Navigating Menopausal SkinMenopause – a time of wisdom and independence, but for our patients it is often synonymous with collagen loss, increased wrinkling, and those perplexing bruises that suddenly appear on the forearms. The exit of oestrogen triggers a cascade of changes, with skin taking the hardest hit. In clinic, we see this in the form of sagging, thinning, and an increase in visible vascular changes like telangiectasias. For menopausal skin, simply recommending a moisturiser isn’t enough. A more integrative approach is essential.