The signs of aging can start from different complaints from different regions in everyone. The most troublesome points are mimic wrinkles; We see these wrinkles more frequently around the eyes, between the eyebrows and on the forehead. Apart from that, facial collapses, sagging, elasticity
Loss of facial ovality, sagging in the area called jowl under the chin, and wrinkle and looseness in the neck area are the most common and encountered signs of aging. Our patients mostly apply to us for the treatment of these complaints.
We know that our skin consists of 3 layers:
1- Epidermis: Multi-layered skin that is renewed from the bottom to the surface and placed on top of each other.
It is the top layer of the skin made up of cells.
2- Dermis: This layer, located just below the epidermis, is a connective tissue rich in elastin and collagen fibers. Collagen and elastin are protein fibers that give the skin its elasticity and tension. Collagen attracts and stores water, providing a youthful and lively appearance to the skin. Elastin, on the other hand, allows the skin to stretch and then return to its original state.
3- Subcutaneous layer: It is the lowest layer of the skin. It consists of loose connective tissue, which includes blood vessels, lymphatic channels, and fibrous tissue. It regulates the temperature of our body, stores heat, and protects our internal organs.
The sagging of the skin is caused by many factors… As the skin ages, not only the filling material but also the skeletal system that holds the skin together ages. The fibers that make up the skeleton of the skin are molecules called collagen and elastin. These are the main important supports that wrap your skin like a net and provide it firmness, flexibility, adaptability and strength. Significant changes occur in the skeletal system of the skin. Elastin fibers deteriorate rapidly towards middle age, thicken and curl, harden and turn into a scattered and fragmented structure. After menopause in women, the skin sags more with the effect of hormonal changes.
The decrease in the number of cells in the adipose tissue under the skin and gravity causes the loose tissue to sag easily. Sagging skin makes it look older than it is. Because the loss of facial ovality, loose skin (loss of elasticity) such as large deformations occur. This situation, which does not want to camouflage with make-up, presents the skin as a problem of aging. Sagging is actually felt in many areas of the skin.
For example, the following are noticed as a result of sagging;
Eyebrows fall. (As a result of the sagging of the forehead, the eyebrows fall over the eyelids.)
Upper eyelid drooping (The upper eyelid may droop enough to cover the pupil.)
The drooping of the lower eyelid causes the mucosa under the lid to be visible.
There is a tired look due to the prominent groove on the side of the nose.
The jowl is formed (the jaw line rises from the pit over time.)
The tip of the nose droops.
Unfortunately, very serious changes occur in facial expression such as thinning of the upper lip.
However, loss of facial ovality and sagging in the neck are more common symptoms that occur at earlier ages.