{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T22:52:27Z","timestamp":1791413547568,"version":"4.3.3"},"reference-count":43,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Perimenopause accelerates facial aging through hormonal, structural, and psychosocial changes, presenting unique challenges for facial plastic surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This viewpoint article integrates two key perspectives: (1) psychosocial impacts and patient-centered care, contributed by Dr. Mary Claire Haver, a board-certified obstetrician-gynecologist and menopause specialist; and (2) hormonal influences and strategic interventions during perimenopause as a critical window for rejuvenation, contributed by Dr. Lindsey Pennington, who emphasizes integrated surgical and non-surgical approaches and notes a trend toward earlier interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>By combining Dr. Haver\u2019s insights on hormonal and emotional contexts with Dr. Pennington\u2019s clinical observations experience, and Dr. Sabrina Fabi\u2019s research on skin health and tissue regeneration, we provide a holistic framework for addressing perimenopausal facial aging.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26893614251394378","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T07:19:55Z","timestamp":1787123995000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perimenopausal Nuances in the Aging Face: A Comprehensive Perspective"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2040-2493","authenticated-orcid":false,"given":"Lindsey","family":"Pennington","sequence":"first","affiliation":[{"name":"Lindsey Pennington M.D. Facial Plastics, Shreveport, Louisiana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Claire","family":"Haver","sequence":"additional","affiliation":[{"name":"The Mary Claire Wellness Clinic, Galveston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Fabi","sequence":"additional","affiliation":[{"name":"Dermatology, University of California San Diego, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecl.2015.05.001"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2004.08.039"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181f95b2d"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.2165\/00128071-200304060-00001"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/dth.15713"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-0960.2001.00524.x"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3109\/09513590.2012.705392"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2012.04697.x"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijwd.2019.01.001"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/13697130500118100"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000002301"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjac298"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)15493-7"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002229.pub4"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4362.1996.tb03701.x"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13308"},{"key":"e_1_3_2_18_2","article-title":"A clinical study to assess the facial anti-aging efficacy of topical estriol and estradiol","author":"Draelos ZD","year":"2024","unstructured":"Draelos ZD. 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