Jason Emer, MD, FAAD, FACS
His Face After 100 Pounds Of Weight Loss: How Dr. Emer Rebuilt It From The Bone Out
Losing more than 100 pounds left a 32-year-old man with a face that looked decades older. Dr. Emer rebuilt the structure in one filmed visit: Radiesse on the bone, then Renuva under the eyes.
Dr. Jason Emer MD · FAAD · FACS
The practice's own photographs
The same patient from the filmed session, photographed by the practice at each stage. Individual results vary.
More from the practice's gallery
Other patients, same treatment family. Each case is one patient.
See the full before and after gallery
Every case above is a patient of the practice. Your consultation with Dr. Emer starts with your photographs and your goals.
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Dr. Emer rebuilds faces after weight loss in West Hollywood and New York. Book online and reserve your time, or call the office.
After significant weight loss, this patient's face hollowed in every layer: temples sank, midface flattened, jawline lost definition, and loose skin replaced the structure his body work could not restore.
Your plan starts with Dr. Emer.
Book online and reserve your time with a card, or call the office. West Hollywood and New York.
From the filmed session
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What Dr. Emer did · STRUCTURONICS
Placed directly on bone at the temples, back of the jaw and chin to build the frame and create width, projection and lift. Bone-level support tightens overlying loose skin.
“We're working on bone. So we're going to work on bone in the temple, back of the jaw and chin, and a little bit on the midface. And then we're also going to work on the tissue to build those areas out too.”
Dr. Emer, in the film
Windshield wiper technique with cannula, fanning filler through the submalar triangle and down to the tail in horizontal passes to lift and smooth without puffiness. Creates scaffolding struts in tissue rather than concentrated volume.
“This technique is when people have a lot of descent but need a larger area of volume. Rather than making someone look cheeky and just doing the bone, you're doing a three-dimensional approach in different layers.”
Dr. Emer, in the film
Regenerative matrix of growth factors and fat cells placed into the deep medial fat pads and inferior ocular fat pads, then tapered into the submalar area. Scaffolds the patient's own fat rather than adding permanent filler.
Why patients fly in
Weight loss empties multiple fat pads. Dr. Emer treats the face in three layers during one session: filler on bone to build the frame, hyper-diluted filler through tissue to lift and smooth, and Renuva to seed the patient's own fat and build volume over weeks.
Instead of concentrating filler in one spot, Dr. Emer fans it through the submalar triangle in horizontal passes with a cannula, creating scaffolding struts that lift without puffiness.
“This technique is when people have a lot of descent but need a larger area of volume. Rather than making someone look cheeky and just doing the bone, you're doing a three-dimensional approach in different layers.”
Years of hyaluronic acid under the eyes leads to swelling. Renuva scaffolds the patient's own fat and builds volume that integrates over six weeks without the puffy look that accumulates with repeated filler.
“My suggestion to you guys is avoid filler to the under eye. Years of doing it tends to leave people a little bit swollen, looking and puffy looking in the end like years later.”
Treating the temples, midface and lower face together creates harmony. Treating one area in isolation leaves the others recessed.
Five zones. Your face, mapped.
Your consultation maps which zones need structure back and what can wait.
THE THINKING BEHIND THE TREATMENT
Follow Dr. Emer’s approach through the stages described in this case.
Back to the video ↗He lost more than 100 pounds. His face aged with it.
He is 32. Massive weight loss strips the soft tissue that dresses the facial skeleton, and his broad, square frame collapsed with it: hollow temples, sunken under-eyes with dark circles, a recessed-looking chin, a blunted jawline, deeper smile folds and a lax neck. Dr. Emer calls the case The Collapsed Fortress, a wide, powerful frame stripped bare by the weight loss.
“But when you lose a lot of weight, you don't understand. There's a lot of more volume loss than you think in a lot of areas.”DR. JASON EMER · FROM THE VIDEO
Structure on the bone first, then the folds, then regenerative work in the thinnest skin.
“One of the things I tell people is you have to treat the face as layers, okay? So what are we doing? Right now, we're working on bone.”DR. JASON EMER · FROM THE VIDEO
In one visit in the New York office, filmed live, Dr. Emer delivered the FRAME™ phase of his MAXORIS™ plan. Undiluted Radiesse went on the bone at the temples, midface, chin and both jaw angles. Hyper-dilute Radiesse went in by cannula to soften the smile folds and the chin crease. Renuva went under the eyes by cannula, with no Radiesse in that zone.
“The reason this is a good idea to use a cannula this way is in this area, more towards the nose, there's a higher risk of issues like a vascular occlusion or anything like that.”DR. JASON EMER · FROM THE VIDEO
The change showed before he left the chair: width back at the jaw, a chin that projects, temples that hold the face up and cheeks with volume again. The under-eye work keeps building for about six weeks. He gave his consent to share his story, and the practice is following his recovery; the healing photographs will be added here as they are taken.
“If you guys look at him and straight on now, you guys could see the width on both sides coming out. And if we pan, you really can see the chin, the jaw, the cheek, the temple, all those main areas.”DR. JASON EMER · FROM THE VIDEO
The rebuild was done in one office visit with the patient awake, using a cannula in the higher risk zones to limit bruising. Expect some swelling for a few days. The practice is following his healing, with photographs planned at day 1, 3, 7 and 14.
One step is held in reserve: an ASCENT™ surgical neck step for the laxity no filler can lift, if he chooses it.
“I think the majority of people notice a lot of the change in about six weeks and beyond because that it's just taking that much time for the body to react to something that needs to stimulate it.”DR. JASON EMER · FROM THE VIDEO
Lost the weight? Get your face back.
Every rebuild starts with one consultation with Dr. Emer. Book online, or call the office.
STRUCTURONICS™ periosteal-up rebuild, filmed live in New York / Patient story
He lost more than 100 pounds. His face aged with it.
He is 32. Massive weight loss strips the soft tissue that dresses the facial skeleton, and his broad, square frame collapsed with it: hollow temples, sunken under-eyes with dark circles, a recessed-looking chin, a blunted jawline, deeper smile folds and a lax neck. Dr. Emer calls the case The Collapsed Fortress, a wide, powerful frame stripped bare by the weight loss.
In one visit in the New York office, filmed live, Dr. Emer delivered the FRAME™ phase of his MAXORIS™ plan. Undiluted Radiesse went on the bone at the temples, midface, chin and both jaw angles. Hyper-dilute Radiesse went in by cannula to soften the smile folds and the chin crease. Renuva went under the eyes by cannula, with no Radiesse in that zone.
The change showed before he left the chair: width back at the jaw, a chin that projects, temples that hold the face up and cheeks with volume again. The under-eye work keeps building for about six weeks. He gave his consent to share his story, and the practice is following his recovery; the healing photographs will be added here as they are taken.
This patient lost more than 100 pounds. Massive weight loss strips the soft tissue that dresses the facial skeleton, and his broad, square frame collapsed: hollow temples, sunken under-eyes with dark circles, a recessed-looking chin, a blunted jawline, deeper smile folds and a lax neck. Dr. Emer calls the case The Collapsed Fortress.
He came to the New York office for facial sculpting, filmed the whole visit and gave his consent to share his story.
Dr. Emer's STRUCTURONICS™ method starts at the deepest layer. Undiluted Radiesse went directly on the bone at the temples, midface, chin and both jaw angles, rebuilding the frame the weight loss took. Then hyper-dilute Radiesse went in by cannula to soften the smile folds and the chin crease.
The order matters. The structural product goes on the bone, the regenerative product goes in the tissue, and the two are never mixed. In the MAXORIS™ system this visit is the FRAME™ phase: the foundation everything else is built on.
Zone by zone
Structure on the bone first, then the folds, then regenerative work in the thinnest skin.
Re-erects the collapsed frame with projection from the deepest layer. The temple holds the face up and blends into the cheek.
Re-anchors the lower third, corrects the recession and widens the chin slightly for a masculine base.
Redraws the jawline and keeps the width. A defined jaw also supports the neck, which loosens after weight loss.
Softens the creases that remain once the bone is rebuilt, laid in fine struts rather than one deposit.
A regenerative adipose matrix that helps the body rebuild its own fat in the thinnest skin of the face. It keeps improving for about six weeks.
The treatment, explained
Also called male facial contouring, layered filler technique, Radiesse jaw and chin filler, Renuva under eye treatment, hyper-diluted filler midface, windshield wiper filler technique, regenerative facial filler.
Ready when you are.
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Signature procedures
Face / jaw
Dr. Emer's male jaw and face sculpting: a sharp mandibular line and defined angles, built with structural filler, debulking liposuction with internal heating, and hidden-scar neck lifting when the anatomy calls for it.
Peptides / biologic optimization
Peptide and biologic protocols for recovery, body composition and longevity, with epigenetic testing. RECODEX™ peptides are available to purchase through the practice after consultation.
Body / AETHRAFORM top tier
The top tier of MAXORIS™ body sculpting: high-definition liposculpture, fat grafting and internal tightening, planned as one masculine geometry rather than separate areas.
Your MAXORIS™ plan starts here.
Book online and reserve your time with a card, or call the office. West Hollywood and New York.
Why Dr. Emer
Male facial sculpting longer than anyone in the United States, and the highest filler volume on the West Coast.
Dr. Emer's STRUCTURONICS™ method starts at the deepest layer. The structural product goes on the bone, the regenerative product goes in the tissue, and the two are never mixed. That order is what lets a man look rebuilt rather than filled.
He performs every treatment himself, in West Hollywood and New York, and teaches the method to physicians. Men come to him when the face has to read as structure: after major weight loss, after filler elsewhere that went soft, or when a strong frame never showed.
The deepest structural product goes on the bone and the regenerative product goes in the tissue. Building in that order is what reads as a stronger frame instead of a fuller face.
Radiesse is too firm and visible in the thinnest skin of the face. The under-eye is rebuilt with Renuva instead, which avoids the puffy look years of under-eye filler tends to leave.
Each zone takes a small amount, and a weight loss face needs many zones. Under-treating gives neither the result nor the longevity.
Near the nose the risk of a vascular problem is higher, so those zones are treated with a cannula, which also limits bruising.
The goal is a broad, square frame again, not round cheeks. The face is rebuilt in three dimensions, layer by layer.
Book with the doctor who built the method.
Dr. Emer performs every treatment himself. Book online, or call the office.
Asked plainly, answered plainly
Weight loss cases often require more volume than enhancement cases because multiple fat pads are depleted. The patient in this video received filler in the temples, jaw, chin, midface and under the eyes in one session. Exact volume is decided during consultation based on how much was lost and where.
Radiesse and hyaluronic acid filler last one to two years. Renuva is regenerative: it scaffolds your own fat, so the result builds over weeks and lasts as long as your fat does.
Most patients have mild swelling for a few days. Renuva adds extra fullness the day of treatment, then settles over six weeks as the regenerative process completes. Bruising is minimal with the cannula technique.
Yes. Many patients start with the lower face and add the midface or temples later. The patient in this video completed the full plan in one visit, but staging is common.
Weight loss empties multiple fat pads. Rebuilding one area leaves the others hollow. Dr. Emer treats the upper, mid and lower face together to create proportional balance.
Years of hyaluronic acid under the eyes leads to swelling. Renuva scaffolds your own fat and builds volume that integrates over six weeks without the puffy look that accumulates with repeated filler.
The cannula technique is more comfortable than a needle and causes minimal bruising. Most patients report little to no pain during the procedure.
The layered approach creates structure that reads as natural at rest. The result is visible immediately, but the regenerative components continue integrating over six weeks, so the final look builds gradually.
Ask Dr. Emer in person.
Every question above is answered properly in a consultation. Book online, or call the office.
Your rebuild starts with one visit.
Book online and reserve your time with a card, or call the office.
A consultation with Dr. Emer maps where your face lost structure, which zones need it back, and what can wait.
West Hollywood and New York City