#13 - Brett Kotlus, M.D.: How to look younger while you live longer

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.7 • 7.3K Ratings

🗓️ 3 September 2018

⏱️ 109 minutes

🔗️ Recording | iTunes | RSS

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Summary

This episode explores the question of how we can maintain a naturally youthful look as we get older. Brett — a New York City oculofacial plastic surgeon who specializes in both non-surgical and surgical cosmetic and reconstructive procedures of the eyes and face — shares some remarkably practical advice on everything from the most extensive procedural options, down to the simple steps one can do themselves, starting today, that can make a tremendous impact. Brett also discusses how to pick a provider you trust while you’re sorting through the ever-growing list of facial treatments and cosmetic procedures.

We discuss:

History of medical training that led to Brett’s current interests [5:00];
What changes occur that make skin look older over time? [8:00];
How to avoid the “unnatural” look associated with cosmetic surgery [17:00];
Facial augmentation, fixing eye-bags, and picking the right provider [22:15];
Common botox mistakes, and how to do it right [37:30];
Protect and rejuvenate your skin with these 3 main tools [46:30];
Latest trends in cosmetic industry, botox, cryolipolysis, the various forms of facials, and PRP [1:05:00];
Importance of picking a provider you trust, rather than a device you want [1:31:30];
Future of the cosmetic field [1:33:00]; and
More.

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Transcript

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0:00.0	Hey everyone, welcome to the Peter Atia Drive. I'm your host, Peter Atia.
0:10.0	The drive is a result of my hunger for optimizing performance, health, longevity, critical thinking,
0:15.7	along with a few other obsessions along the way. I've spent the last several years working
0:19.6	with some of the most successful top performing individuals in the world, and this podcast
0:23.8	is my attempt to synthesize what I've learned along the way to help you live a higher quality
0:28.3	more fulfilling life. If you enjoy this podcast, you can find more information on today's
0:32.4	episode and other topics at peteratiamd.com.
0:41.8	This podcast episode, I'm speaking with my friend Dr. Brett Kotlis. Brett is a New York City-based
0:50.2	eye and facial plastic surgeon who specializes in cosmetic and reconstructive surgery of the
0:55.2	face, but particularly specializing around things to do with everything with the eyes, including
1:02.2	the skin around the eyes. He's trained both in general, ocular plastic surgery and general
1:07.7	cosmetic surgery. I met Brett about three years ago, and I still remember our first meeting.
1:14.9	We met for the first time when he just came by my office at some point, and we sat around having coffee,
1:20.4	as he walked me through not just his training, but which is actually quite unique, but also his
1:25.9	particular approach. I realized we were kind of kindred spirits in our appreciation for nuance.
1:31.5	As you'll learn in this episode, I know pretty much nothing about looking good and skin and eyes
1:37.5	and all that stuff. In many ways, to spend time with Brett is to spend time with someone who
1:44.4	thinks a lot about how to make small and subtle changes over time that lead to long-lasting effects.
1:53.3	I think the reason that resonated so much with me is my belief in longevity, of course, is that
1:58.0	it's a compounding issue, and therefore making small but consistent changes that lead to seemingly
2:06.2	small improvements over the short run is actually what leads to amazing results over the long run,
2:12.0	with respect to the reduction of risk of disease, et cetera. Brett's approach to Cosmesis is the
	...

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