Researchers conducted a retrospective study to analyze the intra-individual evolution of the facial skeleton, since previous studies have included a limited number of patients. The study, published in the Aesthetic Surgery Journal (November 2021), confirmed the clockwise rotation of the midface during aging. 

The retrospective study included 56 patients (29 males and 27 females) who underwent two separate facial computed tomography scans (T1 and T2) with a minimum gap of seven years. The mean ages at T1 and T2 were 50 and 59 years, respectively. Using 3-dimensional reconstructions, the researchers measured and compared seven facial angles (glabellar, orbital, piriform, maxillary, subdental, chin, gonial) and six facial distances (lacrimal crest, orbital floor, piriform, zygoma, labiomental, gnathion) on both computed tomography scans. 

 

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