The facial bones are the framework for the attachment of overlying soft tissue, providing stability, structure, and definition. Support from this platform diminishes as the bones recede and remodel with age, resulting in the recession and repositioning of the overlying soft tissue. This results in an inferior and medial repositioning of fat pads and muscles as they realign over the shifting bony foundation., Craniofacial skeletal remodeling occurs between adolescence and middle adulthood and beyond and includes the lengthening or rotation of the mandible, with a subsequent increase in mandibular angle,, notably the L to I phenomenon in women, which eventually leads to changes in chin projection and jawline ().,, Resorption of bone from the inferior portion of the mandible with aging and loss of dentition or dentoalveolar regression may result in an increase in the angle of the mandible and a decrease in the height of the chin.,, Between the 30s and 50s, the lower forehead may begin to flatten as the glabellar angle decreases; pyriform and maxillary recession causes the nasal tip to droop, with retraction of the columella and alar base widening. In the 30s, individuals also may begin to experience dentoaveolar regression and maxillary retrusion, which contribute to flattening and hollowing in the cheeks, deepening of the nasolabial groove, and lengthening of the cutaneous upper lip (ergotrid), with rolling in of the vermilion. Midface bone remodeling with aging causes an imbalance in the upper, middle, and lower thirds of the face, predominance of bony orbits in the midface reflecting a teardrop shape, enlargement of the pyriform aperture, and shortening of the upper jaw. Superomedial and inferolateral portions of the orbital bone also undergo resorption with age, manifesting in increased prominence of the medial brow, fat pad, and lid-cheek junction (); thus, the eyes appear smaller and rounder (senile enophthalmos) with deeper tear troughs.,,, From a right lateral view, these changes cause a clockwise rotation of the face relative to the cranial base; that is, the glabella, orbit, pyriform aperture, and maxilla rotate inferiorly, causing flattening of facial angles., These bony changes are generally small (ie, millimeters). Despite the small magnitude of the bony changes occurring at the deepest level of the facial anatomy, the effects are often dramatic, as if through amplification of overlying structures., Even if you have great genes and look much younger than you are, age-related changes in our facial appearance are unavoidable. Here is just a sample of some of the things that you can do — or get done — to give your face a more youthful appearance., Your facial contours can change significantly with age due to a combination of factors like skin laxity, volume loss, and bone resorption. When you are young, your face typically has a more triangular shape, with fullness in the cheeks and a narrower jawline..