A woman finally loses the weight. Her dress size drops two. Her arms feel unfamiliar in their own sleeves. And then one morning she looks in the mirror and sees that her face did not take the memo. The jaw is still soft. The lower cheek still full. Somewhere between the thyroid and the thigh the body conceded. The face did not. Weight is general. Fat is regional. “Clients arrive here with a smaller body and a face that still looks like the before photograph,” Dr. Jan says. “T

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