Skin Indentations: Causes and Concerns in Family Medicine - Family Medicine

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The skin is prone to indentations?


Hello Doctor: Recently, I have noticed that my skin often leaves noticeable marks after being pressed by harder objects.
For example, even a light press from a fingernail leaves a clear imprint that takes a while to fade.
However, the skin does not bounce back after being pressed (so it shouldn't be edema, right?).
I didn't have this issue before.
Is my body lacking something? Thank you for your response.

junet, 20~29 year old female. Ask Date: 2005/09/04

Dr. Lin Mingxing reply Family Medicine


Dear JUNET,
Dr.
Lin Ming-Hsing, Director of the Family Medicine Department at Tainan Hospital, Department of Health, Executive Yuan, suggests that you may consider supplementing with vitamin C to enhance intercellular filling and skin elasticity.
Wishing you good health and all the best from the Family Medicine Department at Tainan Hospital.

Reply Date: 2005/09/04

More Info


Skin indentations, or the visible marks left on the skin after pressure is applied, can be concerning for many individuals. Understanding the underlying causes and implications of these indentations is essential in family medicine.
Firstly, it’s important to recognize that skin indentations can occur for various reasons. One common cause is the natural aging process. As we age, our skin loses collagen and elastin, which are proteins that help maintain skin elasticity and firmness. This loss can lead to more pronounced indentations when pressure is applied, as the skin may not bounce back as effectively as it did in younger years.

Another potential cause is dehydration. When the body is dehydrated, the skin can become dry and less elastic, making it more susceptible to indentations. Ensuring adequate hydration by drinking enough water and using moisturizers can help improve skin elasticity.

Additionally, certain medical conditions can contribute to the appearance of skin indentations. For instance, conditions such as lymphedema, which involves swelling due to lymph fluid buildup, can cause the skin to retain impressions. However, you mentioned that the indentations do not rebound, which may suggest that this is not the case for you. Other conditions, such as connective tissue disorders, can also affect skin elasticity and lead to similar symptoms.

Furthermore, medications can play a role in skin changes. Some medications, particularly corticosteroids, can thin the skin and make it more prone to indentations. If you have recently started any new medications, it may be worth discussing this with your healthcare provider.

In your case, since you mentioned that the indentations are new and have not been present before, it may be beneficial to consider any recent changes in your lifestyle, diet, or skincare routine. Sometimes, changes in environmental factors, such as moving to a drier climate, can also impact skin health.

If the indentations persist or are accompanied by other symptoms, such as pain, swelling, or changes in skin color, it would be prudent to consult a healthcare professional. A family medicine physician or dermatologist can conduct a thorough evaluation, which may include a physical examination and possibly some laboratory tests to rule out underlying conditions.

In summary, while skin indentations can be a normal part of aging or a result of dehydration, they can also indicate underlying health issues. Keeping your skin well-hydrated, using appropriate moisturizers, and being mindful of any changes in your body are essential steps in maintaining skin health. If you have concerns, do not hesitate to seek medical advice to ensure that any potential issues are addressed promptly.

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