Facial wasting pictures. Then connect with providers in your area. King. " Cachexia ( / kəˈkɛksiə / [1]) is a complex syndrome associated with an underlying illness, causing ongoing muscle loss that is not entirely reversed with nutritional supplementation. “The idea behind the microcurrent Facial Wasting, also called Lipoatrophy or Lipodystrophy, normally impacts areas such as the cheeks and temples. Parry-Romberg syndrome (PRS) is a rare disorder characterized by slowly progressive hemifacial atrophy affecting facial subcutaneous tissue, muscle, cartilage, and bone. Azizzadeh. Coming off birth control, giving birth). Some authors allow for the possibility of hemiatrophy of a person combined May 18, 2024 · Disease. Food and Drug Administration (FDA)–approved facial wasting (lipoatrophy) treatments for Medicare beneficiaries who have facial lipoatrophy caused by antiretroviral drug use. Purdy, individuals concerned about “Ozempic face” may benefit from: Polydioxanone (PDO) threads, which involves the use of suture-like threads to tighten and lift the skin Jan 1, 2006 · Grade 4 – atrophy covering a wide area and extending towards the orbit; the facial skin lies directly on the muscles and bone structures over wide areas. Due to the complex Nov 28, 2023 · Parry-Romberg syndrome is a rare condition that involves a slow breakdown and wasting away (atrophy) of the skin and soft tissues of the face. This condition gets its name from the muscles that are affected most often: those of the face (facio-), around the shoulder blades (scapulo-), and in the upper arms (humeral). Like testosterone, the latter act via the androgen receptor. It is suggested that the disease may be due to trauma to the skull or face, general or local infection, syphilis, syringomyelia, V or VII damage to the cranial nerves, extirpation or injury of the cervical sympathetic trunk, etc. www. e. 8. 9,10 Neurologic abnormalities occur in 15% of patients and include focal seizures, visual loss due to involvement of the retina and optic nerve, facial pain due to trigeminal neuralgia, and Silikon 1000 is an injectable form of medical-grade silicone that can be used for cosmetic enhancement. Over time, the soft tissue (muscle and fat) gradually shrinks, the facial bones may change, and the skin may become thin. Treatments. Free or royalty-free photos and images. [ 1] It was first described by Caleb Hillier Parry in 1825 and later in more detail by Moritz Heinrich Romberg Evidence suggests that the fat wasting is due to NRTI-induced mitochondrial toxicity. Although the sequence of facial aging is similar regardless of gender or race/ethnicity, the extent and rate of change of Jan 26, 2023 · If you are anything like me, the pros of maintaining a healthy weight and BMI are worth the possibly deleterious influence on your facial appearance. Another well-known pro treatment is platelet-rich plasma, or PRP, for hair loss. Disuse atrophy can be reversed with exercise and a healthy diet. Muscle wasting is a loss of muscle mass due to the muscles weakening and shrinking. Women tend to build up fat. Around this time, my laugh lines and nasolabial folds wound up being very prominent, giving me a pouty/frowny look. The muscles of mastication are composed of a unique myofiber that is not present in other skeletal muscles. Treatment options Although there are a number of treatment options for the patient with facial lipoatrophy, the physician's first priority should be to prevent development of this condition Jul 26, 2017 · The frontalis muscle is a thin, superficial facial muscle that lays across the top of the head, roughly from ear to ear, spanning the midline. They can be painful and can be caused by excessive dryness. View 622 before and after Cheek Fillers photos, submitted by real doctors, to get an idea of the results patients have seen. Progressive hemifacial atrophy, also known as Parry-Romberg Syndrome, is an uncommon degenerative condition characterized by a slow and progressive atrophy, generally unilateral, of facial tissues, including muscles, bones, and skin. Whereas someone in middle age may Progressive hemifacial atrophy, also known as Parry-Romberg Syndrome, is an uncommon degenerative and poorly understood condition. Lipodystrophy can include buildup of body fat, loss of body fat, or both. The condition may worsen for many years and then stabilize. HIV/AIDS BASICS. here are some before and after photos: BEFORE: more facial fat, more prominent chin, darker eyebrows, thinner lips (upper and lower), thicker neck. Multiple sclerosis. The condition may mild to severe. Dry eye (STT = 0 mm/minute) can result from trigeminal nerve lesions. Takeaway. ' The most common cause of facial nerve paralysis is idiopathic facial nerve paralysis (75% of dogs and 25% of cats with facial nerve paralysis). 3 While meth is often seen as one of the most visibly destructive drugs, leading to facial wasting and open sores on the pictures of meth users before and after the drug, 4 various other Poly-L-lactic acid (Sculptra ®) treats facial wasting, a condition commonly resulting from HIV. The numerous forms of lipodystrophy feature variable and sometimes distinctive patterns of fat loss. Aug 22, 2023 · Following is a list of some of the diseases that can cause unilateral (one-sided) head muscle wasting in dogs. Feb 20, 2019 · While I always recommend healthy living — a balanced diet and regular exercise — in order to look and feel younger, I have never thought of facial exercises as part of that regimen. Other conditions such as congestive heart failure, COPD, chronic kidney disease, Crohn's The main morphologic features are unilateral facial atrophy and ipsilateral enophthalmos and deviation of the mouth and nose toward the affected side. A range of diseases can cause cachexia, most commonly cancer, congestive heart failure, chronic obstructive pulmonary disease, chronic kidney disease, and AIDS. Parry-Romberg syndrome is a rare disorder Progressive hemifacial atrophy (PHA), also known as Parry-Romberg syndrome, is characterized by slowly progressive deterioration of the skin and soft tissues on one side of the face. Face, causing sunken cheeks, temples, or eyes. Barry Eppley. Sarkar. org. University of California, San Diego. For HIV positive people with facial wasting, or lipoatropy, the experience can be traumatic. When facial muscles are paralysed (CN VII) the upper lip is flaccid and can become trapped between teeth when eating. Parry-Romberg syndrome can affect the brain and cause neurological problems, as well as involve the jaws and eyes. Aug 19, 2021 · Lipodystrophy refers to the changes in body fat that can affect some people with HIV. 1,2 Rarely, brain MRI shows cerebral hemiatrophy, usually ipsilateral to the facial atrophy. Jan 21, 2022 · Muscle Atrophy. It has been associated with various systemic manifestations, particularly neurologic, ophthalmologic and maxillofacial. Sure, you can regain your weight and Ozempic Oct 10, 2023 · Excoriation : Straight scratches that result in the loss of the top layer of skin. You can also use bitemporal wasting to help make diagnoses of connective tissue disease, rheumatoid arthritis, or malnutrition. People with cachexia lose muscle and often fat as well. AFT + PLA ab n=299 (130 vs 91 vs 24 vs 54) Age: 46 years (mean) Sex: 71% male Patient selection criteria: 18 years, documented HIV infection, on stable highly active antiretroviral therapy for at least 6 months, lipodystrophy diagnosis with moderate to severe facial wasting. Solid implants can be made from polymers such as Teflon Abstract. Mar 24, 2010 · The Center for Medicare and Medicaid Services (CMS) announced March 23 that it will begin covering the cost of U. Changes in female hormones can cause this too (e. Mar 1, 2016 · Bilateral Muscle Wasting: Temples • Look at patients straight on and have them turn their head from side to side • Inspect for “scooping” or hollowing of the temporal region • Such signs indicate wasting of the temporalis muscle Photo used with permission. Sep 23, 2020 · HIV wasting syndrome is defined as the progressive, involuntary weight loss seen in patients with HIV. NOW: View pictures of HIV-associated skin conditions in the image gallery below. Use them in commercial designs under lifetime, perpetual & worldwide rights. May 27, 2021 · Facial fat loss can lead to hollow-looking cheeks, sunken temples and deep smile lines on the side of the mouth (nasolabio folds). Centers for Disease Control and Prevention (CDC) classified HIV wasting as an AIDS-defining condition in 1987, and characterized it by the following criteria: Weight loss of at least 10%. Cachexia occurs in the final states of almost every serious disease, including cancer, heart disease, HIV, and multiple sclerosis. “In spite of all the silversplints on the left, still being able to do the thingy on the right with ease. Although the management of facial lipoatrophy is very important for patients Here, the catastrophic effects are plain to see, with photos of people before and after addiction including distortions like skin scabs and decaying teeth. Dreamstime is the world`s largest stock photography community. severe weakness or loss of strength and low energy level/fatigue. The involvement of these muscles favors IBM over anterior horn cell disease. Introduction. It appears on parts of the body that receive a Chronic wasting disease (CWD) has an extended incubation period averaging 18–24 months between infection and the onset of noticeable signs. The distinct causative factors of this disease have been not elucidated, but it is suspected to be associated with immune system-related diseases, most notably AIDS. General Pathology. com. The presence of diarrhea or chronic weakness; Dermal Fillers Before & After Photos. The U. A filler treatment at Gladstone Clinic can help to bring back some lost volume to the area affected by the hemifacial atrophy. Download Facial Wasting stock photos. As with other symptoms of lipodystrophy, or body fat abnormality syndrome (such as fat loss in the Parry-Romberg syndrome, also called Romberg syndrome or progressive facial hemiatrophy, is a condition where the tissue of one side of the face gradually wastes away. weight loss. ”. Due to certain medications/very high stress life situations, I went from 115-105 within a year (I'm 5'5") and experienced pretty extreme facial wasting. A seemingly healthy person who had already experienced several dislocations by the time this picture was taken that day. . Studies have shown results from Sculptra lasting up to two years. This is called lipohypertrophy, lipoaccumulation, or Dec 16, 2016 · 7. In this article, we review Parry Dec 1, 2023 · Per Dr. Lateral pterygoid, a fan-shaped muscle that helps your jaw open. “This is what Ehlers-Danlos syndrome looks like. The sometimes extensive facial fat-wasting that results is among the most stigmatizing complications of HIV, and the disfigurement often leads to poor body image, low self-esteem and depression, according to Dr Dec 19, 2022 · Parry-Romberg syndrome affects the soft tissue and skin of a person’s face, causing it to atrophy. The most obvious sign of CWD is progressive weight loss. Muscle loss might also be accompanied by a loss of fat mass Jun 11, 2019 · Muscular dystrophy. “When there is this much weight loss, plastic surgery is Mar 19, 2023 · Arms and legs, and veins tend to show up more. Sculptra may also stimulate your body to make new collagen. Therapies for people failing HIV treatments These facial changes reflect other symptoms we have: -extremly reduced semen volume, loss of libido, loss of morning wood, loss of spontaneous erections, smaller erections, bitch tits. 7. On the back of the neck between the shoulders (called a buffalo hump) Loss of fat in AIDS wasting in women tends to be generalised (i. Feb 2, 2010. Effective immediately, CMS will begin covering the cost of facial fillers for people living with HIV who Aug 28, 2023 · The side effects associated with the use of this drug include nausea, diarrhea, abdominal pain, constipation, headache, says Dr. HIV-associated skin conditions include anogenital warts, cytomegalovirus infection, shingles, molluscum contagiosum, and facial lipodystrophy. Changing the facelift to more of a jowl-neck tuck-up helps stretch out the loose cheek and facial skin. Trigeminal Nerve Sheath Tumor. I suppose this ties in with muscle wasting but is a lot scarier and seems very rare, apart from one or Dec 23, 2007 · Lipodystrophy, Wasting, Hormones, Exercise, Nutritrion. For some individuals, facial eczema is a short-lived problem, lasting only a week or two. Fat buildup (also called lipohypertrophy) can occur: Around the organs in the abdomen. Zidovudine treatment is associated with lipoatrohy to a lesser extent. Mode of action of the most promising drugs for the treatment of muscle wasting. Masseter, a muscle that runs from each cheek to each side of your jaw and helps your jaw close. When done in combination with submalar cheek implants and fat grafts, some really nice facial improvements can be achieved. By. poor response to chemotherapy with increased side effects. It involves changes in the way your body uses proteins, carbohydrates, and fat. Silastic implants possess many characteristics of the ideal facial implant, including ease of placement and the ability to be readily exchangeable, malleable, conformable, nonimmunogenic and noncarcinogenic, resistant to infection, and easily tailored by the surgeon. Buttocks. Apr 6, 2023 · Cachexia Symptoms. Fissure: Straight breaks in the skin that go deeper than the top layer of skin into the second layer of skin. In rare cases, both sides of the face are affected. Tumors that grow in or around the head can affect the muscles and nerves on the outside of the skull. You don’t really realise there’s muscle beneath the skin until it goes. Ghrelin receptor agonists such as anamorelin or selective androgen receptor modulators such as enobosarm stimulate protein synthesis in the muscle. facial lipoatrophy. Browse 44 professional facial wasting stock photos, images & pictures available royalty-free. Jun 23, 2022 · 1 /15. The incidence and the cause of this alteration are unknown. Risk Factors. There is strong associations between stavudine treatment and risk of lipoatrophy. HOME. Pierone used a combination of Radiesse (calcium hydroxylapatite, Radiance) and Sculptra (poly-L-lactic acid, New-Fill) to begin restoring the loss of facial fat, and I look forward to follow May 30, 2019 · Muscle atrophy can occur due to poor nutrition, age, and genetics. medibolics. According to experts, approximately 9 million Sep 3, 2016 · Enophthalmos can result from masticatory muscle atrophy or from Horner’s syndrome. “It’s very unusual that we just do temple filler and call it a day,” says Dr. The first reports of this condition were in 1997 among people taking ART. In addition, facial skin is very sensitive, and even the mildest degree of inflammation can feel sore, itchy and uncomfortable. During this time frame animals look and act normal. . The result is that your muscles get weak. Feb 14, 2024 · rosacea, which is characterized by small, pus-filled bumps on the face. That is, until a recent study, published in JAMA Dermatology, showed promising results that routine facial exercise may slow the unrelenting tide of time. Oct 30, 2015 · Many of the physical signs of HIV treatment -- from weight loss to fat redistribution to facial wasting -- are worn as battle scars, if not badges of honor, by thousands of people living with HIV Jan 24, 2023 · Some people suffering from facial wasting caused by rapid weight loss — 40 to 50 pounds, say — may require a more radical approach. Light sensitive eczema may cause typical eczema symptoms such as dry, flaky, and itchy patches of skin Mar 25, 2009 · Dr. S. This metabolic disorder causes muscle wasting and involuntary, extreme weight loss, as well as temporal wasting. g. HIV-associated lipodystrophy can manifest as two distinct phenotypes: fat accumulation (lipohypertrophy) or fat loss (lipoatrophy). In severe cases, this can give the face a skeletal look. If you have recently cut a lot of carbs from your diet you will shed water. The temples rarely get a stand-alone shot. Lichenification : A rough thickening of the top layer of skin. "When it comes to facial aging, fat is typically more friend than foe," he said. This paralysis may occur on one side (unilateral) or both sides (bilateral). Over 80% of cases are unilateral, but both sides of the face can be affected, and the severity and specific symptoms of the syndrome are highly variable. Emer can treat facial lipoatrophy (facial wasting), acne scars, and wrinkles with silicone injections. Apr 22, 2024 · Parry-Romberg syndrome is a rare, acquired disorder characterized by slowly progressive shrinkage (atrophy) of the skin and soft tissues of half of the face (hemifacial atrophy). There are Apr 26, 2013 · Facial wasting. This cranial nerve is largely responsible for motor function of the face and dysfunction will result in a 'drooped face. You might notice that your muscles are no longer defined. Atrophy is when body tissue shrinks or wastes away. Cachexia is also called wasting syndrome or anorexia cachexia syndrome. It is a complex problem that is more than a loss of appetite. Dr. Facial lipoatropy refers to subcutaneous fat loss in the cheeks and temples resulting in a bony, emaciated appearance. What is HIV/AIDS? Transmission and Risks Signs and Symptoms HIV Testing Prevention Starting Treatment HIV Medications Drug Jan 27, 2023 · Frank said fillers can be used to treat Ozempic face, but it's costly. In it, she reported that from 15% to 80% of patients on HAART develop facial lipoatrophy within 10 months of starting the therapy. Among the most diagnostic manifestations of Cushing’s syndrome (CS) are those involving the skin; they include violaceous striae, facial acne, hirsutism, acanthosis nigricans (AN), fungal infections, hyperpigmentation (Hp) and easy bruisability. These include: The breakdown of collagen and elastin fibers (often caused by ultraviolet sunlight) Damage to the small capillaries near the surface of the skin, causing the skin to bruise easily. 8 years). Jan 26, 2023 · According to Oren Tepper, a plastic surgeon in New York, it's common for weight loss to deflate parts of the face, which then leads to a more aged appearance. In some people, atrophy may also affect the limbs, usually on the same side of the body as the facial atrophy. Feb 22, 2009 · When the facial wasting is associated with loose skin, a modified facelift can also be very helpful. It’s typically smaller than 2 centimeters (cm), or about the size of a pencil eraser. Facial lipodystrophy (LDS) is a localized loss of fat from the face, causing an excessively thin appearance in the cheeks. The primary cause of thin skin (due to aging) is changes of the skin that occur as part of the aging process. The main sign of cachexia is the loss of muscle mass. com ). Fortunately, most resolve within a year or two after cure of CS, although light-colored Feb 2, 2010 · A Facial Wasting Update. “The procedure involves taking a sample of the patient’s blood and spinning it in a centrifuge, separating their own Clinical signs of facial paralysis appear suddenly. A Video Blog. Inclusion body myositis (IBM), one of the closest differentials for ALS, is a slowly progressive painless myopathy with a characteristic predilection for asymmetric wasting of the wrist flexors, finger flexors, and quadriceps muscles. Hello my friends, There was a lot of interest in my earlier video blog " Treating My Facial Wasting ," so I wanted to give you Sep 16, 2020 · Acquired facial lipoatrophy is a rare disease with an unclear etiology and pathological pathway. It usually Browse Cheek Fillers before & after photos shared by doctors on RealSelf. Numerous behavioral changes also have been reported, including decreased social interaction Oct 18, 2023 · You can get stronger, in-office treatments or opt for at-home treatment with a device like Current Body’s CapillusUltra Laser Cap ($799). “If you have a lot of temple hollowing, then odds are, your lower face has likely crumbled even more than your upper face. the same all over the body) as with any weight loss, while part of the reason that lipoatrophy is so noticeable in both men and women is the way in which fat loss is so ‘unevenly spread’ over the body. It can also cause the muscles, cartilage, and bones of the face to deteriorate. Spinal muscular atrophy. Symptoms vary, and treatment may include physical therapy, functional electric stimulation, or surgery. Parry–Romberg syndrome (PRS) is a rare disease presenting in early childhood characterized by progressive shrinkage and degeneration of the tissues beneath the skin, usually on only one side of the face (hemifacial atrophy) but occasionally extending to other parts of the body. It can be caused by disuse of your muscles or neurogenic conditions. internalmedicine@angell. In some cases, facial LDS may be a side effect of certain kinds of medications (antiretroviral therapies) that individuals receive as part of an HIV infection treatment regimen. Facial paralysis can reduce tear production and affect a dog’s Dec 12, 2023 · taking certain medications, such as diuretics, antibiotics, or high-blood-pressure medicines. IgG is directed against these muscle fibers (type 2M). Jun 14, 2017 · BioTime Inc said on Wednesday its Renevia system succeeded in meeting the main goal of a pivotal European trial for facial wasting associated with treatment for HIV, putting it on track to file Aug 24, 2017 · Figure 1. Aug 4, 2021 · The facial muscles involved in chewing are: Buccinator, a thin muscle in your cheek that holds each cheek toward your teeth. Dogs with facial paralysis cannot close their eyelids or blink, or they cannot move their ears or lips. While originally approved for this purpose, it’s also approved to treat facial aging. Symptoms include a decrease in muscle mass, one limb being smaller than the other, and numbness, weakness and tingling in your limbs. 7 years), all presenting facial wasting and lipohypertrophied areas of the body. The signs and symptoms of facioscapulohumeral muscular PoWeR is a 501 (c) 3 non profit organization that disseminates information about side effect management, wasting, and lipodystrophy in HIV disease for patients and clinicians. A cerebral disturbance of fat metabolism has been Nov 19, 2021 · Causes of the progressive facial atrophy. Mark S. It attaches at the rostral edge of the scutiform cartilage (part of the external ear Group A was composed of 14 patients (9 men, 5 women; mean age, 43. No miosis was present in this dog so the former is the most likely cause. It sometimes occurs on both sides of the face and occasionally involves the arm, trunk, and/or leg. It is characterized by a slow and progressive but self-limited atrophy affecting one side of the face. Slupchynksyj selects either solid, custom sculpted implants or injectable fillers to give the patient back an excellent semblance of his previous facial structure. Nov 29, 2023 · An actinic keratosis is a thick, scaly, or crusty skin patch. View before and after photos of bell's palsy facial paralysis patients who received treatment from leading facial plastic & reconstructive surgeon Dr. 617-541-5186. Masticatory muscle myositis is a common immune mediated disorder involving only the muscles of mastication. Medial pterygoid, a thick muscle that helps your jaw close. Unlike other types of fillers, silicone injections can provide permanent volume restoration and facial sculpting results. However a dietary change where you cut carbs is most likely very good for your overall health and skin quality, face shape aside. In patients with bitemporal wasting of the muscles of the temples, MRI can reveal fatty degeneration of the temporalis muscle. 6, 9 The gradual loss of underlying soft tissue support and fullness is responsible for the soft-tissue descent and relative excess of facial skin Dec 23, 2021 · Causes. It’s not really obvious to others but feels very much different to me. Myasthenia gravis happens when your immune system -- your body's defense against germs -- makes antibodies that disrupt nerve signals. Available at: Dec 16, 2020 · Knowledge regarding the etiology of facial aging changes has developed considerably, advancing from a simple focus on gravity and skin laxity to an increasing understanding that aging is a complex, dynamic, integrated process involving all layers of the facial anatomy. Landon Pryor, MD, FACS. Technique: NAGP (polyacrylamide gel: Aquamid) May 25, 2021 · John Diaz, MD, plastic surgeon and cofounder of Honor MD, doesn't find microcurrent to be an effective treatment to get more lifted and defined facial features. Other causes. You may also burn calories faster than usual. Abnormal facial expression is typically caused by facial nerve (CN VII) impairment. View before and after photos of dermal filler procedures performed by members of the American Society of Plastic Surgeons. Trigeminal nerve sheath tumor is the most common tumor to cause one-sided skull muscle atrophy in dogs. Hemifacial atrophy is a condition that causes the slow deterioration of the skin and soft tissues on a particular area of the face. Bhuyan. Learn more about muscle Apr 26, 2024 · Visit Instagram. Fat is lost from the nasolabial region, the temples and the eye sockets. Nov 7, 2022 · HIV-associated lipodystrophy is an undesirable effect of antiretroviral therapy (ART) that occurs due to the redistribution of adipose tissue. The severity of this atrophy can vary widely between Oct 27, 2023 · muscle wasting. Dec 2, 2021 · Silastic implants remain one of the most common materials used for malar and submalar augmentation. We provide seminars around the country and published the book "Built to Survive " ( www. The best way to avoid these effects is checking with your Jan 18, 2010 · Progressive facial hemiatrophy (PFH), or Parry-Romberg syndrome, is a sporadic disease of unknown etiology characterized by progressive shrinking and deformation of one hemiface with subcutaneous connective and fatty tissue atrophy. "When you have global facial volume loss, it can take a significant amount of filler. loss of appetite. psoriasis, which causes scaly, itchy, and dry plaques. In some patients, the two manifestations may Mar 9, 2012 · Parry-Romberg syndrome, also known as progressive hemifacial atrophy, is a rare disorder characterized by unilateral facial atrophy affecting the skin, subcutaneous tissue, muscles, and sometimes extending to the osteocartilaginous structures. Their lips and ears may appear to droop. This can cause patients to eventually develop sagging skin or sunken tissue. Group B was composed of 9 male patients, 7 presenting only facial wasting, and 2 presenting lipohypertrophied areas of the body (mean age, 44. "Weight loss may turn back your biological age, but it tends to turn your facial clock forward. Eczema often affects the face, and facial eczema can be particularly distressing because it is so visible. Dealing with facial lipoatrophy can be particularly difficult for HIV-positive individuals. PMMA (polymethylmethacrylate) fillers Jan 1, 2006 · Many of the facial manifestations of aging are the result of the combined effects of atrophy and loss of facial fullness, progressive bone resorption, decreased tissue elasticity, and gravity. Oct 10, 2019 · One way to think about cachexia is as the last illness. vitiligo, which results in large, irregular patches of lighter skin Facioscapulohumeral muscular dystrophy is a disorder characterized by muscle weakness and wasting (atrophy). What is lipodystrophy? Lipodystrophies are conditions that involve the loss of body fat, in particular subcutaneous adipose tissue in the absence of malnutrition or a catabolic state that would otherwise explain the fat loss. Miller’s Anatomy of the dog categorizes the frontalis muscle as one of the “rostral extrinsic” ear muscles. Muscle atrophy is the wasting or thinning of muscle mass. My face has really thinned out and I have lost a lot of collagen and/or muscle around the eyes, forehead, even my neck and scalp feel thinner. jgvzfwwmdykkwltapdds
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