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What Keeps a Woman Looking Young?

by StyleList Staff (Subscribe to StyleList Staff's posts)
Posted Oct 30th 2009 at 2:00PM  
18 Comments
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Jeanne and Susan (age 61) are twins, but they look about 10 years apart in years. Photo: Department of Plastic Surgery, University Hospitals Case Medical Center

By Joan Kron





For years, the similarities between Jeanne and Susan were uncanny.

Growing up, the identical twin sisters not only were mirror images of each other, but also shared a bunch of preferences and personality quirks. Even now, living 1,000 miles apart -- Jeanne in Ohio, Susan in Florida -- "we'll send identical Christmas cards to our parents and choose the exact same gift wrap," Jeanne says.

But they do have some differences, she adds: "We don't have the same taste in men or in weather." In fact, unlike Jeanne, Susan is a lifelong sun worshipper. In addition, Susan began smoking in her late teens, and although she stopped for six years in her 20s, she averaged a pack and a half a day for 16 years before quitting in her late 30s. Jeanne never smoked.

Over time, it seems, these habits have made a remarkable difference in the way they look. Now, "Susan looks ten years older than I do," Jeanne acknowledges. "In fact, when we meet new people I'll say, 'She's my sister,' but I never say she's my twin."

It may seem odd that two people with the same DNA could look so different, but it's common, according to research published in Plastic and Reconstructive Surgery by Bahman Guyuron, a plastic surgeon in Cleveland, and colleagues at Cleveland's Case Western Reserve University. Contrasting behaviors cause subtle differences in appearance that eventually make one of the pair look older than the other.

And that suggests that all of us -- twins or not -- may have more influence on the way we age than we think.

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Slide Show: The Twins Study
What keeps a woman looking young? A study of identical twins reveals some surprising answers (and they don't include pricey treatments).
Department of Plastic Surgery, University Hospitals Case Medical Center

Slide Show: The Twins Study

    A trifecta of smoking, sunning, and lower weight means that Brenda (left) looks significantly older than Barb (right), who lives near her in Ontario, Canada. ("I love being called the younger one," Barb says, laughing.) Brenda has smoked half a pack a day for 14 years, while Barb has never smoked. Brenda also reported seven times more sun exposure (primarily over eight to ten weeks of the year for 30 years, at an estimated 14 hours a week, versus two hours a week for Barb). "The festoons of loose skin" under Brenda's eyes are attributable to her cigarette habit, says Dr. Bahman Guyuron, a plastic surgeon at Cleveland's Case Western Reserve University "When I see that [on patients], I don't have to ask if they smoke. I know they do."

    Department of Plastic Surgery, University Hospitals Case Medical Center

    Jean (right) looks older than Janet (left), Guyuron says, noting her darker undereye area, deeper smile lines, and "more numerous and deeper vertical frown lines." The probable reason, his study suggests, is that Jean is divorced (after 27 years of marriage), whereas Janet has been married for more than three decades; nothing else measured in the history of these Chicago-area sisters was different. In general, marital trouble, separation, and worries about money and finding a new partner can result in stress levels that affect appearance, Guyuron says.

    Department of Plastic Surgery, University Hospitals Case Medical Center

    Laurie (left), who lives in Pennsylvania, weighs 38 pounds less than Lisa (right), in North Carolina - which explains the eye wrinkles and deeper smile lines that reach almost to the corners of Laurie's lips, Guyuron says. Lisa's extra weight provides some filling for her smile lines and makes her face look smoother overall. This is one of several examples from the study showing that "in twins over 40, more weight gives a younger appearance," says Guyuron.

    Department of Plastic Surgery, University Hospitals Case Medical Center

    These San Antonio twins underwent two different types of gastric weight-loss surgery. Rebecca (right) lost 80 pounds, while Charlotte (left) dropped a great deal more - 220 pounds - to wind up 4 pounds lighter than her sister at the time of this photograph. Guyuron says that Charlotte's dramatic loss of fat caused skin looseness and rippling (similar to what happens to the surface of a balloon when the air is let out). As a result, her face is thinner and her forehead wrinkles and smile lines are deeper than her sister's.

    Department of Plastic Surgery, University Hospitals Case Medical Center

    Jeanne (left) is the twin who commented that her sister looks "ten years older" - in fact, the researchers upped that to an 11-and-a-quarter-year edge. The reasons for Susan's condition are that she smoked for 16 years of her life, sunbathes, and weighs 15 pounds less. Since her 20s, Susan (right) has spent as much time as she could in the sun (she has plenty of opportunity on Florida's east coast, where she moved more than a decade ago). Jeanne, meanwhile, has aimed for "as little exposure as possible." Besides causing Susan's dark, patchy discoloration and age spots, UV light also reduces skin's elasticity, increasing wrinkles and deepening creases, Guyuron says.

    Department of Plastic Surgery, University Hospitals Case Medical Center

    Dina (left) weighs 50 pounds less than Gina (right), and hence looks younger, Guyuron says. "The added weight on Gina takes away definition in her jawline and projection in her cheekbones" - key factors in a youthful-looking face for women under 40, he notes. Dina, who lives in Georgia, actually reported significantly more sun exposure than her sister, in Florida. But for women in their 20s and 30s, whose sun damage hasn't yet become fully visible, weighing less temporarily plays a more definitive role in looking younger, Guyuron says.

    Department of Plastic Surgery, University Hospitals Case Medical Center

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Catherine Deneuve has been credited with proclaiming that after a certain age, a woman needs to choose between her face and her behind -- meaning that a lean body can result in a face that appears gaunt and haggard. Indeed, for women over 40, this maxim is true, report Guyuron and his study coauthors, who surveyed and photographed 186 sets of identical twins.

Additional weight fills in and softens wrinkles, making a heavier twin look younger than her sister, Guyuron explains. But for women under 40, the effect turns out to be just the opposite: Extra pounds can obscure youthful features like a smooth jawline and cause facial skin to sag. The weight effect was generally seen when a woman had a body-mass index at least four points higher than her twin. (Each point of body mass is equivalent to five or six pounds of weight, so a four-point difference would be 20 to 24 pounds.)

The longer a woman takes birthcontrol pills or hormone-replacement therapy, and the higher the dose, the more likely she is to look younger. That's partly because estrogen can increase water retention, helping to smooth out the skin. And although estrogen is contraindicated for some women and poses health risks as well as benefits, there is no question that "estrogen improves skin elasticity," Guyuron says.

In one case, a 69-year-old who had used hormone replacement for four years longer than her twin looked three-and-a-third years younger, despite having had more lifetime sun exposure. Taking antidepressants, however, was generally associated with an older appearance. In addition to the aging effect of depressed people's sadder facial expressions, Guyuron says, certain depression-relieving drugs can weaken eye muscles, causing the area to look more droopy. (None of the twins who reported antidepressant use in the study were willing to be identified here.)

Women who didn't drink looked younger than their twins who did. Since the study didn't track the amount or type of alcohol that drinkers consumed, though, it wasn't able to suggest exactly what constitutes too much. Actually, research has shown that resveratrol, a substance found in red-wine grapes, can delay aging, Guyuron points out. But in general, excess alcohol consumption can damage blood vessels in the skin. Also, "the liver plays a major role in the quantity and quality of the collagen fibers within the skin layers," Guyuron says. Translation: Heavy drinking's harm to liver function can cause wrinkles.

Cigarettes may not come with an aging warning, but evidently they should: The longer a woman smokes, the older she looks, with deeper and more plentiful wrinkles and more uneven skin tone. According to the research analysis, every ten years of smoking resulted in a perceived extra 2.5 years of age.

More surprising, divorced women were judged to look an average of 1.7 years older than their married or single twins -- possibly because of higher levels of stress or depression. (Marriage isn't always smooth sailing, but it's not as stressful as divorce.) Inexplicably, though, widows looked two years younger. No differences were found with increasing number of divorces, the researchers report. Guyuron guesses that "after one goes through a very challenging situation once, the second or third experience becomes less troubling and would not take as much toll on the face."

If anyone dismisses the idea that sun exposure speeds up aging, this study may change their minds. The researchers calculated the approximate amount of time each woman had spent in the sun since childhood. The twins' photographs, as shown on these pages, confirm that UV exposure deepens wrinkles and mottles the skin. Sunscreen use, however, minimized or prevented these effects.
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Filed under: Beauty, Skin & Body
Tags: allure, allure magazine, AllureMagazine, Bahman Guyuron, BahmanGuyuron, Case Western Reserve University, CaseWesternReserveUniversity, Department of Plastic Surgery, DepartmentOfPlasticSurgery, Joan Kron, JoanKron, Plastic and Reconstructive Surgery, PlasticAndReconstructiveSurgery, Twin Study, TwinStudy, University Hospitals Case Medical
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READER COMMENTS

(17)Add A Comment

rppptr, 10-30-2009, 2:17PM

2 stars vote downvote upReport
rppptr

When it comes to anti-aging resveratrol is the most powerful skincare anti-oxidant available today, which has it all over the overhyped acai berry. As a former model and someone who is still in the industry I find that the one line that really has the best anti-aging properties is Dermolgy ( Http://tiny.cc/AntiAgingSkinCream ) which consists of An Anti-aging cream, serum, and eye cream. Each is fortified with resveratrol.

Reply »

jessiejmms, 11-01-2009, 10:58AM

2 stars vote downvote upReport
jessiejmms

Wow! They looks like my Tickle Me Plant after I Tickle It. The leaves fold up! It is an awesome unique gift google it
You wouldn't know it was the same plant

»

jinky, 10-31-2009, 3:14AM

2 stars vote downvote upReport
jinky

white ladies attention, want to stay young looking? NO SUN, basically. not just less but NONE. the ultraviolet rays are more intense now thanks to damage to the ozone layer, so it's even more important. lots of water as well. use sun screen and long sleeves and slacks and stay under a parasol or inside.

Reply »

Rori, 11-01-2009, 8:59AM

2 stars vote downvote upReport
Rori

Here's what I can't comprehend, if you're looking for love why are you advertising that you're rich? It seems to me that you'll attract mainly gold diggers that way. I suppose some men don't mind as long as they have a beautiful woman on their arm.

Reply »

smile on me 01, 11-01-2009, 10:15AM

2 stars vote downvote upReport
smile on me 01

i think loving and living a good life is what helps keep us from aging. learning to love ur self and those around u can for sure keep you young and healthy... i found loving ur self will also make you a happier person.

Reply »

SSAC258, 11-01-2009, 2:10PM

2 stars vote downvote upReport
SSAC258

I am Chinese American, one of the twins and look younger than me sister. I am 65 and look about 50. when I was 50, people think that I was 35. The secret is simple: 1. don't drink (not even soda) or smoke. 2. belance diet: eat a lot of veg. and never overeat or pigout. No sweet, that will keep your weight to ideal weight (I am 5'5" and used to be 105 lb, and now is 125 lb., never over 125 ). 4. exciese: I walk a lot per job requirement. I also work in the garden for a couple of hours under sun once a month and drink a lot of water. The sunlight is good for the skin as long as you take a break every helf hour.

Reply »

nutrition, 11-01-2009, 12:51PM

2 stars vote downvote upReport
nutrition

Seriously acid forming! And aging myself. I used to drink 10 huge coffees a day to keep going. I was always exhausted. Thinking it was age as I faced my 49th birthday I started taking isagen and lost the desire, www.nutritionhomebase.com. A friend of mines mother takes just the cleanse and stopped smoking after 30 years. This is not a guarentee but a personal testimony from a friend and myself. The list continues. We are toxic and our body is trying to protect itself. I had such sucess in turning my health around. I now sell it and encourage all friends and family to AT LEAST take a shake a day. Check it out yourself. www.nutritionhomebase.com

Reply »

clicheguevaratsr, 11-01-2009, 10:59AM

2 stars vote downvote upReport
clicheguevaratsr

Haha the article says "twins look decades apart: INCREDIBLE PHOTOS". Maybe it's because i'm a 21 year old guy, but I could not tell who they were saying is supposed to look older in any of the photos except for the comparison of Jeanne and Susan. But besides them I had to read the description underneath the photos to even realize which twin they were saying looks older. I know this is cliche but, "society" focuses way too much on the natural, inevitable imperfections of the aging woman. These women look the same age to me, i didn't even notice the difference in "imperfections" until they were pointed out like these women are show dogs or something. TO ALL OF YOU WOMEN: Guys don't notice crows feet or smile lines. As a woman gets older shes supposed to have a few wrinkles of life experience. And most of us don't like woman who are bone thin! A woman is meant to have curves and isn't meant to be as thin as they were before they had children. The only one who notices these things that make you search for the fountain of youth..is you! So throw away your damn mirrors and stop being so hard on yourselves, all of you! You're beautiful.

Reply »

Frederica Bimble, 11-02-2009, 8:09AM

2 stars vote downvote upReport
Frederica Bimble

Has it occurred to you that women would like to look good for themselves and the world does not revolve around what men want?

»

mary, 11-01-2009, 11:16AM

2 stars vote downvote upReport
mary

I smoke, drink occasionally, and I am a sun worshiper. I am over 40 and still get carded for cigarettes. My daughter is 20 and there isn't a day that goes by that someone doesn't tell me that I don't even look old enough to have a daughter that age. So, how do you explain that?

Reply »

mebemaddie, 11-01-2009, 11:49AM

2 stars vote downvote upReport
mebemaddie

honestly "mary" i dont really care

Reply »

Karen, 11-01-2009, 12:16PM

2 stars vote downvote upReport
Karen


Avoid the sun like you are Dracula, no drinking, and no smoking either. I started this regimen 20 years ago.

I am certain if I was heavier I would not need injectable fillers but I like being a size 4. It is an easy, yet expensive solution.

Reply »

justin, 11-01-2009, 12:16PM

2 stars vote downvote upReport
justin

It's awfull what smoking and the SUN does to people...the difference is mindbogling. When will we ever learn?

Reply »

anne v, 11-01-2009, 1:40PM

2 stars vote downvote upReport
anne v

i am 47 years old. i have never drank, smoked or used drugs--other than over the counter and RX'S--i weigh 103 my height is 5'2" and people think im in my 20's! my son is 24 and my daughter 27-she is married with 3 kids and also people think she is in her teens-she still weighs 100! my son-people think is also in his teens! people often think i am his girlfriend or wife so we always have to correct people and let them know i am his mom! he use to get upset about this but now it makes him laugh! when people find out im a grandma they freak out! the moral to this story--DONT DRINK, SMOKE OR USE ILLEGAL DRUGS--AND GOOD GENES DONT HURT EITHER!!!----I HAVE TWICE IN MY LIFE BEEN SUNBURNED SEVERELY IN GALVESTON ON THE BEACH--SO IN MY CASE ANYWAY-SUN EXPOSURE HAS NOT EFFECTED ME! I ALSO MOISTURIZE MY FACE EVERYDAY AND SLEEP WITH PEEL OFF FACE MASK EVERY NIGHT.

Reply »

sgorstayn, 11-01-2009, 2:42PM

2 stars vote downvote upReport
sgorstayn

i have always kept up with the maintenance of staying young and healthy but lately people have been commenting about how great i've been looking (usually they think it's my hair)...for the last four months i've been on a new vitamin/mineral/and herb supplement that makes me look better and i feel so vibrant! check it out and i would love to hear your feedback :
http://livethesource.com//sgorstayn

Reply »

Cristy, 11-02-2009, 6:53AM

2 stars vote downvote upReport
Cristy

90% of aging can be reversed. I would love to be able to get intouch with these women and introduce them to a Pure~Safe~Beneficial way to repair there skin. It is a same that we as women are not usually educatated about the damage of the elements and how products that we have been using for years are actually contributing to the demise of our precious skin. Please feel free to contact me if you would like to know more. www.cristy.myarbonne.com

Reply »

Darrick Antell, MD, 11-02-2009, 1:24PM

2 stars vote downvote upReport
Darrick Antell, MD

This work is a copy of previously published work by my team over 10 years ago. Below are links to more impressive photos
http://antell-md.com/elle1.html
http://antell-md.com/greenwich05.html

Also on Youtube, with Diane Sawyer on face lifts at:
http://www.youtube.com/watch?v=pcDgx9WXPkc&feature=PlayList&p=4F8893543C6825B6&playnext=1&playnext_from=PL&index=13

On YouTube, TODAY Show at:
Facelifts on twins

See more at:

www.Antell-md.com

http://www.youtube.com/watch?v=S4NbEW4rR64

Facelifts on identical triplets

http://www.youtube.com/watch?v=L6wrwON2PJU&feature=PlayList&p=5BD1EAD530080C0A&playnext=1&playnext_from=PL&index=2

Reply »

 
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