When women reach their 50s & 60s, they only have about one-tenth of the estrogen they previously had.
Because estrogen stimulates collagen and oil production, this dramatic loss during menopause can manifest as very dry, cracked skin and existing fine and deep-set wrinkles will become more pronounced.
As the face begins to sag overall, jowls can appear with the falling of the jawline and cheeks. The natural loss of volume that began in the 40s continues, meaning sunken cheeks, thinner lips, hallowed eyes, and pronounced lines around the mouth. Dark spots from sun damage can appear or worsen on the hands and face.
And, increasingly slowed cell turnover affects the face as vertical and horizontal lines deepen, the nose tip droops, and skin becomes noticeably thinner.