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Sagging and Wrinkles

With aging comes many structural changes in our faces. Volume loss in facial fat pads, skin density, bone mass, and muscle atrophy result in sagging skin and wrinkles.
Sagging at ages 35, 45 and 55
With volume loss, overlying structures lose support, and facial features begin their descent.

Notable examples of facial structural changes:

  • Cheeks assume a lower position creating deeper nasal labial folds and undereye hollows
  • When temples become concave, brows droop, the forehead becomes longer, and eyes and lids begin to sag
  • The nasal bridge and tip widens and drops, adding depth to nasal labial folds
  • Bone loss in the chin contribute to “jowling” and marionette lines
  • Loss of volume in lips creates “smoker’s lines” and elongates the space between the nose and lips, etc.

Youthful face vs. Aging faceBasically, without the support of volume, facial features drop, folds form, and we look older.

Volume loss also contributes to wrinkling. In youth, faces are plump, voluminous, and wrinkle-free, much like a juicy grape. As we age, our faces become deflated, and our faces become more like raisins. Many feel that a facelift is the simplest remedy or gold standard in restoring a youthful face. A facelift alone cannot restore an aging face into a youthful, voluminous one. Volume replacement is necessary to reverse the raisin into a grape; otherwise, the result may be the raisin has become more of a pea.

Halle Berry in 2002 vs. 2012
(not our patient)

Further, erasing lines and wrinkles   alone does not restore a youthful face. Erasing lines and wrinkles certainly improves skin quality and contributes to a more youthful appearance; however, volume replace remains necessary for true restoration of youthful features.

What can be done to tighten skin and smooth wrinkles on the face, neck and body?

Skin Rejuvenation Treatments here.

Neck Rejuvenation Treatments here.

Ready to restore your radiance?

Schedule a consultation with our expert dermatology team to explore your options and create your personalized treatment plan.

Call (210) 224-1034

Dr. Allison Stocker, board-certified dermatologist in San Antonio, Texas

At Skin by Design Dermatology, we’re committed to providing patients a place they can trust with their skin health and appearance. We’ll educate you on all available options and create a personalized skincare treatment plan to address your concerns. ―Allison Stocker, M.D., FAAD

Frequently asked questions we hear about dermatology:

A board-certified dermatologist like Dr. Stocker has completed medical school, internship, and specialized dermatology residency training. This medical expertise ensures safe, effective treatment of both medical conditions and cosmetic concerns that medical spa technicians cannot provide.

asedf We are not on any insurance plans. We accept Allē payment plans. Pay for your treatment on a flexible Allē payment plan powered by Cherry while still earning Allē points. Maximize savings with Allē rewards, gift cards, and special offers. Apply today without any impact to your credit in the Allē app or visit https://alle.com/lp/payment-plans

Most adults should have an annual skin cancer screening, especially those with fair skin, family history of skin cancer, or significant sun exposure. Dr. Stocker will recommend the appropriate screening schedule based on your individual risk factors.

Dr. Stocker will conduct a thorough consultation, review your medical history, examine your skin concerns, and discuss treatment options. We’ll create a personalized treatment plan that fits your needs and budget.

We try to accommodate urgent skin concerns as quickly as possible. For routine appointments, we recommend scheduling in advance, but emergency consultations can often be arranged the same or next day.

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