47 looking old resting b*tch face. How can I improve my features? (Photo)

It is best to seek medical attention with a primary care physician if you notice significant changes to facial skeleton rapidly to assess if there are any treatable medical problems. I see many patients after significant weight loss and drooping and a heavy lower face is a common concern. A deep plane facelift can correct many of these changes and recreate the 'triangle of youth' with a wider cheek and mid face area narrowing down to the jaw.

Hi from Istanbul, thanks for your question. Over the years, especially with weight fluctuations, sagging in facial tissues can occur, which is a natural event everyone experiences. First, I recommend maintaining a healthy weight range. A facelift can correct sagging in the jowl and cheek areas by repositioning tissues. Additionally, a temporal lift can enhance the upper face and brow area by creating a more rested, softer look. Combining rhinoplasty with a lip lift can create a more refined mid-face. I suggest a facelift, brow lift, and lip lift for the first surgery, and rhinoplasty for the second surgery for best results. Hope this helps, best of luck!

It is common after weight loss to feel some sagging of the skin of the face or having an older appearance. Typically, a face and neck lift will be able to tighten the skin of the lateral face. In order to better correct for a more youthful appearance, fat grafting to the cheeks and midface will often be performed. Upper face surgery, including an upper and lower lid blepharoplasty and brow lift, can also help. These procedures can be done all at the same time or separated depending on both surgeon and patient preference.

Thank you for your query. You have some descent of facial tissues along with the fat pockets and some skin laxity. A face and neck lift with some autologous fat injections will give you great results. The nose can be refined as well. You should, of course, have all endocrine issues ruled first. Please find an experienced board certified Plastic surgeon who can help you with all your concerns. All the best

Hello,

I will divide the face into three sections those being the eyes and forehead, the central part of the face including the nose and cheeks and the lower third of the face including the mouth and jowls. Your brow position is good, forehead has minimal wrinkles and upper lid skin excess. with minor asymmetry. The middle portion of the face, as you point out, has a round or boxy tip of the nose. A rhinoplasty can help define the tip but it is a bit more difficult with thicker skin. You have had some flattening in the area of the cheek under the eye and that can be treated with fat grafting or filler. The area known as the nasolabial fold which is the crease that begins at the bottom of the nose and goes down towards the side of the mouth can also be filled with fat or fillers. In addition, the areas below the lower lip towards the sides can also be filled. Filling these areas helps reduce the discrepancy between the flat area and a fuller area to the side. This will help reduce shadowing of light and make that area of skin appear lighter and not stand out. Same principle for the nasolabial folds.

Fat grafting can be done in the office with local anesthesia. The benefit of using your own fat is that the fat that "takes" will last forever whereas the use of fillers is a more straightforward, simple process but needs to be repeated yearly.
Good luck.