Morphological changes to the facial skeletal structure, soft tissue, retaining ligaments, fat compartments, and skin interact to give the ageing facial appearance. For best results, the different elements should be considered together. Skin rejuvenation techniques promoted without consideration of volume loss or muscle/ligament laxity will not be optimal. Volumising perceived facial fat loss in the lower third of the face without addressing upper and middle facial loss will produce sub-optimal results.
We now have a greater appreciation of the multifactorial causes of the gravitational and centripetal movement of the facial tissues that result in the inverted ‘Triangle of Youth’. Fat pads get thinner and descend. We lose fullness. Hollows form at the temples and beneath the eyes, drooping skin can cause deeper lines around the nose and mouth, loose skin can result in a sagging jawline.
I realised that for a great part of my career I had failed to address the ageing temples and lateral temporal fat (LTF) pads appropriately and the effect this had on my results. Volume loss from…
