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)

I would not suggest a facelift at this point in time. Based on your photos, I would recommend injectables to rejuvenate your face. Botox for the frown line, and fillers in the cheeks, around the mouth, and lips. Those will go a long way to restoring a youthful appearance without any surgery. Visit an experienced injector for a full evaluation. Good luck!

You need volume restoration and are a great candidate for this.  One of the most unrecognized signs of aging is a loss of volume in the face which can be achieved with temporary fillers such as hyaluronic acids, your body's own fat, or long-term to permanent fillers like Bellafil.

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

Hello, thank you for your questions. 28 is very young to consider a surgery like a facelift. Although we don't like to put "ages" on things, a facelift would be something that I would not recommend to someone your age. My advice, would be to consider treatments like Botox, Fillers, Laser, Radiofrequency and general skin Care. You will be amazed at the results that can be achieved with this non-surgical treatments. James Bonaparte

The appearance of facial soft tissues on your underlying bony support depends upon many factors, and determines in large measure the emergence of aging features.  An expansive facial skeleton maintains brows, cheeks, lips, and chin at their elevated youthful station for many years.  Abundant soft tissue on a more delicate facial skeleton gravitationally descends at an earlier age.  In addition to skeletal-soft tissue relationships, proportions and positions among and between facial skeletal parts and soft tissue parts determines appearance of aging features.  Skin elasticity, skin thickness, and  environmental factors (smoking, sun exposure) influence aging.  Beyond objectively measured aesthetic elements and of equal or greater importance in deciding upon treatment is your own personal vision of your situation, features you yourself like and do not like, and your preferences for or against treatment.What in particular about your face is creating for you the sentiment that it is dropping?  Expanding supportive structure with filler, implants, or bony rearrangement may help, tightening or lifting portions of skin and soft tissue may help, and/or some combination of these techniques may be best.  Maximize the benefit from non-surgical approaches first.

Dear Keeperkelsey,You would be a great candidate for fillers and Botox to rejuvenate your face and give an overall younger look. You are too young for a facelift and I strongly advise against it. I recommend the use of cannulas for the fillers as there will be less swelling and bruising associated with the recovery. When you are ready, please take a look at my website where you will see many before and after photos, and we can set up an in-person consultation to address your concerns and answer all of your questions. Best regards,Nima Shemirani

There are many options to help you that will give you better, softer, and more youthful. You would benefit from botox for the 11 lines, and hyaluronic acid filler for the midface/under eye area, and chin.  There is no substitute for a thoughtful consultation with an ethical cosmetic surgeon.  Less is more.

It is a bit difficult to fully evaluate you with only the one photo, but it does not appear to me that you would be a good candidate for a facelift.  It would also be very unusual for any 28 year old to be a good candidate for the procedure.  I would say some well placed fillers would be a better option for you.