Cited by 128Morphological variations and asymmetryForensic Anthropology and Bioarchaeology StudiesFace recognition and analysis

The DOI matches its Crossref record; 87 of the 87 references it cites were found in a registry or an index; 2 of the 35 sources its claims cite were checked for support.

Facial aging trajectories: A common shape pattern in male and female faces is disrupted after menopause

Open access
Windhager, Sonja, Mitteroecker, Philipp, Rupić, Ivana, Lauc, Tomislav, Polašek, Ozren, Schaefer, Katrin·2019·American Journal of Physical Anthropology

Abstract

Objectives: Despite variation in lifestyle and environment, first signs of human facial aging show between the ages of 20–30 years. It is a cumulative process of changes in the skin, soft tissue, and skeleton of the face. As quantifications of facial aging in living humans are still scarce, we set out to study age‐related changes in three‐dimensional facial shape using geometric morphometrics. Materials and methods: We collected surface scans of 88 human faces (aged 26–90 years) from the coastal town Split (Croatia) and neighboring islands. Based on a geometric morphometric analysis of 585 measurement points (landmarks and semilandmarks), we modeled sex‐specific trajectories of average facial aging. Results: Age‐related facial shape change was similar in both sexes until around age 50, at which time the female aging trajectory turned sharply. The overall magnitude of facial shape change (aging rate) was higher in women than men, especially in early postmenopause. Aging was generally associated with a flatter face, sagged soft tissue (“broken” jawline), deeper nasolabial folds, smaller visible areas of the eyes, thinner lips, and longer nose and ears. In postmenopausal women, facial aging was best predicted by the years since last menstruation and mainly attributable to bone resorption in the mandible. Discussion: With high spatial and temporal resolution, we were able to extract a shared facial aging pattern in women and men, and its divergence after menopause. This fully quantitative three‐dimensional analysis of human facial aging may not only find applications in forensic and ancient human facial reconstructions, but shall include lifestyle and endocrinological measures, and also reach out to studies of social perception.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

Using 3D surface scans and geometric morphometrics, this study finds a shared average facial aging pattern in men and premenopausal women, with female faces aging faster. After menopause, the female trajectory bends sharply and is better predicted by years since last menstruation than by chronological age, mainly reflecting mandibular bone resorption.

Key findings

  • Among 88 Croatian adults (32 men aged 27.7–82.9 years; 56 women aged 26.0–89.8 years), age-related facial shape change was similar in both sexes until about age 50, when the female aging trajectory turned sharply.
  • Male facial shape regression on age was significant (p < .001), explaining 7% of total shape variation and 38% of regression-score variance; in women younger than 55 years it explained 15% of total shape variance and 40% of regression-score variance (p < .0001).
  • In women beyond age 50, chronological age had little explanatory power (2% explained variance, not significant), whereas time since last menstruation predicted 5% of total facial shape variance and 35% of regression scores (p < .0001), mainly via reduced mandibular size, particularly the chin.
  • Female facial aging rate was higher than male: about twice as fast before age 50 and after age 60, and up to three times faster between ages 50 and 60.

Methods

  • Cross-sectional sample of 88 Croatian adults from Split and the islands Korčula and Vis, collected as part of the 10,001 Dalmatians project; faces were surface scanned with an Artec MHT scanner between May 2013 and May 2014.
  • Each face was parameterized by 585 landmarks and semilandmarks (40 fixed landmarks, 64 curve semilandmarks, 481 surface semilandmarks), slid to minimize bending energy, superimposed by Generalized Procrustes Analysis, and symmetrized.
  • Sex-specific average aging trajectories were estimated by local linear regressions in a moving window of 23 individuals; principal component analysis summarized age-specific mean shapes, and aging rate was computed as the average amount of shape change in Procrustes distance per year.

Limitations

  • The authors state that because of the sample structure, they did not measure individual aging sensu stricto but estimated sex-specific average patterns, and could not assess associations with individual lifestyle, endocrine status, or molecular aging markers.
  • The authors note the sample is a relatively homogeneous Croatian “genetic isolate,” which they argue is appropriate as a proxy for longitudinal data and may generalize to other European-descent populations, but they call for further study of within- and between-population variation and environmental factors.
  • Evident from the text: the sample is modest (88 faces; 26 postmenopausal women), cross-sectional, and some figure visualizations extrapolate beyond the sampled age range, so individual-level and longitudinal inferences are limited.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1002/ajpa.23878

Cites

87 of 87 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

2 of 35 cited sources checked · 0 supported · 0 flagged · accuracy not yet measured

Show all 37 claims

  • It may state two separate claims as one. 18
  • Probably not a substantial claim. 13
25 of 25
  • The paper relies on this without support.

    Cross-sectional age differences in facial shape reflect longitudinal aging trajectories.

    “The sequences of age‐ and sex‐specific average shapes, as predicted by the local regressions, were interpreted as the male and female trajectories of average facial aging.”
  • The paper relies on this without support.

    Self-reported menopause status and time since last menstruation are accurate.

    “Twenty‐six women reported that they were postmenopausal and when they had their last menstruation; none of them had hormonal replacement therapy.”
  • The paper relies on this without support.

    The facial aging pattern observed in this Croatian sample applies to humans generally.

    “Facial aging trajectories: A common shape pattern in male and female faces is disrupted after menopause”
  • The paper relies on this without support.

    Time since last menstruation is a valid proxy for menopausal hormonal changes.

    “In contrast to chronological age, however, the time since the last menstruation predicted 5% of total facial shape variance in postmenopausal women and 35% of the regression scores (p < .0001).”
  • The paper relies on this without support.

    Physiological and lifestyle data are usually unavailable in forensic case identification.

    “Nonetheless, the average facial aging pattern is most relevant to aid forensic case identification, where physiological and lifestyle data usually are unavailable.”
  • The authors state this as an assumption.

    The threshold for detecting patterns due to biological causes of facial shape variation (such as aging) is lower in the Eastern Adriatic genetic isolate than in a more heterogeneous reference population.

    “Along these lines, we expect the threshold for detecting patterns due to biological causes of facial shape variation (such as aging) to be lower than in a more heterogenous reference population.”
6 of 6

Citations

Cites

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Show all 86 references

Research works printed but not linked: 2

  1. 10.1046/j.1524-4725.2000.00270.x · DOI
  2. Rudan I., 2006, The land of 1000 islands, Croatian Medical Journal, 47, 523

Cited by

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Items 101–127 of 127

Metadata

Authors
Windhager, S., Mitteroecker, P., Rupić, I., Lauc, T., Polašek, O., & Schaefer, K.
Affiliations
  • University of Vienna (AT)
  • Department of Theoretical Biology University of Vienna Austria
  • Dental Clinic Apolonija Zagreb Croatia
  • University of Zagreb (HR)
  • Gen-info (HR)
  • Department of Evolutionary Anthropology University of Vienna Austria
Corresponding author
Windhager, Sonja
Venue
American Journal of Physical Anthropology
Publisher
Wiley
Published
2019-06-12
Volume
169
Issue
4
Pages
678-688
ISSN
  • 0002-9483 (ISSN-L)
  • 1096-8644
OpenAlex
W2951808774
Cited by
128
References
86
Citations by year
2026: 11 · 2025: 26 · 2024: 27 · 2023: 19 · 2022: 21 · 2021: 15 · 2020: 9
FWCI
8.73
Type
journal article
Language
en
Open access
Locations
  • American Journal of Physical Anthropology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • Austrian Science Fund (P29397)
  • Hrvatska Zaklada za Znanost (05‐PAR‐02‐2016)
Topics
  • Life Sciences › Agricultural and Biological Sciences › Ecology, Evolution, Behavior and Systematics › Morphological variations and asymmetry
  • Social Sciences › Arts and Humanities › Archeology (arts and humanities) › Forensic Anthropology and Bioarchaeology Studies
  • Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Face recognition and analysis
Keywords
facial aging, menopause, sex differences, geometric morphometrics, mandibular resorption, nasolabial fold, facial soft tissue, facial reconstruction, skeletal remains
MeSH terms
Adult, Aged, Aged, 80 and over, Aging, Anthropology, Physical, Face, Female, Humans, Male, Menopause, Middle Aged, Models, Statistical

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