AAFPRS member survey shows an increase in female patients citing menopause or perimenopause as a reason for facial aesthetic treatment — 45% of surgeons in 2025 versus 28% in 2024 — and highlights how consultations are adapting.
Surgeons link menopause-related hormonal changes to shifts in skin thickness, elasticity, hydration, collagen, facial volume, and texture.
AAFPRS advises that consultations should start by placing patient concerns in the context of overall health and menopausal stage.
Patients are encouraged to discuss aesthetic goals with board-certified facial plastic surgeons and address broader menopausal symptoms with appropriate healthcare providers.
Why patients connect menopause and facial change
Hormonal shifts during menopause can alter several skin and facial properties. The AAFPRS summary highlights changes that patients and surgeons commonly discuss during consults:
Those effects vary in timing and degree among individuals. Patients often describe a sense that their face is changing faster than before, which prompts them to ask what is normal and what treatment options exist.
How surgeons are approaching consultations
Anthony Brissett, MD, president of the AAFPRS and Division Chief of Facial Plastic and Reconstructive Surgery at Houston Methodist, frames the shift as more open patient-surgeon dialogue. He says patients are more willing to ask what is happening and to seek information about options.
The AAFPRS and its members recommend that consultations do three things:
Clinical considerations and referrals
The organization stresses that appearance is only one aspect of menopause. Surgeons are reminded to refer or encourage patients to speak with appropriate healthcare providers if they report broader menopause-related symptoms. A thoughtful care pathway can include collaboration with primary care, gynecology, dermatology, or endocrinology when medical management of menopausal symptoms could influence aesthetic planning or outcomes.
What this means for patients considering treatment
Broader context within aesthetic trends
The AAFPRS survey is part of wider reporting on shifting patient motivations and procedure preferences. Related AAFPRS data show rising interest in eyelid procedures to achieve a less tired look and growing attention to comprehensive facial assessment when planning rejuvenation. The plasticsurgerypractice reporting indicates this increase in menopause-related consults fits into a larger pattern of patients seeking subtle, natural-looking changes rather than dramatic transformations.
More women are explicitly connecting menopause with facial aging in aesthetic consultations. Surgeons report increased patient willingness to discuss these changes. Effective consultations start with listening, assess overall health and menopausal stage, and align treatment choices with individual goals and medical needs.
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