Understanding Redness and Inflammation During Peri-Menopause

Peri-menopause is a natural transition that brings with it a range of changes—some expected, others less so. One of the more surprising symptoms for many women is the sudden onset of skin redness, flushing, or inflammation . If you've noticed your skin becoming more reactive, sensitive, or prone to flare-ups during this stage of life, you're not alone—and there’s a scientific reason behind it.

1. Hormonal Fluctuations
During peri-menopause, estrogen levels begin to decline , but not steadily—they fluctuate. Estrogen plays a crucial role in maintaining skin hydration, elasticity, and vascular stability . When estrogen drops, blood vessels can become more reactive , leading to facial flushing, heat, and redness .

2. Increased Inflammatory Response
Estrogen also helps regulate inflammation. When levels are erratic or reduced, the skin may become more prone to inflammatory responses , even from things that previously didn’t cause any issues—like heat, stress, spicy foods, or skincare products.

3. Skin Barrier Weakening
With lower estrogen, the skin produces less ceramide, collagen, and natural oils , resulting in a thinner, more fragile skin barrier . This compromised barrier is more likely to allow irritants in and moisture out, leading to increased sensitivity, redness, and discomfort .

• Persistent facial redness, especially on the cheeks and nose

• Sudden reactivity to skincare products

• Flushing episodes triggered by heat, wine, or stress

• Dry, tight, or burning sensations

• Rosacea-like symptoms that weren’t previously present

1. Strengthen the Barrier
Look for moisturisers with ceramides, niacinamide, and fatty acids to restore and reinforce the skin barrier.

Try:

• Dermalogica Stabilizing Repair Cream

• Medik8 Ultimate Recovery

2. Soothe and Calm
Incorporate calming serums with ingredients like beta-glucan, panthenol, or teprenone .

Try:

• Medik8 Calmwise Serum

• Cosmedix Rescue Balm

3. Avoid Common Triggers
Limit exposure to:

• Hot showers

• Spicy foods

• Alcohol (especially red wine)

• Harsh exfoliants or overuse of actives

4. Protect Daily
Sun protection is crucial—even mild sun exposure can trigger redness and pigment changes in peri-menopausal skin.

If redness is persistent, worsening, or feels uncomfortable, a skin therapist can help rule out conditions like rosacea or contact dermatitis , and build a calming, personalised plan for your skin.

Redness and inflammation during peri-menopause are common but manageable . With the right skincare, lifestyle adjustments, and professional support, your skin can stay calm, hydrated, and resilient throughout this phase of life.

If you'd like a personalised skin health plan for your peri-menopausal skin, we're here to help—book a Skin Discovery Session or reach out for tailored advice.