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Just beneath your skin is a layer of subcutaneous tissue. It consists mostly of fat cells and connects your skin to all the tissues underneath it. When you’re young, the fat in this layer plumps up your skin, making it look full and smooth and giving your face a youthful contour. With age, however, your face begins to lose some of this subcutaneous tissue—and, as a result, your skin begins to sag, forming lines, wrinkles, and creases. Your face begins to “droop”. |
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What happens to the face as skin loses volume?As facial volume is lost, your cheeks become less prominent, while the area of your lower cheeks and jaw (the jowls) become more pronounced. Your lips also thin and flatten.
Loss of cheek volume leads to drooping skin, which then contributes to the formation of many different kinds of lines, wrinkles, and furrows in the lower part of the face. These include nasolabial folds (the furrows from the corners of your nose to the corners of your mouth), oral commissure wrinkles (those at the corners of the mouth), and “marionette” folds (oral commissure wrinkles that extend down toward the chin line). The lower area of the face also takes on a more square-like appearance.
When facial volume is lost in the brows, the upper orbital rim of the eye sockets become more pronounced, sometimes giving the face a hollowed-out look. The skin from the forehead also droops, contributing to forehead and eye wrinkles, including sagging upper eyelids.
Can age-related loss of facial volume be corrected?Dermal fillers are used to restore volume and “re-sculpt” the face nearer to its original shape. They can be used almost anywhere on the face—the cheeks, brows, chin, lips, and even in the “tear troughs” under the eyes. Although these treatments aren’t permanent, many dermal fillers on the market today can last for many months. For the most natural, effective, and longest-lasting results, be sure to seek treatment from a physician who is highly knowledgeable about facial tissue and bone structure and who is up-to-date on the very latest advances in these treatments.
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| Options for Soft Tissue Augmentation | | |  |
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Leading skin care physician Dr. Brian Biesman explains how fillers may be used to replace lost volume in our skin.
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Ask The Doctor
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