27, lost 100lbs - nasolabial folds, sunken cheeks and loose skin on neck. Are a face and neck lift appropriate for me? (Photos)

Question

Hello I'm a 27 year old male and last year started losing weight going from 130kg to 85kg. I reached my goal weight 6 months ago. I have now noticed nasolabial folds, my cheeks look sunken in and loose skin on my neck. Will I be suitable for a facelift and necklift in around a year after I let my skin tighten by itself as much as possible first?

Jeffrey M. Darrow, MD · Answer

Congratulations on your weight loss and thank you for your photos. Although your skin has undergone some stretching from your prior weight gain, at your age of 27 it still has a fair amount of elasticity and strength. Your overall facial contour and shape is good. I would think it’s prudent for you to explore possible non-invasive methods of skin tightening prior to considering having a facelift or neck lift at your age. It would be good for you to meet with a board certified plastic surgeon, and have a detailed discussion about your options prior to making any decisions.

Lexie Wang, MD · Answer

Sure, you could consider a lift if you wanted, but most likely with the extent of weight loss, you'd benefit more from adding back volume to your face, whihc you can do either surgically or with injectables.

Oliver Chang, MD · Answer

Based off your photos - you do see NSLF deepening as you lose more weight as well as neck skin laxity. The question is if you continue to lose more weight and get to your final goal weight - how much more laxity and deepening will occur. From these photos, you can try chin liposuction with some type of skin tightening protocol (J plasma, bodytite) and see if your neck heals enough skin contraction to save the neck lift procedure for the future (40-50 yo +). Fat grafting to your midface can potentially help restore some volume there as well versus a facelift just yet. First get down to your goal weight and stay stable there, then seek out a few different opinions about facial volume restore before making any final decisions.

Zoran Potparic, MD · Answer

Based on these photos it looks like anterior neck lift with incision placed underneath the chin would be right procedure for your problem. This will reshape the anterior neck, improve the jawline and create nice neck-jaw angle. Possibly small chin implant. Good luck.

Kamol Pansritum, MD · Answer

At your age, the skin still has good elasticity, and it’s common for the face and neck to continue tightening naturally for 12–18 months after major weight loss. From your photo, I would recommend an Endotine facelift for the midface sagging and early jowls. The nasolabial folds are mainly from smaller cheekbone structure and skin laxity after weight loss, while the neck skin may continue to improve on its own with time.

27, lost 100lbs - nasolabial folds, sunken cheeks and loose skin on neck. Are a face and neck lift appropriate for me? (Photos)

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