Hi and thank you for your question! While every patient is different and we need to see you in person to determine which options are best for you, fillers are by far the most effective treatment for volume loss. The loosening in the skin that you see is caused by 2 main factors: break-down of collagen and other components of extra cellular matrix in the skin and loss of volume in the underlying areas. For the first aspect, we can use energy-based treatments such as Venus Freeze and Ultherapy to tighten the skin a bit, but the main culprit here remains the volume loss which makes the skin look deflated. Indeed a good example is a flat tire. Without the air pressure inside, the tire will collapse and its walls will look loose. When you pressurize it again, the walls will tighten up. We can use fillers to effectively restore volume in many places in face including cheeks, under the eyes, temples, around the mouth and jawline and when done skillfully, the results will look natural. I highly recommend that you see a cosmetic doctor with experience in liquid facelift and filler injections to be able to get the best help. I hope it helps and good luck!
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