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

i dont think people in their twenties should be considering facelifts

but there are other procedures that make sense

young patients with premature aging can consider

blepharoplasties, browlifts, fat grafting, fraxil, fillers

Hello, I am so happy to hear of your weight loss, but can see why you are now frustrated with your face.  If it isn't one thing, it's another!  There is no doubt that there can be a link between weight loss and a sagging face.  The issue is what to do about it and when.  The good news is that I have seen this resolve on its own in young adults.  You may be very happy a year or two from now without doing a thing.  Maintain a healthy diet with an emphasis on vegetables, avoid prolonged sun exposure, wear sunscreen, don't smoke, avoid alcohol - and give your skin some time.  This may not be what you want to hear,  but your chances of success will be high.

I would generally not recommend a surgical facelift at age 21. While skin laxity can become a problem following large weight loss, in someone so young with good skin quality, there is a good chance that your skin will tighten on its own given time. In the meantime, you could try facial fillers or non-surgical tightening procedure. Visit a double board certified facial plastic surgeon who can evaluate you in person and recommend the best course of action. Good luck!

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.

Congratulations on your weight loss!I suggest you wait until you've reached a stable weight  before considering a facelift. Because you are still young, there is a good chance the skin on your face will firm up again as long as you lead a healthy lifestyle. For now you may want to consider nonsurgical skin tightening treatments such as laser skin tightening and fillers. These are less invasive and may be a better option considering your age. 

Depending on the shape and
contour, if you have true facial sagging and skin atrophy, you may need to have a modified
facelift even at a young age. This requires the expertise of a facial
rejuvenation expert with expertise in massive weight loss and facial recontouring.

  From the photo, I would not recommend a facelift.  However, fillers or fat grafting to restore some of the volume or help with the tear trough may be appropriate.  Find the plastic surgeon with ELITE credentials who performs thousands of procedures each year.  Kenneth Hughes, MD Los Angeles, CA

You are a great candidate for facial grafting.  At age 21 you should not need a face lift.  Find a surgeon with experience in fat grafting - good luck!