- December 15, 2025
- Mr Mrinal Supriya
Last updated on January 26, 2026
In this video, Dr Mrinal Supriya explains the physical facial changes many patients begin to notice as they age, particularly from the mid-face down to the neck. He outlines how features such as skin folds, jowls, and neck changes can contribute to feeling that appearance no longer reflects how someone feels internally.
Transcript:
For patients or people who are over midlife and are starting to notice changes, they may feel tired or feel that their appearance is out of sync with how they want to live. They often feel that they do not look the way they feel inside. What are the physical attributes in their face that they notice as being out of sync?
The common things patients are aware of include excess skin folds, starting from the top of the face down to the neck. The eyebrows sag with time, and people start to develop excess skin folds on the eyelids. Fat can start to protrude from under the eyes, and the fat pads and muscles of the face begin to sag, which gives rise to jowls.
The well-defined jawline that people had earlier starts to fade, and the distinction between the face and neck becomes less clear. In addition, patients begin to notice changes in the neck, including bands in the neck region.
When someone has these changes, it can give the appearance of looking tired, less energetic, or not as healthy. These physical attributes are very common among patients who come for consultation. The extent of these changes varies depending on age, genetics, lifestyle, stress levels, and whether there has been a significant change in weight.
We have a quiz below that will help you understand whether a deep plane facelift or other techniques surrounding the face might be right for you. Take a moment, have some fun, and take the quiz below.

About The Author
Mr Mrinal Supriya
Mr Mrinal Supriya is the Divisional Director of Surgery. He is highly experienced Head and Neck Surgeon, specialising in facial cosmetic surgery. He is the clinical director for head and neck service in Northamptonshire and works as an ENT Consultant. He is the lead head and neck robotic surgeon at the University hospital of Northamptonshire (2023). Previously, he held the post of ENT, Head and Neck consultant at St.George’s University Hospital, London and at Ninewells University Hospital, Dundee.