Is it possible to prevent facial fat loss? I am 28 years old and I want to prevent volume loss from happening.

Dear svr700,You can slow down facial fat loss with a great diet and healthy lifestyleAvoid crash or super restrictive diets that will make you lose fat in your faceOf course, you can always supplement with fillers which will slow down the processSee a board certified plastic surgeon or dermatologist who can address your concersBest,Dr. Nima

Volume loss is a normal part of aging. I suggest seeing a cosmetic dermatologist to get you on a long term plan with microneedling/prp, Viva, Cosmelan, J Plasma, peels, sculptra, Botox, fillers, facials and skin care. Best, Dr. Emer.

Thank you for your great preventative question. You are right that we all lose fat in our faces as we age. This is one of the factors that make us look older with time. Although there isn't anything you can directly do to stop fat atrophy, there are a few things you can do to slow down the aging process. Fat loss is only one of the factors that cause facial aging. Collagen loss and sun exposure are other significant factors. Because you are so young, you can make an impact on these two factors. Wear sunscreen on a daily basis, even if you're just going to work. Find a skin care line that works with your skin to help your skin stay hydrated and healthy. Drink plenty of water and get good amounts of sleep. These will all contribute helping your skin stay healthy and youthful. Good luck!

Volume loss in the upper face with aging is something that we are all probably genetically programmed to experience. Some of this volume loss is from fat reduction but bony erosion and loss of elasticity also contribute. Though not scientifically proven, eating and living a healthy life with good diet and avoidance of sun exposure and avoidance of excess alcohol and tobacco give you the best chance for maintenance of a youthful look. Look into the addition of healthy vegetables, plants and antioxidants to your diet, and if you're interested in proceeding further look up Dr. Michael Greger on YouTube for more information about healthy living and dietary changes that you could make.Ultimately, with progressive aging one may need to consider fat grafting or other means of volume restoration such as hyaluronic acid combined with chemical peels, laser peels and botulinum toxin if desired. Best wishes and be healthy,Jon A. Perlman, M.D., FACSDiplomate, American Board of Plastic SurgeryAssociate Clinical Professor of Plastic Surgery Geffen/UCLA Medical CenterExtreme Makeover, ABC TV plastic surgeonBeverly Hills, Ca.