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Age Related Changes
to the Periorbital and Midface:
A Case Study
ABSTRACT
A 71-year-old man presented to the author’s practice for the replacement
of an ocular prosthesis that had been fitted 10 years earlier. On examination
it was apparent that the patient had gone through profound changes in the
appearance of his facial features. These changes necessitated a significant
redesign for his replacement prosthesis compared to the design of the initial
prosthesis.
Author: Introduction
Stephen E. Sanders, Time has a dramatic effect on the anatomical changes of facial features.
BCO, BADO, FASO As one grows older, changes that take place can be ascribed to a variety of
Cumberland Prosthetics, Inc. factors including, but not limited to, genetics, environment, sun exposure,
Nashville, Tennessee alcohol consumption, cigarette smoking, changes to the body mass index,
and hormones. 1
“The etiology of age-related facial changes has many layers.
Multiple theories have been presented over the past 50–100 years
with an evolution of understanding regarding facial changes related
to skin, soft tissue, muscle, and bone.” 1
To properly fit the anophthalmic socket of an elderly patient, the
ocularist must carefully consider of these changes that are attributed
to the aging process.
Correspondence to:
Stephen E. Sanders, BCO, BADO,
FASO
Cumberland Prosthetics, Inc.
329 21st Avenue North, Suite 2
Nashville, TN 37203
Phone: (800) 847-3903
Fax: (615) 327-3871
Email: no1eyes@bellsouth.net
Keywords:
Defation, nasal labia, periorbital,
superior orbital fat, sub-orbicularis,
bags.
JOURNAL OF OPHTHALMIC PROSTHETICS AGE RELATED CHANGES TO THE PERIORBITAL AND MIDFACE | 15
