Loose skin on face, neck and under eyes after weight loss. Options? (photos)

Question

after some weight loss . I hate the forehead when i expressions Botox doesnt last me long lucky 1.5 months tops . My under eyes bunch and look loose when i smile despite having upper and lower bleph 6 months ago in turkey and they are not interested in helping me. Lastly neck is loose and when i look down its like i have rolls. What would my options be for these issues so im not being misled again . The question thanks

Ali Sajjadian, MD, FACS · Answer

Thanks Dazzling160329 for your question! After losing weight, loose skin is a typical worry, particularly around the eyes, on the face, and on the neck. It's understandable that you're seeking reliable options after a previous procedure didn't meet your expectations. 
Recognizing the Problem: Excess skin that has lost its suppleness may be left behind after significant weight reduction. 
Non-Surgical Techniques:
Treatments with radiofrequency (RF) like Morpheus8 Burst-Ignite: use energy to heat the deeper layers of the skin, stimulating collagen production and tightening the skin. Multiple sessions are usually required.   Usually, several sessions are needed.  
Surgical Procedures:
Facelift: This surgery treats drooping skin around the jawline, cheeks, and jowls in the mid and lower face. Additionally, it can make slack neck skin seem better.   
Neck Lift: This can treat "turkey neck" or neck rolls and focuses especially on tightening loose skin around the neck.
Suggestions
-See a Board-Certified Plastic Surgeon for Advice: Talk about your aims and problems in detail. They are able to evaluate your particular circumstance and suggest the best course of action.
-Consider a Revision Blepharoplasty: To improve the outcomes of your prior treatment, a revision surgery may be required if the "bunching" is a significant problem.
-Examine Non-Surgical Options: Non-surgical procedures like radiofrequency by Morpheus may be worthwhile if you're not ready for surgery or if your worries are not too serious.
Remember that in order to prevent being deceived, it is crucial to be informed and select a skilled specialist. You may get the greatest result by being aware of your alternatives and establishing reasonable expectations.  
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian

Ali Riza Öreroglu, MD · Answer

For the loose skin on your face and neck, a total facelift or a lower facelift might  be considered. Regarding the under-eye area, information about the time of previous surgery can help decide on the best option. There may be other treatment options alongside your previous blepharoplasty. For areas where volume has been lost, **fat grafting** or **fat injections** could also be considered to restore fullness and improve facial contours. To determine the best solution, a thorough physical examination is necessary. This will help assess your skin elasticity, facial features, and overall condition to create the most appropriate treatment plan for you.

Nashielli Torres Espinosa Chiu, MD · Answer

Thank you for reaching out and sharing your concerns. I completely understand your frustration, and my goal is to provide you with honest, effective solutions tailored to your specific needs.
Based on what you’ve described, a Deep Plane Facelift could be an excellent option for both your face and neck. This technique repositions deeper tissues and removes excess skin, which is often necessary after weight loss, helping to restore a smoother, more defined appearance.
Regarding your under-eye concerns, I would need to evaluate you in a consultation to determine the best approach. Sometimes, lifting the SMAS (deep facial layer) during a facelift can also improve the eye area, but a detailed assessment would allow me to personalize the best solution for you.

John Reilly, MD, FACS · Answer

Hello, I think the procedure that would give you the most satisfaction and change would be fat grafting to the temples and cheeks.  Some patients may need more than one treatment. The fat will last forever. Volumizing the face where it needs restoration will remove certain undesirable shadows from the face and can give very impressive results. 
Good luck.

Stefan Mark Szczerba, MD · Answer

Switch to Dysport and switch providers...something isn't making sense.  Get some fat grafting done also to your cheeks for volume.  Halo laser peel, Morpheus for loose skin and and Sculptra to your injections to help with volume. Stop flying overseas for surgery.

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Loose skin on face, neck and under eyes after weight loss. Options? (photos)

Answers (10)

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