Is the issue with my face from volume loss or sagging tissue? (photos)

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Thank you for sharing your concerns and posting your photos. There is both volume loss and sagging of your midface. Both issues could be corrrected with proper placement of fillers. See an experienced oculofacial surgeon for evaluation and treatment. Good luck,

The photos show clear evidence of significant volume deficit throughout the cheeks, which is largely responsible for the incipient hollowness below the eyes, the sunken central cheeks, the deep smile lines, and the jowls along the jawline. The recent weight loss that resulted in shrinkage of the superficial fat layers simply "unmasked" the volume deficit below that gradually and inexorably occurs for everyone. The use of robust HA volumizing and lifting fillers, in the hands of an experienced injector, can quite easily address these problems in a 45 minute treatment session. You would be wise to consult a board certified cosmetic dermatologist injector and best of luck.