ABSTRACT
For the first time within the field of cosmetic surgery, authors have been prompted to utilize a different perspective of our function as cosmetic surgeons. They have begun to examine the process they call “aging,” not just from the point of view of effect and surgical procedure but from a perspective of “cause and effect,” On the face, they arc accustomed to observing loss of skin tone resulting from loss in skin elasticity, which is due to altered ratios of collagen and elastin. One biochemical cause of these conditions is a constant elevationof glucose levels, resulting in glycation and crosslinking of these skin proteins. For the same reasons, trendy “starvation diets” also contribute to accelerated skin aging. Also noted on the face are marked changes in the overall shape and thickness of the skin owing to loss of the underlying facial fat, which is also negatively affected by elevated cortisol levels.
