The Three D’s Of Aging

As we get older, the natural aging process results in less collagen, elastin and hyaluronic acid production due to declining hormones, stress, and environmental influences and oxidative damage to the skin cells. Hormonal imbalances (androgen excess) in the perimenopausal years may lead to excess sebum production with acne breakouts, dark facial hair (hirsuitismand even thinning of the scalp.


Which twin is the smoker? To view the myriad ways that smoking accelerates the aging process, see
Ways-Smoking-Affects-Looks *Individual Effects Will Vary


  • Thinning, dry skin with fine lines and wrinkles.
  • Uneven brown pigmentation, texture changes such as coarse pores.
  • Accelerated by sun tanning, stress, and exposure to toxins such as cigarette smoke. Some lines are the direct result of habitual expressions, (frowning, squinting, scowling, wrinkling the nose, pursing the lips) and are known as dynamic lines.

These are best addressed by the use of muscle relaxing agents such as Botox CosmeticTM


  • Shrinkage of the deep fat compartments in the mid face and temples.


Sagging of the face and neck, which manifests in deep folds, jowls and loose neck tissue.

This is best addressed by the use of volumizing fillers such as Juvederm, Radiesse and Sculptra

(see: “SoftLift”-Voluma, RadiesseThe V -Effect, and Sculptra).

In later years., the shrinkage of the deep supportive fat compartments is compounded by muscle atrophy and bone resorption, especially around the eye sockets and the upper jawline (maxilla), appearing as deep hollows around the eyes and flattening and lengthening of the skin between the nose and upper lip, which can lead to inversion and a virtual disappearance of the lips.

These signs can be tricky to address, but sometimes the use of autologous Platelet-Rich Fibrin Matrix (Selphyl) can be used to thicken the infraorbital skin, minimising hollows. Prudent use of hyaluronic acid fillers such as Juvederm can reconstruct lips.


Disclaimer: We are producing this section of the website as an informational tool for existing patients, so that they may have a basic understanding of their treatment; not as an advertisement for a specific formulation of Botulinus Toxin. It is not intended to be all-encompassing; the specifics of your planned injection protocol, potential side-effects of the drug etc, will be discussed at your consultation with Dr. Hyland.