Removing lumps of Bisha

Removing lumps of Bisha

Buccal fat pad removal is a surgical operation aimed to remove fat pads in the buccal region. Such surgery is performed in order to give a less rounded look to the cheeks, more pronounced and accurate look to the facial contours, as well as thinned look to the cheekbones.

Removal of Bisha's lumps. Certus Plastic Surgeon's Board [2020]
Removing lumps of Bisha before and after

Removing lumps of Bisha before and after

*The effect, result, risks, and recovery period depend on the individual peculiarities of the human body.

What is buccal fat pad?

The so-called buccal fat pads are consistent fatty tissues, located between the mucous membrane of the cheeks and the surface of the skin. They are located below the malar bones.

Buccal fat pads perform certain functions at different ages:

A newborn – they reduce the degree of muscles friction during feeding.
A child – they protect the face and its muscles from injury.
An adult – they volumize the face, reduce the size of the malar bones, take part in the formation of the contours of the lower part of the face.
Despite its functionality, the older a person becomes, the more buccal fat pad begins to sag. Because of this, the clear facial contour is lost, it becomes more rounded, folds are formed at the lower part of the face.

Indications and contraindications for surgery

There are such indications:

  • Congenital excess fatty tissues on the cheeks.
  • Excess fat pads on the cheeks.
  • Loss of facial contours after weight loss.
  • Drooping cheeks, the formation of the loose jowls and nasolabial folds as a result of age-related changes.
  • Lipofilling involves transposition of fat pads to the cheekbone area in order to give them clearly pronounced look by giving the volume.
  • The need for additional correction, along with other plastic surgeries.

There are contraindications for such procedure:

  • Diabetes mellitus.
  • Chronic diseases (in the case of an acute condition).
  • Obesity.
  • Oncology diseases.
  • Blood-clotting disorders.
  • Serious weight changes.
  • Mental illness, epilepsy.
  • Connective tissues dysplasia.
  • Planned weight loss or increase.

Also, it is necessary for the patients of 23-25 years of age to be careful since during this period the natural reduction of fat in the cheek area is possible.

Specifics of surgery

The surgery lasts from 30 minutes up to 1 hour on an average and can be performed under local as well as general anesthesia in the hospital.

The necessary examinations are performed before the surgery, which can take a period of 1 to 3 days.

During the surgery, incisions are made on the mucous membrane of the cheeks through intraoral access. Still, it is not always necessary to make such incisions. In the case of the facelift, buccal fat pads can be removed through the same accesses that were used for facelift. Self-absorbing sutures are applied after performing the necessary procedures. The patient stays in a clinical setting only one day.

Swelling after surgery subsides within 2-3 weeks. Fluid diet is necessary for the patient during this time. Physical activity is allowed in a month. The result of the surgery is long-term, in case of the absence of weight fluctuations.

The following side effects may occur after the surgery: numbness and swelling of the cheeks, slight discomfort, swelling, difficulty in chewing.

Asymmetry, innervation disorders and the development of infection are possible in some cases.

Consultation holds
Oleg Tkach

Oleg Tkach

CEO of the clinic. Plastic surgeon

Vadym Zamkovoi

Vadym Zamkovoi

Head of department, Plastic surgeon

Ihor Zolotarenko

Ihor Zolotarenko

Medical director, Plastic surgeon


Procedure Price



buccal fat pad removal

600-800 €

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What examination and analyzes are necessary?

Do you have to undergo examinations or tests before the procedure / operation?

You can go through a laboratory examination before the procedure / operation in our clinic, or at the place of residence, depending on the type of anesthesia.

If the operation will be carried out under general anesthesia, then you need to pass the following tests:

1. PCR test for COVID-19
2. General blood and urine tests.
3. Blood test for sugar.
4. Blood type and Rh factor.
5. Coagulogram (blood coagulation).
6. Biochemical blood test.
7. Blood test for the Australian antigen, hepatitis “C”, HIV.
8. The reaction of Wasserman.
9. Electrocardiogram.
10. The conclusion of the therapist.
11. Certificate of fluorography.
12. For women – a certificate from a gynecologist.

If the operation will be performed under local anesthesia, then you need to pass the following tests:

1. Complete blood count (with formula) + platelets.
2. Blood test for sugar.
3. The coagulation time.
4. Blood test for the Australian antigen, hepatitis “C”, HIV.
5. General analysis of urine.
6. Blood type.
7. Certificate of fluorography.
8. Electrocardiogram.

The cost of the examination in our clinic is 100-150 €

Is anesthesia included in the cost of the service?

The cost of anesthesia is not included in the cost of the procedure and is paid separately depending on its type and time of its action.

1. General short-term anesthesia (up to 2 hours) – 200 €
2. Each subsequent hour of general anesthesia additionally – 100 €
3. Intravenous anesthesia – 200 €
4. Local anesthesia – 100 €

After the operation, can I stay at your rehabilitation clinic?

The postoperative period you can spend in our hospital, this service is paid separately – from 100 € to 200 € per day.

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  • Laparoscopic Surgery
  • Endocrine surgery
  • Beauty Injections
  • Cosmetology
  • ENT Services
  • Dentistry


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