First let's start with explaining what causes a "sagging" face. As we age our facial fat pads shrink and start to fall downward. Our bone structure changes with age, the jawbone gets smaller, the maxilla shrinks, teeth shift, the eye sockets enlarge, the facial muscles that pull downward seem to get stronger, and the connective fascia that is mostly collagen starts to increase in laxity. All of these things combined make our faces start to look square, harsh, sad, angry and l