A youthful face is not just the result of good skin but also thanks to plump and well contoured mid-face and cheeks. Much of this is the result of well packaged and taut parcels of fat that are arranged below the skin and keep the cheeks looking plump and well shaped. As we age there are changes in the volume of these parcels of fat. The deep parcels of fat tend to lose volume and deflate. The superficial parcels of fat are more variable and may lose or gain fat depending upon our dietary habits. As a result the cheeks are not as plump and taut. In addition we can develop folds around the mouth and nose due to sagging of fat – the nasolabial folds and marionette lines.