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Changes in the Facial Skeleton With Aging: Implications and Clinical Applications in Facial Rejuvenation

ABSTRACT: In principle, to achieve the most natural and harmonious rejuvenation of the face, all changes that result from the aging process should be corrected. Traditionally, soft tissue lifting and redraping have constituted the cornerstone of most facial rejuvenation procedures. Changes in the fa...

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Autores principales: Mendelson, Bryan, Wong, Chin-Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer-Verlag 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3404279/
https://www.ncbi.nlm.nih.gov/pubmed/22580543
http://dx.doi.org/10.1007/s00266-012-9904-3
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author Mendelson, Bryan
Wong, Chin-Ho
author_facet Mendelson, Bryan
Wong, Chin-Ho
author_sort Mendelson, Bryan
collection PubMed
description ABSTRACT: In principle, to achieve the most natural and harmonious rejuvenation of the face, all changes that result from the aging process should be corrected. Traditionally, soft tissue lifting and redraping have constituted the cornerstone of most facial rejuvenation procedures. Changes in the facial skeleton that occur with aging and their impact on facial appearance have not been well appreciated. Accordingly, failure to address changes in the skeletal foundation of the face may limit the potential benefit of any rejuvenation procedure. Correction of the skeletal framework is increasingly viewed as the new frontier in facial rejuvenation. It currently is clear that certain areas of the facial skeleton undergo resorption with aging. Areas with a strong predisposition to resorption include the midface skeleton, particularly the maxilla including the pyriform region of the nose, the superomedial and inferolateral aspects of the orbital rim, and the prejowl area of the mandible. These areas resorb in a specific and predictable manner with aging. The resultant deficiencies of the skeletal foundation contribute to the stigmata of the aging face. In patients with a congenitally weak skeletal structure, the skeleton may be the primary cause for the manifestations of premature aging. These areas should be specifically examined in patients undergoing facial rejuvenation and addressed to obtain superior aesthetic results. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00266-012-9904-3) contains supplementary material, which is available to authorized users.
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spelling pubmed-34042792012-08-02 Changes in the Facial Skeleton With Aging: Implications and Clinical Applications in Facial Rejuvenation Mendelson, Bryan Wong, Chin-Ho Aesthetic Plast Surg Review ABSTRACT: In principle, to achieve the most natural and harmonious rejuvenation of the face, all changes that result from the aging process should be corrected. Traditionally, soft tissue lifting and redraping have constituted the cornerstone of most facial rejuvenation procedures. Changes in the facial skeleton that occur with aging and their impact on facial appearance have not been well appreciated. Accordingly, failure to address changes in the skeletal foundation of the face may limit the potential benefit of any rejuvenation procedure. Correction of the skeletal framework is increasingly viewed as the new frontier in facial rejuvenation. It currently is clear that certain areas of the facial skeleton undergo resorption with aging. Areas with a strong predisposition to resorption include the midface skeleton, particularly the maxilla including the pyriform region of the nose, the superomedial and inferolateral aspects of the orbital rim, and the prejowl area of the mandible. These areas resorb in a specific and predictable manner with aging. The resultant deficiencies of the skeletal foundation contribute to the stigmata of the aging face. In patients with a congenitally weak skeletal structure, the skeleton may be the primary cause for the manifestations of premature aging. These areas should be specifically examined in patients undergoing facial rejuvenation and addressed to obtain superior aesthetic results. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00266-012-9904-3) contains supplementary material, which is available to authorized users. Springer-Verlag 2012-05-12 2012 /pmc/articles/PMC3404279/ /pubmed/22580543 http://dx.doi.org/10.1007/s00266-012-9904-3 Text en © The Author(s) 2012 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Review
Mendelson, Bryan
Wong, Chin-Ho
Changes in the Facial Skeleton With Aging: Implications and Clinical Applications in Facial Rejuvenation
title Changes in the Facial Skeleton With Aging: Implications and Clinical Applications in Facial Rejuvenation
title_full Changes in the Facial Skeleton With Aging: Implications and Clinical Applications in Facial Rejuvenation
title_fullStr Changes in the Facial Skeleton With Aging: Implications and Clinical Applications in Facial Rejuvenation
title_full_unstemmed Changes in the Facial Skeleton With Aging: Implications and Clinical Applications in Facial Rejuvenation
title_short Changes in the Facial Skeleton With Aging: Implications and Clinical Applications in Facial Rejuvenation
title_sort changes in the facial skeleton with aging: implications and clinical applications in facial rejuvenation
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3404279/
https://www.ncbi.nlm.nih.gov/pubmed/22580543
http://dx.doi.org/10.1007/s00266-012-9904-3
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