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During menopause your skin changes, and it's not your imagination. With less estrogen it produces less collagen, becomes thinner and drier, and loses firmness. Your hair, pigmentation and body change too. It is a natural stage, and it can be supported naturally and with medical judgment, without trying to go back to your 30s.
At our practice in El Poblado, Dr. Olga Gómez Montoya, physician and surgeon from the University of Antioquia, builds a step-by-step plan with you so you look fresh and rested, without changing your identity, and works as a team with your gynecologist when needed.
Reviewed by Dr. Olga Gómez Montoya · Updated: October 2026
Aesthetic medicine with medical judgment · El Poblado, Medellín
Estrogen helps maintain the skin's collagen, hydration and thickness. When it declines, the change shows quickly: classic dermatology studies describe the skin losing about 30% of its collagen in the first five years after menopause, and then around 2% per year.
At the same time, the fat and bone of the face, which support the skin, also change. That is why it's not just “one more wrinkle”: the structure changes.
The changes begin before your last period, during perimenopause, which usually starts in your 40s. It's a good time to start caring for your skin with gentle, progressive treatments.
Each change has its own cause and treatment. Tap each one to see the page that explains it in detail.
01
With less estrogen, the skin produces less collagen and loses support, especially along the jawline and cheekbones. See non-surgical treatment of facial laxity.
02
The skin retains less water, looks duller and fine lines appear. See skin quality.
03
Lines that used to appear only with movement start to stay visible at rest. See expression lines.
04
Hormonal changes and years of sun show up as spots and uneven tone. See hyperpigmentation and melasma.
Many women notice their hair thinning and shedding more. It can be evaluated and treated. See hair loss.
06
Loss of firmness also shows on the neck, hands, arms and buttocks. See neck and décolletage and body treatments.
They are chosen and combined at the assessment. Read more about collagen biostimulators, Sculptra or microneedling.
Sculptra®, Radiesse® or Juvelook® stimulate your skin to produce new collagen and gradually improve firmness. They are the foundation of many plans at this stage.
Hyaluronic acid skinboosters such as Profhilo® or Restylane® Skinboosters improve thin, dehydrated skin without filling.
Focused ultrasound that stimulates collagen in deep layers to firm the jawline, double chin and neck, with no needles.
SkinPen® and Alma Hybrid™ CO2 laser improve texture, spots and fine lines, with protocols tailored to your skin.
In conservative doses, it softens expression lines and, on the neck, the bands that pull the jawline downward.
Daily sunscreen, hydration and active ingredients such as retinoids, prescribed according to your skin. Without this, no treatment performs as well.
“Looking good at 50 isn't looking 30. It's looking consistent with who you are.” — Dr. Olga Gómez Montoya
Menopause is a medical matter before it is an aesthetic one. Symptoms such as hot flashes, sleep, bone health or hormone therapy are managed by your gynecologist. Aesthetic medicine supports what shows in your skin, hair and body.
That is why, at the assessment, we ask about your overall health and, when needed, coordinate with your doctor. And that is why plans at this stage are step by step: first what matters most to you, with complementary treatments and no excess.
Beyond your skin, the doctor reviews your history: what stage of menopause you are in, whether you use hormone therapy, other medications and conditions such as thyroid disease.
We define what bothers you most and what makes the most sense to treat first. Not everything is done at the same time.
A progressive plan, with complementary treatments and realistic timelines, plus an at-home routine for your skin.
Follow-up visits and adjustments over time. Menopause is a stage, not a moment: the plan stays with you.
Because estrogen helps maintain the skin's collagen, hydration and thickness. When it declines, the skin produces less collagen, retains less water, becomes thinner and loses firmness. The fat and bone of the face also change, and that alters the support.
Classic dermatology studies describe the skin losing about 30% of its collagen in the first five years after menopause, and then around 2% per year. That is why many women feel the change happened quickly.
Those that stimulate collagen, such as biostimulators, HIFU, microneedling or laser; those that hydrate the skin, such as skinboosters; and botulinum toxin for expression lines. They are almost always combined in a step-by-step plan, together with a good at-home routine.
Yes, generally there is no problem, but you should mention it at your assessment, along with any other medications you take. We review your case and, if needed, coordinate with your gynecologist.
Some studies show that estrogen can improve skin thickness and collagen, but hormone therapy is not prescribed for the skin alone. That decision is made by your gynecologist based on your symptoms, your risks and your preferences.
They are menopause symptoms managed by your gynecologist. Aesthetic medicine does not treat them. If they bother you, talk to your gynecologist: there are options with and without hormones.
Hormonal changes can make hair thinner and shed more, but thyroid function, ferritin, stress and genetics also play a role. That is why the cause is evaluated before treating. Learn about hair loss treatment.
From perimenopause, which usually begins in your 40s, when the skin starts to change. Starting early lets us work with gentler, more progressive treatments. But it's never too late: the plan adapts to where you are.
Sunscreen every day, a gentle cleanser, hydration and, if your skin tolerates it, a retinoid prescribed by a doctor. Sleeping well, not smoking and getting enough protein in your diet also help your skin.
It depends on what your skin needs and on the stages of the plan. At your assessment in El Poblado, we explain the options and their investment clearly. Message us ASSESSMENT.
The first step is an assessment, not a sale. Dr. Olga reviews your skin and your health, and proposes a step-by-step plan at your own pace.
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