Facial Lipoatrophy (also known as HIV facial wasting) is a frustrating reality for many HIV-positive people. Characterized by the loss of fat underneath the skin, Facial Lipoatrophy is not life-threatening, but it is one of the most stigmatizing and troubling complications of HIV. Numerous studies have shown that Facial Lipoatrophy can have detrimental effects on an affected person's self-confidence and quality of life.

Facial Lipoatrophy is a possible problem in the approximately one million plus people in the United States who are HIV-positive. Facial Lipoatrophy can result in sunken cheeks and indentations. Although persons affected by facial wasting often have well-controlled HIV disease and are otherwise healthy, the effects of HIV facial wasting may suggest otherwise, resulting in stigmatization and psychological trauma.

What Causes Facial Lipoatrophy?

Although the causes are not completely clear, they may include:

• damage to cell mitochondria
• long-term use of some antiretroviral medications
• longevity
• elevated lipid profiles

Facial Lipoatrophy can negatively affect a number of different areas of a person's life, including:

• self-confidence
• desire to participate in social activities
• sex drive
• emotional well-being
• willingness or ability to adhere to treatment
• commitment to staying on treatment