Skin Changes in Menopause: What’s Normal, What’s Not, and What You Can Do About It

Perimenopause, Self-Care, Wellbeing, Post Menopause
As hormones begin to shift in perimenopause and beyond, many women are surprised to notice changes in their skin sometimes subtle, sometimes frustratingly dramatic. From sudden dryness and dullness to acne and sensitivity, menopause skin changes are real, and they can have a major impact on confidence and comfort.
At Bristol Menopause Clinic, we often hear from women who say, “I don’t recognise my skin anymore.” In this post, we’re unpacking what’s normal, what’s not, and what you can do to keep your skin healthy and radiant through midlife and beyond.
Why Does Skin Change During Menopause?
The key player? Oestrogen — a hormone that plays a central role in skin health. It helps maintain collagen, hydration, elasticity, and wound healing. As oestrogen levels decline during menopause, the skin naturally becomes thinner, drier, and less plump.
Collagen production drops by up to 30% in the first five years after menopause.
Skin may feel more sensitive, itchy, or prone to redness.
Acne can return yes, just like in your teenage years thanks to changes in androgen levels (Testosterone).
Common Skin Concerns in Midlife
Dryness and Itchiness: Loss of moisture and natural oils can leave skin parched and uncomfortable.
Wrinkles and Sagging: Reduced collagen and elastin lead to fine lines and loss of firmness.
Adult Acne: Hormonal imbalances may trigger breakouts, often along the jawline.
Hyperpigmentation: Age spots and uneven tone become more noticeable.
Skin Sensitivity: Ingredients you once tolerated may now cause reactions.
What You Can Do — Skincare Tips That Work
Hydrate Inside and Out
Drink plenty of water and use hydrating serums with hyaluronic acid or ceramides.
Support Collagen Naturally
Add vitamin C, retinoids, and peptides to your routine.
A diet rich in protein, leafy greens, and omega-3s supports skin from within.
Be Gentle
Avoid harsh exfoliants or alcohol-based products. Choose fragrance-free, nourishing skincare.
Don’t Skip SPF
UV rays accelerate collagen loss — wear SPF 30+ daily, rain or shine.
Consider HRT (Hormone Replacement Therapy)
Some women see noticeable improvements in skin quality and elasticity with HRT.
At Bristol Menopause Clinic, we offer expert-led, personalised HRT consultations.
When to Seek Professional Help
If your skin changes are sudden, severe, or affecting your confidence, don’t suffer in silence. At Bristol Menopause Clinic, we take skin health seriously — because it’s about so much more than appearance. It’s about how you feel in your own body.
Get in Touch
If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment.
You'll be so glad you did!