Facial Aging Timeline

Facial Aging at Age 30

By age 30, the first visible signs of aging become apparent.

  • Fine frown lines and “crow’s feet” begin to appear in the upper face, along with tiny wrinkles around the mouth
  • The skin on the upper eyelids begins to droop, and “bags” begin to form under the lower eyelid
  • The naso-labial fold deepens, contributing to a look of fatigue and aging

At this point in life, my patients often choose laser skin resurfacing to improve the quality of their skin, which they will often combine with nonsurgical treatments such as BOTOX® Cosmetic, facial fillers, Micro Laser Peel™, and our Nile Nano Laser Peel, as well as microdermabrasion, combined with a healthy skin care regimen including dedicated use of sunscreen. To correct hereditary characteristics or signs of accelerated aging, some will choose eyelid surgery or other plastic surgery procedures such as the Minimally-Invasive Malar face lift (MIM) in Southern Florida.

Age 40

By age 40, the visible signs of aging are obvious.

  • The “glowing” skin of earlier years has begun to fade, replaced by skin that looks drier or oilier, coarser, and less refined in texture and tone.
  • The effects of gravity are clearly apparent on the eyes, as both upper and lower lid sag and the skin becomes more “crepe-like” and fragile.
  • Crow’s feet at the side of the eyes deepen, and the vertical lines around the mouth (nasolabial folds) and over the upper lip now “etch” the expressions we make most often into our faces.
  • Deep frown lines may appear in the brow, along with horizontal lines from engaging the dynamic muscles of the upper face.

Eyelid surgery and skin resurfacing are common solutions at this stage, and some South Florida plastic surgery patients will also opt for a facelift, liposuction of the neck (to remove excess fat) or a nasal tip refinement. Non-surgical procedures can ward off the least appealing effects of facial aging, and injectable treatments such as BOTOX or fillers are popular. Likewise, microdermabrasion combined with a good skin care regimen (including dedicated use of sunscreen) and permanent makeup can do much to optimize the appearance without surgery.

Age 50

By age 50, the “face of youth” has given way to what we refer to as “middle age.”

  • Depending on hereditary traits and health habits, you may develop jowls and/or a double chin.
  • Age lines may appear on the neck, as well as pockets of fat or drooping skin.
  • The cheek pads that give the “high cheekbone” look we associate with youth and vigor will sag, giving the face a gaunt and shapeless appearance.
  • Eyebrows and eyelids continue to droop, resulting in a tired or stressed look.
  • Sagging facial skin or fatty pouches obscure the jaw line

The tip of the nose begins to droop downward, diminishing the softness of the mouth area. Sun exposure has now taken a heavy toll, as wrinkles deepen and the skin continues to coarsen and show signs of unevenness or discoloration such as age (or “sun”) spots, tiny networks of veins on the nose or across the cheeks. These can now be treated with our newest “microwave” technology: Vein Gogh..

Face lift, South Florida brow lift, and eyelid surgery are the procedures of choice at this stage, along with nasal tip refinement and liposuction of the chin and jowl areas to restore the natural contour of the lower face. Microdermabrasion as well as the new Micro and Nano Laser Peels can improve the quality of the skin, and permanent makeup is a logical choice for those who have trouble applying makeup or keeping it on through the course of the day. Proper skin care is always important, and at age 50 a different skin care regimen may be necessary to account for the changes in your skin quality.

Age 60+

By time we reach 60, our facial skin has lost a good deal of its elasticity, resulting in sagging skin that gives the entire face a “pulled down” appearance.

  • Wrinkles continue to deepen on the face, around the eyes and forehead, and around the mouth.
  • Vertical wrinkles are evident around the lips, particularly if you have been a smoker.
  • The skin on the neck continues to loosen and – for some – cords develop, giving the neck a rough, “turkey wattle” appearance.
  • The skin now displays the full impact of years of sun exposure; typically at this stage age spots, wrinkles, and discoloration become easily visible.
  • Drooping eyelids now obscure the full delicacy and beauty of the eye, creating a look of weariness and resignation.

For South Florida facial plastic surgery patients, face lifts, neck lifts, and brow lifts are all common solutions to reverse some of these effects and help the 60+ individual look their best. Permanent makeup can be very effective at this stage, and laser skin resurfacing can do much to undo the effects of sun damage and restore tissue health, yielding a more youthful and vibrant appearance.

Ages 70-90

All of the above progress and become more obvious. Note that one’s “chronological age” is far less important in determining if one is a good candidate for surgery than “physiological age.” Dr. Cooper has done quite successful face lifts on 89-year-olds while turning away some 45 and 48-year-olds with medical histories that clearly indicated that they had excessively high risk factors for this elective surgery. Back to Top

For a personal evaluation of the characteristics of your face, request a complimentary consultation online with Dr. Cooper today. Or you can call Cooper Plastic Surgery at (561) 741-9000 to schedule your appointment.