Visible signs
One of the most visible signs of physical changes in middle adulthood is physical appearance. The first outwardly noticeable signs of aging usually are apparent by the forties or fifties . The skin begins to wrinkle and sag because of a loss of fat and collagen in underlying tissues (stone&others,2011).Small,localized areas of pigmentation in the skin produce age spots , especially in areas that are exposed to sunlight, such as the hands and face. For most people , their hair becomes thinner and grater. Fingernails and toenails develop ridges and become thicker and more brittle .
Since a youthful appearance is valued in our culture, many individuals whose hair is grating, whose skin is wrinkling , whose bodies are sagging , and whose teeth are yellowing strive to make themselves look younger . Undergoing cosmetic surgery,dyeing hair , wearing wigs, enrolling in weight-reducing programs, participating in exercise regimens , and taking heavy doses of vitamins are common in middle age. Many baby boomers have shown a strong interest in plastic surgery and Botox , which may reflect their desire to take control of the aging process (brun &brock-tune,2012).