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Characteristic skin changes occur as a person grows older. In most individuals there is a loss of subcutaneous elastic tissue and wrinkles appear. Sometimes these are distressing, and many plastic surgery operations have been devised to lift the face, correct baggy eyelids, or otherwise make a person look younger. More important are the changes that can lead to disease. Chronic exposure to wind and sun with other forms of irritation to the skin may produce dry, scaling plaques, particularly on the face or exposed areas. A premalignant skin irritation known as senile keratosis may occur under these circumstances. The lesion should be removed or otherwise treated to prevent skin cancer.

Common raised pigmented waxy looking plaques occur in aging skin, both on the face, extremities, and trunk. These seborrheic keratoses are completely benign and are normally quite superficial. Freezing with liquidmnitrogen, electrodesication (cautery), scraping, or curetting of the lesions may remove them completely and allow for the return of normal skin in that area.Thinning of the hair and eyebrows are also common in the aging process. Individuals should anticipate the waning of youth with an acceptance of certain changes and the cultivation of a disposition that will produce “happy wrinkles” and an adjustment to the golden years that preserves maximal health and interests in life.

The low fat vegetarian diet greatly improves circulation. Its influence on the skin is beneficial as well. Many are promoting the use of Vitamin E toretard aging. While this oil is helpful in certain topical applications, wholesale supplementation is seldom necessary. In preference, I recommend the use of nuts, whole grains, fruits, and vegetables as the diet best calculated to promote longevity and insure good health of the skin. Cleansing baths, exercise, and regular changing of clothing are just as helpful to the senior citizen, as they are important for the baby.

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