Patients often have growths or skin changes that they wonder about.
After examining them, in many cases I say "happy birthday"...it's a
manifestation of getting older. Aging leads to a number of skin and
hair changes and when you add the effects of sun, smoking and the
environment, the changes can be profound. Over time the epidermis thins
and by age 60 the dermis is 20% thinner than before.