Severely Sagging Skin at 24. Eyebrow Lift/face Lift Needed? (photo) (photo)

Hello,


  Thank you for including photographs with your questions.  It makes meaningful discussion about potential therapies a little more attainable.

  You are still very young and have very healthy skin.  The lower 1/3 of your face looks age-appropriate around the jowls and you have retained youthful contours in your neck.  I agree with you that your midface has signs of aging. 

  Feeling like your appearance suggests an age greater than your actual date of birth is a common complaint.  For someone as young as you the first thing I would do is look at photographs of your parents when they were in their 20s.  Prematuring aging is largely dependent on sun exposure (which you are avoiding) and DNA. 

  The good news is that there are a number of available therapies to help improve the contours of your midface.  I would suggest a good place to start would be to restore volume in your cheeks and midface.  Nonsurgical fillers such as Sculptra, Radiess & Juvederm can be performed in the office.  A longer lasting solution would be fat grafting, which frequently requires a visit to the operating room.  I frequently recommend starting with facial fillers, but given your young age and loss of volume, fat grafting as an initial therapy is certainly a reasonable option.


Hope this helps.

I agree that you should first get a check-up to make sure there are no general medical reasons for the loss of fat in your face.  Fat injections should help restore a more youthful appearance for you