What Really Causes Under-Eye Bags and Sagging Skin | Tanuj Nakra, M.D. & Suzan Obagi, M.D.

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This clip is from episode 355 – Skincare strategies, the science of facial aging, and cosmetic-intervention guidance | Tanuj Nakra, M.D. & Suzan Obagi, M.D.

In this clip, they discuss:

The Biology of Facial Aging – The discussion begins with an overview of cosmetic aging from the neck up, introducing changes that make people appear more tired as they age
Facial Fat Pad Atrophy – Youthful faces have plump fat pads that cushion the skin, but most of these pads shrink dramatically with age, changing the facial structure
Bone Loss in the Skull – Aging causes visible bone loss in the face: widened eye sockets, narrower cheekbones, and a shrinking jaw that alters skin support
Gender Differences in Aging – Women begin to show facial aging faster than men around age 50, partly due to hormonal changes, especially post-menopause
Stress Accelerates Facial Aging – Chronic stress elevates cortisol, which can cause fat loss in the face (opposite to how it works in the body), making people look older than their age

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