I Am a 25 Year Old Man and my Face Sags Terribly. Do I Need a Face Lift?

Your sagging skin is out of proportion to your age.  There are 2 ways to treat this and neither is perfect.  The first is to do a face lift of the cheek.  Because the incision in front or inside the ear is far from your sagging all of the sagging will not be removed.  The other way is to remove the entire pleat of skin which will leave a scar.  The quality of the scar will depend on the quality of YOUR skin and the skill of the surgeon. 

It is hard to give you a detailed assessment based on the single photo that you submitted. 25 years old is very young to consider a facelift though that might be the best option. An in person consultation would be required to make that decision. However, just looking at the single image that you submitted, it is possible that significant improvement might occur with a chin implant with regard to you neck and jawline. Injectable fillers are also a highly effective non-surgical option to replace lost facial volume or remedy lacking bony support of the facial soft tissue. I am curious though whether you have a recent nasal injury or rhinoplasty? Your photo shows steri-strips across the bridge of your nose. I hope this is helpful.

I would advise that before you consider any surgery you look at some important factors which affect your appearance. First, look at your family and see if your appearance is consistent with the way some men in your family appear at your age. Next, look at your daily habits including diet, exercise, sleep, alcohol and tobacco use. See a medical doctor if you are feeling like you have low energy or any other symptoms which are new compared to the way you felt several years ago. Let's be sure that you are healthy and doing everything you can on your own before you consider any surgery.