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Deb Schwedhelm

Managing Perimenopause: Tips for Skin and Wellness During the Transition

Here’s what to know and how to care for your skin and wellness as you transition through perimenopause.


Perimenopause is a natural phase in every woman’s life, yet it can bring with it a wide range of physical and emotional changes. This transitional period, which typically begins in the mid-to-late 40s and can last several years, marks the body’s gradual shift toward menopause. Hormonal fluctuations during perimenopause can lead to significant changes in the skin, as well as other wellness concerns. Fortunately, with the right skincare, self-care practices, and aesthetic treatments, you can navigate perimenopause feeling healthy, confident, and radiant.


What is Perimenopause?

Perimenopause refers to the period when a woman’s body begins transitioning toward menopause, the end of her reproductive years. This phase is marked by fluctuating levels of hormones, particularly estrogen and progesterone, which can lead to various physical and emotional symptoms. Symptoms of perimenopause vary but can include irregular menstrual cycles, hot flashes, mood swings, sleep disturbances, and changes in skin texture and hydration.


How Perimenopause Affects Your Skin

Hormonal changes during perimenopause significantly impact the skin. As estrogen levels drop, you may notice the following skin-related challenges:


Dryness and Dehydration: Reduced estrogen levels mean less natural oil production, leading to drier, more dehydrated skin. This can result in flakiness, tightness, and discomfort.


Loss of Elasticity and Firmness: Estrogen is closely tied to collagen production, which provides skin with its structure and elasticity. During perimenopause, declining estrogen levels can lead to sagging, fine lines, and a lack of firmness.


Increased Sensitivity: Hormonal fluctuations can make skin more reactive to certain products or environmental factors, resulting in redness, irritation, or even breakouts.


Hyperpigmentation: Some women may experience an increase in pigmentation or “age spots” due to hormonal shifts combined with sun exposure over time.


Skincare Tips for Perimenopausal Skin

Perimenopause requires a shift in skincare to address changing needs. Here are some essential steps to keep your skin healthy, hydrated, and radiant during this transition:


  • Focus on Hydration: Using a gentle, hydrating cleanser and a rich moisturizer can make a world of difference. Look for ingredients like hyaluronic acid, glycerin, and ceramides to help your skin retain moisture.

  • Incorporate Retinoids (if appropriate): Retinoids can support collagen production, helping improve skin texture and minimize fine lines. Start with a low concentration and monitor your skin’s tolerance, as sensitivity can increase during perimenopause.

  • Boost Antioxidant Protection: Antioxidants like vitamin C, E, and green tea extract protect your skin from free radicals and help improve skin tone. These ingredients can be beneficial in serums or moisturizers to promote a brighter, more even complexion.

  • Don’t Skip SPF: Sun protection is critical, especially as the skin becomes more susceptible to pigmentation and age spots. Use a broad-spectrum SPF of at least 30 daily, even on cloudy days.

  • Consider Gentle Exfoliation: To combat dullness and improve cell turnover, incorporate a mild exfoliant a few times a week. Look for gentle options like lactic acid or enzyme-based products to avoid irritation.

  • Embrace Barrier Repair: Strengthen the skin’s barrier with products containing fatty acids and ceramides, as this can help alleviate sensitivity and dryness.


Wellness Tips for Navigating Perimenopause

Beyond skincare, there are several wellness practices that can help you feel your best during perimenopause:


  • Prioritize Nutrition: A diet rich in antioxidants, omega-3 fatty acids, and phytoestrogens (found in soy, flaxseeds, and certain nuts) can support hormonal balance, skin health, and overall well-being.

  • Stay Hydrated: Drink plenty of water throughout the day to support both skin and body hydration, which can combat dryness and help maintain energy levels.

  • Exercise Regularly: Physical activity, particularly weight-bearing and strength exercises, is essential for bone health and can help alleviate some perimenopausal symptoms. Exercise also boosts endorphins, supporting mood and mental well-being.

  • Prioritize Sleep: Hormonal fluctuations can impact sleep quality, so establishing a bedtime routine that promotes relaxation can help. Try winding down with calming activities such as reading or meditation, and avoid screens before bed.

  • Consider Hormone Replacement Therapy (HRT): HRT can help alleviate certain perimenopausal symptoms, but it’s not for everyone. Consulting with a healthcare provider about HRT can help you make an informed decision based on your individual needs and health history.


Aesthetic Treatments to Support Perimenopausal Skin

Perimenopause is a time to embrace self-care and consider aesthetic treatments that address specific skin concerns. Some options that can help improve skin texture, hydration, and firmness include:


  • HydraFacial: This treatment combines cleansing, exfoliation, and hydration in one session, which is perfect for skin that needs moisture and revitalization. HydraFacial can also be customized with serums to address specific skin concerns.

  • IPL (Intense Pulsed Light) Therapy: IPL can target pigmentation issues, redness, and age spots, giving you a more even complexion. This treatment is especially beneficial for those dealing with perimenopausal pigmentation.

  • Microneedling with Radiofrequency: Microneedling stimulates collagen production, helping to firm the skin and reduce fine lines. Adding radiofrequency can enhance the effects, making this treatment ideal for those looking to combat skin laxity.

  • Botox and Fillers: These minimally invasive treatments can reduce the appearance of fine lines and restore lost volume, giving your skin a youthful boost. Botox smooths expression lines, while fillers can add volume to areas like the cheeks and under the eyes.

  • Wellness Injections: Injections, such as NAD+ and Glutathione, can support energy levels, hair health, and overall vitality during perimenopause.


Embrace Perimenopause with Confidence

While perimenopause brings changes, it’s also an opportunity to focus on self-care and establish routines that support your body and mind. A personalized skincare routine, a balanced lifestyle, and the right aesthetic treatments can help you feel confident and radiant during this transition.


At Colonial Aesthetics & Wellness, we’re here to support you through every stage of your journey. Book a consultation with us today to discuss your skincare and wellness needs, and let us create a customized plan to help you navigate perimenopause with grace and confidence.


Taking care of skin and wellness during perimenopause

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