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Benign Skin Conditions and Aging

Why does my skin feel dryer as I’m getting older?
As a woman matures in age, she may notice changes in her skin. As skin ages, the epidermis, or outer layer of skin, becomes thinner and is less able to retain water. Also, with increasing age, the skin produces less oil. Thus, complaints arising from dry skin may arise.

What can I do to improve my dry skin and relieve the associated itching?
Avoid hot, soapy baths and showers, which may over-dry the skin. Immediately after showering or bathing, apply bath oil or lotion onto wet skin. Products such as baby oil and petroleum jelly are the most effective. Common hand lotions often contain alcohol and have little oil and are therefore less effective.

Why is my skin more fragile and actually tears after adhesive bandages are removed?
As skin ages, it is more susceptible to tearing secondary to thinning out of structures called the “rete ridges” that are located between the outer skin layer or epidermis, and the deeper skin layer, the dermis. This flattening of the rete ridges causes a loss of skin stability. This is why it is not uncommon for older skin to tear away when adhesive substances from bandages or IV sites are peeled away.

Why does my skin seem to be losing its elasticity or recoil?
The deeper skin layer, the dermis, also gets thinner with increasing age. In time, after years of ultraviolet light absorption, older skin, specifically the dermis, has changes in its structural components (specifically elastin) that cause skin to have less elastic recoil.

Is there anything I can do to prevent my skin from getting wrinkles?
Avoid sun exposure without sun block and smoking. Long-term smokers have significantly more fine wrinkles possibly due to compounds in tobacco that interfere with skin’s elasticity.

What are the tiny red dots that are popping up on my skin?
Cherry angiomas are benign vascular proliferations that first appear as small red pinhead-sized dots, which can later become large, thrombose and turn black. Cherry angiomas are more common in women than in men.

What are the “stuck on mud-” appearing lesions?
You may be describing seborrheic keratoses, which are benign growths of the outer layers of skin. They can be either flat or thick, and may be light, dark, tan or occasionally multicolored. Common sites include the face, back and under the breasts.

It is very important that benign seborrheic keratoses be distinguished from malignant melanomas. Since malignant melanomas are potentially lethal but treatable with early diagnosis and management, a healthcare provider must examine and even, if need be, biopsy the lesions, as soon as possible.

While seborrheic keratoses often have very clear margins, melanomas may have indistinct borders and pigmented areas that appear to spread out laterally from the lesion itself.

Although seborrheic keratosis themselves may be benign, they can be associated with malignancy or other disease processes. Therefore, please have a healthcare provider evaluate any skin irregularities or growths. Early diagnosis and intervention can save one’s life.

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