If your skin transformed into tissue paper (like…overnight?!), welcome to the club you didn’t ask to join. Here’s what got you here: As estrogen declines, women lose up to 30% of their collagen in the first five years after menopause, while years of sun exposure break down elastin — the protein that gives skin its snap.

Want out of the club? We asked Dr. Ava Mainieri, PhD what actually helps:

• Retinoids: AKA the gold standard for rebuilding collagen, with decades of research behind them

• Topical estriol: Helps address the hormonal changes that make skin thinner and less resilient

• Lactic acid or urea: Look for these ingredients in body lotions to help smooth skin and boost hydration

• Sunscreen: Think of it as protecting your skincare progress (PSA: You can't out-cream ongoing UV damage!)

Menopause-related skin changes often start with shifting hormones, so the best treatment goes beyond skincare. A Midi Clinician can prescribe solutions — including prescription skincare and hormone therapy, if appropriate.