If you are an avid runner or know someone dedicated to clocking in daily miles, you may have noticed a common phenomenon known as “runner’s face.” This unflattering term describes the prematurely aged or gaunt appearance that can develop in individuals who engage in high volumes of cardio.1 While running is excellent for cardiovascular health and maintaining a lean physique, this effect can be an unexpected downside.
With this in mind, what exactly causes runner’s face, and what can be done about it? In this blog, our experienced Sacramento plastic surgeon explores common causes and potential treatment options.
What Causes “Runner’s Face?”
“Runner’s face” typically refers to the facial volume loss, sagging skin, and tired appearance that some runners develop over time. Endurance athletes are known for their lean frames and loss of facial fat. The compounding features of leanness and prolonged sun exposure combined with oxidative stressors and chronic dehydration creates a characteristic look. It’s important to note that running itself isn’t the direct cause of this issue; rather, certain environmental and lifestyle factors associated with frequent outdoor exercise can contribute to an aged or hollowed look.
Some of these factors include:
- Loss of facial fat: Running helps burn overall body fat – but unfortunately, this includes the natural fat pads in your face. As these diminish, cheeks and temples can appear hollow, creating a more skeletal or gaunt effect.
- Sun exposure: Outdoor runners often spend extended periods in the sun, which can accelerate collagen breakdown and lead to wrinkles, skin laxity, and sun damage.
- Wind damage: Regular exposure to wind while running outdoors can strip moisture from your skin, resulting in dryness, irritation, and a weathered appearance. Over time, this can weaken the skin’s barrier, making fine lines and wrinkles more visible.
- Dehydration: Intense cardio can dehydrate your skin, reducing its plumpness and elasticity. When the skin is dehydrated, fine lines and hollowness can become more noticeable after long runs.2
Potential Non-Surgical Remedies for “Runner’s Face”
Fortunately, adopting certain habits – such as drinking plenty of water, regularly using high-SPF sunscreen, and using nourishing moisturizers – can prevent the onset of runner’s face. That said, Dr. Perry notes that those who have already seen signs of the condition can possibly benefit from these non-surgical options:
- Neuromodulators: Injectables like BOTOX® Cosmetic and DAXXIFY® are designed to relax dynamic wrinkles caused by repetitive facial movements. By softening expression lines on the forehead, between the brows, and around the eyes, these treatments can produce a smoother, more youthful aesthetic.
- JUVÉDERM® products: This sought-after family of hyaluronic-acid based dermal fillers can restore lost volume in key areas such as the cheeks, temples, and around the mouth. This type of filler can replenish facial fullness, lift sagging skin, and enhance natural contours for a refreshed look.
- Laser therapies: At Chrysalis Cosmetics, we offer a variety of laser treatments to improve skin tone, refine texture, and reduce sun-related damage. Laser therapies can stimulate collagen production, which can tighten the skin, diminish fine lines, and result in healthier-looking skin overall.
For More Advanced Cases
For those experiencing significant signs of runner’s face, a surgical procedure may provide the most comprehensive and long-lasting results:
- Facelift surgery: A traditional, full-length facelift aims to address sagging in the mid-to-lower face by tightening underlying muscles and removing excess skin, rejuvenating facial contours and reducing deep folds.
- Mini facelift: This procedure generally offers a less invasive alternative with smaller incisions and a shorter recovery time, making it ideal for many patients with mild to moderate sagging.
- Neck lift surgery: Frequently combined with facelift surgery, a neck lift can smooth and define the jawline and neck for a more complete facial rejuvenation.
Learn More from Dr. Perry
If you are concerned about changes in your facial appearance from running or other lifestyle factors, Dr. Perry is here to help you look as vibrant as you feel. Contact Chrysalis Cosmetics today to schedule a consultation and explore the best treatment options for restoring your confidence!
