Facial Plast Surg 2019; 35(02): 121-128
DOI: 10.1055/s-0039-1683857
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Rejuvenation of the Aged Central Lower Face: A Contemporary Perspective

Fred G. Fedok
1  Department of Surgery, University of South Alabama, Mobile, Alabama
› Author Affiliations
Funding The author has no relevant financial disclosures regarding this manuscript.
Further Information

Publication History

Publication Date:
03 April 2019 (online)


Aging of the central face is typified by several common characteristics such as generalized volume loss, the appearance of a mental crease and marionette lines, thinning of the lips, and fixed and dynamic rhytids. These result from several processes such as atrophy of adipose and bone, changes in the support of the mandibular septum, and a loss of skin elasticity. There are many methods available for the improvement and rejuvenation of this facial anatomical area. Options include traditional surgical techniques, the application of volume and the use of laser, light, and energy-based devices. The recent application of biological interventions offers the possibility of cellular-based therapies to usher in a new era of true tissue regeneration. Optimal correction of the abnormalities may be accomplished through an understanding and identification of the causes of the observed abnormalities and targeting with the best available intervention. There are a growing number of techniques and technologies to accomplish this.