Changes in the Facial Skeleton With Aging

Changes in the Facial Skeleton With Aging

Changes in the facial skeleton that occur with aging and their impact on facial appearance have not been well appreciated.

Accordingly, failure to address changes in the skeletal foundation of the face may limit the potential benefit of any rejuvenation procedure.

Correction of the skeletal framework is increasingly viewed as the new frontier in facial rejuvenation.

It currently is clear that certain areas of the facial skeleton undergo resorption with aging.

Areas with a strong predisposition to resorption include the midface skeleton, particularly the maxilla including the pyriform region of the nose, the superomedial and inferolateral aspects of the orbital rim, and the prejowl area of the mandible.

These areas resorb in a specific and predictable manner with aging.

The resultant deficiencies of the skeletal foundation contribute to the stigmata of the aging face.