Solutions for Extremely Loose Facial Skin?

One would have to really see and examine a person if they feel that their facial skin structure is loose as the plastic surgeon needs to confirm how much fat you have or have not lost in your facial fat compartments. Especially if you’re younger you may need deep layer fat compartment augmentation restoration only and if you indeed have facial skin laxity we need a combination fat augmentation and a Lift and Fill facelift. This would require an evaluation to fully evaluate what type of specific facial rejuvenation procedure would optimally fit your needs to provide you with a natural looking, youthful face.

Extremely loose facial skin in youthful patients can be from genetic predisposition, significant sun-exposure, less than optimal facial bone prominence, and low body fat.  I am in Scottsdale Arizona and have a large facial plastic surgical practice, and it is not uncommon for me to see early facial aging in patients mostly due to sun exposure and the fact that patients like to stay quite thin.  I would say you are a bit young to be seeing this, but I have seen patients like you on occasion.  First, the lax skin needs to be addressed, and in some fashion the underlying supporting structures such as the skeleton of fat needs to be augmented.  Most commonly I will achieve this by performing a facelift with some deeper tissue manipulation (the SMAS) to build up facial fat along the cheekbones to provide youthful contours and projection.  This will provide support to the skin and remove any excess.  Further fullness in the cheeks and cheekbone areas (which will make you look more youthful and help slow the development skin excess) can be provided with actual cheek implants or by fat injections should you have fat to harvest.  These procedures can be performed at the time of your facelift surgery or at a later date.  Finally, further skin tightening can be achieved with laser skin resurfacing which will enhance collagen production and improve the quality of your skin.  I would perform this after your facelift surgery.  All of these suggested procedures can be performed alone, or in combination and it is best to get the opinion of a Board Certified Plastic Surgeon to decide what your particular options are.

Best of luck.

Extremely loose skin at age 30 could be related to collagen disorders such as Ehlers Danlos. You should be evaluated by a dermatologist to determine whether this is the case, before pursuing cosmetic surgery. Extremely loose skin can be tightened up with a tuck facelift. The facial muscles themselves are not loose at all and are attached to the bone; they are not what you are feeling. The excess loose skin is unrelated to the muscles.