# Facial Rejuvenation: Surgical & Non-Surgical Approaches — GCMD Library living collection

Updated: n/a · 16 episodes · 71 cited statements

## Episodes
### Non-Surgical Treatments
- [Botox for TMJ with Dr. Diana Ponsky #shorts](https://qa.library.globalcastmd.com/watch/botox-for-tmj-with-dr-diana-ponsky-shorts-13237) — video · 1:21 · [machine version](https://qa.library.globalcastmd.com/watch/botox-for-tmj-with-dr-diana-ponsky-shorts-13237.md)
- [What is filler fatigue? Facial plastic surgeon Dr. Diana Ponsky explains!](https://qa.library.globalcastmd.com/watch/what-is-filler-fatigue-facial-plastic-surgeon-dr-diana-ponsky-explains-13241) — video · 0:48 · [machine version](https://qa.library.globalcastmd.com/watch/what-is-filler-fatigue-facial-plastic-surgeon-dr-diana-ponsky-explains-13241.md)
- [3 Nonsurgical Under Eye Treatments | Dr. Diana Ponsky](https://qa.library.globalcastmd.com/watch/3-nonsurgical-under-eye-treatments-dr-diana-ponsky-13240) — video · 0:56 · [machine version](https://qa.library.globalcastmd.com/watch/3-nonsurgical-under-eye-treatments-dr-diana-ponsky-13240.md)
- [Peeling back the layers of skin rejuvenation with "Lasers" & Lifts  🌟⁠](https://qa.library.globalcastmd.com/watch/peeling-back-the-layers-of-skin-rejuvenation-with-lasers-lifts-13249) — video · 1:21 · [machine version](https://qa.library.globalcastmd.com/watch/peeling-back-the-layers-of-skin-rejuvenation-with-lasers-lifts-13249.md)

### Surgical Procedures
- [Mini Facelift Results](https://qa.library.globalcastmd.com/watch/mini-facelift-results-13246) — video · [machine version](https://qa.library.globalcastmd.com/watch/mini-facelift-results-13246.md)
- [Mini Facelift vs Full Facelift: What's the difference?](https://qa.library.globalcastmd.com/watch/mini-facelift-vs-full-facelift-what-s-the-difference-13247) — video · 1:11 · [machine version](https://qa.library.globalcastmd.com/watch/mini-facelift-vs-full-facelift-what-s-the-difference-13247.md)
- [5 Ways To Prevent Jowls!](https://qa.library.globalcastmd.com/watch/5-ways-to-prevent-jowls-13248) — video · 1:26 · [machine version](https://qa.library.globalcastmd.com/watch/5-ways-to-prevent-jowls-13248.md)
- [What Is A Blepharoplasty? Upper & Lower Eyelid Surgery Explained](https://qa.library.globalcastmd.com/watch/what-is-a-blepharoplasty-upper-lower-eyelid-surgery-explained-13252) — video · 0:52 · [machine version](https://qa.library.globalcastmd.com/watch/what-is-a-blepharoplasty-upper-lower-eyelid-surgery-explained-13252.md)
- [6 Myths About Eyelid Surgery - Blepharoplasty Debunked!](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253) — video · 5:09 · [machine version](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253.md)
- [What is an upper lip lift? Ask Dr. Diana Ponsky](https://qa.library.globalcastmd.com/watch/what-is-an-upper-lip-lift-ask-dr-diana-ponsky-13239) — video · 0:48 · [machine version](https://qa.library.globalcastmd.com/watch/what-is-an-upper-lip-lift-ask-dr-diana-ponsky-13239.md)

### Age-Specific Considerations
- [Perimenopause: Facial Plastic Surgery with @DrDianaPonsky](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243) — video · 23:59 · [machine version](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243.md)
- [11. Perimenopause: Facial Plastic Surgery with Dr. Diana Ponsky](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263) — podcast · 24:03 · [machine version](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263.md)
- [FACE FACTS: Plastic Surgeon Dissects Facial Aging & Colin Farrell!](https://qa.library.globalcastmd.com/watch/face-facts-plastic-surgeon-dissects-facial-aging-colin-farrell-13254) — video · 1:17 · [machine version](https://qa.library.globalcastmd.com/watch/face-facts-plastic-surgeon-dissects-facial-aging-colin-farrell-13254.md)
- [FACE FACTS: Plastic Surgeon Dissects Facial Aging & Tom Brady! Has he gone under the knife?](https://qa.library.globalcastmd.com/watch/face-facts-plastic-surgeon-dissects-facial-aging-tom-brady-has-he-gone-under-the-13255) — video · 1:18 · [machine version](https://qa.library.globalcastmd.com/watch/face-facts-plastic-surgeon-dissects-facial-aging-tom-brady-has-he-gone-under-the-13255.md)
- [Did Hillary Clinton Have Cosmetic Work Done? Facial Plastic Surgeon Breaks It Down](https://qa.library.globalcastmd.com/watch/did-hillary-clinton-have-cosmetic-work-done-facial-plastic-surgeon-breaks-it-dow-13244) — video · 1:12 · [machine version](https://qa.library.globalcastmd.com/watch/did-hillary-clinton-have-cosmetic-work-done-facial-plastic-surgeon-breaks-it-dow-13244.md)

### Prevention & Maintenance
- [What to look for in a sunscreen and what to avoid](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250) — video · 5:51 · [machine version](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250.md)

## Chapters
- [0:01](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=1) Introduction and Observing Menopausal Changes in Facial Aging (Ep 11)
- [2:28](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=148) Specific Facial Changes and the Maintenance Approach (Ep 11)
- [6:01](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=361) Individualized Prevention and Collagen Depletion (Ep 11)
- [8:07](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=487) Role of Hormones and Early Intervention (Ep 11)
- [10:56](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=656) Lifestyle Factors and Treatment Options for Late Starters (Ep 11)
- [13:40](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=820) Fillers: Function, Limitations, and Concerns (Ep 11)
- [17:34](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=1054) Ethnic Variations in Aging and Bone Health (Ep 11)
- [19:43](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=1183) Philosophy of Aging Management and Comprehensive Self-Care (Ep 11)
- [0:00](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=0) SPF levels and protection percentages (Ep 16)
- [1:32](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=92) Product types and application for face versus body (Ep 16)
- [3:37](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=217) Layering strategy and reapplication timing (Ep 16)
- [4:58](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=298) Application technique and natural sunscreen efficacy (Ep 16)
- [0:10](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=10) Myth 1: Blepharoplasty is only for older people (Ep 9)
- [1:08](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=68) Myth 2: Results are immediate (Ep 9)
- [1:47](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=107) Myth 3: Surgery significantly changes appearance (Ep 9)
- [2:38](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=158) Myth 4: Eyelid surgery is very painful (Ep 9)
- [3:30](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=210) Myth 5: Recovery time is too long (Ep 9)
- [4:13](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=253) Myth 6: Surgery always results in visible scars (Ep 9)
- [0:00](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=0) Introduction and Guest Credentials (Ep 12)
- [1:47](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=107) Observable Changes During Menopause (Ep 12)
- [5:05](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=305) Preventive Approaches and Individual Variation (Ep 12)
- [8:05](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=485) Role of Hormones and Lifestyle Factors (Ep 12)
- [13:38](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=818) Fillers, Botox, and Treatment Modalities (Ep 12)
- [17:35](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=1055) Ethnic Differences in Facial Aging (Ep 12)
- [20:16](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=1216) Philosophy of Aging and Comprehensive Self-Care (Ep 12)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- SPF 30 provides 95% protection against damaging rays that lead to increased skin cancer risk. — Diana Ponsky (clinical) [Ep 16 · 0:42](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=42)
- SPF 15 is not adequate protection. — Diana Ponsky (opinion) [Ep 16 · 0:48](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=48)
- SPF 50 or 80 provides 98% protection. — Diana Ponsky (clinical) [Ep 16 · 1:05](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=65)
- Each 10 SPF increment provides approximately 1% additional protection. — Diana Ponsky (clinical) [Ep 16 · 1:17](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=77)
- Physical sunblocks contain zinc oxide and titanium dioxide as active ingredients. — Diana Ponsky (clinical) [Ep 16 · 1:41](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=101)
- Physical sunblocks have a whitish tint. — Diana Ponsky (clinical) [Ep 16 · 1:41](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=101)
- Blue Neutrogena gel sunscreen is beneficial for acne-prone skin. — Diana Ponsky (clinical) [Ep 16 · 2:00](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=120)
- Ceramides in sunscreen provide hydration to skin. — Diana Ponsky (clinical) [Ep 16 · 2:13](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=133)
- Sunscreen should be reapplied every 2 hours during direct sun exposure such as beach or boat activities. — Diana Ponsky (guideline) [Ep 16 · 4:29](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=269)
- There are two types of sunblocks: physical and chemical. — Diana Ponsky (clinical) [Ep 16 · 3:46](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=226)
- Oxybenzone and tin oxidate are chemical sunblock ingredients that should be avoided. — Diana Ponsky (guideline) [Ep 16 · 3:53](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=233)
- Most drugstore sunblocks currently do not contain oxybenzone or tin oxidate. — Diana Ponsky (clinical) [Ep 16 · 4:04](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=244)
- Chemical sunblocks are absorbed into skin and provide protection once the sun hits the skin. — Diana Ponsky (clinical) [Ep 16 · 4:04](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=244)
- Physical sunblocks sit on top of skin and block UV rays. — Diana Ponsky (clinical) [Ep 16 · 4:04](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=244)
- Once a physical sunblock washes off, there is no protection remaining. — Diana Ponsky (clinical) [Ep 16 · 4:21](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=261)
- Physical sunblocks lose effectiveness when sweated off. — Diana Ponsky (clinical) [Ep 16 · 4:41](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=281)
- Waterproof/sweatproof sunscreens are rated for 80 minutes of water resistance. — Diana Ponsky (clinical) [Ep 16 · 4:48](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=288)
- Sunscreen should be applied before going outside. — Diana Ponsky (guideline) [Ep 16 · 4:52](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=292)
- Natural sunscreens can work if they contain key protective ingredients like zinc or titanium, but evidence for all natural formulations is incomplete. — Diana Ponsky (clinical) [Ep 16 · 5:20](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=320)
- Dr. Ponsky applies SPF daily as part of her routine before foundation. — Diana Ponsky (opinion) [Ep 16 · 3:15](https://qa.library.globalcastmd.com/watch/what-to-look-for-in-a-sunscreen-and-what-to-avoid-13250?t=195)
- In the past, only older people had blepharoplasty done for functional reasons when the upper eyelid weighs down on lashes and impairs vision. (clinical) [Ep 9 · 0:32](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=32)
- Nowadays people pursue blepharoplasty cosmetically for tarsal show or a younger, less tired appearance. (clinical) [Ep 9 · 0:46](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=46)
- More people are undergoing blepharoplasty at a younger age. (epidemiological) [Ep 9 · 0:58](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=58)
- Upper eyelid surgery results are visible right away, though stitches and settling time are required. (clinical) [Ep 9 · 1:15](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=75)
- Lower eyelid surgery swelling lasts longer because lymphatic drainage in the under-eye area is slower. (clinical) [Ep 9 · 1:26](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=86)
- Well-done upper and lower eyelid surgery should not result in a significant or perceptible change in appearance; patients should just look less tired. (opinion) [Ep 9 · 1:47](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=107)
- If lower eyelid surgery is done too aggressively or incorrectly, the lower lids can get pulled down, resulting in perceptible changes in appearance. (clinical) [Ep 9 · 2:15](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=135)
- With proper recovery management, patients should not notice anything other than swelling as a sensation after eyelid surgery. (clinical) [Ep 9 · 2:43](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=163)
- On the first day after upper eyelid surgery, patients feel a sensation like a paper cut. (clinical) [Ep 9 · 2:53](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=173)
- Applying ointment to the upper eyelid incision makes the paper cut sensation go away. (clinical) [Ep 9 · 3:02](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=182)
- Icing the eyelid area reduces bruising. (clinical) [Ep 9 · 3:02](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=182)
- The acute phase of recovery is the initial six hours; managing it well makes future days much easier. (clinical) [Ep 9 · 3:14](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=194)
- Upper eyelid recovery time is one week (six days). (clinical) [Ep 9 · 3:30](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=210)
- Upper eyelid bruising in older individuals may last for two weeks and looks like purple eye shadow. (clinical) [Ep 9 · 3:40](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=220)
- Lower eyelid bruising lasts about ten days. (clinical) [Ep 9 · 3:57](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=237)
- Lower eyelid swelling in some individuals can last about six weeks, but should not be longer than that. (clinical) [Ep 9 · 4:00](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=240)
- Upper eyelid surgery scars are hidden in the natural crease and are very imperceptible when healed. (clinical) [Ep 9 · 4:21](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=261)
- Most people forget they had upper eyelid surgery done, and no one can find the scar because of how the skin heals there. (clinical) [Ep 9 · 4:33](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=273)
- If the lower eyelid scar is not placed well, it can sometimes pull down and be more visible. (clinical) [Ep 9 · 4:41](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=281)
- Trained observers can recognize lower eyelid incision sites, but untrained people typically cannot identify where the scars are, though they may tell that lower eyelid surgery was performed. (clinical) [Ep 9 · 4:52](https://qa.library.globalcastmd.com/watch/6-myths-about-eyelid-surgery-blepharoplasty-debunked-13253?t=292)
- Within 5 years around menopause, 30% of collagen depletes, followed by 2% annual loss thereafter. — Diana Ponsky (clinical) [Ep 11 · 7:29](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=449)
- Facial aging involves skin laxity, facial volume loss, jaw shortening and masculinization, brow flattening (loss of arch), and gravitational descent of fat. — Diana Ponsky (clinical) [Ep 11 · 3:18](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=198)
- Estrogen receptors are present throughout the body, especially in skin, and circulating estrogen changes drive skin, mucosal, and hair changes during menopause. — Diana Ponsky (clinical) [Ep 11 · 8:57](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=537)
- Starting hormone replacement therapy earlier is a game changer for maintaining muscle mass and preventing fat redistribution from face to midsection. — Diana Ponsky (opinion) [Ep 11 · 9:19](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=559)
- Twin studies show that lifestyle habits (smoking, drinking, sun exposure) can make identical twins look 10 years different in age after sufficient time. — Diana Ponsky (epidemiological) [Ep 11 · 8:35](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=515)
- Smoking cessation is required for 4 weeks before and 4 weeks after facial surgery to enable optimal healing. — Diana Ponsky (guideline) [Ep 11 · 11:56](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=716)
- Fillers volumize rather than lift; volumizing enough can create the illusion of lifting but does not actually lift tissues. — Diana Ponsky (clinical) [Ep 11 · 13:51](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=831)
- Hyaluronic acid fillers can infiltrate into muscle fibers, restricting adequate room for movement and distorting smiles. — Diana Ponsky (clinical) [Ep 11 · 14:51](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=891)
- Blonde, blue-eyed individuals age faster from a skin standpoint but have better bony health than Asian individuals. — Diana Ponsky (clinical) [Ep 11 · 18:13](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=1093)
- Osteoporosis occurs in facial bones (jaw, around nose) in addition to long bones. — Diana Ponsky (clinical) [Ep 11 · 18:23](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=1103)
- In Asian patients, jaw and chin recede faster due to bony changes than soft tissue changes, while fair-skinned patients develop etched lines faster even with sunscreen use. — Diana Ponsky (clinical) [Ep 11 · 18:33](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=1113)
- Repeated motions from straw use contribute to lip line formation. — Diana Ponsky (clinical) [Ep 11 · 11:30](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=690)
- Collagen supplements provide building blocks but do not directly translate to collagen production in the body; there is no proven direct correlation or direct science supporting supplement claims. — Diana Ponsky (opinion) [Ep 11 · 16:27](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=987)
- Subtherapeutic minoxidil can be used prophylactically to curb hair loss anticipated during menopause. — Diana Ponsky (clinical) [Ep 11 · 20:41](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=1241)
- Better muscle girth from resistance training helps patients recover faster from injuries such as bone fractures. — Diana Ponsky (clinical) [Ep 11 · 21:27](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=1287)
- 30-40% of women's lives are now spent after menopause, a period without circulating estrogen. — Rachel (epidemiological) [Ep 11 · 19:23](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=1163)
- Within 5 years around menopause, 30% of collagen depletes, followed by 2% annual loss thereafter — Diana Ponsky (clinical) [Ep 12 · 7:36](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=456)
- Facial aging involves skin laxity, facial volume loss, jaw shortening and masculinization, and brow flattening (loss of arch) — Diana Ponsky (clinical) [Ep 12 · 3:16](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=196)
- Estrogen receptors are present throughout the body, especially in skin — Diana Ponsky (clinical) [Ep 12 · 8:55](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=535)
- Starting hormone replacement therapy earlier is a game changer for preventing facial aging changes — Diana Ponsky (opinion) [Ep 12 · 9:17](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=557)
- Smoking contributes to lip line formation; repeated motions from straw use also contribute — Diana Ponsky (clinical) [Ep 12 · 11:15](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=675)
- Smoking cessation is required 4 weeks before and 4 weeks after facial surgery for optimal healing — Diana Ponsky (clinical) [Ep 12 · 11:54](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=714)
- Fillers are volumizing agents that do not lift tissue; they can create an illusion of lifting through sufficient volumization — Diana Ponsky (clinical) [Ep 12 · 13:49](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=829)
- Fillers can infiltrate into muscle fibers, restricting movement and distorting facial function — Diana Ponsky (clinical) [Ep 12 · 14:41](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=881)
- Collagen supplements provide building blocks but do not directly translate to collagen production in the body; there is no proven direct correlation or direct science supporting supplement claims — Diana Ponsky (clinical) [Ep 12 · 16:25](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=985)
- Blonde, blue-eyed individuals age faster from a skin standpoint but have better bony health than Asian individuals — Diana Ponsky (clinical) [Ep 12 · 18:14](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=1094)
- Osteoporosis occurs in facial bones including jaw bones and bones around the nose — Diana Ponsky (clinical) [Ep 12 · 18:24](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=1104)
- In Asian individuals, jaw and chin recede faster due to bony changes than soft tissue changes — Diana Ponsky (clinical) [Ep 12 · 18:34](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=1114)
- Blonde, blue-eyed individuals develop etched lines faster even with optimal sunscreen use, but their cheekbones and jawbone withstand time better than Asian individuals — Diana Ponsky (clinical) [Ep 12 · 18:45](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=1125)
- Subtherapeutic minoxidil can be used preventively to curb hair loss associated with hormonal changes — Diana Ponsky (clinical) [Ep 12 · 20:42](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=1242)
- Better muscle girth helps with faster recovery if a bone is broken — Diana Ponsky (clinical) [Ep 12 · 21:30](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=1290)

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- Estrogen helps prevent osteoporosis in both long bones and facial bones. — Rachel summarizes what Dr. Diana Ponsky said [Ep 11 · 19:09](https://qa.library.globalcastmd.com/watch/perimenopause-facial-plastic-surgery-with-drdianaponsky-13243?t=1149)
- Estrogen helps prevent osteoporosis, which is relevant as 30-40% of life is now spent after menopause without circulating estrogen — Rachel summarizes what Dr. Diana Ponsky said [Ep 12 · 19:10](https://qa.library.globalcastmd.com/watch/11-perimenopause-facial-plastic-surgery-with-dr-diana-ponsky-13263?t=1150)

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