During aging, the structural changes of epidermis and dermis have been well established including matrix expression, alteration, and thickness by analyzing skin biopsies. 1,2 However, little is known about the anatomical changes of subcutaneous fat layer with age. That is probably why the layer is located deeper to obtain the sample biopsy in the skin. To our knowledge, the skin adipose tissue participates in energy storage, thermogenesis, endocrine secretion, and immune defense as well. In recent reports, it was shown that the facial adipose tissue might be a potential target against the signs of facial aging such as elasticity loss and wrinkle formation. 3,4 Although subcutaneous fat loss has been considered to be the typical hallmark of facial aging, 5 it was demonstrated that the infraorbital fat of old group was significantly thicker than that of young group in Asian woman using computed tomography. 6 A high-resolution diagnostic ultrasound system has been used to evaluate deep dermal and subcutaneous thickness. 7,8 It was suggested that ultrasound system provides the most accurate and reliable technique for the measurement of subcutaneous fat layer.