“Why does my skin suddenly feel so dry?”
“My hair looks thinner every month.”
“I don’t even recognize myself in the mirror anymore.”
These are the kinds of worries I hear all the time, from patients, friends, even family members entering menopause. And if you’re feeling the same, you are not alone.
Research shows that nearly half of women feel unprepared for menopause, and many describe it as if they’re “aging overnight.” Skin becomes drier, wrinkles appear more pronounced, hair starts thinning, and unexpected changes like facial hair or dark spots add to the frustration. On top of that, many women say they don’t get enough guidance from healthcare providers about what to expect, leaving them to figure it out on their own.
At Johns Creek Dermatology, we want you to know two things:
1- These changes are completely normal and biologically driven by hormone shifts.
2- There are proven, effective ways to manage them so you can feel comfortable and confident through this transition.
During perimenopause and menopause, levels of estrogen decline, and that hormone shift directly impacts skin and hair health.
Skin Dryness & Thinning
Estrogen helps keep skin plump and hydrated. With less estrogen, the skin barrier weakens, leading to dryness and fragility.
Wrinkles & Loss of Elasticity
Collagen production slows, which can make fine lines, sagging, and wrinkles more pronounced.
Hair Thinning
Hormonal changes shorten the hair growth cycle, leading to increased shedding—often most visible along the part or crown.
Uneven Tone & Pigmentation
Hormone shifts combined with years of sun exposure can trigger new dark spots.
“Nothing I used to do works anymore.” Products and routines that worked in your 30s may suddenly feel ineffective.
“My skin feels tight and itchy all the time.” Loss of natural oils makes even gentle cleansers irritating.
“I’m losing my hair, and my confidence.” Thinning hair is both cosmetic and emotional.
“I wasn’t ready for this.” The lack of clear guidance often leaves women feeling blindsided.
Knowing these frustrations helps us address them head-on in clinic, and reassure patients they’re not alone.
Look for moisturizers with hyaluronic acid and ceramides to restore hydration.
Daily SPF 30+ is essential, since thinner skin is more prone to sun damage.
Support Collagen & Firmness
Retinoids remain the gold standard for boosting collagen and smoothing fine lines.
For sensitive skin, peptides offer a gentler but effective alternative.
At Johns Creek Dermatology, we often recommend:
• Microneedling to stimulate collagen
• Laser therapy to address pigmentation and firmness
• Chemical peels to refresh uneven tone
There are several proven topical treatments that can slow shedding and encourage regrowth. In addition, non-surgical injection therapies may be helpful. Scalp-focused treatments and prescription solutions can also support and strengthen hair density.
For some women, hormone replacement therapy (HRT) can help ease menopausal symptoms, including changes in skin and hair. However, HRT isn’t right for everyone.
Important: Decisions about hormone therapy should always be made with your gynecologist or primary care physician, who can evaluate your full medical history, risks, and overall health.
At Johns Creek Dermatology, we focus on supporting your skin and hair health, and we work closely with your other healthcare providers if HRT is being considered as part of your care plan.
Nutrition & Lifestyle
A diet rich in omega-3s, protein, vitamin D, and antioxidants supports skin from within.
Supplements may be considered if deficiencies are detected.
No two women experience menopause in exactly the same way. That’s why we take a personalized approach at Johns Creek Dermatology -tailoring skincare routines, in-office treatments, and medical options to fit your unique skin and hair needs.
Our triple board-certified dermatologist, Dr. Shereen Timani, provides both medical and cosmetic expertise, ensuring patients feel supported, informed, and empowered through this transition.
Menopause doesn’t mean losing confidence in your skin or hair. With expert care, you can restore hydration, slow aging changes, and address thinning hair, so you feel like yourself again.
If you’re in Johns Creek or the North Atlanta area and noticing changes, schedule a consultation with Johns Creek Dermatology. We’re here to help you embrace this next phase with healthy, radiant skin.
