Background: With increasing age, one of the invariable changes is loss of some of the soft tissue fullness associated with youth ( deflation) or the impact of gravity resulting in sagging of some of the facial tissues. These two factors result in some of the hallmark features of the aging face deepening lines/ furrows from the nose to the outer corners of the mouth ( nasolabial folds) or the outer corners of the mouth to the chin, or underneath the rim of the eye socket ( tear trough).

Treatment: The volume deficits and some soft tissue decent can be treated with filler agents. The commonly injected materials calcium hydroxyapatitie ( Radiesse) or crosslinked hyaluronic acids ( e.g. Restylane, Perlane, Juverderm, Belotero) are nearly identical to naturally occurring materials within one’s own body, so the material are relatively long-lasting, well-tolerated, and exhibit minimal reaction.