Skin looks papery, foundation sits in it
Thinning and crepiness
The collagen drop showing on the surface. Needs thickening rather than tightening. Profhilo and microneedling both work well and this is the change that responds most reliably.
Skin concerns · London
Perimenopause and Menopause Skin
Foundation that used to glide on now settles into fine lines, and the mirror seems to have moved on in a single year. Around thirty percent of skin collagen is lost in the five years after menopause, which is why the change feels sudden, and why skin treatment at Wimpole Street makes such a visible difference.
At a glance
- Affects Thinning, dryness, laxity, adult acne, jawline
- Treated at Wimpole Street, London
- Alongside Hormone treatment, where it suits you
- Course Ongoing
- First step Assessment across all changes
What it is and why it happens
Women frequently describe their skin changing abruptly in their late forties, and they are absolutely right: at this point, ageing speeds up.
Around thirty percent of skin collagen is lost in the five years following menopause, with the steepest drop early. That is a genuine step change and it explains why the mirror seems to shift in a year rather than a decade.
Several things happen at once, so it helps to take them one by one. Skin thins and becomes crepey. It gets drier as oil production falls. It becomes laxer as collagen and elastin decline. Adult acne appears in some women as the balance of hormones shifts. Chin and jaw hair appears. And facial volume redistributes, which softens the jawline.
Regents Park Aesthetics treats every one of these at the Wimpole Street clinic, a short walk from Oxford Circus. Hormone treatment, where it suits you, works on the driver itself, and it pairs beautifully with everything we do.
Know your type
Which type is yours?
Tight, reactive, products now sting
Dryness and sensitivity
Falling oil production and a weakened barrier. Products that suited you for twenty years may now feel different. Simplifying the routine frequently does more than adding to it.
Definition going, early jowling
Jawline softening
Volume redistribution alongside collagen loss. Needs volume restored above the jaw and often tightening as well, and those devices are at our Wimpole Street clinic.
Breakouts along the jaw and chin
Adult hormonal acne
Appearing or returning as the hormonal balance shifts. Treated as adult acne, with gentle regimes that calm menopausal skin.
How we assess and treat
Assessment here covers more than skin, because menopause rarely presents as one thing.
We ask what changed and when, and whether it was gradual or sudden. Sudden is characteristic, and it helps to hear that what you have noticed is real.
We look at skin thickness, dryness, laxity, any acne pattern, and facial hair, and we ask about weight, sleep and mood, because they shape which treatment to prioritise first.
We ask about hormone treatment too, because everything we do works beautifully on top of it, and where it is not part of your plan, we build around that.
And we pace it. A face that has changed quickly responds best to one thing at a time, properly assessed, so each result has room to shine.
Your options
Which treatment for your type of menopausal skin change?
As a guide, this is how we typically match each type to a treatment. Your own plan is always confirmed at consultation, and where a specialist would serve you better, your clinician refers you.
Type
Recommended treatment
Why
Jawline softening
Lifts the deeper layer rather than adding volume to a changing face
Treatments that address it
| Profhilo Hydrates and thickens skin that has thinned, without adding volume. The most directly useful treatment for the collagen drop and one that suits the neck and hands as well as the fa | SkinPen Microneedling Rebuilds collagen across a course, suitable for all skin tones and usable on neck, chest and hands where the change is often most visible. From £250. | Ultraformer III HIFU For the jawline softening, reaching the deeper layer with no downtime. One session, results at three months, repeated annually. From £250. | Medical Weight Management Weight change through menopause is common and frustrating, and it interacts with everything above. Where it is a concern, this is assessed properly with bloods rather than treated | |
|---|---|---|---|---|
 |
 |
 |
 |
|
| £320, | £250 | £250 | £480 | |
| Yes | Yes | Somewhat | Yes, at the driver | |
| Yes | Somewhat | No | Yes | |
| No | No | Yes | Somewhat | |
| 2 | 4 to 6 | 1, annually | Ongoing | |
| Explore Profhilo | Explore SkinPen Microneedling | Explore Ultraformer III HIFU | Explore Medical Weight Management |
Profhilo
Hydrates and thickens skin that has thinned, without adding volume. The most directly useful treatment for the collagen drop and one that suits the neck and hands as well as the fa
- £320,
- Yes
- Yes
- No
- 2
SkinPen Microneedling
Rebuilds collagen across a course, suitable for all skin tones and usable on neck, chest and hands where the change is often most visible. From £250.
- £250
- Yes
- Somewhat
- No
- 4 to 6
Ultraformer III HIFU
For the jawline softening, reaching the deeper layer with no downtime. One session, results at three months, repeated annually. From £250.
- £250
- Somewhat
- No
- Yes
- 1, annually
Medical Weight Management
Weight change through menopause is common and frustrating, and it interacts with everything above. Where it is a concern, this is assessed properly with bloods rather than treated
- £480
- Yes, at the driver
- Yes
- Somewhat
- Ongoing
Before and after
Skin quality
Face, after SkinPen
Collagen stimulation in skin that has thinned since menopause. Clinical image supplied by Crown Aesthetics. Individual results may vary.
Volume loss
Age 36, six months on
Gradual collagen rebuilding through the cheek. Clinical image supplied by Galderma. Individual results may vary.
Face
After a course of EmFace
Muscle tone and skin treated together. Clinical image supplied by BTL. Individual results may vary.
Can you treat it at home?
Start by simplifying. Menopausal skin has a weakened barrier and most women arrive using a routine built for the skin they had ten years ago, with actives that now sting. A gentle non-foaming cleanser, a barrier-repairing moisturiser with ceramides, and sunscreen is frequently better than what is currently in the bathroom.
Retinoids remain the most evidenced topical for collagen, and they need reintroducing more slowly than before because tolerance drops.
Extend everything to the neck, chest and hands, which show the change earliest and get the least attention.
Resistance training deserves more emphasis than it usually gets. It protects bone and muscle through a period when both decline, and it does more for how you look overall than any product.
And explore hormone treatment. It suits many women, it is well worth a conversation, and it pairs beautifully with skin treatment.
Questions, answered
Frequently Asked Questions
Because it really did. Around thirty percent of skin collagen is lost in the five years after menopause, with the steepest drop early. That is a step change rather than gradual ageing, so what you have noticed is real.
Where it suits you, it works on the driver itself, and skin frequently improves. It pairs beautifully with clinic treatment.
Yes. Profhilo, microneedling and the tightening devices work whether or not hormone treatment is part of your plan, and we build around what suits you.
A weakened barrier and falling oil production. Products you loved for twenty years can start to feel different. Simplifying the routine usually does more than adding to it.
The hormonal balance shifts and the relative influence of androgens rises. It is adult acne, and it responds best to gentle treatment designed for grown-up skin.
Profhilo, which thickens without adding volume, alongside microneedling. Both suit the neck and hands as well as the face.
Volume redistribution combined with collagen loss. Restoring support above the jaw and tightening where needed both help, and the tightening devices are at our Wimpole Street clinic.
Falling oestrogen raises the relative influence of androgens, and the follicles on the chin and jaw are the most sensitive to that signal.
Profhilo £320 or £600 for the course, microneedling from £250, HIFU from £250. Most plans start with one treatment and build from there.
One treatment at a time. A face that has changed quickly responds best to one properly assessed step after another, so each result can settle and show.
The skin and body changes that come with menopause, from thinning and dryness to jawline softening, while hormonal care sits with a menopause specialist.
Visit our Wimpole Street clinic
Let’s talk about your skin.
A consultation is the first step towards a plan that feels right for you.
Address19 Wimpole Street, London W1G 8GE
Telephone020 7580 4813