Pallas
Estriol Face Cream

Skincare · For women in perimenopause and menopause

Estriol Face Cream

An anti-aging face cream with estriol, tretinoin, and niacinamide. Prescribed for the drier, thinner, less elastic skin that comes as estrogen falls.

Plan, provider care included · Cancel anytime

Estriol face cream

$69/mo

Pay over time —available at checkout
Start your visit

Nothing is charged until a clinician prescribes.

  • Estriol 0.3%, an estrogen, with tretinoin 0.01% and niacinamide, prescribed for drier, thinner, less elastic skin
  • For women in perimenopause and menopause
  • Your skin and full health history reviewed by a US-licensed clinician
  • 30 g every 4 weeks, shipped free and discreet from a US-licensed pharmacy
Compounded in the U.S.A.FSA & HSA Eligible

A compounded prescription anti-aging cream for the face that combines estriol 0.3% (an estrogen), tretinoin 0.01% (a retinoid), and niacinamide (a form of vitamin B3). It is prescribed for women in perimenopause and menopause, for the drier, thinner, less elastic skin that comes as estrogen falls.

Women in perimenopause or menopause. It isn't right for everyone: estriol is an estrogen, so a history of breast or another hormone-sensitive cancer, blood clots, or stroke, and pregnancy or breastfeeding, are things your clinician weighs before prescribing.

One price with provider care included, and nothing is charged until a clinician prescribes. Estriol face cream is $69 every 4 weeks and renews until you cancel.

Complete a short online intake about your skin and your health history. A US-licensed clinician reviews it and, if appropriate, prescribes the cream. A partner pharmacy compounds it and ships it to your door every 4 weeks.

A woman in her fifties on a coastal path in activewear, hands on hips, smiling toward the light

What is estriol face cream

An estrogen cream made for the face

After menopause, with less estrogen, skin tends to become thinner and drier, with less collagen and less elasticity 1. Estriol is one of the estrogens the body makes. In this cream it is compounded with tretinoin, a retinoid that promotes the shedding of surface skin cells 2, and niacinamide, a form of vitamin B3, and prescribed for women in perimenopause and menopause.

  • Estriol 0.3%, tretinoin 0.01%, and niacinamide, compounded into one face cream
  • Prescribed for women in perimenopause and menopause
  • An estrogen: your clinician reviews your full health history first
  • 30 g every 4 weeks, shipped free

Hormones aren't right for everyone, and research on estrogen creams for facial skin is limited.

What's in it

Three actives, one cream

Estriol

An estrogen, at 0.3% in this cream. Estrogens act on many of the skin's cells, and their levels fall at menopause 1.

Tretinoin

A retinoid, at 0.01% in this cream. It promotes the shedding of surface skin cells 2.

Niacinamide

A form of vitamin B3, used in skincare to support the skin barrier.

What it's prescribed for

Who is estriol face cream prescribed for?

A woman with silver-streaked hair applying night cream at a vanity

Perimenopause and menopause — skin tends to become thinner and drier as estrogen falls 1.

A swipe of white cream on a slab of pale stone

Estriol, tretinoin, and niacinamide, compounded into one face cream.

A bedside table at dusk with a lamp, a glass of water and a white pump bottle of face cream

One step in your evening routine, with your care team a message away.

The process

Start estriol face cream in 3 simple steps

Start online and meet your provider

Step
1

Answer a few questions about your health and goals — about two minutes. A licensed provider reviews everything 100% online.

Hands holding a phone showing the Pallas online intake's goals question

Get your medication delivered to your door

Step
2

If eligible, your provider writes a prescription and medication ships free and discreet from a US-licensed pharmacy — often within a week.

A plain kraft shipping box marked Prescription only

Ongoing support and care, every step

Step
3

We stay with you the whole way, with regular check-ins and on-demand messaging with your care team.

A woman smiling at her phone as a message from her provider asks how she is feeling
Glass medication vials on a pharmacy filling line

Pharmacy & safety

Prescription-only. Pharmacy-prepared.

Your cream is compounded for you once it's prescribed, with a new 30 g fill every 4 weeks.

Compounded in state-licensed US pharmacies
Free, discreet shipping

Common questions

A compounded prescription anti-aging cream for the face that combines estriol 0.3% (an estrogen), tretinoin 0.01% (a retinoid), and niacinamide (a form of vitamin B3). It is prescribed for women in perimenopause and menopause, for the drier, thinner, less elastic skin that comes as estrogen falls.

Women in perimenopause or menopause. It isn't right for everyone: estriol is an estrogen, so a history of breast or another hormone-sensitive cancer, blood clots, or stroke, and pregnancy or breastfeeding, are things your clinician weighs before prescribing.

One price with provider care included, and nothing is charged until a clinician prescribes. Estriol face cream is $69 every 4 weeks and renews until you cancel.

Complete a short online intake about your skin and your health history. A US-licensed clinician reviews it and, if appropriate, prescribes the cream. A partner pharmacy compounds it and ships it to your door every 4 weeks.

It comes in one strength: estriol 0.3% and tretinoin 0.01%, with niacinamide. If your clinician thinks a different cream fits your skin better, they can prescribe that instead.

No. This is a face cream, prescribed for skin. It is not a treatment for hot flashes, night sweats, or other menopause symptoms, and it is not the vaginal estriol cream. Hormone therapy is a separate Pallas program.

Follow the directions on your prescription label. A tretinoin cream is usually applied at night to clean, dry skin, with sunscreen every morning. Message your care team with any question about fitting it into your routine.

Estriol is an estrogen. Estrogen therapy carries known risks, including blood clots, stroke, and certain cancers, so tell your clinician about your full health history, including any hormone-sensitive condition. Tretinoin can make skin more sensitive to the sun, so daily sunscreen is part of using this cream. It is generally avoided during pregnancy and breastfeeding; tell your clinician if you're pregnant, breastfeeding, or trying to conceive, and they'll decide whether it's appropriate. Some dryness, redness, or peeling is common in the first weeks, and your care team is a message away.

No. It is compounded per patient by a state-licensed US compounding pharmacy, and compounded hormone preparations are not FDA-approved. Compounding combines estriol, tretinoin, and niacinamide in one cream.

No. Photos are optional. After checkout you can add up to three (front, left, and right) from the Documents page of your Pallas portal, and only your clinician and care team see them.

From our members

More from our members

Feedback from Pallas members across our programs.

“NAD+ therapy gave me a mental clarity I didn't realize I'd been missing — the afternoon fog is gone. I feel sharper, steadier, and more motivated throughout the day.”
Sarah M.Verified member
“Since starting the treatments, I'm sleeping more deeply and waking up with real energy for the first time in a long while. My workouts feel stronger, and recovery doesn't drag on the way it used to.”
Tanya L.Verified member
“After a few weeks of treatments, my skin looked brighter and more even than it has in years. I feel refreshed, and friends keep asking what I've changed.”
Amanda G.Verified member
“The whole process was easier than I expected — a few questions online, and my clinician followed up the same day.”
Sarah M.Verified member
“Shipping was fast and discreet, and the care team actually answers when I message them.”
David R.Verified member
“I never felt rushed. My provider explained every option and let me decide what fit.”
Jenna K.Verified member
“Checking in is simple, refills arrive on time, and support replies within hours.”
Marcus T.Verified member
“From sign-up to delivery, everything just worked the way it should.”
Alicia P.Verified member

Quotes from Pallas members, shared with permission; names abbreviated for privacy. Testimonials reflect individual experiences — individual results vary.

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Sources

How skin changes when estrogen falls after menopause is from the review cited below; the tretinoin facts are from MedlinePlus's drug information for tretinoin topical. Research on estriol applied to facial skin is limited, and nothing on this page is a promise of a result. This cream is compounded per patient by a US-licensed pharmacy, and compounded hormone preparations are not FDA-approved.

  1. Thornton MJ. Estrogens and aging skin. Dermatoendocrinol. 2013;5(2):264-270.
  2. MedlinePlus (NIH National Library of Medicine). Tretinoin Topical — drug information.