Department of Dermatology, University of Michigan Medical School, Ann Arbor, Michigan, USA
Published: 06 January 2010
Cutaneous aging is a result of endogenous and exogenous processes that damage the dermal extracellular matrix. This damage leads to many of the clinical features that are undesirable in aged skin. The most detrimental exogenous factor is ultraviolet light (UV), which increases cutaneous levels of matrix degrading enzymes known as matrix metalloproteinases. In this article, we review known mechanisms of UV-induced aging (photoaging) and chronological aging. We will discuss current treatments used to improve the appearance and function of aged skin.