95 pound weight loss has caused facial sagging - where should I start with filler? (Photos)

Question

I’ve lost 95lbs over the last two years and I feel like my face is sagging. I’m a 36 year old female and will add pictures for reference. My injector recommended cheek filler, but I feel like I at least do have a good structured cheek bone. My issue is I’m tight on money and will only have enough to buy one syringe of filler so I will have to do everything in stages. Should I start with the midface or lateral cheek filler? Also will 0.5ml in each side even be noticeable?Thank you for your time.

Michelle Zweifler, MD · Answer

With weight loss, the face changes with loss of volume and often resulting skin laxity.  The volume can be restored with fat grafting or filler.  
We try to be price sensitive, one syringe of filler should be used in the area of greatest volume loss and should have improvement in the midface.  One can always add additional volume later to further enhance the results.

Anna Chacon, MD, FAAD · Answer

First, I just want to acknowledge how significant that weight loss is—your face absolutely does change after that kind of transformation.

When patients are tight on budget, I usually don’t start by chasing individual lines or folds. The biggest return is almost always from strategic midface support first, even if you feel your cheekbones are already defined.

Even 0.5 mL per side can be noticeable, but it depends entirely on placement. Subtle midface support can:

Lift the lower face slightly
Improve early jowling appearance
Restore some softness without looking “filled”

Between lateral vs midface, I would almost always prioritize midface first, because lateral cheek alone doesn’t really restore the support that’s been lost after weight loss.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  The cheek area is a great place to begin to restore lost volume and create fuller contours.  One syringe divided between each cheek can make a conservative difference.  You may want to wait until you have more in your budget.  You can also look for specials from your injector or those offered by the manufacturer.

95 pound weight loss has caused facial sagging - where should I start with filler? (Photos)

Answers (3)

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