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Why Ageing Spikes at 44 and 60 — And Interventions YOU Can Make to Reduce the Impact
- Rosalind Jones
- 3 hours ago
- 3 min read
Many patients feel that ageing happens gradually. Then suddenly, it feels like everything changes at once.
Skin becomes looser, the under-eye area looks heavier, and features that once felt defined can begin to soften.
This is (unfortunately) not just perception. Research and clinical observation suggest that ageing can accelerate at specific points, commonly around the mid-40s and again around 60.
Understanding why this happens is the first step in managing it effectively.
Why Ageing Doesn’t Happen in a Straight Line
Ageing is often thought of as a slow, continuous process. In reality, it tends to occur in phases.
Around the mid-40s and again later in life, several biological changes can happen at the same time. These changes affect:
Collagen and elastin production
Hormonal balance
Skin thickness and hydration
Fat distribution and structural support
When these shifts occur together, they can lead to a more noticeable change in skin quality and facial structure.
What Happens Around Your Mid-40s
For many women, the mid-40s marks the beginning of significant hormonal change. As oestrogen levels begin to decline, the skin is directly affected.
Key changes include:
Reduced collagen production
Loss of skin elasticity
Thinning of the skin
Slower skin repair
This is often when patients first notice:
Sagging skin around the jawline and cheeks
Early changes in the under-eye area
Skin that feels less firm and more reactive
The under-eye area is usually one of the first places this becomes visible due to its thin, delicate structure.
What Happens Around 60
By this stage, the changes that began earlier have progressed further.
Common developments include:
More significant collagen loss
Increased skin laxity
Changes in fat positioning in the face
Reduced structural support
This can lead to:
More pronounced sagging skin
Heavier under-eye appearance
Deepening lines and folds
At this stage, ageing is not just about the skin surface, but also about deeper structural changes.
Why the Under-Eye Area Changes So Much
The under-eye and mid-face area is particularly vulnerable to ageing.
This is because:
The skin is thinner
There is less structural support
Lymphatic drainage is more delicate
Small changes are more visible
This is why concerns such as:
Under-eye bags
Malar bags
Crepey skin
...often become more noticeable during these periods of accelerated ageing.
What You Can Do to Reduce the Impact
While ageing cannot be stopped, it can be managed effectively with the right approach.
The key is understanding what is changing and responding appropriately.
Supporting Skin Structure
Treatments that improve collagen and skin firmness are essential.
Effective options include:
RF microneedling or HIFU for sagging skin and under-eye laxity
Skin treatments that stimulate collagen production
Also collagen supplements:
These all help to strengthen the skin and improve its ability to hold structure over time.
Improving Skin Quality
Skin quality becomes increasingly important as the skin ages.
This may include:
Chemical peels for texture and tone
Medical-grade facials to support hydration
Add-ons such as LED facials can help reduce inflammation and support recovery, while Glo serum facials can improve hydration and overall skin condition.
Taking a Broader Approach
In many patients, changes in the skin are influenced by more than just external factors.
We may assess:
Hormonal changes
Overall skin ageing patterns
Underlying health markers
This can include:
Hormone testing & Well Woman blood tests
DNA skin health testing
This allows us to create a treatment plan that reflects how your skin is ageing, rather than applying a one-size-fits-all approach.
Why Timing Matters
One of the most important factors is when you start.
Patients who begin treatment earlier, particularly around the mid-40s, often see better long-term outcomes.
By maintaining collagen and skin quality over time, it is possible to slow the visible effects of ageing rather than trying to reverse them later.
A Structured, Clinical Approach
At Rosem Health & Aesthetics, we focus on:
Identifying how your skin is ageing using skin analysis technology
Selecting appropriate treatments
Building a structured treatment plan
This approach is particularly important for areas such as the under-eye and mid-face, where small changes can have a significant visual impact.
Book a Consultation
If you are noticing changes in your skin, particularly sagging or under-eye concerns, the first step is understanding what is driving those changes.
We offer consultations at our West Bridgford clinic, where we can assess your skin and recommend a tailored treatment plan.
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