Perioral mounds, sagging cheek fat and jowls at 23 years old! How to reduce the appearance?

Question

I'm 23 years old, 5"3 and 112 pounds - which is completely average weight. My face looks 50 pounds heavier due to all the sagging skin! I've been around the same weight for most of my life. Is it better to add volume in other places of the face, or to remove fat? Is it risky for future aging? Thank you in advance!

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.  Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Shaun Patel, MD · Answer

FIllers can be used to address volume loss and to lift the face. I would consider a filler like Restylane Lyft which when injected into cheeks lifts the face. The filler treatment can be combined with a nonsurgical skin tightening procedure like Thermage FLX which would further lift, tighten and contour the face.

Perioral mounds, sagging cheek fat and jowls at 23 years old! How to reduce the appearance?

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