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FACIAL AGING : CAUSES AND SOLUTIONS

Dernière mise à jour : 26 May 2026

Facial ageing is a natural, gradual process that affects everyone. Over time, the skin changes, facial volumes shift and certain signs of ageing gradually appear. While some people accept these changes calmly, others feel a discrepancy between their appearance and how they feel inside. The face may then look more tired, less radiant or more severe, sometimes regardless of how well the patient actually feels. Today, aesthetic medicine can prevent or correct facial ageing through natural, personalised treatments. 

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Facial ageing is a natural, gradual process that affects everyone. Over time, the skin changes, facial volumes shift and certain signs of ageing gradually appear. While some people accept these changes calmly, others feel a discrepancy between their appearance and how they feel inside. The face may then look more tired, less radiant or more severe, sometimes regardless of how well the patient actually feels. Today, aesthetic medicine can prevent or correct facial ageing through natural, personalised treatments. 

What is skin ageing ?

Skin ageing encompasses all the biological and structural changes that affect the skin with age. This physiological process generally begins in the thirties, although its visible manifestations vary considerably depending on the individual, genetics and lifestyle. Over the years, the skin gradually becomes thinner, less supple and less resilient. These changes affect the face, neck, décolletage and body alike. On the face, they are particularly reflected in the appearance of the first fine lines, loss of complexion radiance, laxity and gradual changes in facial volume.

The main signs of facial ageing

• Deterioration in skin quality: the complexion becomes duller, the skin loses radiance and the first dehydration lines appear, particularly around the eyes. • The appearance and deepening of expression lines: forehead lines, frown lines and crow's feet gradually become more pronounced through repeated facial movements. • Loss of volume in the middle third of the face: the cheekbones gradually lose projection, nasolabial folds deepen and contours become less defined. This reduction in tissue support can make the face look more tired or sagging. • Changes to the facial oval: over time, the jawline loses definition. Jowls may appear and marionette lines deepen. • Ageing around the eyes: dark circles become more visible, the eyelids look heavier and the eye area appears tired.

What causes facial ageing?

Facial ageing results from a combination of internal and external factors. • Reduced amounts of collagen, elastin and hyaluronic acid: with age, the skin gradually produces less collagen, elastin and hyaluronic acid. Yet these elements play a fundamental role in skin quality and structure. Collagen provides firmness and strength. Elastin contributes to suppleness and the skin's ability to retract. Hyaluronic acid helps maintain skin hydration and volume. • Sun exposure and photoageing: sun exposure is one of the main causes of premature facial ageing. Ultraviolet rays accelerate collagen breakdown and promote oxidative stress in the skin. • Pollution: pollutants generate significant oxidative stress in the skin. They promote skin inflammation, impair the skin's protective barrier and contribute to premature tissue ageing. • Smoking: smoking considerably accelerates skin ageing. Nicotine reduces skin microcirculation and tissue oxygenation. • Alcohol and certain medicines. • Lifestyle habits: lack of sleep, chronic stress, an unbalanced diet or insufficient hydration directly affect skin quality. A diet low in antioxidants and vitamins particularly promotes the oxidative stress responsible for cellular ageing.

How can facial ageing be slowed down?

• Adopt a healthy lifestyle: a balanced diet rich in vitamins, antioxidants and essential fatty acids supports proper cell function and skin quality. Adequate hydration is also essential to preserve skin elasticity and comfort. Restorative sleep, stopping smoking and limiting sun exposure are also major measures in preventing premature ageing. • Adapt your skincare routine: a suitable cosmetic routine helps maintain better skin quality over the years. Daily facial cleansing helps remove impurities, excess sebum and pollutants that damage the skin. Appropriate moisturising then helps preserve the skin barrier and maintain suppleness. • Aesthetic medicine techniques.

Aesthetic medicine solutions for facial ageing

Aesthetic medicine offers many solutions to prevent or correct signs of facial ageing without surgery. • Botulinum toxin injections: botulinum toxin reduces the activity of certain muscles responsible for expression lines. It is indicated for the forehead, frown lines and crow's feet. • Hyaluronic acid injections: hyaluronic acid is used to restore facial volume, perform non-surgical facelift techniques and hydrate the skin. • Skinboosters and mesotherapy: Skinboosters and mesotherapy improve overall skin quality. These treatments improve hydration, radiance and suppleness and prevent the first signs of ageing. • Peels and medical lasers: medical peels and certain types of laser can treat pigmentation spots, uneven complexion, enlarged pores and some fine lines. These treatments also stimulate cell renewal and collagen production, gradually improving skin density and quality.

Conclusion

Facial ageing is a natural process resulting from complex mechanisms affecting all facial structures. Although this process is inevitable, many environmental factors and lifestyle habits can accelerate it significantly. Today, a comprehensive approach combining prevention, suitable skincare and aesthetic medical procedures can durably preserve skin quality and facial harmony.
Dr Valeria Romano

Article written by Dr Valeria Romano

Dr Valeria Romano supports each patient through a comprehensive approach to facial, body and intimate aesthetics, as well as skin and hair quality. Every treatment is based on a personalised medical assessment.

Learn more about Dr Valeria Romano
Contact Dr Valeria Romano : +41 78 209 02 89 dr.romano.valeria@gmail.com

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