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.

From your photo I do see signs that your underlying facial bone structure may be contributing to your facial skin sagging concerns.

I don't think that a face lift would actually address your concerns, though.

An in person examination would allow for a more complete assessment of what is going on, but I suspect that improving the underlying facial structure would be helpful. Visit with a board certified facial plastic surgeon or plastic surgeon to see what your options are.

 

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.

Even though you do have some sagging, at only 25, I wouldn't recommend a facelift. It is hard to tell because of the angle of the photo, but you may not have  enough bony structure to hold up the heavy tissues of your face. If this is the case, then chin, jaw, (and possibly cheek implants) may help to add enough structure to hold the facial tissues in a more youthful position. I would make an appointment for a consult with a well respected local facial plastic or plastic surgeon for a personal evaluation. Good Luck.