Meet our 65-year-old patient who came to us concerned about persistent blackheads, thickened skin, and sagging folds around the cheeks and temples. What caught our eye immediately? A striking asymmetry — one side of his face was far more affected than the other.
Upon closer inspection, we diagnosed him with Favre-Racouchot Syndrome, a chronic sun-induced skin condition seen most commonly in older adults with significant UV exposure. It typically presents as:
• Multiple open comedones (blackheads)
• Nodular, thickened skin
• Yellowish discoloration and elastosis (loss of skin elasticity)
• Most commonly affecting the temples, cheeks, and periorbital region
In this patient’s case, the damage was far more prominent on one side — the very side exposed daily to the sun as he relaxed on his patio. Years of cumulative UV exposure without proper sun protection had led to this distinct “half-face” difference.
(Swipe to see the before-and-after or comparison photos.)
• Chronic sun exposure can lead to irreversible skin changes, especially in sun-exposed areas like the face.
• Favre-Racouchot syndrome is more than a cosmetic concern — it’s a visible marker of photoaging.
• Daily broad-spectrum sunscreen, wide-brim hats, and UV protection are crucial — even for short outdoor exposures.
Disclaimer: This case features an actual patient of Dermatology Solutions, shared for educational purposes with written patient consent. All patient images and content are protected under copyright. Reproduction, copying, or distribution without explicit written consent from Dermatology Solutions is strictly prohibited.
