I don't know what I should do? Is it fat or loose skin on my face? (Photo)

I'm 19 years old skinny boy but my face is not skinny at all ..I feel like I don't have a tight muscle around my cheek and upper lips and corners of my mouth and when ever I smile it's like a fake and not firmed

Doctor Answers 4

Loose facial skin

It is normal to be able to pull one's skin away and have it rebound. This is what your skin is doing. If the photos don't show the true nature of  the problem, consult a Board Certified Plastic  Surgeon or Dermatologist for a skin biopsy to see if your skin elastin and collagen fibers are abnormal.

Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Don't see any evidence for surgical treatment to this young face.

The photograph is limited but I don't see any specific problems. When you generate facial expression the skin will banding kind. When the expression is relaxed your skin is recovering nicely.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews

Consultation and examination needed

It is very difficult to give an answer with these photographs. I would suggest consulting with a surgeon for a proper diagnosis to see if you have any abnormalities with your skin. Best regards, Michael V. Elam, M.D.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 210 reviews

No Fat

It's difficult to evaluate your situation with those photos but you do not appear to have a problem with fat. There are syndromes which have abnormal stretching of the skin as a feature but you don't really look like that either. You should discuss your concerns with an experienced plastic surgeon and don't be offended if they suggest a referral to a psychologist. If you're spending more than a couple of minutes a day studying your mouth and smile, DO NOT have surgery until you discuss this with a psychologist.

Donald W. Kress, MD, FACS
Frederick Plastic Surgeon
4.1 out of 5 stars 12 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.