I had an extremely rapid weightloss and my face looks sunken & saggy. What are the main areas treated for this? (Photos)

While a mini facelift would give you the most dramatic, longest-lasting results, I think you might also see satisfactory improvement with a combination of a skin rejuvenating treatment like radiofrequency microneedling for skin firming and dermal fillers for replacing lost volume. I recommend scheduling a consultation with an experienced, board-certified facial plastic surgeon who can assess you in person and discuss your concerns and goals in greater detail. Through that meeting, your surgeon should be able to create a customized treatment plan that will provide very good results. 

Hi @ajt8903. Thank you for sharing your photos. I recommend a combination treatment of dermal fillers and 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

Thank you for your question and congratulations on your weight loss. This might be a case where a combination treatment would achieve the best results for you. I might start with a nonsurgical skin-tightening treatment that would smooth and firm the entire face. Next, I might follow up with some strategically-placed dermal fillers to restore volume and put the finishing touch on your facial contouring. Make sure you work with a board-certified dermatologist with extensive experience and training in facial contouring techniques to ensure an optimal outcome.

Hello,
Thanks for your question!
 
According to your pictures you will have good results with combined
treatment protocol including dermafillers, Botulin toxin, and eventually peeling
and biorevitalization and skin care.
My approach is to treat the face as a whole unit and focus
and highlighted which areas of the face need to be prioritised and treated
by placing the appropriate dose of product (fillers) in right
area in order to restore the volume lost and achieve a lifting and natural
looking effect. It is indicated for patients who want to look less tired, less
saggy, more youthful and “fresh” with natural results. 
In addition this medical approach is suitable for top up during
the years and with minimal downtime.
I would strongly recommend to seek the advice of an expert doctor
with extensive knowledge of the facial anatomy and aging process and experience
in facial assessment and treatment.
 Hope this help,
Best Wishes,
Dr Giuseppe Fiore, MD

you are a canddiate to have a full rejuvenation with facelift, fat grafting or fillers and lasers. if you are unwilling tto have surgery I would consider hormonal optimization (see link to our dr jill who does hormonal and internal wellness to keep your skin tigther for long term) along with fillers, sculptra or fat. morpheus to tighten the skin and at home peels like cosmelan and enligthen from emeragecosmetics.com.
With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer

You have significant volume loss in your upper cheeks from your rapid weight loss. You are a great candidate for cheek filler to replace the volume loss and also look at skin tightening and smoothing treatments.

Congratulations on your weight loss.  I like others would take a full 360 approach - a non-surgical combination would include:  Ultherapy to face and neck for tightening, followed by filler and medical grade skincare.  In my office we package this whole treatment at a substantial savings and it is done over two office visits. Hope this helps.

Thank you for the question and congratulations on your weight loss. From the photo's I can see that you have a loss of volume, and could benefit from tightening, volumizing, and lifting. You can tighten the skin using Thermage, volumize using dermal fillers, and lift the skin using threads. In my opinion you would start with Thermage, then threads and finish with fillers. 

You will have the best results from a combination of treatments.  Fillers can be used to help add lost volume to the eyes and cheeks.  They can lessen the laugh lines around the mouth.  You can combine this with other treatments such as FaceTite with Morhpeus8 treatments to tighten the skin overall.  Visit with a board certified plastic surgeon near you to learn more.

I would encourage you to try the fillers, Restylane Lyft and Radiesse, first before considering fat injections. We want to make sure that you are satisfied with the result before undertaking something more permanent and also that your weight remains stable. Fillers will do exactly what they are meant to do and can easily be augmented whereas fat does not always take in equal proportions.