Face sagging at 22 years old (photo)

First things would be making sure you preserve/enhance as much collagen of your skin as possible -- stopping smoking is key but also sun protection (esp since you are fair) and you can get started on working on a skincare regimen involving some good active ingredients. 2nd is that esp with the weight fluctuation, you could definitely benefit from additional volume to your face. Filler could be agood option if you're interested in somethin quick and fast.

Thank you for sharing your photos and story. At 22, what you are noticing is very real, and I understand how discouraging it can feel to see changes in your face earlier than expected. The factors you mentioned, weight fluctuations and vaping, can both contribute to the appearance of fine lines and early sagging.

Weight fluctuations can cause the skin to stretch and contract, and over time, this may reduce elasticity. Nicotine and chemicals in vaping products can impair collagen and elastin production, which are the building blocks that keep skin firm and youthful. Quitting vaping is absolutely a positive step; your skin, along with your overall health, will thank you for it.

Some strategies that may help improve or slow down these changes include:

Lifestyle support: Staying consistent with a balanced diet, hydration, sun protection, and avoiding smoking/vaping.

Skin health: Medical-grade skincare with ingredients like retinoids, antioxidants (vitamin C), and peptides can help improve firmness and texture over time.

Procedures: For mild laxity, treatments such as microneedling with radiofrequency, ultrasound-based tightening (like Ultherapy), or even light fillers for structure can be considered if you want to be more proactive.

It’s important to remember that your skin is still very young and has a lot of potential to rebound, especially once you quit vaping and maintain healthy lifestyle habits. What you’re noticing now is not permanent, and there are many options to help restore and maintain your skin’s firmness.