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A young-looking face has round contours, high cheekbones and a well-defined jawline. There are smooth curves from the cheeks to the edge of the nose, without hollows.
As we grow older, the collagen, elastin and hyaluronic acid we once produced starts to diminish. Our skin becomes dry, thin and facial volume decreases. Gravity pulls the skin down, resulting in folds and sagging.
Over time, the middle of your face loses volume and the lower part of the face begins to form jowls. The skin starts to sag, pulling the features downwards.
Although weight loss can often be a positive thing, it can be a factor when it comes to sagging facial skin due to lost of facial fat.
Why and how our facial features change as we aged?
Facial aging is due to changes in several types of tissue,including skin, fat, muscle, and bone. Changes in one tissue layer have an effect on the other layers.
With age, skin undergoes several changes include:
•Less elastic skin
•Skin more likely to wrinkle or sag
•Reduction in collagen
Collagen loss is a key factor in the aging process. As skin ages, the middle layer of skin (dermis) thins due to collagen loss. This reduces the skin’s ability to retain elasticity (from elastin) and moisture (from hyaluronic acid).
Due to this loss of elastin and hyaluronic acid, the skin becomes:
•Thinner (volume loss)
To address the above signs, we could have Skin Quality Improvement Treatment for the skin. These treatments will stimulate collagen production and replenish the lost hyaluronic acid resulting in supple, smooth and hydrated skin. As we aged, no amount of lotions or potions could penetrate deep enough into the skin to replenish our lost.
A youthful look depends on having the right amount of facial fat in the right places. Redistribution, accumulation, and atrophy of fat lead to facial volume loss.
• Some areas lose fat. Examples are the forehead and cheeks.
• Other areas gain fat. Examples are the mouth and jaw.
• Modification of the fat pads leads to contour deficiencies.
In addition, the areas of fat tend to become farther apart. Instead of a smooth, almost continuous layer, the fat pads appear as separate structures. Dermal Filler can be used to address the lost smooth contour.
There is a significant loss of facial bone with age. Aging of the craniofacial skeleton may be due to changes in the relative dynamics of bone expansion and bone resorption. Bone resorption leads to biometric volume loss.
Without the structural support of bone, there are noticeable changes in the other layers of overlying soft tissue and skin.
Signs of Facial Aging
•Greater visibility of bony landmarks, lines and wrinkles
•Prominence of transverse forehead lines
•Nasolabial folds become more prominent
•Hollowing of the mid-face (loose skin)
•Changes in the area around the mouth (vertical wrinkles, lip thinning and flattening)
•Development of prejowl depression (marionette lines)
With aging, the balance, proportions and symmetry of the face change e.g. :
•The lower face widens as the jowls form
•The lower face shortens as bone is remodeled in the maxilla and mandible
•The young face shows 1/3:2/3 ratio of upper lip to nose and lower lip to chin. With age, this ratio approaches 1:1
Each of the facial sections show different changes with age and are unique to each patient. Different problems will require different treatments in each patients.In general, Botox could help to reduce dynamic lines whereas volumising dermal filler could help to shape and contour your face. However, Meso and Lifting Threads treatment is better if you have more saggy loose skin, hydrating filler, mesotherapy and derma roller will help to boost your skin health making the skin radiant and smooth.
Your doctor will assess you and prescribe a bespoke treatment plan according to your individual circumstances.