05/16/2026
💬 Comment 594 to listen to the full episode.
Skin changes rapidly during perimenopause and menopause, and most women are not told why.
In Episode 594, I sit down with board-certified dermatologist Dr Doris Day to discuss collagen loss, inflammaging, the skin microbiome, fillers, lasers, retinols, and what actually matters for midlife skin health.
We also explore facial balance, metabolic health, hydration, and why simplifying your routine can sometimes be more powerful than adding more products.
In this episode, you will learn:
✅ Why collagen declines so quickly during menopause
✅ The skin changes women notice in early perimenopause
✅ How hydration, sleep, and nutrition impact visible aging
✅ The role of inflammation and blood sugar in skin aging
✅ Why facial balance matters more than erasing every wrinkle
✅ How fillers can create unnatural results when overused
✅ How lasers, microneedling, PRF, and recovery protocols support collagen
✅ Why sun protection remains foundational
If your skin feels different in midlife, this conversation explains the physiology behind it.
🎓 CEUs are available via SapienCE.