What happens to the face as we age? The complexity of the ageing process

What happens to the face as we age? The complexity of the ageing process

Facial ageing is a complex, multi-layered process. The aesthetic medicine holy grail is the ability to correct, restore and beautify at any age.  While treating individual lines and wrinkles is often why many seek cosmetic procedures, the ageing process is global and complex. The lines and wrinkles may be the result of combination of skin ageing, loss of underlying fat, bony changes. Therefore, correction and beautification may require multiple treatment sessions with a bespoke treatment plan followed by a maintenance plan.  Here we explain this approach, and discuss why expert knowledge in this area is key to producing and maintaining beautiful aesthetic results.

A multi-tiered ageing process involving changes in facial bone, muscle, fat and skin

Ageing is a multi-tiered physiological event and is deeper than just lines and wrinkles; although this is usually the first concern of many.  There are different physiological tiers in ageing; there are changes in the bony structure of our face, facial muscles, fat tissues and skin.  All of these layers age interdependently of each other, resulting in the overall aged facial appearance and the face keeps on changing with age.

 Our bone structure is pertinent to our facial proportions and features. Typically bony changes with age, resulting in weaker structural support for the face and therefore an in-depth knowledge of these changes are needed for effective aesthetic rejuvenation.

      Muscular changes and fat repositioning occur as we age. For example, fat pockets in the cheek areas start to lose their volume and move, giving hollow cheeks, deep laugh lines and “jowl” like appearance. It is therefore not a simple process to inject dermal fillers in these areas to correct the lines and wrinkles; a specific and in depth knowledge of facial anatomy is needed to ensure these areas are restored in the correct places, with the correct amount and type of dermal filler.

 Before and after

This lady was mainly concerned by her nasolabial folds. On full examination and consultation,  we identified a loss of underlying cheek fat resulting in hollow cheeks and the appearance of nasolabial folds. By enhancing her cheeks, we lifted her face, rejuvenated the cheek area and improved the laugh lines.

The most superficial tier of the ageing process are skin changes. Our skin can reveal a lot about our overall health, lifestyle, and often, our age. Factors affecting our skin include environmental factors such as sun damage, smoking, stress, and inherent factors such as genetics and diet. These factors can be crucial in treatment planning for rejuvenation. At Revivify London, we take these factors into account when offering treatment options and discussing a treatment plan centred around your expectations and requests; only then can maximum benefit be received from your treatment plan.

How can aesthetic medicine help rescue these age related changes?

We aim to work with the body’s natural repair cycles. The treatment plans at Revivify London take into consideration your aesthetic goals, expectations, lifestyle and genetics. This helps to produce realistic expectations, avoid an overdone or unnatural look and let the body adjust to the changes. Also, this approach ensures maintenance of the results in the long term as the results of procedures doesn’t last forever.   

Depending on your age and aesthetic goals, your treatment plan may include any of the following steps:

  • Preventive: to prevent further damage
  • Corrective: to correct volume loss, sun damage, skin quality
  • Restorative: to restore the facial harmony and balance
  • Beautification and enhancement: fine tuning and the beautification process; to beautify and enhance your appearance if desired, such as by enhancing lip volume or skin hydration

Non-surgical options that can help rejuvenate your face, hands and neck are briefly described below: 

  • A good skincare regime and skin peels can modify the surface of the skin to correct the effects of photoageing and improve the quality of the skin. Sun damage and photoaging results in fine lines and wrinkles, pigmentation and blemishes.
  • Injectables such as Botulinum Toxin and various dermal fillers including biostimulators can be used to correct volume loss, treat lines and wrinkles and also lift the face.
  • Threadlifts are a great way of lifting the face, improving the definition of the jaw line and getting rid of a jowling and sagging face.

Although you will see changes from the first session, it is important to remember that with your bespoke treatment, it may take a few months to obtain the desired aesthetic results.

The importance of aesthetic maintenance

After aesthetic treatments our body does not stop ageing and the treatments and their effects are not permanent. Therefore, once your desired aesthetic outcome has been reached, regular review and maintenance sessions, usually every 4-6 months are required. This accounts for the dynamic nature of the skin and its physiology, as well as the natural repair and ageing cycles of the body.

These top up appointments are the best way of maintaining your results, and help to avoid the need for large expensive treatment plans every couple of years.


For consultation with Dr Samizadeh at revivify London in Mayfair, please call us on  020 3287 2717