Sagging of the skin occurs primarily at the submental, jowl, lateral nasolabial folds, and in the lateral malar areas.

Lipoaccumulation often seen in the abdomen, dorsocervical fat pads and neck from antiviral medications.

Can manifest as an increased dorsocervical fat pad, the so called “buffalo hump”, especially seen in men, and the increased chin fat, the “horse collar” and increased breast tissue, especially seen in women, and central visceral adiposity with increased abdominal girth and thin skin folds.

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