My whole face looks droopy, with hooded eyelids and lots of extra fat on my lower face, and sometimes a visible double chin. I look mad all the time when my face is relaxed. It almost looks swollen. I am overweight, but not by much. My dad is an average weight, but also has this face shape so I'm worried that it's genetic. Would significant weight loss fix my face shape, or does it require plastic surgery? If so, what kind?
Answer
Facial fat as well as the buccal fat pad are sensitive to weight loss and gain. Weight loss may help with facial fullness. At a young age, facelift may only be appropriate for massive weight loss patients. Kenneth Hughes, MD Los Angeles, CA
Dr. Kenneth Hughes, MD
Board Certified Plastic Surgeon
Answer
You look way too young to be considering a facellift. Certain aspects of your facial shape will certainly improve with weight loss, though your underlying bone structure will limit the amount of change you can achieve. After you are done growing and reaching a stable weight, you can reassess which features could be enhanced to improve your facial balance.
Dr. Donald B. Yoo, MD, FACS
Board Certified Plastic Surgeon
Answer
Its always good for a young patient to lose weight. Your face will change somewhat but not completely. The roundness of your face and the droopy lids are gentically programmed., that is, you inherited these features from one or both of your parents. Liposculpture of the neck would be very beneficial for you. Liposculture of the neck is a very rewarding, straight forward procedure yielding the highest patient satisfaction.
Dr. Jose Perez-Gurri, MD, FACS
Board Certified Plastic Surgeon
Answer
For the most part, patients under 40 years of age, do not develop sagging in the face after weight loss. The elasticity of the skin is greater in younger skin. Allowing it to accomodate and adjust to fluctuations in weight. Rapid weight loss changes at an older age can lead to facial sagging. This is more common in bariatric patients who can lose large amounts of weight. Beware too that some patients retain facial volume and neck volume despite weight loss.
Dr. Anil R. Shah, MD
Board Certified Plastic Surgeon
Answer
Hello! Your profile view gives the impression of a weak chin, which can cause facial disproportion and heaviness/double chin. You might want to consider a consultation with a facial plastic surgeon to discuss possibilities, but a chin implant might be a nice way to bring both facial balance and a tighter neckline! Good luck.
Dr. Catherine Winslow, MD
Board Certified Plastic Surgeon