Signs and Causes of Premature Ageing

Dr. Janani Sree C M
July 14, 2025

Table of contents

Premature ageing is becoming a growing concern in India, particularly among individuals under the age of 40. Wrinkles, loss of skin elasticity, and thinning hair are visible signs affecting both men and women, often leading to anxiety about appearance and self-esteem. 

If you're noticing these changes earlier than expected, fine lines, dull skin, or unexpected hair thinning, you're not alone. Many people are facing similar concerns, and it's perfectly normal to feel unsettled by them.

Recent research from Mintel (2025) reveals that over 40% of Indian adults identify grey hair, wrinkles, or fine lines as key signs of ageing. Additionally, 36% report hair fall, 33% experience dry skin, and 30% notice dull skin as major indicators.

Notably, 29% now prioritise pollution-protective products, indicating a growing concern about how pollution, UV rays, and urban stress accelerate premature ageing and drive demand for skincare solutions.

In this article, we will explore the causes of premature ageing, its effects on the skin and hair, and offer evidence-based strategies for prevention, along with insights into treatments that can help mitigate its visible signs.

TL;DR

  • Premature ageing is increasingly common in India, especially among individuals under 40, with signs like wrinkles and hair thinning impacting both men and women. Environmental stressors, sun exposure, and lifestyle choices are key contributors.
  • Genetic factors play a role, but sun exposure and pollution accelerate skin ageing, leading to wrinkles, sunspots, and sagging.
  • Effective prevention is possible with simple lifestyle changes: wearing sunscreen, maintaining a healthy diet, quitting smoking, and managing stress can slow down premature ageing.
  • Treatments like PRP, fractional laser resurfacing, and Botox provide non-invasive solutions that rejuvenate the skin, enhance texture, and reduce fine lines and wrinkles.
  • Choosing the right dermatologist is imperative; look for a specialist who tailors treatments, such as chemical peels for pigmentation and laser pigmentation removal, to your unique skin needs.

What is Premature Ageing?

Premature ageing refers to the appearance of age-related signs before the expected age, resulting from various internal and external factors. While ageing naturally leads to wrinkles, loss of elasticity, and thinning hair, premature ageing accelerates these changes at a younger age than typical.

As the skin loses its ability to regenerate quickly and undergoes structural changes, such as a breakdown of collagen and elastin, the signs of ageing become more apparent. This process, while inevitable, can be mitigated or even reversed with appropriate lifestyle adjustments and clinical treatments.

How Premature Ageing Differs from Natural Ageing?

  • Earlier Onset: Premature ageing typically occurs much earlier, often in the 30s, rather than the usual progression seen in the 40s and beyond.
  • Environmental and Lifestyle Influence: Unlike natural ageing, which is primarily determined by genetics, premature ageing is more influenced by external factors, such as sun exposure, diet, and pollution.
  • Manageable: While natural ageing cannot be stopped, premature ageing can often be slowed down or reversed with changes in habits and targeted treatments.

Now, let’s look at the common signs of premature ageing that can affect your skin and hair.

3 Common Signs of Premature Ageing

Premature ageing involves the early manifestation of signs typically associated with older age. This process affects both the skin and hair and can be influenced by various factors. Understanding these signs is the first step toward taking preventive measures.

1. Skin Changes

The skin undergoes several changes as we age, often marked by visible signs that can affect both its appearance and health.

  • Wrinkles: Often the most noticeable sign of ageing, caused by reduced collagen production and skin thinning.
  • Age Spots: Also known as liver spots or sunspots, these are caused by sun exposure and can become more pronounced with age.
  • Dryness: Reduced production of natural oils leads to dry, flaky skin that can feel tight or rough.
  • Loss of Skin Tone: The skin loses its firmness and elasticity, resulting in sagging and a more tired appearance.
  • Sagging: Gravity, combined with the breakdown of skin's structural proteins, leads to sagging, particularly around the jawline and eyes.

2. Hair Changes

Hair is substantially affected by the ageing process, with greying and thinning being common changes that result from both internal and external factors.

  • Early Greying: The reduction in melanin production causes hair to turn grey or white.
  • Hair Loss: Thinning hair or bald patches caused by a variety of factors, including genetics, hormonal changes, and environmental stressors.

3. Facial Features

The ageing process also alters facial features, contributing to changes in volume and structure that can affect the overall appearance.

  • Sunken Cheeks: A loss of fat in the face, especially around the cheeks, can create a hollow appearance.
  • Gaunt Appearance: As skin loses volume and elasticity, it can result in a drawn, tired appearance.

At Velantis Dermatology, our experts can assess the cause of wrinkles and recommend personalised treatments to reduce their appearance.

Common Causes of Premature Ageing

Several factors contribute to the early onset of ageing. These causes can be broadly divided into environmental, lifestyle, and genetic categories. By addressing these causes, we can significantly reduce the impact of premature ageing.

1. Environmental Factors

External elements, such as sun exposure and pollution, contribute to skin ageing by causing damage to its structure and function.

  • Sun Exposure: UV rays damage the skin by breaking down collagen and elastin, which are essential for maintaining the skin's structure and elasticity. Over time, this leads to wrinkles, sunspots, and sagging.
  • Pollution: Airborne pollutants, such as delicate particulate matter and chemicals, can accelerate oxidative stress, leading to skin damage, inflammation, and premature ageing.

2. Lifestyle Choices

Daily habits, including smoking, diet, and sleep, influence the ageing process of the skin, affecting its appearance and overall health.

  • Smoking: Smoking restricts blood flow to the skin, reducing its oxygen and nutrient supply. This leads to a dull complexion, the development of wrinkles, and a loss of skin tone.
  • Diet: A diet high in sugar and refined carbohydrates can accelerate ageing by increasing the formation of advanced glycation end products (AGEs), which damage collagen and elastin fibres. Conversely, a diet rich in antioxidants, fruits, and vegetables can protect the skin from damage.
  • Alcohol: Alcohol dehydrates the skin, causing dryness, irritation, and the breakdown of collagen.
  • Poor Sleep: Lack of quality sleep leads to increased cortisol levels, which can impair skin repair and regeneration, contributing to premature ageing.
  • Stress: Chronic stress increases cortisol production, which can lead to the breakdown of skin structures, resulting in reduced skin elasticity and an increased likelihood of wrinkles.

3. Genetic and Rare Disorders

Certain genetic conditions and rare disorders can lead to premature ageing. For instance:

  • Bloom Syndrome: A rare genetic disorder that accelerates ageing, leading to a frail appearance and increased susceptibility to cancer.
  • Cockayne Syndrome: Characterised by a loss of subcutaneous fat, premature greying, and a characteristic “bird-like” facial appearance.
  • Hutchinson-Gilford Progeria Syndrome: A condition that causes rapid ageing in children, leading to severe skin and hair changes.

While some causes are beyond control, addressing lifestyle and environmental factors can reduce premature ageing. Let’s now explore practical steps to prevent it. 

Prevention Strategies of Premature Ageing

Adopting a preventive approach to ageing is essential for slowing its progression. There are both short-term and long-term strategies that can be implemented.

1. Reduce Sun Exposure

Minimising sun exposure is one of the most effective ways to slow down the visible effects of ageing on the skin.

  • Sunscreen: Apply broad-spectrum sunscreen with an SPF of at least 30 every day, even on cloudy days. This is critical to prevent further UV damage, which is responsible for the majority of visible skin ageing.
  • Protective Clothing: Wear hats, sunglasses, and UV-blocking clothing to minimise direct sun exposure.

2. Maintain a Healthy Diet

A balanced diet plays a vital role in protecting the skin from damage and promoting overall skin health.

  • Antioxidants: Incorporate foods rich in antioxidants, such as berries, leafy greens, and nuts. These foods help protect the skin from oxidative damage and support overall skin health.
  • Hydration: Drink plenty of water to keep the skin hydrated, preventing dryness and promoting a healthy complexion.

3. Quit Smoking and Limit Alcohol Intake

Lifestyle changes, such as quitting smoking and reducing alcohol consumption, have direct benefits for skin health and ageing.

  • Quit Smoking: Smoking cessation has immediate benefits for skin health. It restores blood flow to the skin, improving its overall texture and appearance.
  • Limit Alcohol: Reducing alcohol consumption can help keep the skin hydrated, improving its resilience and appearance.

4. Good Sleep and Stress Management

Proper sleep and effective stress management are essential for maintaining healthy skin and preventing premature ageing.

  • Sleep: Aim for 7-8 hours of quality sleep each night to allow the body to regenerate and repair skin cells.
  • Stress Reduction: Engage in activities such as meditation, yoga, and mindfulness to lower cortisol levels, which, in turn, will help preserve skin health.

Preventative care is imperative, and at Velantis Dermatology, we guide you through lifestyle changes, such as applying sunscreen and making dietary modifications, to protect your skin. For those experiencing premature aging, effective treatments can make a noticeable difference. Let’s explore the options available.

Treatment Options for Premature Ageing

Preventive measures, such as adopting a healthy lifestyle, can help slow the visible signs of aging. However, clinical treatments provide targeted options to rejuvenate the skin, reduce wrinkles, and restore lost volume. Here are some effective options that address the signs of ageing:

1. Platelet-Rich Plasma (PRP)

PRP therapy uses your own blood’s platelets to stimulate skin regeneration and repair. It’s a PRP therapy that uses platelets from your blood to stimulate skin regeneration, offering a science-backed, non-surgical solution for rejuvenating aging skin.

  • How It Works: A small amount of your blood is drawn, processed to concentrate the platelets, and then reinjected into areas of your skin that need regeneration. The growth factors in the platelets stimulate collagen production, improving skin texture and tone.
  • Benefits: PRP is a safe, minimally invasive treatment that offers long-lasting results with minimal downtime. It rejuvenates the skin, improves texture, and naturally reduces fine lines and wrinkles.

2. Laser Treatments

Laser treatments are highly effective for targeting multiple signs of ageing, including wrinkles, pigmentation, and uneven skin texture. They use concentrated beams of light to stimulate collagen production deep within the skin.

  • How It Works: Lasers resurface the skin by creating controlled micro-injuries, promoting collagen production and skin regeneration. Various lasers, such as CO2 and fractional lasers, can be used depending on the skin condition and severity of ageing signs.
  • Benefits: Laser treatments improve skin texture, reduce wrinkles and sunspots, and tighten sagging skin. The procedure has minimal downtime, with noticeable improvements in skin appearance after just a few sessions.

3. Botox and Fillers

Botox and dermal fillers are injectable treatments that offer a non-invasive solution for rejuvenating the skin. Botox targets dynamic wrinkles, while fillers restore volume to areas that have lost fullness over time.

  • How It Works: Botox relaxes the muscles that cause wrinkles, particularly around the eyes and forehead. At the same time, dermal fillers replace lost volume in areas such as the cheeks, under the eyes, and around the mouth.
  • Benefits: Both treatments offer visible improvements, but results can vary by individual. Botox smooths wrinkles, while fillers restore facial contours. No treatment guarantees uniform results, as factors like skin type and age can influence outcomes. Realistic expectations and ongoing care are key to maintaining results.

4. Chemical Peels

Chemical peels are designed to exfoliate the outer layers of your skin, revealing fresher, more youthful skin underneath. They address surface-level issues like fine lines, pigmentation, and sun damage.

  • How It Works: A chemical solution is applied to the skin, which causes the outermost layers to peel away. This can be done with different levels of intensity—superficial, medium, or deep, depending on the desired results.
  • Benefits: Chemical peels enhance skin texture, reduce wrinkles, and minimise pigmentation issues, such as age spots. Recovery time depends on the depth of the peel, but the results are smoother, brighter skin.

These treatments provide effective solutions for combating the visible signs of aging. 

At Velantis Dermatology, we offer PRP therapy, laser resurfacing, and Botox, each tailored to your skin type and aging concerns.

To Wrap Up

Premature ageing is a complex condition that affects both the skin and hair, influenced by a combination of genetic, environmental, and lifestyle factors. By understanding the causes and implementing preventive measures, individuals can reduce the visible signs of ageing and maintain their skin’s health and vitality.

At Velantis Dermatology, we take a patient-first approach to both the medical and aesthetic aspects of dermatology. Our commitment to ethical, evidence-based treatments ensures that you receive the highest standard of care, with a focus on long-term skin health. Our team of trusted dermatologists provides personalized solutions tailored to your unique needs, prioritizing your well-being and results.

If you’re concerned about premature ageing, consult with our qualified dermatologists for expert guidance. We are dedicated to providing ethical, patient-centered care that focuses on rejuvenating your skin, combating the signs of aging, and maintaining a youthful, vibrant appearance.

Book a consultation with our trusted dermatologists today to explore customized, practical solutions for managing premature ageing and restoring your skin’s health.

FAQs

Q1. What is the difference between PRP hair growth treatment and microneedling for acne scars?

A1. PRP utilises your blood platelets to rejuvenate the skin and promote hair regrowth, while microneedling creates micro-injuries to enhance skin texture and reduce the appearance of acne scars. Consult with a dermatologist to determine which treatment is best suited to your needs.

Q2. How effective is anti-ageing laser treatment for wrinkles and skin sagging?

A2. Anti-ageing laser treatments stimulate collagen production to reduce wrinkles and improve skin elasticity. They offer a non-surgical option for tightening skin and minimizing fine lines. Consult with a dermatologist for personalized advice.

Q3. Can a dermatologist for dark spots help with hyperpigmentation caused by sun exposure?

A3. Yes, a dermatologist can treat sun-induced hyperpigmentation using lasers or chemical peels to break down excess melanin and restore even skin tone.

Q4. What should I expect during a fractional laser resurfacing treatment?

A4. Fractional laser resurfaces small sections of the skin to stimulate collagen and improve texture. Expect minimal downtime, with some redness or swelling post-treatment.

Q5. How do I choose the best dermatologist for pigmentation in Medavakkam?

A5. Look for a board-certified dermatologist experienced in treating pigmentation, with a focus on melasma and skin rejuvenation treatments. Review their past work and patient feedback.

Q6. Is PRP effective for acne scars, and how does it compare to traditional treatments?

A6. PRP uses your blood’s growth factors to stimulate healing and reduce acne scars, offering a natural, minimally invasive option. It provides longer-lasting results compared to traditional treatments like creams or fillers.

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