A combination of factors:
- chronic sun exposure
 - loss of subcutaneous fat
 - the muscles which are responsible for facial expression are constantly folding the skin and this leads to the progressive development of hyper dynamic wrinkles
 - the effects of gravity
 - finally with ageing our underlying facial bones and cartilage undergoes resorption, which leads to a decrease in facial volume
 
Posted in: Medical Rejuvenation
