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Malar fat pad separation - how to fix? (photos)

Cool723958Feb 24, 2022
My malar fat pad on my right side has completely separated, it now sits in my nose to mouth line and I have a hollowness where it used to sit. My cheeks were high and full untill I had some acne scar treatment subcision/excision and co2. Since then my face has dropped. What can i do to fix this? Im told im too young for a facelift (im 44) and have been suggested fat removal for lower face heaviness and fat transfer to cheeks. But my concern is that the transfer wont put the fat pad back up again

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Jason Emer, MD profile photo
Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Aug 16, 2023
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Jonathan Kulbersh, MD

Thank you for your question and photos. Since you’re not interested in fillers, cheek augmentation with implants may be a suitable option for you. Implants can increase the projection of the cheekbones, thus improving the appearance of the eyes. Though implants can provide a permanent change, s...

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Jason Emer, MD

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

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Jason Emer, MD

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry...

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