Wrinkles, Wound Healing & Water: Skin Science After 40


By a wound care nurse who knows hydration isn’t just trendy—it’s critical

Let’s face it: turning 40 is kind of like skin’s midlife crisis. Suddenly, things that used to “bounce back” now just… linger. Wrinkles sneak in, healing slows down, and your moisturizer starts working overtime. But here’s the good news: as a nurse and someone who obsesses over both wound care and wellness—I’m here to tell you that your skin can still thrive. It just needs a little more science, strategy, and yes… water.

So grab a glass, because we’re about to hydrate your skin, your gut, and your entire mindset.


💧 Let’s Talk About Water (No, Really)

I know—everyone and their wellness influencer cousin says to “drink more water.” But here’s the clinical truth:

  • Dehydrated skin heals slower.
  • Dehydrated bodies poop less.
  • Dehydrated cells age faster.

As a wound care nurse, I can tell you firsthand: hydration is everything. It’s one of the most overlooked components in both chronic wound healing and aging skin. Your skin is your largest organ, and like any good organ, it needs hydration to function.

Nurse Tip: Aim for half your body weight in ounces per day (or more if you’re sweating or chugging coffee like it’s charting fuel).


🧬 Wrinkles: The Battle You Can Totally Win (Sort of)

Wrinkles aren’t the enemy—they’re the memoirs of your face. But if you want to smooth out some chapters, here’s what works:

  • Topical Retinoids: Vitamin A derivatives that boost collagen and reduce fine lines. Bonus—they also help with wound cell turnover!
  • Peptides & Growth Factors: Fancy talk for ingredients that coach your skin into behaving younger.
  • Daily SPF: Because preventing damage is easier than microneedling it away later. (Shoutout to the sun exposure I thought was “just a tan” in my 20s…)

Bonus Point: Gut inflammation can accelerate aging—yep, your wrinkles can be a digestive distress signal.


🩹 Wound Healing After 40: Slower, But Smarter

Aging skin is like an older nurse: wise, experienced… but it doesn’t rush anymore. Healing slows because:

  • Collagen production decreases
  • Circulation may reduce
  • Immune response changes

But don’t panic—we can support healing through:

  • Vitamin C + Zinc + Protein (the holy trinity of wound care)
  • Hydration and circulation-boosting habits (walk, massage, hydrate)
  • Gut health: because nutrient absorption = healing fuel

Ostomy Patients: Pay extra attention to hydration and skin barrier integrity. Peristomal skin loves a happy gut and a well-fed body.


🥦 Skin Starts in the Gut (And Poop Tells the Story)

Let me be super nurse-real with you: If your gut’s a mess, your skin will tattle.

  • Acne, eczema, and dullness can all be tied to gut dysbiosis
  • Poor digestion = less nutrient absorption = less skin support
  • Chronic constipation? It’s not just uncomfortable—it slows detox, which your skin often picks up the slack for

Add prebiotic foods (like garlic, onions, asparagus), fermented foods (kimchi, yogurt, sauerkraut), and fiber-rich plants to keep your insides as pretty as your outside.


🧖‍♀️ My Personal Glow-Up Routine (In Case You’re Wondering)

Here’s what this 40-something nurse swears by:

  • Morning magnesium water + walk
  • Probiotic + collagen in my coffee (yes, it dissolves)
  • Gentle cleanser, Vitamin C serum, SPF 50, moisturizer with peptides
  • Retinol 2–3x/week at night
  • Eat-the-rainbow meals and good fats (hello avocado)
  • 7+ hours of sleep (or pretending I did)

👩‍⚕️ Final Thoughts from Your Favorite Wound Nurse

Your skin is a reflection of your gut, your habits, and your hydration. It doesn’t need 14 expensive products or filters—it needs care, consistency, and clinical common sense.

Wrinkles happen. Wounds take longer to heal. But with water, good food, gut love, and SPF loyalty, your skin will be as strong as your nursing skills.

Because you don’t just glow—you’ve earned that glow.


Wound Healing Nutrition: The Top 5 Vitamins I Recommend

Because wounds don’t heal on their own… no matter how much you wish they would.

Hey there! I’m a wound and ostomy care nurse in my fabulous 40s with over two decades of clinical experience—and a deep passion for all things skin, gut, and wellness. If you think wound healing is just about bandages and ointments, think again. Nutrition is a power player in the healing game, especially when it comes to vitamins that your body actually needs to repair itself efficiently.

Today, I’m breaking down the top 5 vitamins I swear by to help wounds heal faster, skin glow brighter, and your gut stay happy—because the gut-skin connection isn’t just a buzzword. It’s science.


1. Vitamin C — The Collagen Commander

Vitamin C isn’t just for fighting off colds or looking fresh in your selfies. It’s a key ingredient in collagen synthesis—hello, the protein that forms the scaffolding of your skin and wounds! Without enough vitamin C, your body’s wound repair slows to a snail’s pace.

Food sources: Oranges, strawberries, bell peppers, broccoli.
Pro tip: Pop a juicy orange post-lunch and watch your skin (and wounds) thank you.


2. Vitamin A — The Skin Renovator

Vitamin A is like that super-organized nurse who makes sure every healing step happens on schedule. It supports cell growth and immune function, both critical for skin regeneration and fighting infection.

Food sources: Sweet potatoes, carrots, spinach, kale.
Nurse’s note: Don’t overdo vitamin A supplements; too much can backfire. Food first, pills second.


3. Zinc — The Repair Crew Chief

Zinc’s like your wound care team’s MVP. It’s involved in DNA synthesis, immune response, and inflammation control—all essential for wound healing. If your wound feels like it’s stuck in traffic, low zinc might be the culprit.

Food sources: Pumpkin seeds, chickpeas, nuts, beef.
Gut-skin tip: Zinc supports your gut lining too, keeping everything running smoothly inside and out.


4. Vitamin D — The Immune Booster

Vitamin D isn’t just the sunshine vitamin that boosts your mood. It’s also crucial for modulating your immune system and reducing inflammation, giving wounds the best chance to heal without drama.

Food sources: Fatty fish (salmon, mackerel), fortified dairy, and good ol’ sunshine.
Sun safety tip: Get your D, but don’t forget your sunscreen—you’re a nurse, you know the drill!


5. B Vitamins — The Energy Providers

B vitamins, especially B12 and B6, are the behind-the-scenes workers that fuel your cells and support nerve function. Healing wounds need energy (hello mitochondria!), and B vitamins help provide just that.

Food sources: Eggs, dairy, whole grains, leafy greens.
Quick fix: A balanced diet typically covers your B’s, but sometimes a supplement might be needed—check with your healthcare provider.


Bonus: Hydration — The Unsung Hero

While not a vitamin, drinking enough water is critical for nutrient delivery and tissue repair. Dehydrated skin is slow to heal, so keep that water bottle close—preferably not the one you use for coffee.


The Gut-Skin-Wound Connection

Here’s the clincher: your gut health influences how well your body absorbs these vitamins and how your immune system responds. A happy gut means better nutrient uptake, less inflammation, and faster healing skin. So don’t just slather on creams—feed your microbiome and your body the nutrients it craves.


Nurse-Approved Takeaway:

Bandages and creams are just part of the story. For real wound healing magic, nourish from the inside out. Focus on a colorful, balanced diet rich in these vitamins, stay hydrated, and keep your gut microbiome thriving.

And if you ever wondered why you’re not healing as fast as you’d like—maybe your vitamins need a little boost.


Topical vs Internal: How Gut Health Shows Up on Your Face

Because no amount of $98 serum can outdo a constipated colon.


Let’s be real: your skin is a tattletale. It spills the tea on your sleep, stress, hormones, and yes—your gut health. So if you’re slathering on all the serums but still waking up with breakouts, dullness, or that charming mid-40s inflammation glow, it might be time to stop blaming your skincare and start asking your digestion what’s up.

As a nurse with 22 years of experience (and as someone who’s obsessed with both poop and peptides), I’m here to walk you through the ultimate skin showdown: Topical vs Internal.


🧴 Round 1: Topical Treatments (a.k.a. The Skincare Cabinet MVPs)

There’s a reason the beauty industry is worth billions—we love a cream with a promise. And some of them do work:

  • Retinoids boost collagen and smooth fine lines
  • Vitamin C brightens and defends
  • Peptides help firm skin
  • SPF (bless it) protects from further damage

Topical products treat the surface symptoms—and they matter. But if you’re trying to cover up what your gut is crying about, it’s like putting concealer on a bruise without treating the injury underneath.

🩺 Nurse truth bomb: If your gut is inflamed, your skin will stay cranky—no matter how fancy your serum is.


🥦 Round 2: Internal Health (a.k.a. The Gut-Skin Pipeline)

Your gut and skin are basically in a long-distance relationship with major chemistry. What happens in your intestines shows up on your cheeks, chin, and even your forehead. Here’s how:

  • Leaky gut = inflamed skin (hello, redness, rosacea, and breakouts)
  • Poor digestion = poor nutrient absorption = lackluster skin
  • Constipation = toxin buildup = skin tries to detox = acne or dullness
  • Gut dysbiosis (imbalance) = systemic inflammation = aging skin + flare-ups

If your skin’s acting up and you’ve tried everything topical? It’s time to talk poop. (This is my happy place.)


👩‍⚕️ Common Skin Clues Your Gut Is Mad at You:

  • Chin acne? Often linked to hormonal imbalances + poor elimination
  • Red, bumpy cheeks? Could be food sensitivities or gut inflammation
  • Dull, dry skin? Are you even absorbing your nutrients?
  • Eczema flares? Check for gut dysbiosis or leaky gut triggers

✨ The Best Skin Routine? Inside + Out

Here’s your glow-up protocol, nurse-approved and gut-friendly:

Topical Heroes

  • Gentle cleanser (ditch the 10-step routine)
  • Vitamin C (AM)
  • Retinol (PM, 2–3x/week)
  • SPF 50 (every. single. day.)
  • Moisturizer with peptides and ceramides

Internal Game-Changers

  • Probiotics: balance your gut flora
  • Prebiotics: feed the good bacteria (think asparagus, garlic, onions)
  • Fiber: aim for 25–35g daily—your bowels and skin will thank you
  • Magnesium: helps with motility and stress (which both impact your face)
  • Collagen + Vitamin C: support healing from the inside out
  • Hydration: water, herbal teas, broths—get those cells plump and happy

💩 Bonus Tip: If you haven’t pooped today, don’t expect your glow to show up either.


🧖‍♀️ From My Nurse Brain to Your Face

After two decades in healthcare and four decades in this face, I can confidently say this: you need both. The internal and the external. The broccoli and the balm. The poop talk and the peptide cream.

You can’t fake a glow that comes from the inside—but when your gut and your skincare routine hold hands? That’s when the magic happens.