#13 – Brett Kotlus, M.D.: How to look younger while we live longer
Summary

In this podcast episode, host Peter Atia talks with Dr. Brett Kotlus, a New York City-based eye and facial plastic surgeon, about cosmetic and reconstructive surgery of the face, with a focus on the eyes and skin around the eyes. They discuss various procedures, such as Botox, lasers, and peels, and how to choose a qualified professional for these treatments. Dr. Kotlus explains the changes that occur in the face and skin as we age, including loss of bone and facial fat, decreased thickness of the skin, and the effects of sun exposure. He also recommends products for skin care and rejuvenation. The conversation emphasizes the importance of making small, consistent changes over time for long-lasting results in both appearance and overall health.

The podcast also discusses the use of cosmetic procedures for skin rejuvenation and fat reduction, including the use of energy devices for facial rejuvenation, such as Thermage and CL therapy. The speaker notes that these devices may not be effective and recommends relying on the provider's judgement and experience when considering cosmetic procedures. The conversation also touches upon the future of medicine, including the potential for customization of procedures based on genetic screening and 3D printing of organs and implants.

The speaker emphasizes the importance of understanding which procedures doctors are best suited to perform and referring patients to other specialists when necessary. The conversation also touches upon the psychological aspect of cosmetic procedures and the importance of self-image and confidence. The guest, a plastic surgeon, talks about the importance of sunscreen in preventing skin cancer and recommends using a broad-spectrum sunscreen for protection against both UVA and UVB rays. The SPF system measures protection against UVB only, and an SPF of at least 30 is recommended.

Overall, the podcast provides a comprehensive overview of cosmetic procedures and their potential benefits and risks. The speakers emphasize the importance of choosing a qualified provider and making small, consistent changes over time for long-lasting results. They also highlight the importance of understanding facial anatomy and having restraint when performing these procedures.