The aging of facial skin in women – is a natural and, in principle, predictable process. Despite the main causes and signs of aging that are typical for almost every woman, they all age differently. It is by these features of facial skin aging that the morphotypes of facial aging in women are determined, namely: tired morphotype, deformation morphotype, wrinkled morphotype and mixed morphotype. What characterizes each of these morphotypes? To understand this issue, it is necessary to define the criteria for evaluating the skin.
Skin assessment includes:
- General characteristics of the skin (color, tone, hydration, thickness);
- Presence of deformities (sagging cheeks, change in shape, uneven facial contour);
- Presence of wrinkles, folds, furrows and their characteristics;
- Skin photoaging.
Based on these criteria, 4 morphotypes of age-related changes in the skin of the face in women can be distinguished: tired, deformed, wrinkled and mixed morphotypes.
The main signs of age-related changes in each of the morphotypes
With tired morphotype, puffiness and pastyness of the face are noted. The reason is a violation of lymphatic drainage, a decrease in skin turgor, a decrease in the tone of mimic muscles. The skin of the bucco-zygomatic region has the least elasticity: nasopharyngeal furrows and folds appear, "puppet" wrinkles, which, together with the lowered corners of the eyes and lips, create a tired, exhausted look. He is also characterized by a moderate degree of gravitational ptosis (more pronounced in the middle third of the face). Photoaging is noted only in the case of mild to moderate degree (slight hyperpigmentation and / or uneven skin tone, a small amount of keratomas, lentiginous spots, telangiectasia on the face). This morphotype is the most favorable variant of facial aging.
With deformation morphotype, such signs as sagging cheeks, uneven (wavy) line of the face oval, overhanging and drooping of the upper eyelid fold, second chin, fatty hernias in the lower eyelid area, pronounced nasolabial folds. At the same time, the skin retains its hydration. Dryer skin is observed on the forehead and in the perioral region. The least elastic is the skin of the neck, which means that it is in this zone that the greatest deformations should be expected (the formation of pronounced nasolabial folds, nasolabial grooves and marionette wrinkles). Also noteworthy here is mild to moderate photoaging, slight skin hyperpigmentation, minor keratomas and lentiginous spots on the face. Skin aging may be exacerbated by the presence of an edematous or vascular component. With an edematous component, puffiness of the face is observed, the skin has the greatest luster among other morphotypes. The vascular component is expressed by rosacea of the facial skin.
With wrinkled morphotype, age-related degenerative changes in the dermis, epidermis and subcutaneous fat, which manifest themselves in the form of numerous wrinkles, predominate. Despite the increased sensitivity of the skin, women with this morphotype do not notice increased sensitivity to various external stimuli (cold, dry air, excessive insolation). The most deformable is the skin of the neck. Due to the uniform distribution of subcutaneous tissue, there are no differences in the deformation of the skin of the forehead, buccal and perioral areas. This type is characterized by deep wrinkles of the upper and lower lips. Photoaging of moderate or severe degree is manifested by significant skin dyschromia and the presence of hyperkeratosis due to photodamage.
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