5'2", 160lbs, lost 20lbs - can you advise on festoons & lip implant removal? (Photos)

Festoons are puffy areas of fat that tend to be in the upper and outer cheek area. Based on your photos, you appear to have residual under eye fat and perhaps lower eyelid grooves that may be amenable to filling. If you have lip implants, it's not clear from the photos either. If you're seeing visible implant or if you are not happy how they feel, certainly have them removed. Our favorite lip augmentation procedure is with microdroplet Silikon-1000 for permanent results. Procedures are performed with topical anesthetic and there is no downtime. Insofar as rosacea, you can consider intense pulsed light treatments, or perhaps Consulting with you dermatologist. Insofar as a neck lift and facelift, please consult with a reputable facial plastic surgeon with favorable before and after photos and favorable reviews so you could see what might be best for you moving forward. I hope this is helpful! Sincerely, Dr Joseph