Perimenopause, Hormones, and the Truth About Midlife Skin

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If you’ve ever wondered what’s really going on beneath the surface of your skin as you age, this episode is for you.

On this week’s episode of The Skin Real Podcast, I’m joined by Dr. Suzan Obagi—board-certified dermatologist, cosmetic surgeon, professor at the University of Pittsburgh, and a true pioneer in skin health and longevity. Her work has shaped the way we approach aging, and in this episode, she breaks down exactly what’s happening under the skin—structurally, hormonally, and behaviorally.

We talk about why you’re not imagining the changes in your skin and face, and why so many women feel blindsided by the realities of midlife. Dr. Obagi introduces her powerful framework—the “5 Rs of Regeneration”—to help you think beyond creams and filters and understand the deeper shifts that shape how we age.

Whether you’re 35 or 65, this episode offers the clarity, science, and strategy every woman deserves when navigating her skin and appearance with confidence.

 Key Takeaways:

• Skin aging is more than skin deep.It reflects hormonal, structural, and lifestyle-driven changes in the entire body.
• Hormonal shifts drive big skin changes, especially around perimenopause and menopause impacting hydration, collagen, and elasticity.
• Facial aging is structural. It is not just about wrinkles. Bone loss and fat pad descent are major contributors to a changing face.
• Movement, sleep, strength training, and diet have direct effects on skin health.
• Skincare should evolve with age. What worked in your 20s won’t serve you in your 40s or 50s.
• Prevention is still the best investment. Antioxidants, sun protection, and a consistent, personalized routine matter most.
• It’s not about looking 25 forever, it’s about understanding how your biology works and supporting it with strategy, not hype.
• Skin reflects inner vitality. Caring for your skin is caring for your whole self.

Dr. Suzan Obagi is recognized as one of the world's most respected cosmetic surgeons and dermatologists. Dr. Obagi is an associate professor of dermatology and associate professor of plastic surgery at the University of Pittsburgh Medical Center and serves as the director of the UPMC Cosmetic Surgery & Skin Health Centers. 

Dr. Obagi's academic commitments include training medical students, residents, fellows, and physicians from around the world on the latest in cosmetic and laser surgery.  Dr. Obagi has published in peer-reviewed journals and has authored many chapters in premier textbooks on dermatologic, plastic, and cosmetic surgery.  

Dr. Obagi served as the 2018 President of the American Academy of Cosmetic Surgery and has formerly served as vice president of the American Board of Cosmetic Surgery and as president of the Cosmetic Surgery Foundation.  She has been published in many medical journals and textbooks on skin health restoration, autologous fat transfer, neuromodulators and soft tissue fillers, chemical peeling, dermabrasion, and lasers.

Follow Dr. Obagi here:

https://www.instagram.com/suzanobagimd/

https://veeaface.com/

🎙️Want more expert skin advice without the overwhelm?

Subscribe to The Skin Real Podcast wherever you listen, and visit www.theskinreal.com for dermatologist-backed tips to help you feel confident in your skin—at every age.

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Visit Dr. Mina at Baucom & Mina Derm Surgery Website: atlantadermsurgery.com Email: [e-mail] Call: [phone] Instagram: @baucomminamd

Thanks for tuning in. And remember—real skin care is real simple when you know who to trust.

Disclaimer: This podcast is for entertainment, educational, and informational purposes only and does not constitute medical advice.