WEBVTT 00:00:00.000 --> 00:00:02.640 Coming up on the 40s Formula. What would you 00:00:02.640 --> 00:00:05.379 say is one of the biggest mistakes that women 00:00:05.379 --> 00:00:08.460 make when it comes to their skin in their 40s? 00:00:08.480 --> 00:00:11.820 One of the biggest mistakes is... What would 00:00:11.820 --> 00:00:14.839 be the signs that it's time for a facelift? For 00:00:14.839 --> 00:00:16.960 retinoids. That's the best anti -aging ingredient. 00:00:17.199 --> 00:00:19.320 You know, mechanical lifting will always beat 00:00:19.320 --> 00:00:21.519 all these non -invasive treatments. When you 00:00:21.519 --> 00:00:23.859 take high sugar food, you are actually wrinkling 00:00:23.859 --> 00:00:27.339 faster. I once had a patient, she was told she 00:00:27.339 --> 00:00:28.960 had fillers injected on the skin, but she went 00:00:28.960 --> 00:00:31.379 somewhere overseas. It was really, really cheap. 00:00:31.500 --> 00:00:33.679 What she got injected into her cheeks was actually 00:00:33.679 --> 00:00:37.060 ****. Oh my god. I went full carnivore for six 00:00:37.060 --> 00:00:40.880 months. It did make my skin very clear. Dr. Chai 00:00:40.880 --> 00:00:43.060 -Ling Lo is a Singapore -based aesthetics doctor 00:00:43.060 --> 00:00:46.039 and the founder of SW1 Clinic. With over 20 years 00:00:46.039 --> 00:00:47.960 of experience, she's known for her science -led 00:00:47.960 --> 00:00:50.619 approach to skin, health, and aging. She's the 00:00:50.619 --> 00:00:52.920 author of In Full Bloom and her latest book, 00:00:53.079 --> 00:00:55.600 Stop Aging Like Milk, which takes a straight 00:00:55.600 --> 00:00:57.659 -talking look at what really works when it comes 00:00:57.659 --> 00:01:01.679 to aging well. The 40s Formula. The 40s Formula. 00:01:01.960 --> 00:01:06.500 The 40s Formula. Hosted by Jasmine Dillon. Integrated 00:01:06.500 --> 00:01:08.859 health strategist specializing in gut health, 00:01:09.200 --> 00:01:11.640 hormones and midlife well -being. And Amanda 00:01:11.640 --> 00:01:14.799 Lim, director of Lift Clinic and a leading expert 00:01:14.799 --> 00:01:17.560 in female strength and metabolism. Named one 00:01:17.560 --> 00:01:21.079 of CNA's top podcasts and winner of the 2025 00:01:21.079 --> 00:01:24.420 Asia Podcast Awards in the Best Health and Wellness 00:01:24.420 --> 00:01:27.420 Podcast category. The 40s Formula is your no 00:01:27.420 --> 00:01:31.000 -fluff, science meets real -life guide to thriving 00:01:31.000 --> 00:01:36.340 in your 40s. You hit your 40s and suddenly your 00:01:36.340 --> 00:01:38.969 skin feels different. The glow's faded, pigmentation 00:01:38.969 --> 00:01:41.370 pops up overnight, and you're wondering if this 00:01:41.370 --> 00:01:44.290 expensive serum is doing anything at all. This 00:01:44.290 --> 00:01:46.629 episode is for every woman who's looked in the 00:01:46.629 --> 00:01:48.890 mirror and thought, is this aging or is there 00:01:48.890 --> 00:01:51.390 something I can actually do about it? We'll be 00:01:51.390 --> 00:01:53.290 cutting through the noise, talking about what's 00:01:53.290 --> 00:01:55.629 really happening to your skin in your 40s, what 00:01:55.629 --> 00:01:57.969 treatments are worth it, and what to skip entirely. 00:01:58.230 --> 00:02:00.959 Let's get into it. Hi, Dr. Shai. How are you? 00:02:01.239 --> 00:02:03.939 I'm good. I'm very excited to be here. So what 00:02:03.939 --> 00:02:06.359 would you say is one of the biggest mistakes 00:02:06.359 --> 00:02:09.319 that women make when it comes to their skin in 00:02:09.319 --> 00:02:11.849 their 40s? I think one of the biggest mistakes 00:02:11.849 --> 00:02:14.449 is that we look at social media and we actually 00:02:14.449 --> 00:02:17.370 believe all the claims. Like, you know, there's 00:02:17.370 --> 00:02:20.949 always this latest ingredient, unicorn tears, 00:02:21.449 --> 00:02:24.409 magical elixir. And we're always chasing, you 00:02:24.409 --> 00:02:26.310 know, we're always chasing the next ingredient, 00:02:26.409 --> 00:02:29.389 next ingredient. And we're forgetting that the 00:02:29.389 --> 00:02:31.930 ingredients that really will, the really boring 00:02:31.930 --> 00:02:34.990 ones with many years of research, but they are 00:02:34.990 --> 00:02:37.530 not sexy. So what should we be looking out for 00:02:37.530 --> 00:02:39.949 then? I personally will tell all my patients 00:02:39.949 --> 00:02:44.030 retinoids. Okay. So vitamin A. But it's not sexy 00:02:44.030 --> 00:02:46.509 because everybody's heard about it and then they 00:02:46.509 --> 00:02:49.669 hear all the horror stories. But the horror stories 00:02:49.669 --> 00:02:52.569 come because these things actually work. So they 00:02:52.569 --> 00:02:54.789 actually increase cell turnover. So you get that 00:02:54.789 --> 00:02:57.250 flaking skin. So they're like, oh, it causes 00:02:57.250 --> 00:02:59.909 flaking skin. But it only has this side effect 00:02:59.909 --> 00:03:01.849 because you are using the wrong dose. You're 00:03:01.849 --> 00:03:04.909 using it wrongly. Whereas things like your magical 00:03:04.909 --> 00:03:07.740 unicorn tears and all that, you can... probably 00:03:07.740 --> 00:03:10.280 pour a bucket over your head and have no side 00:03:10.280 --> 00:03:12.699 effect because it does nothing. So retinoids 00:03:12.699 --> 00:03:17.080 is one thing. And then vitamin C, very boring. 00:03:17.240 --> 00:03:19.780 L -ascorbic acid. There's so many different vitamin 00:03:19.780 --> 00:03:23.300 C salts, but the one with the most research is 00:03:23.300 --> 00:03:26.300 L -ascorbic acid. The problem is that it's really 00:03:26.300 --> 00:03:29.599 unstable. So you've got to have it in amber bottles. 00:03:29.680 --> 00:03:32.560 I would say if you go to... say a pharmacy and 00:03:32.560 --> 00:03:35.300 you buy a vitamin C and it's in this clear, beautiful, 00:03:35.379 --> 00:03:37.860 clear bottle, you shouldn't get it because vitamin 00:03:37.860 --> 00:03:41.759 C will not be stable in that. Wow. Amazing tip. 00:03:41.960 --> 00:03:44.840 Yeah. No, I did not. Oh, wow. That's so good 00:03:44.840 --> 00:03:47.219 to know. Okay. Let's get back a little bit. You 00:03:47.219 --> 00:03:49.000 mentioned retinoids. Now, we've all heard of 00:03:49.000 --> 00:03:51.599 retinol. What's the difference? So retinoids 00:03:51.599 --> 00:03:55.060 is a more potent form of retinol. And both are 00:03:55.060 --> 00:03:57.840 vitamin A, different salts. Difference is that 00:03:57.840 --> 00:03:59.840 retinol is what you can find over the counter. 00:04:00.020 --> 00:04:03.919 So if you want to start slow, then go for retinol. 00:04:03.919 --> 00:04:06.639 That's fine. If you have your favorite aesthetic 00:04:06.639 --> 00:04:09.719 doctor, then go for retinoids. Obviously, because 00:04:09.719 --> 00:04:12.900 they are more potent, you get more effects faster. 00:04:13.370 --> 00:04:15.430 But that's where you get a bit of flaking, peeling. 00:04:15.909 --> 00:04:18.629 You need to use it when you're not going into 00:04:18.629 --> 00:04:20.550 the sun. You need to use it with moisturizer. 00:04:21.230 --> 00:04:23.430 But I think that's the best anti -aging ingredient. 00:04:23.850 --> 00:04:25.790 Okay, that's so good to know. Like I said, that's 00:04:25.790 --> 00:04:27.529 such a relief because that's the one that I actually 00:04:27.529 --> 00:04:30.850 use religiously. So that's at least good. I don't. 00:04:30.850 --> 00:04:35.029 I don't. I'm really bad. I'm literally just using... 00:04:35.240 --> 00:04:37.480 Actually, I'm not using anything. I'm using cleanser 00:04:37.480 --> 00:04:39.680 and then my moisturizer is coconut oil. So I 00:04:39.680 --> 00:04:41.860 am really basic. Talk to us about that. Yeah, 00:04:41.899 --> 00:04:44.399 talk to us about natural oils. You know, I was, 00:04:44.519 --> 00:04:46.740 well, in my book, I actually mentioned one of 00:04:46.740 --> 00:04:49.079 the most important things before you even use 00:04:49.079 --> 00:04:51.339 any ingredients is actually cleansing. Okay. 00:04:51.699 --> 00:04:54.959 You're doing one thing right. But it's not cleansing 00:04:54.959 --> 00:04:56.620 like what people think. When I say cleansing, 00:04:56.699 --> 00:04:59.259 all my patients will be like, oh, do I do scrub 00:04:59.259 --> 00:05:01.600 my face for two minutes like an Olympic athlete? 00:05:01.759 --> 00:05:03.740 No, but that's not what we want. The thing about 00:05:03.740 --> 00:05:07.589 cleansing is, go gentle or go home. So the problem 00:05:07.589 --> 00:05:10.910 is over -cleansing. You actually need to cleanse 00:05:10.910 --> 00:05:14.290 more gently, not more and more harshly. I think 00:05:14.290 --> 00:05:16.370 the main problems we're all doing is that we 00:05:16.370 --> 00:05:19.410 are using cleansers that are too harsh. So we're 00:05:19.410 --> 00:05:22.230 stripping the skin barrier. Then after that, 00:05:22.290 --> 00:05:25.069 we're trying to replace it with moisturizers. 00:05:25.110 --> 00:05:28.149 It is much better to use a cleanser that is... 00:05:28.620 --> 00:05:31.300 gentle maybe it doesn't form but forming doesn't 00:05:31.300 --> 00:05:33.459 mean cleaner it means stripping off the barrier 00:05:33.459 --> 00:05:35.560 yeah do you know what that's such a good point 00:05:35.560 --> 00:05:37.220 that you made because i really think that if 00:05:37.220 --> 00:05:39.000 if it's not foaming we're thinking nothing's 00:05:39.000 --> 00:05:42.600 happening wow okay so go gentler on with the 00:05:42.600 --> 00:05:44.860 cleanser yeah what about exfoliation now what 00:05:44.860 --> 00:05:46.560 do you think about that is that something we 00:05:46.560 --> 00:05:48.540 should be doing or we shouldn't be doing i don't 00:05:48.540 --> 00:05:51.279 think you need to over exfoliate okay sometimes 00:05:51.279 --> 00:05:54.379 if you are somebody who wears a lot of makeup 00:05:54.379 --> 00:05:57.040 i think occasionally exfoliation can help because 00:05:57.040 --> 00:05:59.860 you're getting rid of some dead cells and then 00:05:59.860 --> 00:06:02.399 your products can penetrate better but daily 00:06:02.399 --> 00:06:04.819 exfoliation i think you're stripping more of 00:06:04.819 --> 00:06:07.319 your skin barrier than is necessary So speaking 00:06:07.319 --> 00:06:10.259 of daily exfoliation, retinoids do have an exfoliant 00:06:10.259 --> 00:06:12.560 property, right? Yes. So are those still safe 00:06:12.560 --> 00:06:15.040 for everyday use? So what retinoids do is they 00:06:15.040 --> 00:06:16.980 don't strip the skin barrier, but they increase 00:06:16.980 --> 00:06:19.399 your cell turnover. So imagine when you're young 00:06:19.399 --> 00:06:22.279 and your skin cells are turning over once every 00:06:22.279 --> 00:06:25.319 21 days. And so when you have an acne mark, it 00:06:25.319 --> 00:06:27.720 disappears. But then when you get older, this 00:06:27.720 --> 00:06:30.560 time taken for your skin, the change one layer 00:06:30.560 --> 00:06:33.759 gets longer and longer. So 35 days, 41. So, you 00:06:33.759 --> 00:06:36.120 know, adult acne is always a problem because... 00:06:36.139 --> 00:06:37.720 they leave these marks on the skin and people 00:06:37.720 --> 00:06:39.920 go, I don't understand, I'm having these marks, 00:06:39.980 --> 00:06:41.779 they're hanging around like an ex -boyfriend 00:06:41.779 --> 00:06:44.759 and it goes away. So what retinoid does is it 00:06:44.759 --> 00:06:47.399 shortens it, making your skin behave in a younger 00:06:47.399 --> 00:06:50.480 manner. So it doesn't really exfoliate mechanically, 00:06:50.579 --> 00:06:53.300 but because it encourages the cell turnover, 00:06:53.560 --> 00:06:56.759 so you don't have this layer of dead cells that's 00:06:56.759 --> 00:06:58.759 hanging around. So it comes back to the point, 00:06:58.839 --> 00:07:01.620 if you are using retinoids, exfoliation is not 00:07:01.620 --> 00:07:03.579 necessary. But for somebody like you, you're 00:07:03.579 --> 00:07:07.100 not using any... skincare that has this cell 00:07:07.100 --> 00:07:09.339 turnover properties. If you want, you can add, 00:07:09.459 --> 00:07:12.279 you know, mild exfoliation. Occasionally, I think 00:07:12.279 --> 00:07:14.959 it can help. Peels be in the category exfoliation? 00:07:15.040 --> 00:07:16.879 Yes, peels would be in the category. And would 00:07:16.879 --> 00:07:20.790 that be like a monthly? quarterly? How often 00:07:20.790 --> 00:07:23.629 do I need to peel? You know, people really like 00:07:23.629 --> 00:07:26.149 the feeling of peels. My patients love peels 00:07:26.149 --> 00:07:27.569 because of the feeling of peels. You know, after 00:07:27.569 --> 00:07:30.470 that, your skin glows. So what happens is you 00:07:30.470 --> 00:07:32.189 need to look at the percentage. Are you using 00:07:32.189 --> 00:07:35.069 a mild peel or something that is stronger? If 00:07:35.069 --> 00:07:37.209 you're using something in a clinic, then maybe 00:07:37.209 --> 00:07:39.670 definitely not weekly or even fortnightly. Monthly, 00:07:39.670 --> 00:07:42.029 a few months once. Are you combining with other 00:07:42.029 --> 00:07:44.790 things like lasers, retinoids, you know? If somebody 00:07:44.790 --> 00:07:47.990 is on Roaccutane or even applying retinoids, 00:07:48.050 --> 00:07:50.170 I'll say, no peels because you are already increasing 00:07:50.170 --> 00:07:52.069 your cell turnover. And of course, thirdly, what 00:07:52.069 --> 00:07:54.589 are you aiming with the peels? Some people are 00:07:54.589 --> 00:07:57.350 doing BHA peels because they are treating acne. 00:07:57.550 --> 00:08:00.170 Then we are going to do a low dose more regularly 00:08:00.170 --> 00:08:02.629 because we know the acne comes on every month 00:08:02.629 --> 00:08:04.870 in the monthly cycle. Other people want a peel 00:08:04.870 --> 00:08:07.629 so then they look glowing for a wedding. But 00:08:07.629 --> 00:08:09.569 their skin will tend to be drier. Maybe these 00:08:09.569 --> 00:08:11.850 will be a once a year before a big red carpet 00:08:11.850 --> 00:08:15.459 event. You mentioned damaged skin. Now, when 00:08:15.459 --> 00:08:17.839 we are getting into our 40s, our skin does change. 00:08:18.019 --> 00:08:20.800 What are the sort of common changes that women 00:08:20.800 --> 00:08:24.000 in their 40s will notice? occurring to their 00:08:24.000 --> 00:08:27.160 skin. Okay. I mean, I can even speak from my 00:08:27.160 --> 00:08:29.240 personal experience because when I hit 40, all 00:08:29.240 --> 00:08:31.300 these things happen. The first thing happens, 00:08:31.339 --> 00:08:33.980 your skin is going to change from oily to combination. 00:08:34.000 --> 00:08:36.620 It's not completely dry yet, but we are hitting 00:08:36.620 --> 00:08:40.399 that sneaky decade before menopause. So some 00:08:40.399 --> 00:08:42.700 parts are going to be dry. Now, the second thing 00:08:42.700 --> 00:08:45.559 is like you mentioned, the cell turnover is going 00:08:45.559 --> 00:08:48.379 to be slower. So scars are going to stick around. 00:08:48.620 --> 00:08:50.899 You know, you get one pimple, but the scar is 00:08:50.899 --> 00:08:52.690 going to hang around for a longer time. time. 00:08:52.710 --> 00:08:56.190 Don't I know it. I'm a picker. As soon as I get 00:08:56.190 --> 00:08:58.009 one, I can't help it. I'm like there and I'm 00:08:58.009 --> 00:09:01.269 scratching and then I'm like, oh, I've got to 00:09:01.269 --> 00:09:03.769 be scarred out. And it's not just on your face, 00:09:03.809 --> 00:09:06.490 like on your legs. You go somewhere, you cut 00:09:06.490 --> 00:09:08.529 yourself and then that mark is there for weeks 00:09:08.529 --> 00:09:09.990 and you're like, I don't remember that being, 00:09:10.169 --> 00:09:12.590 you know. And then lastly, a lot of people think 00:09:12.590 --> 00:09:14.409 I hit 40, I'm never going to have pimples again. 00:09:14.950 --> 00:09:17.070 Unfortunately, that's not true. You kind of get 00:09:17.070 --> 00:09:18.529 the worst of both worlds. You're still going 00:09:18.529 --> 00:09:22.000 to have acne. But they tend to be the larger 00:09:22.000 --> 00:09:24.000 underneath the skin, a bit more problematic, 00:09:24.220 --> 00:09:25.840 hanging around for a long time. You don't get 00:09:25.840 --> 00:09:28.399 a lot of them, but you still get them. So I think 00:09:28.399 --> 00:09:30.820 these are the sneaky changes that come in. Well, 00:09:30.840 --> 00:09:33.000 and you said, you know, the nature of your breakouts 00:09:33.000 --> 00:09:35.240 change. Do you find that they're more hormonally 00:09:35.240 --> 00:09:37.639 driven in their 40s? Totally. So does that mean 00:09:37.639 --> 00:09:39.279 that we're helpless against them? Like, you know, 00:09:39.320 --> 00:09:41.840 I mean, like if it's like a hormones issue and 00:09:41.840 --> 00:09:43.620 it's going to happen, like what are the best 00:09:43.620 --> 00:09:45.600 way to deal with hormonal breakouts? So, you 00:09:45.600 --> 00:09:47.639 know, there's so many things you can do a hormonal 00:09:47.639 --> 00:09:50.149 breakout because hormones is... just i mean like 00:09:50.149 --> 00:09:51.750 you guys know it's not just your female hormones 00:09:51.750 --> 00:09:54.450 cortisol is a hormone and that's why when you 00:09:54.450 --> 00:09:56.710 don't sleep well you're going to break up break 00:09:56.710 --> 00:09:58.950 out you're going to heal slower so the first 00:09:58.950 --> 00:10:01.809 thing you can do is better nutrition hydration 00:10:01.809 --> 00:10:03.970 first thing in the morning sleeping better you're 00:10:03.970 --> 00:10:06.570 going to reduce your cortisol and of course you're 00:10:06.570 --> 00:10:08.870 there's a lot of female hormonal changes that's 00:10:08.870 --> 00:10:11.549 taking place i think by the time acne comes on 00:10:11.549 --> 00:10:13.429 and you're taking that pimple cream and dotting 00:10:13.429 --> 00:10:16.620 it It's too late. There are a lot of things we 00:10:16.620 --> 00:10:18.899 can use on our skin to prevent our skin from 00:10:18.899 --> 00:10:21.080 breaking out. So a lot of people treat acne like 00:10:21.080 --> 00:10:23.320 when I see it, then I'm going to do something 00:10:23.320 --> 00:10:25.500 that's wrong. In the 40s, you're going to be 00:10:25.500 --> 00:10:27.700 using things like niacinamide. It helps very 00:10:27.700 --> 00:10:30.519 much with pimples. It's vitamin B as well. These 00:10:30.519 --> 00:10:33.139 really boring ingredients. I call it the beige 00:10:33.139 --> 00:10:36.259 cardigan of skincare because nobody really is 00:10:36.259 --> 00:10:38.679 like, what does it do? But it's so gentle, but 00:10:38.679 --> 00:10:40.659 it does a few things. Anti -aging, it helps a 00:10:40.659 --> 00:10:43.220 bit of acne, helps with oil control, but not 00:10:43.220 --> 00:10:45.440 very strong. It doesn't kind of peel like HA, 00:10:45.600 --> 00:10:47.919 doesn't exfoliate your skin like retinol. So 00:10:47.919 --> 00:10:49.460 a lot of people say it does nothing, but it does. 00:10:49.600 --> 00:10:51.379 And you use it on the whole face. It can be in 00:10:51.379 --> 00:10:53.960 a moisturizer or a serum. The second thing is 00:10:53.960 --> 00:10:57.000 azelaic acid. Again, this is one of these multitasking 00:10:57.000 --> 00:10:59.519 ingredients, but not very sexy. It's been around 00:10:59.519 --> 00:11:01.240 for a long time. It helps with pigmentation, 00:11:01.460 --> 00:11:04.360 helps with pimples, comes and moisturizes, so 00:11:04.360 --> 00:11:06.659 you can use it all over your skin. And I think 00:11:06.659 --> 00:11:08.379 that... when I change that for my patients and 00:11:08.379 --> 00:11:11.440 I'm giving them, you know, not empty moisturizers, 00:11:11.440 --> 00:11:13.580 but moisturizers with a bit of vitamin B, a bit 00:11:13.580 --> 00:11:15.940 of azalea acid, they find that in general, there 00:11:15.940 --> 00:11:18.460 are breakouts. It doesn't stop completely because 00:11:18.460 --> 00:11:20.139 sometimes the breakouts are due to you calling 00:11:20.139 --> 00:11:22.200 your husband. Sorry, you still have your husband. 00:11:22.440 --> 00:11:25.700 But the breakouts sort of reduce this. Then when 00:11:25.700 --> 00:11:27.899 they get that breakthrough acne, that one or 00:11:27.899 --> 00:11:30.019 two pimples, okay, that's where we dot with the 00:11:30.019 --> 00:11:32.720 pimple cream. That is the best strategy I find. 00:11:32.879 --> 00:11:35.940 Okay, so you've mentioned sort of applying sort 00:11:35.940 --> 00:11:39.259 of vitamin B, vitamin A in the form of retinoids. 00:11:39.360 --> 00:11:41.960 What about ingesting it? So like, can we take 00:11:41.960 --> 00:11:46.580 supplements to help with breakouts? Okay. My 00:11:46.580 --> 00:11:49.440 feeling about supplements is that when you take 00:11:49.440 --> 00:11:51.100 a supplement, it doesn't really go to the skin 00:11:51.100 --> 00:11:54.200 of your face. It goes to your entire body. Okay. 00:11:54.480 --> 00:11:56.059 That's why, you know, a lot of my patients, I 00:11:56.059 --> 00:11:57.720 take collagen, it's going to pat on my cheeks. 00:11:57.799 --> 00:12:01.200 Well, it could go to your... But it's not always 00:12:01.200 --> 00:12:03.960 true. And it doesn't work quite as well as topical 00:12:03.960 --> 00:12:07.120 application. For us to take a vitamin and for 00:12:07.120 --> 00:12:08.980 it to reach such a high concentration in the 00:12:08.980 --> 00:12:11.299 skin of our face, we'll be ingesting such huge 00:12:11.299 --> 00:12:14.059 quantities that it is not feasible. And most 00:12:14.059 --> 00:12:15.580 of the time, we're going to pee it out. So by 00:12:15.580 --> 00:12:17.480 the time you're taking supplements and you notice 00:12:17.480 --> 00:12:19.659 your pee is bright yellow, you're just making 00:12:19.659 --> 00:12:22.299 very expensive urine. Okay, well, that's good 00:12:22.299 --> 00:12:25.220 to know. So I think now is the perfect time to 00:12:25.220 --> 00:12:27.639 play a little game, which we call Hot or Hype. 00:12:27.919 --> 00:12:30.519 I'm going to chat about some trending topics 00:12:30.519 --> 00:12:32.419 for you and you can tell me whether you think 00:12:32.419 --> 00:12:34.220 they're hot or hype. You kind of already mentioned 00:12:34.220 --> 00:12:36.620 one, but collagen drinks. Hot or hype? Oh, it 00:12:36.620 --> 00:12:39.460 is definitely hype. Oh, is it really? It's hype. 00:12:39.720 --> 00:12:42.320 I wish it was true. But you think about it, just 00:12:42.320 --> 00:12:44.240 because we don't have enough collagen doesn't 00:12:44.240 --> 00:12:46.679 mean we take collagen. Same like when your hair's 00:12:46.679 --> 00:12:49.580 dropping, you don't eat hair, right? Yeah, thank 00:12:49.580 --> 00:12:53.320 God for that. What about skin boosters? Okay, 00:12:53.379 --> 00:12:55.080 when you talk about skin boosters, are you talking 00:12:55.080 --> 00:12:57.860 about the injectables? Yeah, I think that's what 00:12:57.860 --> 00:13:01.919 I mean. That totally works for increasing dermal 00:13:01.919 --> 00:13:04.700 water. So what happens is the hyaluronic acid 00:13:04.700 --> 00:13:07.279 content in our skin goes down. And so you're 00:13:07.279 --> 00:13:10.340 replacing the hyaluronic acid content in our 00:13:10.340 --> 00:13:13.259 dermal layer. And that helps us hold water. Okay, 00:13:13.299 --> 00:13:14.940 so my profile is doing something is what you're 00:13:14.940 --> 00:13:17.220 saying. Your profile is doing something and you 00:13:17.220 --> 00:13:21.399 look great. You're too kind. Baby Botox. Botox 00:13:21.399 --> 00:13:23.259 is, you know, there were three treatments I put 00:13:23.259 --> 00:13:25.899 in my books that totally works and Botox is one 00:13:25.899 --> 00:13:29.320 of them. Okay, shout out. Botox, we welcome you 00:13:29.320 --> 00:13:31.659 as a sponsor. Please come on the show. It has 00:13:31.659 --> 00:13:34.000 years of science, but it's gone from sexy to 00:13:34.000 --> 00:13:36.340 not sexy only because it's been there for a long 00:13:36.340 --> 00:13:39.019 time. But it does what it does. It actually reduces 00:13:39.019 --> 00:13:41.620 the excessive muscle movement. And when done 00:13:41.620 --> 00:13:44.620 well, it's not paralyzing your face. It's reducing 00:13:44.620 --> 00:13:47.220 this excessive movement in your skin. Don't forget, 00:13:47.279 --> 00:13:49.059 your skin is going to be on top of your muscle. 00:13:49.120 --> 00:13:51.340 Every time you have a muscle contraction, your 00:13:51.340 --> 00:13:54.799 skin sort of gets creased up. So if you minimize 00:13:54.799 --> 00:13:56.779 this excessive movement, you're also saving your 00:13:56.779 --> 00:13:59.159 skin. So baby bowl chops for people who want 00:13:59.159 --> 00:14:02.179 it. Minute doses, preserving expression. I think 00:14:02.179 --> 00:14:04.000 it's a great way. Okay, that's good to know. 00:14:04.039 --> 00:14:06.679 Yeah, I love that. What about things like red 00:14:06.679 --> 00:14:10.460 light therapy? Yeah, that everyone's wearing. 00:14:10.659 --> 00:14:12.399 Okay, so red light therapy, you've got to be 00:14:12.399 --> 00:14:15.500 very careful. You have to use one that is bright 00:14:15.500 --> 00:14:18.360 enough, what we call luminescence. So some red 00:14:18.360 --> 00:14:21.379 light therapy... is not bright enough to penetrate 00:14:21.379 --> 00:14:23.720 the skin. So like, you know, handheld devices 00:14:23.720 --> 00:14:26.960 at home. I mean, if you're really patient, maybe 00:14:26.960 --> 00:14:29.879 after years and years of using, but if you really 00:14:29.879 --> 00:14:32.000 want something to help, you want one that you're 00:14:32.000 --> 00:14:33.820 sitting in a clinic where there are a lot of 00:14:33.820 --> 00:14:35.779 bulbs, it almost feels like it's almost too bright, 00:14:35.860 --> 00:14:38.250 you need goggles, that does help. Two things. 00:14:38.330 --> 00:14:41.830 At 670 nanometers, improves healing, it rejuvenates 00:14:41.830 --> 00:14:44.490 the skin. And of course, there's a latest study 00:14:44.490 --> 00:14:47.470 in UCL that says that if you expose your eyes 00:14:47.470 --> 00:14:50.470 to red light in the morning, just two to three 00:14:50.470 --> 00:14:52.570 minutes, three times a week, it actually improves 00:14:52.570 --> 00:14:55.970 your eyesight. Oh my gosh. I had not heard. I 00:14:55.970 --> 00:14:57.590 was just about to say, that is something I had 00:14:57.590 --> 00:14:59.929 not heard about until I got on this chair. Okay. 00:15:00.570 --> 00:15:03.950 So a lot of women go around saying we want to 00:15:03.950 --> 00:15:07.980 age gracefully. Yeah. What is... So would you 00:15:07.980 --> 00:15:10.019 say there's a fine line between aging gracefully 00:15:10.019 --> 00:15:13.539 and giving up? Yes, I think it is a fine line. 00:15:13.720 --> 00:15:16.879 You know, I mean, yeah, sometimes it is almost 00:15:16.879 --> 00:15:19.399 like one of my male patients came and says, you 00:15:19.399 --> 00:15:21.220 know, I have this girlfriend and she's so natural. 00:15:21.299 --> 00:15:24.240 She doesn't even wear makeup. And my heart was 00:15:24.240 --> 00:15:26.200 thinking for your girlfriend to not wear makeup, 00:15:26.240 --> 00:15:28.960 she must do a lot of aesthetic treatments. So 00:15:28.960 --> 00:15:31.419 that's the difference. What is aging gracefully? 00:15:31.539 --> 00:15:35.399 Aging gracefully really is... Not overdoing, 00:15:35.460 --> 00:15:38.340 but you still want to treat yourself and your 00:15:38.340 --> 00:15:40.519 skin with some amount of respect. Like not wearing 00:15:40.519 --> 00:15:42.580 sunscreen, that's not aging gracefully. It's 00:15:42.580 --> 00:15:45.600 really throwing yourself to the environment. 00:15:46.220 --> 00:15:48.480 Smoking, that's not aging gracefully. So I think 00:15:48.480 --> 00:15:50.460 the first thing if you talk about aging gracefully 00:15:50.460 --> 00:15:53.120 is having good habits. Before you even think 00:15:53.120 --> 00:15:55.519 of aesthetic treatments or layering anything, 00:15:55.879 --> 00:16:00.590 it is nutrition, sleep, exercise, mindset. If 00:16:00.590 --> 00:16:03.169 you are always stressed, I think it shows up 00:16:03.169 --> 00:16:05.629 on your skin. Yeah. So what would you say are 00:16:05.629 --> 00:16:08.210 the bad habits then that can really show up on 00:16:08.210 --> 00:16:10.769 your skin? You know, I think I have a culprit 00:16:10.769 --> 00:16:13.929 for many of these bad habits. One is sleeping 00:16:13.929 --> 00:16:17.429 late. Okay. Okay. So a lot of people think when 00:16:17.429 --> 00:16:20.149 I talk about sleep, they say I do get eight hours. 00:16:20.250 --> 00:16:22.590 But the eight hours sort of starts at 2 a .m. 00:16:22.590 --> 00:16:25.830 in the morning and then goes to... The timing 00:16:25.830 --> 00:16:27.850 of when you sleep is very important because like 00:16:27.850 --> 00:16:29.909 you were saying, in your 40s and your 50s, you 00:16:29.909 --> 00:16:33.429 really rely on these repair hormones at night. 00:16:33.509 --> 00:16:36.129 They sort of are like the construction crew. 00:16:36.289 --> 00:16:39.330 You know, so your melatonin, your growth hormone. 00:16:39.549 --> 00:16:41.730 But the problem is if you're not in bed by 10pm, 00:16:42.389 --> 00:16:45.289 this construction crew starts thinking, oh, she's 00:16:45.289 --> 00:16:47.730 not asleep. I'm going to take a day off. So if 00:16:47.730 --> 00:16:50.029 you sleep at 2am, they don't actually come and 00:16:50.029 --> 00:16:52.769 repair your skin as much. So if your shift work, 00:16:52.950 --> 00:16:55.629 you're the sort that is like a night owl, you 00:16:55.629 --> 00:16:59.019 tend to have poorer skin. So sleep is one main 00:16:59.019 --> 00:17:01.240 thing. And that's the same for muscles, by the 00:17:01.240 --> 00:17:03.820 way. You know, if you don't get the proper timing 00:17:03.820 --> 00:17:05.819 and amount of rest, then your muscles don't repair. 00:17:06.039 --> 00:17:08.140 So all that work you do in the gym, for what? 00:17:08.299 --> 00:17:12.160 I'm so glad I go to bed at 9 p .m. It's so reaffirming 00:17:12.160 --> 00:17:16.079 to what we already do. Okay, so sleep. What else 00:17:16.079 --> 00:17:18.920 would be a bad habit that people are doing? Okay, 00:17:18.980 --> 00:17:21.640 one of them is sugar. Okay, and I think you guys 00:17:21.640 --> 00:17:24.299 need nutrition. Just an entire episode on sugar. 00:17:24.819 --> 00:17:28.039 Probably going to your area of expertise. But 00:17:28.039 --> 00:17:31.779 for us, you know, sugar isn't just sweet things. 00:17:31.859 --> 00:17:34.140 Like high -carb food, that's also sugar. And 00:17:34.140 --> 00:17:36.160 I know for you guys about building muscle, I 00:17:36.160 --> 00:17:38.180 think that's a no -no. But for the skin, they 00:17:38.180 --> 00:17:41.779 form these things called advanced glycated products 00:17:41.779 --> 00:17:44.960 and products. And these things make your skin 00:17:44.960 --> 00:17:48.000 stiffer. And they can't be reversed. So imagine, 00:17:48.079 --> 00:17:50.640 you know, crème brûlée and you're caramelizing 00:17:50.640 --> 00:17:53.400 the sugar on top, making your skin a little bit 00:17:53.400 --> 00:17:55.920 stiffer and that's how wrinkles form. So when 00:17:55.920 --> 00:17:59.039 you take high sugar food, you are actually wrinkling 00:17:59.039 --> 00:18:02.799 faster. And also spottier, right? It also contributes 00:18:02.799 --> 00:18:05.380 to dark spots. I know Tyler, my husband, is always 00:18:05.380 --> 00:18:06.880 talking about the banana, you know, the ripe 00:18:06.880 --> 00:18:09.220 banana, the overripe banana. That's you on carbs. 00:18:09.339 --> 00:18:11.619 That's your skin on carbs, I should say. And 00:18:11.619 --> 00:18:13.259 you know, it's funny, isn't it? The Advanced 00:18:13.259 --> 00:18:15.880 Glycation End Products actually is an acronym. 00:18:16.079 --> 00:18:21.759 AGES. Easy to remember. Orders to avoid. But 00:18:21.759 --> 00:18:24.220 a lot of people think sugar is just sweet foods. 00:18:24.299 --> 00:18:26.160 But you know, if you just take a lot of plain 00:18:26.160 --> 00:18:29.839 rice or bread, that would also form AGES. Yeah, 00:18:29.839 --> 00:18:32.319 sugar needs a rebrand. In other words, people 00:18:32.319 --> 00:18:34.579 start to understand that it's carbohydrate load. 00:18:34.740 --> 00:18:36.960 You know, it's carbohydrate load. Right. So I 00:18:36.960 --> 00:18:38.579 think that's going to lead nicely into our next 00:18:38.579 --> 00:18:42.099 segment, which is Fuel Your 40s, which is sponsored 00:18:42.099 --> 00:18:44.460 by The Meat Club. And they have a question for 00:18:44.460 --> 00:18:48.160 you. And that is, how does nutrition play a role? 00:18:48.519 --> 00:18:50.539 And especially things like protein when it comes 00:18:50.539 --> 00:18:53.440 to skin health. I am such a fan of protein. I 00:18:53.440 --> 00:18:56.380 am such a fan of protein that I once went full 00:18:56.380 --> 00:18:59.539 carnivore for six months. Yeah, I love that. 00:18:59.759 --> 00:19:01.700 Okay, we want to hear the whole thing about that. 00:19:01.720 --> 00:19:04.019 But yes, okay. I went full carnivore for six 00:19:04.019 --> 00:19:06.180 months because I wanted to write my book and 00:19:06.180 --> 00:19:09.000 I wanted to know how it felt being on a carnivore 00:19:09.000 --> 00:19:12.460 diet. So I only ate beef. Had a bit of salt, 00:19:12.559 --> 00:19:15.519 butter. That was it. I lost all my friends. But 00:19:15.519 --> 00:19:18.599 I put on a lot of muscle. I mean, in the end, 00:19:18.619 --> 00:19:20.880 I found, you know, zero carbs wasn't for me. 00:19:20.940 --> 00:19:22.519 But, you know, different people are different. 00:19:22.559 --> 00:19:24.319 We do different sports, different activities. 00:19:24.720 --> 00:19:28.500 But it did make my skin very clear. Oh, interesting. 00:19:28.900 --> 00:19:31.880 It did make my skin very clear. No more processed 00:19:31.880 --> 00:19:34.259 food, no additives. You know, it was very simple 00:19:34.259 --> 00:19:36.079 diet. There was a lot of elimination. No sugars. 00:19:37.500 --> 00:19:40.039 So I will say that protein is actually very important. 00:19:40.380 --> 00:19:42.640 I'm not saying, I'm not demonizing everything 00:19:42.640 --> 00:19:45.079 else, but I think that the first thing you need 00:19:45.079 --> 00:19:47.440 to make sure you have in your diet is adequate 00:19:47.440 --> 00:19:49.519 protein, especially for women, because we're 00:19:49.519 --> 00:19:54.240 actually losing muscle when we get older. a lot 00:19:54.240 --> 00:19:56.059 of us actually don't have enough protein. And 00:19:56.059 --> 00:19:58.059 so, you know, I was looking at what amount of 00:19:58.059 --> 00:20:00.119 protein should women have? And as you guys know, 00:20:00.240 --> 00:20:03.019 there are so many different consensus, but I 00:20:03.019 --> 00:20:06.240 think it's like 1 .5 to 2 grams, you know, per 00:20:06.240 --> 00:20:10.000 kg. And the thing is, for us to make muscle, 00:20:10.039 --> 00:20:12.380 we also need leucine, which is about 2 .5 grams 00:20:12.380 --> 00:20:15.720 in one intake. So those people that graze on 00:20:15.720 --> 00:20:18.680 nuts the whole day, you don't even get to that 00:20:18.680 --> 00:20:23.079 muscle building, you know. So I think we are 00:20:23.079 --> 00:20:25.400 all under eating protein for skin, for muscle. 00:20:25.599 --> 00:20:28.000 Yeah, very important. Okay, now let's see if 00:20:28.000 --> 00:20:29.460 you agree with my husband on this because he's 00:20:29.460 --> 00:20:31.059 right there with you. He was carnivore for three 00:20:31.059 --> 00:20:33.500 months and again went off it for different reasons. 00:20:33.539 --> 00:20:36.000 Well, his is more cholesterol concern for his 00:20:36.000 --> 00:20:39.940 own longevity. But anywho. But he's always talking 00:20:39.940 --> 00:20:42.359 about that I need to eat more collagenous proteins. 00:20:42.440 --> 00:20:44.619 So I need to eat more connective tissues. I need 00:20:44.619 --> 00:20:48.819 to eat more, you know, chicken feet. Yeah. What's 00:20:48.819 --> 00:20:50.759 your opinion on that type of protein? You know, 00:20:50.799 --> 00:20:53.839 I think that animal protein tends to be much 00:20:53.839 --> 00:20:56.019 easier than plant protein because they are more 00:20:56.019 --> 00:20:59.509 complete. But as for whether eating, you know, 00:20:59.529 --> 00:21:01.269 the ones with a lot of collagen, is it better? 00:21:01.410 --> 00:21:03.450 I think that will depend from different people 00:21:03.450 --> 00:21:05.970 to different people. Like we know that if you're 00:21:05.970 --> 00:21:07.809 taking grass -fed beef, you tend to have more 00:21:07.809 --> 00:21:10.829 the omega -3s and oils. Well, it tends to help 00:21:10.829 --> 00:21:12.490 women because, you know, we want the whole complete 00:21:12.490 --> 00:21:14.849 package and the oil. So it does make sense. Okay, 00:21:14.910 --> 00:21:16.509 and I don't have to choke down the chicken feet. 00:21:18.399 --> 00:21:20.799 Chinese people live on air, please. By Chinese 00:21:20.799 --> 00:21:22.920 people, we love chicken feet. And you know, it's 00:21:22.920 --> 00:21:24.740 an old wise tale. My mum used to say, you know, 00:21:24.819 --> 00:21:26.599 eat chicken feet and then you will run faster. 00:21:26.740 --> 00:21:29.279 I mean, that's not true. But oopsie. It's such 00:21:29.279 --> 00:21:32.960 a Chinese thing. It's such a Chinese thing. Since 00:21:32.960 --> 00:21:35.380 day one, Guzmini Gomez has been on a mission 00:21:35.380 --> 00:21:37.759 to make fast food actually fabulous. Because 00:21:37.759 --> 00:21:40.079 let's be real, why should fast food mean fake 00:21:40.079 --> 00:21:43.930 food? At GYG? Everything is 100 % clean. That 00:21:43.930 --> 00:21:46.630 means no weird preservatives, no artificial nasties, 00:21:46.630 --> 00:21:49.569 no mystery colors, just the freshest, tastiest 00:21:49.569 --> 00:21:52.250 ingredients. We're talking avocados and tomatoes 00:21:52.250 --> 00:21:54.750 that are flown in daily from Australia and the 00:21:54.750 --> 00:21:57.690 famous chipotle fries. Real potatoes, skin on, 00:21:57.769 --> 00:22:00.789 tossed in their secret spice mix. Warning, once 00:22:00.789 --> 00:22:03.549 you try them, you're hurt. And moms, listen up. 00:22:03.630 --> 00:22:06.390 This September, Sunday's just got a whole big 00:22:06.390 --> 00:22:09.819 glow up. Kids eat free. Order any regular main 00:22:09.819 --> 00:22:12.380 through the GYG app and your little foodies can 00:22:12.380 --> 00:22:15.660 get a burrito, quesadilla or nachos plus fries 00:22:15.660 --> 00:22:17.940 and a drink. That's fast food that moms can actually 00:22:17.940 --> 00:22:21.759 say yes to. Find GYG at 22 locations across Singapore. 00:22:21.980 --> 00:22:23.880 Basically, they're everywhere you need them. 00:22:23.960 --> 00:22:27.000 And number 23 opens this December. So what are 00:22:27.000 --> 00:22:29.630 you waiting for? Download the GYG app to get 00:22:29.630 --> 00:22:32.009 the freshest, drool -worthy deals and make your 00:22:32.009 --> 00:22:34.269 Sundays taste a whole lot better. I actually 00:22:34.269 --> 00:22:36.230 did carnival for two weeks. Did I tell you that? 00:22:36.250 --> 00:22:38.430 I don't know that I knew that. But I did it at 00:22:38.430 --> 00:22:41.170 the wrong time for me. I think in a... I did 00:22:41.170 --> 00:22:45.029 it during lockdown. And so for two weeks, I decided, 00:22:45.250 --> 00:22:46.869 and I think that was part of the reason I gave 00:22:46.869 --> 00:22:49.250 up because I think lockdown had a massive effect 00:22:49.250 --> 00:22:52.109 on me mentally. I couldn't then focus on what 00:22:52.109 --> 00:22:54.509 I was eating. And plus it wasn't working out 00:22:54.509 --> 00:22:56.450 because we couldn't go to the gym. All of that 00:22:56.450 --> 00:22:59.369 sort of stuff. So anyway, I feel like I always 00:22:59.369 --> 00:23:00.910 say to people when people ask me about the carnivore 00:23:00.910 --> 00:23:03.210 diet, I think it's the ultimate elimination diet. 00:23:03.390 --> 00:23:05.890 So, you know, if you are struggling with your 00:23:05.890 --> 00:23:08.440 gut health or, you know, you've got... really 00:23:08.440 --> 00:23:10.940 bad eczema or something's going on, that would 00:23:10.940 --> 00:23:12.819 be the best time to try it out. And then you 00:23:12.819 --> 00:23:15.119 can reintroduce. So it's not a forever diet, 00:23:15.200 --> 00:23:18.019 but I do believe it can help people sort of get 00:23:18.019 --> 00:23:19.980 to the root cause and figure out what's going 00:23:19.980 --> 00:23:22.579 on and what foods, if they are foods that are 00:23:22.579 --> 00:23:24.920 affecting. Yeah. That's a really good point because 00:23:24.920 --> 00:23:26.619 a lot of my patients ask me about it, but you're 00:23:26.619 --> 00:23:28.759 right. It's the best for elimination because 00:23:28.759 --> 00:23:31.559 we eat so much different kind of food and additives 00:23:31.559 --> 00:23:33.539 that we actually get a lot of health issues from 00:23:33.539 --> 00:23:36.220 it. So when you cut that down, a lot of things 00:23:36.220 --> 00:23:38.720 disappear. really the beef that's helping you. 00:23:38.740 --> 00:23:40.000 It's the fact that you're not taking the bubble 00:23:40.000 --> 00:23:43.220 tea. And that's what I do for my patients that 00:23:43.220 --> 00:23:45.180 have a lot of skin issues because they're using 00:23:45.180 --> 00:23:47.559 12 different skincare products. So we sort of 00:23:47.559 --> 00:23:49.819 like go carnivore for the skin. We actually cut 00:23:49.819 --> 00:23:52.000 it down and sometimes they're as simple as your 00:23:52.000 --> 00:23:54.539 regime. Just a simple cleanser and say coconut 00:23:54.539 --> 00:23:56.819 oil because you need some hydration. Then from 00:23:56.819 --> 00:24:00.410 there, all the skin problems improve. But is 00:24:00.410 --> 00:24:02.529 it so much the cleanser or just the moisturizer 00:24:02.529 --> 00:24:04.349 that help up with the fact that they were not 00:24:04.349 --> 00:24:06.329 using all these different skincare products with 00:24:06.329 --> 00:24:09.890 fragrance and parabens? Then we slowly introduce 00:24:09.890 --> 00:24:13.470 the skincare bag and, you know, see what works. 00:24:13.630 --> 00:24:16.250 So what should we be looking out for in our products? 00:24:16.369 --> 00:24:17.829 Because you just mentioned two things, fragrances 00:24:17.829 --> 00:24:19.670 and parabens. Are there other things that are, 00:24:19.750 --> 00:24:21.529 when you see a label, you're like, oh, this is 00:24:21.529 --> 00:24:22.950 a definite no -no? You know, the thing about 00:24:22.950 --> 00:24:24.730 skincare is a bit like the carnivore diet. Some 00:24:24.730 --> 00:24:27.130 people can use skincare with all the fragrance 00:24:27.130 --> 00:24:28.890 and it doesn't affect their skin. Just like how 00:24:28.890 --> 00:24:31.190 some people can eat carbs, you know, or certain 00:24:31.190 --> 00:24:33.150 types of vegetables. And some people have skin 00:24:33.150 --> 00:24:36.269 that's so sensitive that just a bit of parabens 00:24:36.269 --> 00:24:38.440 or a bit of skincare triggers a... reaction so 00:24:38.440 --> 00:24:40.180 I think if you have been using your skincare 00:24:40.180 --> 00:24:42.339 with no issues then I think there's no need to 00:24:42.339 --> 00:24:44.519 eliminate it but if you have been getting sensitivities 00:24:44.519 --> 00:24:46.880 sometimes it's good to have a reset that means 00:24:46.880 --> 00:24:51.220 just stop everything and then go Very, very gentle, 00:24:51.440 --> 00:24:53.700 you know, and then reintroduce it. And sometimes 00:24:53.700 --> 00:24:55.839 it's very easy to catch a culprit. And the funny 00:24:55.839 --> 00:24:57.680 thing is what you're not allergic to when you're 00:24:57.680 --> 00:25:00.140 younger, you may become allergic to when you're 00:25:00.140 --> 00:25:02.579 older. Yes. Especially during the 40s, right? 00:25:02.579 --> 00:25:04.900 And I think after pregnancies as well. I feel 00:25:04.900 --> 00:25:07.339 like each pregnancy you have, you emerge with 00:25:07.339 --> 00:25:12.259 a different skin. Yes. Right. So let's go back 00:25:12.259 --> 00:25:14.900 to basics. If there were three products that 00:25:14.900 --> 00:25:17.500 every woman should use, especially in her 40s, 00:25:17.500 --> 00:25:20.539 what are the three? products it should what three 00:25:20.539 --> 00:25:23.079 products should they be okay only three no more 00:25:23.309 --> 00:25:26.549 No, only three. I used to tell my patients this 00:25:26.549 --> 00:25:29.970 thing called a $5 skincare upgrade. That means 00:25:29.970 --> 00:25:33.509 if you only can use $5, how do you upgrade it? 00:25:33.569 --> 00:25:36.369 The first thing I would do is sunscreen. And 00:25:36.369 --> 00:25:38.650 it doesn't have to be expensive sunscreen. A 00:25:38.650 --> 00:25:40.849 mineral -based, complete physical sunscreen. 00:25:40.990 --> 00:25:43.430 You know the sort that you put on your kids and 00:25:43.430 --> 00:25:45.569 they hate it because it stains, wipes? Because 00:25:45.569 --> 00:25:47.130 that's the safest. It doesn't have chemicals 00:25:47.130 --> 00:25:49.809 and it's relatively inexpensive. No fragrance. 00:25:50.049 --> 00:25:52.589 My thinking is that there's no point using all... 00:25:52.589 --> 00:25:55.029 these expensive ingredients, including retinoids, 00:25:55.109 --> 00:25:57.029 if you're not protecting from the sun. First 00:25:57.029 --> 00:25:58.809 of all, your skin is slightly photosensitive 00:25:58.809 --> 00:26:01.349 after using retinoids and a lot of the skincare 00:26:01.349 --> 00:26:03.650 ingredients in your skin sort of deactivate it 00:26:03.650 --> 00:26:05.450 in the sun. So without sunscreen, nothing's going 00:26:05.450 --> 00:26:07.750 to work. The second thing is retinoids. I love 00:26:07.750 --> 00:26:09.569 retinoids because it's relatively inexpensive. 00:26:10.089 --> 00:26:12.630 Maybe you have really expensive retinol creams 00:26:12.630 --> 00:26:15.230 out there in the marketplace, but if you go and 00:26:15.230 --> 00:26:17.210 see your doctor, they can give you a very nice 00:26:17.210 --> 00:26:19.990 prescription for retinoids that's quite cheap. 00:26:20.109 --> 00:26:23.519 And I always say you can It is strong. What you 00:26:23.519 --> 00:26:25.900 do is use a little bit or mix it with your moisturizer 00:26:25.900 --> 00:26:28.900 and you're creating your own retinoid cream that 00:26:28.900 --> 00:26:31.960 is to your skin's perfect or optimal concentration. 00:26:32.599 --> 00:26:34.619 Very cheap. And then of course, the last thing 00:26:34.619 --> 00:26:38.319 for women after 40s, vitamin B, the very boring 00:26:38.319 --> 00:26:41.059 vitamin. Why I say vitamin B and not C is because 00:26:41.059 --> 00:26:44.059 C tends to be more unstable. So you're going 00:26:44.059 --> 00:26:46.240 to spend a little bit more money or you're going 00:26:46.240 --> 00:26:49.200 to buy vitamin C serums and every time it turns 00:26:49.200 --> 00:26:51.500 brown, you kind of throw it away. So for me, 00:26:51.599 --> 00:26:54.799 I never completely even use... my vitamin serum, 00:26:55.000 --> 00:26:57.460 vitamin C serum to the end because by the time 00:26:57.460 --> 00:26:59.240 it's half a bottle, when you take it out of the 00:26:59.240 --> 00:27:01.799 dropper, you notice it's slightly discolored. 00:27:01.960 --> 00:27:04.279 Don't use it. You know, some of my patients tell 00:27:04.279 --> 00:27:06.079 me, oh, it's like using thick coffee. It must 00:27:06.079 --> 00:27:08.900 be better. No, it is not working anymore. So 00:27:08.900 --> 00:27:11.180 you want just a cheap, simple upgrade. Vitamin 00:27:11.180 --> 00:27:14.160 B, very, very stable. And it's one of these multitasking 00:27:14.160 --> 00:27:17.519 ingredients. Anti -aging, it controls oil, controls 00:27:17.519 --> 00:27:20.529 acne. So in your 40s, you may get... You know, 00:27:20.609 --> 00:27:22.329 it's a roulette. You could get acne, you could 00:27:22.329 --> 00:27:24.890 get a bit of aging. Why not? Yeah, hit all the 00:27:24.890 --> 00:27:27.569 bases. And that's a serum typically? Oh, vitamin 00:27:27.569 --> 00:27:29.750 B can come in a serum, can come in a cream too. 00:27:29.990 --> 00:27:32.450 Okay, let's look at a different aspect then of 00:27:32.450 --> 00:27:34.450 women as they're aging and that sort of, you 00:27:34.450 --> 00:27:35.890 know, their relationship with their appearance. 00:27:36.109 --> 00:27:38.849 Do you tend to find that as women are going through 00:27:38.849 --> 00:27:41.269 the 40s that they're really harsh on themselves 00:27:41.269 --> 00:27:44.630 because of the sort of societal view that women 00:27:44.630 --> 00:27:47.240 always need to look younger? You know, unfortunately, 00:27:47.539 --> 00:27:51.019 this is very true, especially of late. I think, 00:27:51.039 --> 00:27:53.480 you know, with social media, it isn't just women 00:27:53.480 --> 00:27:55.339 in their 40s. Even young girls think that they're 00:27:55.339 --> 00:27:57.140 not good enough. They're not beautiful enough. 00:27:57.599 --> 00:28:00.720 And it doesn't help, actually, with this online 00:28:00.720 --> 00:28:03.640 dating. A lot of my women, when they are re -entering... 00:28:04.680 --> 00:28:07.099 dating in the marketplace in their 40s or 50s, 00:28:07.099 --> 00:28:09.339 sometimes after divorces. They have this whole 00:28:09.339 --> 00:28:11.740 pressure to look so much better because, you 00:28:11.740 --> 00:28:14.420 know, when you are reintroducing yourself to 00:28:14.420 --> 00:28:18.009 this dating marketplace and the only... A person 00:28:18.009 --> 00:28:22.670 comes into contact as a picture of you. The looks 00:28:22.670 --> 00:28:24.369 become very important. Whereas in the old days, 00:28:24.450 --> 00:28:26.849 they would meet people, I don't know, in a club, 00:28:26.890 --> 00:28:29.569 at a bus stop, at your work. So personality can 00:28:29.569 --> 00:28:32.690 be a part of the attraction. But now, it is almost 00:28:32.690 --> 00:28:35.859 completely looks. And on top of that... Everybody 00:28:35.859 --> 00:28:39.720 puts a filter on themselves. So then they try 00:28:39.720 --> 00:28:42.599 to live up to the expectations of how they look 00:28:42.599 --> 00:28:45.880 with a beauty filter. I have so many patients 00:28:45.880 --> 00:28:48.119 coming to me and they no longer take a photo 00:28:48.119 --> 00:28:50.960 of Angelina Jolie. They take a photo of themselves 00:28:50.960 --> 00:28:53.440 with a beauty filter and they say, can you make 00:28:53.440 --> 00:28:55.319 me look like that? And can you? Can you make 00:28:55.319 --> 00:28:58.299 people look like that? No, because the beauty 00:28:58.299 --> 00:29:00.160 filter does everything. It doesn't just improve 00:29:00.160 --> 00:29:04.190 skin quality. It also reshapes your face. Your 00:29:04.190 --> 00:29:09.970 needing bone contour is ridiculous. So how do 00:29:09.970 --> 00:29:11.910 you manage then that expectation when someone 00:29:11.910 --> 00:29:14.690 comes in saying, I want to look like this. But 00:29:14.690 --> 00:29:17.789 obviously it's not possible. You know, the funny 00:29:17.789 --> 00:29:20.029 thing is because I actually tell them it's not 00:29:20.029 --> 00:29:22.230 possible. I actually lose some patients who says, 00:29:22.390 --> 00:29:24.890 oh no, but the beauty spa down the road says 00:29:24.890 --> 00:29:27.390 it's possible. So then they go there first. But 00:29:27.390 --> 00:29:29.809 of course, after spending tons of money, they 00:29:29.809 --> 00:29:32.140 come back. And then we have a conversation. again 00:29:32.140 --> 00:29:34.819 and I tell them what is possible and even what 00:29:34.819 --> 00:29:36.920 is possible isn't a one -off treatment like you're 00:29:36.920 --> 00:29:39.759 talking about Profilo or skin boosters they do 00:29:39.759 --> 00:29:42.180 improve your appearance but it isn't one of these 00:29:42.180 --> 00:29:44.420 things where you just do it once and it lasts 00:29:44.420 --> 00:29:47.279 forever if only so yeah so they get shocked when 00:29:47.279 --> 00:29:49.400 I say okay so you do it now but the maintenance 00:29:49.400 --> 00:29:52.599 is but it's the same with exercise or losing 00:29:52.599 --> 00:29:54.480 weight a lot of my patients come in and go if 00:29:54.480 --> 00:29:57.019 you give me the Regovi or Zampi I'm going to 00:29:57.019 --> 00:29:58.579 lose weight and that's it they don't realize 00:29:58.579 --> 00:30:00.339 once they stop the weight all comes down yes 00:30:01.139 --> 00:30:03.200 And the thing with exercise as well, like you 00:30:03.200 --> 00:30:06.319 said, the reality is if you want to be in shape 00:30:06.319 --> 00:30:10.400 forever, you must exercise forever. And similarly, 00:30:10.579 --> 00:30:12.119 I think to skincare, and again, you can correct 00:30:12.119 --> 00:30:14.319 me absolutely if I'm wrong, but you know, the 00:30:14.319 --> 00:30:16.980 way that we exercise has to evolve as well. Yes. 00:30:17.019 --> 00:30:18.480 So just because something worked for you in your 00:30:18.480 --> 00:30:20.700 20s. does not mean that that's what you need 00:30:20.700 --> 00:30:22.440 to be doing in your 40s. And I feel like skincare 00:30:22.440 --> 00:30:25.319 has to evolve with you as well, right? Or not 00:30:25.319 --> 00:30:27.220 even just skincare. I mean, can we talk a little 00:30:27.220 --> 00:30:30.480 bit about the injectables and the things? I love 00:30:30.480 --> 00:30:32.359 when people are like, oh, I never had to think 00:30:32.359 --> 00:30:34.119 about this stuff before. I was like, well, you've 00:30:34.119 --> 00:30:37.339 never been this old before. Oh, here we are. 00:30:37.839 --> 00:30:40.819 What types of injectables? And I know this is 00:30:40.819 --> 00:30:44.259 absolutely subject to each face, right? So for 00:30:44.259 --> 00:30:45.799 example, I had a comment the other day. It's 00:30:45.799 --> 00:30:47.140 like, it seems like everyone in their 40s is 00:30:47.140 --> 00:30:50.059 getting Botox. I was like, Well, yeah, aren't 00:30:50.059 --> 00:30:55.200 they? I haven't. And yeah, you're one of the 00:30:55.200 --> 00:30:57.980 outliers. Are there certain injectable or, you 00:30:57.980 --> 00:31:00.059 know, let's say more invasive treatments than 00:31:00.059 --> 00:31:02.829 just topical? that you recommend for women in 00:31:02.829 --> 00:31:04.529 their 40s looking for a bit of a boost? Okay. 00:31:04.630 --> 00:31:07.509 The three aesthetic treatments I think that has 00:31:07.509 --> 00:31:11.650 the most science, okay, are Botox, so the botulinum 00:31:11.650 --> 00:31:14.509 toxin. It has to be Botox or Dysport. And the 00:31:14.509 --> 00:31:16.849 second is fillers, dermal fillers. It can be 00:31:16.849 --> 00:31:19.769 hyaluronic acid fillers or maybe some people 00:31:19.769 --> 00:31:21.710 may even fill their own fat. And the third is 00:31:21.710 --> 00:31:24.410 energy -based devices. But none of this is going 00:31:24.410 --> 00:31:27.430 to replace a thing like a full facelift, a mechanical 00:31:27.430 --> 00:31:30.990 pool. But this tree has the most science. So 00:31:30.990 --> 00:31:33.549 like when you're talking about a face, how we 00:31:33.549 --> 00:31:35.970 age, we have excessive muscle movement and that 00:31:35.970 --> 00:31:40.170 happens with age is because your expressions 00:31:40.170 --> 00:31:42.490 and some of these micro expressions cannot be 00:31:42.490 --> 00:31:44.529 stopped. A lot of my patients tell me, okay, 00:31:44.589 --> 00:31:47.289 I'll just not frown. But actually it's impossible 00:31:47.289 --> 00:31:51.170 because those patients don't have kids. And have 00:31:51.170 --> 00:31:53.509 you actually seen yourself in the gym just by 00:31:54.709 --> 00:31:57.490 focusing or just by straining, you are already 00:31:57.490 --> 00:31:59.769 frowning. And it isn't just a frown. Sometimes 00:31:59.769 --> 00:32:02.390 just by lifting, you are activating what we call 00:32:02.390 --> 00:32:05.369 platysmal bands. So you can see this muscle thing. 00:32:05.589 --> 00:32:08.809 Too seen, Dr. Lo. I am too seen. So a lot of 00:32:08.809 --> 00:32:10.890 people think Botox is just frown. I'm like, no, 00:32:11.009 --> 00:32:14.079 it is for where you are. exerting too much muscle 00:32:14.079 --> 00:32:16.339 movement and that pulls on your skin. So this 00:32:16.339 --> 00:32:18.319 is the one that everybody talks about, brown 00:32:18.319 --> 00:32:21.039 lines. That's me. A lot of people have these, 00:32:21.140 --> 00:32:23.500 you know, in the 40s, they have this neck muscle. 00:32:23.579 --> 00:32:26.160 So these patissimal bands that happen when they 00:32:26.160 --> 00:32:28.579 sort of like strain or when they talk. This is 00:32:28.579 --> 00:32:30.380 muscles. And this is the muscles that's pulling 00:32:30.380 --> 00:32:32.500 at the lower part of your face, pulling down 00:32:32.500 --> 00:32:36.140 your skin. So if we are... It's a jowl, right? 00:32:36.319 --> 00:32:38.839 Yes. And I always say, you know, we can't stop 00:32:38.839 --> 00:32:42.380 gravity. But if we can reduce the downward pull 00:32:42.380 --> 00:32:45.119 of our skin, that's actually the best anti -aging 00:32:45.119 --> 00:32:47.230 treatment you can have for your face. Because 00:32:47.230 --> 00:32:49.349 gravity is always pulling it downwards. But if 00:32:49.349 --> 00:32:51.970 you are always having this muscle movement, like 00:32:51.970 --> 00:32:53.970 frowning, you're always frowning, you're always 00:32:53.970 --> 00:32:55.950 unhappy, you're always straining your neck. And 00:32:55.950 --> 00:32:58.250 these platysmal bands sort of attach to the bottom 00:32:58.250 --> 00:33:00.730 of the skin of your jaw. And you're pulling downwards, 00:33:00.869 --> 00:33:02.490 then you're going to have jowls. You're going 00:33:02.490 --> 00:33:04.630 to have this not a very V -shape, not a very 00:33:04.630 --> 00:33:07.849 sharp jawline. So Botox is one. Microexpressions, 00:33:07.849 --> 00:33:10.569 especially crow's feet. And it isn't just smiling 00:33:10.569 --> 00:33:14.029 or squinting. I have a lot of patients where 00:33:14.029 --> 00:33:15.650 they actually have worse crow's feet on one side. 00:33:16.269 --> 00:33:18.849 drive the right side has always more than left 00:33:18.849 --> 00:33:20.269 so we always have to balance it out and they 00:33:20.269 --> 00:33:22.670 always say doctor why do you put more on my right 00:33:22.670 --> 00:33:25.130 side you're giving me 14 units but it because 00:33:25.130 --> 00:33:27.829 you have more oh interesting and you mean that's 00:33:27.829 --> 00:33:29.309 from the light exposure on the driving because 00:33:29.309 --> 00:33:31.369 when you're driving there's always light and 00:33:31.369 --> 00:33:34.210 so you're micro squinting oh my god yeah and 00:33:34.210 --> 00:33:37.380 imagine you're micro squinting so many times 00:33:37.380 --> 00:33:39.519 a day. You're squinting so many times and that 00:33:39.519 --> 00:33:42.339 builds up. And then the skin will then thin out. 00:33:42.460 --> 00:33:44.839 And the one common thing that a lot of women 00:33:44.839 --> 00:33:46.319 in Singapore have, I don't know about overseas, 00:33:46.480 --> 00:33:49.460 is this chewing, this jaw. And so it becomes 00:33:49.460 --> 00:33:51.420 bigger because they grind their teeth. They grind 00:33:51.420 --> 00:33:53.440 their teeth at night, I don't know, because of 00:33:53.440 --> 00:33:58.700 children. And so that, first of all, it grinds 00:33:58.700 --> 00:34:00.380 on your teeth, which isn't good, but it makes 00:34:00.380 --> 00:34:03.119 you have a very square face. So when women get 00:34:03.119 --> 00:34:06.079 older, Minus all the wrinkles, what you notice 00:34:06.079 --> 00:34:09.000 is that the shape of the face becomes more masculine. 00:34:09.219 --> 00:34:11.659 You don't have this sharp jawline. You're starting 00:34:11.659 --> 00:34:13.500 to have a face that's a little squarer because 00:34:13.500 --> 00:34:16.099 your muscles are going to become bigger. So what 00:34:16.099 --> 00:34:18.159 is feminine? A feminine face is where all your 00:34:18.159 --> 00:34:21.380 muscles are small and delicate. What is masculine 00:34:21.380 --> 00:34:24.260 is when it's big. So all women tend to look a 00:34:24.260 --> 00:34:26.019 bit more masculine with age because you're going 00:34:26.019 --> 00:34:27.280 to have bigger muscles here. You're going to 00:34:27.280 --> 00:34:29.480 have stronger muscles here. It's almost like 00:34:29.480 --> 00:34:31.619 going to the gym but the wrong kind of gym for 00:34:31.619 --> 00:34:33.739 your face. So Botox is actually... bury it the 00:34:33.739 --> 00:34:35.880 most is you don't want to grow larger your jaw 00:34:35.880 --> 00:34:39.420 and your jowls and your neck yeah yeah what about 00:34:39.420 --> 00:34:42.139 botched procedures now you mentioned that you 00:34:42.139 --> 00:34:44.079 know like someone will come to you and if you 00:34:44.079 --> 00:34:46.119 say to them right i can't do this they go to 00:34:46.119 --> 00:34:49.320 somebody else have you ever had to deal with 00:34:49.320 --> 00:34:51.320 a botched procedure I think we're hearing about 00:34:51.320 --> 00:34:53.360 them all the time on social media in the news 00:34:53.360 --> 00:34:55.280 that someone's gone and they've you know completely 00:34:55.280 --> 00:34:57.599 fucked up their face yeah how do you deal with 00:34:57.599 --> 00:34:59.780 that and you know how often do you see that actually 00:34:59.780 --> 00:35:03.579 we see that quite often um even for Botox and 00:35:03.579 --> 00:35:05.719 I think that was reported in the BBC recently 00:35:05.719 --> 00:35:08.280 I think in UK a lot of women were going for these 00:35:08.280 --> 00:35:13.239 cheap Botox yeah and um They are not, I think, 00:35:13.239 --> 00:35:15.380 the licensed one and they cause some problems. 00:35:15.699 --> 00:35:18.199 So I always tell my patients when it's something 00:35:18.199 --> 00:35:20.900 that you can see buying underwear, you can see 00:35:20.900 --> 00:35:22.940 it, you can go for the cheaper one and you pretty 00:35:22.940 --> 00:35:24.659 much know what you're paying for. But when it's 00:35:24.659 --> 00:35:27.280 something injected, you have to find somebody 00:35:27.280 --> 00:35:30.400 you trust. So Botox is one when you're not using 00:35:30.400 --> 00:35:33.460 the correct product. it can cause problems. The 00:35:33.460 --> 00:35:35.099 second is actually fillers. So again, things 00:35:35.099 --> 00:35:38.500 that you inject. I once had a patient, she was 00:35:38.500 --> 00:35:40.300 told she had fillers injected on the skin, but 00:35:40.300 --> 00:35:42.679 she went somewhere overseas. It was really, really 00:35:42.679 --> 00:35:44.360 cheap. And when it's really cheap, sometimes 00:35:44.360 --> 00:35:46.199 you have to worry because the cost price of these 00:35:46.199 --> 00:35:48.659 products are not that cheap. What she got injected 00:35:48.659 --> 00:35:51.800 into her cheeks was actually cooking oil. Oh 00:35:51.800 --> 00:35:54.539 my God. How did you find that out? Because we 00:35:54.539 --> 00:35:56.659 had to test it. We had to buy Oxy and test it. 00:35:56.679 --> 00:35:59.820 And how we knew was because the cooking oil started 00:35:59.820 --> 00:36:03.090 having this rancid smell. because these products 00:36:03.090 --> 00:36:04.610 have an expiry date. You're not going to use 00:36:04.610 --> 00:36:06.530 your cooking oil for a few years, are you? But 00:36:06.530 --> 00:36:09.150 the problem is that it cannot be dissolved. So 00:36:09.150 --> 00:36:11.230 like when we use hyaluronic acid fillers, we 00:36:11.230 --> 00:36:13.309 can dissolve it with hyaluronidase and you don't 00:36:13.309 --> 00:36:15.429 like it. If it's your own fat, it's okay. It's 00:36:15.429 --> 00:36:16.849 going to integrate when you lose weight, fat 00:36:16.849 --> 00:36:18.769 cells disappear. But with cooking oil, it was 00:36:18.769 --> 00:36:20.969 just all integrated in the tissue. We couldn't 00:36:20.969 --> 00:36:22.670 get it out. First of all, we couldn't understand 00:36:22.670 --> 00:36:24.909 why we couldn't dissolve it. It was hyaluronic 00:36:24.909 --> 00:36:27.110 acid filler. We took a bit, we biopsied it and 00:36:27.110 --> 00:36:29.070 it was cooking oil. And you know, these kind 00:36:29.070 --> 00:36:32.639 of things lead permanent damage. Yeah. Yeah. 00:36:32.920 --> 00:36:34.820 I mean, it's like, you know, back in the 90s 00:36:34.820 --> 00:36:36.380 when you hear about like breast implants exploding 00:36:36.380 --> 00:36:38.500 or being filled with weird stuff. You know, it's 00:36:38.500 --> 00:36:41.079 like this is, I mean, that sounds dangerous and 00:36:41.079 --> 00:36:43.719 poisonous. You know, we're all so concerned about 00:36:43.719 --> 00:36:45.519 toxins in our environment and people are getting 00:36:45.519 --> 00:36:47.340 cooking oil injected in their face. Yeah. So 00:36:47.340 --> 00:36:49.480 definitely check your provider. Yeah. Oh, my 00:36:49.480 --> 00:36:52.139 gosh. What about these mummy makeovers now? Some 00:36:52.139 --> 00:36:55.019 people are going to places like South Korea for 00:36:55.019 --> 00:36:57.539 these sort of full on glamorous makeovers. What 00:36:57.539 --> 00:36:59.280 are your thoughts on those? So Amanda, you know 00:36:59.280 --> 00:37:00.659 how I've been on this journey about improving 00:37:00.659 --> 00:37:02.519 my sleep? Oh, you have been obsessed about it 00:37:02.519 --> 00:37:05.780 lately. Well, I have found something that has 00:37:05.780 --> 00:37:09.860 been incredible. Cozy earth bed sheets. That's 00:37:09.860 --> 00:37:11.760 saying a lot because you are really picky about 00:37:11.760 --> 00:37:14.159 your sleep setup. Exactly. These sheets are made 00:37:14.159 --> 00:37:16.880 from bamboo viscose. They are naturally breathable 00:37:16.880 --> 00:37:20.320 and I get the perfect night's sleep. They keep 00:37:20.320 --> 00:37:23.239 me cool all night. Oh, and I've been eyeing the 00:37:23.239 --> 00:37:25.780 pajamas too. They are so chic and super cozy. 00:37:26.199 --> 00:37:28.940 It's a total game changer and so relaxing for 00:37:28.940 --> 00:37:31.679 the evenings. And what's crazy is that Cozy Earth 00:37:31.679 --> 00:37:34.940 actually ships to Singapore, orders over $560 00:37:34.940 --> 00:37:38.480 ship free, and in the US orders over $50 ship 00:37:38.480 --> 00:37:40.639 free. And did you know you can get your biggest 00:37:40.639 --> 00:37:46.179 ever discount, 41 % if you use code TFF today. 00:37:46.280 --> 00:37:49.099 So head over to CozyEarth .com and use that code 00:37:49.099 --> 00:37:52.110 TFF today. I know there are so many procedures. 00:37:52.429 --> 00:37:55.110 And I think the latest craze is everybody's going 00:37:55.110 --> 00:37:58.929 to South Korea to get this salmon sperm injected. 00:37:59.710 --> 00:38:04.670 Okay, so it's not a full mummy makeover. So going 00:38:04.670 --> 00:38:07.289 to South Korea is divided into a few categories. 00:38:07.449 --> 00:38:09.289 Just a small makeover when you're getting these 00:38:09.289 --> 00:38:11.449 rejuvenative treatments and then the surgery. 00:38:11.690 --> 00:38:15.050 So the latest one is people get PDRN, which is 00:38:15.050 --> 00:38:17.989 from salmon sperm. I know, it's like having sperm 00:38:17.989 --> 00:38:20.030 in your face, right? I do this tiny little... 00:38:20.039 --> 00:38:22.519 injections and it's supposed to improve your 00:38:22.519 --> 00:38:25.639 skin. There is some science. So that is in my 00:38:25.639 --> 00:38:28.420 book under the promising category because PDRN, 00:38:28.420 --> 00:38:31.719 which is polydeoxyribonucleotide, is a protein. 00:38:31.820 --> 00:38:34.900 It's been shown to help things like skin that's 00:38:34.900 --> 00:38:38.420 compromised, burns, injuries. But the science 00:38:38.420 --> 00:38:40.719 on whether it... turns back the clock 10, 20 00:38:40.719 --> 00:38:43.179 years is a bit more iffy because healing skin 00:38:43.179 --> 00:38:46.300 that has been burnt is very different from making 00:38:46.300 --> 00:38:48.519 you look younger by 20 years. But having said 00:38:48.519 --> 00:38:51.500 that, it doesn't do much harm either because 00:38:51.500 --> 00:38:53.860 this protein does improve your skin hydration 00:38:53.860 --> 00:38:56.019 and elasticity, whether it turns back 10, 20 00:38:56.019 --> 00:38:59.360 years is a debate. A lot of ladies do notice 00:38:59.360 --> 00:39:02.380 a nice glow. You get little bleps. They just 00:39:02.380 --> 00:39:04.820 deposit a little bit of these protein underneath 00:39:04.820 --> 00:39:06.539 your skin. It's not a filler, so it doesn't have 00:39:06.539 --> 00:39:08.960 volume. So it's quite nice for glow. very popular 00:39:08.960 --> 00:39:11.480 in Korea. People do it in Singapore too. I think 00:39:11.480 --> 00:39:14.300 for these kind of treatments, well, it's no harm 00:39:14.300 --> 00:39:16.059 if you are okay with the downtime, you want to 00:39:16.059 --> 00:39:18.179 pay the money. I don't think the science is as 00:39:18.179 --> 00:39:21.400 strong as your Botox and dermal fillers or energy 00:39:21.400 --> 00:39:23.820 -based devices. But I think it's in a promising 00:39:23.820 --> 00:39:26.329 category. Yeah. Then you have the... Others, 00:39:26.409 --> 00:39:28.769 the real mummy makeovers where people go and 00:39:28.769 --> 00:39:31.130 they look completely different. Now, it isn't 00:39:31.130 --> 00:39:33.369 just a mummy makeover because you realise even 00:39:33.369 --> 00:39:35.769 very young girls are going there and they're 00:39:35.769 --> 00:39:37.530 looking completely different when you come back 00:39:37.530 --> 00:39:41.150 that the doctors are giving them a cert because 00:39:41.150 --> 00:39:42.829 then when they re -enter the country, sometimes 00:39:42.829 --> 00:39:44.369 they look so different from their past. Of course, 00:39:44.570 --> 00:39:48.210 yeah. Wow. Yeah, so it's quite as simple as a 00:39:48.210 --> 00:39:50.710 mummy makeover. You know, in the old days when 00:39:50.710 --> 00:39:52.650 we talk about mummy makeovers, we really talk 00:39:52.650 --> 00:39:56.269 about a bit of like tummy tuck. after pregnancy 00:39:56.269 --> 00:39:58.969 and a bit of a facelift. They still look pretty 00:39:58.969 --> 00:40:01.469 much the same. And I think there is room for 00:40:01.469 --> 00:40:04.030 that because, you know, mechanical lifting will 00:40:04.030 --> 00:40:06.429 always beat all these non -invasive treatments 00:40:06.429 --> 00:40:08.329 like it or not. It's just a matter of are you 00:40:08.329 --> 00:40:10.809 willing for the side effects, the downtime, the 00:40:10.809 --> 00:40:13.230 cost. And if you're okay for all that, then you're 00:40:13.230 --> 00:40:15.989 going in with your eyes open. A deep plane facelift, 00:40:16.070 --> 00:40:19.329 I would say that it still gives you the best 00:40:19.329 --> 00:40:22.400 lift that... your money can buy, no amount of 00:40:22.400 --> 00:40:25.559 Tamaj and Altherapy can compete with that. But 00:40:25.559 --> 00:40:27.519 also a lot of younger girls that don't actually 00:40:27.519 --> 00:40:29.699 need the facelift are going to get your rhinoplasty, 00:40:29.719 --> 00:40:32.280 double eyelids, you know, bone contouring. So 00:40:32.280 --> 00:40:33.940 it's not so much a mummy makeover, they're like 00:40:33.940 --> 00:40:36.179 looking like a different person altogether. Can 00:40:36.179 --> 00:40:38.260 we talk about the facelift situation? Yeah. Okay. 00:40:38.320 --> 00:40:41.639 So what would be the signs that it's time for 00:40:41.639 --> 00:40:43.679 a facelift? Like, you know, I'm thinking, and 00:40:43.679 --> 00:40:45.159 I'll be completely transparent. I'm talking about 00:40:45.159 --> 00:40:47.920 myself here. So had three babies, gained about 00:40:47.920 --> 00:40:50.039 50 pounds with each baby. So significant weight 00:40:50.039 --> 00:40:52.760 gain, weight loss in very short, you know, kind 00:40:52.760 --> 00:40:55.579 of back -to -back pregnancies after age 35. So 00:40:55.579 --> 00:40:57.760 like all the risk factors for skin laxity, right? 00:40:57.900 --> 00:41:00.800 Yeah. Also, I'm a relatively lean person, so 00:41:00.800 --> 00:41:02.579 I don't have a ton of facial fat, less as I get 00:41:02.579 --> 00:41:05.219 older. So I feel like I'm a great candidate for 00:41:05.219 --> 00:41:08.199 mechanical lifting. How would I know that it's 00:41:08.199 --> 00:41:12.699 time? Like basically, how many vials of filler 00:41:12.699 --> 00:41:15.780 am I now injecting versus like, you know what, 00:41:15.840 --> 00:41:17.320 Amanda, it's just time for the lift. How would 00:41:17.320 --> 00:41:19.460 you advise? That's a great question. First of 00:41:19.460 --> 00:41:21.579 all, there are... like a few types of facelift. 00:41:21.659 --> 00:41:25.159 You get your mini lift, you know, so like small 00:41:25.159 --> 00:41:28.480 incision, lift. Then you get your smash facelift 00:41:28.480 --> 00:41:31.559 where it just lifts the top part of your skin 00:41:31.559 --> 00:41:33.619 and the muscle layer. And then you get the deep 00:41:33.619 --> 00:41:35.739 plane where they are going in all the way, getting 00:41:35.739 --> 00:41:38.659 rid of all these ligaments that is kind of pulling 00:41:38.659 --> 00:41:40.800 down your skin, sticking your skin to the muscle 00:41:40.800 --> 00:41:42.739 and then deep plane facelift. That's just giving 00:41:42.739 --> 00:41:45.260 me face off vibes. Well, it's still the face 00:41:45.260 --> 00:41:48.239 off vibes, which is why I'm in for it. So usually 00:41:48.239 --> 00:41:50.780 when a person is in their 40s, they're only looking 00:41:50.780 --> 00:41:53.079 at a mini lift or a smash lift. That's a small 00:41:53.079 --> 00:41:55.360 incision, two to three hours. It's going to last 00:41:55.360 --> 00:41:58.679 you five to ten years. Wow. Okay. Yeah, that's 00:41:58.679 --> 00:42:01.840 easy trader. What it does is that it will lift 00:42:01.840 --> 00:42:06.019 the mid part of the face. Maybe it doesn't do 00:42:06.019 --> 00:42:08.119 your forehead. Maybe it doesn't get rid of all 00:42:08.119 --> 00:42:10.840 your jowls and doesn't really address your issues. 00:42:10.900 --> 00:42:12.619 So if your issue is just you want a little bit 00:42:12.619 --> 00:42:14.380 of lifting mid part of the face, I think that's 00:42:14.380 --> 00:42:17.920 quite good. Past 50, some people also consider 00:42:17.920 --> 00:42:21.639 the deep plane facelift because then your sagging 00:42:21.639 --> 00:42:24.000 becomes a bit more obvious. You also start having 00:42:24.000 --> 00:42:26.619 this kind of jowling down here. So you want something 00:42:26.619 --> 00:42:28.440 more deep plane. But having said that, everybody 00:42:28.440 --> 00:42:31.480 ages at such a different rate nowadays. In the 00:42:31.480 --> 00:42:34.280 old days, you know, my mom and all her friends 00:42:34.280 --> 00:42:37.000 look kind of like certain way at 50, at 60. Nowadays, 00:42:37.059 --> 00:42:39.440 I'm seeing women at 50 and they look really good. 00:42:39.599 --> 00:42:43.360 They look like... like 40 and I think maybe it's 00:42:43.360 --> 00:42:45.139 because they started aesthetic treatments young 00:42:45.139 --> 00:42:49.400 they eat right you know so it's not the usual 00:42:49.400 --> 00:42:51.500 consensus where after 50 you're doing a deep 00:42:51.500 --> 00:42:54.039 plane in the 40s you're doing a mini may not 00:42:54.039 --> 00:42:57.380 hold so much but I think the other thing is what 00:42:57.380 --> 00:43:01.539 your aesthetic goals are I think if you're always 00:43:01.539 --> 00:43:05.320 using an Instagram filter all the time, maybe 00:43:05.320 --> 00:43:08.960 then it's time to realize that you are not getting 00:43:08.960 --> 00:43:11.000 the aesthetic goals that you want. And the second 00:43:11.000 --> 00:43:12.920 thing I tell my patients is, fillers does improve, 00:43:13.139 --> 00:43:14.880 but it gets to a point where you are putting 00:43:14.880 --> 00:43:18.159 that vial of filler and you don't think it helps 00:43:18.159 --> 00:43:20.039 and it's making you look slightly puffy. Now 00:43:20.039 --> 00:43:23.260 that's when you should stop because... The fillers, 00:43:23.260 --> 00:43:25.500 you want it to sort of lift the skin and contour. 00:43:25.599 --> 00:43:27.820 But when you're putting so much volume to tighten 00:43:27.820 --> 00:43:32.119 your face, then you are compromising the whole 00:43:32.119 --> 00:43:33.860 facial shape. Yeah, and I think I've definitely 00:43:33.860 --> 00:43:35.719 seen people like that before, right? Where it's 00:43:35.719 --> 00:43:37.659 just like they just become puffed exactly. It's 00:43:37.659 --> 00:43:39.400 almost like, you know, their eyes or their cheeks 00:43:39.400 --> 00:43:40.619 are coming up so high that their eyes are... 00:43:40.619 --> 00:43:44.239 Yes, because they are using one modality. To 00:43:44.239 --> 00:43:46.139 get the results of the others. The filler is 00:43:46.139 --> 00:43:47.980 to just contour, lift a little bit. But if you 00:43:47.980 --> 00:43:50.039 have to put so much, it's like blowing the balloon 00:43:50.039 --> 00:43:53.500 so much so that the surface feels tight. That 00:43:53.500 --> 00:43:56.280 is all wrong. So, you know, there is a good time 00:43:56.280 --> 00:43:59.260 to actually stop the filler and consider skin 00:43:59.260 --> 00:44:01.119 tightening. Before you blow up like the balloon. 00:44:01.239 --> 00:44:03.920 I love all your analogies, right? You don't want 00:44:03.920 --> 00:44:06.500 to age like milk. You don't know. You don't want 00:44:06.500 --> 00:44:07.980 to start aging like that. You don't want to age 00:44:07.980 --> 00:44:12.000 like wine. Would you say aesthetics help with 00:44:12.000 --> 00:44:15.159 confidence or can it really highlight insecurities 00:44:15.159 --> 00:44:19.760 as well? So from my perspective, what I think 00:44:19.760 --> 00:44:21.940 is one of the reasons why I haven't gone down 00:44:21.940 --> 00:44:24.239 that route is because I feel like if I start 00:44:24.239 --> 00:44:27.960 doing treatments and procedures, eventually I'll 00:44:27.960 --> 00:44:29.900 just keep seeing the flaws and be like, oh, I 00:44:29.900 --> 00:44:31.920 need to do this now. Oh, I don't like this. I 00:44:31.920 --> 00:44:34.260 need to do this. So do you see sort of both sides 00:44:34.260 --> 00:44:36.699 where... initially helped to the confidence but 00:44:36.699 --> 00:44:38.980 then someone became very insecure about the way 00:44:38.980 --> 00:44:41.679 they looked yes and i think that really depends 00:44:41.679 --> 00:44:44.119 on the person there are some people genuinely 00:44:44.119 --> 00:44:47.159 they are very confident And so they may not even 00:44:47.159 --> 00:44:49.460 need much. And when they do it, they know exactly 00:44:49.460 --> 00:44:51.340 when to stop. And these are the women who come 00:44:51.340 --> 00:44:54.219 in and tell me, I just want some lasers to get 00:44:54.219 --> 00:44:56.739 rid of the pigmentation. And no matter what their 00:44:56.739 --> 00:44:58.480 friends say, they are not going to have sperm 00:44:58.480 --> 00:45:00.119 on their face. They're like, draw the lines. 00:45:00.139 --> 00:45:02.460 I'm just going to get rid of my mouth. So these 00:45:02.460 --> 00:45:04.219 are the really confident. And I really appreciate 00:45:04.219 --> 00:45:06.199 them because they know exactly what they want. 00:45:06.360 --> 00:45:08.199 But they treat their body and the skin like a 00:45:08.199 --> 00:45:09.659 temple. And there's nothing wrong with loving 00:45:09.659 --> 00:45:12.409 yourself and wanting to get rid of... that's 00:45:12.409 --> 00:45:14.449 come on during pregnancy. There you go. Then 00:45:14.449 --> 00:45:17.789 there are women where, you know, they are showing 00:45:17.789 --> 00:45:20.760 you all sorts of photos of themselves like you 00:45:20.760 --> 00:45:22.820 know that day I took this photo and then I saw 00:45:22.820 --> 00:45:25.260 this line and they don't realise it's the lighting 00:45:25.260 --> 00:45:27.460 it's that day whether you slept or not and they 00:45:27.460 --> 00:45:30.059 are just looking at all the floors in fact sometimes 00:45:30.059 --> 00:45:32.420 I can't see and they have to expand the photo 00:45:32.420 --> 00:45:34.480 and we are both looking at it and you know by 00:45:34.480 --> 00:45:37.460 the time you are showing me something that can 00:45:37.460 --> 00:45:40.639 only be seen in a certain light on last Tuesday 00:45:40.639 --> 00:45:42.300 when you're out with your boyfriend and we have 00:45:42.300 --> 00:45:44.400 to magnify our boyfriend 20 times you are getting 00:45:44.400 --> 00:45:48.150 to be slightly insecure but you know the Proof 00:45:48.150 --> 00:45:50.110 is that there are providers that feed into this 00:45:50.110 --> 00:45:53.449 insecurity. Because it's an industry where it 00:45:53.449 --> 00:45:56.030 is very lucrative. And so these women can go 00:45:56.030 --> 00:45:58.289 down the rabbit hole. And I think there is that 00:45:58.289 --> 00:46:00.969 fine line, isn't there? There is that fine line. 00:46:01.050 --> 00:46:02.750 Is it going to make you feel better or worse 00:46:02.750 --> 00:46:05.070 about yourself? And it's the same with weight 00:46:05.070 --> 00:46:07.610 loss, right? So many women, before they lose 00:46:07.610 --> 00:46:10.250 weight, feel like as soon as I lose the weight... 00:46:10.440 --> 00:46:12.980 all the problems will vanish, right? So that's 00:46:12.980 --> 00:46:14.760 the only thing standing between me and eternal 00:46:14.760 --> 00:46:17.019 happiness. And they probably do the same thing 00:46:17.019 --> 00:46:18.559 with aesthetics, right? As soon as I get this, 00:46:18.639 --> 00:46:20.719 this, this fixed, then everything will figure 00:46:20.719 --> 00:46:22.400 out for me. And we both know that's not going 00:46:22.400 --> 00:46:24.860 to happen. Yeah, it's true. So you mentioned 00:46:24.860 --> 00:46:27.900 promising techniques that's mentioned in your 00:46:27.900 --> 00:46:29.960 books. Are there any sort of technologies or 00:46:29.960 --> 00:46:32.559 things out there? in the horizon that you're 00:46:32.559 --> 00:46:34.400 excited about that you think could be a game 00:46:34.400 --> 00:46:36.780 changer for women that don't include, you know, 00:46:36.820 --> 00:46:38.940 like full -on facelifts or anything like that? 00:46:38.980 --> 00:46:42.059 You know, there are several technology, but they 00:46:42.059 --> 00:46:45.239 are not new because the ones that have the most 00:46:45.239 --> 00:46:46.980 research have been around for a long time. So 00:46:46.980 --> 00:46:50.179 like your energy devices, you'll have the ultrasound, 00:46:50.440 --> 00:46:52.320 the alt therapy, your radio frequency, like the 00:46:52.320 --> 00:46:54.780 Tamash, they still have. good science and research 00:46:54.780 --> 00:46:57.179 all these devices they come in some variation 00:46:57.179 --> 00:46:59.239 sometimes there's some micro needling but it 00:46:59.239 --> 00:47:02.320 is still energy -based devices um the ones in 00:47:02.320 --> 00:47:04.139 the horizon that everybody's talking about like 00:47:04.139 --> 00:47:06.659 you know I hear people having all these drips 00:47:06.659 --> 00:47:09.679 of vitamins. That tends to be still more iffy. 00:47:09.800 --> 00:47:12.539 I know maybe you're thinking like what King Kardashian 00:47:12.539 --> 00:47:14.800 did, like the vampire facial, taking out the 00:47:14.800 --> 00:47:16.599 blood and putting back. That also falls into 00:47:16.599 --> 00:47:18.599 the iffy category. Mainly, if you think about 00:47:18.599 --> 00:47:20.239 it, what they are doing is they are drawing your 00:47:20.239 --> 00:47:22.019 blood and then they are sort of centrifuging 00:47:22.019 --> 00:47:23.420 it, spinning it, and they are telling you, I'm 00:47:23.420 --> 00:47:25.099 going to take out all the good things like the 00:47:25.099 --> 00:47:26.980 stem cells. I'm going to put it back into your 00:47:26.980 --> 00:47:30.179 skin. So if you are 20 to 25 years old, you have 00:47:30.179 --> 00:47:32.719 a blood of a 20 to 25 year old. Yeah, I'm sure 00:47:32.719 --> 00:47:34.889 it's filled with growth factors. stem cells great 00:47:34.889 --> 00:47:37.010 you're gonna love it because they're gonna spin 00:47:37.010 --> 00:47:38.869 it you're gonna get a lot of the good stuff gonna 00:47:38.869 --> 00:47:41.369 put it back but you're only 20 to 25 your skin 00:47:41.369 --> 00:47:43.769 doesn't really need it by the time you're 50 00:47:43.769 --> 00:47:46.530 your blood's not 25 years old your blood is that 00:47:46.530 --> 00:47:48.429 of a 50 year old you don't have that much good 00:47:48.429 --> 00:47:51.429 stuff inside so no matter how I spin it it's 00:47:51.429 --> 00:47:53.610 still a 50 year old blood and I'm putting that 00:47:53.610 --> 00:47:56.809 back into your skin yeah So maybe I should get 00:47:56.809 --> 00:47:58.809 my daughter's blood. Okay, that's like straight 00:47:58.809 --> 00:48:00.989 from the Brian Johnson documentary, right? I 00:48:00.989 --> 00:48:03.429 get my kid's blood and I put that in my face 00:48:03.429 --> 00:48:05.269 and I live forever. That's why I think Brian 00:48:05.269 --> 00:48:08.480 Johnson, didn't he use his son's blood? Wow, 00:48:08.760 --> 00:48:10.639 yeah. And I think, didn't he give his blood to 00:48:10.639 --> 00:48:14.360 his father? In a way, he actually has some, you 00:48:14.360 --> 00:48:17.000 know, signs behind it. He's not using his own 00:48:17.000 --> 00:48:18.659 blood. He's actually getting a younger person's 00:48:18.659 --> 00:48:19.880 blood. But I didn't think about it for aesthetics. 00:48:20.300 --> 00:48:22.940 My daughter's skin is amazing. She's five. But 00:48:22.940 --> 00:48:25.179 that's the only reason why we have kids. Fathers 00:48:25.179 --> 00:48:28.940 sting their blood. Yeah, because again, they're 00:48:28.940 --> 00:48:31.059 doing damage to our frown lines. So at least 00:48:31.059 --> 00:48:32.780 they ought to give us something. Something bad, 00:48:32.920 --> 00:48:35.880 yes. Right, Dr. Chai, we're coming to the end 00:48:35.880 --> 00:48:37.699 of the conversation, which has been amazing, 00:48:37.820 --> 00:48:39.400 by the way. I think you've given us so much to 00:48:39.400 --> 00:48:41.300 think about. But before we finish up, we do have 00:48:41.300 --> 00:48:43.360 one question we like to ask all of our guests. 00:48:43.559 --> 00:48:46.760 And that's, what's your 40s formula? So if you 00:48:46.760 --> 00:48:49.400 were to give some advice to our listeners on 00:48:49.400 --> 00:48:51.619 how not to age like milk, what would you say 00:48:51.619 --> 00:48:53.539 that is? Okay. Well, there's so many things. 00:48:53.760 --> 00:48:55.980 If there's one thing I can do, okay, it's going 00:48:55.980 --> 00:48:57.800 to be so boring, but it's true. It's got to be 00:48:57.800 --> 00:49:00.780 sunscreen. Okay. Yeah. Boring stuff works. We 00:49:00.780 --> 00:49:03.179 love boring on the show. And especially in Singapore. 00:49:03.280 --> 00:49:06.739 Yes. Yep. Huge piece of advice. Great. Well, 00:49:06.800 --> 00:49:09.519 thank you so much. It's been incredible. Everyone, 00:49:09.579 --> 00:49:12.599 remember to get your sunscreen on. Yes. And take 00:49:12.599 --> 00:49:15.559 note of what Dr. Chai has said on how to age 00:49:15.559 --> 00:49:19.440 not like milk. Yes. Not like milk. Thank you 00:49:19.440 --> 00:49:50.760 so much. No, this is the bit we're doing now. 00:49:51.039 --> 00:49:52.840 Oh. We record it and then we just go straight 00:49:52.840 --> 00:49:55.199 into the interview. Oh, okay. Because this is 00:49:55.199 --> 00:49:56.559 going to be looking into the camera. Oh, no worries. 00:49:56.599 --> 00:50:07.260 Yeah. Okay. Sorry. All the exciting behind the 00:50:07.260 --> 00:50:07.460 scenes.