The Fix For this kind of puffiness, over-the-counter products aren't going to cut the mustard; in-office treatments are the way to go. As a permanent, although fairly extreme, solution, surgery can redistribute the fat to make the area appear smoother. If going under the knife isn't your jam, going under the needle is another option. Injectable hyaluronic acid fillers can be used around the fat pad, making it much less noticeable. Results will last about a year. Ulthera is another solution: "The treatment delivers ultrasound energy into the deep layers of the skin, creating a tightening effect on the top layers," explains Kavita Mariwalla, M.D., a New York-based dermatologist. Those results will last a few years.
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