Coban Istemihan, Erkmen Fulya Yaprak, Aktaş Gülsüm Derya
Department of Anatomy, Faculty of Medicine, Izmir Democracy University, Izmir, Turkey.
J Cosmet Dermatol. 2025 May;24(5):e70215. doi: 10.1111/jocd.70215.
Aging causes facial wrinkles, especially dynamic wrinkles related to mimic movements, predisposing areas to static wrinkles from a young age, notably in the periorbital region. This study aims to analyze dynamic wrinkle patterns on periorbital skin during mimic movements in healthy young adults to identify wrinkle precursor regions.
Dynamic periorbital wrinkle patterns were analyzed in 184 healthy adults (93 females, 91 males) aged 18-24 years. Standardized facial photographs were taken at rest and during various mimic movements. The periorbital region was divided into superior, inferior, lateral, and medial subregions; wrinkle patterns were classified and analyzed. Interobserver and intraobserver reliability were assessed.
In the upper periorbital region, the most common wrinkle pattern was oblique lines extending from the medial and lateral canthus to the upper corners (Type 3, 56%). Inferiorly, the most common pattern was a linear wave from the lateral canthus to the lateral margin (Type 3, 25.5%). Medially, no specific pattern (Type 6, 33.2%) and an arrowhead-like motif directed toward the medial canthus (Type 2, 20.7%) were prevalent. Laterally, radial waves extending from the lateral canthus to the lateral brow tip were most common (Type 1, 34.8%). The absence of a distinct wrinkle pattern in the medial region was more common in men than in women (48.4% vs. 17.6%). Males were more likely to have wrinkle patterns consisting of oblique short lines in the inferolateral direction in the inferior region (Type 2, 31.2%). Miniature crow's feet-like wrinkles were more common in females.
This study presents a new classification of dynamic wrinkle patterns in the periorbital region in young adults, highlighting sex differences.
衰老会导致面部皱纹，尤其是与表情运动相关的动态皱纹，从年轻时起就使某些区域容易出现静态皱纹，尤其是在眼周区域。本研究旨在分析健康年轻成年人在表情运动期间眼周皮肤的动态皱纹模式，以确定皱纹前驱区域。
对184名年龄在18 - 24岁的健康成年人（93名女性，91名男性）的眼周动态皱纹模式进行分析。在受试者静止状态及各种表情运动期间拍摄标准化面部照片。将眼周区域分为上、下、外侧和内侧子区域；对皱纹模式进行分类和分析。评估观察者间和观察者内的可靠性。
在上眼周区域，最常见的皱纹模式是从内眦和外眦向上角延伸的斜线（3型，56%）。在下眼周区域，最常见的模式是从外眦到外侧边缘的线性波浪（3型，25.5%）。在内侧，无特定模式（6型，33.2%）和指向内眦的箭头状图案（2型，20.7%）较为普遍。在外侧，从外眦延伸至外侧眉尖的放射状波浪最为常见（1型，34.8%）。内侧区域无明显皱纹模式在男性中比女性更常见（48.4%对17.6%）。男性在下眼周区域更易出现由下外侧方向的斜短线组成的皱纹模式（2型，31.2%）。微小的鱼尾纹样皱纹在女性中更常见。
本研究提出了一种年轻成年人眼周区域动态皱纹模式的新分类，突出了性别差异。
