How can I fix the skin on my face after weight loss? (Photo)

Question

I’m 32 and over the last two years I gained around 10kg then lost it again. As a result I think my face has aged quite quickly - my lower face seems to have loose skin that folds when I smile, and I’ve developed noticeable lines under my eyes. I already use a topical retinoid on an evening and sunscreen every day, but am not sure how to fix the looseness in my face?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Michele A. Shermak, MD · Answer

Hello!As a young person and with your presentation, there are nonsurgical options. Filler products would likely improve appearance and provide some fullness you have lost with weight loss. Many of these products have impact beyond just volume, with intrinsic improvement seen. Fat transfer is another great option.I would recommend you see a board certified plastic surgeon for evaluation. You can find one at plasticsurgery.org. Best of luck!

Jason Emer, MD · Answer

Fillers, Sculptra, Renuva and fat injections all help with volume; but for lifting you will need external heating with microneedlnig RF, Thermage, Ultherapy, threads.For facial rejuvenation,  I would suggest a combination approach of 
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Susan Fox, DO, RPVI · Answer

Hello, my recommendation would be vivace (microneedling with radio frequency) to first tighten the loose skin, then you can always add filler to any areas where you feel you need more volume.

Paul Fondacaro, MD · Answer

Congratulations on your weight loss!  Whenever someone undergoes significant weight loss, there is also loss of volume around the face. This problem can be solved by using volume replacement by administrating filler to sculpt the face and add the loss fat

How can I fix the skin on my face after weight loss? (Photo)

Answers (6)

Answer: Vivace and filler

Answer: Vivace and filler

Answer: Loose facial skin after weight loss

Answer: Loose facial skin after weight loss

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Everything you need to know about Skin Tightening

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How can I fix the skin on my face after weight loss? (Photo)

Answers (6)

Answer: Vivace and filler

Answer: Vivace and filler

Answer: Loose facial skin after weight loss

Answer: Loose facial skin after weight loss

Browse related questions

Recommended reading

Everything you need to know about Skin Tightening

Our mission is to create a world where every investment in modern beauty is Worth It.