Facial fillers to restore volume loss after weight loss? (Photo)

Hello Katiiieb! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. Based on your concerns and history, I highly recommend trying the Morpheus8 treatment. Morpheus8 utilizes radiofrequency technology and combines microneedling, thus targeting the deeper layers of the skin. This treatment is a great option to tighten the skin, improve texture, and reduce the appearance of wrinkles/fine lines. I hope this helps, best of luck!

First of all, kudos to you for your weight loss! The fillers you received did a good job in restoring volume and facial harmony overall. In terms of adding more volume with fillers, you bring up a good question. Adding a little bit more filler at your nasolabial fold may help augment your mid-face. Be careful not to over-do it, as it can sometimes be unnatural or migrate. The nasolabial fold in general can be risky if not done appropriately since there is a blood vessel nearby. In terms of the jowls, adding filler may be able to blend the jowls, but again if it is over-done it will look unnatural and may be counterproductive. Putting filler is adding volume, so anything that increases volume in the lower face makes the face look heavier and older/aged - so be careful. Biostimulators like sculptra or radiesse may be an alternative to fillers for the mid face and temple. Talk to your plastic surgeon to see which option is best for you. I hope this helps!

Based on your before and after photos, you appear to have a youthful looking facial appearance. If you request too much fillers to be added to your face, overcorrection or other problems may ensue. Repeat your Botox every three to four months, depending on how you metabolize it. I hope this is helpful! Sincerely, Dr Joseph

Hello, and thank you for your question. Did you receive Botox in the lower face or just upper face? Botox or any neurotoxin can help tighten jowling/jawline if placed in the DAO and playtsmal bands. These are both depressor muscles, which means they pull downward. If neurotoxin is placed here, it will help “elevate” the muscle instead. If interested in additional filler, you could potentially treat chin shadowing, add chin filler, as well as cheek filler which can help pull back nasolabial folds. For a thorough consult, I recommend seeing an experienced practitioner who could ultimately determine your treatment options.

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

Congratulations on your weight loss! Fillers are great for restoring lost volume. Another option is to add Morpheus8. These treatments combine RF technology with microneedling to improve overall skin tone and texture. Three sessions are recommended for optimal results. See an expert provider near you to learn more.

Hello Katiiieb:

There is indeed a downside to weight loss: the fat pads in the face lose mass as well!

Some filler in strategic areas where fat has been lost can restore a youthful and healthy appearance.
You would want to choose a board-certified dermatologist or plastic surgeon who is an advanced injector, with many years of experience, to preserve a natural appearance and have a safe treatment. A knowledge of facial anatomy and the location and depth of the fat pads is important.

Fillers can last two years. I have found that fat injections are less reliable in that not all of the fat survives and the result can be uneven and/or not last long.

I hope this answers your questions. Feel free to reach out with any additional questions!

All the best from NYC,
Sheryl Clark MD FAAD

People spend thousands of dollars on fillers, which don’t completely correct the volume loss and eventually go away. There’s absolutely no better way to restore volume in the face than with the use of the patient’s own fat. Our patients receive natural and practically permanent results from fat grafting while looking 20 years, younger or more.. I hope this helps and good luck from New York City Plastic Surgery.