The Science Behing Facial Aging: It's More Than Skin Deep

If you've ever looked in the mirror and pondered the inevitable process of aging, you're not alone.

Facial aging is a concern for many, regardless of gender.

But before you jump to conclusions, let's dive into the actual science of facial aging. Contrary to popular belief, it isn’t just about wrinkles or skin texture. The true story is much deeper—literally.

facial fat and aging



Fat Compartments in Your Face

Let's begin with a simple anatomy lesson. Our faces aren't just composed of skin and bones. They're also filled with layers of fat that are neatly organized into separate compartments. Essentially, there are superficial and deep fat compartments.

When we think of a youthful face, it's often plump, with a smooth contour. This youthful appearance is, in large part, thanks to these facial fat compartments. So, what happens to them as we age?



The Deep Dive: Aging and Facial Fat

A recent scientific study provided some illuminating insights. Researchers set out to understand if facial fat volume reduces as we age, and importantly, whether this loss affects the superficial and deep compartments differently.

Here's the catch: it does!

The study analyzed individuals ranging in age from 30 to 65 years. Using facial computed tomography (imagine a high-tech 3D scan of your face), they measured fat volumes at one point and then ten years later.

The results? On average, total fat volume in the midface decreased from 46.47 cc to 40.81 cc over approximately a decade. But here’s where things get interesting:

  • Superficial Fat: People lost about 11.3% of their initial superficial fat volume.

  • Deep Fat: An even more significant reduction was noted here, with individuals losing around 18.4% of their initial deep fat volume.

  • Meanwhile, the buccal fat (think of the fat in your cheeks that gives you those cute 'chipmunk cheeks') remained almost unchanged.



What Does This All Mean?

Well, the significant loss from both the superficial and deep facial fat compartments supports a theory known as "pseudoptosis." Essentially, as the deep midface fat reduces, the overlying superficial fat appears to sag or droop—a phenomenon likened to the drooping of an eyelid.

So, when we notice signs of aging, we're not just seeing changes on the surface. The volume loss in the deep layers of our face plays a crucial role in our changing appearance.



The Silver Lining

Knowledge is power. With an understanding of the underlying changes in our facial anatomy, there are more targeted and effective treatments available—from fillers to more natural solutions. Remember, aging is a natural process, and while we might not be able to stop the clock, we can certainly understand and embrace the journey.

For those worried about the changes they see in the mirror, the key takeaway is this: aging isn't just skin deep. So, any approach to rejuvenation should be comprehensive, addressing both the surface and the deep structures of the face. After all, beauty is more than skin deep, and so is the science behind it!

aging beauty, classic, natural, restore youth

 

The Evolution of Your Aging Face: Beyond the Surface to Solutions

As we've discussed, facial aging is more than meets the eye. It's a dance of deep and superficial fat compartments, slowly shifting over time. However, the evolving science of facial rejuvenation has empowered us with a plethora of solutions—both surgical and nonsurgical—to address the concerns of the aging face.



How can I get my youthful face back and restore facial volume? 

Fortunately there are options…



Nonsurgical Interventions: Quick Fixes with Long-lasting Impacts

  1. Dermal Fillers: The loss of volume in the facial fat compartments can be addressed using dermal fillers. These substances, when injected into specific areas of the face, restore lost volume and smooth out wrinkles. They offer a nonsurgical approach to counteract the effects of facial aging, particularly the sagging nasolabial folds, jawline and around the cheek bones caused by deep fat loss.

  2. Botox and Dysport: While neurotoxin treatments don't directly address fat volume loss, they play a significant role in facial rejuvenation by relaxing specific facial muscles, thus reducing the appearance of dynamic wrinkles.

  3. Ultrasound and Radiofrequency Treatments: Technologies like Ultherapy and Thermage use ultrasound and radiofrequency, respectively, to stimulate collagen production deep within the skin. This helps in lifting and tightening the skin, addressing the superficial sagging caused by underlying fat volume changes.

  4. Laser Resurfacing: For surface irregularities, sun damage, and fine lines, laser treatments can help by promoting new skin growth and enhancing the skin's texture.



Surgical Interventions: The Permanent Makeover

  1. Facelift (Rhytidectomy): This surgical procedure addresses facial aging by tightening the underlying muscles, repositioning fat, and removing excess skin. It offers a comprehensive solution to the signs of an aging face, providing a youthful contour and rejuvenated appearance.

  2. Fat Grafting: A more permanent solution to volume loss, fat grafting involves transferring fat from other parts of the body to the face. This procedure restores volume, especially in areas like the cheeks and under the eyes, directly combating the fat volume changes we discussed earlier.

  3. Eyelid Surgery (Blepharoplasty): While our focus has been mainly on the midface, the eyes are a prominent feature that displays signs of aging. Eyelid surgery corrects droopy eyelids and removes excess skin and fat.



Wrapping Up Facial Aging

The journey of facial aging is one that we all embark upon, but with advancements in facial rejuvenation, we're no longer passive passengers. Whether opting for a nonsurgical touch-up or a more permanent surgical makeover, there's a solution tailored to everyone's needs.



So, as we understand the intricacies of our changing visage, remember: with every line, wrinkle, or sag, there's a story and a solution. Embrace the journey, armed with knowledge and the best that facial rejuvenation science has to offer.



For further reference, see:

Boehm, Lucas M. M.D.; Morgan, Aaron M.D.; Hettinger, Patrick M.D.; Matloub, Hani S. M.D.. Facial Aging: A Quantitative Analysis of Midface Volume Changes over 11 Years. Plastic and Reconstructive Surgery 147(2):p 319-327, February 2021. | DOI: 10.1097/PRS.0000000000007518 


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