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Facial Aging Treatment in Campbell

Also known as: Age-Related Facial Changes, Facial Volume Loss, Facial Wrinkles and Sagging, Signs of Aging on the Face, Facial Skin Aging

4 min readLast updated: 2026-04-07Reviewed by Dr. Kamakshi R. Zeidler, MD, FACS

Facial aging is a progressive, multifactorial process involving changes to the skin, soft tissue, and underlying bone structure of the face. These changes typically include loss of skin elasticity, reduction in facial volume due to fat and bone loss, formation of wrinkles and fine lines, and descent of soft tissues due to gravity. Facial aging can affect appearance and may prompt individuals to seek evaluation by a dermatologist or plastic surgeon.

At a Glance

  • The epidermis thins by approximately 10-50% over a lifetime, contributing to more fragile and translucent facial skin[3]
  • UV radiation contributes up to 80% of environmental skin aging factors, making sun protection a primary preventive strategy[3]
  • Deep facial fat loss removes structural support from overlying tissue, contributing to sagging and volume deflation[5]
  • Loss of bone mass in the jaw and midface alters facial proportions, making the forehead, nose, and mouth more pronounced[1]
  • Collagen production declines with age, and reduced synthesis of types I and III collagen is characteristic of chronologically aged skin[6]

Affected Anatomy

  • Facial skin and epidermis
  • Subcutaneous fat compartments
  • Facial skeletal structure
  • Muscles of facial expression
  • Collagen and elastin fibers

What are the symptoms of Facial Aging?

  • Fine lines and wrinkles, particularly around the eyes, forehead, and mouth
  • Loss of facial volume and hollowing in the cheeks and temples
  • Sagging or laxity of the skin along the jawline and neck
  • Deepening of nasolabial folds and marionette lines
  • Thinning of the lips and loss of lip definition
  • Age spots, uneven skin tone, and increased pigmentation
  • Drooping of the upper eyelids and bags under the eyes
  • Rough or dry skin texture
  • Visible pores and changes in skin surface quality
  • Loss of jawline definition and jowl formation

When should you seek care for Facial Aging?

  • Rapid or asymmetric facial changes that may suggest an underlying condition
  • New or changing skin lesions on the face
  • Eyelid drooping that affects vision
  • Facial aging concerns that impact quality of life or emotional well-being

If any of these apply to you, don't hesitate to reach out for help.

What causes Facial Aging?

Causes

  • Intrinsic chronological aging and genetic predisposition
  • Cumulative ultraviolet (UV) radiation exposure from sunlight
  • Decline in collagen and elastin production with age
  • Loss of subcutaneous fat volume and redistribution of facial fat pads
  • Bone resorption and changes to facial skeletal structure
  • Decreased production of hyaluronic acid and other glycosaminoglycans
  • Hormonal changes, particularly reduced estrogen after menopause
  • Repeated facial muscle movements creating dynamic wrinkles

Risk Factors

  • Chronic sun exposure without adequate protection
  • Cigarette smoking
  • Fair skin with less melanin-based UV protection
  • Family history of premature skin aging
  • Poor nutrition and inadequate hydration
  • Chronic stress and sleep deprivation
  • Environmental pollution exposure
  • Excessive alcohol consumption

How It's Diagnosed

  • 1Clinical visual assessment of facial skin quality and laxity
  • 2Evaluation of facial volume distribution and symmetry
  • 3Assessment of skin texture, pigmentation, and photodamage
  • 4Review of patient medical history and lifestyle factors
  • 5Photographic documentation for treatment planning

How is Facial Aging treated?

At Aesthetx, we offer several approaches for facial aging:

Botox

Botox (onabotulinumtoxinA) is an FDA-approved injectable treatment that temporarily relaxes facial muscles to reduce the appearance of dynamic wrinkle...

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Injectable Dermal Fillers

Injectable dermal fillers are FDA-approved medical devices used to restore facial volume, smooth wrinkles, and enhance facial contours. Board-certifie...

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Laser Treatment

Laser treatment uses focused light energy to address a variety of skin concerns including scars, acne, acne scarring, hyperpigmentation, melasma, red ...

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Facelift

A facelift, or rhytidectomy, is a surgical procedure that repositions sagging facial tissues to reduce visible signs of aging in the lower face and ne...

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Chemical Peel

A chemical peel is a skin-resurfacing procedure in which a chemical solution is applied to the skin to remove damaged outer layers, revealing smoother...

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Prognosis and Recovery

  • Facial aging is a natural process that progresses over time
  • Many signs of facial aging can be addressed through surgical and nonsurgical interventions
  • Results from treatments vary depending on the procedure, individual skin characteristics, and lifestyle
  • Ongoing maintenance may be needed to sustain treatment outcomes
  • Sun protection and healthy lifestyle habits can help slow the progression of visible aging

Frequently Asked Questions

Facial aging is a natural process involving changes to the skin, fat, muscle, and bone of the face over time. These changes can include wrinkle formation, volume loss in the cheeks and temples, skin laxity along the jawline, and increased pigmentation. The process is influenced by both genetic factors and environmental exposures such as sun damage.
Common signs include fine lines and wrinkles around the eyes and mouth, loss of cheek fullness, sagging skin along the jawline and neck, deepening nasolabial folds, thinning lips, age spots, and under-eye hollowing. These changes typically develop gradually and may become more noticeable after age 40.
Facial aging results from a combination of intrinsic factors like genetics and hormonal changes, and extrinsic factors such as sun exposure, smoking, and environmental pollution. Key biological mechanisms include collagen and elastin decline, loss of subcutaneous fat, bone resorption, and repeated muscle movements that create expression lines.
Consider consulting a dermatologist or plastic surgeon if facial aging changes affect your confidence or quality of life, if you notice rapid or asymmetric changes, or if skin lesions appear suspicious. A board-certified specialist can evaluate your concerns and discuss appropriate treatment options tailored to your goals.
Treatment approaches range from nonsurgical options like injectable fillers, botulinum toxin, laser resurfacing, and chemical peels to surgical procedures such as facelifts. Many patients benefit from a combination approach. A qualified provider can recommend a personalized treatment plan based on individual concerns and goals.
While facial aging cannot be entirely prevented, its visible progression can often be slowed with consistent sun protection, avoidance of smoking, a balanced diet rich in antioxidants, adequate hydration, and proper skincare including topical retinoids. Research suggests that UV radiation contributes up to 80% of environmental skin aging.
Treatment outcomes vary by procedure and individual factors. Nonsurgical treatments such as fillers and botulinum toxin typically require periodic maintenance. Surgical procedures like facelifts can offer longer-lasting results. Ongoing sun protection and healthy lifestyle habits can help sustain improvements over time.

Your Physicians

Dr. Kamakshi R. Zeidler

Dr. K. Zeidler

MD, FACS

Dr. Dino Elyassnia

Dr. D. Elyassnia

MD, FACS

Dr. Jane Weston

Dr. J. Weston

MD, FACS

Dr. Bao Tran

Dr. B. Tran

MD

Dr. Shirley Liu

Dr. S. Liu

MD, MHS

Dr. Michele Koo

Dr. M. Koo

MD, FACS

Dr. Rick Lehman

Dr. R. Lehman

MD, FACS

Dr. Jean Gillon

Dr. J. Gillon

MD, FACS

Dr. Amelia K. Hausauer

Dr. A. Hausauer

MD, FAAD

9 board-certified physicians across 4 locations

Medically reviewed by Dr. Kamakshi R. Zeidler, MD, FACS · Last reviewed: 2026-04-10