Skin Vitality

Skin vitality is an essential aspect of aging well. Over the years, skin can lose its elasticity and natural resilience. Skin tends to dry out and thin with age, making it hard for many women to achieve the look of healthy and vibrant skin.

Hormones are deeply involved with all the processes that affect the health of your skin, processes such as collagen production, skin lipid levels, elasticity, wound healing, moisture content, and facial hair patterns.

Using Dr. Randolph’s proven Bioidentical Hormone Replace Therapy, we can help ensure that your hormone levels are working the way they should to keep your skin looking youthful and vibrant.

Skin Vitality Analysis

As part of our treatment, we offer a skin vitality analysis to assess your facial concerns. The range of hormones tested in the analysis can help us identify where you might have hormone deficiencies or excesses that are contributing to their skin problems. This can lead to treatment of previously undiagnosed conditions such as a thyroid disorder or PCOS, or adjustment or initiation of hormone replacement therapy when hormone levels are either too high or too low.

Skin problems associated with hormonal imbalances can include:

  • Acne/oily skin
  • Hirsutism or hair loss
  • Melasma (dark discoloration) or erythema (redness)
  • Myxedema
  • Skin dryness
  • Decreased skin elasticity
  • Thinning or rough, coarse skin
  • Increased wrinkles
  • Slow wound healing
  • Increased or decreased sweating
  • Skin rashes or eczema

The Role of Hormones in Skin Health

Just like the rest of your body, hormones play an essential role in maintaining skin health and vitality. Various hormones work together to control the processes that keep skin healthy and resilient.


Estrogen plays a role in maintaining glycosaminoglycan content, which affects your skin’s ability to retain moisture, protect existing collagen, and preserve skin thickness. When estrogen levels are too low or too high, it can make a noticeable difference on your skin.

Androgens – Testosterone and DHEA-S

Low levels of testosterone are associated with thinning skin and impaired wound healing in both men and women. In women particularly, low testosterone and DHEA-S are associated with increasing age. Women who have had surgical menopause are especially susceptible to low levels of testosterone, which has an impact on overall health and vitality. DHEA-S is a precursor to testosterone and estradiol, so low levels of DHEA-S affect the availability of these hormones to carry out their functions, impacting the skin’s resiliency.


Studies show that progesterone has been found to improve skin thickness and elasticity. Low progesterone levels are thought to increase the impact of androgens on sebaceous glands and body and head hair. When progesterone levels are low, 5-alpha reductase activity is reduced, which is what converts testosterone to DHT.

DHT (dihydrotestosterone) is the culprit behind many skin and hair issues, such as acne and other androgenic effects such as unwanted facial hair in women.


Stress is known to affect the skin, causing acne breakouts and rashes, and cortisol levels associated with chronic stress can exacerbate immune disorders affecting the skin such as psoriasis.

Call Dr. Randolph Today to Improve Your Skin Vitality – Naturally!

To help you look as young as you feel, we offer a complimentary analysis of your individual facial concerns. From the analysis, we are able to develop a comprehensive treatment plan that may include recommendations for skin care products and supplements and SkinMedica skin peels.

Call our office today to schedule an appointment!