Perimenopausal Nuances in the Aging Face: A Comprehensive Perspective.

INTRODUCTION: Perimenopause accelerates facial aging through hormonal, structural, and psychosocial changes, presenting unique challenges for facial plastic surgeons. OBJECTIVES: This viewpoint article integrates two key perspectives: (1) psychosocial impacts and patient-centered care, contributed by Dr. Mary Claire Haver, a board-certified obstetrician-gynecologist and menopause specialist; and (2) hormonal influences and strategic interventions during perimenopause as a critical window for rejuvenation, contributed by Dr. Lindsey Pennington, who emphasizes integrated surgical and non-surgical approaches and notes a trend toward earlier interventions. CONCLUSIONS: By combining Dr. Haver's insights on hormonal and emotional contexts with Dr. Pennington's clinical observations experience, and Dr. Sabrina Fabi's research on skin health and tissue regeneration, we provide a holistic framework for addressing perimenopausal facial aging.