What causes sagging skin?

Natural ageing changes the skin’s structure and can reduce its springiness. Repeated ultraviolet exposure accelerates breakdown of supportive fibres; this pattern is often called photoaging. Significant weight loss can leave extra skin after stretched tissue has reduced in volume. Genetics, smoking, hormonal shifts, and repeated facial movement may also influence where laxity appears. Loose skin around the eyelids may be called dermatochalasis, while folds along the lower face can form jowls.

Use broad-spectrum sun protection, shade, and protective clothing to limit further ultraviolet damage. Avoid smoking, keep skincare gentle, and moisturise when dryness makes fine lines more noticeable. A dermatologist can assess skin quality, fat distribution, muscle movement, and the amount of laxity before discussing options. Depending on the area and goals, options may include radiofrequency skin tightening, HIFU skin lifting, or a thread lift; each has different benefits, limits, and risks.

Arrange an assessment if laxity develops suddenly, follows an illness or medicine change, or comes with weakness, swelling, pain, a new lump, or changes in vision. Seek urgent care for sudden facial drooping with trouble speaking, limb weakness, severe headache, or loss of balance. Eyelid skin that blocks vision or irritates the eye also deserves prompt review.

Which structures are contributing to the looseness in my area? Would sun damage, weight change, or another condition alter the plan? Which treatment matches my skin type and goal, and what recovery, side effects, and maintenance should I expect?