Jul 26, 2016 surgery.org

Stomach and Side Sleeping Positions Cause Facial Distortion and Wrinkles

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A new study published in the Aesthetic Surgery Journal, the peer-reviewed publication of the American Society for Aesthetic Plastic Surgery (ASAPS), indicates that compression, tension, and shear forces applied to the face during sleep cause facial distortion when people sleep on their sides and stomach, leading to the development of sleep wrinkles over time.

"Sleep wrinkles form in response to distortion created when the face is pressed against any sleep surface. They tend to worsen over time due to repetition combined with thinning of the skin and decreased elasticity as we age,” explains ASAPS member and lead author, Dr. Goesel Anson.

Sleep wrinkles are also influenced by the amount of time spent in various positions. While our initial sleep position is a conscious decision, we change positions throughout the night unconsciously. The number of shifts decreases as we age from 27 to 16 per night, with an average of about 20 position shifts.  The lateral (side) sleep position is the most common in studies averaging 65%, with the remaining 30% in the supine (back) position, and 5% in the prone (stomach) position. While some sleep wrinkle patterns can reinforce facial expression lines, most sleep wrinkles tend to be perpendicular to expression wrinkles. Most sleep wrinkles can be seen on the forehead, lips and cheeks. Unlike facial expression wrinkles caused by muscle contractions, sleep wrinkles that are formed because of mechanical compression during sleep can’t be eliminated using Botulinum Toxin. 

Read the rest of the article at surgery.org

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