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Kristen Shepherd โ€” perfectionism, aging, and menopause
Ignore the croissant crumbs on my lips.
NewSobrietyIf I Could Help One Person ยท Part 25

If I Could Help One Person โ€” Part Twenty-Five

The Mirror Doesn't Lie

But it doesn't tell the whole truth either.

By Kristen Shepherd  ยท  April 15, 2026  ยท  10 min read

I started getting Botox at thirty years old.

Not because a doctor suggested it. Not because I had deep lines or sun damage or anything that warranted it medically. I did it because I was terrified of what was coming. Because somewhere along the way I had absorbed the message โ€” quietly, completely, without ever consciously agreeing to it โ€” that aging was something to be fought. Aggressively. Preemptively. Without mercy.

I got lip filler because I had been taught, in a thousand subtle and not-so-subtle ways, that thin lips were a flaw. That natural lips โ€” my lips โ€” were not enough. I got a breast augmentation because I genuinely believed, in the deepest part of myself, that no one would ever love a girl with a flat chest. Not the way they would love a girl with curves. Not fully. Not the way I wanted to be loved.

I have never fully accepted myself. Not once. Not for a single sustained moment.


I want to sit with that sentence for a second, because it is one of the hardest things I have ever written. Not because it is dramatic. But because it is just true. I look in the mirror and my first instinct โ€” still, after all this work, after all these years โ€” is to catalog what is wrong. The lines around my eyes. The softness where there used to be definition. The way my face is starting to look like my mother's face, which should feel like a gift but mostly just feels like a warning.

I am dealing with aging from a perfectionistic point of view. And I am only just beginning to understand how profoundly unhealthy that is.


What Perfectionism Does to Aging

Here is what perfectionism does to aging: it turns a natural, inevitable, universal human process into a personal failure.

Every gray hair becomes evidence that you are losing. Every wrinkle becomes proof that you did not take care of yourself well enough, or that time is winning, or that you are somehow less than you were. Every soft place on your body that was not there ten years ago becomes something to be fixed, hidden, corrected โ€” as though your body is a project that has gone off-schedule.

We live in a culture that has made this worse, not better. We are told โ€” constantly, relentlessly, from every direction โ€” that aging is optional. That with the right serum, the right procedure, the right discipline, we can hold it at bay indefinitely. That a wrinkle is a choice. That gray hair is laziness. That a body that has lived in it for fifty years should still look the way it did at twenty-five.

And I have believed all of it. I still believe some of it, even when I know better. That is the insidious thing about the messages we absorb young โ€” they do not leave just because we learn to name them.


And Then Menopause Showed Up

And it did not ask for my permission.

Nobody tells you โ€” not really โ€” what menopause actually does to your body. They mention hot flashes. They mention mood swings. They hand you a pamphlet and send you on your way. What they do not tell you is that your entire relationship with your physical self is about to be renegotiated, whether you want it to be or not.

The stomach is the one that gets me the most. I have always been thin. I worked at it, I maintained it, I knew what my body looked like. And then, somewhere in my late forties, my stomach changed. Not dramatically, not overnight โ€” but steadily, stubbornly, in a way that no amount of clean eating or extra cardio seemed to touch. It became softer. Rounder. Bloated in a way that felt permanent rather than cyclical. I would wake up in the morning and feel fine, and by noon I looked three months pregnant. I would eat a meal I had eaten a hundred times before and feel like my body had decided to just... hold onto it. All of it. Forever.

This is what estrogen decline does. As estrogen drops during perimenopause and menopause, the body shifts where it stores fat โ€” away from the hips and thighs and toward the abdomen. The metabolism slows. Cortisol, the stress hormone, becomes more reactive, and cortisol loves to park itself right in the middle of your belly. Bloating becomes chronic because the gut microbiome shifts too, digestion slows, and the intestinal lining becomes more sensitive. Your body is not broken. It is not failing. It is doing exactly what a body in hormonal transition does.

But try telling that to the perfectionist in your head at six in the morning.

I have stood in front of the mirror and genuinely not recognized myself. Not in a poetic, metaphorical way โ€” in a literal, disorienting way. The stomach I am looking at does not match the stomach I have carried in my mind as mine for the last thirty years. And because I have spent my entire life believing that my worth was at least partially tied to how my body looked, this shift has hit me harder than I expected.

It is not just vanity. It is identity. And losing your sense of physical identity โ€” even when that identity was built on an unhealthy foundation โ€” is a grief that does not get talked about enough.


Fear vs. Love

I am not here to tell you that Botox is wrong, or that filler is wrong, or that wanting to look good is vanity you should be ashamed of. I have made every one of those choices myself and I am not going to pretend otherwise. What I am here to say is that there is a difference between doing something because it genuinely makes you feel good โ€” because it is an act of care for yourself โ€” and doing something because you are terrified of what will happen if you stop.

I have mostly been doing it out of fear.

Fear that if I let the lines show, I will become invisible. Fear that if I stop fighting the softness in my stomach, I am giving up. Fear that aging is the thing that will finally confirm what the perfectionist in me has always suspected: that I was never quite enough to begin with, and now I have the body to prove it.

That is not wellness. That is not self-care. That is a wound that has been running the show for a very long time.


The Hardest Thing I've Ever Had to Do

Aging is the hardest thing I have ever had to do.

I mean that without irony and without exaggeration. I have gotten sober. I have survived anxiety that made it hard to leave my house. I have rebuilt my life from the ground up more than once. And still โ€” still โ€” standing in front of a mirror at fifty and making peace with what I see there is harder than any of it.

Because sobriety had a clear enemy. Anxiety had a name. But aging is just... life. It is the accumulation of every year you have been lucky enough to live. And menopause is not a malfunction โ€” it is a transition. A massive, hormonal, physical, emotional transition that our culture has decided to treat as either a punchline or a problem to be medicated away.

I am trying โ€” slowly, imperfectly, with a lot of resistance โ€” to treat it as something else. As information. As my body telling me what it needs now, which is different from what it needed at thirty-five. More rest. More protein. More grace. Less war.


I do not have a tidy resolution for this one. I am not on the other side of it. I am in the middle of it, writing to you from the thick of it, which is maybe the most honest place I can write from.

What I am trying to do is separate the fear from the choice. To ask myself, before I book the appointment or buy the product or stand in front of the mirror cataloging damage: Is this coming from love, or is this coming from fear? Am I doing this because I genuinely want to, or because I am terrified of what it means if I don't?

Sometimes the answer surprises me.

Sometimes I book the appointment anyway. But at least I know why.


If I could help one person with this, it would be you โ€” the woman who is doing the same math I am doing. Who is standing in the bathroom at six in the morning, closer to the mirror than she needs to be, looking for something wrong. Who has watched her stomach change and felt a grief she did not know how to name. Who has spent decades in a low-grade war with her own reflection and is starting to wonder, quietly, if there is another way to live.

There is. I do not know exactly what it looks like yet. But I think it starts with telling the truth about where we are โ€” not where we wish we were, not where we think we should be, but where we actually are.

Which is here. In this body. In this face. In this life that is still, against all odds, very much worth living.

This is Part Twenty-Five of an ongoing series. If you are new here, you can start at the beginning โ€” or you can start right here. Either way, you are welcome.

Read Next

If I Could Help One Person โ€” Part Twenty-Six

Eight years of white-knuckling menopause. One week into Hers. Here we go.

Read Part Twenty-Six โ†’

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