Hello, Experiencing sudden sagging and etched lines can be concerning, especially when changes in weight have been minimal. Here are some potential considerations and steps you can take: Consult with a Dermatologist: It's important to have a professional evaluation to determine the underlying causes of the changes in your skin. A dermatologist can assess whether hormonal changes, such as those associated with menopause, are contributing to the skin’s appearance. Skin Care Regimen: Incorporate skincare products that promote collagen production and improve skin elasticity. Look for ingredients like retinoids, hyaluronic acid, and peptides, which can help reduce the appearance of fine lines and improve skin texture. Non-Surgical Treatments: Consider non-invasive treatments such as laser therapy, radiofrequency, or ultrasound treatments (e.g., Ultherapy) that can stimulate collagen and tighten the skin. Dermal fillers or neuromodulators (e.g., Botox) might be options to address etched lines and restore volume. Lifestyle and Nutrition: Ensure you are maintaining a balanced diet rich in antioxidants and staying hydrated, as these can support your skin's health. Regular exercise can improve circulation and overall skin tone. Hormonal Factors: Since you are post-menopausal, hormonal changes could be affecting your skin. Discuss with your healthcare provider whether hormone replacement therapy or other interventions might be appropriate for you. Review Medication Effects: While Monjaro is primarily used for weight management, discuss with your healthcare provider any potential side effects it may have on your skin, even though weight loss has been minimal. Best regards,