Oestrogen And Skin · By Layer · CityLink Mall
After the final period, skin often turns drier, thinner and looser in the years that follow. This page explains what falling oestrogen changes in each layer of the skin, how Atelier works out which layer needs attention, and why decisions about hormone therapy belong with your GP or gynaecologist.
Many skin cells read oestrogen. Fibroblasts, which build collagen, carry receptors for it, as do the cells of the outer skin, the oil glands and the hair follicles. The signal weakens through perimenopause and falls sharply after the last period.
Oestrogen supports four things the skin depends on: collagen, hyaluronic acid, oil and the water barrier. All four decline together. Published measurements show collagen dropping steeply in the first years after menopause, which is why looseness can seem to arrive suddenly. Facial fat and bone also change with age, alongside the hormonal shift.
Types
Dr Sin Yong examines your skin with and without make-up, checks how it recovers from a gentle pinch and a stretch, and looks at the surface under magnification. Your history covers products, sun exposure, sleep, smoking and general health. Dullness can also come from thyroid disease or iron deficiency, so these are considered as well.
The Decision
Treatment follows an order. The surface is protected and repaired first, then hydration and collagen are restored, then recoil is addressed. Volume is replaced only where it is missing, and the surface is refined last. Some women need nothing beyond the first step.
The plan also takes in your skin type and medical history, such as hormone therapy, blood thinners, autoimmune conditions, and whether you form keloids. New brown patches or redness follow their own pathway, because melasma and sun spots must be told apart before any laser: the same device can help one and worsen the other.
When to wait or refer. Post-menopausal bleeding, breast changes and unexplained weight change need a medical check before any aesthetic plan. A changing mole, a rash or an itch that will not settle calls for referral to a dermatologist.
At Atelier
VF Lift runs on Volnewmer, a radiofrequency platform made by CLASSYS. Dr Sin Yong holds a Key Opinion Leader appointment with CLASSYS.
After injections, small bumps and bruises are expected; avoid pressing or massaging unless told to. After radiofrequency, warmth and pinkness are usual; skip saunas and hard exercise for a short period.
Hormones
Hormone replacement therapy (HRT) is prescribed for menopausal symptoms and, in selected women, to protect bone. Its effect on skin collagen has been studied, but the appearance of the skin is not a reason to start it. The decision weighs your breast, heart and clotting history, and it belongs with your GP or gynaecologist. Topical oestrogen for the face has been studied too, but it is not a routine recommendation and sits with the doctor who manages your hormones.
At Atelier, Dr SY explains what your skin shows and what the evidence says, and leaves the hormone decision to your own doctor. If you already take HRT, tell him, because it affects bruising and some treatment choices.
Hot flushes, sleep, mood and joint pain belong with menopause care. Vaginal dryness belongs with gynaecology. Thinning scalp hair has its own work-up; see female hair thinning. New chin or upper-lip hair can be considered for laser hair removal once a medical cause is excluded; hair that is new, coarse and spreading goes to your GP first.
Atelier Aesthetics · Owned by AYA
1 Raffles Link, #B1-28, CityLink Mall, Singapore 039393 · +65 8023 7170
Book a Consultation