Facial Rejuvenation Procedures: A Path to Youthful Skin

31 December 2023

Expert insights on how various procedures can improve aging skin

As we age, our skin undergoes significant changes, with the face being particularly susceptible to the effects of time. From wrinkles to sagging skin, many individuals seek ways to rejuvenate their appearance and restore a youthful glow. In this article, we explore the signs of aging skin, delve into the science behind the aging process, and discuss the different facial rejuvenation procedures available. We turn to Kofi Boahene, M.D., director of facial plastic and reconstructive surgery at Johns Hopkins Medicine, for expert insights on how these procedures can improve aging skin.

Signs of an Aging Face:

Boahene explains that while every person’s face ages differently, there are common signs that indicate facial skin is losing firmness and elasticity. These signs include a loss of definition in the neck and jawline, drooping eyelids, under-eye hollows, and the development of wrinkles and fine lines around the lips. Additionally, changes in facial contour, dull skin texture, larger pores, and pigmentary changes are also common indicators of aging skin.

Understanding the Aging Process:

The skin consists of three layers: the epidermis, dermis, and hypodermis. Age-related skin changes primarily occur in the dermis, which contains essential substances like collagen, elastin, and hyaluronic acid that maintain skin firmness and smoothness. Around the age of 35, the body starts to lose these substances, leading to laxity in the skin. Furthermore, subcutaneous fat, which provides volume and definition to the face, begins to shift downward, resulting in a loss of facial contours and the development of wrinkles and loose skin.

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Improving the Appearance of an Aging Face:

Fortunately, there are several nonsurgical and surgical options available to improve the appearance of aging skin. Nonsurgical treatments such as dermal fillers, which contain collagen or hyaluronic acid, can help restore volume and smooth out wrinkles. These fillers offer temporary results and are ideal for addressing early signs of skin aging. Another nonsurgical option is facial fat grafting, where fat from other parts of the body is injected into select areas of the face to restore volume and address sagging skin.

To address under-eye wrinkles and hollows, eyelid surgery, also known as blepharoplasty, may be necessary. This procedure can correct sagging skin, puffiness, and bags under the eyes. Forehead wrinkles and drooping brows can be treated with injectables or fillers for dynamic wrinkles, while dermal fillers or microfat grafting may be required for deeply etched wrinkles. For sagging skin around the neck and jawline, a neck lift can provide a more permanent solution, tightening the skin and restoring a firmer jawline.


Facial rejuvenation procedures offer individuals the opportunity to combat the signs of aging and regain a youthful appearance. Whether through nonsurgical treatments like dermal fillers or surgical procedures such as neck lifts, there are options available to address specific concerns and achieve natural-looking results. However, it is important to consult with a qualified professional and follow post-procedure care instructions to maintain the effects of these treatments. With advancements in cosmetic procedures, individuals can now age gracefully and confidently, embracing the beauty of their evolving selves.

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