How Menopause Impacts Skin Aging and WHAT to do about it!

[@dramirkaram]

Learn about what facial rejuvenation mistakes you MUST avoid making as a woman over 50 here: kzbin.info/www/bejne/fIa6e4VtZ8p8hqs

[@SaraAbarca-f6u]

Hi doctor one question, what do you think about tretinoin???

[@lsegluv8574]

Dr Marie claire Haver is someone people can listen to, she helped me understand the protocol I needed HRT, plus prometrium and vitamins needed, yearly dexa, pilates, and of course Dr karam skin regimen

[@redmoon5287]

Some of her advices can be valuable but I am NOT fond of how this woman and many others are strongly pushing HRT like it is the miracle “ safe” pill. Big pharma must love that!

[@grat2010]

She isn't pushing anything. She's all about providing information so we can make a well- informed decision and support each other no matter what we decide. She also talks about other things besides HRT such as suggested supplements and exercise. I haven't decided yet about HRT but I'm grateful that it will be MY decision.

[@goofykitty286]

I started 3 weeks ago with my HRT and I’m already feeling a positive difference. Benefits I’m feeling are better quality sleep, minimized anxiety, less brain fog, more energy. I’m also moving more, strength training, had my HRT doctor do my bloodwork, check my supplements and some I was taking were inhibiting my estrogen so it was great communicating with her. I’m going to research getting my Dexa scan next. My sister has osteoporosis so we are going to build healthy bones 🦴 together. We’re eating less inflammatory foods too. I started feeling perimenopausal in my mid 30’s and I noticed my primary care physicians (I went to 2) were not very informed. Usual advice: eat less, move more. I’d been active my whole life but something shifted and I kept gaining weight. I went from 135 lbs up to 179 lbs. 🙀 But now, I’m down to 165 lbs. I care about maintaining and building muscle and being my most informed self advocate. But am I gonna get a vertical restore from Dr Karam as soon as I’m able to afford it? Uuuuhhhhmmm, yes I am 😂. 🙌🏼 Love Dr Haver. She’s a gem. Ppl can decide whatever they want for themselves, she has good intentions and wants to provide information.🫶🏼

[@anh1192]

I’m 41 and started taking bcp 4 mo ago (Lo Loestrin Fe) to regulate my hormones. Had a tubal ligation in my mid-30s after my daughter and never thought I’d ever be on bcp again😅 Wow has it brought me back to my old me. The past 1.5 years I had rapid increase in insomnia, night sweats, fatigue, rage, anxiety, etc etc etc. perimenopausal symptoms that weren’t there before…journaled them down and brought it to my OB

[@gailallford4227]

HRT is not a miracle worker but for those of us badly affected by the decline in oestrogen compounded by a total hysterectomy - for me it is a great help and enabled me to live with reduced joint pain and helped with other health conditions brought on as a result of menopause - everyone is different!!

[@dinapawlow1622]

Imagine if the male testes shriveled and died. The MONEY! The RESEARCH ! The URGENCY !

[@jennifercarillio8403]

😂Yes! For men, it's a life or death situation! 😂

[@TammyCondren]

Damn straight😂😂😂

[@gailallford4227]

Oh yes - they would have free counselling too!!!

[@JessWehrle]

How about eating a clean diet? cutting out dairy, sugar, alcohol etc and drinking plenty of water? Fasting to activate mtor? Products on the face are good, I just think what I listed is half if not more of the equation.

[@naightengale101]

It's playing out right now. For years a woman's fertility was, linked to her age. No one looked into the bioaccumulation of microplastics and endocrine disruptors. However, now that we know the same is causing declining sperm count in men, there is an urgency to address microplastics and endocrine disruptors in society.

[@KAZHE63]

HRT! I highly recommend it! The studies from the past were flawed greatly.

[@AbiBrown-q9k]

it all depends, I have good genes-I have facial once in blue moon. a bit of saggy no biggy. I stopped colouring my hair I have medium length salt and pepper hair. I am active and slim. I like who I see in the mirror most days

[@farzanayesmin7815]

Retinol Vitamin C Niacinamide Sunscreen Hyaluronic acid moisturize cream These are my daily routine.

[@shanebowers2768]

Thats a good routine

[@fetiyam5965]

How often do you do those?

[@aichaakalaiouchan1475]

Daily 😂

[@cavgrey8]

You need Trifecta. Fewer products

[@kc8127]

Thanks for the list of face care. I am missing two different creams. Also I need to be more consistent. I do skip days without using.

[@kristine9786]

Men go through Andropause.....declining testostorone levels as they age. I see how it affects them physically and mentally as they age. This needs to be talked about more.

[@bomcdowell-kim9194]

They do definitely age but rather gradually whereas women practically become elderly overnight! My neighbours are good examples. They looked about the same age but now, the wife looks like his mother, having gone through her menopause some years ago with complete white hair and a big belly. I feel bad for her. Her husband is still looking attractive as in middle age men attractiveness and is now, for some business reasons, spending most of his time in a fancy foreign city away from the old looking wife. One wonders what he is up to over there alone all the time..😮

[@katemiller7874]

Well the white hair she can dye. It does make them look ten years older. The big belly intermittent fasting. Too many carbs. We can still look good one meal a day.

[@ironmaidenfitness654]

I agree however women’s hormones fall off a cliff at the average age of 51 whereas men decline so slowly that they can still father children after 70 and they usually only need TRT, not 3 different hormones like women do.

[@leahmoulden5452]

That’s a lie men spread about still being able to father. Their sperm quality declines and they are far more likely to have children with birth defects and health issues.

[@helene5608]

I agree with everything on this video….i took very good care of my skin all my life I am almost 70 years old…and my skin is very beautiful..I am very active and do a lot of sports so I am also very fit …however I think we do have to accept the aging process ….and a women whose face at 70 looks like 35 does not match with the rest of her body …does not look elegant …we will all age and we should celebrate health and joy of being alive! ❤

[@penelopecreighton-ward1856]

The science behind HRT is changing dramatically due to being so under-researched in the past. It’s safe for most women and has significant long-term benefits. The “you can only stay on it for a short time” is no longer the going thesis. Dr Mary Claire Haver is superb on this, as are other Endocrinologists and Obgyns.

[@marie2810]

Yes, we can stay on hrt forever, actually.

[@kellydouglas7232]

I wish there was a Menapause Class for Women to Learn about It, Instead of going into it and your Hormones are up & down & you think ur going Crazy 🤪

[@Leesa111_0]

I agree with you 💯 they should definitely educate women before they enter perimenopause. Because no one prepares you for it. I had to learn everything for myself through online groups & KZbin. And the symptoms are crazy 😂

[@danacas100]

There are lots of Dr on KZbin who specialize in Menopause. Menopause Barbie is a great Dr to follow with hundreds of videos on Menopause;)

[@dixielou4002]

I've learned alot from Dr Mary Clare Haver.

[@gailallford4227]

Hi I began looking at menopause information when I had a total hysterectomy where all my reproductive organs including cervix were removed. I developed alot of new health problems because of decline in oestrogen and made it my mission to find out everything known about the menopause and how oestrogen deficiency affects women some worse than others. It’s all on online. Lack of oestrogen affects the female body more than you realise. But some people are lucky and it doesn’t affect them so much - but me it affected greatly and now on hrt!!

[@MissMohz]

Look up Dr Mary Claire Haver

[@JoJo-xz6fw]

I will be staying on HRT for the rest of my life. It's been a game changer for me. I also follow a good skin regime including the use of Tretinoin. 👌🏻

[@annafringetree]

I’m also doing HRT and Tretinoin and they have worked wonders!

[@KV-kt9tm]

Me too, I also use dermarollers for hair and skin!

[@madhubhandari9074]

What is hrt​@@annafringetree

[@Blessed591]

Which HRT are you using ? Has it caused you weight gain . I am struggling . . .

[@KV-kt9tm]

@@Blessed591 sorry to hear. I hope you'll get to find a solution that fits you. I take Progyluton. No I haven't gained weight, but I am on carnivore diet. It helped me so much, I can recommend it wholeheartedly. Check out Chris Cooking Nashville YT channel for recipes!! Dr. Chaffee's and Dr Ken Berry's for advice!!

[@sancorn8032]

I just watched an interview with Dr Mary Claire Haver where she says “ Use of HRT beyond 65:New research says No Need to Stop!”

[@Nubianette]

Just got on, and I’m not stopping!!!

[@AHoppe2]

Completely agree! I am 65 yo RN using Tibulone for the past 20 years with amazing results. The sad part is I have to go to Europe to buy it.

[@roxyright4782]

My sister died of breast cancer at 38.. I"ll be 58 next week and just in menopause now.. Holy gravity 🙏🙏 literally feel like Cinderella after midnight😳.... and all your research thoughts on HRT if you have a history of breast cancer? Thanks so much.🙏

[@allywolf9182]

If you want your bladder to stay in place and and not be plagued with peeing and pooping yourself....I'd highly advise vag estrogen at least....my oncologist is even on board with it for me now...

[@ironmaidenfitness654]

Agree, and she also says that she’s going to die with her hormone patch on 😃💪🏼👏🏼

[@GennaFaia101]

I don’t think aging sucks but not looking the way I feel is sometimes depressing.

[@dammar117]

So, aging sucks.

[@cheekymonkeygirl3378]

I will invest so that in ten years I can get a facelift if I get old.

[@kjosephine70]

I get what you mean. I’m glad to be alive but it sucks that I don’t look the age I feel 😂

[@GennaFaia101]

@@dammar117 I’m happy to be aging because I’m not ready to die, so no I don’t think aging sucks. I’m also grateful for everything I have, and am glad I can remind myself of that when I see the aging face. 💜

[@GennaFaia101]

@@kjosephine70 but… I’m so happy to still feel as young as I do!!

[@etnie]

I'm 46 and I've just started to age... I'm so glad you covered this!

[@jessicahitchens6926]

I think you were aging before that 🤣 your just noticing it now. Due to your hormone deficiency.

[@87jallen]

Unfortunately we don’t know to look into these things until we notice the problem. Education wasn’t there like it is now. I am 56 yrs old.

[@amandadornellas1364]

So very true!

[@zenseed75]

Wish I could see how todays youngest generations will look when they are old. They are on top of the skincare.

[@liviusss]

​@@zenseed75 They will also have access to all sorts of innovative skincare, devices, in-office treatments etc.

[@chenanigans]

Yes but they still smoke and drink and have terrible diets. It's the ones who stay active that will see the fruits of the labor. ​@@zenseed75

[@biljam972]

it's not too late. I am 51, I started maybe 4 years ago and I do see results.

[@TheTwinklegigi]

Thank you Dr Amir. I started using vitamin A Retinol when I was teenager, to adresse my acne problems. But o never stopped using it in my daily routine. Last year 55 years old I have done a face lifting, but my skin is still very bright. All that you said is perfect to help us to know how to take care of ourselves like women. I really loved what you said about anthropology and age. I'm anthropologist and I've been observing the same, but the diet plays a lot in skin aging. Thank you. Gigi

[@alexandraminard1647]

Thank you for this topic. After my cancer and surgery i am in menopause already for 2 years. In my 48 i don't recognise me anymore. But following the skincare routine i have the nice skin that is important. You are right that we can't avoid the menopause but we can do a lot to look younger.

[@HarrisPilton789]

After chemo for breast cancer, I went into menopause, and my skin aged drastically. Especially the skin around my eyes. Collagen supplements have helped to make my skin look youthful again.

[@saltycrunch]

Very informative video. Women's healthcare does not get enough attention or public education.

[@dammar117]

💯

[@islandmama]

No health care is talked about much. Only prescription drugs and to ask your doctor. There's no preventative education.

[@saltycrunch]

@@islandmama I think there is quite a bit of preventative education, actually. Eat a varied diet mostly consisting of plants, stay healthy weight, drink a lot of water, get the recommended vaccines, exercise several times a week, get mammograms and colonoscopies when they're recommended, perform regular self-exams on breast/ testicles, and get an annual physical which is covered by insurance. What I meant by my initial comment is that women in particular do not get enough education about the risks of birth control, signs of menopause, postpartum depression, and other biological realities that only affect women.

[@44779sarah]

Im 55 years old and as long as I don’t have an estrogen positive cancer diagnosis I will stay on HRT indefinitely. I would be interested to know if Neda wanted to share whether she is on HRT. I also have started an estrogen face cream which I have noticed great improvement on my neck. And of course the trifecta has helped me tremendously. It works great under makeup.

[@gracejones2831]

do you use HRT creams?

[@cleopatra72]

Estrogen cream doesn’t work on your face! It doesn’t absorb because it isn’t applied where it gets absorbed. Its so silly all this estrogen face cream lol

[@liviusss]

​@@cleopatra72We do have estrogen receptors on the face, even more than on other parts of the body...

[@44779sarah]

@@gracejones2831 I have read research on HRT cream that is designed to absorb in vaginal tissue does not absorb as well on your face. The research is pretty lacking on estrogen cream made for your face. I understand it is formulated with ingredients that allow your skin barrier to absorb better. I am being a guinea pig on myself because I don’t think it is proven to be effective in The long term. Still very new. I will continue using on my face because of the improvement in texture on my neck which was really aged looking even after my face lift.

[@freshlimejuice]

That is my plan too

[@daleoffutt8271]

I'll be 50 years old in October. I use snail mucin, Vit C, hyaluronic acid, retinol and niacinamide serums 2x a day. And the moisturizers. Not to mention, avoiding smoking, alcohol and fried food.

[@daleoffutt8271]

@titalondonmrsbillskitchen1672 thank you.

[@daleoffutt8271]

@titalondonmrsbillskitchen1672 I do. I've been using Korean skin care products consistently for years.

[@kteam4u]

It’s interesting that you stated women cant stay on an estrogen replacement forever but no one would tell a diabetic or hyper or hypothyroid patient they have to stop taking insulin or their thyroid medication. Women really need to educate themselves about the critical reasons why estrogen is essential for a cornucopia of reasons related to a healthy life aside from extended beauty. Very happy to be introduced to Suzanne Somer work as well as other women that explain why estrogen is critical to use in some form or fashion until the end of life

[@Julesann]

Almost 52...never had botox, fillers, anthing. I have a good skin care regime.

[@yourconnection9303]

And Botox has neurotoxins. Just do your research as to what that does to the brain.

[@ironmaidenfitness654]

I appreciate all the info but please read up on HRT because you CAN be on it forever.

[@suzanneoreilly794]

YES!!!!!

[@reesepup4624]

Agree !!

[@katemiller7874]

It is still causing hormone induced breast cancer. You need to read up on it. I’ve had good friends thst have died from this.

[@JoJo-xz6fw]

Definitely 👌🏻

[@bunnynorway]

​@katemiller7874 what study did you read that states it causes cancer (other than whi from 80s). I just read a book recently (estrogen matters) that reviewed scientific data and it stated it did not cause breast cancer. Would like to read your info if you can provide to continue educating myself.

[@Christina_S.]

Thank you for this video, Dr. Karam... 🌹 It was very comforting for me to watch. I didn't go through natural menopause but after being diagnosed with early-stage breast cancer 2 years ago, and opting for a bilateral mastectomy with reconstruction, I'm left with 5 years of hormonal therapy (Zoladex + Letrozole) which blocks almost all production of estrogen and forces "early menopause". So, because I couldn't cope with all the symptoms, my doctor also prescribed anti-anxiety meds (citalopram) which helps a bit but not all the way. I was thinking that maybe there was someone else out there like me and it would be helpful for them to know that they are not alone? 💔 At the same time, again, really wanted to thank you for touching on so many different concerns in your videos and going into all these details. Thank you so much for being here! 🌹 P.S. As for the changes, you are 100% right... In my case, because of the meds (all in one shot and loss of almost all estrogen production in my body), it happened EVEN faster and I just don't recognize myself anymore at all. Not many people understand that and it's really difficult to accept and to cope with.

[@vc7770]

Read Estrogen Matters by Dr Avrum Bluming

[@brendib]

I turned 52 and have been menopausal for a while. Thankfully, I have stayed out of the sun, don't drink or smoke and my skin is healthy. I do have changes in my face and skin seems dryer. Since using your products, Trifecta and now Enrich. I see an improvement! Enrich keeps my face moisturized but not oily. Thank you, Dr. Karam! I'll see you in the future!! 🙂

[@claudiakuhn2802]

Extremely disappointed about your lack of knowledge and current information on HRT!!!! The length of time a woman stays on HRT is a conversation between the particular woman and her menopause specialist. It is because of physicians such as yourself stating misinformation about the association of cancer and HRT that women are terrified about taking HRT. All this stems from the WHI study from 20 years ago which by the way has been corrected. Numerous studies have been done since showing the benefits of taking HRT for maintaining bone, heart, and brain health. I

[@jodyjackson5475]

👏🏻👏🏻👏🏻

[@MissMohz]

Precisely! They very recently (finally!) issued an update. I cannot find it but it may have been discussed by Dr Mary ClaireHaver

[@terryhamilton1173]

Yes, the comment on HRT and lack of comments on sunscreen made me question the rest of his opinions.

[@tp2595]

Does that apply to the topical estrogen? Like estriol cream? I was scared to use it for the cancer risks

[@chubstuf]

​@@tp2595No, it doesn't Nor the patches. If it's topical and not oral, it is only abrorbed locally. They just encourage you to keep your cream or patches on specific body parts, not near the breasts.

[@melaniel7121]

Good info and it happens all at once for sure. I've been told my whole life I look so young through my 40's; now age spots just appeared and the lips and mouth drastically changed.

[@gracevicki3983]

Dont wait to start HRT!

[@aliciasavino9809]

DONT do it. I worked in the medical field for 40+ years... I saw a lot of good but also lots of wrong decisions... IM so happy none of my sisters took HRT or took the Birth control pill. I had never wear make up because of my job now im older i dont care...😊😊 I do care about taking care of my health and family... eat healthy!!! dont smoke dont drink. Dont give any Doctor complete power over your one and only body.... I never did.!! I dont take any medication already in my 70s i have energy, play tennis bike im joyful to be alive..... I cant belive when i meet ladies who are in their late 50s & early 60s or younger than 70 looking much older than me.... no reason for that..... just take care of your body.. sugar is a poison...

[@turenam2772]

@@aliciasavino9809I have been on birth control and am now on HRT. I don’t smoke, I don’t drink, I exercise regularly. And feel great! And apparently, look good (I’m told I look a decade younger than I am). For me, So glad I am on HRT and went on it after attending a 5 hour workshop at a hospital with provided the most recent studies to me. It’s not for everyone, but for me, it works!

[@rachelbachel2]

​@aliciasavino9809 thanks for your input. My mom is 72. She's been on HRT since 42. She had a hysterectomy. My mom is the only one of her friends who is not healthy. She is on a ton of medications. Twenty or more. My MIL is 68. H 20:40 her mother is 90. Still driving. Takes excersise classes a few times a week. Neither of them take medication. My mom has drilled into my head that HRT is necessary if I want to remain youthful and healthy. But she's the unhealthiest person I know.

[@kellyclark1737]

@@rachelbachel2 try bio HRT Estriol creams and eat more estrogen foods etc.. castor oil for body and face, lots of water and exercise and enjoy life!

[@saram806]

Your mother was clearly taking the old forms of HRT. Things now are completely different. And are your mother's health problems truly related with HRT? I know a lot of elderly women who take a lot of medication and have never been on HRT. It is a personal decision but I will surely give it a go when my time comes.

[@ClaraSunshine]

Very informative. A lots of women have too high expectations with soft treatments, creams, etc. For certains case, surgery is the only solution. True.

[@leelee-nr5my]

There is alot of new info around HRT we need to be careful telling women that they cant stay on it due to cancer risk that is not necessarily accurate info. barbara taylor mary claire haver kelly casperson those are the places to go for accurate hrt info

[@drinab3430]

Thank you for saying this.

[@Leesa111_0]

I've been on HRT 5 years I have no plans of coming off it. I just had a review last month I told the doctor the same 😁

[@heidilongman8128]

There was even a recent review of the WHI study, the one that scared everyone off of HRT, that showed all cause mortality is reduced for women on HRT. Everyone thinks about breast cancer but the truth is, breast cancer is not one of the leading causes of death for women. HRT is protective for a lot of things, so in most cases it can be beneficial.

[@leelee-nr5my]

@@Leesa111_0 me too

[@capellihairextsny]

There s a new study that hrt causes dementia

[@marievel-m4o]

Dr Karam, menopause is more in our minds than our bodies, so it doesn’t apply for everyone, I personally never felt better in my life…so what I think is that at any age all the secret is a healthy lifestyle …

[@cwestwood5625]

Surgical induced menopause due to ooferectomy at 38. Can’t take hrt. Felt like I aged 10 years overnight. Naturally grateful for life but wasn’t expecting it and it does bother me some

[@nedthestaffieegan3452]

Same here after same surgery. I went from having lovely skin to aging 10 years in a few months 🥴 I'm on hrt but it's not really made any difference to the age acceleration. I wish I'd known before as being prepared would have made it easier

[@nadzswa9396]

@@MarieLamour-cv1jcI have heard about this

[@jessicahitchens6926]

Yes you can. Do the research

[@jessicahitchens6926]

Estradiol with Progesterone. Then look at your DHEA levels and Testosterone. You don't want to go without hormones for very long especially because you lost them so young. This is your health overall.

[@caseywoodbury3412]

Dr. Karam, menopause kicked my skin around so badly, but I researched what I needed to do then worked my tail off to repair all that I could. The one thing I did not do by choice was hormone replacement therapy. Now at 69 I feel pretty good about my skin. Knowledge is power!

[@moniquemichelle7295]

Love this!

[@Bethoflife]

I'm through it & my skin is better than it was before thanks to HRT. I'm starting back on it after 10 yrs. for the MANY health benefits. Too many women are frightened off by fear of Breast Cancer. Don't be !

[@staceyjful]

HRT 100 percent gave me breast cancer. Thankfully it wasn’t aggressive

[@dammar117]

I have no evidence I'll get breast cancer. I have all the evidence (family history on both sides) that I'm on the way to debilitating osteoporosis. The choice is clear.

[@kathyb.9712]

Same here! I’m 73 & have osteoporosis & started HRT pellets (Estradiol & testosterone) w/compounded sublingual progesterone 7 mos. ago & next DEXA in a year or so should be stable or improved. Just the fact that sleep is better is huge in & of itself! Skin looks great, have noticed I don’t bruise as easily, energy better & libido much improved. My gyn checks my blood hormone levels every 3 mos. & adjusts pellet HRT amounts accordingly. That is very important to do! Also, the gyn requires current mammogram to be negative.

[@gailallford4227]

I had womb cancer but due to no cancer in family I was able to have hrt sprays

[@staceyjful]

@@gailallford4227 hmmm. Did they tell you it was due to estrogen?

[@jennifercappellano3176]

Please don't perpetuate the myth of HRT increasing the risk of cancer, or that we should only use it for a brief period of time. Newer research refutes that information and you are doing a mis service to all menopausal women.

[@becsmythe4506]

If all menopausal women were on HRT, plastic surgeons would go out of business, hence the scare tactics 🙄

[@reesepup4624]

Thank you! I was going to say the same thing. He needs to do the updated research on hrt

[@bomcdowell-kim9194]

How long we can be on HRT depends on each individual physical and medical conditions. I am on hrt myself now for a few years, but my friend indeed developed breast cancer that resulted in double masectomy....It is not one regime fits all. 19:17

[@katemiller7874]

I don’t care about the new study they are promoting. Thats big pharma honey. I’ve had 6 friends pass in the last 10 years from Hrt related cancer. Hormone induced they called it. Thank goodness my sister in law is still with us. All breast cancer.

[@susans.6595]

Anthropological studies show there is a biochemical reason we go through menopause. I don't want to alter that process with hrt.

[@Katepwe]

According to Dr. Mary Claire Haver a NAMS trained practitioner, as long as there are no complications HT can be/should be for life. All great information but unfortunately, surgery is not for the rich and the rest of us will have to be content with basic skin care.

[@aussienic8428]

At 53 menopause has raised its ugly head. Cried my eyes out two nights ago over EVERYTHING!! Look out world as this woman is CRAZY! 😂😉😇

[@bomcdowell-kim9194]

Aging is really hard for women. Especially if the woman's husband or partner is still youthful looking. Nature can be cruel for women. But we do what we can to delay the physical aging with good wholesome diet(we need good fat), regular vigorous exercise and acceptance of what u cannot change.

[@katemiller7874]

Make sure you are taking magnesium. It really helps with sleep and evening out emotions. Most of us are deficient

[@aussienic8428]

@@katemiller7874 Thanks. Consider it done. 👍❤️

[@tashabrown8301]

SAME!!!!!!!!!! I am a mess BUT, I refuse to allow menopause to take over my life!!! We have to do our part, get/stay healthy. I have been lazy and eating whatever I want, that must change and PRAYERFULLY, it will help because honeybthis pain, anxiety, HOT FLASHES🥵 are atrocious and can be debilitating!!🙏🙏🙏🙏🙏🙏

[@staywell7217]

​@@katemiller7874🎯🎯🎯

[@Josma432]

I’m 58 and no hrt, never felt any need. I use good skincare and eat well, I’m pretty happy with both my skin and weight. I could be fitter I guess but I’m lazy 😅

[@carolpowell2199]

My skin didn’t change much during menopause. I didn’t have forehead lines, nasolabial deep lines or marionette lines. One simple thing I started doing in my 40s was slathered Vaseline on my face at night before going to bed. During the day I used it as a moisturizer. Of course now in my 70s I have fillers, toxins, biostimulators, dermarolling and creams. I don’t need a facelift yet, because I started early skincare with great genes!

[@serainabelletti8289]

You are brilliant dear Dr Karam. The hormone replacement therapy is something that is considered all life long from perimenopause, for those who choose to go this way. It is really something precious and makes an enormous difference

[@Sabrina-LosAngeles]

Modern science can help A LOT but I strongly believe you have to do your part. I don't drink alcohol, eat well, work out and get plenty of sleep. While I use most of what science offers (fillers, cremes, etc.) you have to do your part and take care of the basics. That being said, super grateful of the existence of plastic surgeons :-) ♥♥ ♥

[@DawnSmith-nn2fp]

Please tell me your professional opinion on the castor oil craze and is it really beneficial to add to your skincare. KZbin and TikTok is flooded with testimony!

[@katsspace4688]

Try it for 1 week and you’ll notice a difference. Long term effects are 🙌🙌

[@DawnSmith-nn2fp]

@@katsspace4688 have you found a perfect recipe to mix it to make it less sticky and not lose benefits? For example Shea butter or sweet almond with maybe frankincense?

[@katsspace4688]

@@DawnSmith-nn2fp honestly, I dip my finger in the bottle and just massage it into my face at night. ❤️

[@elainelaguna3132]

That's interesting what changing has anyone noticed since using castor oil??

[@TheMaiah13]

I am 51. I use glycolic acid toners at night, an estrogen cream, hyaluronic acid and retinol cream. I had terrible acne in my younger years, but I actually LOVE my skin now. I dont have wrinkles yet, but my laugh lines have grown deeper. I am Asian too, so that maybe helped. I do feel that my jowls are softening and weight gain is creeping in. I take DIM in the morning (although I am still not menopausal) and have been exercising lately to stop the weight gain. I am still happy with the way I look. I am greying at my temples, but its hardly visible. I dye my roots every 2-3 weeks.

[@Mary-gg9mj]

Of all the things you mention and I agree, protecting your skin from the sun is the most important.

[@patriciateague8677]

Very interesting. I don't personally see myself doing a face-lift but I have focused on skincare for quite a while. At 68 I'm always told I don't look my age. Obviously, genes play a big part in that but I do take good care of my skin and always use SPF.

[@BarbM751]

I started menopause around 37. I was tested and it showed it and had hot flashes for snout 15 years!

[@jessika3283]

Thank you for the invaluable skincare advice during menopause. However, with emerging research highlighting the benefits of Hormone Replacement Therapies (HRTs), it's important to exercise caution when discussing HRT and its potential association with cancer, as it could inadvertently deter women from seeking beneficial treatment.

[@farzanayesmin7815]

I'm 40. But I feel that I'm only 25. I started to take care of myself when I was 35.

[@CM7777...]

35 is a bit late

[@ΑμαλίαΜώκου]

Never is too late

[@karlacortes4329]

Im in trouble im 47 and i feel then when i was 30 i feel beautiful young vibrant and im on menopause i think im not feeling it.

[@welshie2007]

​@karlacortes4329 im 47... i was still young 5 years ago.... ive aged fast from menopause.😢

[@karlacortes4329]

@@welshie2007 take care of what you eat exercise go for walks , dance be happy and take your supplements.💐

[@riccardodiluca6862]

Im 36 and my girlfriend is 50. We've been dating for 4 years and only now I'm starting to wonder how is it going to be when she hits menopause. Great video!

[@foreveryoung999]

Her appearance will age 10 years overnight literally.

[@Leesa111_0]

If you love her it shouldn't matter. She will need your support. At 50, she will already be in perimenopause that is actually the worst time for women as our hormones are up & down daily. She could take HRT if she isn't already. I'm 49 in perimenopause I've been on mine 5 years. When we hit full menopause that's a year without a menstrual cycle. Our hormones level out but at a low range. This is why it's important to top it up with estrogen/ progesterone HRT

[@karenhanson359]

@@foreveryoung999 I’m 38 and will be fully in menopause at age 39. My skin is slightly saggier in the jowls but most people tell me they think I’m in my early 30s. I know I’m a sample size of one (& that im not fully through the process yet) but I do think if you take care of yourself it can be less extreme. There are subtle changes that you have to do some extra maintenance to maintain. Like my beautiful thick hair thinning a bit and becoming VERY dry so I had to start spending a lot on hair are products to mitigate that. I have some other significant health issues so it’s not that I’m so healthy I look this way lol. But with a bit of extra money and effort it won’t be extreme for many

[@perisndirangu1280]

Just love her …it will make a bid difference .and remember everybody is aging even you ..but some will age faster than others

[@laurenbielski2120]

I have said it before, I will say it again: you are providing an ACTUAL service with this video series by highlighting "fascia drift" vs. skin integrity vs. preventative measures for skincare and what to expect (or not) from procedures that fit into the "surgical adjacent" category. (My terminology.) I have been relatively fortunate in terms of how I have aged. Years ago, I had lower lid bleph and did a series of photo facials (the latter to correct sun damage.) In the decades since, I have been pretty careful with my habits, my diet, sunscreen, and lately have used, fewer, better formulas on my skin. YET, in the last three years, there have been subtle but definite changes and that have coincided with the phase out of hormone replacement therapy. I am saving for my vertical lift. I see it as an investment in ME and I don't give a hoot what anybody else might have to say about it. For instance, I would like to get one more good job for the next decade (having been underemployed despite decent skills over the last ten) and I'm here to tell you that ageism is REAL. It should NOT matter but it does. And, I want to stay (mostly) looking like me.

[@myvoice31]

Please do an updated video once you look into recent guidelines for HRT and address estrogen creams for face. Thank you!

[@sammyocgirl7411]

I guess Im glad I have oily skin....

[@delfabrkic9432]

True, I have this too but it doesn't stop us sagging, sadly.

[@renoir8076]

I thought I'm having dementia. Everything needed to be fair and right, sleepless nights, etc. Thanks to HRT, it saved me from myself.

[@lsegluv8574]

Thank you again for everything. I have leaned about Menopause with research since my medical doctors where not very knowledgeable when I reached that point. Cannot wait to see your wife results. All the best to you doctor. Thank you again for your fantastic videos

[@jeniglehart8991]

Excellent Video ! Thank you for addressing this, I am 57 and have been in menopause for 6 years

[@michy2630]

HRT can be continued and should be until you die. I have been endlessly listening to Mary Claire Haver. Great video

[@RayGaldamez]

I was just talking about this with someone today. We are pioneers. Hopefully the successive generation of women will have education as part of preventative and access to treatment (s) that are cutting edge now as part of a regular medical care. We live longer, stay in the work force longer ... we can't exist in decline and deprivation for 30+ years.

[@lesliesloboda290]

I deeply appreciate your honesty and understanding

[@PattiG-ho5bt]

Lovely video! Thank You! Realistic & Appreciative of the aging process. We are ALL Beautiful at every stage of Life! ❤

[@joannjoycamatcamat6692]

Lets age gracefully. Aging is blessing not giving to everyone

[@rosababaei8128]

Amazing information. Thank you for this great video doctor Karam.

[@jazminv.5425]

Thank you so much Dr Karam, I really appreciate you and are so grateful for all your hard work on teaching us how to cope with our aging process today video was one of my favorite ❤️ You-are the greatest Dr in the business ❤❤❤

[@amyolmsted4004]

I always appreciate your educational videos! Very well done. I love the TRIFECTA and look forward to getting in your schedule!!!

[@amatos2763]

Stop giving out incorrect, outdated info about HRT. As a Dr….do your research before stating wrong information that has been proven incorrect. As a menopausal woman, I’m disgusted how ridiculously little research for menopause, compared to anything regarding a “man” is done. HRT is safe til the day you die….9given some extraordinary family history.) Watch women OBGYN menopause specialists that are in menopause, or done, and have at least 25yrs plus in their specialty. As someone who has been dismissed over and over, I can say this is one of the few time I am grateful for this kind of information on the internet. From women of course.

[@lolakathol4109]

Agree! Dr. Karam, opened up a can of worms. He is wrong on HRT

[@qhride1]

Single skin products weren’t available ten years ago only these ingredients were in expensive skin products and the skin tools have evolved with technology and research , as soon as the single serums were supplied to the market in a affordable way alongside education , we are getting closer to how to maintain skin with the right serums on the skin and it’s also a trial and error everybody reacts different so you have to see what works for your skin type , it’s taken several years for me to get the right recipe where my skin is consistently glowy and hydrated looking at 52

[@Emma-hm6le]

What an excellent, informative video. Thank you Dr Karam

[@deborahjames2341]

Greetings from Yorkshire England. Love your videos Dr Karam ❤ Thank you for addressing this subject in such a sensitive but informative way.

[@LeilaCoCo0511]

Hi, Dr I'd like to hear a doctor's opinion on estrogen face cream.🙏💕

[@kjosephine70]

I can’t remember who, may have been Dr Dray (Dermatologist) who said it’s not going to work as you don’t have estrogen receptors on your face. If anything, depending on the ingredients, it’ll feel moisturizing but won’t have any long term effects. Stick with proven actives like what this video discusses.

[@LeilaCoCo0511]

@kellibauer238 We don't have estrogen receptors on my face! Oh..I understand Thank you so much 💓

[@KotoriOnWheels]

You should read the latest on HRT... One can stay on it indefinitely and safely.

[@mar0us1o]

Thank you doctor for being so candid. I enjoy your videos because of the science and the biology! Your double major paid off well which is why we get the real deal and not the fluff!

[@ChethanaPraveen-wm8ih]

Thank you so much for all your videos! BTW, your teeth looks super white and it draws a lot of positive attention. Please let us know the secret behind it 😀

[@loriannciasulli9387]

Hi Dr. Karam, what is your opinion on estradiol topical creams for the face? Some research, not much yet. Do you think this will be promising?

[@atk_1]

Great content thanks from a post menopausal woman.

[@karenv3662]

Wish doctors would tell us this prior to hysterectomy. It hit me so quickly. Get hormones checked.

[@silvinavillarmakeup]

Your channel is so complete. Kisses from Argentina❤

[@natashasanders8785]

I'm coming to the perimenopause stage so this video is very timely. Thank you!

[@Leesa111_0]

You can take HRT in perimenopause. I've been on it 5 now

[@humolovesjessie185]

The Medical/Scientific Community MUST, FINALLY NEED to invest resources space and time to RESEARCH & Develop Therapeutics for us, Women who are living past age 5O who are suffering from symptoms of Menopause. I just turned 51 and I'm shocked to find out, there's very little information about this time in my life.

[@LifeStyleKitchen-y8y]

Love listening to my favorite DR all your videos helped me so much in my skin journey and also saves money too ❤

[@barbaracogiel3224]

Well, this collagen will be used for healing purposes, therefore it will come back to the normal level after stopping healing the damage cells.

[@kalliroipoliti9401]

Nice informations. Thank you, Mr Karam.

[@rosamoreno4794]

I am 46 soon to be 47 in June 2024 and once I turned 46 my face skin got much more dry and just Blah! I was horrified! I amped up the hydration, nutrition, moisture and protecting the skin barrier and nothing. The dryness good gosh! I hope something changes for the better at 47. My photo is current.

[@aliciasavino9809]

Ok Dr Karan, you just answer my question. I will save lots of $$$. I never wear make up never did anything to my face .. my skin looks good for my age… never took hormones and will never have surgery… too old. 😊 still, my skin was young looking until I hit 72 years old. First thing that went south was my jaws… !!! Wrinkles are not my problem still I’m glad I’m healthy love biking, play tennis eat healthy. Enjoy ur videos.👍

[@cheekymonkeygirl3378]

You are awesome. You give us a wealth of knowledge! 😢❤ Thank you for being supportive of women.

[@sanjaysathebajee4912]

Accept to be old gracefully, many people don't reach at this age nowadays......be happy 😊

[@SzazaM077]

Sorry but you seem to be "outdated" on HRT latest information. You certainly CAN stay on HRT for as long as you want and HRT does not cause cancer! What a loads of rubbish Dr Amir Karam. I feel put off by your lack of information. Please, please, do not mention HRT at all if you don't know what it is and how it works. Just stick to facial surgery. OMG! What a disappointment! And I really wanted to take something out of this video.

[@CH-vf5ys]

For heaven’s sake, he is a doctor, and far more educated than most of us. Let’s respect his opinions and use them to increase our knowledge.

[@liviusss]

​@@CH-vf5ysThe sad reality is most doctors are far behind, ignorant and still relying on outdated information when it comes to menopause, even those in endocrinology and gynecology... So not sure a plastic surgeon would be very knowledgeable about this complicated subject.

[@ilianaveltcheva9080]

⁠@@CH-vf5ysHe’s a plastic surgeon. I wouldn’t go to my ophthalmologist to discuss getting my nose done. Why would anyone trust Karam about HRT?

[@passionatesingle]

So true! Just because he is a Dr does not make him a menopause expert. Most Dr's don't know enough about menopause as it isn't taught at med school. All I will say is that hrt is great! Keep listening to plastic surgeons and you will feel worse about aging if you haven't done a procedure on your face. Doesn't matter what you do,you will show your age. If not on your face,then on her elbows,knees etc. Accept it and you will be happier 😊.

[@PrototypeM]

Hi Dr, is Neda on hrt ???

[@Flexy98658]

Thank you for all the best information

[@elusive_snail]

I am in my thirties and I've known for a long time that i'd hit menopause very early, my AMH levels were low even 10 years ago. Really feel depressed thinking about what's to come... HRT will probably never have the same effect on the skin as "natural" estrogen.

[@ursanirak2870]

Recent studie from ms says you can stay on hrt forever. I know I am.

[@susans.6595]

How do you feel about topical estrogen for the face and body? Is there a product you recommend?

[@sugaryip4186]

Really really appreciate for your sharing 😊

[@jenniferallen7858]

You absolutely can stay on estrogen and progesterone and testosterone indefinitely. There is a facial tool for the fascia that can be used to keep things from progessing.

[@s.y.6932]

What I can take from this: SAVE MONEY, we will need it for all the products and procedures!

[@holliehilton3224]

I had the luck of looking about 18 until 36, when an OBGYN botched me during a surgery for endometriosis. She removed my left tube without consent, and blew out my other tube with a procedure I also didn't consent to. Within one year I had aged five years. I no longer get a cycle unless I take powerful hormones. I never even got to have a child, and lost about 50% of my face fat because her of incompetency. Getting older is hard enough, but getting older at the hands of someone who probably shouldn't have graduated high school is unforgiveable. My youth was stolen from me; it would be fine if it was a natural decline.

[@Leesa111_0]

I had my tubes removed at 31 because of problems im now 49. After that, I started getting horrendous period pain to the point of vomiting. I was like that for many years. Turned out I got cyst on my ovaries & in my breast. And I know for a fact it's due to having my tubes removed. It caused me to have a hormonal imbalance. I too don't have any children 😢

[@holliehilton3224]

@@Leesa111_0I’m so sorry to hear that! I got breast cysts too! Five in one breast and six in the other. Gained four cup sizes and 25 pounds in six months. Did you notice aging when you lost your tubes?

[@holliehilton3224]

@@Leesa111_0 Look on my channel under "How I was Botched." It's a video from a doctor explaining how removing or tying the tubes can cause menopause and a plethora of health problems.

[@rimderi2088]

د. لو سمحت ممكن تعمل فيديو كامل بس عن منتجاتك وكيفية استخدامها وخاصة ل اللي بشرتهم جافة ..ولك جزيل الشكر ..لأني انوي التوصية عليهن وانا ببلد عربي بعيد ..بتمنى منك انه تشرحلنا ..وبنفس الوقت في حال قدرت اجي لامريكا ممكن العنوان ل عيادتك وايضا الك الشكر ❤

[@nicolelai2559]

Thanks for sharing , Doc !

[@gardensenglishandtrivia]

I used to look really young for my age but the moment I turned about 55 my face started "going south". I am slim and fit, so I began to look scrawny and gaunt, the face oval changed a lot, the cheeks became hollow. I have been using tretinoin and sunscreen quite regularly, not to mention estrogen patches, for about a decade but some issues can't be fixed with topical skincare. I've sort of come to terms with it but I might go under the knife one day. Botox and fillers aren't for me.

[@isasant6926]

Wish winning the lottery to do this procedure with Dr. Karan

[@sarafladeland102]

Super informative!

[@MatthiasHamilton]

how about compounding an estrogen facial cream and applying it directly to the face?