Are People Getting Botox Too Early? Here’s What Dermatologists Say.

Posted on 27/07/2023 by Boris Clair

To many, Botox is a controversial topic. Plenty of questions surround the potential use of the injections: How much Botox is too much Botox? Who are the best doctors? Should a physician assistant be allowed to administer the injections? Are other products preferable?

Perhaps most common, though, are queries about the best age to start the injections, if you’re interested. Some believe that, once one’s skin starts sagging, it’s already too late for Botox to properly work. Others assume that “preventative Botox” is a myth.

To get the facts, we reached out to board-certified dermatologists and plastic surgeons, asking when is the ideal age to start getting Botox, especially when trying to maximize results.

What is Botox?

Short for botulinum neurotoxin, Botox injections use a toxin to limit muscle movement for a limited time. By preventing targeted muscles from moving and completely relaxing them, the substance basically smooths out wrinkles when applied to the face.

Interestingly enough, the first use of Botox was unrelated to cosmetic matters.

“Botox was actually isolated almost 100 years ago and it was originally used to treat spasms around the eyes,” explained Beverly Hills plastic surgeon Dr. Gary Motykie. “Doctors were using it to treat people medically and they started noticing that the patients were looking younger, so at one point companies started looking into other benefits of the injections. Nowadays, people don’t realize that Botox is used for many disorders like spasms, migraines, muscle disorders, vocal cord issues, bladder problems and more. It has a lot of medical uses other than cosmetic ones.”

It is cosmetic uses, though, that have propelled Botox into the popular cultural canon, making it “one of the most common nonsurgical cosmetic procedures” in the world, according to the University of California San Francisco, with an estimated 11 million people having used it at least once.

In the noninvasive surgical world, the most popular targeted area is, according to experts, the face.

“Between the eyes is the most common place to get Botox,” said New York dermatologist Dr. Leah Ansell. “It opens up your eyes. The second most common place is the forehead for wrinkles. Then there are other ‘special areas’ that people treat, like where your nose scrunches by the eyes above your lip and the angles of the jaw.”

No matter the target, the goal of the procedure is to smooth out skin creases, and not necessarily to prevent them from appearing in the first place.

When should someone start getting Botox?

“There is not one age to start Botox,” Ansell said. “It varies on the individual. Specifically, when you start to see lines that are etched at rest — meaning they are there even when you are not raising your forehead or smiling, but just staring right ahead — it means it’s time to consider starting light Botox.”

Motykie has a similar view. “The ideal age to start Botox is when you are starting to show signs of aging,” he said. “That is usually in your late 30s and early 40s.”

Genetics can also play a factor.

Anna Efetova via Getty Images

Botox is a brand name that’s typically used to refer to botulinum toxin in general, although it is in fact one of many brand names. Others include Dysport and Xeomin.

“I tell patients to look at their relatives,” Ansell said. “If those adults in their 50s, 60s and 70s have a lot of sun damage or a lot of wrinkles, that may happen to you as well. There are a lot of genetics at play here, so knowing what your skin type is can help.”

Speaking of sun damage, the doctors we contacted all were adamant about the importance of sun protection, both for health reasons and in order to stave off wrinkles — and therefore the use of Botox.

“The most important thing you could tell someone with respect to wrinkling and aging is to avoid the sun,” said Miami-based plastic surgeon Dr. Carlos Wolf. “Wear sunscreen, use antioxidants and hyaluronic acid to moisturize the skin. You have to be careful as the sun is what makes you look older.”

How bad is it to get Botox injections before the suggested guidelines?

“We’re seeing a trend as potential Botox patients are becoming younger and younger, and I’m not a huge fan of that,” Motykie said. “Traditionally, the majority of those interested were in their 40s and 50s as they were starting to show signs of aging, but now it’s becoming more mainstream” at younger ages.

Plenty of factors contribute to the trend, especially our reliance on social media and all things visual. We place so much importance on pictures and the look of things that it’s only natural to turn the lens toward ourselves. We are the subjects of our own selfies, after all.

Also, given the popularity of the injections, folks seem to have become at ease with the idea of getting Botox. People think everyone is signing up for the procedure, so why shouldn’t they try it?

As medical professionals noted, though, getting Botox in your early 20s when it’s rare to have wrinkles might not be the wisest idea.

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It's great for acne-prone and sensitive skin.","credit":"Dermstore","height":1080,"width":1080,"ops":""},"textWrap":"wrapped","imagePositionInUnit":22,"imagePositionInSubUnit":24,"authors":[],"isLiveblogSlide":false},"provider":null},{"embedData":{"type":"hector","url":"https://img.huffingtonpost.com/asset/645a84942200001a00eea1c3.png","queryParams":{},"width":1080,"height":1080,"credit":"Sephora"},"type":"image","common":{"id":"645a84dee4b03e16f19efebe","caption":"Both Pamela Anderson and Hailey Bieber are fans of Summer Fridays’ ShadeDrops SPF 30 mineral sunscreen, a great option for anyone looking for a lightweight, naturally radiant finish that protects from UV rays while also providing nourishing ingredients to the skin. Made with vegan and cruelty-free ingredients, this sunscreen is formulated with zinc oxide, squalane, chamomile and an antioxidant blend of vitamin E and ethyl ferulate. 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Made with vegan and cruelty-free ingredients, this sunscreen is formulated with zinc oxide, squalane, chamomile and an antioxidant blend of vitamin E and ethyl ferulate. 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The Best Mineral Sunscreens, According to Dermatologists

“If someone has no lines, no wrinkles, boasts a nice healthy skin, is in their mid 20s, I really don’t think it’s worth getting Botox,” Ansell said.

Although some dermatologists say that freezing muscles relatively early in life may prevent the formation of deeply etched lines, Wolf challenges that view.

“If a car salesman tells you that you should buy a new car in case your current one breaks down, would you do it?” he asked.

Also, it may not be a good idea to inject your face with too much toxin, which may happen if starting early.

“I don’t think there are negative effects to starting early, but if people’s faces are too frozen because of it over time, does that change the way people interact with them socially?” Ansell asked.

Clearly, Botox is about more than smoothing wrinkles, which makes the age when you start injections that much more important.

What can you do to avoid needing Botox?

According to experts, the best way to push off the appearance of wrinkles and the potential need for Botox is proper skin care. In addition to avoiding the sun and using sunscreen, Motykie sings the praises of microneedling.

Also referred to as collagen induction therapy, the procedure basically calls for the repeated puncturing of the skin with tiny needles. According to the Cleveland Clinic, this will “help reduce the appearance of skin concerns such as acne scars, stretch marks or wrinkles.”

“As we get older, the skin is thinning, so you’re not only getting wrinkles from muscle movements but from the skin thinning,” Motykie explained. “Microneedling alone can help thicken your skin and therefore prevent those wrinkles from forming, and I think that at a younger age that would be a preferable go-to than starting with the Botox right away.”

Gwyneth Paltrow Shuts Down ‘Double Standard’ Women Face As They Age

Posted on 20/07/2023 by Boris Clair

Gwyneth Paltrow is pushing back against the “double standard” that celebrates men but devalues women as they age.

In a new interview with British Vogue, the Goop founder, 50, made it clear that she welcomes growing older while reflecting on the “weird” cultural expectation that women should resist aging.

“I think it’s culture’s problem. It’s not ours,” said Paltrow, who noted how women are judged more harshly for getting older than men. “As women, we want to be healthy, we want to be [aging]. This idea that we’re supposed to be frozen in time is so weird.”

The wellness guru gave credit to stars who are “embracing” growing older, like Andie MacDowell, who stopped coloring her hair after the COVID-19 pandemic began.

“I love it when I hear somebody like Andie MacDowell, with her beautiful grey curls, talking about embracing aging and the difference between how we handle a George Clooney [versus an aging female star],” Paltrow said.

She added: “It’s handsome to go grey [as a man], but for women it’s like, ‘What do you plan to do about your wrinkles and your aging skin?’”

The “Avengers” actor, who said she enjoys seeing “examples of how you can age,” encouraged women to age “how they want to do it.”

“Some women want to address every single thing aesthetically, and some women want to be a fabulous French grandmother who doesn’t ever do anything. Everybody should be empowered to do it how they want to,” the actor declared.

Paltrow isn’t the only star to call out sexist double standards.

Just last week, actor Gabrielle Union slammed ageist internet trolls who criticized her for being “too old” to wear a thong bikini at age 50.

In September 2022, Paltrow, whose Goop brand produces several anti-aging products, admitted that she’d made peace with her wrinkles.

“I accept. I accept the marks and the loosening skin, the wrinkles. I accept my body and let go of the need to be perfect, look perfect, defy gravity, defy logic, defy humanity. I accept my humanity,” Paltrow said in a self-published essay on Goop’s website.

What To Do If TikTok’s Viral ‘Aged Filter’ Makes You Feel Bad About Aging

Posted on 15/07/2023 by Boris Clair

A new TikTok filter gives users a glimpse into what they might look like when they get older ― and not everyone is liking what they see.

The TikTok aging filter, which shows a split screen of the user’s current face and an aged, AI-generated older version, is inescapable on the app right now, appearing on videos that have amassed more than 10 billion views.

Like many trends on the internet, use of the filter caught on after a Kardashian-Jenner sister tried it — this time, makeup mogul youngest sister Kylie Jenner.

Unsurprisingly, she was not a fan.

“I don’t like it, I don’t like it at all,” the 25-year-old said in a clip posted Monday on the video platform as she shook her head and stared at a version of herself with wrinkles, sagging skin and undereye bags. “No. No.”

Others were equally unimpressed with their filtered results.

“[I’ll] age like milk left in the hot sun,” TikToker Alex Beck said, sizing up his before and after.

“POV: This filter humbled you and made you realize Botox is in fact the move,” lifestyle influencer Emilie Kiser wrote about the filter.

Other people used the popular filter on old photos of celebrities to see if the filter accurately predicted what people like George Clooney or Sarah Jessica Parker would look like when they got older. (It did.)

Even plastic surgeons who’ve used the filter say it pretty accurately mirrored the natural aging process.

“I can see that overall my skin texture has lost some collagen, it has some sun spots, age spots,” said Lauren Umstattd, a plastic surgeon in Kansas, as she looked over her filtered results.

“The skin of my upper lids is accentuated. Crows feet are accentuated, the volume loss in your cheeks,” she added. “There’s more prominent nasolabial folds and marionette lines. [One] critique is that I will probably lose more volume in my lips than it shows based on what I see in other women.”

Demoralized by the results, some shared ways to “beat” the filter: If you see someone who is supposedly “aging” better, they suggested, it’s probably because they filmed themselves in good lighting.

It’s understandable why so many of us are perturbed by the “old” filter: Most filters on the apps are aspirational, giving users a poreless, perfect Instagram Face version of themselves.

It feels like you, only better ― which might be why plastic surgeons have said they’ve had a surplus of clients bringing filtered selfies to appointments to illustrate the tweaks they’d like to make.

The “old” filter is more deterministic: “You’re going to look like this,” it suggests; “maybe you should look into that preventive Botox after all.”

It isn’t surprising that people are playing around with the aging filter, even after seeing others have “bad” results with it. Most of us are curious about how we’ll look as we grow older, and using the filter is a way to satisfy that curiosity, said Julie Erickson, a psychologist and the author of the forthcoming book “The Aging Well Workbook for Anxiety and Depression.”

Unfortunately, the “old” filter does more than satisfy a benign curiosity.

“Trying it out can activate fears of growing ― and looking ― older, reinforce ageist assumptions that looking old is inherently problematic, and make someone more hyper-focused on their appearance,” Erickson said.

The psychologist noted that there’s increasing evidence suggesting that the use of these filters increases body image dissatisfaction, worsens mood and could lead to body dysmorphia, an unhealthy preoccupation on some perceived flaw in physical appearance that’s either small or not even detectable to others.

“Filters are particularly bad news for women, who already face heightened pressure to defy age and maintain a youthful appearance as they grow older,” Erickson said.

“With the ‘old’ filter, worrying about how you look isn’t just restricted to the present; it’s making people worry about the future, too, playing right into our anti-aging fixation.”

The augmented-reality face filters were gimmicky at first (think: the puppy face filter from Snapchat’s heyday), but today they offer hyperrealism. Some have even argued that the filters might be making us forget what we actually look like.

With the “old” filter, worrying about how you look isn’t just restricted to the present; it’s making people worry about the future, too, playing right into our anti-aging fixation.

A 2018 U.K. report found that millennials have by far the most negative attitudes about aging of all age groups, with nearly one-quarter of millennials surveyed admitting they thought being unhappy and depressed is a normal part of old age.

The anti-aging market is estimated to make tens of billions of dollars in global sales every year. The demand for procedures that stave off signs of aging ― “preventative” Botox (intended to delay wrinkles by paralyzing the muscles that create fine lines) and fillers (injected beneath the surface of the skin to add fullness) ― is only increasing.

Our fears of aging are reflected in how quick we are to cheerlead celebrities who “don’t age” or still “look hot” in selfies, like Martha Stewart.

The filter plays into all these fears and more, the experts we spoke to said.

Of course, not everyone using the aging filter on TikTok is demoralized by the results. Some users have said they felt a sense of peace from seeing an older version of themselves. “She looks so fun and full of life! I can’t wait to meet her,” said @yazzy_so_co0l.

“I’ve decided that those in the assisted living center with me are going to love me,” social media strategist Hope Woodard joked about her “old” self.

Clearly, that’s a better approach. Below, therapists and experts on aging share how to capture some of that energy and embrace aging as a filter and in real life.

Ask yourself: Why did I have such a visceral reaction to this?

If the age filter caused you to spiral into the depths of body image despair ― or just made you say, “Ugh, I have that to look forward to?” ― it might be helpful to take a step back and explore the roots of this spiral, said Chadley Zobolas, a therapist and owner of CZ Therapy Group in Denver.

“What’s being triggered underneath the surface that’s causing this response?” she said. “What are the past experiences and lingering messages that are fueling the self-esteem fire?”

For a lot of us, it’s internalized societal messaging. The anti-aging industry is centuries in the making, and the misconceptions and negative beliefs we have about aging ― that we lose vitality, that we become less attractive to others ― are deeply entrenched in our society.

As one person, it’s hard to counter all that negative messaging. Still, simply recognizing how much negative messaging you’ve received around aging in your life can be a game changer, Zobolas said.

The therapist also offered a short list of questions that might be helpful to ask yourself:

What messages have been internalized about your appearance, the appearance of others, and what’s considered “beautiful” vs. “unattractive” as it relates to aging?
Where, when, and from whom did you hear these messages? How was/is the aging process viewed in your family?
What cultural factors might come into play?
How do your older family members talk about their aging bodies with you or in front of you?

Find things you like about the aging version of yourself.

Like we mentioned, some people who posted their “old” filter videos emphasized what they liked about what they saw. Maybe you look more distinguished than you thought, for instance.

Quite a few people said they looked at their aged selves and noticed that they looked like a beloved family member.

“Everyone’s freaking out about this filter, but I kind of love it, because who do I look like? I look like my nanny who just passed away a few months ago,” TikToker @thiskindalife said.

Get comfortable with aging by exposing yourself to positive “age role models.”

One way to confront any ageism you’ve internalized is to seek out positive representations of aging, said Samantha DeCaro, the director of clinical outreach and education at the Renfrew Center, an eating disorder treatment center in Philadelphia.

Follow some older influencers on Instagram or check out books that flip the script or deal critically with how our culture treats aging. (“Not Too Old for That: How Women Are Changing the Story of Aging,” by Vicki Larson, for instance, or the late Nora Ephron’s “I Feel Bad About My Neck: And Other Thoughts on Being a Woman.”)

“It’s so important to find inspirational people who are older than you, perhaps in person, through books, or by following older creators online, who are re-writing the harmful narratives about aging often reflected in the media,” DeCaro said.

Monitor your negative self-talk.

Our fears of aging are reflected in how casually we talk about our encroaching flaws internally and among friends: “Ugh, my crow’s feet are terrible,” or “I need to do something about my elevens [the vertical forehead lines].”

In general, be mindful about how you speak about getting older. It might feel like camaraderie when you commiserate about your laugh lines with a friend, but it could also feed into negative beliefs you may hold about getting older.

Be mindful of any negative language you use around aging, internally or with friends.

Focus on the positive aspects of changing.

Aging isn’t just about how you look, it’s about how you feel, too, said Alan Castel, a professor at the University of California, Los Angeles, who studies memory and successful aging.

“Often our subjective age ― how old we feel ― is a better indicator of how well we will age, so these apps may overemphasize physical aging and not account for psychological well-being,” said Castel, who’s the author of “Better with Age: The Psychology of Successful Aging.”

“There are so many myths about aging being all downhill, but in fact, research shows that aspects of our psychological health, such as mood and emotional regulation, may improve in older age,” he said. “Many older adults report older age to be a happier and more satisfying time in life.”

Remember that aging is a gift.

It may be a tad cliché, but it’s always important to note that aging is a privilege not all of us get to experience. Erickson said: “Remind yourself that aging ultimately reflects successful adaptation, and that is something to be revered and celebrated, wrinkles and all.”

Kylie Jenner’s Use Of TikTok’s Viral Aging Filter Sparks Negative Reactions

Posted on 11/07/2023 by Boris Clair

Twitter users are giving Kylie Jenner the side eye after she complained about her shocking results from using the viral TikTok aging filter.

“I don’t like it, I don’t like it at all,” the reality star said in a clip posted Monday on the video platform, as she watched in awe, shaking her head in disapproval after the filter applied wrinkles, sagging skin and under-eye bags to her now-25-year-old face. “No. No.”

The TikTok aging filter, which shows a split screen of the user’s current face and an aged AI-generated image of the user with wrinkles and thinning hair, has been making the rounds across the app, appearing on videos that amassed more than 10 billion views.

After Jenner appeared startled by her results, fans began pointing out to the beauty mogul that she can afford any procedures to change her appearance if she’s unhappy with it.

“You can afford to fix it so you’ll be ok,” one user commented on the star’s post.

One user wrote, “Don’t worry you have money,” to which another person added, “That’s so true.”

Other TikTok users accused the reality star of previously undergoing cosmetic procedures.

“You have fixed it before, you can do it again!!!” one person said.

Some fans stepped into the comments section to defend “The Kardashians” star, complimenting her looks.

“You still look good, don’t be scared to age,” one wrote.

Another dished out encouraging words, writing, “Babe u look good both ways.”

The Kylie Cosmetics founder later switched up her vibes about the photo in the comments, writing: “Jk i love her she’s cute lol 🏻”

Back in 2019, Jenner openly discussed getting fillers, but shut down rumors about plastic surgery, calling them “completely false.”

“They don’t understand what good hair and makeup and, like, fillers, can really do,” she told Paper Magazine.

The beauty influencer recently said in an interview with Hommegirls that seeing her natural features on her kids’ faces has made her more comfortable in her own skin.

“[Motherhood has] made me love myself more. I see my features in my daughter and my son now, but you know, my daughter looks like me. I get to see my beauty in her, and it’s made me love myself more for sure,” the mom of two said.

Jenner shares her 5-year-old daughter, Stormi, and 1-year-old son, Aire Webster, with rapper ex Travis Scott.

The beauty entrepreneur also opened up about getting lip fillers, adding that she’s never regretted getting them.

“I think a big misconception about me is that I’ve had so much surgery on my face and that I was some insecure person, and I really wasn’t!” she said. “Yeah, I love full lips and wanted full lips, but growing up I was always the most confident person in the room.”

So That’s Why Your Skin Gets Crepey As You Get Older

Posted on 28/06/2023 by Boris Clair

Crepes may be delectable, but crepey skin? Not so much.

The term describes skin that, like crepe paper, appears thin and crinkled and typically lacks the elasticity, thickness and firmness of youthful skin.

“Crepey skin is primarily an aesthetic concern but it can also be indicative of potential health issues,” board-certified dermatologist Dr. Shoshana Marmon told HuffPost. “Since it usually develops as a result of substantial sun damage, individuals with crepey skin may be at increased risk for the development of skin cancer. Additionally, since crepey skin is thinner and less elastic, it may be more susceptible to bruising and tearing, which could lead to infection if not properly cared for.”

Plenty of creams and lotions claim to alleviate the appearance of crepey skin, and anyone who wants to take care of it quickly can seek doctor-administered treatments. We spoke with experts who weighed in on what works best and whether there’s anything you can do to prevent crepey skin from forming in the first place.

Why and when crepey skin forms.

As Marmon hinted, crepey skin primarily results from sun exposure. “A frequent misunderstanding is that crepey skin develops solely from aging, but lifestyle factors like sun exposure and smoking are significant contributors,” she said. “While everyone is susceptible to crepey skin, people with lighter skin tones, who are more prone to sun damage, are particularly at risk.”

Sun exposure causes the skin to lose volume due to dehydration. “It doesn’t store water the same because the integrity of the skin is damaged,” board-certified dermatologist Dr. Shani Francis told HuffPost. That leads to degradation of collagen and elastin, the proteins that hold water and therefore help the skin keep its structure.

Any ultraviolet exposure, even from tanning beds, can lead to the formation of crepey skin. “It’s really not the sun itself — it’s ultraviolet radiation,” Francis explained. “Any type of ultraviolet radiation exposure is going to damage and degrade the collagen and the elastin tissues.”

Genetics play a factor, too. “If you look at your parents, if they have crepey skin, you know you need to start the process of preventing a little bit earlier,” Francis said.

According to Marmon, many women begin to notice crepey skin around the time they hit menopause because the drop in estrogen during that time speeds up the decrease in collagen and elastin, resulting in a thinning of the skin with a loss of moisture and fat.

“It starts around middle age and gets worse as we age,” Francis reiterated. “The elastic fibers, they start off very strong. Twenty-something-, 30-something-year-olds, their skin snaps right back. Once you get to 40, it doesn’t quite work that way.”

Board-certified dermatologist Dr. Noëlle S. Sherber told HuffPost that crepey skin from UV damage usually shows up around the eyes, the chest and the backs of the hands. Some people also see it above the knees and on the inner arms.

What you can do to prevent crepey skin.

Wearing sunscreen may seem like the obvious way to ward off crepey skin, but Francis said another method may be more effective.

“You can’t see light through your clothes — that’s better,” she said, “Sunglasses, a hat, those things are always better than sunscreen because they’re on and in place. Sunscreen doesn’t last. It’s not permanent. Sun protection instead of sunscreen is much more comprehensive. I always tell people, think of sunscreen as your last line of defense.”

Nancybelle Gonzaga Villarroya via Getty Images

Sun exposure causes the skin to lose volume due to dehydration, giving the skin a crepey appearance.

For the areas that clothing and accessories can’t cover, apply sunscreen. The American Academy of Dermatology recommends a water-resistant one that offers broad-spectrum protection with SPF 30 or higher.

Some over-the-counter options to try for crepey skin.

Marmon wants to temper expectations of seeing results from over-the-counter treatments claiming to eliminate the appearance of crepey skin. “While creams, moisturizers, lotions and especially sunscreen are helpful in maintaining skin health, eliminating all signs of aging is pretty much impossible,” she said.

However, with regular use, topical products with ingredients such as retinoids, alpha hydroxy acids, peptides, growth factors, hyaluronic acid and antioxidants can help to stimulate collagen production, therefore improving skin quality.

“These products generally take several months before you see their potential benefit,” Sherber warned, adding that a high price tag doesn’t equate to a higher likelihood for results. “A misconception is that only high-end skin care products can combat crepey skin, when in fact, consistent use is far more important than the price tag.”

You want to make sure the moisturizer you pick also contains water to rehydrate the skin. “Water is the number one hydrator,” Francis said. “A big mistake people make is coating skin with oil when they’re already dehydrated because all that’s going to do is improve the barrier.”

Francis particularly loves products with niacinamide, a form of vitamin B3, as a way to help alleviate the appearance of crepey skin. It can also be taken as a supplement.

Sherber offered an easy way to test whether a moisturizer is thick enough to properly hydrate: “When you open the jar and flip it upside down, if it doesn’t drip, then it should be a good barrier support product.”

Doctor-administered treatments to address crepey skin.

On May 15, the Food and Drug Administration approved the first skin booster, Skinvive by Juvederm, to improve skin smoothness in adults over 21. The booster is an injectable hyaluronic acid with a serum texture that has been used for years overseas, where they refer to it as Volite. “Unlike fillers, which volumize, skin boosters replenish skin’s deep hydration and can give fantastic results for skin quality improvement, especially in thin-skinned areas that are prone to crepey texture,” Sherber explained.

Other injectables, like Radiesse and Sculptra, stimulate the body to synthesize collagen. Options such as radio frequency skin tightening and fractional non-ablative lasers stimulate the body’s natural healing process, leading to the production of new collagen and elastin that promotes thicker and more elastic skin. “Both can significantly improve skin quality,” Sherber said.

For certain anatomical areas, such as around the eyes, she suggested neuromodulators like Botox for reducing crinkling.

Still, “while we can somewhat improve the appearance of crepey skin, the aging process is ongoing and inevitable,” Marmon said. “It is important to have realistic expectations in terms of what to expect from anti-aging products regardless of what they claim to do. Aging is a natural part of life and much better than the alternative.”

Jennifer Aniston Reveals Worst Possible Thing You Could Say To Her

Posted on 10/06/2023 by Boris Clair

Jennifer Aniston, who became famous in her 20s, just revealed the one phrase she hates hearing.

The 54-year-old “Friends” alum, who regaled British Vogue this week with her workout regimen and lifestyle routine, shared she detests when people say, “You look good for your age,” because she currently feels younger, happier and healthier than ever.

“It drives me bananas,” she told the outlet about the phrase. “That’s a habit of society that we have these markers like, ‘Well, you’re at that stage, so for your age…’ I don’t even understand what it means. I’m in better shape than I was in my twenties.”

“I feel better in my mind, body and spirit,” Aniston continued. “It’s all 100% better.”

Aniston famously made her name with “Friends,” which spanned 10 seasons and chronicled the lives of six 20-somethings living in New York City. Aniston got hooked on endorphins after a back injury and decided to forge ahead.

“I had to retrain my brain,” she told British Vogue, adding she sought out a functional fitness company named Pvolve. “It used to be pounding, pounding, pounding. You had to get 45 minutes to an hour of cardio; otherwise, you weren’t getting a workout.”

Aniston continued, “Not only do you stress your body, you burn out — who wants to do that at all?”

Aniston said she used to “burn out,” but has shifted from excessive to low-impact workouts.

Aniston, who deems CrossFit “too aggressive,” recently told InStyle her physical therapist gave her a Barbie doll covered in Kinesio tape — a bandage used for athletes with injured or overused muscles — “to show every injury I’ve had in the last 15 years.”

While frustrated about the expectation to “feel the burn” every time she exercises, she said one of her friends “completely transformed her body” during the pandemic — and that her visible energy inspired Aniston to seek out Pvolve’s low-impact program in 2021.

She said “old-school ’90s hip-hop” and more contemporary acts help her in the gym.

“Doing your own workout by yourself, meh,” Aniston told InStyle. “If you get some good music going, you can have fun, but I like to be guided. It’s too easy for me to do things less correctly than I should. I’m really into Lizzo right now, I love Rihanna, of course.”

While Aniston used to believe “45 minutes of cardio” per day was essential if she wanted to “get a good workout,” she said it “broke” her body. She added her new approach has been much more effective — despite her least favorite phrase being bandied about.

Kim Cattrall Says She’s Changed Her Mind About Plastic Surgery

Posted on 07/06/2023 by Boris Clair

Kim Cattrall isn’t saying no to going under the knife ― anymore.

The “Sex and the City” star used to say she would never undergo plastic surgery, but recently confessed she now has a different view.

“I probably said that in my forties! I’m in my sixties now and I’m all about battling aging in every way I can,” she said in an interview with the U.K.’s Sunday Times published over the weekend. “There are so many other alternatives now, treatments that stimulate your own body to fight aging.”

“There are fillers, Botox, there’s so many different things that you can investigate and try and see if it’s for you,” she continued. “But yes, if you have the money and, more importantly, the right surgeon. It can’t be emphasized enough. You want to look like you.”

Cattrall said she wants to look like “the best version of myself” because she plays “a certain kind of woman who looks a certain kind of way. And professionally I am looking after myself.”

“Whatever I can do,” she added. “Because thankfully I have funds to do so.”

The “How I Met Your Father” star told the Daily Mail in 2011 that she looked up to actors who shunned radical measures to try to keep their appearances young.

“I look at people like Judi Dench, who’s in her 70s, and I think, ‘What the hell am I frightened of?’” she told the outlet at the time. “In my life and career I want to embrace aging because I think that’s what’s interesting.”

“I think a forehead without any lines doesn’t tell me they’ve lived a life,” Cattrall said then.

These Are The Vaccines You Need If You’re Over 50

Posted on 06/06/2023 by Boris Clair

Aging brings a bunch of changes to your body, both physically and mentally. To keep up with those changes, your medical needs shift as you get older.

“Our immune system changes as we get older, and it starts … sooner than you would think, sort of in our 50s is when it starts … and then it peaks by the age of 80,” said Dr. Ardeshir Hashmi, section chief of the center for geriatric medicine at Cleveland Clinic.

Within that three-decade period, our body is impacted by immunosenescence, which is the worsening of our immune response, Hashmi noted. So, as we age, we become more susceptible to infections, he said. This means it’s important to be protected against viruses that can be avoided. One way to do that is through vaccination.

Which shots do you need if you fall in this category? Below, experts share what vaccines you should consider getting if you’re over the age of 50.

The Shingles Vaccine

“The first vaccine that comes to mind when people reach age 50 is the vaccine against shingles,” said Dr. Julie Thai, a geriatrician at the senior care clinic at Stanford University.

Shingrix is a two-dose vaccine that protects against shingles and is the new, more effective formulation of the vaccine, according to Thai. The old vaccine, Zostavax, is no longer available or recommended in the U.S. If you’ve only had the Zostavax shingles vaccine, you should get the new shot, according to the Centers for Disease Control.

Thai said most of her patients have had the vaccine, but for those who don’t remember if they’ve been vaccinated (or if they’ve had the old formulation), she tells them to get the Shingrix shot.

“That’s really important because shingles is painful and it’s one of those infections that just has these long-term effects,” Thai explained. “People have this neuropathic pain that can last for years … if they don’t get treated early enough in the disease course.”

Hashmi added that while both people who are vaccinated and unvaccinated can get the rash, it’s only the unvaccinated folks who would have this ongoing neuropathic, burning pain.

The Pneumococcal Vaccine

The pneumococcal vaccine is important for people 65 and older, Thai said. “It will protect them against severe cases of pneumonia.”

Additionally, the vaccine is recommended for younger people who are at high risk for severe pneumonia because of chronic illnesses like diabetes, Thai added. So, you can check with your doctor if you’re under 65 but concerned about your pneumonia risk because of preexisting conditions.

A Tdap Vaccine

“The one that really comes to mind to me is tetanus, so the tetanus-diphtheria booster … if you look at data, it’s really actually people who are over 50 ― especially women ― who have low immunity to tetanus and diphtheria,” said Dr. Trish Perl, a professor in the department of internal medicine who specializes in infectious diseases at UT Southwestern Medical Center.

To account for this, you can get the Tdap vaccine, which also targets pertussis, she said. “That is especially important for people who are going to be around young children — like grandparents — because pertussis is a big problem in younger children, but it’s actually adults who … are the ones who will be transmitting pertussis,” Perl stated.

For the Tdap shot, “everyone requires a booster every 10 years. And this one, I feel people don’t take that seriously,” Thai said.

Beyond the recommended vaccines, people who frequently travel internationally may require additional shots.

The COVID-19 Vaccine

The COVID-19 vaccine is the newest necessary vaccine for folks, according to Hashmi.

Older people have a higher chance of getting very sick from COVID-19 if they’re unvaccinated, resulting in severe outcomes like hospitalization or death, according to the CDC. And if you are older and have underlying conditions, like heart disease or diabetes, you’re even more at risk.

People who are 50 and up are eligible to get the updated bivalent vaccine and can get boosted if it’s been at least four months since their last shot, according to the CDC.

The Flu Shot

The flu shot is important for everyone, not just for folks over 50. In fact, the CDC says everyone 6 months and up should get this shot each season.

“I always advise people to get vaccinated against seasonal flu because it really can put you out … especially now coupled with COVID,” Thai said. “I think people sometimes are dismissive of it, but it is really important that at any age to get the influenza vaccine.”

Hashmi added that the illnesses that have a lot of inflammation involved — like the flu, COVID, shingles and pneumonia — are worse in older patients.

“Because if you get the illness, the response to it is not robust because our natural immunity has gone down,” Hashmi said. “So, unless you supplement that with these vaccines, not only will the diseases happen … they will happen with much more severity than if you were, let’s say, a young adult or someone between age 20 and age 50.”

The Hepatitis B Vaccine

“If you have certain risk factors, some of our seniors also merit the Hepatitis B vaccine,” Hashmi said. Those risk factors include intravenous drug use at any point and people who are incarcerated.

The vaccine is also available to people with certain health conditions. “Hepatitis B is important. It’s usually people who are immunocompromised … or who are older than 60 is usually when we start recommending it,” Thai noted.

If you are an avid international traveler, you may need additional vaccinations.

“I do think a lot of people at this age group also travel and so that may be another twist,” Perl said.

According to Perl, your vaccine needs will differ depending on what countries you visit. She recommends the Hepatitis A vaccine for people who travel, particularly if you eat street food and aren’t checking whether something is cooked all the way through, “because you can get pretty sick from Hepatitis A and especially you don’t want to get sick if you’re traveling.”

For other kinds of travel, recommended vaccines may include the meningococcal vaccine, polio vaccine, rabies and yellow fever, she said. To figure out what vaccines you may need for upcoming trips, talk to your primary care doctor. Your physician should be able to vaccinate you or refer you to a travel medicine center.

Talk to your doctor about what vaccines are right for you.

Vaccine needs vary from person to person — and some people may require more information before going through with the jab. Talk to your doctor about what vaccines you need to stay protected well past your middle-age years.

“I think it’s important for every patient to sit with their doctors and ask questions and, you know, make an informed decision based on what answers they get,” Thai said.

She added that your physician can help explain the science behind some of these vaccines, address your concerns and help debunk any myths.

“Most of these vaccines have been around for years and years and years and are well studied, or the technology behind them is well studied,” Perl noted. “They’re actually much safer than getting these underlying diseases.”

And if you are vaccinated but still end up getting sick, you’ll be better off.

“It’s not like you are never going to get these illnesses. You could still get them. However, you will get a much milder version of any of these illnesses,” Hashmi explained.

These vaccines can help you live a fuller life, too. “People are living longer, they’re living better [and] the quality of life is also improved if you’ve stayed up to date with these vaccines,” Hashmi said.

Why You Shrink As You Get Older

Posted on 31/05/2023 by Boris Clair

It seems that everything shifts as you age. You may notice you get wrinkles, your hair turns gray and even your height changes — in other words, you shrink.

“Aging is not a random thing that happens, it’s very predictable, it happens to us all. And rather than just luck and some bad things that might happen to you, there is a whole biology that has been evolving in identifying why all these changes happen to our body,” said Dr. Douglas Kiel, a professor of medicine at Harvard Medical School and the director of the Musculoskeletal Research Center and senior scientist at Marcus Institute for Aging Research in Massachusetts.

Losing some height is one of those changes. But how much you shrink once you hit mid-life depends on a few factors (the exact amount that you might shrink isn’t 100% agreed on).

Kiel said shrinking less than an inch is normal and any more than that may be indicative of underlying issues (more on that below). Dr. James Harrop, the chief of the division of spine and peripheral nerve surgery at Thomas Jefferson University Hospital in Philadelphia, added that men lose about .02% of their height per year while women lose .1% per year on average.

The University of Arkansas for Medical Sciences reports men shrink about 1 inch in their lifetime while women shrink 2 inches.

While the amount may vary depending on the person, shrinking overall is usually normal. Below, experts explain why it happens and when you may need to be concerned.

Your muscles become weaker, which makes it harder to hold your spine upright.

“So, one reason that height might be reduced is that you are curved forward,” Kiel said, explaining that people tend to hunch as they get older. “If you stretched yourself out, your height might not be as much reduced, but since you can’t stand up totally straight … you measure a lower height.”

This curvature is referred to as kyphosis, he said. Every one of us has some variation of this in our spine, “but with aging, it’s often observed that the kyphosis, that slight curvature, becomes more pronounced.”

Muscles are required to keep your spine straight, and usually you lose those muscles as you have more birthdays. “You lose muscle fibers with aging, so the ability to extend your spine and look straight and tall are not as good as they were when you were younger. And so that kyphosis is more pronounced, and therefore your height is reduced,” Kiel said.

Bone loss is another contributing factor to shrinkage.

Part of what makes up our height are vertebral bodies, which are part of the vertebrae that make up our spine. “If you are losing bone as you age, sometimes the vertebral bodies … actually are crushed,” Kiel noted. This means they get less tall, making us less tall, too.

And sometimes these vertebral bodies actually break. “It’s called a vertebral fracture, and a vertebral fracture reduces the height of the vertebral bodies,” Kiel added. “You have a lot of vertebral bodies in your body going from the lower part to the middle, all the way up to your skull, and if one or more of those vertebral bodies loses its height — even though it’s only one small part of the spine — you can lose height,” Kiel said.

You may be completely unaware if you do have these fractures, Harrop said. Two-thirds of people with vertebral fractures do not feel any pain. You may also just think you pulled something in your back, according to both experts.

People with osteoporosis, which is a loss of bone, tend to have more vertebral fractures, Kiel noted.

Harrop said that when he sees someone with osteoporosis and a spine problem come into his office, he gets nervous because if you have a fracture and “you don’t get treated, you have a 30% chance of having another fracture within one year.” And more and more fractures cause angulation in the spine, resulting in shrinking, Harrop noted.

As you age, it can be harder for your muscles to hold your spine up straight.

The discs in your spine lose height as well.

You’ve likely heard of a slipped disc (or maybe you’ve even had one). Those discs, which are known as intervertebral discs, are another piece of the shrinking puzzle.

“A disc is really a shock absorber or a pillow between two bones,” said Dr. Raz Winiarsky, an orthopedic surgeon at Brooklyn Premier Orthopedics. “And, essentially, when over time, starting in middle-age or actually starting a little earlier, like in your 40s, the amount of water in the disc … dissipates or dries out.”

This drying out shrinks the discs and leads to less disc height, which can impact your height. According to Harrop, by the time you’re 60 or 70, your disc can go from about 10 to 13 millimeters in height to 1 to 2 millimeters due to disc degeneration.

“Now, you do that with your 23 discs, and you can obviously see that’s a significant loss of height,” Harrop said.

So, is there a way to stop this from happening?

“If I could give one public service announcement, [it’s that] everyone … should get their bone density checked and they should be treated if they have osteoporosis,” Harrop stressed.

A bone density test won’t totally stop you from shrinking but will alert you of any problems that could exacerbate it.

“When people reach age 65, Medicare pays for a bone density test, which is a way of quantifying how much bone you still have left and … some of the machines can have the patient roll on his or her side and get a side view of vertebral bodies to see if there are any of those compression fractures,” Kiel added.

You may be eligible to get a bone density test before 65; for example, Kiel said that many women are encouraged to do so during menopause. Additionally, Harrop said if you have a spine problem like scoliosis, it’s that much more important to get your bone density checked. Talk to your primary care physician to see if you qualify.

What’s more, a healthy lifestyle can help slow down any shrinkage as well. “If you really want to not lose bulk and try to … actually maintain your bone density, the best thing in the world is to exercise,” Winiarsky said. “It’s never too late to start, but the best thing is to have a life of healthy exercise where you do it a half an hour a day.”

This will help you maintain the strength of your bones and the strength of the muscles that help you hold your spine up.

“Shrinking is not a disease, but it … could be an indicator that some things are changing in your body that potentially could be slowed down,” Kiel said. “You have muscle, you have discs, you have bones, and they’re all contributing to shrinking, and if you shrink a lot it could mean more losses are occurring in those three contributors.”

Older Women Reflect On What They’re ‘Supposed’ To Wear As They Age

Posted on 18/05/2023 by Boris Clair

When I look at photos of myself from 20 to 30 years ago, I realize that I had no idea how good I looked. I never thought twice about wearing short skirts and dresses when I was in my 20s, 30s and even 40s. I’m now in my early 50s.

Recently, I tried on some of the things in my closet and deemed them “too short” — not something a younger me would have ever done. That got me thinking: How short is too short when you’re a half-century old or more? Is it different than when I was 22? Should it be different? How else have my style and fashion choices changed as I’ve aged?

I became intrigued by the answers to these questions — if there were answers, and if those answers even mattered — as well as the thoughts, worries and fears that other women my age have about their fashion and style choices. So I spoke to as many of my peers as I could, and also got insight from a psychologist. The stories and conversations we had were illuminating, validating and wonderfully insightful.

The Inner Workings Of My Friends’ Brains

I’ve known Natalie Flores, age 49, for about 25 years. We worked together when we were in our 30s and became close friends. Those were the days of short skirts, tank tops and cowboy boots in Austin, Texas. Bare legs and arms were our norm. Though I have since moved to a place much less swampy, Nat still lives that state. Some of her fashion choices have changed, though.

“I no longer wear shorts because of the way my inner thigh curves, although I have no problem with a short skirt because it hides that inner thigh curve,” she told me. She also said she no longer wears cap sleeves because they “point” to a soft and pale inner arm that she’d rather hide (from both her own reflection and the public).

“It’s a hard-won freedom to disregard how one is perceived by others. And I, for one, am so grateful to all who were pioneers in carving the road to openly expressing oneself unapologetically.”

– Stephanie Ruksyio, a woman in her 50s

Joan, a 69-year-old cyclist and retired lawyer who requested to keep her surname private, told me that since she passed the 50-year milestone, she no longer wears miniskirts.

“I stopped because I just didn’t feel like showing off that much anymore — didn’t feel the need to advertise, as it were.” she said. “As I got older, no skirts whatsoever. Didn’t like stuff flapping around my legs. Besides, if I dropped something or had to climb over something, I didn’t want the hassle of a skirt. Both of those things happened in my 40s and 50s.”

Stephanie Ruksyio, a 50-something French woman I met a couple of decades ago in a bistro, had an effortless, sexy style that I myself was never very good at. When we talked, she told me that her style has definitely changed, and that she feels as if she is still undergoing changes, both fashion and otherwise. This, I think, is a state we should all aspire to: perpetually growing and becoming. I mean, are we ever really done?

“The wonderful thing is now I don’t have any pressure or drive to impress,” Stephanie said. “My fashion and style decisions have gradually become … comfortable yet funky, but above all true to myself, instead of hypothetically pleasing the times and/or people. I feel and love my age in the sense that I dress completely in tune with my needs and wants, regardless of exterior inputs.”

Some of the women I talked to lamented that their skin has begun to sag. Joan told me that despite her good muscle tone and the fact that she is in great shape, the packaging is sagging.

“Unfortunately,” she said, “gravity has been around as long as I have. That one breaks my heart.”

Jeannie Barbato, a 70-year-old woman who is also active and fit, said something similar: “I am more aware of showing skin — wrinkly neck and arms, legs that are increasingly scarred and mottled. But, not infrequently, I do it anyway.”

A Psychologist Weighs In

“If a lot of your self-esteem is based on your appearance, you’re going to have more anxiety as you get older because your appearance changes. And I think this is especially true for women,” Ann Kearney-Cooke, a licensed psychologist and wellness coach in Ohio, told me.

“You need to define yourself by the choices you make each day, not what’s happened in the past or how culture’s perceiving you,” she said. These include deciding to be a better person or a better friend, to eat healthy, to move, to experience the arts.

“Focus on the choices you make to feel good about yourself and your body,” she added. “You get affected about a lot of things, like who your partner is, what fashion has meant in the past to you, how important people in your life dressed.”

At the end of the day though, the trick is just finding colors, fabrics and styles that look good on you, that you feel good in, that really express who you are now.

“A gift to getting older, I think, is that we’re more clear about who we are,” Kearney-Cooke said.

The Freedom Of Caring Less About What You’re ‘Supposed’ To Wear

Thankfully, as I’ve gotten older, I care less about what other people think of the way I look. Not that sometimes I still don’t worry about how I’m perceived, but ultimately I am better about not giving those kinds of concerns much credence. One person responded to my miniskirt question by saying: “No worries. No fear. I wear what I want.”

And when it comes to the gaze of others, there’s a certain freedom to be found in acknowledging that not everyone is watching you. “I look at other women my age and think, nobody cares how we dress anyway, which also gives me a certain amount of carefreeness,” Jeannie said.

Natalie told me that she’d recently been feeling nostalgic for her college years look and questions whether she’s trying too hard to look young.

“I have been experimenting on adding elements of that look to my choices. And I definitely pause and wonder if it looks forced, if it makes me look like I’m trying to look younger or if I look out of touch with what someone my age is ‘supposed’ to wear,” she said.

Many of us spend a good deal of time worrying about how we look and whether we will appear attractive to others. And this, of course, is always tied up in how we choose to dress, as well as our relationships with our own bodies, Kearney-Cooke said.

“We also have to teach people how to talk about our bodies,” she said. She told me a story about one of her clients who received a clean bill of health from her doctor. The woman was very pleased, but when she told her husband, he asked if the doctor had said anything about her “big butt.”

“And this is the best part,” Kearney-Cooke told me. “The woman replied, ‘No, he didn’t ask about you.’”

A big part of accepting aging is the maturity that comes along with it. As Stephanie put it: “It’s a hard-won freedom to disregard how one is perceived by others. And I, for one, am so grateful to all who were pioneers in carving the road to openly expressing oneself unapologetically.”

“When I was younger, I had no idea how good I looked,” Joan said. “No one does. But then you get older and you look at pictures of yourself when you were young, and you think: ‘Jeez, I really looked great. I wish I’d appreciated that more and stressed less.’”