Contemporary concepts in facial aesthetics have shifted the focus to rejuvenation through revolumisation and identifying age-related volume loss, with the objective of re-establishing the ideal or previous facial dimensions. The facial skeleton provides the structural support for overlying soft tissues, and changes to facial appearance manifesting as hollowing, folds, creases and rhytids, are usually preceded by bony changes.
It is therefore of great importance that any structural deficit is addressed. Facial ageing follows a predictable process, with specific areas of the facial skeleton undergoing resorption, resulting in the appearance of some of the most common stigmata of ageing. The mid-face, the orbit and the mandible are three important areas of the facial skeleton implicated in ageing, and the signs of bony changes in these regions include under-eye hollowing, altered brow…
