There is no escaping from the ageing process. We are all getting older, but the ageing process it’s self though the mechanics are the same from person to person, they are not applied equally to everyone, nor do they have the same effect on everyone.
The differences seen in how people age can be attributed to many different factors. Some of these factors we are in control of and others we are not. Genetics including ethnicity and skin type, lifestyle including weight, sun exposure and nutrition all play a part in how well or otherwise someone ages.
As a person ages the blood supply in the skin decreases, the interaction between the dermis and the epidermis weakens, free-radical reactions increase and have more of an effect on the skin and underlying structures, the number of melanocytes (pigment cells) decreases, skin dryness occurs, and epidermal barriers begin to break down. Facial muscles shift lower, and tendons and ligaments are no longer as resistant. Finally, bone structures will slowly start to be reabsorbed by the body.
Loss of fat pads in the mid face and possibly gaining fat in the lower face will lead to sagging of the face and wrinkles. Patches of hyperpigmentation, also referred to as age spots, sun spots or liver spots will become more visible; as will vascular marks such as thread veins and campbell de morgan spots (blood spots).
The key to managing the facial ageing process is to consult a specialist aesthetic doctor – not just a “Botox and filler” doctor. The difference is that an aesthetic doctor will truly understand the ageing processes that are happening to the skin and supporting structures of the face whereas a doctor who has had basic training in botox and dermal fillers will not have this in-depth knowledge and will not be able to assess your face properly and help you achieve the youthful look you really deserve .
The Four Types Of Ageing
How the face ages has been classified into four types. Some people will exhibit more than one type, but usually, one type of ageing will predominate.
The Tired Ageing Type
The tired morphotype of ageing occurs typically in thin women with oval shaped faces.
- Normal skin type or skin prone to dryness
- Moderate subcutaneous fat
- Tear trough and/or palpebro-malar groove (extends under eye from tear trough) expressed moderately
- Dark circles are very visible in the under eye area
- Moderate sagging in the lower third of the face
- Medium depth nasolabial folds and marionette lines (nose to mouth and mouth to lower jaw lines).
- Decreased muscle tone and skin firmness
- Moderate manifestations of photoaging such as pigmented spots, thread veins, fine lines
The Wrinkled Ageing Type
Common among Western-European women. This type of aging is typical in slender, thin women with oval faces.
- Skin is thin, sensitive, and frequently dry
- Reduction in fat in the midface can make face look skeletonised
- Fine and deep wrinkles are present in large quantities
- Muscular tone decreases minimally
- Tissue sagging is not very visible
- Photoaging ranges from moderate to severe such as pigmented spots, vascular marks such as thread veins, actinic keratosis (pre cancerous skin lesions).
- Obvious difference between skin conditions of the face and neck (the face being better than the neck).
The Deformative Ageing Type
The deformative ageing type tends to be seen in Slavic and Arabic women, and is usually observed in heavily-built women.
- Excessive subcutaneous fat on the lower face resulting in the formation of double-chin, ‘jowls’, neck folds, baggy lower eyelids, and overhanging upper eyelids
- Reduction of the deep fat pockets in the cheeks which along with excess fat in the lower face, drags the face down making it look sad and older than the biological age
- Evident sagginess of facial features
- Skin is relatively thick, sometimes porous
- Large facial features
- Deep nasolabial folds can eventually converge with marionette lines leading to one long fold between nose and chin accompanied by jowling
- Lymphatic drainage in the face can become obstructed leading to puffiness
- Skin response to damage is pronounced (edemas and inflammation)
- Reddening of cheeks and thread veins are pronounced
The Muscular Ageing Type
Typical of the Asian race and sometimes Eastern Europeans. Most common among men and women with large features, excessive relief, and sharper face shapes.
- Well-developed facial muscles expression in combination with genetically predetermined low amounts of subcutaneous fat
- Rectangular face shape
- Pronounced high cheekbones which appear flattened with age as what little fat is there decreases
- Fallen-in’ cheeks
- Female face can become more masculine
- Sagging of upper eyelids
- Nasolabial folds and marionette lines are moderately pronounced
- Greater tendency of pigmentary disorders such as age spots.
- Face contour doesn’t change a great deal with age
- Pronounced thickened skin with deep furrows like elephant hide due to photo ageing (sun exposure).
So now we know how the face ages, how exactly do we treat each type of ageing? Check our upcoming blog posts where we will show how we address each type of ageing.
If you would like an anti ageing consultation then call us on 02380 270 698. We are the anti ageing experts in Hampshire.
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