According to a research conducted by Michael Richard, MD, and Julie Woodward, MD, of Duke University Medical Center, the shifting bone structure of a person is responsible for making a person look old. This is contrary to the age old assumption that the earth's gravity was the cause behind sagging skin. Ocuplastic surgeon Michael Richard, MD, Duke Eye Center, presented his research at the annual meeting of the American Society of Ophthalmic Plastic and Reconstructive Surgeons held in New Orleans.

Research Highlights
a. Researchers studied CT scans of 100 men and women over 3 years.
b. The patients were grouped together according to age.
c. There were 25 women aged 18-30, 25 men aged 18-30, 25 women aged 55-65 and 25 men aged 55-65.
d. Among the patients foreheads were more prominent and cheekbones were less prominent in older people.
e. It was seen that the bones in the human skull continue to grow as people age.
f. Researchers also noticed that the forehead moves forward while the cheek bones move backward as a person grows older.
g. This causes the overlying muscle and skin to move as well.
h. This movement changes the shape of the face.
i. As a result there is more sagging and drooping of skin.
j. It was concluded that changes in the face's underlying bony structure causes sagging of skin.
k. Such changes are more pronounced in women than in men.