skip to Main Content

The Aging face, and how to Age Gracefully.

Aging of the human face is the result of both superficial textural wrinkling of the skin and changes in the 3-dimensional (3-D) topography of the underlying structures. The skin, soft tissues (subcutaneous fat, muscle, and fascia), and structural support (bone and teeth) are individually affected by the aging process, but they also act in dynamic unison to determine the phenotypic presentation of the face throughout life. The major forces contributing to facial aging include gravity, skeletal remodeling, subcutaneous fat redistribution and loss, hormonal imbalance, chronic sun exposure, and smoking. Other environmental factors that are purported to affect facial appearance include mental stress, diet, work habits, drug abuse, and disease.

Changes in facial fat pads as we age contribute to a sagging face. When we replace the lost volume of fat with dermal fillers we can restore a more youthful appearance.

Structural Components of Facial Aging

Skeletal structure: Aging of the craniofacial skeleton is not merely the result of bone atrophy but is also due to a change in the relative dynamics of bone expansion and bone loss. There is an appreciable reduction in facial height, which is mainly due to changes in the maxilla and mandible, and a modest increase in facial width and depth.

Subcutaneous fat distribution. The youthful face is characterized by a balanced distribution of superficial and deep fat, which highlights a well-rounded 3-D facial topography  Facial aging is associated with loss of soft tissue fullness in certain areas (periorbital, forehead, malar, temporal, mandibular, mental, glabellar, and perioral sites) and persistence or hypertrophy of fat in others (submental, lateral nasolabial fold and labiomental crease, jowls, infraorbital fat pouches, and malar fat pad).  In addition to redistribution of facial fat and loss of surrounding fullness, the fat pockets become more discernible as separate entities, as do many of the underlying facial structures. With age, the malar fat pad gradually slides forward and down to bulge against the nasolabial crease, giving rise to the prominence of the nasal fold in the aged face.

What can we do about our Aging Face. How do we age gracefully?

Most importantly to keeping a youthful appearance is living a healthy lifestyle, drinking plenty of water, eating right and exercise. While we take these for granted sometimes they are crucial for us not only looking but feeling young. What we can not solve with our lifestyle we can help along with some of the marvels of modern esthetic Medicine:

NeuroToxins like BOTOX diminish fine wrinkles.

Often referred to as the “gateway drug” in esthetics, Botox and other similar neurotoxins can significantly reduce the appearance of moderate to severe wrinkles. Neurotoxins generally last around 3 months for most patients. BOTOX treats dynamic wrinkles. If you smile or make a face and the wrinkles appear, those are generally dynamic wrinkles and treated with BOTOX.

Dermall Fillers replace lost volume and diminishing fat pads.

Dermal fillers are an excellent choice for replacing naturally lost volume in the fat pads of the face. Dermal fillers come in many varieties for many different uses and each different filler will last a different amount of time depending on it’s makeup and placement.  You can start to learn more about fillers at http://wellmedicalarts.com/dermal-filler/  Recently dermal fillers such as Bellafill have been proven to last up to 5 years and are an especially good choice for those who have been doing fillers for a while and wished they lasted longer.

Thread lifting tightens sagging skin

Thread lifting uses fine dissolvable surgical threads to lift sagging skin and cause your body to stimulate it’s own production of collagen. Thread lifting is an easy to tolerate treatment and can be performed in 30 minutes and often with little to no downtime.

HALO hybrid fractional or Co2 fractional lasers smooth skin texture.

There are many options for fine lines and toning of the skin and each has it’s own benefits.  Microneedle treatments can get great results clearing fine lines but will take a series of treatments to achieve the results. A fractional CO2 laser treatment can do what many Microneedle treatments do and more in just one treatment but does have significant downtime. A Halo Hybrid Fractional can be a good middle ground providing significant results with less downtime than a Co2.

BBL (Broadband Light), also know as a Photofacial or IPL treats brown spots and Rosacea

Sun damage is one of the leading causes of an aging face.  A series of BBL treatments can even out skin tone and lead to a more youthful appearance. BBL’s can treat both brown spots, and rosacea yet rosacea tends to be more stubborn and requires more treatments to see good results. Learn more about the BBL at http://wellmedicalarts.com/bbl-broad-band-light/

These are just some of the options we have at our disposal. We would love to have you in and give you a personalized consultation to address your needs and develop a treatment plan to meet your goals.

You may also call one of our patient care coordinators at 206-935-5689 and we will be happy to assist you in scheduling.

Please visit http://wellmedicalarts.com/covid19-protocols/ to familiarize yourself with our new appointment protocols prior to your appointment.

Diagram showing how much botox costs with average amounts of units per area.

For a more detailed dive into Volume Loss and the Aging Face we recommend reading Dr. Syndey Coleman’s paper on the Aging Face.
You can find a copy Dr. Colemans paper here.  

And for more additonal information that may be a bit easier to read you can check out.
http://www.womenshealthmag.com/beauty/how-your-face-changes-as-you-age
 https://www.goldennumber.net/beauty/

For a more detailed dive into Volume Loss and the Aging Face we recommend reading Dr. Syndey Coleman’s paper on the Aging Face.
You can find a copy Dr. Colemans paper here.  

And for more additonal information that may be a bit easier to read you can check out.
http://www.womenshealthmag.com/beauty/how-your-face-changes-as-you-age
 https://www.goldennumber.net/beauty/

Back To Top