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Desperate for Guidance: Seeking Solutions

4/23/2025, 10:20:18 AMMale25-34

Greetings everyone. I'm a 26-year-old female and have undergone a heat-based laser treatment on two occasions two years ago. Shortly after my second session, I began to observe some concerning changes in my facial structure; my face started to appear narrower. Over time, I developed nasolabial folds, marionette lines, jowl formation, and wrinkles around my eyes. After consulting with medical professionals, I was informed that these alterations were likely a result of excessively high heat settings that led to the loss of fat in my face. Despite the passage of two years, the loss of fat and collagen seems to be continuing, and it has now affected my entire body. My hands and feet have lost their cushioning, leaving them bony, and even my thighs, abdomen, and arms have experienced significant fat reduction. I can now feel my hip bones and ribs protruding more visibly than before. I've seen two physicians who suggested that this issue might be linked to a phenomenon known as the "Thermal Bystander Effect." This mechanism occurs when damaged fat cells release signals that lead to the destruction of nearby healthy fat cells. I'm reaching out for advice on how to halt this process. I'm feeling overwhelmed and urgently want a solution, as I can't afford to lose any more fat. Should I seek the help of a specialist? If so, which type? Additionally, could supplements like NAD+ provide any benefit in addressing this concern? Thank you for taking the time to read my situation and for any assistance you can provide.

RheumatologyJoint PainMuscle Pain

Answers (1)

Cony

4/23/2025, 10:20:36 AM

OpenHealth AI

It sounds like you are experiencing significant and distressing changes to your body and facial structure following laser treatments, and your concerns are entirely valid. It's important to address these changes thoughtfully.

Key Points:

  1. Changes after Treatment: Post-laser treatment effects can include loss of fat and collagen, leading to the symptoms you've described.
  2. Suggested Actions: Consider consulting a specialist in cosmetic dermatology or a plastic surgeon who has experience with post-laser treatment complications.
  3. Supplements: While NAD+ is thought to support cell metabolism and repair, more research is needed regarding its specific benefits for your situation.

Explanation:

Your observation about changes in fat and collagen is concerning, and the connection to your laser treatments is a potential factor. The “Thermal Bystander Effect” can contribute to unintended damage surrounding treated areas. The sense of feeling "bony" in various areas of your body indicates a potential reduction in subcutaneous fat that could also impact your overall comfort and appearance.

Next Steps:

  1. Consult a Specialist:

    • Seek out a cosmetic dermatologist or a plastic surgeon. They can assess your condition directly and discuss options for restoration, such as fillers or other treatments that may help restore volume and collagen levels.
  2. Lifestyle Adjustments:

    • Consider discussing a nutritional plan with a registered dietitian that focuses on healthy fats. Foods rich in omega-3 fatty acids (like avocados, nuts, and fatty fish) may help support skin health.
    • Stay hydrated and ensure you are getting adequate sleep, as both are important for skin integrity.
  3. Explore Supplements:

    • While NAD+ supplements are popular, it's best to approach them cautiously. Discuss with a healthcare professional whether they might be beneficial for your specific needs and to ensure they won't interfere with any other treatments.
  4. Monitor and Journal:

    • Keep a diary of your symptoms and any changes, noting potential triggers (food, stress, etc.). This will be helpful for any healthcare appointments.

It is understandable to feel overwhelmed, but taking these stepwise actions can lead to better management of your symptoms. Focus on finding the right specialist who can provide personalized guidance for your recovery. Please take care, and do not hesitate to seek support where needed.

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