Why Does Tsunade Look So Old

How old is Tsunade in Shippuden?

5 Tsunade (70) The Fifth Hokage, Tsunade was instrumental during a time period when Konoha needed a leader. She was 55 during the second half of Naruto, which would make her actually 70 years old in Boruto.

Does Tsunade make herself look younger?

Tsunade of the Legendary Sannin wasn’t one to age gracefully. But she had no desire to look as old as she truly was so she used her unparalleled medical skills to mask her aging appearance. It’s an advanced technique which allows her to transform her body to adopt a more youthful appearance.