Menopause marks a significant transition in a woman's life, bringing with it a range of emotional and physical changes, including menopause skin changes.
Among these, the impact on skin health often takes many by surprise. The hormonal fluctuations that occur during menopause can dramatically alter the skin's texture, hydration levels, and overall appearance, leading to concerns like dryness, increased sensitivity, and the emergence of fine lines and wrinkles.
If you've noticed changes to your complexion during this time, you're not alone. Menopause skin changes are a natural part of the process, but they can feel frustrating and challenging to manage. Understanding what's happening to your skin and how to care for it can make a world of difference.
From refining your skincare routine to making lifestyle adjustments, there are many ways to keep your skin healthy, radiant, and resilient. In this article, we'll explore the common skin concerns that arise during menopause, including menopause face care and menopause dry skin, and provide actionable solutions to help you navigate this stage with confidence.
By the end, you'll be equipped with knowledge and tips to embrace your skin's natural evolution while keeping it looking and feeling its best.

Menopausal Skin Changes
As you transition through menopause, you may notice significant changes in your skin.
These changes can be attributed to a sharp decline in estrogen levels, which directly impacts collagen production, skin hydration, and elasticity. Major changes to the skin during menopause include:
Decline In Collagen And Elasticity
Estrogen plays a vital role in maintaining collagen levels, the protein responsible for keeping your skin firm and smooth.
During menopause, collagen production can decrease by as much as 30% within the first five years. This loss leads to thinning skin, increased sagging, and the appearance of fine lines and wrinklesâsometimes referred to as âmenopause face.â
Reduced Oil Production
The sebaceous glands, which produce the skin's natural oils, become less active as hormone levels drop. This reduction results in menopause dry skin, often accompanied by flakiness and itchiness. For many women, their once-oily or balanced skin becomes noticeably drier during this stage.
Slower Skin Cell Turnover
Skin regeneration slows with age, and menopause amplifies this process. Dead skin cells linger longer on the surface, leading to a dull or uneven skin tone and rough texture.
Increased Sensitivity
Hormonal fluctuations can weaken the skin's natural barrier, making it more prone to irritation and sensitivity. Many women find that their skin reacts more strongly to products or environmental factors during menopause.
Changes In Blood Circulation
Reduced estrogen can also affect blood flow to the skin. This decreased circulation contributes to a loss of that youthful, rosy glow, leaving skin looking paler or less vibrant.
Common Menopause Skin Concerns
The internal changes described above tend to bring about a variety of exterior changes, many of which can be challenging to manage. Here are the most common menopause-related skin issues:
Dryness And Flakiness
Menopause dry skin is one of the most reported changes during menopause.
As estrogen levels drop, the sebaceous glands produce less oil, which leaves the skin drier and more prone to flakiness. Additionally, a compromised skin barrier struggles to retain moisture, intensifying dryness. This can lead to a tight, uncomfortable sensation, often accompanied by visible patches of flaking.
Wrinkles And Sagging
The decline in estrogen affects the production of collagen and elastinâtwo proteins critical for skin's structure and firmness.
With less collagen, skin loses its plumpness and elasticity, leading to the formation of wrinkles and sagging. These changes are particularly noticeable around the eyes, mouth, and jawline, where skin is naturally thinner and more delicate.
Acne Or Rosacea Flare-Ups
While acne is often associated with adolescence, hormonal fluctuations during menopause can lead to unexpected breakouts. The imbalance of androgens can cause an increase in sebum production, clogging pores and resulting in blemishes. Additionally, menopause may exacerbate conditions like rosacea, leading to redness, inflammation, and sensitivity.
Hyperpigmentation And Age Spots
Years of sun exposure can take a toll on the skin, and menopause often brings these effects to the surface.
Hormonal changes can intensify hyperpigmentation, causing dark spots and uneven skin tone. These "age spots" frequently appear on areas most exposed to the sun, such as the face, hands, and chest, creating a mottled or uneven appearance.
Thinner, Fragile Skin
The loss of estrogen also impacts skin thickness, making it more fragile and prone to damage.
Thin skin is more susceptible to cuts, tears, and bruising, and the reduced production of new skin cells can slow down the healing process. This can make minor injuries or irritations feel more significant and take longer to recover from.
The Role of Hormones and Supplements in Skin Health
Estrogen: A Key Player in Skin Vitality
Estrogen plays a central role in maintaining healthy, youthful skin. Its decline during menopause directly impacts the skin's appearance and function, leading to:
- Collagen Loss: Estrogen stimulates collagen production, which keeps skin firm and resilient. Without adequate estrogen, collagen levels drop significantlyâup to 30% in the first five years of menopauseâleading to wrinkles and sagging.
- Reduced Hydration: Estrogen boosts the production of hyaluronic acid and natural oils, which are critical for skin hydration. A decrease in estrogen often results in dryness, flakiness, and a compromised skin barrier.
- Decreased Elasticity: The hormone supports elastin production, which gives skin its ability to stretch and bounce back. A decline in estrogen weakens this elasticity, leading to thinner, more fragile skin.
- Slower Healing and Repair: Estrogen promotes blood circulation and cell turnover, aiding in faster skin repair. Its decline slows this process, making skin more susceptible to damage and slower to heal.
How Estrogen Therapy Helps:
Hormone Replacement Therapy (HRT) with estrogen can mitigate these effects. By restoring estrogen levels, HRT can improve skin thickness, hydration, and elasticity while reducing wrinkles and sensitivity. Consult your healthcare provider to discuss whether HRT is suitable for you.
In addition to estrogen, other hormones, and supplements play a significant role in maintaining skin health during menopause. Hormonal imbalances often extend beyond estrogen, and addressing these can enhance the overall effectiveness of your skincare and health strategies.
Progesterone and Skin Health
While primarily known for its role in the menstrual cycle, progesterone also contributes to skin health. Progesterone helps regulate water retention in the skin, which can influence hydration levels. A balance between estrogen and progesterone is crucial, as low progesterone levels relative to estrogen (a condition known as estrogen dominance) can exacerbate skin dryness, dullness, and sensitivity.
Bioidentical progesterone, often prescribed in combination with estrogen as part of Hormone Replacement Therapy (HRT), may support improved skin hydration and reduce inflammation that can contribute to redness or acne during menopause.
Testosterone and Your Skin
Testosterone, although present in lower amounts in women than in men, plays a vital role in skin regeneration and oil production. Declining testosterone levels during menopause can lead to thinner, more fragile skin and contribute to a loss of skin density. Conversely, an imbalance where testosterone levels are too high may trigger increased oil production, leading to acne flare-ups.
Testosterone supplementation, when appropriately prescribed as part of HRT, can help maintain skin strength, elasticity, and a youthful glow while preventing excessive oiliness.
Vitamin D3 is Essential for Your Skin
Vitamin D3 is essential for skin repair and regeneration. It plays a key role in protecting the skin's barrier function and can help reduce inflammation. Low vitamin D levels, common in menopausal women, can contribute to dryness, eczema, or other skin conditions.
Regular sun exposure (with proper sunscreen), fortified foods, or supplements can help maintain optimal levels of vitamin D3, promoting healthy skin and supporting overall well-being.
Other Key Hormones and Nutrients
- DHEA (Dehydroepiandrosterone): A precursor hormone to estrogen and testosterone, DHEA production declines with age. Supplementing with DHEA has been shown to improve skin hydration, thickness, and elasticity while reducing the appearance of wrinkles.
- Melatonin: Known primarily for its role in sleep regulation, melatonin is also a potent antioxidant that can protect the skin from oxidative stress and promote repair during nighttime cell regeneration.
- Omega-3 Fatty Acids: Essential fatty acids help maintain the skin's lipid barrier, improving hydration and reducing inflammation. Supplementing with omega-3s can be particularly beneficial for menopausal skin.
- Collagen Supplements: Hydrolyzed collagen peptides have been shown to support skin elasticity, hydration, and overall texture, helping combat the effects of collagen loss during menopause.
Tailoring Your Hormonal Support
Combining hormone therapy with targeted nutritional supplementation can offer a holistic approach to managing menopausal skin changes. It's crucial to work with a healthcare provider to test hormone levels and determine the most appropriate therapies or supplements for your needs.
Menopause Face Care: Tailoring Your Routine
Caring for your skin during menopause requires adjustments to address its evolving needs. As your skin becomes drier, thinner, and more sensitive, your skincare routine should focus on hydration, protection, and nourishment. Here are a few essential tips to create a tailored menopause face care regimen:
Cleanse Gently
When you wash your face, use a mild, non-foaming cleanser to avoid stripping away natural oils. Look for ingredients like ceramides, glycerin, or hyaluronic acid to help maintain hydration while cleansing. Avoid harsh scrubs or overly aggressive exfoliants that can irritate thinning or sensitive skin.
Hydrate Deeply
Switch to richer moisturizers or hydrating serums that include hyaluronic acid, ceramides, and squalane. These ingredients help lock in moisture and strengthen the skin barrier. Apply a hydrating toner or essence before your moisturizer to boost absorption.
Incorporate Retinoids Carefully
Retinoids can be effective in promoting collagen production and reducing wrinkles, but they may also increase sensitivity.
Start with a low concentration and apply it every other night to allow your skin to adjust. Pair with a rich moisturizer to minimize dryness. Just be sure to use sunscreen during the day, as retinoids can increase sun sensitivity.
Add Antioxidants
Incorporate a vitamin C serum into your morning routine to combat free radical damage and brighten the skin. Other antioxidants like vitamin E, niacinamide, and green tea extract can soothe irritation and improve skin resilience.
Prioritize Sun Protection
Use a broad-spectrum sunscreen with SPF 30 or higher daily, even on cloudy days. Look for formulations with added moisturizers to combat dryness. Consider tinted sunscreens to provide light coverage and even out your complexion while protecting against UV rays.
Boost Collagen Production
Use peptides in your skincare routine to support collagen and elastin synthesis. Consider professional treatments like microneedling or laser therapy to stimulate collagen if your skin can tolerate it.
Target Hyperpigmentation
Use brightening ingredients like niacinamide, licorice extract, or azelaic acid to fade age spots and even out skin tone. For stubborn pigmentation, consult a dermatologist about stronger options like hydroquinone or chemical peels.
Soothe And Strengthen The Skin Barrier
Avoid overly fragranced or alcohol-based products that can irritate sensitive skin. Use calming ingredients like allantoin, panthenol, and chamomile extract to reduce redness and irritation.
Hydrate From Within
Staying hydrated by drinking plenty of water supports overall skin health. Incorporate omega-3 fatty acids into your diet through foods like fish, flaxseeds, or supplements to enhance skin's hydration and elasticity.
Be Consistent But Flexible
Reevaluate your skincare routine regularly to ensure it meets your skin's changing needs. Adjust the products and steps as necessary, especially during seasonal changes or periods of heightened sensitivity.

Dietary And Lifestyle Adjustments For Healthy Skin
In addition to a tailored skincare routine, making mindful dietary and lifestyle changes can significantly improve the health and appearance of your skin during menopause.
Hormonal shifts, along with the skin's natural aging process, require extra attention to nutrition, hydration, and overall well-being.
Stay Hydrated
Proper hydration is essential for maintaining skin moisture and elasticity.
Dehydrated skin can exacerbate dryness, flakiness, and fine lines. Aim to drink at least eight glasses of water per day, and more if you're active. Herbal teas and water-rich fruits like cucumbers, watermelon, and oranges can also help with hydration.
Eat A Skin-Friendly Diet
A well-balanced diet rich in nutrients can promote skin health from the inside out. Focus on these skin-loving foods:
- Omega-3 Fatty Acids: These healthy fats, found in fatty fish (salmon, mackerel), walnuts, chia seeds, and flaxseeds, help to maintain skin's moisture and prevent dryness. Omega-3s also have anti-inflammatory properties that can reduce skin irritation.
- Antioxidant-Rich Foods: Incorporate a variety of colorful fruits and vegetables, such as berries, spinach, kale, and carrots, which are rich in antioxidants like vitamins A, C, and E. These help protect the skin from oxidative stress and free radical damage, which can accelerate aging.
- Vitamin C and Zinc: Vitamin C is vital for collagen production, while zinc helps with wound healing and supports the skin barrier. Citrus fruits, strawberries, bell peppers, nuts, and seeds are excellent sources of both nutrients.
- Phytoestrogens: Foods like soy, flaxseeds, and sesame seeds contain plant-based compounds that mimic estrogen in the body. These may help balance hormone levels and reduce menopause symptoms, including skin changes.
Limit Sugar And Processed Foods
High sugar intake can lead to glycation, a process where sugar molecules bind to collagen and elastin, damaging these proteins and contributing to sagging and wrinkles.
Focus on whole, minimally processed foods such as whole grains, lean proteins, and fresh vegetables, and reduce consumption of sugary snacks, refined carbs, and processed foods.
Incorporate Healthy Fats
Healthy fats, especially those from avocados, olive oil, and nuts, can help improve skin elasticity and hydration. These fats also support the production of essential fatty acids, which are vital for maintaining a strong skin barrier.
Exercise Regularly
Regular physical activity improves blood circulation, which can help deliver oxygen and nutrients to the skin, promoting a healthy, glowing complexion.
Exercise also reduces stress, a common trigger for skin flare-ups like acne or rosacea. Aim for at least 30 minutes of moderate exercise, such as walking, swimming, or yoga, most days of the week.
Prioritize Sleep
Sleep is a vital component of skin health. During deep sleep, the body undergoes repair and regeneration, including the production of collagen.
Aim for 7-9 hours of quality sleep each night to allow your skin to repair and restore itself. If sleep disturbances are a concern during menopause, consider establishing a relaxing bedtime routine or speaking with your healthcare provider about solutions.
Manage Stress
Chronic stress can trigger inflammation in the body, leading to skin flare-ups, dryness, and premature aging. Practicing stress-management techniques like deep breathing, meditation, mindfulness, or yoga can help reduce cortisol levels and improve skin health.
Quit Smoking And Limit Alcohol
Smoking depletes collagen and causes blood vessels to constrict, reducing blood flow to the skin and accelerating the appearance of wrinkles and dullness.
Alcohol, especially when consumed in excess, can dehydrate the skin and dilate blood vessels, leading to redness and irritation. Reducing or eliminating both habits can significantly improve skin health.
Stay Protected From The Sun
While the sun's UV rays contribute to skin aging year-round, they are particularly damaging during menopause when skin may become more vulnerable.
Use a broad-spectrum sunscreen with an SPF of at least 30 daily, and reapply every two hours when outdoors. Consider wearing protective clothing and sunglasses, and avoid peak sun hours.
Stay Consistent
Like your skincare routine, lifestyle changes take time to show visible results. Consistency in both diet and self-care practices is key to maintaining healthy skin through menopause.
Professional Treatments For Menopause Skin Changes
In addition to a personalized skincare routine, professional treatments can significantly help address menopause-related skin changes.
These treatments target deeper layers of the skin to improve texture, tone, and firmness. Here are some effective options:
Microneedling
Microneedling creates tiny punctures in the skin, stimulating collagen production and improving texture. It can reduce wrinkles, improve skin elasticity, and address hyperpigmentation or acne scars. Several sessions may be needed for optimal results, but there's minimal downtime after treatment.
Chemical Peels
Chemical peels exfoliate the skin, revealing smoother, younger-looking skin. They can treat sun damage, uneven skin tone, and fine lines by promoting collagen growth. Mild redness and peeling are common post-treatment, with little to no downtime after lighter peels.
Laser Treatments
Laser resurfacing uses light to target deeper skin layers, boosting collagen and treating wrinkles, sagging, and pigmentation issues like age spots. It may require a few sessions for best results, and downtime varies based on the treatment type.
Radiofrequency (RF) Therapy
RF therapy uses heat to tighten skin and stimulate collagen production, improving skin firmness and reducing sagging. It's non-invasive with no downtime, and multiple treatments may be needed for optimal results.
Dermal Fillers
Dermal fillers restore volume to areas affected by collagen loss, such as the cheeks and around the mouth. They can smooth wrinkles and improve facial contours. Results are immediate, with minimal downtime, and effects last for months to a year.
Botox And Dysport
Botox and Dysport relax muscles to smooth out wrinkles caused by facial expressions, particularly around the forehead and eyes. These treatments are quick, with minimal recovery, and results typically last 3-6 months.
Platelet-Rich Plasma (PRP) Therapy
PRP therapy involves using your own blood to stimulate collagen production and improve skin tone and texture. It can address fine lines, sagging, and acne scars. Multiple treatments are recommended, with mild redness or swelling post-procedure.
Microdermabrasion
Microdermabrasion exfoliates the skin to improve texture and reduce the appearance of fine lines and uneven pigmentation. It's a gentle, non-invasive option with no downtime and can be done in a series for the best results.
Final Thoughts
Menopause brings significant changes to the skin, but with the right skincare routine, lifestyle adjustments, and professional treatments, you can manage these changes and maintain a healthy, glowing complexion.
Whether it's dryness, wrinkles, or pigmentation issues, there are effective ways to address these concerns and feel confident in your skin. For personalized support during menopause, including a free hormone assessment, visit Fem Excel today and take the next step in managing your menopause journey.