In this episode of The Beauty Equation Podcast, Dr. Christelle Oliver-Dussault, Dr. Harpreet Lotay, and Amanda Manholt dive into one of the most common (and most frustrating) changes women notice in their 40s, 50s, and beyond—the sudden feeling that the face has “melted.” Using their signature relatable analogies (including the unforgettable bed-frame/mattress/duvet comparison), the hosts break down why sagging happens, how hormones and bone loss accelerate the shift, and why it can feel like it happens overnight. They explore the full spectrum of treatment options—from skincare and sun protection, to collagen regeneration, to dermal fillers, to when a facelift might be worth considering. Most importantly, they highlight the power of individualized assessment, the role of genetics, and how subtle, strategic treatments can restore lift, light, and confidence without changing who you are.
Disclaimer: The Beauty Equation is for informational purposes only and not medical advice. This podcast does not create a doctor–patient relationship. Always consult a qualified healthcare provider before making medical or aesthetic decisions. Information may change as the field evolves.
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About the Hosts:
Dr. Harpreet Lotay is a family physician specializing in aesthetic medicine. She is the founder of Sona MD in Kamloops, BC, and serves as Chief Medical Officer at Bios Wellness Clinics. Known for her artistic approach and comprehensive non-surgical treatments, Dr. Lotay combines medical expertise with an eye for natural results. She is also an educator, a national trainer and holds academic appointments where she shares her knowledge in clinical dermatology and aesthetics. You can get in touch with her on Instagram @hlotaymd
Dr. Christelle Oliver-Dussault is a family physician specializing in aesthetic medicine, women’s health, and psycho-education. She brings a holistic, whole-person perspective to her clinical work, blending science with a deep understanding of the mind-body connection.
She is also the founder of Reclaim The Pink Within, a movement that empowers women to rediscover themselves during life’s most transformative stages. In addition, she is passionate about medical education and mentors the next generation of family physicians through her work with the department of Family Medicine at the University of British Columbia.
You can connect with her on Instagram @drchristellemd
Amanda Manholt is a clinic manager, patient consultant, and co-host of The Beauty Equation Podcast. With over 30 years of experience in beauty, aesthetics, and leadership, she has guided patients and teams alike toward confidence, growth, and empowerment. Known for her ability to connect with people and simplify the often-overwhelming world of aesthetics, Amanda brings a warm, practical, and relatable perspective to every conversation. You can find her on Instagram @crowsfeetandconfidence.
Websites
One of the misconceptions that people have is that facelift is permanent. It's
Speaker:a permanent solution. It's not. There's expiration
Speaker:date to facelifts too. So many people will have
Speaker:a revision of a facelift, you know, five to seven
Speaker:to 10 years down the road. So it's not forever. So
Speaker:you want to ask yourself, if you want to have surgery,
Speaker:will you want it again in 10 years? And the surgery is really
Speaker:just lifting and pulling the skin. It's like, you know, you've
Speaker:washed your sheets, you iron them, and you pull them on the bed, but you
Speaker:haven't fixed the mattress and you haven't fixed the bed frame. So it's
Speaker:important to keep those structures in mind. And oftentimes it
Speaker:can be a useful procedure to do as an add on if you want to,
Speaker:while addressing other things. And if you're going to start from the outside in
Speaker:the skin, the first thing you can address is that collagen loss, that
Speaker:elastin loss, all the changes that happen in your deeper skin layers.
Speaker:Welcome back to the beauty equation. I'm Dr. Christelle Oliver Dusseau.
Speaker:And I'm Dr. Harpreet Lotte. And I'm Amanda
Speaker:Manhole. Last time we spoke about
Speaker:the sad face, and today we're moving on to
Speaker:the saggy face that sometimes women will come into us and tell
Speaker:us, I woke up and I felt like my face had
Speaker:melted off. Like there was a candle and it just,
Speaker:you know, burnt all night. And now everything is hanging down.
Speaker:I think you've had a lot of those. Oh, the joys of getting
Speaker:older. You have a fantastic
Speaker:analogy that I've heard you use many times about
Speaker:the mattress and the bed frame. Do you want to share that with everyone
Speaker:today? Yeah. Well, I think it's important for people to understand
Speaker:that, you know, aging is not one dimensional. It's not like
Speaker:one thing typically is making
Speaker:them feel like they woke up and went, oh, my gosh, what happened? It's not
Speaker:just their skin. So if we think about the
Speaker:structure of the human head, I think about
Speaker:bone. And bone is that, you know, if you think about a bed and you've
Speaker:got a bed frame, you know, you went to Ikea or wherever, you
Speaker:got your Allen key and you put it together. So the hard part that the
Speaker:mattress sits on, you can sort of think of that as representing the
Speaker:bone or the skull. Then we have the mattress,
Speaker:and the mattress is that nice squishy thing that you get to lay on.
Speaker:And it, I think, represents the
Speaker:fat of the face. And. And I guess it would also have to do
Speaker:with muscle, but it's the soft. You know, the squishy. The part you can squish.
Speaker:And then on top of that mattress, we have a duvet, and that would
Speaker:be the skin. So when we've
Speaker:lived a life and been in the sun and lost weight, gained
Speaker:weight, our head's shrunk because we're getting older, all of these things can
Speaker:be affected. And when, you know, we've lost
Speaker:underlying support or the bed frame has shrunk, it can change how
Speaker:the mattress sits. And when the mattress gets a little lumpy and squished
Speaker:down, it can change how the duvet looks. And then, you know, the duvet,
Speaker:you can. Your dog can jump on it, like at my house, and there might
Speaker:be paw prints on it, dark spots. So
Speaker:that's kind of a global thing. That's
Speaker:the dummies version of what you guys do.
Speaker:I think that's a great analogy. It is, yeah. And it really
Speaker:highlights. Oftentimes we'll see that in women who have just gone through the
Speaker:menopause, and it really highlights that shift when you have that estrogen
Speaker:drop off. When your ovaries are no longer producing estrogen, you stop getting
Speaker:periods, your collagen drops off by about 30%.
Speaker:So it's no wonder that you wake up one day and you
Speaker:feel like everything has changed, because it has.
Speaker:Totally. And, you know, we have gradual volume
Speaker:loss in all the structures, like you said, Amanda. So we do lose
Speaker:volume in our skull, like a significant amount.
Speaker:And. And then on top of it, as we're losing
Speaker:that collagen, it's kind of like you do hit a tipping point where
Speaker:you're kind of holding it all together until that last
Speaker:little needle drops, and all of a sudden it looks very
Speaker:different. So all those factors contribute. You've got that
Speaker:underlying bone loss, the soft tissue loss,
Speaker:and the loss of elastin and collagen in the
Speaker:skin itself. Yeah.
Speaker:And again, ain't no one getting away from it. I mean, it's going
Speaker:to happen to everybody, you know, so what can people do?
Speaker:Does everybody need a facelift? Well,
Speaker:it really is a personal decision. Right. So
Speaker:if you're looking for a dramatic change and
Speaker:it's. And you're at an age where a facelift makes
Speaker:sense. So, you know, one of the misconceptions that people have is that
Speaker:facelift is permanent. It's a permanent solution.
Speaker:It's not. There's expiration date to
Speaker:facelifts, too. So many people will have A revision of a
Speaker:facelift, you know, five to seven to 10 years down
Speaker:the road, so it's not forever. So you want to ask yourself
Speaker:if you want to have surgery, will you want it
Speaker:again in 10 years? And does that make sense for you?
Speaker:And the surgery is really just lifting and
Speaker:pulling the skin. It's like, you know, you've washed your sheets, you iron
Speaker:them and you pull them on the bed, but you haven't fixed the mattress and
Speaker:you haven't fixed the bed frame. So it's important to keep those
Speaker:structures in mind. And oftentimes it can be a useful
Speaker:tool, a procedure to do as an add on if you want to,
Speaker:while addressing other things. And if you're going to start from the outside in
Speaker:the skin, the first thing you can address is that collagen loss, that
Speaker:elastin loss, all the changes that happen in your deeper skin layers,
Speaker:and that really comes down to regular skin
Speaker:care. So wearing your sunscreen every day.
Speaker:Great point. Yeah, that's a great point. So
Speaker:you have different techniques when it comes to facelifting. Right. So
Speaker:some of the newer techniques, definitely, definitely. You have
Speaker:more of a repositioning of some of the soft tissue as well. And some of
Speaker:the surgeons will do things like fat grafting, but
Speaker:to your point, if they have better
Speaker:skin to work with, your results will be much, much better.
Speaker:So I always say, and whether you're starting Botox
Speaker:or whether you're doing filler or anything, the best investment you
Speaker:can make is really good skincare and
Speaker:prevention when it comes to your skin. And you mentioned sunscreen,
Speaker:so those are your best investments. And even if you're going to
Speaker:consider a facelift, doing things to
Speaker:improve the skin quality will make your results better.
Speaker:Yeah. And then having said that, not everybody wants
Speaker:a facelift. Yeah, that's true. And you know,
Speaker:quit putting your face in the sun. People like.
Speaker:I, I, it just. Boggles me
Speaker:though. I mean, we have some wonderful, lovely, lovely, lovely,
Speaker:lovely patients. I love them dearly. But you know, the ones that you, they grew
Speaker:up in an era where it was baby oil and iodine for
Speaker:color, I think. And you know, they laid out in the sun and they
Speaker:baked themselves and the darker they were, the better. I remember being a kid and
Speaker:like I'm little, like in the 70s, and seeing those Ben Do
Speaker:Soleil ads and thinking, I want to be that color, like I'm ever
Speaker:going to be that color. You know, there's this.
Speaker:Trauma that their skin has been through where it's literally just
Speaker:sort of hangs there kind of and has no
Speaker:life and no vitality. You know, are those people
Speaker:that we can help or should be helping? I think
Speaker:so. Like, I, I've seen people with some
Speaker:of the bio stimulators that we have now that you guys have been doing
Speaker:pretty exciting times. Really. Yeah. I think
Speaker:we're seeing a shift in medical aesthetics
Speaker:where we went to restoring the volume, addressing the structure and the
Speaker:squid quality. But now we're really focusing on
Speaker:regeneration, turning back the clock. And
Speaker:I think we're going to see a whole lot more than that in the years
Speaker:to come. Yeah. Rather than
Speaker:just throwing a bunch of filler at it. So sometimes it makes sense if the
Speaker:mattress is deflated and you need, you need to support the tissue.
Speaker:But it's great what we can do now. Yeah. And I think it
Speaker:goes back to understanding the anatomy
Speaker:and physiology of aging. Right. So you're not going to use one
Speaker:tool to fix all problems. And yes,
Speaker:there is a pendulum swing now to use more regenerative things.
Speaker:And oh, dermal filler is not great. In fact, I saw a reel
Speaker:today where a plastic surgeon was suggesting that the
Speaker:worst thing that a person could do in their twenties is to
Speaker:have even one drop of dermal filler, hyaluronic
Speaker:acid based filler, on the lateral part of their face. And I
Speaker:mean, that is hyperbole. And I think we're very quickly
Speaker:going to see the pendulum swing back. You
Speaker:know, he was a surgeon and suggesting that surgery was better.
Speaker:Now, I would argue with that because we just talked about how
Speaker:surgery's not permanent. Now you're committing that person to repeated
Speaker:surgeries. And I would argue with that.
Speaker:So I think similarly we're going to see this pendulum swinging back where
Speaker:people will have a better understanding of how to use hyaluronic
Speaker:acid base fillers, be more judicious about it and not
Speaker:do this overfilling thing or think that you can give people a
Speaker:facelift or an equivalent with dermal filler. You can't.
Speaker:But you can surely make people look more rested, more
Speaker:refreshed, and visually look more
Speaker:lifted. And that's pretty impactful and
Speaker:pretty significant. And in many cases, people are
Speaker:as happy as people who we've had do
Speaker:facelifts. So it's really an individual thing and
Speaker:it warrants a discussion with the patient. I think it's
Speaker:very rare. I can probably count
Speaker:the number of times I've had a conversation with someone
Speaker:who has been actually open
Speaker:to face to a facelift. And I'm not trying to vilify it. I think
Speaker:there's some amazing surgeons out there that, you know, like, to your point, that
Speaker:are doing a more of a complete treatment with fat grafting and all of the
Speaker:likes. But the majority of the people that I talk
Speaker:to are like, I'm okay. Like, I, I, I don't
Speaker:wanna, I'm not trying to look like I'm 20.
Speaker:Right. They just want to feel like more like themselves. And
Speaker:I think it's the light and shadow and the, and the,
Speaker:and that's where the magic with dermal fillers can happen for
Speaker:the right person when the light hits their face
Speaker:a different way. It's such a subtle change, but it's so impactful.
Speaker:Yeah, that's who we know.
Speaker:Wasn't that bought. She was like, she's in her 70s. She's like, I still want
Speaker:some wrinkles. I want to show the expression that
Speaker:I've had throughout my life, but I just don't want as much of
Speaker:that sagginess and drooping. I just want to feel a bit more lifted.
Speaker:And that speaks to again, the bony changes that
Speaker:you were talking about. Harpreet and the.
Speaker:With that will often, in an ideal world, with Magic Wand,
Speaker:you would use all the different modalities. You probably use a little bit of filler
Speaker:to, you know, help with the bed frame.
Speaker:And then you might use some regeneratives to try to help with the
Speaker:collagen and the quality of the skin. And that gives a little bit of volume
Speaker:as well. And then you may tweak some muscles that are a little bit stronger
Speaker:with some Botox. And then, you know, the icing on the
Speaker:cake would be the skincare options that we have that really do
Speaker:penetrate much deeper now and have a significant impact on the skin.
Speaker:Yeah. And I think you summed that up beautifully, Christelle. And
Speaker:I'm going to go back to Amanda's point about people
Speaker:who've really had a lot of sun exposure and have
Speaker:skin that has been challenged over the years.
Speaker:You know, you asked the question, you know, is it too late? And
Speaker:I would say it's never, never too late. You know, we have
Speaker:patients in their 80s, and with the right
Speaker:skin care and with the right regenerative treatments,
Speaker:we can make a tremendous change. And then, of course, let's not
Speaker:forget about our lasers and our technologies, which have been impactful.
Speaker:And I'd love to hear from you, Crystal, like, how do you approach that
Speaker:in, with the, with the skin that's been so
Speaker:effective? Abused. Abused, yeah.
Speaker:Oftentimes. Lots of fun.
Speaker:I will start with addressing the skin Quality. And
Speaker:I'll tell them that what they do at home every day and outdoors is going
Speaker:to have a bigger impact than any tool that I can offer them in the
Speaker:clinic. And that.
Speaker:Number one, they need to start wearing sunscreen and a hat. I have no issues
Speaker:with people being. Out in the sun. I love the sun. Me too. But I
Speaker:wear sunscreen every day. I didn't in my twenties because
Speaker:who did? And I will probably have some sun damage in a couple years
Speaker:time, but I would start with the sunscreen and the regular
Speaker:skin care and addressing more the skin
Speaker:quality because that's where they'll notice the biggest difference. And
Speaker:once we're on that and we've kind of pre treated the skin,
Speaker:going back to what you were saying about our lasers or light based therapies can
Speaker:have a significant impact on addressing the pigmentation
Speaker:changes that you see. So the dark spots that you might see, also some of
Speaker:the redness you might see. And depending on
Speaker:their goals or how aggressive they want their treatment, you may go with something
Speaker:that's a bit more ablative like a halo which has a bit of downtime
Speaker:or you may go with something like a broad based broadband light like
Speaker:your BBL which can target. It's kind of like a jack of all
Speaker:trades. It can target multiple different pigments in your skin. So
Speaker:they can be a really good starting point.
Speaker:When you have that, that skin that has just had a
Speaker:beating and it brings. It reminds me of a patient that we discussed on this
Speaker:a few weeks ago. Remember when you two. It wasn't one of mine but
Speaker:you mentioned that she'd had some. You noticed
Speaker:volume loss but the more you spoke to her it was actually the
Speaker:skin quality that was the issue and she ended up doing a BBL halo and
Speaker:was delighted with her results. So yeah, when Skills has had a beating,
Speaker:I tend to focus more on the at home skin care
Speaker:and then maybe adding a life based treatment.
Speaker:And once we're on top of that, then we can address the other issues because
Speaker:that tends to have more of an impact than going into the deeper
Speaker:treatments of the underlying structure. Yeah,
Speaker:and I'd love to hear from you, Amanda. When you have people who have
Speaker:that type of skin, what are they often interested in
Speaker:or what do they usually commit to doing? Because they might not be
Speaker:used to taking care of their skin and it's a whole, that's a whole nother
Speaker:story. I'm not, I'm not going to lie. I kind of
Speaker:use skin care and education to
Speaker:see how committed they are because I think when it comes to
Speaker:somebody that has progressive
Speaker:skin atrophy damage, I don't even know what you want to call it.
Speaker:You know, obviously, they. It's a lifestyle they've inflicted
Speaker:on their skin, and you really have to make sure that
Speaker:they're not thinking we have a magic wand. Because
Speaker:none of this, I always say, look, anything to do with changing
Speaker:the. Improving the skin,
Speaker:it takes time. Like, nothing is fast.
Speaker:Filler is fast. Yeah, it's. It's. It's immediate. It's.
Speaker:That's why it's so darn exciting when it's the right tool to use.
Speaker:Even boat detox is like, ba bam. In a couple of weeks, you can already
Speaker:see lines are starting to soften. Right? Yeah. And
Speaker:I. And then I said, oh, you know, this is what we need you to
Speaker:do. These are the steps. And then come and see me again in six weeks.
Speaker:And really, at that point, I just sometimes decide if they get to pass,
Speaker:go and collect $200 and do the next thing.
Speaker:Right. Because the last thing you want to do is disappoint
Speaker:somebody. So it's really about understanding kind of what do they
Speaker:expect to see. And sometimes they're completely reasonable
Speaker:and they are committed to making that change. And that's my daughter.
Speaker:Duke, you need to, as Duke is bringing you
Speaker:kiss our free. What's your approach?
Speaker:Well, I wanted to touch a little bit on Amanda's point
Speaker:around. People being
Speaker:patient or using the skin care and time,
Speaker:and it takes time. So we have to remember that our skin
Speaker:is our body's largest organ. Right.
Speaker:And just like every organ,
Speaker:there's physiology behind it. It works a certain way.
Speaker:And anytime we try to make any changes in our skin,
Speaker:it takes skin cycles for us to actually manifest or see the
Speaker:change. What I mean by that is our skin isn't inert. It's alive.
Speaker:And it rejuvenates itself in a cyclical
Speaker:basis. So we have cells at the bottom of our skin
Speaker:that sort of create new cells, and they migrate to the top
Speaker:of the skin, and then they slough off, and that cycle continues.
Speaker:And when we're younger, that cycle is fairly short. And,
Speaker:you know, if you're an esthetician or in this industry, you might know it
Speaker:to be about 21 days. However, we forget that that
Speaker:cell cycling cycle does lengthen
Speaker:as we get older, too, so that by the time you're in your 50s,
Speaker:that cycle might be up to about 90 days. And if
Speaker:we say that, well, if we put stuff on our skin, it's gonna take three
Speaker:skin cycles or four skin cycles? You know, when you're 50, you're
Speaker:talking. It might take a year for you to see a change.
Speaker:Yeah. So it takes time. So I think people need to
Speaker:understand that when it comes to skincare, and to the
Speaker:point about a magic wand, I think that's. That that's quite
Speaker:true. People often think of things like lasers
Speaker:as a magic wand, and they think they'll see immediate results
Speaker:and you'll see faster results. 100%. But any
Speaker:of our technology is actually stimulating the skin
Speaker:through heat or through ablation. Right. And
Speaker:with the halo, I often will say it's kind of like aerating your
Speaker:lawn. Right. You're punching little holes in the skin and you're creating
Speaker:a stimulus, and it's the reaction to that
Speaker:stimulus that creates the change, not the actual
Speaker:laser. Yeah. Right. So some of our lasers
Speaker:will target pigment and sort of blow up the pigment. But when we're talking about
Speaker:collagen induction and some of the regenerative things that our lasers do,
Speaker:it's literally stimulating your skin. So your commitment to your
Speaker:skincare never goes to waste. Your commitment to a healthy
Speaker:lifestyle, healthy nutrition and all those things, good sleep
Speaker:never goes to waste. And so it will all make your laser
Speaker:and technology work better. You'll have better effect.
Speaker:I find that when you're talking about those ablative lasers
Speaker:that will stimulate that collagen, it'll be really good for
Speaker:more of those superficial lines and
Speaker:the skin quality, but maybe not as impactful
Speaker:on sagginess as other tools that we have.
Speaker:Yeah. Then we start to get into the bioregenerative
Speaker:treatments that can give you some volume. And
Speaker:when I look at skin itself, we already talked about the bone, Right. We get
Speaker:bone resorption. We already talked about soft tissues. We get soft tissue
Speaker:resorption, and we can do dermal fillers. But when we look
Speaker:at the skin, there's a pattern to the skin aging, too.
Speaker:So the epidermis gets thinner, the dermis gets thinner, it
Speaker:starts to slip on itself. You get this crepiness that
Speaker:happens. And we get dyspigmentation within the skin
Speaker:itself. So those are aspects of the skin that we can change
Speaker:as well. And we can thicken up the skins using. Using growth
Speaker:factors, because it does thin. So if you look at
Speaker:people in their 80s, they so often complain of, you know, I bumped up against
Speaker:something and I got bruised, and I don't even know how
Speaker:my skin sloughed off. They'll abrasion super easily
Speaker:because the skin is thinning. So that thinning aspect of
Speaker:skin aging we can treat with bioregenerative
Speaker:treatments like Sculptra. We can use growth factors, we
Speaker:can use platelet derived growth factors.
Speaker:We can use prp, retinol and retinol
Speaker:too. Yeah, good old retinol and sunscreen. Just
Speaker:wear some damn sunscreen. Oh my God. All I'm saying is, you
Speaker:know, the whining over, just find one you
Speaker:like and put it on. It's not that hard.
Speaker:We see people lucky nowadays with the. Amount of choice we have with sunscreens. Because
Speaker:that was definitely choices like whether you want a powder
Speaker:or a liquid or a cream or. But you know, Harpreet can
Speaker:speak to this. We've had patients that have come through on the, you know, the
Speaker:skin cancer screening side of things that we've got. Just wearing sunscreen, like
Speaker:we're talking basic and year after year, just
Speaker:from adding sunscreen, nothing else, they don't do anything else. Their skin
Speaker:starts to look better. It makes a huge difference. So
Speaker:here's the thing with our, with our, any patient, once
Speaker:they have skin that's been damaged, sometimes they feel pretty
Speaker:despondent. At least I see that sometimes
Speaker:they do feel like it's too late and they feel like the sunscreen
Speaker:is a waste of time because what is that going to do? They feel like
Speaker:it's only going to prevent future damage and how is it going to
Speaker:affect them currently? But what I like to explain to them is that
Speaker:UV radiation is damaging on a daily basis.
Speaker:And whether it's cloudy and whether it's winter,
Speaker:the ball of radiation is in the sky.
Speaker:And so there's visible and non visible radiation that our skin is
Speaker:exposed to. And every time our cells get hit by that, their
Speaker:DNA gets damaged slightly. And then it's the job
Speaker:of our immune system and scavenge ourselves to go
Speaker:and clean up all that mess. And so we have old
Speaker:stuff sitting there as well as new damage that comes in every day. And
Speaker:if you wear sunscreen, what you're doing is you're preventing
Speaker:new stuff, new damage so that your cells, your
Speaker:immune system cells can go around and scavenge
Speaker:what's been done before better they're not distracted by
Speaker:the new stuff that's going on. And sometimes when I explain that
Speaker:to them, they, they get a little bit more hopeful and they understand.
Speaker:And so then when you have that. Commitment to wear the sunscreen every
Speaker:day, it allows your body to protect itself and to repair
Speaker:itself and you see it and that's, you know, feels
Speaker:really good for them. So I try to give them that encouragement.
Speaker:It does make a difference. Try it out.
Speaker:Yeah. Amen. I totally agree. You know, it's like
Speaker:there's a little battle that's going on all the time. Your skin's kind of
Speaker:trying to protect itself and, you know, you're just putting in
Speaker:the troops in the very front so that, you know. Yeah.
Speaker:I gotta think of another analogy that's better.
Speaker:But back to saggy, because that's what we were talking about. It was. But
Speaker:I mean, the sunscreen does impact it because it'll
Speaker:impact the city if it's very sun damaged and it will
Speaker:sag because if it's lost its elasticity. Anyways, going back to
Speaker:that patient you wanted to mention. Oh, yeah, I was just. It's. But again,
Speaker:other than you should all be wearing sunscreen every day, don't even, like, talk to
Speaker:the hand if you're not going to, like, find a new channel because I'm sorry,
Speaker:it's just easy. You just got to find a good one and you. Your
Speaker:skin will thank you for it. But we. It is
Speaker:still very.
Speaker:Unique to everybody in terms of how that Sagi kind of comes on.
Speaker:So we had a patient a couple weeks ago
Speaker:and she was a bit tricky because she was
Speaker:70, 71, had done nothing.
Speaker:And I'm looking at her and I'm thinking, what, like you've done
Speaker:nothing? Because her cheeks were so darn good. And
Speaker:so it was interesting that she didn't actually have much
Speaker:the bed frame. The bone was really well
Speaker:preserved. I don't know, I guess it's just genetics. Lucky. Right.
Speaker:And really it was more kind of soft tissue that
Speaker:needed to be, you know, plumped up in a few areas and
Speaker:then again, work on the skin. So.
Speaker:Sagi can look very different for different people. Yeah,
Speaker:yeah. So various genetic factors. Right. She may
Speaker:not have had much bone loss, so she's not prone to things like
Speaker:osteoporosis. She might have a high calcium diet and. And
Speaker:that type of thing that impacts bone resorption. And then
Speaker:going back to the structural issues that we sort of talked about last
Speaker:episode, some people have shorter chins. And when you have
Speaker:shorter chins, you are going to look saggy and jowly
Speaker:faster. You'll start
Speaker:looking sad and then the sadness will turn into sagginess.
Speaker:Yeah, totally. My family all over.
Speaker:Yeah. And chins are not something we're
Speaker:used to looking at unless you're in aesthetics. Right.
Speaker:And so restoring chin length and
Speaker:chin structure can be really impactful when we're Trying to prevent
Speaker:sagi and treat sagging. And the one caveat
Speaker:I will say there is that when you are an injector
Speaker:and you're doing chins, make sure your chins are
Speaker:three dimensional. Oh, yeah, please, yeah.
Speaker:Oh, I can go to this injector and they're going to put one syringe right
Speaker:here. Yeah. That looks awesome. Not.
Speaker:We've seen it, right? Yeah.
Speaker:It's got to look good from every angle.
Speaker:There's a lot of sculpture involved in the chin and in the jaw when
Speaker:you restructure that, especially if there's been a lot of bone resorption
Speaker:and you're starting from a point where there wasn't that much support in the first
Speaker:place. And then
Speaker:you still have to look like you. I was thinking we
Speaker:have a patient that she's lovely, she's, I
Speaker:think she's got to be pushing 70 now, but a very kind of heart
Speaker:shaped face. And she's tricky.
Speaker:Right. Because you have to maintain like you're not going to give her a big,
Speaker:wide, feral chin, you know, so you,
Speaker:you can improve it, but you have to always be thinking about, well, what do
Speaker:they look like? Like 10 years ago. Right.
Speaker:So chins. I could talk about chins all day long. I could
Speaker:wag my chin. About to do an episode on that. Yeah.
Speaker:If you want to hear more about. Chin, maybe send us an email or
Speaker:write a comment down below and we'll make sure we'll get some stories for
Speaker:you about chins and factors that we consider before we
Speaker:wrap up today. Is there any advice that you'd give your, your 30 year
Speaker:old self if you could speak to your 30 year old self?
Speaker:Oh God, don't go out with that guy.
Speaker:Do not skin chips.
Speaker:Oh. That'S another
Speaker:podcast. That was my 20 year old self. I guess I married the 30
Speaker:year old, the one I now worked out. Okay, but
Speaker:30. Oh. Get
Speaker:Botox sooner, Kat
Speaker:Harvey. That's what I would have said. Uh,
Speaker:yeah. I started Botox when I was in my 30s. Cause I started
Speaker:doing botox when it first came out like for other people.
Speaker:But I think being more diligent about sunscreen,
Speaker:oddly enough because there weren't that many options for people who were
Speaker:highly melanated like myself, so things would
Speaker:turn me blue. Right. So but finding a good sunscreen, that would be
Speaker:one for sure.
Speaker:And the other one, and I feel like this is another show is
Speaker:learn about lasers and people who
Speaker:do have pigment like myself. Not all
Speaker:lasers are the same. And I can tell
Speaker:you a story. About an IPL burn that I had on myself and how
Speaker:my interest in laser start and so started. So,
Speaker:yeah, I would say don't do the ipl. That would be my other
Speaker:advice, I think. Unless you're me, and then
Speaker:you can light me up. Yeah, you're me. That's just to
Speaker:me. But if you've had melasma, you probably don't want to be. You want
Speaker:to be careful, too. I think lasers is in a whole episode in itself.
Speaker:So we've got chin and lasers. Maybe we'll take
Speaker:a vote as to what you would like to hear us talk about
Speaker:first. And for me, I think it would be sunscreen as well. I
Speaker:was the one who had the sunscreen in her foundation because, well, I never burn
Speaker:and sure, it'll be fine. And
Speaker:I have pigmentation because I was in Ireland. All on my driving side
Speaker:because we drive on the other side of the road. And
Speaker:again, there weren't that many good options. They all I have. You know,
Speaker:I'd be on the oilier side, and they just made that a whole lot worse.
Speaker:And, you know, when you're battling shyness, that's not what you want. And. But I'm
Speaker:happy to say that there are so many really, really good options that we have
Speaker:nowadays. Yeah. That weren't really available 10 years ago.
Speaker:So, on that note, I hope you enjoyed today's episode.
Speaker:And next time, we'll be potentially talking about
Speaker:your aging Achilles hill, unless there's a huge push for us to talk
Speaker:about either lasers or your chin.
Speaker:And if you're feeling saggy, come on down, give us a call. Bye
Speaker:for now. Until next
Speaker:time.