When addressing "loose skin" of the face it is important to address the issue from both a "quantity" perspective as well as a "quality" perspective.
Lets us first discuss "quantity". As we age we lose volume in our face (primarily fat). As a result skin can hang down as gravity acts on it creating droopiness, wrinkles and bands. This can be thought of as excess skin and is similar in concept to a dress that becomes too large as its owner loses weight. Facelifts, S-lifts, mini-lifts, etc. are surgical procdures which can help remove the excess skin and address the issue of the "quantity" of skin. It is also very important that the underlying muscles/SMAS be addressed and repositioned as well during these procedures as "skin only" procedures rarely harbor worthwhile results.
Addressing the "quality" of the loose skin is also very important. Through genetics, sun exposure, smoking and the natural aging process, the inherent elasticity and tone of our skin gets worse as we age. Surgical treatments do not address the "quality" of skin. Therefore in order to improve "quality" treatments such as chemical peels, fractionated lasers, Retin-A and even intradermal Botox can be used to improve skin "quality" to a very desirable endpoint.
While an individual patient may choose to address "loose skin" of the face based on "quantity" or "quality" alone, it is best to address both factors in order to get the most satisfying and long standing results.
Always remember to clean, moisturize and protect your skin everyday!
