For many women, the first visible sign of perimenopause is not hot flashes, but what they see in the mirror
Which treatments can truly help the skin during perimenopause and menopause? Womeno speaks with Dr Katya Paskova (on the picture), a dermatologist with more than 30 years of experience and a member of the platform’s expert team, about the latest advances in aesthetic dermatology, the results they can realistically achieve, and how to choose the most appropriate approach based on the skin’s individual needs.
Skin becomes drier and loses density, wrinkles deepen, and facial contours begin to change. The reason is not simply aging, but also hormonal changes.
After menopause, women lose approximately 30% of the collagen in their skin during the first five years, followed by an additional 2% each year. The production of elastin, hyaluronic acid, and sebum also decreases, resulting in thinner, drier, and less elastic skin.
The good news
Today, we have treatments that do more than simply conceal the signs of ageing—they stimulate the skin’s natural repair processes.
1. Biostimulators – building your own collagen
Unlike traditional fillers, biostimulators encourage the body to produce new collagen itself.
They are suitable for:
- sagging skin;
- loss of volume;
- fine lines;
- ageing prevention.
The results develop gradually and look natural.
2. Skin boosters
When dehydration is the main concern, skin booster treatments improve skin quality from within.
They:
- increase hydration;
- improve elasticity;
- reduce fine lines;
- restore a natural glow.
- They are particularly suitable during perimenopause.
3. Laser treatments
Fractional lasers stimulate the formation of new collagen and improve:
- skin texture;
- pigmentation;
- fine lines;
- scarring;
- enlarged pores.
They are among the most extensively studied methods for skin remodelling.
4. Radiofrequency lifting
Radiofrequency energy heats the dermis and activates the production of new collagen.
It is suitable for:
- loss of definition along the jawline;
- a double chin;
- reduced firmness.
5. Botulinum toxin
It is most effective for dynamic wrinkles on the:
- forehead;
- area around the eyes;
- area between the eyebrows.
When administered correctly, it preserves a natural facial expression.
6. Hyaluronic acid fillers
They are used to restore lost volume in the:
- cheeks;
- temples;
- lips;
- lower face.
The goal is no longer ‘enhancement’, but the restoration of harmonious proportions.
7. Medical-grade skincare
No procedure will be enough without consistent daily care.
The key ingredients supported by the strongest evidence are:
- retinoids;
- vitamin C;
- niacinamide;
- peptides;
- ceramides;
- SPF 50 every day.
And what role do hormones play?
A growing body of research suggests that, in women for whom menopausal hormone therapy (MHT) is appropriate, it may improve skin thickness, hydration, and elasticity. However, MHT is not prescribed for cosmetic purposes; rather, it is used to treat menopausal symptoms and for specific medical indications. Improved skin appearance may be an additional benefit, but it is not the primary reason for the therapy.
Beautiful skin begins with good health
Perimenopause affects more than just the skin. It also influences bone and muscle health, metabolism, sleep, and mental well-being. This is why the best outcomes are achieved when dermatological treatments are integrated into a comprehensive approach to women’s health.