Nonsurgical Facial Slimming - Buccal Fat Reduction? Dr. Zelken offers a surprisingly simple answer
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- čas přidán 7. 06. 2024
- In some ways, the prospect of #nonsurgical facial slimming seems incredibly intuitive and straightforward. Lose weight. Simple as that. Right? Not necessarily, but this may be the case for some. But for many men and women who seek a more #sculpted face, it is not so easy. After all, the topography of the human face is not skin- (or fat-) deep. Facial shape is dictated by bone structure more than anything else, plus subcutaneous fat, not to mention facial musculature, skin thickness, various deeper layers of fat, and other anatomic structures such as the #buccal fat pads. In other words, weight loss only addresses one of these ingredients: subcutaneous fat.
Therefore, patients who are at or below ideal body weight may not be able to modulate facial volume through weight loss alone. Alternatively, many patients at or above ideal body weight maintain thinner faces that are relatively spared from volume-related consequences of weight gain. If you feel that weight loss does not seem to impact your face, or you are at or below your ideal weight, read on for guidance*.
If you or someone you know desires a #slimmer face, and weight loss is not an option or does not affect you, surgical options exist. Dr. Jonathan Zelken is gaining national recognition for minimally-invasive and relatively #scarless options for facial #slimming and #contour improvement. Some of the more popular options include facial liposculpture with #radiofrequency skin tightening (“#FaceTite”), buccal fat pad removal, #perioral mound reduction, and #buccinator mucosal #myomectomy. More invasive options like #facelift are also becoming increasingly popular amongst men and women of all age groups. Surgical options are typically the most effective, but they are also the most expensive, riskiest, and inaccessible options.
Less invasive options, which are nonsurgical in nature, but still invasive, include injection of #deoxycholic acid (“#Kybella”) into the subcutaneous fat. This is a brilliant concept, but 2 or 3 treatments are typically needed to achieve an often-subtle result, the cost approaches that of liposuction, and Kybella can damage skin, nerves, and make subsequent surgery more difficult and riskier. For these reasons, Kybella is offered at the #Zelken Institute for Aesthetic Medicine but is seldom a preferred choice by patients, nurse Miki Omori, or Dr. Zelken. Other options like topical radiofrequency application (“#Inmode #Evolve”) and #cryolipolysis (#coolsculpting) lack adequate scientific merit or carry a sufficiently high-risk profile for rare but problematic complications like paradoxical adipose hyperplasia (the Linda #Evangelista disease).
Truly noninvasive options are probably the most common treatment for facial fullness and #chubby cheeks, and may include facial exercises or #yoga, “#mewing”, habitual “duck face”, and weight loss. There is no scientific evidence that behavioral modifications like yoga exercises and facial contortion work, but there really is no risk associated with them, other than looking goofy to passersby. Of course, these strategies are worthwhile for those willing to explore them. Photo editing software and postural contortion, i.e., #filters and sucking in your cheeks may be effective in photos but are inherently inauthentic or transient in nature. Dr. Zelken believes the best noninvasive option, in appropriate patients, is controlled weight loss through diet, exercise, and lifestyle modification.
In this video, Dr. Zelken evaluates 3D images of his face before and after 7.4 pounds of weight loss. Although this represents less than 4% of his body weight, he identifies measurable changes in facial fat distribution that deserve discussion. This is certainly not groundbreaking, and probably does not come as much of a surprise, but Dr. Zelken is very impressed by how much 5-10 pounds can influence- at the very least- his face. Specifically, the prominence of the buccal fat pads from a posterior oblique view is visibly less pronounced, and there is measurable fat loss over the superficial #nasolabial fat pad and chin. Although it is unlikely that the buccal fat pad itself has reduced in volume, its prominence may be less noticeable because the overlying subcutaneous fat envelope is thinner.
*Note: This does not qualify as medical advice. Weight loss may not be advisable for those who are at or below their ideal body weight. Individual results may vary as everybody loses fat in different ways. Please consult a board-certified plastic surgeon to discuss invasive, minimally invasive, and noninvasive options for facial contour enhancement.
This is very interesting and well done great job on your health 🙌🙌🙌
Thank you so much :) :) :)
Truly THE best plastic surgeon in the OC and beyond - gives excellent advice - very natural - takes you back to yourself a few years ago- never changes your look ( unless you want that) I love this guy!
What about ultrasonic cavitation devices that be use used at home? Would those for jawline/double chin?
Have not tried these but am skeptical
Weight loss greatly reduces the cushion around my jawline and cheeks. I am an avid weightlifter (barbell movements are my favorite) 4 to 5 days a week but it wasn't until I moved to a university and had to walk 2 to 4 miles every day that I saw changes. I looked emaciated. And then I gained 30 pounds during the quarantine. And now I look disgusting. 😂
Definitely worth exploring how weight loss affects your own facial shape when considering surgery
I grow up having insecurities because of my round face I tend to have chubby cheeks though my body is skinny. Im shy to smile because it makes me look fat specially in the picture.. now I bought a small version of rf machine, I admit that I kinda used it egertday or almost every other day.. I Really want to lose my face fat..
Please be careful with unregulated products
After a buccal fat reduction, can it ever grow back? Could a second one be needed or is it something that's only done once?
It will not grow back. This is a onetime procedure.
@jonathanzelkenmd I don't buy that. I would think that it's like any other fat, if you gain weight or even just naturally gain weight with age, that this could return, just as other fat can, after lipo. I think there is a possibility of it returning. It grew before it can grow again lol
I heard it’s a one and done.
How long takes to see the results??
See my video on that :)
Sir please tell me how can i regain my buccal fat😭😭
I've been doing face exercises for like 3 to 4 years and my buccal pads totally removed and i've a high cheekbone that's why it's not look good😭😭
Plzz tell me how can i get back my buccal fat....plzzz sir i would be really grateful to you😭🙏
You would need to be examined or discuss with your surgeon:/. It is hard to offer advice without seeing you and knowing what was done. I have never had to reverse the procedure.
@@jonathanzelkenmdsure sir i would and thanks for advice but sir just tell me that is it possible to regain buccal fat?😭
no it is not@@cocomo9314
@@jonathanzelkenmd if i get fat and gain my weight, still my buccal fat can't be back?
@@jonathanzelkenmd sir please tell me...i'm so concerned😭
The worst feeling is when u are so lean u have abs showing yet your face is still clinging onto that fat for dear life😂