I’m 21 and I’ve been overweight most of my life. I’ve recently dropped 55 lbs over the course of a year. (180, now 125 at 5’2”) I’ve noticed sagging or loose skin and I’m definitely concerned about my face. The sagging became noticeable when my face started slimming about 5 months ago. Should I lose more and my face will firm? Should I look into a facelift or are there other non-surgical ways? Does my skin just need more time and/or a specific care regimen? Facial exercises? Glycolic Peels?
Sagging Skin After Weight-loss at 21. Is a Facelift my Only Option? (photo)
Doctor Answers 22
Facelift after Weight Loss
Losing significant amounts of weight can remove some of the support of the skin in any area. With rapid weight loss, there may be some later redistribution of fat as well. It is always better to wait until your weight is stable for a prolonged period before addressing skin laxity. In a young, healthy individual, it is rare to need to perform a facelift. With time, there will be some recoil of the skin previously stretched out. Enjoy your new healthy personna. If in six months you remain interested in an appearance change, seek a board certified plastic surgeon to help evaluate what might be the safest avenue.
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Facelift following weight loss
After extensive weight loss, it is important to wait over a year to allow the skin to naturally tighten before any decisions are made. Skin retraction is more likely in younger people and those with thicker skin. Once a stable state is reached, a decision can be made regarding appropriate treatment. In someone young, several alternatives to facelift may be available such as Ulthera, SmartLipo, and laser or chemical peel. In older patients, a facelift and neck lift is frequently necessary.
Non-Surgical Options May Be Best, Consult A Surgeon
For this reason, conservative management is usually appropriate when skin sag develops in younger patients. In some cases injectable fillers or fat transfers may be necessary.Rarely modified facelift procedures may be indicated as well.
Your pictures suggest relatively mild skin sag. This may improve with the passage of time.Fillers may be helpful in the short term.
If you’re considering surgical intervention, it’s important that you consult a board certified plastic surgeon.This surgeon should be able to perform an appropriate evaluation and formulate a treatment plan.
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Facial volume after weight loss
Wait until stable weight
I suggest you wait until you've reached a stable weight before considering a facelift. Because you are still young, there is a good chance the skin on your face will firm up again as long as you lead a healthy lifestyle. For now you may want to consider nonsurgical skin tightening treatments such as laser skin tightening and fillers. These are less invasive and may be a better option considering your age.
Facial Sagging After Weight Loss
Depending on the shape and contour, if you have true facial sagging and skin atrophy, you may need to have a modified facelift even at a young age. This requires the expertise of a facial rejuvenation expert with expertise in massive weight loss and facial recontouring.
Facelift after Massive Weight Loss at 21
From the photo, I would not recommend a facelift. However, fillers or fat grafting to restore some of the volume or help with the tear trough may be appropriate. Find the plastic surgeon with ELITE credentials who performs thousands of procedures each year. Kenneth Hughes, MD Los Angeles, CA
Facial aging in the young
i dont think people in their twenties should be considering facelifts
but there are other procedures that make sense
young patients with premature aging can consider
blepharoplasties, browlifts, fat grafting, fraxil, fillers
Sagging skin after weight loss - need fat grafting
You are a great candidate for facial grafting. At age 21 you should not need a face lift. Find a surgeon with experience in fat grafting - good luck!
Give your skin time to adjust and Consider Facial Volumizers
It is difficult to imagine that you would be a candidate for a facelift or other surgical methods at your age. Once you have reached your goal weight, allow your skin some time to adjust. Start a medical grade skin care regimine in the meantime to help your skin snap back into shape. Also, drink lots of water to stay hydrated. Quite possibly you may want to consider Scupltra or another injectable filler to add volume to your cheeks to give you a more youthful, rested look.
Best of luck to you.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.