Get Your Sparkle Back - Exploring Skin and Body Changes in Perimenopause and How You Can Address Them.

Perimenopause isn’t something most of us are taught to expect and yet every woman will experience it, often years before they even realize what’s happening. One day your cycle feels different, your sleep gets a little unpredictable, or your skin doesn’t quite behave the way it used to. Then there are the mood shifts, the sudden warmth that comes out of nowhere, and the sense that your body is quietly rewriting its own rules. The truth is, perimenopause is a completely natural transition, but that doesn’t mean it always feels simple.

The physical changes can be surprising, confusing, and sometimes frustrating; especially when they show up gradually or in ways you didn’t know were connected.

In this blog, we’re breaking down the most common physical changes you might notice during perimenopause, why they happen, and how to navigate them with confidence, clarity, and compassion for your evolving body. Let’s make sense of this chapter together.

Hair Changes: Why Thinning & Shedding Are So Common

Hair changes are one of the earliest signs many women notice. Studies estimate that 40–50% of women experience noticeable hair thinning during perimenopause, with hormonal decline being the primary driver. As estrogen levels fall, the anagen (growth) phase of the hair cycle shortens, while relatively higher androgen activity can miniaturize follicles, leading to increased shedding, reduced density, and slower regrowth. PRP (Platelet-Rich Plasma) therapy remains one of the most effective non-surgical interventions for hormonal hair loss. By delivering concentrated growth factors directly into the scalp, PRP can help increase hair density and thickness by 20–30% over a series of treatments, revitalizing follicles and supporting healthier, fuller hair. Pairing this with things like topical creams and treatments often yield the best results.

Skin & Facial Volume: Restoring Structure, Elasticity & Glow

“It’s like my face fell and jowls grew overnight” 

While research shows that women lose approximately 1% of collagen every year after age 30, that loss accelerates sharply in perimenopause, increasing up to 30% in the years leading up to menopause. Declining estrogen also affects elastin, hyaluronic acid production, and skin barrier function, contributing to sagging, dryness, fine lines, changes in facial shape and sometimes even acne.  

If volume loss and structure are at the core of your concerns, injectable hyaluronic acid based dermal fillers can help to provide immediate lift, support, and contour. Biostimulators like Radiesse and Sculptra are more ideal for global volume restoration with clinical studies show up to a 66% increase in collagen synthesis after a full treatment series, with results lasting up to two years. One of our favourite treatments to triple down on collagen production and start to address common complaints of skin laxity and sagginess, is combining regenerative fillers like Sculptra with Evoke and Morpheus8 radiofrequency microneedling. The synergistic (we say skinergistic) impact of stacking these treatments not only addresses multiple layers of the face, but often yields in better outcomes.

Skin like the Sahara? You aren’t alone. Dryness is a top concern for women in perimenopause and menopause, and those with thinner skin tend to notice an increase in crepiness (think small accordion bands).

Topical hydrators can be effective in making the skin feel better instantly, but for longer lasting hydration deeper within the dermis, we recommend The Beauty Booster that helps to thicken the skin and blankets your face (and neck, check out Neck Worthy) with a non cross linked hyaluronic acid. 

Pigment isn’t discussed as often as other skin concerns with perimenopause but if you are someone who suffers from melasma, many women notice an increase in pigment as they near perimenopause or begin hormone therapy. Microneedling or bigger resurfacing treatments like the Glow Getter can not only help you achieve even toned skin, but boost collagen, improve radiance and enhance overall skin quality.

Midsection Metamorphosis: Weight Gain, Muscle Loss & Metabolic Shifts

Does perimenopause mean you're going to pack on the pounds? No necessarily, but there is a significant shift in overall body composition. Women tend to lose muscle volume as a result of the aging process and declining estrogen alters fat distribution, leading to increased abdominal fat. Up to 60% of women report weight gain during perimenopause, even without changes in diet or activity.  GLP-1s are growing in popularity for women in perimenopause and without getting into the many other health benefits of them, they can assist in helping you maintain a healthy weight or losing stubborn weight. Skin Worthy’s Body Optimization Program integrates lifestyle guidance, prescription medications with non-invasive technologies like EvolveX to help tone muscle and tighten and improve skin quality. 

Sin Worthy Solutions: Supporting Sexual Health, Comfort & Confidence

Sexual health concerns are extremely common during perimenopause. Declining estrogen and testosterone contribute to frustrating symptoms such as 

• Vaginal dryness and thinning

• Decreased lubrication

• Pain with intercourse

• Loss of sensation

• Changes in libido

• Pelvic floor dysfunction

• Urinary incontinence

Studies show that genitourinary syndrome of menopause (GSM) affects more than half of women, yet many hesitate to seek help due to a lack of information, uncertainty around their symptoms, or feelings of fear and shame related to sexual health. At Sin Worthy, our approach focuses on restoring comfort and aesthetic, improving function, and rebuilding sexual confidence so women can feel like themselves again. Treatments such as the Plus 90 can help alleviate dryness and discomfort, improve sensation and libido, support pelvic floor strength to reduce incontinence, restore labial and vulvar volume, and ultimately enhance sexual pleasure and confidence. Our broader suite of sexual wellness treatments—including Vagilangelo to restore internal and external volume, the OH Shot to boost lubrication and arousal, L-Plump labial filler to rebuild volume and elasticity, and L-Tight to firm and rejuvenate labial tissues. These interventions directly address the physical changes that often go unspoken, helping women navigate this stage of life with greater comfort, clarity, and empowerment.

Skin and Body Changes in Perimenopause - Your One Stop Location For Perimenopause Support System

Perimenopause is a significant life transition that impacts your hormonal, physical, and emotional well-being, but you don’t have to navigate it with uncertainty or resignation. With the right support system, this phase can become an opportunity to reconnect with your body and feel your best again. In addition to our comprehensive Menopause Program, that provides medical support, hormone therapy and in clinic treatments, we have a full suite of services from collagen restoration and facial rejuvenation to body optimization and sexual wellness that can address your unique concerns, goals and all the skin and body changes in perimenopause.

You deserve to feel supported, confident, and fully yourself at every stage of life. We’re here to walk that journey with you.