We all know that our bodies and their systems go through a lot as we age, but there are some changes we don’t have to accept. With the goal of true wellness, experts like Fresno, CA dermatologist Kathleen Behr, MD leverage bioidentical hormone replacement therapy (HRT) to help men and women get back to the best version of themselves. Experience the positive impacts on skin, hair, sleep and energy, and learn how HRT can fit into your custom treatment plan.
What it Means to Age Well
For Dr. Behr, helping her patients achieve wellness is a holistic endeavor that goes beyond the skin. “At our practice, we view wellness as more than just an absence of illness—it’s about helping men and women return to living their happiest, healthiest, and most vital lives,” she explains. “By supporting patients in reclaiming their energy, balance, and overall sense of well-being, we aim to maximize vitality at every stage of life.”
That often means starting from the inside-out, addressing the body changes that occur with aging, shifting hormones, perimenopause and post-menopause. That’s where HRT comes in.
What is Modern Hormone Replacement Therapy?
These days, experts see HRT as a safe way of managing menopause and hormone disruption. The certainty of that safety comes from the use of bioidentical hormones, rather than synthetic ones.
“Modern HRT is performed with bioidentical hormones,” Dr. Behr confirms. “Unlike older synthetic options, bioidentical hormones do not increase risks of breast cancer, prostate cancer, or heart attacks. Instead, they provide a multitude of benefits—including improved energy, metabolism, mental clarity, sleep quality, and sexual wellness.”
These hormones are also critical for the general health and function of our bodies. Estrogen plays a role in promoting good cholesterol, reducing oxidative stress, as well as maintaining brain and bone health.
“Testosterone, in particular, has powerful anti-inflammatory properties that can alleviate joint pain and inflammation, further enhancing quality of life,” Dr. Behr adds.
And that doesn’t even cover how useful HRT can be for the skin.
What Can HRT do for Skin?
Menopause has a profound impact on our skin. Elastin and collagen production drop, skin thins, dries and becomes fragile, and some women struggle with increasing hyperpigmentation or increased acne. While topical skincare options can certainly make a positive impact, HRT has a role to play here as well.
“Many patients are surprised to learn that HRT can positively influence aesthetic concerns as well,” Dr. Behr says. “Estrogen is essential for collagen and hyaluronic acid production, both of which keep the skin firm, hydrated, and youthful. By improving circulation, estrogen also enhances skin health and healing. Testosterone contributes too, stimulating collagen synthesis and supporting the skin’s natural resilience.”
Patients also tend to notice the benefits of HRT quickly, including improving skin’s hydration within a few weeks.
“Together, these effects reinforce HRT’s role not only in health but also in anti-aging,” Dr. Behr explains. “Hormone imbalances are often overlooked or unknown, yet when properly treated, the transformation in vitality and overall well-being can be profound. Our team personalizes every treatment plan, closely monitors progress, and make adjustments as needed to ensure optimal results.”
