For many men, skincare is often an afterthought until the first deep lines appear or the skin begins to look noticeably tired. By the time they reach their forties, many start to wonder: Why does my face suddenly look older than I feel?
The truth is, skin ageing affects men just as much as women, but it often goes unnoticed or unaddressed. Men’s skin may be thicker and oilier, but that doesn’t make it immune to time, lifestyle habits, or environmental stress.
In this article, we’ll explore what happens to male skin after 40, why men experience ageing differently, and how a dermatologist can help design the right plan to maintain healthy, youthful-looking skin.
Why Male Skin Ages Differently
Men’s skin is biologically distinct from women’s. It’s about 25% thicker due to higher levels of testosterone, and it typically contains more collagen the protein responsible for keeping skin firm and elastic.
However, this natural advantage doesn’t last forever. As testosterone levels begin to decline (usually in the late thirties to early forties), men experience changes that affect both their appearance and skin health.
Key Differences in Male Skin Ageing:
- Thicker Skin: Ages more slowly at first but develops deeper wrinkles later.
- Oilier Complexion: Offers protection early on but can lead to enlarged pores and adult acne.
- Facial Hair: Regular shaving exfoliates the skin but also causes irritation and micro-inflammation.
- Collagen Decline: Begins later than in women but occurs rapidly once it starts.
These factors mean men often notice ageing suddenly rather than gradually especially around the eyes, jawline, and forehead.
The 40s: When Skin Ageing Becomes Noticeable

At 40, most men start to experience visible signs of skin ageing for the first time. This is when lifestyle habits, stress, and sun exposure start to show up in the mirror.
Common Signs of Ageing in Men Over 40:
- Fine Lines and Wrinkles: Especially on the forehead, around the eyes, and mouth.
- Sagging Jawline: Loss of collagen and muscle tone causes jowls or loose skin under the chin.
- Uneven Texture: Skin may feel rougher, drier, or less resilient.
- Puffiness and Dark Circles: Linked to fatigue, poor sleep, or fluid retention.
- Age Spots and Pigmentation: Result from years of sun exposure.
- Dullness: Reduced cell turnover makes skin appear tired or flat.
While these changes are natural, they’re not inevitable especially with the right skincare approach and professional guidance.
The Role of Collagen and Elastin Loss
Two key proteins collagen and elastin are responsible for keeping your skin firm and youthful.
By the time you reach your forties, your body produces about 1% less collagen per year, and existing collagen fibres start to break down. Elastin, which gives your skin flexibility, also weakens.
The result? Skin becomes thinner, less elastic, and more prone to sagging.
Other factors such as smoking, stress, UV exposure, and poor diet accelerate this decline making professional intervention even more valuable.
Lifestyle Factors That Accelerate Male Skin Ageing
Men’s skincare isn’t just about creams and treatments; lifestyle plays a huge role in how your skin looks and feels.
Here are the most common accelerators of male skin ageing:
1. Sun Exposure (Without Protection)
UV damage is the number one cause of premature ageing. Most men skip sunscreen, but daily exposure breaks down collagen, leading to wrinkles and pigmentation.
2. Shaving and Razor Burn
Frequent shaving irritates the skin and causes micro-cuts, inflammation, and dryness all of which contribute to ageing over time.
3. Poor Sleep and High Stress
Cortisol, the stress hormone, increases inflammation and speeds up skin breakdown. Lack of sleep also prevents your skin from repairing itself overnight.
4. Alcohol and Smoking
Both dehydrate the skin and restrict oxygen supply, accelerating fine lines and dullness.
5. Poor Diet
Low protein intake, excessive sugar, and lack of antioxidants weaken your skin barrier and reduce collagen production.
6. Inconsistent Skincare Routine
Skipping basic care like cleansing and moisturising leaves your skin vulnerable to environmental stress and pollution damage.
How a Dermatologist Assesses Male Skin

When men over 40 visit a dermatologist, the assessment is much more than just a visual inspection.
A comprehensive evaluation typically includes:
- Skin Type Analysis: Determines whether your skin is oily, dry, or combination.
- Elasticity and Hydration Tests: To assess collagen and moisture levels.
- Lifestyle Evaluation: Discusses habits like smoking, shaving, diet, and sleep.
- Treatment History: Identifies what’s worked (or not) in the past.
The goal is to create a bespoke plan that suits men’s skin biology and lifestyle rather than applying one-size-fits-all anti-ageing treatments.
Common Skin Concerns for Men Over 40
Let’s look at the most frequent skin issues dermatologists treat in middle-aged men and how they’re managed.
1. Fine Lines and Wrinkles
Dynamic wrinkles form from repeated facial movements (like frowning or squinting).
Treatment Options:
- Botulinum Toxin (Botox): Relaxes facial muscles to smooth expression lines.
- Chemical Peels: Remove dead skin cells and stimulate new collagen.
- Laser Resurfacing: Improves texture and reduces lines without surgery.
2. Sagging Skin and Jowls
Loss of firmness is common as collagen and muscle tone decline.
Treatment Options:
- Radiofrequency (RF) Skin Tightening: Stimulates collagen regeneration.
- Ultrasound Therapy: Targets deeper layers for lifting.
- Dermal Fillers: Restore volume to cheeks and jawline.
3. Sun Damage and Pigmentation
Years of outdoor activity without SPF cause uneven skin tone and sunspots.
Treatment Options:
- Laser Treatments: Break up pigment and even out complexion.
- Microneedling with PRP: Promotes fresh skin and collagen growth.
- Medical-Grade Skincare: Includes vitamin C serums and retinoids.
4. Rough Skin and Enlarged Pores
Oilier male skin is prone to congestion and texture issues.
Treatment Options:
- HydraFacial or Deep Cleansing Treatments: Clear debris and smooth skin.
- Retinol Products: Reduce pore size and improve cell turnover.
- Exfoliating Acids (AHA/BHA): Help refine texture and prevent breakouts.
5. Shaving Irritation and Redness
Regular shaving can leave the skin inflamed and sensitive.
Treatment Options:
- Soothing Serums with Niacinamide: Reduce inflammation.
- Laser Hair Reduction: Decreases shaving frequency and irritation.
- Gentle Cleansers: Maintain balance without stripping moisture.
6. Tired Eyes and Puffiness
Under-eye concerns can make you look older or fatigued even when you’re not.
Treatment Options:
- Tear Trough Fillers: Restore lost volume and reduce hollowness.
- Laser Rejuvenation: Targets dark circles and fine lines.
- Eye Creams with Caffeine or Peptides: Minimise puffiness and improve firmness.
At-Home Skincare Routine for Men Over 40
A professional treatment plan works best when paired with consistent home care.
Here’s a simple daily routine men can follow:
Morning Routine
- Cleanser: Use a gentle gel or foam cleanser to remove oil.
- Antioxidant Serum: Protects against pollution and UV damage.
- Moisturiser: Keeps skin hydrated and softens lines.
- SPF 30 or higher: Essential daily, even on cloudy days.
Evening Routine
- Cleanser: Removes dirt and sweat from the day.
- Retinol Serum (2–3 nights/week): Boosts collagen and smooths texture.
- Night Cream: Hydrates and supports skin repair while you sleep.
A dermatologist can recommend specific products suited to your skin type, sensitivity, and goals.
Nutrition and Supplements for Healthier Skin
Healthy skin starts from within. Nutrient-rich foods support collagen, hydration, and repair.
Key Nutrients for Men Over 40:
- Vitamin C: Boosts collagen production (found in citrus and berries).
- Vitamin E: Protects against oxidative stress (nuts and seeds).
- Omega-3 Fatty Acids: Reduces inflammation (fish and flaxseed).
- Zinc: Helps heal damaged tissue (meat and legumes).
- Protein: Essential for rebuilding skin structure.
Avoid excessive processed foods, alcohol, and refined sugar, which accelerate skin ageing through inflammation.
Advanced Treatments That Deliver Results
Many men now embrace non-surgical aesthetic treatments because they offer natural-looking results without downtime.
Here are the most effective clinic-based solutions for male skin ageing:
1. Fractional Laser Resurfacing
Targets wrinkles, scars, and uneven tone by stimulating new collagen beneath the surface.
2. Radiofrequency Microneedling
Combines heat and micro-injury to tighten skin and improve texture.
3. Injectable Moisturisers (Skin Boosters)
Replenish hydration, smooth fine lines, and restore glow.
4. PRP (Platelet-Rich Plasma)
Uses your own plasma to rejuvenate and heal skin naturally.
5. Chemical Peels
Light to medium-depth peels refresh the skin and reduce pigmentation.
Each treatment plan is customised to suit your goals and skin type something only an experienced dermatologist can safely and effectively manage.
How Long Do Results Last?
The longevity of your results depends on the treatment you choose and how well you maintain your skin afterwards.
Botox typically lasts around four to six months, so most people schedule two sessions per year to maintain smooth, youthful skin. Dermal fillers generally last nine to eighteen months, depending on the type used and your metabolism usually, one yearly touch-up is enough. If you opt for laser resurfacing, the results can last anywhere from one to two years, and maintenance is only needed as required. PRP or skin booster treatments often stay effective for about six to twelve months, with top-up sessions recommended every six months to keep your glow. Meanwhile, radiofrequency skin tightening provides results that can last twelve to eighteen months, with annual maintenance helping you preserve firmness over time.
Keeping up with regular maintenance ensures your results remain consistent and your skin continues to age gracefully.
The Mental and Social Side of Male Ageing
Men rarely talk about skincare or ageing yet it can affect confidence, self-esteem, and even professional interactions.
Taking control of your skin health isn’t about vanity; it’s about feeling your best. Looking refreshed, healthy, and confident can positively influence how you’re perceived at work and in daily life.
Dermatology today is not about erasing age but enhancing vitality helping you look like the best version of yourself.
Frequently Asked Questions:
1. At what age do men usually start noticing signs of skin ageing?
Most men begin to notice visible signs of ageing in their early to mid-forties, although subtle changes can start even earlier. Around this time, testosterone levels gradually decline, collagen production slows, and lifestyle factors like stress, sun exposure, and poor sleep begin to show on the skin. Fine lines, a duller complexion, and slight sagging are often the first indicators. While genetics play a role, early prevention such as using sunscreen and moisturiser daily can significantly delay these visible effects.
2. Is men’s skin really different from women’s when it comes to ageing?
Yes, men’s skin is biologically thicker and oilier due to higher testosterone levels, which gives it more collagen density in the early years. However, this same advantage means that when ageing does begin, it can appear more suddenly and deeply. Men tend to develop more pronounced wrinkles, especially on the forehead and around the eyes. They also experience more irritation from shaving and are less likely to follow a regular skincare routine, which can make these signs of ageing more noticeable.
3. How important is sunscreen for men over 40?
Sunscreen is the single most effective anti-ageing product you can use, regardless of gender. For men over 40, consistent use of sunscreen helps prevent further collagen breakdown and pigmentation caused by UV damage. Even if you spend most of your time indoors, UV rays can still penetrate windows and affect your skin. A lightweight, non-greasy SPF 30 or higher should be part of your daily routine applied every morning after moisturiser and before heading out.
4. Can men reverse skin ageing, or is it only about prevention?
While you can’t completely reverse natural ageing, you can significantly improve the look and feel of your skin with the right treatments. Procedures such as laser resurfacing, PRP therapy, and injectables like Botox or dermal fillers can restore smoothness, firmness, and hydration. These treatments stimulate collagen production and reduce visible wrinkles, making the skin appear fresher and more youthful. Prevention and maintenance including healthy habits and consistent skincare play an equally crucial role in maintaining these results.
5. Are anti-ageing treatments safe for men?
Yes, modern anti-ageing treatments are both safe and effective for men when performed by a qualified dermatologist. Men’s skin can be thicker and more vascular, so treatment techniques are often slightly adjusted to suit their anatomy. A dermatologist will personalise every procedure based on your skin type, age, and goals to ensure results that look natural not overdone. Most treatments also have little to no downtime, meaning you can return to work or your usual routine soon after.
6. What skincare routine should a man over 40 follow daily?
A simple but consistent routine makes a huge difference. In the morning, cleanse your face to remove oil and dirt, apply an antioxidant serum to protect against pollution, use a moisturiser to hydrate the skin, and finish with sunscreen. At night, cleanse again to remove the day’s buildup, apply a retinol serum a few times a week to stimulate collagen, and use a nourishing night cream to support repair. Consistency matters more than the number of products so stick with what works for your skin type.
7. Does shaving every day make skin age faster?
Shaving itself doesn’t cause faster ageing, but frequent shaving can irritate the skin, especially if it’s done incorrectly. Using dull blades, skipping pre-shave prep, or neglecting aftercare can lead to redness, dryness, and inflammation all of which can make the skin look older over time. To prevent this, always use a clean, sharp razor, shave in the direction of hair growth, and finish with a soothing balm or serum. Some men also find laser hair reduction helpful to minimise irritation long-term.
8. How does stress affect men’s skin after 40?
Chronic stress raises cortisol levels, which trigger inflammation and accelerate collagen breakdown leading to dullness, wrinkles, and even breakouts. Stress can also disrupt your sleep cycle, preventing your skin from repairing itself overnight. Over time, this makes your complexion appear tired and less resilient. Regular exercise, mindfulness, and quality sleep are not just good for your mental health they also have a visible impact on how youthful your skin looks.
9. How long do results from anti-ageing treatments typically last?
The longevity of results depends on the treatment and how well you maintain your skin afterwards. Botox usually lasts around four to six months, while dermal fillers can last nine to eighteen months. Treatments like laser resurfacing can provide improvements for up to two years, and PRP or skin boosters maintain their glow for about six to twelve months. Radiofrequency skin tightening often lasts up to eighteen months. Regular maintenance sessions and good daily skincare can help extend these results considerably.
10. When should a man consider seeing a dermatologist for ageing concerns?
Ideally, men should visit a dermatologist before signs of ageing become prominent around the late thirties or early forties. However, it’s never too late to start. A dermatologist can assess your skin’s condition, discuss your goals, and create a treatment plan tailored to your lifestyle. Whether it’s addressing wrinkles, sagging skin, or uneven tone, professional care helps you achieve natural, long-lasting results that boost both your appearance and confidence.
Final Thoughts: Embracing Healthy Ageing for Confident, Younger-Looking Skin
Ageing gracefully is about more than just appearance it’s about confidence, vitality, and taking care of your skin as it evolves. For men over 40, the right combination of daily skincare, balanced lifestyle choices, and professional treatments can make a visible difference in how youthful and healthy your skin looks. With the right guidance, it’s entirely possible to slow down visible signs of ageing and maintain a strong, refreshed appearance. Remember consistency is key, and even small changes in your routine can lead to lasting improvements over time.
If you would like to book a consultation with one of our dermatologists, you can contact us at the London Dermatology Centre. Our team of experts can help design a personalised treatment plan to restore firmness, smoothness, and radiance so you continue to look as good as you feel. With their experience and understanding of men’s skin, you’ll receive tailored care that delivers natural, long-lasting results.
References:
1. Rahrovan, S., Blume-Peytavi, U. & Kottner, J. (2018). Male versus female skin: What dermatologists and gender researchers should know. Clinical Dermatology Science & Applications, 8, pp. 49–59. Available at: https://pubmed.ncbi.nlm.nih.gov/29474723/
2. Ganceviciene, R., Liakou, A. I., Theodoridis, A., Makrantonaki, E. & Zouboulis, C. C. (2012). Skin anti-aging strategies. Dermato-Endocrinology, 4(3), pp. 308–319.
Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3583892/
3. Rostkowska, E., WoĹşniacka, A. & Czarnecka-Operacz, M. (2023). Dermatological management of aged skin. Cosmetics, 10(2), Article 55.
Available at: https://www.mdpi.com/2079-9284/10/2/55
4. Wong, Q. Y. A. & Chew, F. T. (2021). Defining skin aging and its risk factors: A systematic review and meta-analysis. Scientific Reports, 11, Article 22075. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8586245/
5. Al-Atif, H. (2022). Collagen Supplements for Aging and Wrinkles: A Paradigm Shift in Skin Anti-Aging Strategies. Journal of Dermatological Treatment, (2022). Available at: https://pubmed.ncbi.nlm.nih.gov/35223163/
