My Face is Weight Sensitive to Within 2-3 Pounds. I'm Getting a Facelift and Am Concerned About Cheek Shape.

but at 112 cheeks return. Except for cheeks, I look best at 109. I plan on a face lift soon with facial fat to cheek area. I'm concerned that if I weight l08 during surgery that my cheeks will look too full if my weight changes a couple of pounds. It is amazing how weight sensitive my face is now - at 61yr. Previously I gained weight uniformly but now upper body is thinner than lower body and the significant flucuating cheek fullness is frustrating and makes me concerned at facelift result.

Doctor Answers (10)

Changes after a facelift facial surgey with weight gain and fat grafts

+2

you are absolutely right.  if fat is used.   the fat grafts themselves may grow with weight gain. if another product is used and you gain your own weight ,  you will still look fuller.

be conservative on filler or dont gain weight


Orange County Plastic Surgeon
5.0 out of 5 stars 16 reviews

Facial fullness after facelift

+2

Facial aging generally involves laxity of skin and muscle as well as volume loss. This is why sometimes fat injections to the face help to add volume and thereby give you more fullness in combination with a facelift. However, how reliably your fat grafts will take is often unpredictable especially if your face changes so much in volume with even slight weight change. A more important factor you may want to discuss with your surgeon is what they plan on doing with your underlying muscle tissue often referred to as the SMAS. I have found that in thinner patients I often do not remove any muscle tissue (called a SMAS-ectomy) and instead do more of a plication on the SMAS to preserve volume which if done in a vertical direction can in and of itself give you reasonable volume in the cheeks. Discuss your concerns with your surgeon and make sure you are on the same page about your concerns. Hope this helps and good luck.

Navinderdeep S. Nijher, MD
Ocala Plastic Surgeon
5.0 out of 5 stars 59 reviews

Face lift + fat grafting

+1

It sounds like you are a great candidate for face lift and fat grafting. It is best to do the surgery when you are at your most common weight and the grafted fat should come from a weight stable part of your body

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 132 reviews

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Cheeks, Weight, Facelift & Fat Grafting

+1

I find it fascinating (and highly unusual)  that you observe such a significant change in your cheek volume with only a couple of pounds weight difference. Although I combine fat grafting with 98% of my facelift procedures, it still is a choice. Simply put for you, if you do not feel comfortable with the idea (and theoretical repercussions) of fat transfer, don't have it done. You will avoid a lot of potential disappointment given your uncommon weight change effects.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
4.5 out of 5 stars 24 reviews

Photos would help here.

+1

My first advice is go with the recommendations of your treating surgeon.

Reading your concerns, I would seriously consider not getting fat transfered to your face.  Fillers like Restylane and Perlane are much more stable, do not fluctuate with body weight, and can be adjusted with an enzyme if needed.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 15 reviews

Fat loss is a hallmark of facial aging

+1
It is unusual today to consider a facelift without facial fat grafting, as loss of fat is such a large factor in facial aging. At age 61, you might begin to notice that the fat in the cheek does not return as readily with weight gain. Structural fat grafting with facelift will rejuvenate rather than change facial shape if well done.
Best of luck,
peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 26 reviews

My Face is Weight Sensitive to Within 2-3 Pounds. I'm Getting a Facelift and Am Concerned About Cheek Shape.

+1

I have performed Face Lifts for over 20 years and back in 1990 did several hundred fat transfer procedures.  My experience is that fat transfer is not as reliable at shaping the face and cheek area as fillers like Perlane, Radiesse or Cheek Implants and I have not used fat transfer since.  

Furthermore, if you are concerned about gaining weight and having it negatively impact the shape, of your cheeks, why would you have additional fat transferred to that area.  Fillers would seem to make more sense, IMHO.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Cheek shape and facelift

+1

I am going to give you what probably will be an unpopular response - if I were your surgeon, I would be worried that you are following your weight so closely (within 1 pound) and analyzing your face to such a degree. ( I would be concerned that you are not going to be happy with any result ).   Most people can gain 2-3 pounds after a high carb/salty meal one evening with fluid retention!    I completely agree that weight fluctuations can dramatically affect facial structure, and fat grafting in your particular case might not be the best answer if you are that sensitive.  Cheek implants and temporary fillers are easier to remove or allow to dissipate than fat if you are concerned - when in doubt, I recommend being more conservative and doing things that can be reversed if necessary.   

Michelle Spring, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 18 reviews

Cheeks with facelift

+1

It's really impossible to answer you without seeing a photo. I understand your concerns and if you are that "sensitive" when gaining weight than fat grafting might not be so great. You might do better with cheek implants which won't change with your weight.

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.5 out of 5 stars 22 reviews

Weight loss and facial surgery

+1

adding fat injections to your Facelift in your particular case of such a large difference with minimal weight change might prove a problem. In the event that the fat injections do survive, as you gain weight, the fat that is injected into your face will behave like the fat does in the area from which it came. You might want to lose the weight and then do the Facelift, keep at a steady body weight and skip the fat injections in order to avoid the potential pitfalls.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.0 out of 5 stars 6 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.