Overview
What's changing.
As estrogen and progesterone begin to fluctuate and decline, the skin produces less collagen and hyaluronic acid, the skin barrier weakens, and the balance between estrogen and androgens shifts. Many women notice their skin behaving very differently from how it did in their 30s.
Symptoms
Common concerns.
- Adult and hormonal acne
- Dryness, dullness and new product sensitivity
- Flushing and rosacea flares
- Early loss of firmness and facial volume
- Hair thinning and increased shedding
- Unwanted facial hair
How we treat
How Dr. Burris helps.
- A routine rebuilt for changing skin: barrier repair plus a tolerable retinoid
- Hormonal acne treatment, including spironolactone when appropriate
- Hair loss evaluation and treatment, including minoxidil and PRP
- Collagen support with biostimulatory fillers and microneedling
- Coordination with your gynecologist about hormone therapy when relevant
Questions
Frequently asked questions.
Why am I breaking out in my 40s?
Fluctuating hormones, and a relative increase in androgens as estrogen declines, can trigger acne along the jawline and chin. It responds well to targeted treatment.
Can perimenopause cause hair loss?
Yes. Hormonal shifts can unmask or accelerate pattern hair thinning and trigger shedding. Early evaluation gives the best results.
Does hormone therapy help skin?
Menopausal hormone therapy may improve skin hydration and thickness for some women. That decision is made with your gynecologist, and Dr. Burris is happy to coordinate.