Many patients who visit my St. Louis office tell me, “My skin just seems so thin—almost like tissue paper.” Thin skin can be frustrating, especially when it tears easily, bruises quickly, or shows veins more prominently. While thinning skin is a common part of aging, some people notice it earlier or more severely than others. Understanding the causes of thin skin can help guide treatment and prevention.
At Sheen Vein (Aesthetics and Functional Medicine), we evaluate both external and internal factors to determine why a person’s skin is thinning and how to strengthen it.
Thin skin refers to a noticeable loss of skin thickness and elasticity. It may look almost transparent, fragile, or wrinkled. People with thin skin often report that minor bumps leave bruises, or that small scratches take longer to heal.
This happens because the skin is made up of multiple layers, and over time, the dermis (the supportive layer containing collagen and elastin) loses density. Without this supportive structure, skin becomes more delicate.
As we age, collagen and elastin production slows. These proteins give skin its strength and elasticity. At the same time, the skin loses underlying fat, making it look thinner and more fragile.
Chronic sun exposure is one of the biggest contributors to premature skin thinning. Ultraviolet (UV) rays break down collagen and elastin fibers, leading to sagging, wrinkles, and loss of skin density. Patients who spent years outdoors without sun protection often notice thin, leathery skin later in life.
Certain medications, particularly long-term corticosteroid use (oral or topical), can thin the skin. Blood thinners and some anti-inflammatory drugs may also make bruising and fragility more noticeable.
Declining estrogen during perimenopause and menopause reduces collagen production and skin hydration, leading to thinner, more delicate skin. Low testosterone in men can also contribute.
Some people naturally have finer, thinner skin due to their genetic makeup. While they may not be able to change this baseline, they can take steps to slow further thinning.
Skin health depends on adequate nutrition. Low protein intake, vitamin C deficiency, and inadequate zinc or omega-3 fatty acids all impair collagen synthesis and repair. Through our functional medicine testing, we often identify these hidden deficiencies.
Poor blood flow reduces the delivery of oxygen and nutrients to the skin. Patients with chronic venous insufficiency or other circulation problems often notice thinner, weaker skin on the lower legs. Learn more about our vein treatments.
Thin skin isn’t just a cosmetic issue. It can lead to:
For many patients, these changes impact confidence and comfort in their daily lives.
At Sheen Vein (Aesthetics and Functional Medicine), we focus on both prevention and treatment:
If you notice sudden thinning of the skin, excessive bruising, or wounds that don’t heal properly, it’s important to seek medical evaluation. These symptoms may indicate more than normal aging—they could point to medication side effects, circulation problems, or underlying health issues.
Thin skin is a common concern, especially with age, but it doesn’t have to be something you simply accept. By addressing lifestyle, nutrition, hormone balance, and circulation—and by using advanced regenerative treatments—you can restore skin strength and reduce fragility.
At Sheen Vein (Aesthetics and Functional Medicine) in St. Louis, we specialize in treating skin health from the inside out. If you’ve noticed your skin becoming thinner or more fragile, our team can create a personalized plan to help you rebuild confidence and resilience.
👉 Call our office today to schedule your consultation and learn how we can help strengthen and rejuvenate your skin.