Beverly Hills, Calif., dermatologist Ronald Moy, M.D., says skin and other concerns often come up when he talks with female patients in their 40s, 50s, 60s and beyond who are preparing to have skin rejuvenation procedures. They’ll share a laundry list of typical perimenopausal and menopausal symptoms, from dry skin to lack of sleep, he says.
So, for the last decade, Dr. Moy has added a bioidentical hormone treatment component to his practice. Bioidentical hormone treatment might start with the goal of tightening and thickening aging skin, but also offers a host of other benefits, including better mood, improved sleep and much more, he says.
“A good part of my practice is doing this. I have more happy patients doing this than regular dermatology. It’s an unmet need. Patients tell me their lives have been changed with bioidentical hormones,” Dr. Moy says. “The three reasons to do bioidentical hormones are for disease prevention, to look better and feel better.”
Diet and exercise play an important role, obviously. However, there is no treatment or regimen that will improve health, wellness, aesthetics and overall wellbeing as well as replacing and optimizing hormones that decline with age.
Bioidentical Hormones and Skin
Several studies suggest there are benefits from using bioidentical hormones to alleviate symptoms from dry, itchy, thin and fragile skin, as these hormone treatments can increase skin hydration and reduce skin atrophy, according to a review published January 2019 in the Dermatology Online Journal.1
Dr. Moy says there are a number of hormones that tighten and thicken skin. As one ages, collagen is lost in the skin, which affects skin thickness, texture and hydration. Dehydroepiandrosterone (DHEA), testosterone, estradiol (estrogen) and the thyroid all affect the integrity and health of skin.
DHEA. DHEA, which patients can buy in topical or oral form over the counter, has been shown in studies to thicken and tighten skin and in a case report in the Journal of the American Academy of Dermatology to help prevent tears in atopic skin, according to Dr. Moy.2
“Usually the DHEA dosage is about 10 mg for women and 25 to 50 mg for men,” he says.
However, this is where the expertise of the clinician comes into play, as Dr. Moy will adjust doses of the pharmaceutical hormones based on serum levels, symptoms and personal desires.
- Hunt PJ, Gurnell EM, Huppert FA, et al. Improvement in mood and fatigue after dehydroepiandrosterone replacement in Addison's disease in a randomized, double blind trial. J Clin Endocrinol Metab. 2000;85(12):4650-6.
- Daniell HW. Oral dehydroepiandrosterone might prevent frequent tears in atrophic skin: A case report. JAAD Case Rep. 2017;3(6):534-535.