13 Signs of Aging with Treatment Options

13 Signs of Aging with Treatment Options

13 Signs of Aging

  1. Skin – age spots, wrinkles, large pores, loss of elasticity and clarity.
  2. Hair – loss or thinning hair. Lush, thick hair makes everyone look better.
  3. Teeth – yellowing of teeth, crooked teeth, missing teeth-all easily treatable
  4. Loss of facial volume – Youthful faces are full and convex. Aging causes loss of volume in skin, subcutaneous tissue, and even bone. These losses cause shadows, hollows, which contributes to sagging.
  5. Sagging brow – brows sag with age, particularly the outer brow. There should be an arch with the highest point between the middle and outer 1/3 of the brow. This contributes to excess skin in the upper eyelid.
  6. Upper eyelids – excess skin and even some fat occurs with age. Some have this genetically. Either way it is treatable with minor surgery.
  7. Lower eyelids – bags and/or excess skin may develop. Hollows along the bony rim beneath the lid occur from loss of volume and/or bags. The circles are usually shadows from the volume loss.
  8. Crow’s feet – wrinkles lateral to the eyelids usually from lots of sun damage and animation
  9. Lips – aging thins the lips, and the distance between the nose and upper lip elongates. The corners of the mouth may turn down.
  10. Jowls – these develop from loss of volume and elasticity
  11. Neck – excess skin and/or fat develops. Platysma muscle bands may occur
  12. Ears – enlarge because cartilage continues to grow.
  13. Nose – continues to grow because of the cartilage growth. Drooping occurs from this and from loss of volume at the base of the nose.

Treatment of the above aging features

  1. Good skin care. We prefer New Youth Cosmeceuticals. Resurfacing with lasers, such as the Fraxel’s or less invasive lasers like the Laser Genesis.
  2. Hair transplant is the ultimate, preferably FUE (follicular unit extraction). NeoGraft is automated FUE technology. For prevention of further loss of hair, use Rogaine 5% and finasteride (a prescription medication).
  3. Floss at least once a day. Use a Sonic toothbrush. Teeth whitening kits can be purchased at any pharmacy.
  4. Fillers, such as Restylane, Juvederm, Sculptra, Artefill, and more are excellent fillers, each with different indications. These are called “liquid facelifts,”especially Sculptra. Fat can also be used, but must be used very discriminatingly to prevent irregularities and lumps.
  5. Brow lift, which is a surgical procedure. This can be done under local or general anesthesia according to the extent of the procedure
  6. Upper lid lift, called a blepharoplasty. Usually done under local anesthesia. Very rewarding providing it is done just right and not too aggressively.
  7. Lower lid Blepharoplasty. Can be done through an incision inside of the lids or through the skin just beneath the lashes. Bags can be removed at the same time. Lasers are good for the fine wrinkles.
  8. Botox is the champion for these. Also skin care and lasers, like the Fraxel’s.
  9. Fillers in the lips to add volume. Fat can be used also. My preference here is Juvederm because of its longevity and the fact that it is reversible with an enzyme called hyaluronidase.
  10. Face lift is best. Some improvement can be achieved with fillers on each side of the jowl and in the face and micro-liposuction of the jowl itself.
  11. Facelift is best. Sometimes the problem is only fat and liposuction works very well.
  12. Ears can be surgically reduced.
  13. A rhinoplasty (nose job) is best. Some minor improvement can be achieved with fillers at the base of the nose to elevate the tip. The cartilage usually needs to be trimmed, however.

Author Info

E. Ronald Finger MD