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Facial Workouts Don't, In Fact, Really Work At All
By Judy Foreman, Globe Staff, 02/08/00
Not so easy. Then she worked her levator labii superioris, raising her lips
up into a sneer. Then she attacked her chin, working the depressor labialis.
We should be doing these exercises 10 to 15 minutes a day, six days a week,
according to the narrator, a 71-year-old British lady named Eva Fraser, who's
about to launch in this country the "facial fitness" program she's promoted
for years in England.
On the video, Fraser, who looks closer to 50, spoke through clenched teeth,
her face barely moving. Were her muscles so exhausted from all her facial
workouts that she could no longer move them?
No, she was not her usual animated self in the video, she explained in a
telephone interview, because she was trying to keep still so the microphone
didn't pick up extra noise.
In any case, her take-home message seemed to make sense: Weak muscles,
sagging face; strong muscles, a young, vibrant one.
Too bad it's not true.
The real problem when faces droop with age, it turns out, is loss of
collagen in the skin, the pull of gravity on fascia (that gristly tissue that
lies between muscles and skin), and the loosening of facial ligaments.
And, sadly enough, exercise is useless for collapsing collagen, falling
fascia and lax ligaments.
That means, at least as doctors see it, that not only won't facial fitness
do you much good, neither will those mouth-stretching gadgets called Facial
Flex, advertised in magazines and the Internet, or electrical stimulation
devices like those also touted on the Net by Boulder, Colo., esthetician Kay
Young.
Now, you could take the cynical - or is it the hopeful? - view that
dermatologists and plastic surgeons would naturally dump on exercise and other
do-it-yourself tricks because they can make a fortune doing chemical peels,
facelifts, and other nips and tucks that may hide the ravages of age.
But the doctors make a pretty good case against facial workouts.
Exercising may "work partly," concedes Dr. Jessica Fewkes, a dermatologist
at the Massachusetts Eye and Ear Infirmary in Boston. "It can work on the part
of the face that is due to just sagging muscles. . . . But a lot of our
drooping skin isn't necessarily due to muscles; a lot of it is due to
photoaging."
Photoaging is caused by exposure to sunlight. The ultraviolet light
destroys the elastic fibers in skin that hold it together, causing the
collagen to become much thinner.
"When you pinch a baby's cheek," Fewkes says, "it has a nice, solid feel to
it. When you pinch your mother's skin, it's thin. It's missing that layer.
That's not muscle we've lost, it's collagen."
That's why "the number-one thing for looking good is sun protection," she
adds. Indeed, people with darker skin, like blacks and Asians, "tend to look
younger longer because they have so much pigment in their skin they don't get
the same radiation damage."
Exercising facial muscles "really won't do anything for the sagging face,"
says Dr. Devinder Mangat, a Cincinnati plastic surgeon and president of the
American Academy of Facial, Plastic and Reconstructive Surgeons.
Jowls, for instance, which often run in families, are caused "almost 100
percent by displacement of the `SMAS' [or superficial muscular aponeurotic
system] layer of fascia," says Dr. Mack Cheney, director of facial and
cosmetic surgery at Mass. Eye and Ear.
In a face lift by plastic surgery, it's this layer of tissue that is
"redraped" over bone and muscle to tighten sagging cheeks, says Cheney.
And facial exercises could make some problems worse.
Horizontal lines in the forehead are caused by the frontalis muscle. "The
stronger this muscle gets, the deeper the creases," says Cheney. "So
strengthening the frontalis muscle is a negative thing. It will make furrows
deeper."
Short of a face lift, what may help for forehead furrows, including
vertical ones in the corrugator muscles between the eyebrows, is botox, or
botulism toxin. While botulism is fatal if injected in high doses, in the tiny
doses injected cosmetically, it can paralyze the frown muscles for a few
months without causing harm.
Puffy eyes aren't caused by muscle weakness, either, even though the eyes
are surrounded by the orbicularis oculi muscle.
The problem with droopy eyelids - upper and lower - lies with a
ligament-like structure called the orbital septum, which lies just below the
muscles, and stretches with time.
"Exercises wouldn't help that," he says. "It's not muscle that's holding
the orbital fat, which produces the puffiness. It's this ligament-like
structure."
And what of those Facial Flex gadgets that you put in your mouth to
exercise muscles in the lower face? The ads tout research suggesting these
gadgets can increase muscle strength by 250 percent.
Sorry, they can't. "If you're trying to get improvement in skin and fascia,
a stronger muscle won't do that," says Cheney.
And electrical stimulation to tone the face? "That is unlikely to help,
either," he says.
The bottom line is simple. Forget facial workouts. You'll have to love the
face you've got - unless you choose to go under the knife.
Judy Foreman is a member of the Globe staff. Her e-mail address is:
foreman@globe.com.
Previous "Health Sense" columns are available through the Globe Online
searchable archives at http://www.boston.com. Use the keyword columnists and
then click on Judy Foreman's name.
All content herein is © Globe Newspaper Company and may not be republished without permission. If you have questions or comments about the
archives, please contact us at any time.
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