Perimenopause and menopause are natural stages in a woman’s life, marked by fluctuating and declining hormone levels, particularly oestrogen.
These hormonal changes affect multiple systems in the body and are commonly reflected in the skin, hair, and body composition. While these changes are entirely normal, they can feel unfamiliar and distressing for many women.
With the right medical and aesthetic support, they can be managed effectively and safely.
Reduced oestrogen affects the skin barrier and hydration, often leading to dryness, tightness, and increased reactivity.
Rosacea is very common during this stage of life. Hormonal fluctuation, vascular instability, and altered temperature regulation can contribute to flushing, redness, and heightened skin sensitivity.
Hormonal changes can stimulate melanocyte activity, leading to uneven skin tone, sun-induced pigmentation, and melasma.
Declining collagen and elastin production contribute to fine lines, wrinkles, and reduced skin firmness.
Reduced collagen affects not only the face but also the hands, upper arms, neck, and other areas of the body.
Hormonal shifts during perimenopause and menopause can also lead to changes in fat distribution and volume, including:
– Redistribution of body fat
– Loss of cheek volume
– Hollowing around the eyes
– Worsening of a double chin
These changes can contribute to a more tired or aged appearance, even in women who maintain a healthy lifestyle.
Hair thinning is a common concern during perimenopause and menopause and is often diagnosed as female pattern hair loss. Women may notice reduced density around the parting or crown, increased shedding, and slower regrowth.

At Hardwick Clinic, we offer a comprehensive, personalised approach to supporting women through perimenopause and menopause. Our focus is on understanding how hormonal changes affect your skin, hair, and body, and creating tailored treatment plans that support both health and appearance.
We offer:
If you are experiencing changes to your skin, hair, or facial appearance during perimenopause or menopause, we invite you to book a free consultation at Hardwick Clinic to discuss personalised support options.
It can address deeper wrinkles that are caused by plummeting oestrogen levels, as well as manage intense menopausal hot flashes and night sweats.
Dermal fillers can address menopause-related skin changes, such as collagen depletion and volume loss.
We offer a range of skin boosters, including Profhilo, which addresses skin laxity as a result of menopause ageing.
A gentle, effective option for menopausal skin sagging with no downtime which works on improving collagen in the skin and improving skin laxity.