DISCLAIMER: Dr. Heyne is a board-licensed acupuncturist and Doctor of Acupuncture and TCM. Dr. Heyne graduated in 2020 with a Doctorate from National University of Natural Medicine. The use of “doctor” or “Dr.” solely refers to that degree.
This video is for educational and informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, diagnosis, treatment or recommendation from your treating physician. It does not create a doctor-patient relationship between Dr. Heyne and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.
Affiliate disclaimer: Some of the above links are affiliate links which means that we receive a small commission from each purchase.
Personal note: Thanks for following along. After the medical specialists I had seen for my own health issues failed, I found a Traditional Chinese Medicine practitioner that changed my life. My life mission is to show the world the clinical power and healing philosophy of TCM, to change the lives of as many as possible while I live.
AI Generated·May contain errors
Video Summary
AI Generated
Dr. Alex Hein explores the root causes of facial sagging and aging by integrating Western medical science with Traditional Chinese Medicine (TCM). He argues that facial changes are not merely cosmetic but are diagnostic reflections of internal organ health, hormonal balance, and systemic circulation.
So let's say you look in the mirror one day and something feels a little bit
different. It's not something dramatic and it's not an overnight change but
you're noticing that your jawline isn't as sharp,
that the skin under your chin feels looser and there's a softness that
wasn't there before. And the frustrating part is this,
you're doing all the right things. You're eating well, you're taking care of your
skin, maybe you've even tried facial
exercises or creams but nothing seems to actually reverse it.
In this video I'm going to show you what's really happening underneath
From both a modern medical point of view as well as a traditional Chinese
medicine point of view. What the root cause is and what you can
actually start doing from a holistic point of view
to slower prevent that. Hey guys I'm Dr. Alex Hein, board licensed doctor of
acupuncture and traditional Chinese medicine
and author of the health book Master of Death. Let's jump in.
Let me tell you about one of the most famous stories about a doctor named
Zhang Zhongjing, the great Han dynasty physician later
called the medical sage. One day Zhang Zhongjing met a man named
also known as Wang Zhongxuan, one of the great literary figures
of the late Han dynasty. Now Wang was still young, talented,
respected and from the outside he didn't look like someone on the edge of serious
illness. But Dr. Zhang Zhongjing looked at him
and saw something different. He told him you already have a disease
and if you don't treat it by around the age of 40 your eyebrows will fall out
and after the eyebrows fall you'll die within half a year.
Imagine hearing that as a young man. Wang Chan didn't believe him at all.
He thought it was too far away, too strange,
too impossible and some versions say Dr. Zhang gave him a formula named
but this famous poet never truly took it.
Some time later Zhang saw him again and asked if he had taken the medicine.
Wang said he had but Dr. Zhang looked at his complexion and spirit and said
essentially no you haven't. Why are you treating
your life so lightly? And according to the famous story some years later
Wang Chan's eyebrows began to fall out and not long after he died.
Now whether we treat every detail of that story as literal history
or medical legend the point is powerful.
In ancient China physicians didn't separate the face from the rest of the
body. They didn't see wrinkles or sagging as
cosmetic issues. They saw them as diagnostic clues and
there are records of doctors who could look at a patient's face
and immediately understand what was happening internally.
They would look at the jawline, the cheeks, the skin tone,
and the complexion but they weren't thinking how do we tighten this.
They were asking what is no longer being supported internally.
Because in Chinese medicine the face is considered a reflection of
your internal organ function. Not health in general but the ability of the body
to hold, nourish, maintain that structure over
time. So when a physician saw sagging along the
jaws they didn't think this is just aging.
They thought when they saw a loss of fullness the substance that nourishes
the face is declining. When they saw puffiness or heaviness
they thought something's accumulating that the body isn't clearing.
So they weren't treating the face they were reading it and once they
understood what was happening internally
the treatment became obvious. Now from a western point of view sagging in the
lower face is usually explained as collagen loss,
elastin breakdown, and structural changes in fat and muscle over time.
And that is true but that explanation is incomplete because it doesn't really
explain why some people age much faster in this
area than others or why the change can sometimes feel like it happens almost
overnight. And when you zoom in on the biology
a few processes start to stand out. First the collagen, like the main
structural protein that gives your skin firmness,
is constantly being broken down and rebuilt. And when you're younger that
cycle is balanced. But over time, especially with things like UV
exposure, stress, bad sleep, poor blood sugar, that
balance shifts. Then we have elastin which gives skin
its ability to snap back. And unlike collagen, elastin doesn't
regenerate easily. Once it's damaged, again from UV,
inflammation, oxidative stress, it's hard to replace.
So the skin loses that recoil and that tightness and begins to
hang more under gravity. And when you layer on top of that the role of
circulation, you know your skin and connective
tissue depend on a steady supply of oxygen and nutrients
delivered via microcirculation. So if blood flow isn't good,
even slightly over time, you're not delivering the raw materials needed for
repair and maintenance. At the same time, waste products aren't
easily being cleared. Hormones also play a major role.
Estrogen, for example, is directly involved in collagen production and skin
thickness. And as levels decline with age, the
So when you put all of this together, what you're seeing in the mirror isn't
just skin getting older. It's a combination of reduced collagen,
increased breakdown, bad circulation, hormonal changes,
and chronic low-grade inflammation all happening at once
and often reinforcing each other. So from a Chinese medicine point of view, let's
look at some of the patterns here. One pattern is called spleen qi
deficiency. In Chinese medicine, the spleen organ network
involves digestion, lymphatic flow, and interstitial fluids. And as a very
specific function, it holds things up and maintains the
structure. So when the spleen organ network is strong,
the face looks firm, lifted, and defined. But when it's weak,
that lifting function starts to decline. So that's sometimes where you start to
see sagging, not just in the face, but everywhere in the body. So these are
the people who feel tired, bloated, who crave sugar, and they're
noticing that change in their face over time.
From a scientific point of view, this relates to poor protein metabolism,
weakened connective tissue support, and reduced structural integrity in the
fascia and skin. The second pattern is blood deficiency.
Now this one is subtle but extremely important because not all sagging is
about structure. Sometimes it's about what's nourishing
the tissues. So in Chinese medicine, we say the blood is what nourishes the skin,
the muscles, and connective tissue. It gives the face its fullness,
tone, and vitality. So when blood becomes deficient, the face is thinner,
people get more age lines, is more dried out kind of appearance, and less
resilient. People tend to have dry skin, light sleep,
and maybe a history of stress or under eating or hormonal depletion.
So from a science point of view, this overlaps with nutrient depletion,
bad circulation, and sort of decreased tissue regeneration. The third pattern is
what we call dampness and fluid accumulation, sort of a loss of
definition. Now this pattern is what we call dampness.
Dampness being a kind of fluid stagnation that the body isn't properly
transforming, and when it builds up, it creates
heaviness. So in the face, this shows up as puffiness,
swelling under the chin, the eyes, or a loss of jaw definition,
and a heavier look that doesn't look like a true volume of the face.
So these are the people who feel bloated, sluggish, heavy after meals, and notice
lots of water retention. From a western medical point of view,
this maps to lymphatic stagnation, fluid retention, and poor drainage.
So this is actually weight pulling downward on the tissues. Now at this
point is often where people get stuck, because they start to see this
happening and they treat it like the same problem.
Collagen, facial exercise, skincare, but they don't really know what's
physiologically driving it underneath. And if you don't know what's driving it,
then you're going to take hundreds of dollars of random skincare supplements.
So if you're thinking it might be that pattern, it might be that pattern,
download my free root cause quiz below this video to figure out what's going on
with your skin. You can go to dralexhine.com forward
slash quiz to know exactly where your pattern is coming from, and
then some of the best related videos we've shot for
actually how to treat that. So check it out below the video here in the pinned
comment. Now if there's deeper structural aging, the fourth pattern I
see is what's called kidney deficiency. In Chinese medicine, the kidneys govern
aging, structural integrity, and like the long-term resilience of the
body. When the kidney energy, which includes your sex hormones, your stress
hormones, progesterone, testosterone, when those are
strong, the body maintains the structure over
time. But when it declines, you start to see those deeper changes happening. That's
where sagging is more pronounced, and it's hard to reverse. It's also a
hormones are changing, they're trying to get hormone replacement therapy or
testosterone injections. From a western point of view, this
overlaps with hormonal decline, collagen loss, even a lot of osteoporosis.
And this is not that surface level of aging, it's really like the root level
of exhaustion. Now here's where it gets interesting,
because in Chinese medicine, they didn't just observe patterns, they treated them.
And there were very specific herbs used to restore structure, circulation, and
function. So let's start with one of the most important,
astragalus or huang qi. In Chinese medicine, huang qi is known for one
function, it strengthens the body's ability to
hold and lift. What's fascinating is that the modern research shows that
astragalus contains compounds that reduce inflammation, protect collagen,
and improve skin resilience. And some studies even suggest it supports cellular
longevity and structural integrity at the level of
the skin itself. The second category is called the blood-nourishing herbs like
dang gui. In Chinese medicine, dang gui is one of
the most important herbs for building and moving blood.
And remember, in Chinese medicine, blood is what nourishes the hair,
skin, and nails. And modern research supports this.
The improved circulation delivers oxygen, nutrients, and building blocks to your
skin, directly affecting the tone, elasticity,
and repair. So when someone's face looks thin, depleted, or less like
lifted, it's not just cosmetic, we say it's a nourishment problem. Another
important group is the antioxidant-rich herbs like goji berry.
In Chinese medicine, these nourish the liver and kidney,
and are good for long-term vitality. And from a modern point of view,
goji berries are rich in antioxidants and compounds that help protect the skin
from that oxidative stress we talked about. That's one of the main drivers of
collagen breakdown and premature aging. So again, you see the
overlap. Protect the internal systems, the face will reflect that. And one final
herb is chuanxiang. Chuanxiang is used to move blood and
prevent stagnation. Because if nutrients aren't reaching the
tissue, it doesn't matter how much you're taking in,
the skin won't get better. Modern physiology says the same thing,
where if the microcirculation is not good enough, it's critical for maintaining
skin health, collagen turnover, and tissue repair.
So improving flow is just as important as improving the structure.
Now if you want to go a little bit deeper, watch this next video here where
I break down the exact facial techniques and acupressure points I use clinically
to support lifting the circulation in your face, especially around swollen and
puffy eyes.