We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Intra-Individual Aging of the Facial Skeleton.
- Authors
Fourgeot, Eugénie; Graillon, Nicolas; Savoldelli, Charles; Dessi, Patrick; Adalian, Pascal; Michel, Justin; Radulesco, Thomas
- Abstract
<bold>Background: </bold>Midface skeletal changes through aging have been conceptualized as a clockwise rotation relative to the cranial base. This finding is mainly supported by cross-sectional population studies based on comparisons between groups of individuals in different age ranges. Few papers have evaluated the intra-individual evolution of the facial skeleton, and those that have included only a limited number of patients.<bold>Objectives: </bold>The authors sought to analyze the intra-individual evolution of the facial skeleton.<bold>Methods: </bold>We conducted a retrospective study including patients who underwent 2 separate facial computed tomography scans (T1 and T2) with a minimum gap of 7 years. Employing 3-dimensional reconstructions, we measured and compared 7 facial angles (glabellar, orbital, piriform, maxillary, subdental, chin, gonial) and 6 facial distances (lacrimal crest, orbital floor, piriform, zygoma, labiomental, gnathion) on both computed tomography scans.<bold>Results: </bold>A total of 56 patients (29 males and 27 females) were included. Mean ages at T1 and T2 were 50 and 59 y, respectively. We found a significant decrease between T1 and T2 in facial angles at the midface (glabella, orbital, piriform, and maxillary angles, all P < 0.0001). We found a significant increase in all facial distances between T1 and T2 for the overall population and for men (all P < 0.05). For women, all distances increased, but only piriform and zygoma distances showed significant changes (P < 0.001 and P < 0.04, respectively). Bone remodeling appeared earlier in women.<bold>Conclusions: </bold>Our study confirms the clockwise rotation of the midface during aging. This finding could lead to a better understanding of aesthetic medicine practices.
- Subjects
FACIAL bones; CROSS-sectional method; MAXILLA; RETROSPECTIVE studies; FACE; AGING
- Publication
Aesthetic Surgery Journal, 2021, Vol 41, Issue 12, pNP1907
- ISSN
1090-820X
- Publication type
journal article
- DOI
10.1093/asj/sjab228