We have all looked at friends and thought that they look older, or tired but didn’t know exactly why. It isn’t as if there is something obvious, but something looks different.

As we age, the fat pads that support our skin start to shrink, leaving hollow areas. Volume loss in the temples, tear troughs, brow and upper eyelids, and in the jowl area make us look tired and older.

Your temples lie at the side of your face, just beside your eyes. Sunken temples typically have one underlying cause: aging. As the years go by, the face gradually begins to lose fat and tissue volume. Over time, this creates a gaunt, angular appearance that looks like a ‘peanut’ – a wide forehead, narrow temples and narrow cheeks. But there is a solution; the volume in your temples can be replaced using dermal fillers.

Volume loss under the eye casts shadows the make you look older and tired. The under-eye area may have a hollowed look due to genetics, volume loss due to aging, or from environmental and health factors such as excessive sun exposure, or cigarette smoking. I tell my patients to imagine two hills with a valley in between. The valley (the under-eye hollow) is almost always in the shade. If you could lift the valley up to the level of the hills, light would shine on it and remove the shadowing. To make matters worse, the skin under the eyes is extremely thin and almost transparent, making blood vessels below the skin more visible and adding to the dark, hollow appearance. Lifting the skin up with dermal fillers brings the skin “into the light” and puts a filler cushion between the blood vessels and the skin.

Volume is also lost in the brows as we age. The areas immediately underneath, above, and around the brows lose fullness or volume making the brow look deflated, causing some sagging of the upper eyelid skin. Think of the loss of volume/deflation as something like a balloon losing air. This is due to the loss of fatty tissue, bone, collagen and other elements. Using dermal filler in the lateral brow does help give a brow lift, and can be very dramatic, making you appear younger and less tired.

The appearance of jowls is often due to a decrease in the underlying supporting structures. Hollowing in the jowl area, the pre-jowl sulcus, can easily be treated with dermal filler, which is placed in the depressed area between the chin and the jowl, to give a more youthful appearance.

As you can now see, these subtle signs of aging are quickly and easily corrected with injectable filler. In most instances, a small amount of injectable filler, such as Restylane or Radiesse, will fill these hollow areas and give you a subtle, younger more rested appearance. Now people can look at you and think that you look good, rested and younger, and not know why.

Maybe it is time to undo those subtle signs of aging!

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