Can you lose buccal fat permanently from weight loss?

Question

Hi there, I have had a history of pcos and anorexia. My face looks very gaunt and lacks fat in the buccal and malar area. I had fat there last year, though. Is there even a possibility that my fat pads have been permanently been diminished?

Jose Telich, MD · Answer

Dear Generous9647, thank you for your question.

Significant weight loss, particularly in conditions like anorexia, can lead to fat loss in the buccal and malar areas of the face. However, fat loss in these areas is typically not permanent and can return if you regain weight. If your face appears gaunt after weight loss, it’s possible that your buccal fat pads have diminished, but this is usually reversible with weight stabilization.

It's best to consult with a healthcare provider to assess your individual situation and discuss potential options for restoring facial volume if needed.

Emmanuel De La Cruz, MD · Answer

Buccal fat is a pad of fat located in the cheeks, and the amount of buccal fat varies among individuals. Weight loss can contribute to a reduction in overall body fat, including the buccal fat, but the extent to which buccal fat is affected by weight loss can vary from person to person.

Here are some key points to consider:

Individual Variation: The amount of buccal fat varies among individuals, and genetics play a significant role in determining the distribution of fat in the face.

Weight Loss and Face Fat: Weight loss can lead to a reduction in facial fat, including the buccal fat. However, the face is also affected by factors such as genetics and aging, and weight loss may not always result in a significant reduction in buccal fat for everyone.

Permanent Changes: Weight loss can cause permanent changes in the body, including the face, but the extent to which buccal fat is permanently reduced may vary. Some people may experience noticeable changes, while others may see less impact on the buccal fat pad.

Spot Reduction: It's important to note that spot reduction, the idea of losing fat from specific areas of the body, is not always straightforward. The body tends to lose fat in a more generalized manner, and specific areas may respond differently to weight loss.

Surgical Options: For those seeking more targeted and permanent reduction of buccal fat, buccal fat removal (buccal lipectomy) is a surgical procedure where a portion of the buccal fat pad is removed. This can provide a more defined and sculpted appearance to the cheeks.

If you're considering changes to your facial appearance, including buccal fat reduction, it's crucial to consult with a qualified and experienced plastic surgeon. They can assess your individual anatomy, discuss your goals, and provide guidance on whether weight loss or a surgical procedure is the most appropriate option for achieving the desired results.

Javier Vera Cucchiaro, MD - Account Suspended · Answer

It can be considered a filling with fat from the malar area and the area of the Bichat bag, but you must have a stable weight for it to work.

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