How to address premature sagging of face? I’m 28 but I get told I look 10 years older all the time.

Question

I have very deep tear troughs (genetic) and my undereyes often look purple. I feel like the rest of my face is sagging. I have always wanted rhinoplasty and an upper blepharoplasty but I am curious if fillers in my undereye, or cheeks, or nasolabial folds would help? Would some type of surgery be better? I have developed a lot of insecurity because of how old I get told I look. Please excuse my skin, tried a face mask that irritated it!

Nima Shemirani, MD · Answer

You would be a great candidate for tear trough and mid face dermal fillers. In addition, I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting. Best of luck, Dr. Nima!

Ramandeep Sidhu, MD · Answer

The best recommendation would be on consultation to actually see the face but over all considering yuo age you want to try something thats more natural so ultherpay would be great to stimulate the collagen and give the lift and then good skin care and then lastly fillers if need.

Lucas Bryant, MD · Answer

Hello and thanks for your question! Early facial aging can happen for a number of reasons including genetic (thanks Mom and Dad!), sun exposure, and significant changes in weight. At your age, you can augment some facial aging with many non-invasive measures, but the key is really to be very careful with HOW MUCH you do. The risk is that your efforts to camouflage (or reverse) the aging process end up changing your facial shape in a way that is "different" but not necessarily a more "youthful" version of you. While people certainly also get surgical procedures at your age, I would recommend you speak with a certified facial plastic surgeon to figure out the best step for YOU. Good luck!

Jason Emer, MD · Answer

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes and improve facial volume. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Shaun Patel, MD · Answer

I do think you would benefit from volume restoration in the midface using filler. I usually recommend Sculptra Aesthethic or Restylane Lyft when correcting midface/cheek volume loss. I think, in your case, Sculptra may give you a more complete result. I would also consider one of the newer flexible gel hyaluronic acid fillers, Restylane Refyne or Restylane Defyne, to soften your laugh lines.

How to address premature sagging of face? I’m 28 but I get told I look 10 years older all the time.

Answers (6)

Answer: Improving Under Eye with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Improving Under Eye with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Correcting face volume loss using fillers

Answer: Correcting face volume loss using fillers

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Everything you need to know about Dermal Fillers

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How to address premature sagging of face? I’m 28 but I get told I look 10 years older all the time.

Answers (6)

Answer: Improving Under Eye with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Improving Under Eye with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Correcting face volume loss using fillers

Answer: Correcting face volume loss using fillers

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.