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Menopause in Plastic Surgery Patients: An Underrecognized and Undertreated Comorbidity
Elizabeth L Malphrus1, Sara Perelmuter2, Rachel Rubin3
1From the Division of Plastic Surgery, Penn Medicine, University of Pennsylvania.
Plastic and Reconstructive Surgery
|October 24, 2023
Summary
Menopause significantly impacts women seeking plastic surgery, affecting aging-related concerns. Plastic surgeons should integrate menopause care, including hormone therapy, into patient evaluations for improved outcomes.
Area of Science:
- Plastic Surgery
- Gynecology
- Menopause Management
Background:
- Middle-aged women undergoing plastic surgery frequently experience menopause.
- Menopausal changes influence aesthetic concerns addressed by plastic surgeons.
- Hormone replacement therapy (HRT) can alleviate menopausal symptoms and physical changes.
Purpose of the Study:
- To highlight the relevance of menopause in plastic surgery patients.
- To guide plastic surgeons in considering menopause as a comorbidity.
- To provide recommendations for integrating menopause care and HRT.
Main Methods:
- Review of current literature on menopause and plastic surgery.
- Analysis of patient demographics and motivations for seeking surgery.
- Development of a treatment algorithm for topical HRT in vaginal rejuvenation.
Main Results:
- Nearly half of plastic surgery patients are middle-aged cisgender women experiencing menopause.
- Barriers exist in accessing menopause care and HRT.
- Topical estrogen is a safe and effective treatment for vaginal rejuvenation.
Conclusions:
- Plastic surgeons are uniquely positioned to address menopausal concerns.
- Menopause should be considered a risk factor in aging-related complaints.
- Guidance and algorithms are provided for plastic surgeons regarding menopause and HRT.
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