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Although it can affect anyone, melasma is particularly common in women, especially pregnant women and those who are taking oral or patch contraceptives or hormone replacement therapy (HRT) medications.

Hormones called androgens play a part in causing cystic acne especially in teenagers. From smoking to sun exposure and even smiling, there are many possible causes of wrinkles.

In women, hormone changes can be brought on by menstrual cycles, pregnancy, menopause, or a condition called polycystic ovary syndrome. Sun Damage Sun exposure is the major cause of damage to your skin.

It is not uncommon to see signs of early to moderate photo-aging (brown spots, dryness, wrinkles) in your 40's — even if you used sunscreen in recent years.

Mask of Pregnancy Also known as Melasma is a tan or dark skin discoloration.

Complexion tends to become dryer, and many women report problems with sensitive skin.

Age spots on the hands and broken capillaries on the cheeks may start to appear. Skin under the eyes becomes more delicate - eye puffiness in the morning takes increasingly longer to subside.

Age Spots Age spots are flat tan, brown or black spots.

They vary in size and usually appear on the face, hands, shoulders and arms — areas most exposed to the sun.

The skin attempts to repair these lesions by forming new collagen fibers.

These repairs usually aren't as smooth and flawless as the original skin.

In Your 40s Lines around the eyes and mouth deepen, and a furrow can appear on the forehead.