Facial aging is associated with a gradual thinning of skin and loss of elasticity along with a natural reduction in the body’s production of dermal collagen, hyaluronic acid, and elastin.   This natural progression is accelerated by sun damage and other factors such as smoking, diet, and stress.  

Habitual dynamic facial expressions are one factor that contribute to the formation of lines and wrinkles, particularly in the upper one-third of the face.  These dynamic lines and wrinkles are typically treated with Botox©.  Fine and deep static lines in the lower two-thirds of the face, caused by contour changes and loss of skin plumpness, can be softened by using dermal fillers. 

We also experience facial contour changes by way of volume loss, also called biometric reduction.  This process results from the reabsorption of facial bones, a decrease in the quality and quantity of subcutaneous tissue and the decent of facial fat pads.  As we age the physical traits of youth- high cheeks and a defined chin gradually change to an appearance of flattened cheeks and prominent jowls. 

Slight facial contour changes can also be treated with dermal fillers.  

Juvederm©, a dermal filler, is largely composed of hyaluronic acid, a natural substance naturally found in the skin, muscles, and tendons of all mammals. Juvederm’s most common use is softening nasolabial folds, or “smile lines,” creases of skin which run from the corners of the nose to the corners of the mouth. It is also used to enhance and plump volume loss in lips, and to fill in hollow places and scars on the face.   Most recently the FDA approved Juvederm Voluma© to correct age related volume loss in the mid-face, or cheek area.