Menopausal Skin Aging describes the accelerated, distinct pattern of dermal and epidermal deterioration that occurs following the cessation of ovarian function and the resultant profound decline in circulating estrogen levels. This process is characterized by rapid loss of collagen, decreased skin thickness, reduced elasticity, and impaired hydration capacity. The clinical presentation includes increased fine lines, deep wrinkles, and overall skin fragility, directly linking endocrine status to dermatological health.
Origin
This term is a subset of dermatological gerontology, highlighting the specific etiology of aging related to the female endocrine transition. The Greek root ‘menopausis’ signifies the permanent cessation of menstruation. The clinical recognition of this specific aging pattern emphasizes the crucial, trophic role of estrogen in maintaining the structural integrity of the skin.
Mechanism
Estrogen receptors are widely expressed in skin cells, including fibroblasts and keratinocytes. Estrogen decline leads to a sharp decrease in collagen synthesis and an increase in the activity of matrix metalloproteinases (MMPs), which break down existing collagen and elastin fibers. Reduced estrogen also impairs the skin’s barrier function and water-holding capacity by decreasing hyaluronic acid production, collectively leading to the observed structural and functional decline of the skin.
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