Just too much worrying can show up on the skin.
Also, extremely important is to consider, what happens in your mind, as anxiety caused by stress, feel of overwhelming and just too much worrying can show up on the skin. Nervous system is connected to hormone system so every nervous breakdown, every negative thought pattern and unpleasant emotion will result in imbalance of your physical and spiritual state.
But when your mind is aligned to happiness and tranquillity the hormones in the body will be accordingly change appearance of your skin.
In summary there are many factors, which are influencing, how your skin looks like. You can always do something about it and improve the health of your skin. Even a little daily care of your body and your mind will result in visible improvements.Remember, Facial treatment can temporarily improve appearance of your skin, but only You yourself can make resilient difference.