Aging Changes of the Periorbita, Cheeks, and Midface

Abstract

The periorbita, cheeks, and midface are an area of complex facial form and function. There is a particular pleasing visual harmony of these regions in the youthful face. With time, the robust glow and fullness of youth fades and diminishes. The skin is the first component to show the passage of time as it dulls, wrinkles, and blemishes. This is followed by a slow loosening and sagging of soft tissues as they descend from their once-fixed points of the skeletal foundation. The smooth transitions between regions are separated and hollows and ridges appear. These processes continue throughout life and eventually are accompanied by the visible consequences of bone resorption. The faces age, and as the countenance of the human spring turns through summer into autumn, function follows form, and symptoms accompany signs. A thorough understanding of both youthful and elder anatomy as well as the stigmata of aging is prerequisite to perform rejuvenating procedures. This article discusses these changes and how the older anatomy becomes the new norm.

Age‐related changes to characteristics of the human eyes in women from six different ethnicities

“…This drop likely relates to the well-known progressive sagging of the upper eyelid along the aging process in both genders. [16][17][18][19][20] Such process, probably linked to age-related changes occurring within the dermal network, induces slight but progressive changes in the facial traits among all ethnicities. [21][22][23][24][25] As both the intensity and regularity of the drooping These differences might well partly explain the lower age-related changes in the orientation of the eyes of Asian women (Figure 9).…”

Comparative study of autologous fat vs hyaluronic acid in correction of the nasolabial folds

“…Intrinsic factors refer to changes related to the effects of time and are primarily determined by the genetics of the individual. The extrinsic factors are related to the effects of the environment such as sun exposure, smoking, significant weight loss, stress, systemic illness, and even smiling habits. Biological aging of the skin, involving the loss of HA, subcutaneous fatty tissue, and collagen and elastic fibers, differs among individuals.…”

Nasal Aging and Rejuvenation

“…These events, although nonexclusive, are more prominent in males, which manifest thicker and heavier tissues [5][6]. The bony aspect of the nose experiments enlargement of the piriform aperture and reabsorption of the anterior nasal spine points, where the whole structure of the nose is anchored [7][8][9][10].…”