Can fillers really make a diffrence on these saggy cheeks? Or will my face look bloated? Do I need facelift, cheeklift or what?

Thank you for your question and pictures.  I would suggest considering your age and I am sure you not wanting scars on your face.  Non-surgical route should be tried first such as dermal fillers to create some contour and balance in the face or PDO threads is another option.  Please do have a consultation with a board certified plastic surgeon who you can explore options with.  All The Best 

Thank you for your question.
In spite of your young age you seem to have a significant amount of loose skin. It may be a little early for a Face Lift but Non Surgical skin tightening like Thermi Tight with possible Autologous Fat Grafting may be helpful. If on examination your surgeon feels that the skin is still very loose a Mini Face Lift may be an option. Please find an experienced Board Certified Plastic Surgeon who can help you with your concerns. All The Best !

Thanks for your question. You're far too young to be considering this type of surgery.  If anything, maybe some fillers to your cheeks if you really feel deflated.  I do think that's a bit much for you though. I think you just need to get used to living in your new skin.  Good luck!

Ordinarily I would not think that facelift type of surgery would be indicated in someone your age. However patients who lose large amounts of fat sort of "age" differently. You have good questions but I really think you need to be examined by a good facial cosmetic surgeon in order to get the best advise. There's some things that photos alone just don't answer. Good luck.

Hi Mathilda,  I agree with all the docs below. You do not need a facelift at all. Frankly, I don't think that you need fillers either. Smile more- You are 25, lost 80 lbs and are very pretty. If you smile, you will not look sad. If you absolutely had to have something, I agree that Sculptra is a good filler or the cheeks.Good Luck, dear.Best,Dr. Christine Rodgers

you absolutely do not need a facelift. criminal to do one.  curious to see pictures when you are smiling. you have an attractive oval face.  congrats on the loss of weight. my guess is that you had a rounder face when you were heavier and that is what you are used to seeing

you need absolutely nothing done to your face.  No fillers no facelift nothing.  Your face is perfectly normal and you are far too young even consider having anything done with your face.  It’s a waste of money but believe me you will find doctors to do whatever you want.  Don’t get roped in!

Hello and thanks for your question and pictures. Great work on your weightloss and quitting smoking! That's huge! Here's a few thoughts/facts on the issues you are describing and appear to show on photos.
1. Depending on how recently you underwent weightloss and if your weight is likely to change further in the near future will help guide your treatment decisions. If the weightloss is recent and rapid, it may be best to allow your body to "normalize" to the new you before pursuing enhancing treatments.
2. Facelifts are often done to reverse the effects of aging, but can also be used to contour and improve facial aesthetics in younger patients. Patients with congenital mid face fullness/ptosis or massive weightloss patients who experience facial droop are examples of this. Just like rhinoplasty can be used to treat unwanted nasal contours, correctly targeted and performed facial surgery, buccal fat removal etc can do the same. There are also less invasive temporary and permanent facial treatments that may be an option.
3. For the most part, our faces age in three ways: skin quality changes, gravity makes things sag, and facial volume changes. If you use filler to try and treat/camouflage gravity and skin quality, you run the risk of losing a "natural" appearance. This is called picking a good treatment for the wrong problem.
Hope this helps! Warm regards.

Congratulations on your weight loss and thank you for your question! Facial volume changescan dramatically alter the way a person looks and the skin does not always accommodate thechanges as completely as one would like. As some others have suggested, depending on howrecently your weight loss occurred, it’s possible that you are just not used to seeing your newlook and need time to adjust. Facelift surgery is generally not considered for patients of yourage, as it is designed to address significant wrinkles and skin laxity that young patients do nothave. Nonsurgical routes should most likely be explored before pursuing a surgical approach.You may want to look into options such as dermal fillers or nonsurgical skin tightening. Pleaseget in touch with a local plastic surgeon who specializes in facial procedures. They will be bestequipped to help you find a solution that is appropriate for your concerns and your age. Best ofluck!Michael Eisemann M.D.
Plastic Surgeon
Houston, Texas

Dear Mathilda24, Congratulations on your weight loss! Thanks for sharing your photos as well. As the fat volume is lost in the face, neck (and elsewhere on the body), the skin unfortunately does not contract as well. Fibrous attachments to the dermis hold the skin relatively in place but the pull of gravity creates skin folds over those attachments at the brows, inner eye (nasojugal), nasolabial, outer mouth (lateral commissure), marionette and neck. While unusual to lift and remove excess skin and reposition the facial soft tissues in a 20+ year old, each of us is different and your needs are not age dependent. Replacing fillers and fat back to the face maybe counter-productive so consideration for a face and neck lift with elevation of the above noted folds should be considered. Please consult with a Board Certified Plastic Surgeon to discuss your desires and background to find the procedure(s) best for you. I wish you the best!