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Possible Short-term and Long-term Side Effects of Facial Liposculpture

I am interested in facial liposuction to sculpt my lower cheeks. There is very little information available on this procedure, but I understand that in the shorter term, it may actually tighten the skin as the scar tissue contracts during the healing process. I am wondering what the long-term side effects are on skin laxity or the possible ramifications on aging facial tissue. I am 32, Asian/Irish, with pale and delicate skin that is prone to broken /dilated capillaries. Is this procedure generally recommended for someone with thin, delicate skin? What are the possible short-term and long-term side effects of this procedure?

Asked 40 months ago by NoPlasticFlower in New York
Sort 16 expert answers by:
+2

Facial Liposculpture for the Cheeks

The use of facial Liposculpture is valuable if done selectively. Liposuction of the face can be problematic if overdone or applied inappropriately. The "tightening effect" to which you refer is more theoretical than proven. The value and longevity of using laser in combination with facial Liposculpture is subject to disagreement by experts in the field. To help you decide what's best for you, consult with well trained, well reputed and experienced board... more
Paul C. Zwiebel, MD
Denver Plastic Surgeon
+2

Liposuction generally is no longer done on the "face"

There once was a time when liposuction was done to the cheeks of patients whose cheeks were chubby. This is no longer done after the experience with these previous patients. Liposuction is generally confined to the jawline and neck and in these regions, works best in younger patients whose skin might shrink better than older patients. The reason that liposuction didn't work well in the cheeks is anatomical. There isn't much distance between the skin, the fat, the underlying facial muscles... more
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+2

Skin tightening

This issue of skin tightening after liposuction treatment is something that there is a bit of a buzz about right now. There are several techniques that claim increased skin tightening in addition to fat removal. They include laser liposuction (or liposculpting), ultrasonic liposuction, etc. The difference is that in addition to removing unwanted fat there is energy delivered to the dermis (the deeper layers of your skin) and the collagen (one of the main structural proteins that makes up... more
Steven H. Williams, MD
San Francisco Plastic Surgeon
+1

Effects of facial liposculpture

It is difficult to say if this procedure would be right for you without seeing photos but I think it likely would not give you the results you are seeking. Also, I agree with another physician who responded that the tightening effects that you are seeking are variable. Yes, it does happen but not in every casae and possibly not to the extent that you are seeking.
Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
+1

Facial Sculpting and Liposuction

Liposuction in the cheeks is by no means a standard procedure as it has been in the past. I sometimes combine liposuction with facelifts for gentle contouring. There are other ways to change the width of your face and a consultation in your case is really crucial to understanding your face and making recommendations. I would definitely explore other options before settling with facial liposuction as a stand alone procedure. Good luck!
Hannah Vargas, MD
Kansas City Facial Plastic Surgeon
+1

Caution in performing facial liposuciton

Generally speaking excess fat is not a hallmark of aging, rather the loss and absence of fat is more typical of aging. Therefore we tend to prefer to reposition or add fat to the aging face. The short term and long term effects relate to the agressiveness of the treatment. But other than conservative liposuction of the jowls as an adjunct to a face lift, very little fat is removed. Commonly we add more fat. 
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Liposculpture of the face has special risks of aging

As humans age our faces narrow and become longer and cheeks thin and droop. People with narrow faces and sunken cheeks frequently are judged to be ill or old. Liposculpture of the face may initially look good but cause faster aging subsequently. As with any advice there are plenty of exceptions for whom liposculpture may be appropriate such as in treating jowls.
Edward Lack, MD
Chicago Dermatologist
+1

Facial liposuction

It would depend on your anatomy.  If you have good elasticity going in, it will likely remain, but based on what you are saying, you will likely have some excessive bruising.   I personally dont believe lipo adversely affects skin laxity.  I also dont believe that fillers lift anything, but instead radially expand to create the illusion of lifting. Dr. Malouf
Peter Malouf, DO
Dallas Dermatologist
+1

Think twice prior to surgical facial liposculpture

Tumescent liposuction remains the gold standard to remove excess fat deposit anywhere on the body. However, there is a nontrivial risk of nerve damage associated with facial liposuction. I would recommend Sculptra to bring about a lift around facial fat pads or work with an experienced plastic surgeon to reposition the fat pads.
William Ting, MD
Bay Area Dermatologic Surgeon
+1

Liposuction is a popular and effective technique for contouring of the face and body.

In the lower cheeks and neck, this area can be readily treated with liposuction. For these sensitive areas, your best bet is to be evaluated by a board-certified plastic surgeon with a great deal of experience with liposuction, fat grafting, neck lifts, and facelifts. This expert will be able to assess you and let you know what combination is best in your case. Keep in mind that whenever we transplant fat from one part of the body to another, approximately 20% of the fat will melt away.... more
B. Pat Pazmino, MD
Miami Plastic Surgeon
+1

Facial liposuction not as safe or effective as mini facelift

Facial cheek liposuction not as safe or effective as mini facelift. keep lipo to chin and neck line. i found the answers posted by fellow experts to be interesting...for the most part, those of us that perform both liposuction and facelifts tend to favor facelift....this is because we get superior results with facelift with less chance of disfigurement,which can be permanent. to me, as a sugeon who performs many laser liposuction cases each week, I stay away from the cheek. I will laser the ch more
Marwan R. Khalifeh, MD
Chevy Chase Plastic Surgeon
+1

Remove fat vs reposition fat

For thin skin, the risks of skin loosening over time can be a bigger long tern concern (not risk) than the short term change in volume. If the area under your eyes is hollow, then rather than removing fat, you may benefit from lifting your cheeks, repositioning your fat to a more normal position. To be sure you get the best possible results, see a board certified plastic surgeon. ASAPS members are plastic surgeons who have special interests in aesthetic surgery. Best to bring a full... more
Denis F. Branson, MD
Syracuse Plastic Surgeon
+1

Laser facial sculpting

Laser facial sculpting, part of SmartLifting, was first described by Dr. Gentile in Ohio. These are not to be confused with trade named minilifts. Basically, the laser component of the Smartlipo MPX or triplex machine is applied to the under surface of the facial skin. This will stimulate collagen production and some tightening to the facial skin. Then it is combined with selective liposuction to the jawline and neck if needed. Another additional feature is the ability to also use... more
Edmon Pierre Khoury, MD
Dubai Facial Plastic Surgeon
+1

Risk of serious nerve injury with facial liposculpture

Very important facial nerves which control your smile and facial muscles run very close to the surface of your face in the lower face or "jowl area". These nerves can be injured by passing a liposuction cannula beneath the skin of the lower face and jawline. If the nerves are injured the effect on your smile and the appearance of your face could be devastating. You would need a very experienced surgeon who has utilized this technique in the past and absolutely need a thorough... more
Brooke R. Seckel, MD
Boston Plastic Surgeon
+1

Facial liposculpture isn't to be taken lightly

Facial liposculpture isn’t to be taken lightly, unless you are keeping all work confined to the neck and jaw line. Work around the cheeks must be very conservative and can be fraught with irregularities in the cheek contour after liposuction. Other than that, most side effects are in keeping with any liposuction procedure for the most part.
Scott W. Mosser, MD
San Francisco Plastic Surgeon
+1

Minimal risks short and long term and not usually significant

The risks with facial liposculpture is the same as liposculpture anywhere else on the body with the one exception of nerve involvement. The one unique problem to this area which doesn't happen often is drooping of the corners of the mouth which can look like a stroke. This is uncommon and almost always reverts back to normal within 3-6 months without treatment but because you see it in the mirror every time you look at yourself it can be alarming. Fortunately it spontaneously reverts... more
David Hansen, MD
Beverly Hills Dermatologic Surgeon
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