Ageless Skin: Can Youthfulness Last Into the 90s Naturally? By:Dr. Sara IakovouDermatologist – Quttainah Specialized Hospital, Dubai

The question of how some individuals maintain remarkably youthful skin well into their later years has fascinated both the public and the medical community. While cosmetic interventions are now widely available, there are still cases of extraordinary natural aging. Dr. Sara Iakovou, a highly skilled and compassionate dermatologist at Quttainah Specialized Hospital in Dubai, provides a professional perspective on this intriguing subject.

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Is it possible for skin to maintain such youthfulness into the 90s without cosmetic interventions?

Dr. Sara Iakovou:
“Yes, while rare, it is possible. A small percentage of individuals naturally age more slowly due to a unique combination of exceptional genetics, diligent skincare routines, minimal sun exposure, and an overall healthy lifestyle. In these rare cases, the skin maintains firmness, even tone, and fewer wrinkles well into advanced age. But it’s important to note that this outcome is exceptional rather than typical.”

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What indicators can help differentiate naturally youthful skin from cosmetically treated skin?

Dr. Sara Iakovou:
“Natural aging tends to show subtle, uniform changes across the face, such as fine lines, mild volume loss, and an overall consistent texture. On the other hand, cosmetically treated skin — particularly with fillers or surgical lifts — may reveal areas of disproportionate smoothness or tautness compared to surrounding features. One of the most telling signs of natural youthfulness is the harmony between the skin of the face and other age markers such as the hands, neck, and posture.”

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Are there skincare practices that can significantly delay the appearance of wrinkles?

Dr. Sara Iakovou:
“Absolutely. The most powerful step anyone can take is consistent use of broad-spectrum sunscreen to protect against UV damage. Beyond that, a lifestyle that includes a diet rich in antioxidants, regular moisturization, gentle cleansing, and avoiding smoking can dramatically slow visible aging. Hydration, both internal and external, mild exfoliation, and topical ingredients like retinoids and vitamin C support collagen production and preserve elasticity for decades.”

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How much of a role do genetics play in how skin ages?

Dr. Sara Iakovou:
“Genetics can account for 50–60% of how skin ages. Traits such as collagen density, skin thickness, and natural pigmentation are inherited and play a strong role in wrinkle formation and sagging. However, genetics is not the full story — lifestyle and environmental exposure can either enhance or diminish those inherited advantages.”

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What’s your take on the public noting no visible signs of cosmetic work on Fairouz’s face?

Dr. Sara Iakovou:
“If that observation is accurate, it could be a reflection of exceptional genetics, disciplined self-care, or perhaps a very subtle and expertly executed approach to skin maintenance. In an era where cosmetic interventions are common, naturally graceful aging can appear even more remarkable and inspiring.”

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