The Anatomy of aging - Dr Nicole Chater

The Anatomy of aging

Aging is a fact of life that alters the harmonious, symmetrical, and balanced facial features associated with youth. Whilst aging is a natural process, we are aware that some people show signs of aging at a greater speed than others, which is often related to either genetic factors or environmental factors, the most recognised one being UV exposure. 

Signs of facial aging such as wrinkles, sagging, poor skin tone and texture can have negative psychological, emotional, and social effects because facial aging alters self-perception and how individuals are seen by others. An example of this is the marionette lines which can give the impression of sadness, when indeed someone is not feeling such an emotion. Imagine looking sad all the time when you don’t feel sad! 

Aging affects the skin and structures underneath the skin, think of it like a table and the tablecloth.

Bone changes

There is remodelling which occurs to our facial bones as we age. Examples of this can be an enlarged eye orbit which can give the appearance of a hollow look, as well as increase in the size of the jaw, which can cause a heaviness in the jaw and chin recession. 

Fat pads

As a result of bone changes, and due to gravity and time, fat pads have a tendency to sink and sag. This can lead to heaviness in areas such as the jowl area.

Muscle

With repetitive muscle movements over time, this can lead to changes in the muscle tone, as skin becomes more lax, dynamic muscle movements become more obvious.

Skin

The skin is like the tablecloth over the table. Examples of signs of aging in the skin are fine lines and wrinkles, pigmentation and age spots, dryness or patches of rough skin and the appearance of small blood vessels. As we enter our 40’s and 50’s, key components in the skin start to reduce, such as collagen and elastin. 

Whilst aging is a natural part of life, improving the skin and facial aesthetic can help improve a person’s self-esteem, and therefore improves the way they interact with others.

Once we understand that aging affects all layers of the facial anatomy, we can guide treating and reducing the signs of aging. When a patient presents for advice regarding their appearance, I make it a priority to discuss prevention and a good skin care routine to compliment whatever cosmetic procedure may help.  

  Dr Nicole Charter