Podcast Summary
Prioritizing Small, Consistent Changes for Long-Lasting Effects in Health and Cosmetic Procedures.: Making small improvements over time in our health and cosmetic procedures can lead to amazing long-term results and enhance our overall well-being.
Making small and consistent changes can lead to amazing results in the long run. Just as Peter Attia believes in making small improvements over time for longevity and reducing the risk of disease, Brett Cotless approaches cosmetic and reconstructive surgery in a similar way. Through their collaboration, they focus on making subtle changes that have a lasting impact. Brett emphasizes the importance of picking the right practitioner for cosmetic procedures and offers insights into various treatments like Botox, lasers, peels, and more. Taking care of our skin and rejuvenating it with the right tools and procedures can greatly enhance our health and vitality. Overall, this conversation highlights the significance of prioritizing small, consistent changes for long-lasting effects in both health and cosmetic procedures.
The Effects of Aging on our Skin: As we age, our skin undergoes a variety of changes, including loss of bone density and facial fat, decreased collagen and elastin, and the development of small blood vessels and brown spots.
The aging process affects our skin in various ways, both intrinsic and extrinsic. As we age, our genetics play a role in the changes our faces undergo. We lose bone density and facial fat, often in undesirable areas, while the sun exposure leads to solar elastosis, causing a decrease in collagen, elastin, and overall skin thickness. Additionally, we develop small blood vessels, brown spots, and experience degradation and thinning of the interplay between different layers of the face, including skin, fat, muscle, bone, and ligaments. From infancy to adulthood, our once chubby and round cheeks gradually lose support and start to show signs of aging.
Understanding How Different Parts of our Body Age: Factors such as tension, oil glands, and fat distribution contribute to the different aging processes of our body. The face is more prone to wrinkles and sagging, while the back may result in wider scars. Genetic factors also play a role in skin aging.
The skin on different parts of our body ages differently due to various factors such as tension, oil glands, and fat distribution. The face, being a highly expressive area with more movement and areas of laxity, is more prone to wrinkles and sagging. The back, on the other hand, is stretched and taught, which affects the way it ages and may result in wider scars. Additionally, the face has a higher density of sebaceous glands and is affected by muscular expression, which contributes to its aging process. Furthermore, the loss of facial fat with age reveals the underlying structures and leads to changes in contours. Gravity and wear and tear also impact facial ligaments, similar to the effects on joints. While genetic factors play a significant role in longevity and skin aging, there is still ongoing research to determine the specific genes involved in these intrinsic changes.
The Role of Genetics and Lifestyle Choices in Aging: Our genetics influence how we age, but lifestyle choices, such as protecting ourselves from the sun, can also have a significant impact on maintaining a youthful appearance.
Our genetics play a role in the way we age, but lifestyle choices and external factors can also influence our appearance. Skin color, for example, can affect how our skin ages, with darker skin types tending to look better for longer due to denser connective tissue and built-in UV protection. UV radiation from sunlight may cause fat atrophy over time, leading to wrinkles and premature aging. However, protecting oneself from the sun can help maintain a youthful appearance. While some individuals may choose to undergo cosmetic procedures, it's important to approach these treatments with caution and ensure they are done well for a natural, unnoticed result. Ultimately, everyone has their own motivations for wanting to look their best, whether it's tied to genetic drive or societal pressures.
The Importance of Maintaining a Natural Appearance in Cosmetic Procedures: Avoid going for extreme enhancements and prioritize preserving expressions, contours, and dimensions for a natural-looking face during cosmetic procedures.
Maintaining a natural appearance is crucial when considering cosmetic procedures. Brett Kotlus, a professional in the field, advises against trying to hold on to a younger version of oneself to avoid an unnatural and distorted look. He highlights the influence of social media and the "Instagram effect," where people are tempted to go beyond what is natural due to the exaggerated appearances they see online or among their peers. It is important to remember one's initial goals and not get carried away with pushing for more enhancements. Striving for a natural-looking face means preserving expressions, contours, and dimensions, rather than going to extremes that can result in an artificial appearance.
The importance of balance and harmony in cosmetic procedures like lip fillers.: Consider the overall balance and harmony of the face, communicate desires with the physician, and be aware of the potential need for additional treatments or touch-ups.
When it comes to cosmetic procedures like lip fillers, it's important for both the provider and the patient to consider the overall balance and harmony of the face. While it may be popular to focus on specific areas like the nasolabial lines or lips, a good physician will assess the neighboring areas as well. They may suggest additional treatments or enhancements that will enhance the natural look and maintain symmetry. It's also worth noting that the use of hyaluronic acid fillers is generally safe and reversible, providing a level of comfort for those considering these procedures. However, it's essential for patients to communicate their desires and for physicians to ensure they're properly setting expectations and discussing the potential need for touch-ups or repeat treatments in certain areas.
Effective Filler Injections Using a Cannula for Under Eyes and Tear Trough Areas: Filler injections using a cannula offer a precise and safe solution to address tired-looking under eyes and tear trough areas, resulting in a refreshed and youthful appearance.
Filler injections using a cannula can effectively address issues such as puffy under eyes and tear trough areas, making people look less tired and more refreshed. The use of a cannula, which has a blunt tip, allows for precise and accurate placement of the filler gel without the need for needles directly under the eye. By visualizing the internal structure of the eye during the procedure, the filler can replace lost fat or disguise bulging fat pads, resulting in a more youthful appearance. While there are risks involved, this procedure is not considered high risk. This method can greatly enhance a person's facial appearance and is particularly beneficial for those who have bags or appear tired.
Choosing the Right Provider for Cosmetic Procedures: Thoroughly research and consider factors such as referrals, rapport, and aesthetic style to find a competent and skilled provider for cosmetic procedures.
When seeking a provider for cosmetic procedures, it is crucial to do thorough research and consider various factors. While the field may have different types of specialists, such as plastic surgeons, facial plastic surgeons, and oculoplastic surgeons, the ultimate goal should be to find a competent and skilled practitioner. Referrals from trusted sources, such as nurses, anesthesiologists, or individuals with successful outcomes, can be valuable in the decision-making process. It is also important to have a good rapport and shared goals with the chosen provider. An initial consultation, even if it involves a fee, is worthwhile to assess the doctor's approach, attentiveness, and overall atmosphere of the office. Looking at before and after photos on the provider's website can also give insights into their aesthetic style and capabilities. Labels or specific training programs should not be the sole determining factors, as some doctors have gained expertise through experience and self-development. Ultimately, finding the right provider is a personal journey that requires careful consideration and judgment.
The Importance of Communication and Research in Cosmetic Procedures: Asking questions, researching your doctor's experience and success rate, understanding potential complications, and managing expectations are crucial for a successful and satisfying cosmetic procedure.
When considering cosmetic procedures, it is essential to ask questions, seek information, and have open discussions with your doctor. Knowing how many procedures your doctor has done and asking about previous patients' experiences can give you a better understanding of their expertise and success rate. It is also important to inquire about potential complications, their likelihood, and the steps that will be taken if they occur. Consent forms should not be glossed over, and doctors should transparently communicate expected complications and next steps. Being well-informed about the procedure's risks and potential outcomes can help manage expectations and prevent any surprises or dissatisfaction later on.
Avoid Botox complications, target specific muscles for natural results.: Use caution when getting Botox, focus on specific muscles for a more natural and youthful appearance.
Botox injections can have unintended consequences if not done correctly. It is important to be cautious and informed when considering cosmetic procedures. Injecting Botox too heavily in the forehead can cause the inability to lift the brows, resulting in a smooth but unnatural appearance. Instead, it is recommended to target specific muscles, such as the corrugator pusserus muscles near the top of the nose, to weaken muscle contractions and soften lines over time. Taking a preventive approach and starting with small and targeted injections can help maintain a more natural and youthful appearance for a longer period. Ultimately, the decision to pursue cosmetic procedures should be based on personal preferences and goals.
The Impact of Cosmetic Procedures on Confidence and Self-Image: Approaching cosmetic procedures with a healthy mindset, focusing on enhancing well-being rather than just appearance, while medical professionals should provide ethical care and understand patients' goals.
Cosmetic procedures can have a significant impact on a person's confidence and self-image. While some may view these procedures as unnecessary, they can provide individuals with a boost in self-esteem and help them feel better about themselves. It is crucial to approach cosmetic procedures with a healthy attitude, doing it for oneself rather than to impress or fit in with others. The goal should be to enhance one's well-being and overall wellness, not just appearance. However, it is important for medical professionals to be mindful of patients who may have unrealistic expectations or underlying emotional issues. Being a supportive listener and understanding the patient's goals are integral to providing ethical care in cosmetic procedures.
The importance of wearing sunscreen for protection against UV radiation and skin cancer.: Wearing sunscreen with at least SPF 30 is crucial for adequate protection against harmful UV radiation and reducing the risk of developing skin conditions like cancer.
Wearing sunscreen is crucial for protecting our skin from the harmful effects of UV radiation. There is a strong correlation between UV exposure and skin cancer, and wearing sunscreen can significantly reduce the risk of developing such conditions. The American Academy of Dermatology recommends protecting children from the sun and provides guidelines for sunscreen use. When it comes to choosing sunscreen, it is important to look for a Broad Spectrum product that offers protection against both UVA and UVB rays. The SPF number indicates how much longer it will take for the skin to turn red compared to not using sunscreen. While higher SPF provides more protection, the difference between SPF 30 and 50 is minimal. Therefore, using at least SPF 30 is recommended for adequate protection.
Choosing the Right Sunscreen for Optimal Protection: Look for broad spectrum sunscreen with at least SPF 30, containing reflective agents like zinc or titanium. Reapply every 2 hours for maximum effectiveness and be cautious of waterproof claims.
When choosing sunscreen, it's important to look for a broad spectrum sunscreen with at least SPF 30. SPF does not apply to UVA rays, so the SPF number on a broad spectrum sunscreen refers to UVB protection. UVA and UVB rays both contribute to skin cancer, with UVA rays being linked to melanoma. Physical sunscreens, which contain zinc or titanium as reflective agents, are recommended as they reflect the sun's rays. However, newer chemical sunscreens are also considered safe, but may worsen conditions like melasma and have hormonal disruptive effects. It's important to reapply sunscreen every 2 hours, as most people do not apply enough and waterproof claims should be taken with caution.
Essential Steps for Skin Care and Sun Protection: Protecting your skin from the sun and incorporating retinol products can help prevent wrinkles and improve skin texture.
Taking care of your skin is essential to maintaining a youthful appearance and preventing wrinkles and damage caused by the sun. It is important to protect not only your face but also your hands and chest from sun exposure by using sunscreen and wearing protective clothing. While finding the right sunscreen can be challenging, exploring different brands and consulting with a dermatologist can help you discover a product that suits your needs. Additionally, incorporating products with retinol or retinomic acid into your skincare regimen can promote collagen synthesis, reduce wrinkles, and improve skin texture. Starting with over-the-counter retinol products and adjusting frequency based on skin sensitivity can help prevent dryness.
The benefits of incorporating retinoic acid and vitamin C into your skincare routine.: Retinoic acid promotes skin turnover and reduces signs of aging, while vitamin C protects against UV damage and supports collagen synthesis. Combined with sunscreen, they create a comprehensive skincare plan.
Incorporating retinoic acid and vitamin C into your skincare routine can be beneficial for maintaining healthy skin. Retinoic acid, commonly known as retinol, is recommended for nighttime use and can help promote skin turnover and reduce the signs of aging. Contrary to popular belief, retinol does not necessarily make your skin more sun-sensitive, but it can become less effective when exposed to sunlight. On the other hand, topical vitamin C acts as a powerful antioxidant, protecting the skin from UV damage and supporting collagen synthesis. However, it is important to choose a stabilized form of vitamin C that is less prone to oxidation. By combining these ingredients with sunscreen, you can create a comprehensive maintenance plan for your skin's health.
The Importance of a Skincare Routine: A skincare routine, including sunscreen, vitamin C, and retinol, can improve skin health and reduce the signs of aging, with remarkable results achievable without surgery. Injectable treatments like Botox should be approached with caution.
Having a skincare routine that includes sunscreen, vitamin C, and retinol can greatly benefit your skin. Applying vitamin C topically can help reverse sun damage, but it may not be as effective if your serum levels of vitamin C are already high. It's important to wait a few minutes for the serum to dry before applying sunscreen. Following this simple regimen, along with other skincare measures like wearing a hat, can have a significant impact on anti-aging. In some cases, patients have seen remarkable changes in their skin without the need for surgery, just with skincare recommendations and a directed routine. Botox has evolved to have many more applications beyond just cosmetic purposes, but it's crucial for injectors to have a nuanced approach to avoid undesired results.
Personalized care for Botox and laser treatments: Understanding the face's anatomy and tailoring treatment to individuals is important. Choosing an experienced provider for laser treatments ensures effectiveness.
Personalized care is crucial when it comes to procedures like Botox and laser treatments. It's not simply about injecting the wrinkle or using a specific device, but rather understanding the anatomy of the face and tailoring the treatment to each individual. This requires knowledge of the underlying musculature, connective tissue, and fat, as well as the ability to assess any variations in muscle placement or patient concerns. A cookie-cutter approach won't yield the best results. Additionally, when it comes to laser treatments, selecting the right provider is essential as they play a significant role in determining the effectiveness of the treatment. Patients should be cautious and ensure that the provider is experienced and knowledgeable in using the specific device.
Non-surgical fat reduction and skin treatments: finding the right procedure and provider.: Non-surgical fat reduction procedures can effectively reduce subcutaneous fat, while selecting the right chemical peel requires considering individual skin type and discussing risks with a reputable provider.
Non-surgical fat reduction procedures, such as CoolSculpting, can be effective in reducing subcutaneous fat in various areas of the body. Both heat-based and cold-based procedures have been deemed equally effective in achieving around a 20 percent reduction in subcutaneous fat. It's important to ensure that the procedure is performed using FDA-approved devices and by a reputable provider. When it comes to skin treatments like chemical peels, it is crucial to rely on the expertise of the provider. Different types of peels have varying risks and benefits, and selection should be based on individual skin type and needs. Asking the provider about their experience, seeing examples, and discussing the safety and risks are essential steps in finding the right person for the procedure.
Options for Skin Rejuvenation: Chemical Peels, Laser Treatments, and More: Consult with a knowledgeable provider to determine the best treatment option based on desired outcomes, individual skin type, and the provider's experience and training.
There are various options for skin rejuvenation, such as chemical peels and laser treatments. The choice of treatment depends on the desired outcomes and the individual's skin type. Chemical peels, like TCA peels, can improve texture, reduce wrinkles, and treat brown spots. Laser treatments have a similar effect but use energy to burn the surface, with fractional lasers leaving some normal skin in between treated areas. It's important to consult with a knowledgeable provider to determine the best treatment option based on experience and training. Pain levels during these procedures vary and may require anesthesia. Additionally, while energy devices like radio frequency and ultrasound can stimulate collagen synthesis and tightening, their effectiveness may vary, so it's crucial to carefully assess before and after photos. PRP, platelet-rich plasma, is another option for facial rejuvenation, typically performed with the patient's own blood.
Managing expectations and skepticism surrounding PRP treatments: PRP treatments may have potential benefits for hair loss and skin rejuvenation, but more research is needed to fully understand their effectiveness and long-term benefits. It is important to have realistic expectations and approach these treatments with caution.
PRP (Platelet-Rich Plasma) treatments may not live up to the hype as a cure-all solution. While PRP injections have been used for various purposes, such as joint pain relief, smoother skin, and hair growth, there is skepticism surrounding their effectiveness. PRP works by utilizing the platelets in your blood to promote healing through clotting, signaling, angiogenesis, and neocollagenesis. For hair loss, PRP injections may stimulate existing stem cells within hair follicles and improve blood flow, potentially leading to thicker and longer hair. However, the presence of hormones like 5HT and the lack of strong supporting evidence raise questions about the long-term benefits and frequency of treatment. It is important to approach PRP treatments, whether for hair loss or facial rejuvenation, with caution and realistic expectations.
Importance of Finding a Skilled Practitioner for PRP Treatment: A skilled practitioner with a proven method of concentrating platelets is crucial for effective PRP treatment, ensuring consistency in platelet concentration and proper activation for optimal results.
When considering PRP treatment, it is important to find a practitioner who has a proven method of concentrating platelets. While counting platelets may not be necessary, the practitioner should know exactly what they are doing and be able to separate the platelet rich plasma from the red blood cells. This is crucial because there are different methods of creating PRP, leading to inconsistency and uncertainty in the concentration of platelets. Additionally, activating the platelets requires the use of calcium, and the platelets should be injected in a concentrated form. The conversation also mentions the use of a microneedling pen for a vampire facial, which involves driving small needles into the skin. However, this procedure is said to be relatively painless and can be adjusted to different depths.
Evaluating the Effectiveness of Facial Rejuvenation Procedures: FDA approval does not guarantee the effectiveness of facial rejuvenation procedures, so individuals should carefully evaluate claims and results before spending money on these treatments.
The effectiveness of the PRP vampire facial and other facial rejuvenation procedures is not well-proven. While these procedures may have some benefits in terms of building collagen and improving certain skin conditions, the before and after results can often be misleading due to variations in lighting and other factors. Moreover, there is a strong financial motivation for companies to introduce new devices and treatments in the beauty industry. Although FDA approval ensures safety, it does not guarantee effectiveness. Therefore, it is important for individuals to carefully evaluate the claims and results of these procedures before investing significant amounts of money. Ultimately, patients should focus on letting the results speak for themselves and consider whether these treatments truly serve their needs.
The Importance of Choosing a Trusted Healthcare Provider: When seeking medical treatment, it is crucial to find a trustworthy healthcare provider who considers individual suitability for procedures, values ethical practices, and remains open-minded and up-to-date in their field.
It is crucial to find a trusted healthcare provider rather than solely relying on the device or treatment being offered. While most physicians and providers have good motivations, it is not universal, and one must be cautious. This is especially important when seeking cosmetic procedures, as the effectiveness of certain treatments varies among individuals. In fact, ethical providers often turn away patients who are not suitable candidates for certain procedures. Reputation as a surgeon is not just based on successful surgeries, but also on the patients one chooses not to operate on. Patients should ask doctors about the procedures they don't perform and if they refer out when necessary. Additionally, it is important for doctors to consider and discuss other potential solutions beyond their own expertise. Looking towards the future, healthcare providers should always remain open-minded and stay updated about new advancements in their field.
Understanding the Potential of Stem Cells in Medicine and Cosmetics: The use of stem cells derived from fat shows promise for regenerative treatments, but more research is needed to fully understand their mechanisms and effectiveness. Personalized medicine and individual genetic factors will play a role in future treatment options.
There is still much to learn when it comes to stem cells and their application in medical and cosmetic procedures. While there is evidence of their effectiveness, the exact mechanisms of how they work and why they work are not fully understood. The conversation highlights the potential of fat grafting and the use of stem cells derived from fat as a rich source of regenerative cells. It also raises questions about the use of other growth factors, such as fibroblast growth factor, in facial volumization. The availability and approval of these treatments vary across different regions, with limited studies and information available. The future holds promise for personalized medicine and a deeper understanding of individual genetic factors that can guide treatment options.
The Future of Customization and Bioprinting: Customization and bioprinting using 3D printing technology will revolutionize cosmetic procedures and medical advancements, allowing for personalized treatments and the creation of complex objects.
Customization and bioprinting are the future of cosmetic procedures and medical advancements. With genetic screening and 3D printing technology, it will be possible to customize treatments and procedures according to individual needs and preferences. The conversation highlights how 3D printing has already revolutionized the creation of surgical instruments and how it can be applied to various fields, including bioprinting organs and tissues. The ability to design and print personalized implants, such as silicone breast implants or muscle implants, that perfectly fit an individual's body shape and structure is already within reach. The potential for printing complex and heterogeneous objects like phones further demonstrates the possibilities of this technology. Ultimately, customization and bioprinting will pave the way for more precise and effective treatments in the future.
Exploring the Potential of 3D Printing in Medicine: 3D printing in medicine has the ability to revolutionize surgical procedures and personalized medicine, but it requires time, money, and interested parties to invest in its development and materials.
3D printing in the medical field has enormous potential. The ability to print living cells and create biodegradable scaffolds opens up possibilities for groundbreaking procedures and implants. While there are regulatory obstacles and challenges in gaining approval for different indications, the FDA is recognizing the future of medical 3D printing. Examples such as 3D printed implants for infants with tracheomalacia showcase the transformative power of this technology. It is not limited to cosmetic surgery but has the potential to revolutionize surgical procedures and personalized medicine. However, the development and investment in 3D printed materials require time, money, and interested parties. Social media, like Instagram, has become a platform to connect and share ideas, ultimately pushing the boundaries of medical innovation.
Discovering the Stories Behind Transformations: Understanding the motivations and personal journeys behind physical transformations can foster a deeper appreciation for the holistic approach to cosmetic procedures and encourage self-care aligned with individual goals.
People are not just looking for physical transformations, but also seeking insight into the stories and philosophies behind them. It's not about the before and after pictures, but rather the journey and the reasons why individuals decide to make changes in their lives. Sharing personal stories can be a powerful tool in helping others understand their own desires and motivations. By understanding the stories behind transformations, we can better appreciate the holistic approach to cosmetic procedures. Whether someone decides to undergo procedures or not, the important thing is to prioritize self-care and make choices that align with individual goals.
