Let’s start with the most obvious changes: skin, hair and weight gain! I can look at a menopausal woman in her 50s or 60s and tell you if she’s taking estrogen. Many menopausal women resort to cosmetic surgery, Botox and fillers to look younger. It makes more sense to first restore normal estrogen balance. By increasing collagen, estrogen enhances the results of any procedures you choose to do. Healthy skin is also supported by having regular monthly facials, avoiding excessive sun & tanning booths and taking at least 1000 iu of Vitamin D3. Higher doses should be monitored by your physician.