Facial Bone Changes With Age

October 31, 2018

Older Skull Image

Orbits more “droopy” at the outside lower edge

Cheekbones lower and flatter

Younger Skull Diagram

Orbits more round

Cheekbones higher and more prominent at the upper edge

As  we mature, our facial bones change with time. Specifically, our orbits  (eye sockets) become larger and more trapezoid in shape, with more  pronounced thinning of the bone in the outer lower and inner upper  edges. In addition, if you look at the skull from the side you will  notice that the mature skull becomes flatter in the area at the top of  the lower edge of the eye sockets.

Image 1 is a photo of a skull  that has aged. While this is not an overtly elderly specimen, you can  still compare the orbits (eye sockets) with those in image 2 below. The  most obvious difference is that in the diagram the orbits are rounder  than in the photograph of the skull above.

I believe the first  step in mitigating age-related facial structural change is to inject a  long lasting filler against the bone just below the orbits on the outer  area and directly onto the cheek bone. This serves to provide a basis  for a youthful appearance. If you think of the face like a bed – this  repairs the structure of the box-spring. My philosophy is to level box  spring first, then even out the mattress before smoothing the sheets!

By  injecting against the bone of the orbit, the lower orbital rim is  enhanced, the cheek bone is made more prominent, and the angle of the  facial structure becomes less flat and more youthful. This will also  blunt the folds of skin on the sides of the nose (nasolabial folds) and  efface some wrinkles. In addition, when a series of injections are made  against the zygoma (cheek bone) at about a 45 degree angle upward and  outward, this can lead to a young appearing classically feminine facial  appearance. For males we typically inject in this area on a more  transverse line rather than an such an upward 45 degree angle.  We  prefer Juvéderm Voluma™ for this application in our practice for its  stiffness and long duration.  A softer, more pliable product can then be  injected in the more superficial areas and lines. To refine the  appearance skin resurfacing or peels may be used to give the skin a  youthful glow and treat fine wrinkles. For pigment irregularities such  as brown or red spots, IPL is ideal but can only be used in certain skin  types.

 

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Facial Bone Changes With Age

Older Skull Image Orbits more “droopy” at the outside lower edge Cheekbones lower and flatter Younger Skull Diagram Orbits more round Cheekbones higher and more prominent

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