The Aging Face and Volume Loss
Tuesday, September 25, 2012
There are a number of factors that
combine to make our faces look older with time, but the two most important
factors are changes in the quality of the skin and the loss of volume. The skin
quality changes that are markedly worsened by factors such as sun exposure and
smoking have long been recognized but the changes due to volume loss have come
to be appreciated only recently.
Physicians used to believe that loose
skin was due to the gradual stretching effect of gravity, but now we understand
that much of this is due to the loss of deeper tissues. As we age we lose
facial fat and connective tissue. Our facial bones get thinner and our teeth
get ground down. All of these factors combine to produce a hollow appearance
where the skin that was once supported by these deeper tissues now sags and
droops. There have been examples where patients have had large volumes of
filler injected, and have had tightening of the loose skin on the lower face
and jowls, comparable to that produced by a surgical procedure. Unfortunately
the amount of filler required currently makes this approach not economically
feasible for the vast majority of people.
One area where filling is a very
practical solution is restoring the mid-face, the youthful contour of the
cheeks, and improving the appearance of the bags under the eyes. We now
understand that, in many cases, bags under the eyes are not the result of
excess or protruding tissue, but are due to the loss of the deeper tissue in
the upper cheek, which makes the normal tissue around the eye visible as a bag.
Surgically removing this normal tissue results in what has been called
"hollow eye" while replacement of the tissue lost with filler results
in a more youthful and attractive appearance.
If you’re interested in restoring a more
youthful look with a filler, call us at Mangat-Holzapfel Plastic
Surgery for a consultation at (513) 984-FACE in Cincinnati, (859)
331-9600 in Northern Kentucky, or (970) 766-FACE in the Vail Valley of