Skin Concerns

Menopausal Skin Changes

The skin, hair, and facial changes that accompany perimenopause and menopause are significant - and often the least discussed. We take them seriously.

What it is

A shift that changes everything

Perimenopause and menopause bring a cluster of skin, hair, and facial changes driven by the decline of oestrogen and progesterone. These changes often begin in the early to mid-40s and can extend for a decade or more.

Many women describe noticing their skin feeling different before they see visible changes. Drier. Less resilient. More reactive to products that previously caused no issues. This reflects a genuine, measurable shift in the skin's biology.

These changes are physiological, and they affect virtually every woman who goes through this transition. Understanding what's driving them makes it considerably easier to address them effectively.

What you might notice

Signs to be aware of

Skin feeling drier or more taut despite using the same products
Loss of skin bounce - not returning to position as readily
More pronounced lines or creases around the mouth, eyes, and forehead
Changes in facial contour - skin sitting differently at the cheeks or jaw
Increased skin sensitivity or reactivity to previously tolerated products
Hair thinning, a wider part line, or changes in texture and shedding
A crepey texture on the neck, decolletage, and hands
New pigmentation - particularly on the cheeks and upper lip
The science

What oestrogen does for your skin

Oestrogen plays a central role in skin health. It directly stimulates collagen synthesis, maintains skin hydration by supporting hyaluronic acid production, and promotes sebaceous gland activity that keeps skin supple.

Collagen loss accelerates considerably in the years immediately following menopause. Research indicates that skin can lose a substantial proportion of its collagen in the first five years after menopause - at a rate considerably faster than the gradual decline of earlier adulthood.

Skin thickness decreases as the dermis thins. Hydration decreases as hyaluronic acid production slows. The skin's repair capacity also slows, meaning it is more reactive and takes longer to recover from irritation. Hair follicles are also affected - oestrogen supports the hair growth cycle, and its decline shifts the balance toward increased shedding and slower regrowth.

Our approach

Support at every level

At Enhance, we take a genuinely integrated approach to this life stage - skin treatments, hormonal health support, and scalp care under one roof.

For skin

Dermal and device treatments

Fractionated RF, skin needling, IPL, and advanced rejuvenation treatments can each play a role. Heather's clinical skin consultation at Largs Bay is the starting point.

For hormonal health

Women's Hormonal Health Clinic

Meg MacDonald RN - 32 years of clinical experience - consults Tuesdays at Largs Bay. A private, informed conversation about what's happening hormonally and what may be appropriate.

For hair

Scalp Rejuvenation

Skin needling combined with advanced growth factor therapy, designed to support scalp health and the follicle environment. Particularly well suited to hormonal hair changes.

Individual results vary. A consultation is required to determine suitability and the most appropriate treatment approach for your skin, hair, and hormonal health.
We understand this life stage

Let us help you find your starting point

Whether you want to start with skin, hair, or a hormonal health conversation - our team can help you work out the right approach.

Book a Consultation

Meg MacDonald RN consults Tuesdays at Largs Bay. Skin consultations available across both locations.