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Energized with Dr. Mariza

734: The Truth About Botox, Sunscreen & Skin Aging After 40: What Actually Works (and What’s a Waste) with Dr. Mamina Turegano

Energized with Dr. Mariza

Dr. Mariza Snyder

Medicine, Health & Fitness, Alternative Health

4.8999 Ratings

🗓️ 2 April 2026

⏱️ 49 minutes

🧾️ Download transcript

Summary

If you’re like me, you’ve noticed that among all the other crazy changes happening in perimenopause, your skin isn’t the same as it used to be.  In this episode, I’m joined by triple board-certified dermatologist and skincare expert Dr. Mamina Turegano to break down what’s really happening to your skin during midlife.  From increased dryness and loss of firmness to subtle shifts in texture, we explore why these changes occur and how fluctuations in your hormones play a major role. Dr. Turegano shares how your skin is truly a window into your internal health, offering clues about everything from inflammation to overall aging and longevity.  This conversation goes beyond surface-level skincare to help you understand what your skin is trying to tell you—and how to support it from the inside out.  You’ll also learn what actually works (and what to skip) so you can simplify your routine and avoid common midlife skincare mistakes.  Tune in here to feel like your most confident and radiant self! Mamina Turegano, MD  Dr. Mamina Turegano is a triple board-certified dermatologist, internist, and dermatopathologist based in New Orleans. She specializes in medical, cosmetic, and integrative dermatology, blending conventional and holistic approaches to skin health. With over 2 million followers across social media, she shares dermatologist-backed skincare and wellness insights with a broad audience. She also co-hosts a podcast called Skin Deep MDs. IN THIS EPISODE Dr. Mamina’s integrative medicine approach to Dermatology  What’s happening to your skin during perimenopause? Discussing the use of topical hormone products like estrogen cream  Realistic skin care routines for midlife women  Considering prescription products vs. over-the-counter skin care Benefits, side effects, and recommendations for Botox  External factors that are impacting your skin and aging  How crucial your lifestyle choices are in determining your skin quality  Top products for managing midlife wrinkles, dark spots, and hair loss  Getting to the root cause of your symptoms and treating proactively  QUOTES“It's all tied together, how you take care of yourself internally and optimize your skin health. That all will manifest with how you age externally.” “I want people to feel reassured. They don't have to do a lot. The super foundational part of a skincare routine is making sure that you're cleansing daily— even washing your face is anti-aging.” “I’m all about implementing lifestyle strategies. Skincare and lasers, they could do a lot, but they can only do so much. You can really optimize the results of your skincare and your procedures too if you have the right mechanisms in place internally. If your mitochondria is optimized, optimizing your sleep, minimizing more of those inflammation-inducing foods, minimizing sugar, minimizing alcohol, minimizing stress.” RESOURCES MENTIONED Order my newest book: The Perimenopause Revolution HERE!  https://peri-revolution.com/ Dr. Mamina’s Website Dr. Mamina on Instagram Dr. Mamina on TikTok   Dr. Mamina on YouTube Dr. Mamina’s Podcast: Skin Deep MDs RELATED EPISODES  631: Halt and Reverse Skin Aging, Plus the Top Preventable Factors Driving Skin Aging with Dr. Alessandra Zonari 659: Brain Fog, Joint Pain, and Aging Skin? The Truth About Zombie Cells and How to Reverse Them with Dr. Greg Kelly #623: Red Light Therapy for Upgrading Your Mitochondria, Cellular Energy, Skin and Brain Health with Jonathan Otto595: How to Master Your Metabolism and Reverse Cellular Aging in Midlife + My Best Tips to Thrive with Dr. Mariza

Transcript

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0:00.0

We have so much data showing like just the huge increase, the exponential increase in skin cancer

0:08.5

is when you're using tanning beds and people are still using tanning beds.

0:13.4

Like when you're young, you just don't have the foresight.

0:15.9

You're just want to look hot now.

0:17.5

And I'm like, trust me, you're going to want to look hot in your 40s and your 50s, too.

0:21.0

So like, trust me, just don't use a tanning bed.

0:24.7

Welcome back to the energized with Dr. Marisa podcast. I'm your host, Dr. Marisa, and I'm here

0:31.5

to help you rock your hormones, optimize your metabolic health, and feel energized in your body

0:36.8

so that you can age powerfully and wake up feel energized in your body so that you can age powerfully

0:38.8

and wake up feeling amazing in your body for many years to come. Let's jump on in. Let's be honest.

0:46.1

When I look at my skin sometimes, the thought that runs through my head is how dare you?

0:52.1

If you have found yourself staring at your skin lately wondering, when did

0:56.2

things start to change this much? The dryness, the fine lines that seem to show up overnight,

1:01.6

the skin that suddenly feels thinner, more reactive, more sensitive, less forgiving, and at the same

1:07.6

time, you're flooded with advice, Botox, fillers, retinoles, peptides, skin cycling,

1:14.0

red light therapy masks, and estrogen cream on your face. It is a lot. It's like the Wild Wild

1:20.7

West right now when it comes to skin routines for women in midlife. So what's actually worth it

1:26.7

and what's just noise? Because here's the truth. Your skin in midlife. So what's actually worth it and what's just noise? Because here's the truth.

1:30.5

Your skin in midlife is playing by a completely different set of rules. It's called your hormones.

1:36.1

And if you don't understand what's happening hormonally, it's really easy to waste your time,

1:40.3

your money, and energy chasing down the wrong protocols and most importantly the wrong products.

1:46.6

Today I'm sitting down with Dr. Mamina Tarragano, a triple board certified dermatologist who blends

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