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Deep Cheek Fat Volumes and Midfacial Aging.
Jacob I Tower1, Neil A Gordon2, Boris Paskhover2,3
1Department of Surgery, Section of Otolaryngology, Yale School of Medicine, New Haven, CT.
Aesthetic Surgery Journal
|June 29, 2019
Summary
Aging increases deep cheek fat volume, contrary to common assumptions. This study found that older individuals have greater deep cheek fat, suggesting it may be due to pseudoherniation of buccal fat.
Area of Science:
- Aesthetic medicine and facial anatomy research.
- Gerontology and age-related physiological changes.
Background:
- Midfacial volumizing is popular for facial rejuvenation.
- Understanding age-related changes in midfacial fat is crucial but limited.
Purpose of the Study:
- To investigate the relationship between age and deep cheek fat volume.
- To determine if deep cheek fat volume changes with aging.
Main Methods:
- Retrospective analysis of facial computed tomography (CT) scans.
- Cross-sectional and longitudinal studies involving 109 patients.
- Linear regression modeling to assess age-related fat volume changes.
Main Results:
- Increasing age was significantly associated with increased deep cheek fat volume (P < 0.001).
- Fat gain was more pronounced in the caudal aspect of the cheek.
- Longitudinal analysis showed an average gain of 0.23 mL in deep fat over 10.3 years (P = 0.03).
Conclusions:
- Age is a significant predictor of midfacial deep cheek fat volume.
- Aging is associated with an increase, not a decrease, in deep cheek fat.
- This increase may be attributed to pseudoherniation of the buccal fat pad.
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