Rethinking Aging in Aesthetic Medicine: Integrating Longevity Science into Aesthetic Practice - with Dr. Suzan Obagi, MD

Send us Fan MailWrinkles, sagging, and pigment are easy targets because we can see them, measure them, and sell treatments for them. But I keep coming back to a more uncomfortable question: are we actually treating aging, or are we only managing the appearance of aging? In this conversation, I sit down with Dr. Suzan Obagi, a leader in cosmetic dermatology and cosmetic surgery and Associate Professor in Dermatology and Plastic Surgery from the University of Pittsburgh Medical Center and former President of the American Academy of Cosmetic Surgery, to follow the smoke back to the fire and talk about what really drives skin aging and recovery.We break down intrinsic aging versus extrinsic aging and why epigenetics, inflammation, and oxidative stress matter as much as lasers and injectables. Dr. Obagi explains what collagen, elastin, and glycosaminoglycans do, why their production peaks early, and why menopause can accelerate collagen decline. We also get honest about hormone replacement therapy: how estrogen affects skin, mood, joints, vessels, brain health, and wound healing, where risks truly live, and why many women are still mismanaged with symptom-only fixes. If you care about healthspan, longevity, menopause skin changes, and better surgical outcomes, this part will shift your perspective.Then we turn practical. You’ll hear the simplest high-yield skincare routine we both rely on: cleansing, well-formulated antioxidants morning and night, moisturizers that support barrier function, mineral sunscreen, and retinoids with realistic timelines for results. We also unpack why some medspa “annual” treatment advice keeps people on a treadmill, and we look ahead at where anti-aging medicine may go next, from rapamycin analogs to NMN to the promise and complexity of Yamanaka factors.If this made you rethink your approach to anti-aging skin care, hormone health, or aesthetic medicine, subscribe, share the episode with a friend, and leave a review so more people can find it.Dr. Suzan Obagi links:Instagram: @suzanobagimdWebsite:http://dermatology.pitt.edu/people/suzan-obagi-mdTweet me @realdrhamrahIG @drhamrah