Prematurely Aged at 28- What Treatment Will Be Effective? (photo)

Hi , I am a 28 year old female and due to various factors including stress and smoking, I have aged considerably over the past 2 years. My face, esp. cheeks, appear to be sagging, my whole face looks bigger and the skin has become slack. I have hollows beneath my eyes and labio nasal folds, along with rough skin texture and many fine lines and early wrinkles. I stopped smoking 1 month ago. Will skin treatments such as peels be enough? Should I consider tightening/ or early mid facelift?

Doctor Answers 5

Skin Care

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Dear Patient,


Congratulations on quitting! Keep it up! Chemical peels are a great start. Your skin’s texture and complexion will improve, your pores will diminish, and fine line will become less apparent. However for the deeper lines such as your nasolabial, I would suggest volume fillers such as Juvéderm. Botox is also a great way to prevent the “11s” from forming. I would advise that you consult with a board certified plastic surgeon for the skin looseness off your cheeks, he or she may suggest a mini facelift.

Montreal Plastic Surgeon

Premature aging

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I would definitely recommend starting a good skin care regime using a cosmeceutical range such as Environ or ZO products. These both include forms of Retinol and other Vitamins. Alongside this, needling treatments will stimulate your collagen and elastin, giving you the desired 'plumpness' to your skin. This is something you would need in a course of treatments.

Peels are a good start to your journey, but i feel more would be needed as well as commitment from yourself. Well done on quitting smoking and keep it up ! 

All the best 

Chien C. Kat, FRCS
Birmingham Plastic Surgeon
4.8 out of 5 stars 100 reviews

Skin rejuvenation for saggy skin

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It's great that you realize that stress and smoking affect skin but you must also protect your skin from the sun.  Light chemical peels will give your skin a glow but will not address your other concerns.  A combination of treatments including fractional laser to improve texture, Thermage for tightening and lifting, Botox to stop dynamic wrinkles, and fillers to replace lost volume would be the best choice.  Consult a board certified dermatologist or plastic surgeon to discuss a treatment plan. 

Martie Gidon, MD, FRCPC
Toronto Dermatologist

Premature aging and facial cosmetic options

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First, congratulations on your quitting smoking.  This will help prevent premature aging.  From your photo and description, I would suggest starting on a good topical skin care treatment regimen (moisturizer, sunblock, and possibly Retin A).  Injectable fillers such as Restylane, Juvederm, and Radiesse could also be consideration.  Although you are rather young, if the sagging is significant, you could consider a mini face lift or eyelid surgery if not now then in the future.  Best wishes. 

Vincent D. Lepore, MD
San Jose Plastic Surgeon
4.7 out of 5 stars 63 reviews

Prematurely Aged at 28- What Treatment Will Be Effective? (photo)

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Full face laser resurfacing would be an option for you to tighten the skin and improve the overall texture.  We offer the Dot Co2 Fractionated Laser. Another option would be facial fillers or Sculptra to re-volumize your face and to re-stimulate collagen production.

Stuart B. Kincaid, MD, FACS (in memoriam)
Beverly Hills Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.