In this article, we focus on age‐related changes in facial shape, leaving aside changes that occur in facial texture, color, and amount of facial hair. Its manifestations reflect the combined effects of gravity, facial volume loss, progressive bone resorption, decreased tissue elasticity, and redistribution of fat (Coleman & Grover, 2006). Facial aging results from cumulative age‐related changes in the skin, soft tissue, and skeleton of the face (Mendelson & Wong, 2012). Despite variation in lifestyle and environment, the first signs of facial aging become apparent between the ages of 20 and 30 (Albert, Ricanek Jr., & Patterson, 2007 Windhager & Schaefer, 2016). What we see on the surface is the joint effect of aging and other processes in several tissue layers. Throughout life, facial shape changes systematically due to growth, maturation, and senescence.
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