Single Module - Aesthetic Presentations in Perimenopause - " Beyond hormone replacement - addressing the foundations of health "

Perimenopause is a period of profound hormonal, metabolic, and inflammatory change that directly impacts the skin, body composition, and overall wellbeing. This module, originally prepared for University College London, provides a comprehensive overview of the physiological shifts that underpin aesthetic changes during this stage of life, with an emphasis on how practitioners can support both aesthetic and systemic health through evidence-based interventions.
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Practitioners will learn:

  • Common aesthetic presentations during perimenopause with a focus on skin aging.
  • The role of estrogen in gut and skin health and the pathways through which estrogen decline accelerates skin aging and weight gain.
  • The impact of estrogen deficiency on the hallmarks of aging – in particular epigenetics, mitochondrial function and nutrient sensing - and how this translates to variations in the rate of aging between women of the same age.
  • The interplay between hormones, immune function, metabolism and brain health.
  • The impact of neuroinflammation in stress-related skin disorders.
  • Therapeutic fasting protocols targeting the hallmarks of ageing to delay and/or reverse visible and physical decline.
  • Evidence for phytonutrients, antioxidants, omega-3 fatty acids, and micronutrients in supporting skin and systemic health.
  • Dietary recommendations to optimise aesthetic outcomes during perimenopause.


Key Takeaway

This module equips practitioners with a holistic framework for understanding and managing the aesthetic and systemic effects of perimenopause. By addressing the consequences of hormonal fluctuations and targeting the hallmarks of ageing, clinicians can provide personalised, evidence-based interventions that extend beyond surface treatments to optimise aesthetic outcomes in this patient demographic.