In August the fat disappeared from my right cheek. I've been to several specialists and they are reluctant to diagnose lupus because I never had lesions, only facial atrophy due to losing fat. I live in the USA and because what I have is rare there aren't many doctors who are qualified to treat this. The dermatologist I just saw wants me to go to a large city to be seen. I don't have the finances, time, or any other resources to travel and hope for a diagnosis. Any help with this would be appreciated. Does anyone have facial atrophy of fat without lesions?