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Aging Skin & Wrinkles

Our skin changes as we age. With time, aging skin develops wrinkles, lines and furrows.

Changes to the Skin with Aging

Aging skin loses its underlying layers of fat, and the production of collagen and elastin fibers slows. As a result, the skin loses its fullness and starts to sag.
Aging Skin on the Hands

It starts to develop the following characteristics:

These changes develop slowly, but are continuous.

Although not usually obvious, the changes begin when people are in their twenties.

Factors That Promote Aging Skin and Wrinkles

A combination of factors determine the age at which wrinkles first appear, their location, and their prominence.

These factors include the following:

Wrinkles before/after treatment with a retinoid

Wrinkles before and after treatment with a topical retinoid

Fine lines

Fine lines and wrinkles arise because of irregular thickening of the dermis and because of a decrease in the amount of water held by the epidermis. This is mainly caused by exposure to the UV radiation of sunlight and exposure to damaging chemicals, such as from smoking cigarettes.


Deeper lines or furrows are described as either “dynamic” when they appear as different muscles move, or “static” if they remain unchanged with muscle movement. Eventually, dynamic lines become static furrows. Some furrows are so common that they have been given their own names.

Wrinkle Treatment Options

There are a variety of cosmetic products, medications and procedures that can lead to younger looking skin. These are often combined for best results.

Your physician will recommend a treatment based on multiple factors including the area to be treated and desired results.

Wrinkle Prevention

Wrinkles are a fact of life. But there are some basic measures that can prevent their premature development. These include:

Images courtesy of Gerald Goldberg, M.D.