Round Table Discussion: Aesthetic Treatment Considerations for the Perimenopausal & Menopausal Patient.

Area of Science:

• Dermatology
• Aesthetic Medicine
• Gynecology

Background:

• Menopause is a natural aging process in women, typically occurring in the 6th decade.
• Declining estrogen, progesterone, and testosterone levels during perimenopause and menopause negatively impact skin health.
• Hormonal changes affect collagen, skin hydration, elasticity, and sebum production, leading to dryness and other aesthetic concerns.

Purpose of the Study:

• To establish best practices for aesthetic providers treating menopausal and perimenopausal skin conditions.
• To provide consensus recommendations based on expert clinical experience.

Main Methods:

• A roundtable discussion was convened with a gynecologist, plastic surgeon, and dermatologists.
• Experts shared clinical insights and consensus recommendations during a webinar.

Main Results:

• Multiple therapies exist for menopausal skin changes, including hormone replacement therapy (HRT), topical treatments, injectables, and energy-based devices.
• The panel identified hormone replacement therapy, topical estrogen, injectable poly-L-lactic acid, injectable hyaluronic acid, and CO2 laser resurfacing as highly effective interventions.
• Various treatments offer different benefits for addressing hormone-related skin alterations.

Conclusions:

• Menopause affects all women and can lead to undesirable aesthetic changes.
• Numerous effective treatments are available to manage or improve menopause-related skin conditions.