Richmond Anti-Aging Clinic
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Common Concerns

Hormonal Imbalance& Skin Changes

It's not just 'stress'—it's your body's chemistry.

From the sudden breakouts of adulthood to the rapid changes of menopause, hormones are the master regulators of your skin's health. When they fluctuate, your skin is often the first to signal distress.

30%
Collagen lost in the first 5 years of menopause
50%+
Women experience adult hormonal acne
Estrogen
Key hormone for skin hydration & thickness
Symptom Check

Decoding Your Signals

Hormonal skin issues present differently than regular aging or teenage acne. Look for these specific patterns:

These are not just cosmetic flaws; they are biological signals requiring a medical approach.

The Science

Why Hormonal Changes Happen

As a physician-led clinic, we understand that skin health starts beneath the surface. Here is how your hormones dictate your appearance:

1

Estrogen Decline

Estrogen is responsible for stimulating collagen, elastin, and hyaluronic acid production. During perimenopause and menopause, estrogen levels plummet, leading to the 'Collagen Cliff'—a rapid loss of structural support causing skin to thin, dry out, and sag significantly faster.

2

Androgen Activity

Androgens (like testosterone) are present in everyone. When stress rises or estrogen drops, androgen activity can become relatively high, signaling oil glands to go into overdrive, leading to clogged pores and deep, painful cystic acne, particularly on the lower face.

3

Chronic Stress & Cortisol

Chronic stress keeps cortisol high, which breaks down collagen and causes inflammation ('Inflammaging'). It also disrupts the skin barrier, making you more prone to sensitivity and redness.

4

Melanocyte Overstimulation

Hormones can overstimulate melanocytes (pigment cells). Conditions like Melasma are notoriously difficult to treat because they are driven by internal heat and hormonal fluctuations, not just sun exposure.

Why Us

The RAAC Difference

29+
Years
70k+
Patients
#1
In BC
1

MD-Led Hormonal Expertise

Hormonal issues are medical, not just cosmetic. Dr. Jiang understands the physiological pathways affecting your skin.

2

Safe Melasma Protocols

Hormonal pigment is unstable. We know how to treat it without causing the 'rebound effect' common in non-medical spas.

3

Long-Term Management

We view hormonal skin issues as chronic conditions to be managed, not just 'fixed' once.

4

PIH-Aware Protocols

We tailor treatment intensity and recovery planning for skin that is prone to post-inflammatory hyperpigmentation (PIH), using conservative, barrier-first protocols.

FAQ

Hormonal Questions

Adult acne is usually hormonal, not bacterial. It's often driven by a sensitivity to androgens or stress (cortisol), even if your blood hormone levels are 'normal'.
Melasma is a chronic condition managed, not 'cured'. We can clear the pigment significantly, but maintenance and sun protection are vital to prevent hormonal triggers from bringing it back.
It causes significant changes, but they are manageable. Starting collagen-stimulating treatments (like Ultherapy or Thermage) *before* or during early menopause is the best defense.
Hormonal shifts can overstimulate pigment cells and increase inflammation, which raises the risk of dark marks (PIH). We use conservative settings, barrier support, and pigment-control protocols to reduce rebound darkening.
Yes, chronic stress elevates cortisol, which breaks down collagen and causes inflammation. This 'inflammaging' can accelerate aging and worsen conditions like acne and melasma.

Get Control of Your Skin

Don't let hormonal fluctuations dictate how you look. Book a medical assessment with Dr. Jiang.

Private & Professional Care

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