Visible changes of female facial skin surface topography in relation to age and attractiveness perception

Objectives Evolutionary psychology suggests that a woman’s age and physical appearance are important mate choice criteria. Given that changes in female facial skin surface topography are important, prominent visible signs of aging, male perceptual sensitivity for variation in this trait may also affect preference and attractiveness judgment. Methods Two experiments were conducted to investigate perception (Experiment 1) and noticeability (Experiment 2) of skin surface topography manipulations in facial images of six British women, aged 45–65 years. In Experiment 1 skin surface topography cues were completely removed on the cheeks, the “crow’s feet” area adjacent to the eye, under the eyes, above the upper lip, and on the forehead while, in Experiment 2, it was removed gradually (20% increments) on the forehead and around the eyes. In both experiments, stimuli were presented to American and German participants (total N = 300, aged 15–55 years) in omnibus pair‐wise combinations (within‐face). With each pair, respondents were asked to select that face which they considered as younger looking (Experiments 1 and 2) and more attractive (Experiment 1). Results Faces with skin surface topography cues removed were judged significantly younger and more attractive than their original (unmodified) counterparts, with modifications on the forehead and around the eyes showing the highest differences. In these areas, participants were able to detect at least a 20% visual change in skin surface topography. Conclusions The results support the assertion that even small changes in skin surface topography affect the perceptions of a woman’s facial age and attractiveness and may, thus, also influence men’s mate preferences.     

Principles of high‐frequency ultrasonography for investigation of skin pathology

Ultrasonography is a valuable diagnostic tool widely used in medicine. During the last three decades, this non‐invasive skin imaging method has been extended to dermatology. High‐frequency ultrasonography with higher than 20 MHz scanners is well‐established for measuring tumour thickness and skin thickness when treating inflammatory skin diseases such as scleroderma or psoriasis. High‐frequency ultrasonography has become extremely helpful for the preoperative assessment of skin melanoma. The correlation between ultrasonic and histological measurements of melanomas thickness is significantly similarly good using transducers of 20, 75 or 100 MHz frequency (r range from 0.895 to 0.99) and better compared with transducers of 7.5 MHz frequency (r = 0.76). The preoperative sonographically estimated thickness of skin melanoma is sometimes overestimated, because of an underlying inflammatory infiltrate and other reasons. Assessment of skin melanoma thickness using transducers of 100 MHz frequency has better agreement with histology, compared with ultrasonography with 20 MHz transducers. However, the ultrasonic penetration depth is limited to 1.5 mm in case of 100 MHz. The newer ultrasonic techniques such as high‐frequency ultrasonography and colour Doppler sonography could be used for assessment of the tumour vascularization and its metastatic potential. The wide variety of diagnostic information provided by high‐frequency ultrasonography undoubtedly improves the management of oncological and inflammatory skin conditions and underlines its essential position in dermatological practice.     

Interaction of skin color distribution and skin surface topography cues in the perception of female facial age and health

Background Skin color distribution and skin surface topography are the predominant drivers of the variation in visible skin condition, and this variation affects one’s perception of age and health. Recent research, however, has shown that the strength of the impact of these features on perception differs such that skin surface topography is a stronger indicator of age, while skin color distribution is more strongly linked to health perception. Objectives To examine further the relative contribution and interaction effects of skin color distribution and surface topography cues on perception by considering small changes of these features. Methods Two sets of images were created by gradually smoothing uneven skin color distribution and removing skin surface topography cues (both in 25% increments) in the digital image of the face of a 61‐year‐old British woman. Omnibus pairwise combinations of modified images were presented to a panel of 160 German men and women (aged 19–49 years). With each pair, they were asked to select the face they considered both younger‐looking and healthier. Results Female facial age perception was more strongly affected by the removal of skin surface topography cues than by changes in skin color distribution, particularly so for topography removal of 50% and more. In contrast, the smoothing of uneven skin color distribution had a stronger effect on the perception of female facial health, particularly for changes of 25% and greater. Conclusions These results support previous reports on the differential effects of visible skin color distribution and surface topography cues on the perception of female facial age and health and show that only relatively small changes are necessary to drive this differential perception.     

Age‐related changes in skin mechanical properties: a quantitative evaluation of 120 female subjects

Background/purpose: The most commonly used method to determine the mechanical ability of skin is the creep test using suction chamber devices. Until now, there is no scientific consensus upon which skin deformation parameters and which body sites are particularly suitable to describe age‐related changes in human skin mechanics. The aim of this study was to find those mechanical skin parameters best representing influence of aging at five different body sites. Methods: A total of 120 healthy women aged 18–65, divided into four similar age groups, were included in this study. The biomechanical properties of the skin were measured using the Cutometer^® MPA 580 on five body sites: cheek, neck, cleavage, volar forearm and back of the hand. In order to analyze parameters referred to 1 mm skin thickness, we also used 20 MHz sonography (DUB 20). Results: A high average correlation with age was found for the parameters U_a/U_f, U_r/U_e, U_r, U_r/U_f and U_a. Only low correlation with age was found for the parameters U_v/U_e, U_f‐U_a, U_f5/U_f, U_d/U_f and U_a5. The localizations cheek, forearm and neck showed the highest correlation with age, while cleavage showed only low correlation. Conclusion: According to the results of our study, we recommend the parameter ratio of elastic recovery to distensibility (U_r/U_f) as well as the gross elasticity (U_a/U_f) for evaluation of aging effects on the mechanical properties of skin. Their high correlation with age makes them particularly applicable to represent the influence of aging onto skin mechanical properties. Most suitable localizations to evaluate skin aging are cheek, forearm and neck.     

Age‐related changes in the composition of the cornified envelope in human skin

The main function of the epidermis is to protect us against a multitude of hostile attacks from the environment. Its main cell type, the keratinocytes have a sophisticated system of different proteins and lipids available to form the cornified envelope, which is responsible for the barrier function of the skin. During ageing, dramatic changes are taking place. Some proteins of the SPRR‐, S100‐ and LCE3‐family are massively up‐regulated, whereas others like loricrin, filaggrin and the LCE1&2 protein families are significantly down‐regulated. The latter ones are known to be under control of calcium and/or ‘calcium response elements’. We were able to show that the calcium peak specific for the stratum granulosum, which is the site where loricrin and the LCE1&2 families are synthesized, is reduced during ageing. The resulting cornified envelope in old skin has an extensively changed composition on the molecular level compared to young skin. This knowledge is of critical importance to understand chronic wound formation and ulcers in old age.     

Prevalence and relevance of the positivity of skin prick testing in patients with chronic urticaria

Many patients with chronic urticaria (CU) worry that foods or other allergens are responsible for their urticaria. Skin prick testing (SPT) may be one of the investigations used to provide a clear illustration. The purpose of our study was to assess the prevalence of positivity of SPT to food allergens and aeroallergens and their relevance in patients with CU, in order to demonstrate the diagnostic value of SPT in CU. We retrospectively reviewed case record forms of patients with chronic ordinary urticaria who underwent SPT in the Urticaria Clinic, Siriraj Hospital, during the period 2000-2004. The studied allergens included 16 food allergens and 12 aeroallergens. Eighty-eight patients were enrolled. The prevalence of positive SPT among patients with CU was 47.7%. Patients who had personal histories of atopy had statistically significant positive SPT results compared with patients who had negative SPT. Of 88 patients, 26 patients (30%) gave positive results to food allergens, 36 patients (41%) gave positive results to aeroallergens and 20 patients (22.7%) gave positive results to both food and aeroallergens. One-third of the subjects (34.6%) who had positive SPT results to food allergens had clinical relevance of food allergy in some systems but only one patient had clinical relevance of food-induced urticaria. Half of the patients who had a history of aeroallergen sensitivity gave a positive SPT response for aeroallergens; however, there was no clinical relevance to their CU. Our study showed that the prevalence of positive SPT to food allergens and aeroallergens in patients with CU was common but had little clinical relevance to CU.