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Severely Sagging Skin at 24. Eyebrow Lift/face Lift Needed? (photo) (photo)

asked 5 months ago by selena_kyle
Latest answer by Julio Garcia, MD
Question viewed 349 times
Tags: wrinkles, loose skin, options, recommendation, tired eyes

I look so old and tired. My eye lids are droopy and I noticed that my forehead skin is loose now as well.I have bags under my eyes and on my cheeks (puffy), marionette lines and nasolabial folds.I stay out of the sun, don't smoke, use moisturizers, wear sunscreen, etc and it just keeps getting worse. I have tried an injectable filler for my nasolabial folds but it didn't help. My right side is worse than my left side, but it is quickly catching up.

17 answers to Severely Sagging Skin at 24. Eyebrow Lift/face Lift Needed? (photo) (photo)

Avoid Surgery

Hi Selena, I see from your photos that you are unhappy with the distribution of volume (fat) in your face and how it is changing. As others have said, this can be a sign of medical issues (like thyroid problems or metabolic disorders) or even stress. The good news is that at your age, things can change for the better too. You certainly do have elasticity in your tissues, which is what people lose with age. Your main concern is the location and amount of fat you... more

Paul K. Holden, MD
Phoenix Facial Plastic Surgeon

Severely Sagging Skin at 24. Eyebrow Lift/face Lift Needed

I think that refilling your cheeks with Sculptra would be a good choice I cannot see your eyes well enough to suggest something for them though.

Julio Garcia, MD
Las Vegas Plastic Surgeon

lvcosmeticsurgery.com

Volume Loss

You photos show some volume loss in the undereye tear trough area. Although you would need an in-person consultation, you may benefit more from non-invasive treatments such as fillers as opposed to surgery.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon

Severe sagging skin

I believe the primary issue is volume loss. This would be more common at your age than looseness of the skin unless you lost a significant amount of weight. I agree with the other physicians who recommend that you have a complete examination by your primary care doctor and rule out any medical issues which may account for the volume loss or weight loss. I do not believe that a surgical procedure is necessary. I don't see enough laxity to make a facelift necessary.... more

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon

Possibly too Young for Surgical Procedure

These are challenging cases, and it sounds like you may or may not in fact be an appropriate candidate for a surgical procedure, especially given how young you are.

Jeffrey Epstein MD, FACS
Miami Facial Plastic Surgeon

Surgery best choice.

I presume you don't have any general illness (which has been excluded by our family doctor during a thorough assessment) and your tissue changes definitely indicate the need for surgical correction, mid-lower face and neck lift. Possibly a tissue augmentation material or your own fat transfer to the face may be used at the same time.

Kris Conrad, MD
Toronto Facial Plastic Surgeon

Volume loss in the face

Thank you for your question and the photos. It is difficult to say the cause which could be medical, weight loss, or premature aging. Prior to having any significant plastic surgery done, see your primary care doctor to make sure that you do not have a medical condition causing this such as thyroid problems or a sleep disorder. Also, at age 24 minimally invasive procedures would likely serve you better than major surgery. I hope this helps. Good luck.

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Facelift - Severely Sagging Skin at 24. Eyebrow Lift/face Lift Needed?

Hi-the photos are helpful (as is often the case when people want opinions on potential plastic surgery). I can understand why you're unhappy (not SO bad btw but I see what you're talking about) but I can't imagine that a facelift would be an appropriate procedure for you. It is almost never done on people your age and, if it is done on younger people, it's normally when there has been a significant weight loss or some other similar explanation. You should... more

Alan Engler, MD
New York Plastic Surgeon

Sagging Skin at 24

Hello, Thank you for including photographs with your questions. It makes meaningful discussion about potential therapies a little more attainable. You are still very young and have very healthy skin. The lower 1/3 of your face looks age-appropriate around the jowls and you have retained youthful contours in your neck. I agree with you that your midface has signs of aging. Feeling like your appearance suggests an age greater than... more

Christopher Kolstad, MD
San Diego Facial Plastic Surgeon

Fat injection is your best bet

I agree that you should first get a check-up to make sure there are no general medical reasons for the loss of fat in your face. Fat injections should help restore a more youthful appearance for you

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Sagging face at age 24

I see what you don't like on your photos. You have premature loss of support in the mid-face area. Facelift surgery does not really help this area. Midface surgery might, but I think it would be "too much" for you at this time. First, if you haven't had a good check-up within the past year, I would start with a visit to your family doc, especially if you have any other "general" complaints, such as feeling excessively tired, cold, or weak. Get some bloodwork and... more

Ronald Schuster, MD
Baltimore Plastic Surgeon

www.drschuster.com

Severely Sagging Skin at 24. Eyebrow Lift/face Lift Needed?

At 24, it's very unlikely that a Face Lift would be required. The photos show very flat cheeks that could be augmented with silastic cheek implants. I would suggest starting there and make sure the plastic and cosmetic surgeon, you choose, understands and follows the proper aesthetics of facial beauty for the creation of a naturally, more attractive face.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Early aging

You are very young to be showing these signs. I do not believe that your skin is lax. Skin laxity will show up as wrinkling. It appears that the underlying ligaments that hold up the skin are stretching. You should definitely have a full medical and/or endocrinological work-up. If that is all normal, go see a plastic surgeon for an evaluation. Definitely don't spend any more money on cosmetic procedures until you have seen your medical doctor.

Jacob Freiman, MD
Miami Beach Plastic Surgeon

Premature aging

I understand your issue. Have you lost much weight? It does seem the skin is a little lax for your age. I would suggest a full medical work-up for starters. I would start with good skin care and retin-a to stimulate collegen. Injection in the nasolabial fold would be helpful and possible volume fill in the midface area. see video

Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon

www.dr-delgado.com

Premature aging face.

You have the most aging for a 24 year old I have seen over 35 years of plastic surgery. I would suggest you see an endocrinologist to determine a cause before you do any surgery to find out why you have this.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Severely Sagging Skin at 24. Eyebrow Lift/face Lift Needed?

Hi, Sometimes patients can experience pre-mature aging or facial wasting from medication or disease. If this is not the case with you then your changes are genetic. Good filling techniques can improve some of your concerns. Surgical options are not a good idea at your age. Best, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Facelift For A Younger Patient

You are probably the youngest patient to ever ask me about a facelift, but with the photos you sent I think you would benefit from that procedure. The photos do not show eyes or forehead so I can't comment on those. The surgery would focus on the midface area and the Quicklift procedure or a MACS procedure should give you what you want in skin and soft tissue reposioning. I would also think you shoud consider volume increase over the cheekbone area which some doctors do with fat grafting... more