31 years old male with face volume loss: Lipostructure? (Photo)

Question

Dear Doctors, I'm concerned with the volume loss in my face, since I used to be a little plump (and went to a stringent diet to lose 33 lbs a couple years ago). I tried restylane in my tear through and nasolabial folds. It has worne off quite quicly. As I'm looking for more of a long term solution, do you think I could benefit from a lipostructure / lipofilling in my face? Thanks in advance for your enlightened advice

Robert M. Tornambe, MD · Answer

Not fair! You work hard, lose weight, and this is what happens?Jacob, your best option is fat transfer, longer lasting, and your own tissue. Voluma is another good option, but lasts 2 years. See a board certified plastic surgeon in your area for more info, good luck!

Payman Danielpour, MD, FACS · Answer

By reviewing your pics and your problems I believe you will be best suited for fat transfer for volumization, if you have a bit of fat that can be harvested.  This fat can volumize the face and also last for 5-10 years.

Germán Newall, MD, FACS, FICS · Answer

Thanks for your question. Congratulations on the weight loss! With significant weight loss, there will be changes in your body. You could be a good candidate for facial fat grafting and/or cosmetic fillers. Fat grafting uses an individual’s own fat  to fill in facial creases   
and folds and to add  fullness to areas such as the cheeks , lips, and  
 backside of hands. Please find and visit a board certified plastic surgeon, look at before and after photos, read reviews, check credentials, etc.

Ariel Ostad, MD · Answer

Thank you for your question. 
When we lose weight, the skin on our face loses fat, which is the same
fat that suspends our cheeks higher.  As
a result of your major weight loss, which resulted in
fat loss in your face you’re noticing hollowness. 
I think you would be a great candidate for fat injections.  Fat is taken from one area of your body,
usually the hips and injected into another area instead of synthetic fillers.
Fat transfers are a safe, non-allergenic way to recontour the face and add
definition to the cheeks and chin for very a natural and long lasting result.

Tae Ho Kim, MD · Answer

Sculptra is a great filler if used properly by an experienced doctor with this product.  Over the past 9 years, I have used Sculptra for exactly the problems you point out.  I do not like hyaluronic acid like Restylane or Juvederm for improving volume to the cheeks.  Your tear trough is not the problem.  It is the volume loss to your cheeks.  Sculptra stimulates your body to make its own collagen.  You would need a series of injections to slowly build up the collagen, but building up the volume slowly is a better idea.  Fat grafting is another option, but a much different healing process.  I would advise you to see a board certified plastic surgeon who has experience with both Sculptra and fat grafting.  Good luck!

Steven Wallach, MD · Answer

Fat grafting may be possible and a good alternative to temporary fillers, I will say that fat grafting to the face may be necessary one or more times to achieve the final volume that you desire.

Malcolm D. Paul, MD · Answer

Fat grafting is a good option, but, if you continue to lose weight, you will lose the volume that you achieved with fat grafting. Other fillers last up to 2 years including Voluma.

Joseph Franklin, MD · Answer

Congratulations on the weight loss.  Fat grafting would be the ideal treatment for you.  Another option to consider would be Juvederm Voluma.   It is indicated for the midface and last for 18 months to 2 years.

Andrew Kornstein, MD, FACS · Answer

Your pictures indicate generalized fat loss throughout your face. Treating all areas in need is important because successful fat grafting is very power returning blood supply to the facial skeleton, slowing aging.Your case is not common(at your age, given no health related issues) but has been treated successfully whenever it was an issue with  (long lasting and aesthetic) fat grafts.Hope this helps

Ronald J. Johnson, MD, FACS (retired) · Answer

Losing the weight means you have likely raised your life expectancy, so you certainly want to look good during your bonus years. If fillers give you the look you want, a fat transfer is definitely a good option for your. Although it may take 2-3 procedures to achieve your desired look, once the fat "takes" it is pretty much permanent!

31 years old male with face volume loss: Lipostructure? (Photo)

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