Hautrillen

Hautrillen, literally skin grooves, is a term used in dermatology to describe shallow furrows or lines in the skin that arise from aging, sun exposure, and mechanical forces. They commonly appear on the face, neck, and hands, and can range from fine, barely visible creases to deeper furrows. They are distinct from scars, dermatitis, or inflammatory wrinkles.

Key contributing factors include loss of collagen and elastin with age, reduced skin hydration, UV radiation, smoking, hormonal changes, and genetic predisposition. Repeated facial expressions can reinforce static lines.

Static Hautrillen are visible at rest; dynamic lines form with movement. Common sites include around the eyes (crow's feet), mouth (perioral lines), and on the backs of hands.

Diagnosis is clinical. Distinguishing Hautrillen from scarring, dermatitis, or atrophic conditions may require history and examination; rarely biopsy is needed.

Prevention and treatment focus on slowing progression and reducing appearance. Sun protection, moisturizers, and retinoids are common at-home measures. Procedures such as chemical peels, laser resurfacing, microneedling, and fillers can lessen deeper furrows; botulinum toxin may help dynamic lines.

Hautrillen are usually benign and progress with age, though severity varies with genetics and lifestyle.