Removing teeth also removes a fair amount of facial structural support. The resultant bone shrinkage will cause a caved in appearance. Hopefully you can undergo dental implant or bridging which should provide some help. A cosmetic dentist can guide that process.
- Volume loss may be addressed from regaining some of the weight you lost, but it won't correct everything
- Sculptra can replace volume in many areas of the face by triggering your body to produce new collagen
- A good skin care program will address breakouts and skin texture (peels, microdermabrasion and a good pore de-clogger - I like Cebatrol)
- A facelift removes redundant skin and you aren't there yet. It won't solve the issue of support loss from removing teeth nor will it improve your skin quality
But don't despair - It's likely you aren't taking the best care of yourself in your current situation. Some tender loving self care goes a long way. Choose a healthy diet and spend time with caring friends and family. It's easy to magnify the negative when you're under stress.
I would start with fillers such as Sculptra to regain the shale and fullness first. At your age that might be all that you need
You need a combination of lasers fillers and skin care. I suggest speaking to a cosmetic dermatologist who can give you a full facial rejuvenation consult to suggest best treatments. Dr. Emer.
The best treatment to begin with would be gaining back the weight that you have lost. Take care of any dental problems and then once you have regain the weight have a face lift of whatever sort to remove the excess skin of the cheek and/or neck. See a very experiencedfacelift surgeon for this.
No question that the dental support on your left is an issue. Is there a planned dental reconstruction? If so, once that is complete reevaluating the left cheek would be necessary. If not, fillers to the left cheek would be helpful. Once your weight and emotional stress settle a minilift might be possible to help resolve what appears to be early loss of support along the jowl area.
I am sorry to hear you have been through so many recent problems and I hope your life is settling down a little. Facial volume loss is one of the most common reasons for aging changes in the face and it seems that you have two underlying reasons for the loss and changes you see in your face--loss of dental support to help support the cheek internally and weight loss with subsequent thinning of the subcutaneous fat and loss of fat in the fat compartments which can lead to some of the skin sagging you see. It would take an in-person evaluation of your skin and your facial structure to decide whether you would benefit most from filler or a lift or a combination of the two and also to evaluate your pores and what could improve them. You may see some improvement in your face with re-gaining the weight you lost as this would be your own natural "filler."
Congrats on taking control of your skin. Sun protection every day and retinol every night is important. Looking at you I would advise volume replacement first. I like radiesse and voluma for this. After that we can do some fine tuning---add some icing to the cake.