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Clinical Patterns of Facial Aging among Egyptian Females

Background: the skin displays the most visible manifestations of aging. Research interest in aging process has grown and people are becoming obsessed with looking young. The face has received most of the attention and generated most of the studies related to beauty and aging because it is the most expressive part of  human body. Aim of the Work: to assess the different clinical patterns of facial wrinkles and signs of skin aging among different age categories of Egyptian females. Subjects and Methods: this cross-sectional study was carried out in the Dermatology, Venereology and Andrology department of Ain Shams University Hospitals after Institutional Review Board approval. The study included included 100 adult females ranged from 20-60 years old. Results: the mean age was (38.570±11.634) with a range of 20-60 years. Skin phototype was Fitzpatrick Type III in 8 patients (8%), IV in 55 females (55%) and V in 37 females (37%). Glogau classification for severity of skin aging signs was type I in 39 cases (39%), Type II in 20 (20%), Type III in 26 (26%) and type VI in 15 (15%). All patients reported history of excessive sun exposure for extended hours; 32 cases reported sunscreen use but not regular, while 68 cases didn’t use sunscreen. Conclusion: skin Type IV showed more wrinkles indentation index, roughness, melanin concentration, melanin heterogeneity and HGB heterogeneity. There was a significant correlation between the sunscreen use and average melanin concentration, where cases that used sunscreen showed lower average melanin concentration. The relation between sun screen use and severity of wrinkles (Indentation index) was non-significant.