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Perimenopause can feel like a quiet shift at first—an occasional warm flush, a restless night—but over time, the changes become harder to ignore. Among the most visible are those that appear on your skin. Maybe it feels drier than usual, or a little less firm. Perhaps the products you’ve trusted for years suddenly stop delivering the same results.
At Clear Skincare Clinics, we’re here to help you understand why these changes happen and what you can do about them. With the right support—both in-clinic and at home—you can care for your skin with confidence and clarity through every stage of hormonal change.
What’s Happening Beneath the Surface
Your skin is one of the first places to reflect internal shifts. During perimenopause, oestrogen levels begin to fluctuate and gradually decline, affecting everything from sleep and mood to memory and metabolism. These changes aren’t just happening in the background—they influence how your body regulates hydration, collagen production, elasticity, and healing.
Oestrogen binds to receptors in skin cells like fibroblasts, which are responsible for producing collagen and elastin. As oestrogen declines, these receptors become less active, slowing down the processes that once kept skin looking firm, smooth and radiant. The outer layers of skin may also become drier, more sensitive, and slower to renew themselves.
This is why, even with the same skincare routine, your skin may begin to feel thinner, less supple, or more reactive. These symptoms are common, and they’re a reflection of genuine hormonal shifts, not personal neglect.
Dryness & Sensitivity
One of the earliest and most persistent skin complaints during perimenopause is increased dryness. Oestrogen plays a key role in maintaining the skin’s hydration by supporting the production of hyaluronic acid and lipids in the outer layer.
As oestrogen levels fall, your skin loses moisture more easily, and its protective barrier becomes less effective. This can lead to tightness, flakiness, and sensitivity—even when you haven’t changed your skincare routine. Skin may also start reacting to products that never caused issues before, making it harder to find relief with your usual go-tos.
Loss of Firmness & Volume
Collagen is a protein that gives skin its structure and bounce, and it declines significantly during perimenopause, especially in the years immediately after menopause. Elastin, which helps skin return to its shape after stretching, also diminishes.
This loss of structural support leads to a visible reduction in firmness, particularly around the eyes, mouth, and jawline. Cheeks may appear flatter, and contours less defined. For many women, these shifts feel sudden and out of proportion to their age, adding to the emotional impact of the transition.
Increased Redness & Uneven Tone
Hormonal fluctuations can affect blood vessels and pigmentation pathways, which may result in flushed skin, blotchiness, or patches of uneven tone. Rosacea-like symptoms can also become more pronounced, especially in those already prone to sensitivity.
In addition, changes in melanocyte activity (the cells responsible for pigment) can lead to new areas of pigmentation or dark spots, particularly after sun exposure. Combined with thinning skin, these changes can make the complexion appear less even and more fragile.
Slower Healing & Changes in Scarring
Oestrogen is closely involved in the body’s repair processes. It helps regulate cytokines, supports skin regeneration, and improves wound healing. As levels drop, skin becomes slower to recover from injuries, blemishes, or cosmetic treatments.
This can also affect how your skin responds to cuts, breakouts, or even professional procedures like microneedling or laser treatments. Scars may appear more prominent or take longer to fade. For women who have always healed quickly or had smooth, even skin, this can be a frustrating and unfamiliar shift.
You don’t have to accept these changes as inevitable. With a tailored approach that considers your skin’s shifting needs, we can help restore visible balance, and restore the healthy glow you’re used to seeing.
We offer non-invasive treatments that support your skin’s underlying structure while addressing the concerns that commonly arise during perimenopause.
Sylfirm Advanced RF Needling
This advanced treatment combines radiofrequency energy with microneedling to stimulate deeper layers of the skin. By encouraging fresh collagen and elastin production, Sylfirm Advanced RF Needling helps improve texture, tone, and firmness, particularly in skin that has started to feel less elastic or defined.
Renuva Laser Resurfacing
Ideal for reducing fine lines, improving scarring, and refining skin texture, Renuva Laser Resurfacing uses non-ablative laser technology to reach the dermis without damaging the surface. It’s especially beneficial for skin that’s become thinner or more fragile.
MesoInfus Needling
This combines microneedling with potent serums designed to target dehydration, pigmentation, and redness. MesoInfus Needling enhances both product absorption and cellular turnover, supporting skin that may be dry, dull, or reactive.
Laser Rejuvenation
For overall skin vitality, Laser Rejuvenation helps restore brightness and elasticity. By gently encouraging collagen renewal, it works well for those looking to improve tone and texture without downtime.
Lumixa Collagen Booster
Using a topical gel activated by LED light, Lumixa stimulates Fluorescent Light Energy (FLE) in the skin to reduce inflammation and slow the visible signs of accelerated skin ageing. It’s ideal for skin showing early hormonal changes or sensitivity.
All treatments begin with a personalised consultation to assess your skin’s needs and ensure a tailored, supportive experience.
At-Home Support for Hormonal Skin
Just as your treatment plan can evolve, so too should your skincare routine. As hormone levels fluctuate, skin may appear drier or more fragile. Our formulations are designed to deeply hydrate and support the skin’s visible resilience and comfort.
Restoring Serum with Copper Peptides
Copper peptides help the skin stay hydrated and supple. This serum helps improve the appearance of firmness and restores some of the skin’s natural bounce.
Firming Peptide Serum
Packed with antioxidants and skin-supporting ingredients, this serum helps improve the appearance of skin firmness and vitality, while helping to visibly defend against signs of oxidative stress—something skin may show more of during perimenopause.
Vitamin A Renewal Cream (1% Retinyl Palmitate)
A gentle yet effective night cream designed to refine skin texture and support a smoother-looking complexion. Featuring Retinyl palmitate—a milder derivative of vitamin A—this formula delivers visible results without the typical signs of irritation, making it ideal for more delicate, evolving skin.
Strengthening Serum with Niacinamide and Panthenol
This multifunctional serum helps calm visible signs of sensitivity, support the skin’s natural moisture barrier, and provide lasting hydration. Ideal for skin that looks flushed, feels dry, or becomes more easily unsettled. Together, these products form the foundation of a home routine that works in harmony with your clinic treatments, supporting your skin day and night.
Caring for Skin, and for Yourself
Perimenopause is more than a skin concern. It can affect how you feel about your appearance, how you relate to others, and how you move through the world. It’s easy to overlook the emotional weight of these changes, especially when society still struggles to speak openly and respectfully about this stage of life.
We believe skin health is about more than how you look—it’s about how you feel. Feeling good in your skin doesn’t have to end in your 40s. In fact, for many women, it begins anew with the right care, clarity, and support.
We’re here to listen to your concerns, tailor your treatment plan, and help you navigate this stage with confidence and grace.
Your Skin Is Still Yours
Hormonal changes may reshape your skin’s behaviour, but they don’t define your beauty or your options. With professional insight, advanced treatments, and skincare that meets you where you are, you can move through this chapter feeling informed and empowered.
Book a free consultation today to start a conversation about your skin’s future. It’s not about reversing time—it’s about restoring the balance and radiance that helps you feel like yourself again.
