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

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

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.