I'm An Aesthetics Rejuvenation Expert & Here Are 3 Things That Are Aging You

As we talk about in the episode, aging isn’t just about the surface—even if that’s what most of the beauty industry focuses on. It’s actually a mix of changes to the bone structure, muscles, lymphatic system, fat, and then skin. 

While we may not think of supporting our skeletal system and bone health as parts of our beauty routine, bone density loss is actually one of the main drivers of aging. 

“Women will tend to lose bone in their midface and next to their nose. And that's why women will have a longer upper lip with age, and that's one of the telltale signs of aging that most people don’t even realize,” she says. 

“Aging isn’t all about wrinkles—it’s about facial balance, the position of things,” she says, noting that when our bone structure changes, that information reads as aging. “So at an earlier age, we want to help women retain bone.” 

And even if women disproportionately experience bone density loss1, it’s not just a female thing. “For men, men are more prone to under eye bags. Why? Well, they tend to lose more bone around their lateral orbital rim, and that then gives them lack of support for the tissue there,” she says. 

When we talk about muscles and aesthetic aging, we tend to talk about how facial movements can be a driver for expression wrinkles. But that’s really not the biggest way that muscles age us. Rather it’s how muscles shape our faces over time—oftentimes, contributing to asymmetries.

“Muscle is something that needs to be evaluated on each person, because it’s so individual,” she says. “Asymmetries of the face will be due to muscle imbalances, which you can often take a step further and track to bone differences. It’s all connected.” 

So how do we support muscles with age, hopefully ensuring they remain in balance? Well, one part is being mindful of how you move and hold your body. But Goodman also notes that you can use neurotoxins (like Botox) to balance overactive versus underactive muscles. 

“We can help people with muscle issues and imbalances by using neurotoxins as a rehabilitative tool—it’s so much more than just a ‘wrinkle reducer,’” she says. “If you rehabilitate the muscles you can help people stay more symmetric.” 

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People naturally lose facial fat as they get older–we’ve even nicknamed it “losing the baby fat.” But where fat is lost can cause common aging concerns to creep up. Most notably? Sallow, dark circles pooling around the eyes.

“Under the eyes, for both men and women, is the first place we lose fat pads. Science shows that this starts happening in your twenties,” she says. “So your under eye fat will recede faster than the fat pads in the rest of the face.” 

Given fat pad loss is not something that can be fixed topically, you’ll need to visit a professional if the appearance is bothering you. “People think, ‘I’m going to use every eye cream, I’m going to do all the lasers, I’m going to try all the things,’ but it will still be hollow and dark—that’s because we have to look at the underlying issue, which is fat loss.” 

Fascinating stuff, no? Tune into the full episode here—where we talk about more unexpected aspects of facial aging, and how you can treat them. 

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