Peri & Menopause Skin
Skin Treatment for Menopause & Perimenopause
Menopause changes your skin in weeks — sometimes overnight. Honest guide to which aesthetic treatments actually help, what they can't do, and how to combine them with your skincare and HRT plan.
What menopause does to your skin (and which treatments target it)
Oestrogen does a lot for skin: it drives collagen production, elastin production, hydration, oil glands, and capillary blood flow. When levels drop in peri/menopause, skin loses all five simultaneously. Here's what changes — and what to do about it.
Sudden dryness and dullness
Why it happens: Oestrogen drives oil production and skin hydration. As levels drop, skin can feel parched within months.
What helps
Loss of plumpness and firmness
Why it happens: Oestrogen supports collagen and elastin production. We lose ~30% of skin collagen in the first 5 years of menopause.
What helps
Fine lines and crepiness
Why it happens: Reduced collagen + dehydration = fine lines deepen quickly. Crepey texture, especially under the eyes.
What helps
Pigmentation changes
Why it happens: Hormone fluctuations can trigger melasma or worsen existing pigmentation. UV damage shows more as repair slows.
What helps
Adult acne return
Why it happens: Hormonal imbalance can trigger acne in your 40s and 50s. Skin is more reactive than in your teens.
What helps
A typical menopause skin plan
- 1
Free consultation (Month 0)
Skin assessment, history of HRT/medications, photos for your records, written treatment plan.
- 2
Profhilo course (Months 1 + 2)
Two sessions, four weeks apart. Restores hydration and starts collagen rebuild. From £450 for the course.
- 3
Obagi assessment if pigmentation present (Month 2-3)
If hormonal pigmentation is a concern, Obagi Nu-Derm is added. Programme runs over 18 weeks alongside Profhilo.
- 4
Maintenance (Every 6 months)
Single Profhilo top-up. Skincare adjusted as needed. Ongoing.
FAQ
What aesthetic treatment is best for menopausal skin?+
Profhilo is the gold-standard starting point — it directly addresses dehydration and stimulates collagen and elastin (the two things oestrogen loss reduces). For pigmentation changes, Obagi Nu-Derm is highly effective. Combination usually beats any single treatment.
Can aesthetic treatments help with menopause skin changes?+
Yes — but with realistic expectations. Treatments can significantly improve skin quality, hydration and texture. They cannot replace lost oestrogen or stop the underlying hormonal change. Combine with HRT (if recommended by your GP), strong SPF, and a gentle but effective skincare routine.
When should I start treatments — perimenopause or menopause?+
Perimenopause is ideal. Skin changes start years before periods stop. Starting Profhilo and good skincare in perimenopause means you maintain skin quality rather than chasing recovery later.
Does HRT change my aesthetic treatment plan?+
HRT often improves skin hydration and resilience. Dr Niru will ask about HRT at consultation but won't suggest changes — that's between you and your GP. Treatment plans work either way.
Are aesthetic treatments safe during menopause?+
Yes. Anti-wrinkle injections, fillers and Profhilo are all safe during peri/menopause. Skin healing may be slightly slower; allow a little extra recovery time.
How much will it cost to address menopause skin?+
A typical 6-month plan: Profhilo course (£450) + Obagi consultation + 2 maintenance sessions per year (£500). So ~£950 for the first year, ~£500/year ongoing. Compare with most premium skincare splurges.
Personal menopause-skin consultation
Every menopause is different. Your skin plan should be too. Free 30-minute consultation with Dr Niru to design what's right for you.
Book Free Consultation