The estrogen and progesterone present in HRT helps in slowing down the aging process, and also helps to keep your skin elastic, and your muscle tone firm. So yes, Hormone Replacement Therapy can make you look younger, but only when you consistently take the tablets or patches.
Hereof, does HRT make you look older?
The research, by scientists at the University of Erlangen-Nurnberg in Germany, provides medical proof for the first time that hormone replacement therapy (HRT) and the Pill really do make women look younger.
Keeping this in consideration, does HRT help with sagging skin?
One study found that HRT was able to reduce skin slackness20 (and potentially wrinkle appearance, but this was not assessed). Another study using Premarin cream (0.625mg conjugated oestrogens) in women aged between 52 and 70 for 24 weeks did produce a significant improvement in fine wrinkles.
Does HRT improve collagen?
Hormone replacement therapy (HRT) has been shown to increase epidermal hydration, skin elasticity, skin thickness (Sator et al 2001), and also reduces skin wrinkles (Phillips et al 2001). Furthermore, the content and quality of collagen and the level of vascularization is enhanced (Brincat et al 1987).
Coming back to the main question, of whether HRT changes your face, if you are undergoing HRT it is possible you may notice some facial changes. The main ones you may experience are increased skin thickness, elasticity, and hydration, along with the possibility of less wrinkles.
The hormone estrogen is responsible for making skin look younger due to the hyaluronic acid it produces. Estrogen not only affects your skin but also your muscle mass, metabolism, and energy levels. Women have more estrogen than men do; men have more testosterone than women do.
It may take a few weeks to feel the effects of treatment and there may be some side effects at first. A GP will usually recommend trying treatment for 3 months to see if it helps. If it does not, they may suggest changing your dose, or changing the type of HRT you’re taking.
Most of the time, the acne caused by HRT goes away by itself. Acne breakouts can be triggered by the sudden fluctuations in your hormone levels caused by starting HRT, leaving you with oily, acne-prone skin in the weeks and months after you start HRT.
That’s partly because estrogen can increase water retention, helping to smooth out the skin. And although estrogen is contraindicated for some women and poses health risks as well as benefits, there is no question that “estrogen improves skin elasticity,” Guyuron says.
It is currently believed that, overall, the risks of long-term (more than five years) use of HRT outweigh the benefits. HRT should not be recommended for disease prevention, except for women under 60 years of age with substantially increased risk of bone fractures, or in the setting of premature menopause.
On the other hand, the American College of Obstetricians and Gynecologists (ACOG) says: “Because some women aged 65 years and older may continue to need systemic hormone therapy for the management of vasomotor symptoms, the ACOG recommends against routine discontinuation of systemic estrogen at age 65 years.
Estrogen is an essential component of skin function, health and wellness. It has been shown to improve skin elasticity, hydration and thickness.
The Menopause and Skin Aging
Many of these effects can be reversed by estrogen replacement which increases epidermal hydration, skin elasticity and skin thickness as well as reducing skin wrinkles and augmenting the content and quality of collagen and the level of vascularisation.
How long does HRT take to work? It usually takes a few weeks before you will feel the initial benefits of HRT and up to three months to feel the full effects. It may also take your body time to get used to HRT. When treatment begins you may experience side effects such as breast tenderness, nausea and leg cramps.