Skin 101: Menopause

As we navigate through various stages of life, it’s important to recognise the natural transition that many women experience but often feel unprepared for—perimenopause and menopause. This significant change can impact not only our bodies and emotions but also our skin. Understanding these changes can help us feel more prepared and empowered during this phase of life.

What is perimenopause and menopause?

Perimenopause is the transitional phase leading up to menopause. It can start several years before menopause, often in a woman’s early 40s. During this time, the body begins to produce less estrogen, leading to various symptoms. Common signs of perimenopause include irregular periods, hot flushes, night sweats, mood swings, and changes in sleep patterns. This phase can last anywhere from a few months to several years.

Menopause, on the other hand, is officially marked when a woman hasn’t had a menstrual period for 12 consecutive months, usually occurring between ages 45 and 55. At this stage, the ovaries shut down their egg production and estrogen levels drop significantly. Along with the classic symptoms—like hot flushes and vaginal dryness—you might also experience changes in skin texture, including that delightful return of blemishes. So, while you’re saying goodbye to your periods, your skin might be throwing a nostalgic party!

This phase can be challenging, but it’s also an opportunity for growth and self-rediscovery.

To gain a deeper understanding of these effects and how to manage them, we spoke with Caci Clinic owner at Caci Silverdale and Warkworth and Skin Therapist, Alicia Nixon. She is passionate about helping fellow womankind in their journey on menopause awareness and education.

What’s your connection to menopause, and what inspired you to help raise awareness and educate others about it?

About two years ago, I started facing some unexpected challenges with the onset of perimenopause. It caught me off guard—I was dealing with migraines, hot flushes, night sweats, fatigue, brain fog, and changes to my hair and skin. My doctor helped me connect the dots when I went to discuss the debilitating migraines, and together, we developed a treatment plan tailored to my needs.

As I navigated this journey, I realised I wasn’t alone; many women were suffering in silence, often unaware of what they were going through. This sparked a passion in me to learn more about menopause. Last year, I dedicated my time to researching how it impacts our skin, knowing that, as a skin therapist, I wanted to provide the best possible guidance and care for all our customers at Caci, regardless of their age.

I also joined a wonderful group in the UK, the Menopause Expert Group, and became a licensed menopause champion. This allows me to support and empower other women on their menopause journeys, something I’m truly passionate about.

What are some common misconceptions about menopause that you have encountered?

Some common misconceptions about menopause include the belief that it occurs suddenly, when it actually happens over several years (perimenopause). Many view menopause as a sign of ageing that diminishes a woman’s value or identity; however, it is a natural biological process that many women embrace, often leading to new opportunities and freedom. Some believe menopause is the same for everyone, but each woman’s experience is unique, influenced by genetics, lifestyle, cultural background, and health issues. Understanding menopause can lead to better awareness and support for women, highlighting that it’s a normal phase of life rather than a condition to fear.

How can diet and lifestyle impact skin health during menopause?

During menopause, hormonal changes can affect our skin, leading to dryness, a loss of elasticity, and increased sensitivity. It's important to know that diet and lifestyle choices can greatly support our skin during this time.

Eating a diet rich in hydrating and nutrient-dense foods can make a significant difference. Incorporating colourful food options like berries and leafy greens can help keep your skin hydrated and enhance elasticity. Don’t forget about omega-3 fatty acids found in foods like salmon and walnuts—they can help reduce inflammation and protect our skin barrier. It's also helpful to limit sugar and heavily processed foods, which can damage collagen and elastin, ensuring your skin stays vibrant. Check out Alicia's go-to 'Salmon and Quinoa Salad' recipe, which is rich in anti-inflammatory ingredients that help manage hormonal changes and keep your skin radiant!

Additionally, focusing on stress management can improve skin issues like acne and eczema. Trying stress-reducing practices such as yoga, meditation, or deep breathing can work wonders. A consistent sleep routine can also help diminish dark circles and enhance your overall look. Plus, regular physical activity boosts circulation, ensuring your skin gets the nutrients it needs while also helping you feel more relaxed. Taking these steps can be a gentle and nurturing way to care for your skin during menopause.

How does menopause affect the skin and what changes can you expect in your skin during perimenopause and menopause?

During perimenopause and menopause, a decline in oestrogen can lead to skin changes that may concern many women. As oestrogen levels drop, collagen production slows down, which may result in less elastic and firmer skin, leading to wrinkles and sagging.

With lower oestrogen, the skin can also lose moisture, resulting in feelings of tightness and flakiness. Additionally, skin may become thinner, making blood vessels more visible and increasing sensitivity to products previously used without issue.

Hormonal shifts can cause uneven skin tone and pigmentation, such as age spots or melasma, and some women might even face adult acne due to this hormonal imbalance.

While these changes can be challenging, staying aware and practicing proactive skincare can help you embrace this new chapter with confidence!

What are some common skin concerns women experience going during perimenopause/menopause? And is it permanent?

During peri-menopause and menopause, woman often experience several skin concerns due to hormonal fluctuations.  Common issues include dryness, a decrease in elasticity, increased sensitivity, and changes in pigmentation such as age spots.  Acne may also resurface due to hormonal changes.  While these skin changes are typically linked to hormonal shifts, many can be addressed with a proper skincare routine, skin treatments and lifestyle adjustments. Though some effects may persist post-menopause, others can improve over time with treatment, making them not necessarily permanent.  With a good skincare routine and a consultation with your skin therapist can help manage these concerns effectively.

What is your advice for handling these skin concerns?

Navigating skin changes during perimenopause and menopause can be challenging, but with the right strategies, and tailored approach, it’s possible to manage these concerns effectively. Prior to making any adjustments to your skincare routine or treatments, it’s essential to consult with your skin therapist first.  They have a deep understanding of your skin and can provide tailored advice and recommendations that are most suitable for you.

Are there specific ingredients or treatments you recommend for menopausal-related skin changes?

It’s always best to consult with your treatment provider before making any changes to your skin routine or treatments.  They can provide you with personalised recommendations and treatment to address your unique skin concerns.  But here are a few tips for addressing common skin issues during menopause:

Hydration is key with dryness being a major concern, incorporating products containing Hyaluronic acid, glycerin or ceramides can help retain moisture and improve texture. A Caci treatment treatment I would recommend is the Sonophoresis Skin Infusion, which will treat redness, surface capillaries and hydrate the skin at the same time leaving the skin healthy looking.

Don’t leave home with out sun protection, as hormonal shifts it can lead to increased pigmentation. Opt for SPF30 or higher to protect against UV damage and prevent further age spots or moisture loss in the skin.

When you experience the loss of firmness incorporate retinols into your nighttime routine. They can help with diminishing the appearance of fine line, improve elasticity and promoting cell turnover. The Murad Retinal ReSculpt Overnight Treatment will be a great addition to your nighttime routine.

I wholeheartedly recommend the new Caci Signature Peel. This treatment addresses various concerns related to menopausal skin, revitalising tired-looking complexions, providing an immediate lifting effect, enhancing uneven texture and tone, and minimizing the appearance of fine lines and wrinkles.

How can we better support those experiencing perimenopause and menopause in our communities?

Supporting individuals going through perimenopause and menopause calls for a compassionate and understanding approach. Establishing safe spaces for open conversations about menopause can help normalise the experience and reduce the stigma associated with it. Often, simply being present to listen can be the most valuable form of support, as it allows individuals to share their experiences without fear of judgment, providing them with much-needed validation. It’s important to remember that each person's journey is unique, and approaching the subject with kindness is essential, as experiences can vary widely from one individual to another. By nurturing understanding and empathy, we can cultivate a supportive environment that honors and uplifts those navigating this significant life transition.

What message would you like to share about embracing skin changes during menopause?

Embracing skin changes during menopause is about acceptance and self-love.  These changes are natural and reflect the body’s evolution. Focus on caring for your skin with hydration and nourishment and appreciate the wisdom and experience that comes with this stage of life. Celebrate your uniqueness and prioritise self-care, as beauty comes in many forms.