The bones begin to deteriorate slightly. This is most significant in the inner ear, which can cause changes in balance and hearing. The eyebrows and eyelashes become gray. The eye socket loses some of it's fat pads, making the eyes look sunken and limiting eye movement. The lower eyelids may appear baggy, and drooping eyelids are fairly common.
Loss of teeth can make the lips look shrunken.
The forehead, nose and mouth thus look more pronounced. Muscle changes can make swallowing more difficult, which affects digestion and increases the risk of choking .