07/08/2026
โจ Is your skin changing in your 40s or 50s? It's not in your head โ it's your hormones.
During perimenopause and menopause, estrogen levels drop, and your skin feels it first. Here's what's actually happening โ and what Dr. Monique Cohn at Advanced Dermatology in Twinsburg, OH wants you to know:
๐น Dryness & tightness โ Estrogen helps your skin hold onto moisture. Less estrogen = less hyaluronic acid = that persistent dry, rough feeling even if your skin was never dry before.
๐น Loss of firmness & deeper lines โ Women lose up to 30% of their skin's collagen in the first five years after menopause. That's not a slow fade โ that's a significant structural change, especially around the jaw, neck, and eyes.
๐น Thinner, more fragile skin โ Skin that used to bounce back from minor irritation may now bruise more easily or feel reactive and sensitive.
๐น Adult acne โ yes, really โ Hormonal fluctuations during perimenopause can cause jawline and chin breakouts for the first time in decades. Standard drugstore acne products usually don't touch this kind. It needs a different approach.
๐น Redness & rosacea flares โ Estrogen keeps blood vessels stable. When it fluctuates, flushing increases โ and repeated hot flashes over time can lead to broken capillaries and persistent redness.
๐น Dark spots & uneven tone โ Hormonal shifts make melanin production erratic, worsening sun spots and triggering melasma (those blotchy brown patches).
๐น Hair thinning & unwanted facial hair โ As estrogen drops, androgens have more influence. That means more facial hair AND more shedding at the crown. It's frustrating โ and treatable.
The good news? Every single one of these changes is addressable. Treatments range from prescription-strength skincare and laser resurfacing to collagen-stimulating procedures, injectables, and targeted pigment correction โ all customized to where you are in this transition.
๐ Dr. Cohn and the team at Advanced Dermatology & Cosmetic Surgery Center in Twinsburg, OH specialize in exactly this. Medical + cosmetic dermatology, all under one roof, for northeastern Ohio women navigating every stage of hormonal change.
๐ Read the full article here: https://www.yourgreatskin.com/hormonal-skin-changes-during-perimenopause-and-menopause-what-your-skin-is-telling-you/
๏ฟฝ๐ 330.425.7600๏ฟฝ๐๏ธ Book online: https://docsdermatology.com/locations/twinsburg-office