WEBVTT - How Acne Works 0:00:00.280 --> 0:00:02.840 Brought to you by the reinvented two thousand twelve camera. 0:00:03.160 --> 0:00:07.560 It's ready. Are you welcome to Stuff you should Know 0:00:08.160 --> 0:00:16.400 from House Stuff Works dot Com? Hey, and welcome to 0:00:16.440 --> 0:00:20.680 the podcast. I'm Josh Clark. There's Charles W. Chuck Bryant 0:00:23.760 --> 0:00:27.080 that makes this stuff. You should know. That's right, doesn't it? 0:00:27.080 --> 0:00:32.800 It does. When we're in this room, one thing happens anger. 0:00:33.800 --> 0:00:38.560 I was gonna say magic, angry magic, right, good, because 0:00:38.800 --> 0:00:41.240 get out of the hat. I haven't seen that yet. 0:00:41.240 --> 0:00:44.680 The angry magician. No, that's a great idea. Yeah, there 0:00:44.720 --> 0:00:48.360 you go. The angry comics. Ye. Yeah, there are plenty 0:00:48.400 --> 0:00:52.559 of them. Yeah, and for good reason too. Yeah. Yeah. Um. 0:00:52.680 --> 0:00:56.560 Do you remember a while back we were writing a 0:00:56.640 --> 0:00:59.440 lot of articles that seem to share a common theme 0:01:00.480 --> 0:01:04.720 a skincare Yeah, I remember that too. I didn't write 0:01:04.760 --> 0:01:06.400 too many of those. I wrote a lot of skin 0:01:06.480 --> 0:01:10.520 care NICs, Yeah I did. Um, And I learned that 0:01:11.160 --> 0:01:14.760 I'm fascinated by the skin. That's good. Yeah, it turned 0:01:14.800 --> 0:01:17.399 out to be very good. Like, um, you don't want 0:01:17.440 --> 0:01:20.040 to take too many showers in a day. You don't 0:01:20.080 --> 0:01:22.080 want the water you use in your shower to be 0:01:22.160 --> 0:01:27.880 too hot. Um, Like I learned these things definitively. Um. Also, 0:01:28.360 --> 0:01:32.880 the skin on your lips, um, there's three layers thick, 0:01:32.959 --> 0:01:34.880 whereas the rest of the skin on your face is 0:01:34.880 --> 0:01:40.000 about sixteen layers thick. And they're actually translucent, which is 0:01:40.000 --> 0:01:42.679 why your lips are reddish, because it's just the mucous 0:01:42.720 --> 0:01:47.200 membrane underneath. Ye look at that. Yeah, And you don't 0:01:47.200 --> 0:01:49.520 want to lick your lips too much because You're saliva 0:01:49.600 --> 0:01:52.720 contains a digestive enzyme which starts to break down the 0:01:52.880 --> 0:01:55.720 very thin and fragile skin on your lips. I got 0:01:55.800 --> 0:01:59.600 chopped lips a lot from licking them. Stop licking your lips. 0:01:59.640 --> 0:02:03.520 I'm constantly just I have oral stuff. Bite my nails, 0:02:03.520 --> 0:02:06.760 bite my cheeks, bite my lip, all that stuff, all 0:02:06.800 --> 0:02:09.760 that good fun, stressy stuff. But you don't smoke cigarettes, 0:02:09.800 --> 0:02:12.000 so good for you. Yeah, I guess I chewed my 0:02:12.040 --> 0:02:16.400 face off instead of doing that. It's a good looking face, 0:02:16.480 --> 0:02:20.800 thank you. Um. Well, anyway, Chuck, I just wanted to 0:02:20.840 --> 0:02:24.080 say all that to say that I will be um 0:02:24.200 --> 0:02:27.600 very interested in what we're talking about today, which is acting. 0:02:28.520 --> 0:02:30.320 I'm glad you are. I am too, although I've never 0:02:30.320 --> 0:02:33.440 really got at me, so I'm a little less like enthused. 0:02:33.520 --> 0:02:37.480 It's so unfair. Let's look at this right here, right now. Yeah, 0:02:37.680 --> 0:02:39.839 I have a big old white head rust to my nose. 0:02:39.960 --> 0:02:43.000 It won't go away. Like I was pressing it with 0:02:43.040 --> 0:02:45.160 my pinkies like I can. I can pop as it 0:02:45.240 --> 0:02:47.600 I get them. That's a tough spot, though. Josh is 0:02:47.639 --> 0:02:52.240 talking about the area right under the nostril that no 0:02:52.280 --> 0:02:55.440 man's land the nose kind of prohibits access, like you want, Well, 0:02:55.480 --> 0:02:57.840 it's not just that. It's very, very sensitive and like 0:02:57.919 --> 0:03:00.240 I was pressing it like my eyes are water ring 0:03:00.280 --> 0:03:03.160 and it still wouldn't pop. So I'll have to have 0:03:03.200 --> 0:03:06.720 you do it. Yeah, yeah, But um, I guess that's 0:03:06.880 --> 0:03:13.040 method podcasting, following in your footsteps, Chuck, So, um, you 0:03:13.040 --> 0:03:15.120 want to talk about acne first, I guess we should 0:03:15.120 --> 0:03:17.000 talk about the skin a little bit, right And in 0:03:17.080 --> 0:03:20.200 the process of how, well, let's talk about the skin. 0:03:20.320 --> 0:03:23.079 Did you like Tom's description? I did? Actually, I think 0:03:23.160 --> 0:03:25.400 think most people know by now it's the largest organ. 0:03:25.600 --> 0:03:29.880 But um, Tom takes a step further in a very 0:03:29.919 --> 0:03:33.200 buffalo bill way, and he says that if you skinned 0:03:33.240 --> 0:03:36.400 an adult human, there would be enough material to make 0:03:36.440 --> 0:03:40.160 a four by five foot area rug of skin waistin founds. 0:03:41.800 --> 0:03:45.040 I'm glad he didn't say how many like skin suits 0:03:45.160 --> 0:03:47.640 or lamp shades that would make, because that'd be really creepy. 0:03:49.320 --> 0:03:51.880 Creepy enough, So, yeah, ten pounds of skin on the 0:03:51.960 --> 0:03:55.120 on an adult body, right, and then um, most of 0:03:55.160 --> 0:03:58.000 the skin. There's three layers. Is the epidermis, the dermis, 0:03:58.000 --> 0:04:02.960 and the subcutaneous layer. Right in the sub cutaneous layer. 0:04:03.000 --> 0:04:05.680 I think the dermist is the fattiest layer and the 0:04:05.720 --> 0:04:10.360 subcutaneous layers like the nastiest layer. It's like, um, she 0:04:10.440 --> 0:04:13.600 just have you ever seen hall Razor, remember the woman, 0:04:13.800 --> 0:04:16.680 and she was coming back regenerating. She regenerated from like 0:04:16.680 --> 0:04:19.039 the inside out. So at one point she's just like 0:04:19.160 --> 0:04:23.159 muscles and blood. Just above that is the subcutaneous layer. 0:04:23.360 --> 0:04:25.480 I think the epidermisis kind of grows too, though, because 0:04:25.480 --> 0:04:28.159 it's all dead. It is dead. This is one of 0:04:28.160 --> 0:04:31.640 the things that fascinates me about skin. All the skin 0:04:31.720 --> 0:04:33.719 I'm looking at right now, and you're like that I 0:04:33.760 --> 0:04:38.520 can see dead. Dead is disco you know. Yeah, so 0:04:38.880 --> 0:04:43.119 chuck your Your skin grows like beneath the outer layer 0:04:44.000 --> 0:04:45.600 and it grows as crat in the sights which your 0:04:45.680 --> 0:04:48.760 new skin cells. Yeah, and it just your your skin 0:04:48.920 --> 0:04:53.440 is a constant Uh, it's constant motion pushing that dead 0:04:53.480 --> 0:04:56.320 skin up, up and up and out through the pores 0:04:56.440 --> 0:04:59.440 where they flake off into your bed, making your mattress 0:04:59.480 --> 0:05:02.560 heavier from like the moment it's born, when it cell divides, 0:05:02.600 --> 0:05:05.400 it starts making its way outward and it takes what 0:05:05.440 --> 0:05:07.720 does it take about a month for a skin cell 0:05:07.760 --> 0:05:10.200 to be born and then make it out to the 0:05:10.240 --> 0:05:12.880 outer later layer. That sounds about right right to the 0:05:12.880 --> 0:05:16.200 tune of forty to sixty million skin cells per day. Yeah, 0:05:16.320 --> 0:05:20.680 forty thousand a minute. That's crazy. Are reaching the surface right, um. 0:05:20.760 --> 0:05:22.479 And so they reach the surface, and they don't just 0:05:22.640 --> 0:05:25.760 fall right off. Um. Along the process they die and 0:05:25.800 --> 0:05:29.680 there they become cornified um, which is and become kratina 0:05:29.760 --> 0:05:33.760 sites or cornea sites. Sorry. Um. And when they reach 0:05:33.839 --> 0:05:36.880 the surface, they provide a function for a while. They 0:05:36.920 --> 0:05:39.640 mix with sebum, which is the oil we produce that 0:05:39.720 --> 0:05:45.839 I really really produce. Yeah, and uh some fats what 0:05:45.960 --> 0:05:51.080 kind uh lipids Josh leno leic acid. Okay, So they 0:05:51.080 --> 0:05:53.680 mix all together and they form waterproof skin that keeps 0:05:53.680 --> 0:05:57.599 out water. That's huge, is why we don't soak up 0:05:57.640 --> 0:05:59.800 water when we walk around in the rain exactly, and 0:06:00.040 --> 0:06:02.640 keeps bacteria, which is why the skin is your first 0:06:02.800 --> 0:06:07.400 organ of um resistance for immunity. That's right. Um, So 0:06:07.440 --> 0:06:10.039 you've got all this process going on. Skin cells eventually 0:06:10.120 --> 0:06:13.080 do fall off and jump off and are sloughed off, 0:06:13.480 --> 0:06:17.720 and then um, beneath all that, you have the subcutaneous layer, 0:06:17.720 --> 0:06:20.320 and that's where the hair starts growing. Right, Yeah, that's 0:06:20.320 --> 0:06:22.520 where you're gonna find your hair follicle, which looks sort 0:06:22.520 --> 0:06:25.760 of like just a little uh, little tube with a 0:06:25.760 --> 0:06:30.119 little uh, a little rounder end. I would say it 0:06:30.120 --> 0:06:34.719 looks like a sperm, a sperm going inward towards drop. 0:06:35.360 --> 0:06:38.880 Sure maybe uh. And that is where the hair begins 0:06:38.920 --> 0:06:42.560 to grow from the bottom up, and it grows out 0:06:42.640 --> 0:06:46.760 of this follicle and collects on the way out. See them, 0:06:46.960 --> 0:06:49.800 and which we said was oil. That's why, like when 0:06:49.839 --> 0:06:51.800 you don't take a shower, your hair is gonna look 0:06:51.800 --> 0:06:54.839 all oily. And actually men I think have more see 0:06:54.880 --> 0:06:58.560 them than women. Yeah, and teenagers have lots of see them. Yeah, 0:06:58.600 --> 0:07:03.080 it's almost equal for amongst the genders. And in Yeah, 0:07:03.080 --> 0:07:05.640 because that's why you get acne most often. An adolescence 0:07:05.680 --> 0:07:09.320 because we're taking you up through where acne starts, which 0:07:09.360 --> 0:07:12.000 is really see them right. Well, that has a lot 0:07:12.000 --> 0:07:13.960 to do with it. At least. The hair follicle is 0:07:14.000 --> 0:07:16.400 connected to a sebaceous gland, like you said, which is 0:07:16.400 --> 0:07:19.520 why your hair seems oily when it comes out. Um. 0:07:19.600 --> 0:07:22.000 And so you've got this whole um, you have this 0:07:22.040 --> 0:07:27.120 whole house of cards I guess, just waiting to screw up. Well, 0:07:27.160 --> 0:07:30.200 they're trying to squeez through this little poor soe those 0:07:30.240 --> 0:07:33.640 dead skin cells that migration they make. The way they 0:07:33.680 --> 0:07:36.600 get out is through the poor, through the follicle, through 0:07:36.640 --> 0:07:40.600 the sebaceous gland. Right. So when you have a lot 0:07:40.640 --> 0:07:44.120 of them coming together at once, all these dead skin 0:07:44.160 --> 0:07:45.880 cells are trying to get through the same door. It's like, 0:07:45.960 --> 0:07:49.680 um three stooges syndrome from the Simpsons. Remember Mr Burns 0:07:49.680 --> 0:07:52.480 had everything, but nothing could kill him because they couldn't 0:07:52.480 --> 0:07:54.960 all get through the door of his health. That's exactly right. 0:07:55.120 --> 0:07:58.280 So when you have too many skin cells, things start 0:07:58.480 --> 0:08:01.600 getting blocked and things back up behind it, and you've 0:08:01.640 --> 0:08:04.480 got trouble. Yeah, I mean that's one way it can happen. Uh. 0:08:04.520 --> 0:08:06.960 And they don't know why that The body would overproduce 0:08:07.000 --> 0:08:11.760 skin cells. But hey, it happens. Yeah, do we need 0:08:11.800 --> 0:08:14.600 to know why exactly. Another thing that can happen. You 0:08:14.640 --> 0:08:17.080 can have too much sebum, like we talked about in 0:08:17.320 --> 0:08:20.760 and puberty. In puberty is when that's gonna happen. Most 0:08:20.800 --> 0:08:30.200 likely bacteria, specifically propione Bacterium Acnes p acnes. That's uh 0:08:30.360 --> 0:08:33.200 found in acne lesions and in every type of acne 0:08:33.280 --> 0:08:35.760 that we're going to talk about. They're all lesions, right 0:08:35.800 --> 0:08:40.480 and and um then inflammation right, Yeah, the bacteria causes inflammation. 0:08:40.520 --> 0:08:44.360 When there's back up and there's bacteria, you're gonna get inflammation. Yeah. 0:08:44.760 --> 0:08:47.640 Tom put it like these were different things that could happen, 0:08:47.679 --> 0:08:49.960 and I'm sure they are, but it also seems to 0:08:50.000 --> 0:08:51.760 happen like a sequence of event. It's kind of like 0:08:51.800 --> 0:08:54.800 all of them. You've got too many skin cells backing up, right, 0:08:54.840 --> 0:08:57.360 so the sea bum backs up behind it. Well, this 0:08:57.520 --> 0:09:01.040 bacteria loves to eat see bum, which causes an infection 0:09:01.200 --> 0:09:06.199 which makes you infernt. Yeah. I saw it as a 0:09:06.240 --> 0:09:09.559 sequence of events to alright, So Chuck, there is a 0:09:09.679 --> 0:09:14.520 very long standing debate over what is worse a white 0:09:14.520 --> 0:09:18.680 head or a black head. What's the difference between the two. Well, 0:09:19.640 --> 0:09:22.400 one is an open comie dough and one is a 0:09:22.440 --> 0:09:27.920 closed comy dough. Do you know what a comito is? Okay, 0:09:27.920 --> 0:09:31.920 do you know what the word is? Coming down? Is plural? 0:09:33.000 --> 0:09:34.600 What do you mean what the word is? The word 0:09:34.720 --> 0:09:39.679 is Latin for gluttony. Yeah, and it was. It's named 0:09:39.720 --> 0:09:42.280 after a worm. You know how when you like, do 0:09:42.320 --> 0:09:45.640 you poposit and the stuff comes out and like it's 0:09:45.679 --> 0:09:49.280 like kind of a thin worm like tube. Well, there 0:09:49.400 --> 0:09:52.040 was a apparently a worm that looked very similar to 0:09:52.040 --> 0:09:54.840 that that loved to feed, a parasitic worm that loved 0:09:54.840 --> 0:09:59.000 to feed on humans that was considered particularly gluttonous. So 0:09:59.120 --> 0:10:02.160 the block came to be called the commodo, which means 0:10:02.200 --> 0:10:06.040 glutton Wow, isn't it weird and gross? And true? Yeah, 0:10:06.320 --> 0:10:09.040 pretty much everything about this we're looking at acting on 0:10:09.120 --> 0:10:13.120 this sub dermal level. Yes, it's gross. It is kind 0:10:13.120 --> 0:10:16.680 of gross. Uh So white heads, you might think, like 0:10:16.960 --> 0:10:18.720 I just woke up and there's a white head on 0:10:18.760 --> 0:10:21.319 my nose. That just happened last night. Not true. It 0:10:21.360 --> 0:10:22.960 could have been a couple of months in the making 0:10:23.040 --> 0:10:26.000 before you finally see it, like you might. You know, 0:10:26.280 --> 0:10:29.200 Emily calls them underground construction when you can feel it 0:10:29.840 --> 0:10:31.760 and you know it's coming, but you can't see it 0:10:31.840 --> 0:10:40.400 or do anything about it yet, that's infection, essentially underground construction. Yeah, 0:10:40.480 --> 0:10:43.080 at some point your your skin cells started backing up. 0:10:43.120 --> 0:10:45.360 They didn't make their way out of the poor and 0:10:45.760 --> 0:10:48.120 you're in trouble. So white heads anyway, have an open 0:10:48.200 --> 0:10:51.440 comy dough black head. I'm sorry, closed comy dough. Black 0:10:51.480 --> 0:10:54.520 heads are open and the black that you're seeing is 0:10:54.559 --> 0:10:57.319 just melon and it's just our skin pigment. It's oxidized, 0:10:57.320 --> 0:11:00.720 it's not dirt. The reason it's black is being because, um, 0:11:00.720 --> 0:11:05.000 it's been exposed to air, whereas with a closed comito, um, 0:11:05.040 --> 0:11:07.640 there is no exposure to air, so everything stays white 0:11:07.720 --> 0:11:10.400 just beneath the surface of the skin. And I had 0:11:10.480 --> 0:11:12.320 you you'd stopped me in the hall earlier and said, 0:11:12.520 --> 0:11:14.120 you know, I can't tell the difference between like a 0:11:14.120 --> 0:11:18.360 white head and a pustule what I found because you 0:11:18.440 --> 0:11:21.600 did find something well that the American Academy of Dermatology 0:11:21.720 --> 0:11:24.600 says that it's really confusing, So like, don't feel bad, 0:11:24.679 --> 0:11:28.120 it is confusing, thank you. A They're they're all lesions. 0:11:28.200 --> 0:11:32.200 But I think a white head what we typically see 0:11:32.240 --> 0:11:35.200 as a pimple, and a Z is the pustule, because 0:11:35.240 --> 0:11:37.040 in here it says the A D says a white 0:11:37.040 --> 0:11:40.800 head is typically a raised bump that's the same color 0:11:40.880 --> 0:11:45.439 as the rest of your skin, whereas the zip as 0:11:45.440 --> 0:11:50.400 clearly has pus the pus. But apparently that's not the 0:11:50.440 --> 0:11:52.959 hallmark of a white head. So I'm even more confused. Now, 0:11:53.960 --> 0:11:57.719 Thank you a D. Thanks for nothing. Yeah, because I 0:11:57.720 --> 0:12:00.640 thought a white head meant it was the white you know, pimples. 0:12:00.679 --> 0:12:04.120 It looking thing says here that the same color is 0:12:04.160 --> 0:12:06.640 the rest of your skin. Okay, well, well let's go 0:12:06.679 --> 0:12:09.400 with that though, I mean that the white head is 0:12:09.800 --> 0:12:13.160 uh just it's just pressing your skin up, so it's 0:12:13.160 --> 0:12:15.840 a raised bump. Whereas if it looks white, if there's 0:12:15.840 --> 0:12:19.720 like a clearly a white part, what has happened is 0:12:20.160 --> 0:12:24.360 your this this white head or black head um has 0:12:24.440 --> 0:12:28.320 collapsed under the skin and all that bacteria ridden sea 0:12:28.360 --> 0:12:34.040 bum is now causing an infection. That's what a ZiT is, 0:12:34.160 --> 0:12:36.600 that's right, also called a pustule. That's a pustule. There's 0:12:36.640 --> 0:12:40.880 also a papule, and they are a little small bumps um, 0:12:41.080 --> 0:12:44.079 little firm, small bumps and they don't have any kind 0:12:44.080 --> 0:12:48.040 of white right center, but they do feel like sand 0:12:48.080 --> 0:12:51.360 paper apparently if you rub your fingers across them. Yeah, 0:12:51.360 --> 0:12:53.240 I get like little dry skin bumps in the back 0:12:53.280 --> 0:12:54.719 of my arm. I don't know if that's the same thing. 0:12:55.600 --> 0:12:59.560 That's not. I don't think so. Okay, No, that's um, 0:12:59.600 --> 0:13:01.080 I mean it's or it's got a name. What is 0:13:01.120 --> 0:13:05.360 that called? What's what's really severe dry skin called exima? Yeah, 0:13:06.200 --> 0:13:10.079 it's a it's a mild alright, Maybe I have exima. 0:13:11.000 --> 0:13:16.520 Their nodules which are larger and hard. Uh, it's um. 0:13:16.559 --> 0:13:18.560 A nodule is the kind of thing where you mash 0:13:18.640 --> 0:13:20.839 it and you mash it and nothing ever happens, and 0:13:20.880 --> 0:13:23.560 then it comes back and comes back because you're just 0:13:23.600 --> 0:13:26.400 breaking it down and it stays in there. That was 0:13:26.559 --> 0:13:28.760 That was definitely a nodule, wasn't it. Yeah, Because I 0:13:28.760 --> 0:13:32.960 would I would be like and then like it would 0:13:33.000 --> 0:13:37.720 go away, or first it would go and then it 0:13:37.720 --> 0:13:40.600 would come back. That thing was there for a while. Yeah, Man, 0:13:40.679 --> 0:13:42.640 it kept coming back, and they did stay for a 0:13:42.679 --> 0:13:44.120 really long time and to come back, and I was 0:13:44.120 --> 0:13:51.920 wearing like turtle necks. I brought turtlenecks back intain flapping 0:13:52.040 --> 0:13:55.880 was uh, and then superative nodules. Josh, you may think 0:13:55.880 --> 0:13:58.600 her sister boils, and they might look like that, But 0:13:58.720 --> 0:14:02.400 cists have different traits, one of which is uh. The 0:14:02.440 --> 0:14:05.040 ability to contain a trapped gas, which I thought was 0:14:05.040 --> 0:14:08.360 pretty interested, is nuts and pretty awesome. So that means 0:14:08.400 --> 0:14:11.640 that's not a cyst. I'll bet that guest stinks too 0:14:11.720 --> 0:14:15.439 high heaven when it's finally released. Can you imagine? Yeah 0:14:15.559 --> 0:14:25.280 again baby acne? Uh? Yeah, um, what is it called? Mila? Milia? Milia? Sorry, 0:14:25.320 --> 0:14:27.640 Mela is the niece. I think the point here was 0:14:28.000 --> 0:14:33.640 you can get acne from cradle to the grave. Yes, sadly, yeah, 0:14:33.800 --> 0:14:37.280 I mean most people. Um, Tom cited something like eight 0:14:37.920 --> 0:14:41.160 of people get um acne, and we should say everything 0:14:41.200 --> 0:14:44.960 we just said was a form of acne. Vulgaris. Yeah, yeah, 0:14:44.960 --> 0:14:47.280 I don't think he said that vulgaris is a Latin 0:14:47.400 --> 0:14:51.320 I think for um common yeah, right, Um, most of 0:14:51.360 --> 0:14:54.320 us get it. Attend people get it at some point 0:14:54.360 --> 0:14:57.960 in their life, he said, Um, most people, it starts 0:14:57.960 --> 0:15:02.120 stirring puberty and ends ac your puberty. For other people 0:15:02.320 --> 0:15:05.640 like me, it keeps going on here there and I mean, like, 0:15:05.760 --> 0:15:08.240 I take care of my face. Dude, I got a 0:15:08.280 --> 0:15:11.760 regiment and it's still I mean, I can imagine it 0:15:11.760 --> 0:15:15.480 would be much worse if I didn't take care of Simpson. 0:15:15.600 --> 0:15:20.440 Here are you over regimenting? No, I know what I'm doing. Okay. 0:15:20.480 --> 0:15:23.760 I'm going to see a dermatologist soon. I need to 0:15:23.800 --> 0:15:26.080 find one, but I'm gonna go see one just to 0:15:26.280 --> 0:15:28.760 make sure I'm doing everything right. Yeah, that's not other 0:15:28.840 --> 0:15:32.200 steps I can take. But no, I mean I'm I 0:15:32.240 --> 0:15:34.000 know what I'm doing, Okay, because the only reason I 0:15:34.040 --> 0:15:35.840 say that is later in the article they point out 0:15:35.880 --> 0:15:38.920 that over washing and I remember that as a kid. 0:15:39.000 --> 0:15:41.400 I I I think I went through a brief period 0:15:41.440 --> 0:15:42.840 where I got like a ZiT or two in high 0:15:42.840 --> 0:15:44.880 school and so I got out like the buff puff 0:15:45.200 --> 0:15:48.040 and then neut regina for the first time ever and 0:15:48.120 --> 0:15:50.640 just scrub the crap out of my face. Started bleeding 0:15:51.120 --> 0:15:53.000 started breaking out, and I was like, well, I don't 0:15:53.040 --> 0:15:56.160 get it. I'm watching my face and it's breaking out. 0:15:56.760 --> 0:15:59.160 But all these years later, I have an explanation. Yeah, 0:15:59.360 --> 0:16:02.560 you're agitated your skin. Yeah, I think, um, I just 0:16:02.640 --> 0:16:06.520 have sensitive skin. Um. Yeah, but no, I don't use 0:16:06.600 --> 0:16:11.360 like soap or harsh stuff right face. It's like, I 0:16:11.760 --> 0:16:15.240 take care of it. So milia. Back to the babies. 0:16:16.000 --> 0:16:18.560 Babies can get milia. It's around the eyes or nose, 0:16:18.640 --> 0:16:21.760 little white bumps. It's really common. If you're a new 0:16:21.760 --> 0:16:24.360 parent and your kid has this, don't worry about it. 0:16:24.400 --> 0:16:26.080 In fact, the doctor is probably gonna tell you the 0:16:26.120 --> 0:16:28.720 same thing, like, don't even do anything. It'll clear up 0:16:28.720 --> 0:16:31.320 on its own, right in most cases. Uh. And you 0:16:31.360 --> 0:16:34.040 can actually get that as an adult as well. Really, 0:16:34.160 --> 0:16:37.240 sometimes you have milia. It's far more common in infants 0:16:37.240 --> 0:16:41.480 and I mean like newborns too. Um. The cause generally 0:16:41.520 --> 0:16:45.600 is that the skin cells are already dividing and dying off. 0:16:45.840 --> 0:16:49.400 But um, the sebacious claims aren't developed enough to carry 0:16:49.440 --> 0:16:52.360 the skin cells to the surface. So basically, when the 0:16:52.360 --> 0:16:55.000 doctor says just way, they'll clear upon its own, he's saying, 0:16:55.080 --> 0:16:58.920 just wait, your baby will grow produce more sabacious claims 0:16:58.960 --> 0:17:01.880 to handle this, right. That's that. Well, that's good news. 0:17:02.520 --> 0:17:09.800 It's great news. Uh. Pre pubertal acne uh forms and children. 0:17:09.880 --> 0:17:13.040 This is this is basically when you're producing your your 0:17:13.080 --> 0:17:16.520 androgen's your sex hormones before you should be Yeah, like 0:17:16.600 --> 0:17:19.000 from drinking milk. Is that what we'll do it too? 0:17:19.280 --> 0:17:23.239 Probably bovine growth hormone would do it. And that is 0:17:23.280 --> 0:17:27.280 that is when it's pre puberty, and that's and younger children, 0:17:27.560 --> 0:17:29.960 and that's something you probably should go to a doctor about. Yeah, 0:17:30.000 --> 0:17:33.040 because it's I think they take it more. It's like 0:17:33.080 --> 0:17:36.199 a sign like, okay, you you've got this other stuff 0:17:36.240 --> 0:17:40.280 coming down the pike to like breasts and you're six, 0:17:40.440 --> 0:17:42.480 you know kind of thing. So it's just a big 0:17:42.520 --> 0:17:46.719 androgen dump in your body and your sabacious glance go. Oh, 0:17:46.920 --> 0:17:49.720 we're supposed to start working now, I guess, and you're 0:17:49.720 --> 0:17:54.159 gonna block little Timmy's only eight, right, I said six? 0:17:55.200 --> 0:17:57.320 It does it happen that young? I don't know. I'm 0:17:57.320 --> 0:18:00.080 sure it could. Yeah. I would imagine the younger, the 0:18:00.640 --> 0:18:05.280 more potentially problematic it is. That's the kid who ends 0:18:05.359 --> 0:18:08.159 up having the mustache when he's like in the third grade. 0:18:08.440 --> 0:18:12.960 The six year old boy with the breasts and the mustache. 0:18:14.200 --> 0:18:16.680 Would you call him Timmy? Actually I have a friend 0:18:16.720 --> 0:18:18.879 named Timmy. But my other friend, Jim. You actually know, 0:18:19.000 --> 0:18:20.600 Jim did have a mustache when he was like in 0:18:20.600 --> 0:18:25.840 the eighth grade. Yeah, it was pretty funny, Yeah, swarthy Jim. Yes, Um, 0:18:25.960 --> 0:18:29.639 so what else, Chuck, Oh, there's rosatsia. This is the 0:18:29.680 --> 0:18:36.200 one that that is pretty awful on Google images. Really yeah, yeah, 0:18:36.240 --> 0:18:38.600 it can affect the nose, and you know, it's everything 0:18:38.640 --> 0:18:44.200 from just redness of the nose too, horribly misshapen, bumpy nose. 0:18:45.200 --> 0:18:47.200 They can get really bad. Is that the nose where 0:18:47.200 --> 0:18:50.640 you see like divi it's missing from people's noses. Yeah, 0:18:51.320 --> 0:18:53.840 it can't, it can't get that bad. But it occurs 0:18:53.840 --> 0:18:56.920 in bouts. Right, so you have, um, you can kind 0:18:56.920 --> 0:18:58.960 of tell that you're about to have about of rose 0:18:59.000 --> 0:19:02.040 asia because as you find that, you flush more easily, 0:19:02.480 --> 0:19:04.920 and it's because your veins and the veins in your 0:19:04.920 --> 0:19:11.240 face are dilating more more, um wider. I guess that's it. Yeah, 0:19:11.240 --> 0:19:16.240 it's triggers acne. Well, it triggers acne vulgaris or or 0:19:16.280 --> 0:19:19.040 a lot like acne vulgaris, they said. And then I 0:19:19.080 --> 0:19:22.479 also got the impression from Tom that it's problematic that uh, 0:19:23.119 --> 0:19:25.600 and that people suspect that maybe you're like a raging 0:19:25.640 --> 0:19:27.919 alcoholic because your nose looks like that, like you have 0:19:27.960 --> 0:19:31.280 the gym blossoms. But it's really just rosation. Yeah, and 0:19:31.320 --> 0:19:32.879 if you look up pictures of it, it looks like 0:19:32.920 --> 0:19:38.040 a gin blossom or worse. There's I don't encourage anyone 0:19:38.119 --> 0:19:41.440 to type in like plus dules into Google images because 0:19:42.000 --> 0:19:44.760 it's like that body parts come up that are have 0:19:44.880 --> 0:19:47.480 these things on them and might not be something you 0:19:47.480 --> 0:19:49.440 want to see, you know what I'm saying, Well kind 0:19:49.480 --> 0:19:52.600 of body parts. Oh, they just they had pictures of 0:19:52.600 --> 0:19:57.240 of like just out of nowhere, just like feet, penises 0:19:57.280 --> 0:20:02.280 with bumps on them. And I don't recommend it. Okay, 0:20:02.400 --> 0:20:05.359 Well that's fair warning if I've ever heard it. Anybody 0:20:05.359 --> 0:20:10.480 who does go Google image what rosatsia? Any of them? Really, 0:20:10.640 --> 0:20:14.600 then you've been warned by Chuck himself. You're a dummy 0:20:14.640 --> 0:20:16.440 if you do it, yes, or you're on your own 0:20:16.480 --> 0:20:19.760 at least. Um. So those are generally the different types 0:20:19.800 --> 0:20:23.320 of acne, right, and their causes. Um, but we missed 0:20:23.400 --> 0:20:28.080 at least one. Chuck Pizza, Pizza causes acne. No, it 0:20:28.160 --> 0:20:33.560 does it. I know it doesn't. That was play acting. Um, 0:20:33.600 --> 0:20:36.000 that is a is a And I actually did a 0:20:36.000 --> 0:20:39.840 little more research on this and diet and acne. Um. 0:20:39.880 --> 0:20:41.560 That's sort of been one of the old things they 0:20:41.560 --> 0:20:44.679 say it's like a greasy food and elite to acne. 0:20:44.760 --> 0:20:47.520 But most doctors say that that's pretty much a myth 0:20:49.840 --> 0:20:53.240 end of story. Although this this one thing I found 0:20:53.280 --> 0:20:58.560 says that theoretically there could be some impact, like diet 0:20:58.600 --> 0:21:03.320 has a direct effect on insulin level, and that insulin 0:21:03.440 --> 0:21:05.399 is the master hormone and it has to do with 0:21:05.480 --> 0:21:10.000 hormone you know, production anyway, So in theory, insulin spikes 0:21:10.040 --> 0:21:14.560 could affect acne. And also things that you eat, it 0:21:14.600 --> 0:21:16.320 can affect it in a good way if you eat 0:21:16.520 --> 0:21:21.679 positively like veggies and fruits and seafood, and potentially if 0:21:21.680 --> 0:21:24.280 you eat good foods that are rich and like omega 0:21:24.359 --> 0:21:27.040 three fats like fish oil, it can be an anti 0:21:27.040 --> 0:21:29.880 inflammatory and so part of the problem is inflammation. In theory, 0:21:29.880 --> 0:21:31.879 it could help with that too. But you want to 0:21:31.920 --> 0:21:36.159 watch um like shellfish, they're they're high and I had 0:21:36.200 --> 0:21:41.639 died because that apparently can inflame activul garis Yeah, So 0:21:41.720 --> 0:21:44.359 here as we say that it doesn't impact acne, r 0:21:44.400 --> 0:21:47.160 saying it does, right, Yeah, I just can't believe that 0:21:47.280 --> 0:21:50.440 what you eat doesn't have any impact on the function 0:21:50.480 --> 0:21:52.359 of your cells. That's what I think. It's got to 0:21:52.400 --> 0:21:55.720 have some impact. Um Genetics is another big one that 0:21:56.600 --> 0:22:01.080 is I think probably um it's over estimated the impact 0:22:01.119 --> 0:22:04.880 it has. Yes, the the genes that you inherit from 0:22:04.920 --> 0:22:10.359 your parents and how they express, um, the proteins that 0:22:10.440 --> 0:22:12.840 tell your sabacious clans to function in this way or 0:22:12.840 --> 0:22:15.280 that way or whatever. It's going to have an effect, 0:22:15.720 --> 0:22:17.880 but not as much as you know, if your dad 0:22:17.920 --> 0:22:20.720 broke out a lot, you're not necessarily going to write 0:22:21.000 --> 0:22:23.520 or vice versa. I don't know about my parents in 0:22:23.600 --> 0:22:27.760 Acne's not a conversation that you normally have with your parents, 0:22:27.760 --> 0:22:32.000 you know. More it's like, um, it was your dad bald. 0:22:32.920 --> 0:22:35.240 That's the big question. That's what I don't care about. 0:22:35.920 --> 0:22:40.240 As men. Dirt is not gonna affect if you have 0:22:40.280 --> 0:22:42.199 a dirty face. I mean, it's not great for your 0:22:42.200 --> 0:22:45.560 skin probably, but pimples and zip's happened from the inside out, 0:22:45.680 --> 0:22:49.159 So dirt on top of your epidermist isn't gonna really 0:22:49.200 --> 0:22:54.760 affect that. They say and then make up this one. 0:22:54.920 --> 0:22:58.959 I don't know. I could see makeup definitely making your 0:22:58.960 --> 0:23:04.440 break out. Yeah, the wrong kind quite using that kind. Well, 0:23:04.480 --> 0:23:10.320 there's different kinds. There's a hYP hypoallergenic, which means low allergenic. 0:23:11.400 --> 0:23:15.159 There's a non comedogenic which supposedly says like this won't 0:23:15.160 --> 0:23:20.399 make you break out, so possibly cheap makeup. Yeah, and 0:23:20.440 --> 0:23:23.360