Aging and developing aesthetic problems Part 2
Obstruction of the upper eyelid (upper eyelid veil = Upper Eyelid Hooding)
The weakening of the muscle surrounding the eye and the eye septum causes the adipose tissue around the eyes to come forward without herniation and the downward movement of the forehead skin and upper eyelid skin with the effect of gravity. Thus, the milk cap skin almost covers the eye in a way that prevents vision. This is called “upper eyelid hooding”. This can be understood more easily in the side evaluation of the face.
Crow’s Feet Wrinkles Around the Eyes
These are fine wrinkles. It begins in the upper and lower eyelids and continues in the corner of the eye. They are most prominent in those located in the outer corner of the eye, and these are called crow’s feet wrinkles because of their shape.
Crow’s feet lines that develop in the corners of the eyes appear earlier than other wrinkles on our face. The reason for this is that the skin is thin in this area and there is less adipose tissue than the subcutaneous support tissues.
Among the most common causes of these lines is squinting of the eyes. It’s about the person’s use of facial expressions.
Especially lying on the side and face during sleep increases these wrinkles.
The sun is one of the external factors in the appearance of these wrinkles. Squinting against the sun’s rays is among the main reasons. Especially those with tanned skin and light-colored eyes are more sensitive to the sun’s rays. In addition, light damage caused by the sun causes these wrinkles.
Slight lowering of the outer corner of the eye (Lateral Canthal Bowing)
It develops with the relaxation of the ligament called the “lateral canthal tendon”, which is located in the outer corner of the eye and supports the outside of the eye. It causes a lower rotation of the outer corner of the eye. Normally, the outer corner of the eye is slightly higher in women. Therefore, the decrease in this angle gives the face a more masculine appearance, apart from a more tired and old expression.
scleral show
The head is in the natural position, the eyes are opposite, the lower eyelids slightly cover the iris of the eye. The sclera-white of the eye should not be visible under the iris. Making this visible is called “Scleral show”. With aging, with the decrease of the supporting tissues under the eyes, the lower eyelid falls, which makes the sclera visible.
Development of Tear Trough Deformity
The Orbicularis Oculi muscle, which surrounds the eye, divides into 2 at the level of the under-eye bone. As eyelid and eye area muscle. At this point of separation, there is what we call the orbital rim ligament. The tear trough extends from the lower inner part of the eye outward to the midline. At the point where this ends, the Palpebroma fold continues outward. The tear trough is due to the decrease in the supporting tissue here, and the under-eye bone tissue and the ligament here becoming more prominent.
It develops due to aging. Thus, the transition between the eyelids and cheeks is sharply limited.
Nasolabial Fold
This actually separates the lips from the cheeks. The reduction of cheek support tissues causes the cheek to move forward and down. This leads to the accumulation of adipose tissue in this line. It appears from a slight wrinkle to a serious fold.
Ear front lines (Preauricular Lines)
There are 2 or 3 vertical lines extending in front of the ear.
Perpendicular lines on the lips (Lip Lines, smoking line)
Perpendicular lines appear on the lips, especially in the vermilon. It develops due to repetitive gestures, the use of a wind musical instrument, and smoking. This is due to atrophy of the dermis in the skin, elongation and loss of strength of the muscles around the mouth.
Horizontal Upper Lip Line (Horizontal Upper Lip Line)
It is often seen in the philtrum just below the nose and as a single grain.
NLF nasolabial fold, PA preauricular lines-ear front wrinkles, HLL horizontal upper lip line-upper lip horizontal line, ULL upper lip lines-upper lip lines, LLL lower lip lines-lower lip lines, CM mouth corner lines, ML marionette lines, J jowls bulge-ticklet, PJD pre-tickled depression area, PB platysma bands, HNL horizontal neck lines-transverse lines on the neck, PSG ptotic submandibular gland bulge-submaxillary salivary gland
elongation of the upper lip
With aging, there is elongation in the upper lip. This negatively affects the aesthetics of the face and smile aesthetics.
Corner of mouth lines (Commissural Lines and “Marionette” Lines)
The corner of the mouth lines are short and vertically extending below the corner of the mouth. Sometimes they can be very deep.
Marionette lines can extend to the longer chin.
Tickle(Jowls and Pre-jowl Depression)
Jowls are caused by the accumulation of subcutaneous adipose tissue along and under the jawbone. This aggregation is limited by the jawbone ligament and further accumulation of adipose tissue is prevented. A slight inward recess occurs at this point of obstruction, which is called pre-jowl depression.
Witch’s Chin Deformity (Ptotic Chin)
It is due to ptosis of the chin fat pad. This ptosis causes flattening of the chin and an increase in submental lines.
Loss of Platysmal Bands and Cervicomental Angle on the Neck
Platysma bands start from under the chin on the neck and extend down. It is caused by the weakening and elongation of the platysma muscle and the accumulation of adipose tissue on it by sagging.
Horizontal wrinkles on the neck
It is a transverse semicircular striation on the neck and originates from the underlying platysmal muscles.
Submandibular gland becomes prominent
This gland becomes visible in the area near the corner of the chin under the chin.
Nose aging and its signs
The skin support tissues on the nose decrease, weaken and cause the tip of the nose to drop with the effect of gravity. Similar changes are also experienced in the bones and cartilages of the nose.
Increase in adipose tissue, especially on the tip of the nose
Signs of aging in the nose;
Horizontal striping at the root of the nose
Thinning of the skin across the nose, but growth of this tissue with enlargement of the sebaceous glands at the tip of the nose
Clockwise rotation of the tip of the nose in the profile, that is, drooping-ptosis
flattening of columella
Falling of the tip of the nose causes a false nasal hump in the nose or causes the previous hump to be more prominent. In addition, the fall of the tip of the nose changes the projection of the upper lip.
and thinning of the skin causes a hump on the back of the nose over time.
Aging in the mouth area and its signs
Erasing vermilions on the lips
The elongation and inward curling of the upper lip, resulting in deterioration of the smile aesthetic
Dropping of the lower lip; this increases the visibility of the lower front teeth during laughing.
