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Speaker 1: Twenty twenty. I think everyone suddenly became so involved with

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Speaker 1: self care skincare. They were at home and just the

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Speaker 1: skincare world blew up.

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Speaker 2: Hey everyone, Emily A body here. You are listening to

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Speaker 2: episode two hundred and eighty six of Hurdle, a wellness

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Speaker 2: focused podcast where I talk to inspirational people about everything

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Speaker 2: up from their highest ties and toughest moments to essential

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Speaker 2: tips on how to live a healthier, happier, more motivated life.

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Speaker 2: We all go through our fair share of hurdles. My

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Speaker 2: goal through these discussions is to empower you to better

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Speaker 2: navigate yours and move with intention so that you can

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Speaker 2: stride towards your own big potential and of.

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Speaker 3: Course have fun along the way.

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Speaker 2: For today's conversation, I am personally amped to pivot to

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Speaker 2: something that I am newly really working on and passionate about.

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Speaker 2: That is skincare. I am honored to welcome today's guest

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Speaker 2: award winning doctor Mamina Turagano. She's a triple board certified

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Speaker 2: dermatologist internist and I'm going to go for this. A dermatopathologist.

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Speaker 2: I think I said that right, and she has so

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Speaker 2: much insight, the perfect candidate to answer all of your

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Speaker 2: skincare questions.

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Speaker 3: Today we really cover.

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Speaker 2: It all, chatting about things like what someone should do

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Speaker 2: if they feel like it's super difficult to get a

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Speaker 2: dermatology appointment, how regularly you should be going to see

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Speaker 2: a dermatologist, whether or not online prescriptions are safe or

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Speaker 2: legitimate skin cancer and young women, what we should know

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Speaker 2: best practices for retinol, How you can navigate a skincare

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Speaker 2: routine in a way that actually feels doable. Is there

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Speaker 2: anything that we can do about malasma or pigmentation?

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Speaker 3: Vitamin D?

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Speaker 2: Really, I'm telling you, we go through the ringer. It

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Speaker 2: is no wonder why doctor Mamina has so many followers

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Speaker 2: on TikTok and Instagram. She is a wealth of knowledge

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Speaker 2: and I am happy to deliver you to the source today.

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Speaker 3: Make sure you're following along with.

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Speaker 2: Hurdle over on social and at Hurdle Podcast. We've been

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Speaker 2: working really hard to make really great content over there

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Speaker 2: that I would love for you to engage with. Also,

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Speaker 2: I am over at Emily a Body, And if you're

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Speaker 2: not yet a subscriber to the weekly Hurdle newsletter, I

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Speaker 2: am bringing new life to that as well. You can

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Speaker 2: subscribe to it absolutely free by heading on over to

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Speaker 2: the link in.

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Speaker 3: The show notes.

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Speaker 2: And last, but certainly not least, the super secret Hurdler's group,

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Speaker 2: which is not so secret after all, the link to

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Speaker 2: get in on the fund that's happening over there where

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Speaker 2: we have community, we talk about our ideas, what's going on,

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Speaker 2: and also me and my team are regularly programming that

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Speaker 2: with prompts and things to get you thinking. So get

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Speaker 2: in on that. I'd love to see you there. Now

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Speaker 2: that the housekeeping is done.

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Speaker 3: Let's get to it. Let's get to hurdling.

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Speaker 2: Today, I'm sitting down with doctor Mamina Toregano. She's a

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Speaker 2: triple board certified dermatologist, internist and to many their favorite

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Speaker 2: TikTok dermatologists.

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Speaker 3: How are you doing today?

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Speaker 1: I'm doing great. Thanks so much for having.

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Speaker 3: Me, Thanks so much for making the time.

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Speaker 2: I was absolutely blown away when I threw out to

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Speaker 2: my community that I was having you come on the show,

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Speaker 2: and the amount of questions that came in about skincare, Like, yes,

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Speaker 2: we talk about all aspects of wellness here on Hurdle,

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Speaker 2: but the skincare questions were abundant.

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Speaker 1: Oh yeah, people are loving skincare. They wanted to know

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Speaker 1: everything they.

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Speaker 3: Want to know absolutely everything.

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Speaker 2: It's a crazy time to be someone who has such

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Speaker 2: a large platform. Talk to me about what's changed for

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Speaker 2: you since you started sharing some of your knowledge with

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Speaker 2: the masses.

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Speaker 1: Yeah, I had no idea that it was going to

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Speaker 1: blow up to the degree that it has. But you know,

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Speaker 1: my goal was actually, initially I started my Instagram account,

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Speaker 1: my doctor Mamina account, because I wanted to make sort

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Speaker 1: of a name for myself locally here in New Orleans.

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Speaker 1: I moved back here. The city is actually pretty saturated

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Speaker 1: with dermatologists, and I wanted to, you know, get a following.

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Speaker 1: I wanted to kind of grow my practice, and I

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Speaker 1: want to kind of stand apart from the other germs,

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Speaker 1: and so I gave a lot of you know, wellness tips,

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Speaker 1: more holistic approaches to skin health, like certain dietary factors

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Speaker 1: that can affect your skin, or supplements things that can

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Speaker 1: affect like hormonal acne, things like that, and yeah, just

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Speaker 1: kind of twenty twenty, I think everyone suddenly became so

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Speaker 1: involved with self care skincare. They were at home, and

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Speaker 1: just the skincare world blew up. And I started putting

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Speaker 1: a lot of educational content on TikTok and that's how

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Speaker 1: things just kind of went from there.

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Speaker 2: It must have been an interesting pivot for you, because

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Speaker 2: I don't expect that you thought getting into this field

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Speaker 2: that being on camera very often would be a part

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Speaker 2: of your every day.

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Speaker 1: No idea, I had no idea.

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Speaker 2: Wow, oh man, what would you say, are like the

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Speaker 2: pros and cons of that for you?

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Speaker 1: For me, one of the biggest pros is being able

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Speaker 1: to reach a wide audience with advice that I feel

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Speaker 1: like I hear myself give daily to my patients and repetitively.

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Speaker 1: So it's so nice to be able to say it

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Speaker 1: and think that it potentially could reach like hundreds of

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Speaker 1: thousands of people even And so I was like, okay,

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Speaker 1: that that saves me a lot of time actually, so

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Speaker 1: it's nice. But obviously, like having just that broad impact

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Speaker 1: is so amazing and fulfilling too.

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Speaker 3: Really yeah.

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Speaker 1: Yeah, And then of course with that, you know, can

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Speaker 1: come a few cons. I mean, yes, it can be

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Speaker 1: pretty time consuming. And then also you can't you know,

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Speaker 1: please everyone. As physicians, we always promote things that are

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Speaker 1: like very science and evidence based, but then you can

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Speaker 1: get backlash from the community that's saying that, like, no,

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Speaker 1: that stuff's poisoned, like don't ever use it talking about sunscreen,

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Speaker 1: you know, like so's it's Yeah, there could be a

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Speaker 1: lot of criticism out there even if you're really just

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Speaker 1: doing your best.

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Speaker 2: Yeah, And you know that comes back to your moral

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Speaker 2: compass and your values, Like you know what your intentions are,

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Speaker 2: and all you can do then is the best you

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Speaker 2: can with what you have, using your ethics as a

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Speaker 2: guiding point, right, but certainly frustrating and understanding that you

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Speaker 2: know you aren't going to please everyone, like you said,

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Speaker 2: and getting to a point where you're okay with that,

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Speaker 2: which isn't easy.

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Speaker 1: I feel like I've come a long way, but I'm

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Speaker 1: still I'm still learning.

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Speaker 3: Yeah, I hear you, We all are for sure.

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Speaker 2: Well. I also really appreciate what you said about having

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Speaker 2: the opportunity to impact people beyond the individuals you're able

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Speaker 2: to see regularly within your practice, especially because dermatology for

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Speaker 2: many isn't covered always by insurance, so seeing a dermatologist

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Speaker 2: can be a pricey endeavor. This leads me into the

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Speaker 2: first of many questions I have for you, doctor Treguano,

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Speaker 2: and that is how regularly should someone have a dermatologist appointment?

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Speaker 1: It's a great question. I would say for everyone, it's

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Speaker 1: always helpful to just get a baseline exam with a dermatologist.

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Speaker 1: It doesn't matter if you have zero concerns about your skin.

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Speaker 1: I think it helps to just make an appointment and

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Speaker 1: if I mean, of course, if you have access to

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Speaker 1: seeing one in person, but make an appointment and they

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Speaker 1: can you know, I mean ideally do a skin check

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Speaker 1: like a full body skin check, or you could you know,

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Speaker 1: come in with your questions and the dermatologists, based on

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Speaker 1: what they see based on your history, can determine how

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Speaker 1: often you need to see them. But in terms of

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Speaker 1: you know, skin cancer prevention and skin cancer screening, people

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Speaker 1: who should be seen at least once a year are

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Speaker 1: people who have had a first degree family member or

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Speaker 1: personally have had skin cancer. More so melanoma than the

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Speaker 1: non melanoma skin cancers, and non melanoma skin cancers are

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Speaker 1: way more common and thankfully aren't as scary or deadly

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Speaker 1: as melanoma. But but for sure, if you had a

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Speaker 1: personal or family history, you definitely want to be seen

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Speaker 1: at least once a year. And then if you've had

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Speaker 1: any really bad sunburns when you were younger, And when

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Speaker 1: I say bad like sunburns that resulted in blisters. So

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Speaker 1: just like water blisters on your skin, even having one

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Speaker 1: blistering sunburn really exponentiates your risk of skin cancer. If

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Speaker 1: you have more than one hundred moles, which many people

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Speaker 1: do have more than one hundred moles, that's another reason

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Speaker 1: to make sure you get seen once a year. If

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Speaker 1: you have very very fair skin, like very fair, freckly,

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Speaker 1: and then more so if you have like red hair

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Speaker 1: and blue or green eyes along with a fair complexion,

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Speaker 1: your risk for skin cancer is just much higher. And

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Speaker 1: if you at all have any history of being im compromised,

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Speaker 1: like of having a weekend immune system like history of cancer,

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Speaker 1: or if you're on medications, I could be compromising your

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Speaker 1: immune system. If you've used a tanning bed more than

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Speaker 1: ten times, so any of those things, you do want

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Speaker 1: to see a differentists regularly, like once a year. But

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Speaker 1: beyond besides that, the dermatologists can tell you how often

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Speaker 1: you should be seen.

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Speaker 2: I'm like shaking my fist at my younger college self

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Speaker 2: who had the membership to the tanning salon before she

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Speaker 2: knew how bad it was. And I have so much

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Speaker 2: empathy also for redheaded individuals like you, didn't ask for this, No, exactly,

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Speaker 2: I know you didn't ask for this With these regular

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Speaker 2: dermatology appointments. A question that came in is with a

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Speaker 2: full body skin exam, are all dermatologists trained to do

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Speaker 2: something like this or are there certain individuals that you

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Speaker 2: should make sure can do this for you.

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Speaker 1: All dermatologists are trained to do this if they are

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Speaker 1: a board certified dermatologist, so that's something that they should

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Speaker 1: be displaying or advertising that their Board certified dermatologist. Another

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Speaker 1: indication to know that their board sort of by dermatologist

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Speaker 1: is after their name, so everyone's a medical doctor MD.

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Speaker 1: There's also DOOS doctor of Osteopathy, and that they have

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Speaker 1: the same credentials. But after the MD or the DOO

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Speaker 1: there should be the letters FAAD and that just basically

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Speaker 1: means that they are sports certified with the American Academy

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Speaker 1: of Dermatology. Many people may not put that there, but

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Speaker 1: you want to look for at least one of those

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Speaker 1: two things, especially if they've been practicing for a while,

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Speaker 1: sort of evolve their practice to focus on a certain niche.

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Speaker 1: And some derms like will only do cosmetic dermatology, and

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Speaker 1: you could probably get that vibe from their website, but

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Speaker 1: I would say anyone who supports certified derm is definitely qualified.

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Speaker 2: Okay, so you mentioned the phrase cosmetic dermatology. I'm going

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Speaker 2: to segue us into talking about some of these more

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Speaker 2: regular treatments that people are going in to see a

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Speaker 2: cosmetic dermatologist about. Specifically a question that came in ventative botox.

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Speaker 2: Is this just a buzz phrase or is this something

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Speaker 2: that's legitimate Because.

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Speaker 3: I don't know about you.

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Speaker 2: I feel like I'm seeing people that are like twenty

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Speaker 2: four going in for botox.

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Speaker 1: Now, yeah, I think preventative botox can mean a few

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Speaker 1: different things. And the way that I would potentially use

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Speaker 1: that concept in my practice is for people who So

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Speaker 1: here's the thing, Like, you could have wrinkles when you're

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Speaker 1: a teenager because of just how the muscles in your

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Speaker 1: face move. That is what causes wrinkles in the face.

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Speaker 1: And the reason why we see wrinkles as people get

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Speaker 1: older is because your collagen gets weaker and that allows

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Speaker 1: the wrinkles to appear more readily. But if you have

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Speaker 1: fully strong muscles, the wrinkles can appear sooner, Like those

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Speaker 1: muscles can like really get through that collagen and cause

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Speaker 1: your skin to form wrinkles. So sometimes we can predict

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Speaker 1: who's going to have really bad wrinkles when they get

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Speaker 1: older because of not because of the quality of their skin,

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Speaker 1: but because of the way they make expressions. And people,

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Speaker 1: you know, like I said, in their teens, even we

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Speaker 1: could see some wrinkles, but even twenties, you could see

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Speaker 1: some early lines at rest, and it's not a big

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Speaker 1: deal at all, Like everyone everyone can have like some

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Speaker 1: fine lines and whatnot. But if if it bothers the person,

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Speaker 1: like if they're seeing these lines already and if it

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Speaker 1: bothers them, then that would be a reason to do botox.

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Speaker 1: And then another reason is if we can see that

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Speaker 1: if they continue to make those same expressions, those lines

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Speaker 1: are going to only get deeper. That's going to be

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Speaker 1: harder to correct. So then that would be somebody that

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Speaker 1: I would be even if they're young, I would be

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Speaker 1: more amenable to doing botox on them because I can see, Okay,

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Speaker 1: it's probably gonna be harder to treat down the line.

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Speaker 1: And that's how I personally view preventive botox. I wouldn't

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Speaker 1: really do botox if they have zero lines, because it's

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Speaker 1: possible that they may be one of those lucky ones

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Speaker 1: who may not even get lines down the line. So yeah,

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Speaker 1: it's I do it more for people who it looks

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Speaker 1: like they're probably going to develop some lines later on,

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Speaker 1: and we want to stop it in its tracks. But

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Speaker 1: the goal is for me for people to feel comfortable

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Speaker 1: in their skin. I don't want people to have a

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Speaker 1: complex thinking that they need botox.

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Speaker 2: Yeah, for sure, and I think that at this point,

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Speaker 2: I mean, I'm in my mid thirties, I've had botox before.

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Speaker 2: I know that there are a lot of jazzy let's

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Speaker 2: call them, alternatives to traditional botox that are hitting at

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Speaker 2: this point for someone who is new to the concept

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Speaker 2: of botox and they're trying to figure out if it's

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Speaker 2: right for them. Aside from what you just mentioned about

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Speaker 2: having these lines and wanting to do something about it,

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Speaker 2: is there anything else they should know in their consideration,

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Speaker 2: especially when it comes to, like I said, the different

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Speaker 2: options that are out there right now.

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Speaker 1: There are there are a bunch of different brands for

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Speaker 1: botulinum toxin, which I know toxin is a scary word.

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Speaker 1: But besides Botox, there's disport Zimonjavau, and there's a new

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Speaker 1: one now daxify, and they all work the same in

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Speaker 1: that this chemical gets into your muscle and it prevents

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Speaker 1: the muscle from contracting as deeply. There's a few differences,

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Speaker 1: like nothing huge, but there are some differences between the

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Speaker 1: different brands, and some brands may last longer. Some brands

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Speaker 1: may have a larger diffusion in the area so it

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Speaker 1: can spread a little bit more on the skin. But

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Speaker 1: they're all brands of botulinum toxin. Yeah.

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Speaker 2: No, that's super interesting, I know personally, and I don't

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Speaker 2: even think I've ever said this on the show, and

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Speaker 2: I certainly haven't talked about it on my social but

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Speaker 2: I think I've been doing botox now for maybe like

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Speaker 2: a year or two if that, and I started with

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Speaker 2: regular botox and then found that disboard or disport however

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Speaker 2: you say it. I found that disport lasted longer for me,

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Speaker 2: and because it is inexpensive procedure, that's the goal, right,

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Speaker 2: especially when you're active, which is something that I'd love

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Speaker 2: for you to talk about. I know that these injectibles

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Speaker 2: could wear off a little bit sooner.

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Speaker 3: Why is that?

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Speaker 1: Yeah, I mean you're using your muscles more, your metabolism more,

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Speaker 1: and so when things are when your metabolism is working harder,

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Speaker 1: it can process the neurotoxin faster.

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Speaker 3: Got it.

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Speaker 1: That's just one factor. It's also like somebody's genetics too.

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Speaker 1: And then in some people, not everyone, it's not common,

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Speaker 1: but in some people who've had botox, you know, or

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Speaker 1: any kind of very any brand for a long time,

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Speaker 1: potentially can develop an immune response as well, and it

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Speaker 1: may not work as well or as long.

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Speaker 3: Super interesting, super interesting. Okay.

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Speaker 2: Next question that came in is the recommendation for ten

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Speaker 2: minutes a day without sun's screen real exclamation point, exclamation

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Speaker 2: point question mark.

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Speaker 3: What should I do?

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Speaker 2: Ah?

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Speaker 1: Yes, that is a recommendation that I've seen for sure,

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Speaker 1: and in terms of getting so this is forgetting vitamin D.

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Speaker 1: And I think that it's a kind of a complex

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Speaker 1: topic because for some people ten minutes might not be

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Speaker 1: enough and for some people ten minutes is plenty. So

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Speaker 1: I do say, I think ten to fifteen minutes without sunscreen,

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Speaker 1: like on your body, I'm okay with. I would say

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Speaker 1: for the face, just for sunscreen on your face if

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Speaker 1: you are going to be outside, we just see way

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Speaker 1: more issues on the face from chronic sun exposure. But

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Speaker 1: it's interesting with vitamin D like I'll have patients who

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Speaker 1: are sun worshippers. They'll come in they have like leathery

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Speaker 1: tan skin just from years and years of being in

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Speaker 1: the sun and like still getting a lot of sun,

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Speaker 1: and they'll be like vitamin D deficient. So it's it's

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Speaker 1: not as simple as, oh, yeah, you'll get your vitamin

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Speaker 1: D from being out in the sun. It depends on

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Speaker 1: like your overall health, how you metabolize vitamin D, how

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Speaker 1: you absorb it. But that recommendation is real. I just

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Speaker 1: say protect your face if you are sure.

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Speaker 2: And this then goes to the question with regard to

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Speaker 2: vitamin D, how do we get it in a safe way?

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Speaker 3: Would you recommend as well supplementation.

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Speaker 1: I'm a fan of supplementation, and I think that there's

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Speaker 1: like mixed things like from like other health advocates. Some

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Speaker 1: people say that you should really try to get it

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Speaker 1: through food. My thing is how to absorb vitamin D.

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Speaker 1: I wouldn't just take vitamin D by itself, and I

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Speaker 1: recommend vitamin D three. You want to make sure that

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Speaker 1: it is taken with other vitamins so that it absorbs better. Specifically,

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Speaker 1: one of my favorite is taking it with vitamin K two.

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Speaker 1: I think vitamin take K two is helps with the

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Speaker 1: absorption also, like vitamin A can help with the absorption too,

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Speaker 1: or taking it in oil form like that's so some

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Speaker 1: people say, like you should take caught liber oil. That's

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Speaker 1: just like a better form of vitamin D. It like

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Speaker 1: absorbs better. But to me, I would say, yeah, supplementing

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Speaker 1: as long as you're taking it with a good supplement

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Speaker 1: and making sure you're taking it with other supplements that

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Speaker 1: allow it to absorb better.

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Speaker 2: I would be remiss if I didn't say here that

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Speaker 2: I've been taking vitamin D three K two from AG

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Speaker 2: one for like a year or two. Now. I literally

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Speaker 2: do the dropper in my Greens powder in my shaker bottle.

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Speaker 2: I don't even have to think about it, and I,

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Speaker 2: for the first time in my life now don't have

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Speaker 2: low vitamin D levels despite being someone who definitely gets

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Speaker 2: a fair amount of sun even in Brooklyn. Right, I

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Speaker 2: know that this is just one easy thing that I

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Speaker 2: can do for my body.

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Speaker 3: And it came free with my subscription.

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Speaker 1: Nice.

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Speaker 3: Nice, Yeah, super.

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Speaker 1: Hard good to know. That's good to know. I feel

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Speaker 1: like I have one from them, So I'm going to

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Speaker 1: try it.

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Speaker 3: Yeah, gotta try it. Got to get it on the game.

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Speaker 2: Okay, So we've talked about vitamin D, we've talked about

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Speaker 2: sun cancer. Let's now shift our conversation to overall skin care.

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Speaker 2: I have a lot of twenty somethings thirty somethings listening

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Speaker 2: to this podcast, and all of them, although maybe a

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Speaker 2: little hesitant to admit this, many of them don't have

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Speaker 2: a skincare routine. So someone wants to start a skincare routine,

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Speaker 2: they want it to be relatively easy. Maybe they wanted

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Speaker 2: to only involve two to three products.

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Speaker 1: Go, okay. A super basic skincare regimen includes a cleanser.

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Speaker 1: So actually washing your face, especially at night, is anti aging, okay,

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Speaker 1: because you want to get rid of all the build

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Speaker 1: up of whatever you've been exposed to that day. Pollutants,

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Speaker 1: you know, irritants, allergens, and then like build up of

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Speaker 1: like oil, grime, sweat, all those things. So washing your

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Speaker 1: face at least at night, if not twice a day,

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Speaker 1: and then a moisturizer that you can wear at night

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Speaker 1: just to kind of keep your skin barrier healthy and intact.

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Speaker 1: Our skin barrier is affected from all the elements as

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Speaker 1: well during the day. And then the most important is

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Speaker 1: wearing a moisturizer with SPF in the morning. There are

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Speaker 1: so many like easy, elegant products out there, you know,

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Speaker 1: that have SPF in them. And it's interesting because so

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Speaker 1: many people are like sunscreen no, like it doesn't seem

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Speaker 1: glamorous because they just associate the sunscreen that you would

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Speaker 1: wear at the beach and it's just like thick and

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Speaker 1: smells weird and all that. But there's a lot of

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Speaker 1: nice formulations out there now, So that's like a super

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Speaker 1: basic regimen. Yeah, yeah, there's no excuse now, but yes,

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Speaker 1: that's the bare minimum in terms of just a basic

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Speaker 1: skincare regimen.

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Speaker 2: Taking a break from the show today to talk to

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Speaker 2: you about something that truly has changed my life and

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00:22:01,160 --> 00:22:04,840
Speaker 2: how I feel in my body. Listen, taking care of

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Speaker 2: your health. It isn't always easy, but it should at

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Speaker 2: least be simple, and that's why for the last five

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Speaker 2: something years, I've been drinking ag one every day.

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Speaker 3: No exceptions.

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Speaker 2: It's just one scoop mixed in water once a day,

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Speaker 2: every day, and it makes me feel energized and focused

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Speaker 2: and strong and candidly really ready to take on the day.

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Speaker 2: That's because each serving of ag one delivers my daily

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Speaker 2: dose of vitamins, minerals, pre and probiotics and more. It's

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Speaker 2: a powerful healthy habit that's also powerfully simple.

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Speaker 3: Listen.

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Speaker 2: I noticed a long time ago that I need more

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Speaker 2: nutrient support than I used to, especially with training and traveling,

401
00:22:49,200 --> 00:22:51,000
Speaker 2: working out, having long days.

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Speaker 3: I need all the help I can get.

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Speaker 2: But AG one covers my bases with high quality ingredients

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00:22:57,400 --> 00:23:03,000
Speaker 2: like pre and probiotics, adaptogens, antiaccidents, and whole food source nutrients.

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00:23:03,320 --> 00:23:05,720
Speaker 2: I know if I drink it daily, I'm going to

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00:23:05,880 --> 00:23:10,000
Speaker 2: feel that extra boost. If there's one product I had

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00:23:10,040 --> 00:23:13,600
Speaker 2: to recommend to elevate your health, it's ag one and

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Speaker 2: that is exactly why I've partnered with them for so long.

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Speaker 2: So if you want to take ownership of your own health,

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Speaker 2: start with ag one. Try ag one and get a

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00:23:22,640 --> 00:23:26,000
Speaker 2: free one year supply of vitamin D three, K two,

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00:23:26,359 --> 00:23:30,320
Speaker 2: and five free AG one travel packs with your first

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00:23:30,359 --> 00:23:36,520
Speaker 2: purchase exclusively at drinkag one dot com slash hurdle. That's

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00:23:36,640 --> 00:23:39,800
Speaker 2: drinkag one dot com slash hurdle.

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Speaker 3: Go ahead, check it out.

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Speaker 2: Okay, So we want to think moisturizer, we want to

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Speaker 2: think SBF and we want to make sure that we're

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Speaker 2: getting rid of all that junk, especially at the end

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Speaker 2: of the day. Now you said the word cleanser. A

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Speaker 2: lot of individuals may be a little confused here because

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Speaker 2: obviously you have cleansers that have exfoliance, you have cleansers

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Speaker 2: that don't. For individuals that want to know how often

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Speaker 2: they should be actually exfoliating their skin, what do you

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Speaker 2: tell them?

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Speaker 1: Okay, so this is not the most simple question because

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Speaker 1: it depends on what exfoliant you're using. There are super

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Speaker 1: gentle exfoliants, there are very strong ones, and then also

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Speaker 1: depends on your skin type and your skin goals. As

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Speaker 1: a general rule of thumb, for somebody who is using

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Speaker 1: a product that when I say exfoliating, it feels like

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Speaker 1: their skin might be like peeling a little bit, or

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Speaker 1: or they feel like their skin is like more taut

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Speaker 1: from using that product, I would say using it like

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Speaker 1: two or three times a week. There are very gentle

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Speaker 1: exfoliating cleansers and products that can be used daily, like

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Speaker 1: celsilic acid is I would can put also in exfoliant

437
00:24:59,800 --> 00:25:03,080
Speaker 1: fan and there are plenty of saleslic acid cleansers that

438
00:25:03,680 --> 00:25:07,000
Speaker 1: people can use regularly daily, especially if you have you know,

439
00:25:07,040 --> 00:25:11,240
Speaker 1: combo or oily or acneprone skin. Then there's like the

440
00:25:11,320 --> 00:25:15,720
Speaker 1: super strong exfoliance. I would say if they have glycolic acid,

441
00:25:16,560 --> 00:25:18,760
Speaker 1: and then oh yeah, then there's also like chemical versus

442
00:25:18,840 --> 00:25:21,440
Speaker 1: physical exfoliance. But I would say, let's for the sake

443
00:25:21,440 --> 00:25:24,960
Speaker 1: of simplicity, we'll talk about chemical expoliance, things like celclic acid,

444
00:25:24,960 --> 00:25:29,399
Speaker 1: glycolic acid, lactic acid, mendelic acid. Physical exfoliance are the

445
00:25:29,480 --> 00:25:33,399
Speaker 1: ones that are more like scrubs beads. You feel like

446
00:25:33,480 --> 00:25:37,760
Speaker 1: gritty texture on the skin. But for chemical exfoliance, one

447
00:25:37,800 --> 00:25:40,760
Speaker 1: of the most common ones is glycolic acid. They're in

448
00:25:40,760 --> 00:25:44,399
Speaker 1: the family of alpha hydroxy acids. But if I would say,

449
00:25:44,400 --> 00:25:47,000
Speaker 1: if it's more than ten percent, that's something you might

450
00:25:47,040 --> 00:25:50,320
Speaker 1: want to use less frequently once a week, maybe twice

451
00:25:50,359 --> 00:25:53,320
Speaker 1: a week, but I would say generally, yeah, two or

452
00:25:53,359 --> 00:25:54,000
Speaker 1: three times a week.

453
00:25:54,040 --> 00:25:54,359
Speaker 2: You don't.

454
00:25:54,560 --> 00:25:56,639
Speaker 1: Yeah, I think it's good to give your skin a break.

455
00:25:57,480 --> 00:26:01,640
Speaker 2: I had no idea, Like I thought at first as

456
00:26:01,680 --> 00:26:05,600
Speaker 2: I was getting into my skin girly era that exfoliance

457
00:26:05,640 --> 00:26:08,479
Speaker 2: were only the gritty things, right, Like, I was like, oh,

458
00:26:08,520 --> 00:26:11,040
Speaker 2: this doesn't have little beads in it, so I'll use

459
00:26:11,040 --> 00:26:12,720
Speaker 2: the one with beads twice a week, and then I

460
00:26:12,720 --> 00:26:14,760
Speaker 2: have all these fun little cereums that someone said to me,

461
00:26:14,840 --> 00:26:16,920
Speaker 2: and like, I'll just dabble in these whenever I feel

462
00:26:16,960 --> 00:26:17,200
Speaker 2: like it.

463
00:26:17,480 --> 00:26:21,119
Speaker 3: And then I learned about all of the acid being

464
00:26:21,240 --> 00:26:22,399
Speaker 3: expolliance as well.

465
00:26:22,840 --> 00:26:27,040
Speaker 2: So it definitely is super like there's a lot to

466
00:26:27,119 --> 00:26:29,159
Speaker 2: take up. There's a lot to take in when you

467
00:26:29,200 --> 00:26:32,439
Speaker 2: first start to learn about all of these products, and

468
00:26:32,600 --> 00:26:36,000
Speaker 2: really there is a learning curve to figuring out what

469
00:26:36,200 --> 00:26:37,120
Speaker 2: works best for you.

470
00:26:37,800 --> 00:26:42,400
Speaker 1: Yeah, no, definitely, it's Yeah, it's tough because we tell

471
00:26:42,400 --> 00:26:45,520
Speaker 1: people you want to use a product for at least

472
00:26:45,560 --> 00:26:49,040
Speaker 1: a month, you know, to know that it's working, sometimes

473
00:26:49,040 --> 00:26:53,919
Speaker 1: even longer. But I know it's that can take a

474
00:26:53,920 --> 00:26:57,080
Speaker 1: long time, the trial and error of like learning how

475
00:26:57,119 --> 00:26:59,840
Speaker 1: your skin handles different products. But but we do say

476
00:26:59,880 --> 00:27:00,280
Speaker 1: it them.

477
00:27:00,160 --> 00:27:01,840
Speaker 3: A chance, Yeah for sure.

478
00:27:01,920 --> 00:27:05,920
Speaker 2: And so another buzzy product that we hear a lot

479
00:27:06,000 --> 00:27:09,760
Speaker 2: about is retinol. Let's talk a little bit about best

480
00:27:09,840 --> 00:27:13,480
Speaker 2: practices when it comes to using retinol.

481
00:27:13,840 --> 00:27:18,920
Speaker 1: Yes, retinal is the like number one studied anti aging

482
00:27:19,040 --> 00:27:21,720
Speaker 1: ingredient out there, and it is something I would say

483
00:27:21,720 --> 00:27:23,320
Speaker 1: that if you really want to work on anti aging,

484
00:27:23,320 --> 00:27:26,240
Speaker 1: to start incorporating into in your routine in your twenties.

485
00:27:26,920 --> 00:27:34,040
Speaker 1: So just a little background. There's retinol, there's retinoids, RETINEE,

486
00:27:34,080 --> 00:27:37,800
Speaker 1: Trent noen and I kind of use the overall umbrella

487
00:27:37,880 --> 00:27:41,359
Speaker 1: term of retinoids as to describe all of these vitamin

488
00:27:41,400 --> 00:27:47,040
Speaker 1: aid derivatives. And over the counter we usually see retinyl.

489
00:27:47,280 --> 00:27:50,080
Speaker 1: Retinyl has to get converted to retinal ret now is

490
00:27:50,080 --> 00:27:53,520
Speaker 1: also available over the counter retinal to hide, and retinw

491
00:27:53,600 --> 00:27:57,040
Speaker 1: to hide then gets converted to retinoic acid. Retonoic acid

492
00:27:57,160 --> 00:28:00,439
Speaker 1: is what's the prescription form, so Trent know and is

493
00:28:00,480 --> 00:28:03,240
Speaker 1: retoic acid, and the retine is a brand name for it.

494
00:28:03,920 --> 00:28:06,719
Speaker 1: So when we talk about over the counter retinoids, typically

495
00:28:06,720 --> 00:28:09,560
Speaker 1: we're referring to retinols. Those are way more common than

496
00:28:09,600 --> 00:28:14,399
Speaker 1: retinalde hides in terms of using it correctly. That's super

497
00:28:14,400 --> 00:28:17,399
Speaker 1: important because it can be irritating, especially if you are

498
00:28:17,480 --> 00:28:20,800
Speaker 1: new to the whole retinoid game. You don't need a lot,

499
00:28:21,640 --> 00:28:24,919
Speaker 1: You just need a p sized amount that you use

500
00:28:24,960 --> 00:28:26,720
Speaker 1: for the whole face. It might not seem like it's

501
00:28:26,760 --> 00:28:29,520
Speaker 1: doing anything, and I say it's try to spread it

502
00:28:29,560 --> 00:28:32,200
Speaker 1: out like I dab it on your forehead, nose, cheeks

503
00:28:32,240 --> 00:28:35,000
Speaker 1: and hint and then and then rub it into your skin,

504
00:28:35,080 --> 00:28:37,760
Speaker 1: and then I would follow that with a moisturizer. And

505
00:28:37,960 --> 00:28:42,720
Speaker 1: retinals are typically for nighttime. There are a few exceptions.

506
00:28:42,880 --> 00:28:45,800
Speaker 1: Some retinals are stable during the day, but for general

507
00:28:45,800 --> 00:28:50,440
Speaker 1: the thumb, just use retinols at night. Now, when starting off,

508
00:28:50,520 --> 00:28:52,640
Speaker 1: I typically tell people to start off two or three

509
00:28:52,720 --> 00:28:56,640
Speaker 1: nights a week, and you know, the other nights, just

510
00:28:56,720 --> 00:29:00,600
Speaker 1: use a moisturizer. If your skin is not feeling or irritated,

511
00:29:00,760 --> 00:29:03,280
Speaker 1: after like two weeks of doing that, you can gradually

512
00:29:03,320 --> 00:29:05,880
Speaker 1: try to go to every night. If your skin is

513
00:29:05,920 --> 00:29:08,680
Speaker 1: like not able to handle two or three nights a

514
00:29:08,720 --> 00:29:11,760
Speaker 1: week and it's still peeling and irritated, try using a

515
00:29:11,800 --> 00:29:15,480
Speaker 1: moisturizer first, almost as like a protective base, and then

516
00:29:15,480 --> 00:29:17,920
Speaker 1: you could use your retinoid on top of that. And

517
00:29:17,960 --> 00:29:20,920
Speaker 1: it's interesting a study looked at what's the difference in

518
00:29:21,240 --> 00:29:25,040
Speaker 1: efficacy between using a moisturizer first followed by a retinoid

519
00:29:25,200 --> 00:29:29,200
Speaker 1: or retinoid followed by a moisturizer, and the effectiveness was

520
00:29:29,240 --> 00:29:32,720
Speaker 1: the same. So that's kind of cool. So for people

521
00:29:32,720 --> 00:29:35,080
Speaker 1: with dry skin, I say, try to use a moisturizer first.

522
00:29:35,240 --> 00:29:37,720
Speaker 1: Or some people talk about this thing called the retinoid sandwich,

523
00:29:37,720 --> 00:29:40,920
Speaker 1: where you do a moisturizer than a than a moisturizer.

524
00:29:41,680 --> 00:29:43,480
Speaker 1: But the goal is to try to get to every day.

525
00:29:43,520 --> 00:29:45,720
Speaker 1: If you still feel like you can't go to every day,

526
00:29:45,760 --> 00:29:47,719
Speaker 1: you might have to use something a little bit more gentle.

527
00:29:48,800 --> 00:29:49,880
Speaker 3: This is super helpful.

528
00:29:50,040 --> 00:29:52,880
Speaker 2: I was laughing a little bit because even the explanation

529
00:29:53,000 --> 00:29:55,720
Speaker 2: it goes back to the concept we were talking about

530
00:29:55,720 --> 00:29:57,640
Speaker 2: how there are so many products and so many things

531
00:29:57,640 --> 00:29:59,360
Speaker 2: out there, and the fact that there is so much

532
00:29:59,360 --> 00:30:02,080
Speaker 2: to learn is a big reason why people avoid it

533
00:30:02,120 --> 00:30:05,200
Speaker 2: all together, right, because it is so overwhelming.

534
00:30:05,800 --> 00:30:09,160
Speaker 1: Yeah, there's so much out there. I feel like I

535
00:30:09,200 --> 00:30:11,720
Speaker 1: take it for granted because yeah, I've kind of learned

536
00:30:11,720 --> 00:30:14,520
Speaker 1: it over the course of multiple years. But everything is

537
00:30:14,680 --> 00:30:17,920
Speaker 1: like just kind of exploded, you know, on social media recently.

538
00:30:18,960 --> 00:30:23,160
Speaker 3: Another question that came in, can you shrink large pores?

539
00:30:25,560 --> 00:30:30,800
Speaker 1: You can diminish the appearance of pores into certain ways.

540
00:30:31,280 --> 00:30:37,760
Speaker 1: So pores are basically your hair follicles there, they're little

541
00:30:37,760 --> 00:30:41,000
Speaker 1: hair follicle openings on your skin. There's just not hair

542
00:30:41,040 --> 00:30:44,160
Speaker 1: growing out of there, you know. The ones that you're noticing,

543
00:30:44,520 --> 00:30:51,120
Speaker 1: those little holes have are are lined with skin cells

544
00:30:51,240 --> 00:30:54,720
Speaker 1: and oil there's an oil land that's like attached to

545
00:30:54,760 --> 00:30:58,360
Speaker 1: each poor and it secretes oil into the poor. Now,

546
00:30:58,640 --> 00:31:02,720
Speaker 1: the reason why pores appear larger is because it gets

547
00:31:02,800 --> 00:31:04,920
Speaker 1: filled up with those contents. It gets filled up with

548
00:31:04,960 --> 00:31:08,840
Speaker 1: more dead skin cells and oil. So when you want

549
00:31:08,880 --> 00:31:11,720
Speaker 1: to decrease the appearance in the size of the poor,

550
00:31:12,760 --> 00:31:14,560
Speaker 1: you want to make sure that you're clearing out those

551
00:31:14,600 --> 00:31:18,680
Speaker 1: contents so it's not making the poor enlarged. What's interesting

552
00:31:18,720 --> 00:31:21,880
Speaker 1: is that if you just leave your skin alone and

553
00:31:21,960 --> 00:31:25,200
Speaker 1: you have in large pores for many years, it can

554
00:31:25,280 --> 00:31:31,360
Speaker 1: scar like that. So let's say you're in your thirties

555
00:31:31,480 --> 00:31:34,360
Speaker 1: and you've been dealing with large pores since you're in

556
00:31:34,400 --> 00:31:37,400
Speaker 1: your teens. Yes, you can use products to help kind

557
00:31:37,400 --> 00:31:40,080
Speaker 1: of exfoliate and clear out the contents of your pores.

558
00:31:40,160 --> 00:31:44,400
Speaker 1: These include retinoids and exfoliating acids. But if your pores

559
00:31:44,440 --> 00:31:48,520
Speaker 1: still look big, it could also be because they've just

560
00:31:48,680 --> 00:31:50,920
Speaker 1: lived like that for so long they've scarred that way,

561
00:31:51,320 --> 00:31:54,040
Speaker 1: and retinoids can help with that. Because retinoids, in addition

562
00:31:54,080 --> 00:31:56,200
Speaker 1: to like clearing out the build up of dead skin,

563
00:31:56,720 --> 00:31:59,920
Speaker 1: it helps remodel collagen. That's how it helps with fine

564
00:32:00,120 --> 00:32:03,040
Speaker 1: and wrinkles. So it can you know, help kind of

565
00:32:03,080 --> 00:32:06,320
Speaker 1: build that collagen which can like provide extra support around

566
00:32:06,360 --> 00:32:10,400
Speaker 1: that poor wall and decrease the appearance of the poor size.

567
00:32:11,400 --> 00:32:13,160
Speaker 1: But it can only do so much, you know. At

568
00:32:13,160 --> 00:32:16,440
Speaker 1: that point. Procedures are also super helpful. There's like we're

569
00:32:16,480 --> 00:32:20,760
Speaker 1: servicing lasers, chemical peels, micro needling, these are other things

570
00:32:20,760 --> 00:32:23,040
Speaker 1: that can make a bigger difference on your poor size.

571
00:32:23,080 --> 00:32:25,960
Speaker 1: But yes, I guess the answer to your question is, yes.

572
00:32:27,240 --> 00:32:29,600
Speaker 3: There is a way. There's a way can tell me

573
00:32:29,640 --> 00:32:32,640
Speaker 3: a little bit about micro needling. It sounds frightening.

574
00:32:33,080 --> 00:32:34,200
Speaker 1: It does sound frightening.

575
00:32:35,400 --> 00:32:38,160
Speaker 3: That's up there with the term neurotoxins.

576
00:32:37,320 --> 00:32:39,400
Speaker 1: In our h I know, I'm like, we've got to

577
00:32:39,400 --> 00:32:42,680
Speaker 1: like revamp our vocabulary here in Durham. But micro needling,

578
00:32:42,720 --> 00:32:45,040
Speaker 1: I feel like it is one of the easiest and

579
00:32:45,480 --> 00:32:49,840
Speaker 1: painless procedures that we do in our office, and I

580
00:32:49,880 --> 00:32:51,880
Speaker 1: think it can do. It has a lot of great benefits.

581
00:32:52,080 --> 00:32:56,200
Speaker 1: So micro needling, basically, it's a device that has a

582
00:32:56,240 --> 00:33:00,440
Speaker 1: bunch of different tiny little needles, sometimes like you can't

583
00:33:00,440 --> 00:33:04,200
Speaker 1: even see them, and basically when you're applying it to

584
00:33:04,240 --> 00:33:07,560
Speaker 1: the skin, it's puncturing the skin. These needles are so

585
00:33:07,760 --> 00:33:10,080
Speaker 1: tiny you can barely feel it. I mean, we do

586
00:33:10,120 --> 00:33:12,240
Speaker 1: have patients put numbing cream on to just make it

587
00:33:12,240 --> 00:33:14,520
Speaker 1: more comfortable, so it just feels like a vibration. Doesn't

588
00:33:14,520 --> 00:33:18,120
Speaker 1: really feel like much. But the act of puncturing the

589
00:33:18,160 --> 00:33:22,960
Speaker 1: skin with these tiny needles is causing these micro injuries

590
00:33:22,960 --> 00:33:25,440
Speaker 1: in the skin, which may sound bad or scary, but

591
00:33:25,600 --> 00:33:30,760
Speaker 1: actually these micro injuries aren't enough to cause any scarring

592
00:33:30,800 --> 00:33:33,720
Speaker 1: or anything that. If anything, it's by puncturing the collagen,

593
00:33:33,760 --> 00:33:37,480
Speaker 1: it's allowing the collagen to want to remodel, and that's

594
00:33:37,480 --> 00:33:42,320
Speaker 1: how it can help with things like fine lines, acne, scars,

595
00:33:43,280 --> 00:33:47,520
Speaker 1: and the little tiny openings can also allow you to

596
00:33:47,600 --> 00:33:50,480
Speaker 1: use other products that normally may be harder to penetrate

597
00:33:50,520 --> 00:33:55,000
Speaker 1: the skin, things like growth factors. That's after micro after

598
00:33:55,080 --> 00:33:58,920
Speaker 1: micro needling is a great opportunity to use growth factors PRP.

599
00:33:59,120 --> 00:34:02,120
Speaker 1: So you've probably heard of vam pyr facials. Plate lit

600
00:34:02,160 --> 00:34:06,800
Speaker 1: rich plasma or PRP is what is derived from your

601
00:34:06,840 --> 00:34:08,600
Speaker 1: own blood. Like we draw your blood, we spin it

602
00:34:08,640 --> 00:34:13,360
Speaker 1: down in a centrifuge and we extract this beautiful liquid gold.

603
00:34:13,520 --> 00:34:16,440
Speaker 1: We call it it's plate liverrich plasma, and platelets are

604
00:34:16,440 --> 00:34:19,560
Speaker 1: full of growth factors, and it works better when you

605
00:34:19,600 --> 00:34:24,319
Speaker 1: have those little tiny microchannels. After micro needling, that's the

606
00:34:24,320 --> 00:34:25,640
Speaker 1: best time to apply PRP.

607
00:34:26,440 --> 00:34:28,560
Speaker 2: Yeah, you know, it's so interesting because there are so

608
00:34:28,680 --> 00:34:32,400
Speaker 2: many ties here between what we talk about in muscles

609
00:34:32,400 --> 00:34:34,160
Speaker 2: and the rest of the body. Right when we're talking

610
00:34:34,239 --> 00:34:39,960
Speaker 2: about activity or hypertrophy. It's like you do something like

611
00:34:40,120 --> 00:34:42,520
Speaker 2: a heavy overhead press one day, and the reason that

612
00:34:42,560 --> 00:34:44,880
Speaker 2: you're not supposed to work the muscles involved in a

613
00:34:44,920 --> 00:34:47,520
Speaker 2: heavy overhead press two days in a row is because

614
00:34:47,560 --> 00:34:51,440
Speaker 2: you're enduring those small muscular tears which then need in

615
00:34:51,480 --> 00:34:54,399
Speaker 2: turn time to repair themselves. And then when they do that,

616
00:34:54,640 --> 00:34:56,879
Speaker 2: they get bigger and you get stronger. The same thing

617
00:34:56,920 --> 00:34:59,760
Speaker 2: is happening here when it comes to the micro needling

618
00:34:59,840 --> 00:35:04,880
Speaker 2: that and how you're impacting your face. So for someone

619
00:35:04,920 --> 00:35:06,920
Speaker 2: who hears this and they're like, wow, maybe I should

620
00:35:06,920 --> 00:35:10,040
Speaker 2: get micro needling, would you say that everyone is a

621
00:35:10,040 --> 00:35:12,440
Speaker 2: candidate for this or is this only for people that

622
00:35:12,560 --> 00:35:16,640
Speaker 2: have certain conditions that are looking to maybe address those.

623
00:35:17,840 --> 00:35:19,880
Speaker 1: Yeah, I mean, I guess anyone can do it, but

624
00:35:20,640 --> 00:35:26,480
Speaker 1: really if people are younger, we typically do it in

625
00:35:26,560 --> 00:35:31,520
Speaker 1: those who have acne scars and or want to like

626
00:35:31,560 --> 00:35:36,200
Speaker 1: start working on fine lines that they have and then

627
00:35:36,360 --> 00:35:40,160
Speaker 1: but I would say the most common demographic is thirties.

628
00:35:40,200 --> 00:35:44,080
Speaker 1: Thirties is still young too, but thirties plus we do

629
00:35:44,160 --> 00:35:46,919
Speaker 1: it a lot in gosh. Probably one of the most

630
00:35:46,920 --> 00:35:51,240
Speaker 1: common complaints that I get from patients, and this probably

631
00:35:51,239 --> 00:35:52,880
Speaker 1: in women who are like fifty year older. Are like

632
00:35:53,000 --> 00:35:57,279
Speaker 1: lip lines like those deeplip lines and necklines too, and

633
00:35:57,800 --> 00:35:59,759
Speaker 1: micro neediling is a great tool for that.

634
00:36:00,440 --> 00:36:02,960
Speaker 2: What would you say the other most common quote unquote

635
00:36:02,960 --> 00:36:05,719
Speaker 2: complaints you get are from your patients.

636
00:36:06,719 --> 00:36:14,040
Speaker 1: Oh, besides wrinkles, hyperpigmentation like dark spots, sun spots, malasma,

637
00:36:14,480 --> 00:36:16,279
Speaker 1: but like post inflammatory hyperpigmentation.

638
00:36:16,840 --> 00:36:20,759
Speaker 2: Yeah, malasma is definitely a topic as well as pigmentation.

639
00:36:21,000 --> 00:36:22,880
Speaker 2: For a lot of the women that may be listening

640
00:36:22,920 --> 00:36:26,160
Speaker 2: to this who find themselves to be super active, maybe

641
00:36:26,160 --> 00:36:30,160
Speaker 2: they are runners, They get outside a lot. What is

642
00:36:30,200 --> 00:36:33,840
Speaker 2: within their power to do on their own to treat

643
00:36:33,920 --> 00:36:34,600
Speaker 2: this at home?

644
00:36:35,160 --> 00:36:37,960
Speaker 1: Yes, So I do want to preface this by saying

645
00:36:38,000 --> 00:36:40,600
Speaker 1: that even though it doesn't seem like it, malasma is

646
00:36:40,640 --> 00:36:44,240
Speaker 1: one of the most stubborn and one of the hardest

647
00:36:44,239 --> 00:36:46,879
Speaker 1: conditions for derms to treat, And the reason for that

648
00:36:47,080 --> 00:36:51,200
Speaker 1: is it's not just a skin issue. There's an internal

649
00:36:51,239 --> 00:36:54,560
Speaker 1: issue with it too, and usually related to hormones. So

650
00:36:54,600 --> 00:36:56,840
Speaker 1: we can throw everything in the kitchen sink at malasma

651
00:36:56,920 --> 00:37:00,480
Speaker 1: sometimes and might clear temporarily and then could just come

652
00:37:00,560 --> 00:37:03,080
Speaker 1: right back if that underlying issue is not addressed. So

653
00:37:03,160 --> 00:37:05,480
Speaker 1: I just want to like put that out there because

654
00:37:05,640 --> 00:37:09,080
Speaker 1: if you find it frustrating, that makes sense, because it is.

655
00:37:09,280 --> 00:37:14,160
Speaker 1: It can be very frustrating. We typically see malasma, you know,

656
00:37:15,680 --> 00:37:18,000
Speaker 1: I mean, we see it mostly in women, and we

657
00:37:18,040 --> 00:37:20,320
Speaker 1: see it in people who've like been on birth control

658
00:37:20,520 --> 00:37:24,120
Speaker 1: or like or who are changing birth controls or want

659
00:37:24,160 --> 00:37:25,719
Speaker 1: to t get off birth control. We also see it

660
00:37:25,760 --> 00:37:29,480
Speaker 1: a lot in this like cutting a pregnancy or even postpartum,

661
00:37:29,840 --> 00:37:32,160
Speaker 1: and sometimes we could also see in a setting of

662
00:37:32,160 --> 00:37:36,640
Speaker 1: like thyroid issues too, like hashi motos thyroidditis. In terms

663
00:37:36,640 --> 00:37:39,120
Speaker 1: of how to best treat it at home, we know

664
00:37:39,239 --> 00:37:43,239
Speaker 1: that the sun exacerbates malasma, the sun and heat. So

665
00:37:44,280 --> 00:37:46,520
Speaker 1: let's say you're like using a sauna, even you have

666
00:37:46,560 --> 00:37:48,719
Speaker 1: to be careful because because heat can play a really

667
00:37:48,719 --> 00:37:53,000
Speaker 1: big role, and you just want to become obsessed with

668
00:37:53,239 --> 00:37:57,680
Speaker 1: sun protection sunscreen, and another interesting thing is using sunscreen

669
00:37:57,840 --> 00:38:01,479
Speaker 1: that's tinted so there's a chemical that causes the tint

670
00:38:02,120 --> 00:38:04,800
Speaker 1: iron oxide. Iron Oxide has been shown to help protect

671
00:38:04,800 --> 00:38:10,240
Speaker 1: against visible light. And because there's certain wavelength that can

672
00:38:10,840 --> 00:38:14,520
Speaker 1: invisible light spectrum, that can also worseen hyperpigmentation, which is

673
00:38:15,560 --> 00:38:17,480
Speaker 1: like awesome, Okay, So it's like not only just being

674
00:38:17,480 --> 00:38:21,120
Speaker 1: outside sometimes like being indoors you know, can make malasma worse.

675
00:38:21,600 --> 00:38:26,640
Speaker 1: So using a tinted sunscreen. And I also think that

676
00:38:26,800 --> 00:38:30,440
Speaker 1: everyone should incorporate a retinal in their routine. So retinyl,

677
00:38:30,640 --> 00:38:33,560
Speaker 1: you know, it's anti aging. It helps with increasing skin

678
00:38:33,600 --> 00:38:35,480
Speaker 1: cell turnover, and so that's how it can also help

679
00:38:35,480 --> 00:38:39,520
Speaker 1: with hyperpigmentation. And then I do recommend incorporating a vitamin

680
00:38:39,600 --> 00:38:43,120
Speaker 1: C serum that can help also with pigmentation in the skin.

681
00:38:43,239 --> 00:38:48,359
Speaker 1: Those aren't really strong anti hyperpigmentation products, but those are

682
00:38:48,400 --> 00:38:51,960
Speaker 1: like good solid products that have in your regimen anyway

683
00:38:51,960 --> 00:38:55,560
Speaker 1: for anti aging, and it's going to further help with

684
00:38:55,920 --> 00:38:58,720
Speaker 1: anything else that you do to help with malasma. So sunscreen, retinyl,

685
00:38:58,800 --> 00:39:03,959
Speaker 1: vitamin C, and then there are a multitude of skin

686
00:39:04,040 --> 00:39:09,920
Speaker 1: lightening ingredients out there. I think that prescription skin lightning creams,

687
00:39:09,960 --> 00:39:12,360
Speaker 1: like with hydroquinone are going to be the most effective

688
00:39:12,680 --> 00:39:14,320
Speaker 1: so if you really want to work on your malasma,

689
00:39:14,440 --> 00:39:16,600
Speaker 1: you might have to see a dermatologist. And there's also

690
00:39:16,640 --> 00:39:19,920
Speaker 1: a lot of easier access to online dermatologists too, if

691
00:39:19,960 --> 00:39:23,480
Speaker 1: you want to work on the malasma or just get

692
00:39:23,480 --> 00:39:26,759
Speaker 1: like a simple prescription like with hydroquinone for malasma. In

693
00:39:26,840 --> 00:39:30,000
Speaker 1: terms of over the counter ingredients out there, there's a

694
00:39:30,000 --> 00:39:33,840
Speaker 1: few and it's hard to rank them, but ingredients that

695
00:39:33,880 --> 00:39:38,480
Speaker 1: I like are tranexamic acid, cojic acid alpha r buttant

696
00:39:38,880 --> 00:39:43,600
Speaker 1: as a lake acid phenyl resource, and all. I mean,

697
00:39:44,640 --> 00:39:46,560
Speaker 1: there's a new one the lotus extract that I think

698
00:39:46,640 --> 00:39:49,520
Speaker 1: is awesome. There's a few different products out there that

699
00:39:50,040 --> 00:39:52,680
Speaker 1: have a variation of those. And then the other thing,

700
00:39:52,719 --> 00:39:55,319
Speaker 1: and we touched on this before, is exfoliating. You want

701
00:39:55,320 --> 00:39:58,799
Speaker 1: to exfoliate if you have malasma a couple times a week.

702
00:39:59,400 --> 00:40:03,000
Speaker 2: Yeah, you mentioned a buzzword here, being able to do

703
00:40:03,440 --> 00:40:08,279
Speaker 2: maybe telemedicine for dermatology. A question that came in is

704
00:40:08,440 --> 00:40:11,400
Speaker 2: our online prescription safe or legitimate?

705
00:40:12,880 --> 00:40:16,520
Speaker 1: Yes? And I am saying this because I have worked

706
00:40:16,520 --> 00:40:20,840
Speaker 1: with three different online teledeermatology services. I can't so I

707
00:40:20,840 --> 00:40:24,080
Speaker 1: can't speak for all of them, but having worked with

708
00:40:24,280 --> 00:40:28,080
Speaker 1: and being a dermatologist for two of those three, and

709
00:40:28,120 --> 00:40:31,799
Speaker 1: like being a consultant for one of them. Yeah, they're

710
00:40:31,960 --> 00:40:33,640
Speaker 1: they're legitimate prescriptions.

711
00:40:34,120 --> 00:40:34,440
Speaker 3: Great.

712
00:40:34,560 --> 00:40:37,080
Speaker 2: That's good to hear, especially because, like we said, making

713
00:40:37,120 --> 00:40:38,759
Speaker 2: the time or being able to get in to see

714
00:40:38,760 --> 00:40:44,839
Speaker 2: someone IRL isn't always something that feels accessible. It's been

715
00:40:44,880 --> 00:40:48,400
Speaker 2: really interesting to see the trend and continuation of telemedicine.

716
00:40:48,400 --> 00:40:51,640
Speaker 2: I would argue for the better because of the pandemic

717
00:40:51,719 --> 00:40:55,400
Speaker 2: and now we just have such a wider opportunity to

718
00:40:55,520 --> 00:40:58,560
Speaker 2: get the help that we need in a timely manner

719
00:40:58,600 --> 00:41:01,160
Speaker 2: that might work better for you for sure.

720
00:41:01,239 --> 00:41:05,480
Speaker 1: Yeah. No, I'm definitely an advocate for teledermatology for sure.

721
00:41:05,600 --> 00:41:09,800
Speaker 2: So as we're winding down here, a couple questions left.

722
00:41:10,400 --> 00:41:16,720
Speaker 2: This one improving lip fullness without fillers? Is it possible? Uh?

723
00:41:17,400 --> 00:41:21,640
Speaker 1: I think that it is. I mean the biggest thing

724
00:41:21,800 --> 00:41:25,799
Speaker 1: is also just making sure your lips are hydrated. So

725
00:41:26,440 --> 00:41:32,000
Speaker 1: when you're hydrating your lips, you want to use products

726
00:41:32,080 --> 00:41:35,319
Speaker 1: that on on damp skin. So and then you know

727
00:41:35,360 --> 00:41:38,360
Speaker 1: the most notable hydrating ingredients like hyuronic acid, So you

728
00:41:38,360 --> 00:41:41,680
Speaker 1: could look for for lip products that have hyuronic acid.

729
00:41:42,160 --> 00:41:43,799
Speaker 1: But when you apply it, make sure that your lips

730
00:41:43,800 --> 00:41:48,240
Speaker 1: are damp, so that absorbs better. Otherwise, besides lip filler,

731
00:41:48,320 --> 00:41:50,399
Speaker 1: it's a little bit more limited. There's you know, those

732
00:41:50,440 --> 00:41:54,080
Speaker 1: like Theo's lip products that can temporarily, you know, cause

733
00:41:54,120 --> 00:41:55,000
Speaker 1: some lips swelling.

734
00:41:55,160 --> 00:41:58,160
Speaker 3: But yeah, those never really felt comfortable to me.

735
00:41:58,840 --> 00:42:03,839
Speaker 1: Yeah, I'm just like, this doesn't seem right, Like, why

736
00:42:03,920 --> 00:42:06,839
Speaker 1: is it stinging? It's hurting a little.

737
00:42:07,440 --> 00:42:09,319
Speaker 2: I can't imagine like being like, you know what I

738
00:42:09,360 --> 00:42:10,800
Speaker 2: wanted to do today, I want to make my lips

739
00:42:10,840 --> 00:42:13,959
Speaker 2: hurt so that they look newer in person with other people. Yeah,

740
00:42:14,160 --> 00:42:17,160
Speaker 2: it's not for me. Second, the last question here sorias

741
00:42:17,200 --> 00:42:19,400
Speaker 2: has help. That was kind of like the theme and

742
00:42:19,480 --> 00:42:21,560
Speaker 2: a lot of questions that came in. I know that

743
00:42:21,600 --> 00:42:25,120
Speaker 2: a lot of individuals struggle with different levels of psoriasis.

744
00:42:25,360 --> 00:42:27,319
Speaker 2: What advice do you have to offer them when it

745
00:42:27,360 --> 00:42:30,279
Speaker 2: comes to kind of keeping this at bay or navigating it?

746
00:42:30,320 --> 00:42:32,920
Speaker 3: Because I know that it can be extremely uncomfortable.

747
00:42:33,560 --> 00:42:37,839
Speaker 1: Oh my gosh, riasis can be so tough. Thankfully there

748
00:42:37,880 --> 00:42:40,239
Speaker 1: are like I mean, just even though span of the

749
00:42:40,320 --> 00:42:43,920
Speaker 1: last five years, five to ten years, there have been

750
00:42:44,120 --> 00:42:47,239
Speaker 1: so many new innovations in terms of treatments for psoriasis.

751
00:42:47,840 --> 00:42:49,920
Speaker 1: I mean, these are prescriptions, so this is you know,

752
00:42:49,920 --> 00:42:52,239
Speaker 1: something you have to see a demotolgis for. But in

753
00:42:52,320 --> 00:42:56,600
Speaker 1: terms of what you can do at home to you know,

754
00:42:56,920 --> 00:42:59,560
Speaker 1: treat your psoriasis or to help kind of prevent it

755
00:42:59,560 --> 00:43:02,319
Speaker 1: from getting worse, there are certain things that we know

756
00:43:02,400 --> 00:43:06,120
Speaker 1: from the literature that can exacerbate zoriasis. We one hundred

757
00:43:06,120 --> 00:43:10,440
Speaker 1: percent note that smoking can make risis worse. Thankfully, you know,

758
00:43:10,520 --> 00:43:14,799
Speaker 1: cigarette smoking is becoming less common. I hope we know

759
00:43:14,880 --> 00:43:19,000
Speaker 1: that alcohol, alcohol can make zoriasis worse. We have plenty

760
00:43:19,040 --> 00:43:23,239
Speaker 1: of publish studies regarding that stress can make crisis worse.

761
00:43:23,280 --> 00:43:27,320
Speaker 1: And it's I know, it's so hard to address stress

762
00:43:27,360 --> 00:43:30,120
Speaker 1: because you know, it's it's like we accept it to

763
00:43:30,120 --> 00:43:33,640
Speaker 1: be part of our lives. But we definitely have studies

764
00:43:33,640 --> 00:43:37,400
Speaker 1: supporting that. And in terms of food, we do have

765
00:43:37,440 --> 00:43:42,279
Speaker 1: studies supporting that a Mediterranean based diet is helpful for

766
00:43:42,440 --> 00:43:47,920
Speaker 1: psoriasis in terms of sugar. So it's interesting zoriasis is

767
00:43:47,960 --> 00:43:53,080
Speaker 1: also exacerbated by yeast on our skin, and things that

768
00:43:53,080 --> 00:43:55,319
Speaker 1: feed the yeast are things like sugar and alcohol. So

769
00:43:55,400 --> 00:43:58,160
Speaker 1: something to think about people. A lot of people ask like, well,

770
00:43:58,200 --> 00:44:01,319
Speaker 1: gluten makes up my oriasis worse and my answer to

771
00:44:01,360 --> 00:44:04,200
Speaker 1: that is that it depends, because it can if you

772
00:44:04,360 --> 00:44:09,960
Speaker 1: are a gluten sensitive individual. And there has been a

773
00:44:09,960 --> 00:44:13,880
Speaker 1: couple studies showing that people who have markers for silliact disease,

774
00:44:13,920 --> 00:44:17,160
Speaker 1: Like if you even if you don't have silliac disease symptoms,

775
00:44:17,680 --> 00:44:19,920
Speaker 1: if we test your blood and check certain antibodies, if

776
00:44:19,960 --> 00:44:23,200
Speaker 1: you have those markers, then gluten can make your psoriasis worse.

777
00:44:23,920 --> 00:44:27,120
Speaker 1: So that can happen in some people. And having good

778
00:44:27,200 --> 00:44:30,680
Speaker 1: vitamin D and getting some sun so I don't want

779
00:44:30,719 --> 00:44:33,560
Speaker 1: to like say, go bask out in the sun if

780
00:44:33,600 --> 00:44:37,440
Speaker 1: you have psoriasis, but having a healthy level of vitamin D,

781
00:44:38,160 --> 00:44:40,799
Speaker 1: which you know we talked about getting through supplements, a

782
00:44:40,800 --> 00:44:43,880
Speaker 1: little bit of sun that can also be helpful for psoriasis.

783
00:44:43,920 --> 00:44:45,719
Speaker 3: Yeah, lots of really good tips here.

784
00:44:46,000 --> 00:44:48,960
Speaker 2: Like I mentioned before, we have a lot of super

785
00:44:48,960 --> 00:44:52,560
Speaker 2: active individuals that are listening to this podcast. I know

786
00:44:52,640 --> 00:44:56,920
Speaker 2: that with activity and sweat can come what many refer

787
00:44:57,040 --> 00:45:00,319
Speaker 2: to as as small annoying bumps on the forehead or

788
00:45:00,360 --> 00:45:03,080
Speaker 2: maybe on other parts of your skin that don't necessarily

789
00:45:03,120 --> 00:45:05,440
Speaker 2: look like the traditional pimple.

790
00:45:05,600 --> 00:45:07,839
Speaker 3: For those that are really just trying.

791
00:45:07,600 --> 00:45:09,719
Speaker 2: To do the best they can with what they have

792
00:45:10,040 --> 00:45:13,319
Speaker 2: work out and avoid these small bumps. First of all,

793
00:45:13,440 --> 00:45:15,759
Speaker 2: what are they and what can they do about them?

794
00:45:16,800 --> 00:45:22,360
Speaker 1: Those are essentially like teeny little clogged pores, Yeah, like

795
00:45:22,360 --> 00:45:25,560
Speaker 1: along your foreheadline. And so there's a few different ways

796
00:45:25,600 --> 00:45:28,080
Speaker 1: to address them, especially if you are very active, you

797
00:45:28,120 --> 00:45:30,840
Speaker 1: go to the gym, if you're sweating a lot, If

798
00:45:31,239 --> 00:45:33,719
Speaker 1: you don't have access to wash your face or take

799
00:45:33,760 --> 00:45:36,000
Speaker 1: a shower right then and there, which many people don't,

800
00:45:36,200 --> 00:45:39,000
Speaker 1: I would carry like salslic acid wipes with you, like

801
00:45:39,080 --> 00:45:42,880
Speaker 1: in your gym bag or in your purse. And there's

802
00:45:42,960 --> 00:45:45,640
Speaker 1: a lot of great brands out there, and just like

803
00:45:45,719 --> 00:45:48,120
Speaker 1: after working out, just do a quick wipe like in

804
00:45:48,160 --> 00:45:51,640
Speaker 1: those areas where you notice those bumps. Another interesting thing

805
00:45:52,200 --> 00:45:56,279
Speaker 1: sometimes it could be the shampoo that you're using, huh.

806
00:45:55,480 --> 00:45:59,319
Speaker 1: That can also aggravate, especially along the hairline and on

807
00:45:59,360 --> 00:46:02,400
Speaker 1: the forehead. A lot of shampoos have like derivatives of

808
00:46:02,400 --> 00:46:04,759
Speaker 1: coconut oil in them, and I don't even know off

809
00:46:04,760 --> 00:46:07,480
Speaker 1: the top of my head what those chemical names are.

810
00:46:08,680 --> 00:46:11,800
Speaker 1: There's one of my colleagues who's a dermatologist. She started

811
00:46:11,800 --> 00:46:14,879
Speaker 1: a shampoo brand specifically for this because she had seen

812
00:46:14,960 --> 00:46:17,800
Speaker 1: so many people breaking out an acne from shampoo and

813
00:46:17,880 --> 00:46:21,000
Speaker 1: hair products. She started a brand called Scene see N.

814
00:46:21,960 --> 00:46:25,239
Speaker 1: So you know, telltale signs that it could be from

815
00:46:25,239 --> 00:46:27,040
Speaker 1: your shampoo is if it's along your hairline, on your

816
00:46:27,040 --> 00:46:29,560
Speaker 1: forehead or like on your back, like where your hair

817
00:46:29,960 --> 00:46:34,279
Speaker 1: is in that distribution. So something to think about. And

818
00:46:34,320 --> 00:46:37,319
Speaker 1: then in terms of other treatment that you could do

819
00:46:37,360 --> 00:46:41,239
Speaker 1: to help with those bumps, using salsalic acid at home,

820
00:46:41,320 --> 00:46:44,919
Speaker 1: like whether it's in atner, other exfoliating acids, and being

821
00:46:44,960 --> 00:46:46,600
Speaker 1: regular with a retinoid as well.

822
00:46:47,520 --> 00:46:48,799
Speaker 3: Love that. Love that, I know.

823
00:46:48,880 --> 00:46:50,480
Speaker 2: I said that was the last question, but I have

824
00:46:50,560 --> 00:46:52,279
Speaker 2: one more that I wanted to make sure that I

825
00:46:52,320 --> 00:46:55,799
Speaker 2: snuck in here before the end. Here benefits of red light?

826
00:46:55,880 --> 00:46:58,760
Speaker 2: Should I buy something with red light to use at home?

827
00:47:00,120 --> 00:47:05,400
Speaker 1: I am pro red light. I think that it can definitely,

828
00:47:06,160 --> 00:47:08,840
Speaker 1: you know, rejuvenate the skin. It works on a collagen

829
00:47:08,920 --> 00:47:12,960
Speaker 1: level to potentially help tighten your collagen or remodel collagen

830
00:47:13,080 --> 00:47:16,239
Speaker 1: to help with fine lines and wrinkles. And yeah, the

831
00:47:16,320 --> 00:47:19,600
Speaker 1: thing about home red light devices is that we don't

832
00:47:19,640 --> 00:47:25,120
Speaker 1: really have which ones are better than others. There's no

833
00:47:25,560 --> 00:47:30,399
Speaker 1: like standard for what the red light should be, so

834
00:47:30,760 --> 00:47:33,839
Speaker 1: it's hard to say which one's like the best one?

835
00:47:33,840 --> 00:47:36,560
Speaker 1: Which one you should use? Because I don't just because

836
00:47:36,560 --> 00:47:40,560
Speaker 1: they're not really standardized. But in general I think that

837
00:47:40,600 --> 00:47:41,480
Speaker 1: they are beneficial.

838
00:47:42,200 --> 00:47:44,239
Speaker 2: And when it comes to using those red light do

839
00:47:44,239 --> 00:47:46,680
Speaker 2: you have to be cognizant of that being around your

840
00:47:46,719 --> 00:47:47,560
Speaker 2: eye area?

841
00:47:48,480 --> 00:47:53,279
Speaker 1: Yeah, And different brands do make it so that it's

842
00:47:53,719 --> 00:47:57,120
Speaker 1: safer around the eyes. It's interesting. Some brands have it

843
00:47:57,160 --> 00:48:01,040
Speaker 1: so that like there is the eye opening and like

844
00:48:01,120 --> 00:48:05,120
Speaker 1: that's like sufficient if the red light's stronger. You know,

845
00:48:05,160 --> 00:48:08,360
Speaker 1: some brands like make you work goggles too, So I

846
00:48:08,440 --> 00:48:11,520
Speaker 1: usually trust that the brand when they like have like

847
00:48:11,560 --> 00:48:13,040
Speaker 1: the right eye protection in.

848
00:48:13,040 --> 00:48:15,200
Speaker 3: Place, right, yeah? Yeah?

849
00:48:15,239 --> 00:48:17,319
Speaker 2: And then how often if someone's like, Okay, I want

850
00:48:17,320 --> 00:48:19,520
Speaker 2: to get in on this, how often should someone be

851
00:48:19,600 --> 00:48:21,040
Speaker 2: using red light therapy on their skin?

852
00:48:21,800 --> 00:48:23,560
Speaker 1: I usually say like every other day or a few

853
00:48:23,560 --> 00:48:24,160
Speaker 1: times a week.

854
00:48:24,719 --> 00:48:25,360
Speaker 3: Okay, cool.

855
00:48:25,840 --> 00:48:29,080
Speaker 2: It sounds like they're from everything that you told me.

856
00:48:29,320 --> 00:48:32,360
Speaker 2: Like I said, it can be overwhelming, but it also

857
00:48:32,920 --> 00:48:35,319
Speaker 2: doesn't have to be if you're willing to just do

858
00:48:35,600 --> 00:48:39,920
Speaker 2: a few small things to get you in the right direction.

859
00:48:40,280 --> 00:48:43,040
Speaker 2: I know that we covered a ton here, but before

860
00:48:43,080 --> 00:48:46,640
Speaker 2: I let you go, any last advice to offer to

861
00:48:46,719 --> 00:48:49,239
Speaker 2: someone who is in that boat who's like, geez, I

862
00:48:49,360 --> 00:48:53,319
Speaker 2: just feel like I heard you, but I am overwhelmed.

863
00:48:53,320 --> 00:48:56,040
Speaker 3: I don't know what to do. What do you tell them?

864
00:48:56,480 --> 00:48:58,640
Speaker 1: If you had to do one thing in your skincare

865
00:48:58,680 --> 00:49:03,319
Speaker 1: regimen that is to our sunscreen, that is going to

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00:49:03,320 --> 00:49:05,799
Speaker 1: make such a huge difference. It doesn't feel like it's

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00:49:05,840 --> 00:49:09,920
Speaker 1: going to be doing anything. Okay, you're like, it's going

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00:49:09,960 --> 00:49:13,040
Speaker 1: to feel pointless, but you will thank yourself in like

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00:49:13,160 --> 00:49:18,120
Speaker 1: ten years. It's it's it's that it's that daily exposure

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00:49:18,239 --> 00:49:21,640
Speaker 1: every day that accumulates over time. That's what makes the

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00:49:21,640 --> 00:49:23,720
Speaker 1: biggest impact on your skin. So if you can prevent

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00:49:24,239 --> 00:49:27,279
Speaker 1: that build up of you know, sun damage and you're

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00:49:27,280 --> 00:49:29,480
Speaker 1: going to make a big impact, you will thank yourself.

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00:49:29,880 --> 00:49:31,360
Speaker 3: Yes, you will thank yourself.

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00:49:31,440 --> 00:49:34,000
Speaker 2: Wow, I'm so happy that we were able to go

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Speaker 2: through this lengthy listener.

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Speaker 3: Questions, Doctor Jegano.

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00:49:38,200 --> 00:49:40,799
Speaker 2: For those that don't follow you just yet and they

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00:49:40,840 --> 00:49:44,359
Speaker 2: want to get all of your information on social where

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00:49:44,360 --> 00:49:44,719
Speaker 2: do they go?

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00:49:46,280 --> 00:49:49,600
Speaker 1: You can follow me at doctor dot Mamina Dr dot

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00:49:49,719 --> 00:49:53,640
Speaker 1: m A M I n A on Instagram TikTok. I

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00:49:53,680 --> 00:49:56,640
Speaker 1: also have a YouTube channel where I really go into

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00:49:56,840 --> 00:49:58,960
Speaker 1: death with like topics that we talked about on here,

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00:49:59,520 --> 00:50:03,080
Speaker 1: and uh, I'm on Facebook too, so yes. And then

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00:50:03,120 --> 00:50:06,160
Speaker 1: you can also go to my website doctormamina dot com.

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00:50:06,200 --> 00:50:09,840
Speaker 2: Amazing, I'm over at Emilyabody and at Hurdle Podcast Another

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Speaker 2: Hurdle conquered. Catch you guys next time.