I am hypothyroidal. Will my sagging facial skin and jowls reform when my thyroid is treated? (photos)

As above- appeared skin rolling off face appeare overnight...see photos Thank you M Macleod

Doctor Answers 3

Thyroid function and skin.

Thank you for your question. As your thyroid hormone levels are normalized your skin quality may improve with time. Have you lost weight recently? Weight loss can affect fat distribution in the face and lead to the appearance of skin laxity. If with time you do not see improvement, there are so many helpful options to tighten your skin and regain your volume loss. Sculptra is a great option to re-volumize, this helps to encourage your own collagen to be produced and can help replace volume loss in cheeks and folds. Tightening procedures such as the Ulthera is a great way to tighten skin without any surgery. See a qualified dermatologist to guide you. Best, Dr. P. 


Great Neck Dermatologic Surgeon
5.0 out of 5 stars 24 reviews

Thyroid and neck appearance

Thyroid levels effect your metabolic rate and thus weight which affects the neck contour. When you are hypothyroid, you will likely carry more weight on your neck which will make it fuller and heavier; when you are hyperthyroid, you will carry less weight on you neck so your neck will look thinner but you will have more loos skin.

Arian Mowlavi, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 44 reviews

Will loose skin improve after hypothyroidism is treated?

I am sorry to tell you that you will feel better, you may lose weight, and there will be subtle changes in your skin, but laxity or looseness does not usually improve to a degree that will be considered "back to normal."

Of course, the primary goal will be to correct your hypothyroidism with appropriate thyroid therapy and follow-up visits and blood tests by your physician or endocrinologist. See what happens to your skin. If I'm wrong, then good for you. If not, then you have numerous options, which will have become necessary anyway as you continue to mature (nice way of saying grow older).

If plastic surgery is on your roadmap, take the time to see one or more ABPS-certified plastic surgeons (ASAPS members) with experience in facelift/necklift surgery. At least then you can make an informed choice to proceed with looking like you want to and now feel like, or to accept the changes you see and take a vacation instead! Either way, it's better than feeling sad. Best wishes! Dr. Tholen

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4.9 out of 5 stars 240 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.