The Causes of Facial Ageing

The Causes of Facial Ageing

Facial aging is due to a combination of changes to the skin and changes to the facial bones supporting the skin.

As skin ages, the dermis thins due to collagen loss, thus reducing its ability to retain elasticity (from elastin) and moisture (from hyaluronic acid). In addition, facial fat moves and resettles, changing the facial structure. While these changes are occurring in the dermis and subcutaneous layers of your skin as it ages, the epidermis changes color and texture.

Over time, bone is reabsorbed, becoming thinner and more brittle. This causes your face to appear thinner and results in a weaker-looking jaw. 

Due to a combination of factors, skin texture and color also change. The skin becomes rougher and drier, and blemishes and discolorations appear. They appear first as light blemishes and changes in pigmentation. Later, raised spots of pigmentation may appear along with continued discoloration. Skin also increases in redness. Veins become lightly visible, becoming more visible with advanced aging.

 

Collagen loss leads to loss of elasticity and moisture

The loss of collagen results in the loss of elastin and hyaluronic acid, as they need collagen to provide the structure for their retention. This reduces the moisture, suppleness, and elasticity of the skin, and causes thinning in the face, called volume loss.

The face also thins due to fat loss, as well as the movement of fat to other areas of the face. Skin appears looser and sags. The diminished elasticity of the skin reduces its ability to retain its shape and it does not conform as closely to the contours of the face. Gravity then pulls on both the skin and the underlying fat, and they move down your face. This results in sagging eyelids, bags under the eyes, and jowls.

 

Factors in Facial Ageing

There are two types of factors in facial aging, internal (or chronological) and external (or environmental):

Internal factors are those that happen to you over time, primarily caused by genetics and natural aging processes.

External factors are things in the world around you that have an impact on aging.

These two factors result in non-visible and visible effects on your face. Visible effects are those you can see with the naked eye. The speed at which these changes occur varies depending on the scope and extent of environmental factors and genetics.

Cause

Non-Visible Effects

Visible Effects

Internal

  • Genetics

  • Breakdown of cellular structures and processes

  • Reduced bone density

  • Hormonal changes

  • Other

 

  • Reduction of collagen

  • Reduction of elastin

  • Reduction of hyaluronic acid

  • Fat loss and redistribution

  • Dermal thinning

  • Bone resorption

 

  • Wrinkles and folds

  • Fine lines

  • Drooping eyelids

  • Hollowed cheeks

  • Jowls

  • Dry skin

External

  • Photoaging
  • Smoking
  • Facial expressions
  • Sleep position
  • Gravity

 

  • Epidermal thickening
  • Dermal thinning

 

  • Wrinkles and folds
  • Rough skin
  • Blemishes and pigmentation
  • Freckles

 

 

 

Visible effects of aging are those that you see when you look in the mirror:

- Wrinkles, lines and folds

- Loss of elasticity and sagging skin

- Skin texture and colour changes

The visible effects follow a progression as you age, dependent upon genetics and external factors.

 

Progression of Visible Effects

 

Age

Aging Problem

Visible Effects

25-40

  • Some sun damage
  • Some collagen loss
  • Some fat loss
  • Some water loss/suppleness
  • Stress
  • Frown lines begin to appear in upper face
  • Fine lines, wrinkles, and folds begin to appear in mid face

40-55

  • More sun damage
  • More collagen loss
  • More fat loss
  • More water loss/suppleness
  • Stress
  • More defined frown lines in upper face
  • More defined fine lines, wrinkles, and folds in mid face
  • Some lip thinning
  • Hollowing of eyes and cheeks
  • Jowls

55+

  • Extensive sun damage
  • Extensive collagen loss
  • Extensive fat loss/suppleness
  • Stress
  • Deep frown lines in upper face
  • Extensive fine lines, wrinkles, and folds in mid face
  • More prominent lip thinning
  • More prominent hollowing of eyes and cheeks
  • Jowls

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