I’m 48 yo, & average weight, & healthy My skin quality is still quite thick, I’m not showing wrinkles yet, though have had annual Botox for my 11 lines; though I’ve not had any surgical facial procedures. This said, I’m not opposed to doing so in the future as it’s warranted!! I have wide, fairly prominent cheekbones but also a fuller lower face regardless of weight fluctuations, & cheeks seem to be not only retaining their fullness but causing me to look more jowl-y than I’d like.