The clinical signs of aging facial is commonly described and treated based on three general anatomical locations. The upper face has many interrelated components, including the hair, forehead, glabellar area (the space between the eyebrows), the temple, eyebrows and eyes. Midfacial aging is directly related to changes that occur in the periorbital region and the cheek. Areas of lower facial aging include the perioral region and chin. Rhytidosis is wrinkling of the face to a degree disproportionate to age. Ptosis is the droopiness of a body part.
- thinning hair and receding hairline
- forehead rhytids (forehead creases)
- glabellar rhytidosis (glabellar lines i.e. frown lines); Glabellar is the smooth area between the eyebrows just above the nose.
- brow ptosis (drooping eyebrows);
- eyelid ptosis (drooping or falling of the upper or lower eyelid);
- temple rhytidosis and ptosis (temple creases and sagging);
- upper eyelid redundancy (dermatochalasis) and ptosis; Dermatochalasis is a medical condition defined as an excess of skin in the upper or lower eyelid. Redundant and lax eyelid skin is known as dermatochalasis.
- lateral canthal rhytidosis (crow’s feet); canthus is either corner of the eye where the upper and lower eyelids meet
- lower eyelid redundancy and rhytidosis
- nasal root rhytidosis; nasal root is the top of the nose, the indentation at the suture where the nasal bones meet the frontal bone.
- lower eyelid bag (puffy eye)
- malar bag (cheek bag) formation; malar bag is the swelling over their cheekbones
- cheek rhytidosis;
- preauricular rhytidosis; preauricular is in front of the auricle of the ear
- nasal tip ptosis and dependency;
- cheek sagging and fat atrophy changes; Fat atrophy is the loss of fatty tissue in a localized area of the body. Also known as lipoatrophy or lipodystropohy
- deepening nasolabial crease (nasolabial fold, smile lines); nasolabial folds are the two skin folds that run from each side of the nose to the corners of the mouth.
- facial (cheek) rhytidosis and sagging;
- perioral rhytidosis;
- upper lip flattening and lengthening;
- thinning and atrophy of vermillion
- chin pad ptosis and retraction;
- jowl formation; sagging of the lower part of cheek (drooping jawline). Jowls are the areas of excess tissue around jawline.
- cervical rhytidosis;
- platysmal banding; The platysma covers the superficial fascia of the neck and is closely connected to the skin. It draws the lower jaw and the corners of the mouth down, expands the skin of the neck, and extends the skin in vertical lines. Platysmal bands occur due to diastasis of the midline platysmal muscle and loss of submental fat.
- rhytidosis and midneck hollowing;
- submaxillary gland ptosis. submaxillary gland (submandibular gland) is the salivary glands situated on each side behind the lower jaw
Phenotypes of various facial skin aging can be treated with anti-aging plastic surgery or nonsurgical skin procedures most commonly the anti-aging dermal filler. Dermal fillers are the nonsurgical procedures to fill the areas of wrinkles and lax skin with water, collagen and etc. to treat the wrinkles and laxity caused by loss of volume.