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The Effect of Aging on Tissues01:19

The Effect of Aging on Tissues

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Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
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Bone Disorders01:29

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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
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Changes in the Appendicular Skeleton with Age01:09

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The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
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Aging01:26

Aging

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Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
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Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution01:00

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Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are...
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Muscles for Facial Expressions01:14

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The craniofacial muscles are a collection of approximately 20 thin skeletal muscles situated beneath the skin of the face and scalp. These muscles, primarily responsible for the vast array of human facial expressions, originate from the bones or fibrous structures of the skull and extend outwards to connect with the skin. While most skeletal muscles in the body are enveloped in thick fascia, facial muscles generally have a more delicate fascial covering, with the buccinator muscle being a...
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Related Experiment Video

Updated: Apr 16, 2026

Quantitative Assessment Protocol for Facial Soft Tissue Volumetric Changes with Stereophotogrammetry
06:26

Quantitative Assessment Protocol for Facial Soft Tissue Volumetric Changes with Stereophotogrammetry

Published on: December 9, 2025

323

Structural and volumetric changes in the aging face.

David J Gerth1

  • 1Division of Plastic, Aesthetic, and Reconstructive Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Florida.

Facial Plastic Surgery : FPS
|March 13, 2015
PubMed
Summary

Facial aging involves more than skin deep changes; bone structure and fat volume also diminish. Understanding these age-related structural and volumetric shifts is key for effective, individualized facial rejuvenation treatments.

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Area of Science:

  • Plastic Surgery
  • Gerontology
  • Anatomy

Background:

  • Traditional facial aging concepts focused on skin laxity and texture.
  • Recent trends emphasize revolumization to address age-related fat loss (lipoatrophy).
  • Growing evidence highlights structural and volumetric changes in the aging face.

Purpose of the Study:

  • To synthesize current evidence-based research on age-related facial changes.
  • To examine alterations in both the facial skeleton and soft tissue envelope.
  • To provide a comprehensive overview for improved facial aging treatment planning.

Main Methods:

  • Review of current evidence-based studies on facial aging.
  • Analysis of age-related structural and volumetric changes.
  • Categorization of changes by facial anatomical subsite.

Main Results:

  • Aging affects the facial skeleton and soft tissue envelope volumetrically and structurally.
  • Detailed understanding of age-related changes across different facial areas is crucial.
  • Evidence supports a shift from solely skin-focused treatments to a more holistic approach.

Conclusions:

  • A comprehensive understanding of age-related skeletal and soft tissue changes is essential for effective facial rejuvenation.
  • Individualized treatment plans require consideration of anatomical subsite-specific aging processes.
  • The field is moving towards more advanced, evidence-based approaches to facial aging.