Face is falling forward after weight loss. What are my options? (Photo)

Question

After losing almost 50 pounds, I now have major laxity that is most evident when I smile. I had one vial Voluma split between the two cheeks to lift and one vial Sculptra split between both sides is jaw and temple to attempt to pull up skin. What needs to happen to correct this significant volume loss? I don't want a facelift and want to stay with fillers if they can indeed lift my skin back up.

Alim R. Devani, MD, FRCPC · Answer

The best treatment for skin rejuvenation and prevention
depends upon an individual’s skin type, age, ethnicity, sun exposure, and
overall health. In order to give you an accurate treatment plan, a consultation
is required to properly assess your skin.

When it comes to rejuvenating and prevention treatments, a
combination of treatments are available including cosmeceuticals (skin care
products including ZO® Skin Health or ZO® Medical, Skinceuticals® or
Glo-Minerals®), neurotoxins (Botox®, Xeomin®), dermal fillers (Restylane®,
Juvederm®, Esthelis®, Belotero®, Emervel®, Radiesse®), skin resurfacing
procedures (laser resurfacing with CO2 laser, Er:YAG laser, Fraxel
DUAL®, PicoSure® FOCUS Lens Array or OBAGI® controlled depth chemical peel) and
other devices such as Ultherapy® can be used.

These are advanced techniques so be sure to get an
experienced dermatologist or plastic surgeon consultation for recommendations
and treatment options.

Alix J. Charles, MD · Answer

This is a common problem for patients who lose lots of weight through diet and exercise.  It sounds to me like you are on the right track.  Just as it took you time to lose weight, it may take time to achieve the best facial correction with filler.  You may need to invest over time in more Juvederm Voluma or Sculptra to fill in the lost volume.  Investigating a skin tightening procedure that uses ultrasound or radiofrequency could also be beneficial.  I recommend finding a physician who understands your goals and can work with you over time to achieve your ideal correction.

Steven Wallach, MD · Answer

More fillers may be required to achieve your goal appearance. Best of luck with your decision to have the rejuvenation improved.

Edwin Ishoo, MD · Answer

Congratulations on the weight loss. I believe if you maintain the weight loss, you will eventually want a definitive treatment by surgical removal of the excess skin and replacement of mid face volume with fat; however, until then, consider a series of Sculptra treatment in addition to Ultherapy to help improve facial volume and skin turgor by maximally stimulating new collagen growth.

Face is falling forward after weight loss. What are my options? (Photo)

Answers (4)

Answer: Facial skin Laxity

Answer: Facial skin Laxity

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.

Face is falling forward after weight loss. What are my options? (Photo)

Answers (4)

Answer: Facial skin Laxity

Answer: Facial skin Laxity

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.