Upper Third of the Face

1. Forehead Concavity
   • The Change: The youthful convex shape of the forehead hollows with age, leading to a concave appearance that highlights horizontal lines and frown lines.
   • The Solution:
     • HA Fillers: Restore volume and smooth hollows.
     • Botulinum Toxin: Softens lines and complements fillers for a natural look.
2. Hollow Temples
   • The Change: Sunken temples create a bony ridge around the eyes, disrupt the side profile, and give the face a “peanut head” appearance. The tail of the eyebrow also droops.
   • The Solution:
     • HA Fillers: Placed deeply to lift tissues, smoothen contours, and restore symmetry.
3. Dark Circles and Under-Eye Hollows
   • Addressed in a separate section for precise care.

Mid Third of the Face

1. Sagging Cheeks
   • The Change: Loss of deep fat pads causes superficial tissues to sag, leading to mid-face hollowing, marionette lines, and jowls.
   • The Solution:
     • Deep HA Fillers: Restore cheek volume, lift sagging tissues, and fill hollow areas in the front cheek.
2. Nasolabial Folds (Smile Lines)
   • The Change: Prominent folds form from the nose to the mouth due to volume loss and tissue descent.
   • The Solution:
     • Fillers are applied in a stepwise manner:
       1. Add volume to the front cheeks to support the fold.
       2. Place filler deeply along the sides of the nose to lift the area.
       3. Use Bellafill or HA fillers to smoothen deep creases caused by long-standing folds.
3. Hollow Cheekbones and Areas in Front of the Ears
   • The Change: Sunken, hollow areas near the cheekbones and in front of the ears contribute to a sunken or gaunt appearance.
   • The Solution:
     • HA Fillers: Restore volume and support.
     • Collagen-Stimulating Fillers: Products like Sculptra offer long-lasting results.

Lower Third of the Face

1. Downturning Mouth Corners
   • The Change: Tissue descent and loss of bone and volume lead to drooping mouth corners, contributing to a sad expression.
   • The Solution:
     • Fillers restore deep support around the mouth and relax downward-pulling muscles for a lifted appearance.
2. Marionette Lines
   • The Change: Sagging tissues and lack of deep support in the upper and lower face create vertical lines from the mouth corners to the jawline.
   • The Solution:
     • Address deep volume loss in the cheeks and in front of the ears.
     • Fillers are placed strategically in the triangular area in front of the fold.
     • PDO threads can provide additional lifting.
3. Wide or Flat Chin
   • The Change: Aging causes the chin to flatten, widen, and wrinkle, with bone shrinkage contributing to irregularities in the jawline.
   • The Solution:
     • HA Fillers: Add projection, smooth wrinkles, and enhance symmetry.
     • Collagen-Stimulating Fillers: Provide long-lasting improvement for structural changes.
4. Weak Jawline and Jowls
   • The Change: Volume loss, weight gain, and fat accumulation weaken the jawline and create sagging jowls.
   • The Solution:
     • Enhance chin projection and mid-face volume.
     • Use fillers like Restylane Lyft, Sculptra, or Radiesse to refine the jawline and prejowl sulcus.