Sagging facial skin does not have a single cause. For some people, it develops as collagen and elastin decline. For others, the appearance of sagging is related to facial volume loss, shifting tissue, weight changes, or fullness beneath the chin.
At MD Wellness Center & Med Spa, we evaluate the structure of your face, skin quality, degree of laxity, and treatment goals before recommending an approach. Your personalized plan may include non-surgical skin tightening, PDO threads, dermal fillers, laser treatments, or a carefully selected combination.
Our goal is to restore firmness, support, and facial balance while preserving your natural appearance.
Facial aging affects more than the skin’s surface. Over time, changes can occur in the skin, facial fat, supporting tissue, and underlying structure. These changes may reduce definition through the cheeks, jawline, lower face, and neck.
Common contributors include:
Collagen & elastin decline: Natural decreases in these structural proteins can contribute to thinner, less firm skin.
Sun exposure: Cumulative UV damage can accelerate changes in skin texture, elasticity, and firmness.
Genetics: Inherited characteristics can influence how and when visible signs of aging develop.
Hormonal changes: Shifts in hormone levels can affect skin thickness, elasticity, and overall appearance.
Significant or rapid weight loss: Losing substantial weight can leave behind loose or lax skin.
Facial volume loss: Age-related volume changes can contribute to sagging and reduced facial definition.
Shifting facial tissue: Changes in facial fat and supporting structures can alter contours over time.
Smoking & lifestyle factors: Certain habits can accelerate visible signs of skin aging.
Repeated weight changes: Frequent fluctuations in weight can affect the skin’s ability to maintain firmness.
Natural aging: Gradual changes in skin, fat, muscle, and supporting tissues can contribute to laxity over time.
Because several of these factors can occur together, the treatment that works well for one person may not address another person’s primary concern.
Loose skin, volume loss, sagging tissue, and localized fat can all create a heavy, tired, or less-defined appearance. Identifying the underlying cause helps determine the most appropriate treatment.
True skin laxity occurs when the skin loses firmness and elasticity, causing it to appear loose or crepey. Radiofrequency treatments such as Exilis Elite and selected laser treatments can stimulate collagen and gradually improve mild-to-moderate laxity.
Volume loss can flatten the cheeks, deepen facial folds, and reduce support for the lower face. Dermal fillers can restore volume and structural support when laxity is not the only cause of the sagging appearance.
As facial tissue shifts downward, jowls and reduced jawline definition may become more noticeable. For selected patients, PDO threads can reposition and support sagging tissue without a surgical facelift.
Fullness beneath the chin can blur the jawline and may be mistaken for loose skin. Depending on the amount of fat and skin laxity present, treatment may include Kybella, Exilis Elite, or a customized combination approach.
Expression lines and skin texture concerns can sometimes be mistaken for facial laxity. Botox, Xeomin, or Daxxify may soften wrinkles caused by muscle movement, while radiofrequency microneedling and laser treatments can improve fine lines, sun damage, and uneven texture.
Dermal fillers restore volume and structural support rather than directly tightening the skin. They may improve flattened cheeks, deep facial folds, and reduced facial definition caused by age- or weight-loss-related volume loss.
MD Wellness Center & Med Spa offers established filler families such as Juvéderm, RHA, and Radiesse, Sculptra, Bellafill. Product selection and placement are personalized to each patient.
Benefits may include:
Restored facial support: Replenish lost volume to support facial contours and enhance definition.
Improved contour & balance: Enhance facial proportions for a more balanced, refreshed appearance.
Immediate, natural-looking correction: See visible improvement while maintaining natural facial features.
Personalized treatment: Tailor treatment to your unique facial structure, proportions, and aesthetic goals.
Learn More About Dermal Fillers
PDO threads provide support and reposition selected areas of sagging facial tissue while stimulating collagen production.
They may be appropriate for:
Early-to-moderate jowling: Improve the appearance of sagging along the lower face and jawline.
Reduced jawline definition: Enhance facial contours for a more defined jawline.
Descending cheek tissue: Provide support to help improve the appearance of sagging cheeks.
Lower-face laxity: Address mild to moderate skin and tissue laxity in the lower face.
Additional lifting needs: Suitable for patients seeking more lift than skin tightening treatments alone may provide.
PDO threads are not a substitute for a surgical facelift. Candidacy depends on facial anatomy, skin quality, tissue heaviness, and treatment goals.
Learn More About PDO Thread Lifts
Selected laser treatments stimulate collagen while improving fine lines, sun damage, uneven tone, and rough skin texture. They may complement skin tightening when surface aging occurs alongside mild laxity.
Laser treatments improve skin quality but do not replace lost volume or reposition significantly sagging tissue.
Benefits may include:
Smoother skin texture: Improve rough or uneven texture for softer, more refined-looking skin.
Softer-looking fine lines: Reduce the visible appearance of fine lines and early signs of aging.
More even skin tone: Improve uneven pigmentation and promote a clearer, more balanced complexion.
Increased collagen support: Stimulate natural collagen production to support firmer, healthier-looking skin.
Customized treatment: Tailor treatment to your specific skin concerns, needs, and aesthetic goals.
Explore Our Laser Treatments
Exilis Elite combines radiofrequency and ultrasound energy to stimulate collagen and gradually improve mild-to-moderate laxity on the cheeks, lower face, jawline, under-chin area, and neck.
Benefits may include:
Firmer, smoother-looking skin: Improve skin firmness and texture for a more refreshed appearance.
Improved jawline & facial definition: Enhance facial contours for a more sculpted, defined appearance.
Gradual, natural-looking results: See progressive improvements that complement your natural features.
No incisions or downtime: Improve skin laxity without surgery or a lengthy recovery period.
Results vary, and a series of treatments may be recommended.
Learn More About Exilis Elite Skin Tightening
Expression lines can sometimes be mistaken for facial laxity. Botox, Xeomin, or Daxxify may soften wrinkles caused by muscle movement, but they do not tighten loose skin or restore facial volume.
Related service: Botox, Xeomin & Daxxify
You may benefit from non-surgical treatment if you:
Mild-to-moderate facial or neck laxity: Address early skin looseness and improve overall firmness.
Early jowling or reduced jawline definition: Improve lower-face contours for a more defined appearance.
Facial changes following weight loss: Address changes in facial volume, support, and skin laxity after weight loss.
Gradual, natural-looking improvement: Enhance your appearance progressively while maintaining your natural features.
Non-surgical preference: Improve facial concerns without surgery or significant downtime.
Realistic expectations: Understand the capabilities and limitations of non-surgical treatment.
A consultation is especially important when loose skin appears alongside volume loss or under-chin fullness. Treating the wrong cause may produce limited improvement or an unbalanced result.
We recommend beginning with a personalized facial assessment. Our team will examine your skin quality, facial volume, tissue position, and areas of concern before explaining your options.
Serving Indianapolis, Carmel, Fishers, Noblesville, and surrounding communities.
Call 317-548-4666 or Schedule Your Free Aesthetics Consultation
If loose skin, jowls, or changes in facial definition are bothering you, the first step is determining what is actually causing them. Schedule a consultation at MD Wellness Center & Med Spa to receive a personalized assessment and treatment recommendation.
At MD Wellness Center & Med Spa, we approach facial laxity by looking at the entire face, not just an isolated wrinkle or area of loose skin.
Treatments are personally performed by Dr. Srinivasu Kesa, MD, who develops individualized plans based on facial anatomy, skin quality, volume distribution, and patient goals. When more than one factor contributes to sagging, a combination approach may be recommended to improve support and balance while keeping the result subtle.
Why patients choose MD Wellness Center & Med Spa:
Loose skin has reduced firmness or elasticity and may look crepey or poorly fitted to the facial contours. Volume loss involves a reduction in the underlying fullness and support of areas such as the cheeks or temples. Many patients experience both conditions, but they are not treated in the same way.
Dr Kesa is kind and a master giving face injections! Very little pain and amazing results.
Christine
Loved the staff and Dr. It was my first time getting filler and they were all so sweet, the energy was great. But most importantly they took their time asking and answering questions to better understand what I was looking for!
Kayla Scully
I’m always happy with Dr.K. He is patient and understanding. He listens to what i’m trying to achieve. He also tells me honestly what can be done and what can’t. I do not want to have a facelift or any invasive surgeries so he is very honest with me what kind of results I can expect with the minimal or non invasive procedures. He did the thread lift on me in November 2019 and it has made a big difference and It is still building collagen along my jaw line which is what I was going for. If you are thinking about it I would consult with him about it, they are great. Everyone at MD Medical is awesome
Laura Jean
I received the thread lift and Bellafill and I could not be happier with my results! Dr Kesa is so knowledgeable of the best fillers that is appropriate for your face. His techniques in the thread lift were awesome! I had immediate results and cried because of the difference that it made! I’m extremely satisfied to say the least.
Vickki Jones
I went to an open house event and signed up for an elite face treatment for a fair price. Bought their skincare line and love the products. Wish I had found theses products earlier in my life. I have complete confidence in this office Thank you Yamini you did a great job.
Millie Warrum
I am looking forward to going back for the Med Spa offerings. I wanted to add that I have had more done. I had the skin [tightening] with Yamini, she is amazing and I am very pleased with the results!
Pat Royer
My experience was better than I ever could have imagined. Yamini was my technician, and took such pride in what she did. From the beginning, she was so kind, honest about the results I could expect, and only wanted to treat me with what she felt confident would work for me. Never have I gotten such honesty and transparency from someone in this industry! I’m thrilled with my results so far, and look forward to seeing the end result!
L. Harris
I love MD Wellness Center! I have seen Dr. Kesa for thread lifts, botox, and fillers. He was very respectful of my concerns and worked with me to obtain realistic, achievable results. I have seen a significant improvement in my jowls and lower face- and it all looks so natural! I feel 10 years younger….
Donna Harris
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6822 E 82nd Street #310, Indianapolis IN 46250
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*Disclaimer: The information on this website is provided for general informational and educational purposes only and is not intended as medical advice. Content on this site is not a substitute for professional diagnosis, treatment, or medical decision-making.
*Photos and testimonials are for illustrative purposes only. Individual results vary.