
The study of youthful, beautiful faces reveals two common findings. A youthful face has adequate volume or fullness, and secondly, the skin appears flawless and well hydrated. With aging, we lose volume from our faces through the loss of fat, bone, and muscle. The skin ages due to loss of underlying support as well as from sun damage. Rejuvenation of the face can be achieved by "puffing and buffing" (PB). I originally referred to the treatment as buffing and puffing (BP), but after the BP Gulf oil disaster thought that PB was more appropriate.
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