“Why Do I Look Old?” – 3 Questions to Help Identify Causes of Early Facial Aging

Aging is a natural and inevitable process, but sometimes experiences and physical factors can make you look more physically and emotionally worn-out than you really are. Premature facial aging is usually due to a combination of surface-level and structural factors, in many cases requiring medical skin therapy and cosmetic surgery in San Francisco to revive your look. Here are a few questions to think about when considering how to rejuvenate your facial appearance.

Question 1: Do I have a “hollowed,” thin-skinned look?

In the past, people blamed many signs of aging on gravity. In reality, sagging of the skin can result from deterioration of collagen and/or the thin layer of fat cells that normally rests just below the skin and keeps it firm.

Option A: Fat atrophy

Thin, hollowed areas at your temples, under cheeks, and below eyes suggest excessive fat loss. Pouchy areas below these hollows are usually skin, not fat. Disease and age are the prime causes, but habits like smoking and poor diet can make fat atrophy too early. JUVÉDERM® Injectable Gelis a particularly effective means to restore volume in these areas because it promotes healthy tissue maintenance in the longer term.

Option B: Collagen-elastin imbalance

Skin that is loose but not hollowed can suggest an imbalance in collagen and elastin levels. As you age, the elastin that allows skin to stretch will multiply and harden, while the collagen that keeps skin firm and tight degenerates. Loss in collagen is associated with decreased vascularity, which can worsen with smoking and lack of exercise. Collagen injections help kick-start the body into maintaining a better balance. JUVÉDERM and Obagi® medical skin therapies can also improve collagen production.

Question 2: Do my upper eyelids make me look old and tired?

Some changes to eyelid tissue are normal over time, but a lowered upper lid that is nearing the eyelash line can give a prematurely old, exhausted look to the face.

Option A: Excess upper-eyelid tissue

Excess upper-lid tissue is a common problem for African-Americans and both women and men with a genetic tendency for overdeveloped eyelid tissues. It is most appropriately corrected through upper eyelid cosmetic surgery in San Francisco.

Option B: Brow muscle laxity

When the muscles supporting the eyebrows allow the lids to wrinkle and sag, a lid lift alone will not address the source of the problem. In this case brow lift is usually most effective. For less intensive sagginess of the forehead, BOTOX® Cosmetic can be very effective.

Question 3: Do my neck and jaw line seem loose and fleshy?

Over the years, sun damage, weight loss, and pregnancy can add up to loose and flabby-looking jaw and neck tissues that pile decades onto your age and pounds onto your apparent weight.

Option A: Loosened facial skin

Genetic factors or significant weight loss can give even younger people jowls where they used to enjoy a firm jaw line. Often, these excess tissues have little to do with “inevitable” effects of aging, and far more to do with reversible processes that loosen the skin on the face overall. Dermal fillers in the cheeks sometimes indirectly improve very minor ptosis (sagging), but for intensive ptosis a San Francisco face lift is often most effective.

Option B: Localized fatty deposits

In some cases hormonal fluctuations, medications, or weight loss can create fatty pockets near the chin and neck. These are most effectively corrected by facial liposuction (submentoplasty) using highly precise equipment.

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