

#355 – Skincare strategies, the science of facial aging, and cosmetic-intervention guidance | Tanuj Nakra, M.D. & Suzan Obagi, M.D.
581 snips Jun 30, 2025
Tanuj Nakra, a triple board certified facial plastic surgeon, and Suzan Obagi, a double board certified dermatologist, dive into the science of aging and skin health. They discuss the biological factors driving facial aging, the ethical responsibilities of physicians in cosmetic procedures, and the psychological impact of beauty standards shaped by social media. The duo shares practical skincare tips, emphasizing the importance of preventive measures like sunscreen and retinoids, while also unraveling the complexities of cosmetic interventions and patient consultations.
AI Snips
Chapters
Transcript
Episode notes
Key Biological Drivers of Facial Aging
- Facial aging involves bone loss, fat atrophy, and ligament changes that cause the face to look older.
- Women experience accelerated facial bone and fat loss post-menopause compared to men.
Facial Fat Loss vs Body Fat Gain
- Facial fat depots atrophy with age despite body fat accumulation due to unique metabolic properties.
- Stress and cortisol accelerate facial fat and skin aging differently than body fat accumulation.
Evolutionary Basis of Facial Beauty
- Humans are genetically hardwired to appreciate facial beauty, favoring symmetry, proportion, and sexual dimorphism.
- These features signal good genetics and fertility across cultures and time.