Many of our lovely customers come to us for help with skin care challenges related to perimenopause and menopause: Estrogen levels that fall while androgens stay constant can lead to a variety of unwelcome changes, ranging from acne that’s reminiscent of the teen years to wrinkles that seem to have settled in overnight. We thought a guide to some of the most common menopause-related skin changes, and the best solutions, was long overdue. We approached top dermatologist Jeannette Graf, MD, for expert advice on the topic.