Top Facial Plastic Surgeon Dr. Carl Truesdale Gets Candid About Common Procedures
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Overview
If you’ve ever fallen down a rabbit hole of before-and-after photos at 2am, you know how addictive it can be to creep on a good facelift result. On the latest episode of Naked Beauty, host Brooke DeVard sat down with Dr. Carl Truesdale, the facial plastic surgeon known for deep plane facelifts and for doing more facelifts on skin of color than almost anyone in the field. He got real about what actually happens to your face as you age, why your serum isn’t doing what you think it’s doing, and the industry secrets nobody talks about.
The biggest myth Dr. Truesdale wants to bust is that skincare and facial exercises can stop aging. Aging is natural, and it’s not about trying to stop it, instead the goal should be to feel good — however you chose to. Dr. Truesdale stresses that the real changes start at the bone level. Your eye sockets widen, your cheekbones recede, your jawbone shrinks, and on top of that your collagen production drops off a cliff around 40. No serum can touch bone. He also shares that when it comes to aging and where it shows up the earliest, it’s almost always the eye area. Little wrinkles, some sagging, a bit of hooding. The mouth and jawline follow. Many changes are usually tied to hormonal shifts. Estrogen changes during perimenopause and menopause can trigger a noticeable jump in visible aging, almost like a step function rather than a slow fade.
As the episode goes on, Dr. Truesdale gives us his thoughts on all the topics we have been wondering about when it comes to aging. He discusses how GLPs and rapid weight loss doesn’t give skin time to adjust, which is why so many people on GLP-1s end up with more skin laxity, especially in the neck. He notes that gradual weight loss is easier on your face long term, so if you’re on a wellness journey, slow and steady really does help your skin keep up. He lets us in on the secret that filler can hang around for up to 20 years, way past the year or so the industry usually quotes. He’s seen it show up on scans during surgery a decade after it was injected. And he’s not a fan of jawline threads or Bella (cannula-based tightening) either, calling them a band aid that just makes future work harder.
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At the end of the day, Dr. Truesdale’s biggest point might be this: know your own family’s aging pattern, get curious about what’s actually happening to your face, and make choices with your eyes wide open.
Listen to the full episode below
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Originally published at www.refinery29.com.