Is microneedling the solution?

By Lori Caruso

Hormones play such a key role in our health, wellbeing, and daily function yet we may not realize the signs of hormonal imbalance when they appear in the mirror. Let’s break down a few of the most common hormonal imbalances and how they can be seen. 

Estrogen Deficiency – loss of elasticity and firmness in the skin. Fine lines become more pronounced, and skin begins to sag. The loss of collagen around the eyes can create hollowing and the apple of the cheeks begins to flatten. As the process continues, nasal folds appear deeper, and jowls are apparent. 

 In addition, lines known as “smoker’s lines” over the top lip may appear and become prominent. 

 Poikiloderma of Civatte, caused by low estrogen presents as reddish-brown columns on either side of the neck. This condition is seen predominantly in perimenopausal  women. 

High Cortisol Levels - sensitivity and redness-high cortisol levels that increase blood flow can contribute to flushing on the skin. Skin that bruises more easily. People with Rosacea may notice the condition worsening. Chronic redness and flushing are a daily battle. Facial puffiness can increase causing a “moon face” appearance. Acne can appear on face, chest, back and neck as well. 

Low Cortisol Levels - dark circles and sunken eyes. Loss of body hair can occur. 

Low Testosterone can lead to drier skin. Chronic skin conditions such as psoriasis may worsen as well. High testosterone levels may cause unwanted facial hair and acne activity. 

Increased Progesterone and Estrogen- hyperpigmentation known as Melasma can be the result of both estrogen and progesterone imbalance. One unique charaterisitic typical signs of Melasma are the mirrored effect of pigments matching one side to the other. Melasma can affect both men and women but certainly more prevalent in females. Melasma, also called the mask of pregnancy, cannot be cured but it can be managed.  

Thyroid Deficiency - thinning of the outer third of the eyebrow, called The Hertoghe sign is associated with hypothyroidism.  

Looking beyond the mirror at what is happening internally is key to finding answers that best serve both you and your skin health. Ask your provider today about hormone evaluation and find out what you may have been missing.