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So jowls are actually the impact of fat loss in the cheeks, and when we use filler to replace that volume in the cheeks, were not exactly lifting the face, but we are restoring it to a more youthful appearance, and the skin (which actually doesnt stretch out and lose elasticity for several more decades) will be smooth and lifted, like it was before

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Neuroendocrinology 92 , 207214 (2010)