Stephanie Sublett MD

Your skincare isn’t failing. Your hormones are.

As a menopause specialist, this is one of the first things I talk about with my patients because nobody else is connecting these dots for them.

Skin is a major estrogen target organ. When estrogen declines in perimenopause and menopause, the effects are real and measurable. 30% of skin collagen lost in the first 5 postmenopausal years. Increased dryness, thinning, wrinkling, fragility, slower healing.

This isn’t your routine failing you. This is a hormonal shift that deserves a hormonal conversation.

Skincare, professional treatments, and hormone therapy all have a role but the most important step is understanding what’s actually driving the change in the first place.

The data is not subtle.

The SWAN study showed that the majority of bone loss in a woman’s lifetime happens in roughly a 3-year window around the final menstrual period and the Women’s Health Initiative confirmed that hormone therapy reduces fracture risk by 28–34%.

Most women are never told this during perimenopause.

That’s the gap I’m here to close.

If you have questions about bone health, hormone therapy, or what your care should actually look like during this transition - this is the place.

Let that sink in. 📉

Up to 30% of your collagen — gone in the first five years after menopause. And once it’s lost, you cannot simply build back to where you started.

That’s why I tell my patients: if you’re a candidate for hormone therapy (and most women are), that’s your foundation. HRT helps preserve what you have. But it doesn’t rebuild what’s already gone. And the sooner you start, the better off you will be.

That’s where comes in. It’s one of the most powerful tools we have for actually stimulating new collagen not just maintaining it, but actively signaling your skin to produce more.

Protecting your skin in perimenopause and postmenopause isn’t vanity. It’s medicine.

Thanks to a great talk from and Deb Sullivan PA-C

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You’re not crazy. You’re perimenopausal.

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