Tightening facial skin

Richard P. Rand, MD answers: Solutions for extremely loose facial skin?

I have very loose skin that doesn't seem to stay on my facial bone. It's like mush, has no structure at all. Could it have something to do with my facial muscles? I've had this problem since I was 21, and I'm now 30. I've tried everything, but nothing has worked for me. What could this be, and can something be done about it?


Richard P. Rand, MD
1 month ago

At 30, it is unusual to have significantly lax skin.  Either your genetics are unusual, or you have lost a lot of weight , or perhaps you are hypercritical of yourself.  You can tighten the skin in your case by adding volume with fillers and then later you might need an early facelift. 

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A: Volumizing and removing extra skin through fat transfer and facelifting can help

Philip Young, MD
6 months ago

It will all depend on how you really look. Volumizing can help your loss of volume which can start in your 20's and progress. Fat transfer is a great, natural way to plump up your lossed volume and can last 10 plus years. Fillers are another short term option. Volumizing takes up extra space and helps to fill in the extra skin. Facelifts can remove the extra skin that the filling doesn't fill out appropriately. 

In my opinion, filling first and then removing extra skin is the best sequence. Also, you might have a condition that predisposes you to laxity in your skin. This should be looked into and may be a contraindication to facelift surgeries. Don't worry there are excellent surgeons out there with forward thinking minds and exquisite skill to help you.

Consulting a Board Certified Facial Plastic Surgeon would be something that I would recommend. We specialize in the face and are highly qualified to help you with this.

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