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NAD+ and Sirtuins: Unlocking Cellular Radiance for True Anti-Aging

At Hazen Plastic Surgery, we believe true beauty isn’t just skin deep—it radiates from within. While our expertise in advanced aesthetic procedures helps refine and refresh your appearance, we’re also passionate about empowering you with the knowledge to achieve a lasting, youthful glow at a cellular level.


middle aged woman cooking a healthy meal in her kitchen

Today, we’re pulling back the curtain on two incredible molecules that are revolutionizing the science of anti-aging: NAD+ and Sirtuins. These aren’t just buzzwords—they are fundamental to your body’s ability to repair, regenerate, and maintain vitality. Understanding them can unlock a new dimension in your anti-aging strategy, complementing the visible transformations we help you achieve.


What Are NAD+ and Sirtuins, and Why Do They Matter to Your Youthful Appearance?


Let’s dive into the fascinating world inside your cells.


NAD+ (Nicotinamide Adenine Dinucleotide): Imagine NAD+ as the vital spark plug for every single cell in your body. It’s a coenzyme, a helper molecule, that is absolutely critical for hundreds of biological processes. Its key roles are foundational to your youthful appearance:

  • Cellular Energy Production: NAD+ is indispensable for converting the food you eat into the energy your cells need to function optimally. This means more vibrant skin, stronger hair, and the energy to enjoy life.

  • DNA Repair & Protection: Our DNA is constantly exposed to damage, which contributes to wrinkles, uneven skin tone, and loss of elasticity. NAD+ plays a crucial role in repairing this damage, preserving your genetic blueprint for youthful cellular function.

  • Cellular Regeneration: Healthy cells regenerate efficiently. NAD+ supports this process, ensuring your skin, hair, and tissues are constantly renewing themselves optimally.


group of friends hanging outside together smiling and having fun

Sirtuins: Often referred to as “longevity genes,” sirtuins are a family of seven remarkable proteins (SIRT1–7) directly powered by NAD+. Think of sirtuins as the master regulators of cellular health, working tirelessly to keep your cells youthful and resilient. They influence:

  • Skin Health & Elasticity: Sirtuins help maintain collagen and elastin, the very proteins that give skin its firmness and elasticity. Enhanced sirtuin activity contributes to a smoother, more supple complexion.

  • Cellular Repair Mechanisms: By regulating gene expression, sirtuins activate cellular pathways that clean up debris, reduce inflammation, and enhance resilience—all vital for youthful skin.

  • Metabolic Radiance: Sirtuins optimize how your body uses energy, supporting nutrient delivery to the skin and a vibrant overall appearance.

  • Inflammation Control: Chronic inflammation accelerates aging, leading to dullness, redness, and wrinkles. Sirtuins calm inflammatory responses, promoting a clearer, more even skin tone.


In essence, NAD+ is the essential fuel that empowers sirtuins to perform their profound anti-aging work, both internally and visibly.


The Age-Related Decline and Its Impact on Your Appearance


Here’s the crucial point: your natural NAD+ levels decline significantly with age. This decline is a major contributor to many visible and invisible signs of aging. When NAD+ levels drop:

  • Sirtuin activity diminishes: less NAD+ means these “longevity genes” can’t work as effectively.

  • Cellular repair slows: DNA damage accumulates faster, leading to aged-looking cells.

  • Energy production falters: cells become less efficient, impacting everything from skin luminosity to overall vitality.

  • Inflammation increases: contributing to duller skin and accelerated aging.


This internal cellular aging inevitably manifests externally as decreased skin elasticity, fine lines, wrinkles, a dull complexion, and a general loss of youthful vitality. By supporting your NAD+ levels and boosting sirtuin activity, you’re not just slowing aging—you’re actively embracing a path to more radiant, resilient skin and a more energized you.


lifestyle collage portraying good sleep, healthy food, exercise and time outdoors

How Can You Boost NAD+ and Sirtuins for Lasting Radiance?


At Hazen Plastic Surgery, we advocate for a holistic approach that combines advanced aesthetic procedures with internal wellness. Here’s how you can naturally—and in some cases with supplementation—support NAD+ and sirtuins:


Natural Lifestyle Enhancements for Cellular Rejuvenation


  1. Strategic Eating (Intermittent Fasting/Caloric Restriction): Limiting your eating window or reducing overall calorie intake (under professional guidance) activates cellular stress responses that boost NAD+ levels and enhance sirtuin activity.

  2. Regular Exercise: Both cardiovascular and strength training stimulate NAD+ production and enhance mitochondrial function—fueling energy and cellular vitality that reflect in your appearance.

  3. Optimize Sleep & Manage Stress: Chronic stress and poor sleep are major NAD+ depletors. Prioritizing 7–9 hours of quality sleep and practicing stress-reduction techniques (meditation, mindfulness) helps conserve NAD+ and supports regeneration.

  4. Nutrient-Dense Diet:

    • Niacin-Rich Foods: NAD+ is synthesized from Vitamin B3 (niacin). Include lean poultry, salmon, tuna, mushrooms, and leafy greens.

    • Polyphenol Powerhouses: Compounds like resveratrol (red grapes, blueberries, dark chocolate) and quercetin (apples, onions, capers) activate sirtuins. Load up on colorful fruits and vegetables.

    • Limit Inflammatory Foods & Alcohol: Excess sugar, processed foods, and alcohol deplete NAD+ and promote inflammation, counteracting anti-aging efforts.


Supplementation: Advanced Support

For those seeking more direct support, specific precursors may help. It’s crucial to discuss these with a healthcare professional.

  • Nicotinamide Riboside (NR): A well-researched precursor to NAD+, shown to effectively increase levels.

  • Nicotinamide Mononucleotide (NMN): Another NAD+ precursor gaining attention for raising NAD+ and supporting cellular health.

  • Resveratrol: Often paired with NAD+ boosters, resveratrol activates sirtuins, especially SIRT1, enhancing cellular repair and longevity.


Personalized Guidance is Key: Just as we tailor surgical procedures to your unique anatomy and goals, your internal wellness strategy should also be individualized. A consultation ensures safety and effectiveness when considering supplements.


The Hazen Plastic Surgery Difference: Beauty That Lasts


At Hazen Plastic Surgery, we understand that true anti-aging is a multi-faceted journey. Our advanced treatments address visible signs of aging with precision and artistry. By supporting your body’s innate cellular mechanisms through NAD+ and sirtuin optimization, you can amplify and extend the benefits of these treatments—achieving a deeper, more enduring radiance.


We invite you to explore how a holistic approach, combining external rejuvenation with internal cellular vitality, can help you achieve your ultimate aesthetic and wellness goals. Your journey to lasting youthfulness starts here.


Sending light and wellness to all, Alexes Hazen, MD and the Hazen Plastic Surgery Team


Disclaimer: This blog post is for informational purposes only and does not constitute medical advice. Please consult with a qualified healthcare professional, such as the providers at Hazen Plastic Surgery or your primary care provider, before making any decisions about your health or starting any new supplement regimen.

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