WEBVTT 00:00:00.000 --> 00:00:02.759 What are the sort of common changes that women 00:00:02.759 --> 00:00:06.219 in their 40s will notice occurring to their skin? 00:00:06.360 --> 00:00:09.480 Okay, I mean... I can even speak from my personal 00:00:09.480 --> 00:00:11.740 experience because when I hit 40, all these things 00:00:11.740 --> 00:00:14.279 happen. The first thing happens, your skin is 00:00:14.279 --> 00:00:16.260 going to change from oily to combination. It's 00:00:16.260 --> 00:00:19.199 not completely dry yet, but we are hitting that 00:00:19.199 --> 00:00:22.600 sneaky decade before menopause. So some parts 00:00:22.600 --> 00:00:24.820 are going to be dry. Now, the second thing is, 00:00:24.820 --> 00:00:27.480 like you mentioned, the cell turnover is going 00:00:27.480 --> 00:00:30.359 to be slower. So scars are going to stick around. 00:00:30.559 --> 00:00:32.840 You know, you get one pimple, but the scar is 00:00:32.840 --> 00:00:34.880 going to hang around for a longer time. Don't 00:00:34.880 --> 00:00:38.340 I know it. I'm a picker. As soon as I get one, 00:00:38.399 --> 00:00:40.100 I can't help it. I'm like there and I'm scratching 00:00:40.100 --> 00:00:43.920 and then I'm like, oh, I've got to be scarred 00:00:43.920 --> 00:00:46.240 out. And it's not just on your face, like on 00:00:46.240 --> 00:00:48.679 your legs. You go somewhere, you cut yourself 00:00:48.679 --> 00:00:50.799 and then that mark is there for weeks and you're 00:00:50.799 --> 00:00:52.659 like, I don't remember that being, you know. 00:00:52.759 --> 00:00:54.799 And then lastly, a lot of people think I hit 00:00:54.799 --> 00:00:57.259 40, I'm never going to have pimples again. Unfortunately, 00:00:57.340 --> 00:00:59.500 that's not true. You kind of get the worst of 00:00:59.500 --> 00:01:01.340 both worlds. You're still going to have acne. 00:01:01.929 --> 00:01:04.609 But they tend to be the larger underneath the 00:01:04.609 --> 00:01:06.709 skin, a bit more problematic, hanging around 00:01:06.709 --> 00:01:08.390 for a long time. You don't get a lot of them, 00:01:08.450 --> 00:01:10.650 but you still get them. So I think these are 00:01:10.650 --> 00:01:12.950 the sneaky changes that come in. Well, and you 00:01:12.950 --> 00:01:14.930 said, you know, the nature of your breakouts 00:01:14.930 --> 00:01:17.170 change. Do you find that they're more hormonally 00:01:17.170 --> 00:01:19.590 driven in their 40s? Totally. So does that mean 00:01:19.590 --> 00:01:21.230 that we're helpless against them? Like, you know, 00:01:21.269 --> 00:01:23.790 I mean, like if it's like a hormones issue and 00:01:23.790 --> 00:01:25.569 it's going to happen, like what are the best 00:01:25.569 --> 00:01:27.549 way to deal with hormonal breakouts? So, you 00:01:27.549 --> 00:01:29.209 know, there's so many things you can do with 00:01:29.209 --> 00:01:31.480 hormonal breakout because hormones is... just 00:01:31.480 --> 00:01:33.120 i mean like you guys know it's not just your 00:01:33.120 --> 00:01:35.900 female hormones cortisol is a hormone and that's 00:01:35.900 --> 00:01:37.739 why when you don't sleep well you're going to 00:01:37.739 --> 00:01:40.280 break up break out you're going to heal slower 00:01:40.280 --> 00:01:43.079 so the first thing you can do is better nutrition 00:01:43.079 --> 00:01:45.219 hydration first thing in the morning sleeping 00:01:45.219 --> 00:01:47.819 better you're going to reduce your cortisol and 00:01:47.819 --> 00:01:50.239 of course you're there's a lot of female hormonal 00:01:50.239 --> 00:01:52.519 changes that's taking place i think by the time 00:01:52.519 --> 00:01:54.840 acne comes on and you're taking that pimple cream 00:01:54.840 --> 00:01:58.040 and dotting it It's too late. There are a lot 00:01:58.040 --> 00:02:00.459 of things we can use on our skin to prevent our 00:02:00.459 --> 00:02:02.480 skin from breaking out. So a lot of people treat 00:02:02.480 --> 00:02:04.959 acne like when I see it, then I'm going to do 00:02:04.959 --> 00:02:07.239 something that's wrong. In the 40s, you're going 00:02:07.239 --> 00:02:09.360 to be using things like niacinamide. It helps 00:02:09.360 --> 00:02:12.340 very much with pimples. It's vitamin B as well. 00:02:12.340 --> 00:02:14.680 These really boring ingredients. I call it the 00:02:14.680 --> 00:02:18.020 beige cardigan of skincare because nobody really 00:02:18.020 --> 00:02:20.449 is like, what does it do? But it's so gentle, 00:02:20.530 --> 00:02:22.469 but it does a few things. Anti -aging, it helps 00:02:22.469 --> 00:02:25.169 a bit of acne, helps with oil control, but not 00:02:25.169 --> 00:02:27.409 very strong. It doesn't kind of peel like HA, 00:02:27.530 --> 00:02:29.870 doesn't exfoliate your skin like retinol. So 00:02:29.870 --> 00:02:31.409 a lot of people say it does nothing, but it does. 00:02:31.550 --> 00:02:33.330 And you use it on the whole face. It can be in 00:02:33.330 --> 00:02:35.889 a moisturizer or a serum. The second thing is 00:02:35.889 --> 00:02:38.930 azelaic acid. Again, this is one of these multitasking 00:02:38.930 --> 00:02:41.469 ingredients, but not very sexy. It's been around 00:02:41.469 --> 00:02:43.210 for a long time. It helps with pigmentation, 00:02:43.409 --> 00:02:46.310 helps with pimples, comes and moisturizes, so 00:02:46.310 --> 00:02:48.610 you can use it all over your skin. And I think 00:02:48.610 --> 00:02:50.330 that... when I change that for my patients and 00:02:50.330 --> 00:02:53.389 I'm giving them, you know, not empty moisturisers, 00:02:53.389 --> 00:02:55.509 but moisturisers with a bit of vitamin B, a bit 00:02:55.509 --> 00:02:57.889 of azelaic acid, they find that in general, there 00:02:57.889 --> 00:03:00.409 are breakouts. It doesn't stop completely because 00:03:00.409 --> 00:03:02.069 sometimes the breakout is due to you calling 00:03:02.069 --> 00:03:04.129 your husband. Sorry, you still have your husband. 00:03:04.389 --> 00:03:07.870 But the breakout sort of reduces. Then when they 00:03:07.870 --> 00:03:10.330 get that breakthrough acne, that one or two pimples, 00:03:10.370 --> 00:03:12.830 okay, that's where we dot with the pimple cream. 00:03:12.909 --> 00:03:15.629 That is the best strategy I find. Okay, so you've 00:03:15.629 --> 00:03:18.180 mentioned... sort of applying sort of vitamin 00:03:18.180 --> 00:03:21.879 B, vitamin A in the form of retinoids. What about 00:03:21.879 --> 00:03:24.500 ingesting it? So like, can we take supplements 00:03:24.500 --> 00:03:29.319 to help with breakouts? Okay. My feeling about 00:03:29.319 --> 00:03:32.000 supplements is that when you take a supplement, 00:03:32.020 --> 00:03:33.479 it doesn't really go to the skin of your face. 00:03:33.599 --> 00:03:37.060 It goes to your entire body. Okay. That's why, 00:03:37.060 --> 00:03:38.560 you know, a lot of my patients, when I take collagen, 00:03:38.719 --> 00:03:40.180 it's going to pat on my cheeks. Well, it could 00:03:40.180 --> 00:03:43.939 go to your buttocks. It's not always true. And 00:03:43.939 --> 00:03:46.210 it doesn't work quite as well as topical. application. 00:03:46.729 --> 00:03:49.530 For us to take a vitamin and for it to reach 00:03:49.530 --> 00:03:51.330 such a high concentration in the skin of our 00:03:51.330 --> 00:03:54.110 face, we'll be ingesting such huge quantities 00:03:54.110 --> 00:03:56.310 that it is not feasible. And most of the time, 00:03:56.330 --> 00:03:58.169 we're going to pee it out. So by the time we 00:03:58.169 --> 00:04:00.229 are taking supplements and you notice your pee 00:04:00.229 --> 00:04:02.189 is bright yellow, you're just making very expensive 00:04:02.189 --> 00:04:05.090 urine. Okay, well, that's good to know. So I 00:04:05.090 --> 00:04:07.550 think now is the perfect time to play a little 00:04:07.550 --> 00:04:10.430 game, which we call Hot or Hype. Okay. I'm going 00:04:10.430 --> 00:04:13.349 to chat about some trending topics for you. And 00:04:13.349 --> 00:04:14.689 you can tell me whether you think they're hot 00:04:14.689 --> 00:04:16.589 or hype. You kind of already mentioned one, but 00:04:16.589 --> 00:04:19.110 collagen drinks. Hot or hype? Oh, it is definitely 00:04:19.110 --> 00:04:22.129 hype. Oh, is it really? It's hype. I wish it 00:04:22.129 --> 00:04:24.569 was true. But you think about it. Just because 00:04:24.569 --> 00:04:26.610 we don't have enough collagen doesn't mean we 00:04:26.610 --> 00:04:28.850 take collagen. Same like when your hair's dropping, 00:04:28.910 --> 00:04:31.930 you don't eat hair, right? Yeah, thank God for 00:04:31.930 --> 00:04:35.779 that. What about skin boosters? Okay, when you 00:04:35.779 --> 00:04:37.180 talk about skin boosters, are you talking about 00:04:37.180 --> 00:04:39.939 the injectables? Yeah, I think that's what I 00:04:39.939 --> 00:04:43.199 mean. Yeah, that totally works for increasing 00:04:43.199 --> 00:04:46.439 dermal water. So what happens is the hyaluronic 00:04:46.439 --> 00:04:49.240 acid content in our skin goes down. And so you're 00:04:49.240 --> 00:04:52.339 replacing the hyaluronic acid content in our 00:04:52.339 --> 00:04:55.199 dermal layer. And that helps us hold water. Okay, 00:04:55.259 --> 00:04:56.899 so my profile is doing something is what you're 00:04:56.899 --> 00:04:58.879 saying. Yeah, your profile is doing something 00:04:58.879 --> 00:05:02.279 and you look great. What about baby base hugs? 00:05:03.000 --> 00:05:04.920 Botox is, you know, there were three treatments 00:05:04.920 --> 00:05:07.300 I put in my books that totally works and Botox 00:05:07.300 --> 00:05:11.040 is one of them. Okay, shout out. Botox, we welcome 00:05:11.040 --> 00:05:13.470 you as a sponsor. Please come on the show. It 00:05:13.470 --> 00:05:15.750 has years of science, but it's gone from sexy 00:05:15.750 --> 00:05:18.069 to not sexy only because it's been there for 00:05:18.069 --> 00:05:20.389 a long time. But it does what it does. It actually 00:05:20.389 --> 00:05:23.290 reduces the excessive muscle movement. And when 00:05:23.290 --> 00:05:25.930 done well, it's not paralyzing your face. It's 00:05:25.930 --> 00:05:28.790 reducing this excessive movement in your skin. 00:05:28.829 --> 00:05:30.589 Don't forget, your skin is going to be on top 00:05:30.589 --> 00:05:32.310 of your muscle. Every time you have a muscle 00:05:32.310 --> 00:05:34.949 contraction, your skin sort of gets creased up. 00:05:35.149 --> 00:05:37.949 So if you minimize this excessive movement, you're 00:05:37.949 --> 00:05:40.509 also saving your skin. So baby bowl shots for 00:05:40.509 --> 00:05:42.949 people who want it. Minute doses, preserving 00:05:42.949 --> 00:05:45.529 expression. I think it's a great way. Okay, that's 00:05:45.529 --> 00:05:47.550 good to know. Yeah, I love that. What about things 00:05:47.550 --> 00:05:51.670 like red light therapy? The masks, right? Yeah, 00:05:51.750 --> 00:05:53.889 that everyone's wearing. Okay, so red light therapy, 00:05:54.029 --> 00:05:56.370 you've got to be very careful. You have to use 00:05:56.370 --> 00:05:59.069 one that is bright enough, what we call luminescence. 00:05:59.310 --> 00:06:02.649 So some red light therapy... it's not bright 00:06:02.649 --> 00:06:04.769 enough to penetrate the skin. So like, you know, 00:06:04.810 --> 00:06:07.649 handheld devices at home. I mean, if you're really 00:06:07.649 --> 00:06:11.149 patient, maybe after years and years of using, 00:06:11.230 --> 00:06:12.870 but if you really want something to help, you 00:06:12.870 --> 00:06:14.990 want one that you're sitting in a clinic where 00:06:14.990 --> 00:06:16.949 there are a lot of bulbs, it almost feels like 00:06:16.949 --> 00:06:19.009 it's almost too bright, you need goggles, that 00:06:19.009 --> 00:06:22.319 does help. Two things. At 670 nanometers, improves 00:06:22.319 --> 00:06:25.259 healing, it rejuvenates the skin. And of course, 00:06:25.259 --> 00:06:27.600 there's a latest study in UCL that says that 00:06:27.600 --> 00:06:31.360 if you expose your eyes to red light in the morning, 00:06:31.439 --> 00:06:33.560 just two to three minutes, three times a week, 00:06:33.639 --> 00:06:35.980 it actually improves your eyesight. Oh my gosh. 00:06:36.259 --> 00:06:38.920 I had not heard. I was trying to say that is 00:06:38.920 --> 00:06:40.879 something I had not heard about until like on 00:06:40.879 --> 00:06:44.819 this chair. Okay. So a lot of women go around 00:06:44.819 --> 00:06:47.639 saying we want to age gracefully. Yeah. What 00:06:47.639 --> 00:06:51.199 is... So would you say there's a fine line between 00:06:51.199 --> 00:06:54.300 aging gracefully and giving up? Yes, I think 00:06:54.300 --> 00:06:57.779 it's a fine line. You know, I mean, yeah, sometimes 00:06:57.779 --> 00:07:00.779 it is almost like one of my male patients came 00:07:00.779 --> 00:07:02.439 and says, you know, I have this girlfriend and 00:07:02.439 --> 00:07:05.000 she's so natural. She doesn't even wear makeup. 00:07:05.120 --> 00:07:07.240 And my heart was thinking for your girlfriend 00:07:07.240 --> 00:07:09.699 to not wear makeup, she must do a lot of aesthetic 00:07:09.699 --> 00:07:12.439 treatments. So that's the difference. What is 00:07:12.439 --> 00:07:15.720 aging gracefully? Aging gracefully really is... 00:07:16.160 --> 00:07:19.720 Not overdoing, but you still want to treat yourself 00:07:19.720 --> 00:07:21.980 and your skin with some amount of respect. Like 00:07:21.980 --> 00:07:24.339 not wearing sunscreen, that's not aging gracefully. 00:07:24.420 --> 00:07:27.540 It's really throwing yourself to the environment. 00:07:28.240 --> 00:07:30.439 Smoking, that's not aging gracefully. So I think 00:07:30.439 --> 00:07:32.399 the first thing if you talk about aging gracefully 00:07:32.399 --> 00:07:35.060 is having good habits. Before you even think 00:07:35.060 --> 00:07:37.519 of aesthetic treatments or layering anything, 00:07:37.839 --> 00:07:42.500 it is nutrition, sleep. exercise mindset. If 00:07:42.500 --> 00:07:45.100 you are always stressed, I think it shows up 00:07:45.100 --> 00:07:47.560 on your skin. Yeah. So what would you say are 00:07:47.560 --> 00:07:50.160 the bad habits then that can really show up on 00:07:50.160 --> 00:07:52.699 your skin? You know, I think I have a culprit 00:07:52.699 --> 00:07:55.879 for many of these bad habits. One is sleeping 00:07:55.879 --> 00:07:59.379 late. Okay. Okay. So a lot of people think when 00:07:59.379 --> 00:08:02.100 I talk about sleep, they say I do get eight hours, 00:08:02.199 --> 00:08:04.620 but the eight hours sort of starts at 2am in 00:08:04.620 --> 00:08:08.199 the morning and then goes to the timing of when 00:08:08.199 --> 00:08:09.779 you sleep is very important because Because like 00:08:09.779 --> 00:08:12.240 you were saying, in your 40s and your 50s, you 00:08:12.240 --> 00:08:15.379 really rely on these repair hormones at night. 00:08:15.459 --> 00:08:18.060 They sort of are like the construction crew. 00:08:18.259 --> 00:08:21.279 You know, so your melatonin, your growth hormone. 00:08:21.519 --> 00:08:23.680 But the problem is if you're not in bed by 10pm, 00:08:24.339 --> 00:08:27.240 this construction crew starts thinking, oh, she's 00:08:27.240 --> 00:08:29.680 not asleep. I'm going to take a day off. So if 00:08:29.680 --> 00:08:31.980 you sleep at 2am, they don't actually come and 00:08:31.980 --> 00:08:34.720 repair your skin as much. So if your shift work, 00:08:34.919 --> 00:08:37.559 you're the sort that is like a night owl, you 00:08:37.559 --> 00:08:40.950 tend to have poorer skin. So sleep is one main 00:08:40.950 --> 00:08:43.169 thing. And that's the same for muscles, by the 00:08:43.169 --> 00:08:45.789 way. You know, if you don't get the proper timing 00:08:45.789 --> 00:08:47.750 and amount of rest, then your muscles don't repair. 00:08:47.970 --> 00:08:50.090 So all that work you do in the gym, for what? 00:08:50.250 --> 00:08:54.110 I'm so glad I go to bed at 9 p .m. It's so reaffirming 00:08:54.110 --> 00:08:58.029 to what we already do. Okay, so sleep. What else 00:08:58.029 --> 00:09:00.870 would be a bad habit that people are doing? Okay, 00:09:00.909 --> 00:09:03.590 one of them is sugar. Okay, and I think you guys 00:09:03.590 --> 00:09:05.710 eat nutrition. We just did an entire episode 00:09:05.710 --> 00:09:09.110 on sugar. Probably going to your area of expertise. 00:09:09.509 --> 00:09:13.450 But for us, you know, sugar isn't just sweet 00:09:13.450 --> 00:09:15.669 things. Like high -carb food, that's also sugar. 00:09:15.789 --> 00:09:17.870 And I know for you guys about building muscle, 00:09:17.950 --> 00:09:20.129 I think that's a no -no. But for the skin, they 00:09:20.129 --> 00:09:23.730 form these things called advanced glycated products 00:09:23.730 --> 00:09:26.909 and products. And these things make your skin 00:09:26.909 --> 00:09:29.750 stiffer. And they can't be reversed. So imagine, 00:09:30.009 --> 00:09:32.549 you know, creme brulee and you're caramelizing 00:09:32.549 --> 00:09:35.350 the sugar on top, making your skin a little bit 00:09:35.350 --> 00:09:37.870 stiffer. And that's how wrinkles form. So when 00:09:37.870 --> 00:09:40.990 you take high sugar food, you are actually wrinkling 00:09:40.990 --> 00:09:44.789 faster. And also spottier, right? It also contributes 00:09:44.789 --> 00:09:47.330 to dark spots. I know Tyler, my husband, is always 00:09:47.330 --> 00:09:48.789 talking about the banana, you know, the ripe 00:09:48.789 --> 00:09:51.169 banana, the overripe banana. That's you on carbs. 00:09:51.269 --> 00:09:53.559 That's your skin on carbs, I should say. And 00:09:53.559 --> 00:09:55.220 you know, it's funny, isn't it? The advanced 00:09:55.220 --> 00:09:57.820 glycation end products actually is an acronym. 00:09:57.980 --> 00:10:04.200 Easy to remember. Or to avoid. But a lot of people 00:10:04.200 --> 00:10:06.820 think sugar is just sweet foods. But you know, 00:10:06.840 --> 00:10:09.259 if you just take a lot of plain rice or bread, 00:10:09.399 --> 00:10:12.259 that would also form AGE. Yeah, sugar needs a 00:10:12.259 --> 00:10:15.100 rebrand. In other words, people start to understand 00:10:15.100 --> 00:10:17.460 that it's carbohydrate load. You know, it's carbohydrate 00:10:17.460 --> 00:10:21.350 load. a clip from 40s Formula in Focus with Dr. 00:10:21.529 --> 00:10:24.149 Chai Lo Lim. You can go back and listen to the 00:10:24.149 --> 00:10:26.490 full episode now by clicking the link in the 00:10:26.490 --> 00:10:26.970 show notes.