Doctor's Library

Menopause and Skin: Why Does Skin Change?

Menopause is a time of significant hormonal change, and the skin is one of the areas where those changes can become noticeable. Skin may feel drier, thinner or less resilient, while changes in collagen, elasticity and hydration can alter the way the face and body look and feel.

These changes are a normal part of ageing and menopause, but that does not mean you simply have to accept skin concerns that are affecting your confidence or wellbeing.

Why does menopause affect the skin?

Oestrogen has an important role in maintaining the structure and function of the skin. As oestrogen levels change during perimenopause and menopause, several aspects of skin health can be affected.

Collagen production decreases with age, and the hormonal changes of menopause can contribute further to changes in skin thickness, elasticity and firmness.

The skin can also become less well hydrated and may feel drier or more sensitive than it did previously.

What changes might you notice?

Every woman experiences menopause differently, but common skin changes can include:

Some women also notice changes in their hair and nails during this stage of life.

What happens to collagen?

Collagen is one of the main structural proteins in the skin. It helps provide strength, firmness and support.

Collagen production naturally declines as we age. The reduction in oestrogen around menopause can contribute to a further reduction in collagen and changes in the skin's structure.

This can contribute to the appearance of fine lines, wrinkles and loss of firmness.

Can skincare help?

A consistent skincare routine can help support the skin through menopause.

Gentle cleansing, regular moisturising and daily broad-spectrum sunscreen are important foundations for healthy skin.

Depending on your skin type and concerns, ingredients such as retinoids, vitamin C and other evidence-based skincare products may also have a role.

The most appropriate routine will depend on your skin, your existing products and any conditions or sensitivities you may have.

What about vaginal and intimate skin changes?

Menopause can affect tissues beyond the visible skin of the face and body.

Falling oestrogen levels can cause changes to the vaginal and urinary tissues. Symptoms may include vaginal dryness, irritation, discomfort during sex, urinary urgency or recurrent urinary tract infections.

These symptoms are common but are not something you simply have to tolerate. There are effective treatment options, and discussing them with a healthcare professional can make a significant difference.

Where do aesthetic treatments fit in?

Clinical aesthetics can be considered alongside good skincare and overall menopause care when a woman would like to address particular aesthetic concerns.

At VERA MD, treatments may include anti-wrinkle treatments, dermal fillers, PRP, Profhilo and polynucleotides.

The most appropriate treatment depends on your individual anatomy, skin quality, concerns and desired outcome.

A good aesthetic consultation should be about understanding what you would like to achieve rather than simply recommending a treatment.

Does HRT improve the skin?

HRT is primarily prescribed to treat menopausal symptoms and, where appropriate, to provide other health benefits. Changes in skin structure and hydration may also occur with hormone treatment, but HRT should not be viewed as an aesthetic treatment.

Whether HRT is appropriate for you depends on your overall symptoms, health and individual balance of benefits and risks.

At VERA MD

At VERA MD, we believe that menopause care should consider the whole woman.

Changes in skin, hair, body composition and confidence can all form part of the menopause experience. Looking after your health and addressing concerns that matter to you can go hand in hand.

Our approach brings menopause and clinical aesthetics together, allowing conversations about hormonal health and aesthetic concerns to happen within the same considered clinical environment.

We don't fight nature, but we can push back.

If changes in your skin are affecting your confidence, or you would simply like to understand what is happening, a consultation can be a useful place to start.

This article is intended for general information and does not replace individual medical advice. If you have concerns about your skin, menopause symptoms or health, please speak with an appropriately qualified healthcare professional.