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Комки Биша (жировые тела щёки) — естественные отложения жира глубоко под скуловой дугой между мышцами щёк [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/). Название получили по имени французского анатома Мари Франсуа Биша, впервые описавшего их в XVIII веке [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/).\n\n\n\n## Показания\n**Медицинских показаний к удалению комков Биша нет** — операция проводится по желанию пациента [5](https://BestClinic.ru/service/udalenie-komkov-bisha/)[6](https://plasticheskaya-hirurgiya-spb.ru/articles/vse-o-bishektomii). Некоторые случаи: \n* избыточный объём в области щёк, придающий лицу «тяжёлую» или округлую форму [3](https://www.frauklinik.ru/plasticheskaya-hirurgia/udalenie_komkov_bisha/); \n* необходимость подчеркнуть скулы и сделать черты лица более рельефными [3](https://www.frauklinik.ru/plasticheskaya-hirurgia/udalenie_komkov_bisha/); \n* асимметрия в средней трети лица [3](https://www.frauklinik.ru/plasticheskaya-hirurgia/udalenie_komkov_bisha/); \n* комплексный подход к коррекции овала лица (в сочетании с липосакцией подбородка, SMAS-лифтингом и др.) [3](https://www.frauklinik.ru/plasticheskaya-hirurgia/udalenie_komkov_bisha/). \n\nОперация не предназначена для устранения возрастных изменений кожи или общего ожирения — это исключительно локальная коррекция формы лица [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/).\n\n## Противопоказания\n**Некоторые противопоказания к удалению комков Биша**: \n* острые инфекционные болезни или обострения хронических патологий [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/); \n* проблемы свёртываемости крови [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/); \n* тяжёлые болезни сердца, печени, почек [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/); \n* беременность и период грудного вскармливания [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/); \n* выраженное опущение тканей лица — в таких случаях удаление жира может усугубить возрастные изменения [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/). \n\n**Врачи обычно не рекомендуют процедуру пациентам младше 25 лет**, поскольку черты лица в этом возрасте ещё формируются и комки Биша могут «уйти» естественным образом [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/).\n\n## Методика проведения\n**Операция проводится амбулаторно** и занимает в среднем 30–60 минут [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/). Чаще всего применяют местную анестезию, но по желанию пациента или по медицинским показаниям можно применить общий наркоз [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/). \n\n**Хирург делает разрез** в 1–2 см внутри полости рта, в области переходной складки между щёкой и верхней челюстью [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/). Через этот доступ извлекает жировую ткань — частично или полностью, в зависимости от объёма и анатомии пациента [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/). \n\n**После извлечения комков** коагулирует сосуды и накладывает внутренние рассасывающиеся швы [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/). Наружных рубцов после такой операции не остаётся [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/).\n\n## Реабилитация\n**Период восстановления** после удаления комков Биша проходит относительно легко, но требует соблюдения рекомендаций врача [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/). **Некоторые рекомендации**: \n* соблюдение гигиены полости рта, в основном полоскания антисептиками после еды [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/); \n* мягкая, не горячая пища в течение 5–7 дней [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/); \n* ограничение физических нагрузок и отказ от посещения сауны, бани, бассейна на 2 недели [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/); \n* сон с приподнятым изголовьем для уменьшения отёка [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/); \n* временный отказ от макияжа и косметических процедур на лице [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/). \n\n**Как правило, швы рассасываются самостоятельно** в течение 10–14 дней, а окончательные контуры лица вырисовываются через 1–2 месяца [1](https://gutaclinic.ru/articles/udalenie-komkov-bisha/).","linksData":[{"sourceId":1,"url":"https://gutaclinic.ru/articles/udalenie-komkov-bisha/","shownUrl":"https://gutaclinic.ru/articles/udalenie-komkov-bisha/","title":"Комки Биша: что это такое, зачем удалять и как проходит операция — в статье ГУТА КЛИНИК","shortUrl":"gutaclinic.ru","isTranslated":false,"description":"","greenUrl":"gutaclinic.ru"},{"sourceId":2,"url":"https://Med-plastic.ru/article/udalenie-komkov-bisha/","shownUrl":"https://Med-plastic.ru/article/udalenie-komkov-bisha/","title":"Удаление комков Биша - полезная информация от пластического хирурга","shortUrl":"Med-plastic.ru","isTranslated":false,"description":"","greenUrl":"Med-plastic.ru"},{"sourceId":3,"url":"https://www.frauklinik.ru/plasticheskaya-hirurgia/udalenie_komkov_bisha/","shownUrl":"https://www.frauklinik.ru/plasticheskaya-hirurgia/udalenie_komkov_bisha/","title":"Удаление комков биша в Москве. 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