11 Top Skin-Care Problems for Women Over 50

3. Unpredictable breakouts

Even women with no history of acne or blemishes can suddenly get unstable skin at 50. Blemishes have popped up as a pet peeve, thanks to wobbling hormones, stress and not-so-healthy sugar binges. “Stress is a skin-wrecker,” says Zeichner. “It causes a spike in cortisol levels, which can increase inflammation, oil production and an urge to eat highly processed sugary foods ... all of which encourage breakouts to emerge side by side with wrinkles. Using a retinol cream at night counters blemishes and at the same time stimulates collagen to firm up saggy skin and improve lines and wrinkles.” Try: Palmer's Cocoa Butter Formula Night Renewal Cream ($9, target.com), Olay Regenerist Retinol24 MAX Night Face Moisturizer ($44, walgreens.com) or Neutrogena Rapid Wrinkle Repair Hyaluronic Acid Night Moisturizer with Retinol ($18, target.com).

(Left to right) Paula’s Choice Omega+ Complex Moisturizer; Olay Regenerist Ultra Rich Hydrating Moisturizer Unscented; CeraVe AM Facial Moisturizing Lotion SPF 30

Dermstore; Target; Ulta Beauty

4. Extra dry skin

As estrogen levels decline skin feels thinner, parched and lacks “glow.” Add colder weather to that list, and you've got a complexion desert. “During the first five years of menopause women lose 30 percent of the collagen in their skin and body,” says Day. “I'm a believer in low-dose hormone replacement therapy to keep skin moist, firm and fresh, but this is an individual decision that must be made with your own doctor. I advise all women over 50 to include healthy fats in their diet with omega-rich foods like salmon, nuts and seeds to improve skin texture and radiance. A low-fat or no-fat diet is not helping mature skin at all.” Zeichner adds, “Aside from using a topical retinoid at night, treat skin all day long with moisturizers and serums that contain one or more proven ‘power’ ingredients like hyaluronic acid, ceramides, peptides, shea butter and vitamin B3 to bring back a dewy fresh look — they're game changers.” Try: Paula's Choice Omega+ Complex Moisturizer ($35, dermstore.com), Olay Regenerist Ultra Rich Hydrating Moisturizer Unscented ($29, target.com) or CeraVe AM Facial Moisturizing Lotion SPF 30 ($19, ulta.com).

(Left to right) Neutrogena Hydro Boost Gel Hand Cream with Hyaluronic Acid; Bioderma Atoderm Hand & Nail Cream; CeraVe Therapeutic Hand Cream Skin Protectant

CVS (3)

5. Red, chapped hands

Who doesn't have this skin problem nowadays? “Remember to use fragrance-free hand creams after each washing to compensate for dryness from frequent cleansing and hand sanitizer use,” says Zeichner. “Hands can easily become red, scaly, rough ... but respond quickly to ingredients like shea butter and hyaluronic acid. Leave one on every sink and in every bag. You can only improve, not lose, with these.” Try: Neutrogena Hydro Boost Gel Hand Cream with Hyaluronic Acid ($7, cvs.com), Bioderma Atoderm Hand & Nail Cream ($10, cvs.com) or CeraVe Therapeutic Hand Cream Skin Protectant ($13, cvs.com).

(Left to right) Head & Shoulders Clinical Strength Anti-Dandruff Shampoo; Nizoral Anti-Dandruff Shampoo; Matrix Biolage Scalpsync Anti-Dandruff Shampoo

Walgreens (2); Ulta Beauty

6. Itchy scalp, hairline and brows

Many of us have been using more dry shampoo this year and washing our hair less. The result is contributing to an uptick in flaky, itchy scalp issues. “The cause may be dandruff caused by an overgrowth of a yeast on the scalp, an oily scalp or just truly dry skin — and sometimes it is genetic, but we are seeing more cases,” says Zeichner. “Dandruff can even affect the hairline right in front of your ears, eyebrows or smile lines. Usually an over-the-counter shampoo with zinc pyrithione, selenium sulfide or ketoconazole can do the trick. Since some medicated shampoos can affect processed hair color, try applying your usual conditioner before washing your hair with a dandruff shampoo. Use a Q-tip to cleanse and shampoo brows if this area is flaky.” Try: Head & Shoulders Clinical Strength Anti-Dandruff Shampoo ($7, walgreens.com) with selenium sulfide, Nizoral Anti-Dandruff Shampoo ($12, walgreens.com) with ketoconazole or Matrix Biolage Scalpsync Anti-Dandruff Shampoo ($19, ulta.com) with pyrithione zinc.

(Left to right) La Roche-Posay Double Repair Face Moisturizer; Cetaphil Deep Hydration Healthy Glow Daily Cream; The Ordinary Natural Moisturizing Factors + HA

Dermstore; Target; Sephora

7. More sensitive skin

Most mature women, if asked, will say their easily reddened and rash-prone skin is sensitive. “Skin sensitivity is often caused by a thinned, weakened protective barrier — also known as the stratum corneum — the skin's outermost layer made up of ceramides, fatty acids and cholesterol,” Zeichner says. “It protects your skin from water loss; environmental factors like cold, heat and wind; and unfriendly product ingredients that cause skin to feel tight or flare up. Using moisturizers with the ingredients niacinamide and/or hyaluronic acid helps boost moisture levels in the skin to help restore this barrier. Keep your routine simple, and wash with tepid water — not hot, too.” Try: Cetaphil Deep Hydration Healthy Glow Daily Cream ($17, target.com), La Roche-Posay Double Repair Face Moisturizer ($20, dermstore.com) or The Ordinary Natural Moisturizing Factors + HA ($6, sephora.com).

8. Skin product reactions

We've become skeptical about trying any new product — from laundry detergent to moisturizer, topical oils to eye cream. “Mature skin is very reactive to product use and misuse — from extreme stinging and burning on one end to flare-ups of rosacea or adult acne to a mild uncomfortable feeling at the other extreme,” says Day. “I suggest women choose skin-care products with soothing, calming ingredients like niacinamide and aloe or green tea, use gentle cleansers and just a dab of over-the-counter hydrocortisone on small, irritated red spots. Stick with fragrance-free detergents, and check with your dermatologist if your normally well-behaved skin becomes incredibly reactive. Heightened sensitivity can indicate a condition like eczema or rosacea or allergic contact dermatitis, and only a board-certified dermatologist can tell the difference.” Try: Mario Badescu Aloe Moisturizer ($24, nordstrom.com), It Cosmetics Bye Bye Redness Neutralizing Color-Correcting Cream ($34, sephora.com) or Proactiv Green Tea Moisturizer ($40, ulta.com).

(Left to right) Peter Thomas Roth Instant Mineral Broad Spectrum SPF 45 Sunscreen; Colorescience Sunforgettable Brush-On Sunscreen; Olay Regenerist Mineral Sunscreen Hydrating Moisturizer SPF 30

Ulta Beauty; Colorescience; Target

9. Confusion about sun-damage protection

"Mask-wearing is not an excuse to skip sunscreen,” says Day. “The choice of using a mineral sunscreen with zinc oxide/titanium dioxide or a chemical sunscreen is up to your individual preference. Any sunscreen is better than none. I advise patients to wear an SPF 30+ sunscreen daily rain or shine, solo or under/over their makeup and under their masks. A brush-on powder sunscreen is one of the best solutions for touching up sun protection during the day and also [to] absorb excess oil and perspiration without looking pasty or cakey.” Zeichner adds, “I suggest a mineral zinc oxide sunscreen if your skin is sensitive, prone to redness or experiencing breakouts. It sits on top of the skin and forms a protective barrier. Since zinc is safe enough to be used in sunscreens and diaper creams [for] babies, you can feel confident about getting full protection that's unlikely to irritate.” Try: Peter Thomas Roth Instant Mineral Broad Spectrum SPF 45 Sunscreen ($30, ulta.com), Colorescience Sunforgettable Brush-On Sunscreen SPF 30 ($65, dermstore.com) or Olay Regenerist Mineral Sunscreen Hydrating Moisturizer SPF 30 ($29, target.com).

Motortion/iStock/Getty Images Plus/Getty Images

10. Brown spots on hands and neck

Even if you've been pretty careful about using a daily facial sunscreen, most likely your hands and neck haven't been getting the same protection. Working near a window, sitting outside at a restaurant, driving or just walking the dog exposes hands and necks to vulnerable to UV rays. “Continued long-term sun damage often shows up on these two prominent spots,” says Zeichner. “Unlike the face, which can get coverage benefits from makeup, your hands and neck are always on display. Be sure to include them in your face-care product routine as you cleanse, moisturize and sun protect daily rather than consider them as part of your body care."

Luis Alvarez/DigitalVision/Getty Images

11. Skin cancer scares

The doctors agree yearly skin-care checks are essential and should not be postponed. However, in pandemic times women are canceling seasonal office visits and putting off biopsies and treatment of precancerous lesions. Zeichner advises we “stay vigilant and pay attention to anything new going on — from changing brown spots to nonhealing scabs. Take phone photos of suspicious growths, and monitor them and share with your doctor. Most dermatologists now offer virtual online telemedicine consultations, which are helpful in determining if an office visit is necessary. While this is no substitute for a biopsy to determine if a suspicious growth is skin cancer, it may be enough to calm you down or encourage you to schedule an appointment.” Looking for a new dermatologist? Go online to the Skin Cancer Foundation/Find a Dermatologist link. “As a dermatologist and Mohs surgeon, I know serious skin cancer is a big issue for women over 50,” says Chipps. “Oral vitamin B3 — also known as niacinamide — has been shown in studies to decrease the incidence of basal and squamous cell skin cancers. That makes this vitamin a possible addition to topical sunscreen and UPF sun protection clothing. Ask your doctor about it."