#355 – Skincare strategies, the science of facial aging, and cosmetic-intervention guidance | Tanuj Nakra, M.D. & Suzan Obagi, M.D. | The Peter Attia Drive - Private Subscriber Feed (🔓 for Vijay Khakhria)

In this member-only episode of The Drive, Peter Attia interviews Dr. Tanuj Nakra and Dr. Suzan Obagi, experts in aesthetic medicine, about the biology of facial aging, hormonal impacts, and the role of hormone replacement therapy. They explore evolutionary and psychological perspectives on attractiveness, the influence of social media on cosmetic procedures, and ethical considerations for physicians. The discussion covers practical approaches to skin health, including sunscreen, retinoids, and personalized skincare routines, as well as the management of acne and the psychology behind aesthetic consultations. Concluding the podcast, Attia becomes the patient, receiving a candid assessment of potential aesthetic interventions for his appearance.

Outlines

Part 1: Introduction, Biology of Aging

Part 2: Evolution, Psychology, Social Trends

Part 3: Preventive Skincare, Products

Part 4: Clinical Treatments, Consultations

Part 5: Surgical Procedures, Risks

Part 6: Resurfacing, Long-term Outlook

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#355 – Skincare strategies, the science of facial aging, and cosmetic-intervention guidance | Tanuj Nakra, M.D. & Suzan Obagi, M.D.

The Peter Attia Drive - Private Subscriber Feed (🔓 for Vijay Khakhria)

Part 1: Introduction, Biology of Aging

00:10Introduction to Facial Aesthetics and Guest Backgrounds

Introduction to Facial Aesthetics and Guest Backgrounds

04:09Peter Attia's Personal Skin Care Challenges and Goals

Peter Attia's Personal Skin Care Challenges and Goals

10:04The Biology of Facial Aging: Bone Structure, Fat Atrophy, and Ligaments

The Biology of Facial Aging: Bone Structure, Fat Atrophy, and Ligaments

16:16Facial Fat Atrophy vs. Body Fat Accumulation and the Role of Stress

Facial Fat Atrophy vs. Body Fat Accumulation and the Role of Stress

Part 2: Evolution, Psychology, Social Trends

21:30The Impact of Lifestyle and Evolutionary Aspects of Beauty

The Impact of Lifestyle and Evolutionary Aspects of Beauty

25:15Evolutionary Basis of Beauty: Symmetry, Proportion, and Sexual Dimorphism

Evolutionary Basis of Beauty: Symmetry, Proportion, and Sexual Dimorphism

30:23Universal Measurements of Beauty and the Impact of Modern Diet

Universal Measurements of Beauty and the Impact of Modern Diet

36:02The Influence of Social Media on Beauty Trends and Ethical Concerns

The Influence of Social Media on Beauty Trends and Ethical Concerns

42:47Ethical Considerations in Aesthetic Medicine and the Role of Financial Incentives

Ethical Considerations in Aesthetic Medicine and the Role of Financial Incentives

47:40Changes in Resident Philosophies and the Impact of Social Media on Teenagers

Changes in Resident Philosophies and the Impact of Social Media on Teenagers

Part 3: Preventive Skincare, Products

53:31Overfilling Concerns, High Arched Brows, and Preventive Skincare

Overfilling Concerns, High Arched Brows, and Preventive Skincare

58:16Sunscreen Types, UV Damage, and the Aging Process

Sunscreen Types, UV Damage, and the Aging Process

1:04:01Melanin's Protective Role and the Importance of Sunscreen

Melanin's Protective Role and the Importance of Sunscreen

1:08:13Retinoids for Prevention and Skin Health

Retinoids for Prevention and Skin Health

1:14:04Vitamin C and Face Washing Techniques

Vitamin C and Face Washing Techniques

1:18:10Skincare Routine: Serums, Retinoids, and Moisturizers

Skincare Routine: Serums, Retinoids, and Moisturizers

1:24:25Personalized Skincare Routines and the Importance of Antioxidants

Personalized Skincare Routines and the Importance of Antioxidants

1:27:25Peter Attia's New Skincare Commitment

Peter Attia's New Skincare Commitment

Part 4: Clinical Treatments, Consultations

1:30:11Acne Treatment: Prevention, Cystic Acne, and Accutane

Acne Treatment: Prevention, Cystic Acne, and Accutane

1:37:36Determining Skin Oiliness and the Aesthetic Consultation Process

Determining Skin Oiliness and the Aesthetic Consultation Process

1:42:09Addressing Patient Concerns and Building Trust

Addressing Patient Concerns and Building Trust

1:47:01Educating Patients and the Five R's of Rejuvenation

Educating Patients and the Five R's of Rejuvenation

1:51:24Analyzing Peter Attia's Face and Treatment Options

Analyzing Peter Attia's Face and Treatment Options

1:57:07Addressing Facial Asymmetries and the Importance of the Eye Area

Addressing Facial Asymmetries and the Importance of the Eye Area

Part 5: Surgical Procedures, Risks

2:04:16Comprehensive Treatment Plan and the Evolution of Aesthetic Surgery

Comprehensive Treatment Plan and the Evolution of Aesthetic Surgery

2:11:11Eyelid Surgery and Brow Lift Considerations

Eyelid Surgery and Brow Lift Considerations

2:17:31Addressing Under Eye Issues and Potential Complications

Addressing Under Eye Issues and Potential Complications

2:23:33Navigating Complications and Choosing the Right Practitioner

Navigating Complications and Choosing the Right Practitioner

2:27:40Questions to Ask and Red Flags to Watch For

Questions to Ask and Red Flags to Watch For

Part 6: Resurfacing, Long-term Outlook

2:34:17The Role of Academic Affiliations and the Importance of Skin Resurfacing

The Role of Academic Affiliations and the Importance of Skin Resurfacing

2:38:39Ablative vs. Non-Ablative Treatments and the Importance of Customization

Ablative vs. Non-Ablative Treatments and the Importance of Customization

2:45:06Laser Peels and the Importance of Long-Term Investment

Laser Peels and the Importance of Long-Term Investment

2:55:02Disclaimer

Disclaimer