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The global anti-aging industry was valued at $55.8 billion in 2023 (and projected to grow to $108.5 billion by 2033), but among the wrinkle-erasing injectables and youth-preserving creams, there are a number of beauty brands changing the narrative around getting older and offering menopausal skin care with a focus on inner and outer wellness.

Traditionally, people going through menopause have been served a double-edged sword when it comes to the beauty industry. They’re simultaneously exploited by anti-aging marketing and made to feel invisible by it. Now, however, beauty brands are trying to destigmatize menopause by featuring midlife women in marketing campaigns, speaking about the uncomfortable parts of menopause and fighting back against online censorship.

The period of transition happens to anyone who menstruates, and it comes with a number of side effects, such as hot flashes and insomnia. These changes start as the body gradually stops ovulating, in what’s known as perimenopause. Once it’s been 12 months since your last period, it’s officially menopause. Throughout perimenopause and menopause, the changes can also affect the skin.

“Menopause is characterized by a decrease in estrogen production and many women recognize skin changes that come along with this,” says Dr. Loretta Ciraldo, a Miami-based board-certified dermatologist and founder of Dr. Loretta Skin Care. “Skin can become drier and have a loss of elasticity that leads to sagging and more pronounced lines and wrinkles.”

Instead of fighting the signs of aging, a skin care routine tailored to menopausal skin can help support its health and function. But before we get into the details of the best menopausal skin care routine, it’s significant to note that menopausal beauty goes beyond products and trends. The experts we spoke to echoed the desire to erase the belief that menopause correlates to a decreased quality of life.

Sandra Chiu, founder of Lanshin, licensed acupuncturist, herbalist and master of science in traditional Chinese medicine, thinks that “it’s important to reframe the idea that women should expect certain changes as we near menopause, as if it’s any different a moment than what occurs in the normal course of aging that happens to everyone.”

Ahead, we speak to the experts about what exactly menopausal skin care is and what the best menopausal skin care routine looks like.

Benefits of menopausal skin care

While there are plenty of anti-aging ingredients and products out there, menopausal skin care is formulated specifically to treat the skin transitions that come with decreasing estrogen levels.

“Some find their skin changing with hormonal changes, and products that they have used for years may not be as compatible anymore, and may find themselves battling dry skin or acne breakouts,” says Dr. Donna Hart of Westlake Dermatology. Furthermore, “Studies show that women’s skin loses about 30% of its collagen during the first five years of menopause and elasticity decreases by 1.5% per year after menopause,” says Dr. Shari Auth, licensed acupuncturist and herbalist and co-founder and chief healing officer of Wthn.

Ciraldo recommends that “all women use products that have high levels of actives that are proven to improve the unwanted skin changes and that they start these as early as possible.” Main areas of focus can include skin firmness, dehydration and dullness — as you age, decreased collagen, elastin and sebum, as well as slower cell turnover, are causes of sagging skin and dryness. Having a consistent skin care routine will help you delay the visible effects of menopause on the skin, and the dermatologist says to start using active skin care as early as your twenties.

Moreover, the experience of menopause is not standardized for all. When it comes to the effects of menopause on the skin, Chiu says “for women of color, our skin and health changes can look quite different” from the standardized view we see in marketing and the media.

For example, Chiu says, common changes for those with lighter skin tones include excess dryness and changes in elasticity and skin strength. Those with darker, melanated skin are more prone to issues with hyperpigmentation and melasma.

What ingredients are good for menopausal skin?

Vitamin C, retinol, ceramides, linoleic acid (vitamin F) and peptides are common skin care ingredients that Ciraldo recommends for menopausal skin. Hart adds that antioxidants can help diminish free radical damage to collagen and can also improve the look of hyperpigmentation. Just remember not to overdo it and alternate the days or time of day you use certain actives if needed. “Active anti-aging ingredients are best when matched to skin type, concern and tolerance,” Chiu explains.

With this in mind, here are the experts’ tips and product recommendations for a complete menopausal skin care routine.

Steps for a menopausal skin care routine

Because dryness, lack of elasticity and hyperpigmentation are common effects of menopause on the skin, your skin care routine should focus on retaining hydration, boosting collagen and fighting dullness. But that doesn’t mean you need a 10-step routine. By keeping it simple and strategically choosing what active ingredients to apply, you can achieve glowing, healthy skin without a laundry list of products.

Step 1: Cleanser

Those going through menopause will want to look for cleansers with gentle, hydrating formulas that won’t exacerbate dryness.

"Vanicream is my go-to brand for sensitive skin," Hart says, explaining that the brand keeps its products free of “extras” while "striking a great balance of a gentle cleanser that also leaves your skin actually feeling clean without feeling dry."

 

Hart also recommends this brightening cleanser that contains gentle acids and a mild physical exfoliant made with jojoba. "This cleanser can help with acne and hyperpigmentation," the dermatologist says.

This dermatologist-approved cleanser contains hyaluronic acid, ceramides and glycerin to keep moisture close to the skin, even when washing away makeup, sunscreen or daily grime. 

For those with redness or rosacea, Hart says this is a phenomenal choice. The no-rinse formula is infused with thermal spring water to calm the skin. "I always get raving reviews about this cleanser from my rosacea patients," she says.

Step 2: Serum

Serums are a great way to target specific skin concerns that come with menopause. You can even pick one that features ingredients that address several issues (a vitamin C serum to treat hyperpigmentation that also contains hydrating ingredients like glycerin, for example).

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Rich in ceramides, this nourishing serum “replaces skin-healthy oils like lipids and omega fatty acids like linoleic,” Ciraldo says. In addition to shielding the skin from dehydration, the antioxidant liprochroman defends against pollutants and UV damage, and vitamin E and F calm redness. I've been using it for years and love its silky texture that absorbs into the skin for a dewy, plump effect. 

"This is a potent antioxidant powerhouse of vitamin C, vitamin E and ferulic acid that has been a staple in my anti-aging regimen for more than a decade," Hart says. She's just one dermatologist among many that I've spoken to over the years that have raved about and recommended this pricey-but-worth-it product.

A hydrating tonic Chiu loves to use along with other serums, this liquid is made with humectants that preserve moisture. Along with green tea, vitamin B5 and pre- and post-biotics, it contains licorice root extract — one of Chiu’s favorite herbs for skin health. Others she looks for include bakuchiol, cica and ginseng. 

“Red ginseng contains various ginsenosides that increase collagen production to reduce wrinkles and other visual signs of aging,” Auth explains. This budget-friendly serum features the ingredient, along with snail mucin filtrate to even the skin tone and treat hyperpigmentation and boost elasticity. 
Used and recommended by Chiu, this nighttime serum brightens, smoothes and supports skin elasticity with melatonin, bakuchiol and vitamin C. 

Technically a cream, but powered by active levels of ingredients, "This is a combination alpha hydroxy acid and retinoid that penetrates deeply into the dermis," Hart says. "Many patients that have not historically been able to tolerate retinoids find this formulation can work for them."

Step 3: Moisturizer

A great moisturizer locks in the benefits of any serums applied and adds yet another layer of all-important hydration. In the daytime, just remember to layer sunscreen on top, too, as UVA rays are linked to signs of aging like wrinkles and sunspots.

Ciraldo says No7’s menopause-focused line is helpful for people who want to lessen the changes they see in their skin. Co-created with menopausal women, this face cream hydrates dry, sensitive menopausal skin with hyaluronic acid, ceramides and lipids.

"Despite the name, this is not really a mask, but a creamy moisturizer helpful for the driest skin types," Hart says.

Made with ectoin, a hero ingredient that helps regulate the water balance in the skin, this moisturizer from Naomi Watts’ menopause brand provides lasting hydration. It also contains niacinamide, squalane and vitamins C, B and E. 

This ceramide-rich cream "contains a patented lipid complex to infuse moisture and repair the epidermal barrier of extra dry or mature skin," Hart says.

“For drier skin types, I love using facial balms as a final occlusion step that seals in all the moisture and hydration,” Chiu says. It’s the same idea behind skin slugging, where an oil- or wax-based occlusive agent is layered over your traditional moisturizer to prevent trans-epidermal water loss and lock in your other skin care’s benefits. This petrolatum-based balm is one of Chiu’s favorites. 

"Neck skin is top concern for post-menopausal patients and many feel that they wish they had paid more attention to this area sooner, as neck skin seems to outpace the facial skin in the aging department," Hart says. "I almost immediately see my tech neck lines softening after application of this cream."

Step 4: Eye cream

The eye area is the first part of the face to show signs of aging due to its thinner skin, therefore, dark circles, eye bags and puffiness require some extra attention (and skin care) to look their best. Like with serums, you can choose an eye cream tailored to your specific concerns. Fight crepey skin with hydrators like squalane and glycerin, de-puff with caffeine, fight crow’s feet with retinol or brighten with vitamin C.

"I love this product so much because it really checks multiple boxes: SPF coverage, concealing properties, fluid reduction and anti-aging ingredients all in one," Hart says.

Chiu uses this retinol and peptide cream on her TCM dermatology clients. It can be used on the under-eye area or anywhere on the face that needs a dose of the wrinkle-smoothing and pigmentation-evening ingredients. 
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Another multi-use product, this lightweight cream is made for two areas of the face that are especially delicate and prone to showing signs of aging — the eyes and lips. It depuffs, brightens and smoothes with squalane, avocado polyphenols, vitamin C and more.

Step 5: Facial massage

Chiu stresses the importance of facial massage for its beauty and wellness benefits. Chiu is an expert at gua sha, a TCM practice in which a tool is used to strategically stroke the face. The technique has become popular on social media for its sculpting effects that can visibly depuff, contour and lift the face. There is also growing belief that gua sha is correlated to boosting collagen. While you can certainly do variations of facial massage with your hands alone, having a chic tool can make it feel more like a self care ritual.

It’s also worth mentioning that gua sha is one of many TCM modalities that can ease the side effects of menopause and boost the skin’s health and function. Auth and Chiu highlight the power of acupuncture and Chinese herbs, too. “Scientific studies have shown that acupuncture increases collagen and elastin to improve facial elasticity and skin moisture, and reduce wrinkles and other signs of aging,” Auth says.

“Facial gua sha is a great way to support the healthy circulation of blood, qi (energy) and fluid flow,” Chiu says. “This is important for restoring skin quality and maintaining skin health.” Designed by Chiu herself, this gua sha tool has won multiple awards and is internationally patented. Remember to use a serum or face oil to make gliding the tool seamless.

This budget-friendly set includes a jade roller and gua sha tool. The roller is a quick and easy way to get your circulation moving and depuff the face, while the gua sha can be used for more intentional contouring.