Ask a Surgeon - Fat Injection - I am 32, 5'8" and 130 pounds. I am thin, but my face still makes me look...

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I am 32, 5'8" and 130 pounds. I am thin, but my face still makes me look overweight...

Q:

I am 32, 5'8" and 130 pounds. I am thin, but my face still makes me look overweight. My weight can fluctuate up to 145 pounds in the morning, all of which appears to gather in my face and neck. I do not have any medical problems (and have had tests to determine this). I am considering having the fat from my cheeks and neck removed because no matter how much weight I lose my face appears "heavy" and "round," a problem I only began to notice over the past 4 years. Does removing fat from the face and neck stop weight from re-depositing in these areas and does it usually result in a more contoured and thinner appearance that is permanent? Is there a better procedure for this type of problem?

A:

Your weight fluctuation sounds a bit unusual and may be related to medications you took or are taking. I recently did a facelift and sculpting on a patient who was on steroids for many years with very good results. Liposuction of the neck and jaw line may also help but liposuction in the

face is not something I would do.