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SAVING YOUR SKIN

Source: www.ucsf.edu
Topic: Skin Aging
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Sort Desciption: OUTLINE Factors that contribute to skin aging? Aging skin under the microscope What do people complain about? Pigmentary changes Wrinkles Sagging skin Telangiectasiae Topical creams for aging skin An approach to ...

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OUTLINE Factors that contribute to skin aging? Aging skin under the microscope What do people complain about? Pigmentary changes Wrinkles Sagging skin Telangiectasiae Topical creams for aging skin An approach to topical therapy of aging skin FACTORS THAT CONTRIBUTE TO CHANGES IN THE SKIN Primary Factors Intrinsic aging Intrinsic aging Photoaging Photoaging photo photo damage damage Loss of subcutaneous support Secondary Factors Gravity Facial Movement Sleep position INTRINSIC AGING PHOTOAGING Laxity Yellowing Roughness Fine wrinkling Leathery quality Irregular pigmentation Asteatosis Lentigines (freckles) Comedone formation Benign tumors Actinic keratoses Malignant tumors GLOGAU PHOTOAGING CLASSIFICATION Type I: No Wrinkles Early photoaging Mild pigmentary changes No keratoses Minimal wrinkles Twenties or thirties Type II: Wrinkles in Motion Early to moderate photoaging Early senile lentigines (freckles) visible Keratoses palpable but not visible Parallel smile lines beginning to appear Later thirties or forties GLOGAU PHOTOAGING CLASSIFICATION Type III: Wrinkles at Rest Advanced photoaging Obvious pigment irregularity, telangiectasia Visible keratoses Wrinkles even when not moving Fifties or older Type IV: Only Wrinkles Severe photoaging Yellow-gray skin Prior skin malignancies Wrinkled skin throughout, no normal skin Sixties or older From Glogau RG: Chemical peeling and aging skin. The Journal of Geriatric Dermatology 2:30-35, 1994. FACTORS THAT CONTRIBUTE TO CHANGES IN THE SKIN Primary Factors Inherent aging Actinic damage Loss of subcutaneous support Loss of subcutaneous support Secondary Factors Gravity Facial Movement Sleep position Loss of subcutaneous support = sagging skin! Bone resorption occurs as you age Skull gets smaller Loss subcutaneous fat = too much skin! Larabee WF, Caro I. Postgrad. Med. 76:37-45, 1984 FACTORS ...

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