Types of Aging: Sinker, Sagger, and Wrinkler
Not everyone ages the same way. Some people lose volume, others experience sagging, while others develop fine lines and wrinkles. These changes are closely linked to sub-dermal structures such as fat pads, connective tissue, and collagen.
In aesthetics, we often describe three main types of facial aging: the Sinker, the Sagger, and the Wrinkler. Identifying your type helps guide the most effective treatments.
1. The Sinker
🔬 The Science Behind It
Facial fat pads shrink and resorb with age, especially in the temples, midface, and tear trough.
The loss of deep volume creates a hollow, gaunt look.
Thinner skin and reduced hydration worsen the hollowing.
👀 Key Signs
Hollow under-eyes and temples.
Flattened cheeks.
More skeletal and tired appearance.
🎯 Purpose of Treatment in Clinic
Restore volume and stimulate new collagen to rebuild structural support.
Available Treatments in Clinic:
Radiesse (calcium hydroxyapatite) → volumization + collagen stimulation.
Juvelook (PDLLA) → gradual biostimulation to restore youthful fullness.
Profhilo Structura → bio-remodeling + fat pad stimulation for midface support.
PN (Rejuran) → skin quality and thickness improvement.
2. The Sagger
🔬 The Science Behind It
Collagen and elastin fibers weaken, making skin unable to resist gravity.
Heavier fat pads and soft tissues descend, causing jowls and laxity.
👀 Key Signs
Drooping along the jawline and chin.
Saggy cheeks and deep nasolabial folds.
Loose skin in the lower face and neck.
🎯 Purpose of Treatment in Clinic
Lift, tighten, and support the sagging tissues while stimulating collagen.
Available Treatments in Clinic:
HIFU → deep collagen contraction + lifting.
Threadlift (PDO/PLCL/PLLA) → mechanical lifting + collagen stimulation.
Radiesse or Juvelook → structural support to mid/lower face.
Profhilo Structura → adds firmness to sagging areas.
Klardie → collagen stimulation + dermal strengthening.
3. The Wrinkler
🔬 The Science Behind It
Dynamic wrinkles form from repeated muscle activity (frowning, squinting).
Over time, they become static as skin loses elasticity and collagen.
Sun exposure and lifestyle accelerate this process.
👀 Key Signs
Crow’s feet, frown lines, forehead lines.
Vertical lip lines.
Crepey texture around eyes and cheeks.
🎯 Purpose of Treatment in Clinic
Relax overactive muscles, remodel skin, and improve texture.
Available Treatments in Clinic:
Botox & Microtox → reduce dynamic wrinkles and refine texture.
Fractional Pico (cold ablative) → collagen remodeling, texture improvement.
CO2 Laser → deeper resurfacing for static wrinkles and rough texture.
PN (Rejuran) & Profhilo (classic) → improve skin hydration, elasticity, and fine lines.
Klardie → skin regeneration and dermal thickening.
✅ In reality, most patients are a combination of Sinker, Sagger, and Wrinkler. A tailored approach — combining collagen stimulators, skin boosters, lifting devices, and injectables — gives the most natural and long-lasting results.
At our clinic, we customize treatments for every face type — from biostimulators and skin boosters to lasers, HIFU, and thread lifts. If you’re ready to refresh your appearance and age gracefully, book a consultation today. Let’s identify whether you’re a Sinker, Sagger, Wrinkler — or a combination — and create a personalized plan to restore your natural beauty..