When hormones begin to shift in perimenopause and menopause, your skin changes in ways that can feel sudden and confusing. Fine lines deepen, elasticity weakens, and firmness seems to vanish overnight. Most advice stops at at-home products, leaving a big gap: what about the spa?

The right professional treatment for menopausal skin addresses not only the visible signs of aging but also the root causes tied to estrogen and skin aging, like fluctuating collagen levels, slower renewal and changes in barrier function. That’s why knowing exactly what to ask for at your next spa appointment matters.

How estrogen impacts skin aging

During perimenopause and menopause, hormones don’t just decline; they fluctuate. Estrogen can rise and fall before trending lower, and progesterone can swing out of balance. The result: collagen production slows, elasticity wanes, hydration dips, and skin can feel thinner and less resilient. That’s why professional treatments designed for skin in this stage matter now more than ever.

What to ask for 

Skip the vague “anti-aging facial.” Ask specifically about:

• Peptides + collagen support: Treatments that strengthen skin’s scaffolding to counter hormonal collagen loss.
  

• Firming, lifting power masks: To visibly tighten lined, sagging skin on the face and neck.
  

• Enzyme or lactic exfoliation (tiered): Gentle yet effective options that can be dialed up or down for sensitivity.
  

• Sculpting massage + manual lymphatic drainage focus: To target skin tissue, aid toxin removal, and support de-puffing and circulation.
  

• Cooling customizations: Options like cold rollers or icy globes for clients prone to hot flashes.

When you frame your needs this way to your esthetician, you’re requesting a menopause skin treatment tailored to your biology, responsive to both declining and fluctuating hormones.

A firming facial for hormonal shifts

One standout category to ask about: a professional treatment designed to lift and tighten lined, sagging skin with a firming clinical power mask, plus sculpting massage to help boost lymphatic activity and visible firmness.

Bioelements’ Uplift Firming Facial offers this in three corrective activity tiers (increasing levels of enzymes and/or lactic acid) so your esthetician can personalize to your sensitivity and goals.

This particular facial is especially ideal in perimenopause, menopause and post-menopause because it directly addresses collagen loss driven by declining and fluctuating hormones, moving beyond surface hydration to reinforce the skin’s structure. 

Another unique feature of this treatment is its auricular massage technique – a gentle two-finger pressure ritual on key points of the ears. During hormonal shifts, many women experience hot, itchy, or sensitive ears. This finishing touch brings the facial full circle, lifting your skin while helping you feel calm, centered and renewed. 

For the most visible change, plan a facial series at a spa near you.