The aesthetics industry has come a long way in the last decade. There’s an array of complexion-enhancing injectables, a host of smarter and more inclusive devices, and many are a lot safer, too. But there’s a growing body of evidence suggesting that hormonal changes—specifically during perimenopause—may be one of the most significant and least-discussed drivers of how skin ages and how well it responds to treatment.
For those of us in our 30s and 40s who’re noticing our Botox is wearing off faster than it used to, our filler isn’t sitting quite right, or our skin is reacting to treatments it used to tolerate well—it’s probably not the treatment failing. It’s our hormones. And according to Dr Mayoni Gooneratne, integrative aesthetics specialist and founder of Skin Fit, the aesthetic industry has yet to catch up.
