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Why do our faces get rounder as we get older?

4 min read

According to the American Society of Plastic Surgeons, an individual's face begins to experience age-related volume loss in their 20s. This gradual, multifaceted process is the answer to the question: Why do our faces get rounder as we get older? Changes in the underlying bone structure, shifts in fat compartments, and decreased skin elasticity all contribute to the change in overall facial shape.

Quick Summary

Changes in facial shape with age, including a rounder appearance, result from bone resorption, fat pad migration, and decreased collagen and elastin, which cause sagging and volume shifts toward the lower face.

Key Points

  • Fat Redistribution: Age causes facial fat pads to shift and diminish in the upper face while accumulating in the lower face and jowls.

  • Collagen and Elastin Loss: The decrease in these proteins leads to reduced skin elasticity and sagging, causing features to droop and lose their youthful definition.

  • Facial Bone Resorption: The underlying bone structure of the face loses mass over time, reducing the support for the overlying soft tissues and contributing to sagging.

  • Gravity Exacerbates Sagging: The constant downward pull of gravity amplifies the effects of fat migration and loss of skin elasticity.

  • Lifestyle Affects Outcome: Factors like sun exposure, hydration, and weight management play a role in the extent and speed of facial aging.

  • Medical Solutions Exist: Treatments like dermal fillers can restore volume, while surgical options can lift and tighten sagging skin.

In This Article

Facial aging is more than just wrinkles

Facial aging is a complex biological process involving multiple layers of the face, including the skin, fat pads, muscles, and bones. For many, the perception of a 'rounder' face isn't due to overall weight gain, but rather a redistribution and loss of underlying structural support. While a youthful face is often described as an inverted 'triangle of youth' with high cheekbones and a defined jawline, the aging process can invert this shape.

The crucial role of facial fat pads

Contrary to a common misconception that people simply gain fat in their face as they age, the reality is a significant redistribution of facial fat pads. Young people have full, distinct fat pads that provide volume and structure, especially in the cheeks. With time, some of these fat pads, particularly in the upper and mid-face, can shrink (atrophy) or migrate downwards due to gravity and weakening ligaments. Concurrently, fat pads in the lower face and jowls can accumulate more volume (hypertrophy), leading to a heavier, rounder appearance in the lower half of the face.

The decline of collagen and elastin

Collagen and elastin are two proteins in the skin that are crucial for maintaining its firmness and elasticity. Beginning in our 20s, the body's natural production of these proteins starts to decrease by about 1% per year. This leads to a gradual loss of elasticity, causing the skin to become looser and sag. When this sagging occurs, gravity pulls the skin downwards, exacerbating the 'rounding' effect, especially around the jawline and neck, forming jowls. Without the firm, tight support of young skin, the face loses its contoured definition.

Understanding bone resorption in the facial skeleton

Perhaps the most overlooked factor in the aging process is the slow, but significant, change in the facial bones themselves. Over time, facial bones undergo resorption, or a loss of mass and density. This affects key areas such as the eye sockets (orbits), cheeks (maxilla), and jaw (mandible). This bone loss essentially reduces the underlying scaffolding that supports the soft tissues of the face. As the bones recede and lose volume, the overlying fat and skin become disproportionately large for the smaller bone structure. This can cause the skin to appear loose and saggy, contributing to the fuller or rounder lower face. The result can be a more flattened mid-face and the appearance of jowls, changing the overall facial proportions.

Comparison of key factors in facial rounding with age

Factor Change with Aging Impact on Facial Shape
Facial Fat Pads Redistribution; volume loss in upper face, accumulation in lower face. Contributes to sagging cheeks, hollows under eyes, and heavier jowls.
Collagen & Elastin Reduced production and increased breakdown. Decreases skin's elasticity, causing overall laxity and sagging.
Facial Bones Bone resorption, reducing mass and changing shape (e.g., flattened cheeks, widened eye sockets). Diminishes underlying support, exacerbating sagging and altering proportions.
Muscles Weakening and loss of tone. Contributes to sagging skin and loss of facial tightness.
Gravity Constant, unrelenting pull on tissues. Exacerbates all other factors, pulling sagging tissues downwards.

Addressing and managing facial aging

While the factors contributing to facial aging are natural and unavoidable, modern treatments can help manage these changes. For instance, dermal fillers can be used to restore lost volume in areas like the cheeks and temples, effectively replenishing the support lost from aging fat pads and bone resorption. Procedures like Ultherapy or laser treatments can also stimulate collagen production, tightening and lifting the skin. In more advanced cases, surgical procedures such as facelifts can redrape and reposition sagging tissues. On a day-to-day basis, using sunscreen, maintaining a healthy lifestyle, and staying hydrated are crucial for preserving skin health.

Can facial exercises prevent a rounder face?

Regular facial exercises, also known as "face yoga," have gained popularity as a non-invasive way to combat signs of aging. Studies, like one cited by Medical News Today, have shown that exercising facial muscles might tone them and improve appearance. Toning the underlying facial muscles can offer some degree of structural support, which may help minimize the appearance of sagging. However, facial exercises cannot stop or reverse the natural processes of bone resorption or the significant redistribution of facial fat pads. Their effectiveness is limited and works best as a complementary approach to a healthy lifestyle and proper skincare, rather than a standalone solution for significant age-related changes.

Conclusion

Understanding why our faces get rounder as we get older involves looking beyond simple surface-level changes. It's a complex interaction between the shifting and atrophying of facial fat pads, the loss of skin-supporting proteins like collagen and elastin, and the subtle but profound process of bone resorption. The combined effect of these biological shifts, along with the constant pull of gravity, explains the transition from the sharp contours of youth to the softer, heavier, and often wider appearance of an aging face. While these processes are natural, a combination of lifestyle choices and modern aesthetic treatments can help manage their visible effects.

Key takeaways

  • Fat Pads Shift and Atrophy: Facial fat is redistributed with age, shifting from the upper face (cheeks, eyes) downwards, which can create a heavier, rounder lower face.
  • Collagen and Elastin Decline: The natural decrease of collagen and elastin causes skin to lose elasticity and sag, contributing to a softer, less defined facial contour.
  • Facial Bone Resorption Occurs: The underlying facial bones lose mass over time, especially around the eye sockets and jawline, which removes crucial support for the soft tissues.
  • The Combined Effect is Significant: The visible rounding effect is a cumulative result of sagging skin, migrating fat, and a receding bone structure.
  • Treatments Can Address Issues: Dermal fillers and other cosmetic procedures can help restore lost volume and provide lift, while lifestyle habits can help maintain skin health.

Frequently Asked Questions

No, a rounder face is not just from weight gain. While body fat can influence facial fullness, the primary causes of a rounder or heavier-looking face are internal biological processes, including the redistribution of facial fat pads, a decrease in collagen and elastin, and changes to the underlying bone structure.

Significant facial changes can start to become noticeable as early as the 30s, with many people observing a shift in their appearance in their 40s and 50s. The process of facial volume loss and collagen reduction actually begins in our 20s, but the effects are gradual.

A healthy diet and regular exercise are beneficial for overall skin health and can help manage weight, which can affect facial appearance. However, these lifestyle choices cannot halt the natural processes of bone resorption and facial fat pad migration. While they may slow the process, they will not completely prevent age-related changes.

Facial bone resorption is a natural part of aging in which the facial bones, such as those around the eye sockets and jawline, lose mass and density. This reduces the structural support for the soft tissues and skin, which can contribute to a more aged and sagging appearance.

Some studies suggest facial exercises may help tone facial muscles, which could reduce sagging. However, their effectiveness is limited, as they do not address underlying bone loss or fat pad migration. They are best used as a complementary measure, not a primary solution.

Jowls are sagging skin below the jawline that contribute to a heavier, rounder lower face. They form due to a combination of factors, including the loss of skin elasticity (collagen/elastin), the downward migration of facial fat pads, and the diminishing support of the underlying jawbone.

Both men and women experience facial aging, but there are differences in the rate and extent of changes, particularly in bone resorption. Women may experience some bone loss earlier than men, but the combined effect of soft tissue and bone changes happens in both genders.

References

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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.