My Face is Starting to Sag and I'm Only 21. What Can I Do to Help This? (photo)

Question

My face is sagging and I'm only 21. Also, I have a line under each eye. In the picture, it can only be seen on the left side of my face because the lighting is weird. Is there anything that can help with this?

George Bitar, MD · Answer

Thanks for the question. I happen to disagree with you; your face is not sagging. You do not have much fat in your cheeks which could give you the impression of sagging. However, you have no loose skin, no jowls, and tight skin of your lower face and neck. You may be a good candidate for fillers in your cheek such as Perlane or Radiesse. The tear trough under your eyes can also be filled with a filler like Restylane or Belotero. You are young, so seek a board-certifed plastic surgeon who will give you nonsurgical options first, to see how you like the result. best of luck!

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

My Face is Starting to Sag and I'm Only 21. What Can I Do to Help This? (photo)

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My Face is Starting to Sag and I'm Only 21. What Can I Do to Help This? (photo)

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Everything you need to know about Skin Tightening

Our mission is to create a world where every investment in modern beauty is Worth It.