Actual RealSelf Patient Comment:  Hello, I am currently 22. For some reason, over the past year I’ve noticed my skin sag more and more. I have prominent nasolabial folds and a lot of loose skin around my jawline (if I pull on it it snaps back but it looks like I have a double chin + square jaw). If I bend over my skin prominently sags forward, even my forehead skin sags and I have fine lines all over my face. What can cause this at such a young age ? And what can I do? I have lost confidence from this.

Dr. Persky’s Reply:  It is very unusual for the skin of a 22 year old to sag and lose its elasticity. I would first recommend a complete examination with your internal medicine doctor with lab work to make sure that you are systemically fine. If everything if normal, then I would likely recommend treatment with Sculptra for support and concurrently SkinVive, a micro-droplet injection that hydrates your skin. Most importantly make sure that yuo choose an expert injecting physician to take care of you. Please feel free to contact me with any further questions or concerns.