Miami Herald (Sunday)

Three common skin problems during menopause and how to fix them

- BY LESLIE BAUMANN, M.D. Special to the Miami Herald

As any woman going through perimenopa­use or menopause knows, your body undergoes several notable changes during this season of life, including changes to your skin. Some of the most common skin concerns that can occur include wrinkles, acne and warm, flushed skin.

The good news is that there are many simple fixes for these issues.

THINNING SKIN AND WRINKLES

During menopause, fibroblast cells within the skin secrete fewer collagen proteins, often leading to thinner skin and wrinkles. In addition, hormonal changes during this time can disrupt skin barrier function, causing dryness and thus enhancing the appearance of lines and wrinkles.

The fix:

Retinoids are one of the best anti-aging ingredient­s, thanks to their ability to stimulate collagen production and the natural cell renewal process. Because vitamin C is a crucial component of collagen production, taking vitamin C supplement­s and/or using a high-quality topical vitamin C serum can also help to increase collagen.

Additional­ly, facial massage has been shown to increase blood flow and may also help to stimulate fibroblast­s to produce more collagen, especially when combined with retinoids or vitamin C.

HORMONAL ACNE

As estrogen levels decrease and male hormones, or androgens, subsequent­ly increase during menopause, hormonal acne can occur. Some hormone replacemen­t therapies may also lead to acne, as they can cause an imbalance of hormones as well.

The fix:

Talk to your doctor to see if hormone replacemen­t therapy could be right for you. He or she may prescribe a combinatio­n of estrogen and progestero­ne.

Secondly, work with your dermatolog­ist to create an acne treatment plan that is a match for your skin type.

Retinoids, salicylic acid, benzoyl peroxide and hydroxy acids are some of the best treatment ingredient­s for acne. However, the right treatment or combinatio­n of treatments will depend on your skin

type and specific needs.

FLUSHED SKIN

Hot flashes occur due to a disruption of the cold sensors in your skin during menopause, combined with decreasing estrogen levels. For many women, hot flashes and red, flushed skin are the most intense on their face, neck and chest.

The fix:

Hormone replacemen­t therapy may be able to balance decreasing estrogen levels and minimize hot flashes. Additional­ly, look for topical ingredient­s such as menthol that stimulate the TRPA-1 receptor to provide a cooling sensation.

A new skincare brand called Pause™ targets menopausal and postmenopa­usal skin. Pause now offers a cooling spray with menthol and a fascia stimulatin­g tool to massage the skin.

BOTTOM LINE

While menopausal skin problems such as wrinkles, hot flashes and acne are never fun to deal with, the right combinatio­n of hormone therapy and topical skin treatments can significan­tly improve these bothersome symptoms.

To stay in the know about the latest skincare research and ingredient­s, follow Baumann Cosmetic on YouTube or @BaumannCos­metic on Instagram or Facebook.

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