Is it common to need a neck and/or face lift after a 200 lb weight loss?

I'm just wondering of any surgeons have had clients who needed full body lifts, also needing face lifts and neck lifts at around age 40. Or does the skin on the face normally not sag after weight loss as it does in the breast, buttocks, abdomen, arm and thigh area?

Doctor Answers 33

Facelift after weight loss

Good question-

Absolutely- loosing that kind of weight creates a lot of extra skin not just on the body, but also in the face and the neck. The good news is  that  a lower facelift would address extra skin in the neck and along the jawline.
I would recommend consulting with a facial plastic surgeon to consider your options.

Best of luck-

Indianapolis Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Would I need a facelift after weight loss?

Thank you for your question!  This is a very common question.  A weight loss of that proportion (200 lbs) would undoubtedly affect your face as well.  Often times, you are left with some sagging and loose skin along your jawline and under your chin.  This can be easily treated with a facelift that would give you excellent results.  A major weight loss like that is a positive step in the right direction and surgical treatment of any excess skin on your face may be one of the final steps for an overall healthy and happy you.  I hope this helps and best wishes to you!

Corey S. Maas, MD
San Francisco Facial Plastic Surgeon
4.6 out of 5 stars 11 reviews


Congrats on the weight loss! Yes the neck and face unfortunately get stretched out and are left with extra skin as well

Is it common to need a neck and/or face lift after a 200 lb weight loss?

First of all, congratulations on your weight loss. It is definitely common for patients with massive weight loss to require a face/neck lift in addition to numerous other body lifting procedures. When someone loses that much weight, the skin's elasticity is not sufficient to rebound and therefore patients are often left with excess hanging skin. While the abdomen, breasts, buttocks and arms are the most commonly affected, the weight loss comes from everywhere and this includes the face and neck. The only way to remove excess skin from these areas is with a facelift and neck lift and this is certainly well-described as part of the common suite of post-massive weight loss surgeries. 

Mathew A. Plant, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 21 reviews

Facelifts and Massive weight loss

Generally as we age 3 things happen 1. the loss of subcutaneous volume and muscle sagging  2. loss of elasticity of the skin and 3. the texture of our skin changes. With massive weight loss sometimes this process is accelerated. Generally the volume is depleted and the skins elasticity is weakened do to the weight loss, so many people do need a facelift procedure in conjunction with the body contouring procedures. Hope this helps!

Ritu Chopra, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 29 reviews

Facelift after massive weight loss

It is quite common with massive weight loss, that the face also may need a lift procedure because of the laxity that remains.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Facelift after Massive Weight Loss

After about the mid 30's skin seldom contracts back to its pre weight gain condition. This includes the skin of the face. The only way to correct the extra skin of the face and neck is with a facelift. See a plastic surgeon who specializes in facial rejuvenation.

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 5 reviews

Neck and/or face lift after a 200 lb weight loss?

It is not unusual for patients to be concerned with loose facial skin after weight loss. However, loose skin of the torso and extremities is a much bigger priority for these patients. The facial skin isn't quite as loose as other areas following weight loss, particularly in younger patients.

Henry Wells, MD
Lexington Plastic Surgeon
4.1 out of 5 stars 11 reviews

Neck and Face Lift following massive weight loss

Dear seeksimprovement:

Congratulations on your accomplishment. While the face and neck skin do have some greater capacity to shrink with the loss of weight, you can anticipate the desire the lift and remove the excess skin and readjust the soft tissues to provide a tighter and more youthful appearance. 

This is no different than the stretching of the skin of the rest of the body when heavy and then the sagging of the skin following volume and weight loss. 

Each patient is different and you will prioritize the options for skin tightening or skin removal individually. 

Best to consult with a Board Certified Plastic Surgeon to evaluate and recommend those options in your best interest. 

All the best!

Dean P. Kane, MD, FACS
Baltimore Plastic Surgeon
4.8 out of 5 stars 68 reviews

Is it common to need a neck and/or face lift after a 200 lb weight loss?

First of all, congratulations on your weight loss.  Yes, it is very common for skin to sag following a 200 pound weight loss!  Many areas of the body can sag, including the face.  This is an easy problem to solve with some type of face/neck lift and filler to shape face.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

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.