Blemished skin during menopause
Blemished skin during menopause is not uncommon. Hormonal changes, altered skin needs, and a sensitive balance lead to late-onset acne, pimples, or blackheads in many women—especially on the face. Targeted care can provide noticeable relief.
What causes blemished skin during menopause?
Hormonal changes are the main cause of blemished skin during menopause. Estrogen levels drop, while androgen hormones may be produced in greater quantities—this can alter sebaceous gland activity and promote blemishes.
Hormonal fluctuations (estrogen/androgens)
Lower estrogen levels combined with stable or elevated androgen levels can lead to overproduction of sebum, causing pores to clog more easily and inflammation to develop more quickly.
Changes in sebum production
Despite dry skin on the cheeks, the T-zone often produces excess sebum. This combination of dryness and oiliness makes skin care challenging.
Skin barrier becomes more sensitive
With age, the skin loses lipids and moisture, weakening its barrier function. Bacteria can penetrate more easily and cause impurities.
Lifestyle & stress factors
Stress, lack of sleep, and a diet that affects hormones can further worsen the appearance of the skin. Cortisol levels rise, and the skin reacts with irritation and pimples.
Adapted cleansing & skincare routine
A consistent routine tailored to the skin's needs is essential for blemished skin during menopause. Mild but thorough cleansing removes excess sebum and prevents inflammation. Care products should be light, non-comedogenic, and formulated to balance the skin, clear pores, and strengthen the skin barrier.
Gentle cleansing without drying surfactants
Alkali-free, pH-neutral cleansing products preserve the natural protective film and prevent irritation.
Product recommendation: The Dr. Spiller cleansing system with Aloe Sensitive Cleansing Gel followed by Aloe Sensitive Tonic (use Hamamelis Astringent for very oily skin) – gently cleanses and penetrates deep into the pores.
Non-comedogenic skincare products
Skincare products should be free from occlusive fats. Light, hydrating formulas prevent pores from becoming clogged.
Product recommendation: Dr. Spiller Hydro-Marin® Elixir followed by Hydro-Marin® Cream Light for clarifying lightness and simultaneous hydration.
Light textures instead of greasy creams
Mattifying, fast-absorbing creams with soothing active ingredients are ideal. Greasy textures promote impurities.
Product recommendation: TRAWENMOOR Balance Cream – clarifying & moisturizing.
Active ingredients for blemished skin & late-onset acne
Targeted active ingredients such as salicylic acid, niacinamide, and retinol regulate sebum production, have an anti-inflammatory effect, and promote cell renewal. Zinc can also soothe and prevent blemishes. This combination of active ingredients is ideal for visibly improving hormone-related late-onset acne without over-treating the skin.
Salicylic acid, cinnamon bark extract, niacinamide, retinol, zinc
These active ingredients regulate sebum production, reduce inflammation, and refine pores. They help the skin to clear itself.
Product recommendation: Apply Dr. Spiller AHA & PHA Ginkgosome Serum under the Herbal Active Complex and, if necessary, use Acnoderm Roll-On for local application – an effective combination of active ingredients for blemished, mature skin.
Nutrition and skin health
An anti-inflammatory diet low in sugar and rich in antioxidants, omega-3 fatty acids, and zinc can reduce acne from the inside out.
Why does late-onset acne occur during menopause?
The hormonal changes that occur during menopause can suddenly make the skin oilier—pimples and blackheads often appear for the first time or reappear, even if you never had acne before.
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