Cheeks and lower face look different after weight loss - how can I fix this? (Photos)

Question

I lost alot of weight in 2 months, im only 20 years old and i was 65kg before and lost 13kg in 2 months and now my cheeks on the lower face looks like that when i push my head back or tilt my head down? It wasnt like this before, is it permanent? if i regain all the weight?

Carl Truesdale, MD · Answer

Weight loss reshapes the face in ways that often surprise patients. The fat compartments don't shrink uniformly, so what shows up is asymmetric volume loss in some areas alongside skin laxity in others. The right approach depends on where you've lost volume and where the skin has become loose.
Three things that typically need addressing:
The midface (cheek and lateral cheek). Volume restoration with autologous fat transfer or hyaluronic acid filler is usually the first move. Fat transfer is more durable but requires donor sites. Filler works well for previewing the look and gives you reversibility if you don't like it.
The lower face and jowls. If you've developed loose skin or jowling, no amount of filler will lift it. A deep plane facelift addresses the descended tissue. For mild cases, RF microneedling or HIFU may help but won't replicate surgical lifting.
The neck. Often the most obvious change after major weight loss. Neck lift with platysmaplasty is the workhorse here.
Combined approach is usually what gives the best result. In someone who's lost significant weight, a deep plane facelift plus fat grafting addresses both the descent and the deflation in one operation, with a single recovery.
Conservative starting point: get evaluated by a facial plastic surgeon who does both surgical lifting AND fat grafting. They'll give you an honest read on which compartment needs which intervention. A surgeon who only injects will tell you filler is the answer. A surgeon who only operates will recommend surgery. You want the one who does both.

Cheeks and lower face look different after weight loss - how can I fix this? (Photos)

Answers (1)

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