Sagging Skin After Weight-loss at 21. Is a Facelift my Only Option? (photo)

It’s not unusual for patients to develop facial skin sag
following massive weight loss. In older patients who have poor skin tone, a
facelift is usually necessary to correct the problem. In younger patients who
typically have better skin tone, the skin tends to contract and tighten with
the passage of time. In most cases skin contraction takes about a year to occur
following weight stabilization.For
this reason, conservative management is usually appropriate when skin sag
develops in younger patients. In some cases injectable fillers or fat transfers
may be necessary.Rarely modified
facelift procedures may be indicated as well. Your
pictures suggest relatively mild skin sag. This may improve with the passage of
time.Fillers may be helpful in the
short term. If you’re
considering surgical intervention, it’s important that you consult a board
certified plastic surgeon.This surgeon
should be able to perform an appropriate evaluation and formulate a treatment
plan.

From the photo, I would not recommend a facelift for you. Your problem is loss of facial volume. Fat grafting with PRP is your best option to restore some of the volume loss. Find a facial plastic surgeon with good experience in this area. Dr. Kevin Sadati Newport Beach, Ca

Congratulations on the weight loss. No, you don't need a facelift. At your age, your facial skin has enough elasticity that it doesn't sag after weight loss.