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  1. Home
  2. Synchronized Aging Trajectory Of Facial And Skeletal Morphology In Chinese Females: Implications For Rejuvenation Strategies.
  1. Home
  2. Synchronized Aging Trajectory Of Facial And Skeletal Morphology In Chinese Females: Implications For Rejuvenation Strategies.

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Synchronized aging trajectory of facial and skeletal morphology in Chinese females: implications for rejuvenation

Yehong Zhong1, Zhewei Chen2, Bowen Lei2

  • 1Department of Plastic Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

International Journal of Surgery (London, England)
|November 17, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Facial and skeletal aging are linked but happen at different times, with bone changes starting earlier. Early intervention before age 40 is key for effective facial rejuvenation.

Keywords:
aging trajectoryfacial aginggeometric morphometricsrejuvenationskeletal aging

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Area of Science:

  • Gerontology
  • Medical Imaging
  • Geometric Morphometrics

Background:

  • Aging involves complex facial and skeletal changes.
  • Understanding chronological morphological changes is vital for clinical practice.
  • This study visualizes synchronized skeletal and facial aging trajectories.

Purpose of the Study:

  • To visualize synchronized skeletal and facial aging.
  • To understand age-related morphological variations.
  • To optimize personalized rejuvenation strategies.

Main Methods:

  • Retrospective analysis of 348 Chinese females using cranio-maxillofacial CT and 3D surface imaging.
  • Phenotypic extraction of skeletal and facial morphologies using 53 landmarks and a topological template.
  • Geometric morphometrics applied to six age groups to analyze aging trajectories and correlations.
  • Main Results:

    • Significant correlation found between facial and skeletal aging (coefficient: 0.34, P=0.001).
    • Skeletal aging (height reduction, orbital resorption) begins at 20, accelerates at 40.
    • Facial aging (sagging, fat redistribution) begins at 30, accelerates at 35.

    Conclusions:

    • Skeletal and facial aging are interrelated but asynchronous; skeletal aging precedes soft tissue changes.
    • Early intervention (before 40) is crucial, focusing on skeletal structure preservation.
    • Combined skeletal and soft tissue rejuvenation, especially in the midface and jawline, enhances outcomes.