Abstract. Skin collagen content and bone mass decrease with aging. Loss of collagen from the skin might decrease its elasticity. We investigated associations between skin elasticity, bone mineral density (BMD), age, and menopausal hypoestrogenism. Thirty-eight healthy Japanese postmenopausal women were studied (mean age, 55.7 ± 5.9 yr; range, 48 to 71). Skin elasticity was measured using a suction device applied to the dorsal right forearm. BMD values of L2 to 4 vertebral bodies were measured by dual-energy X-ray absorptiometry. Age showed significant negative correlations with both skin elasticity and BMD (r = -0.57, p<0.001 and r = -0.40, p<0.05, respectively). Years since menopause also showed significant negative correlations with both skin elasticity and BMD (r = -0.51, p<0.01 and r = -0.41, p<0.05, respectively). We also found a positive correlation between skin elasticity and BMD in these postmenopausal women (r = 0.44, p<0.01). In conclusion, we demonstrated declining skin elasticity and bone mass in postmenopausal women to possibly be age-and estrogen-related. Additionally, decreased skin elasticity might serve as a predictor of bone loss in postmenopausal women. COLLAGEN constitutes approximately one-third of total body mass [1]. Skin and bone share similar loose connective tissue, respectively located in the dermis and the organic bone matrix. Both bone matrix and dermis are composed of more than 70% type I collagen [2]. Skin collagen content and bone mineral density (BMD) share comparable regressive changes during the aging process. Several studies have reported that skin collagen content decreases with age and loss of estrogen [3][4][5][6], while loss of skin collagen is associated with number of years following menopause [3,[5][6][7]. Menopause is also the major risk factor for bone loss [8][9][10], and bone density shows an age-and estrogen-related decline [3,6,11]. Hypoestrogenism might contribute in parallel to loss of skin collagen and bone mass in women, while collagen loss from skin reduces its thickness and elasticity [6,12]. However, no simultaneously obtained data have been presented to correlate skin elasticity and bone mineral content with aging and menopausal hypoestrogenism.A new suction device was recently developed to simply, rapidly, and noninvasively quantify skin elasticity in vivo. Clinical applications of these measurements have been reported by several authors [12][13][14][15][16][17]. In the present study, we simultaneously measured skin elasticity in the forearm and lumbar spine BMD (L2 to 4) in Japanese postmenopausal women to investigate associations of skin elasticity and bone mineral content with one another as well as with age and duration of menopausal hypoestrogenism.