The Holistic Plastic Surgeon: Devices, Ozempic Face, and What Your Habits Do to Aging Skin

In this episode of unPAUSED, Dr. Mary Claire Haver continues her conversation with Dr. Tony Youn, board certified plastic surgeon, bestselling author of Younger for Life, and the most followed plastic surgeon on social media. In part two of this conversation, Dr. Youn moves from skincare into devices, lifestyle, and the bigger picture of how women can think about aging and anti-aging without getting swept up in the extremes.

Dr. Youn walks through the most commonly asked about in-office treatments, explaining what each one actually does and where the limitations are. He covers IPL for hyperpigmentation and sun damage, fractional CO2 lasers and how they differ from older more aggressive approaches, chemical peels and how depth determines results, and radiofrequency microneedling including what it can realistically achieve and where it falls short. He also addresses at-home devices, covering red light therapy and what the studies actually show about collagen and elastin, and what to look for in a dermal stamper.

The conversation then turns to surgery, with Dr. Youn drawing a clear line between what lasers, Botox, and other non-invasive skincare treatments can and cannot do, and explaining the real trade-offs of a facelift in language most patients never hear from their surgeons. He also reflects on the social pressure women face around aging and offers a framework for thinking about cosmetic procedures that starts with doing the least necessary to feel good.

Dr. Youn and Dr. Haver then turn to the habits that shape how skin ages over time, covering sleep, stress, sugar and glycation, inflammation, gut health, fiber, and protein.

The episode also covers Ozempic face, what is actually happening to skin during rapid weight loss on GLP-1 medications, and what the early data suggests about collagen loss and quality. The conversation closes with a look at the supplement evidence, including what the studies actually show about hydrolyzed collagen, and where the science stands on NAD, NMN, and IV drip treatments.

Guest links:

• Anthony Youn, MD
  
• Tony Youn, MD (Instagram)
  
• Doctor Youn (TikTok)
  
• Dr. Anthony Youn (Facebook)
  
• Doctor Youn (YouTube)
  
• The Doctor Youn Show (Apple Podcasts)

Books:

• “Younger for Life: Unlocking the Secrets of Longevity, Nutrition and Self-Care for a Youthful Life,” by Anthony Youn
• “Playing God,” by Anthony Youn
  
• “The Age Fix,” by Anthony Youn
  
• “In Stitches,” by Anthony Youn
• “The New Perimenopause,” by Dr. Mary Claire Haver
  
• “The New Menopause,"⁠ by Dr. Mary Claire Haver

Articles:

• Managing Menopausal Skin Changes: A Narrative Review of Skin Quality Changes, Their Aesthetic Impact, and the Actual Role of Hormone Replacement Therapy in Improvement (Journal of Cosmetic Dermatology)
  
• Overview of Aging, Skin Health, Estrogen, Menopause and HRT (Life)
  
• Menopause, skin and common dermatoses. Part 2: skin disorders (Clinical and Experimental Dermatology)
  
• Topical estrogen therapy for aging skin: Current evidence and clinical considerations (JAAD)
  
• Use of Retinoids in Topical Antiaging Treatments: A Focused Review of Clinical Evidence for Conventional and Nanoformulations (Advances in Therapy)
  
• Prospective, randomized, double-blind assessment of topical bakuchiol and retinol for facial photoageing (British Journal of Dermatology)
  
• Antioxidants to Defend Healthy and Youthful Skin—Current Trends and Future Directions in Cosmetology (Applied Sciences)
  
• Urinary concentrations of benzophenone-3 and reproductive outcomes among women undergoing infertility treatment with assisted reproductive technologies (Science of the Total Environment)
  
• Comparison between endocrine activity assessed using ToxCast/Tox21 database and human plasma concentration of sunscreen active ingredients/UV filters (Toxicological Sciences)
  
• Polynucleotides in Aesthetic Medicine: A Review of Current Practices and Perceived Effectiveness (International Journal of Molecular Sciences)
  
• Fatal phenol peel by an unlicensed social media practitioner: A forensic medical analysis (JAAD Online)
  
• Reverse skin aging signs by red light photobiomodulation (Skin Research and Technology)
  
• Mortality is Written on the Face (The Journals of Gerontology)
  
• Perceived age as clinically useful biomarker of ageing: cohort study (BMJ)
  
• Adipose-Derived Stem Cells for Facial Rejuvenation (Journal of Personalized Medicine)
  
• Adipose Tissue, Regeneration, and Skin Health: The Next Regenerative Frontier (Aesthetic Surgery Journal Open Forum)
  
• Effects of hydrolyzed collagen supplementation on skin aging: a systematic review and meta-analysis (International Journal of Dermatology)
  
• Ingestion of a collagen peptide containing high concentrations of prolyl-hydroxyproline and hydroxyprolyl-glycine reduces advanced glycation end products levels in the skin and subcutaneous blood vessel walls: a randomized, double-blind, placebo-controlled study (Bioscience, Biotechnology, and Biochemistry)
• Retinoids for prevention and treatment of actinic keratosis (Anais Brasileiros de Dermatologia)

Other Resources:

• SkinCeuticals C E Ferulic® with 15% L-Ascorbic Acid
  
• Jeuveau
  
• What Does it Mean if My Antioxidant Serum is Gold or Amber in Color?