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: psychosocial impacts and patient-centered care, contributed by Dr. Mary Claire Haver, and hormonal influences and strategic interventions during perimenopause as a critical window for rejuvenation, contributed by Dr. Lindsey Pennington. Conclusions: By combining Dr. Haver’s insights on hormonal and emotional contexts with Dr. Pennington’s clinical observations and Dr. Sabrina Fabi’s research on skin health and tissue regeneration, the authors provide a holistic framework for addressing perimenopausal facial aging.
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