Which procedure options would help address skin laxity after weight loss? Already tried prp microneedling and fillers. (photos)

At least from the photos provided, which demonstrate rather common aesthetic issues treated practically every day with fillers in active cosmetic dermatology practices, I really can only guess that the lack of success you had with fillers relates to treatment by a novice injector and/or the use of say ordinary Juvederm or simple Restylane, rather than more appropriately robust HA fillers for the cheeks, inadequate amounts of the fillers to get the desired results, and/or inadequate amounts injected to get the job done or improper injection technique to accomplish the task. As to PRP, I have been cautioning my regular readers for years that the hard science to support the use this quite expensive technlque lags woefully behind the heavy marketing hype to promote it. So, no surprises that this didn't work. And, while professionally performed microneedling is an excellent finishing step modality for improving superficial, surface skin color and textural irregularities, it would not be expected to really help in any way to accomplish your aims. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist. Hope this helps.

It is not unusual for an individual to see severe changes in their face after weight, loss or pregnancy. In your case, correcting the hollowness as well as restoring youthful fullness in the face is quite easy. Fat grafting using your own fat will correct this once, and for all with results which should be natural, yet permanent. Make sure you go to a plastic surgeon with a great deal of experience in fat grafting techniques. I hope this helps and good luck from New York City Plastic Surgeon.