Thank you for your question.
You submitted your question with several photos.
And you stated in your question, you’re asking will you need fillers.
And you’re concerned about your under eye and other areas of your face after undergoing
some weight loss approximately one month prior about 15 pounds.
You went From 145 to 130.
And you state that you are now 133 and that you are 22-years-old.
Well, I can certainly share with you how I advise people like yourself, your age group,
who come to my practice with similar concerns after an illness even though I don’t know
the details of the type of illness you had.
A little bit of background, I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial
plastic and reconstructive surgeon.
I have been in practice in Manhattan and Long Island for over 20 years.
Helping people improve their appearance for what you’re describing is more of a typical
age related change is something that has been the center of my practice whether it’s surgical
or non-surgical solutions.
So to begin with, I think it’s very important to understand the distinction of when someone
needs filler versus when someone doesn’t.
And when we talk about using fillers, if we’re talking about someone over the age of 35 or
40, we’re talking about facial aging changes which is associated with a certain amount
of bone loss, fat loss and soft tissue loss and loss of the integrity of the skin, part
of normal aging.
When we talk about fillers in someone who is younger, well usually that’s something
that’s more of a genetic issue.
So for someone who has let’s say less prominent cheekbones, someone who has naturally very
thin lips, we sometimes distinguish when we are dealing with someone with facial aging
changes, we refer to that as correction or restoring.
And when we talk about a younger person who has let’s say a genetic structural issue,
then we refer to that as beautification.
Now that being said, in a situation like yours where if you had stress on your body that
you are recovering from, I would say that it’s best to allow at least about a year
to normalize.
This is a time in your life where you have, this is the bloom and this is when the body
is very resilient and is in the blossoming stage of what everyone describes as youthful
life.
And this is your young 20s.
And what I observed is that once health is stable, then everything comes back to its
place.
This is something again, depending on whatever it is you are dealing with that lead to this
significant rapid weight loss, that can have a short-term impact versus a long-term impact.
But I would say that after a year, you can certainly re-evaluate and decide whether or
not there may be some value in doing something for the under eye area.
Typically for the under eye area, we do something like a filler in the tear trough using Restylane
or a hyaluronic acid filler.
Or for someone with facial aging, we’ll do something called Structural Volumizing
where we put volume in areas where there is bone loss, where there is an opportunity to
restore what has been lost.
So again, it brings us back to the original point.
If your illness was something that there was a temporary loss of weight, well it’s most
likely proportionally more about soft tissue or fat loss.
But the bone structure is of course is still intact which means that if you gain your weight
back, then chances are everything will also come back to its normal track.
So I would say again, allow yourself about a year from the time you recovered from your
illness to see how you’ll look and most likely, if you basically follow some golden
simple rules, eating a good healthy diet, sleeping enough and exercising and avoiding
toxic influences such as smoking then more than likely, you’ll be back to your youthful
appearance without need for any type of aesthetic interventions.
So I hope that was helpful, I wish you the best of luck and thank you for your question.