What are the symptoms of facial ageing?
The majority of people have few if any symptoms of facial ageing in their 20s. At this time the face has characterstical smooth contours with absesnse of lines or wrinkles. However in some individuals genetic factors may lead to an early appearance of characteristics of facial ageing such as eye bags or eyelid overhanging. In such people constantly being asked if they are tired and being mistaken for being older is common.
In ones thirties, with good genes and some attention to healthy living (avoidance of sun exposure, non-smoking), there may be the beginnings of some wrinkles and age spots. These may present as subtle signs of ageing such as the fine lines around the eyes and mouth when the person smiles and maybe even a hint of eye bags.
Cosmetics can be used to hide some of these imperfections and a greater tendency to visit salons for facials. The thirties is a good time for action to start making changes to your lifestyle and institute appropriate skincare measures.
In ones forties the signs of ageing become more apparent, including facial expression lines, frown lines on the forehead and wrinkles including crow’s feet at the outside of the eyes. The skin becomes more lax and pores become more pronounced, especially on the nose and adjacent areas. The skin at the neck begins to slackens. Eye-bags become more prominent and greying of the hair may become more prominent.
In ones fifties, deeper wrinkles and folds of skin develop which are present at rest. There is increased laxity of the skin with descent of the soft tissues at the jowls over the jaw and the laxity of skin at the neck becomes more apparent. The upper eyelids may show laxity of skin that droop forward making it more difficult to apply make up. In the lower eyelids there may be bag formation from fat prolapse and the appearance of dark circles around the eyes. The skin becomes thinner and drier with age spots (solar lentigines) and the beginnings of age changes (seborrhoeic keratoses). People who have sustained heavy sun exposure may develop solar keratoses. The lips begin to thin and the corners of the mouth may turn downwards. Cosmetics, anti-wrinkle injections and fillers are less effective in camouflaging these changes and cosmetic surgery may be necessary.
In ones sixties there is further thinning of the skin, loss of volume in the face and soft tissue descent with skin laxity at the neck. The bony foundation of the face that has been gradually reducing is more apparent, resulting further loss of malar cheek volume and sunken nose. The thinning volume of the skin and underlying soft tissues results in the appearance of fine vessels in the skin (telangiectasias), sun spots, enlarged pore size and deeper lines.
70s and 80s
In ones seventies and eighties there is a continued aging in all the layers of the face including the skin, soft tissues, underlying muscular layer and boney skeleton.