By the time they reach menopause — which officially begins one year after a woman’s last period — many women think they have their lives figured out. Careers are well established; children are grown and independent; and there’s more time for leisure and self-care. Yet many women in their 40s and 50s are surprised to suddenly notice changes on their skin, including acne and age spots.

Fortunately, dermatologists from the American Academy of Dermatology say that while many of these changes are inevitable due to hormones, there is a lot women can do at home to lessen these effects.