A moisturiser you have used for years may no longer feel sufficient. Make-up may settle differently, and products that once suited your skin may begin to sting. When familiar care stops feeling right, it can be difficult to know what to change.
Around menopause, changes in the skin can affect both comfort and appearance. Understanding what has changed makes it easier to choose useful care. For some women, the priority is relief from dryness. For others, it is finding a considered way to address a loss of firmness while keeping their features familiar.
Why Can Skin Change Around Menopause?
Changes can begin during perimenopause, the transition leading up to menopause. Oestrogen helps support moisture retention and the maintenance of collagen within the skin. As levels decline, the skin may become drier and less supple, making a previously effective routine feel inadequate.[1]
Collagen is part of the framework that gives skin strength. Changes in collagen and other components of the dermis can contribute to thinning and reduced elasticity. Hormonal effects occur alongside ordinary ageing and accumulated sun exposure, so they do not explain every change in the face.[2]
The pace and extent of change vary. A useful assessment considers what you have noticed, when it began, and whether the skin is uncomfortable as well as different in appearance. There is no need to fit your experience to a particular photograph or an age-related checklist.
Why Does Skin Feel Dry Even When You Moisturise?
During menopause, the skin can become less able to retain water. A light lotion that previously felt adequate may no longer provide enough comfort. Dryness may be especially noticeable after cleansing or when spending time in dry, air-conditioned surroundings.[3]
A fragrance-free cream may be more useful than repeatedly layering light serums. Gentle cleansing and applying moisturiser while the skin is still slightly damp can help. If the skin continues to feel sore, flaky or persistently itchy, an assessment can establish whether another condition needs treatment.[4]
What Should You Change in Your Skincare Routine?
Make Comfort the First Priority
If your skin is stinging, simplify the routine before adding more active ingredients. Put non-essential scrubs and exfoliating products aside, and use a gentle cleanser with a moisturiser the skin tolerates. Tell your doctor if prescribed products are causing discomfort so the plan can be adjusted appropriately.[4]
Bring the products themselves, or photographs of their labels, to the consultation. The combination matters: several products may contain similar ingredients even when they are marketed for different concerns. A review can identify which steps have a useful purpose and which may be making the routine harder to tolerate.
Introduce Targeted Ingredients Gradually
Once the skin is comfortable, selected ingredients may help with fine lines or uneven texture. Retinoids, including retinol, can be useful for these concerns, but they can also cause irritation. The formulation and frequency need to suit the skin; persistent burning or peeling is a reason to review the approach.[5]
Daily broad-spectrum sunscreen remains part of the foundation. Choose SPF 30 or higher and include the neck and other exposed areas. A formulation that feels comfortable enough to use consistently is more useful than one you avoid because it stings or feels unpleasant.[3]
Can You Have Dry Skin and Breakouts at the Same Time?
Yes. Some women develop acne during the menopausal transition even as their skin becomes drier. A routine that strips away oil may make the skin less comfortable without adequately controlling the breakouts. Treatment needs to address the acne while taking the change in skin tolerance into account.[3]
Persistent redness or a new rash also deserves assessment. Irritation, rosacea and other skin conditions can require different care, and a new problem should not automatically be attributed to hormones. Describing whether the skin itches, burns or flushes helps guide that assessment.[3]
When Might an Aesthetic Treatment Be Helpful?
For Hydration and Skin Quality
At VIDASKIN, skin boosters are among the options considered for hydration and skin quality concerns. Selected injectable hyaluronic acid treatments may help the skin appear more supple, but suitability depends on the product and assessment. They do not replace daily skincare or the treatment of an active skin condition.[6]
If this option is discussed, ask what change is expected and how it will be assessed. The relevant outcome may be a subtle improvement in texture or fine creasing. It should be clear whether that is likely to address the concern you brought to the consultation.
For a Loss of Firmness
Selected ultrasound or radiofrequency treatments may help mild skin laxity by stimulating a gradual tissue response. Expected improvement is usually modest and develops over time. More substantial loose skin may be beyond what these treatments can usefully address.[7]
The discussion should include the area that concerns you, the likely degree of change and whether that would feel worthwhile. Menopause alone is not a reason to begin a tightening treatment. The decision should follow the examination and your own priorities.
For Changes in Facial Volume
When reduced facial volume is contributing to a hollow or less supported appearance, a conservative filler plan may be considered. Adding volume needs a clear anatomical purpose. It will not correct every line, and filling several areas is not automatically the best way to create a refreshed appearance.[8]
Any injectable discussion should cover recovery and relevant risks. These include swelling and bruising, as well as uncommon complications such as infection or vascular injury. Understanding the limits and risks is part of deciding whether the likely benefit is right for you.[9]
What Role Does Hormone Replacement Therapy Have?
Hormone replacement therapy, or HRT, is used to treat menopausal symptoms after an individual assessment of benefits and risks. If hot flushes, disrupted sleep or other symptoms are affecting daily life, discuss them with your GP or a clinician providing menopause care. Skin concerns can be mentioned as part of that wider conversation.[10]
Research suggests that oestrogen can influence skin hydration and collagen, but the effect of hormone treatment on visible skin ageing is variable. HRT should not be started solely as a cosmetic skin treatment. Decisions about it need to reflect your overall health and menopausal symptoms.[2][10]
An aesthetic skin plan can be considered alongside appropriate menopause care. Let each treating clinician know which medicines and hormone treatments you use. This helps the recommendations fit together and avoids treating the skin in isolation from the rest of your health.
How Should Progress Be Judged?
Agree on what improvement would mean before treatment begins. If dryness brought you in, reduced tightness and better day-to-day comfort are useful outcomes. If the concern is appearance, discuss the specific change you hope to see and when a review would be meaningful.
The plan can evolve as the skin settles. You may find that a simpler routine addresses much of the concern, or that you would like to explore a particular procedure once the skin feels comfortable. Reviewing each step gives you room to make those decisions without committing to every option at the outset.
Discuss Your Changing Skin With Dr Nick Wang at VIDASKIN
Dr Nick Wang approaches aesthetic care with an emphasis on individual assessment, clear explanations and realistic treatment goals. A consultation at VIDASKIN gives you space to discuss both the changes you see and the way your skin now feels.[11]
Bring your current routine, treatment history and the questions that have been difficult to answer on your own. Book a consultation with Dr Nick Wang to understand what your skin needs now and explore a plan that supports comfort, skin quality and the changes that matter to you.
FAQ Section
Do I need a skincare range labelled for menopause?
Not necessarily. Products should be chosen for your current skin needs and tolerance. A gentle cleanser, suitable moisturiser and sunscreen can form the basis of care without a specially labelled range.[4]
Can I still use retinol if my skin has become sensitive?
Will a skin treatment reverse menopause-related changes?
Can I improve my skin if I do not take HRT?
Yes. Daily skincare and selected medical or aesthetic treatments can be considered independently of HRT. Whether hormone treatment is appropriate is a separate decision about menopausal symptoms and overall health.[10]
References
- [1] Raine-Fenning NJ, Brincat MP, Muscat-Baron Y. Skin aging and menopause: implications for treatment. American Journal of Clinical Dermatology. 2003;4:371–378. doi:10.2165/00128071-200304060-00001. View source
- [2] Lephart ED, Naftolin F. Menopause and the skin: old favorites and new innovations in cosmeceuticals for estrogen-deficient skin. Dermatology and Therapy. 2021;11:53–69. doi:10.1007/s13555-020-00468-7. View source
- [3] American Academy of Dermatology. Caring for your skin in menopause. View source
- [4] American Academy of Dermatology. Dermatologists’ tips for relieving dry skin. View source
- [5] American Academy of Dermatology. Retinoid or retinol? View source
- [6] VIDASKIN. Skin booster treatment: hydration and skin quality. View source
- [7] American Academy of Dermatology. Options for firming sagging skin. View source
- [8] American Academy of Dermatology. Fillers: FAQs. View source
- [9] US Food and Drug Administration. Dermal fillers: uses, limitations and risks. View source
- [10] NHS. About hormone replacement therapy (HRT). View source
- [11] VIDASKIN. Dr Nick Wang: clinic profile. https://vidaskinclinic.com/dr-nick-wang/