Can facial fat be rearranged on your face?

Question

I have decided to become healthier and had put on weight with exercise. I feel great but my face has a lot of fat on areas that are unattractive. . Is there anyway to move the fat on my lower jaw/neck area to the top half of my face? If not, what are the other alternatives to getting rid of this facial fat?

Zoran Potparic, MD · Answer

It is impossible to give you meaningful advise based on your desctiption. Rejuvenation of the face includes volume shift from areas where there is sagginess and fat accumulation to areas where volume is missing. This is usually done combining procedures like neck and face lift with selective fat removal and fat grafting of defficient areas. In person consultation with a board certified plastic surgeon, expert in facial rejuvenation (check web site). Good luck.

Mats Hagstrom, MD (license on probation) · Answer

It is possible to remove fat from one part of the body and graft fat in the other parts of your body.
It’s not quite as simple as working with Play-Doh.
Grafting tissue is a fairly complex procedure that comes with a substantial amount of it in precision and requires skill and experience.
Most individuals facial aesthetic make up is based on facial skeletal structure knots soft tissue coverage
What differentiates individuals from each other making people recognizable including being considered attractive or less attractive, masculine or feminine is primarily based on your skull.
Soft tissue coverage of the facial skeletal structure tends to be very consistent from one person to another.
Facial aging is more related to soft tissues than skeletal structure but the inherent individual look each person has is almost exclusively based on bone structure not fat distribution.
Because one area of your face looks bigger or smaller doesn’t necessarily mean you need more or less fat in those areas.
Grafting fat doesn’t have the same appearance as having an appropriate sized bone structure.
Instead of inventing new operations I suggest you get a quality assessment.
You didn’t include pictures and you didn’t describe very well would you like in what you don’t like.
We can’t really begin to make an assessment without any type of quality information.
For facial assessment we need at a minimum a complete set of facial pictures. Look at how plastic surgeons take before and after pictures to get an idea. Generally the pictures need to be taken at correct angles with correct camera height showing a frontal, profile and three-quarter angle pictures from about 6 feet away without facial expressions. 
Depending on what your underlying ideology is you can consider consulting with plastic surgeons and or oral surgeons.
There is some overlap between these two specialties. Oral surgeons and plastic surgeons both are involved with facial skeletal surgery but oral surgeons tend to see things more from the skeletal perspective well plastic surgeons tend to be more soft tissue oriented.
I recognize most people are not looking to have their facial skull taken apart and replace it with titanium hardware but it is important if you want equality outcome to recognize what the underlying primary diagnosis is and I have the treatment match the actual problem.
If your tires are worn out on your car then it doesn’t make sense to replace the brakes. having new brakes will make sure you can stop in time but it won’t do anything for eventually getting a flat tire.
I suggest multiple in person consultations with local board-certified experience providers in both oral surgery and plastic surgery depending on what the underlying ideology is and what you’re willing to undergo.
During consultations ask each provider to show their entire collection of before and after pictures for the procedure they are recommending of previous patients with similar facial characteristics to your own.
Being shown a hand full of preselected pictures of representing the best results of their career is insufficient to get a clear understanding of what average results look like or how many of these procedures they’ve actually performed.
Candidacy is highly related to the type of outcome so make sure the patients in the pre-op pictures have same or similar characteristics to yourself. 
For commonly down the procedures and experience surgeon should have no difficulty showing you at least 50 For commonly down the procedures and experience surgeon should have no difficulty showing you at least 50 sets of before and after pictures.
Ask providers to show you examples of excellent outcomes, average outcomes and outcomes I didn’t turn out as well as they had hoped for. Ask each surgeon with a Revision policies and what the revision rate is.
Check for thoroughness of all aspects of the consultation and take notes so you can make good comparisons from one provider to the next.
Most people are not experienced a consulting with plastic surgeons well plastic surgeons have years of experience doing consultations.
You need to be an advocate for yourself and take an active role in the consultation process. Do you have a job that needs to be accomplished during the concert. It’s not all about show and tell from the doctor.
Your job is to find out if this provider has mastered the operation you’re considering having.
You also have an obligation to find out that they’ve made an accurate assessment or in other words a correct diagnosis.
There’s sometimes different ways to achieve the same goal but you’ll find that when multiple providers say the same thing you’re usually on the right track.
When the underlying problem is based on bone structure you may hear a variety of different soft tissue solutions. This often happens when the surgeon is not focusing on the primary problem. This happens when providers don’t have the skill and experience to manage facial bone related issues in regards to facial aesthetic surgery.
Rearranging fat in your face may be a good procedure but it’s not as simple as that.
That said delivering consistent quality both Liposuction and fat transfer results is more difficult than most people believe. plastic surgeons tend to think they’re better at both procedures than they actually are.
Facial fat transfer is imprecise, unpredictable and cannot be unforgiving.
For volume augmentation of the face using temporary fillers is a far better option.
Compared to grafting fat fillers are highly predictable, very forgiving and very precise.
If someone delivers a bad outcome with grafting fat in the face you’re kind of stuck with the outcome.
You’ll be reminded several times a day for the rest of your life.
With fillers the worst case scenario is that you need to have the fillers reversed or simply wait six months for them to go away.
Become well-informed and do that by having multiple in person consultations.
Best,
Mats Hagstrom MD

Can facial fat be rearranged on your face?

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