Decades of Face: The Twenties, The Perfection Decade
In the first of our mini-series “Decades of Face,” Dr. Bass shares his advice for people in their 20’s who want to both look their best and have a solid anti-aging treatment and skin care plan.
Learn which procedures are most popular for preventing aging and maintaining skin quality at this age, including retinoids, energy treatments, microneedling, and micro Botox.
Don’t miss Dr. Bass’ sage advice about chasing the small issues which can manifest during your 20’s. He also discusses ways to optimize your facial features to achieve your “perfect face”. This process is separate from fixing youthful skin flaws and preventing aging but is a prime task for aesthetic treatments in your 20’s.
No matter what your age, finding a professional who will customize treatment plan options for you based on your skin type and face shape is critical, and it’s never too early to protect against ultraviolet light.
About Dr. Lawrence Bass
Innovator. Industry veteran. In-demand Park Avenue board certified plastic surgeon, Dr. Lawrence Bass is a true master of his craft, not only in the OR but as an industry pioneer in the development and evaluation of new aesthetic technologies. With locations in both Manhattan (on Park Avenue between 62nd and 63rd Streets) and in Great Neck, Long Island, Dr. Bass has earned his reputation as the plastic surgeon for the most discerning patients in NYC and beyond.
To learn more, visit the Bass Plastic Surgery website or follow the team on Instagram @drbassnyc
Subscribe to the Park Avenue Plastic Surgery Class newsletter to be notified of new episodes & receive exclusive invitations, offers, and information from Dr. Bass.
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Welcome to another episode of
Park Avenue Plastic Surgery Class,
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the podcast where we explore controversies
and breaking issues in plastic
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surgery. I'm your cohost, Doreen Wu.
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I'm excited to be here with Dr. Lawrence
Bass Park Avenue plastic surgeon
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educator and technology innovator.
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The title of today's episode is
Decades of Face: the Twenties,
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the Perfection Decade. I'm
excited to kick off this series,
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Decades of Face. Tell me Dr. Bass,
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what is this all about and what
can our listeners expect to learn?
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Each decade of life has certain
typical aging changes and
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typical treatments that are
part of the pattern of aging.
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Now,
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different people may hit these
milestones at slightly different ages,
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but the basic patterns
and the progression is
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remarkably consistent. So in this series,
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we're going to review decade
by decade what those changes
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are and what the modern day treatments are
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that can help with those changes.
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So will the series tell me what I
should be doing at any given decade?
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Not necessarily,
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but it certainly indicates what you
should be thinking about and considering.
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Then you decide how important the
issues are to your individual aesthetics
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and how severe those
individual changes have become
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in your personal appearance.
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That makes sense. So let's get started.
The first decade is your twenties.
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Everyone should still be young, right?
They don't really need anything yet.
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Is that where the name comes from?
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Well, yes and no. There are two aspects.
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I've termed this decade the
perfection decade because the main
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job is protecting the skin from
ultraviolet light and other environmental
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factors to prevent aging from
getting started too early,
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but also because the second
set of jobs is taking
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anything about appearance,
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not that it has aging changes because
you haven't aged yet appreciably,
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but that may be less
harmonious than it could be,
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or less than ideal skin
that is red or breaking out
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a facial shape that's not ideal.
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That's your chance to really
perfect your appearance.
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Some of the prevention kind of things
are an extension of what's been called
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prejuvenation,
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these are aesthetic treatments to support
the face before changes start to show
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lengthening the time before
aging changes begin to manifest.
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Now with the rejuvenation movement,
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does this mean in my twenties I should
be getting Botox and fillers like my
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mother in her forties or fifties?
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Not necessarily. The treatments are
often done in a modified fashion,
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less Botox or filler or a
different pattern of injection.
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For example, mini Botox or micro
injections may be what's called for.
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So these are many very tiny injections
that are spaced out over the
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surface of the skin rather
than deeper injections
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to relax the muscles that are
causing wrinkles in somebody
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who's somewhat older. But some
people even in their twenties,
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have very dynamic faces and their
muscles are young and strong
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and may require a lot of
medication to obtain good control
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for a long enough interval.
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So the treatments really have to be
customized to each individual's needs,
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but it's also important
not to overdo things,
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especially at this early
stage. And you know,
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with things like neuromodulators,
Botox, Dysport, Xeomin, Jeuveau,
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some motion and expression is important
on the face just to look normal.
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You said there were two aspects,
Dr. Bass, what is the second one?
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Protection and rejuvenation, which
we've been talking about a little,
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is about anti-aging, keeping
the face looking young.
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The second main task, as I mentioned,
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is optimizing the appearance
of the youthful face.
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So this is mostly about skin quality,
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but also about doing things
like harmonizing facial shape or
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accenting facial shape.
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Let's talk about skin quality first.
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Can you explain that in
a little more detail?
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Sure. This is a factor in appearance
that has always been part of aesthetic
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services, but it's getting a lot more
attention in a structured fashion.
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Lately, we all know if we
lined up 100 25 year olds,
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some people would have smoother
skin, some rougher skin,
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or with more visible pores, oilier skin,
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more or less redness even in the twenties.
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Pigment irregularities will show
more on some faces than others.
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Blunting. These unwanted features
like roughness, redness, pigment,
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irregularity,
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are the main skin quality
issues for the twenties.
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Also, most of us think of
acne as a teenage problem,
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but acne vulgaris,
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the kind of acne seen in young people
typically peaks in the mid twenties,
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not during the teenage years
preventing acne outbreaks.
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And most importantly, cystic acne,
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which is more likely to lead
to scarring, is very important.
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In fact, the number one diagnosis in
most dermatologist office is acne.
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That is pretty surprising.
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I didn't realize how much improvement
might be possible in young skin.
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So what are some of the approaches to
skin quality for people in their twenties?
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Well, it's the same thing for
everybody later in the game,
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but applied in a treatment
that will address skin
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that is more metabolically
active. In fact,
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young skin often gives us much
more readily what we want,
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although acne can be a tough
thing sometimes to control.
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So this starts with products like
medicated skin products containing
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retinoids,
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growth factors or other
agents to calm the skin or
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to improve skin clearance of oil and
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debris so that there's less
breaking out and less redness,
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energy treatments, needling treatments,
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and things like superficial
fillers and micro
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Botox are newer things that may help with
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skin quality in this young age group.
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Earlier. In addition to skin quality,
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you also touched upon
accenting facial features.
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What is the role there
for the twenties decade?
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Any facial shape which is a
little flatter or unbalanced
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can be boosted with filler.
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The number one area for this in
people in their twenties is lips.
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This is the most popular filler
treatment for all ages and all nations.
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But cheeks and chin are also very common
areas to provide a little more elegance
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and definition to the face. Even in youth,
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big changes might be achieved with
surgical implants like cheek and chin
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implants or in severe examples
with surgery to the bones of the
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face.
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But small harmonizing changes are most
commonly performed with injectable
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fillers.
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There are a number of fillers
with specific FDA indications
for different facial
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features like Restylane Contour
for the cheeks, Juvederm Voluma.
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Radiesse for jawline and
Restylane Kysse for lips.
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Just to list a few examples,
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this is also an example of
how we don't always want a
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permanent change. Face shape in
the twenties is typically fuller,
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more of a baby face and
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will empty in the area just under the
cheek, what we call the submalar area,
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over the next decade.
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Being able to tailor the
amount of augmentation to
complexities like the cheek
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and chin over time with
recurrent filler treatments
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allows adjustment for the submalar
flattening that starts to occur
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in the later part of
this decade of twenties.
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So far we have mainly focused on
minimally invasive nonsurgical treatments.
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In addition to all of these
nonsurgical approaches,
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what are the surgeries that
happen frequently in the twenties?
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So we were speaking about this
submalar area and the deep fat pad
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in that area is called the buccal fat pad.
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So this is sometimes reduced in
individuals in their twenties who
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have very chubby cheeks,
sort of chipmunk cheeks,
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and through small incision inside
the mouth that's a little over
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a quarter of an inch,
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you can tease out some of that
fat and get a little definition
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in that area.
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The number one surgery in people
in their twenties is rhinoplasty
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because you know,
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twenties is a good time to
create your personal image that
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the world is going to know you as as
an adult for the rest of your life. For
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that reason, cheek and chin implants
not as common as rhinoplasty,
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but also very common in this age group.
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We're really focused on the face here,
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but there are some popular body
procedures in the twenties such as
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breast augmentation and liposuction.
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And last but not least,
before we wrap up Dr. Bass,
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can you share some important takeaways
for our listeners about the 20s decade?
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Of course, first, look
at skin quality issues.
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Skin quality always has a
meaningful impact on appearance.
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We all know people with
good skin and bad skin,
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and the difference is obvious,
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and that's true whether you're
in your twenties or you're older.
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It's never too early to
protect against ultraviolet,
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and that's probably the number one job
in the twenties. People are active,
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they're out doing things, but they need to
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put a limit on how much ultraviolet their
skin is getting to prevent premature
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aging and reduce the risk of skin cancer.
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So hopefully everyone has been protecting
from the sun since early childhood
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but since the twenties are a point where
some obvious aging changes can start
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to show, especially in
fair skinned individuals,
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the sunscreen is a critical maneuver.
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In your twenties, a
little goes a long way,
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so you don't need to do too much,
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but doing nothing will leave you a little
busier in your thirties than some of
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your friends who tried a little harder
with their skin while they were still in
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their twenties. And at this early stage,
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there's really a lot of
variation in what's needed.
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So work with someone who
will actually look at you and
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customize the options for you
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and adjust for the the individual
needs in this decade. Because,
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you know, as someone who's 70, they
have a little bit of everything.
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Someone who's 20 may really only have
one or two small issues that need just
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something simple to really
help them look their best.
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Thank you Dr. Bass for expanding our
knowledge on the subject and shedding some
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light on the importance of
protection, rejuvenation,
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and skin quality during our twenties.
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And thank you to our listeners for joining
us today for the first episode in our
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new Decades of Face series.
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I definitely learned a lot of useful
information about the twenties decade,
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and I hope our listeners gained
some pearls of wisdom as well.
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If there's one thing I'm
taking away from this episode,
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it is the importance of
wearing sunscreen every day.
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If you think of other exciting
developments or trends
in plastic surgery that
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you would like us to discuss
in upcoming episodes,
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please reach out by email or
Instagram. We'll see you next time.
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This is Doreen Wu thanking you for joining
Dr. Bass and me for this discussion
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of aging prevention in your twenties.
Be sure to tune in next time,
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and don't forget to subscribe to our
podcast to stay up to date with all of the
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exciting content that is coming your way.
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Thank you for joining us in this episode
of the Park Avenue Plastic Surgery
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Class podcast with Dr. Lawrence
Bass Park Avenue plastic surgeon,
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educator, and technology innovator.
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The commentary in this
podcast represents opinion.
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This podcast does not
present medical advice,
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but rather general information about
plastic surgery that does not necessarily
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relate to the specific conditions
of any individual patient.
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No doctor patient relationship
is established by listening
to or participating
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in this podcast.
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Consult your physician to advise you
about your individual healthcare.
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If you enjoyed this episode,
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please share it with your friends and
be sure to subscribe to our podcast on
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Apple Podcasts, Google, Spotify, Stitcher,
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