00:00:00
if you're not treating your body and
00:00:02
your skin and and all of that well it
00:00:05
doesn't matter if you get a facelift or
00:00:08
a brow lift or a necklift whatever you
00:00:09
do like you're still going to have that
00:00:12
um show up yeah and the way I describe
00:00:14
it it's like you're building a house and
00:00:16
a facelift you know actual surgery is
00:00:19
like the spire on the top of your house
00:00:21
and what really makes up the foundation
00:00:23
of the house is what you eat and that's
00:00:25
where for me when you look at true
00:00:27
anti-aging when you look at looking and
00:00:29
and feeling you f it starts with the
00:00:31
food that you put in your mouth and then
00:00:32
it goes from there mhm yeah so let's
00:00:35
talk about food um in your book you talk
00:00:38
about the importance of protein which I
00:00:40
was like yes this is my new thing I
00:00:43
invented protein if you didn't
00:00:45
know discovered the macronutrients yes
00:00:49
um but then you also talk about fasting
00:00:52
so limiting protein certain times and
00:00:56
carbohydrates things like that um and
00:00:58
then also incorporating them into to
00:01:00
your diet so tell us about kind of the
00:01:02
ideal um nutrition and the timing and
00:01:06
all of that so yeah when I look at skin
00:01:09
and we look at skin aging um parva is
00:01:11
looking at what are the causes of skin
00:01:12
aging and so really when you look at the
00:01:14
causes of skin aging I would argue that
00:01:15
there are really four main causes that I
00:01:18
look at um there's a fifth one that I
00:01:19
won't mention necessarily go into too
00:01:21
much but in general four things I would
00:01:22
look at the first thing is collagen
00:01:24
depletion so we lose about 1% of the
00:01:26
collagen of our uh thickness of our skin
00:01:29
every year and the coll is a part of the
00:01:30
skin that makes it nice and tight and
00:01:32
thick uh you lose 1% a year at women
00:01:35
after menopause lose about 2% of the
00:01:37
thickness of C going to say I feel like
00:01:38
I'm losing 10% a year in the last two
00:01:42
years you
00:01:43
go that's when it really changes so you
00:01:47
know part of pushing protein is that
00:01:49
collagen is a protein it's a large
00:01:51
protein and so we do I do encourage
00:01:53
people to increase their protein intake
00:01:55
especially as they get older because you
00:01:57
want to help to support that healthy
00:01:58
collagen second thing that causes aging
00:02:01
of our skin is inflammation specifically
00:02:03
chronic inflammation and what causes
00:02:05
chronic inflammation really the big
00:02:07
culprate is sugar so sugar causes
00:02:10
chronic inflammation by deforming the
00:02:11
collagen of our skin it can actually
00:02:13
bond to the collagen causing it to
00:02:14
become deformed and sugar causes chronic
00:02:18
inflammation by insulin spikes and
00:02:20
that's a whole other topic with uh
00:02:21
insulin resistance and stuff like that
00:02:23
so the main culprit of inflammation I
00:02:26
would look at in general is sugar MH
00:02:28
third cause of a of the skin is
00:02:31
oxidation or free radicals and a lot of
00:02:33
people may not have heard the term free
00:02:35
radicals but they've heard the term
00:02:36
antioxidants and antioxidants basically
00:02:38
neutralize free radicals free radicals
00:02:42
essentially are chock full in ultr
00:02:45
processed foods and so eating less
00:02:48
processed foods real foods is a way to
00:02:50
reduce your free radical intake and then
00:02:52
also pushing um uh antioxidant rich
00:02:55
foods like basically the rainbow of
00:02:57
fruits and vegetables that fights that
00:02:59
oxidation and then the fourth thing that
00:03:01
causes aging of the skin is a buildup of
00:03:03
cellular waste and this is a little bit
00:03:05
of a different topic but essentially
00:03:06
it's our body's own regenerative and
00:03:09
recycling abilities that essentially are
00:03:12
turned off when we're constantly eating
00:03:15
and so that's one reason why if you talk
00:03:16
to longevity scientists they'll tell you
00:03:18
hey you know take breaks from eating
00:03:19
intermittent fast do things like that
00:03:21
because um that can help with the aging
00:03:24
process by allowing your body to kind of
00:03:26
recycle the waste products that it can't
00:03:28
do that while you're constantly eating
00:03:30
mhm yeah and it seems like there's kind
00:03:33
of two camps of people there are the
00:03:35
people who say eat three meals and two
00:03:38
snacks a day eat every four to six hours
00:03:41
and then there are the people who
00:03:43
promote you know fasting or kind of food
00:03:47
Windows um and I guess you could do both
00:03:49
you could have days where you fast or
00:03:50
you could intermittent fast and then eat
00:03:52
every few hours but what is kind of the
00:03:54
ideal breakdown or does it just depend
00:03:55
on the person I think in some ways it
00:03:57
does depend on the person um you know
00:03:59
one thing is if you end up let's say
00:04:01
inter so I'm not necessarily one who
00:04:02
intermittent fasts every day I know
00:04:04
there are some of my friends who do I
00:04:06
think that's tough because it's a you do
00:04:09
miss a lot of meals and somebody say oh
00:04:10
you want to lose weight intermittent
00:04:11
fast you only have two meals a day um
00:04:13
the way I look at intermittent fasting
00:04:15
from a holistic plastic surgeon
00:04:16
standpoint is we want to we want to
00:04:19
promote the process of autophagy
00:04:21
autophagy is intracellular renewal so
00:04:24
like I mentioned earlier essentially our
00:04:25
cells will build up with waste products
00:04:28
and you basically used in intracellular
00:04:30
kind of waste and organel and proteins
00:04:33
and those proteins can kind of clog up
00:04:35
cells mechanisms so that as we get older
00:04:37
if they're not cleaned out our cells
00:04:39
don't function as efficiently and we age
00:04:42
we age prematurely so our body's way to
00:04:44
clean that out is autophagy and that
00:04:47
basically is using those components and
00:04:49
literally recycling them for energy so
00:04:52
when our body runs out of energy it can
00:04:54
then utilize those proteins inside the
00:04:56
cells and you get two things out of it
00:04:58
you get energy out of it and you clean
00:04:59
out the cells and they function more
00:05:01
youthfully but to do that once again you
00:05:03
have to stop eating for a period of time
00:05:05
and you don't have to do it all the time
00:05:08
but what I recommend in my book we've
00:05:09
got a three-week jump start and
00:05:11
literally the first week is just
00:05:12
cleaning up your diet getting on the
00:05:13
right skincare getting on a few
00:05:15
supplements and then weeks two and three
00:05:17
I recommend just two days a week that's
00:05:19
it where you stop eating at 8:00 p.m.
00:05:21
and you don't eat the next day till noon
00:05:23
so you have a 16-hour window where you
00:05:26
fast and then you restart eating after
00:05:28
that 2 days a week that's that can be
00:05:31
very doable for people M you know the
00:05:34
problem with let's say and and the
00:05:35
argument people have against fasting is
00:05:37
that if you're fasting every day you're
00:05:38
only having two meals a day how are you
00:05:40
going to get enough protein to support
00:05:42
your muscles as well as from my my my
00:05:44
standpoint is collagen and I think
00:05:46
that's a very valid point um and so once
00:05:49
again you know I don't think you need to
00:05:50
go on a 5day water fast I think
00:05:52
literally just doing these short fast
00:05:54
even 12-hour fast may be enough for some
00:05:56
people M yeah I do about 12 hours a
00:05:59
night night because I'll eat dinner
00:06:01
around like 5 or 6 you get like the
00:06:04
older person's meal you show up at 4:30
00:06:07
I am like an elderly person I go to bed
00:06:09
at 9: go to Sizzler at 4:30
00:06:11
and um and then I eat I did change my
00:06:17
kind of the structure of how I I eat and
00:06:19
that I used to wait until like 10:
00:06:21
10:30 um and now I eat within 30 minutes
00:06:24
to an hour of waking up um which I do
00:06:28
have to say made such a big difference
00:06:30
for me um just in terms of like my
00:06:34
energy and I feel like I was on a blood
00:06:36
sugar roller coaster before and I did
00:06:37
some testing which I talked about in my
00:06:39
episode last week um with my
00:06:41
nutritionist where I was like high
00:06:43
fasting glucose but then I was kind of
00:06:45
like hypoglycemic throughout the day and
00:06:47
so I was kind of going like this and
00:06:49
just having that protein first thing in
00:06:50
the morning I feel like kind of
00:06:53
alleviated like all of the negative
00:06:55
things that I was feeling as a result of
00:06:57
that um I think too exercising in the
00:07:00
morning so people do much better with
00:07:01
protein and there other people you know
00:07:04
who they do a little bit of carbs worth
00:07:06
working out and that helps them I think
00:07:07
really in the end it is listening to
00:07:09
your body and knowing what your body can
00:07:11
do I think that we see so many people
00:07:13
who are so gung-ho about their specific
00:07:16
diet you like oh you know you've got to
00:07:17
do Paleo oh you got to be keto you got
00:07:20
and really in the end I mean people
00:07:21
cycle in and out of these types of
00:07:23
things and and you know what I eat now
00:07:25
being a 51y old guy I eat differently
00:07:29
than than I was than I did 10 years ago
00:07:31
and especially women as their hormones
00:07:32
change and things like that you know how
00:07:36
what works well for you today may not
00:07:38
work well for you 10 10 years from now
00:07:40
and so really it is knowing your body I
00:07:42
think the problem that we have in our
00:07:44
society is that there's so many people
00:07:45
who are um you know kind of eating the
00:07:47
standard American diet they're filling
00:07:49
themselves with processed foods and they
00:07:52
just have have this chronic feeling of
00:07:54
not good but they don't know that
00:07:56
there's better that's the thing you know
00:07:58
it's like they teally don't feel good
00:08:00
but because they've never really felt
00:08:02
what it's like to eat a true you know
00:08:04
Whole Foods healthy diet to you know
00:08:07
feel energetic and and great because
00:08:09
their body is so healthy they don't know
00:08:11
what they're missing out on and and so
00:08:13
for my book what I'm trying to do is hey
00:08:14
you know what let's take a week just to
00:08:16
kind of clean things up and see how you
00:08:18
feel there may be times where you don't
00:08:20
feel great that first week but stick
00:08:21
with it by the end of those three weeks
00:08:23
you're going to feel fantastic mhm and
00:08:25
probably look different too you know it
00:08:27
was imagine fascinating cuz is very
00:08:30
simple we put people where we changed
00:08:31
their diet where essentially we got rid
00:08:32
of all the processed foods he added
00:08:34
sugars we took out gluten and dairy as
00:08:36
well um and then we kept them on that
00:08:39
diet except when they were intermittent
00:08:41
fasting we actually put them on a keto
00:08:42
diet after they do the fast so the idea
00:08:45
is is that there are certain foods that
00:08:47
can promote autophagy even while you are
00:08:50
eating them um and so those are healthy
00:08:52
fats and polyphenol rich foods and so
00:08:55
the idea then is people would break
00:08:57
their fast they do a 16-hour fast they
00:08:58
would break their fast but when they
00:09:00
break it they would break it and keep on
00:09:02
this kind of healthy keto type diet and
00:09:04
that would actually the idea is it would
00:09:06
promote autophagy that interest cellular
00:09:08
renewal but at the same time they're
00:09:10
eating so that sounds amazing I'm sign
00:09:13
me up for that one yeah and so and then
00:09:15
what we found after 3 weeks and then
00:09:16
putting them on a very simple skincare
00:09:18
uh routine after three weeks people
00:09:20
would come up to them and it's not like
00:09:21
they had a facelift okay they the before
00:09:23
and afters are not like oh my gosh it
00:09:25
looks like they had a brow no but people
00:09:27
would come up to them they say even St
00:09:29
would come up to them and say what are
00:09:30
you doing with your skin you've got
00:09:31
great skin or their friends would tell
00:09:33
them that not knowing that they're going
00:09:34
through this program MH I want to talk
00:09:36
to you about your skincare routine in a
00:09:38
minute because 51 yeah that's not that
00:09:41
doesn't track it's not tracking for me
00:09:44
your Skin's amazing I tell people online
00:09:46
they ask me how old are you I'm like 85
00:09:48
they go wow you look great for 85 well
00:09:50
I'll put like 24 and they like o you
00:09:52
look like
00:09:55
crap what are your secrets SPF I'm sure
00:09:59
yeah so I mean I practice in general
00:10:01
what I preach so it's good skincare
00:10:03
products so you know for me the you know
00:10:04
in the book we give what I call the two
00:10:06
minutes 5year skincare regimen and it's
00:10:07
a very simple skincare routine takes 2
00:10:10
minutes a day um and we actually test it
00:10:13
on people and after two months of doing
00:10:14
just the skincare routine they start out
00:10:16
with quotequote average skin not
00:10:18
somebody like yourself you've got
00:10:19
beautiful skin it's well you know my
00:10:21
routine about 29 stuff um but people who
00:10:24
haven't really taken great care of their
00:10:25
skin could look upwards a 5 years
00:10:27
younger after literally just two months
00:10:28
and so for me it's it's cleansing in the
00:10:29
morning I use an antioxidant serum most
00:10:32
days I do sunscreen but not all days a
00:10:34
lot of days I don't if I'm going to be
00:10:35
in the operating room all day and stuff
00:10:36
like that don't tell my Dermatology
00:10:38
friends but yeah and then in the evening
00:10:40
it's using either a retinol or I've
00:10:42
actually gone more towards bakuchiol now
00:10:44
uhuh yeah I was reading about that in
00:10:46
your book yeah just because I have had
00:10:48
issues with retinol I have had a history
00:10:50
of
00:10:51
rosacea um interestingly so for me you
00:10:54
know I told you I went through normal
00:10:55
practice um and and my residency
00:10:58
training and stuff like that and I
00:10:59
started my cosme practice back in 2004
00:11:02
and at the time I did what most plastic
00:11:04
surgeons do I sold medical grade
00:11:06
skincare products and we did really well
00:11:09
with it but the entire time I had the
00:11:11
secret that I didn't tell my patients is
00:11:14
that I could not use those products if I
00:11:17
you know so my patients loved it they
00:11:19
made their skin look nice but if I put
00:11:20
that on my skin my skin would break out
00:11:22
in hives I get rashes I get itchy and
00:11:25
I'd have to like wipe it off and be
00:11:26
scratching my face and so for years I
00:11:31
kept this secret to myself where I would
00:11:32
usually use water bar soap and like the
00:11:36
lightest moisturizer and that was it and
00:11:39
then I started getting you know after
00:11:41
that kind of tragedy happened I started
00:11:43
really looking into alternative medicine
00:11:44
stuff like that and I started using
00:11:46
natural skincare products that were made
00:11:48
without the fragrances and all that
00:11:49
stuff and I was shocked I could use
00:11:52
these products on my skin and it really
00:11:55
got me into going into that direction of
00:11:57
okay what happens if you remove all all
00:11:59
the unnecessary fragrances the additives
00:12:01
and the preservatives uh and and now I'm
00:12:05
able to do a full skincare routine and
00:12:08
my skin does fine with it and it's
00:12:09
effective obviously and it's worked well
00:12:11
for me yeah but also at the same time I
00:12:14
you know I grew up in Michigan where my
00:12:17
parents you know I eat a lot of Korean
00:12:19
food and so what is it it's all real
00:12:21
food it's rice it's fish it's kimchi you
00:12:25
know it's garlic stuff like that um but
00:12:27
at the same time I grew up in a small
00:12:28
town where every body is eating meat and
00:12:30
potatoes and so it's this weird kind of
00:12:32
dichotomy of these of like the best of
00:12:34
of Di and the worst and as I've gotten
00:12:37
older I keep trending more towards
00:12:39
trying to make it as good as I can
00:12:43
[Music]
