Skip to main content

My experience & results5 min read

HRT & Skin Before and After: My Experience

Looking back, HRT wasn't the only major change I made during this period—but it was definitely the catalyst. The positive impact that hormone therapy had on my mind, body, and overall well-being helped me feel better than I had in years.

Many Telehealth HRT Platforms now also offer Skincare for both face and body in addition to systemic (whole body) Hormone Replacement Therapy Options.

Teleheath HRT Price Comparison Chart

This blog is a personal reflection of my seven years on Menopause Hormone Replacement Therapy. For the first five years, I relied solely on systemic, whole-body HRT. It all started to troches that melt under your tongue. Then I tried topical estrogen/progesterone creams that you rub on your inner arms or thighs. Then the infamous estrogen patch + progesterone tablets + vaginal cream and then I eventually landed on Oestra by Inner Balance. It's my current regimen. It's one Bioidentical HRT product that replaces the three prescription combo that many women are on.

Then a few years ago, a telehealth provider I was using introduced an estriol face cream, followed by an estrogen-based eye cream. Out of curiosity, I decided to opt in—I wanted to see firsthand whether topical estrogen face creams could deliver results that traditional skincare simply couldn't match.

Image of Peggy 
 B in 2018

Peggy B. 2018 - Age 52

Image of Peggy B in 2016

Peggy B. 2026 - Age 59

My Journey from Age 52 to 59

Looking back, HRT wasn't the only major change I made during this period—but it was definitely the catalyst. The positive impact that hormone therapy had on my mind, body, and overall well-being helped me feel better than I had in years. That renewed energy empowered me to lose 40 pounds, which you can clearly see in the close-up photos above (more on my weight loss journey below).

While HRT transformed my skin and energy, it didn't make much of a difference for my hair. So in 2024, I began experimenting with alternative hair. Today, I choose to wear a wig every single day. While some women find wigs frustrating, I find them empowering. My full-time corporate role in sales demands confidence, and since I started wearing wigs, my performance numbers have soared. Looking good and feeling confident changes how you carry yourself—and honestly, people respond to that energy.

If you’ve followed my site, you know I’ve tested several online telehealth HRT providers over the years. I originally started my HRT journey back in December 2019 with a physician I fondly refer to as my "diet doc," and I’ve never looked back. So when these same telehealth platforms began offering prescription estrogen skincare, I jumped right on board to put those creams to the test.

Musely Eye Serum

Of all of the Eye products I've tried, this one is my favorite. Use HTH20 for 20% off your oder.

Do You Age Quicker Without HRT?

Looking at my photos today compared to 7 to 10 years ago, I honestly feel like I’ve aged in reverse. Combining systemic HRT with topical estriol (E3) skincare unlocked a whole new level of skin rejuvenation for me.

Not every product was a home run, though. When Alloy released their M4 Estriol Eye Cream, I gave it a try, but to be completely candid, I didn't see a noticeable difference. However, when I switched to Musely’s prescription-grade eye serum, everything changed. That was the breakthrough moment for smoothing out the fine lines and crow’s feet that naturally creep up as we age.

Image of Joi Women's Wellness HRT PRoducts

Joi Women's Wellness was who introduced me to GLP-1's and boy am I glad they did. Use coupon Code BRONSON for 50% off Labs & 15% off HRT and GLP'1s.

Combining HRT and a GLP-1: Did Hormone Therapy Protect My Skin from Ozempic Face?

Systemic HRT helped me lose nearly 30 pounds, but I won't pretend it was easy. I was constantly battling hunger and pushing through strict intermittent fasting schedules. Eventually, my progress stalled, leaving me with 10 to 15 stubborn pounds I still wanted to drop.

That’s when my HRT clinician at Joi Women’s Wellness suggested a GLP-1. I remember thinking, "Wait, is that something that they would agree to write a prescription for?" Combining a GLP-1 with HRT turned out to be the ultimate game-changer. While the GLP-1 unlocked effortless weight loss, hormone therapy and great skin care protected my skin and collagen.

Pairing HRT with a GLP-1 is honestly one of the best health decisions I’ve ever made. The proof is in the data: my recent lab work showed an A1C was a 5.0—down from over 7.0 before starting the GLP-1.

Image of phone showing HRT Telehealth app

All of the HRT platforms I've tried were telhealth. All of them have relationships with pharmacies and labs for testing. No need to leave the comform of your home.

What Does Estrogen Do for Women? Understanding Its Impact on Skin and Aging

Estrogen plays a central role in maintaining skin structure, hydration, and overall elasticity. As estrogen levels drop during perimenopause and menopause, skin undergoes noticeable changes—studies published in the Journal of Clinical and Aesthetic Dermatology Source 1 show that women can lose up to 30% of their skin’s dermal collagen in the first five years following menopause, with an additional 2.1% loss each year thereafter.

Estrogen stimulates collagen production, supports natural hyaluronic acid levels, and maintains skin thickness. When estrogen declines, the dermal layer thins, moisture retention drops, and deep fine lines, dry texture, and loss of firmness become much more pronounced.

Integrating estrogen back into your routine—whether through systemic hormone therapy or targeted topical estriol (E3) creams—helps offset this natural drop by directly supporting dermal repair mechanisms.

Clinical research from the Archives of Dermatolog Source 2 indicates that topical estrogen formulations significantly increase collagen synthesis, improve elastic fiber structure, and boost skin moisture content without altering systemic hormone balances.

For women combining whole-body HRT with prescription topical creams, this double-pronged approach addresses both the internal metabolic shifts of menopause and the localized structural needs of the skin, creating a noticeable revitalizing effect on texture, plumpness, and hydration over time.

HRT Skin Before and After: My Results and Experience

Now, I’m not saying any of this to brag—I didn't invent Estrogen, Progesterone, and Testosterone; God did! But I can tell you that at least every other week, someone looks at me and says, "There is no way you are almost 60."

I’ll be the first to admit I’m not always as consistent as I should be with diet and exercise, but I am fiercely diligent about three things: my weekly GLP-1 injection, my morning and evening skincare routines every single day, and my daily HRT application.

For me, this trio has made all the difference, and I’m deeply grateful I found them when I did. When I look back at late 2019— I felt so unhappy, fat, and insecure—I realize I am a completely transformed woman today.

Finding the right balance of systemic and topical HRT, GLP-1 therapy, and my go-to Raquel Welch wig collection didn't just change my appearance; it gave me my life and confidence back.

Image of Peggy B and her husband Joe in 2018 - they are heavier than today.

2018 Muirfield Golf Tourneyment.

Image of Peggy B and her husband Joe in Napa.  Both looking very fit and much thinner.

2026 Napa Valley Sales Award Banquet.

Sources

  1. Estrogens and aging skin Back to text
  2. Topical application of 17beta-estradiol increases extracellular matrix protein synthesis by stimulating tgf-Beta signaling in aged human skin in vivo Back to text
Peggy Bronson

Peggy B.

Experienced HRT Patient Reviewer

An experienced HRT patient reviewer. Not a doctor. I began my own hormone replacement therapy under the care of a medical provider in 2019, and I’ve personally tested more than 9 different HRT telehealth providers.

Some links in this post are affiliate links. Affiliate disclosure