The aging process Zimmer Aesthetic Division exportzimmer de

The aging process Zimmer Aesthetic. Division export@zimmer. de www. zimmer. de

The causes of ageing Zimmer Aesthetic. Division export@zimmer. de www. zimmer. de

Genetic Free radicals (pollution, tobacco, sun) Sun exposure (photoageing): the skin loses its ability to repair itself, UV break down collagen, impair its synthesis and attacks elastin Facial expressions: repetitive facial movements lead to wrinkles (a line is formed with each facial expression; as the skin ages, loses its elasticity and stops springing back) Gravity: pulls on our bodies (ears elongate, eyelids fall, jowls form. . . ) Sleeping positions: sleeping the same way every night leads to wrinkles Smoking: biochemical changes in the body speeds up ageing. Zimmer Aesthetic. Division export@zimmer. de www. zimmer. de

Collagen production slows (the thickness of the skin decreases from the age of 20) Quantity and quality of elastin decrease causing the dermis to become less elastic Dead skin cells don‘t shed as quickly, and the tunrover of new cells decreases slightly (-50%) The skin doesn‘t retain as much moisture as it once did Quantity of melanocytes decreases (stains appear) HA decreases Zimmer Aesthetic. Division export@zimmer. de www. zimmer. de

The effects that translate into the face are: skin lesions caused by UV rays (stains) and deterioration in the skin's texture (gets thinner and drier, less smooth and firm) a loss of subcutaneous fat, which explains the loss of the full, round shapes of the facial contours (hollowed cheeks, eye sockets) dynamic wrinkles (corresponding to facial expressions) and static wrinkles (fractures of the skin, evidence of the aging of a dynamic wrinkle) appear ptosis of the soft tissues caused by gravity (jowls) Zimmer Aesthetic. Division export@zimmer. de www. zimmer. de changes in the osteo-cartilaginous structures, evidenced by bone resorption and stretching of the cartilaginous structures, ending in a loss of volume in the osseous framework

extends from the top of the forehead to the line joining the two outer ends of the eyebrows. The aging of the upper third of the face is characterized by: changes in the skin induced directly by exposure to the sun (stains…) dynamic and static wrinkles of the forehead and glabella sagging eyebrows, especially of the outer third atrophy of the temporal fat pad, creating the temporal hollows at the juncture of the malar and frontal bones Zimmer Aesthetic. Division export@zimmer. de www. zimmer. de

extends from the horizontal line joining the two outer ends of the eyebrows to the horizontal line below joining the two posterior insertions of the two nose wings. The aging of the middle third is characterized by: an excess skin in the upper eyelid, hiding the base of the lashes, or a loss of orbital fat, with the appearance of hollow eyes. the appearance of dynamic crow’s feet the appearance of bags under the eyes and tear trough a sinking and effacing of the malar eminence (cheekbones), an emaciation and sagging of the cheeks Zimmer Aesthetic. Division export@zimmer. de www. zimmer. de deepening of the nasolabial fold and ageing of the nose

located below the horizontal line joining the posterior insertions of the alae and the modiolus. The aging of the lower third is characterized by : A bigger distance between the nose and upper lip the appearance of vertical wrinkles around the lips a loss of labial volume and disappearance of the Cupid's bow the appearance of marionette lines starting at the commissure of the lips. the appearance of a deep horizontal line between the lower lip and the chin caused by retraction of the skin following bone resorption in the mandible a thinning of the chin, which becomes more pointed and a gradual emaciation of the sides of the chin Zimmer Aesthetic. Division export@zimmer. de www. zimmer. de a drooping of the lower part of the cheeks, resulting in jowls

Zimmer Aesthetic. Division export@zimmer. de www. zimmer. de

Thank you very much for your attention! Zimmer Aesthetic. Division export@zimmer. de www. zimmer. de