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When individuals lose weight quickly, several physiological changes affect facial appearance: Loss of subcutaneous fat in the face, particularly in the cheeks, temples, and around the eyes Reduced facial volume that previously provided structural support and a youthful contour More prominent skin laxity , as the skin may not contract quickly enough to match the reduced underlying tissue Increased visibility of underlying bone structure , which can create a more hollow or gaunt appearance These changes are more pronounced in individuals who: Experience rapid weight loss (generally more than 0.5–1 kg per week, which exceeds NHS recommended safe rates for many people) Are older , as skin elasticity naturally decreases with age Lose a substantial total amount of weight (typically more than 10% of body weight) Have pre-existing reduced skin elasticity due to factors such as sun damage or smoking It is important to emphasise that these facial changes can occur with any form of significant weight loss , whether achieved through medication, dietary modification, bariatric surgery, or other means

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