• Greta Ryan

Menopausal Skin - Part 1

Menopause is something that's not talked about enough - but we'd like to change that. This article will cover the SKIN changes that occur during and post menopause, and our part 2 article will be written by naturopath Katie Addison-Saipe, covering the internal changes brought about by menopause.

I’m lucky. I grew up in a very open household, and when my mother went through menopause, she told me all about it. Seeing her experience of menopause and having her talk about it so openly, I have a pretty good idea of what I can expect when I eventually go through it too.

In many households and social settings though, menopause is a taboo subject. It's simply not talked about, despite the fact that every woman will go through it at some stage in our lives - and as a result, a lot of women are really not informed on the menopause process.

So what exactly is menopause?

Menopause is a hormonal shift that most commonly occurs when women are in their forties/fifties (the average age of menopause is around 51). There are some exceptions to this of course, but this is the most common timeframe.

Menopause is defined as the final menstrual period, and is confirmed when a woman has not had her period for 12 consecutive months.

The hormonal transition of menopause usually lasts around 7 years, during which time the body's production of estrogen and progesterone shifts. This leads to a host of changes in the body, which can affect sleep patterns, temperature regulation, moods, metabolism, bone density, and... the skin.

In this article, I'm going to zero in on the SKIN changes that occur during and post menopause - we'll cover the other effects of menopause in our part 2 post (coming soon!).

The skin side of things...

There are a LOT of changes in the skin during and post menopause. I'll give you the short/simplified version first (with diagram!), followed by an in-depth version below. If you want to skip the nitty gritty, just read the short version and scroll right past the in-depth version!

The short/simplified version:

  • Skin becomes thinner

  • Production of new skin cells (cell turnover) slows down

  • Production of oil in the skin slows down

  • Collagen and elastin levels reduce in the skin (from the age of 25, we lose an estimated 1-2% of our existing collagen density. During the first 5 years post-menopause, we lose 30% of our remaining collagen density.)

  • Skin becomes more prone to sensitivity

  • Skin becomes more prone to dehydration

  • Skins immune function can be impaired

  • Muscle tissue and facial fat pads atrophy, reducing facial volume

The long, in-depth version, for those who want it:

Thinning skin occurs due to a multitude of factors, including a decrease in number of fibroblast cells (which produce collagen and elastin), and a slowdown of collagen and elastin production by these cells. This all results in declining collagen and elastin density, which not only reduces the thickness of the skin, but also reduces elasticity, and tensile strength of the skin.

To compound the issue, collagen and elastin begin to arrange differently within the skin - no longer in an organised, basket weave pattern, instead the fibres curl and bundle, causing wrinkling of the skin tissue, and loss of elasticity.

Volume loss is partly due to thinning skin, but more to do with atrophy of the fat, muscle tissue, and bone underlying the skin.

The facial fat pads that provide our skin with cushioning and give volume to the face, reduce in size, which reduces the overall volume of the face.

Finally, muscle tissue underlying the skin also atrophies, again affecting overall facial volume.

Lastly, the decline in estrogen during and post menopause, results in bone resorption which causes a gradual decrease in bone density and to a degree, bone size. The visual effects of this loss of bone tissue can particularly be seen in the jaw area, where it exacerbates skin laxity ("sagging"), and the orbital (eye) area, where it exacerbates under-eye hollowing and dark circles.

Cell turnover slowing down means production of new skin cells in the epidermis is slower. This means cells remain in the epidermis for longer, and accumulate more damage. It also can lead to a thickening of the stratum corneum (outermost layer of epidermis), rougher skin texture, dull appearance, and poorer absorption of skincare products.

Decreased oil production can cause dryness and dehydration, as well as barrier impairment. The flow on effect is reduced water content of the skin, and increased sensitivity/reactivity. Visually, it enhances the appearance of lines/wrinkles, and creates a dull appearance of the skin.