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Thursday, November 12, 2026Nov 12

Ask a Doctor: What are treatment options for ‘sagging’ face?

Dr. Carey Nease
Dr. Carey Nease Dr. Carey Nease
photo Dr. Carey J. Nease

Q: I’m 37 and already noticing “sagging” in my face. I thought this would come in my 40s or 50s. What are my treatment options, and how soon is too soon to treat?

A: When it comes to facial volume loss, age is just a number. Loss of volume in the face can occur at any age due to many factors, including hormonal fluctuations and common life stressors like divorce or job loss. Facial volume loss is due to the atrophy of fat and decrease in collagen production that occurs as a natural part of aging. Fat creates the plump, full look that makes skin look smooth and youthful. Collagen provides structural framework and definition. The result of volume loss and reduced collagen production is a hollowed look that may include sagging. There are a variety of cosmetic dermal facial fillers on the market designed to restore volume and fullness to the face. These fillers can be “ready to use” commercial products or all-natural, utilizing fat cells harvested from your own body. A board-certified cosmetic surgeon can recommend which treatment is best for you.

— Dr. Carey Nease, Southern Surgical Arts; member, Chattanooga-Hamilton County Medical Society

Submit your health-related questions for a medical doctor to lwilson@timesfreepress.com.