“We forget the skin is a living organ and we just treat it as a cosmetic surface.” - Dr. Natalia Borkowski
There’s a moment many women experience, typically in our 40s or 50s, where something shifts. It might be a photo, a different mirror, or a passing reflection, but suddenly the image looking back doesn’t match the one you’ve been carrying in your mind. For a lot of us, that moment isn’t just physical, it’s emotional. It feels disorienting, especially in a culture that continues to equate youth with value.
Hormonal shifts in perimenopause and menopause affect collagen, hydration, circulation, and overall tissue integrity, but we can’t look at the health of our skin in isolation. Skin health is deeply connected to nervous system regulation, sleep, nutrition, movement, and the daily environments we live in. The way we respond to the changes we see in our skin shapes not only how we look, but how we move through this phase of life.
In this episode, I’m joined by Dr. Natalya Borakowski, a licensed naturopathic physician specializing in dermatology and aesthetics, to talk about aging, identity, and skin health. We explore the physiological changes that impact the skin during perimenopause and menopause, the psychological experience of watching your appearance evolve, the role of foundational health practices like sleep, how to think about skincare in a simple and sustainable way, how to approach cosmetic treatments with intention, what it means to age well, and more.
Enjoy the episode, and let's innovate and integrate together!
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Learn more or watch the video version of this conversation at https://integrativewomenshealthinstitute.com/aging-skin-and-aesthetics-for-women-over-40-with-natalya-borakowski/.
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