I need skincare advice for people in their 40’s and 50’s. How can I reduce the signs of aging skin?

Essentially, your routine must focus on protection, moisturising, and trouble shooting. Protect with sunscreen every day of the year, moisturise twice a day, and trouble shoot away those signs of aging. Laser or peel off the brown spots and wrinkles. Use a retinoid to prevent new ones. And simply, you are good to go!

Do fat cells create oilier skin? In other words, is it true that the fatter you are the oilier your skin?

It is so not true that more body fat causes oilier skin! Oil glands are very much genetic and hormonally stimulated. Yes, hormones are related to obesity, but there is no data to support that oily skin is more common in people with higher percentage of body fat. If you want help with oily skin, your dermatologist has great tricks for you. Accutane (very low dosage) helps, Plexion pads twice daily are great, and oil free mineral makeup is good for oily skin types.

What is the best cure for under eye bags? Collagen?

Big bags or little bags? Right under the lashes? Or down above the bony rim of the orbit? Some bags can be camouflaged by using fillers around them. Collage is no longer used. The best filler for this area is called hyaluronic acid. It is considered an off label use and should be injected only by core cosmetic physicians – dermatologist, plastic surgeons, facial plastic surgeons, and ENT surgeons. But it’s absolutely beautiful when done for the right person. If you have bigger bags under your eyes, you may be a good candidate for eyelid surgery called blepharoplasty. Ask your dermatologist for advice, but don’t worry, there are ways to fix the bags! Otherwise, topical creams may not be satisfactory to you so save your money for the right procedure.