After a Facelift, Can Fat Gradually Disappear from the Path of Lift?

Old wisdom was:  When in doubt, cut it out.  New wisdom is:  Fuller cheeks are what we seek.  We preserve facial volume, at all costs when lifting faces.  We even bring some fat from outside of he area, from the abdomen for instance, when we lift faces.  Facelift technique should preserve volume because if it doesn't, the cheeks can become hollow for a ghostly look.  This can become apparent even one or two years down the line.  Fat transfer is the most likely option.

It is very difficult to answer your question without seeing your pictures – but based on your description you may benefit from fat grafting

It is hard to answer your question without photos, but often times patients do have fat loss after a facelift and can benefit from using Sculptra Aesthetic.  Make sure you go to an experienced Sculptra injector.
 

There is always some loss of subcutaneous fat when flaps are disected such as in a facelift procedure. There are a myriad of reasons why you may be having the problem, from technique to weight loss to general aging. The solution may also be somewhat complicated based on the underlying cause. To speculate here is not helpful so I would suggest you get a second opinion from a Board Certified Plastic Surgeon who will be able to determine the best resolution to your problem.

I have no idea what this is. I have personally never seen this in any of my patients and would therefore need to examine you to determine what the cause is and what the best remedy would be. It seems a bit strange. One option to consider that would correct it is fat grafting into the area that is hollow.

Andrew C. Campbell, M.D.

Board Certified Facial Plastic Surgeon