Saggy face at 22. Please help me to find a solution to this problem. (Photo)

it is difficult to say much based on your dark photo.  Look at your self in the mirror and try to figure out what exactly it is that is bothering you.  At this age you do not have sagging skin or jowling, wrinkles or any other problem that is treated with a facelift.

There is very limited information in the provided photograph. It looks as though filler in the marionette line would be of some benefit.

Hi.  Although your photo is very dark and hard to view, I really don't see anything major that would require you to have major surgery at your young age.  You don't have any significant skin laxity, sagging or wrinkles.At most, I would consider some injectable fillers to help with the down-turned corners of your mouth and early marionette lines.  But that's about it.All the best,

It doesn't appear that you have any unusual signs of aging. Your 58-year-old mother may be developing jowling, but you do not appear to have any. From the limited photograph it appears that you have a normal, healthy and youthful face.

If you are troubled by sagging skin in your early to mid twenties then surgery is generally not the answer. Fillers can be used for some of the lines around the mouth but these are patients who may respond best to non invasive techniques such as Exilis. This is a monopolar radiofrequency device that creates some heat in the lower layers of skin. It injures the skin just enough that the skin lays down new collagen and elastic fibers and the skin tightens somewhat. It does not do as much as surgical skin removal but in younger patients who need less skin tightening this a good technique. It is best to seek a consultation with a speialist who provides both surgical and non invasive skin tightening so that you may get the best recommendation.

It's difficult to tell exactly what would help with only this photo, but you might need cheek and chin implants for better facial definition to achieve a more oval and feminine face. Removing fat from your lower cheeks through the mouth (buccal fat pad removal) may also help. Improving the bone structure of your face will not only look better now, but also provide better support for the soft tissues of your face as you get older.

Hi catsmeoww. Thanks for your question. Your face looks normal and appropriate for someone of your age! At 22, there is not significant muscle, soft tissue or skin laxity to cause real face or neck descent. If you are interested in freshening up your look, you can consider procedures on the skin or fillers to add volume. Good luck! Best, Dr H 

Try not to be so hard on yourself! From your picture, it does not look like your face is "sagging". Our faces do change slowly over time, and your face at 22 does not look exactly like it did at 16. That doesn't necessarily mean that how you look is a bad thing. Enjoy being youthful as this will not be there forever and the changes you see in 15 years will be real changes that may require surgical intervention etc to look closer to what you did at 22. We do offer fillers that are not permanent and could possibly take away some of your complaints. Find a PS that you feel comfortable with and talk to them about your concerns to see what your options are.

I really don't see your face as sagging!  Even babies have folds around the mouth- so you don't want to eliminate them.  Your right side looks deeper than the left and possibly adding some filler (a small amount) would lessen the asymmetry and this could make you feel better about how it looks.Just be careful and don't do too much- you are young, and certainly don't want your fear of looking like your mom overwhelm you into too much.  

the photo is dark. What little that I see, you may benefit from fat grafting or filler around the mouth and cheek. you may benefit from an implant as well. Talk to a plastic surgeon.