Objective Analysis of Age-Related Changes in the Superficial Musculoaponeurotic System in Japanese Females Using Computed Tomography

Abstract BackgroundThe superficial musculoaponeurotic system (SMAS) is an anatomical structure involved in facial aging. ObjectivesThis study focused on SMAS thickness and aimed to establish age-related changes in SMAS thickness....

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Main Authors: Itsuko Okuda, Katsuhiro Abe, Naoki Yoshioka, Takayoshi Komemushi, Masahiro Jinzaki, Hiroyuki Ohjimi
Format: Article
Language:English
Published: Oxford University Press 2023-05-01
Series:Aesthetic Surgery Journal Open Forum
Online Access:https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojad043
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author Itsuko Okuda
Katsuhiro Abe
Naoki Yoshioka
Takayoshi Komemushi
Masahiro Jinzaki
Hiroyuki Ohjimi
author_facet Itsuko Okuda
Katsuhiro Abe
Naoki Yoshioka
Takayoshi Komemushi
Masahiro Jinzaki
Hiroyuki Ohjimi
author_sort Itsuko Okuda
collection DOAJ
description Abstract BackgroundThe superficial musculoaponeurotic system (SMAS) is an anatomical structure involved in facial aging. ObjectivesThis study focused on SMAS thickness and aimed to establish age-related changes in SMAS thickness. MethodsA total of 100 adult Japanese female participants (aged 20-79 years) were enrolled in the study. The participants were divided into 3 age groups: Y, M, and E, comprising 20 to 39, 40 to 59, and 60 to 79 years, respectively. Anatomical structures were used as landmarks to standardize the SMAS analysis sites. The SMAS in a fixed analysis area (FAA) was quantified using multi-detector computed tomography (MDCT), and the relationship between SMAS thickness and age, as well as BMI, was analyzed. ResultsIn 96 participants (four were excluded due to imaging artifacts), a moderate yet significant negative correlation was found between the average (A)-SMAS thickness within the FAA and age. The A-SMAS thickness in groups M and E was significantly lower than that of group Y, and the mean value of group E was significantly lower than that of group M. SMAS thickness was greater in the young population. The SMAS gradually became thinner with aging. A statistically significant correlation was not found between SMAS thickness and BMI. ConclusionsUsing MDCT technology, age-related changes in SMAS were successfully analyzed. This highly objective analysis method corroborated the aesthetic surgical knowledge of the SMAS features related to facial aging. In clinical applications, our findings may help elucidate the mechanisms involved in facial aging. Level of Evidence: 3
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spelling doaj.art-668537b8140949248af457b75aded40c2023-07-03T10:56:19ZengOxford University PressAesthetic Surgery Journal Open Forum2631-47972023-05-01510.1093/asjof/ojad043Objective Analysis of Age-Related Changes in the Superficial Musculoaponeurotic System in Japanese Females Using Computed TomographyItsuko Okudahttps://orcid.org/0000-0002-2325-974XKatsuhiro AbeNaoki YoshiokaTakayoshi KomemushiMasahiro JinzakiHiroyuki Ohjimi Abstract BackgroundThe superficial musculoaponeurotic system (SMAS) is an anatomical structure involved in facial aging. ObjectivesThis study focused on SMAS thickness and aimed to establish age-related changes in SMAS thickness. MethodsA total of 100 adult Japanese female participants (aged 20-79 years) were enrolled in the study. The participants were divided into 3 age groups: Y, M, and E, comprising 20 to 39, 40 to 59, and 60 to 79 years, respectively. Anatomical structures were used as landmarks to standardize the SMAS analysis sites. The SMAS in a fixed analysis area (FAA) was quantified using multi-detector computed tomography (MDCT), and the relationship between SMAS thickness and age, as well as BMI, was analyzed. ResultsIn 96 participants (four were excluded due to imaging artifacts), a moderate yet significant negative correlation was found between the average (A)-SMAS thickness within the FAA and age. The A-SMAS thickness in groups M and E was significantly lower than that of group Y, and the mean value of group E was significantly lower than that of group M. SMAS thickness was greater in the young population. The SMAS gradually became thinner with aging. A statistically significant correlation was not found between SMAS thickness and BMI. ConclusionsUsing MDCT technology, age-related changes in SMAS were successfully analyzed. This highly objective analysis method corroborated the aesthetic surgical knowledge of the SMAS features related to facial aging. In clinical applications, our findings may help elucidate the mechanisms involved in facial aging. Level of Evidence: 3 https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojad043
spellingShingle Itsuko Okuda
Katsuhiro Abe
Naoki Yoshioka
Takayoshi Komemushi
Masahiro Jinzaki
Hiroyuki Ohjimi
Objective Analysis of Age-Related Changes in the Superficial Musculoaponeurotic System in Japanese Females Using Computed Tomography
Aesthetic Surgery Journal Open Forum
title Objective Analysis of Age-Related Changes in the Superficial Musculoaponeurotic System in Japanese Females Using Computed Tomography
title_full Objective Analysis of Age-Related Changes in the Superficial Musculoaponeurotic System in Japanese Females Using Computed Tomography
title_fullStr Objective Analysis of Age-Related Changes in the Superficial Musculoaponeurotic System in Japanese Females Using Computed Tomography
title_full_unstemmed Objective Analysis of Age-Related Changes in the Superficial Musculoaponeurotic System in Japanese Females Using Computed Tomography
title_short Objective Analysis of Age-Related Changes in the Superficial Musculoaponeurotic System in Japanese Females Using Computed Tomography
title_sort objective analysis of age related changes in the superficial musculoaponeurotic system in japanese females using computed tomography
url https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojad043
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