The symptom of aging that you are describing seem to me that possibly you've had a significant weight loss. It is not uncommon to show dramatic sings of aging after significant weight loss. This is due to loss of facial fat and decreasing health of the skin.
If you have significant skin, a descending neck and jowling than you may be in need of a facelift. If not than fillers, perhaps even fat injections, maybe Botox and a good skin care program including peels is a good way to go.




