Aging of the Face . ד"ר פרידמן טל כירורגיה פלסטית בי"ח אסף- הרופא. Aging of the Face. The process of facial aging represents a combination of gravitational effects and the aging of tissues. Gravity. Affects all tissue layers
ד"ר פרידמן טל
בי"ח אסף- הרופא
The process of facial aging represents a combination of gravitational effects and the aging of tissues.
A process of atrophy
Components of the dermal connective tissue layer:
General: 6% for a decade, Connective tissue matrix disorganized, avascular and acellular.
Ground substance (GAG)
Collagen :Overall collagen content , III/I , Tensile strength of collagen fibril
Pathognomonic: Dermal elastosis and epidermal dysplasia.
“Basophilic degeneration”, “elastosis”: Degraded collagen and elastin.
Rhytidectomy is beneficial in the absence of cardiorespiratory dis.
Baldness, Aged facies, hypo-hyper-pigmentation
Short suture, high-pitched voice, cataract, mild diabetes mellitus, muscle atrophy, osteoporosis, premature arteriosclerosis, neoplasms.
Furrows/ Lines: cardiorespiratory dis. Repeated facial expressions.
Clinical location: Forehead, Glabellar, smile lines.
Tissue location: Musculocutaneous.
Treatment: Muscle resection, Botulinum toxin, injectable skin filler materials.
It is not a treatment for fine wrinkles!!!
Subcutaneous: Descent of facial fat-
Fat: Gain or loss
loss of support from the retaining ll., accompanied by dermal elastosis, and facial lipodystrophy.
of the outer canthus ,onto the
have concomitant forehead
Downward migration of the
1994,5- Historical photographs and photogrammetry:
NLF- Deepening due to descent and anterior projection of the subcutaneous cheek mass.
Marionette line- a fold extending from the labial commissure to the parasymphyseal area
Jowls- descents of soft tissue below the mandible. to the parasymphyseal area
Analysis of 160 skulls:
Reduction of facial height,
Modest increase in facial width and depth and generalized coarsening of bony prominences.