Firmness
“My skin does not feel as firm as before.”
01 — SKIN & FACIAL AGING · Skin and facial changes with age
As skin and facial features
change over time,
the first step is understanding
before choosing care
Firmness, facial contours, lines and skin texture may change together or at different times.
Care should begin by understanding what you notice, what matters to you and what suits your skin now.
Skin care, particularly melasma and skin recovery, remains SITA’s main focus. General information, not a diagnosis.
This page provides general information for understanding, not a diagnosis or individual treatment advice.
Skin and facial features can change in more than one way
People often use one phrase, such as “my face is starting to sag” or “I look older”, to describe several things they notice at the same time.
Looking at each concern separately reveals different questions. These changes do not necessarily happen together.
A common phrase
“Looking older”
- Firmness FIRMNESS
- Shape / facial contours CONTOUR
- Wrinkles / lines LINES
- Texture / how the skin feels TEXTURE
- Eye area EYE AREA
These five areas describe everyday observations. They are not medical classifications or criteria for self-assessment.
What you notice
may raise different questions
People often notice changes in everyday moments, such as looking in a mirror, seeing a photograph or touching their skin. The examples below are not criteria for self-assessment.
Shape and facial contours
“My jawline or the area under my chin looks different.”
Lines and skin texture
“I am starting to notice lines, or my skin feels different.”
A specific area, such as around the eyes
“My concern is about one area, rather than my whole face.”
These observations do not point directly to any particular treatment. The same concern may call for different approaches in different people, and some concerns may not need action yet.
Age tells you how much time has passed,
but it does not tell you
where care should begin
Two people of a similar age may notice different changes, prioritise different areas and have different skin conditions, circumstances and concerns they want to address first.
- Do skin and facial features change in the same way for everyone?
- Not necessarily. People may notice different changes and have different priorities, even when they are a similar age.
-
What are you noticing now?
Which area is involved, and have you noticed it for some time or only recently?
-
What matters most to you?
What you want to address first may not be what other people notice most.
-
What are your skin and circumstances like now?
Your current skin condition, previous care and everyday life at present.
There are no right or wrong answers to these three questions. You do not need to answer all of them before a consultation.
Words such as “sagging”
or “wrinkles”
do not define a care plan
What you see helps start the conversation, but does not automatically tell us:
- Whether a procedure is appropriate
- Which approach to use
- Which area should come first
- Whether to begin care now
-
OBSERVE
What you notice
Your observations and what you would like to share
-
ASSESS
Assessment
A doctor assesses the area, your skin condition and your goals
-
DECIDE
Then consider an approach
Consider which approach is appropriate, or whether no action is needed yet
Technology is one option,
not everyone’s starting point
For some concerns relating to:
- Skin firmness
- Facial contours
- Specific facial areas
Technology-based options may be considered after assessment. Some people may not need a device-based treatment, or may benefit from starting with another area of care.
- Should I choose Ultraformer straight away for sagging skin?
- The word “sagging” alone is not enough to choose an approach. The area, skin condition and your goals should be assessed before considering whether Ultraformer III or another option is appropriate.
Facial contours and firmness
and skin quality
are different concerns
One person may be concerned about facial contours and firmness, while another notices changes in texture, dryness or sensitivity. These can occur together, but they raise different questions.
FORM / STRUCTURE CONCERN
Shape and firmness
- Facial contours look different
- Skin firmness has changed
- Certain facial areas look different
SKIN QUALITY / SURFACE CONCERN
Skin quality and texture
- Skin feels different
- Skin feels drier
- Skin is more sensitive or easily irritated
- Overall skin condition— as you experience it
Care focused on facial contours does not address every aspect of skin quality, and vice versa.
If your main concern is sensitive, easily irritated skin or skin that needs recovery, Sensitive or easily irritated skin → Read about Skin Recovery
The eye area may be a local concern best considered separately from the whole face
Some people notice changes only around the eyes, rather than across the whole face. It helps to discuss this area specifically, rather than grouping it under “looking older”.
What you may notice around the eyes
- Lines or wrinkles around the eyes
- Skin texture around the eyes
- The eye area looks different
- Changes noticed over time
Care for the eye area depends on a doctor’s assessment. This page does not recommend a specific approach.
Caring for ageing skin
is only one part
of Healthy Aging
Skin and facial changes matter to many people. At SITA, Healthy Aging also considers other factors that affect everyday life.
- Strength
- Movement
- Everyday function
- Independence
- Thinking and memory
- Ongoing care over time
This page asks:
As skin and facial features change with age, what are we noticing?
HEALTHY AGING asks:
As life changes over time, which abilities do we want to maintain?
10 — Start with what you notice
START WITH WHAT YOU NOTICE
You do not need to choose
what to do
before a consultation
Start by telling us what looks or feels different about your skin and face, what matters to you and what care you have had before.
We can then assess which concerns to address and which approach suits your circumstances.