How to deal with very premature ageing?

Question

Hello, I am currently 22. For some reason, over the past year I’ve noticed my skin sag more and more. I have prominent nasolabial folds and a lot of loose skin around my jawline (if I pull on it it snaps back but it looks like I have a double chin + square jaw). If I bend over my skin prominently sags forward, even my forehead skin sags and I have fine lines all over my face. What can cause this at such a young age ? And what can I do? I have lost confidence from this.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Michael A. Persky, MD · Answer

Hello G,
It is very unusual for the skin of a 22 year old to sag and lose its elasticity.  I would first recommend a complete examination with your internal medicine doctor with lab work to make sure that you are systemically fine.  If everything if normal, then I would likely recommend treatment with Sculptra for support and concurrently SkinVive, a micro-droplet injection that hydrates your skin. Most importantly make sure that yuo choose an expert injecting physician to take care of you.  Please feel free to contact me with any further questions or concerns.  Good luck and be well.
Michael A. Persky, MD
Encino, CA

Camille Cash, MD · Answer

I encourage you to visit with a board certified plastic surgeon near you for an evaluation.  You may find improvement with Morpheus8.  These treatments combine RF technology with microneedling to improve overall skin tone and texture.  We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Nuket Eroglu, MD · Answer

Hello,Firstly, because there is no photo of you, and you are very young, I couldn't determine exactly what to say to you. Sometimes, individuals at the age of 22 can exaggerate concerns about their appearance. I don't perceive you as looking much older, as you expressed. I have two recommendations for you to protect your skin: firstly, please avoid significant weight fluctuations. People gain weight around the waist, belly, and hips, and during weight loss, the situation changes, affecting the face. The more weight fluctuations you experience, the more elasticity your face loses, reducing collagen in your face, making it appear more worn out. Secondly, the protein content in your diet is crucial. Please consume regular protein every day. Don't exaggerate with gaining weight, but don't go for days without protein. We need protein to maintain the ratio of elastin and collagen.
Regarding the elasticity loss and sagging you mentioned, I recommend PLA for you. Lanluma is highly effective among liquid facelift treatments. It has long-lasting effects and contains no side effects. It stimulates and increases natural collagen. The most crucial factor for skin tightness is the collagen ratio. I observe an increase in the tightness and brightness of the skin in patients I treat with Lanluma after a while. The effect of Lanluma is noticeable right away and continues to increase within two months. The results last for many years. I believe you will be very satisfied. I recommend it with confidence.

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