Patient went from 340lbs to 200lbs in 1.5 years after extreme dieting at age 19. Patient than regain50lbs after a year. One year after this, the patient lost 70lbs. The patient is mostly concerned with the premature aging that has resulted in his face. - under eye circles -pronounced nasolabial folds -upper, mid, and lower cheek sagging -droopy lips - Patient has tried dermal fillers and but has not been satisfied with the results. Would a facelift be appropriate?
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