Would a facelift of fat graft address sudden wrinkles and gaunt, hollow appearance? 47 y/o male (photos)

In cases of sudden facial sagging and volume loss, the primary step is to correct tissue laxity. A deep plane facelift, which effectively lifts the midface and jawline, may be the most appropriate option.
Once the facial structures are repositioned, fat grafting can be performed to restore volume in areas such as the cheeks, temples, and under the eyes. This can also lead to improvements in skin quality over time.
However, with such rapid changes, it is important to first rule out any underlying medical causes such as weight loss or hormonal imbalance. For an accurate treatment plan, high-quality photos from multiple angles—or ideally, an in-person consultation—are necessary.

I would recommend fat gafting to the cheeks, submalar area, and temples. This can restore the lost volume and make you appear less gaunt. A facelift can address excess skin and efface the nasolabial folds but you would have to address changes in the beard line near the ear.

Before considering any treatment for your facial appearance, I would highly advise that you see your gp to further investigate your sudden weight loss.A plastic surgeon with an interest in facial aesthetics can then see you to discuss volume restoration to your face.

I am sorry to hear what you are going through. With such sudden weight loss and changes to the face I would highly recommend you visit a primary care physician for a full work up to identify the cause of the rapid weight loss. You only want to undergo any type of facelift or other elective surgery when you are in optimal health to allow the best healing and recovery.

Thank you for your query. Such sudden aging is very unusual and you should talk to your GP to rule out medical issues. A face lift with Autologous fat grafting will certainly help you a lot. You may need to have some acne treatment done as well. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns, in addition to your general practitioner. All the best!