Inside, I'll teach you how to...
Figure out what you're actually treating
Learn to separate the thing you see in the mirror from what's actually causing it because skin quality, movement, volume loss and laxity aren't the same problem.
Compare your options more intelligently
Instead of asking, “Does Sculptra work?” or “Should I get Botox?”, learn how to compare treatments that actually solve the same problem.
Decide if a treatment is worth it for YOU
Use my Worth It Test to weigh realistic results against cost, downtime, maintenance and how much the concern actually matters to you.
About Me


I'm Lisa, A Women's Health Nurse Practitioner and aesthetic medicine provider. I spend a lot of time talking with women who want to age well but feel overwhelmed by everything they're being told they should be doing.
Botox. Filler. Sculptra. Lasers. Skin tightening. Expensive skincare. Hair treatments. Supplements.
Some of it works. Some of it is worth the investment. And some of it is simply very good marketing.
I created Worth It After 40 because I don't think women need another person telling them what they “need.”
I want to help you understand what's changing, what the evidence actually says, what your options can realistically accomplish and then decide what's worth it for you.
The Worth It Framework is the decision-making process behind that philosophy.
Evidence. Nuance. A little skepticism.
Sign up to receive your free Worth It Framework
The guide is just the beginning.
On Worth It After 40, I go deeper into aesthetics, skin, hair, hormones and the changes that come with midlife with the same approach you'll find in the Framework.
Understand your options. Look at the evidence. Decide what's worth it.




A few things you might be wondering...
No — and that's intentional. There isn't one aesthetic plan every woman should follow after 40. The Framework teaches you how to identify your priorities, ask better questions and evaluate whether a treatment actually makes sense for you.
You're exactly who I made this for. You don't need to know the difference between Sculptra, filler, lasers or skin tightening before you begin. Start with what you're trying to change. The treatments come later.
The same framework applies. Use it to reassess what you're doing, what you're maintaining, what you might want to explore next — and what you may no longer need to spend money on.
I created Worth It After 40 on YouTube to go deeper into the questions that don't fit into a PDF: which treatments are actually worth the money, why our faces and skin change in midlife, how to compare popular treatments, hair changes after 40, hormones, skincare and more.
WORTH IT AFTER 40
Evidence. Nuance. A little skepticism.
Lisa Holloway, NP
Women’s Health Nurse Practitioner + Aesthetic Medicine Provider
No hype. No aesthetic checklist. Just better information to help you decide what's worth it.
Educational content only. Information provided through Worth It After 40 is for educational purposes and is not individualized medical advice or a substitute for care from your healthcare provider.
© 2026 Worth It After 40

