21, Asian. What procedure should I do for my face sagging? (Photo)

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Based off the limited photo provided - you have low set fuller cheeks (common with Asian ethnicity) and because you are very young still - you want to seek out treatments / procedures that will help you age gracefully as well. Doing all those external energy devices likely provides very minimal changes plus requires many treatments and likely is creating deeper internal scarring that will result in harder issues for future surgeries. Without a full face picture and multiple angles - its hard to say if a midface lift would help with your lower face and / or buccal fat trimming to help slim the lower face down. The idea is to reduce lower face to be more slim than middle face for a more aesthetic appearance. Recommend you to seek out a few surgeons for some of these possibilities and to also hear what they have to offer that will give you a more permanent result that you are willing to take on the risks to do as well.

At age 21, true skin laxity is very uncommon, so Ultherapy may have shown little effect simply because there wasn’t much “sagging” to lift. Based on your photos, this looks more like a volume-imbalance issue rather than actual drooping. You may benefit from light facial liposuction, volume restoration with fat grafting to the hollow areas, or a subtle volumizing treatment such as Juvelook. A proper in-person consultation is necessary to decide which option fits you best.