# Skin Care & Menopause: A Simple Guide

Medically reviewed by:

Dr. Janette Leal, MD

Skin changes are some of the most common and visible symptoms of perimenopause and menopause. For many people, the sudden shift in appearance can be a little challenging. Some issues, such as slower wound healing, can lead to significant health concerns, emphasizing the importance of skin care during menopause.

The good news is that you can compensate for many of these changes using a combination of care practices, cosmetics, and medications. Here’s what you should know about caring for your skin during menopause.

### Why Skin Changes During Menopause

Estrogen is a very important hormone in adult physiology. It plays a key role in reproductive health and almost every other body system. Your skin, of course, is no exception. During menopause, when levels of estrogen in your blood begin to fall, the complex biochemistry of your skin changes significantly. This causes a number of changes, including:

- Drier skin
- Age spots
- Facial Hair
- Acne
- Rashes and skin irritation
- Thinner and more fragile skin
- More and deeper wrinkles
- Looser and less elastic skin
- Slower wound healing
- Less resistance to sun damage

These changes are a natural part of menopause and affect almost everyone. But as we mentioned above, there are some simple steps you can take to care for your skin during menopause.

### Menopause Skin Care Tip #1: Use Sunscreen to Safeguard Against Sun Damage

Sun damage is cumulative throughout your lifetime, which is why skin cancer risk increases as you age. This risk is augmented by menopause, as estrogen-deprived skin is less able to protect itself from sun damage. That’s why skin cancer vigilance – which is important at all ages – is extra important to include in your menopause skincare routine.

The first and best thing you can do to safeguard your skin is to cover up. Wear UV-protective clothing and a broad-brimmed hat that covers your face and neck. You should also wear a high-SPF sunscreen (at least 30, preferably higher) all over your body. During activities with high sun exposure (e.g. hiking), consider a UV-rated parasol.

### Menopause Skin Care Tip #2: Use Retinols to Keep Effects of Aging at Bay

The appearance of aging skin during menopause is actually due to several underlying factors, including wrinkles, loss of elasticity, and melasma (a type of dark spot that typically appears on your face, neck, arms, and back). For some of these issues, cosmetics can be very helpful. You may also want to speak with your dermatologist or primary care physician about a retinoid prescription.

“Retinoid creams are considered a safe and effective treatment for maturing skin,” says Dr. Leal. “Most patients will see significant improvement in fine lines as well as mild melasma.”

Retinoids are a class of drugs that protect your skin from the oxidative damage that undermines collagen. While some retinoid products (like retinol) are available over-the-counter, they tend to have weaker effects than prescription-strength retinoids.

### Menopause Skin Care Tip #3: Put the Brakes on Hair Loss

The first thing to know about hair loss is that it’s very common during menopause, and you have many options to treat it. Hair and the follicles it grows from are very sensitive to estrogen and other hormones. When the ratio of these hormones shifts during menopause, hair follicles begin to miniaturize, which contributes to hair loss and the appearance of thinner hair. This results in something called “Female Pattern Hair Loss” (FPHL).

If your hair loss is mild, you may be able to treat it with volumizing shampoo, spray, and similar cosmetic treatments. For more serious hair loss, there are both prescription and over-the-counter treatments available. Minoxidil, for instance, sold under brand names like Rogaine, has proven safe and highly effective for FPHL.

### Menopause Skin Care Tip #4: Revive Dry Skin with Lotions and Moisturizing Products

As estrogen levels fall during menopause, your body creates less elastin, keratin, and collagen – three important proteins that help your skin retain moisture. It’s fairly easy to restore and retain this moisture with some basic skin care practices. First, use a moisturizing cream or lotion – especially when you get out of the shower. This will trap the hydration in your skin, where it belongs. The American Academy of Dermatology recommends a moisturizer containing hyaluronic acid or glycerin.

And second, consider replacing your conventional soap with a gentle skin cleanser. Look for something without fragrances, dyes, or Sodium Lauryl Sulfate. Plant-oil based cleansers tend to be ideal.

### Final Thoughts

Your skin is just one of many organs affected by menopause. But it’s one you see every day, and it can have a powerful effect on your self-image. And while you can’t completely stop the natural effects of aging on your skin, you can steer them with smart self-care and a little help from your dermatologist.