28 years old - What options do I have for mild sagging and laxity? (Photo)

Question

Hello. I am 28 years old and have some mild skin sagging and laxity due to a major weight loss i went through a few years ago. Im not looking to get a real face lift because i think im just too young for that yet. However, im wondering what i would be a good candidate for? Iv considered ultherapy or RF skin tightening, but im seeing a lot of articles talking about how much damage those devices can actually do, especially to facial fat and scar tissue and other known complications.

Anna Chacon, MD, FAAD · Answer

Hi,

Thank you for sharing your concerns and photo. First, congratulations on your weight loss—that’s a huge accomplishment! It’s completely normal to notice some mild sagging or laxity after major weight changes, even at a younger age like 28.

For someone in your situation, the good news is that there are several non-surgical options that can help improve skin firmness and lift without the downtime or risks of a surgical facelift. These include:

Microneedling with RF (Radiofrequency):
Helps stimulate collagen production in the skin.
Can improve mild laxity and texture over time.
When done by an experienced provider, the risk to facial fat and deeper tissues is very low—most side effects are mild redness or swelling.
Ultrasound-based treatments (Ultherapy, etc.):
Designed to tighten the skin by stimulating collagen in deeper layers.
Modern devices are much safer than older reports suggest, but careful treatment is essential, especially over thin areas or areas with little fat.
Dermal fillers:
Strategic filler placement in the cheeks, jawline, or temples can restore volume lost from weight loss, giving a natural lift that indirectly improves sagging.
This approach can also soften shadows and improve facial contours without surgery.
Skincare and topical collagen-boosting ingredients:
Retinoids, peptides, and antioxidant serums help maintain elasticity and improve skin quality over time.

The key is starting conservatively and gradually, combining subtle volume restoration with gentle skin-tightening treatments. At 28, your skin still has a lot of natural elasticity, so small, precise adjustments often give very satisfying results.

Your caution about device-related risks is valid—ultrasound and RF treatments can have complications if performed aggressively or in the wrong areas. That’s why choosing an experienced provider who tailors the treatment to your anatomy is essential.

With mild laxity like yours, often the best results come from a combination approach rather than one aggressive treatment.

28 years old - What options do I have for mild sagging and laxity? (Photo)

Answers (1)

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