Do I need a facelift at 28 or are there other options? Is it all just in my head? I feel my face is dropping (Photo)

While age should not be the primary concern when thinking about getting a facelift, the 20s is typically too young just because it is extremely rare that a 20-something has the necessary skin laxity to warrant a facelift. From your photo, it does not appear as though you would be a good candidate for a full surgical facelift. I recommend visiting a board certified facial plastic surgeon for an in-person consultation to evaluate your concerns and see if there are other, less invasive options available that may help you to look and feel more youthful.  Some treatments to consider would be facial filler, Botox and a good skincare regime.
I hope this helps!

Thanks for your question!  I do not think you need a facelift at age 28.  Looking at your photo, however, I do think you would benefit greatly from Botox and hyaluronic acids (fillers) to help rejuvenate your look.  Be sure to consult with an experienced injector for optimal outcome.  Good luck!

Young patients in the 20s don't need a facelift. When young patients in this age bracket start looking "old" is usually because volume loss in the face. Therefore, the plastic surgery procedure to "rejuvenate" a young face with volume restoration with either fat transfer to the face ( with fat harvested from the belly) or fillers . Patients interested in facial volume restoration plastic surgery should make a consultation with a Board Certified Plastic Surgeon specialized in plastic surgery procedures of the face