What is CASC? The Certified Administrator Surgery Center (CASC) credential is a distinction earned by those in the ASC industry with a comprehensive understanding of the knowledge and skills that the role of an ASC administrator requires. The Board of Ambulatory Surgery Certification (BASC) is the organization that administers the CASC exam.
1 Tender, red splits or cracks at the corner of your mouth (angular cheilitis), which can be caused by infection, a diet too low in vitamins, and over-closure of the mouth in someone who has been without teeth or dentures for some time.  Chapped lips, which may be caused by dry, windy, cold, or very hot weather.
They include: 1  Loss of fat below the skin in the cheeks, temples, chin, nose, and eye area may result in loosening skin, sunken eyes, and a skeletal appearance. 2  Bone loss, mostly around the mouth and chin, may become evident after age 60 and cause puckering of the skin around the mouth.