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What do you do when the face in the mirror doesn’t match how you feel inside?

Welcome to the skin shift that happens in midlife — a direct result of hormonal changes, specifically the drop in estrogen that comes with perimenopause and menopause. And while it’s common, it’s not talked about enough. Until now.

In this episode, I sit down with Dr. Pooja Rambhia, a board-certified dermatologist who’s leading the conversation around what’s been coined the “menopause makeover.” This is about understanding what’s happening in your skin and body during menopause, and how to support both with science, compassion, and the right strategies.

From collagen loss to skin laxity to the real reason your products aren’t working anymore, we cover it all. We also talk about realistic solutions, from injectables and resurfacing lasers to hormone therapy and everyday skincare that actually supports your skin at this stage of life.

This episode is not about “fixing” your face. It’s about finally getting answers to the questions so many women are asking and doing so with a sense of clarity.

Key Takeaways:

Skin loses up to 30% of its collagen in the first five years after menopause.
Estrogen is important for your skin’s hydration, elasticity, thickness, and glow.
It’s normal to experience acne, dryness, sagging, and texture changes but that doesn’t mean you have to just accept it.
Bio-stimulatory injectables, topical actives, laser treatments, and even hormone replacement therapy can all play a role when used wisely and intentionally.
Aging is not a decline. It’s a transition that deserves support, not shame.

Pooja H. Rambhia, MD, is a board-certified dermatologist with specialized fellowship training in cosmetic dermatology and laser surgery. She practices at UnionDerm in New York City and Greenwich, CT, providing comprehensive dermatologic care and specializing in laser treatments, injectables, and facial and body contouring for all skin types. Dr. Rambhia completed her medical training at Case Western Reserve University and dermatology residency at Zucker School of Medicine/Northwell Health, where she served as Chief Resident. She then completed the prestigious American Society for Dermatologic Surgery Fellowship at UnionDerm with Dr. Anne Chapas.

Committed to advancing the field of dermatology, Dr. Rambhia has published numerous peer-reviewed articles in leading journals and presented her research at major national conferences including the American Academy of Dermatology and the American Society for Dermatologic Surgery. Her expertise has been featured in major media outlets including Vogue, Allure, Marie Claire, InStyle, Elle and The New York Times. Dr. Rambhia is dedicated to delivering personalized, natural-looking results while combining artistry with the latest scientific innovations in aesthetic dermatology.

Follow Dr. Rambhia here:

https://www.instagram.com/drpoojarambhia/?hl=en

https://www.instagram.com/unionderm/?hl=en

https://www.unionderm.com/

Download my Free Guide 'In My Perimenopause Era'

🎙️Want more expert skin advice without the overwhelm?

Subscribe to The Skin Real Podcast wherever you listen, and visit www.theskinreal.com for dermatologist-backed tips to help you feel confident in your skin—at every age.

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Visit Dr. Mina at Baucom & Mina Derm Surgery Website: atlantadermsurgery.com Email: scheduling@atlantadermsurgery.com Call: (404) 844-0496 Instagram: @baucomminamd

Thanks for tuning in. And remember—real skin care is real simple when you know who to trust.

Disclaimer: This podcast is for entertainment, educational, and informational purposes only and does not constitute medical advice.

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