34, female, weight loss. What are my options for nasofolds/jowls? (Photos)

Question

34y female uk - i have lost a lot of weight over the last 5 years, nearing 10 stone but now my face is depressing me and really getting me down. What can I do for my jowls/smile lines? Trying to avoid filler and Sculptra as heard you then ruin chances of a face lift. Is a face lift my only option? I have tried 2 vials of Profilo Sculpt which doesnt stay long term but havent seen any difference. I have a consistent skin care routine, and incorporating microneedling

Anna Chacon, MD, FAAD · Answer

First of all, I’m really sorry this is affecting you emotionally—after significant weight loss, this is one of the most common concerns I see, and it can feel quite discouraging when your body changes but your face doesn’t “snap back” the way you expect.

What you’re seeing is not just “lines”—it’s really a combination of volume loss + tissue descent + skin laxity after weight reduction over time.

At 34, a facelift is not your only option.

Even when patients eventually consider surgery later in life, the best outcomes usually come from preparing the face properly first, not avoiding all non-surgical treatment out of fear.

A few important points:

Profhilo-type treatments improve skin quality, but they don’t rebuild support
Jowls and nasolabial folds are usually better treated by restoring midface structure first, not chasing the fold directly
You do not “ruin” a future facelift with conservative, well-placed filler or biostimulators—that’s a misconception I hear often

A very balanced plan usually includes:

Subtle midface support (to lift rather than fill)
Conservative jawline support if needed
Skin tightening modalities if appropriate

The goal is not to erase everything—it’s to restore support so your face looks like you again, just softer and more refreshed.

Paul Flashner, MD · Answer

What you’re experiencing is really common after weight loss—it can affect volume and skin support.

If you want to avoid filler and Sculptra, NeoGen is a great option. It helps tighten skin, improve texture, soften lines, and lift areas like jowls and smile lines—without adding volume. Results are longer-lasting and it won’t affect future facelift options.

Ebru Soylemez, MD · Answer

You can only address the volume loss in your face with fillers. Products like Profilo that you've been using can improve your skin quality, but they won't provide volume support. The facial volume you've lost due to weight loss needs to be restored and supported. This can only be done non-surgically with fillers. Or, if you're considering surgery, fat transfer will be necessary. Have a good day.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  For volume loss due to weight loss fillers and Sculptra are two of the most common options.  Other treatments for skin tightening may help as well.  You can consider FaceTite or even Morpheus8.  Visit a board certified plastic surgeon near you for an evaluation and to learn more.

34, female, weight loss. What are my options for nasofolds/jowls? (Photos)

Answers (4)

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