DOCTOR'S NOTES

A Plastic Surgeon's Strategic Approaches to Skin, Bone, and Collagen Resilience Emerging research reveals that peri-menopause can begin as early as the mid-30s to early 40s, much earlier than previously assumed, prompting a need for earlier proactive health and beauty strategies. As women transition into the peri-menopausal phase, the body begins to signal subtle yet powerful changes that extend far beyond simple “aging.” From collagen depletion to bone density shifts, peri-menopause calls for a nuanced approach to beauty and wellness—one that combines strategic skincare, targeted aesthetic adjustments, and proactive health measures. Let’s examine the key interventions that not only help...

The Unsung Heroes of Beauty In a world inundated with buzz and clickbait, it's easy to overlook the potent yet humble heroes of beauty: low-cost, generic prescription medications. Though they lack the glamorous packaging of luxury cosmetics or the buzz of the latest aesthetic trends, these medications offer something far more valuable—clinically proven, transformative results. What’s even more remarkable is that many of these drugs, initially designed for medical purposes unrelated to aesthetics, have revealed significant beauty-enhancing side effects when used under the careful guidance of a qualified practitioner. Read more on Substack.

My take on the new "Lipstick Index" for our time The term "Lipstick Index" was first coined by Leonard Lauder, former chairman of Estée Lauder, during the 2001 recession, when he observed that lipstick sales spiked as economic conditions worsened. His theory suggested that, in times of financial distress, people—especially women—might forgo larger, luxury purchases like designer handbags or extravagant jewelry but still invest in smaller, feel-good items, such as a tube of lipstick. The reasoning behind this lies in the perception that lipstick is an affordable luxury, a small indulgence that provides a psychological boost without breaking the bank....

Why We Need Less in the Upper Face and More in the Lower Face as We Age As a plastic surgeon, one of the most common questions I receive from patients as they navigate the aging process is about the shifting use of neuromodulators like Botox. What surprises many is that our need for neuromodulator treatments evolves with age. For most, the demand for units in the upper face—specifically the forehead, crow’s feet, and glabellar area—decreases over time, while the lower face requires increasing attention. This change is directly related to the natural weakening and descent of the upper face...