Jason Emer, MD, FAAD, FACS
Pan Facial Volumization With Alloclae For HIV-Related Volume Loss: How Dr. Emer Rebuilds Structure Without Synthetic Filler
How Dr. Jason Emer uses cadaveric fat (Alloclae) to restore facial volume and structure in patients with HIV-related lipo atrophy, building a foundation that stimulates the body's own tissue.
Dr. Jason Emer MD · FAAD · FACS
The practice's own photographs
Patients of the practice, from Dr. Emer's published before and after gallery. Each case is one patient. Individual results vary.
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.
Pan facial volumization with cadaveric fat (Alloclae) restores deep structure and stimulates permanent tissue growth in HIV-positive patients with facial lipoatrophy.
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
What Dr. Emer did · RE:SKN
Alloclae placed in the midface on bone and in tissue using a larger cannula to rebuild foundation structure lost to HIV-related lipoatrophy.
“I already did a little of the midface, nasal labial folds, under eyes, and temple.”
Dr. Emer, in the film
Alloclae placed in the infraorbital hollows and temporal fossa to eliminate shadowing and restore lateral facial volume.
Deep placement of cadaveric fat in the nasolabial folds to lift and soften the fold from the foundation.
Alloclae placed in the prejowl sulcus and along the posterior jawline to create definition and lift the anterior face.
Posterior placement around the ear to vector the face backward and lift the anterior tissues.
Small amount of Alloclae placed on the brow bone and temple fusion line to eliminate step-offs and create a continuous contour.
“This is where I'm going to blend the OG curve to the temple and brow. This is where you got to refine what you're doing.”
Dr. Emer, in the film
Why patients fly in
Fat grafting and cadaveric fat survive exceptionally well in this population, and Dr. Emer pioneered the pan facial approach now studied by other physicians.
Posterior volumization lifts the anterior face, brow blends into temple, jawline builds backward to create forward lift.
The material rebuilds the skeletal foundation and stimulates the body to produce its own fat, which is why the result is permanent.
“The cool thing about this is it can be injected on bone or in tissue. And because of the sculpture, it'll stimulate collagen production throughout his face and hopefully give him tightening as well.”
The subcutaneous layer is chosen because fat builds fat, and the technique creates structure that synthetic filler cannot replicate.
THE THINKING BEHIND THE TREATMENT
Follow Dr. Emer’s approach through the stages described in this case.
Back to the video ↗HIV-related lipo atrophy left him with hollowed cheeks, deep folds, and lost structure throughout the face.
Sculptra had not worked well for him in the past, and synthetic filler would have been expensive and temporary. Dr. Emer chose cadaveric fat (Alloclae) placed throughout the face: midface, under eyes, temples, nasal labial folds, prejowl, jawline, and brow, all planned and placed to lift and contour as one system.
“So, we're doing pantacial volumization. He had a lot has lots of volume loss in his face and to give him like a face like lift like effect to give him some contour and definition.”DR. JASON EMER · FROM THE VIDEO
Pan facial volumization means every area is treated as part of one plan, not isolated injections.
“To do that with all this fillers, it'd be very expensive. It's synthetic. It wouldn't last as long. So, here I'm doing this with a fat that's from Kadaavvers.”DR. JASON EMER · FROM THE VIDEO
The patient left swollen, which is expected: the numbing medicine and the volume from the material itself create an overdone look on day one. The main swelling resolves within one to three days, and the final result is visible at two weeks as the material settles and integrates.
“Very deep volume that was lost. Now replenished. And then when that settles in, it'll soften and look great. Everyone always looks overdone initially.”DR. JASON EMER · FROM THE VIDEO
“I tell people 2 weeks, but within 1 to 3 days, the main swelling will go down and you won't look chip monkey like that.”DR. JASON EMER · FROM THE VIDEO
Pan facial volumization for HIV-related lipo atrophy / Patient story
HIV-related lipo atrophy left him with hollowed cheeks, deep folds, and lost structure throughout the face.
Sculptra had not worked well for him in the past, and synthetic filler would have been expensive and temporary. Dr. Emer chose cadaveric fat (Alloclae) placed throughout the face: midface, under eyes, temples, nasal labial folds, prejowl, jawline, and brow, all planned and placed to lift and contour as one system.
The patient left swollen, which is expected: the numbing medicine and the volume from the material itself create an overdone look on day one. The main swelling resolves within one to three days, and the final result is visible at two weeks as the material settles and integrates.
The patient in this video has HIV-related lipo atrophy: deep volume loss in the face that changes structure, not just surface. Synthetic fillers would be expensive, temporary, and would not address the underlying tissue loss. Dr. Emer chose a different approach: cadaveric fat (Alloclae) placed throughout the face to rebuild the foundation and stimulate the patient's own fat production.
This is pan facial volumization, meaning the entire face is treated as one plan: midface, under eyes, temples, nasal labial folds, prejowl, jawline, and brow. The material is placed on bone and in tissue, and it integrates over weeks as swelling resolves and the body responds.
Dr. Emer has treated HIV-positive patients for nearly 20 years, and the outcomes with fat grafting and cadaveric fat are consistently strong in this population. The material survives well, stimulates collagen production, and becomes permanent as the body builds its own tissue around it.
Sculptra, which works for many patients, did not function as well for this patient in the past. Alloclae gave him the volume and structure he needed in one session, with the option to refine later using micro droplet silicone or additional filler on the bone.
How a session is built
Pan facial volumization means every area is treated as part of one plan, not isolated injections.
The face is assessed for volume loss on bone and in tissue, and the plan is drawn to rebuild structure and lift.
Alloclae is placed in the midface, under eyes, temples, nasal labial folds, prejowl, jawline, and brow using a larger cannula.
Volumizing the area around the ear lifts the face anteriorly, which is why the jawline is part of a facial lift plan.
The temple and brow are blended to eliminate step-offs, and the entire face is refined so both sides finish symmetric.
The treatment, explained
Also called Alloclae, cadaveric fat grafting, HIV facial lipoatrophy treatment, deep facial volume restoration, permanent facial volumization.
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Signature procedures
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.
Why Dr. Emer
Dr. Emer has built a reputation treating HIV-positive patients with facial volume loss, using techniques that work when synthetic filler does not.
He pioneered approaches to pan facial volumization that are now studied by other physicians, and he personally performs every procedure in his practice. Patients come to him when the volume loss is medical, not cosmetic, and when the result has to last.
His practice is in West Hollywood and New York City, and consultations begin with photos submitted in advance so he can assess your case before you arrive.
Fat grafting and cadaveric fat consistently produce strong outcomes in this population, which is why Dr. Emer has used it for nearly 20 years.
The material integrates with the surrounding tissue and stimulates the body to produce its own fat, which is why the result is permanent.
Unlike synthetic filler, which is limited to soft tissue, cadaveric fat can be placed directly on bone to rebuild structure.
Once the base is set, micro droplet silicone or additional filler can be used to refine specific areas.
Asked plainly, answered plainly
Yes. The cadaveric fat integrates with your tissue and stimulates your body to produce its own fat, which is why the result is permanent. Once the material settles, the structure it creates becomes part of your face.
The numbing medicine mixed into the Alloclae and the volume from the material itself create an overdone look on day one. Dr. Emer places 20 to 30 percent more than the final goal to account for settling. The main swelling resolves within one to three days, and the final result is visible at two weeks.
Fat grafting and cadaveric fat survive exceptionally well in HIV-positive patients, while synthetic filler would be expensive, temporary, and unable to address the deep tissue and bone volume loss that lipoatrophy causes. Alloclae rebuilds the foundation, stimulates your own tissue, and becomes permanent.
Yes. Once the base is set and the material has integrated, micro-droplet silicone or additional filler can be used to refine specific areas. Dr. Emer also mentioned that longer-term fillers like Bellafill or Radiesse can be placed on the bone of the temple, back of jaw, and prejowl for further structure. Refinement plans are decided in consultation.
Everything from the posterior area is vectored backward, which lifts the face forward. When you lose volume in the pre-auricular area (around the ear), the anterior face sags. Volumizing posteriorly creates a lift anteriorly, which is why the jawline and pre-auricular region are part of a facial lift plan.
Dr. Emer has been treating HIV-positive patients with facial volumization for nearly 20 years. He pioneered approaches that are now studied by other physicians, and he personally performs every procedure in his practice.
Sculptra is a synthetic biostimulator mixed with 9 cc of fluid per vial, which creates significant temporary swelling. Alloclae is cadaveric fat that can be placed on bone and in tissue, integrates permanently, and stimulates the body to produce its own fat. In HIV-positive patients, fat-based treatments like Alloclae survive better and produce more consistent outcomes than Sculptra.
Dr. Emer practices in West Hollywood (Beverly Hills) and New York City (57 W 57th St). Consultations begin with photographs submitted in advance so he can assess your case before you arrive. The procedure is performed in-office under local anesthesia.
Ask Dr. Emer in person.
Every question above is answered properly in a consultation. Book online, or call the office.
A consultation with Dr. Emer covers your medical history, your volume loss, and whether pan facial volumization with cadaveric fat fits your case.
West Hollywood and New York City