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Facial Plast Surg 2015; 31(01): 080-087
DOI: 10.1055/s-0035-1544250
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Illusion of Volume Loss

Neil A. Gordon
1   Section of Otolaryngology, Head and Neck Surgery, Department of Surgery, Yale University School of Medicine, Yale Physicians Building, New Haven, Connecticut
,
Julia Toman
1   Section of Otolaryngology, Head and Neck Surgery, Department of Surgery, Yale University School of Medicine, Yale Physicians Building, New Haven, Connecticut
› Author Affiliations
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Publication History

Publication Date:
12 March 2015 (online)

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Abstract

Facial aging can create an appearance of volume loss and responds to volume enhancement in certain clinical scenarios. Actual fat loss is an illusion created by the inter-relationship of the different tissue types. The purpose of this article is to provide the anatomical, clinical, and research evidence to differentiate the contributions to facial aging from gravity's effects on soft tissue, fat loss, and skeletal remodeling, explaining the illusion.

Keywords

volume loss - face-lift - rhytidectomy - aging face - facial rejuvenation
 

  • References

  • 1 Gonzalez-Ulloa M, Flores ES. Senility of the face—basic study to understand its causes and effects. Plast Reconstr Surg 1965; 36: 239-246
    CrossrefPubMedGoogle Scholar
  • 2 Kolle F. Plastic and cosmetic surgery. New York, NY: Appleton; 1911
    Google Scholar
  • 3 Lambros V. Models of facial aging and implications for treatment. Clin Plast Surg 2008; 35 (3) 319-327 , discussion 317
    CrossrefPubMedGoogle Scholar
  • 4 Mendelson B, Wong C-H. Changes in the facial skeleton with aging: implications and clinical applications in facial rejuvenation. Aesthetic Plast Surg 2012; 36 (4) 753-760
    CrossrefPubMedGoogle Scholar
  • 5 Shaw Jr RBJ, Kahn DM. Aging of the midface bony elements: a three-dimensional computed tomographic study. Plast Reconstr Surg 2007; 119 (2) 675-681 , discussion 682–683
    Google Scholar
  • 6 Shaw Jr RBJ, Katzel EB, Koltz PF, Kahn DM, Girotto JA, Langstein HN. Aging of the mandible and its aesthetic implications. Plast Reconstr Surg 2010; 125 (1) 332-342
    CrossrefPubMedGoogle Scholar
  • 7 Shaw Jr RBJ, Katzel EB, Koltz PF , et al. Aging of the facial skeleton: aesthetic implications and rejuvenation strategies. Plast Reconstr Surg 2011; 127 (1) 374-383
    CrossrefPubMedGoogle Scholar
  • 8 Baker SR. Local Flaps in Facial Reconstruction. 3rd ed. Philadelphia, PA: Saunders; 2014
    Google Scholar
  • 9 Rohrich RJ, Pessa JE. The retaining system of the face: histologic evaluation of the septal boundaries of the subcutaneous fat compartments. Plast Reconstr Surg 2008; 121 (5) 1804-1809
    CrossrefPubMedGoogle Scholar
  • 10 Raskin E, Latrenta GS. Why do we age in our cheeks?. Aesthet Surg J 2007; 27 (1) 19-28
    CrossrefPubMedGoogle Scholar
  • 11 Fitzgerald R, Graivier MH, Kane M , et al. Update on facial aging. Aesthet Surg J 2010; 30 (Suppl): 11S-24S
    CrossrefPubMedGoogle Scholar
  • 12 Gordon NA, Adam SI. The deep-plane approach to neck rejuvenation. Facial Plast Surg Clin North Am 2014; 22 (2) 269-284
    CrossrefPubMedGoogle Scholar
  • 13 Rohrich RJ, Pessa JE, Ristow B. The youthful cheek and the deep medial fat compartment. Plast Reconstr Surg 2008; 121 (6) 2107-2112
    CrossrefPubMedGoogle Scholar
  • 14 Enlow DH. A morphogenetic analysis of facial growth. Am J Orthod 1966; 52 (4) 283-299
    CrossrefPubMedGoogle Scholar
  • 15 Bolin A. Proximal alveolar bone loss in a longitudinal radiographic investigation. Swed Dent J Suppl 1986; 35: 1-108
    PubMedGoogle Scholar
  • 16 Pessa JE, Desvigne LD, Lambros VS, Nimerick J, Sugunan B, Zadoo VP. Changes in ocular globe-to-orbital rim position with age: implications for aesthetic blepharoplasty of the lower eyelids. Aesthetic Plast Surg 1999; 23 (5) 337-342
    CrossrefPubMedGoogle Scholar
  • 17 Pessa JE. An algorithm of facial aging: verification of Lambros's theory by three-dimensional stereolithography, with reference to the pathogenesis of midfacial aging, scleral show, and the lateral suborbital trough deformity. Plast Reconstr Surg 2000; 106 (2) 479-488 , discussion 489–490
    CrossrefPubMedGoogle Scholar