Actual RealSelf Patient Comment:  if I had lost my buccal fat due to anorexia and excessve weight loss, can i gain it back by gaining weight? Or is it forever lost? I do get Sculptra but it isn’t growing (only lumpy) and i am super scared of the risk of blindness! If it’s a no to buccal fat, what about volume on other areas like forehead and chin? Will I gain volume there if I gain weight? Thank you.

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Dr. Persky’s Reply:  You have lost weight! Fat loss from weight loss is not irreversible, buccal fat should fill again as you regain your weight. I would recommend Sculptra injections. In the hands of an expert injecting physician, there is extremely low possibility of adverse events, I am not aware of any reports of blindness from buccal injection of Sculptra.