This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Aging/ Geriatrics  • Dermatology  • Transplantation  • Transplantation, Other  • Dermatology, Other  • Facial Plastic Surgery  • Cosmetic Surgery/ Procedures  • Facial Plastic Surgery, Other  • Alert me on articles by topic

The New Paradigm

Robert A. Glasgold, MD; Samuel M. Lam, MD; Mark J. Glasgold, MD

Arch Facial Plast Surg. 2008;10(6):417-418.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A new paradigm has arisen to supplant the traditional excision-based techniques of surgically treating the aging face. Volume loss has become recognized as a vital if not primary component to the aging process. Lambros¹ has carefully examined photographs of patients as they age and has demonstrated that the aging process is more a result of concentric contraction of the facial volume rather than tissue descent. Pessa² has radiologically shown that bony changes contribute to this volume loss, most interestingly documenting a posterior cephalad rotation of the maxilla. Coleman³ has proposed that a significant amount of volume loss is due to loss of colloidal volume in aging tissues. Donath et al⁴ extensively reviewed the literature on age-related volume loss in the face and proposed a volumetric mechanism for deepening of the nasolabial fold with age. While a precise explanation . . . [Full Text of this Article]

AUTHOR INFORMATION