Your under-eyes deteriorate → dark circles, puffiness, hollows
Others perceive you as tired → even when you feel fine (Karolinska, 2017)
People unconsciously pull away → “disease-avoidance mechanisms”
You notice this → your daughter says “you look tired,” your neighbour, the woman at the post office
You start declining invitations → social confidence erodes
Anxiety and loneliness increase → which makes you perceive yourself as even older (UK Biobank)
The loop repeats → and accelerates