I have aged drastically in the last three years. What procedures do you recommend to improve my appearance? (Photos)

You are an excellent candidate for a facelift as well as eyelid surgery. I recommend going on some consults with surgeons in your area. You will likely get different recommendations but the selection of the right surgeon is the mist important decision

Thank you for your question and photos. Difficult to compare photos since you have large sunglasses on covering the lower brow and midface and you are smiling which makes your cheek fuller. Based on the "aged" photo, you would do best with a deep plane facelift (repositions the soft tissues which slid off the cheek bones inferiorly and anteriorly), shorten the upper lip with a lip lift. The periocular area can be rejuvenated with a brow lift and an upper and lower blepharoplasty. See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

You would benefit from a facelift and browlift. The browlift will lower the hairline and pull your eyebrows up higher. The facelift will pull up the hanging skin, particularly around your eyes and neck. You may also benefit from an eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. You would also benefit from a rhinoplasty. You have a bulbous tip that can be refined.

Best Wishes,

Gary Horndeski, M.D.

Thank you for this excellent question and for sharing your photos. I'm Dr. Özge Ergün. If we can make a detailed plan for your situation,

Comprehensive Facial Rejuvenation Strategy
The plan you've outlined is a highly effective, multifaceted approach to counter the dual effects of significant weight loss and aging: Volume Loss (Atrophy) and Tissue Laxity (Sagging). To achieve a truly balanced and durable result, both issues must be addressed concurrently.
Here is a surgical breakdown of the recommended plan:
1. The Foundation: Addressing Sagging and Laxity
Deep Plane Facelift
The deep plane technique is superior for patients with moderate to significant tissue laxity, especially those who have experienced substantial weight loss.
• Mechanism: Unlike superficial facelifts, the deep plane technique elevates the skin, the deep muscle layer (SMAS), and the attached fat pads as a single unit. This allows for the entire cheek and mid-face complex to be repositioned to its youthful, higher location.
• Key Advantage: By working under the deeper structure (the deep plane), the tension is placed on the underlying muscles and ligaments, not the skin. This ensures an exceptionally natural, long-lasting lift that avoids the "pulled" or "wind-swept" look.
• Target Areas: Provides excellent correction of jowls, significant definition to the jawline and neck, and repositions the descended cheek fat pads.
2. The Enhancement: Restoring Lost Volume
Facial Fat Injection (Fat Grafting)
Kilo kaybı sonrası yüzdeki gençlik dolgunluğunun kaybı (hacim kaybı) yaşlanmış bir görünüme neden olur. Yağ enjeksiyonu bu sorunun en doğal çözümüdür.
• Mechanism: This procedure harvests your own fat (typically from the abdomen or thighs), purifies it, and then meticulously grafts it into hollow areas of the face.
• Key Advantage: Since it uses autologous fat (your own tissue), there is no risk of allergic reaction, and the results are considered permanent for the fat that successfully grafts (usually 50-70%).
• Target Areas: Essential for re-establishing contour in the temples, filling the hollows of the cheeks (malar area), and softening deep lines like nasolabial folds and marionette lines. It complements the lift by providing underlying support and fullness.
3. Periorbital (Eye) Refinement
Lower and Upper Eyelid Blepharoplasty
The eyes are a focal point, and loose skin or herniated fat can create a tired appearance that a facelift alone cannot fix.
• Upper Blepharoplasty: Removes excess skin and sometimes fat from the upper lid to restore a clear eyelid crease and a more alert, open-eyed look.
• Lower Blepharoplasty: Addresses undereye bags (fat pockets) and skin laxity. In most modern techniques, the fat is repositioned to fill the hollows (tear troughs) rather than simply removed, ensuring a smooth, rested transition from the lower lid to the cheek.
4. Perioral (Mouth) Refinement
Lip Lift (Subnasal Lip Lift)
The upper lip is key to lower-face aesthetics and often lengthens with age or appears thinner post-weight loss.
• Mechanism: A precise, inconspicuous incision is made directly under the nose. A small, measured amount of skin is removed, shortening the distance between the nose and the upper lip.
• Result: This roll-out effect makes the pink vermillion (lip itself) appear fuller and more youthful, often allowing a subtle, aesthetically pleasing amount of the upper teeth to show at rest. This provides a permanent enhancement to the mouth without relying solely on temporary fillers.
In summary, this is a masterful combination: The Deep Plane Facelift provides the necessary structural support and lift; Fat Grafting restores youthful volume; and the Blepharoplasty and Lip Lift offer detailed, non-negotiable refinements to the eye and mouth areas. The synergy between these procedures achieves a balanced, harmonious, and globally rejuvenated appearance.

There are a lot of different options available for you, and the options depend on your tolerance for risk, downtime, aftercare, and time for final results.
Most notably, you seem to have had noticeable volume loss throughout your face. While lifting procedures will help to correct the sagging of the tissues, you'd still benefit from ancillary procedures such as cheek (malar) implants or fat grafting.
If you're not ready for all that, you could start with implants and/or fat grafting and go from there.
Seek the experience of a surgeon facile in many aspects of facial plastic surgery for a comprehensive plan for rejuvenation.

Based on the three-year photo and the recent photo, did you have severe weight loss recently? The sagging and laxity of skin of the total head neck face area is noted. Best of virtual consult with most likely you would need stage surgeries. First surgery should be a full face neck lift with muscle plication with upper lower lid, eyelid, surgery, and possible brow surgery Along with fat grafting that fee would be $25,000-$30,000. Secondary surgery would be any touchups needed with a rhinoplasty. Best of virtual consult with for more understanding. Regards