Longevity, Biohacking Nick Engerer Longevity, Biohacking Nick Engerer

Assessing the Aesthetic Age with Advanced Facial Scanning Technology

How old you ‘look’ is about far more than vanity

In my last post, I shared three online tools for assessing your biological age. In this follow-up post, I want to discuss another segment of technologies, related to assessing one’s apparent youthfulness. This refers to how old one ‘looks’. In my last post on this topic, I coined the term aesthetic age, so let’s roll with it.

How old you look has MUCH more to it than simple vanity. I know from personal experience that many people who utilise available technologies to look younger often will keep their efforts to do so relatively secretive, in order to avoid the negative stigma that has become attached to it. “Oh, she’s definitely had work done”, is a typical example that highlights the stigma I refer to.

But your apparent youthfulness is an professional asset, and does wonders for your subjective experience through boosted confidence and increased self-image. You need do nothing more than ask someone in your life who bears the marks of old age in their face to describe their experience venturing out into the world on a day to day basis. Many of them will tell you they ‘feel invisible’, receive poorer levels of service in the retail and restaurant industry, and miss the days of being attractive to members of the opposite (or same!) sex.

beauty that is skin deep

There are many factors that regulate of one’s aesthetic age, and it can be difficult to find an objective measure of how old one looks. I previously shared how I like to turn the question ‘how old are you’ into a game of ‘well, how old do I look?’, getting a median guess of ~27 years old. This is one useful way of forming a statistical approach to the question, as in my experience the results form a relatively neat gaussian distribution.

But as a scientist, I crave something more data driven - and that’s what inspired my latest visit to NextHealth in West Hollywood. Last November during my first visit to NextHealth I learned about an incredible piece of technology for assessing your aesthetic age - the Visia. This unit utilises multispectral (including UV spectrum) imagery to look deep into the skin of your face for clues about its health. To complete the scan, you place your chin and forehead into the unit, and hold still while a series of 3 flash photography images are taken, and submitted to the Skin Analysis System’s algorithms. But let’s let the expert (Matthew at NextHealth) explain it…

The scan took only a few seconds, here is what it looked like

How Old is My Face?

Visia scan results through eight different actionable categories

The results came quickly, and thankfully, pegged me a bit under my actual age (34) with an aesthetic age of 31. This is much older than my biological age of 22 years old, so while it is a relatively youthful result - I’d like to know how I can do better! (If you’re interested, you can listen to Matthew describe my results here)

This is one of the things I LOVE about NextHealth. They, like me, are obsessed with optimising human performance. In the 30 minutes following my scan, Matthew diligently and patiently answered my many questions about how I can work to improve the apparent youthfulness of my skin.

Here are two areas of action I will be experimenting with improve my aesthetic age before my next Visia scan.

UV Damage

I live in Australia, where the sun’s ultraviolet rays are known to be extra intense (thanks Ozone hole!), and the relative rates of skin cancer are roughly double most other areas of the world. In fact, roughly 2 in 3 people will get some form of skin cancer by the age 70. I’d very much like to be in the 1/3 that doesn’t!

The Visia scanner was able to highlight the need for me to take much more care with my facial sunscreen routine, and search out proactive solutions for reducing my UV spots. One great option is the Broadband Light (BBL) lasering, which focuses an intense beam of light energy into the skin of the face can destroy these spots and quite literally reverse the age of your skin.

I’m definitely going to be trying this out in the near future! And of course, I’ll share the experience with you :)

Wrinkles

Wrinkles in the skin can be addressed in several ways, but I’m relatively uninterested in the ones that cannot lead to a lasting difference (e.g. creams that plump your skin or wrinkle-fillers or makeup, etc). So far, there are two options that I am experimenting with:

1) Retinol

Before (Left) and After (+ 6 weeks at 2% retinol daily)

Prior to the Visia scan, I had actually run a 6 week retinol experiment on the skin surrounding my eyes. Maybe that has already led to me appearing younger than my 34 years, given I look 31!

By applying a 2% retinol (which is actually just the active form of Vitamin A), I accelerated the turnover of the cells on the top layer of my skin, bringing a more youthful layer to the surface. I found it difficult to capture the difference meaningfully on my iPhone camera, but I did take some before & after photos. IRL (that’s “In Real Life” for the less hip crowd) the results were quite obvious. My ‘crow’s feet’ had receded, and the skin around my eyes was visibly less wrinkled. I plan to continue my use of retinol, increasing the concentration of the serum to at least 4%.

2) Botox

If you’re like me, you are likely very skeptical of the benefits of botox injections. I was under the impression that they were merely a temporary fix, would leave your face expressionless and that botox will make your wrinkles worse if you stop the injections.

Upon further research and consultation, I found none of these things are actually true. But what is important to note is that there are a variety of factors that go into a successful treatment regimine that will actually have a meaningful impact on your aesthetic age.

First - while botox might help you look more youthful in the short-run, it really should be viewed as a way of ‘maintaining aesthetic age’ rather than turning back the clock. Creases and wrinkles in your face are slowly deepened over time by long-term repetitive use (think of folding a piece of leather over and over and over…). Botox fill reduces this repetitive strain on your skin.

Second - botox injections are more of an ‘art’ than a strict science. Seeking out someone who is experienced, can demonstrate skilled results through testimonials and has an absence of bad reviews to their name is a must.

Third - consistency is key. It takes awhile to work out the right strategy for achieving the results you’re after, and if you’re not willing to put up the budget to keep the practice up for the long-haul, you might be better off not trying this one at all.

I’m currently in the research phase with the botox option on my end, so stay tuned and I’ll be sure to share any self-experimentation I undertake with botox.

How can you access this technology?

My first Visia scan and consultation with NextHeath were complimentary - so if you live in LA or have any travel plans through the area, your first choice is obvious!

However if you’re not in LA, it is very likely that you can find a local aesthetic care facility that has a Visia unit, as they are relatively popular. I am currently writing to you from San Antonio, and a quick internet search revealed at least two options. I even tested the capital cities of Australia and found locations there as well. A simple Google of “Visia scan near me” seems to be a handy approach. The Canfield Science (Visia’s manufacturer) website lists distributors in North America, Central America, South America, Europe, Middle East, Asia, Oceania and even Africa!

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Longevity, Screening Nick Engerer Longevity, Screening Nick Engerer

Full Body MRI Data: Health Screening of the Brain, Heart and Abdomen

What is a 3D full body MRI and what did I learn from completing one at the Health Nucleus in San Diego?

Full Body MRI Scan Technology

Full body MRI data is an incredible advancement for health screening.

As we covered in our inaugrual post, our Founder (Nick), chose the Human Longevity Inc ‘Health Nucleus’ in 2018 as the starting point for his personal comprehensive health screening journey.

The San Diego based centre, focuses on employing cutting edge capabilities for detecting disease at an early stage. Full body MRI scanning is core to their offering.

This post offers a quick overview at what this technology is capable of.

What is a Full Body MRI? (With Video)

Magnetic resonance imaging (MRI) has the ability to image the inside of your body in great detail, through the use of strong magnetic fields and radio waves. It does this without the use of harmful electromagnetic radiation (like X-rays or CT scans).

At the Health Nucleus, the full body MRI scan emphasises the brain, cardiac health and cancer screening within the chest, abdomen and pelvis. It also produces valuable information about body composition.

Here is a great short video from HLI that you can view below that explains this a bit further:

Why purchase a Full body MRI?

The future of healthcare is proactive & preventative, and that future is underpinned by comprehensive health screening technologies like the full body MRI!

The current state of ‘reactive healthcare’ (only treat you once you are sick), has already pioneered nearly all of the medical treatments required to treat the most common life-threatening diseases.

This however requires that they are detected early at the ‘treatable stage’. This is where full body MRI scanning comes in handy.

A full body MRI like the one offered by the Health Nucleus, scans the brain, heart and abdomen in high resolution. Through their specialised suite of sophisticated post-processing algorithms, they are able to detect tumours that are only millimetres in diameter.

This technology can also discover brain aneurisms before they ruptures, as well as abnormalities of the heart or circulatory system.

You may be surprised to know that the Health Nucleus has found clinically significant findings in 40% of their clients! These aren’t all revealed by the full body MRI, but many of the more serious and dangerous findings are (e.g. pancreatic cancer).

What is a full body MRI experience like?

A fully body MRIO requires being inside of an MRI machine for up to 70 minutes (with a short break in between). This can be quite intimidating for some people.

Here is a short video describing Nick’s full body MRI experience:

What did a FULL body MRI reveal about me?

Human Longevity Inc Health Nucleus MRI.jpeg
“I spent nearly 75 minutes in the MRI machine, watching amazing images from outer space on a ceiling-mounted monitor, while listening to relaxing transcendental music”

Example full body mRI Data - The Brain

Brain analytics, highlighting the different regions of Nick’s brain.

Brain analytics, highlighting the different regions of Nick’s brain.

As is the case for many folks undertaking proactive health screenings, Nick’s full body MRI did not reveal any pathological findings.

What was gathered however, was a wealth of valuable baseline data. As an example, the brain scanning established normal values for the volumes of each of the major regions of the brain.

One area of particular interest is the hippocampus, whose volume is known to decrease with age, along with a decline in short-term memory and overall ‘plasticity’ (ability to adapt to new learning).

As Nick ages, we’ll be able to monitor his hippocampus for any changes in its volume. As well as other regions under increased pressure with aging, such as the hypothalamus.

Example of full body MRI data - The Heart

Nick’s heart beating away!

Nick’s heart beating away!

Cardiac MRI is a specific type of scanning approach, which can watch the heart beat and trace the flow of blood.

For example, the ‘ejection fraction’ can be quantified, and tracked over time. Any abnormalities in heartbeat are also immediately apparent.

Cardiac MRI reveals the structure of the heart, and in particularly can detect any hypertrophy (abnormal growth of a heart chamber) or thickening of the heart wall because of high blood pressure.

Example of Fully Body MRI data - Visceral Fat

full-body-MRI-visceral-fat-longevity-blog

MRI data is also exceptional at revealing body composition.

One of the more important predictors of the risk of disease and/or mortality (risk of dying) are an individual’s visceral fat levels.

Another important metric is the total volume of fat in your liver (e.g. fatty liver disease).

The full-body MRI can directly quantify these volumes, compare you to a reference population and give you clear advice on how much fat you need to lose to lower your disease risk.

FDA & TGA DISCLAIMER

This information is intended for educational purposes only and is not meant to substitute for medical care or to prescribe treatment for any specific health condition. These blog posts are not intended to diagnose, treat, cure or prevent any disease, and only may become actionable through consultation with a medical professional.

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