The Aging Face

Typical changes occur in the face during each decade of adult life. We can slow the speed with which they occur by taking care of ourselves, but eventually Mother Nature has her way.

During your 30s:

Minimal signs of aging appear around the eyes, forehead, and lips. Treatment at this age is minimal, and may include eyelid surgery, injectable fillers, and skin resurfacing. Some people may seek a browlift or eyelid surgery during their mid-to late 30s.

The skin above and below the eyes begins to relax, and fine wrinkles may appear. Pouches of fatty tissue may develop beneath the eyes. Eyelid surgery and skin resurfacing may be indicated.

Frown lines may become noticeable in the lower forehead and between the eyes. Injectable fillers can fill slight depressions, and skin resurfacing may improve the skin tone. Botox® injections can soften these lines and sometimes make them disappear.

Fine lines appear at the outer corners of the mouth. Injectable fillers or skin resurfacing may be appropriate treatments, as well as Botox® to soften these lines.

During your 40s:

Changes in the eye, forehead, and lip areas tend to become more pronounced during the 40s. Browlifts and mini facelifts and neck lifts are common treatment options.

Upper eyelids may sag and crow’s feet develop. Eyelid surgery and skin resurfacing around the eyes may help.

Forehead frown lines deepen and horizontal wrinkles appear. Injectable fillers, Botox® and skin resurfacing may help, or a browlift may be indicated. Deep lines and wrinkles around the mouth become more prominent. Skin resurfacing may minimize theses problems, as well as Botox®.

Men may experience hair loss due to male pattern baldness. Hair restoration procedures can help restore a natural-looking hairline.

During your 50s:

Signs of aging are noted around the eyes, brows, forehead, cheeks, chin, neck, jaw and nose. Treatments may include; facelift, browlift, eyelid surgery, midfacial or chin augmentation, and nose surgery regarding the tip of the nose.  Sometimes the tip of the nose begins to droop as we age.

Eyebrows sag, causing the eyelids to appear heavy. Horizontal lines in the forehead become deeper. Eyelid surgery and browlift may correct this.

Pouches form in the upper cheek area. Transconjunctival lower eyelid surgery can remove excess fatty tissue from beneath the eyes. Midfacial augmentation, perhaps combined with a facelift, also may be indicated.

Fat accumulates under the chin and in the neck area, causing a “double” chin. Liposuction may be helpful.

The jaw line begins to sag, jowls appear, and sagging becomes evident in the neck. A facelift, including a procedure to tighten the platysmal bands, may improve the jaw and neck area.

The tip of the nose begins to droop. Nasal surgery can correct the droopiness and improve breathing functions.

During your 60s:

Individuals who have not had previous facial plastic surgery may note significant sagging of the skin around the eyes, forehead, mouth, lips, and neck. Overall skin quality diminishes and “crepe-paper” wrinkles may appear. Age spots and freckles may be in evidence.

Eyelids sag further, causing a hooded appearance to become more pronounced. Eyelid surgery may reverse much of this.

Forehead lines deepen. A browlift procedure may eliminate these.

Vertical wrinkling appears around the lips. Skin resurfacing may help minimize this problem.

Facial skin loses its elasticity, causing the skin to sag. Neck skin also droops and cords develop. A facelift, including a platysmal band procedure, may correct this problem.


Depending on your health, these procedures may be performed when signs of aging first appear or as they progress. Many facial plastic surgeons feel that the late 30s and early 40s are a good age for embarking on a facial rejuvenation program, because younger skin is more supple and may heal more quickly. The psychological boost gained from facial plastic surgery may be rejuvenating at any age.

This information comes from The Face Book which is provided from the members of the American Facial Plastic and Reconstructive Surgery, the world’s largest society of surgeons who specialize in cosmetic and reconstructive surgery of the face, head and neck.