265. Estrogen For Your Face - Dr. Kelly Casperson & Dr. Ellen Gendler

In this episode, Dr. Ellen Gendler, a New York City dermatologist, discusses the role of estrogen in skincare and hair care. She shares her journey on social media and addresses the stigma of vanity in skincare.
Dr. Gendler emphasizes the importance of using topical estrogen in selected areas of the face and hands, highlighting the need for longer-term studies on its efficacy.
She also recommends incorporating vitamin C and DNA repair enzymes into skincare routines. Additionally, she discusses the differences between prescription tretinoin and over-the-counter retinols, emphasizing the importance of sunscreen in protecting the skin from sun damage.
In this conversation, Dr. Ellen Gendler discusses various topics related to skincare and haircare. She talks about the effectiveness of moisturizers and the impact of alcohol on the skin. She also addresses midlife hair loss and the different treatment options available. Dr. Gendler shares her insights on eyebrow growth and microblading, as well as the use of Botox and fillers.
She provides her perspective on exosomes and peptides in skincare and haircare products. Finally, she emphasizes the importance of using retinoids and sunscreen for healthy skin and discusses the role of dental health in facial aging.
Takeaways
* Moisturizers are not always effective, and alcohol can dehydrate the skin and cause flares of rosacea.
* Midlife hair loss is a common issue, and there are various treatment options available, including spironolactone and minoxidil.
* Microblading can be risky and may lead to scarring, while eyebrow pencils are a safer and cheaper alternative.
* Botox can be a miracle treatment when done correctly, but it should be administered by a trained professional.
* Fillers can enhance facial features, but it's important to choose a skilled injector and avoid permanent fillers.
* Exosomes and peptides in skincare and haircare products are not yet proven to slow down the aging process.
* Retinoids and sunscreen are essential for healthy skin, and dental health plays a role in facial aging.
* It's important to be discerning when it comes to skincare and haircare products and choose what works best for you.
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[@jamiebond8481]

Ok I was afraid to admit that I started using vaginal estrogen cream on my face too. I thought that if it was good down there than it is good up here. This doctor just confirmed my hypothesis

[@zahram4473]

How is it working for you?

[@hudasharaf5911]

Me too I noticed its only 2 weeks I noticed smooth texture of the face

[@michelleklein-neville7677]

I am 60. Been using tretinoin, vitamin c and sunscreen for two decades. Last year I added estrogen cream. I mix it with my tretinoin and apply to face at night. Vitamin c and sunscreen in am. It has helped the quality of my skin immensely.

[@rhondascott1341]

Oh didn't think to add it at night. I use mine after Vitamin C. Maybe I'll switch,

[@time2heal]

Do you use estriol or estradiol? And do you apply it to face and neck?

[@ColorJoyLynnH]

I got braces in 1973. When I got my retainer, I was told that I had to wear it no matter what, and I did obey. However, my retainer was made poorly and it pushed really hard on one of my front teeth so I got an injured, and now I have a discolored front tooth. It hurt but I was told it was nonnegotiable and I knew that braces hurt when they tightened them but I only had one tooth that hurt and I wasn’t taught to use my mind and speak up when something seemed right. Welcome to the days of “be a good girl.” my bottom piece did not have any teeth pulled and I had a built-in retainer from the inside pushing out for seven years. When they took it off my teeth went back… The tooth that had been Twisted 180° is no longer twisted but it’s crowded. I guess that tells you that my 1973 orthodontist didn’t have the information he needed to do a good job.

[@charn913]

I’m so thankful to find these Doctors- my primary gave me antibiotics and quality of life was awful. Now after a great telemedicine Dr helped me get my life back- now I feel like my old self This youtube channel has been a God send- thanks Dr. Kelly! This was a great podcast - I’m 67

[@rmh691]

I kept waiting the whole episode and you even asked her if some thing about hair and skin didn’t get addressed, and neither of you mentioned red LED light therapy which is all the rage for both hair and skin. Maybe you can drop a comment here for all of us wondering about this.

[@lisamarie73100]

I got the mito plus 3.0 about 6 months ago. It does make a difference. One of the best $350 I've ever spent. Consistency is key. I use it 15 minutes at a time, 5 days a week

[@neyisek6928]

I have used estriol cream on face for about 2 yrs . I'm now 49 menopause @ 45 ½ :( I am very happy with it. Plus tretinoin several yrs vit c & sunscreen far longer

[@neyisek6928]

Additional comment I started retinol eye at 28. In 30s adapalene in 40s low low dose tretinoin. Worked my way up. My dermatologist says no reason for me to go above.5. Said no increase benefit just irritation at 1%.

[@betha8761]

I use a little bit of my vaginal estradiol on my face in particular areas and top of my hands. Whole body care is important and that includes my face. Thank you for this video!

[@MissMohz]

What a fantastic guest. Hopefully you’ll have Dr Gender on again.

[@kirstens5688]

Awesome show. You are both incredible sources.

[@ana-pi6ut]

Thank you! Great interview.

[@rfross64]

Love this! Thanks so much for all you do. Can you please link to the studies Dr. Gendler mentioned?

[@suzyq8328]

great interview love her..........

[@bluecurlygirl]

Drives me nuts when people give off about preservatives. I'm like "so you want to chuck everything out after a few uses?" because that's the reality without preservatives.

[@donnaatienza8001]

Yes your right.

[@hawaiijeans]

Just found your channel. What a wonderful, informative episode!! ❤. Love you both

[@carriespackman762]

Such an interesting guest

[@brandoncarrynwyrick786]

Question about minoxidil for hair growth. Is it true if you stop using the medication once you start, one can expect to experience more hair loss than before starting the regimen. Thank you for all you do to enlighten us in such a challenging life transition. Trying to navigate, embrace and celebrate this phase and Drs like you give me hope! You are the best!

[@trichardson8999]

What a lovely doctor and human. She is so right about teeth aging women. You both have beautiful white teeth which makes you look younger.

[@glassgoddess8646]

Thoughts on spironolactone & interstitial cystitis? And if prostaglandins have caused hallowing can estrogen under the eyes & tretinoin help? Thoughts on Stem cells in skincare? Loved this episode. Thank you!

[@mtntm5628]

Absolutely fascinating guest, and so knowledgeable. So much great information in such a short time. And I loved the question about systemic estrogen’s possible role in maintaining our jaw structure. What an interesting idea.

[@rogehnimunoz4327]

Very nice discussion.

[@theseeker1948]

We’d appreciate you naming the best foreign sunscreens.

[@lindsayk40]

the dna enzyme brands they listed have spfs. they aren’t always cheap but it is the cheapest way to get dna enzymes and you can reduce cancer from forming.

[@neyisek6928]

Any thoughts on C60 in skincare??

[@Katepwe]

My eyebrows totally fell out during menopause. I used pencil for awhile but it became a pain and they come off if you sweat or go swimming so mine are now nano-bladed. The girl who did them is very experienced and they look natural.

[@neyisek6928]

Also thoughts on estriol cream above elbows?

[@ardaraith]

What about crepey skin on the arms?

[@katherineb9]

love this conversation, can we talk about why they have put peanut oil in prometrium ? Talking about known allergens. Would love you to talk on this.

[@jenniferv]

Prometrium makes me want to curl up and sleep on my kitchen floor when trying to cook dinner. Also, you can needle open the Prometrium capsule and squeeze out the P

[@peggycartmill8019]

Please stop interrupting your guest. She knows the answers

[@tracyojeda2016]

Sunday Reilly is another Great Vitamin C

[@cheylift]

I had permanent retainers put in after my braces were taken off when I was a teenager & I am SHOCKED how many women I talk to 30s-50s haven't heard of that option. Best decision my mother made though I hated it at the time.

[@Corrans]

If you use systemic estrogen doesn't it help all your skin? Because surely transdermal estradiol would go to everywhere? I don't get why not?

[@noodlep2547]

I read somewhere that systemic estradiol will be taken up first where it’s most needed in the body and skin may not be a priority. Not sure how true that is, but it did make me decide to put a small portion of my prescription for Oestrogel on my face and back of my hands. My prescription amount pretty much covers half of my body anyway!

[@akipp3924]

Most fda approved doses are low.

[@llkoolbean4935]

Makes sense

[@jenniferv]

It does help. I noticed a difference very quickly after starting it. It also helps restore collagen in the intervertebral discs

[@kaitlinbeste]

I LOVE you guys

[@Marge-]

I started using estradiol, very low dose under my eyes, then got carried away, started using it all over my face and forehead & gave me melasma & hyperpigmentation but no wrinkles!!

[@StayGold_Michele]

How long were using it before it produced the hyperpigmentation and melasma?

[@Marge-]

@@StayGold_Michele About 7 months but at the same time I was also using HRT

[@StayGold_Michele]

Thanks for the information I never took birth control and I'm 55 now. I've been using some estriol on my face for I don't know maybe on and off the pass couple months and I've never had a problem with melasma or hyperpigmentation except for one summer like 12 or 13 years ago I got a little bit of a hyperpigmentation on my cheek when I was water skiing all summer. It went away with my skincare routine, but other than that I use vitamin C and all kinds of other skin care items.... and of course sunscreen daily.. the melasma issue with estrogen is a concern for everyone, though, I suppose.

[@erinsnook8537]

How do we know whether a sunscreen is good? Are there brands to look for?

[@joannepigliavento7930]

Yes! Would be great to have had a few recommendations

[@diannstover9165]

Cerave and eucerin are great I use the tinted. There is Korean that is great too. Follow Dr Dray on utube ahe. Has so much on sunscreen she is board certified derm. There are so many that is good. But it comes down to what you like and what works for you.

[@susicca]

She always recommends La Roche Posay Anthelios uvmune 400, the European version. She says it has the best filters on the market

[@jamiebond8481]

Where do you buy those dna-repair skincare?

[@Stormy575]

I'd like to know, too Eta: just got to the part where she mentions brands. I found them online.

[@lindsayk40]

search neova, photozymes, priori

[@jamiebond8481]

“Snail slime” gave me an allergic reaction almost immediately.

[@Stormy575]

If I use an estriol cream on my face should I use a progesterone cream, too, to help balance it out? I'm low in progesterone but don't have overt symptoms.

[@lindsayk40]

just my feedback. I used Plated exosome serum (lower dose) after my facial surgery for 3 mo. They said I had one of the best scars they have seen. Did the rest of my face change…not really but I liked it for scar recovery.

[@larajohnson8174]

This is a weird side effect but I lost eyelashes where I had major gaps when I used estrogen cream on my face!

[@jenniferv]

I wonder if using a few drops of DHEA oil instead of estrogen would make a difference? It apparently converts to estrogen and testosterone in the tissues

[@leenickshramko1100]

I have an estrogen pill to insert. So why not use that if you don’t want the cream?

[@leenickshramko1100]

What is tretinoid?

[@livmorrisnyc]

Age 60. Treated for hormone positive breast cancer on close to my third year on Letrozole. My doctor allows Intrarosa for vaginal atrophy. Is this a no-no for me?

[@threeqtrtime]

Holy smokes.. my compound biest/ dhea and progesterone is 240 a month. Am I being over charged ?

[@jenniferv]

In my opinion, which is just an opinion, yes. My patch and progesterone are only about $70/month with goodrx

[@sunmoonstars3879]

I have an estriol/estradiol cream that I sue a tiny amount on my wrists and inner arms daily in the morning, it has been incredible what a difference it has made (I’m peri menopause still have periods but can be erratic). I’m interested in using it on my face, can I swap from the wrist area to face and still get good enough absorption that it will still do all the other good stuff or is it just for a superficial skin improvement treatment? I don’t want to use more than I do now as it makes me feel odd if I use too much.

[@nankosa82]

Yes.

[@melodydunn4546]

Not a single mention of melasma from topical estrogen. That's the primary concern I've heard about and its not insignificant.

[@convenienceandpracticality9032]

I keep saying this same thing on every youtube video I watch about estrogen cream. Only one channel has chosen to touch on this topic.

[@gemigem2411]

Where can we purchase the estrogens for your face please??

[@StayGold_Michele]

What do you doctors think about Sebaceous Hyperplasia? I've learned that only a dermatologist can remove these things and that growth factors can cause it. I was using Perricone's growth factor face cream about 2 1/2 years ago and a year and a half ago I got this sebaceous hyperplasia on the bridge of my nose and nothing will take it away. No amount of Trentinoin, glycolic acid, lactic acid, any acids or exfoliation, nothing, and I'm thinking I'm going to have to see a dermatologist. I checked with my Kaiser dermatologist and they said there's nothing that can be done for that... it's not cancer so it's cosmetic and we're not going to remove it 🙄 PS I use Timeless Skincare Vitamin C with ferulic acid which is said to be comparable to SkinCeuticals and then I use a South Korean sunscreen which is absolutely fantastic, 50 spf., very nice under makeup and inexpensive.

[@shelleyroberts4020]

What about mouth taping?

[@idahardy4052]

I asked my husband to do that at night and it has eliminated the snoring almost completely. I am so happy and I am grateful to sleep all night.

[@LauraSlichter]

Where can we buy the estrogen cream? Can you buy it online? I would love to know.

[@nankosa82]

....yes, online

[@birdlover7776]

I get mine prescribed by my gyno

[@Stormy575]

I found estrogen cream on Amazon

[@lindsayk40]

I’m that extremely rare person allergic to a preservative. Carbomer is in everything, no one has heard of it but me 🤦🏼‍♀️

[@Karikk72]

Can the vaginal estrogen cream be used daily ? Inside and outside of vagina ? Doctor said loading period daily use for 2-4 weeks and then twice per week after. But why not daily ? It’s a moisturizer right ??? Any info please ???

[@russvet]

I take it daily on my face, it is with estriol

[@redmoon5287]

Thank you for this video. Do you think the supplement Biosil is effective?

[@russvet]

Real food like meat, eggs and liver beef are most powerful supplements ❤

[@deborahheron6448]

I think it's wonderful

[@akipp3924]

It could cause melasma.

[@convenienceandpracticality9032]

Why won't anyone who is pro-estrogen cream cover how it affects melasma? I trust Dr. Casperson's opinion but she never covers this topic and doesn't interact with her followers so she doesn't answer questions. I won't ever use it until people start addressing this.

[@truestory923]

Estrogen is reduced by ultra violet light. This lady is not saying everything

[@jodyjackson5475]

STOP interrupting and over talking your guest!! Good grief

[@melissaculpepper7663]

Well, our spirits are definitely broken. Jesus Christ came to bind up the brokenhearted and to redeem us from all brokenness. Our spitball state is corrupted by our sins. Jesus is our propitiation; the Lamb of God who takes away the sins of the world!!! Hallelujah! We do our best for our health but we all are passing away. Jesus came that we might have life. He is the way, the truth, and the life. Through Him, only, can we enter into the presence of God.

[@lynnmariesullivan3699]

You leaping into the conversation with the assumption we all know what the doctor's talk was about. We don't. : (

[@michy2630]

Terrific show. Ive heard good things about DNA repair enzymes. Love the Korean & Japanese sunscreens. Can I order vaginal estrogen on goodrx without a prescription? I'd like to try it. Thank you

[@MissMohz]

I’m a GoodRx gold member. It’s just like a regular pharmacy in that a prescription is required for the pharmacy to fill it. That said, GoodRx does have for-fee telehealth services with physicians that could provide prescriptions but last I checked they don’t prescribe hormones.