To understand why our facial protrusions begin to make us look like Pinocchio caught red-handed, let’s break apart what cartilage actually is, how it grows, and why it sags over time.
Cartilage is connective tissue coming in three forms: Hyaline, Elastic, and Fibrocartilage. The three main components of all cartilage types are: cells called chondrocytes, elastin fibers, and an intercellular matrix material. The difference between the three types lies in the kinds of protein fiber and their amounts embedded within the matrix.
Hyaline cartilage (also called articular) contains large protein molecules, like collagen, making up its matrix. This matrix is the predominant material within hyaline cartilage. It’s the most common throughout the body, found in your joints and on the edge of your ribs. This is also the type responsible for the shape of your sizable sniffer.
Elastic cartilage has large amounts of the same matrix material as hyaline, but its main component is elastic fibers that give it more flexibility. This type of cartilage is responsible for your ears. It’s also found in your epiglottis (the flap that keeps your food and drink from going down your lungs), and in the tubes between your ears and mouth, called Eustachian tubes.
All types of cartilage grow in one of two ways; interstitial, and appositional. Interstitial growth happens when cartilage is formed by chondrocytes within the cartilage, forming additional matrix. Appositional growth happens by adding new cartilage on the surface. This is formed from chondrocytes in a dense layer of connective tissue surrounding the cartilage, called the perichondrium.
The question then becomes: does this interstitial and appositional growth, cause the mass of our cartilage, and its size, to increase as we age? The result being bigger ears and noses. The answer is no. Studies have shown the numbers of cells present in our cartilage is very similar up to the age of 40. After that, we actually have a significantly lower number of cells present here- specifically, 1.8 times lower.
The misconception that cartilage continues to grow in size throughout our lifetime is mainly attributed to the growth in sharks. Sharks skeletal structure is mostly cartilage and they do continue growing throughout their lives. Fortunately for us, this doesn’t happen in humans.
Drooping isn’t the only cause to the appearance of larger ears and noses. The surrounding areas of the face, like your cheeks and lips, lose volume over time. The result is the appearance of larger organs next to them. Similar to the time honored tradition of standing next to someone who looks worse then you when trying to hit on a prospective mate. It makes you look better!
All of this drooping and stretching does cause our ears and noses to lengthen. Studies have shown that ears elongate by .22 millimeters per year. This elongation-to-age ratio is so exacting, it can be used by forensic scientists to determine the approximate age of a person.
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