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Aging of the Facial Skeleton: Aesthetic Implications and Rejuvenation Strategies

Identifieur interne : 000168 ( PascalFrancis/Corpus ); précédent : 000167; suivant : 000169

Aging of the Facial Skeleton: Aesthetic Implications and Rejuvenation Strategies

Auteurs : Robert B. Jr Shaw ; Evan B. Katzel ; Peter F. Koltz ; Michael J. Yaremchuk ; John A. Girotto ; David M. Kahn ; Howard N. Langstein

Source :

RBID : Pascal:11-0055151

Descripteurs français

English descriptors

Abstract

Background: Facial aging is a dynamic process involving the aging of soft-tissue and bony structures. In this study, the authors demonstrate how the facial skeleton changes with age in both male and female subjects and what impact these structural changes may have on overall facial aesthetics. Methods: Facial bone computed tomographic scans were obtained from 60 female and 60 male Caucasian subjects. Twenty male and 20 female subjects were placed in three age categories (20 to 40 years, 41 to 64 years, and 65 years and older). Each computed tomographic scan underwent three-dimensional reconstruction with volume rendering. Edentulous patients were excluded. The following measurements were obtained: upper face (orbital aperture area, orbital aperture width, and curvilinear analysis of the superior and inferior orbital rims), midface (glabellar angle, pyriform angle, maxillary angle, and pyriform aperture area), and lower face (bigonial width, ramus breadth, ramus height, mandibular body height, mandibular body length, and mandibular angle). Results: The orbital aperture width and orbital aperture area increased significantly with age for both sexes. There was a significant increase in orbital aperture size (increase in height of the superomedial and inferolateral orbital rim) in both sexes. The glabellar and maxillary angles decreased significantly with age for both sexes, whereas the pyriform aperture area significantly increased for both sexes with age. Mandibular length and height both decreased significantly for each sex. The mandibular angle significantly increased with age for both sexes. Conclusions: These results suggest that the skeletal morphology of the face changes with age. This change in skeletal morphology may contribute to the appearance of the aging face.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A08 01  1  ENG  @1 Aging of the Facial Skeleton: Aesthetic Implications and Rejuvenation Strategies
A11 01  1    @1 SHAW (Robert B. JR)
A11 02  1    @1 KATZEL (Evan B.)
A11 03  1    @1 KOLTZ (Peter F.)
A11 04  1    @1 YAREMCHUK (Michael J.)
A11 05  1    @1 GIROTTO (John A.)
A11 06  1    @1 KAHN (David M.)
A11 07  1    @1 LANGSTEIN (Howard N.)
A14 01      @1 Divisions of Plastic and Reconstructive Surgery, Departments of General Surgery of University of Rochester Medical Center, Stanford University Medical Center, and Harvard University Medical Center @3 USA
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A43 01      @1 INIST @2 11075 @5 354000193555370490
A44       @0 0000 @1 © 2011 INIST-CNRS. All rights reserved.
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C01 01    ENG  @0 Background: Facial aging is a dynamic process involving the aging of soft-tissue and bony structures. In this study, the authors demonstrate how the facial skeleton changes with age in both male and female subjects and what impact these structural changes may have on overall facial aesthetics. Methods: Facial bone computed tomographic scans were obtained from 60 female and 60 male Caucasian subjects. Twenty male and 20 female subjects were placed in three age categories (20 to 40 years, 41 to 64 years, and 65 years and older). Each computed tomographic scan underwent three-dimensional reconstruction with volume rendering. Edentulous patients were excluded. The following measurements were obtained: upper face (orbital aperture area, orbital aperture width, and curvilinear analysis of the superior and inferior orbital rims), midface (glabellar angle, pyriform angle, maxillary angle, and pyriform aperture area), and lower face (bigonial width, ramus breadth, ramus height, mandibular body height, mandibular body length, and mandibular angle). Results: The orbital aperture width and orbital aperture area increased significantly with age for both sexes. There was a significant increase in orbital aperture size (increase in height of the superomedial and inferolateral orbital rim) in both sexes. The glabellar and maxillary angles decreased significantly with age for both sexes, whereas the pyriform aperture area significantly increased for both sexes with age. Mandibular length and height both decreased significantly for each sex. The mandibular angle significantly increased with age for both sexes. Conclusions: These results suggest that the skeletal morphology of the face changes with age. This change in skeletal morphology may contribute to the appearance of the aging face.
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C03 05  X  FRE  @0 Rajeunissement @5 13
C03 05  X  ENG  @0 Rejuvenation @5 13
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Format Inist (serveur)

NO : PASCAL 11-0055151 INIST
ET : Aging of the Facial Skeleton: Aesthetic Implications and Rejuvenation Strategies
AU : SHAW (Robert B. JR); KATZEL (Evan B.); KOLTZ (Peter F.); YAREMCHUK (Michael J.); GIROTTO (John A.); KAHN (David M.); LANGSTEIN (Howard N.)
AF : Divisions of Plastic and Reconstructive Surgery, Departments of General Surgery of University of Rochester Medical Center, Stanford University Medical Center, and Harvard University Medical Center/Etats-Unis
DT : Publication en série; Niveau analytique
SO : Plastic and reconstructive surgery : (1963); ISSN 0032-1052; Etats-Unis; Da. 2011; Vol. 127; No. 1; Pp. 374-383; Bibl. 21 ref.
LA : Anglais
EA : Background: Facial aging is a dynamic process involving the aging of soft-tissue and bony structures. In this study, the authors demonstrate how the facial skeleton changes with age in both male and female subjects and what impact these structural changes may have on overall facial aesthetics. Methods: Facial bone computed tomographic scans were obtained from 60 female and 60 male Caucasian subjects. Twenty male and 20 female subjects were placed in three age categories (20 to 40 years, 41 to 64 years, and 65 years and older). Each computed tomographic scan underwent three-dimensional reconstruction with volume rendering. Edentulous patients were excluded. The following measurements were obtained: upper face (orbital aperture area, orbital aperture width, and curvilinear analysis of the superior and inferior orbital rims), midface (glabellar angle, pyriform angle, maxillary angle, and pyriform aperture area), and lower face (bigonial width, ramus breadth, ramus height, mandibular body height, mandibular body length, and mandibular angle). Results: The orbital aperture width and orbital aperture area increased significantly with age for both sexes. There was a significant increase in orbital aperture size (increase in height of the superomedial and inferolateral orbital rim) in both sexes. The glabellar and maxillary angles decreased significantly with age for both sexes, whereas the pyriform aperture area significantly increased for both sexes with age. Mandibular length and height both decreased significantly for each sex. The mandibular angle significantly increased with age for both sexes. Conclusions: These results suggest that the skeletal morphology of the face changes with age. This change in skeletal morphology may contribute to the appearance of the aging face.
CC : 002B25
FD : Chirurgie; Face; Squelette; Esthétique; Rajeunissement; Traitement
ED : Surgery; Face; Skeleton; Aesthetics; Rejuvenation; Treatment
SD : Cirugía; Cara; Esqueleto; Estética; Rejuvenecimiento; Tratamiento
LO : INIST-11075.354000193555370490
ID : 11-0055151

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Pascal:11-0055151

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