During your 50s, 60s, and beyond, there are inevitable aging changes that often disproportionately impact certain areas of your face more than others. Even those of us with the best genes, who look much younger than others our own age, start to notice the skin starting to sag, wrinkles appearing, scattered pigmentation to varying degrees and soft tissues deflating or migrating downwards into the neck. This is due to decreased skin cell turnover, loss of collagen, thinning skin, deflation of fat, loss of muscle tone, and loss of bone volume. For some, what was once a face-shape consistent with a base-up triangle (i.e. an upside down triangle) has transformed into a base-down triangle (i.e. the face is wider at the bottom and narrower at the top). This base-down triangle shape is due to falling facial tissues that create jowling and neck fullness. Additional aging changes may include:
- forehead expansion (hairline migrates upwards)
- forehead drooping
- eyebrow deflation with loss of shape and position
- eyelid drooping (ptosis)
- eyelid hooding due to excessive skin
- eyelid shadowing from fat loss or migration back into the orbit
- eyelid tendon stretching causing eyelids to either flop away (ectropion) or turn inwards (entropion)
- eyelid bags or dark circles
- nasal tip drooping
- ear shape change from cartilage growth
- mid-face/cheek descent and deflation
- formation of deep creases (nasolabial folds, marionette lines)
- lip thinning and loss of shape
- receding of the jaw and lower facial bones
- loss of chin projection and jawline contour
- loose neck skin (turkey skin) with vertical neck bands
- excessive fat and fullness of the neck
- missing teeth, receding gum lines
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