Lipoatrophy

What is Lipoatrophy?

Lipoatrophy, also known as facial wasting, refers to a characteristic fat loss in the cheeks and temples.  When the fat wastes away it results in a bony “sunken” facial appearance. Facial lipoatrophy is more likely to occur in individuals who have taken HIV medications and can be quite stigmatizing.  

What causes Facial Wasting?

  • Nucleoside analog Anti-HIV drugs (long-term use)
  • Natural aging
  • Low body fat percentages
  • Anorexia or bulimia
  • HIV/AIDS, cancer, and Other diseases resulting in extreme weight loss

Treatment for Facial Wasting

The two most common treatments for facial wasting include Sculptra and Radiesse.  They are used to treat all four stages of facial wasting, normal, mild, moderate, and severe facial wasting.

Sculptra: Sculptra injections increase facial volume. Sculptra can be performed in-office with no pretesting and normal activity can be done immediately after treatment.

Radiesse: Radiesse is a dermal filler composed of synthetic calcium hydroxylapatite.  Radiesse is administered through a series of injections instructing the body to make collagen filling the area.