Dr. Anthony Youn

No, so that would be the next step, okay? So now when you're in your 40s, maybe early 50s, you're starting to notice the skin's getting a little bit loose. It's more than just prevention, but you know, you know, or you start seeing it in your friends. That's when you do want to be a bit more aggressive.

And right now, for non-invasive skin tightening, the gold standard is radiofrequency microneedling. In my office, we use Morpheus 8. It's a very popular RF microneedling, radiofrequency microneedling device. And the way it basically works, you know, microneedling is something that's great for your skin.

If, let's say, you're 30s, you're 40s, you want to microneedle your neck and you go to a practitioner to do that, that's great. That will help create collagen. Radio frequency microneedling is microneedling, but those needles that go into the skin don't just create the trauma that helps the collagen to rebuild, but it also creates deep heating of that skin.

And when you heat the skin to a certain temperature, essentially it's 42 degrees Celsius on the surface, that will create contraction of that collagen and it creates a tightening of the skin, the way I describe it, it's like a shrinking of the skin essentially. And right now, that's the gold standard. There are other ways that you can create tightening.

There's a device called Ultherapy that uses ultrasound energy, but it's quite painful. Right now, that gold standard would be RF microneedling. So now you're in your 40s, your 50s,

you're doing your retinol, you're doing your peptides, you're doing your red light therapy, you're noticing the skin's a little bit loose, you want to do something more aggressive, you're okay spending a little bit of money, you know, you're going to spend at least $500, maybe up to $1,000 for an RF microneedling treatment, and you're okay with a day or two of downtime, then that's when the RF microneedling can definitely come into play.

So if the RF microneedling isn't quite getting where you want to be, and now you're saying, let's say you're in your 50s, maybe early 60s, and the skin is starting to sag a bit. So you're starting to actually notice that the skin is loose. It's not basically snapping back into place. Now you want to be more aggressive. There are some minimally invasive surgical procedures that you can consider.

There are two devices, one's called Renuvion and one is called FaceTite, where essentially, you know, I talked to you about how RF microneedling heats the deeper skin by putting those little needles in the skin, those little needles at the tip of that needle emits radiofrequency energy. And so you're essentially heating the skin from the outside in.

Well, you can also heat the skin from the inside out. And so there are these minimally invasive surgical procedures. They look kind of like very small liposuction cannulas where you numb up the area with local anesthetic, make a small incision, and you basically put this cannula underneath the surface of the skin, and it basically heats the skin from the inside out. That is surgery.

And then the third one is when you have a true turkey neck, which is what you described for me, there's different things to treat that for. And what we don't ever wanna do, especially for me as a plastic surgeon, is to give people false hope that, oh, you know, if you are 75 and you got loose skin hanging from your neck, oh, just eat this food and that skin's gonna magically tighten up.

It's minimally invasive. There's minimal scars with that. Oftentimes it's done under a local anesthetic. And the idea is that you get even more heating of that skin to cause that skin to essentially shrink. Once again, the two brands, I don't do these, are Renuvion and FaceTite. I don't do them because there's still a question of just how much you get out of it.

My understanding is that some people can get quite a bit of tightening of the skin and other people, it can be a bit disappointing. But that's the next step. And I'll tell you, Drew, there's a very interesting device right now that makes a lot of sense, but I don't think it's quite ready. Not ready to the point where I would 100% recommend it. And this is called a non-cutting facelift.

Okay, so we talked about minimally invasive surgery where you heat the skin from the inside out. When we do facelift surgeries, and I do facelift surgeries basically one a week, what we're literally doing is cutting out excess skin. So I may cut out, I've got a facelift on Thursday, and I may cut out from her two centimeters of excess skin from each side of her face, okay?

That's two centimeters of skin that normally would be hanging from the neck that is removed from each side that is cut out. And that's essentially why a facelift lifts the face and you get rid of that turkey neck. There is a device called Elacor.

It's like a microneedling pen where they have all these needles that go in the skin, but those needles are hollow and they're attached to a suction device. So every time this hollow needle goes into your skin, it pulls out a tiny micro core of skin.

So the hole inside the needle has suction in it, it pulls out skin when the needle goes into the skin, a hundred times that many little microcords of skin is actually removed. And so it's a way to technically remove skin from the face without creating any scarring because those needles are so small that they may remove a microcord of skin, but they don't leave a visible scar behind.

So it's a really interesting device where now you're using technology, you're literally removing skin from the face without visible scars. That will create a true lift of the face, but it's minimally invasive. You don't scar from it. The issue that I would say right now, Drew, is I've looked at the before and after photos and they're not all that impressive just yet.

And if you watch the procedure being done, it's a pretty bloody procedure. You know, it's... It's not like Morpheus 8. It's not like radiofrequency microneedling where you get it done, use a little bit of numbing cream, you get it done, and you go to dinner with your friends afterwards. This is definitely a bit more.

I don't think from what I've seen, the results haven't super impressed me yet, but the idea is one that's very fascinating. And my hope is that in the future, they can get even better results with it. And maybe at that point, it may be a definite, an alternative to a true facelift. So there are some things that you can do that can kind of mimic a facelift.

So there is something, it's popularly called the Nefertiti lift. And so once again, if you've got some loose skin of the neckline, especially if you have neck bands, these are called platysmal bands. They're the vertical bands that people get in the neck

You may see it if you've got a friend of yours who's in maybe their 50s, 60s, or 70s, and they've got very thin neck and they're talking to you and the neck bands are moving. What that is, is that's actually loose platysma muscle. The platysma is a sheet-like muscle that basically extends from the neck up over the jawline and into our lower face.

You know, physically, that's just not possible, but there are definitely things to do. And so what I would start with is the younger age group. Let's say you're in your 30s, you're in your 40s. Overall, the neck skin is still nice and tight. You don't have that turkey neck. What can you do to help prevent that from happening? Well, it's going to be looking at the reason why our skin ages.

And as we get older, that muscle can basically droop like our skin. And so when you have a friend and you're having coffee with them and you're talking with them and you see those muscles moving in their neck, that's loose neck muscle. And what you can do is you can inject Botox into those neck bands. That will actually smooth those bands out to an extent.

And some doctors are even injecting Botox along the jawline. That's called the nefertiti lift. Botox basically weakens or paralyzes muscles for about three to four months. It prevents the transmission of nerve impulses to those muscles. And so those muscles no longer will function for those three to four months.

And the neck muscles basically function to create those bands and to pull things downward to an extent. And so some doctors are injecting Botox along the jawline that will counteract the muscles that pull the face down and they're getting a visible lift to the lower face. Now, it also will change some of your expressions. And so therein is the drawback.

And there are some dermatologists who've actually Botoxed half of their face in that nephrotity lift, and then have shown videos of okay, this side has been Botoxed, this side has not been Botoxed. And you can see how the one side looks a little bit lifted. Well, if you go to the comment section of these videos, there's so many people who say they actually like the non Botoxed side better. So

It's a consideration. If you've got some looseness and you don't want to have surgery, you know, those are some things to consider. The Elacor treatment, which is the microcoring device that's, you know, minimally invasive, but it's still invasive. Botox, once again, in that nefertiti lift is an interesting way to create some very mild, what may appear to be kind of a lift of that lower face.

Yeah, there's definitely something to that, you know, and that is something that I did put in my book Younger for Life. The fact that, yes, there are many, many studies that show that exercise can help to improve the overall skin and slow down the whole aging process. You know, I think it's multifactorial.

And five things is what I typically focus on is nutrient depletion. collagen degradation, oxidation or free radicals, chronic inflammation, and a buildup of cellular waste. And so one of the things you can do, and we talked about this on the last podcast, is eating a diet that is going to basically counteract those signs of aging.

I don't think that there is a direct link to exercising and let's say the collagen of your skin. But we do know that there's other types of factors that can be involved. I mean, reduction of stress is part of it. Cortisol could be part of it. Really, I think that the question isn't so much does exercise... help you look younger.

The question is, are there certain types of exercises that help more than others? And what I mean by that is there are some people who believe that if you do certain types of exercise, like let's say you're long distance ultra marathoner, is that actually going to be anti-aging for your face and for your skin?

And the answer is maybe not as much as if you are doing weights and yoga, you're doing Pilates, playing tennis and doing things like that, you know, and, and There's a lot of beliefs out there of exactly why people may think about it, but I don't know of any studies that have actually specifically given an actual mechanism of why that works.

I think exercise, like I said, there's so many factors that are involved. I think if you exercise regularly, that can help with inflammation reduction. It can help with reducing your overall toxic load. It can help with so many different things, and that all is going to help with the aging process. NAD exercising is a... is a great natural way to increase your NAD levels.

We do know that NAD is super popular, hot topic in anti-aging, but I think there's a lot to it. And I don't think there's a direct mechanism, at least that I know about, that directly links exercising and skin.

If you are, however, exposed to the elements and you're doing these long distance ultra marathon type running, that I think could be detrimental to an extent because part of it is you got to train outside typically for hours on end, you're going to be exposed to the elements there that can be very harmful.

You know, if you're not, you know, wearing some protection and all that type of stuff, eventually that could could create issues.

And then I think to, you know, I think just looking at the surface, and we see this with people who are on Ozempic, and they've lost tons of weight, you know, if you are so so lean, you don't have the muscle, but you're super lean, you can see that you lose fat in your face. And that in and of itself is going to make you look older as well.

So sauna specifically, I haven't seen anything for the skin. I think if you're looking, however, at infrared saunas, then that may be a bit different. I think that there, so just sauna itself, I think overall, yes, you mentioned the heat shock proteins. I think when we look at sauna and we look at the all cause mortality, it's beneficial impact on that.

I think when you're looking at longevity and anti-aging in general, we all will agree that that's a great thing. Will it make you look younger though if you sauna? And that I have not seen any studies on. When we look, however, at other things like infrared sauna and then red light therapy, you know, there's some people who do get a little bit confused.

I did an interview not that long ago where they're asking, okay, what's the difference between LED, red light therapy, infrared saunas, infrared? and then just even regular saunas. And we do know that the difference with red light therapy and infrared light is that red light therapy is going to be much more superficial. It doesn't go as deep, okay?

And so when you're talking about loss of collagen, it's going to be eating collagen or protein-rich foods, maybe taking a collagen supplement. When you're talking about oxidation or free radicals, it's going to be eating the rainbow of fruits and vegetables.

And so if you're looking for a true cosmetic impact, and that's why you look at red light therapy, if you're looking at true detoxification, then you're going to look at infrared because those infrared lights um, beams essentially will go deeper into your body than red light. Uh, and that's the way I would look at it differently.

Um, and so infrared saunas and people think, Oh, I'm doing an infrared sauna. I'm going to make my skin look younger. I don't know. I haven't seen any science to show that all the studies I've seen have all focused on red light therapy, once again, which is going to be much more superficial, it's going to be more impacting the skin.

But now there are also some saunas, I think that are incorporating both they're doing red light and infrared, that's going to be the ideal because now you're going to target that aging, both from a detoxification internal process, and as well as the external and and that's what I would do, you know, is that for me, the best thing is if you're in an infrared sauna, and you're wearing your red light device, then hey, there you go.

Now you're hitting it from both ways.

You got it. Well, it's like one of the things I do when I wear my red light device, you know, I've got a red light mask and I'll wear it and is that I will meditate during that time. And so there's a, you know, I'm a surgeon, so I'm always trying to find ways to optimize my time. So, you know, meditation while you're doing your red light therapy. Now you're killing two birds with one stone.

And when you're talking about chronic inflammation, it's going to be reducing the amount of sugar that you eat, increasing the amount of healthy fats, probiotic-rich foods, prebiotic-rich foods. All of those are going to help when you're in those 30s and 40s to help prevent that skin from getting loose as you get older.

I think dry brushing is great. So dry brushing basically is when you take a brush, usually it has, ideally you want organic bristles and it's got a long wooden handle. And you take it and essentially you brush your arms and your legs. You can do your back, you can do your chest.

And the idea is, you know, normally you think, oh, I should brush from the out in, but you want to go from the inside out. And the idea is twofold. By dry brushing, number one, you are going to exfoliate your skin. One of the reasons why our skin gets drier and flakier is that as we get older and rougher in texture is because we get a buildup of dead skin cells.

When we're younger, when we're in our teens, in our 20s, our skin cells turn over once every six to eight weeks. So once it gets formed in the deeper layer of skin, it takes six to eight weeks to come to the surface and eventually slough off. As we get older, that process takes longer. It takes eight weeks, 10 weeks, 12 weeks.

And we get this buildup of aged old cells that aren't exfoliating, that aren't basically getting removed. So the act of exfoliation will actually send a cellular signal to the deeper skin layers to start turning over more quickly.

And so whenever you exfoliate your skin, whether you use, let's say a gentle scrub on your face, whether you do a mild chemical peel, or whether you dry brush your arms, legs, and your back, you're going to be removing that upper layer of dead skin.

Not only is it going to feel smoother, but it's also going to stimulate your skin to turn over more quickly, which is in and of itself going to make your skin act and feel and look more youthful. On top of that, once again, you're going to feel the difference in your skin and feel as if your skin has been cleaned. Actually, the Koreans are the best with this. They don't just dry brush.

We've got these washcloths. I don't know if you've ever been to a Korean spa, but we have these washcloths that literally feel like sandpaper. You go to these spas, they will literally exfoliate your skin from the top all the way down, obviously staying away from your genitals, and you will feel like you are a bloody mess afterwards.

absolutely like as soft as a baby's bottom and so it's the same idea so the first thing is that you know with dry brushing you are going to get that exfoliation of the skin that's great for your skin overall and for anti-aging but the second benefit and the reason why you want to go from out in and so you're basically going in the direction of lymphatics and you're you're getting rid of excess fluid that helps your body then to clear it out naturally through your peeing and your pooping mechanisms

It's outside in. You want to basically dry brush towards the center of your body. That's towards the lymphatics. You're pushing that fluid out. You're going to feel less swollen afterwards. And it is a bit of a detoxifying thing. So multiple benefits with dry brushing.

And then the final thing that you get from dry brushing by exfoliating your skin, if you're going to apply, let's say, an active ingredient, like let's say body retinol, there's retinol that some companies make that are for the body. now you're gonna get better penetration of those creams and you're gonna get a better result from it as well.

Realistically, they can help on a minor level. But usually when you're talking about large parts of the body, you're not going to see much of a change.

So for example, even when we're looking at more aggressive treatments like radiofrequency microneedling, when you're doing it on a small part of the body, like let's say underneath the neck, and I get RF microneedling under my neck and my neck area every four to six months, if you try to do that on the body, typically the results are very disappointing.

And I think the reason why is you may be able to notice a relatively small change in the neck and that's noticeable to you. But when you're dealing with larger parts of the body, getting rid of a small amount of or improving, getting a little shrinkage of that skin, unfortunately, it's almost never to the extent where you can truly notice it.

You need to have more of a change to truly notice it on larger body parts. And I think therein lies the rub. Um, and that's, that's the challenging thing, you know, is when people, I get patients come in to see me all the time and let's say they've had two kids, they've got a little bit of loose skin of their tummy, uh, of their abdomen. They're not happy with it.

They bend over, they feel like it's more than they've ever had before, but they're not so excessive as to warrant a tummy tuck actual surgery. there's not a lot of great options for them. It's that kind of in-between that we just don't have much.

So number one, yes, you can do things like take a collagen supplement that's great for the collagen of your skin, but I would never tell you that, oh, you've got a little loose skin, take a collagen supplement, that skin's gonna tighten up. It's not true, it's not gonna do that. You could apply a retinol cream. Retinols are great for the skin, but is that gonna cause the skin to tighten up?

to such an extent that, I mean, technically, yes, but to such a small extent that it probably won't be noticeable to you. Maybe noticeable in a smaller part of your body, like let's say your face, but not necessarily in larger parts of the body, like your thighs or your abdomen. And so I think that's really important.

There have been, I've been in private practice now, Drew, for 20 years, and there have been so many laser companies that have created body tightening devices Every single one has been garbage. It hasn't done hardly anything. And when you look at the reviews online of these devices, they always get bad reviews. Because unfortunately, it's twofold. Number one, there are doctors who buy the device.

They spend $100,000, $200,000 on this device. And now they have a financial incentive to try to get people to do it. And so they may, you know... Kind of stretch the truth of what it can do. That's the first part of it. And the second part of it is that they just aren't going to create enough change.

Unless what you're looking for is so, so minor, they're not going to actually create enough of a change that most people will be satisfied with it.

I do think it's multifactorial. You know, I think that one big part of it is the standard American diet that so many Americans are eating. And so it's a diet that is pro-inflammatory. It's a diet that is sterile. It doesn't contain any types of probiotics. It has very little fiber. So you have very little prebiotics in the diet.

Yeah, I mean, I think it's also important to realize that this is a discussion between two men who have more melanin in their skin than a lot of other people here in the United States. And so we have genetics in that 20% that definitely help us to age more slowly.

And also, we're two men who haven't gone through what women always go through when they get in their 40s, especially in their 50s, which is menopause. I have a good friend of mine, Dr. Mary Claire Haver, who has really brought a lot of discussion about menopause and the changes that it undergoes, that it creates in the female body.

You know, there's a lot of science coming out now about how menopause affects the skin as well. And a lot of people don't realize this, but in the first five years after menopause, women lose 30% of the collagen of their skin in literally just five years. And then they lose about 2% every year thereafter. And so, yes, it's easy.

I see influencers online who are poo-pooing cosmetic treatments and saying, oh, I'm gonna age gracefully. I don't need any of this stuff. And sometimes these are men who are in their 20s who are big muscle-bound guys. And it's like, you do not know what it's like to be, number one, a woman living in our society where once you're past your 20s,

A lot of women, they tell me they feel all of a sudden like once they're out of their 20s, they feel somewhat invisible. It's something that we don't as men really even understand, but this is endemic in our society. Women in their 30s or 40s or 50s don't feel like they're being seen anymore because they're not that 20-year-old. It's like you see with actresses in Hollywood.

Once they get past a certain age, you just don't see them anymore. However, you will see men in their 50s and 60s still doing action movies and all this type of stuff.

And so all of that is combined with, you know, society and how they treat women as they get older is combined with the challenges that women go through when they go through perimenopause and menopause, you know, where you're dealing with such huge changes in the body and you're also dealing with

a medical system, and even like a cosmetic system when we're looking at cosmetic medicine that hasn't fully addressed this. And the fact that we haven't even educated our patients that you're going to go through this. It's a normal process, but there's so many ways that you can fight it off if you truly want to. It's a fascinating discussion.

I'm glad it's finally coming to the forefront because I do think, yeah, you know, you and I being males, we are just because we're men, we're in a place of privilege when we talk about the aging process because, you know, it doesn't affect us in the same way, both societally as well as physically as it does to women.

You know, not a whole lot of fresh fruits and vegetables, so you're not getting those antioxidants. And so those are the reasons why I think diet-wise that could contribute to it. I do think genetics is a part of it. Studies have shown that genetics, however, is only about 20%. of the aging process.

I haven't seen the statistic, but that does sound true. And the reason why is that we will lose about 1% of the thickness of collagen every year just as we get older. But women will lose, once again, 30% in the first five years after menopause and 2% every year thereafter.

And that's why you can see women, a husband-wife couple, and they're in, let's say, their 70s or their 80s, and the woman, oftentimes, the skin is so thin, it's like tissue paper thin, that they even get a scratch and the skin can tear. Yes, men's skin, you can see get thinner as well, but usually you don't see it to that extent that you see in women.

And I do think that part of this is the loss of estrogen. And now there are even companies that are creating prescription estrogen creams for the face. And there are studies showing that estrogen creams on the face can help to improve the skin thickness.

And there are even studies that have looked at hormone replacement therapy and that also improving the thickness of skin in women as they get older as well.

Basically, collagen makes up about 70% to 80% of the thickness of our skin. It's a part of our skin that causes our skin to feel tight, to feel firm, and to essentially feel youthful. Like I mentioned earlier, we lose collagen in our skin starting in our mid-20s. Once again, women, when they hit menopause, man, that collagen really takes a dive. How do you then replenish collagen?

Collagen degradation, one of the main cause of aging of our skin. The first thing you want to do is you want to make sure you're getting sufficient amounts of protein in your diet. So then the question is, is how much protein? Does it matter what type of protein? Well, in general, you want to look at getting approximately 100%. grams a day of protein.

Now, obviously, that's going to be different if you're a larger male than if you're a smaller female. And in general, you want to look at a gram per ideal body weight pound of protein a day in general. Now, you know, once again, depending on, you know, your lifestyle and how you eat that you can vary that some people look at 30 grams per meal.

Some people find that to be easier, but in general, you do need to have sufficient amounts of protein because collagen is a protein. It's a large protein, and you do need to have those protein building blocks to help with collagen support and preventing that degradation.

And so you can add the 20%, whether you're African, you know, whether you've got darker skin, whether you're Asian, whether you're Latino, when you've got the darker skin, you've got more melanin in your skin, that's going to help to reduce the amount of aging of your skin as well.

Now, when you're looking at collagen supplements, those have been shown in many, many studies to help improve the thickness of collagen of the skin. People used to believe that the issue with collagen supplements and they would say, oh, they don't work because collagen is such a large protein, it gets broken down in your gut. And how do you even know it's going to get to your skin?

So the key really is if you're going to take a collagen supplement, make sure it's made of hydrolyzed collagen peptides. And what that means is that you take that large collagen protein and you break it down into small groups of amino acids called peptides. And those peptides are made to actually be bioabsorbable, that your gut can actually absorb them.

Now, when there have been studies, studies have looked at patients who have taken collagen supplements typically for about two months, hydrolyzed collagen peptide supplements, and they've actually drawn blood in patients and found an increased amount of collagen in the actual blood with these collagen supplements.

And they've actually biopsied the skin and found an increase in collagen precursors in the skin as well. And there are many studies that have shown an improvement in the hydration of the skin, in the turgor of the skin, and the overall thickness of the skin as well. So for me, you know, my feeling at this point is that the science is all there.

There's still going to be anti-supplement doctors who are going to poo-poo everywhere. any supplement that is on the market. Collagen supplements do work. Anecdotally, I'll tell you, you know, full disclosure, I have my own Youn Beauty skincare and supplement line that we have talked about before. Our top selling product actually, believe it or not, is not a skincare product.

It's our supplemental collagen. It's type one collagen. That's a collagen found in skin, hair and nails and bones. And I think that's important that you want to make sure you get type one collagen if you're going to take a collagen supplement. So the stories I've heard from our purchasers, my followers, my patients who've taken collagen, it's amazing.

I mean, my mom, I was visiting her a couple months ago and she said, you know, I've been taking this collagen supplement and I've been noticing my hair's getting thicker. Do you think it's this collagen you keep sending me every month?

And then it's going to be due to lifestyle, you know, I think that part of it, when you look at the aging process, it's so multifactorial, you know, we talked about food, there's obviously skincare, which we can definitely get into in this conversation.

So I have my mom and my sister and actually my brother and sister-in-law, they get collagen basically auto-shipped to them every other month to Tubbs so that they can use that because I definitely believe in it. And the stories, the anecdotal stories are endless of people who've found improvement in their hair, their skin, their nails. They found their arthritis gets better. Chronic pain improves.

You know, so many different stories that we hear anecdotally. You just need to read a half of them and know that, man, this stuff definitely works. Now the science shows it as well. But I also, before we finish the collagen thing, we got to talk about vegan collagen as well, because that's also a question that I get, you know, does vegan collagen work? Is vegan collagen real collagen?

Well, the answer is no. Collagen supplements have to be animal-based. Now they can be marine, so they can be fish-based or they typically can be cow-based. Those are kind of the two main kinds, but there is quote-unquote vegan collagen on the market. And what that essentially is, is they are protein powders that also have other ingredients kind of collagen precursors.

So, you know, more than just protein for the production of collagen, you need other things as well. You need vitamin C. Vitamin C is super important for the production of collagen.

This goes back to, you know, our high school, middle school biology classes when you learn about scurvy and when the sailors would go off sailing and they'd run out of fresh fruits and vegetables, vitamin C levels would drop because you got to get vitamin C every day. Then they would get sores in their mouth and in their skin due to lack of vitamin C and the breakdown of collagen.

So vegan collagen supplements typically contain collagen precursors, basically vegan protein, but also vitamin C and then other factors that are involved with collagen production like zinc and hyaluronic acid and copper. So these are things too, you know, once again, if you want to take a supplement, I think vegan collagen supplements are great. I've never seen a study on them.

But they make sense, you know, that they can help, but it's not the same as a true hydrolyzed collagen animal-based supplement.

But lifestyle plays a huge factor, the amount of stress that you have, you know, are you in a community where you have a lot of close relationships? Are you stressed out all the time? You know, are you eating a lot of ultra processed foods. And so I really think that it is a multifactorial process, but essentially it's a lot of cultures just live healthier than we do, unfortunately.

I think when you're looking at a direct impact on your skin, collagen, no question, is going to be number one. Number two, and that's going to be really so far above any of the other supplements. Now, I do take supplements every day. I think some of them can be very helpful. Right now, one of the supplements I'm taking is Nutrafol. This is actually a hair supplement.

And that, I do believe, has a direct impact on hair growth. And there are other ones, there's Viviscal is another brand, but Nutrafol is the one that's most popular. And that contains a multitude of things in it from vitamin C, vitamin D, it contains zinc, it contains biotin and many, many other things are in that.

So that's something, you know, if you've got a hair issue, I think you get a direct benefit from taking a hair loss supplement like a Nutrafol where you'll see that direct connection, correlation. Other than that, the connection between taking a supplement and skin improvement and quality is going to be more indirect.

For example, if I had to put a number two after collagen, it would probably be taking a daily probiotic. We do know that the microbiome is directly connected to the skin. There is a gut-skin axis. There are now some studies showing that if your microbiome is unhealthy, that that is has been correlated or connected to inflammatory disorders of the skin.

So eczema, rosacea, even acne, there are studies showing that these types of inflammatory skin disorders can have a direct connection to the health of your microbiome. And so, you know, I do believe that taking a daily probiotic can definitely be helpful as well as eating probiotic rich foods. So that would probably be my number two. Number three might be taking a omega-3 supplement.

That's going to be to reduce overall inflammation. I think that's great for reducing chronic inflammation. Are you going to see a specific improvement in your skin by taking omega-3 supplement? I don't know that that's necessarily the case. I haven't heard from my patients those types of direct connections that we have seen with

let's say a Nutrafol hair supplement or specific collagen supplements. But those would probably be the ones that I would put up there. I mean, I'm also a fan of taking a daily multivitamin, of taking an antioxidant supplements.

But once again, these are going to be things that could definitely be great for the skin, but I wouldn't necessarily say, hey, I'm going to take this for a month and I'm going to see my skin improve in its appearance. I mean, it might, but it's not a promise that I would make you. That's for sure.

Yeah. I mean, there are a lot of treatments out there that have been promoted. I think one of them that's kind of funny is the idea of perineal sunning. And it's this idea that if you get sun on your genitals, that that's going to help improve your vitamin D levels. It's going to help with improving your overall health and wellness. Interestingly enough,

Getting sun on your body, okay, so you mentioned earlier sunscreen, and I am a fan of sunscreen. When I'm out, I will wear sunscreen. I am not a dermatologist. I know dermatologists of mine who will be sitting in a basement all day, and they're going to put sunscreen on before they go in their basement all day. I'm not one of those types.

Studies show you need, if you're Caucasian, you need 15 minutes of sun to prevent a vitamin D deficiency, if you're Caucasian, okay, with light skin. If you are darker skin, then the amount of time you need in the sun is greater than that. And how much greater, it really depends on how dark your skin is. That being said, we also know that UV radiation is the number one cause of skin cancer.

And I've seen enough patients in my office who have skin cancer and huge, you know, they lose parts of their face and stuff that you do not wanna get that. So there is a belief that if you tan your genitals, you sun your genitals, that's going to be even more powerful than just getting sun on your face or your arms or your legs. And there actually is a little bit of truth to that.

And I'll explain why. There is proof to show that if you get sun on parts of your body that normally does not get sun, that your body will technically create more vitamin D from that type of sun exposure than from exposure to areas that are normally getting it. Okay, so if let's say,

you never wear you go out with your shirt off and now you go off with your shirt and you're getting some sun that way then you are going to create more vitamin d that way than if you're just exposing your arms your legs and your thighs even if you're looking at the same amount of exposed skin essentially but there is a belief that if you tan your genitals that that is like exponentially more vitamin d and that i've not seen any proof of

And so that's one thing that I think just doesn't work. I'm definitely a fan of, I think getting sun in moderation because I think it's great for your health. I mean, I live in Michigan. So God forbid February when the sun comes out, we're all out there getting sun. I like it. It's therapeutic. You get vitamin D from it. But also I think there is overdoing it as well.

And I think overall with sun protection, there is in some circles, you know, this belief that you only get skin cancer if you have a poor lifestyle or you're eating a bunch of seed oils. And that I think has been fully debunked by medical science is that I think that when you look at let's say skin cancer and sun damage, it really is multifactorial.

So I do believe that that yes, if you are eating a diet rich in seed oils, that's inflammatory, are you going to have a potentially higher risk of getting skin cancer? By all means? Yeah, you know, I mean, it's bad for you. But But if you eat a diet like that and you get absolutely no sun exposure at all, you know, you probably are unlikely to get skin cancer.

If you combine getting a lot of sun with a horrible diet like that, then you're going to have the highest risk. And so really, I think you've got to look at everything as multifactorial. I think that traditional medicine has been guilty of focusing just on sun and not other factors that can cause skin cancer and even premature aging of the skin.

And then I think that some of our holistic health colleagues have been overly focused on just the diet being the main cause of it. And I think really what we have to look at, it is a true holistic approach to this. It's everything. All of this kind of contributes to it. And so we make our own decisions of the type of lifestyle we find that's going to benefit us the best.

So hopefully that answers that question.

And then just to answer one other thing that I wanted to bring up, and I mentioned briefly before, a super hot topic is NAD. And so when people are looking at anti-aging, NAD supplement being a huge thing right now, there are people getting IV NAD. So basically NAD being an essential part of the body that will help to basically get energy from our cells.

And so now a lot of people, very famously, Haley Bieber and Kendall Jenner Um, on, I think the Kardashian show we're getting IV, uh, NAD. And so is that something that could be potentially the fountain of youth? I, I find that that's very interesting. There still is, we're have limited human studies with it. Um, I myself have taken an NR supplement.

So NAD basically being, um, only your body can only get that through an IV, but now there's NR and NMN that you can take as oral supplements. Um, And some people have found that if they do take these types of supplements that they seem to have more energy afterwards. I haven't seen any studies to show that it may help impact the actual skin and the appearance.

So tech neck is real. You know, that whole idea that our parents told us when we were growing up, that if you make that face all the time, it's going to stay that way. There is truth to that. Now, tech neck is something that's going to be more recent with kind of the recent, you know, the advent with the smartphones and it's always looking down at the phones all day. That's part of it.

But that's a super interesting possibility right now in overall anti-aging medicine, which I'm sure you've covered NAD on your podcast before.

My main concern with NAD and I think a lot of these IV therapies is, you know, I spent five years working in the hospitals, whether I was doing plastic surgery or general surgery. I've worked in the ICUs and in trauma bays, is that the worst thing that happens, one of the bad things that happen as people get older is that they go to the hospital and they can't find IV access anymore.

because their veins are just shot. They've had so many IVs in the past. Some of them could have been previous drug users, other than their veins just are not good to get IVs in. And in those situations, we have to put central lines in them, which essentially is a large IV that you could put into either your subclavian vein or into your groin area.

And these are huge veins that go into huge blood vessels. And sometimes it's the only way we can get IV access.

And my concern now when a lot of people doing these IV therapies that are doing it for, let's say, NAD, they're doing it for IV rehydration after going out, you know, binging alcohol overnight and stuff, is that every time you stick an IV in your vein, you're creating some scar tissue in that vein. And scar tissue builds up with time.

And is there any chance that we have, you know, this kind of wellness movement of people who are doing all these IV therapies thinking that they're doing the right thing for themselves, but then...

20 years, 30 years, 40 years down the line, they end up in the hospital and they need to get an IV because they're sick and all their veins have been scarred up because of all these preventative IV therapies. And now they got to get a central line in their neck. You know, that's what I fear.

And so my recommendation for your audience is if you're thinking about IV therapy, just put some, you know, think about it. Don't just willy nilly get an IV therapy for any reason. Make sure that there's a real reason behind it because everything, you know, this, these are medical treatments. Every time that IV, every time that needle goes in the vein, you create scar tissue.

And are you going to potentially pay the price later on for something that maybe you didn't even really need or benefit from when you're younger?

Two minutes, five years younger skincare routine. Yep, takes two minutes a day. And if you've got quote unquote average skin, we found that people after about two months looked upwards of five years younger, just four products.

Yeah, so basically the two minutes, five years younger skincare routine, we tested it on people. It's the basic skincare routine that anybody can do. And if you do this, you're going to be way ahead basically of the average person. So every morning you cleanse your skin with a cleanser appropriate for your skin type.

But, you know, I think an even more common cause of wrinkles that are due to activity are going to be sleep lines. And so if you sleep, let's say, on your face in the middle of the night, if you sleep on your side and you're really scrunching your face with your pillow and you wake up and you've got these vertical creases on your face, those are very similar.

Ideally, if you've got dry skin, then you want to go with a more milky or hydrating cleanser. If you've got oily skin, then a more foaming cleanser. After that, you want to apply an antioxidant serum like a vitamin C serum. Ideally, if you add vitamin E to it, so you add vitamin C and vitamin E together, they are synergistic together.

And that's going to help protect your skin throughout the day and help provide that cofactor for production of collagen. And then if you're going to be out, I do recommend a sunscreen, at least SPF 30. Once again, if you're going to be sitting in a basement all day and you want to put sunscreen on, then obviously that's up to you. That's all you have to do in the morning.

Cleanse, vitamin C serum, you're going to be out, throw that sunscreen on. At night, super important, you got to cleanse your skin. You have to get rid of the day's worth of dirt and grime and pollution and especially the makeup. If you wear makeup, then oftentimes a double cleanse can be appropriate. And what that means essentially is that you use an oil-based cleanser or a micellar water.

That's going to help clean the makeup and the oil off your face first and then do a regular cleanser after that. And then you want to apply... An anti-aging cream, we mentioned retinol earlier. That's the easiest one to find. Most people tolerate that.

It's usually pretty inexpensive and it has the most science backing it and its production of collagen, its improvement to fine lines and wrinkles, it reduces age spots, even can maybe reduce early pre-skin cancers as well. And so really that's it. At night, you cleanse your skin and apply a retinol or another anti-aging cream. And then one to three times a week, you want to exfoliate your skin.

We talked about exfoliation. We were talking about the body brushing. But you want to do that with your facial skin as well, either with a gentle scrub or with a alpha hydroxy acid type of a peel. A lot of companies have those. And that's really it. You do that and you're going to be way ahead of everybody else.

You know, on my skincare line, we do have a two minutes, five years younger bundle, just four products, cleanser, CE antioxidant serum, an exfoliating moisturizer, and then the retinol. And really that's all you technically need for a good basic skincare routine.

So it's Yoon Beauty is my skincare line, YoonBeauty, YoonBeauty.com. And essentially what it is, is that I started out my practice as a traditional plastic surgeon. I carried all these quote unquote medical grade products in my practice. And I sold a lot of them and they work great to change people's skin, you know, get rid of spots, smooth the skin and all that.

But the problem was, Drew, is that I carried the secret for many, many years that even though I sold this to hundreds, if not thousands of my patients, they saw great results, I couldn't use them myself. Because if I were to apply them to my skin, my skin would break out in a rash, I'd get hives. And so for years, I just used water, gentle cleanser and a gentle sensitive skin moisturizer.

And that was it for years. And so I, it wasn't until many years ago, I started realizing that there was this group of clean beauty products that I started trying out thinking, Hey, what are these things? And they're basically are made with no fragrance. They're get rid of all the additional additives and preservatives. I started applying those to my skin and find that my skin felt great with them.

Those are the sleep wrinkle version of the tech neck horizontal necklines. So, we do see that. I do think that the more you create those lines, even if you are inadvertently doing that, even if it's not an active movement like sleeping, those wrinkles eventually will stay there. So, what can you do?

But when I would look at the ingredients, I noticed that there's no active anti-aging ingredients in any of them. They just were nice, comfortable moisturizers. Maybe they had some antioxidants because there were some healthy fats and stuff in there and oils.

And so that's why I created Youn Beauty is basically it's natural and organic ingredients with the latest and medically active components, kojic acid, vitamin C, retinol, bakuchiol, peptides. And that's the idea behind my skincare line is how do you get natural and organic, you know, no fragrance products, but actually that work to turn back the clock. Um, and that's kind of the idea behind it.

Yeah. And there's so many people that are able to essentially use them. I just never could. And I did have patients who would use it and they say, Oh, I can't stand this. You know, it was the fragrances, it was the additives and the preservatives. Um, Those are the things. And when I would use them, almost all of them, even like Neutrogena, you know, very popular, just you can buy it at any store.

I put Neutrogena on my face, I would break out in hives. And then I started using these clean beauty products, you know, that are made with all natural ingredients and they just felt great on my skin. But then once again, I found that, you know, I started using them for months and I thought these are great.

But then I started looking at the ingredients thinking like, okay, I can use them, but they're not actually gonna slow down my aging process. They're just gonna moisturize my skin. why don't I create something that is the best of both worlds? And hence, we created You and Beauty.

Brownies are the original face tapes. Now people are also using silicone patches over the skin as well. So they act in two different ways. One of them really makes sense. The other one, not as much. Some people believe that if you put that on your skin, it will splint the wrinkles and actually smooth them out with time. That I do not believe is true.

I believe, and there's no science to show that that is true, that does not make sense. However, what they can do, especially if you wear them a lot, a good amount of time, is that they can actually train your muscles not to create wrinkles. So what I mean by that is there are certain wrinkles of our face that are called dynamic wrinkles. These are wrinkles that are caused by muscles contracting.

Well, obviously, with Tech Neck, you can be very aware that looking at our phones as much as we do can affect not only just the wrinkles, the horizontal wrinkles of the neck, but it can affect your overall posture. What can you do for those wrinkles? We can definitely get into it. Certain skincare products like retinols can help with it. Some people even inject very dilute filler into those lines.

And those typically are the horizontal forehead lines, the vertical brown lines between your brows, and the crow's feet wrinkles. Those are three very common dynamic wrinkles. They're also the same wrinkles that we inject Botox with that tend to smooth them out.

If you apply either certain tapes, facial tapes, or silicone patches, what they can do is they can act as a reminder to you not to create those lines. And so you can technically train your face not to create those lines. And what will happen is those lines will not develop as deep as they otherwise would have.

You know, so you may, you know, I see patients in my office, sometimes they come in with deep crevices all over their faces. And oftentimes there are people who are super expressive, like Jim Carrey expressive, you know, where they're making these, you know, big facial expressions and they're laughing and, you know, eyebrows are lifting up real high and stuff.

That's going to be a way to create those wrinkles and make them deeper and deeper. It's like we said earlier in this program, if you keep making that face, it's going to stay that way. If you keep making those wrinkles, those wrinkles are going to stay that way. And so that's what those tapes do. They are kind of like a non-invasive Botox tape

But it does take effort to wear it and to remind yourself not to create those lines, essentially. So they could work over the long term, but really lower your expectations in terms of what you're... So there's nothing that applying the tapes to your skin is going to actually cause those wrinkles to improve just by the application of the tape. And that's where I think some people are...

misinformed, you know, or they are not presenting the information accurately to people who buy them. Because I think there is a belief that, oh, if I put tape on my wrinkles, they're going to splint the wrinkles and will cause them to become lighter as the years go by. And that is not necessarily true.

What is true is that, yes, you can use that as a splint to remind yourself not to make them deeper. And then essentially, you don't get the wrinkles as much. That's kind of the natural nature is Botox, essentially.

They are some of the most difficult things to treat in all of dermatology and plastic surgery. I tell you, it's tough.

And so first thing I always tell parents, if you're listening and you've got kids and they're teenagers and their hormones are starting to go crazy and they're breaking out a lot, especially when you've got a lot of cystic acne, you really wanna see a dermatologist and get that taken care of right away.

Because I see so many people that come to see me as adults and they've got, just like you said, pitted acne, scarring, And it really can be very bothersome to people. And so the best treatment, number one, is to prevent that from happening. So if you've got a kid who's going through that, definitely have them see a dermatologist. Do what you need to do to prevent that from happening to them.

It's not my thing, but that's an option. You can do microneedling to those lines, but obviously prevention is gonna be the best thing. And everybody gets horizontal wrinkles to an extent as you get older. It's just the fact of being alive. You know, if you're working a desk type of job, you're going to be doing kind of the same thing. You know, for me, I operate two full days a week.

As far as treatment of it, it's really difficult. And the reason why is what you're dealing with is skin that is... that has a very uneven surface to it. You can get what are called ice pick acne scarring that are deep scars that are very small and deep. And some doctors will actually cut those ice pick acne scars out.

But most of the time, it's not so much an ice pick as it is unevenness of the surface to

contours of the skin when you look at it like let's say under a microscope or under a magnifying glass and so the challenge is is that how do you smooth that out because let's say if you do a laser treatment you can't you know what you have is kind of hills and valleys okay and treatments ideally want to reduce the valley the hills so that they better match where the valleys are but most treatments reduce the hills and

and the valleys. So if you do, let's say, a chemical peel, the chemical peel will take off the upper layer of skin from both the hill and the valley of those acne scars. And so it can be very difficult. So in the past, there have been treatments ranging from dermabrasion, where you literally just sand the skin down with what looks like a sander, essentially, and that can definitely help.

To deeper chemical peels that don't help as much because once again, you're also peeling the valley in addition to that hill. To laser treatments that try to level that skin a bit so you take those hills down. Any treatment is only going to create a partial improvement.

And the issue that you will have because of your melanin in your skin is that you have to be very careful with anything that's fairly aggressive. like laser treatments, like chemical peels. Even RF microneedling for you can be potentially hazardous if it's done very aggressively. So it's tough. It really is.

Those are the types of patients who have deep acne scarring that undergo the really aggressive treatments to get partial improvement. I don't have a solution. What I would recommend, retinol creams are great. That can overall help. And then it's just going to be doing a lot of different things. For you, it's going to be doing light treatments, but doing them over and over and over again.

Each time you may see like a 0.5% improvement or something like that, it just builds up with time. But it's a struggle. And that's why I really focus on parents. you know, your kid's struggling with cystic acne and is starting to scar, see a dermatologist, prevent that, you know, them from having to deal with this when they're older, because it's so hard.

Yeah. Two things with makeup wipes. Number one, for me, I can't, you know, I do a lot of TV and whenever I do TV, they always will give me a makeup wipe. And whenever I use them, like with my old skincare products and medical grade stuff, I break out in hives. Um, More than that, because there's, you know, once again, a lot of fragrance, there are probably preservatives in it.

So I'm always looking down. So that's not necessarily tech neck. That's going to be more surgeon's neck, right? And then as far as like with the sleep lines, then there actually is some truth to the fact that a satin or silk pillowcase may be more anti-aging than let's say a cotton or polyester because you're going to scrunch your face less.

There has to be preservatives because they're wet and you got to avoid bacteria growing in them. And so now you've got antibacterial types of preservatives in it to prevent bacterial growth into it. And so there's just a lot of bad stuff in it that you don't need. And so number one, a lot of stuff in it

once again preservatives fragrances all that that can be bad for your skin and then the other thing two two other things second thing is a lot of dermatologists and even makeup artists believe that when you use a makeup wipe on your face you're essentially smearing the makeup all around your face not necessarily removing it so much

And then the third thing is it's not so good for the environment because you're developing a lot of waste from it. And so if you are on a budget and you want to go really inexpensive, then get a micellar water. Most skincare companies have a very inexpensive micellar waters out there. You can buy like a big jug for probably less than $5.

The other option would be to use a makeup removing oil cleanser. So if you've got more oily skin, then oil cleansers are great for removing makeup. We've got one, my Youn Beauty line, one of our popular cleansers is a makeup removing oil cleanser.

But what you want to do then is either use a micellar water or the oil cleanser and then do what's called a double cleanse where you use a regular cleanser afterwards.

Yeah, I think what you're saying is definitely part of it. I do think that if you look in the mirror and you feel like your skin looks older than your age, then that could be a definite component to it. I mentioned earlier the 80-20 rule and the fact that 20% of our aging is genetics and 80% is what you do with it.

And so looking in the mirror and really just, you know, there are tests that you can do. You know, we have a test called the Vizia. It's a high definition photo that we take of the face. And we look at aging on eight different parameters. And so that can look at wrinkles. It can look at age spots and red spots and underlying UV damage.

So you can technically go to a med spa or dermatologist's office and get something like that done. But if you're just looking in the mirror, then really the easiest thing to see is that is if you feel that your skin does not look as young as it should at your age, then you got to think about, okay, why is that the case? You know, part of it could be a breakdown of collagen.

So then you want to look at, you know, are you eating sufficient amount sufficient amounts of protein? Do you want to start taking a collagen supplement to see if that improves it? How is your diet overall? Are you eating enough antioxidants? Are you getting enough vitamin C? Are you eating enough fresh fruits and vegetables? Those are all very important things.

But it's also you have to look at activities, smoking, vaping, smoking marijuana. Now, we don't have studies on marijuana, but we do have studies on smoking and vaping, and it does appear to help reduce the collagen in your skin as well. That's also another thing that can be horrible for your skin. As well as getting excess sun exposure, that too will impact collagen as well.

And there are people who do believe that sleeping on your back is going to be better beauty sleep because you're not going to scrunch your face at all. And I'll tell you, Drew, there are actually companies that have created special pillows that they call beauty sleep pillows. where they cradle your face so you can sleep on your side, even on your face, and it doesn't create lines.

So I think it's really multiple factors, but I think the easiest thing to do would be to look in the mirror, look at your skin and say, hey, I'm 40 years old. How does my skin compare to my friends? And there are, once again, Vizia type, these skin analyses that you can do at med spas and dermatologist offices that can give you a more objective assessment of that as well.

Hydration is huge. I don't believe celebrities who say when they ask, well, how do you look so amazing on the red carpet? Oh, I drink eight glasses of water a day. Like that's BS.

We know that not only do they drink a glass of water a day, but they've got dieticians, they've got nutritionists, they've got personal trainers, they've got estheticians, they've got plastic surgeons and dermatologists, and they're doing all of that. It's not just olive oil that this famous celebrity is putting on her skin to make her skin look so nice at the age of 54.

And so I think we got to make sure that people realize that hydration is super, super important for health, but it's not going to necessarily be the reason why your skin looks the way it does. I think caffeine in and of itself, yes, you do know caffeine is a diuretic. It will cause you to become a bit dehydrated. So definitely you wanna focus on hydration if you are drinking a lot of coffee.

I don't think caffeine in and of itself, other than it being a diuretic, causes anything negative to the skin. In fact, caffeine can be used in skincare products. You know, our retinol eye cream has caffeine in it because it can help create some mild tightening of the skin temporarily. And so a lot of kind of instant tightening creams contain caffeine as one of the main ingredients.

And there's some people who will even take coffee grounds, They will take Saran wrap, wrap the coffee, put the coffee grounds around their thighs, wrap it with Saran wrap and leave it that way for a half hour to an hour and find that their cellulite appears to be improved. And so there are at home ways that you can actually use coffee also to your advantage.

So, you know, my, my feeling is, Hey, if you like, I'm, I like coffee, but I stay away from caffeine because I don't want to get jittery, and I don't like the idea of just having something that I'm addicted to, even though it may not be that bad for you. So myself, I, in general, stay away from it.

But I think that there's so much great things in coffee with the antioxidants in it that, overall, I do think it's a superfood, as long as you're not adding all the crappy creams and, you know... and all that type of stuff to it. Throw a little bit of cinnamon. I think that's great. But yeah, just be careful. Maybe a little coconut milk, you know, mix that up. That's good.

But I tell you, these pillows, Drew, they've sent them to me because they've asked me to create branded posts and sponsor them and all this stuff. They honestly look like the styrofoam packing when you buy a new computer or you buy your TV. You know, it's kind of they're square and they got these weird ridges on the inside, but it literally is like that, but a much softer version.

Yeah, I mean, so the first thing you always have to bring up are ultra-processed foods. So, you know, get rid of those desserts, those packaged desserts that you buy at the grocery store. I mean, those are going to be the absolute worst things. period for your skin.

Because not only are you combining all of the chemicals and the processing, the seed oils, the bad fats, but you're also adding the sugar. You're also potentially adding trans fats. So some of those types of dessert type of foods like the cookies and the prepackaged stuff, those also often will contain trans fats as well. So it's just everything and it's just bad for you.

And we know that that's going to be bad for your skin. You know, there's some, you know, some people say, oh, you know, fruits and vegetables, all that. We know that that's healthy for you. We know healthy sources of protein, you know, like grass fed beef and wild caught fish, all that's great. But I also would really wanna make sure we mention to eat fermented foods as well.

because our American diet is so sterile, to make sure you add those fermented foods, because we do know that there is that direct connection, like I mentioned earlier, between our microbiome and our skin. If you've got skin that is inflamed, if you've got kind of ruddy skin, if you're dealing with adult acne, if you're dealing with eczema, or you're dealing with rosacea, then really,

Taking a daily probiotic and adding in things like kimchi, like sauerkraut, even yogurt. If you're not all of that into the soury types of fermented foods, then fine. Yogurt is fine as well. I'm not a big dairy fan, so I limit that. Kefir, kombucha, but really focusing on those healthy sources. of probiotics. My favorite is kimchi being Korean. My wife doesn't like it.

My kids don't like it, but I've got my jar of kimchi in the fridge and I eat it whenever I can. Just remember that it does not give you good breath. So if you're going to, let's say, go sing at church afterwards, or you've got a meeting with patients or something, then yeah, don't have the kimchi beforehand. Koreans know that the garlic breath, not a good thing.

Garlic and fish breath actually, because kimchi also contains fish paste. So garlic and fish on the breath is not the best, but that's one of my favorite really skin healthy foods overall.

Definitely, and the skin.

Well, thank you so much. I really appreciate it, Drew. This is a lot of fun. And I mean, you've got the best podcast on health. And so it's an honor for me to be a two-time visitor to it. Thank you so much.

I mean, if you want to try them, I think that they can definitely work. It's just I have tried those pillows just because they say, hey, you know, we'll send it to you. Try it out. And if you believe in it, let's work together. I just don't find that they're comfortable because it's like you're sleeping in a soft version of a styrofoam packing, I guess, crate or something like that.

So there are definitely things you can do to help prevent it. Now, I'll tell you, Drew, unless you are really in the 0.1% of people who they hit the age of 60 and they still have a nice tight neckline, it is just genetics. It's gravity.

It's the fact that you're alive and what happens to the collagen of your skin that pretty much everybody, once you hit the age of 60, has got some type of looseness of their neck skin. Now, in some people, that happens much earlier, often due to lifestyle and genetics. And other people, yeah, I have seen some of my patients where at the age of 60, they still have fairly tight neck skin.

Totally. Okay, so you're in your 30s and 40s. We've talked about diet, so we'll take that out of it. What do you do for your actual skin? You want to get on a good skincare regimen. And as far as the active ingredients, which are really important to help slow the process of that drooping skin of the neck, the number one thing I would recommend would be a retinol.

Retinol is a derivative of vitamin A, and that's a non-prescription strength, or you can get prescription strength retin-A or tretinoin.

tretinoin prescription strength is very strong and actually the neck skin believe it or not is much more sensitive than the skin of our face so if let's say you see a dermatologist and they prescribe you tretinoin for acne or for anti-aging and you're tolerating that on your face don't expect that you're going to tolerate it on your neck with the neck you're going to want to start less aggressive because it's not used to having all these creams on it like your face is

And so getting a retinol type of a moisturizer, using it on your face if you do, and then gradually putting it down to your neck and then your chest, even when you're in your 30s, when you're 40s, that's going to help to thicken the collagen because our collagen starts to degrade starting in our mid 20s. So adding retinol is going to help prevent that collagen degradation.

It's going to help to thicken the dermis or the deeper layer of skin. It's going to increase exfoliation of that skin. So that's a great option. If you want to be even more aggressive, then add a peptide-based cream to that as well. Peptides are found in so many skincare products.

If you go to your local drugstore, if you're on a real strict budget, then a lot of the budget-minded skincare brands, they're anti-aging products. creams have peptides in them because peptides can be relatively inexpensive to produce. Peptides are basically small chains of proteins that signal your cells to create collagen.

If let's say you're trying retinol and it's too aggressive on your skin, some people find that that can be kind of hard on the skin, can cause dryness and flaking, then go with a peptide. If you want to double up and use a peptide and a retinol, that's even better. And then the other thing that I would recommend as far as prevention would be red light therapy. There are red light masks.

I've got, I think, two of them at home. There are also handheld or stand up red light devices that you can put. Those are nice if you want to treat the neck and the chest because those are going to basically the red light. You want to usually do it. It's about a 15 to 20 minute treatment. Depending on the manufacturer, you want to consider doing it anywhere from four to six times a week.

And what that does is that the energy of that red light gets taken up by your skin cells and it causes the mitochondria to become energized to produce more ATP. Studies have shown that red light therapy can help increase the collagen and the elastin in the skin. And so when you're in your 30s, 40s, it's going to be skincare, retinol, peptides, red light therapy.

But for the vast majority of people, when you hit your mid-50s or so, you start really noticing that skin starting to loosen. And so the way I look at it is there are kind of three levels of treatment for it. The first one is going to be prevention. The second one is how do you treat it when it's fairly mild?

If you have access to a dermatologist or a plastic surgeon or a med spa, then you may want to consider some light chemical peels or there are radio frequency kind of deep heating skin treatments that have no downtime to them. That also would be really good for somebody who's in their 30s and 40s. They want to prevent the droopiness of that skin. So those would be the things I would start with.

Preventative, they definitely help. Even if you do them, someday you're going to get some loose skin there, but that's definitely going to help slow that progression.

I think it's important for people to realize too that there are five types of collagen. It's not like there's just one collagen. That's something you want to look at too with the products that you're using. For example, some people will take collagen supplements because they have joint issues. Maybe if you've got fibromyalgia, if you've got muscle aches.

And those did include three really important ones, vitamin C,

So type one collagen is the one that I typically focus on being a plastic surgeon. That's in our skin, essentially, and our hair and our nails. And there are some collagens that really just supplements that just focus on type one. Type two collagen is collagen that's in our muscles and type three is in our joints. And so you do want to focus on the right types of collagen too.

Some collagens like the one that we have has all three, in which case you can kind of help potentially with a number of different potential issues. Type four and five collagen really don't really enter the conversation so much. Type four is in our kidneys and type five is in our placenta. So those you don't really need to worry about.

protein and iron so we do know you know there is this claim that holistic health practitioners will make that our soil is depleted that our industrial farming practices have caused our fruits and vegetables to be less nutritious than they used to be and this is actually proof for that this was actually a scientific study that that proved that that is true and that that study ended in 1999

But the other three, I think it's important to realize that if you do get a collagen supplement, find out what types of collagen are in those because you want to make sure that you are taking the right one for your potential, your specific needs.

Yeah, I think inflammation, you know, sugar is a huge part of it. And so as far as avoidance, that's super, super important. And with AGEs, the advanced glycation end products, the main thing that I look at that causes those to be created basically is sugar. But you can actually get advanced glycation end products in certain types of foods as well.

And typically those are animal-based, high-fat foods that... Worst case scenario are ultra processed and heated to super high temperatures. So for example, and this is really sad, but the type of food with the most amount of advanced glycation end products is bacon. And yeah, not good.

And so these advanced glycation end products you can get not just from, unfortunately, just from sugar, but you can also get it from other types of foods. If you grill a steak on the grill, that can also be, you know, potentially high levels of advanced glycation end products. So you're talking once again, things that will age you. Margarine has a lot of advanced glycation end products as well.

Exactly.

Correct. And I think that's part of it. You know, one of the things I always try to preach to my followers is, you know, it's like you can follow people on social media who appear to have like the perfect healthy lifestyle where, you know, they're doing everything possible. They're eating all whole foods. They're exercising every day. They're doing cold plunges. They're in the sauna.

And reality is that the majority of Americans are just trying to make a living and stay as healthy as they can while they take care of their kids, while they try to put food on the table and stuff. And so really what I try to encourage people is just like you said, is don't feel guilty if you're at your kid's friend's barbecue and you have a dog from the grill. That's okay.

It's like 24 years later. So now we got to wonder just how bad is it now? So nutrient depletion is something that we are dealing with as we get older. That's one reason why I'm a big fan of supplements and supplements, something I do cover in the book. But the other thing that you have to think about is, like you mentioned before, is collagen.

It's just, it's a pattern of behavior where if you're eating so much of that, that it can be very harmful. But at the same time, we do have to live life and part of living life is enjoying it as well.

And I think too, I think you'll see too, as you get healthier and healthier for those people who are making these changes is that you'll find that you don't wanna have those foods all the time because they start making you feel kind of crummy.

And I do think that there is a huge segment of the American population who just chronically doesn't feel good, but they don't realize they don't because this is just their natural level of living. They don't know what it feels like to truly feel energetic and healthy because they've never been given that type of a diet and have been on that type of activity and all of that.

Yeah. And I think when you look at me being a plastic surgeon, you look at your outer appearance, that can really impact how you feel about yourself too. And about being healthy, some people say, well, what is beauty? And my first thing would be beauty is really is health. in general.

And so being healthy, that's oftentimes really for what I try to recommend as a first step to feeling beautiful about yourself. And so just like you said, that makes complete sense.

So nutrient depletion is something I think that's really important. I don't have a lot of solutions for it. Really, it's going to be looking at your macronutrients. It's going to be potentially taking a multivitamin. But where you really, for me, I get into the actionable things is when you do look at collagen and how our skin does... lose collagen and the thickness of collagen.

So you only need to look at the US presidents when they enter office and then when they exit office four or eight years later to know that stress is a huge ager of our body.

Yeah. I mean, it's obvious that that's what happens. And so there aren't studies that I know of that have specifically looked because how do you quantify stress? That's the problem. How do you do a study on somebody who's really stressed and see their aging process. It's just there is no way I know of to actually do that.

But we do know in general that there are certain activities that can reduce your stress that do actually help you to feel and look younger. And so one of the big parts of my book is talking about some of these strategies, including meditation,

and how meditation can be huge in reducing the amount of stress that you have and even in improving your appearance i'm a huge fan of yoga yoga i think especially as we get older so many benefits not only just to to our stress level but also to mobility and to balance and actually your appearance potentially can be very very important and then sleep being a huge part of that as well i think that's something that our

that our society has really failed us in teaching is how to deal with stress. And really the difference, like I mentioned earlier about acute inflammation and chronic inflammation, there's a big difference between acute stress and chronic stress. And acute stress being something that is a big focus for anti-aging experts and longevity experts is being a good thing.

So I definitely want to get into that because I think nutrient depletion is something that is super important to realize you have covered it so well throughout your podcast. I don't have new solutions there other than making sure that you follow your macros.

Hence, all these people jumping into cold bathtubs and trying to stay in them for as long as they can versus chronic stress, which is a stress that so many of us here, especially in the United States, and even really around the country, around the world, are dealing with when you've got stress of paying your bills, when you have stress from work, obligations, and all of that.

That definitely is aging to our bodies. And so trying to take ourselves out of that as much as we can, I think, is so, so important.

You know, I think that there is. I think once again, the problem is how do you quantify that? You know, when you look at stress, like we have studies that have looked at taking, let's say, vitamin C. People who have a diet high in vitamin C, there are studies that show that they have less wrinkles than people who have lower diets, lower in vitamin C.

But the big question is, is how do you quantify stress and its effects on wrinkles? Just real quick, just all of a sudden it brought me back. We talked about collagen. It's the same idea and similar. Like one of the things I think that there's a,

We can make, in medicine, we can make conclusions based off of what we see in general that may not be quote unquote evidence-based, where we may not actually have a scientific study specifically that can support it. But we know by looking at the facts on the ground that this is most likely true. Exactly.

And one of those, just to bring up, because it's something that really is kind of becoming dogma in holistic health, but has never actually been proven true, is bone broth and its effects on the skin. Okay, so we talked a lot about collagen just a few minutes ago. And I have friends of mine, colleagues of mine who say, oh, you take bone broth, it's going to make your skin better.

I think there's definitely a big trend towards protein that people don't realize how protein deficient we are, especially as we get older and with sarcopenia. But I would like to pivot towards collagen if that's okay. Can I interject before you pivot into collagen? Sure.

It's going to improve the collagen of your skin. And it makes sense because bone broth, you take it and, you know, and you cool it down and it becomes a gelatin and that's basically pure collagen. But there is no study to show that taking a bone broth, that drinking bone broth at all will improve your skin. There's zero studies to support that.

But, Drew, there are zero studies to say that it doesn't do it. And the studies just haven't been done. So, you know, unfortunately, like in traditional medicine, then, you know, you will have a physician that say, well, bone broth doesn't make your skin better. Where are the studies to prove it makes your skin better? And there aren't any.

But at the same time, does that mean that your negative conclusion is true? That then because there are no studies to support that bone broth doesn't improve your skin, it must not improve your skin? No. Like once again, we can use deductive reasoning to say, okay, bone broth is filled with collagen. Collagen supplements have been shown to improve the skin.

So it makes sense that bone broth should improve your skin too.

Yeah.

I am. Yes. Yeah. And I think that that definitely is something that if you do want to improve the collagen of your skin and you like the taste of it, then by all means, that's something that I do definitely recommend. And that goes back to what you mentioned before is that our ancestors would eat the whole animal.

And that's one of the benefits of bone broth is you take those parts of the animal that normally we wouldn't necessarily consume in our society and you can use that for good means essentially.

Yeah, so free radicals, once again, that's oxidation, huge cause of aging of the skin. I mean, years ago, people thought that that was the main reason that we age, period, was free radicals. Now I think we know better that that's a component, but not necessarily the only reason why we age.

So put it very simply, free radicals can damage collagen, essentially, can damage our DNA of our skin because of the process of oxidation. So free radicals are essentially these molecules that are damaged that try to steal electrons from essentially our healthy cells. And by doing that, they can actually damage then the DNA of our cells and cause the cells to essentially prematurely age.

So free radicals are something that is a byproduct of our natural metabolism. So just being alive, your body creates free radicals. So that's not necessarily a negative thing. But the problem is, is that in our society, and even based off the food that we eat, our body can get overrun by free radicals. And so you can get free radicals by eating certain types of food.

The type of food that is most filled with free radicals in general are the ultra processed foods. So yes, foods can contain free radicals. Also, you can get free radicals from things like pollution, from smoking, from different types of lifestyle things. Actually, exercising can create its own free radicals.

that being said when free radicals can become a problem is when your body gets overrun by them your body will create antioxidants naturally antioxidants essentially donate the electron to the free radical to neutralize it so that does not then damage the cells of our body And our body will generate its own antioxidants as a way to combat free radicals.

But when there's so many free radicals that are essentially attacking your body, you know, from once again, those types of activities from those types of foods, and you enter a state of oxidative stress. And that's when the free radicals are excessive and your body is essentially prematurely aging from it. So what is your body's natural defense against free radicals?

Well, once again, antioxidants, and you can actually take antioxidants by mouth, and you can apply it onto your skin. And that's what I usually recommend as a kind of a two pronged approach. Now, interestingly enough, okay, you know, one of the big things with my book, and I'm a big fan of integrative medicine is combining the holistic with

And as a traditionally trained plastic surgeon, that's something that I always am looking at traditional medicine as the gold standard for evidence-based medicine, but it does lack, unfortunately, a lot of things. Interestingly, Drew, if you were to ask one of our holistic practitioner friends, what's the best way to get beautiful, healthy skin?

They would say, heal your gut and then your skin will follow. If you ask a dermatologist, what's the best way to get healthy, youthful skin? They'll say, wear sunscreen and use a retinol. And if you ask a plastic surgeon, they'll say, have a facelift, get some Botox, maybe a laser treatment.

And really in the end, it's combining the best of both worlds, I think, that's going to be your best option. And so when you look at antioxidants, it's consuming them, okay, in foods, but it's also applying it to the surface of your skin as well.

are your favorite foods that you would be telling people even as basic as it might seem it's that reminder about the power of like food as medicine so let's talk about foods first and then we'll go to topical so yeah the big thing with antioxidants is that you want to eat the rainbow and this is something you've heard on your show if you've been following drew for a long time you've heard this this said before but eating the rainbow fruits and vegetables is super important because the it's the actual pigment

in the fruit or the vegetable that is the antioxidant. And so if you eat, let's say a green leafy vegetable, you're gonna get different antioxidants than if you eat like an orange fruit versus if you eat a yellow vegetable.

And so the idea is by eating a wide variety of fruits and vegetables in a plethora of different colors, and you're gonna get a variety of different antioxidants that's gonna give you even better protection overall. And so that's in general what I recommend. Now, ideally too, there are certain, especially fruits that have a higher glycemic index than other types of fruits.

And so essentially they may raise your blood pressure faster. And we mentioned earlier about sugar being a cause of inflammation. So ideally staying with some of the lower glycemic index fruits, if you can.

uh fruits essentially berries are a really good source of great antioxidants lower glycemic index so you can kind of help with the inflammation part of it and you can help with the oxidation part of it at the same time so that's going to be my favorite type of fruit with vegetables you know i'm a big fan of green green leafy vegetables and darker green leafy vegetables like spinach i think is great kale all those i think are really really good but ideally you do want to focus once again on the rainbow it's not good if all you eat are green leafy vegetables if all you eat are just

you know orange fruits you really want to mix it up yeah people can even toss in things like kimchi right kind of like that you grew up eating kimchi yes and so you know that too when you talk about inflammation there are inflammation reducing foods i think that are super important and you know when i look at inflammation reducing foods you know going back i know we're talking about free radicals but when you go back to inflammation and kimchi is a huge thing um

We can go into that. We can go into that later on. Yeah.

i look at two main ways to reduce inflammation in the diet okay and that would be eating monounsaturated uh fatty acids and omega-3 fatty acid rich foods and then eating um probiotic rich foods as well okay and so there are foods we mentioned earlier that add to the inflammation in our body. There are foods that can reduce inflammation.

So for the omega-3 fatty acids, you're looking at cold water fish. So salmon, tuna, trout, mackerel, that type of thing. For monounsaturated fatty acids, olive, olive oil, olives, olive oil, avocados, nuts, and seeds, I think are great sources. And then the other group, once again, is gonna be hitting the microbiome. And I'm happy to go over that. That is where kimchi kind of comes into play here.

Yeah. And that's one thing is when you do look at free radicals and oxidation, fried foods, ultra processed and fried foods are the two big sources that you want to try to avoid, period. But it's tough because in our society, it's just everywhere. And so trying to do your best to try to avoid that definitely is a way to go.

Yes.

Yeah, I mean, if you're visiting from the Midwest and you come to California and you want to try an In-N-Out for once, feel free. I mean, it's kind of a rite of passage when you come to California because we don't have it out east. But at the same time, it's like my wife used to, when my kids were young, they would say, okay, this is a sometime food and this is an all the time food.

And that is going to be a very much a sometime food.

Well, and I think, and what you're hitting too is that a lot of this overlaps, you know, and so you're talking about ultra processed foods and ultra processed foods actually are super important when you look at free radicals and oxidation that a lot of people don't realize, you know, and when you're talking about

um you know with also with inflammation and with having whole foods versus some of these ultra processed foods the idea really is is that you want to get back to that that diet that i mentioned earlier where you can actually name like what that food is made out of versus these products that you don't even know what they're constructed of and it's the idea of hyper palatability but the fact is is that there is a difference between the food that you eat that's natural that

Really, in some ways, nature has made food so that naturally you're not going to overeat it. So how often do you have a bowl of strawberries and you overeat those strawberries? How often do you have chicken and you just overeat necessarily just chicken?

Whereas you get a can of potato chips or a bag of popcorn or French fries, and it's so much easier to overeat those because they're hyperpalatable. They're literally scientifically... made for you to overeat them so that they can essentially make more money off of you. And so, yes, I think when you're looking at nutrient depletion, it's a very simple thing to look at, but it's so, so important.

So, you know, I mentioned earlier collagen, 70 to 80% of the thickness of what your skin is made out of is composed of collagen. We lose the collagen literally 1% every year. So how do you then replenish the collagen? Well, once again, like I mentioned earlier, protein. Collagen is a large protein.

And some people ask me, they'll say, well, if I take a collagen supplement and I use a collagen cream, is that going to replenish the collagen in my skin? Well, collagen is a large protein. And the first thing I want your readers, I'm sorry, your listeners to know is that collagen creams make zero sense, okay? Collagen is a large protein. Our skin is a barrier and it's made to keep things out.

Collagen being so large, if you put it on the surface of your skin, it's just going to sit there. It's not going to absorb into your skin and it's not going to make your skin any more youthful. So the first thing I recommend is staying away from collagen creams. I mean, if you want to spend the extra money for it, that's fine, but essentially it's just going to be a fancy moisturizer.

Collagen supplements are a whole different thing. And as you know, they are very controversial. I made a post on TikTok a couple of years ago touting the benefits of a collagen supplement. And oh my gosh, Drew, the hate was everywhere.

There are physician, traditional physicians. There are like athletic trainer types, you know, who fashion themselves as nutritionists and things, and then just lay people. You know, saying, well, my doctor said this. It's a lot of my doctor said, my family doctor said collagen doesn't work. Interestingly enough, there's a doctor on TikTok and he's big on social media.

He is a cardiologist, traditionally trained. Also, he's had some nutrition training as well. He's got a big bushy beard. He's an older guy and he speaks with clarity and he's very positive and confident in his work.

in what he says and in his conclusions and he made a video basically stating that collagen supplements don't work and if you want if you're going to try a collagen supplement just save your money and get gelatin it's the same thing and i didn't reply to it i'm not going to get an argument with another physician but i disagreed with it and very interestingly literally like

a month and a half ago, I saw that video reappear on social media. And as the video is about over, he shows up, he swipes it out of the screen, and he says, I was wrong. Wow. Yeah, he said, I did the research. Collagen supplements do work. They do improve your skin. And I was wrong.

It floored me because how often do you see a 65-year-old physician who speaks whenever they're out there, what they say is right, to come back and say that what they said was not true?

Yeah, and really then when you, so what does the science say? And really that's what it comes down to. Because people say, okay, collagen supplements don't work. The main argument is that it's a large protein, which is true. And if you ingest it, your body will break it down. And how do you know that it actually gets to your skin or where you want it to go?

And really the fact of the matter is, is when you look at collagen supplements, make sure that the supplement that you take is made of hydrolyzed collagen peptides.

And that's super important because once again, collagen being a large molecule, when you actually take a hydrolyzed collagen supplement, that collagen protein has been broken down into amino acids, which are the single units of protein, and their peptides, which are groups of two or three amino acids or so. And that's done on purpose so that your body can actually absorb it.

So there was actually a study that looked at fruits and vegetables in the United States from the years 1950 to 1999. And it looked at their different number of different nutrients and it looked at them year by year and how much of these nutrients they basically had. And they found a statistically significant reduction in at least six different key nutrients in our produce from 1950 to 1999.

So it's like the argument that they have in that your body won't absorb it, it will break it down. Yeah, that's why it's made the way that it is. That's why it's hydrolyzed and that's why high quality collagen supplements typically are hydrolyzed collagen peptides.

And then when you actually look at the scientific studies, the studies, there are so many of them and they're powerful studies that do show collagen supplements do create an effect. There was a meta analysis of over, I think it was over like 1200 people published back in 2021.

And they looked at people taking collagen supplements for 90 days and they found a statistically significant improvement in the hydration of the skin, in fine lines and wrinkles and in the elasticity of the skin. and that was a meta-analysis, so it's a group of multiple studies that they put together for higher power.

There even have been studies that have looked at collagen supplements where you put somebody on a collagen supplement for two months, randomized placebo-controlled clinical trials, and then you actually take a biopsy of their skin afterwards and you can see that the skin has thicker collagen and the skin is thicker afterwards. I don't know what other proof is needed.

Some people will say, well, maybe if you just increase the protein intake, that will do the same thing. And truthfully, I have not seen a study comparing increasing protein intake to taking a collagen supplement. That would be something that would be very interesting.

But there are a lot of studies that are out there that do show that taking collagen supplements can create a profound impact on the skin.

So full disclosure, I have my own skincare and supplement line. And so we do sell our own supplement. That's actually a collagen supplement. That's our number one seller actually for supplements. As far as me, I think it's pretty simple. The best collagen supplement, there's some supplements out there.

The one that we have, it's tasteless, which is great, but there's some you can, if you taste it, it does have a little bit of a beefy taste to it. So you got to try them ones and see what you like. But in general, a good hydrolyzed collagen supplement should... dissolve into any type of a hot liquid.

So if you like tea in the morning or if you like coffee, for me now, I used to drink a lot of decaf coffee and I would put in my decaf coffee. And then I went to the dentist and my dentist is like, you've been drinking a lot of coffee lately and you're getting some staining of your teeth. So now I actually just mix it with hot water and it just tastes like hot water.

And so that's what I have a lot of mornings now throughout the week. The other thing you can do is you can mix it into a smoothie or a smoothie bowl. I think that's a nice way to do it as well.

Yeah, because those capsules, essentially, they're just filled with the powder inside. I take other supplements as capsules. I don't want to take more capsules. I'd rather just put it into my hot drink in the morning and then just drink it up.

So I think that you have to look at it as these are things that you need to love to do. So for example, for me, I operate every Tuesday and Thursday. I see patients every Monday and Wednesday. And I used to operate Friday mornings. Technically, when I started my practice, I used to operate all day Fridays.

So I think that you have to look at it as these are things that you need to love to do. So for example, for me, I operate every Tuesday and Thursday. I see patients every Monday and Wednesday. And I used to operate Friday mornings. Technically, when I started my practice, I used to operate all day Fridays.

And gradually, I brought that down to the point where I was just operating a few hours in the morning and then doing podcasting and social media and video creation and writing books and all that stuff after that. And then I realized in the end, I said, if I get up an hour earlier on Thursday, that can make up for some lost time on the time I'm operating on Friday.

And gradually, I brought that down to the point where I was just operating a few hours in the morning and then doing podcasting and social media and video creation and writing books and all that stuff after that. And then I realized in the end, I said, if I get up an hour earlier on Thursday, that can make up for some lost time on the time I'm operating on Friday.

I'll just do a little bit more on a Thursday. And now I dedicate all my Fridays to essentially podcasting and content creation. And then at the same time, what I'm finding is as I'm doing more and more of the social media and the podcasting and the YouTube and all that type of stuff, I'm able to charge more for my surgeries. I don't take insurance anymore. And so I can really charge what I want.

I'll just do a little bit more on a Thursday. And now I dedicate all my Fridays to essentially podcasting and content creation. And then at the same time, what I'm finding is as I'm doing more and more of the social media and the podcasting and the YouTube and all that type of stuff, I'm able to charge more for my surgeries. I don't take insurance anymore. And so I can really charge what I want.

And that has allowed me to operate less yet still make the same or more than I did when I operated an extra day. And now I spend that extra day doing other things. I still love treating patients. I love operating, but I also love a variety. If I was... one of those positions that saw 60 patients a day, five days a week, year after year after year, I would burn out. It's just not my thing.

And that has allowed me to operate less yet still make the same or more than I did when I operated an extra day. And now I spend that extra day doing other things. I still love treating patients. I love operating, but I also love a variety. If I was... one of those positions that saw 60 patients a day, five days a week, year after year after year, I would burn out. It's just not my thing.

I love doing a lot of different things, especially the creative stuff. And so that's allowed me to essentially add the creative parts in and actually in the end, make more money by doing that.

I love doing a lot of different things, especially the creative stuff. And so that's allowed me to essentially add the creative parts in and actually in the end, make more money by doing that.

The issue that people have, I think, is that there are so many bright lights out there. There's so many things that you can focus on. And people then, they get inspired by listening to, say, a podcast. And they say, well, geez, I want to get on YouTube. I want to start my podcast. No, do one thing that you think you're going to really love if you're going to get into this. Focus on that.

The issue that people have, I think, is that there are so many bright lights out there. There's so many things that you can focus on. And people then, they get inspired by listening to, say, a podcast. And they say, well, geez, I want to get on YouTube. I want to start my podcast. No, do one thing that you think you're going to really love if you're going to get into this. Focus on that.

Do that really, really well. And then when that's successful, then start moving into the other things. Because I think what happens to a lot of entrepreneurs, especially like a physician, is that they see all these bright, shiny objects. They go after all of them at one time. They do all of them not so well or half-ass all of them. And then none of them really become successful.

Do that really, really well. And then when that's successful, then start moving into the other things. Because I think what happens to a lot of entrepreneurs, especially like a physician, is that they see all these bright, shiny objects. They go after all of them at one time. They do all of them not so well or half-ass all of them. And then none of them really become successful.

Then they get dejected. And so my recommendation really for people who are thinking about going into something a little bit different is to think about what you like to do. And my first love was always video. That's why I focus on that. Even though I've written four books and I've got the podcast, it always was a video.

Then they get dejected. And so my recommendation really for people who are thinking about going into something a little bit different is to think about what you like to do. And my first love was always video. That's why I focus on that. Even though I've written four books and I've got the podcast, it always was a video.

And then once you really do that well and you're really enjoying it, if you want to branch out, by all means do that. But you don't want to be a jack of all trades, master of none. You want to start with that one thing that you know you're going to love that you can really excel at and then try to work your way out from there.

And then once you really do that well and you're really enjoying it, if you want to branch out, by all means do that. But you don't want to be a jack of all trades, master of none. You want to start with that one thing that you know you're going to love that you can really excel at and then try to work your way out from there.

Totally agree. And I think too, as a physician and as a creator, you want to look at whether you are a B2B person or a B2C person. So for example, I'm very B2C. I have some plastic surgeons that follow me. I think they don't comment on my stuff because I think that I'm kind of a bit of an outlier. And there's some doctors who don't like me. Some of them are jealous of me.

Totally agree. And I think too, as a physician and as a creator, you want to look at whether you are a B2B person or a B2C person. So for example, I'm very B2C. I have some plastic surgeons that follow me. I think they don't comment on my stuff because I think that I'm kind of a bit of an outlier. And there's some doctors who don't like me. Some of them are jealous of me.

But I have a good friend of mine and he is a B2B doctor where he has all the plastic surgeons and nurses following him. They comment on his stuff all the time. but he has literally one eighth, I think, of the followers that I have. But we create very different content. And so when you're looking as a physician or a professional, you're creating content.

But I have a good friend of mine and he is a B2B doctor where he has all the plastic surgeons and nurses following him. They comment on his stuff all the time. but he has literally one eighth, I think, of the followers that I have. But we create very different content. And so when you're looking as a physician or a professional, you're creating content.

The first thing I encourage you to think about is, are you a B2B person or are you a B2C person? Once you figure which one of those out, then you want to create content for that person. None of my content is B2B. You don't see me creating any content for doctors. It's all for patients, lay people, maybe nurses, maybe a support staff, but almost none of it is for doctors.

The first thing I encourage you to think about is, are you a B2B person or are you a B2C person? Once you figure which one of those out, then you want to create content for that person. None of my content is B2B. You don't see me creating any content for doctors. It's all for patients, lay people, maybe nurses, maybe a support staff, but almost none of it is for doctors.

And I know now if I put something out that's specifically for doctors, it's going to crash and burn because it's such a small fraction of my audience.

And I know now if I put something out that's specifically for doctors, it's going to crash and burn because it's such a small fraction of my audience.

This is a great question. It's something that I came up with many years ago as I hit this fork in the road with my practice. As plastic surgeons, we learn how to cut people open. And the goal is always to bring people to surgery. And I realized when I had a patient with a terrible complication that this was wrong.

This is a great question. It's something that I came up with many years ago as I hit this fork in the road with my practice. As plastic surgeons, we learn how to cut people open. And the goal is always to bring people to surgery. And I realized when I had a patient with a terrible complication that this was wrong.

And that my goal for being a plastic surgeon should not be to try to bring as many people to surgery as I can, but it should be how do I keep them out of surgery yet still help them to look and feel their best? And so in my book, Younger for Life, the idea is it's a concept called autojuvenation.

And that my goal for being a plastic surgeon should not be to try to bring as many people to surgery as I can, but it should be how do I keep them out of surgery yet still help them to look and feel their best? And so in my book, Younger for Life, the idea is it's a concept called autojuvenation.

And it's basically how you can use your body's own natural rejuvenative abilities to turn back the clock naturally. But in order to do that, you have to give it the right tools and the right environment to do so. And I firmly believe that if you incorporate those types of things, and it's what you eat, When you eat, nutritional supplements, skincare, and non-invasive treatments.

And it's basically how you can use your body's own natural rejuvenative abilities to turn back the clock naturally. But in order to do that, you have to give it the right tools and the right environment to do so. And I firmly believe that if you incorporate those types of things, and it's what you eat, When you eat, nutritional supplements, skincare, and non-invasive treatments.

When you focus on those five things, the vast majority of people can look five, even up to 10 years younger, and hopefully not feel the need to have to have surgery. Because if anybody comes to see me and they say, hey, Dr. Yoon, I'm thinking of having a tummy tuck or a facelift or breast lift. What's the worst thing that can happen to me? I answer, you can die.

When you focus on those five things, the vast majority of people can look five, even up to 10 years younger, and hopefully not feel the need to have to have surgery. Because if anybody comes to see me and they say, hey, Dr. Yoon, I'm thinking of having a tummy tuck or a facelift or breast lift. What's the worst thing that can happen to me? I answer, you can die.

That's the worst thing because you got to be honest with them. So anything you can do to prevent that, obviously you want to do.

That's the worst thing because you got to be honest with them. So anything you can do to prevent that, obviously you want to do.

Oh my gosh. I'm 38. Oh, look at you. Oh my gosh.

Oh my gosh. I'm 38. Oh, look at you. Oh my gosh.

Yeah, you do. Well, but with what you're doing, it's good for people to know that you're 38 because I think that with age does come wisdom and people believe that you have more wisdom if you're older too, whether that's true or not. I mean, I know people who are 50 who God knows they have no wisdom. Totally.

Yeah, you do. Well, but with what you're doing, it's good for people to know that you're 38 because I think that with age does come wisdom and people believe that you have more wisdom if you're older too, whether that's true or not. I mean, I know people who are 50 who God knows they have no wisdom. Totally.

You can use your body's own regenerative abilities to turn back the clock. It's a concept called autojuvenation. And there are five things really that if you do really focus on that, you can look five to 10 years younger.

You can use your body's own regenerative abilities to turn back the clock. It's a concept called autojuvenation. And there are five things really that if you do really focus on that, you can look five to 10 years younger.

Thank you so much for having me, Holly. I appreciate it.

Thank you so much for having me, Holly. I appreciate it.

Anti-aging basically means slowing down that aging process because no matter what, it's going to keep moving forward. Reversing aging is actually looking or being younger. Now, there's interesting things, okay? There's a difference between a biological age and a chronological age, okay? So you cannot change your chronological age. You know, you said 38? Yep. I'm 51.

Anti-aging basically means slowing down that aging process because no matter what, it's going to keep moving forward. Reversing aging is actually looking or being younger. Now, there's interesting things, okay? There's a difference between a biological age and a chronological age, okay? So you cannot change your chronological age. You know, you said 38? Yep. I'm 51.

There's no way I can be chronologically 50. That ship has passed last year. You can't be 37. That's what you were last year. But your biological age is basically the age of your body biologically on the inside, and that you can change. And those are those principles of autojuvenation.

There's no way I can be chronologically 50. That ship has passed last year. You can't be 37. That's what you were last year. But your biological age is basically the age of your body biologically on the inside, and that you can change. And those are those principles of autojuvenation.

By changing what you eat, by exercising, by taking certain supplements, all that stuff can actually reverse your biological age. Now, how much can you reverse it by? That's a big question. And there are people who claim to have a biological age nowhere near their chronological age. You know, you got to wonder, there's some people who use that as a marketing tactic as well.

By changing what you eat, by exercising, by taking certain supplements, all that stuff can actually reverse your biological age. Now, how much can you reverse it by? That's a big question. And there are people who claim to have a biological age nowhere near their chronological age. You know, you got to wonder, there's some people who use that as a marketing tactic as well.

And the fact is, is that you can look at somebody on the outside and have an idea of what their biological age is because what is on the inside will show on your skin. The skin is our magic mirror. I have a good friend of mine, Dr. Trevor Cates. She said, our skin is our magic mirror. It is what's on the inside will show on your skin.

And the fact is, is that you can look at somebody on the outside and have an idea of what their biological age is because what is on the inside will show on your skin. The skin is our magic mirror. I have a good friend of mine, Dr. Trevor Cates. She said, our skin is our magic mirror. It is what's on the inside will show on your skin.

The interesting thing is that, and this is where my book is a little bit different than some of the other anti-aging books by certain scientists, is that There are people who will talk about different things you can do to anti-age your body and increase longevity, but a lot of them don't honestly look that young.

The interesting thing is that, and this is where my book is a little bit different than some of the other anti-aging books by certain scientists, is that There are people who will talk about different things you can do to anti-age your body and increase longevity, but a lot of them don't honestly look that young.

And there are studies that show that the younger you look, technically, the longer you will live. And there are actually twin studies that show that the identical twins, the younger looking of the identical twin typically lives longer than the older looking of the two.

And there are studies that show that the younger you look, technically, the longer you will live. And there are actually twin studies that show that the identical twins, the younger looking of the identical twin typically lives longer than the older looking of the two.

Sounds great.

Sounds great.

Even though genetically they're the same.

Even though genetically they're the same.

I love Dave. Dave's a friend of mine.

I love Dave. Dave's a friend of mine.

Part of it is I think this generation are the millennials. They take care of themselves so much better. I mean, one of the shows I grew up watching was the Golden Girls. And I'm sure you've seen those memes on social media where you see Rue McClanahan from the Golden Girls, where she was like 53. And then J-Lo, who's the same age. And it's insane when you think about it.

Part of it is I think this generation are the millennials. They take care of themselves so much better. I mean, one of the shows I grew up watching was the Golden Girls. And I'm sure you've seen those memes on social media where you see Rue McClanahan from the Golden Girls, where she was like 53. And then J-Lo, who's the same age. And it's insane when you think about it.

And J-Lo, as much as I personally, I'm not her doctor, so I have no evidence of any of this. I don't think it's just olive oil of why she looks so young, but I also don't think it's all plastic surgery. This is a woman who has taken great, whether you love her or not, or dislike her, she's taken great care of herself. She exercises regularly. She washes what she eats.

And J-Lo, as much as I personally, I'm not her doctor, so I have no evidence of any of this. I don't think it's just olive oil of why she looks so young, but I also don't think it's all plastic surgery. This is a woman who has taken great, whether you love her or not, or dislike her, she's taken great care of herself. She exercises regularly. She washes what she eats.

I'm sure she uses great skincare. She protects her skin. And that can really make a difference. There are genetics though. Genetics do play a factor in it, but we believe that's only about 20%. It's that 80-20 rule and that 20% of your aging will be determined by your genetics. The other 80% is what you do with them is the epigenetics part of it.

I'm sure she uses great skincare. She protects her skin. And that can really make a difference. There are genetics though. Genetics do play a factor in it, but we believe that's only about 20%. It's that 80-20 rule and that 20% of your aging will be determined by your genetics. The other 80% is what you do with them is the epigenetics part of it.

And then there are some people who benefit a lot from that. I think the 80-20 rule is pretty generalized. If you are really light-skinned, you're, let's say, Irish, that's going to be more than probably 20%, unfortunately, for you. Same thing, like if you are African-American or even Asian, we do get the benefit because of the melanin in our skin of maybe being more than that 20% genetics.

And then there are some people who benefit a lot from that. I think the 80-20 rule is pretty generalized. If you are really light-skinned, you're, let's say, Irish, that's going to be more than probably 20%, unfortunately, for you. Same thing, like if you are African-American or even Asian, we do get the benefit because of the melanin in our skin of maybe being more than that 20% genetics.

Yeah, Hala. So thank you. Basically, I grew up in a small town in the middle of Michigan. We're the only Asian family. So my parents immigrated from Korea. My dad's a physician. He's an obstetrician gynecologist. And I developed, and I think it was honestly a mutation because there's nobody in my family that's ever had this before. But when I got into high school, my jaw started growing.

Yeah, Hala. So thank you. Basically, I grew up in a small town in the middle of Michigan. We're the only Asian family. So my parents immigrated from Korea. My dad's a physician. He's an obstetrician gynecologist. And I developed, and I think it was honestly a mutation because there's nobody in my family that's ever had this before. But when I got into high school, my jaw started growing.

having us age a bit more slowly than somebody who's Irish where that's on the other side of it. So it's interesting, but definitely what you see on the outside does project what's on the inside, not 100%, but a good portion of it.

having us age a bit more slowly than somebody who's Irish where that's on the other side of it. So it's interesting, but definitely what you see on the outside does project what's on the inside, not 100%, but a good portion of it.

Some very simple thing that we know of is that the health of our gut, our microbiome, will really show on the skin. And there are early studies now showing that if you've got, let's say, poor gut health, if your microbiome is unhealthy, if you're eating a lot of inflammatory-type foods, then that will show on your skin as inflamed skin.

Some very simple thing that we know of is that the health of our gut, our microbiome, will really show on the skin. And there are early studies now showing that if you've got, let's say, poor gut health, if your microbiome is unhealthy, if you're eating a lot of inflammatory-type foods, then that will show on your skin as inflamed skin.

So there are connections between skin conditions like rosacea, like eczema, even acne that do have a connection to the health of the gut. And so anybody who's truly looking at skincare and skin health from a truly holistic perspective needs to do more than unfortunately what some of us have been doing for the last 50 years, which is just focusing on sunblock and creams.

So there are connections between skin conditions like rosacea, like eczema, even acne that do have a connection to the health of the gut. And so anybody who's truly looking at skincare and skin health from a truly holistic perspective needs to do more than unfortunately what some of us have been doing for the last 50 years, which is just focusing on sunblock and creams.

You know, yes, that is an important part of it, but also the health of your gut is really going to show in that manner. And we have direct correlations and studies now showing that.

You know, yes, that is an important part of it, but also the health of your gut is really going to show in that manner. And we have direct correlations and studies now showing that.

So I had this patient who I performed a facelift on. And at this point in my career, I was probably, I don't know, seven, eight, 10 years into my career. And I thought that I'd hit the pinnacle of success. I had over a year waiting list. I had patients flying in from all over the country to have operations done by me.

So I had this patient who I performed a facelift on. And at this point in my career, I was probably, I don't know, seven, eight, 10 years into my career. And I thought that I'd hit the pinnacle of success. I had over a year waiting list. I had patients flying in from all over the country to have operations done by me.

And in surgery, there are certain operations that we look at and we take pride in because we're able to do them. And they're typically the more difficult operations operations where the patients are very choosy on who does their surgery. So for example, if you're a general surgeon, that operation is the Whipple.

And in surgery, there are certain operations that we look at and we take pride in because we're able to do them. And they're typically the more difficult operations operations where the patients are very choosy on who does their surgery. So for example, if you're a general surgeon, that operation is the Whipple.

The Whipple is like a 10-hour pancreatic cancer operation that when you're in your training, if you're so lucky to see a Whipple, you're very fortunate. And those types of operations are only really done by the most experienced surgeons because they're so difficult. In plastic surgery, that operation is probably the facelift.

The Whipple is like a 10-hour pancreatic cancer operation that when you're in your training, if you're so lucky to see a Whipple, you're very fortunate. And those types of operations are only really done by the most experienced surgeons because they're so difficult. In plastic surgery, that operation is probably the facelift.

You know, patients who will pick almost anybody to do their lipo or even their BBL, but you know that if they're gonna do a facelift on you, they're gonna cut open and lift up your face and stuff that they're gonna be super choosy in their doctor.

You know, patients who will pick almost anybody to do their lipo or even their BBL, but you know that if they're gonna do a facelift on you, they're gonna cut open and lift up your face and stuff that they're gonna be super choosy in their doctor.

So HALA for many years, I literally graded the success of my practice based off how many facelift patients I had on the schedule, as ridiculous as that may sound. And I had a patient who flew in to see me. She had a facelift done. The surgery went perfectly. And she developed some terrible complications afterwards. And it really got me into thinking, am I doing the right thing? And I hit this

So HALA for many years, I literally graded the success of my practice based off how many facelift patients I had on the schedule, as ridiculous as that may sound. And I had a patient who flew in to see me. She had a facelift done. The surgery went perfectly. And she developed some terrible complications afterwards. And it really got me into thinking, am I doing the right thing? And I hit this

kind of rock bottom. And I started realizing what I'd mentioned earlier about the goal of my practice. And so I spent many, many months trying to really look at and rethink what I was doing. And I started reading books. For example, in my training as a plastic surgeon, I got almost no training on nutrition. I never spent a single day with a dermatologist learning about skin.

kind of rock bottom. And I started realizing what I'd mentioned earlier about the goal of my practice. And so I spent many, many months trying to really look at and rethink what I was doing. And I started reading books. For example, in my training as a plastic surgeon, I got almost no training on nutrition. I never spent a single day with a dermatologist learning about skin.

And growing and growing, and it wouldn't stop growing to the point where I graduated high school and my jaw stuck out so much that I could stick my tongue through the gap between my bottom and my front teeth. My jaw stuck out that far. And so I ended up having orthognathic plastic reconstructive surgery where they broke my jaw, set it back, they wired it shut for six weeks, and that...

And growing and growing, and it wouldn't stop growing to the point where I graduated high school and my jaw stuck out so much that I could stick my tongue through the gap between my bottom and my front teeth. My jaw stuck out that far. And so I ended up having orthognathic plastic reconstructive surgery where they broke my jaw, set it back, they wired it shut for six weeks, and that...

We didn't get this type of thing. And so I realized that there was so much that I didn't know that I needed to learn. And I spent tens of thousands of hours basically reading books, studying, looking up studies, created my own supplement protocol for healing that since then has been pretty much co-opted by a lot of other companies.

We didn't get this type of thing. And so I realized that there was so much that I didn't know that I needed to learn. And I spent tens of thousands of hours basically reading books, studying, looking up studies, created my own supplement protocol for healing that since then has been pretty much co-opted by a lot of other companies.

And I created this whole concept of autojuvenation and holistic plastic surgery. And I read books from people who I'd not heard of until I really started digging deep in this books by like Dave Asprey.

And I created this whole concept of autojuvenation and holistic plastic surgery. And I read books from people who I'd not heard of until I really started digging deep in this books by like Dave Asprey.

You know, I read a couple of Dave Asprey's books and all of these alternative holistic experts, whether they're naturopaths, whether they're biohackers, whether they're dermatologists, I was able to get a little bit from each of them to really come up with what I'm doing in my career now.

You know, I read a couple of Dave Asprey's books and all of these alternative holistic experts, whether they're naturopaths, whether they're biohackers, whether they're dermatologists, I was able to get a little bit from each of them to really come up with what I'm doing in my career now.

For my career being a plastic surgeon, if I walked in the room and I had huge bags under my eyes or something like that, then obviously that's going to impact how people feel about me, even though some of that may be subconsciously. But also I think I see a lot of people who come into my office who are executives, who are business people, who are entrepreneurs.

For my career being a plastic surgeon, if I walked in the room and I had huge bags under my eyes or something like that, then obviously that's going to impact how people feel about me, even though some of that may be subconsciously. But also I think I see a lot of people who come into my office who are executives, who are business people, who are entrepreneurs.

And they are coming in to get little tweaks because they know that what they see in the mirror doesn't match how they feel on the inside. So we talked a little bit about how what our inside is mirrored by what's on the outside. But there's only so much control you have over that.

And they are coming in to get little tweaks because they know that what they see in the mirror doesn't match how they feel on the inside. So we talked a little bit about how what our inside is mirrored by what's on the outside. But there's only so much control you have over that.

And you could be feeling great and be in great shape for somebody who's, let's say, 60 years old, but you're still going to have that aging, you can't, when you're 60, look like you're 35. It's just not possible, unless you're a freak of nature, okay? And there's very few people who are like that.

And you could be feeling great and be in great shape for somebody who's, let's say, 60 years old, but you're still going to have that aging, you can't, when you're 60, look like you're 35. It's just not possible, unless you're a freak of nature, okay? And there's very few people who are like that.

But if you're like most people, if you are lucky, maybe you're going to look five, 10 years younger, and that's great. But sometimes, no matter what you do, that's going to be a part of it.

But if you're like most people, if you are lucky, maybe you're going to look five, 10 years younger, and that's great. But sometimes, no matter what you do, that's going to be a part of it.

And so there are so many people who do find that when they look in the mirror and they feel better about themselves, that that can really impact their job performance and how they look at themselves as a business person, as an entrepreneur.

And so there are so many people who do find that when they look in the mirror and they feel better about themselves, that that can really impact their job performance and how they look at themselves as a business person, as an entrepreneur.

I've seen so many people in my practice, whether they have had surgery or not had surgery, whether they have just done some of the things that I recommend, the autojuvenative ways to turn back the clock naturally, and it has profoundly impacted their life. In some ways, they're somewhat indirect. It's just by feeling good about yourself, you're going to come across differently to other people.

I've seen so many people in my practice, whether they have had surgery or not had surgery, whether they have just done some of the things that I recommend, the autojuvenative ways to turn back the clock naturally, and it has profoundly impacted their life. In some ways, they're somewhat indirect. It's just by feeling good about yourself, you're going to come across differently to other people.

One way I think about it is we all know how it feels when we go to a store and we buy a new outfit and we put that outfit on and we're still the same person, okay, on the inside, but wearing that outfit, we feel in some ways better about ourselves.

One way I think about it is we all know how it feels when we go to a store and we buy a new outfit and we put that outfit on and we're still the same person, okay, on the inside, but wearing that outfit, we feel in some ways better about ourselves.

Whether you're looking for Jones and for compliments or not, just the fact that we're wearing something new and we kind of like it, it makes us feel good. And that's what we should be feeling all the time about ourselves in general. And think about how you feel that way.

Whether you're looking for Jones and for compliments or not, just the fact that we're wearing something new and we kind of like it, it makes us feel good. And that's what we should be feeling all the time about ourselves in general. And think about how you feel that way.

You're going to project that whether it is subtly, subconsciously projecting it or projecting it and knowing that you're projecting that.

You're going to project that whether it is subtly, subconsciously projecting it or projecting it and knowing that you're projecting that.

And I think it's healthy too. I think in the end, health is beauty. There are people who are in their 70s who have a lot of wrinkles, but you know they're healthy and they're beautiful and they project that that way. A good example of that is Audrey Hepburn. She died, I think, when she was in her late 70s. And when she was at that age, she was still so beautiful.

And I think it's healthy too. I think in the end, health is beauty. There are people who are in their 70s who have a lot of wrinkles, but you know they're healthy and they're beautiful and they project that that way. A good example of that is Audrey Hepburn. She died, I think, when she was in her late 70s. And when she was at that age, she was still so beautiful.

profoundly changed how I looked and in the end, how I felt about myself. And so that really was the starting point for me of my journey into realizing that making changes to your appearance can really profoundly impact your self-esteem, your self-identity, how you carry yourself. And that set me on the path to going into the field of plastic surgery.

profoundly changed how I looked and in the end, how I felt about myself. And so that really was the starting point for me of my journey into realizing that making changes to your appearance can really profoundly impact your self-esteem, your self-identity, how you carry yourself. And that set me on the path to going into the field of plastic surgery.

I don't think she had hardly any work done, but she was absolutely beautiful at that time.

I don't think she had hardly any work done, but she was absolutely beautiful at that time.

She was one in Breakfast at Tiffany's. And as she aged, she just aged so gracefully. I don't know if she's had a little work done. At that time, there wasn't a lot of work being done specifically, but she just looked great. And I think that we can project that. It doesn't have to necessarily just be about the wrinkles and stuff. It truly is about the health.

She was one in Breakfast at Tiffany's. And as she aged, she just aged so gracefully. I don't know if she's had a little work done. At that time, there wasn't a lot of work being done specifically, but she just looked great. And I think that we can project that. It doesn't have to necessarily just be about the wrinkles and stuff. It truly is about the health.

So autojuvenation is how you can use your body's own regenerative abilities to turn back the clock. And it was those five things I mentioned earlier of what you eat, when you eat, nutritional supplements, skincare, and non-invasive treatments. And so these are the five things I focus on

So autojuvenation is how you can use your body's own regenerative abilities to turn back the clock. And it was those five things I mentioned earlier of what you eat, when you eat, nutritional supplements, skincare, and non-invasive treatments. And so these are the five things I focus on

in my book, Younger for Life, because those are the five things really that if you do really focus on that, I strongly believe that virtually everybody can look five to 10 years younger. So what you eat is gonna be eating an anti-inflammatory diet. You wanna make sure you get sufficient amounts of healthy protein, cutting out the ultra processed foods.

in my book, Younger for Life, because those are the five things really that if you do really focus on that, I strongly believe that virtually everybody can look five to 10 years younger. So what you eat is gonna be eating an anti-inflammatory diet. You wanna make sure you get sufficient amounts of healthy protein, cutting out the ultra processed foods.

I'm sure Dave's gonna talk a lot about this type of stuff when he comes on. When you eat is gonna be adding a little bit of intermittent fasting into it. One thing that we do know is if you want to age more slowly, the number one thing you can technically do is calorie restriction, but calorie restriction is no fun.

I'm sure Dave's gonna talk a lot about this type of stuff when he comes on. When you eat is gonna be adding a little bit of intermittent fasting into it. One thing that we do know is if you want to age more slowly, the number one thing you can technically do is calorie restriction, but calorie restriction is no fun.

And so another option would be to do intermittent fasting or time-restricted eating. So basically just giving your body short periods of time, whether it's 12 hours, sometimes 16, where you give your gut a rest and you let your body's natural regenerative mechanisms work itself. It's called autophagy. I think that's important. And then supplements. I'm a big fan of supplements.

And so another option would be to do intermittent fasting or time-restricted eating. So basically just giving your body short periods of time, whether it's 12 hours, sometimes 16, where you give your gut a rest and you let your body's natural regenerative mechanisms work itself. It's called autophagy. I think that's important. And then supplements. I'm a big fan of supplements.

Happy to talk about them if you'd like. Skincare, and we can talk about a good skincare routine. And then non-invasive treatments. There's so much out there that's so exciting to turn back the clock without getting injected or getting cut on.

Happy to talk about them if you'd like. Skincare, and we can talk about a good skincare routine. And then non-invasive treatments. There's so much out there that's so exciting to turn back the clock without getting injected or getting cut on.

If you are like so many people and you are confused about what to do with your skin and you go to Sephora or Ulta and you're like, what do I buy? This is the basic thing that everybody should do. And if you do this, you're gonna be way ahead of everybody else. It takes just two minutes a day. So you start in the morning, you cleanse your skin with a cleanser appropriate for your skin type.

If you are like so many people and you are confused about what to do with your skin and you go to Sephora or Ulta and you're like, what do I buy? This is the basic thing that everybody should do. And if you do this, you're gonna be way ahead of everybody else. It takes just two minutes a day. So you start in the morning, you cleanse your skin with a cleanser appropriate for your skin type.

And so if you've got kind of drier, more mature skin, then going for a more milky or hydrating cleanser is important. If you've got more oily skin, if you're sometimes on the younger side, then a more foaming cleanser often is better for skin like that. After that, you want to apply a vitamin C or antioxidant serum. Vitamin C, you can find most skincare lines have it.

And so if you've got kind of drier, more mature skin, then going for a more milky or hydrating cleanser is important. If you've got more oily skin, if you're sometimes on the younger side, then a more foaming cleanser often is better for skin like that. After that, you want to apply a vitamin C or antioxidant serum. Vitamin C, you can find most skincare lines have it.

We've got one called our CE Antioxidant Serum. But using a vitamin C serum in the morning is going to help protect your skin from free radicals. Free radicals are one of the main causes of our skin aging, and using vitamin C will help protect it from that, as well as help with blemishes and collagen production as well. And then the third thing in the morning is to apply a sunscreen.

We've got one called our CE Antioxidant Serum. But using a vitamin C serum in the morning is going to help protect your skin from free radicals. Free radicals are one of the main causes of our skin aging, and using vitamin C will help protect it from that, as well as help with blemishes and collagen production as well. And then the third thing in the morning is to apply a sunscreen.

I do recommend at least SPF 30. If you're gonna be inside, do you have to wear it? Not necessarily, but definitely you're gonna be out quite a bit, then sunscreen is helpful. That's all you have to do in the morning. Cleanse, vitamin C serum, and then a sunscreen. In the evening, got to cleanse your skin.

I do recommend at least SPF 30. If you're gonna be inside, do you have to wear it? Not necessarily, but definitely you're gonna be out quite a bit, then sunscreen is helpful. That's all you have to do in the morning. Cleanse, vitamin C serum, and then a sunscreen. In the evening, got to cleanse your skin.

If you only wash your skin once a day, make sure it's in the evening because you got to get rid of the day's worth of dirt and grime and pollution and oil and all that type of stuff. And definitely makeup. So wash your skin at night and then you want to apply an anti-aging cream. The one I usually recommend as a starter is a retinol.

If you only wash your skin once a day, make sure it's in the evening because you got to get rid of the day's worth of dirt and grime and pollution and oil and all that type of stuff. And definitely makeup. So wash your skin at night and then you want to apply an anti-aging cream. The one I usually recommend as a starter is a retinol.

Retinol is a form of vitamin A. Most big skincare companies have a retinol moisturizer. That's a cornerstone for our Youn Beauty line, a retinol moisturizer. Science shows that those are the most potent anti-aging creams out there if you don't have a prescription, okay? So use a retinol at night. If you have real sensitive skin, if you've got real sensitive skin, then use bakuchiol.

Retinol is a form of vitamin A. Most big skincare companies have a retinol moisturizer. That's a cornerstone for our Youn Beauty line, a retinol moisturizer. Science shows that those are the most potent anti-aging creams out there if you don't have a prescription, okay? So use a retinol at night. If you have real sensitive skin, if you've got real sensitive skin, then use bakuchiol.

Bakuchiol is a plant-based alternative to retinol. Appears to work very similarly, but it's more easily tolerated. And technically, that's it. Maybe once or twice a week, exfoliate your skin with a nice, gentle exfoliating agent, whether it's an at-home peel or like a scrub. That's all you have to do. So really that's the two minutes, five years younger.

Bakuchiol is a plant-based alternative to retinol. Appears to work very similarly, but it's more easily tolerated. And technically, that's it. Maybe once or twice a week, exfoliate your skin with a nice, gentle exfoliating agent, whether it's an at-home peel or like a scrub. That's all you have to do. So really that's the two minutes, five years younger.

Morning, cleanse, vitamin C, sunscreen, night, cleanse, and a retinol. If you want to apply a moisturizer on top of that, if it's real dry, then feel free to do that. And then once or twice a week, exfoliate your skin. And that's all you have to technically do.

Morning, cleanse, vitamin C, sunscreen, night, cleanse, and a retinol. If you want to apply a moisturizer on top of that, if it's real dry, then feel free to do that. And then once or twice a week, exfoliate your skin. And that's all you have to technically do.

All right. If you're a guy and you want to say you want to limit what you're doing, first thing is definitely use a facial cleanser, not bar soap, because bar soap will definitely dry your skin out. Apply the sunscreen if you're going to be out. If you're not, then at least do a vitamin C serum. And then at night, you just got to apply the retinol. You can skip the exfoliating part of it.

All right. If you're a guy and you want to say you want to limit what you're doing, first thing is definitely use a facial cleanser, not bar soap, because bar soap will definitely dry your skin out. Apply the sunscreen if you're going to be out. If you're not, then at least do a vitamin C serum. And then at night, you just got to apply the retinol. You can skip the exfoliating part of it.

That's fine. Just do those things. You don't want to get to that point where you're 50, 60, 70 years old and you go, geez, why didn't I do any of this earlier? Now what am I going to do?

That's fine. Just do those things. You don't want to get to that point where you're 50, 60, 70 years old and you go, geez, why didn't I do any of this earlier? Now what am I going to do?

No, because people would walk into my office, they would see me and go, well, if he didn't get anything done, why should I get something done? And they would leave. It's an unfortunate statement on society.

No, because people would walk into my office, they would see me and go, well, if he didn't get anything done, why should I get something done? And they would leave. It's an unfortunate statement on society.

27?

27?

I mean, I joke about that, but there is truth to it in that how you look, especially as a plastic surgeon, does make a difference in how your patients look at you and even if they decide to choose you as their doctor. Now, that being said... being a male plastic surgeon is very different than being a female plastic surgeon.

I mean, I joke about that, but there is truth to it in that how you look, especially as a plastic surgeon, does make a difference in how your patients look at you and even if they decide to choose you as their doctor. Now, that being said... being a male plastic surgeon is very different than being a female plastic surgeon.

As a plastic surgeon, I can't tell you how many people have come into my office with a tiny little lesion on their face. It ends up being skin cancer. Then they come back to see me. They got a huge hole in their nose or part of their eyelid is gone or part of their lip is gone. You do not want a skin cancer on your face, period.

As a plastic surgeon, I can't tell you how many people have come into my office with a tiny little lesion on their face. It ends up being skin cancer. Then they come back to see me. They got a huge hole in their nose or part of their eyelid is gone or part of their lip is gone. You do not want a skin cancer on your face, period.

Anything that you can do within reason to prevent that, you really want to do, okay? Because it can be absolutely devastating to your appearance. There are certain camps out there that have certain beliefs.

Anything that you can do within reason to prevent that, you really want to do, okay? Because it can be absolutely devastating to your appearance. There are certain camps out there that have certain beliefs.

And really, let me tell you a more moderate, I think, approach to it, kind of a middle-of-the-road approach, is that there are certain ingredients in sunscreens that are considered by some to be hormone disruptors. They are typically oxybenzone and octinoxate.

And really, let me tell you a more moderate, I think, approach to it, kind of a middle-of-the-road approach, is that there are certain ingredients in sunscreens that are considered by some to be hormone disruptors. They are typically oxybenzone and octinoxate.

oxybenzone and octanoxate are the ones that are primarily considered to be hormone disruptors that also may be causing potential damage to the coral reefs. And so if you go to Hawaii, maybe some islands in the Caribbean, they actually won't let you wear certain sunscreens that contain those ingredients because they're concerned about that. So I do recommend in general to avoid those.

oxybenzone and octanoxate are the ones that are primarily considered to be hormone disruptors that also may be causing potential damage to the coral reefs. And so if you go to Hawaii, maybe some islands in the Caribbean, they actually won't let you wear certain sunscreens that contain those ingredients because they're concerned about that. So I do recommend in general to avoid those.

They're chemical sunscreens. There's chemical and there's physical. The chemical sunscreens basically are put onto your skin, they absorb into your skin, and then they create a chemical reaction to help prevent the damage from the UV rays of the sun from damaging your skin.

They're chemical sunscreens. There's chemical and there's physical. The chemical sunscreens basically are put onto your skin, they absorb into your skin, and then they create a chemical reaction to help prevent the damage from the UV rays of the sun from damaging your skin.

Physical sun blocks are made to sit on the surface of the skin and literally just block the sun's rays from getting to your skin. Those are the ones that are going to be thicker. Back in the day, there were lifeguards that would have what looked like white paste on the surface of their nose. Zinc oxide, that's the main physical sunscreen ingredient. That's what it is.

Physical sun blocks are made to sit on the surface of the skin and literally just block the sun's rays from getting to your skin. Those are the ones that are going to be thicker. Back in the day, there were lifeguards that would have what looked like white paste on the surface of their nose. Zinc oxide, that's the main physical sunscreen ingredient. That's what it is.

So there are some people who say, if you're going to wear sunscreen, use a physical blocker. And I think in general, especially for children, that's what I recommend because they're going to physically block the sun and there's no concern about endocrine or hormone disrupting from them.

So there are some people who say, if you're going to wear sunscreen, use a physical blocker. And I think in general, especially for children, that's what I recommend because they're going to physically block the sun and there's no concern about endocrine or hormone disrupting from them.

The problem with it is, is that if you are a person of color, then it can make your skin look ashy, give your skin a whitish hue. And so that's not necessarily all that great cosmetically then. And so if you do have darker skin and you want to go with a chemical sunscreen, then I recommend ones that have been shown to not be endocrine disruptors, like ones with Avobenzone, Megzoral XL.

The problem with it is, is that if you are a person of color, then it can make your skin look ashy, give your skin a whitish hue. And so that's not necessarily all that great cosmetically then. And so if you do have darker skin and you want to go with a chemical sunscreen, then I recommend ones that have been shown to not be endocrine disruptors, like ones with Avobenzone, Megzoral XL.

Those are two very popular ones that you can use, I think, very safely. And so that's the way I would look at it is number one, if you want to go out in the sun, you don't want to get burned. You want to try to avoid, obviously, the rays from causing aging of your skin and eventual skin cancer. So definitely protect your skin.

Those are two very popular ones that you can use, I think, very safely. And so that's the way I would look at it is number one, if you want to go out in the sun, you don't want to get burned. You want to try to avoid, obviously, the rays from causing aging of your skin and eventual skin cancer. So definitely protect your skin.

With your kids, use a physical blocker with zinc oxide or titanium dioxide. If you can tolerate that and you've got skin color that will tolerate them, by all means, use that too. If, however, you want something that's going to

With your kids, use a physical blocker with zinc oxide or titanium dioxide. If you can tolerate that and you've got skin color that will tolerate them, by all means, use that too. If, however, you want something that's going to

much lighter on your skin that's not going to leave that whitish hue, then go with the chemical sunscreens, but pick ones like Avobenzone and Megzoril XL and try to stay away from oxybenzone and octinoxate. And then answering your vitamin D question, yes, vitamin D is so essential and there's so many of us who are deficient in it. I myself 100% believe in the therapeutic qualities of the sun.

much lighter on your skin that's not going to leave that whitish hue, then go with the chemical sunscreens, but pick ones like Avobenzone and Megzoril XL and try to stay away from oxybenzone and octinoxate. And then answering your vitamin D question, yes, vitamin D is so essential and there's so many of us who are deficient in it. I myself 100% believe in the therapeutic qualities of the sun.

You know, I go to my meetings and you see plastic surgeons who are in their 60s and 70s. They've had male docs who've had nothing done. They look kind of dumpy. They may be wearing really baggy, loose clothing. And they've got tennis shoes on with suits. And then you see their wives who sometimes are younger than them, who are very well made up.

You know, I go to my meetings and you see plastic surgeons who are in their 60s and 70s. They've had male docs who've had nothing done. They look kind of dumpy. They may be wearing really baggy, loose clothing. And they've got tennis shoes on with suits. And then you see their wives who sometimes are younger than them, who are very well made up.

I mean, I live in Detroit for God's sakes. And when we're in the middle of the winter and you get a sunny day, Everybody's outside like, oh my gosh, it feels so good on our skin. Do that. It's fine. Although studies show that if you are Caucasian, you only need 15 minutes a day of direct sunlight to your skin to create enough vitamin D so that you are not vitamin D deficient.

I mean, I live in Detroit for God's sakes. And when we're in the middle of the winter and you get a sunny day, Everybody's outside like, oh my gosh, it feels so good on our skin. Do that. It's fine. Although studies show that if you are Caucasian, you only need 15 minutes a day of direct sunlight to your skin to create enough vitamin D so that you are not vitamin D deficient.

However, if you have darker skin, you need more time in the sun to get that. And so I think that there's a happy medium there somewhere. I myself don't wear sunscreen every day. If I'm going to be out a lot, then I will. But if I'm just going in and out from the car and stuff, I don't. And so I think you need to find what you feel is appropriate for yourself and definitely for your family.

However, if you have darker skin, you need more time in the sun to get that. And so I think that there's a happy medium there somewhere. I myself don't wear sunscreen every day. If I'm going to be out a lot, then I will. But if I'm just going in and out from the car and stuff, I don't. And so I think you need to find what you feel is appropriate for yourself and definitely for your family.

Yeah, I think that those are great. And I think that right now we're hitting a renaissance where there's so many at-home devices that can be helpful. I think the first thing for your listeners, if you say, hey, what should I start with? The easiest thing is to get a red light therapy, either a mask or a red light therapy handheld or a tabletop device.

Yeah, I think that those are great. And I think that right now we're hitting a renaissance where there's so many at-home devices that can be helpful. I think the first thing for your listeners, if you say, hey, what should I start with? The easiest thing is to get a red light therapy, either a mask or a red light therapy handheld or a tabletop device.

So red light therapy, we know the idea behind red light therapy is that the energy from that red light gets taken up by the mitochondria of your cells. And mitochondria basically are the powerhouses of our cells. And it causes our cells to create more ATP, or more energy. So essentially the red light energizes your cells to be more youthful.

So red light therapy, we know the idea behind red light therapy is that the energy from that red light gets taken up by the mitochondria of your cells. And mitochondria basically are the powerhouses of our cells. And it causes our cells to create more ATP, or more energy. So essentially the red light energizes your cells to be more youthful.

And there are studies that do show, not a lot of studies, but there are studies that do show that using red light therapy can increase the elastin and the collagen content in your skin. So I'm a big fan of red light therapy. I do it myself at home, not as much as I should, just because I always forget, honestly.

And there are studies that do show, not a lot of studies, but there are studies that do show that using red light therapy can increase the elastin and the collagen content in your skin. So I'm a big fan of red light therapy. I do it myself at home, not as much as I should, just because I always forget, honestly.

I do it a lot on my head because I have a laser helmet that I use because my hair, God forbid, was thinning a bit. And so that definitely helps. So the first thing I would recommend would be red light therapy. There are at-home, as you mentioned, radio frequency devices. There are at-home laser hair removal devices and stuff like that.

I do it a lot on my head because I have a laser helmet that I use because my hair, God forbid, was thinning a bit. And so that definitely helps. So the first thing I would recommend would be red light therapy. There are at-home, as you mentioned, radio frequency devices. There are at-home laser hair removal devices and stuff like that.

And I think more and more of those are becoming more and more powerful and safer and safer to use. But the first thing I would recommend would be red light therapy because I think that one has the most science behind it and probably the most potential benefit.

And I think more and more of those are becoming more and more powerful and safer and safer to use. But the first thing I would recommend would be red light therapy because I think that one has the most science behind it and probably the most potential benefit.

And then if you're going into an office setting, part of the reason why I don't do red light therapy too, in addition to forgetting about doing it, is I do do treatments in my office. And those are obviously going to be more powerful than those. And so whether it's certain chemical peels, one of our most popular treatments is Morpheus 8. That's radiofrequency combined with microneedling.

And then if you're going into an office setting, part of the reason why I don't do red light therapy too, in addition to forgetting about doing it, is I do do treatments in my office. And those are obviously going to be more powerful than those. And so whether it's certain chemical peels, one of our most popular treatments is Morpheus 8. That's radiofrequency combined with microneedling.

You see female plastic surgeons, they don't show up looking like that. There is definitely, It's an unfortunate statement on society where men can let themselves go to an extent and people overlook it in a very different way than if that happens to a woman. Totally. Yeah, and that's a whole other- Yeah, that's a whole other conversation.

You see female plastic surgeons, they don't show up looking like that. There is definitely, It's an unfortunate statement on society where men can let themselves go to an extent and people overlook it in a very different way than if that happens to a woman. Totally. Yeah, and that's a whole other- Yeah, that's a whole other conversation.

And that's a really good skin tightening, non-invasive skin tightening treatment. There's so much out there that's really exciting.

And that's a really good skin tightening, non-invasive skin tightening treatment. There's so much out there that's really exciting.

It's a sad statement on us.

It's a sad statement on us.

If you're a male or even if you're a female and you are noticing your hair thinning, there is a very stepwise process I recommend you go through. And I do put that in the Younger for Life book. But the first thing you want to look at is stress, okay? So stress will make your hair get thin. Are you in a stressful time in your life? And if you are, then that's something you want to deal with.

If you're a male or even if you're a female and you are noticing your hair thinning, there is a very stepwise process I recommend you go through. And I do put that in the Younger for Life book. But the first thing you want to look at is stress, okay? So stress will make your hair get thin. Are you in a stressful time in your life? And if you are, then that's something you want to deal with.

Meditation, yoga, all those things are great. Getting more sleep, okay? But if you're like, no, I'm actually not stressed. I'm happy and stress is not an issue for me. Then the next thing you want to look at then is nutritional deficiency.

Meditation, yoga, all those things are great. Getting more sleep, okay? But if you're like, no, I'm actually not stressed. I'm happy and stress is not an issue for me. Then the next thing you want to look at then is nutritional deficiency.

Now, you can see a functional medicine doctor and they can do a ton of labs on you and see where you have a nutritional deficiency because a lot of nutritional deficiencies can cause thinning hair, whether it's iron, vitamin D, zinc, a lot of different things can contribute to it.

Now, you can see a functional medicine doctor and they can do a ton of labs on you and see where you have a nutritional deficiency because a lot of nutritional deficiencies can cause thinning hair, whether it's iron, vitamin D, zinc, a lot of different things can contribute to it.

Once again, the lazy approach to it, which a lot of people will do, is you get a nutritional supplement like Nutrafol that basically has everything you need. And so Nutrafol, not my company, but they basically have a men's version. They have a premenopausal women's version, a postmenopausal women's version, a vegan women's version, and a postpartum women's version as well.

Once again, the lazy approach to it, which a lot of people will do, is you get a nutritional supplement like Nutrafol that basically has everything you need. And so Nutrafol, not my company, but they basically have a men's version. They have a premenopausal women's version, a postmenopausal women's version, a vegan women's version, and a postpartum women's version as well.

And these are nutritional supplements that basically are all in one. So whatever nutritional deficiency, they'll take care of it. So that would be the next thing I would recommend would be to getting on a nutritional supplement in case it's deficiency related. The next thing after that is gonna be red light therapy or a laser helmet. That's what I use.

And these are nutritional supplements that basically are all in one. So whatever nutritional deficiency, they'll take care of it. So that would be the next thing I would recommend would be to getting on a nutritional supplement in case it's deficiency related. The next thing after that is gonna be red light therapy or a laser helmet. That's what I use.

Typically you wear those for anywhere from 15 to 30 minutes a few times a week. And that can help. After that, you want to look at topicals, okay? So obviously the most popular topical is going to be minoxidil or Rogaine. There's men's strength and women's strength. Here's a little tip. Women's strength is BS.

Typically you wear those for anywhere from 15 to 30 minutes a few times a week. And that can help. After that, you want to look at topicals, okay? So obviously the most popular topical is going to be minoxidil or Rogaine. There's men's strength and women's strength. Here's a little tip. Women's strength is BS.

If you're a woman and you want to use minoxidil and they all have a men's and women's, they charge more for women's, but it's weaker strength and women can use the men's strength. It's so stupid. So feel free to use the men's version of minoxidil if you're a female and you're thinning your hair.

If you're a woman and you want to use minoxidil and they all have a men's and women's, they charge more for women's, but it's weaker strength and women can use the men's strength. It's so stupid. So feel free to use the men's version of minoxidil if you're a female and you're thinning your hair.

If you don't want to put yourself on a pharmaceutical, which that is a pharmaceutical, basically it's a medication that side effect is growing of the hair, then you can try topical rosemary oil. There's a small study that shows topical rosemary oil may have very similar effects to thinning hair as minoxidil, but with less skin irritation.

If you don't want to put yourself on a pharmaceutical, which that is a pharmaceutical, basically it's a medication that side effect is growing of the hair, then you can try topical rosemary oil. There's a small study that shows topical rosemary oil may have very similar effects to thinning hair as minoxidil, but with less skin irritation.

And so adding a topical like either rosemary oil or minoxidil, definitely recommend. If that's not doing it, and you want to give yourself a good six months of doing all those things, if after six months you're seeing no change at all, or it's not enough of a change,

And so adding a topical like either rosemary oil or minoxidil, definitely recommend. If that's not doing it, and you want to give yourself a good six months of doing all those things, if after six months you're seeing no change at all, or it's not enough of a change,

Then the next step would be PRP injections, where they draw your blood, they spin out the platelets, which are chock full of growth factors, and then inject it into thin areas of your scalp. That you do need to do a couple of times a year to keep it up, but that can really help as well. That's gonna be the stepwise progression that I recommend.

Then the next step would be PRP injections, where they draw your blood, they spin out the platelets, which are chock full of growth factors, and then inject it into thin areas of your scalp. That you do need to do a couple of times a year to keep it up, but that can really help as well. That's gonna be the stepwise progression that I recommend.

Treating your stress, treating your nutritional deficiencies, red light therapy, topicals, and then none of that works, then you may wanna go to some injections. And then going to Turkey and getting a hair transplant is way down the list. Unless, unless in this situation, Hala, if you've got a bald area, then none of these are going to treat it. It's only for thinning hair.

Treating your stress, treating your nutritional deficiencies, red light therapy, topicals, and then none of that works, then you may wanna go to some injections. And then going to Turkey and getting a hair transplant is way down the list. Unless, unless in this situation, Hala, if you've got a bald area, then none of these are going to treat it. It's only for thinning hair.

But if you got like in the crown, you got a big bald patch in the crown, then yes, that's going to be hair transplants.

But if you got like in the crown, you got a big bald patch in the crown, then yes, that's going to be hair transplants.

Well, the number one thing with the variety is going to come with their fruits and vegetables. One of the main ages of our skin, as I mentioned earlier, is free radicals, is oxidation. So the way that happens basically is that because we are alive, our body has a metabolism. It's like a factory that's creating energy and we've got byproducts of it, like the exhaust from your car.

Well, the number one thing with the variety is going to come with their fruits and vegetables. One of the main ages of our skin, as I mentioned earlier, is free radicals, is oxidation. So the way that happens basically is that because we are alive, our body has a metabolism. It's like a factory that's creating energy and we've got byproducts of it, like the exhaust from your car.

These byproducts are called free radicals and they can damage the DNA of our cells that they build up to a too large of an extent. So just the fact that we're alive, our body creates as a consequence of being alive free radicals, and then our body will actually create antioxidants to neutralize these free radicals.

These byproducts are called free radicals and they can damage the DNA of our cells that they build up to a too large of an extent. So just the fact that we're alive, our body creates as a consequence of being alive free radicals, and then our body will actually create antioxidants to neutralize these free radicals.

And if you're in a very healthy state, if you're like Dave Asprey, then the amount of antioxidants that your body is creating is probably very similar to the amount of free radicals your body is creating, and you're in a good homeostasis.

And if you're in a very healthy state, if you're like Dave Asprey, then the amount of antioxidants that your body is creating is probably very similar to the amount of free radicals your body is creating, and you're in a good homeostasis.

Exactly. I mean, I see some of the plastic surgeons I trained under, and you just wonder, like, why don't you do some of your own medicine, you know? Because, man, but it's just the way the world is right now.

Exactly. I mean, I see some of the plastic surgeons I trained under, and you just wonder, like, why don't you do some of your own medicine, you know? Because, man, but it's just the way the world is right now.

However, if you're exposed to a lot of pollution, if you're eating a lot of ultra processed foods, a lot of deep fried foods and things like that, if you're smoking, then those free radicals can be much greater than the antioxidants that your body is creating.

However, if you're exposed to a lot of pollution, if you're eating a lot of ultra processed foods, a lot of deep fried foods and things like that, if you're smoking, then those free radicals can be much greater than the antioxidants that your body is creating.

And that creates a state we call oxidative stress, where those free radicals are so numerous that they're now attacking the DNA of your cells that can lead to premature aging and even potentially cancer down the line. So what, once again, stops those free radicals, neutralizes them? Antioxidants. I mentioned earlier when we were talking about skincare, vitamin C and vitamin C being an antioxidant.

And that creates a state we call oxidative stress, where those free radicals are so numerous that they're now attacking the DNA of your cells that can lead to premature aging and even potentially cancer down the line. So what, once again, stops those free radicals, neutralizes them? Antioxidants. I mentioned earlier when we were talking about skincare, vitamin C and vitamin C being an antioxidant.

There are so many people who do find that when they look in the mirror and they feel better about themselves, that that can really impact their job performance.

There are so many people who do find that when they look in the mirror and they feel better about themselves, that that can really impact their job performance.

Antioxidants are basically in the pigment of the fruits and vegetables that you eat.

Antioxidants are basically in the pigment of the fruits and vegetables that you eat.

And so if you eat only, let's say, orange fruits and vegetables, and you only get a certain type of those pigments, a certain type of antioxidants, but if you eat the rainbow of colorful fruits and vegetables, now you're getting a wide variety of those antioxidants and hopefully a lot of them to neutralize the free radicals and to slow down or stop that premature aging process.

And so if you eat only, let's say, orange fruits and vegetables, and you only get a certain type of those pigments, a certain type of antioxidants, but if you eat the rainbow of colorful fruits and vegetables, now you're getting a wide variety of those antioxidants and hopefully a lot of them to neutralize the free radicals and to slow down or stop that premature aging process.

Yes.

Yes.

Yeah. The argument is that fruit is filled with fructose and fructose is a sugar and sugar is the great ager of our bodies. And so- And so I think you take that belief and then you can then project it into, well, then don't eat any fruit at all. But the fact is, is that there's so much more to fruit than the fructose.

Yeah. The argument is that fruit is filled with fructose and fructose is a sugar and sugar is the great ager of our bodies. And so- And so I think you take that belief and then you can then project it into, well, then don't eat any fruit at all. But the fact is, is that there's so much more to fruit than the fructose.

There is a ton of fiber and fiber helps to slow down the digestion of that fruit and the sugar that you get, the sugar spikes and the fructose and all of that. And there's a ton of antioxidants, there are vitamins and minerals, and there are phytonutrients, which are even parts of the fruit that we don't even understand that are so good for our bodies.

There is a ton of fiber and fiber helps to slow down the digestion of that fruit and the sugar that you get, the sugar spikes and the fructose and all of that. And there's a ton of antioxidants, there are vitamins and minerals, and there are phytonutrients, which are even parts of the fruit that we don't even understand that are so good for our bodies.

So for me, having that operation did really change how I looked at myself. And so now I've dedicated my life to helping people to feel good about themselves, but using invasive procedures like that only as a last resort.

So for me, having that operation did really change how I looked at myself. And so now I've dedicated my life to helping people to feel good about themselves, but using invasive procedures like that only as a last resort.

My dad, he eats a big plate of fruit every morning. He's Korean. He is 83 now. And I swear to God that you take away some of the physical movement issues that he may have as he's getting older, but he's going to live to like 100.

My dad, he eats a big plate of fruit every morning. He's Korean. He is 83 now. And I swear to God that you take away some of the physical movement issues that he may have as he's getting older, but he's going to live to like 100.

And part of it is because every day he is infusing his body with these antioxidants because fruits are filled with antioxidants as well as vitamins and minerals and phytonutrients and fiber being so good for our body as well. So I am not one to poo-poo fruit. I'm not a fan of fruit juice and fruit juicing because now you're taking all that fiber out and so you are getting the sugar spikes.

And part of it is because every day he is infusing his body with these antioxidants because fruits are filled with antioxidants as well as vitamins and minerals and phytonutrients and fiber being so good for our body as well. So I am not one to poo-poo fruit. I'm not a fan of fruit juice and fruit juicing because now you're taking all that fiber out and so you are getting the sugar spikes.

But if you're eating an apple or an orange or a pear or grapes or berries are great. Those are great fruits that it just does not make sense to me as a physician that those would be bad for you at all.

But if you're eating an apple or an orange or a pear or grapes or berries are great. Those are great fruits that it just does not make sense to me as a physician that those would be bad for you at all.

I consider veganism to be more of a moral choice than a health choice in general. I admire vegans. I think that their hearts are in the right places. And I have friends of mine who are vegan. And some people really, I think, do great with that. But I think that there are a lot of people, myself included, and I went not vegan, but I went vegetarian for a while.

I consider veganism to be more of a moral choice than a health choice in general. I admire vegans. I think that their hearts are in the right places. And I have friends of mine who are vegan. And some people really, I think, do great with that. But I think that there are a lot of people, myself included, and I went not vegan, but I went vegetarian for a while.

And I found that I feel much better if I have some type of animal protein, getting some type of meat for me. There are different perspectives I think it's important to bring up. I have a good friend of mine, Dr. Gabrielle Lyon.

And I found that I feel much better if I have some type of animal protein, getting some type of meat for me. There are different perspectives I think it's important to bring up. I have a good friend of mine, Dr. Gabrielle Lyon.

She wrote a best-selling book about how important protein is to muscles and how especially women as they get older don't get enough protein and that can be really harmful to the aging of their bodies. And I do believe that that is true. But also when you look at anti-aging scientists, the more protein that you eat,

She wrote a best-selling book about how important protein is to muscles and how especially women as they get older don't get enough protein and that can be really harmful to the aging of their bodies. And I do believe that that is true. But also when you look at anti-aging scientists, the more protein that you eat,

the less long you live essentially because you are in a state where you're building up muscle and that's technically not the best thing for overall longevity in the end. And so there are confounding factors here.

the less long you live essentially because you are in a state where you're building up muscle and that's technically not the best thing for overall longevity in the end. And so there are confounding factors here.

And so the way I would look at it is physically as you get older, you need to have sufficient amounts of protein for your skin because your skin is filled with collagen and collagen is a protein, but also for your muscles because you don't want to have a situation where let's say you fall, you break your hip

And so the way I would look at it is physically as you get older, you need to have sufficient amounts of protein for your skin because your skin is filled with collagen and collagen is a protein, but also for your muscles because you don't want to have a situation where let's say you fall, you break your hip

And when you break your hip over the age of 50, there's like a 20 to 30% mortality rate in this first several years afterwards. So as you get older, you wanna be strong and you wanna be vibrant and you wanna have strong muscles because that's gonna keep you physically alive longer. But at the same time, you can overdo the protein to an extent

And when you break your hip over the age of 50, there's like a 20 to 30% mortality rate in this first several years afterwards. So as you get older, you wanna be strong and you wanna be vibrant and you wanna have strong muscles because that's gonna keep you physically alive longer. But at the same time, you can overdo the protein to an extent

where it maybe isn't so good for you because now you look at longevity genes and what these scientists are looking at. So I think for me, when I look at protein, I look at getting sufficient amounts of protein so that you feel strong, you feel healthy, definitely do weight training. Resistance training I think is so, so incredibly important as you get older.

where it maybe isn't so good for you because now you look at longevity genes and what these scientists are looking at. So I think for me, when I look at protein, I look at getting sufficient amounts of protein so that you feel strong, you feel healthy, definitely do weight training. Resistance training I think is so, so incredibly important as you get older.

But at the same time, choose your sources of protein very wisely. Choose grass-fed beef, pastured pork and chicken. You're limiting the amount of these kind of factory farm types of meats and fish that you know isn't necessarily as good for you.

But at the same time, choose your sources of protein very wisely. Choose grass-fed beef, pastured pork and chicken. You're limiting the amount of these kind of factory farm types of meats and fish that you know isn't necessarily as good for you.

So fermented foods are great for the microbiome. So fermented foods are chock full of probiotics, which are beneficial bacteria for your gut. And I mentioned earlier when we talked about gut health and skin health and there being this direct correlation, you can take a daily probiotic and I do recommend that for everybody. I recommend at least 3 billion colony forming units a day of a probiotic.

So fermented foods are great for the microbiome. So fermented foods are chock full of probiotics, which are beneficial bacteria for your gut. And I mentioned earlier when we talked about gut health and skin health and there being this direct correlation, you can take a daily probiotic and I do recommend that for everybody. I recommend at least 3 billion colony forming units a day of a probiotic.

But you can ingest that as well with drinks like kombucha. One of my favorites is kimchi. You know, I'm Korean, so I love kimchi. But eating these kind of fermented foods and drinks I think are good because you can really help support the microbiome. And that's something that I think it's interesting, Hala, because 15 years ago, you'd ask doctors, oh, what do you think about the microbiome?

But you can ingest that as well with drinks like kombucha. One of my favorites is kimchi. You know, I'm Korean, so I love kimchi. But eating these kind of fermented foods and drinks I think are good because you can really help support the microbiome. And that's something that I think it's interesting, Hala, because 15 years ago, you'd ask doctors, oh, what do you think about the microbiome?

And they would poo-poo. Traditional physicians say, oh, that's all hogwash. What are you talking about? And now we know that the microbiome is so incredibly important to the health of our entire body. I'm talking about skin, but their whole body. And so some of the best foods you can eat are fermented foods.

And they would poo-poo. Traditional physicians say, oh, that's all hogwash. What are you talking about? And now we know that the microbiome is so incredibly important to the health of our entire body. I'm talking about skin, but their whole body. And so some of the best foods you can eat are fermented foods.

i think that there's some good and some bad i think that doing facial massages is good for increasing circulation it can help to push out fluid and swelling i think all of those that is very very good but i also think that physically it's not going to change the structure of your face

i think that there's some good and some bad i think that doing facial massages is good for increasing circulation it can help to push out fluid and swelling i think all of those that is very very good but i also think that physically it's not going to change the structure of your face

My career has undergone a lot of different changes. So when I first started my practice, I basically moved to Michigan. I did a fellowship actually out in Beverly Hills, which is like an apprenticeship. So I worked under one of the top plastic surgeons out there and he actually offered me a job and said, hey, stay here. We're in Beverly Hills. It's one of the top practices here.

My career has undergone a lot of different changes. So when I first started my practice, I basically moved to Michigan. I did a fellowship actually out in Beverly Hills, which is like an apprenticeship. So I worked under one of the top plastic surgeons out there and he actually offered me a job and said, hey, stay here. We're in Beverly Hills. It's one of the top practices here.

And so I do question some of the results and whether those are some of the results when I see, and I'm not going to say specifically her, but in general, when I see people say, oh, this is me before face yoga. And this is me after look how snatched my jaw is.

And so I do question some of the results and whether those are some of the results when I see, and I'm not going to say specifically her, but in general, when I see people say, oh, this is me before face yoga. And this is me after look how snatched my jaw is.

Honestly, I can make my jaw look snatched from the side, literally by mewing, by lifting the tongue, my tongue up to the roof of my mouth, take a before and after. And people will be like, oh my gosh, look how amazing that is. But it's like, yeah, I'm just lifting the tongue up to the roof of my mouth. And so I think that there is definitely some short-term benefit for doing facial massage.

Honestly, I can make my jaw look snatched from the side, literally by mewing, by lifting the tongue, my tongue up to the roof of my mouth, take a before and after. And people will be like, oh my gosh, look how amazing that is. But it's like, yeah, I'm just lifting the tongue up to the roof of my mouth. And so I think that there is definitely some short-term benefit for doing facial massage.

It's relaxing, once again, increases circulation. But when you've seen the actual physical structure of the face like I have, you know, I do a lot of facelifts. I lift the skin up to the face. I see the facial muscles and the fat pads and all that. It makes zero sense to me that by just doing a certain massage on the outside is going to physically change that.

It's relaxing, once again, increases circulation. But when you've seen the actual physical structure of the face like I have, you know, I do a lot of facelifts. I lift the skin up to the face. I see the facial muscles and the fat pads and all that. It makes zero sense to me that by just doing a certain massage on the outside is going to physically change that.

It's the same thing when you look at people who have what are called thread lifts, where these threads, barbed sutures are placed on the skin and they claim it's going to lift everything up. And yes, you may get a little temporary result, but it is not powerful enough to actually change the architecture of your face.

It's the same thing when you look at people who have what are called thread lifts, where these threads, barbed sutures are placed on the skin and they claim it's going to lift everything up. And yes, you may get a little temporary result, but it is not powerful enough to actually change the architecture of your face.

So for example, some people have a jowl, which is fat that hangs down over their jawline. It's a little fat pad. And when I lift up the skin to a face, if I could see that fat pad there, and sometimes what I'll do is I will liposuction part of it away to reduce the size of it.

So for example, some people have a jowl, which is fat that hangs down over their jawline. It's a little fat pad. And when I lift up the skin to a face, if I could see that fat pad there, and sometimes what I'll do is I will liposuction part of it away to reduce the size of it.

Other people will try to suture it up higher and stuff, but it makes zero sense to me that by massaging it, you could literally physically move it into a different position when there's so many fibrous connections and layers of the face and stuff like that. Unfortunately, there's a lot of information on social media that it sounds too good to be true, but people believe it anyway.

Other people will try to suture it up higher and stuff, but it makes zero sense to me that by massaging it, you could literally physically move it into a different position when there's so many fibrous connections and layers of the face and stuff like that. Unfortunately, there's a lot of information on social media that it sounds too good to be true, but people believe it anyway.

I debunked a video recently where somebody said that fillers, and we do fillers, but I'm also one that's about fillers, but in a very conservative manner where some guy says, if you get fillers in your lips, it can migrate all the way up to your forehead. And then people have taken it from their forehead and they pushed it back into their lips.

I debunked a video recently where somebody said that fillers, and we do fillers, but I'm also one that's about fillers, but in a very conservative manner where some guy says, if you get fillers in your lips, it can migrate all the way up to your forehead. And then people have taken it from their forehead and they pushed it back into their lips.

And I don't know what he's talking about, but people believe this and it went viral. And this was just like, think about it. Just take a moment and think, can you actually move something from your lips all the way to your forehead? There's so many different things in the way. It makes no sense.

And I don't know what he's talking about, but people believe this and it went viral. And this was just like, think about it. Just take a moment and think, can you actually move something from your lips all the way to your forehead? There's so many different things in the way. It makes no sense.

So I think that's where we have to think with the facial massage, you know, is that going to truly get rid of facial fat by massaging it? Are you going to cause fat to go away? Are you going to take platysma muscle that has gotten droopy and excessive and make that muscle suddenly shrink down in size? Like, it just doesn't make sense when you really think about it.

So I think that's where we have to think with the facial massage, you know, is that going to truly get rid of facial fat by massaging it? Are you going to cause fat to go away? Are you going to take platysma muscle that has gotten droopy and excessive and make that muscle suddenly shrink down in size? Like, it just doesn't make sense when you really think about it.

There is some magical thinking, unfortunately, involved with some of these cases.

There is some magical thinking, unfortunately, involved with some of these cases.

I don't want to say anything specifically about her because I don't know her. But in general, I think that there's a lot out there where people make these claims. For example, I saw this one video I debunked where a guy had a tattoo on his hand. And I said, you want to know how to get rid of this tattoo? You take some sugar and he just got that generic sugar, table sugar. You put that on there.

I don't want to say anything specifically about her because I don't know her. But in general, I think that there's a lot out there where people make these claims. For example, I saw this one video I debunked where a guy had a tattoo on his hand. And I said, you want to know how to get rid of this tattoo? You take some sugar and he just got that generic sugar, table sugar. You put that on there.

Join me and we're going to take over the city. And honestly, it was quite enticing. You look at such a great place to operate. You got celebrities coming in all the time. But the thing that I felt that I didn't like was it really wasn't me. I grew up in a small town in the Midwest. And honestly, Beverly Hills Plastic Surgery was just all about the money.

Join me and we're going to take over the city. And honestly, it was quite enticing. You look at such a great place to operate. You got celebrities coming in all the time. But the thing that I felt that I didn't like was it really wasn't me. I grew up in a small town in the Midwest. And honestly, Beverly Hills Plastic Surgery was just all about the money.

You put a few drops of olive oil and you rub it. And he rubs it, rubs it. And he goes for five minutes. Then afterwards, tattoo's gone. And he shows no tattoo there. And it went viral.

You put a few drops of olive oil and you rub it. And he rubs it, rubs it. And he goes for five minutes. Then afterwards, tattoo's gone. And he shows no tattoo there. And it went viral.

It makes no sense because that pigment is in the dermis. It's in the deeper part of your skin and nothing, rubbing olive oil and sugar is not going to get rid of that. But people put makeup on over it and they try to, it's just, it's silly. Yeah.

It makes no sense because that pigment is in the dermis. It's in the deeper part of your skin and nothing, rubbing olive oil and sugar is not going to get rid of that. But people put makeup on over it and they try to, it's just, it's silly. Yeah.

Oh my gosh.

Oh my gosh.

Botox is probably the most popular cosmetic treatment in the history of the world. We do a lot of Botox. The first question people have is, is it safe? In my practice, we've probably done 20,000 injections. We've never had a major complication from it. So I think it's good, but people can get overdone by Botox.

Botox is probably the most popular cosmetic treatment in the history of the world. We do a lot of Botox. The first question people have is, is it safe? In my practice, we've probably done 20,000 injections. We've never had a major complication from it. So I think it's good, but people can get overdone by Botox.

I don't think it's going to thin your skin necessarily, but it can thin the muscles under your skin. Sometimes that's a good thing when people have overgrowth of muscles, like the master muscles on the sides of your jaw, you can cause those muscles to atrophy or to get thinner. And some people actually will like that because it can thin the jaw a bit.

I don't think it's going to thin your skin necessarily, but it can thin the muscles under your skin. Sometimes that's a good thing when people have overgrowth of muscles, like the master muscles on the sides of your jaw, you can cause those muscles to atrophy or to get thinner. And some people actually will like that because it can thin the jaw a bit.

But I think really in general, it's a paralyzing agent. So it works well for the upper face. So basically crow's feet on up, it can work really well for, but you got to be very careful when you go below because it can also cause your face to not move naturally. And so you really want to use it in a conservative fashion. So I'm a big fan of it.

But I think really in general, it's a paralyzing agent. So it works well for the upper face. So basically crow's feet on up, it can work really well for, but you got to be very careful when you go below because it can also cause your face to not move naturally. And so you really want to use it in a conservative fashion. So I'm a big fan of it.

I get Botox myself done occasionally, but definitely it's something where the amount is a big deal.

I get Botox myself done occasionally, but definitely it's something where the amount is a big deal.

I do a little bit of jaw filler. The issue with jaw filler, so the idea is that if you've got a real narrow jawline, then I think jaw filler can be very helpful for some people to widen their jaw. And sometimes by adding filler there, it can even simulate like your skin's a little bit tighter because it fills the area out a bit. It's not truly a lift as it's more of a filling out.

I do a little bit of jaw filler. The issue with jaw filler, so the idea is that if you've got a real narrow jawline, then I think jaw filler can be very helpful for some people to widen their jaw. And sometimes by adding filler there, it can even simulate like your skin's a little bit tighter because it fills the area out a bit. It's not truly a lift as it's more of a filling out.

The issue I have with jaw filler and why I encourage people to be very careful with it is because we've got a certain blood vessel called the facial artery that comes along the jawline and basically it goes right underneath the jawline and then it curves up right around where the jowl area is to go basically up to the nasolabial fold or your smile lines up to your nose.

The issue I have with jaw filler and why I encourage people to be very careful with it is because we've got a certain blood vessel called the facial artery that comes along the jawline and basically it goes right underneath the jawline and then it curves up right around where the jowl area is to go basically up to the nasolabial fold or your smile lines up to your nose.

And if somebody is not being real careful and they inject filler into that facial artery, you can have major, major problems with what we call vascular occlusion. That can cause areas of your skin to turn black. It can cause people to even go blind. Rare, rare, rare, but it can happen. So just be very careful with fillers. Botox, worst case scenario, you get a droopy eyelid or something like that.

And if somebody is not being real careful and they inject filler into that facial artery, you can have major, major problems with what we call vascular occlusion. That can cause areas of your skin to turn black. It can cause people to even go blind. Rare, rare, rare, but it can happen. So just be very careful with fillers. Botox, worst case scenario, you get a droopy eyelid or something like that.

And for me, I felt that there was more to it than that. And so I ended up moving back to Michigan. I started up my own practice in the outskirts of Detroit, suburbs of Detroit, where my wife's parents live. And My practice did not do well initially. I had no patients. And then all of a sudden, when I was out in Beverly Hills, we filmed an episode of Dr. 90210 back then.

And for me, I felt that there was more to it than that. And so I ended up moving back to Michigan. I started up my own practice in the outskirts of Detroit, suburbs of Detroit, where my wife's parents live. And My practice did not do well initially. I had no patients. And then all of a sudden, when I was out in Beverly Hills, we filmed an episode of Dr. 90210 back then.

It goes away after three or four months. Filler, worst case scenario, you can go blind. You can necrose or kill off parts of your lip or your nose. Just be very careful with filler. And make sure it's a hyaluronic acid filler if you get filler. Don't do any of these permanent or semi-permanent fillers. There's no antidotes to those and they can be very dangerous.

It goes away after three or four months. Filler, worst case scenario, you can go blind. You can necrose or kill off parts of your lip or your nose. Just be very careful with filler. And make sure it's a hyaluronic acid filler if you get filler. Don't do any of these permanent or semi-permanent fillers. There's no antidotes to those and they can be very dangerous.

focus on one thing at a time, get that thing done, and then move on to the next thing. Because once you get that source of income or whatever done, you're going to start making a profit off of that first, then go to the next thing versus having a bunch of projects that are left undone where you're making nothing off of them.

focus on one thing at a time, get that thing done, and then move on to the next thing. Because once you get that source of income or whatever done, you're going to start making a profit off of that first, then go to the next thing versus having a bunch of projects that are left undone where you're making nothing off of them.

My secret to profiting in life is honestly thinking about other people. Because in the end, if you focus on the needs of other people, it will come back to you, sometimes exponentially. So if you only focus on yourself, in the end, you're going to end up alone. And so really focusing on the needs of others, it always works out in the end. I do believe in karma.

My secret to profiting in life is honestly thinking about other people. Because in the end, if you focus on the needs of other people, it will come back to you, sometimes exponentially. So if you only focus on yourself, in the end, you're going to end up alone. And so really focusing on the needs of others, it always works out in the end. I do believe in karma.

And I think what you put out there in the universe will come back to you one way or another.

And I think what you put out there in the universe will come back to you one way or another.

Well, thank you. Well, I've got my book, Younger for Life, but I've got also my podcast, The Dr. Yoon Show, where we cover all these health topics that we've talked about in the podcast today. So those are two great places to find me.

Well, thank you. Well, I've got my book, Younger for Life, but I've got also my podcast, The Dr. Yoon Show, where we cover all these health topics that we've talked about in the podcast today. So those are two great places to find me.

Thank you, Hala.

Thank you, Hala.

Now, Dr. 90210, you may be too young to remember this, but this is one of the first plastic surgery reality shows. It was on the E! Network. And every episode that aired, they would re-air it hundreds of times. And this was back before you were doing a lot on social media and stuff. And so my practice started. I had no patients. Then this episode airs.

Now, Dr. 90210, you may be too young to remember this, but this is one of the first plastic surgery reality shows. It was on the E! Network. And every episode that aired, they would re-air it hundreds of times. And this was back before you were doing a lot on social media and stuff. And so my practice started. I had no patients. Then this episode airs.

I'm literally in it for two minutes where they introduce me and then I leave. And the doctor, though, in that literally two minutes I'm in said that he is moving to Rochester, Michigan. I made him an offer he couldn't refuse and he refused it. And the next day after that episode aired, my practice exploded. And that buoyed my practice for years.