Top Beverly Hills plastic surgeons are urging Brandi Glanville to refrain from further cosmetic procedures until the root cause of her facial disfigurement is determined. The 52-year-old reality star, who has struggled with significant changes to her facial appearance, including sunken and deflated cheeks, has expressed a desire for additional surgery to correct her sagging face. However, renowned board-certified surgeon Dr. Jonathan Sykes is advising caution.
Dr. Sykes, who has not treated Glanville personally, emphasized the importance of diagnosing the underlying issue before proceeding with any treatments. “No treatment should be performed until it’s very clear what the original process was and that it’s not ongoing,” he explained. Glanville, who previously disclosed a diagnosis of stress-induced angioedema, has spent over $70,000 attempting to identify the cause of her facial changes. She has suggested that a parasite may be responsible, though Dr. Sykes noted that the nature of her condition—marked by significant dermal and subcutaneous tissue atrophy—could be indicative of other underlying issues.
Dr. Terry Dubrow, a well-known plastic surgeon from the TV series Botched, recently rejected Glanville’s parasite theory, offering an alternative explanation. According to Dubrow, the appearance of her sunken cheeks and misshapen skin is more likely linked to an infection rather than a parasitic infection.
While Dr. Sykes insists that no cosmetic work should proceed until the cause is confirmed and resolved, he proposed that, once the issue is identified, Glanville could consider treatments such as volumizing her face using her own fat or other fillers, as well as potential lifts to restore her facial structure.
Cosmetic nurse injector Alex Pike echoed similar sentiments, advising Glanville to pause any further aesthetic procedures. “While I can’t comment on specific treatments, I would recommend putting those on hold for now—particularly as the underlying cause of Brandi’s concerns hasn’t yet been pinpointed,” Pike said. Instead, Pike advocates focusing on health and wellness as part of the diagnostic process. She recommended anti-inflammatory nutrition, hydration, quality sleep, gentle exercise, and stress management as essential steps in supporting the body’s natural healing processes.
Glanville, who recently opened up about the profound impact her condition has had on her mental health, shared that the struggle has left her feeling isolated and depressed. “It’s hard to hide out during Christmas when everyone’s having their parties. It’s depressing. It just hurts my brain and my heart,” she told Page Six. Glanville explained that the mental toll of her condition often feels more intense than the physical pain, as she has been unable to work or engage socially. She revealed that at times, she has resorted to wearing a mask around her sons, Mason Edward, 21, and Jake Austin, 17, so they wouldn’t be distressed by her appearance. “They would try and calm me down and say I look normal and fine, but I knew better,” she recalled.
In her search for answers, Glanville has also returned to taking antibiotics after noticing her face “sinking in” during a break from the medication. “I prefer [my face] when it’s a little swollen, to be honest,” she said, though she admitted that the sensation of her face sinking is difficult to cope with. “It’s killing me slowly,” she added. Glanville remains desperate for clarity about the cause of her condition, confessing that she does not know whether it’s a parasite or something else entirely.
Despite the uncertainty surrounding her diagnosis, Glanville remains committed to finding a solution. “You could do anything you want to me, and I’d be OK with it,” she said. “I’ve had days of looking normal, not weeks. I wish. But it comes and goes.”
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