4 things that happen to your face with age and how to combat them

Anti-ageing facial rejuvenation and facial contouring, Fairfield

The first signs of ageing – usually creep up on us slowly until one day, we look in the mirror and feel like everything has changed. It usually starts with dark undereye circles, a pair of lines between your eyebrows, or a loss of elasticity along your jawline. But those outward changes result from deeper structural changes in your bones, muscle, and fat, all of which make a big difference in the appearance of your face as you age. So, if you’ve noticed the signs of ageing and want to better understand what’s going on in your skin, here I outline the five pillars of ageing and how to combat them effectively.

Collagen and elastin

Collagen is the essential protein that gives our skin its structure and firmness, forming the skin’s scaffolding. In the body, collagen keeps our joints and bones healthy. It promotes heart and muscle health, making the arteries more flexible and preventing strokes and heart attacks by promoting better blood circulation.

But from around the age of twenty, our body loses approximately 1% of its collagen per year, and women will lose 30 per cent of collagen in the first five years of menopause alone. When collagen breaks down in the skin, it will become drier, and wrinkles and fine lines will begin to form. If you fail to maintain a good quality skincare regime alongside healthy lifestyle habits, the effects will worsen, and the skin will age much faster.

The solution

The best way to protect and stimulate new collagen production is to get into a good skincare regime. Using sunscreen daily to block or reduce skin exposure to UV radiation is the best thing you can do for your skin and will help prevent collagen breakdown. Then incorporate cell regulators into your regime, such as retinol, peptides, and growth factors to stimulate the production of collagen and elastin fibres.

Injectable fillers, which we use to restore lost volume and definition to the face, typically contain hyaluronic acid, which provides immediate benefits by increasing the skin’s retention of moisture, but more significantly has recently been proven to stimulate the body’s natural collagen production over significant periods.


As we age, the skin functions less effectively as a barrier, resulting in water loss. As well, there is reduced oil and lipid production in the skin. These factors acting together mean that dry and dehydrated skin is one of the most common ageing issues.

The solution

Start by incorporating ingredients that draw in moisture into your regime. Hyaluronic acid improves skin regeneration and locks moisture in. Sun-exposed skin can gradually lose moisture and oils, making it appear dry, flaky and prematurely wrinkled, so you must protect your delicate complexion by applying a broad-spectrum sunscreen every single day. Retinol is another excellent ingredient to consider. It helps increase cell turnover and stimulates collagen and elastin production, which increases skin tone and firmness by plumping up lines and wrinkles.

Fat loss

Fat loss in the face is one of the most significant changes that our face will go through as we get older. Over time, the facial fat pads in the upper and mid-face shrink, while those in the lower face become fuller – usually due to the mid-face fat pads dropping downwards, making the lower face appear heavier.

As the fat pads diminish and sag, it causes our face to lose structure and fullness, and the skin can sag, look hollow and wrinkle due to the lost fullness. Where the fat accumulates, the skin can lose its elasticity.

The solution

Facial contouring are one of the most effective ways to reverse this change. They’re used to restore volume to the more visible, superficial fat pads. They can also restore the deeper fat pads, which, in turn, enables them to provide more support to the superficial fat pads and, therefore, both increase volume and reduce sagging.

By targeting the underlying cause of volume loss and tailoring this approach to each patient’s specific facial topography, we can achieve a far more natural result than simply using fillers to mask wrinkles.

Bone loss

By the time we’re in our mid-30s, our bone regenerating cells are decreasing, and over time, our bones shrink, and our entire skull becomes smaller as a result. We can often see this in the orbital rim (the bone around the eye), which gets bigger leading to hollowness. The opening to the nose increases, which adds to the deepening of nasolabial folds (nose-to-mouth lines); the cheekbone recedes backwards, so we get a drop in the cheek, the bone where the teeth are connected diminishes, and the mandible (the jawbone) gets smaller.

All of these changes make it difficult for the skull to support the facial fat pads, and as a result, the eye socket gradually widens, making them appear tired and hollow. The jawbone also becomes less defined, prompting jowls, the chin recedes, and the tip of the nose droops downwards.

The solution

The only way we can replace this bone loss is by rebuilding volume in the area using a treatment such as Dermal Filler. We’ll use strategically placed treatment to make minor adjustments, for example, raising the tip of the nose, strengthening a receding chin, or adding definition to the jawline. The aim is to restore harmony and balance to the face so that you come away looking healthy and rejuvenated without any apparent signs of treatment. 

Are you starting to notice signs of ageing and want to take a proactive approach to reduce them? Click here to find out more or to book a free consultation.