For example, there is a natural decrease in fatty tissue under the lower eyelid and upper cheek area by the 3rd to 4th decade. The skin and muscles of the lower lid slowly lose elasticity and no longer remain tightly secured in place. This results in an obvious junction between the lid and cheek and the so-called “tear-trough deformity”.
Facial droop also results in deepening of the nasolabial folds (smile lines) and marionette lines (“puppet lines” extending below the lip corners). Hollowing in the temple area as well as thin lips are other symbols of aging.
Some patients are also naturally deficient in the projection of areas such as the forehead, nose, jawline and chin. They may even be asymmetrical with one side being obviously more deficient than the other. Fillers can be used to alter facial proportions with immediate and natural results. This is a non-invasive alternative to facial fat grafting or facial implants.
Plastic surgeons actually operate on all areas of the face as part of cosmetic surgery. We are trained to have a more innate knowledge of facial anatomy than anyone else, which helps us avoid critical facial structures. With proper training and experience, filler injections are generally very safe.
