I am sure I look different though I seldom look at myself so maybe it is just a feeling for me. I can feel my face sagging low from top to bottom. When forced I can pull it all up and even feel my eyes sparkle to avoid anyone saying 'are you okay?.... you look aweful!'

I also use smiling as a kind of therapy. It lifts my spirits to put a smile on my face. When I notice how lifeless my face is feeling I consciously put some life into it and hold that smile so I can see things differently for a while.