Services Doctors Results Reviews
Expert tested
Trichologist, dermatovenerologist, cosmetologist
Publication date: August 21, 2022
Review date: November 10, 2022
The oval face shape is considered the most beautiful and harmonious. Expressive features, high cheekbones, a chiseled chin are the ideal that many people dream of. Now, if only those chubby cheeks could be removed!
Causes of excess fat?
Subcutaneous fat on the face, especially around the eyes, cheeks and chin, can appear in both men and women. There are several reasons for this. The most important thing is a general increase in body weight due to low mobility and unbalanced nutrition, poor sleep and drinking disorders. Another factor is alcohol consumption. Fat is deposited on both the figure and the face. Secondly, poor posture contributes to the deposition of fat on the double chin and cheeks. Thirdly, genetic characteristics. Many people have their own personal problem areas where fat accumulates first. Jowls, chubby cheeks, Bish's lumps, and a sagging chin greatly spoil the oval of the face and visually add age.
Also, the appearance of the face can be worsened by deposits mistaken for fat: swelling and aging skin. Over time, the skin loses tone, becomes flabby, dehydrated, and wrinkled.
The reason why the face is not contoured enough and fat deposits have occurred is determined by the cosmetologist at the appointment. A professional will understand the situation and select the correction method that is most suitable in each specific case.
Solving problems with an endocrinologist
If there is an imbalance in the hormonal system, then an endocrinologist will eliminate it. I, Georgy Nikitich Romanov, am an endocrinologist with more than 20 years of experience in the specialty. If you have very oily facial skin, and conventional methods do not help to eliminate this problem, then the best solution would be to contact me for help. I will take a detailed history, prescribe tests based on what I see, evaluate the results, and determine effective treatment. Women of different ages approached me with this problem, and we always found the best solution to this problem.
I provide face-to-face consultations at a medical clinic in Gomel, as well as online consultations. You can sign up for an online consultation in one of the suggested sources: Viber, Telegram, Instagram, WhatsApp, Skype, Vkontakte.
My experience and knowledge work for you to solve skin problems and eliminate existing discomfort.
Is it possible to get rid of it?
It is necessary to get rid of what interferes. Especially when it comes to the face. The deposition of fat in noticeable areas interferes with our perception of ourselves, causes difficulties in communication, and spoils self-esteem. Excess weight on the face is a real problem. It often happens that a woman goes to an aesthetic cosmetology clinic, wanting to correct only her face. Modern techniques can quickly and effectively help solve this problem. Your face will become clearer, your cheekbones will stand out, you won’t have to hide your fat chin and be ashamed of your jowls.
How to deal with oily skin
All processes in the body are interconnected; an excess of some hormones leads to an excess or suppression of others. Therefore, the first priority in treatment is to find the root cause. Without properly targeted treatment there will be no long-term results.
If oily skin type has been passed on from birth, then you should not abuse bad habits and not monitor your general health, so as not to aggravate the situation. Proper nutrition, moderate physical activity, healthy, full sleep, positive emotions and a limited amount of stress are the key to a long and happy life without serious diseases. If problems arise, then you shouldn’t solve them yourself; for this, there are experienced specialists who will save money, time and improve the rhythm of life.
Method for getting rid of excess fat
Lipolitics are becoming an increasingly popular way to get rid of excess fat. Injections of preparations based on the natural soy enzyme - lecithin - quickly and reliably “burn” fat cells, turning them into acids. This is one of the types of mesotherapy, separated into a separate procedure. It works best on individual fat deposits. If we are talking about voluminous, total weight gain, the doctor will recommend a different weight loss strategy.
The drug is administered with thin needles as comfortably and non-traumatically as possible for the client.
Lipolitics are well tolerated and virtually no rehabilitation is needed. The composition of the drug, in addition to the enzyme, may also include other substances that enhance the removal of fatty acids and have a positive effect on the skin: hyaluronic acid, other amino acids, caffeine, artichoke extract, etc. As a result, not only does several cubic centimeters of subcutaneous tissue “burn” fat, but also moisturizes the skin and is nourished with vitamins.
Depending on the complexity of the client’s problem, the cosmetologist will select a suitable lipolytic drug with direct or indirect action and tell you how often the procedure should be done. The manipulation itself takes up to half an hour. Minor swelling after injections will subside within a short time.
Important : in addition to injections, you need to think about your lifestyle. The doctor will recommend procedures that will enhance the effect of lipolytics. But it is also necessary to control your diet, drink enough water, spend time in the fresh air, and use the right cosmetics. Good results are achieved by complexes of special gymnastics for the face, the so-called face fitness. Giving up bad habits, especially drinking alcohol, will also help you lose weight.
How to make your cheeks slimmer?
So is it possible to get rid of chubby cheeks? Can. There are different ways.
Using ultrasound
The main remedy in the fight for a slim face is Ultherapy - a modern ultrasonic deep lifting procedure. Such lifting can remove gravitational ptosis - a natural process caused by weakening of the ligamentous apparatus with age. Altera is the best procedure to date for reducing the volume of subcutaneous fat, tightening soft tissues, and forming clear facial contours.
Ulthera Therapy is the only procedure in the world with high-intensity micro-focused ultrasound technology for powerful skin tightening. It includes both direct skin tightening and subcutaneous fat tissue, facial muscles, collagen and elastin fibers. This lift gives a pronounced and long-term rejuvenation effect. Tissue tightening occurs using focused ultrasound, which has the ability to penetrate to a depth of 4-4.5 mm. This is the level of SMAS - superficial muscular aponeurotic system. It is located under the skin and connected to it into a single frame. Ultrasound heats the subcutaneous layers. When the temperature rises there, the collagen fibers and connective tissue of the fatty layers thicken. The skin begins to tighten. And in order for the effect to be natural and long-lasting, an internal renewal process begins in the skin. Altera is a one-time procedure with no seasonal restrictions and no rehabilitation period. After the procedure, the skin renewal process continues for 2-3 months, after which the patient’s appearance is radically transformed! The effect of the procedure lasts up to 5 years!
Using fillers
Dense modern fillers with a sculpting effect help to visually reduce the volume of the cheeks. These include the German Radiesse and the French Sculptra.
Radiesse based on calcium hydroxyapatite can not only smooth the skin, but also activate the process of producing new collagen in it. Accordingly, a powerful internal rejuvenation process occurs in the tissues.
This gel is dense, so with its help you can completely harmonize your appearance - the drug is injected into certain areas, which is why the face begins to appear thinner. In this case, the smallest anatomical features of the face are taken into account. For example, with the help of the drug you can create beautiful cheekbones that will begin to attract the attention of others.
The first result is visible immediately after the procedure. Radiesse is evenly distributed in empty areas of the subcutaneous layer, returning the tissues an aesthetically attractive, but not excessive, volume. 2-3 months after the injection, macrophages (utilizer cells in the skin) absorb the gel carrier, calcium microspheres remain, they stimulate the production of new collagen. After administration of the drug, the face will look young and healthy for at least 2 years. Longer-lasting effects are also noted.
The new generation drug Sculptra works on a similar principle: by adding volume in one place, you can achieve the effect of reducing volume in another.
The main active ingredient of Sculptra is polylactic acid. This is a powerful biostimulator of collagen types 1 and 3. It is also called “young collagen”. After the introduction of polylactic acid, the skin is noticeably tightened, deep folds and wrinkles disappear. Polylactic acid is a safe component. Over time, it completely disintegrates and is eliminated from the body naturally.
The effect after injections lasts for 2 or more years. From time to time, the patient may need to administer 1-2 additional bottles to look perfect.
Estefil (AestheFill) also belongs to polylactic acid preparations. As soon as this hydrogel enters the skin, it begins to actively fill the voids that form as a result of skin aging and the loss of its own structural proteins. Once in the target area, the drug particles begin an immediate process of tissue renewal and collagen formation, due to which the volume is completely replenished and even deep wrinkles are smoothed out. This happens precisely because of the special properties of Estefil molecules, which, due to their porous structure, provide the most effective collagenogenesis. Fibroblasts (skin cells) begin to work both outside and inside the microspheres.
In addition, polylactic acid actively stimulates the production of hyaluronic acid by mature skin cells. The uniqueness of the filler is that after the disintegration and complete removal of its main active substance from the body (on average, this process takes 3–4 months), what remains at the location of the gel is not a void, but new collagen and elastin. Accordingly, the result will last a long time - until the moment when, under the influence of age factors, the breakdown of your own collagen and elastin begins.
Using thermolifting
This is a non-surgical method of skin tightening by intensely heating the soft tissues of the face with high-frequency radio energy. Warming up the deep layers of the skin causes compression and compaction of the collagen fibers that make up the dermal framework, which leads to a noticeable increase in skin turgor and modeling of the oval of the face. High temperature activates the process of fat breakdown, resulting in a decrease in the thickness of subcutaneous fat tissue.
To achieve optimal results, a course of 6-12 procedures is recommended, carried out once every two weeks. The result lasts up to 2 years.
Non-surgical liposuction is also performed in the cheek area and under the lower jaw using the Ultraliposonic device. The device combines ultrasound and radio wave energy (RF-radio wave thermolifting). The device acts precisely on the most problematic areas of the skin, where there are obvious fat deposits. In this case, neighboring areas of the body are not affected. High-intensity ultrasound energy is focused at a specific depth, breaking up fat cells, and radio wave energy heats the tissue, making the breakdown products more fluid. Radio wave energy, heating the skin tissue, stimulates fibroblasts to form new structural proteins - collagen and elastin. After the appearance of young collagen and elastin, a pronounced lifting effect is observed. This is very important when reducing body fat. After all, when fat disappears, the skin begins to sag, which looks extremely unaesthetic and immediately adds age. Therefore, it is good when it is possible to immediately start the skin tightening process.
With the help of lipolytics
These remedies help not only get rid of chubby cheeks and double chin, but also solve the problem of how to remove sagging cheeks. The preparations, which are injected into problem areas, contain components that promote the breakdown of subcutaneous fats with their subsequent transformation into energy. In addition to these components, the products contain elastin, collagen, hyaluronic acid, and caffeine. Thanks to these components, blood flow and lymph flow are stimulated, metabolic processes are normalized, and the mechanism of synthesis of natural collagen and elastin is launched.
This effect of lipolytics allows you to get rid of the fat layer, tighten the skin, due to which the oval of the face is corrected.
Principles of treatment, hardware treatment methods
Therapy is aimed at various tissue levels and solving a number of problems:
- improvement of quality and functional parameters of the skin;
- correction of fatty tissue volumes;
- reposition of soft tissues;
- myomodeling;
- replenishment of skeletal support for soft tissues.
To correct altered facial contours, the following cosmetic ingredients : cocoa butter (Cacao Butter), Nannochloropsis Oculata Extract, Kigelia Africana Extract, Goat Milk, Annuus (Sunflower) oil Seed Oil), etc.
You can replenish lost volumes, correct the shape of your face and improve the condition of your skin with injections of hyaluronic acid . They increase the volume of intercellular substance, help maintain the three-dimensional structure of the intercellular matrix, trigger biological stimulation of natural metabolism, moisturize the skin, participate in the transport and distribution of water in tissues, and enhance the protective function of the skin. A number of hyaluronic acid preparations allow you to mechanically even out the contour of the face, but this method only lasts for a few months.
You can make facial contours clearer with the help of lifting or reinforcing mesothreads . of botulinum toxin helps solve this problem (again, temporarily).
A powerful, but quite traumatic method of correcting changes in the oval of the face is plastic surgery (for example, a circular facelift). However, this solution is not indicated for all patients and has the potential for serious complications.
Hardware cosmetology today offers 2 main methods for improving the contours of the oval face: high-intensity focused ultrasound and RF lifting . Unlike laser techniques, they are able to act at a greater depth, triggering remodeling processes not only at the level of the dermis, but also in the subcutaneous fat and even SMAS. RF techniques based on deep heating, such as Thermage and TriPollar RF (Maximus and geneO+), can reduce the volume of local fat deposits by activating lipolysis.
RF and focused ultrasound cannot be considered as an alternative to plastic surgery - however, they can postpone plastic surgery for a while.
Questions from our users:
- facial contour correction
- facial contour correction cosmetology
- facial contour correction with fillers
- facial contour correction massage
Benefits of water
It is wrong to refuse water and liquid intake to remove swelling. It allows you to maintain skin tone and improves the body's hydration processes. An adult should drink about 2 liters of fluid every day. In the hot season, the daily norm increases by 1.5 times.
Drinking clean water does not replace tea, coffee, or broths. To improve your well-being, you need to pay attention to the quality of the liquid. It is recommended to drink spring, mineral water, herbal infusions or green tea.
Sebaceous glands
Disruption of the sebaceous glands plays an important role in the development of acne and pyoderma. Acne occurs when the sebaceous glands become blocked and infected. Obesity in young people often leads to acne. Disruption of the sebaceous glands is often associated with disruption of the production of certain hormones, as well as long-term use of hormonal medications.
Acne
Obese people have increased levels of androgens, growth hormone, and insulin-like growth factors. This is a risk factor for acne.
Exercises for jowls
If you are not lazy and devote only 15-20 minutes a day to yourself, then gymnastics will return a blooming, fit look to young people. People with pronounced age-related changes, unfortunately, will not be able to remove jowls with exercises, but the complex proposed below will help slow down further sagging of the skin:
- - puff out your cheeks strongly for 30 seconds every day and roll the air in all directions,
- - pursing your lips like a tube, “blow out” an imaginary candle 50–55 times daily,
- - press your index fingers firmly to your cheeks and try to smile, overcoming resistance. This is a great exercise to strengthen your facial muscles!
Performing facial massages
A person needs complex treatment. Massage allows you to quickly remove excess fluid from soft tissues. You need to take a towel soaked in a decoction of chamomile herbs and work your face with patting movements. This massage technique improves blood circulation and improves the tone of soft tissues. The procedure is done after waking up.
Nourishing masks will help maintain the tone of the dermis. Their benefits:
· improving the elasticity of the dermis;
· additional skin nutrition;
· saturation with vitamins and nutrients.
You can use professional cosmetics or make your own at home. Skin nourishing masks are made from crushed oatmeal, fresh cucumber juice, strawberry pulp, and raspberries. Before use, it is important to check the body's reaction. Some foods may cause a severe allergic reaction or irritation.
To choose a professional cosmetic product, you need to consult a cosmetologist. He will select a mask and tell you how to use it and how to lose weight in your face. When choosing, the characteristics of the body, skin type, and condition are taken into account.
Let's sum it up
There can be many reasons for the occurrence of increased oiliness in the dermis, but the solutions to all problems are basically the same. Therefore, it is very important to figure out how to reduce or remove, get rid of excess oily skin on the face, what to do when the chosen gentle products no longer help, and what you can count on. Modern cosmetology offers many different options for influencing the dermis, but not all of them are equally safe and effective, and many problems can be completely solved with high-quality home care.
Skin diseases that are aggravated by obesity
With obesity and overweight, diseases such as:
- lymphedema;
- psoriasis;
- chronic venous insufficiency;
- insulin resistance syndrome;
- cellulite;
- skin infections of various etiologies, including fungal;
- plantar hyperkeratosis;
- hidradenitis suppurativa;
- Diaper rash.
ONLINE REGISTRATION at the DIANA clinic
You can sign up by calling the toll-free phone number 8-800-707-15-60 or filling out the contact form. In this case, we will contact you ourselves.
How to tighten jowls surgically
If jowls appear on a “heavy” face against the background of large excess skin, the methods listed above will give a weakly expressed aesthetic effect. In this case, the face can only be modeled using surgical lifting.
Platysmoplasty and SMAS lifting will help tighten the jowls on the face. During the operation, the tissues are moved to their previous, youthful position and securely fixed. Excess skin is removed. In the muscle-free area of the lower jaw, the surgeon artificially creates support systems that keep facial tissues from rapidly sagging.
This method eliminates age-related sagging skin, makes the face young and harmonious. Deep folds and wrinkles are smoothed out, the oval line of the jawline is leveled, a deep, even “angle of youth” is formed between the chin and neck, the corners of the lips are raised and the “crying Pierrot” facial expression disappears.
Postoperative sutures are polished after a month and become completely invisible even without makeup.
Jowl lift with threads
Go to the mirror and slightly lift the skin in the cheekbone area upward. Do you see how the oval of the face has straightened out and the chin has become more youthful?
Installing threads creates the same effect - it returns the sagging tissues back to the top. After half a year, the threads dissolve and leave behind a strong, collagenous frame, which maintains the achieved result for about 4 years.
Expert comment:
“Reinforcing shavings alone is fundamentally wrong. The flutters are just a consequence. The reason is the prolapse of soft tissues. Therefore, first of all, you need to strengthen your face in the area of the cheeks, cheekbones and temples. Strengthening them will pull the fringes up and prevent them from sagging quickly.
To enhance the effect of the procedure, I usually recommend eliminating excess subcutaneous fat, which over time will move down again and lead to the formation of new jowls. To solve this problem, along with reinforcement, a course of Dermaheal Eyebag Solution will be administered - a lipolytic that breaks down fat and at the same time strengthens the skin.”
Andrey Iskornev, plastic surgeon.
Photos "before" and "after"
SMAS face lift. Surgeon - Andrey Iskornev.
SMAS face and neck lift. Surgeon: Iskornev A.A.
SMAS face and neck lift. Photos before and 7 days after without photo retouching. Surgeon: Iskornev Andrey.
Isolated lift of the lower third of the face and neck. Tightening of jowls and folds of sorrow in the corners of the lips. Surgeon: Vasiliev Maxim.
In the absence of significant excess skin, a comparable effect can be achieved with a thread lift of the face and neck. The best result is obtained by placing 4 threads: 2 on each side of the face.
SMAS mid-face lift, endoscopic forehead lift, deep Hollywood platysmaplasty, CO2 fractional skin resurfacing, lip contouring. “Before” and 10 days “after”. Surgeon: Iskornev Andrey.
Cosmetics for oily skin from La Roche-Posay
Cleansers
Effaclar Ultra micellar water for oily problem skin
EFFACLAR ULTRA
Micellar water
Thoroughly cleanses the skin of impurities, delicately removes makeup, and does not require rinsing with water. Mattifies, does not cause friction and damage to the protective barrier.
RUB 1,092 more details
Effaclar Purifying Mattifying Mask
EFFACLAR
Purifying mattifying mask
Cleanses even impurities invisible to the eye, visibly reduces pores, and controls excess sebum secretion.
RUB 1,061 more details
Cleansing foaming gel for oily problem skin prone to acne Effaclar gel
EFFACLAR GEL
Cleansing gel
Cleanses even impurities invisible to the eye, visibly reduces pores, and controls excess sebum secretion.
951 rub. more details
Cleansing cream-gel for dry problem skin Effaclar
EFFACLAR H
Cleansing cream-gel
Gently cleanses, restores the hydrolipid mantle of the skin, has a sebum-regulating and antibacterial effect.
RUB 1,259 more details
Tonics
Pore tightening lotion with mattifying effect Effaclar
EFFACLAR
Lotion
Effectively cleanses pores and reduces their size, mattifies and evens out the surface of the skin thanks to a combination of cleansing components and Lipo-hydroxy acid.
RUB 1,468 more details
Matting agents
Moisturizing mattifying sebum-regulating emulsion Effaclar
EFFACLAR MAT
Mattifying sebum-regulating emulsion
Contains the Sebulyse component, which reduces sebum production, providing a mattifying effect and helping to tighten pores. Intensely moisturizes and prevents skin from dehydration.
RUB 1,618 more details
Corrective emulsion for oily skin Effaclar K(+)
EFFACLAR K(+)
Emulsion for oily skin
Contains the Sebulyse component, which reduces sebum production, providing a mattifying effect and helping to tighten pores. Intensely moisturizes and prevents skin from dehydration.
RUB 1,303 more details
Remedies for exacerbation of acne
Corrective cream-gel for problem skin, against imperfections and post-acne Effaclar DUO[+]
EFFACLAR DUO(+)
Corrective cream-gel
Instantly moisturizes and mattifies the skin, reduces imperfections and redness caused by them. After 8 days of regular use, the number of imperfections is noticeably reduced.
RUB 1,187 more details
Local corrective agent Effaclar AI
EFFACLAR AI
Local action corrective agent
Effectively affects imperfections, accelerating their disappearance and preventing the appearance of post-acne. The skin becomes cleaner, imperfections disappear, its surface is evened out.
RUB 1,417 more details
Implant installation
Due to its anatomical features, a small chin itself is often the cause of the formation of jowls at a young age. Sagging skin is effectively corrected by chin augmentation.
Photos “before” the operation and on the 5th day “after”.
Removal of Bisha's lumps, chin endoprosthetics with a Porex implant (USA), laser liposuction of the chin, thread lifting of the lower third of the face. Surgeon - Iskornev A.A.
Skin manifestations in obese and overweight people
- Acanthosis nigricans.
This is a fairly common skin problem in obesity. Manifestations of acanthosis nigricans are velvety, symmetrical dark spots on the back of the neck and face, in the pits of the arms, groin, elbows, and joints. The pathology is associated with insulin resistance. - Follicular keratosis .
It is the formation of papules or growths on the outer surface of the hands and face. - Hyperandrogenism and hirsutism.
The disease is typical for women. It is expressed by increased pathological hair growth on the face (a mustache and beard appear) and on the body - chest, back, legs. The condition is associated with high levels of male hormones - androgens. These symptoms are also common in polycystic ovary syndrome and insulin resistance. - Stretch marks .
Stretch marks are long white stripes on the skin that form in areas of greatest tension - the chest, buttocks, abdomen and thighs. At first they are red, then they turn purple, and after a while they turn white. - Adiposis dolorosa.
This is a rare pathological condition. It is accompanied by the formation of multiple painful fatty tumors on the body - subcutaneous lipomas. Lipomas are quite painful and increase in size over time. The condition is often observed in obese postmenopausal women.
Stretch marks Follicular keratosis
It turns out that jowls “after 40” can be avoided
Hollywood beauty standards have long been shaping the fashion on faces and in everyday life: beautiful, high cheekbones and the effect of sunken cheeks even after 50.
The procedure for removing Bisha's lumps performed at a young age is a reliable prevention of the formation of jowls after forty. By the way, it is used not only to get rid of excess cheek fat.
This technique has a dazzling bonus for correcting the shape of the face: you can noticeably highlight the cheekbones and create the effect of sunken cheeks a la Angelina Jolie, lighten the lower part of the face, visually making it narrower and more prominent.
During the procedure, Bisha's fatty lumps are not completely removed. This approach allows you to get “thoroughbred” and young, blooming cheekbones, avoiding the effect of a haggard face.
