As we age, skin’s dermal collagen gradually breaks down through age, thus causing volume loss throughout the face and the whole body. Fat shrinks and descents with time. The bones of orbit, forehead, nose, mid-face, and jaw all remodel as we age. Muscle may become more lax in some areas whereas in other areas muscle may actually have increased resting tone, worsening movement wrinkles and folds.
As the space on the face dwindles, an ever increasing appearance of hollowness and sagginess occur.