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  • Writer's pictureKate Hume

Navigating Perimenopausal Skin Changes and Effective Treatment Options





As women approach menopause, their bodies undergo numerous changes, and skin is no exception. The perimenopausal period, which can start several years before menopause, often brings various skin concerns. Understanding these changes and exploring effective treatment options can help maintain healthy, vibrant skin during this transitional phase.


Understanding Perimenopausal Skin Changes

Perimenopause typically begins in a woman's 40s, but it can start as early as the mid-30s. This phase is marked by hormonal fluctuations, primarily a decline in oestrogen and progesterone levels. These hormonal shifts can significantly impact the skin in several ways:

  1. Dryness and Dehydration:

  • Decreased oestrogen levels reduce the skin's ability to retain moisture, leading to dryness and a rough texture.

  1. Loss of Elasticity and Firmness:

  • Collagen and elastin production slows down, resulting in sagging skin and a loss of firmness.

  1. Fine Lines and Wrinkles:

  • Reduced collagen leads to the formation of fine lines and deeper wrinkles, especially around the eyes and mouth.

  1. Thinning Skin:

  • The skin may become thinner and more fragile, making it more prone to damage and irritation.

  1. Hyperpigmentation:

  • Hormonal changes can cause increased melanin production, leading to dark spots and uneven skin tone.


Effective Treatment Options for Perimenopausal Skin

Maintaining skin health during perimenopause requires a combination of skincare practices and professional treatments. Here are some effective options:

  1. Hydrating Skincare Products:

  • Hyaluronic Acid: Helps attract and retain moisture, keeping the skin hydrated and plump.

  • Ceramides: Restore the skin's barrier, preventing moisture loss and protecting against irritants.

  • Glycerin: A powerful humectant that draws moisture into the skin.

  1. Collagen-Boosting Treatments:

  • Retinoids: Encourage collagen production, improve skin texture, and reduce the appearance of fine lines.

  • Peptides: Stimulate collagen synthesis and improve skin firmness and elasticity.

  • Microneedling: A minimally invasive procedure that promotes collagen production by creating micro-injuries in the skin.

  1. Antioxidant-Rich Skincare:

  • Vitamin C: Brightens the skin, reduces hyperpigmentation, and protects against free radical damage.

  • Vitamin E: Enhances the skin's moisture retention and provides antioxidant protection.

  • Niacinamide: Improves skin texture, reduces redness, and strengthens the skin barrier.

  1. Hormone Replacement Therapy (HRT):

  • How It Works: HRT can help balance hormonal levels, which may alleviate some skin issues associated with perimenopause.

  • Benefits: Improved skin hydration, elasticity, and a reduction in wrinkles.

  • Considerations: Should be discussed with a healthcare provider to weigh benefits and risks.

  1. Professional Treatments:

  • Laser Therapy: Targets pigmentation issues and stimulates collagen production for firmer skin.

  • Chemical Peels: Exfoliate the skin, improve texture, and reduce the appearance of age spots and fine lines.

  • Dermal Fillers: Restore lost volume and smooth out wrinkles, providing a more youthful appearance.

  1. Lifestyle Adjustments:

  • Healthy Diet: Consuming a diet rich in antioxidants, vitamins, and healthy fats can support skin health from within.

  • Hydration: Drinking plenty of water helps maintain skin hydration and overall health.

  • Sun Protection: Using a broad-spectrum sunscreen daily prevents further damage and hyperpigmentation.


Perimenopause brings a unique set of skin challenges, but with the right approach, it's possible to maintain healthy, vibrant skin. A combination of effective skincare products, professional treatments, and lifestyle adjustments can help manage the changes and keep your skin looking its best.


If you’re experiencing perimenopausal skin changes and want to explore treatment options, get in touch to schedule a consultation. We're here to help you navigate this transition with confidence.

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