Skin aging is complicated. It doesn't come from just one thing. Instead, many different factors work together to change how your skin looks and feels as you age. Some of these factors come from inside your body, like your genes and hormones. Others come from outside, like sun exposure and air pollution.
What makes skin aging especially interesting for women is that they face unique challenges. Women go through big hormonal changes during menopause that can speed up skin aging. Understanding these factors can help you make better choices to keep your skin healthy.

Biological and Cellular Aging
Your skin ages at the cellular level, meaning the tiny building blocks of your skin change over time. Several biological processes drive these changes, affecting how your skin looks and functions.
Oxidative Stress and Free Radicals
What is it? Free radicals are unstable molecules that form in your body during normal processes like breathing and digestion. Think of them as cellular troublemakers. Your body also makes free radicals when exposed to things like sunlight, pollution, and cigarette smoke.
Your body has natural defenses called antioxidants that fight these free radicals. But when free radicals outnumber your antioxidants, it creates what scientists call "oxidative stress."
What does it mean for skin aging? Oxidative stress damages important skin components. Free radicals attack collagen and elastin, the proteins that keep your skin firm and stretchy. They also harm your skin cells' DNA and the protective barrier on your skin's surface.
As you get older, your skin's ability to fight off free radicals naturally decreases. This makes your skin more vulnerable to damage from oxidative stress.
Cellular Senescence
What is it? Cellular senescence happens when cells stop dividing and growing, but don't die. Instead, they stick around in your tissues. Scientists sometimes call these "zombie cells" because they're not fully alive or dead.
These senescent cells pile up in your skin as you age. They release inflammatory chemicals and enzymes that damage the tissue around them. This process is called the "senescence-associated secretory phenotype" or SASP.
What does it mean for skin aging? Studies show that senescent cells accumulate in all layers of aging skin. Research has found a clear link between the number of senescent cells and signs of aging in skin.
These cells cause problems in several ways. They break down collagen in the dermis (the deeper layer of skin). They slow down cell renewal in the epidermis (the outer layer). They also create inflammation that damages healthy nearby cells. Over time, senescent cells build up and contribute to thinner skin, more wrinkles, and slower healing.
Genetic Factors
What does genetics mean? Your genes are like an instruction manual for your body. They determine many things about you, from your eye color to how your skin ages. You inherit these genetic instructions from your parents.
How does it impact skin aging? Research shows that genetics accounts for about 60% of how skin ages. The other 40% comes from environmental and lifestyle factors.
Different genes affect different aspects of skin aging. Some genes influence collagen production, moisture retention, and pigmentation. Others affect how well your skin protects itself from sun damage or how quickly it repairs itself.
Some people are more prone to wrinkles, age spots, or loss of elasticity due to genetics. However, hormonal changes that impact all women also play a major role in how your skin ages.
Hormonal Changes During Perimenopause and Menopause
Hormones act as chemical messengers in your body, controlling many processes including skin health. For women, hormonal changes, especially during perimenopause and menopause, have an impact on skin aging.
Estrogen Decline
Estrogen is a hormone that plays a crucial role in keeping skin healthy. It helps maintain collagen production, skin thickness, moisture, and elasticity.
During perimenopause (the years before menopause), estrogen levels start to fluctuate and decline. After menopause, estrogen drops significantly. This hormonal shift has major effects on skin.
The drop in estrogen affects multiple aspects of skin:
- Skin becomes thinner and more fragile
- Moisture levels decrease, leading to dryness
- Elasticity declines, contributing to sagging
- The skin barrier weakens, making skin more sensitive
- Skin cell renewal and wound healing slows down
Collagen Decline
Collagen is the most abundant protein in your skin. Think of collagen as the scaffolding that holds your skin up and keeps it firm.
Your body naturally makes less collagen as you age. This process starts in your mid-to-late twenties when collagen production begins to slow down gradually.
For women, collagen loss accelerates dramatically around menopause due to declining estrogen. Studies show that women lose collagen at a rate of 2% per year during the first 15 years after menopause. Type I and Type III collagen, the main types in skin, can decrease by as much as 30% in the first five years after menopause.
Research has found that estrogen stimulates the cells that make collagen (called fibroblasts). When estrogen levels drop, these cells become less active, producing less collagen. At the same time, enzymes that break down collagen become more active.
When collagen breaks down faster than your body can replace it, several changes occur:
- Skin loses its firmness and structure
- Wrinkles and fine lines become more visible
- Skin becomes thinner and more fragile
- Loss of volume leads to sagging
- The skin takes longer to heal from injuries
Environmental and Lifestyle Factors
While internal factors like genetics and hormones play major roles in skin aging, your daily environment and lifestyle choices have powerful effects too. These external factors can either speed up or slow down how your skin ages.
Photoaging and Hyperpigmentation
UV radiation from the sun is the single biggest cause of premature skin aging, accounting for up to 80% of visible facial aging. This type of aging is called "photoaging."
The sun emits two types of UV rays that damage skin:
- UVB rays mainly affect the outer layer of skin, causing sunburn and DNA damage
- UVA rays penetrate deeper into the dermis, damaging collagen and elastin
Research shows that UV radiation damages skin in multiple ways. It creates free radicals that trigger oxidative stress. It activates enzymes that break down collagen and triggers inflammation.
Studies have found that even small amounts of UV exposure add up over time. Repeated low-level UV exposure causes cumulative damage that appears as wrinkles, age spots also known as hyperpigmentation, uneven skin tone and discolouration, and loss of elasticity.
Diet and Nutrition Deficiencies
What you eat affects how your skin ages. Research shows that certain nutrients are essential for maintaining healthy, youthful-looking skin.
Protective nutrients: Studies have found that higher intake of antioxidant-rich foods (including vegetables, fruits, and whole grains), vitamin C, and healthy fats (like omega-3s) is associated with better skin appearance and fewer wrinkles.
Vitamin C is crucial for collagen production and acts as an antioxidant that protects against damage. Proteins are also needed to make new collagen and repair damage.
Foods to avoid: Research shows that diets high in fats and refined carbohydrates are linked to more wrinkles and skin aging. High sugar intake can lead to a process called "glycation," where sugar molecules damage proteins like collagen.
Your overall diet matters more than individual nutrients. A balanced diet with plenty of vegetables, fruits, healthy fats, and adequate protein supports skin health better than supplements alone.
Sleep Quality and Chronic Stress
Sleep: Sleep is when your body repairs itself, including your skin. During deep sleep, your body increases collagen production, boosts blood flow to skin, and repairs damage from the day.
Research shows that poor sleep quality is associated with increased signs of aging. A study found that good sleepers had lower skin aging scores and 30% better skin barrier recovery compared to poor sleepers. People who don't get enough sleep also report less satisfaction with their appearance.
Lack of sleep elevates stress hormones like cortisol, which breaks down collagen. It also increases inflammation and impairs the skin's ability to retain moisture.
Stress: Chronic psychological stress accelerates skin aging through multiple pathways. Stress triggers the release of cortisol and other hormones that increase inflammation and oxidative stress in skin.
Studies have found that stress disrupts the skin barrier function, making skin more sensitive and prone to irritation. It also impairs wound healing and can trigger or worsen inflammatory skin conditions.
The relationship between stress and skin creates a cycle. Stress impacts skin appearance, which can lead to more stress about appearance.
Exercise Levels
Moderate, regular physical activity benefits skin health in several ways. Exercise increases blood flow to skin, delivering more oxygen and nutrients while removing waste products.
Research shows that exercise can help maintain skin structure and may even reverse some age-related changes. Studies have found that regular exercise increases skin thickness and improves the dermis structure, possibly by promoting mitochondrial health (the powerhouses of cells).
Exercise also helps regulate stress hormones, improves sleep quality, and supports overall health, all of which benefit skin.
Aging Skin is Natural. It’s Also Treatable.
Regardless of your skin type, lifestyle, or genetics, skin aging happens to all women. Multiple factors work together to change how skin looks and functions over time—from cellular processes like oxidative stress and senescence, to hormonal changes during menopause, to environmental exposures like sun damage.
While aging is inevitable, the rate and extent of skin aging can be influenced. The science is clear: lifestyle choices matter. Protecting your skin from the sun, maintaining a healthy diet, getting adequate sleep, managing stress, and getting regular exercise can all support skin health. Small changes in your daily habits, like wearing sunscreen, eating more vegetables, and getting enough sleep, can have meaningful effects over time.
Advancements have also been made in skincare, specifically medical-grade skincare. Now, there are clinically proven active ingredients that speed up cell regeneration, boost collagen production, ward off free radicals, and reduce hyperpigmentation at a cellular level.
Understanding what causes skin aging empowers you to make informed choices about how you want to care for your skin as you age. Whether you’re starting anti-aging skincare early or caring for mature skin, you can embrace aging confidently by taking small, simple steps to support your skin's health.
References
- Poljšak B, Dahmane R. Free Radicals and Extrinsic Skin Aging. Dermatology Research and Practice. 2012. https://pmc.ncbi.nlm.nih.gov/articles/PMC3299230/
- Chen J, Liu Y, Zhao Z, Qiu J. Oxidative stress in the skin: Impact and related protection. International Journal of Cosmetic Science. 2021;43(5):495-509. https://onlinelibrary.wiley.com/doi/10.1111/ics.12728
- Guo B, Zhang ZK, Liang C, et al. Molecular Mechanisms of Oxidative Stress in Skin Aging. Nutrients. 2022;14(13):2640. https://pmc.ncbi.nlm.nih.gov/articles/PMC4496685/
- Wang AS, Dreesen O. Biomarkers of Cellular Senescence and Skin Aging. Frontiers in Genetics. 2018. https://www.frontiersin.org/journals/genetics/articles/10.3389/fgene.2018.00247/full
- Ho CY, Dreesen O. Faces of cellular senescence in skin aging. Mechanisms of Ageing and Development. 2021;198:111525. https://www.sciencedirect.com/science/article/pii/S004763742100097X
- Waaijer MEC, Parish WE, Strongitharm BH, et al. The number of p16INK4a positive cells in human skin reflects biological age. Aging Cell. 2012;11(4):722-725. https://pmc.ncbi.nlm.nih.gov/articles/PMC8524668/
- Chaib S, Tchkonia T, Kirkland JL. Cellular senescence and senolytics: the path to the clinic. Nature Medicine. 2022;28(8):1556-1568. https://pmc.ncbi.nlm.nih.gov/articles/PMC10703490/
- Waaijer SP, Ling S, Slagboom PE, et al. Cellular Senescence in Human Skin Aging: Leveraging Senotherapeutics. Karger. 2024. https://pmc.ncbi.nlm.nih.gov/articles/PMC10873061/
- Lim JY, Chew FT. Genetic determinants of skin ageing: a systematic review and meta-analysis. Journal of Physiological Anthropology. 2025;44:2. https://jphysiolanthropol.biomedcentral.com/articles/10.1186/s40101-025-00384-9
- Ganceviciene R, Liakou AI, Theodoridis A, Makrantonaki E, Zouboulis CC. Skin anti-aging strategies. Dermato-Endocrinology. 2012;4(3):308-319. https://pmc.ncbi.nlm.nih.gov/articles/PMC3583889/
- Naval J, Alonso V, Herranz MA. Genetic polymorphisms and skin aging: the identification of population genotypic groups holds potential for personalized treatments. Clinical, Cosmetic and Investigational Dermatology. 2014;7:207-214. https://pmc.ncbi.nlm.nih.gov/articles/PMC4085290/
- Ng JY, Chew FT. A systematic review of skin ageing genes: gene pleiotropy and genes on the chromosomal band 16q24.3 may drive skin ageing. Scientific Reports. 2022;12:13099. https://www.nature.com/articles/s41598-022-17443-1
- Gruber F, Kremslehner C, Narzt MS. Genetic profiling and precision skin care: a review. Frontiers in Genetics. 2025. https://www.frontiersin.org/journals/genetics/articles/10.3389/fgene.2025.1559510/full
- Chambers ES, Vukmanovic-Stejic M. Skin barrier immunity and ageing. Immunology. 2020;160(2):116-125. https://www.nature.com/articles/s41598-021-01573-z
- Shah MG, Maibach HI. Estrogen and skin: An overview. American Journal of Clinical Dermatology. 2001;2(3):143-150. https://pmc.ncbi.nlm.nih.gov/articles/PMC3772914/
- Verdier-Sévrain S, Bonté F. Skin hydration: a review on its molecular mechanisms. Journal of Cosmetic Dermatology. 2007;6(2):75-82. https://gremjournal.com/journal/01-2024/menopause-and-the-effects-of-hormone-replacement-therapy-on-skin-aging-a-short-review/
- Castelo-Branco C, Duran M, González-Merlo J. Skin collagen changes in postmenopausal women receiving different regimens of estrogen therapy. Maturitas. 1992;15(3):199-205. https://pubmed.ncbi.nlm.nih.gov/3601260/
- Thornton MJ. Estrogens and aging skin. Dermato-Endocrinology. 2013;5(2):264-270. https://pmc.ncbi.nlm.nih.gov/articles/PMC3772914/
- Brincat MP. Hormone replacement therapy and the skin. Maturitas. 2000;35(2):107-117. https://pmc.ncbi.nlm.nih.gov/articles/PMC2685269/
- Verdier-Sévrain S. Effect of estrogens on skin aging and the potential role of selective estrogen receptor modulators. Climacteric. 2007;10(4):289-297. https://pmc.ncbi.nlm.nih.gov/articles/PMC2685269/
- Brincat M, Kabalan S, Studd JWW, et al. A study of the decrease of skin collagen content, skin thickness, and bone mass in the postmenopausal woman. Obstetrics & Gynecology. 1987;70(6):840-845. https://pubmed.ncbi.nlm.nih.gov/3600420/
- Rzepecki AK, Murase JE, Juran R, Fabi SG, McLellan BN. Estrogen-deficient skin: The role of topical therapy. International Journal of Women's Dermatology. 2019;5(2):85-90. https://www.dovepress.com/factors-influencing-skin-aging-and-the-important-role-of-estrogens-and-peer-reviewed-fulltext-article-CCID
- Calleja-Agius J, Brincat M. The effect of menopause on the skin and other connective tissues. Gynecological Endocrinology. 2012;28(4):273-277. https://pmc.ncbi.nlm.nih.gov/articles/PMC12374573/
- Krutmann J, Bouloc A, Sore G, Bernard BA, Passeron T. The skin aging exposome. Journal of Dermatological Science. 2017;85(3):152-161. https://pmc.ncbi.nlm.nih.gov/articles/PMC8597149/
- Parrado C, Mercado-Saenz S, Perez-Davo A, Gilaberte Y, Gonzalez S, Juarranz A. Environmental Stressors on Skin Aging: Mechanistic Insights. Frontiers in Pharmacology. 2019;10:759. https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2019.00759/full
- Krutmann J, Schikowski T, Morita A, Berneburg M. Environmentally-Induced (Extrinsic) Skin Aging: Exposomal Factors and Underlying Mechanisms. Journal of Investigative Dermatology. 2021;141(4S):1096-1103. https://onlinelibrary.wiley.com/doi/full/10.1111/jocd.14033
- Rittié L, Fisher GJ. UV-light-induced signal cascades and skin aging. Ageing Research Reviews. 2002;1(4):705-720. https://pmc.ncbi.nlm.nih.gov/articles/PMC9307547/
- Bosch R, Philips N, Suárez-Pérez JA, et al. Mechanisms of photoaging and cutaneous photocarcinogenesis. Antioxidants. 2015;4(2):248-268. https://onlinelibrary.wiley.com/doi/10.1111/phpp.12688
- Ahmed IA, Mikail MA, Ibrahim M, et al. A Comprehensive Review of the Role of UV Radiation in Photoaging Processes Between Different Types of Skin. Cureus. 2025;17(3). https://pmc.ncbi.nlm.nih.gov/articles/PMC12018068/
- Schagen SK, Zampeli VA, Makrantonaki E, Zouboulis CC. Discovering the link between nutrition and skin aging. Dermato-Endocrinology. 2012;4(3):298-307. https://pmc.ncbi.nlm.nih.gov/articles/PMC3583891/
- Cao C, Xiao Z, Wu Y, Ge C. Diet and Skin Aging—From the Perspective of Food Nutrition. Nutrients. 2020;12(3):870. https://pmc.ncbi.nlm.nih.gov/articles/PMC7146365/
- Cosgrove MC, Franco OH, Granger SP, Murray PG, Mayes AE. Dietary nutrient intakes and skin-aging appearance among middle-aged American women. American Journal of Clinical Nutrition. 2007;86(4):1225-1231. https://ajcn.nutrition.org/article/S0002-9165(23)13548-9/fulltext
- Boelsma E, Hendriks HFJ, Roza L. Nutritional skin care: health effects of micronutrients and fatty acids. American Journal of Clinical Nutrition. 2001;73(5):853-864. https://pubmed.ncbi.nlm.nih.gov/24160273/
- Purba MB, Kouris-Blazos A, Wattanapenpaiboon N, et al. Skin wrinkling: can food make a difference? Journal of the American College of Nutrition. 2001;20(1):71-80. https://pubmed.ncbi.nlm.nih.gov/32213934/
- Cho S, Won CH, Lee DH, et al. The impact of perceived stress on skin ageing. British Journal of Dermatology. 2019;181(5):1071-1072. https://pubmed.ncbi.nlm.nih.gov/31407395/
- Oyetakin-White P, Suggs A, Koo B, et al. Does poor sleep quality affect skin ageing? Clinical and Experimental Dermatology. 2015;40(1):17-22. https://pubmed.ncbi.nlm.nih.gov/25266053/
- Hirotsu C, Tufik S, Andersen ML. Interactions between sleep, stress, and metabolism. Journal of Clinical Sleep Medicine. 2015;11(6):645-657. https://www.sciencedirect.com/science/article/pii/S0047637424000563
- Kiecolt-Glaser JK, Preacher KJ, MacCallum RC, et al. Chronic stress and age-related increases in the proinflammatory cytokine IL-6. Proceedings of the National Academy of Sciences. 2003;100(15):9090-9095. https://www.researchgate.net/publication/256466979_Psychological_Stress_and_skin_aging_A_review_of_possible_mechanisms_and_potential_therapies
- Pappas A. Nutrition and lifestyle approaches toward healthy skin. Dermato-Endocrinology. 2012;4(3):250-252. https://derma.jmir.org/2024/1/e51962
- Crane JD, MacNeil LG, Lally JS, et al. Exercise-stimulated interleukin-15 is controlled by AMPK and regulates skin metabolism and aging. Aging Cell. 2015;14(4):625-634. https://pmc.ncbi.nlm.nih.gov/articles/PMC10979338/
- Jura SL, Kroeck KG, Sattler FR. The impact of exercise on skin aging: a literature review. Journal of Dermatology Research. 2024;7:e51962. https://derma.jmir.org/2024/1/e51962
- Nkengne A, Bertin C, Stamatas GN, et al. Influence of facial skin attributes on the perceived age of Caucasian women. Journal of the European Academy of Dermatology and Venereology. 2008;22(8):982-991. https://www.mdpi.com/2079-9284/10/5/142




