Hi Watkins,You are saying that your treatment has led to loss of facial fat, which is also not scientifically possible and never seen in my practice. In fact, Ultherapy is the only technology on the market with an FDA indication for lifting and tightening the skin in the face, neck and chest. This means that it has gone through extensive testing to prove that it is both safe and effective for this use. When you make a statement like this, it contradicts a lot of scientific data and professional experience, leaving the audience wondering what is really going on.It would be helpful for those trying to help if you could post before and after pictures, as well as your weight at the time of your photos. Most patients who experience fat loss in their face have either lost significant weight or gained significant age. Also, there are frequently asymmetries in your face, which can be highlighted by undergoing any cosmetic procedure. Ultherapy can injur fat cells when applied to the fat, but even if a whole facial treatment is applied directly to the fat in your face, the maximum fat loss would be about 1/4 teaspoon (1.25ml) spread throughout the face. There are ultrasound technologies that were designed for targeting fat, but these fall under the spectrum of HIFU (high intensity focused ultrasound), which applies greater energy to a larger area leading to more fat loss. One of the things I like best about Ultherapy is that you can see the layers of tissue you are treating. The energy is focused within the skin and underlying SMAS (tissue lifted during a formal face lift). Your provider is able to see these layers and able to focus the treatment where it is most effective. The main reason to avoid fat, is not due to concern for fat loss, but rather to keep the treatment where it is most effective---skin and SMAS. Energy applied to fat will not lead to lifting or tightening.I would recommend you see a plastic surgeon who is familiar with Ultherapy, as well as filler and fat transfer.Best of luck,Dr. B
