22yo with loose skin on face after weight loss, should I have a facelift? (photos)

Thanks for your question. You are far too young for this kind of procedure. Some good skin care, lasers, microneedling, etc will go a long way for you. Good luck!

Hello, and thank you for your question. While you do appear to have loose skin, your signs of aging and degree of skin laxity are too mild to make you a candidate for a facelift. With your concerns, you may already benefit from skin tightening treatments, courtesy of laser and energy devices, including Profound RF (microneedling combined with RF energy). You may also consider a PDO thread lift (uses dissolvable sutures to lift tissue and tighten skin for a noticeably younger appearance). A combination of Botox and dermal fillers can also tighten and lift the skin, enhancing your facial contours and creating a non-surgical facelift. I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can assess your skin quality and facial profile, recommend the best treatment or combination of treatments, and ensure the best possible results.

Hello!
There are well defined anatomical fat compartments in the face. With weight loss, those compartments deflate and can result in laxity. This process occurs normally with aging too, so younger patients feel like they look prematurely older after weight loss.
You have options! I would say that filler would be a good start to reconstituting the fat compartments. You can use fillers like Restylane Contour or Allergan Voluma to fill and lift the cheek, which also secondarily can improve adjacent areas. Fat is another excellent option, and the fat stem cell effect may be helpful with your complexion.
You can consider a mini lift of the face which can be done under local anesthesia with limited incision around the ears.
I would recommend you see a board certified plastic surgeon. You can find one at plasticsurgery.org.
Best of luck to you!