Is the Face Fat What Gives the Face Volume While the Bone and Muscle is What Sculpts the Face?

A few years ago, my surgeon performed some lipo on my face. I didn't like the way it turned out as it removed the entire third dimension of my mid-face area. I have a CT from pre and 1-2 years post procedure. 1. Would these CT's be helpful during consultation and also the procedure? What else should I bring? 2. Does the fat only give the face volume while the muscle and bone is what essentially makes you look like you? 3. Are there actual fat "pockets" you inject fat into in the face?

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2 Doctor Answers | Asked by popthehood

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Facial contour depends on all of the layers

All of the layers, bone, muscle, fat and skin contribute to the shape of the face. With aging, atropy occurs in all of these layers although the fatty layer is affected the most. This is why overweight people tend to look younger in middle and old age than their thin counterparts. In your case, I think the scans would be helpful to your surgeon. You may benefit from fat transfer or some other procedure(s) that adds volume. When I was in training 20 + years... more

Facial Fat

This is a really great question. You are essentially correct when stating that the fat gives the face volume. That said the bone structure can enhance or detract from this. This is really evident in the cheeks and jawline. The fat is located in certain layers of the face. For example the most superficial layer of significant fat is the SMAS. This is the layer of tissue we manipulate during a facelift to correct cheek descent and jowling. ... more