The causes of sagging skin are multiple, including:
1. Loss of volume of both fat and bone in the face.
2. Increased laxity of both skin and ligaments.
A tired appearance often starts with the eyes, with lids becoming heavier, extending down through the midface with volume loss in the cheeks, increased prominence of lines between the nose and mouth and down-turning of the mouth corners, chin and sagging of neck tissues.
These areas can be treated with:
Muscle relaxing injections
Tixel can be used to tighten the skin