How are you going to lose that face fat if there's a fat face
or the fat seems to be shifting.
We're talking about this today from things you can eat, facial
exercises, devices, even injections.
We're covering it all.
Why don't you just suck the fat out the face?
We're talking about it.
Let's dive in.
So life isn't fair.
Sometimes there's people who want more fat in their face.
They wanna make their fat pads more healthy.
We can do that, but there's a lot of people that have fat in
their face that they don't want.
They think their face is chubby or round.
Or very commonly, because we all age similarly actually, is that the F?
The fat is descending.
I'm getting sag.
I'm getting the R B F.
Is that true?
And what can you do about it?
Whether one of those pertains to you, number one to address
is weight loss for sure.
When someone loses.
They lose some weight on their face.
Now figure out your ideal weight.
This might not apply to you, but if you're not, that is the first
least expensive thing to do, but it can be the most difficult.
How do you want to approach it?
You need to exercise.
I always say if exercise were a drug, We'd be billionaires because
it would be the best drug on earth.
That's how well it works.
It's studied, but there's no incentive for people to study it that well get
rid of a lot of high carbs, a lot of sugars, processed foods kill you.
They go right here, so the first thing to do is lose weight,
and someone asked me the other.
Hey, if I lose weight, won't I get loose skin?
And it's a great question if someone's a little older, loss of
collagen, loss of elastin, yes, that can happen for the most part.
If you're taking care of your skin or you're a little younger,
the skin will tighten around it.
But it's better to do that for your overall health and then
address it in the other ways.
I'm going to talk about today.
Number two.
and I am talking about it.
You guys love it.
It's facial exercises.
Understand this is outside of my wheelhouse.
I have a lot of patients who do it, who try it, who can't continue, and that's
why they're coming to see me understand.
So I'm getting a skewed segment of the population.
However, I hear from you guys some like.
Something gets a waste of time.
In the comments below, you're going to comment, let me know.
Do you like facial exercises?
If you ask me, I have yet to see a patient come in who says,
I've done facial exercises.
Here's my picture that you took.
So I took it standardized, it's 3d, and I haven't seen
in a couple years I did these.
Look at my face.
And it is thinner, so I have no data on it.
Yes, there's not a lot of incentive for people to study
it, but I wanna hear below.
A lot of people do say they like facial exercises.
I think there's no harm if it works for you, saves you money on fillers,
injections, and all the crazy stuff I'm going to dive into now.
So why don't we simply go in and suck the fat?
Just like you might do liposuction under the chin.
We'll start with the elephant in the room in one of the most invasive ways to do it.
You can suck a little fat out through a micro with a micro cannula,
like a smaller type of cannula.
You go in, you to mess, you put some fluid, you suck it out.
Here's the problem.
There's facial ligaments, and if you do try liposuction, and I'm talking about the
whole face, even the RBF at the edge of.
If you try and do that, there's a very high rate of a few things.
Number one, irregularity of skin.
Number two, you are left with loose skin.
Number three, there's a facial nerve, a branch of the
facial nerve that comes down.
And if you get that, it's if, if, if you.
Transect it.
And if you do aggressive liposuction, the risk goes up.
It's a career ending type of move.
Now, it's very rare because everyone knows, and often
you're in a different plane.
When you're sucking the fat out, then the nerve is a little deeper.
However, you can't just go suck the fat outta the face because there
are important nerves of expression.
And think about this.
You're going for a procedure and you come out and you're not moving the same.
Okay, Justin Bieber, Okay.
A whole different problem.
Facial movement.
Okay, but devastating injury or Bell's Palsy.
Think of that when you're thinking it.
So liposuction isn't the answer.
If it, if you do, it's micro liposuction.
With a face lift so you can release the ligaments and lift up.
Otherwise, it's just not good to go suck the fat out of the face.
It's not a thing.
Buckle fat removal, yes, that can be done.
It can be an aging procedure if it's in the right client, right patient, it
looks good, but also can be an aging.
And think about that.
That fat is sub mailer.
It's up here.
It's not.
Down here where a lot of people want it done.
So if you can't do that, what are some things that I do do?
Number one, tightening devices.
So you guys comment all the time, High few, high intensity focused ultrasound,
old thera that you lost facial fat.
I have a whole video.
I'll put a.
A a a tab up here in a link below on that video, this device ruined into my face.
Okay?
There's two things that can happen.
You can get your fat for sure, okay?
So we can target fat.
That's a good thing.
If you want it gone, it's a bad thing where you want to
maintain in the upper face.
The other thing is understand a lot of these people that will say that
if you look and you volumetrically assess them with 3D imaging, what
you find is they had skin tighten.
So the sagging skin, look, it came from the frame of the face.
It sagged down.
It gave the effect of volume.
Now you've tightened the skin with the device, which is what it's supposed to do,
and you've also tightened the fat pads.
So it looks like you've lost a little bit of volume.
So understand.
But you can use them to target fat.
Number two, in things that I do, that you can do that's non-surgical,
minimally invasive RF microneedling.
Now, this is something I do on a regular.
To target that almost all of us age by getting submental sag and fat,
uh, changes in the fat pads here.
One concept you need to understand it isn't just that the fat pad s it's
that they grew the nasal label fat pad.
It grows, uh, the fat pad down by the, the pre zone, down by
the edge of the mouth, okay?
The oral commissure that grows and then bone.
in the chin, in the bone here, back here.
That all makes it clap.
So it's very complex.
It's not as simple as just sag, but with RF microneedling,
there's two great things.
Go in target, the fat medium to high heat deep.
Needle penetration, 3.54 millimeters and long duration of heat.
So it's all about the heat, the duration, uh, and the depth.
But you target that with it.
Every device.
That's great cause you're gonna ask me what device can harm someone.
You might call the removing fat burn in the face, harming them in the right area.
You're helping them.
So RF microneedling is.
the third Ella injections.
Okay, I do it.
I've actually done it on myself, so you can do it here.
Um, am I over the top impressed by it?
No.
Do I like it?
Yes.
What I do a full face, no couple issues.
Number one with it is, It targets the Mylon in the nerve where the
nerve jumps, boom, boom, boom, and you can lose function of a nerve.
It usually comes back after, uh, two to six weeks.
I've had patients who've had it done, uh, that I.
Harm their nerve from it always comes back.
How do I do that?
I tell them, Hey, do it at a good time for you.
If you get a droop in the face, is it okay?
Oh yeah, I'm going to climb mountains, I'm going to activity.
I'm going to sports.
I don't care.
It'll come back.
But if you have a wedding or an event, I don't do it.
The results, okay?
Takes about 2, 3, 4, 5 sessions.
This is resistant fat.
It's not the exact thing you want to do for the face.
And remember, Ella?
Deoxy Coate.
If you talk to the meso therapist of the world who invented all this
stuff, Deoxy, coate, phosphate, teal, coline, that's the combination really.
You wanna look for.
Cabella does work well.
If I had my choice, I would have a combination.
Uh, PC C we call it.
Um, but.
It, it, there's not a lot of fat.
So there's ligaments, there's muscle, there's bone, but there's a
couple millimeters of fat down here.
There's not a lot to targets.
Even if you got rid about all of it, it's not gonna be this huge, impressive result
cuz you need a lifting effect as well.
Finally, izing.
So if there's gain in the upper face as per year, consult
a hollow temple Zygomatic.
Bone that is deteriorated will use that word that is osteoporotic.
If you have a pre hollow where there's gain, where I can ize the upper
face, microneedle, the lower face, win, win, win that candidate, I'm
gonna have a hundred percent success.
Every time, and I don't delegate this stuff.
If I'm doing my RF micro kneeling, I'm doing it because I know I
need the exact right settings and I know every face is different.
But if I have that kind of gain in a face, if I have a round fat face,
someone who doesn't have fat in the body, but there's a lot of facial fat, I
can't add filler, are gonna bloat them.
So I only now.
Kiela rf, microneedling and ultrasound as an example, heat
sources to deteriorate that back.
But facial volume by way of uplifting by way of contouring
can certainly lift the lower face.
It's not going to be the least expensive thing you do.
Volume.
Costs money, so by far and away healthy lifestyle, losing weight, and then
looking towards the facial console for procedures that might work for you.
I want to know, do you have anything to add?
Have you had it done?
I put a video here on this device ruined my face so you learn a little bit more
about the fat pads in the face and why a great device can harm your face.