Drastic facial changes at 25. What could be causing this?

Question

I have developed significant facial sagging over the past 2 years, from age 23 to 25. It appears I've lost a lot of subcutaneous fat and/or collagen. I'm very healthy, I work out daily, sleep well, and exercise daily. I'm at a loss for what could be causing these rapid changes. In your professional opinion could it be any of the following? -Daily use of Jergens natural glow -Finasteride -Adderall 30mg/day Pls let me know any unexpected causes for this you have come across. Thx

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Nanthini Dhevi, MBBS · Answer

Hello buddy ,Both the drugs your have mentioned donot have any direct effect on facial fat.There is a chance of this happening if u have lost lot of body fat by dieting and workouts.,.or if u are doing preparation for body building competition.Fillers though they are an option,.not recommended in people lifting weights.U can go with autologous face fat fill.

Drastic facial changes at 25. What could be causing this?

Answers (2)

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