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I'm 22 Year Old Male, and my Face is Sagging Like an Older Man? (photo)

I'm only 22 years old, and for some reason, my face skin is paper thin and sags like some older person who's in his 30's or even 40. I feel as though I've been cursed because people rarely believe i'm as young as I say, and I look very different than I did just two or three years ago. Is there any chance in hell that this can be fixed without 50,000 dollar invasive and risky surgery? It's 2013, so there must be SOME possible solution that is at an affordable there?

Doctor Answers (24)

Facial Fillers: Creating a Younger Look without Surgery


Adding facial volume is a good way to give a younger look.  You can start with fillers such as Radiesse to add volume to areas which appear deficient.  Fillers can reduce the appearance of facial folds.  Although these products generally last only about 6 months, if you like the results, you can do fat grafting to get longer term results.  Patients with genetically looser skin are not good candidates for face lifting until their late 30's to early 40's in my view.   Hope this helps!

Los Angeles Plastic Surgeon
5.0 out of 5 stars 17 reviews

Non-Surgical Options for a 22yr Old with Saggy Skin


Short of surgical procedures, fillers are the best answer for rejuvenating and tightening loose skin. Anything that puts more volume under your skin is going to have the effect of filling out the skin "envelope" more and therefore producing a tighter, fuller, rejuvenating effect. A filler product called Sculptra is probably the best option for you -- although this is a fairly pricey option.

Richard Parfitt, MD
Madison Facial Plastic Surgeon
4.5 out of 5 stars 17 reviews

A facelift is not recommended, but look into heredity and health history to help determine the source of premature aging


A few years ago, I wrote a book called “The Fine Art of Looking Younger” where I explained the things that happen when someone gets older: one is volume loss where the baby fat goes inward and descends; other one is sagging where the cheeks drop, the jawline becomes less defined and the neck starts to become loose.

Unfortunately, there are some factors that can accelerate sagging and aging. Some of the causes of early sagging are: inadequate sleep, physical or emotional stress, smoking, alcohol and the use of recreational drugs. In addition, a strong genetic predisposition to early sagging takes a big part in causing this.

I recommend that you do not do aggressive procedures at such a young age because it may be very difficult to undo it when you get older. Short-term treatments like silicon may look good right now, but after a few years, it may sag because of the physical weight of the material. I suggest that you have an evaluation of your general health status first before pursing any cosmetic treatment. Also, review your personal medical physical history in the past 2 years and consider your family’s pattern of aging. Taking little steps such as the use of some temporary solutions that get absorbed like materials called Radiesse and Sculptra are good ways to add volume to the hollows and may help with the sagging.  I hope that was helpful, and thank you for your question.

Amiya Prasad, MD
New York Oculoplastic Surgeon
4.5 out of 5 stars 40 reviews

Face sagging in 22 year old


  I agree that there is some premature aging evidenced in the photos you provided.  It is true that all of us age at different rates, and that this is not always fair.  I doubt that many on this forum, if any, would recommend a "$50,000 facelift."  I do think that facial fillers may be an excellent option for you.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
4.5 out of 5 stars 48 reviews

Options for looking good and feeling good



Thank you for the question.  There are certainly genetic components of aging that we cannot change but there are a handful of surgical and non-surgical options for improving the way we look and feel.  Aging that seems to be outside the range of normal should be investigated to see if hormones, nutrition, or other environmental factors can be controlled.  Fillers or fat grafting as well as skin care and botox often give the best bang for the buck in a non-surgical or minimally invasive treatments.

All the best,

Dr. Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 101 reviews

Facelift at 22


There are several things that you can do to make you feel better without getting a facelift. If you are in the Los Angeles area or would like to have a virtual consultation feel free to contact my office. You shouldnt feel like the Oldmanguy but more like a young 22 year old man ready to take on the world. Good luck

George T. Boris, MD, FRCS, FACS
Los Angeles Facial Plastic Surgeon
4.0 out of 5 stars 13 reviews

Radio Frequency Device for Skin Tightening ... One Affordable Option.



I am sorry to hear about your concerns -- I do see your frustration as a young man with loose skin and some fat deposit underneath your chin. You don't need a facelift and you don't have to spend $50,000. You are absolutely right, this is 2013, there are so many options that can improve your situation. 

All this can be done under local anesthesia without having to go completely under. One of the best options out there is a radio frequency device for skin tightening and fat melting. The price can range anywhere from $5000 up to about $12,000 in most markets. The other option is laser liposuction which can also achieve skin tightening. 

Best of luck,

-Dr. O

Michael K. Obeng, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 1 review

Early Aging and Minimally-Invasive Options


Thank you for your post and the pics. Unfortunately, some of us age earlier and faster than others.  Life isn't fair in that way... However, there are options. First and foremost, limiting sun exposure and starting a medical-grade skin care regimen will help.  Second, there are minimally-invasive surgical options (including endoscopic midface lift, fat grafting, etc.).  These treatments would be less expensive and have a quicker recovery than a facelift. I would recommend seeing a handful of consults in person to weigh your options. Best of luck!

Evan Ransom, MD
Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 47 reviews

I'm 22 Year Old Male, and my Face is Sagging Like an Older Man?


Dear Oldmanguy,

thank you for your question and photos.  I understand your question and your plight.  You feel like you look older than you should and feel like your face looks a little worn out.  Some of these aspects can come from losing a large amount of weight and resultant deflation, on cortico steroids (not the 'anabolic' body-building kind, but used for asthma, auto-immune diseases, etc.), sun damage, or some other issues.  In you, I think excellent facial rejuvination can be performed without a facelift.  I would spend my money on your facial contours instead.  Liposution to the neck area, followed by adding volume to the face in the form of facial implants.  A chin implant would be very beneficial, along with mandibular angle implants.  This would give you a nice jaw line with strong chin and stretch your skin tighter in the process.  Also, cheek implant or filler material, such as juviderm can have a nice effect in the cheek area as well, and round out these contours.

Best Wishes,

Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 29 reviews

Early aging or just a little need for liposuction?


I would ;like to see lateral photos of your face.   You can do a few things and certainly the cost will be less than 1/10th of $50,000.   Liposuction under your chin and possible a little about the jowls.  The fat removed can then be placed in your central face and nasolabial deficient areas.   We are all different.   Be confident that you look just fine and at the same time search what little things can be done.  Possibly Juvederm may be prudently placed to help you.  Charge ahead and get 2 or 3 consults from ABPS surgeons.  Consultations generally are complimentary.  See what is advised.  Better advice is always possible when one sees the actual patient and feels the face and discusses all this in consultation.   My Best,  Dr C

George Commons, MD
Palo Alto Plastic Surgeon
5.0 out of 5 stars 29 reviews

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