Sagging Skin After Weight Loss at 25 - how can the creases near my mouth be fixed? (Photos)

Question

I am 25 and suddenly lost about 20 pounds because of some meds i started taking. Right after, i states developing this long creases next to my mouth. I’ve always been diligent about sunscreen, hydrating, using retinols, etc., so it was disappointing to see. My dermatologist didn’t recommend getting injectionables at the moment. Is a lower facelift my only solution? I’m also still overweight (5’1 and 160 pounds) and am trying to lose weight at a slower pace (I lost another ten pounds more gradually). Could losing weight make the lines worse or better? Should I weight to reach my goal weight and maintain it for awhile before considering any cosmetic procedures?

Nick Slenkovich, MD · Answer

Hi there! I’m Lauren, the aesthetic provider here at Colorado Plastic Surgery Center. Rapid weight loss can make lines around the mouth look more noticeable because the face loses some of its natural support. At 25, it would be very unusual to need something as aggressive as a lower facelift.
Since you’re still working toward your goal weight, it’s usually best to wait until your weight stabilizes before considering cosmetic treatments. Sometimes once weight levels out, the face adjusts a bit and those lines soften.
If they’re still bothering you later, treatments that stimulate collagen like laser resurfacing or microneedling can help tighten the skin and improve texture around the mouth without jumping straight to injectables or surgery.

Mark Beaty, MD · Answer

Rapid weight loss can create new creases around the mouth due to facial volume loss rather than true aging—especially at 25. I generally recommend being within 10–20 pounds of your goal weight and maintaining it for a period of time before considering any cosmetic procedure. Continued weight changes can further affect facial fullness, so stabilization allows for a more accurate assessment and longer-lasting results.

A lower facelift at your age is uncommon and typically only considered in cases of significant weight-related tissue descent. I agree with your dermatologist that injectables may not be the best solution if the issue is structural volume loss. Once your weight is stable, a consultation with a double board-certified facial plastic surgeon can help determine whether a conservative approach or surgical option would provide the most natural, balanced outcome.

Zoran Potparic, MD · Answer

It is very likely that if you would loose additional 20 lbs that your condition would oils partially improve? However, if you would like to do something right away, a combination of filler and neck/jawline liposuction would improve your current condition. Good luck.

Gary M. Horndeski, MD · Answer

At 25 years old, many surgeons will be reluctant to do any type of facelift on you, as you are much too young for that. One thing to consider is an eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Sagging Skin After Weight Loss at 25 - how can the creases near my mouth be fixed? (Photos)

Answers (4)

More Lower Facelift Questions

44 with concerns of downturned mouth and lower face sagging - time for lower facelift? (Photos)

30 - Could I be a candidate for a lower/mini facelift? (Photos)

How can I fix this the skin/buldge on the neck after a lower facelift? (Photos)

I would like more of a v-line shaped face. Facelift or RF for bottom heavy face shape? (Photos)

What type of surgery would I need to improve sagging cheeks and jowls? (Photos)

Heavy lower face - how can I address this without a facelift? (Photos)

WE SEND PRETTY
EMAILS