Sagging cheeks after weight loss. Can the skin be excised?

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Congratulations on the weight loss!  Generally speaking, excising the skin in the cheek/nasal area is not recommended.  However, there is a minimally invasive way to tighten the skin to achieve a tighter appearance.  Please consult with a board certified specialist who can assist you with achieving the results you seek.

More details about age weight etc would be helpful here and also photos but in general removal of skin near the nose is not an option due to scarring etc.  Excess skin of the face is performed as a cheeklift or facelift  and the incisions are laterally around the ears. Depending on your anatomy the results are typically pleasing and natural with an experienced surgeon.

Congratulations on the weight loss.  Many times, patients losing that amount of weight need to have skin removal.  Without photos, or knowing your age, it is really hard to give advice.  Excising skin from the nose area is NOT recommended!  The reason it doesn't look natural when you pull your skin to the side, is because that is not natural!  When you have skin removed from the face (as in a facelift), it is done back and up and the muscle is also addressed.  This gives a natural look to the face.