general anesthesia (anesthesia), less often with the use of local conduction anesthesia. The rehabilitation period is short, tissue healing lasts from three to five weeks, after which it is already possible to evaluate the results of the correction.

Bish’s bags: what are they?

Bisha’s lumps are a natural fatty formation that each of us has.A local accumulation of fat is located under the zygomatic arch in the thickness of the soft tissues of the cheeks. Bish’s bags are especially well-defined in infancy, when they perform an important function – they facilitate the sliding of the masticatory and facial muscles during sucking, reducing the friction of muscles and soft tissues. As the child grows older, the fat “cushions” gradually decrease in size and become less noticeable.

The degree of reduction of Bichat’s bags depends on genetic characteristics. In some people, they become almost invisible with age, due to which the cheeks acquire a refined aristocratic thinness, and the cheekbones become more expressive. Fat sacs also affect the oval of the face; the more pronounced they are, the more smoothed and fuzzy the facial contour seems.

In middle age, Bish’s hypertrophied lumps become especially “dangerous” in terms of facial aesthetics. Of course, there is no real threat to health, since this anatomical formation is absolutely natural. Aging of tissues causes troubles, which, with well-defined fat pads, leads to the formation of so-called “flews”, or bulldog cheeks.Adipose tissue is prone to gravitational ptosis with age, which causes aesthetic problems.

As a result of tissue displacement, the face loses its clear contours, the oval is deformed, especially in the lower and middle third, the nasolabial folds deepen. The better developed the fat “cushions” under the skin of the cheeks, the more pronounced age-related changes, and therefore the removal of Bisha’s lumps is often carried out for the purpose of rejuvenation simultaneously with a circular lift or facelift at the SMAS level.

Indications for removal

Surgical correction is carried out exclusively for aesthetic reasons. The patient’s desire to improve the outlines of the face, remove age-related problems, and make the zygomatic eminence clearer is a sufficient reason for the operation. As a direct indication for resection of fat pads under the skin of the cheeks, one can consider:

The rounded shape of the face, as a congenital feature of the appearance.
Age-related displacement (prolapse) of the soft tissues of the cheeks.
Deepening of the nasolabial furrows.
Disproportion between pronounced Bish’s bags and small facial features.
Lack of a clear outline of the cheekbones.

The result of the operation will be a rejuvenation of the face and a noticeable improvement in appearance. Removing Bisha’s lumps allows you to restore the laconism of the facial contour, make the cheekbones clearer and more refined, eliminate the manifestations of ptosis of the cheeks, and smooth out the nasolabial folds. Also, as a result of surgical correction, the contour of the lower jaw is improved, although in some cases, to achieve this effect, it is required to expand the volume of anti-aging correction (deep tissue plasty).

How is operation

From a technical point of view, the removal of Bishat’s lumps is a simple operation: the surgeon opens the fatty formations using an incision along the buccal mucosa. An incision along the skin is rarely used, only when combining a resection with a lifting of the middle / lower third of the face. In such cases, access is carried out along the edge of hair growth, manipulations are performed under the control of optical equipment, and no visible scars remain.

Having gained access to the fatty sacs, the surgeon separates them from the adjacent structures – connective tissue and muscles.Then, using a laser or conventional scalpel, he performs a partial resection of the fat. Complete removal of adipose tissue is rarely required, as it can lead to the effect of a painful hollow and thin cheeks. Partial removal of Bisha’s lumps allows you to get the most natural result.

Some of the adipose tissue can be used to make point changes in facial features. By reducing (moving) fat, you can make the cheekbones more pronounced or compensate for the lack of volume in other areas of the face.Since autologous fat is an ideal transplant material, fat-preserving operations based on its redistribution are more often performed in aesthetic medicine.

Types of operations

Usually, the removal of Bish’s lumps is performed in the traditional way – using a classic surgical scalpel. Some clinics in Moscow offer patients an alternative technique – laser resection, during which a laser knife is used instead of a conventional scalpel.

There are no fundamental differences between the traditional and laser methods, since the essence of the operation is still reduced to surgical resection of excess adipose tissue. The difference lies in the details, namely the precision of the laser scalpel and its unique properties. Laser removal of Bisha’s lumps has the following advantages:

Maximum precision of plastic surgery.
Minimal bleeding: the laser has a coagulating effect on blood vessels. It “seals” them immediately after injury, which minimizes blood loss during surgery.
Low risk of infection. Removal of Bish’s lumps is performed under non-sterile conditions, since it is impossible (and harmful) to completely sanitize the oral cavity. But the laser has a destructive effect on microorganisms and prevents infection of the surgical wound, which is important to minimize the risk of postoperative complications.
Acceleration of regeneration. The laser beam stimulates regenerative processes at the cellular and tissue levels, which shortens the rehabilitation period and speeds up healing.

It should be noted that both laser and traditional methods of surgical correction allow achieving ideal results. The decisive factor is not the instrument, but the skill of the plastic surgeon who works with this instrument.

Removal of Bisha’s lumps: anesthesia

Removal of Bisha’s lumps is often carried out under anesthesia, which is explained not so much by the intensity of pain as by the psychological aspects of the operation. Few patients are able to safely withstand oral surgery.To avoid unnecessary stress, the anesthesiologist performs shallow intravenous sedation.

The use of modern means allows you to make the exit from anesthesia as “clean” as possible, that is, without side effects in the form of nausea, confusion, headache or dizziness. Nevertheless, such operations may well be performed under local anesthesia, which is especially important for patients for whom general anesthesia is contraindicated for medical reasons.

Preparation for removal of lumps of Bish

A feature of preparation for this operation is a preventive examination of the oral cavity by a dentist for the presence of chronic foci of infection.The source of infection can be carious defects of the teeth, periodontal pockets, tartar and soft plaque, periodontitis, and apical tooth cyst. The presence of a chronic (or acute) focus significantly increases the risk of infection of a postoperative wound, therefore, oral cavity sanitation and prophylactic teeth cleaning is an essential stage in preparation for surgery.

The rest of the preparatory stage does not differ from the preoperative preparation for other plastic surgeries. The patient undergoes standard diagnostic tests, including urine and blood tests, biochemical parameters, blood coagulation analysis, ECG, fluorography (if necessary).People with a burdened history (chronic diseases of the heart, blood vessels, internal organs) will additionally have to undergo consultations of narrow specialists.

After surgery

The mucous membrane of the oral cavity has a high regenerative potential, due to which the healing of integumentary tissues after surgery proceeds very quickly. However, it takes up to five weeks for the deep tissues of the cheeks to fully recover. During this period, it is important to follow the basic rules for recovering from plastic surgery and follow some specific instructions.

In the first 1-2 weeks, you need to limit the activity of the chewing and facial muscles. To reduce the activity of the chewing muscles, you need to eat liquid or pureed food, which does not require thorough chewing. The ideal choice would be soups, mashed potatoes, mashed porridge, soufflés. You can drink protein shakes. Meat on the menu is allowed, but it must be well cooked and chopped. In terms of temperature, food should be as close as possible to body temperature.

To reduce the activity of facial muscles, you need to talk, shout, laugh or smile less.In order to eliminate the likelihood of injury to the cheeks during sleep, you should sleep on your back. An elevated position of the head will help to reduce the swelling of the cheeks after surgery.

Since the removal of Bish’s lumps is carried out in non-sterile conditions, a plastic surgeon will prescribe a course of antibiotics to prevent infectious complications. Good oral hygiene is of great importance – it is necessary to brush your teeth after each meal, but this must be done with care, so as not to accidentally injure the mucous membrane of the cheeks.

From the general rules, one should remember about the prohibition of thermal procedures, including a solarium, steam room or sauna, hot baths. Under the strictest prohibition, intense physical activity; in sports, you will have to take a break for 3-4 weeks. It is advisable to avoid household chores, especially those involving bending of the torso or lifting heavy weights. Smoking and drinking alcohol is contraindicated.

Contraindications

Removal of Bisha’s lumps is not carried out during lactation and during pregnancy.A contraindication is the presence of an infection in the oral cavity and / or in the paranasal sinuses (chronic or acute sinusitis). You cannot do the operation if there are manifestations of the inflammatory process on the face (rashes, redness). Exacerbation of labial herpes is the reason for the postponement of the operation.

An absolute contraindication is if the patient has:

Oncological pathology.
Pathology of the hemostatic system.
Diseases of the connective tissue.
Immunodeficiency.
Chronic infectious disease (tuberculosis and others).
Diabetes mellitus and other diseases of the endocrine organs.
Chronic somatic illness in the acute stage.
Pathology of the heart and blood vessels in the stage of decompensation.
Significant increase in body mass index (obesity).

For more detailed information on operations aimed at rejuvenating and modeling the cheeks by removing Bish’s bags, you can consult a surgeon at the Galaktika clinic (Moscow).

Why do we need Bisha’s lumps | Methods for removing lumps of Bish

Bichat’s lumps are a kind of fat deposits in the thickness of the cheeks under the cheekbones, which usually surround the duct of the salivary gland. They can vary in size and have their own connective tissue capsule.

It is Bish’s lumps that make babies’ faces so plump and cute. And later they become so hateful for girls who dream of seeing a chiseled profile in the mirror.

What is Bisha’s lumps for the body

They help babies to suck from a breast or milk from a bottle, prevent muscles from overloading.In adults, they no longer have such a functional value, but they may well become the cause of dissatisfaction with their appearance. This is especially true if you are rapidly gaining or losing weight, age-related changes in the skin are already observed, which begins to sag with the formation of flews, “bulldog cheeks” or deep folds. Sometimes fat deposits increase asymmetrically.

If you think that round cheeks do not decorate your face, then methods have long been developed to remove Bisha’s lumps and form a clear face oval.

When can you remove lumps of Bisha

Consult a plastic surgeon to determine if surgery to remove Bish’s lumps (bags) will help you. Usually, such an intervention is carried out at the request of patients over 25 years old. The operation helps to reduce the size of fat deposits on the face, prevent sagging of the cheeks and tighten the skin, correct the asymmetry of the face, and create a sharper contour of the oval. Moreover, for men and women, it is performed in the same way.

An obstacle may be too young age (less than 25 years), the presence of severe chronic or neoplastic diseases, infectious processes, bleeding disorders, pregnancy and lactation, significant deviations in weight from the norm (more than 25%).

The technique of the operation is simple, but should be performed by an experienced surgeon who knows the features of the anatomy of the face.

Despite the simplicity of the operation, it has both supporters and opponents.

Surgery: pros and cons

Those who have successfully removed Bish’s lumps or are considering this option for face correction take the side of the defense. Their arguments for the operation:

A quick and painless procedure for the shaping of a clear face contour, skin tightening and rejuvenation.
Long-term effect – up to 5 years, subject to weight maintenance.
Better and more predictable result compared to other fat removal methods (eg liposuction).
Absence of scars on the skin.

In addition, there are always examples of stars who have used this service of plastic surgeons before our eyes. These are Polina Gagarina, Angelina Jolie, Jennifer Aniston, Natalie Portman, Victoria Beckham and others.

The opponents of the operation also have many arguments:

Unnatural thinness of the face after surgery.
Risk of a surgeon’s error and damage to nerves and blood vessels.
Incomplete removal of lumps and associated facial asymmetry.
Possibility of re-accumulation of fat.
Adverse effects of anesthesia.

To avoid such errors and complications, it is important to choose an institution with a reputable and experienced surgeon with the appropriate qualifications.

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.

Stages of surgery to remove lumps of Bisha

Preliminary stage – preparation

The doctor conducts an examination, determines the indications and the presence of contraindications for the operation, prescribes an additional examination. It includes laboratory tests (clinical detailed analysis of blood, urine, biochemistry, coagulation analysis, HIV, hepatitis), instrumental studies – chest x-ray, electrocardiography, if necessary, ultrasound of internal organs.Since the operation is performed from the side of the oral cavity, there must be a consultation with a dentist.

Allergic reactions to medications are also being investigated.

After evaluating the research results, the date of the operation is assigned.

The main stage – surgical intervention

The last meal is recommended the day before surgery.

The intervention is usually performed under local anesthesia, so you will spend only one day in the hospital after the operation.

The operation itself most often takes place from the side of the oral cavity. An incision is made through the buccal mucosa, after which Bish’s lumps are removed completely, partially, or redistributed into areas with insufficient volume. The advantages of such access are obvious: there is no external damage to the cheek, the mucous membrane heals much faster, especially taking into account the protective properties of saliva.

In order to prevent infectious and inflammatory complications, the operation is performed under sterile conditions.

Postoperative stage

After the operation, you can not eat solid food, in the first 2-3 days it is better to be on liquid food, and then on mashed potatoes until healing. Warm, mild food is recommended to avoid irritation of the mucous membranes. You don’t need to brush your teeth very actively. The doctor will prescribe a rinse with antiseptic solutions.

Use a high pillow for sleep, limit physical activity and stress.

When to wait for the result

The rehabilitation period lasts 3-7 days.During this time, edema and minor hematomas disappear, sensitivity returns. The final result and effect of skin tightening will be visible in 2-3 weeks.

Try to maintain weight, do not forget about gymnastics for the muscles of the face, moisturize the skin thoroughly. And then you will see in the mirror exactly the face you dreamed of.

Clinic of plastic surgery “CM-Plastika”

Removal of Bisha’s lumps in Es Class Clinics Tula at an affordable price

Removal of Bishat’s lumps is a manipulation in plastic surgery, in which encapsulated fatty formations located between the buccal muscle and the muscles of the face are eliminated.This ensures a reduction in the volume of the cheeks, their tightening and a rejuvenating effect.

Readings

Bichat’s lumps are important for the chewing function of babies, but for adults they can cause aesthetic inconvenience. Indications for surgery include:

excess fat deposits at the bottom of the face;

90,019 sagging cheeks as a result of aging;

age-related changes in the nasolabial folds;
the need to correct the oval of the face.

Contraindications

The manipulation is not carried out at:

acute infectious diseases;
being too thin or too overweight;

90,019 dental infections;

90,019 pregnancy, lactation;

90,019 inflammatory diseases of the face, especially of the cheeks;

90,019 under the age of 18 (some doctors do not recommend surgery until the age of 25).

Preparatory period

Before removing Bish’s lumps, you need to undergo preoperative examinations, including donating urine, blood, tests for infectious diseases, etc.The doctor explains the essence of the procedure, the specifics of its implementation and future results.

Features of the operation

The classic approach to the operation is as follows: the first incision is made in the mouth towards the posterior part of the buccal cavity near the 2 upper molar, the second incision is made through the buccal muscle. This provides access to Bish’s lumps, which the doctor squeezes out and grabs with forceps. It then removes the desired portion of the fatty tissue and puts the lumps back in place.The incisions are sutured with anatomical threads.

In time, the manipulation takes from 30-30 minutes, after which a sterile pad and a bandage are applied to the cheek. On the day of the operation, you can return home.

Rehabilitation

Talk less during the week. A strictly liquid diet is shown throughout the day, and in the next 2-3 weeks, preference should be given to cereals, soups, mashed potatoes. Before wounds are healed, you need to give up sports, baths, tanning salons.

Specialists from the C Class Clinics Tula carry out the removal of Bish’s lumps using a modern technique, which guarantees a high-quality result.Visit us and soon you will see a completely different image in the mirror!

90,000 ➤ Removing Bish’s lumps in Zaporozhye => removing Bish’s lumps in Odessa, Dnipro, Kharkov

Contents of the article:

Removing Bish’s bags in Zaporozhye is one of the frequent operations carried out by Vladimir Tropeshko. These lumps are part of the fatty tissue of the cheeks with a certain weight, which can change throughout life and cause disturbances in the oval of the face, create skin folds in the lower part of the face and excessive roundness of the cheeks.

From a medical point of view, enlarged and sagging lumps of Bish are not a pathology, it is an exclusively aesthetic problem that can be solved with the help of facial plastic surgery. Patients usually want to remove Bish’s lumps in Dnipro and other cities of Ukraine in the following cases:

natural rounded face shape with prominent lumps of Bisha;
excess fat in the cheek area;
age-related ptosis of the cheeks, which caused a violation of the oval of the face, the appearance of nasolabial folds;
lipofilling (moving fat to the cheekbones to give them volume).

Preparation for surgery to remove Bisha’s fat bags

As in any city, removal of Bisha’s fatty lumps consists in removing accumulations of fatty tissue from the cheeks. Correction does not present serious difficulties, therefore, it can be carried out under local anesthesia. However, given the psychological aspect of facial manipulations, general anesthesia is often used.

Before the operation, you must pass the following tests:

general analysis of blood and urine;
blood test for sugar, group and Rh factor;
blood test for hepatitis B and C;
liver function tests;
coagulogram;
blood test for Wasserman’s reaction (syphilis).

How is the removal of Bish’s bags in Zaporozhye?

The operation is performed in a clinic, it takes about 1-2 hours. The plastic surgeon makes a small incision on the inner side of the cheek, partially or completely (depending on the purpose) removes fat deposits and applies a cosmetic suture with self-absorbable sutures. Thus, not a single scar remains on the face.

In the video below, a not terrible operation was performed, which is performed under local anesthesia – removal of Bish’s lumps.

Buccal fat located between the buccal and superficial muscles of the face makes the face heavier and creates psychological discomfort for the patient.

With this operation we have accentuated the cheekbones and the face has acquired clearer features.

What are the advantages of this operation?

Well tolerated by patients, painless;
Has no side effects;
Wounds heal quickly enough;
Patients get an excellent aesthetic appearance

How much does it cost to remove Bish’s lumps and what effect can you achieve?

Procedure name	Cost
Removal of lumps of Bisha	1 5 000 UAH

Prices for other types of plastic surgery in Zaporozhye can also be found on our website.

The operation of removing lumps of Bisha allows you to achieve the following effects:

cheek reduction,
correct face proportions,
smoothing the contour,
visual rejuvenation.

Would you like to remove Bish’s lumps in Odessa, Kiev, Kharkov, Zaporozhye, Dnipro with high quality and at an affordable price? Please contact V.V. – a professional surgeon with over 20 years of experience in plastic surgery.

90,000 Removal of Bisha’s lumps in a dental clinic in Moscow

THE COMPLEX SERVICE INCLUDES:

Maxillofacial Surgeon / General Surgeon Consultation,
surgery to remove lumps of Bish,
anesthesia,
consumables, stitching and removal of sutures, dressings,
postoperative examinations and control examination 1 month after the operation.

Preoperative examination (tests required for admission to the operation) are carried out in our clinics, paid separately, according to the price list.

Consultation and preparation of a plan for the operation – free of charge!

It is no secret that in society there are certain standards of beauty for people of different ages. The chubby cheeks of the child touch everyone around. But, having matured, you want to look elegant and graceful – like a Hollywood star, and the round shape of your own face does not always suit girls and young ladies.

As for older women – voluminous cheeks, a wide lower part of the face – can visually add extra years.

WHAT IS KOMKI BISH?

Bisha’s lumps are small fatty deposits (bags with fatty tissue) in the cheek area, the function of which is to protect the cheeks of a small child from abrasion during breastfeeding. In adulthood, Bish’s lumps do not perform any useful functions, they only give the face additional roundness.

Surgical manipulation to remove Bishat’s lumps is an aesthetic correction and is carried out at the request of the patient.

AS A RESULT OF AESTHETIC SURGERY TO REMOVE BISH’S COMES YOU GET:

reduction of the volume of your cheeks, visible slimming of the lower part of the face (sunken cheek effect),
formation of a clear line of pronounced cheekbones,
Formation of clear contours of the oval of the face, elimination of ptosis (“drooping” of the face), the effect of swollen cheeks (“wings”).

For older patients, the effect of the operation is comparable to the results of a circular facelift.

Bish’s lumps are removed once and for all, they do not “come back”.

AMONG A FEW CONTRAINDICATIONS TO THE OPERATION SHOULD BE DONE:

acute viral respiratory and infectious diseases
diabetes mellitus
hypertension
myocardial infarction
blood diseases
the presence of acute stomatitis, gingivitis
Certain diseases of the nervous system (psychosis, epilepsy, etc.))
Presence of neoplasms in the buccal mucosa
unstable body weight, significant deviations from normal body weight indicators
age up to 23 years.

Removal of BISHA lumps in Yekaterinburg

Pronounced cheekbones and a chiseled oval do not go out of fashion, it is for this reason that the removal of Bisha’s lumps in Yekaterinburg is popular. The operation is not shown to everyone, since in some cases the effect is not noticeable, for example, with a full face.Clinic “Chance” invites you for a consultation, our specialist will study the features of your face and the location of the muscles and conclude whether you need this operation.

Why is it worth performing the operation?

The cost of reducing the volume of cheeks in Yekaterinburg is relatively affordable, while fat in this area is needed only for babies, therefore, its elimination will not harm the body.

Cheek reduction surgery in the clinic provides the following advantages:

with voluminous cheeks, a decrease in fullness becomes noticeable;
the face contour becomes more attractive;
creating a harmonious appearance of the lower part of the face;
with age, the cheeks do not sag so much, since they have less fat;
this is a small price to pay for an expressive cheekbone line;
correction helps prevent the formation of sharp folds in the nasolabial area;
operations in the city of Yekaterinburg are carried out using modern techniques, which minimizes tissue damage;
easy and short rehabilitation.

Who should have the surgery?

Removal of Bish’s lumps in the Chance clinic is indicated for the following problems:

sagging cheeks, the presence of flews;
in the case of deep creases in the nasolabial part;
if the cheekbones are weak;
excessive roundness of the oval.

The price of removing Bisha’s lumps is paid once, since fat is not restored in this area, and the correction can also be combined with other procedures for removing fat.

Operation

The procedure is anesthetized locally or introduced into general anesthesia (this also affects the cost), then the sequence is as follows:

Disinfection of mucous membranes and integuments with antiseptic compounds.
Make an internal incision within 1-2 cm to gain access.
Removal of fat lumps completely, partially, or their movement higher.
Suturing incisions with biodegradable sutures.

Already after 2-3 weeks, our patients notice a lesser perceptibility of the stitches, and the soreness goes away 1-1.5 months later. The result is visible within a week, when the swelling disappears. We offer the best cost of removing Bisha’s lumps, top quality services and a personalized approach. We will be glad to see you among our patients.

Lumps of Bisha: does it make sense to delete?

Once upon a time, dimples were in vogue, and girls did their best to eat off their cheeks.Today, there is a trend for sharp cheekbones, and the associated need is to remove Bish’s lumps. It is they who, in most cases, prevent the fair sex from achieving their goal. However, is it worth deleting them? Does it make sense to follow fashion trends? Let’s figure it out together.

What are Lumps of Bisha?

Bisha’s lumps – fatty deposits located between the buccal muscle and the superficial muscles of the face. In infancy, they play an important role in sucking and chewing. Also, it is believed that Bisha’s lumps provide muscle sliding, thereby facilitating the chewing process.

And of course, the amount of these fat deposits directly affects the size of the cheeks. People with nice chubby cheeks usually have a relatively high percentage of adipose tissue.

Fat formations in the cheeks are named after the French anatomist and physiologist Marie François Xavier Bichat.

Why is it fashionable to remove Bish’s Lumps?

In pursuit of perfect facial features, celebrities often bring themselves to exhaustion with various diets and fitness.But the cheeks do not usually shrink. After all, the fat lumps are so dense that they do not lose volume even with a sharp weight loss. Here are the stars and decide to remove them.

Just 30-40 minutes, a few days to recover and voila – you got perfect cheekbones. The speed of achieving the desired effect is another argument for the operation.

And the last argument is the duration of the effect. As a rule, it lasts for 10-15 years.

Expert opinion: Maksim Vashin, a plastic surgeon at the Institute of Plastic Surgery and Cosmetology, notes that the volume of fat masses in the buccal region is individual.At the same time, it is quite possible that with relatively large cheeks, the body fat will be small. Therefore, the operation will not always give a pronounced lifting effect.

How to remove Bish’s lumps?

The only method available today is plastic surgery. It is passed through a small incision in the mouth area under local anesthesia. Education itself is removed completely, or partially. It depends on your parameters. Also, if the face is thin, part of the lump is redistributed. This is necessary in order not to get the “haggard face” effect.

The operation itself lasts 40 minutes, and on the same day the patient can go home. For three days, you will need to avoid fatty, too cold or hot food. Also, muscle tension should be avoided for several weeks.

* In some clinics, Bish’s lumps are removed with a laser.

Who shouldn’t remove Bish’s lumps?

1. Too thin people

There is a risk that the operation will make you visually much older.Very often, thin people acquire dystrophic facial features after various operations. Therefore, it is definitely worth considering whether you need it.

2. Excessive use of fillers

And also, ultrasonic SMAS lifting, thermage and other procedures that promote the formation of fibrous tissue or adhesions. Because of them, it is very difficult to remove excess adipose tissue.

3. In adulthood

With age, tissues become thinner, and the absence of a fatty lump can lead to the formation of a “senile mouth” – a deep sinking of the cheeks.Also, fat from Bishat’s lumps is often injected into the under eye area to avoid the sunken eye effect.

4. At a young age

Very often girls regret the operations performed at the age of 20-25. Over time, people value their natural beauty more and follow trends less and less. Perhaps it makes sense for you to postpone facial plastic surgery for several years.

* Also, you should not perform an operation to remove Bish’s lumps if there are contraindications.

Alternatives to plastic surgery

These procedures will not help you get rid of fatty lumps, but they will provide the desired visual effect.

1. Thread lifting

During the procedure, the doctor inserts thin threads under the skin and pulls them in the desired direction. Due to this, a lifting effect is achieved. With the help of the procedure, you can tighten the cheekbones and correct the oval of the face.

2. RF lifting

Radiofrequency lifting is one of the best anti-age procedures. Due to the strong heating of the tissues, the procedure improves the synthesis of collagen and elastin molecules. Due to this, it is possible to get rid of wrinkles, visually tighten the oval of the face.

3. Massage

Perhaps the easiest and most enjoyable way to improve the shape of the face. Regular massages help to flush out toxins, leaving the skin silky smooth. And the lifting effect is achieved by carefully kneading each area of the skin.

4. Microcurrents

Microcurrent therapy increases muscle tone, improves blood circulation and stimulates cell regeneration. The course of procedures will help to tighten the oval of the face and reduce the number of wrinkles.

If your goal is sharp cheekbones – choose thread lifting. This procedure will definitely bring you closer to what you want.

OUTPUT

Everyone decides for himself what and when to do with his body. However, before deciding on drastic measures, we recommend weighing the pros and cons. Still, in most cases, you can do without plastic surgery.