This section of the forum is dedicated to discussions on various surgical techniques for facial rejuvenation, including fat transfer/fat grafting, browlift, blepharoplasty (cosmetic eyelid surgery), facelift, etc. Also, this category includes questions on hand rejuvenation via fat grafting. (Of note, Dr. Lam does not perform body rejuvenation except for hand fat grafting)
I have watched your lectures on the importance of balance in the face. It is important that one have a good Artistic eye in understanding volume contouring and balance of a youthful face. I think you are very knowledgeable in that area. I have had my upper cheeks and tear troughs done, but all the sculpting seemed to be all in the upper cheek (anterior cheek and upper cheek are they the same region, I don't know) In essense, all the volume was placed in the front of my face in my upper area below eye area, but what about the sides and other areas of my face, is it critical to balance all areas of the face to ensure balance when you speak about volume and balance? I ask this because I obviously don't have a good artistic eye and can't tell any difference whatsoever, however. Not everyone has an artistic eye in the PS department like you do, so I never know who I can trust to really help restore equal balance in my face.
Yes, if you are gaunt that area can be the number one area to fix, especially treating other areas can worsen it. That is called the buccal zone or some lay people call it the pucker zone since that is what sinks in when you suck your lips in.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery