As we age, our skin changes as well. You might notice it’s no longer as smooth or firm as it once was. The skin becomes thinner, paler, and loses its elasticity.
Older adults also tend to have drier skin that bruises more easily due to more fragile blood vessels. The production of oil and sweat from skin glands also decreases over time.
Many factors contribute to the aging of the skin. One major cause is the natural decline of collagen and elastin, two proteins that help keep skin plump and resilient. As these proteins decrease, the skin becomes more fragile, prone to wrinkles, and more susceptible to damage.
Hormonal changes, such as those during menopause, can also cause the skin to become even drier and thinner. Chronic conditions, such as diabetes, kidney disease, or heart problems, can also manifest on the skin’s surface.
And then there’s the skin’s greatest enemy: the sun. UV rays gradually damage skin cells over time. At first, it may just cause sunburn, but long-term exposure can lead to wrinkles, a rough texture, and even skin cancer.
To make things trickier, aging skin also heals more slowly. Wounds can take 3–4 times longer to heal compared to younger skin. This increases the risk of infection, especially if your immune system is weakened or blood circulation is impaired.
While many age-related skin changes are natural, some still need attention and care.
Common Skin Conditions in Older Adults
Actinic Keratosis
Usually caused by prolonged sun exposure. These are rough, raised, scaly patches that may appear red, brown, or pink in color. If left untreated, they can develop into skin cancer.
Seborrheic Keratosis
These are dark brown or black spots that can appear anywhere on the body. They might look concerning, but are typically harmless and non-cancerous.
Age Spots
Also known as liver spots, these dark patches often appear on areas of the body exposed to the sun, such as the face, hands, and arms. Common after age 50, but can occur earlier with excessive sun exposure.
Cherry Angiomas
Small, bright red bumps that often appear on the chest, back, or abdomen. They’re usually painless but may bleed if scratched or irritated.
Other Common Skin Complaints
Dehydration
Older adults naturally retain less water. Staying well-hydrated is essential. Include plenty of water-rich fruits and vegetables in your diet, and consider electrolyte-rich drinks if you’re sweating excessively or recovering from an illness.
Eczema, Dermatitis, and Itchiness
Persistent itchiness can be uncomfortable. Corticosteroid creams can help relieve symptoms. For severe eczema, doctors may prescribe biologic treatments, such as Dupixent.
Allergies
Mild allergic reactions, such as itching or hives, can often be managed with antihistamines like cetirizine (Zyrtec), loratadine (Claritin), or diphenhydramine (Benadryl). For stronger symptoms, consult a doctor.
Fungal Infections
Conditions like ringworm or athlete’s foot can be treated with antifungal creams. For more severe cases, oral medications like terbinafine (Lamisil) may be prescribed.
Insect Bites
Itching from insect bites can be soothed with antihistamine ointments. To prevent bites, use insect repellent, wear protective clothing, and keep your home sealed to prevent pests from entering.
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Aging is a natural process, and so are the changes in your skin. But that doesn’t mean you can’t care for it. Begin with simple steps: moisturize regularly, protect your skin from the sun, and be mindful of any changes.
If you notice anything unusual—like a new bump, easily broken skin, or a spot that changes shape or color—don’t hesitate to see a doctor. Skin isn’t just about appearance; it’s also a reflection of your overall health.
References
Medline Plus. Accessed in 2025. Aging Changes in Skin.
NIH. Accessed in 2025. Age and Aging.
WebMD. Accessed in 2025. Weird Things That Happen to Your Skin as You Age.
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