Along with diminished elasticity, Dr. Liotta says menopausal hormone shifts may trigger the pores and skin to skinny, cartilage to melt and facial bones to deteriorate. “Collagen loss causes the brows to drop, and the higher and decrease eyelids to develop into looser and extra wrinkled. The lower in elasticity may allow fats beneath the eyes to puff ahead, accentuating eye luggage. And the lack of facial bone permits delicate tissue to fall, resulting in jowls, deepening of the nasolabial folds, and a much less outlined jawline,” she explains.

To handle these modifications, Dr. Liotta says girls usually go for procedures like blepharoplasties to tighten free lids, chin implants to handle bone loss within the jaw and pull the pores and skin there tauter, and even rhinoplasties (nostril jobs) and earlobe lifts to fight the cartilage loss that may go away once-well-shaped noses or earlobes droopy.

“You’ve doubtless heard folks say your nostril and your ears proceed to develop with age. However that’s probably not true. What’s taking place is a mix of the pores and skin thinning and rising looser—and the cartilage that used to offer your nostril or ears angularity and refinement immediately softening and spreading. The result’s a droopy earlobe or a nostril that flattens and widens once you smile,” says Dr. Liotta, who’s coined this process a “nostril carry or a nasal rejuvenation rhinoplasty” and says it’s turning into certainly one of her hottest surgical procedures. “I did this type of rhinoplasty on three menopausal girls this week and I’ve two extra subsequent week.”

In her Beverly Hills workplace, Kimberly Lee, MD, a board-certified facial plastic and reconstructive surgeon, says she’s additionally seeing plenty of “girls of their 40s and 50s in search of eyelid surgical procedure…however these sufferers are in search of pure outcomes, the place others might not know that they’ve had one thing carried out.  They don’t seem to be on the lookout for outcomes that haven’t any wrinkles, simply fewer wrinkles.”

Dr. Liotta provides: “I wish to refer to those menopause makeover procedures as ‘shifting the furnishings round, fairly than pulling down the partitions.’”

That’s to not say some girls of their forties and fifties don’t ever get facelifts. However, usually, these youthful sufferers are present process a (somewhat-euphemistically coined) ‘minilift,’ or ‘babylift.’ “These phrases are a little bit of a misnomer as a result of a facelift remains to be a facelift, even in the event you’re not eradicating as a lot pores and skin as you’d on a 65-year-old, otherwise you’re primarily pulling simply the decrease face taut. However on youthful sufferers this does are usually a smaller operation so, I assume, in that sense it’s ‘mini,” says Dr. Liotta.