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.
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.
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 & RUclips. And the symptoms are crazy 😂
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!!
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.
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..😮
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.
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.
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.
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! ❤
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
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!
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.
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.🫶🏼
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
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!!
@@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!!
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.🙏
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...
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
@@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. 💜
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.
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
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.
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
@@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.
@@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.
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...
@@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!
@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.
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.
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.
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.
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
@@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.
@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.
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!! 🙂
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
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.
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.
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.
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.
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!!🙏🙏🙏🙏🙏🙏
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.
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.
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
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.
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!
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
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
Please tell me your professional opinion on the castor oil craze and is it really beneficial to add to your skincare. RUclips and TikTok is flooded with testimony!
@@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?
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
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.
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.
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.
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 !
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.
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.
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.
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 :-) ♥♥ ♥
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
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!
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
@@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
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.
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.
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!
I'm wondering what your opinion is on ingesting Collagen (vital proteins or the like) and if it helps the body maintain those Collagen levels? Admire your work and thankful for all the education you provide. Thank you so much!
He did a video on this. If you search YT with his channel name + collagen you could probably find it. Best I can remember his conclusion was that it's inconclusive but promising and wouldn't cause harm to give a try. I remember bc I started on it (purchased at Costco) as a result. I think it has made a difference.
If I remember correctly, Dr. Karam recommended Vital Proteins. It was recalled about a year ago but I'm guessing it's ok to use now. I'm gonna look more into it. 💕
I am all for collagen supplementing for joints and skin etc but I don’t think that brand is very good. There are other ones plus I’m making oxtail soup and I’m now basically on a carnivore diet to up the production of collagen and elastin in my body. Also taking silica
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
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-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.
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 😊.
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.
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.
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 😅
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
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 ❤❤❤
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!
Not all of us. The average life expectancy for a woman in Sudan is 49 years. She will undergo, on average, 9 pregnancies. Every few minutes, a child died from prevanable causes. That's not including casulties from conflict. Im not saying there isn't a case for plastic surgery. There is. But individualism is destroying us. What's the point of dying with a beautiful face? A lot of people may look wonderful on the outside but are dead on the inside. Its a product of modern values and unhealed psychological trauma. All of us are affected, no matter what we think consciously.
I'm sorry, doctor, and with all due respect, but you need to learn more about menopause. Dr. Haver is a great expert on this subject: yes, you can stay on HRT for the rest of your life, and no, HRT doesn't develop cancer.
You actually don't know what you are talking about. You are on about Progestin..and old school Estradiol with no Progesterone. You have hormones at puberty you develop into a girl and young woman with said hormones. BHRT is perfectly safe. You also need to be on a good diet and eating anti inflammatory foods and taking good supplements daily.
I don't recommend any coils especially Mirena or birth control for certain women. The rest you are fine to take once you do the research. Anything with Progestin in it.
Have you done a video on estrogen cream for the face? I'm hearing about it everywhere and would love your opinion. Also, I thought the HA molecules in products were too big to go deep enough to make a difference?
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 😀
Great informational video, thanks doc! What is your opinion on regular GFC and other procedures such as RF microneedling etc to help boost collagen, will those help significantly as well?
Each of us is unique and while I would prefer being on the patch I had break through bleeding and sometimes a full period. While on it. I will continue on oral estrogen a couple of more years which has worked well for me.
Hello. My name is Oksana. I use tertinoin for six months, everything is great. I live in the South of France by the sea, a lot of sunshine. Tell me, is it dangerous to use tretinoin in summer? I always wear 50+ cream protection, also hat, glasses. i don't know to use or stop until autumn. As you do in the summer. Merci beaucoup❤❤❤
Does exercise help? I have been exercising since I was 20. I am 45 and many people think I am 25. But now with all of the comments that everything changes in your late 40s it got me thinking.
Learn about what facial rejuvenation mistakes you MUST avoid making as a woman over 50 here: ruclips.net/video/FUWJR72eIPI/видео.html
Hi doctor one question, what do you think about tretinoin???
Imagine if the male testes shriveled and died. The MONEY! The RESEARCH ! The URGENCY !
😂Yes! For men, it's a life or death situation! 😂
Damn straight😂😂😂
Oh yes - they would have free counselling too!!!
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.
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.
Retinol
Vitamin C
Niacinamide
Sunscreen
Hyaluronic acid moisturize cream
These are my daily routine.
Thats a good routine
How often do you do those?
Daily 😂
You need Trifecta. Fewer products
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.
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 🤪
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 & RUclips. And the symptoms are crazy 😂
There are lots of Dr on RUclips who specialize in Menopause. Menopause Barbie is a great Dr to follow with hundreds of videos on Menopause;)
I've learned alot from Dr Mary Clare Haver.
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!!
Look up Dr Mary Claire Haver
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.
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..😮
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.
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.
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.
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! ❤
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
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!
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.
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.🫶🏼
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
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!!
HRT! I highly recommend it! The studies from the past were flawed greatly.
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. 👌🏻
I’m also doing HRT and Tretinoin and they have worked wonders!
Me too, I also use dermarollers for hair and skin!
What is hrt@@annafringetree
Which HRT are you using ? Has it caused you weight gain . I am struggling . . .
@@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!!
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!”
Just got on, and I’m not stopping!!!
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.
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.🙏
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...
Agree, and she also says that she’s going to die with her hormone patch on 😃💪🏼👏🏼
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
I don’t think aging sucks but not looking the way I feel is sometimes depressing.
So, aging sucks.
I will invest so that in ten years I can get a facelift if I get old.
I get what you mean. I’m glad to be alive but it sucks that I don’t look the age I feel 😂
@@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. 💜
@@kjosephine70 but… I’m so happy to still feel as young as I do!!
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.
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.
So very true!
Wish I could see how todays youngest generations will look when they are old. They are on top of the skincare.
@@zenseed75 They will also have access to all sorts of innovative skincare, devices, in-office treatments etc.
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
it's not too late. I am 51, I started maybe 4 years ago and I do see results.
Yes, we can stay on hrt forever, actually.
I'm 46 and I've just started to age... I'm so glad you covered this!
I think you were aging before that 🤣 your just noticing it now. Due to your hormone deficiency.
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
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.
do you use HRT creams?
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
@@cleopatra72We do have estrogen receptors on the face, even more than on other parts of the body...
@@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.
That is my plan too
Very informative video. Women's healthcare does not get enough attention or public education.
💯
No health care is talked about much. Only prescription drugs and to ask your doctor. There's no preventative education.
@@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.
Dont wait to start HRT!
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...
@@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!
@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.
@@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!
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.
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.
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.
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
👏🏻👏🏻👏🏻
Precisely! They very recently (finally!) issued an update. I cannot find it but it may have been discussed by Dr Mary ClaireHaver
Yes, the comment on HRT and lack of comments on sunscreen made me question the rest of his opinions.
Does that apply to the topical estrogen? Like estriol cream? I was scared to use it for the cancer risks
@@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.
I appreciate all the info but please read up on HRT because you CAN be on it forever.
YES!!!!!
Agree !!
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.
Definitely 👌🏻
@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.
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!! 🙂
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
Thank you for saying this.
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 😁
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.
@@Leesa111_0 me too
There s a new study that hrt causes dementia
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.
Read Estrogen Matters by Dr Avrum Bluming
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.
@titalondonmrsbillskitchen1672 thank you.
@titalondonmrsbillskitchen1672 I do. I've been using Korean skin care products consistently for years.
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! 😂😉😇
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.
Make sure you are taking magnesium. It really helps with sleep and evening out emotions. Most of us are deficient
@@katemiller7874 Thanks. Consider it done. 👍❤️
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!!🙏🙏🙏🙏🙏🙏
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.
Very informative. A lots of women have too high expectations with soft treatments, creams, etc. For certains case, surgery is the only solution. True.
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.
If all menopausal women were on HRT, plastic surgeons would go out of business, hence the scare tactics 🙄
Thank you! I was going to say the same thing. He needs to do the updated research on hrt
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
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.
Anthropological studies show there is a biochemical reason we go through menopause. I don't want to alter that process with hrt.
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!
Love this!
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
Look at estriol cream prescription and put it on your face.
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
@@nedthestaffieegan3452 Use estradiol cream
@@MarieLamour-cv1jcI have heard about this
Yes you can. Do the research
Please tell me your professional opinion on the castor oil craze and is it really beneficial to add to your skincare. RUclips and TikTok is flooded with testimony!
YES!!!!!!!!!!!!!!!!!!!! your grandmother should have educated you. This has been passed down from gen to gen.
Try it for 1 week and you’ll notice a difference. Long term effects are 🙌🙌
@@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?
@@DawnSmith-nn2fp honestly, I dip my finger in the bottle and just massage it into my face at night. ❤️
That's interesting what changing has anyone noticed since using castor oil??
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
Almost 52...never had botox, fillers, anthing. I have a good skin care regime.
And Botox has neurotoxins. Just do your research as to what that does to the brain.
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.
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.
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.
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 !
HRT 100 percent gave me breast cancer. Thankfully it wasn’t aggressive
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.
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.
I had womb cancer but due to no cancer in family I was able to have hrt sprays
@@gailallford4227 hmmm. Did they tell you it was due to estrogen?
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.
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 :-) ♥♥ ♥
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
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!
Her appearance will age 10 years overnight literally.
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
@@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
Just love her …it will make a bid difference .and remember everybody is aging even you ..but some will age faster than others
Please do an updated video once you look into recent guidelines for HRT and address estrogen creams for face. Thank you!
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.
Hi, Dr
I'd like to hear a doctor's opinion on estrogen face cream.🙏💕
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.
@kellibauer238 We don't have estrogen receptors on my face! Oh..I understand
Thank you so much 💓
I'm 40. But I feel that I'm only 25.
I started to take care of myself when I was 35.
35 is a bit late
Never is too late
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.
@karlacortes4329 im 47... i was still young 5 years ago.... ive aged fast from menopause.😢
@@welshie2007 take care of what you eat exercise go for walks , dance be happy and take your supplements.💐
Of all the things you mention and I agree, protecting your skin from the sun is the most important.
What an excellent, informative video. Thank you Dr Karam
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!
I always appreciate your educational videos! Very well done. I love the TRIFECTA and look forward to getting in your schedule!!!
I'm wondering what your opinion is on ingesting Collagen (vital proteins or the like) and if it helps the body maintain those Collagen levels? Admire your work and thankful for all the education you provide. Thank you so much!
He did a video on this. If you search YT with his channel name + collagen you could probably find it. Best I can remember his conclusion was that it's inconclusive but promising and wouldn't cause harm to give a try. I remember bc I started on it (purchased at Costco) as a result. I think it has made a difference.
If I remember correctly, Dr. Karam recommended Vital Proteins. It was recalled about a year ago but I'm guessing it's ok to use now. I'm gonna look more into it. 💕
I am all for collagen supplementing for joints and skin etc but I don’t think that brand is very good.
There are other ones plus I’m making oxtail soup and I’m now basically on a carnivore diet to up the production of collagen and elastin in my body. Also taking silica
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
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?
Excellent Video ! Thank you for addressing this, I am 57 and have been in menopause for 6 years
I guess Im glad I have oily skin....
True, I have this too but it doesn't stop us sagging, sadly.
Lovely video! Thank You! Realistic & Appreciative of the aging process. We are ALL Beautiful at every stage of Life! ❤
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.
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.
@@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.
@@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?
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 😊.
HRT can be continued and should be until you die. I have been endlessly listening to Mary Claire Haver. Great video
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.
Agree! Dr. Karam, opened up a can of worms. He is wrong on HRT
I noticed about a year after menopause my face just melted. Awful. What do you think of the estriol creams?
I use an estriol cream for my face and neck, and I love it. Will never be without it.
@@LisaSmith-o2c8e What estriol cream are you using, if you don't mind? Was it prescribed by a doctor?
Which Estriol cream do you use?
@@mariekirby1683 I get mine from my alloy.
@@mariekirby1683 it's online
I started menopause around 37. I was tested and it showed it and had hot flashes for snout 15 years!
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.
Great content thanks from a post menopausal woman.
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 😅
Nice informations. Thank you, Mr Karam.
I deeply appreciate your honesty and understanding
Greetings from Yorkshire England. Love your videos Dr Karam ❤ Thank you for addressing this subject in such a sensitive but informative way.
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
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 ❤❤❤
Really really appreciate for your sharing 😊
You should read the latest on HRT... One can stay on it indefinitely and safely.
Your channel is so complete. Kisses from Argentina❤
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!
I thought I'm having dementia. Everything needed to be fair and right, sleepless nights, etc. Thanks to HRT, it saved me from myself.
How do you feel about topical estrogen for the face and body? Is there a product you recommend?
Super informative!
Hi Dr, is Neda on hrt ???
Great job Doctor! 😙👍🏻 Thank you!!! 🙏🏼
Thanks for sharing , Doc !
Love listening to my favorite DR all your videos helped me so much in my skin journey and also saves money too ❤
Thank you for all the best information
Not all of us. The average life expectancy for a woman in Sudan is 49 years. She will undergo, on average, 9 pregnancies. Every few minutes, a child died from prevanable causes. That's not including casulties from conflict. Im not saying there isn't a case for plastic surgery. There is. But individualism is destroying us. What's the point of dying with a beautiful face? A lot of people may look wonderful on the outside but are dead on the inside. Its a product of modern values and unhealed psychological trauma. All of us are affected, no matter what we think consciously.
Thanks doctor Karam
I'm sorry, doctor, and with all due respect, but you need to learn more about menopause. Dr. Haver is a great expert on this subject: yes, you can stay on HRT for the rest of your life, and no, HRT doesn't develop cancer.
Yes it does. Pubmed people. Don't mess with drugs that change hormones. Even birth control. Lot of research on this.
You actually don't know what you are talking about. You are on about Progestin..and old school Estradiol with no Progesterone. You have hormones at puberty you develop into a girl and young woman with said hormones. BHRT is perfectly safe. You also need to be on a good diet and eating anti inflammatory foods and taking good supplements daily.
I don't recommend any coils especially Mirena or birth control for certain women. The rest you are fine to take once you do the research. Anything with Progestin in it.
Have you done a video on estrogen cream for the face? I'm hearing about it everywhere and would love your opinion. Also, I thought the HA molecules in products were too big to go deep enough to make a difference?
I heard retinol and vitamin c thinning skin specifically Summer . Is that true?
Well, this collagen will be used for healing purposes, therefore it will come back to the normal level after stopping healing the damage cells.
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 😀
I learned so much. Thank you so much for so much detail.
Great informational video, thanks doc! What is your opinion on regular GFC and other procedures such as RF microneedling etc to help boost collagen, will those help significantly as well?
Got the answer in your video, sorry had missed that part 👍
how about compounding an estrogen facial cream and applying it directly to the face?
Oral oestrogen??? How about patches??? Hello, it's not 2000 anymore! Educate yourself!🙈🙈🙈
Each of us is unique and while I would prefer being on the patch I had break through bleeding and sometimes a full period. While on it. I will continue on oral estrogen a couple of more years which has worked well for me.
I chose oral estrogen after doing my own research and speaking with my doctor. Every woman is different with unique, individual needs.
I'm coming to the perimenopause stage so this video is very timely. Thank you!
You can take HRT in perimenopause. I've been on it 5 now
You are awesome. You give us a wealth of knowledge! 😢❤ Thank you for being supportive of women.
Hello. My name is Oksana. I use tertinoin for six months, everything is great. I live in the South of France by the sea, a lot of sunshine. Tell me, is it dangerous to use tretinoin in summer?
I always wear 50+ cream protection, also hat, glasses. i don't know to use or stop until autumn. As you do in the summer. Merci beaucoup❤❤❤
Recent studie from ms says you can stay on hrt forever. I know I am.
Loved this information
I'm glad you enjoyed it.
Thank you, Dr Karam. Great content.
Does exercise help? I have been exercising since I was 20. I am 45 and many people think I am 25. But now with all of the comments that everything changes in your late 40s it got me thinking.