I lost 55lbs and my skin is sagging. What are my options?

Question

Hi I gained 68lbs after covid and was 215 from 153. I was also not working out taking vitamins and not taking care of my health. I always use to be at the gym, are healthy, and worked out prior. Now my face looks different and lower and saggy. I lost 55 but still want to lose 15. The. First photos are before covid, the third is being overweight and the last is current, please advise I am looking at fillers.

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."

Michael A. Persky, MD · Answer

Hi K,

Great work on losing the weight!  Congratulations!!!  Either face/neck lift surgery with fat transfer, or combination of fillers and lifting and tightening non-surgical devices is the best way to address your concerns and help you achieve and maintain your aesthetic goals.  Very important to choose your treating physician carefully!  Good luck and be well, stay healthy!!!

Michael Persky, MD
Encino,CA

PUR-FORM - Boca Raton · Answer

Dermal filler in the cheeks can absolutely help restore the natural fat pads that tend to separate and fall as a result of a dramatic weight loss. Adding cheek filler can give you a more youthful, healthy appearance to the face as opposed to looking gaunt. This would be a great option for you!

Anisha Kumar, MD · Answer

Congratulations on reaching your weight loss goals! If you are planning to lose more weight like 15 lbs, then seek correction after the weight loss is complete because further weight loss can affect your facial structure and skin laxity. It's best to have a stable weight before choosing your treatments.
For large amount of skin laxity, a facelift/ necklift is the definitive treatment to truly address excess skin. If you are only considering fillers, start with addressing cheek volume and structure first.

I lost 55lbs and my skin is sagging. What are my options?

Answers (4)

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