Periwell
Guide··8 min read

Skin Changes After 40: Managing Dryness, Itching, and Acne

Your skin's needs change as your hormones shift. From 'menopause acne' to extreme dryness, here is how to adjust your skincare routine.

Evidence-BasedStandard-Aligned

Verified against Clinical Guidelines

This article was developed and verified against current clinical standards from NAMS, BMS, and the STRAW+10 staging framework.

Clinical Methodology
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A close-up of healthy skin texture with soft, golden lighting

Estrogen is responsible for collagen production and skin hydration. As it declines, your skin can become thinner, drier, and more prone to itching. Paradoxically, the drop in estrogen can also 'unmask' testosterone, leading to adult-onset cystic acne around the jawline.

The Drop in Collagen

You may lose up to 30% of your skin's collagen in the first five years of the menopause transition. This is why you might suddenly notice more fine lines or a 'crepy' texture.

Implementation

  • Switch to a soap-free, gentle cleanser to preserve your skin barrier.
  • Introduce a high-quality Hyaluronic Acid and a gentle Retinoid.
  • Hydrate from the inside out with Omega-3 and Collagen supplements.

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