14 doctors weighed in:

What are the causes of facial aging?

14 doctors weighed in
Dr. Brock Ridenour
Surgery - Plastics
8 doctors agree

In brief: Deflation

Aging of the face can be attributed to three inter-related and simultaneous processes.
As we age our face "deflates", the result of fat loss in the temples, under the eyes, in the lower cheek and around the mouth. At the same time, gravity shifts our soft tissues downward, especially in the lower portions of the face and neck. Finally, our skin loses its elasticity and becomes saggy and lifeless.

In brief: Deflation

Aging of the face can be attributed to three inter-related and simultaneous processes.
As we age our face "deflates", the result of fat loss in the temples, under the eyes, in the lower cheek and around the mouth. At the same time, gravity shifts our soft tissues downward, especially in the lower portions of the face and neck. Finally, our skin loses its elasticity and becomes saggy and lifeless.
Dr. Brock Ridenour
Dr. Brock Ridenour
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2 comments
Dr. Tedde Rinker
Two things that dramatically accelerate facial aging are excess sun exposure and smoking
Dr. Thomas Namey
Yes, both of the comments are as important: photoaging and smoking!
Dr. Keimun Slaughter
Facial Plastic Surgery
2 doctors agree

In brief: A natural process

Facial aging is a natural process which occurs due to the natural atrophy of adipose and muscle in the face.
There is also remodeling of the facial bony structure which contributes to facial aging with gravity causing descent of structures, particularly in the mid face. Other factors such as photo aging and loss of collagen also contribute to the process.

In brief: A natural process

Facial aging is a natural process which occurs due to the natural atrophy of adipose and muscle in the face.
There is also remodeling of the facial bony structure which contributes to facial aging with gravity causing descent of structures, particularly in the mid face. Other factors such as photo aging and loss of collagen also contribute to the process.
Dr. Keimun Slaughter
Dr. Keimun Slaughter
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Dr. Paul L. Hester
General Practice
2 doctors agree

In brief: 3 dimensional

Facial aging is predictable, identifiable and correctable.
In addition to descent of the skin with deflation there's also bony loss causing distortion of youthful facial contours. 3dimensional restoration of the face using fillers and collagen stimulation to replace volume deficiencies both lifts the skin and addresses facial distortion. Injectable fillers can be used on superficial skin defects.

In brief: 3 dimensional

Facial aging is predictable, identifiable and correctable.
In addition to descent of the skin with deflation there's also bony loss causing distortion of youthful facial contours. 3dimensional restoration of the face using fillers and collagen stimulation to replace volume deficiencies both lifts the skin and addresses facial distortion. Injectable fillers can be used on superficial skin defects.
Dr. Paul L. Hester
Dr. Paul L. Hester
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Dr. Earl Ferguson
Surgery - Plastics

In brief: Fat loss and descent

Facial aging in general is a result of gravity's downward pull on facial structures and fat loss.
There are multiple fat compartments throught the face which are suspended from the facial bones by thin ligaments. Over time, those ligaments stretch and the fat pads descend. Facial rejuvenation is accomplished through a combination of resuspension of fat and augmentation with fat and/or fillers.

In brief: Fat loss and descent

Facial aging in general is a result of gravity's downward pull on facial structures and fat loss.
There are multiple fat compartments throught the face which are suspended from the facial bones by thin ligaments. Over time, those ligaments stretch and the fat pads descend. Facial rejuvenation is accomplished through a combination of resuspension of fat and augmentation with fat and/or fillers.
Dr. Earl Ferguson
Dr. Earl Ferguson
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