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The inferolateral orbital rim changes manifest earlier, by middle age, whereas in the superomedial quadrant, recession may be noted only in old age. The superomedial and inferolateral aspects of the orbit have the greatest tendency to resorb. This contributes to the stigmata of periorbital aging such as increased prominence of the medial fat pad, elevation of the medial brow, and lengthening of the lid cheek junction. The rate of bony resorption in the midface, however, is not uniform.