Aging Changes in Skin

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Aging changes

With aging, the outer skin layer (epidermis) thins even though the number of cell layers remains unchanged.

The number of pigment-containing cells (melanocytes) decreases, but the remaining melanocytes increase in size. Aging skin thus appears thinner, more pale, and translucent. Large pigmented spots (called age spots, liver spots, or lentigos) may appear in sun-exposed areas.

Changes in the connective tissue reduce the skin's strength and elasticity. This is known as elastosis and is especially pronounced in sun-exposed areas (solar elastosis). Elastosis produces the leathery, weather-beaten appearance common to farmers, sailors, and others who spend a large portion of their life outdoors.

The blood vessels of the dermis become more fragile, which in turn leads to bruising, bleeding under the skin (purpura), cherry angiomas, and similar conditions.

Sebaceous glands produce less oil as you age. Men experience a minimal decrease, usually after 80 years old. Women gradually produce less oil beginning after menopause. This can make it harder to keep the skin moist, resulting in dryness and itchiness.

The subcutaneous fat layer, which provides insulation and padding, thins. This increases your risk of skin injury and reduces your ability to maintain body temperature. Because you have less "natural insulation" and in cold weather, hypothermia can result.

Some medications are absorbed by the fat layer, and loss of this layer changes the way that these medications work.

The sweat glands produce less sweat. This makes it harder to keep cool, and you become at increased risk for becoming overheated or developing heat stroke.

Growths such as skin tags, warts and other blemishes are more common in older people.