Year: 2025
Type: article
Abstract: IntroductionFacial aging has traditionally been attributed to passive processes such as skin laxity, fat atrophy, and gravitational descent [1-3].However, emerging anatomical and clinical evidence reveals a more dynamic mechanism: progressive muscle contracture actively reshapes facial architecture, leading to cascading structural changes.Cadaveric dissections and imaging studies demonstrate that chronic muscle shortening and increased resting tone fundamentally alter facial form and function, challenging conventional aging paradigms.This clinical commentary explores the pivotal role of muscular contracture in facial aging, supported by anatomical observations, ethnic variations in muscle architecture, and biomechanical interactions between muscle, fat, and bone.We also discuss clinical implications for aesthetic treatments, emphasizing the need for contracture-release strategies to achieve natural rejuvenation.
Source: Journal of Cosmetic Dermatology
DOI: 10.1111/jocd.70590
Authors: Kyu‐Ho Yi, Jovian Wan
Institution: Yonsei University College of Dentistry
Language: English
Subfield: Dermatology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,020
OpenAlex ID: W4417482461