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Is facial fat removal effective for achieving a plumper face? A comprehensive analysis of suitable candidates, treatment plans, and pre-operative assessments.

Many people find that after undergoing Filler injections or fat grafting, their faces become swollen and lack definition, resembling steamed buns. This condition is commonly referred to as “bun-like face.” Facial liposuction is one of the solutions to this issue, but is it really effective? Who is suitable for it, and who is not? Let’s clarify these points below.

What is a “steamed bun-like face”?

The term “mashed-up face” is not an official medical term, but it is often heard in the field of cosmetic surgery. The main manifestation of this condition is…

  • The facial contours are not well-defined, giving the face a generally round and puffy appearance.
  • The filler is unevenly distributed, causing localized areas to feel swollen.
  • Originally, it was used to fill in the depressions, but as a result, the entire face ended up looking even more “filled in” than before.

The possible causes for this phenomenon include excessive use of Filler, excessive fat injection, or the injection being performed at too shallow a location; it could also be due to an individual already having an abundance of fat in that area, with additional injections being administered on top of it.

The principle of facial liposuction

Facial liposuction involves making small incisions and using thin tubes to remove excess fat beneath the skin, thereby reducing the size of the face and tightening its contours. Common areas for this procedure include the cheeks, jawline, Double Chin, and neck.

Is it effective to use facial fillers for liposuction?

It’s important to determine the cause of the swelling:

  • Suitable candidates for liposuction: The main reason for this condition is an excessive amount of subcutaneous fat, or the fat distributed in the superficial layers of the skin after fat grafting. In such cases, the skin still retains good elasticity, so liposuction can effectively reduce the amount of fat, resulting in a noticeable tightening of the contours.
  • Cases where liposuction alone is not appropriate: If the swelling is caused by an excessive amount of Filler, liposuction will not be able to remove it. In such cases, hyaluronidase should be used first to dissolve the excess filler. If the condition is also accompanied by skin laxity, simple liposuction may make the skin even looser; in this case, treatments such as lifting procedures or radiofrequency tightening should be considered.

Common repair solutions for puffy faces

Depending on the specific reasons, repair solutions can generally be categorized into the following types:

  • Hyaluronidase: For cases where excessive amounts of Filler have been injected, using hyaluronidase to rapidly reduce its volume is the most direct method of treatment.
  • Facial liposuction: Suitable for individuals with fatty cheeks, it helps remove excess subcutaneous fat and enhances skin elasticity when used in conjunction with other treatments.
  • Radiofrequency lipolysis (such as Morpheus8): This technique uses radiofrequency energy to dissolve subcutaneous fat while also tightening the skin. It is ideal for individuals with mild to moderate fat accumulation who are concerned about the risks associated with liposuction.
  • Lifting surgery or thread lifting: If sagging is accompanied by noticeable looseness and drooping, surgical intervention or thread lifting may be necessary to achieve Lifting effects.
  • Subtraction re-filling: First, dissolve or remove any excess filler material. After assessing the bone structure for support, then re-fill with a small amount of material in a precise manner to restore the natural contours.

What should be considered before undergoing facial liposuction?

Although facial liposuction involves small incisions, it still falls under the category of surgical procedures. Therefore, a thorough assessment is necessary before the procedure:

  • Is the skin elastic enough? (Loose skin may sag even more after liposuction.)
  • Has it been confirmed that the cause of this swelling is fat rather than fillers?
  • Are there any other medical beauty procedures I should inform my doctor about?

It is recommended to undergo ultrasound or imaging evaluations before the procedure to determine the thickness of the fat layer, so as to decide whether liposuction is suitable and how much fat should be removed.

In summary

Whether facial filling combined with liposuction is effective depends on the underlying cause of the facial swelling. If the swelling is due to excess fat and the skin has good elasticity, liposuction will be effective; however, if the swelling is caused by an excessive amount of Filler, the filler must first be removed before proceeding with liposuction. In cases where skin laxity is also present, a combination of tightening treatments may be necessary. Before deciding on a treatment plan, it is recommended to undergo a detailed facial consultation to identify the exact cause, so that appropriate measures can be taken to achieve more predictable results.

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