Concerns · Life stages

Perimenopause and menopause

Skin, hair and energy changing all at once — and why.

What's going on

The hormonal shift of perimenopause reaches everywhere at once: skin dries and thins, collagen drops, hair sheds, pigmentation appears, sleep fragments, energy dips. It can feel like accelerating age. It is physiology — and much of it is addressable.

The useful first step is a proper medical conversation about what is driving what. From there: skin quality work, hair assessment, and the metabolic conversation with Dr Chaffee — sequenced sensibly, never oversold.

Why it happens

  • Oestrogen decline affecting skin and hair
  • Collagen loss accelerating in these years
  • Sleep and energy disruption
  • Metabolic change redistributing weight

What can realistically be done

Skin quality programme

Needling, regenerative treatment and medical skin care for thinning, drying skin.

Hair assessment

Menopause-related thinning is common and often improvable.

Metabolic and longevity consult

Dr Chaffee on sleep, muscle, metabolism and energy.

What can't

Hormone therapy decisions belong with your GP — conveniently, in the same building. We treat the skin and hair consequences; the hormonal conversation is a medical one, had properly.

Related treatments

Questions

Start with a consultation

New patients are assessed before anything is booked. Honest advice, natural results.

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Doctor-led aesthetics in Cottesloe.

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© 2026 Lumiere Cosmetic Medicine Pty Ltd · ABN 95 702 281 516 · Trading as Lumière Aesthetics · Imagery may include models

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. The information on this website is general in nature and is not medical advice. All new patients require a consultation and suitability assessment; treatments are provided only where clinically appropriate. Individual results vary. Services are provided to adults 18 years and over.