Skip to content

Does your head change as you age? What you need to know about craniofacial changes

4 min read

According to a study in Plastic and Reconstructive Surgery, the bones of the face and skull undergo significant changes throughout adulthood, a fact that surprises many people. The answer to does your head change as you age? is a definitive yes, and these shifts can impact everything from facial appearance to sensory function.

Quick Summary

Yes, your head and facial structure change throughout your life, a process driven by continuous bone remodeling and tissue changes. Resorption and deposition cause shifts in the skull's size and shape, particularly in the eye sockets, jaw, and forehead.

Key Points

  • Skull Reshapes Over Time: Your skull is not static and undergoes bone remodeling throughout adulthood, with some areas losing bone and others gaining it.

  • Facial Bones Recede: The midface, including the upper jaw and cheekbones, tends to resorb bone, causing a backward and downward shift that affects facial support.

  • Eye Sockets Expand: The bony orbits around the eyes get larger with age, contributing to a more hollowed-out appearance.

  • Jawline Softens: The angle of the lower jaw becomes more obtuse and less defined over the years, impacting the jawline's shape.

  • Forehead Expands: Some areas, like the forehead's brow ridge, can experience bone deposition, expanding outward.

  • Changes Impact Aesthetics: These skeletal shifts are a key driver of superficial aging, causing overlying soft tissue to lose support and sag.

  • Lifestyle Affects Outcome: Good nutrition, exercise, and dental care can help maintain bone and tissue health as you age.

In This Article

The Science of an Aging Skull

While we often associate growth with childhood, the skeleton is a dynamic and living system that continues to change well into our later years. This process of constant reshaping, known as bone remodeling, involves both resorption (the breakdown of old bone) and deposition (the formation of new bone). For the skull, this doesn't mean a simple expansion; rather, different areas change at different rates, leading to a complex array of effects on your head's structure.

Key Areas of Craniofacial Aging

Several distinct regions of the head are most affected by age-related bone changes.

The Midface and Eye Sockets

  • Orbital Expansion: The bony sockets surrounding your eyes, known as the orbits, tend to widen and expand over time. This expansion, especially at the inferior and lateral aspects, can contribute to the appearance of sunken eyes and excess skin in the area.
  • Maxillary Resorption: The upper jawbone (maxilla) undergoes significant bone loss. This resorption causes a backward and downward movement of the midface, a key factor in developing jowls and reducing facial support.

The Mandible and Jawline

  • Change in Angle: The angle of the mandible, or lower jawbone, becomes more obtuse with age. The sharper, more acute angle seen in younger individuals rounds out, contributing to a less defined jawline.
  • Chin Projection: The chin tends to become more pointed and shorter as bone resorption occurs. Loss of bone and teeth can further accelerate this process.

The Forehead and Cranial Vault

  • Frontal Bone Deposition: In contrast to the midface, the forehead can actually experience bone deposition, particularly around the supraorbital rim (the brow ridge). This can create a heavier brow look.
  • Subtle Vault Changes: Studies using CT scans have shown significant shape changes in the inner and outer cranial vault, particularly in men. This can involve both expansion and compression in different areas, though these changes are typically less visually apparent than those in the face.

Comparing Aging vs. Youthful Head Structures

The difference in skull structure between a younger and older person can be significant. The table below highlights some of the key contrasts.

Feature Younger Head Older Head
Midface Projection More prominent and anteriorly positioned Tends to recede and flatten
Mandibular Angle More acute and sharply defined Becomes more obtuse and rounded
Orbital Sockets Smaller and more rounded shape Widens and expands laterally and inferiorly
Cheekbones (Zygoma) More prominent and forward-set Recedes, losing anterior projection
Bone Density Higher, especially before age 30 Decreases, leading to osteopenia/osteoporosis risk
Forehead Softer contour Can experience bone deposition, especially at brow ridge

Impact on Appearance and Function

These subtle bone shifts are the underlying cause of many visible signs of aging. As the bony structure recedes, the overlying soft tissues—muscles, fat pads, and skin—lose support and begin to sag. This is why addressing only superficial signs like wrinkles can sometimes miss the root of the problem.

Other Related Age-Related Head Changes

It's not just the bones. Other tissues in the head are also affected by the aging process.

  1. Sensory Decline: Hearing loss is common in older adults, as is a gradual decrease in the ability to smell and taste.
  2. Dental Issues: Loss of teeth can accelerate jawbone resorption and drastically alter the shape of the lower face.
  3. Soft Tissue Atrophy: Fat pads in the face diminish and shift, contributing to a hollowed-out look under the eyes and in the cheeks.
  4. Neurological Changes: While not a physical change to the skull itself, the brain and nervous system also experience age-related changes, with a slower processing speed and nerve signal transmission.

Can You Counteract the Changes?

While you can't stop the biological clock, lifestyle choices and modern treatments can influence the rate and extent of these changes.

  • Maintain Bone Health: Ensure adequate intake of calcium and Vitamin D, engage in weight-bearing exercise, and discuss potential bone density issues like osteoporosis with a healthcare provider.
  • Protect Your Teeth: Regular dental checkups are crucial to prevent tooth loss and preserve jawbone structure.
  • Consider Volume Replacement: Dermal fillers and other aesthetic procedures can restore lost volume and camouflage the effects of underlying bone resorption.
  • Stay Active and Engaged: Keeping the mind and body active can help with overall health and resilience, even as the body undergoes natural changes.

For more information on the intricate process of aging, visit the official MedlinePlus article on body changes: Aging changes in organs, tissue and cells.

Conclusion: Embracing the Evolving Self

The knowledge that our head structure evolves throughout life can be both surprising and enlightening. It helps to explain many of the subtle, and not-so-subtle, changes we observe in our faces as we get older. Understanding that the aging process is not merely skin deep but is rooted in the very structure of our skeleton provides a more comprehensive picture of what it means to age. Embracing these changes, while proactively managing health and well-being, is key to graceful and healthy aging.

Frequently Asked Questions

As you age, your head and facial skeleton undergo continuous remodeling. Some areas like the eye sockets and forehead expand due to bone deposition, while the midface and jaw experience bone resorption, causing a subtle shift in proportions.

Yes, cranial and facial bones are not static. The skeleton is in a constant state of remodeling, with old bone being broken down and new bone being formed. This process continues into old age, leading to slow but significant changes in the skull's shape and size.

The changes in your head's bony structure directly influence your facial appearance. For example, resorption of the midface and jawbone removes support for the overlying soft tissues, contributing to sagging skin, jowls, and a loss of facial volume.

While diet and exercise cannot stop the natural process of bone remodeling, they can influence it. A healthy lifestyle, rich in calcium and vitamin D, combined with weight-bearing exercise, helps maintain bone density and slow the rate of change.

Some studies have found an increase in cranial width in certain populations, and this is linked to specific remodeling patterns. While the midface may recede, the lateral parts of the skull can expand, which might contribute to a wider or different facial appearance.

Excellent dental health is crucial for preserving the structure of your jawbone and facial skeleton. Tooth loss can accelerate bone resorption in the jaw, leading to a caved-in look and further altering the lower facial proportions.

Research indicates some differences in aging skull patterns between sexes. One study found that while both men and women experienced significant changes in the anterior and middle cranial fossae, men showed more pronounced changes in the outer cranial vault.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.