Barack Obama has those ears to contend with, while every time Joe Biden opens his mouth it's like watching an old episode of Mr Ed. Even pretty boy John Edwards is starting to show signs of wear.
But according to the US's leading radio shock jock, Rush Limbaugh, it all matters little for the male presidential candidates, because when men age they look "more authoritative, accomplished and distinguished".
What does matter, says Limbaugh, is that Hillary Clinton, who turned 60 in October, is starting to wrinkle.
So on Monday, on a radio show with an audience of 14.5 million, Limbaugh asked this question about the former first lady's presidential prospects: "Will Americans want to watch a woman get older before their eyes on a daily basis?"