Solutions for Extremely Loose Facial Skin?

It’s unusual to have severe skin
laxity in someone who’s only 21 years old.  There are several possible explanations for this
phenomenon.   Possible
explanations include loss of subcutaneous tissue following weight loss,
inadequate support of the underlying bones and genetic connective disorders
such as Ehlers Danlos syndrome.

It’s virtually impossible to make
any type of recommendation without pictures or a physical examination.  In addition, it’s important to
investigate the cause of this premature skin sag before a treatment plan can be
formulated.

Depending on the cause of the skin
sag, a variety of treatment options may be possible.  These may include procedures to augment the underlying boney
skeleton or increase the volume of the subcutaneous tissue.  In other cases excess skin can be
removed and tightened with standard facelift techniques.  If genetic conditions are identified, surgery may not be an option.

Under these circumstances
consultation with a board certified plastic surgeon is appropriate.  This surgeon should be able to help
formulate an appropriate treatment plan.

There are multiple factors than can cause very loose facial skin at a young age: lack of development of the underlying bony framework, extensive sun exposure, excessive exercising producing low body fat, smoking, or a genetic basis for a connective tissue disorder like Ehllers Danlos Syndrome.The options to improve the cosmetic appearance include surgical procedures, non-surgical treatments, or a combination of both. The optimal approach would depend on your anatomy, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure.I would suggest that you have consultation with a plastic surgeon certifiedby the American Board of Plastic Surgery and ideally a member of the American Societyfor Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns and options with that surgeon in person.Robert Singer, MD FACSLa Jolla, California

One would have to really see and examine a person if they feel that their facial skin structure is loose as the plastic surgeon needs to confirm how much fat you have or have not lost in your facial fat compartments. Especially if you’re younger you may need deep layer fat compartment augmentation restoration only and if you indeed have facial skin laxity we need a combination fat augmentation and a Lift and Fill facelift. This would require an evaluation to fully evaluate what type of specific facial rejuvenation procedure would optimally fit your needs to provide you with a natural looking, youthful face.