Restoring The Ageing Face


What happens when we age?

In youth the widest part of the face is the cheekbones and upper face, narrowing down to the chin. This is called the “triangle of youth”. With ageing the volume lost under the eyes, in the cheekbones and temples causes sagging and a widening of the jaw line and jowls. The “triangle of youth” becomes the “pyramid of age”.


What are the reasons for these changes?

As we age, we lose facial fat, and bone causing an aged, hollowed out, tired appearance. 

Fat can redistribute to the lower part of the face causing a heaviness and pulling down the soft tissue structures. 

Some muscles become overactive increasing our dynamic lines and wrinkles and affecting the quality of our skin.

Our skin looses elasticity and becomes more crepy in appearance. 

The combined affect in the various areas of the face, leads to decreased support for the facial structures and we develop a sagging face with lines, folds and wrinkly skin.

Volume loss is one of the most significant contributors to facial ageing. People who are overweight rarely develop this sign of facial ageing as their cheeks remain fuller and more rounded.


Where do we lose bone from?

  • The Temples
  • Forehead
  • Chin
  • Check bones

Most people do not notice the hollowing that occurs in our temples as we age, unless it is pointed out to them. This combined with the bone loss in our forehead can cause the brow to droop and the upper eye lids to sag.


Where do we lose fat from?

We lose fat from most of the fat compartments of the face as we age.

Many people notice how we develop a loss of prominence in the cheek area, but most do not realise these hollow cheeks can sometimes cause a hollowing effect around the eyes, accentuating dark eye circles.


How can we treat these signs of ageing?

In the past treatment for these changes was surgical, tightening the skin, this improved sagging but this does not address volume loss nor does it improve the skin.

Dr Teri Johnson has studied the ageing face for many years. She has attended courses every year covering anatomy, how the face ages, how we lose bone and fat as we age and how our tissues reposition because of this.

Dr Teri has put this knowledge in to practice and has gained a lot of experience in treating the ageing face. By using a combination of treatments she can replace volume loss safely to inflate the face and rejuvenate the tissues to restore a fresher appearance without looking treated or overdone.


Treatments used commonly by Dr Teri include:

Volume Replacement

Using Dermal Fillers or Collagen Stimulators such as Sculptra or Ellansé.

Skin Rejuvenation 

Using skin boosters such as Profhilo or Collagen Stimulators in the skin.