As women enter perimenopause and menopause, typically in their 40s or 50s, hormonal shifts deeply affect more than just reproductive health—skin undergoes significant changes as well. As a skincare professional, I’ve studied how these life transitions impact the skin, making it more prone to dryness, thinning, and sensitivity. In this article, I’ll explore the skin changes that occur during these stages and offer strategies to manage them, to help maintain a radiant, healthy complexion during this natural phase of life.
What happens
The primary driver behind skin changes during perimenopause and menopause is the decline in oestrogen and progesterone levels. Oestrogen plays a crucial role in maintaining skin thickness, moisture retention, and collagen production. As levels drop, the skin begins to thin, dry out, and lose its elasticity, leading to an increase in wrinkles, fine lines, and sagging.
Loss of collagen and elasticity: Collagen, the structural protein responsible for keeping skin firm and plump, decreases dramatically during menopause. By the time women reach menopause, they can lose up to 30% of their skin’s collagen in the first five years. This results in skin that may feel more fragile, less resilient, and prone to wrinkles.
Dryness and dehydration: One of the most common complaints during perimenopause and menopause is dryness. The skin’s ability to retain moisture diminishes as estrogen levels fall. You might notice that your once oily or combination skin becomes uncharacteristically dry and flaky. A compromised lipid barrier leaves skin prone to transepidermal water loss, further exacerbating dehydration.
Increased sensitivity: During this stage, skin can become more reactive and sensitive. The decline in natural oils makes the skin barrier more susceptible to environmental stressors like pollution, UV rays, and harsh skincare ingredients. This can lead to redness, irritation, and flare-ups of conditions such as rosacea or eczema.
Changes in pigmentation: Many women experience changes in pigmentation during perimenopause, such as the development of age spots or an increase in hyperpigmentation. This is largely due to hormonal fluctuations that affect melanin production. Additionally, past sun exposure can manifest more visibly as the skin’s ability to repair itself slows down.
Thinning skin: As estrogen declines, skin loses its density and becomes thinner, making it more prone to bruising and slower to heal from wounds. This thinning also reveals underlying blood vessels, making the skin appear more translucent or prone to blotchiness.
Adapt a skincare routine: With these changes in mind, it’s essential to adapt your skincare routine to meet the evolving needs of menopausal skin. Here’s how to approach it with a clean beauty philosophy, prioritizing gentle, effective, and nourishing ingredients that support long-term skin health.
Hydration is key: Look for deeply hydrating products that reinforce the skin’s natural moisture barrier. Ingredients like hyaluronic acid, glycerin, and ceramides are excellent for drawing moisture into the skin and preventing water loss. Additionally, plant-based oils such as jojoba or argan oil can help replenish lost lipids without clogging pores.
Support sin barriers: Protecting and strengthening the skin’s barrier function becomes paramount during menopause. Niacinamide, a powerful anti-inflammatory ingredient, helps to reduce sensitivity and fortify the barrier. It also works to minimize redness and hyperpigmentation, making it ideal for menopausal skin.
Sun protection: Always use broad-spectrum SPF daily, regardless of age. Menopausal skin is more vulnerable to UV damage, which can accelerate collagen breakdown and exacerbate pigmentation issues. Choose a mineral-based sunscreen that offers physical protection without irritating sensitive skin.
Holistic wellness
It’s important to remember that skincare is only part of the equation when it comes to maintaining healthy, glowing skin during perimenopause and menopause. Holistic wellness, including a balanced diet, regular exercise, and stress management, plays a crucial role in how your skin looks and feels.
Nutrition: Eating a diet rich in antioxidants, healthy fats, and collagen-boosting nutrients (such as vitamin C, zinc, and omega-3s) can help support skin from within. Foods like fatty fish, nuts, seeds, and leafy greens provide essential nutrients that promote hydration and skin elasticity.
De-stress: Chronic stress can exacerbate skin conditions, especially during hormonal shifts. Practices like yoga, meditation, and deep breathing can help manage stress and improve overall skin health by reducing inflammation and promoting relaxation.
Stay active: Exercise increases blood flow, delivering oxygen and nutrients to the skin. It also helps flush out toxins and promotes collagen synthesis, keeping your skin looking healthier and more vibrant.
Conclusion
Perimenopause and menopause are inevitable stages in life, but their impact on skin can be managed with the right care and a holistic approach. By understanding the changes occurring in your body and adjusting your skincare routine accordingly, you can maintain healthy, radiant skin well into your post-menopausal years.
(Dinyar Workingboxwalla, a renowned celebrity aesthetician and Co founder of BiE)
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