Late 30's, weight loss. What type of face lift for lost face elasticity? (Photos)

Question

I’m in my late 30’s and have lost a large amount of weight. the bottom half of my face seems to have lost its elasticity. When I smile it creates actual skin folds not just wrinkles. And when I lean over you can see my face skin falls. I have previously had a few syringes of filler however it did not help. Looking for opinions on what type of lift would be best for me

Gary M. Horndeski, MD · Answer

I recommend a facelift and browlift.  The browlift can be done to lower your hairline, move your eyebrows higher and medially and take care of the excess skin in the mid face as well.

Best Wishes,

Gary Horndeski, M.D.

Oliver Chang, MD · Answer

Based off your photos - there is noted weight loss volume loss noted like you stated with its associated skin laxity creating deepened under eye 'bags', nasolabial folds, migration of the midface downwards, mild jowling / skin laxity at the mandibular neck junction. A few things need to be addressed, especially with higher weight loss history - volume (the fat that has been deflated), needs to be restored through fat grafting, different techniques for lifting the midface. Skin laxity - addressed through different lifting techniques (endoscopic mid face or small incisions mid face lift can be an option). Multilayer fat grafting (using your own fat) to the face will be the foundation of the rejuvenation (sometimes implants can help with restoring if fat doesn't succeed). Some of the animation (smiling, grinning, kiss face) wrinkles likely will be improved but not completely gone from these adjuncts to rejunvating your face - therefore, impossible to have zero wrinkles especially when animating your face. Definitely seek out a few surgeons to get a feel of what each one recommends that fits your needs - then make a decision based off that. Good luck.

Late 30's, weight loss. What type of face lift for lost face elasticity? (Photos)

Answers (2)

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