What happens to the face/body when aging begins?

The tissues in our bodies cannot last forever; they begin to break down over time, especially as we move past our twenties. Our cells are set on ‘molecular timers’ that cause us to age. Our skin produces less collagen and loses innate hydration and elasticity. Our faces hollow, skin stretches, metabolism slows and we have to work harder at maintaining our current youthful selves. Your genetics, lifestyle (diet and exercise) and your physical and mental health—all affects on how this aging occurs.

Additionally, chronic exposure to the ‘elements’- such as sun exposure, smoking, pollution, our diet- also affects us in different ways. We cannot go through life without experiencing the elements, as ‘living’ life is essential. The good news is that there are little maintenance treatments that when performed on a regular basis, lead to big changes in delaying aging signs. The treatments target and address the changes explained below.

Volume Loss

In our faces, the first noticeable change that occurs is the loss of volume in the cheeks. Volume loss also occurs in the lips, temples and around the mouth and hands. The majority of this occurs due to losses in the layers of fat we store under the skin. This causes our faces to appear tired, our cheeks begin to appear hollow and causes sagging skin around our jowls. The great news is that replacing the volume restores your youthful look and when placed expertly, makes it all appear natural. Replacing volume to the cheeks can restore the apple of the cheeks and elevate the skin around the jawline to further define it. Volume can also be replaced in other parts of the body to make it appear more youthful.

Lines and Wrinkles

As we age, we continue to earn lines and wrinkles on our skin. Our faces and other sun exposed areas such as the neck, décolleté and hands are more susceptible to lines and wrinkles. We tend to pay little attention to protecting these areas in our youth and we frequently hear from our clients that they wish they had taken better care of these areas when they were younger. No body ever said- ‘I wish I had used less sunscreen when I was younger. ‘ The lines and wrinkles on our face form after repeated use of muscles in the area through regular facial expressions. The wrinkles develop perpendicular to the muscle movement (relaxed skin tension lines). For example- the forehead muscle- Frontalis- lifts the forehead in a vertical vector, so the forehead lines develop in a horizontal fashion. Similarly the ‘11’ lines between our eyes, ‘crows feet’ lines around our eyes and the vertical lip lines all form in a perpendicular vector from the underlying facial muscle movement. One way to delay these aging signs is decreased sun exposure and the the regular use of sunscreen on sun exposed areas. The early use of neuromodulator agents like Xeomin or Botox on our face and neck can make us appear rested and prevent deepening lines by working on the underlying muscle movements. These agents work by weakening the underlying muscles, produces less obvious wrinkles- resulting in a younger and rested, less angry appearance. Additionally, a proper skin care regimen, specially designed for your skin type, can further enhance your skin results by moisturizing and protecting it from pollution oxidation damage. Other skin maintenance therapies include the regular use of lasers/micropeel/microneedling and PRP can all stimulate collagen and keep the lines at bay.


*Individual results may vary.

Dull Skin: Loss of Skin Texture, Tone, Hydration and Elasticity

Over time with repeated facial expressions, the lines become etched into our skin so even at rest, we appear to have deep lines over our face. Our skin also appears dull, loses its firmness and hydration and we develop the appearance of red vessels and sun spots. Skin is unable to retain as much moisture due to decreases in the innate hydration properties as well as loss of oil production. Once this occurs, skin resurfacing procedures become an important addition to the maintenance of the skin tone and texture. Resurfacing works by causing controlled microinjuries to the skin surface. The body produces a healing response to these controlled injuries and increases blood flow and to the areas treated. The stimulated healing response and increase in blood flow rejuvenates the skin by increasing collagen and elastin production, along with improved blood flow bringing vital nutrients to the skin. Resulting in an improvement of appearance in skin tone, texture and hydration. This produces an overall rejuvenated appearance with glowing skin. Treatment options affect skin at different depths; the deeper the treatment, the longer the recovery and greater results. Options for skin resurfacing vary from facials and microdermabrasion to microneedling and laser skin resurfacing. Once again, a customized skin care regimen can further enhance and maintain these results.

The Triangles of Youth

A combination of the above aging changes results in a change in facial shape. When we are younger our facial features are contoured and defined with fuller cheeks and a narrower jawline- commonly referred to as “The Triangle of youth”. This includes includes high cheek bones and fullness around the eye areas. Over time, our facial structure changes; we lose facial voluma, facial muscles loosen, skin sags and even the underlying facial bones provide less support. This combination of volume loss and loss of skin elasticity causes sagging skin to droop downwards. Our underlying facial bone structure gives each of us a unique shape and contour and provides the scaffold upon which our facial muscles, skin and fat-pads lay upon. These bones also get thinner and less supportive as we age. The fat pads ‘redistribute’ with loss of fat in the cheek areas and fullness in the chin/neck areas increasing the prominence and fullness in the lower face and neck. In conjunction these factors add to the aging appearance and a change in shape of our face, causing the appearance of “the inverted triangle”.


*Individual results may vary.

Cosmetic Healthcare Group