Each human being has 20 years to fully develop, grow in height, perfect internal organs and external appearance. But then, all of us will have to face 40-80 years of aging, despite the scientific efforts that are still looking for a way to help people improve.
As a familiar saying, time does not let anything go, your face also begins to deform when you get older. Wrinkles appear, skin color changes, to age spots, sagging and sometimes tumors.
We cannot, or at least cannot reverse this process. Therefore, understanding the aging process is still an immediate goal. Gizmodo interviewed some aging experts and plastic surgeons to ask what will happen to the face as we get older.
And below is their answer:
How will your face change when you get older?
Derek M. Steinbacher
Associate Professor, Cosmetic Surgeon, Craniofacial Director, and Head of Faculty of Dentistry at Yale University
Face aging and changes that occur on bones, skin and soft tissue are partially pre-programmed in genetics. But exposure to the environment is also an aging factor.
In a young person, the cells that make up facial tissue are very elastic. They form intact chambers, keeping the skin and face structures in place. A face called young when it has a plump skin, cheekbones develop, lines clearly define which area is convex.
But according to age and time, all these delimitations begin to ripen and be torn. This results in the movement of the fat layer, which sags and spills into areas that were not plump before (eg jaws). Sagging fat also causes sagging of the skin and soft tissue on the face.
The process is almost the same as the melting of wax, and with the influence of gravity, the structures once sagged are only sagging downwards.
In the field of aging rejuvenation research and facial correction, we realized that a youthful face is actually a well-framed face, with plump and concave positions that match the Aging tissue does not sag. In some areas, fats are atrophy (shrinking) and create cavities (such as the area around the eyes).
Typical changes in the face when we get older
Some of the most common effects of aging often seen on the face?
When the skin is stretched downwards, the first expression you see is in the forehead and eyebrows. Vertical wrinkles between the two eyebrows begin to appear. The eyebrows themselves also begin to sag near the eyelids, and the skin around the eyelids bunches up and pushes down the eyelashes to hinder vision.
Wrinkles in the eyelid area create an aging and weary appearance. While the lower eyelid skin looks like gift wrapping crepe paper, with dark circles begin to form. Between the eyelid and cheek area, a very clear wrinkle appears.
The fat chambers of the face were previously tied together with ligaments, now starting to expand and fat flowing into the lower areas. For example, cheek fat flows down the nose and above the lips (deep fold formation runs from both sides of the outer nose), revealing the cheekbone.
The skin and fat under the face flow down the jawbone, behind the chin. The skin underneath the chin is leaning toward the neck, the thin platysma area of the neck exposes, forming ribbons – essentially turning your neck to look like a turkey neck:
In addition to the ligamentous ligaments and loss of elasticity, sagging, the jaw area will also experience changes as you get older.
Before that, the jawbone of young people was always regenerated and repaired regularly. Until, aging begins to trigger osteoporosis and bone resorption. Loss of teeth is also a big problem, because it makes lips and face tissue less supported, further accelerating the process of reabsorption of bone of the jaw.
In parallel with that, the upper jaw area will bend upwards and indent. On the contrary, the lower jaw bone bends down but it extends first. This process eventually creates an aging look, as you often see your grandparents being bemused when not wearing dentures. The chin area will rise and close too much, while the upper jaw area and the lips will concave inside (when the fulcrum is lost from the tooth).
However, facial aging is a normal biological process that happens to everyone. The above characteristics may differ slightly by gender, geographical location, degree of environmental exposure, disease and medical care.
Associate Professor, Surgeon, Yale University
Basically, around the cheekbones, around the mouth and the facial lines, there are fat cells distributed under the skin. These fat chambers are held together by the ligaments mainly connected from the bones in the facial skeleton to the skin.
As you get older, these fat compartments begin to collapse, they sag. So when you follow a patient over time, since they are twenty and thirty until they are fifty and sixty years old, you will see their facial fat flowing down to the lower part of their face. For that reason, the patient's face tends to look longer when they get older.
Another thing that happens is that, although your skin and fat flow down, the ligaments still stick to the bone surface, so they form the floating lines that you see around the mouth, or the folds between the nose and mouth, concave areas clearer when the rest of the skin sagging.
Associate Professor, Plastic Surgeon, New York University School of Medicine
Our facial appearance changes mainly due to soft tissue or fat components in the face.
If you look at young people, no matter how much their weight is, the face looks very full! But as we age, the fat in our faces will degenerate and flow downwards due to gravity and aging of the structures.
The bone composition remains stable but all the rest are aging and changing. We often see the nose looks longer and therefore larger, this is due to the drooping of those structures, the earlobe is also longer and dangling, a similar phenomenon occurs with the jaw and chin!
In the middle of the face area, we see prominent high cheekbones that look lower and are not more separate. Usually the lips are thin. All of these factors affect the shape and appearance of the face.
Associate Professor, Cosmetic Surgeon, Emory University Hospital and Grady Memorial Hospital
Aging face is a combination of many processes. First, it's skin. The degraded skin itself has less fibroblasts, mast cells and blood vessels and more elastic fibers. At that time, the skin will become wrinkled and saggy, and the wrinkles begin to become deeper, especially in areas where the face is like the forehead, between the eyebrows, the corners of the eyes and around the mouth.
Over time, our skin will be damaged (mainly due to sunshine and poor healthy lifestyles like smoking), leading to wrinkles, dark spots and even tumors. . The sun damages elastic fibers and causes them to build up and arrange abnormally.
The amount of collagen fibers decreases and even the remaining fibers are disorganized. A thin dermis called the green zone forms between the dermis (the deeper layer of the skin) and the epidermis (the top layer of the skin).
And you begin to notice that the layers of elastic skin lose as they sag in the eyebrows, under the chin, jaw and eyelids. When tissues become weaker, they flow out. Facial fat is also reduced due to long-term exposure to gravity. This can be seen in the temples and eye sockets, where they are concave. The flowing fat causes the cheeks to sag, the deep nasal folds and jaw bone are exposed.
Forget Christopher B.
Professor and President of the Department of Cosmetic and Orthopedic Surgery, University of Toronto and Medical Director, Center for Brain Research and Care
Your face will be droopy by both internal and external factors. Genes are internal factors, smoking habits and exposure to sunlight are external factors that we can control.
Physically, as we age, our face loses fat, collagen fibers, elastin are reduced and the bones of the face erode slightly. All of these things accelerate the aging process.
It is a complex and intriguing process, a process that plastic and reconstructive surgeons like us think we can restrain with many different types of surgery.
Dr. Leonard Guarente
Director of Glenn Aging Biology Center at MIT
Aging is accompanied by subcutaneous fat loss and weakening of skeletal muscle called terminology sarcopenia. Both of these can make your appearance look old, facial features are sagging, and more importantly, lead to a decrease in elasticity and skin color.