The progressive deterioration of the skin’s structural and functional integrity over time, a process driven by intrinsic and extrinsic factors. This physiological decline manifests clinically as reduced elasticity, diminished hydration capacity, increased fragility, and the appearance of rhytides. It fundamentally involves changes in the dermal extracellular matrix and epidermal cell turnover.
Origin
This term is descriptive, combining the physiological process of aging with the specific organ system of the skin, or integumentary system. Its clinical relevance is centered in dermatology and aesthetic medicine, but hormonal health plays a significant role in its progression.
Mechanism
A key driver is the age-associated decrease in fibroblast activity, leading to reduced synthesis of collagen and elastin, the primary structural proteins. Concurrently, diminished estrogen and testosterone levels can impair dermal hydration and vascularity, accelerating the loss of volume and resilience. Cumulative oxidative stress and glycation further compromise cellular repair mechanisms, exacerbating the visible signs of decline.
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