Facial Skin Atrophy: Causes and Consequences

Facial skin atrophy?

Hello Doctor: I would like to ask you: Due to prolonged use of substandard cosmetics, the user has experienced intense stinging and discomfort on their face.
However, they were misled by a salesperson and continued to use the products despite the pain.
The salesperson also forcefully removed a thick layer of scabbing from the patient's face.
Could this cause skin atrophy on the face, and to what extent could it potentially damage the subcutaneous fat tissue, leading to fat atrophy? Thank you for your response, Doctor!

A Yun, 30~39 year old female. Ask Date: 2008/10/06

Dr. Huang Ruiyun reply Dermatology

This type of injury is limited to the epidermis, and at most, the dermis, without reaching the subcutaneous fat.

Reply Date: 2008/10/06

More Info

Facial skin atrophy is a condition characterized by the thinning of the skin, which can lead to various cosmetic and health concerns. It can be caused by a variety of factors, including prolonged use of inappropriate cosmetics, harsh treatments, and underlying medical conditions. In your case, the use of substandard cosmetics and aggressive physical manipulation of the skin can indeed contribute to skin atrophy and may even affect the underlying fat tissue.

When the skin is subjected to harsh chemicals or physical trauma, such as vigorous scrubbing or peeling, it can lead to inflammation and damage to the skin barrier. This damage can result in a loss of collagen and elastin, which are essential proteins that provide structure and elasticity to the skin. Over time, this can lead to thinning of the skin, making it more susceptible to injury and irritation.

In your situation, the aggressive removal of scabs and the continued use of irritating products can exacerbate the problem. The skin may become inflamed, leading to a cycle of irritation and further thinning. If the inflammation is severe, it can indeed affect the subcutaneous fat layer, leading to a condition known as fat atrophy. This occurs when the fat cells beneath the skin are damaged or destroyed, resulting in a sunken appearance and loss of volume in the affected areas.

The consequences of facial skin atrophy can be significant. Aesthetic concerns include sagging skin, increased visibility of fine lines and wrinkles, and a generally aged appearance. Additionally, the skin may become more prone to infections and other dermatological issues due to its compromised barrier function.

To address facial skin atrophy, it is crucial to stop using any products that are causing irritation. Instead, focus on gentle, hydrating skincare products that are free from harsh chemicals and fragrances. Look for ingredients such as hyaluronic acid, glycerin, and ceramides, which can help restore moisture and strengthen the skin barrier. It may also be beneficial to consult with a dermatologist who can assess the extent of the damage and recommend appropriate treatments, such as topical steroids to reduce inflammation, or even procedures like microneedling or laser therapy to stimulate collagen production.

In addition to topical treatments, consider incorporating a well-balanced diet rich in vitamins and antioxidants, which can support skin health from the inside out. Staying hydrated and protecting your skin from sun exposure with a broad-spectrum sunscreen is also essential in preventing further damage.

In summary, facial skin atrophy can result from the use of inappropriate cosmetics and aggressive skin treatments, potentially leading to damage to the underlying fat tissue. It is essential to cease the use of irritating products and consult with a healthcare professional for a tailored treatment plan. With the right care and attention, it is possible to improve the condition of your skin and restore its health and appearance.

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