Buziashvili D, et al. - Given the critical importance of facial skeletal changes that occur with aging to the aesthetics of the aging face and the field of facial rejuvenation, researchers sought to longitudinally document the patterns of facial skeletal change among black individuals. In this retrospective case series study, the medical records of patients treated at an urban tertiary medical center and with at least 2 facial computed tomographic images obtained at least 6 years apart between 1973 and 2017, were evaluated. The analysis included a total of 20 patients (6 men, 14 women) and revealed a significant increase in piriform aperture width and female orbital width and a decrease in frontozygomatic junction width. Maxillary or glabellar angles or male orbital width displayed no significant changes. As per these findings, black individuals display significant longitudinal changes in the facial skeleton, but relative to previous studies of white individuals, these changes are less dramatic. These findings seem to be correlated with overall aging trends in bone mineral density.