WEBVTT - Skin and Sun: Navigating a Complex Relationship 0:00:03.000 --> 0:00:06.120 Back in twenty fifteen, Jackie Smith was fresh out of 0:00:06.120 --> 0:00:08.920 college at just twenty one years old. She was so 0:00:09.000 --> 0:00:11.520 excited to start her life, but there was an issue 0:00:11.520 --> 0:00:14.440 with her skin that was concerning her. She struggled to 0:00:14.440 --> 0:00:18.439 be properly diagnosed until one day she received surprising and 0:00:18.560 --> 0:00:19.560 devastating news. 0:00:19.960 --> 0:00:21.960 I could still remember his face when he walked in 0:00:22.040 --> 0:00:24.720 the room. It was very solemn, and he said, Jackie, 0:00:24.960 --> 0:00:27.960 you have stage three melanoma. And that was something that 0:00:28.200 --> 0:00:30.840 was completely shocking because you don't see someone that looks 0:00:30.880 --> 0:00:34.120 like this usually with melanoma at all, and then for 0:00:34.200 --> 0:00:37.040 it to be stage three, How did this happen? 0:00:40.080 --> 0:00:42.560 Hi, guys, and welcome. I'm so glad you're here. 0:00:42.840 --> 0:00:45.960 I'm Nicole Berry and this is skin Querries, a show 0:00:46.040 --> 0:00:47.800 all about our skin and its health. 0:00:48.240 --> 0:00:49.159 A little bit about me. 0:00:49.520 --> 0:00:53.479 I create content online and irl, mostly around plant based cooking, 0:00:53.600 --> 0:00:57.200 intuitive eating, and all things wellness. Basically, feeling good is 0:00:57.240 --> 0:00:59.520 at the core of everything I do, and I'm so 0:00:59.560 --> 0:01:02.360 excited to see how that relates to our skin as 0:01:02.400 --> 0:01:04.680 we grow in age. Our skin is really a record 0:01:04.720 --> 0:01:07.199 of a life well lived, because there isn't one body 0:01:07.240 --> 0:01:09.440 part that I could think of that reflects our well 0:01:09.480 --> 0:01:12.920 being as clearly as our skin. Our habits, lifestyle and 0:01:12.959 --> 0:01:16.080 conditions play a major role in how it looks and feels. 0:01:16.360 --> 0:01:18.520 And because our skin is such a huge factor in 0:01:18.560 --> 0:01:21.160 how the world sees us, it can affect how we 0:01:21.200 --> 0:01:24.240 see ourselves. You may have come to this show because 0:01:24.240 --> 0:01:25.840 you've had your own skin challenges. 0:01:26.120 --> 0:01:27.560 Let's face it, most of us have. 0:01:28.000 --> 0:01:30.959 So let's go on this journey together to really understand 0:01:31.000 --> 0:01:33.759 what's going on with our skin. Let's unravel the mysteries 0:01:33.760 --> 0:01:38.160 happening inside and out. We're going to hear from experts, doctors, 0:01:38.280 --> 0:01:41.800 and people who have extraordinary stories to share about skin 0:01:42.120 --> 0:01:45.800 health and the power of understanding what's happening below the surface. 0:01:46.200 --> 0:01:48.680 One of these stories comes from Jackie, who you heard 0:01:48.680 --> 0:01:49.640 off the top of the show. 0:01:49.840 --> 0:01:50.840 We're going to talk. 0:01:50.680 --> 0:01:53.960 To her about her experiences with cancer and her relationship 0:01:54.000 --> 0:01:57.040 to the sun. Now we'll also hear from a dermatologist 0:01:57.120 --> 0:01:59.800 who's going to guide us through all things sun protection. 0:02:00.240 --> 0:02:03.720 I can't wait to get into it. Welcome to Skin Querries. 0:02:09.400 --> 0:02:11.400 I'm going to be honest, guys, I love the sun 0:02:11.840 --> 0:02:14.559 for me. It's such a great source of natural endorphins, 0:02:14.840 --> 0:02:17.400 energy and such a mood booster. The way I get 0:02:17.400 --> 0:02:20.119 my daily dose of sunshine is usually walking my kids 0:02:20.160 --> 0:02:22.560 to school in the morning. In the summer, we'll go 0:02:22.560 --> 0:02:24.079 to the beach and I try to stay out of 0:02:24.120 --> 0:02:26.960 the sun during the midday hours. I'll go in the 0:02:27.000 --> 0:02:29.720 morning with my family or in the afternoon to make 0:02:29.760 --> 0:02:32.920 sure that we're not getting those really strong rays. As 0:02:32.919 --> 0:02:35.760 I'm getting older, the more I understand how important it 0:02:35.800 --> 0:02:38.600 is to practice safe habits and encourage my kids. 0:02:38.320 --> 0:02:38.960 To do the same. 0:02:39.320 --> 0:02:42.040 I have to admit I wasn't always this way growing 0:02:42.120 --> 0:02:44.160 up in New Jersey. I grew up going to the 0:02:44.200 --> 0:02:46.720 tanning salon and going with my friends a few times 0:02:46.760 --> 0:02:49.400 a week. I actually cringe to think about it, but 0:02:49.560 --> 0:02:52.680 that is what you did in the nineties in New Jersey. 0:02:53.080 --> 0:02:56.160 I remember going to Cancun on spring break and getting 0:02:56.440 --> 0:03:00.080 super crisp, flathering on the baby oil and doing everything 0:03:00.120 --> 0:03:02.880 I could to get as tan as possible. And though 0:03:02.960 --> 0:03:05.200 I'd like to think times have changed and we've all 0:03:05.240 --> 0:03:08.120 moved on from getting cooked in the sun, after talking 0:03:08.120 --> 0:03:11.040 to a lot of people, it seems a relationship still 0:03:11.080 --> 0:03:12.600 remains a bit complicated. 0:03:12.919 --> 0:03:15.480 I love the sun, but sometimes it doesn't love me. 0:03:15.919 --> 0:03:17.840 After the first day of senior year, I went to 0:03:17.880 --> 0:03:19.120 like my friend's house and me late in the sun 0:03:19.120 --> 0:03:21.280 all day, and then for the first week of school, 0:03:21.320 --> 0:03:22.720 I had in sunburned eyelids. 0:03:23.080 --> 0:03:24.840 I didn't put sunshurn on my eyelids. 0:03:24.840 --> 0:03:26.880 I didn't know, so I was kind of in the 0:03:26.880 --> 0:03:29.280 sun for like four hours. And when I came back 0:03:29.280 --> 0:03:31.240 from this trip, I noticed had like a bunch of 0:03:31.280 --> 0:03:34.320 freckles on my nose, and like the nose part kind 0:03:34.320 --> 0:03:36.440 of freaked me out. I never dealt with this before. 0:03:36.560 --> 0:03:38.480 I didn't realize the sun can impact my skin so 0:03:38.560 --> 0:03:39.880 much like that. I think I just took it for 0:03:39.960 --> 0:03:42.600 granted that sun protection is very underrated. 0:03:42.680 --> 0:03:44.600 I don't want to see sunscreen because that's a brown girl. 0:03:44.600 --> 0:03:48.720 I feel like I eat sunscreens always. 0:03:48.920 --> 0:03:53.240 Like people are still not consistently wearing their sunscreen, but 0:03:53.320 --> 0:03:55.800 you could hear in their voice they know better. Today, 0:03:55.840 --> 0:03:58.080 on our first episode, we're going to talk about the 0:03:58.120 --> 0:04:00.200 sun and the damage it does to our skin and 0:04:00.280 --> 0:04:03.360 learn about best practices for our skin and our health. 0:04:03.600 --> 0:04:06.480 I'm excited to chat with our first guest, Jackie Smith. 0:04:07.120 --> 0:04:08.160 You're from New Jersey. 0:04:08.520 --> 0:04:10.920 I am from Jersey. You're from North Jersey. 0:04:11.000 --> 0:04:11.960 Me too. 0:04:12.320 --> 0:04:13.920 I'm from Hackensack, I'm from Anglewood. 0:04:13.920 --> 0:04:14.480 We're like name. 0:04:16.000 --> 0:04:19.279 Oh my god, was a detective and Englewood for thirty years. 0:04:19.320 --> 0:04:22.520 So Jackie is here because she's kindly agreed to take 0:04:22.600 --> 0:04:26.200 us through her story. 0:04:26.320 --> 0:04:31.360 So I meant two times stage three melanoma survivor over 0:04:31.400 --> 0:04:34.040 the last twenty years. Believe it or not, it's been 0:04:34.080 --> 0:04:37.560 twenty years since I was initially diagnosed with stage three melanoma, 0:04:37.640 --> 0:04:41.720 and during that time, I've volunteered and worked in patient 0:04:41.800 --> 0:04:45.280 advocacy and health policy. I'm really trying to make strives 0:04:45.320 --> 0:04:48.560 for not only people living with melanoma, but for all 0:04:48.600 --> 0:04:50.000 people affected by cancer. 0:04:50.520 --> 0:04:52.479 It's safe to say that none of us can ever 0:04:52.520 --> 0:04:56.080 prepare ourselves for a diagnosis like Jackie's. And even more so, 0:04:56.279 --> 0:04:58.440 while she was in her early twenties about to finish 0:04:58.480 --> 0:04:59.760 her undergrad degree. 0:05:00.120 --> 0:05:03.240 This lump in my bikini line. No one seemed to 0:05:03.240 --> 0:05:05.760 think it was anything serious. So I'd go to the 0:05:05.760 --> 0:05:08.320 health center. They'd say it was an inflamed hair follicle 0:05:08.560 --> 0:05:11.799 or something minor. They told me to take a sitz bath, 0:05:11.960 --> 0:05:14.120 something that at that point I didn't even know what 0:05:14.160 --> 0:05:17.080 that was, you know, So you're like trying to figure 0:05:17.080 --> 0:05:20.599 out things. But inside I knew it was something serious, 0:05:21.160 --> 0:05:23.520 but no one seemed to think that it was because 0:05:23.520 --> 0:05:27.080 I was young, and was there something about your intuition 0:05:27.480 --> 0:05:31.599 that really led you to pursue this. I'm one of 0:05:31.640 --> 0:05:34.440 those people who need answers and I need things to 0:05:34.520 --> 0:05:37.679 make sense. So I know some of us will bury 0:05:37.720 --> 0:05:40.640 our heads in the sand. That's not me. So I 0:05:40.720 --> 0:05:43.760 kept going back because it just didn't seem right, and 0:05:43.800 --> 0:05:47.200 I knew it was not an inflamed hair follicle. It 0:05:47.279 --> 0:05:49.760 was a lump that was underneath the skin layer, and 0:05:49.839 --> 0:05:52.560 when I detected it, it was about the size. 0:05:52.320 --> 0:05:53.080 Of an almond. 0:05:53.320 --> 0:05:56.200 Okay, so that's not normal, right, And as much as 0:05:56.279 --> 0:05:59.200 I wanted to believe it was, I knew it wasn't. 0:05:59.800 --> 0:06:02.720 Because I need answers, I kept going back until I 0:06:02.760 --> 0:06:06.200 felt that I had a sufficient and correct answer to 0:06:06.320 --> 0:06:06.920 that question. 0:06:07.160 --> 0:06:08.960 And how many times did you have to go to 0:06:09.000 --> 0:06:11.200 the doctor before you were diagnosed? 0:06:11.440 --> 0:06:14.560 Countless? Honestly I went at least four times. 0:06:14.680 --> 0:06:15.040 Wow. 0:06:15.640 --> 0:06:18.479 Fortunately Jackie managed to beat the odds. It was a 0:06:18.560 --> 0:06:21.800 chance encounter that finally got her the immediate and specialized 0:06:21.839 --> 0:06:23.000 care she needed. 0:06:23.320 --> 0:06:27.080 And in the end, I ended up being diagnosed after 0:06:27.160 --> 0:06:31.200 going with my mother for her mammogram and them presenting 0:06:31.480 --> 0:06:34.320 a breast with a model of a benign lump and 0:06:34.400 --> 0:06:38.279 a malignant lump, and when she described what malignant lumps 0:06:38.360 --> 0:06:41.640 typically present as mine checked all of those boxes. 0:06:41.960 --> 0:06:42.480 So that's what. 0:06:42.520 --> 0:06:45.520 Made me go see my primary care and he referred 0:06:45.520 --> 0:06:49.160 me to a surgical oncologist. And I remember being early twenties, 0:06:49.200 --> 0:06:52.960 supposedly getting ready to start my life and having to 0:06:53.000 --> 0:06:56.440 go see an oncologist was quite frightening. So I went, 0:06:56.560 --> 0:06:59.000 I was diagnosed, and I remember it like it was 0:06:59.120 --> 0:07:03.279 yesterday because it initially the surgeon was very jovial. He 0:07:03.360 --> 0:07:05.800 knew one of my mother's doctors. We were like great 0:07:05.800 --> 0:07:08.760 friends meeting. So they put me to sleep. They had 0:07:08.760 --> 0:07:10.760 to remove this lump. I found out it was a 0:07:10.840 --> 0:07:13.880 lyptnode that was filled with melanoma. But when I went 0:07:13.920 --> 0:07:17.040 in to get the results from the biopsy, he did 0:07:17.040 --> 0:07:19.280 not look at me when he saw me coming down 0:07:19.280 --> 0:07:22.720 the hall, And that was something that even to this day, 0:07:22.760 --> 0:07:25.240 I can see his face. I can see this physician 0:07:25.360 --> 0:07:29.160 sitting at his little desk, and I could still remember. 0:07:28.840 --> 0:07:30.160 His face when he walked in the room. 0:07:30.200 --> 0:07:33.440 It was very solemn and he said, Jackie, you have 0:07:33.480 --> 0:07:37.440 stage three melanoma, And that was something that was completely 0:07:37.480 --> 0:07:39.600 shocking because you don't see someone that looks like this 0:07:39.920 --> 0:07:42.880 usually with melanoma at all, and then for it to 0:07:42.920 --> 0:07:46.480 be stage three, How did this happen? And when did 0:07:46.480 --> 0:07:50.200 this happen? So it was you know, I was completely shocked. 0:07:53.520 --> 0:07:56.960 You mentioned that, you said, someone like me, someone who's young, 0:07:57.440 --> 0:08:00.480 this is not supposed to happen to me, right, that's story. 0:08:00.640 --> 0:08:03.280 So do you believe that there's misconceptions when it comes 0:08:03.360 --> 0:08:06.200 to melanoma, whether it be your age, whether it be 0:08:06.240 --> 0:08:09.920 your race or ethnicity, that we kind of take on 0:08:10.360 --> 0:08:14.480 as truths and are potentially not so true. 0:08:14.880 --> 0:08:17.560 I have been in this space for twenty years, and 0:08:18.160 --> 0:08:20.800 I know that people who are darker typically feel that 0:08:20.880 --> 0:08:25.240 melanin serves as a protectant against UV rays. I've heard 0:08:25.280 --> 0:08:28.880 this a lot, that it's like a superpower, and I say, okay, well, 0:08:28.960 --> 0:08:31.560 I definitely have a lot of melanin, and it didn't 0:08:31.560 --> 0:08:33.000 serve as a superpower for me. 0:08:33.600 --> 0:08:37.120 As a black woman. Jackie has melanated skin. Melanin is 0:08:37.160 --> 0:08:40.640 a substance that produces pigmentation in the eyes, hair, and skin. 0:08:41.320 --> 0:08:43.920 I remember too saying Oh, no, I don't sunburn, like, oh, 0:08:44.000 --> 0:08:45.599 look at me, And one of my friends said, no, 0:08:45.640 --> 0:08:47.440 you're sunburn like, look at your nose is red. It's 0:08:47.480 --> 0:08:48.280 going to start peeling. 0:08:48.360 --> 0:08:48.880 And it did. 0:08:49.400 --> 0:08:53.720 It's a dangerous misconception, right, because one of the things 0:08:53.800 --> 0:08:56.480 I've learned over the years is that when people of color, 0:08:56.559 --> 0:09:00.720 African Americans in particular, present with melanoma, it's typically later stage. 0:09:00.840 --> 0:09:03.079 Okay, so it's a poor prognosis. 0:09:03.160 --> 0:09:06.480 And when we look at charts, the incident's rate is 0:09:06.520 --> 0:09:08.880 almost flat, but the mortality rate has a spike. 0:09:09.559 --> 0:09:12.840 Because Jackie insisted on being her own advocate and stuck 0:09:12.880 --> 0:09:16.040 to her intuition, she survived and went on to thrive. 0:09:16.520 --> 0:09:19.520 We'll hear more about that later, but first, let's talk 0:09:19.559 --> 0:09:22.840 to a dermatologist who spends her days diagnosing and treating 0:09:22.880 --> 0:09:25.680 skin cancer. She'll tell us about the best ways to 0:09:25.720 --> 0:09:26.600 protect ourselves. 0:09:26.800 --> 0:09:27.400 Right after the. 0:09:27.320 --> 0:09:38.480 Break, Welcome back to Skin Queries. Let's get into the 0:09:38.520 --> 0:09:41.440 science behind our skins relationship to the sun. I'd like 0:09:41.480 --> 0:09:44.120 you to meet doctor Mary Stevenson, a surgeon here in 0:09:44.160 --> 0:09:45.240 New York City. Hi. 0:09:45.320 --> 0:09:47.440 Mary, thanks for being with us today. 0:09:47.840 --> 0:09:48.960 Hi thanks for having me. 0:09:49.440 --> 0:09:51.480 So, Mary, can you tell me a little bit about 0:09:51.520 --> 0:09:53.240 your practice in New York City. 0:09:53.720 --> 0:09:58.040 So I'm a skin cancer surgeon, specifically a most surgeon, 0:09:58.080 --> 0:10:01.040 which is a specific kind of surgery her skin cancers, 0:10:01.040 --> 0:10:02.440 and a cosmetic dermatologist. 0:10:02.720 --> 0:10:04.680 But I take care of people who have. 0:10:04.640 --> 0:10:09.120 Melanomas basal cells squin THESS cells through a unique form 0:10:09.160 --> 0:10:12.800 of surgery invented by doctor Frederick mos generally removing cancers 0:10:12.840 --> 0:10:15.120 and then putting things back together after we take them. 0:10:15.559 --> 0:10:17.079 And we're just going to dive right in. 0:10:17.440 --> 0:10:21.280 So can you tell us what does sun damage look like? 0:10:21.800 --> 0:10:24.400 So? Sun damage comes in a lot of ways. 0:10:24.559 --> 0:10:29.920 We have sunburns, obviously, blisters, itchy skin, hot skin. In 0:10:30.040 --> 0:10:32.800 different shades of skin, you can have different things. You 0:10:32.840 --> 0:10:36.640 can have tanning or darkening. You can also have peeling. 0:10:37.160 --> 0:10:39.760 All of those things are signs that you're getting damage 0:10:39.800 --> 0:10:42.200 from the sun. And then as we continue to have 0:10:42.240 --> 0:10:45.920 sun damage, we get aging of the skin, so wrinkles, 0:10:46.440 --> 0:10:49.840 less thickness, which means more laxity. It also means if 0:10:49.880 --> 0:10:52.840 you have paper thin skin, you'll see bruises more. And 0:10:52.920 --> 0:10:55.160 those are the things you know more for Vanity's sake, 0:10:55.240 --> 0:10:57.600 that you can see from aging in the sun. 0:10:58.000 --> 0:11:01.360 What is your conversation when it comes to suncare. So 0:11:01.400 --> 0:11:02.400 it's definitely a range. 0:11:02.520 --> 0:11:05.679 People who've had skin cancers or very concerned they had 0:11:05.720 --> 0:11:09.280 their first skin cancer often become very compliant and want 0:11:09.320 --> 0:11:12.480 to put their sunscreen on every single day. I admit 0:11:12.600 --> 0:11:15.480 that as a skin cancer surgeon, someone who's very fair, 0:11:15.800 --> 0:11:18.559 I put my sun screen on to prevent skin cancers, 0:11:18.600 --> 0:11:21.120 but also because I want my skin to continue to 0:11:21.120 --> 0:11:24.719 look nice as I get older, and things like malasma 0:11:24.760 --> 0:11:27.200 where you can have pigment on your cheeks. If I 0:11:27.240 --> 0:11:29.440 get sun I start to get malasma, so I stay 0:11:29.440 --> 0:11:32.440 out of the sun, also admittedly for vanity's sake. And 0:11:32.520 --> 0:11:34.880 then there are people who really stay out of the 0:11:34.880 --> 0:11:37.160 sun because they don't want their skin to ate. They 0:11:37.160 --> 0:11:40.120 don't have wrinkles when they're older that come sooner, they 0:11:40.160 --> 0:11:42.960 don't have sun spots, you know, things like liver spots. 0:11:42.960 --> 0:11:45.080 We used to call them on our hands, all of 0:11:45.120 --> 0:11:48.000 those things. People have a wide range of reasons, and 0:11:48.120 --> 0:11:50.239 to me, as long as you're putting on your sunscreen, 0:11:50.320 --> 0:11:51.000 I'm good with it. 0:11:51.200 --> 0:11:53.800 And is it true that when certain people with darker 0:11:53.840 --> 0:11:56.600 skin because they have this perception that they're not getting 0:11:56.640 --> 0:12:00.000 as much sun damage. Is it that they might get 0:12:00.200 --> 0:12:04.280 diagnose later in life or potentially have worse outcomes when 0:12:04.280 --> 0:12:07.200 it comes to their diagnosis since they haven't been so precautious. 0:12:07.640 --> 0:12:11.080 So we definitely know in darker skin tone, skin of color, 0:12:11.160 --> 0:12:14.200 that diagnosis can be later and that outcomes can be 0:12:14.480 --> 0:12:17.200 worse because it's being caught at a later stage. And 0:12:17.280 --> 0:12:20.439 I think awareness is really important. Just because you have 0:12:20.520 --> 0:12:23.240 darker skin doesn't mean you can't get burned, doesn't mean 0:12:23.280 --> 0:12:25.200 you can't get damaged from the sun, and doesn't mean 0:12:25.240 --> 0:12:26.520 you can't get skin cancer. 0:12:26.640 --> 0:12:28.640 I take care of all ranges of skin. 0:12:29.080 --> 0:12:32.120 Yes, a lot of you know, Caucasian skin, very fair 0:12:32.160 --> 0:12:35.360 skinned people are repeat flyers in my office. But you 0:12:35.360 --> 0:12:37.920 can get cancer no matter what your skin tone. And 0:12:37.960 --> 0:12:40.320 I think a lot of people don't think that's true. 0:12:40.720 --> 0:12:43.280 A lot of people feel like, oh, I'm tan. Even 0:12:43.400 --> 0:12:47.000 lighter patients who go get that terrible sunburn and then 0:12:47.040 --> 0:12:50.280 their skin tants say, you know that's my protective layer. 0:12:50.840 --> 0:12:53.880 That's not your protective layer. That is your skin making 0:12:53.960 --> 0:12:56.679 melanin and trying to fight off the rays that are 0:12:56.760 --> 0:12:57.400 damaging it. 0:12:57.600 --> 0:13:00.920 Interesting, I actually didn't know that that is what it 0:13:01.040 --> 0:13:03.000 means and what your body's doing. I mean, our bodies 0:13:03.040 --> 0:13:06.240 are so amazing when it comes to trying to acclimate 0:13:06.360 --> 0:13:09.280 and protect ourselves naturally, that's incredible. 0:13:09.480 --> 0:13:12.600 That's exactly what your body's doing. It's making melanin, which 0:13:12.679 --> 0:13:15.400 absorbs UV rays and that's the sun's rays that are 0:13:15.400 --> 0:13:17.800 going out and trying to make more of it from 0:13:17.840 --> 0:13:21.120 your melanosites. So there are cells in your skin that 0:13:21.200 --> 0:13:23.720 make the melanin and then that goes into your skin 0:13:23.760 --> 0:13:26.080 and that's what's causing you to protect yourself. 0:13:26.400 --> 0:13:28.000 All the years that I've been on this or that 0:13:28.080 --> 0:13:31.520 had no idea, that's what tanning was. And so you 0:13:31.600 --> 0:13:35.120 know me, I'm trying to be a reformed tanner. Exic right, 0:13:35.400 --> 0:13:38.520 too much for someone who does like the sun? What 0:13:38.640 --> 0:13:41.080 are the habits that we can incorporate into our lives 0:13:41.120 --> 0:13:42.600 beyond just hiding at home. 0:13:42.920 --> 0:13:44.560 I think there are so many things we can do. 0:13:44.720 --> 0:13:48.320 One sunscreen, so you should put sunscreen on every day, 0:13:48.480 --> 0:13:50.720 more so in the summer, and it should just be 0:13:50.800 --> 0:13:53.960 part of your routine. The little bottles of sunscreen at 0:13:54.000 --> 0:13:57.000 the drug store that are with the moisturizer are really great. 0:13:57.200 --> 0:13:59.800 If they're SPF thirty. A lot of them are SPF fifteen. 0:14:00.080 --> 0:14:03.760 We really prefer SPF thirty or above. Okay, I usually 0:14:03.760 --> 0:14:06.200 wear higher than that, fifty or seventy, but I have 0:14:06.240 --> 0:14:08.720 sunscreen on every day on my hands, on my chest, 0:14:08.760 --> 0:14:10.000 on my neck, on my face. 0:14:10.320 --> 0:14:10.680 Ears. 0:14:10.720 --> 0:14:13.840 I find really hard even personally getting here, getting behind. 0:14:14.280 --> 0:14:16.960 And then besides just sunscreen, you have to use it correctly, 0:14:17.040 --> 0:14:19.640 so you have to reapply it usually every two hours, 0:14:19.640 --> 0:14:21.800 if you're out in the sun, if you're sweating, if 0:14:21.840 --> 0:14:24.280 you're going in the water, and you have to use enough. 0:14:24.400 --> 0:14:27.560 So we say a shot glass is what you should 0:14:27.640 --> 0:14:28.800 use to cover yourself. 0:14:28.840 --> 0:14:30.720 That's a lot of sunscreen. 0:14:30.360 --> 0:14:32.040 For your entire body, not your face. 0:14:32.240 --> 0:14:34.800 Yes, yes, I mean you can do what you want, 0:14:34.840 --> 0:14:37.120 but yes, for your entire body. But if by the 0:14:37.240 --> 0:14:39.480 end of the summer, you, for your family or yourself 0:14:39.520 --> 0:14:42.800 still have that same bottle of sunscreen, you're not using enough. 0:14:42.960 --> 0:14:45.600 You should be going through them more quickly. And then 0:14:45.880 --> 0:14:49.120 other things like sun protective clothing we now have which 0:14:49.200 --> 0:14:52.640 has a UPF which tells you the factor it's blocking sun. 0:14:53.400 --> 0:14:55.240 My kids wear rash guards during the summer. 0:14:55.480 --> 0:14:58.880 It's so easy and there's actually really cute stuff available. 0:14:59.120 --> 0:15:01.560 But even if you can get your hands on sunblack swimwear. 0:15:01.800 --> 0:15:03.240 Regular clothes work just fine. 0:15:04.000 --> 0:15:05.800 I was like the kid in the T shirt in 0:15:05.840 --> 0:15:07.440 the pool, which I hated. 0:15:07.160 --> 0:15:07.880 When I was little. 0:15:08.200 --> 0:15:10.400 We have a lot of options these days, and even 0:15:10.400 --> 0:15:12.440 companies making really nice options. 0:15:12.560 --> 0:15:12.760 Right. 0:15:12.840 --> 0:15:14.360 I don't go to the beach at noon, you know, 0:15:14.440 --> 0:15:17.440 I'll go nine o'clock, ten o'clock for a little bit. 0:15:17.600 --> 0:15:20.480 I stay out of it usually eleven to one, Okay. 0:15:20.600 --> 0:15:22.240 My favorite time to go to the beach is around 0:15:22.280 --> 0:15:25.720 three thirty. It's quiet, it's nice and a little more shady. 0:15:26.160 --> 0:15:30.000 Use an umbrella. Don't be directly tanning yourself. Stay under 0:15:30.000 --> 0:15:30.600 the umbrella. 0:15:31.040 --> 0:15:31.240 You know. 0:15:31.280 --> 0:15:33.880 Those are hard things to do because the sun feels good. 0:15:34.120 --> 0:15:37.400 But I find that they're really important behaviors to incorporate 0:15:37.440 --> 0:15:39.760 into your every day during the summer if you live 0:15:39.800 --> 0:15:42.000 in a warm place, because they're going to keep you protected. 0:15:42.520 --> 0:15:45.480 And when it comes to an application of sunscreen for 0:15:45.560 --> 0:15:49.120 your skincare routine, for instance, do you put a moisturizer 0:15:49.160 --> 0:15:51.840 on first and then sunscreen or where does it fit 0:15:51.880 --> 0:15:53.320 within your skincare regimen. 0:15:53.600 --> 0:15:54.960 So it depends on the season. 0:15:55.040 --> 0:15:57.680 For me, if I need less moisturizer, I'll just use 0:15:57.680 --> 0:16:00.880 my sunscreen as like the daily cream, but I usually 0:16:00.960 --> 0:16:04.600 put on a mineral, which is something like titanium or zinc, 0:16:05.080 --> 0:16:08.080 similar to what might be in like a baby's typersh cream, 0:16:08.200 --> 0:16:11.840 so very protective. We now have really nice formulations of 0:16:11.880 --> 0:16:15.160 those that aren't this pasty white, But usually my routine 0:16:15.160 --> 0:16:18.520 really is mineral sunscreen and then a tinted sunscreen over 0:16:18.600 --> 0:16:20.760 that as kind of the idea of a foundation, so 0:16:20.840 --> 0:16:24.480 I'm double covered and also feel like I'm looking the 0:16:24.480 --> 0:16:25.240 way I want to. 0:16:25.440 --> 0:16:28.600 Right, And you mentioned titanium or zinc, is one or 0:16:28.640 --> 0:16:31.359 the other better? Or do you look for certain ingredients 0:16:31.440 --> 0:16:33.320 when seeking out a sunscreen. 0:16:33.480 --> 0:16:38.080 There's physical and chemical sunscreens. I prefer physical. Most dermatologists 0:16:38.120 --> 0:16:43.320 perform physical chemical sunscreens are absorbing that energy and transmitting 0:16:43.320 --> 0:16:45.760 it so that it doesn't harm you. Physical ones are 0:16:45.800 --> 0:16:48.480 reflecting those raised back so they're not even reaching you, 0:16:48.640 --> 0:16:51.440 and these are often what we traditionally thought of as 0:16:51.480 --> 0:16:52.479 baby sunscreens. 0:16:52.640 --> 0:16:54.640 The sun also has two different kinds of rays. 0:16:54.640 --> 0:16:57.440 It's admitting UVA and UVP, so this is what we 0:16:57.520 --> 0:17:01.880 call a broad spectrum sunscreen. Chemical ones that say broad spectrum. 0:17:02.000 --> 0:17:05.040 But I find mineral to be the most reliable, and 0:17:05.160 --> 0:17:07.119 we're lucky now, we do have a lot of ones 0:17:07.160 --> 0:17:09.520 that prevent us from feeling. 0:17:09.200 --> 0:17:11.960 Like we're white and goofy. I'd like the white and 0:17:11.960 --> 0:17:13.520 goofier ones in the summer. 0:17:13.680 --> 0:17:16.359 I do too, Weirdly, I don't mind it at all. 0:17:16.440 --> 0:17:18.760 I feel like I'm more protected that way. But you 0:17:18.760 --> 0:17:20.600 should be uffing the ante if you're going to be 0:17:20.600 --> 0:17:24.000 sweating or in the water or just out in the summer. 0:17:24.160 --> 0:17:26.560 What about certain areas that get missed? I mean you 0:17:26.600 --> 0:17:30.399 mentioned your hands. My mom actually growing up was always like, 0:17:30.440 --> 0:17:32.480 don't forget your hands. Don't forget your hands. That's the 0:17:32.520 --> 0:17:35.240 first thing to show when it comes to aging. I 0:17:35.240 --> 0:17:38.639 feel like it's such an underrated one. Admittedly, I was 0:17:38.760 --> 0:17:42.080 away recently and I was really good about the sunscreen, 0:17:42.160 --> 0:17:45.119 but my lips were the one that got a little burnt. 0:17:45.160 --> 0:17:48.639 So what body parts are underrated? Lips are definitely hard. 0:17:48.680 --> 0:17:51.560 You can buy a lip, mom, many of those are fifteen. 0:17:51.600 --> 0:17:54.119 It's hard to find a thirty. I actually just use 0:17:54.200 --> 0:17:56.719 my regular sunscreen in the summer. I'll just, you know, 0:17:56.720 --> 0:18:00.159 put a little on. Your Mom is dead right that 0:18:00.240 --> 0:18:02.800 hands are a very big giveaway of age. You get 0:18:02.800 --> 0:18:04.480 sun spots, they get wrinkles. 0:18:04.800 --> 0:18:07.800 What about the scalp. Scalp is hard. That's why I 0:18:07.880 --> 0:18:09.880 had and I should have mentioned that earlier. A wide 0:18:09.920 --> 0:18:12.720 brimmed hat, a baseball cap is a cap. Yes, it 0:18:12.800 --> 0:18:14.760 protects a little bit, but it's not a hat. You 0:18:14.800 --> 0:18:17.800 also want to have a very wide rim on your hat. Basically, 0:18:17.840 --> 0:18:21.240 sun should not be reaching your face, okay, And sunglasses 0:18:21.280 --> 0:18:23.640 that are protective are great because it's hard to rub 0:18:23.680 --> 0:18:26.920 sunscreen here. It's very irritating as well. And no sprays, 0:18:26.960 --> 0:18:29.399 which I think you would agree with. Really do not 0:18:29.440 --> 0:18:32.240 like spray sunscreen. One, you can't just spray it on, 0:18:32.359 --> 0:18:34.000 you have to rub it in, so you might as 0:18:34.000 --> 0:18:36.840 well be rubbing in a cream. Yeah, Two you're using 0:18:36.880 --> 0:18:39.840 an airsol, and three you're inhaling that airsol. So I 0:18:39.880 --> 0:18:41.720 am really not a fan of them. I feel like 0:18:41.760 --> 0:18:44.960 they cause a false sense of security and one of 0:18:44.960 --> 0:18:47.720 the biggest mistakes people make is they're just spraying themselves 0:18:47.760 --> 0:18:48.800 and they're not rubbing it in. 0:18:48.960 --> 0:18:51.360