Indications of facial aging can be attributed to the combined effects of gravity, progressive bone
resorption, decreased tissue elasticity, and redistribution of subcutaneous fullness/loss of volume.
The upside-down triangle of youth or oval/heart-shaped face is generally acknowledged as a symbol
of youthfulness. In our younger years, the face is generally narrower at the bottom and fuller at the
upper cheeks level. As we get older, there is a gradual loss of volume in the cheek region of the face
with fullness shifting into the lower cheeks and jowls. This shift in facial contours, amongst other
factors, tends to lead to an aged appearance of deflated cheeks and a fuller lower face and jowls. An
appearance that most people find not very attractive.
As facial aging is a combined effect of multiple factors, the approach to addressing it can differ as
well. Volume loss can be addressed through dermal filler
while the effects of decreased tissue elasticity can be addressed by procedures such as Thermage®