Perimenopause, Estrogen Decline & Skin Aging Explained with Nurse Niki

Most women don't connect what's happening to their skin with what's happening to their hormones but they should. In this episode of The Beauty Vault Podcast, host Marie Matteucci sits down with Nurse Niki Capobianco, a board-certified nurse practitioner specializing in hormone health, functional medicine, aesthetics, and women's wellness, for one of the most honest and clinically grounded conversations about perimenopause and aging that we've had on this show. Nurse Niki breaks down exactly why estrogen decline drives jowling, skin laxity and dryness and why waiting until your period stops to address it is too late. She explains the often-overlooked role of progesterone, why so many women in their 30s and 40s are suddenly experiencing jawline acne they never had as teenagers, and what the connection between oral birth control and hormonal chaos really looks like when women come off the pill. From bio-stimulant injectables like Radiesse and Sculptra, to laser treatments like HALO and Broadband Light (including a 10-year clinical study with results that are hard to believe), to medical-grade skincare, to mobile IV therapy. Nurse Niki walks through the full-spectrum approach she uses with her patients at The Look Med Spa in Las Vegas. She also shares the story of a patient who came in for a lip treatment and left six months later with reversed pre-diabetes markers, improved cholesterol and a visceral fat index cut nearly in half. Hosted by Marie Matteucci Powered by Glamlink Connecting beauty and wellness through education, conversation, and discovery. Subscribe for new episodes every week. Read Niki's feature in The Glamlink Edit, live 6/1 at glamlink.net/magazine Follow @theglamlinkedit for more beauty and wellness Follow Niki Capobianco: @nurseniki_Visit Niki at The Look Med Spa: @thelookmedspalv 00:00 Introduction & Nurse Nikki’s Story 01:18 From Real Estate to Nursing After Family Trauma 04:45 Why Women’s Hormones Are So Underserved 05:10 Perimenopause, Estrogen Decline & Aging 06:28 What Causes Jowling & Skin Laxity? 08:36 Hormones, Collagen & Treatment Options 09:45 Radiesse vs Sculptra Explained 10:51 Best Skincare for Perimenopause & Aging Skin 13:52 Hormonal Acne, Progesterone & Estrogen Dominance 15:18 Favorite Treatments, Lasers & Anti-Aging Procedures 16:59 Real Patient Transformations Through Hormone Optimization 19:21 Why Nikki’s Approach Is Different 21:45 Why Women Should Check Their Hormones Earlier 22:18 PCOS, Acne & Hormone Awareness 23:19 Building Her Brand in Las Vegas 25:43 Mobile IV Therapy & Beauty IVs 27:24 Final Thoughts on Perimenopause & Women’s Wellness