Effect of Sleep Position on Perceived Facial Aging

Kotlus, Brett S.

doi:10.1111/dsu.12266

Cited by 8 publications

(9 citation statements)

References 7 publications

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“…This study, however, has three important limitations: a small sample size, short duration (only one month), and lacks a control group. Contrary to this, Cotlus [5] did not find a significant correlation between sleep position and appearance of the facial wrinkles. Forty one "right-sided" and 23 "left-sided" participants were included in the study.…”

Section: Interventions To Alleviate Sleep Wrinkles and An Anti-wrinklcontrasting

confidence: 87%

The Neglected Importance of Sleep on the Formation and Aggravation of Facial Wrinkles and Their Prevention

Poljšak¹,

Godić²,

Starc³

et al. 2016

JCDSA

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The duration of sleep and the position of the face while resting on a pillow have a negative impact on the facial skin appearance and may lead to the formation of sleep wrinkles. Sleep lines occur when there is repetitive, long-term tension on the facial skin, which pushes or pulls the skin in a direction that is perpendicular to the direction of the muscles of the face. These lines tend to be more vertically oriented than expression lines and can be found on the forehead, around the eyebrows, the eyes, the cheeks, the chin, and the nasolabial folds. Our studies revealed that the average reduction of wrinkles in total investigated area of the face (expressed as the density of wrinkle per surface skin) was approximately 12% after 28 days of sleep on a specially-designed pillow. The specially designed anti-wrinkle pillows eliminate the pressure on the cheeks, the eyes and the mouth during sleep. Many such pillows have been designed to reduce the aging process and to encourage users to sleep in specific positions. Evidence supporting the claim that a special pillow prevents wrinkles was presented. Nevertheless, prolonged human studies are required to further elucidate the role of sleeping on appearance of facial wrinkles.

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Section: Interventions To Alleviate Sleep Wrinkles and An Anti-wrinklcontrasting

confidence: 87%

The Neglected Importance of Sleep on the Formation and Aggravation of Facial Wrinkles and Their Prevention

Poljšak¹,

Godić²,

Starc³

et al. 2016

JCDSA

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“…19 Several studies have postulated that a side sleep position contributes to facial aging and rhytid formation from mechanical pressure, shear, compression, and pulling due to chronically having greater surface contact. 15,16,27 Educating physicians, patients, and the general public regarding the effects of sleep position may be helpful in delaying the onset or progression of upper eyelid descent considering that a lateral sleeping position tends to be the predominant sleeping position in adults. 15,28,29 The effects of sleep positioning should be determined considering the significant portion of one’s life spent sleeping.…”

Section: Discussionmentioning

confidence: 99%

“…12–15 Sleep side preference has been correlated with facial asymmetry, eyelid laxity, lower eyelid ectropion, floppy eyelid syndrome, and increased severity of keratoconus. 16–19 Previous studies differ regarding the effects of sleep side preference on sleep lines and rhytid formation. 15,16,20…”

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confidence: 99%

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The Effect of Sleep Position Preference on Eyelid and Eyebrow Symmetry

Tran

Choi

et al. 2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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To investigate the relationship between sleep position preference and eyebrow and eyelid position and degree of upper eyelid dermatochalasis.Methods: A prospective study evaluating the impact of sleep position on facial asymmetry was conducted at an academic ophthalmology department. Eligibility criteria included the absence of periocular-altering trauma or surgery, contact lens use, or other periorbital disease processes. Patients reported their sleep position preference on a questionnaire. Standardized digital photographs of patients were obtained, and Image J software was used for measurements and converted into millimeters based on a standard corneal limbus-to-limbus ratio. Upper and lower eyelid position, upper eyelid dermatochalasis, and eyebrow position were assessed by the following image-derived measurements: marginal reflex distance 1 (iMRD1), marginal reflex distance 2 (iMRD2), tarsal platform show (iTPS), and central brow position (iBP). These results were compared with the patient reported sleep position preference to determine correlation.Results: Seventy-one patients were enrolled and reported the following sleep position preferences: 28 (right), 24 (left), 13 (both), and 6 (supine). Patients with a right-or left-sided preference demonstrated lower iMRD1 measurements for the preferred sleep side (p < 0.0004) with no other significant difference in periorbital measurements. A larger degree of upper eyelid height (iMRD1) asymmetry was observed among patients with a sleep side preference.Conclusion: Patients with a predominant sleep side preference demonstrate a significant increase in ipsilateral upper eyelid asymmetry and an inferior upper eyelid position on the sleep side. There were no differences noted in lower eyelid position, central eyebrow position, or amount of upper eyelid dermatochalasis.

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“…Kotlus did not find an association between sleep side and wrinkles. 57 However, they looked at all wrinkles and did not differentiate wrinkle types. They also relied on subjective questionnaires to determine sleep position which is much more variable than subjects estimate.…”

Section: Sleep Wrinklesmentioning

confidence: 98%

Sleep Wrinkles: Facial Aging and Facial Distortion During Sleep

2016

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Wrinkles are just one indicator of facial aging, but an indicator that is of prime importance in our world of facial aesthetics. Wrinkles occur where fault lines develop in aging skin. Those fault lines may be due to skin distortion resulting from facial expression or may be due to skin distortion from mechanical compression during sleep. Expression wrinkles and sleep wrinkles differ in etiology, location, and anatomical pattern. Compression, shear, and stress forces act on the face in lateral or prone sleep positions. We review the literature relating to the development of wrinkles and the biomechanical changes that occur in response to intrinsic and extrinsic influences. We explore the possibility that compression during sleep not only results in wrinkles but may also contribute to facial skin expansion.

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Effect of Sleep Position on Perceived Facial Aging

Abstract: Sleep side preference was not significantly correlated with the appearance of wrinkles or facial descent.

Cited by 8 publications

References 7 publications

The Neglected Importance of Sleep on the Formation and Aggravation of Facial Wrinkles and Their Prevention

The Neglected Importance of Sleep on the Formation and Aggravation of Facial Wrinkles and Their Prevention

The Effect of Sleep Position Preference on Eyelid and Eyebrow Symmetry

Sleep Wrinkles: Facial Aging and Facial Distortion During Sleep

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