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Facial Plastic Surgery


There are two different types of aging that occurs in the human body.  Aging caused by the genes we inherit is called "intrinsic or internal" aging.  The other type of aging is known as "extrinsic or external" aging  - which is caused by the environment.  Such as exposure to the sun's rays.  Other external factors that prematurely age our skin are repetitive facial expressions, gravity, sleeping positions, and smoking.

Wrinkles indicate age particularly for women - as most find it problematic for beauty and are worth eliminating if possible. The best way to deal with wrinkles is to prevent or postpone them for as long as possible. 





Intrinsic Aging 

The natural aging process is also known as "intrinsic aging".  This is a continuous process that begins as early as our mid to late 20s.  Elastin is responsible for the skin's ability of snapping back into place.  Collagen is what "plumps" our skin out.  As we age, within the skin the collagen and elastin production slows way down.  Dead cells do not shed as quickly and turnover of new skin cells decrease slightly.  Although it is stated that this aging process can start as early as our 20s, the signs of intrinsic aging are normally not seen for decades.

Signs of Intrinsic Aging:

  • Fine wrinkles

  • Hair Loss

  • Thin or transparent skin

  • Bones shrink away from skin (naturally occurring bone loss)

  • Fat loss

  • Skin is not as elastic

  • Dry skin

  • Inability of the skin to cool itself (loss of sweat glands)

  • Graying hair

  • Unwanted hair

  • Nail plate thins





Extrinsic Aging

The following are examples of "Extrinsic Aging" or what our environment does with prematurely aging skin.


Exposure to the sun rays even just a few minutes a day can cause noticeable changes to the skin.

Some of the problematic issues that the sun's exposure can cause are:

  • Freckles

  • Age Spots

  • Spider veins on the face

  • Rough and leathery skin

  • Fine wrinkles

  • Loose skin

  • Blotchy complexion

  • Actinic keratoses (pre-cancerous legions)

  • Skin cancer (basal cell - squamous cell - melanoma)

Photo-aging occurs over a period of years.  This type of aging is caused by exposure to the sun's rays.  With repeated exposure to sun, the skin is unable to repair itself and the damage accumulates.  Ultra-violet (UV) exposure breaks down collagen and impairs the synthesis of new collagen - and it has the ability to attack the skin's elastin.



Performing facial exercises to maintain a youthful looking appearance can actually contribute to new fine lines and wrinkles (American Academy of Dermatologists).  Each time we use a facial muscle, a groove forms beneath the surface of the skin - which is why we are able to see lines form with each facial expression.  Because we lose collagen and elastin as we age, its elasticity stops - allowing these grooves become permanently etched the face.



As we get older, gravity constantly pulls on our bodies.  Around the age of 50 years, the skin's elasticity declines rapidly and the effects of gravity become evident.

Gravity contributes to the following on the face:

  • the tip of the nose too droop

  • ears to elongate

  • eyelids to fall

  • jowls to form

  • upper lip to disappear - while the lower lip becomes more pronounced




Sleeping with your face on the pillow in the same way every night for years can also lead to wrinkles.  Called "sleep lines" - these wrinkles become etched on the surface of the skin and no longer disappear when the head is on the pillow.

Side sleeping with your face in the pillow can create lines on the chin and cheek area.

Men tend to notice lines on the forehead since they are more apt to sleeping with their face pressed face down into the pillow.

Sleeping on your back is the best position of all - simply because the face does not make contact with the crumbled pillow. 



Cigarette smoking causes so much damage inside our bodies as well as outside with accelerating aging.  People who smoke 10 or more cigarettes a day for a minimum of 10 years are more likely to develop deeply wrinkled leather skin than a non-smoker. 

Smokers can also develop an unhealthy yellowish hue to their complexion

Facial wrinkling - although it might not be visible, can be seen under a microscope in smokers as young as 20 years old.



                                    beautiful model with flawless skin

                                              Licensed image for



The following preventative steps help with pre-mature aging:

  • Avoid direct sunlight - as the sun can penetrate the skin surface with its rays and destroy tissue of the skin - which can lead to wrinkles.

  • Tanning is caused by the sun stimulating production of melanin as a protective response against sunburn.  Both tanning and burning are separate from the damage that occurs to the deeper layer of the skin tissue - which is caused by ultraviolet bandwidth.

  • Make sure you ALWAYS wear a good sun screen at all times - 30 SPF or higher.

  • Eating a good diet that provides all the adequate nutrients and vitamins needed to maintain good skin health.  Supplements with a good multi-vitamin or specific vitamins for the skin can help also.  Vitamins that are claimed to have beneficial effects for skin health include  A - C - D and E.

  • Wrinkle creams act by increasing the volume of tissue cells and smoothing out the wrinkle or line.  They cannot however eliminate deep wrinkles.

  • Injectable fillers are suitable for patients with busy lifestyles and do not want the inconvenience of a long recovery.

  • Radiofrequency (IPL - Intense Pulse Laser), dermabrasion, laser resurfacing, chemical peeling, microdermabrasion and some topical treatments can help restore skin.

  • The face lift is a proven effective cosmetic surgery treatment for wrinkles, pouches, bags, and sagging skin.

  • Neurotoxins such as BOTOX - is very popular as a treatment for wrinkles around the eyes (crows feet), glabellar line and forehead lines. BOTOX acts by blocking neurotransmitters to the muscle, and end up blocking muscular contraction.


        Signs of Aging - Five Important Facts to know about Aging

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