Wrinkler, Sinker or Sagger—Which Facial Aging Style Are You?

Aging is a person expertise. While one may assume that every one signs of aging are basically the identical, they’re not. The means your face ages will be categorised into three completely different classes. You’re both a wrinkler, sinker, sagger or a mix. “In general, these terms refer to different ways that people age,” explains Beverly Hills, CA dermatologist Ava Shamban, MD. “In practice, most people have a combination of at least one or two of these signs.” The phrases had been coined by Dr. Shamban’s Canadian mentor, Kent Remington, MD. Understanding how your pores and skin ages might help you extra simply deal with indicators of getting old. “Each of these types of patients has very different looks,” says Dr. Shamban. “Etched lines (wrinkler), heavy lower face (sinker) and lots of loose skin (sagger) pick your poison!”

Signs you’re a wrinkler

According to Dr. Shamban, a wrinkler “is someone whose epidermis has multiple criss cross lines. These lines can be deeper or more finely etched, but the characteristic is a face that looks like a roadmap.” Nanuet, NY dermatologist Heidi Waldorf, MD says an indication that you simply’re a wrinkler can be should you can see wrinkles at relaxation, “lines etched in the skin rather than folds of skin over skin.” This form of getting old is mostly associated to photodamage, cigarette smoking or put on and tear from motion, says Dr. Waldorf.

A wrinkler typically reveals creasing across the mouth (higher lip), cheeks and eyes (crow’s ft), says Washington, D.C. dermatologist Tina Alster, MD. She notes that “wrinklers tend to have fair skin which is more prone to ultraviolet light destruction of elastic fibers (and therefore more wrinkling).”

Solutions for wrinklers

The means wrinkles are best treated will depend on their trigger. If your wrinkles are associated to motion, “the time to start treating is when you see them with movement before you see them remain at rest,” says Dr. Waldorf. She suggests botulinum toxin to cease or scale back motion within the space, which helps diminish the looks of strains and their eventual deepening. “Lines that are still visible can be treated with superficial filler and sometimes subcision,” says Dr. Waldorf.

If your wrinkles are photoaging-related, Dr. Waldorf suggests a peel with lasers or chemical compounds. This will basically pressure “the skin to replace the damage with new skin.” She provides that topical sun protection and retinoids are additionally a should. “Additional topicals like Alastin, which contain proprietary peptides that help to turn over old elastic and collagen, are helpful adjuncts.” 

Dr. Shamban says hyaluronic acid filler and Sculptra are additionally nice therapies for wrinklers. Dr. Alster suggests ablative or non-ablative laser pores and skin resurfacing and microneedling as different choices.

Signs you’re a sinker

Dr. Waldorf sums up a sinker as somebody who has quantity loss. “A sinker is someone whose primary signs of aging are fat pad loss and descent,” explains Dr. Shamban. “This person will have heavy jowls, flat pancake-like mid-face and kind of a doughy lower face.” 

Other tell-tale indicators embrace “the deepening of central face skin folds like the nasolabial folds as we lose fat and bone laterally (from the sides of the face),” says Dr. Waldorf. “Without support from the sides of the face, the overlying skin falls toward the middle.” The similar phenomenon can happen with the jowls. 

“Loss of deep fat in the middle of the face takes away the smooth transitions between the eyelids and cheek, giving the appearance of hollows, bags or darkness under the eyes,” says Dr. Waldorf. To see should you’re a sinker, she instructs sufferers to see what number of fingers match into their temples, above their lateral eyebrow and within the hole of their nostril. Additionally, “you can see volume loss in the central face and tear trough area by making the ‘home alone’ face (long face with the chin dropped and mouth open in an oval) and look for the triangular hollow on either side of the nose in the mid-cheek.”

Solutions for sinkers

To deal with quantity loss, Dr. Waldorf likes to interchange the absent quantity with filler, a biostimulator or fats. Additionally, fixing dental issues might help the perioral space. A silhouette carry might help shift quantity that’s fallen centrally outward, notes Dr. Waldorf. “When combinations of these noninvasive procedures aren’t enough, a surgical facelift that includes moving fat pads and tightening the underlying structures may be necessary,” she provides. Dr. Shamban suggests Ultera, Sofwave or threads for sinkers.

Signs you’re a sagger

A sagger is “someone whose skin hangs in folds, and you can lift it up like a hanging curtain. Also, this person will have deep folds around their mouth and deep marionette lines,” says Dr. Shamban. This lax look is a results of depleted elasticity and structural collagen help, explains Dr. Waldorf. 

“This tends to be most evident along the jawline, neck and under the chin. It’s like hanging cloth or an empty balloon,” says Dr. Waldorf. Dr. Alster says hole cheeks may also be an indication that you simply’re a sagger. Sagging is expounded to getting old and never essentially solar publicity, she notes.

Solutions for saggers

What makes enhancing sagging difficult is that merely “filling it up” may end up in trying like “an overfilled balloon,” warns Dr. Waldorf. Mild to reasonable laxity will be addressed with biostimulators, like Hyperdilute Radiesse or Sculptra, laser or radiofrequency resurfacing and ultrasound or radiofrequency pores and skin tightening, says Dr. Waldorf. Dr. Alster additionally suggests noninvasive tissue tightening, like Ulthera or Thermage and Silhouette InstaLift sutures. Meanwhile, Dr. Shamban recommends micro-coring or conventional CO2 resurfacing. However, the specialists agree, extreme laxity will most probably require surgical procedure as a result of there may be an excessive amount of pores and skin.