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Mitchell Grasseschi, M.D., FACS
Plastic Surgeon

Ritacca Cosmetic Surgery & Medspa
and Contributing Writer

3 Successful Methods to Restore Youthfulness & Facial Volume

May 13th, 2013

Volume is lost in many areas of the face as we get older.

The areas that lose volume include; the cheeks, the brow, and the lips. A little fat goes a long way! As we age, men & women alike; we lose fat and bone structure.  In fact, we quit producing collagen in our early thirties.  Fat and collagen are the essentials for having smooth, plump skin.  

As the cheeks sag and lose volume, they descend from their usual high position in the face near the eyes, to a lower position. This leads to the formation of nasolabial folds (the folds from the corners of the nose to the mouth), oral commissures (the folds just beneath the corners of the mouth), and then jowls ( the skin that sags beneath the jawline). This leads to a more square appearance to the face. A youthful face resembles the shape of an upside-down triangle, a line through the eyes forming a base, and the chin forming the point of the triangle..

Fat naturally adds the volume and support to the face that keeps wrinkles at bay and our skin looking youthful. However, we start to lose facial fat as early as our 20s, and laxity of skin decreases along with this.

Facial fat deteriorates naturally with age, but weight loss and hormonal changes can speed up the process. When this happens, we start to see less definition around the face, including sunken temples, forehead and brow wrinkles, the corners of the mouth turned down, hallowing around the eyes, flatter cheeks and slack skin around the jaw.  

Today, we have options to plump up these areas that age us.  The 3 below methods to plumping yield a safe, natural long-lasting result.

Dermal Fillers Fullness can be restored through a variety of fillers including temporary (like Restylane, Juvederm and Perlane), long-term (Sculptra Aesthetic and Radiesse) or permanent (Artefill). Injecting fillers is a non-invasive option that gives an immediate result. The cheeks, temples, chin and jawline are the areas best suited for fillers. Some of the non-permanent fillers can last up to five years, but most need additional treatments for optimal correction.

Fat Transfers: This is good option if you'd like long-term results, but can endure some downtime (up to two weeks). You will first undergo a liposuction procedure to remove fat from another area of your body, then it will be prepared to be injected into your face. It's also a good option if you are wary of injecting other types of fillers into your skin. The fat is your own, so your body will not reject it.  With this method, you can lose partial fat if you lose weight or, some fat may not “take”.

Facial Implants If you're considering a facelift, your plastic surgeon may also suggest implants to restore volume, particularly in the cheeks or chin. These are a good option if you don't have enough body fat to harvest for fat transfer. Implants are the least used option these days as most patients prefer quick and immediate, as fat transfer and fillers have become the methods of choice.

However, implants are a permanent solution and can help define facial features since they build up the bone structure. Seek an experienced and board-certified plastic surgeon to determine the right option that will give you the results you're after.

Contact a plastic surgeon nearest you.


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