11. Perimenopause: Facial Plastic Surgery with Dr. Diana Ponsky

Facial aging involves skin laxity, facial volume loss, jaw shortening and masculinization, and brow flattening (loss of arch)

Within 5 years around menopause, 30% of collagen depletes, followed by 2% annual loss thereafter

Estrogen receptors are present throughout the body, especially in skin

Starting hormone replacement therapy earlier is a game changer for preventing facial aging changes

Smoking contributes to lip line formation; repeated motions from straw use also contribute

Smoking cessation is required 4 weeks before and 4 weeks after facial surgery for optimal healing

Fillers are volumizing agents that do not lift tissue; they can create an illusion of lifting through sufficient volumization

Fillers can infiltrate into muscle fibers, restricting movement and distorting facial function

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

Blonde, blue-eyed individuals age faster from a skin standpoint but have better bony health than Asian individuals

Osteoporosis occurs in facial bones including jaw bones and bones around the nose

In Asian individuals, jaw and chin recede faster due to bony changes than soft tissue changes

Blonde, blue-eyed individuals develop etched lines faster even with optimal sunscreen use, but their cheekbones and jawbone withstand time better than Asian individuals

Subtherapeutic minoxidil can be used preventively to curb hair loss associated with hormonal changes

Better muscle girth helps with faster recovery if a bone is broken