As we age our facial shape changes. This is more apparent when we look at younger pictures of ourselves. Generally speaking in youth we have a fuller triangular face and with age we loose volume (deflation) and our face shape becomes an inverted triangle.
One of the reasons we develop this inverted triangle is because of loss of bony support in the cheek as well as the jaw bone. This is in combination to loss of facial fat and also a loss of collagen and elastin in the skin which reduces its elasticity.
As we age our facial shape changes. This is more apparent when we look at younger pictures of ourselves. Generally speaking in youth we have a fuller triangular face and with age we loose volume (deflation) and our face shape becomes an inverted triangle.
One of the reasons we develop this inverted triangle is because of loss of bony support in the cheek as well as the jaw bone. This is in combination to loss of facial fat and also a loss of collagen and elastin in the skin which reduces its elasticity.
These elements cause more heaviness in the lower cheek, jaw line and a saggy appearance. The line that forms between the chin and the cheek and jawline area from the corner of the mouth downwards is called the marionette line (puppet lines).
Treatment for marionette lines range from non-surgical face lifting by replacing volume using MD codes and Juvederm dermal fillers to using BTA to weaken the muscles pulling the mouth down. Formal surgical treatment involves face and neck lifting techniques.
