The skinny face, sometimes known as gaunt, can happens to both the both new and experienced. It is seen more often as you ages with loss in fat within the cheeks and side with the face. However it can also happen being a normal makeup os customers' facial architecture even when the first is relatively young. (Abraham Lincoln is easily the most famous example from an historical perspective, actor Scott Glenn among others will be more recent examples) Known medically as facial lipoatrophy, additionally, it may occur from certain diseases and medications. (such as HIV) Fat replacement by injection is both could possibly plus a non-invasive way for its treatment.
Fat grafting is becoming increasingly popular and is well suited for the gaunt face. Fat is harvested having a small liposuction cannula from the suitable donor site. The quantity of fat needed doesn't usually make for a substantial contour alternation in the donor site. So patient's shouldn't expect they're getting a similar liposuction result elsewhere. It's my job to use stomach fat harvested from the navel. There isn't any scientific evidence yet that supports one donor site over another with regards to being better fat which will last longer after transfer.
Fat deposits is ready by removing loose liquids and impurities by washing after which spinning it in the centrifuge. This will make it put into syringes and injected to the desired facial areas through a corner of the mouth, a crease while watching ear, or inside the crease from the nasolabial fold. Fat deposits is injected in multiple small tunnels in a criss-crossing pattern if possible. The injected fat will then be massaged around until it is smooth without obvious irregularities.
Injecting fat in to the face is a little a creative art form. Within the gaunt face, the region beneath the cheek bones and to the side of the face will be the most common. But other areas can be done as well including underneath the eyes and round the base of the nose. The amount of ????????????
is relatively small with lower than 10cc in each side with the face. It can be surprising how even small volumes of fat can create a significant volumetric difference.
This action can comfortably be achieved under local anesthesia, with oral or IV sedation if desired. Whether it's done in any office or even an OR suite is dependent upon which gives the most effective sterility and it has the necessary equipment for fat harvesting and preparation.
The unknown variable within this procedure for every patient is the place much fat will survive. You need to not expect that 100% fat survival will occur. Nevertheless the lateral face and cheek area are considered to be the most favorable with studies reporting approximately 70% retention. My experience is nearer to 50% so some overfilling is always done. What one sees at 90 days after treatment to expect to be retained long-term.
In older patients which could involve some loose skin in the jowl or neck, it can be along with a small or tuck-up facelift for better results. As the fat does add volume and will help fill some lax skin, improvement underneath the facial hollows must originate from skin tightening. I have come across some reports which tout the overlying skin improves after fat grafting, suggesting how the new fat somehow rejuvenates aging skin. Some declare that its may be the effect of the transplanted stem cells. I doubt that we now have such effects nevertheless the underlying volume fill does loosen up the overlying skin and can give the impression of smoother skin.