1
00:00:00,160 --> 00:00:03,199
Speaker 1: I listened to The Black Guy Who Tips Podcast because

2
00:00:03,320 --> 00:00:05,080
Speaker 1: Rod and Karen are hot.

3
00:00:05,320 --> 00:00:08,039
Speaker 2: Hi, Welcome to another episode of The Black Guy Who

4
00:00:08,080 --> 00:00:08,920
Speaker 2: Tills Podcast.

5
00:00:09,039 --> 00:00:11,960
Speaker 3: I'm your host, Rod joined is always on my co

6
00:00:12,080 --> 00:00:15,560
Speaker 3: host Karen, and we are live on.

7
00:00:15,480 --> 00:00:19,680
Speaker 2: A Wednesday, ready to talk to you about the world

8
00:00:19,800 --> 00:00:22,960
Speaker 2: and podcasting and life and all that good stuff. Very

9
00:00:23,000 --> 00:00:26,880
Speaker 2: special Wednesday because the switch to comes out, Yes it does,

10
00:00:27,240 --> 00:00:30,680
Speaker 2: and even though our economy is terrible, apparently everyone can

11
00:00:30,720 --> 00:00:33,320
Speaker 2: afford one because they were ran out and I don't

12
00:00:33,320 --> 00:00:36,200
Speaker 2: know if I'm gonna get one, and I'm afraid to go.

13
00:00:36,240 --> 00:00:39,960
Speaker 3: Wait at midnight, yeah me for the game stop, So

14
00:00:40,040 --> 00:00:42,400
Speaker 3: I think I might not be getting one, guys.

15
00:00:43,960 --> 00:00:46,120
Speaker 2: And of course the other reason this special day is

16
00:00:46,159 --> 00:00:48,199
Speaker 2: because I found out right before we went on the

17
00:00:48,240 --> 00:00:51,400
Speaker 2: air that they're making a sequel to the movie ma

18
00:00:51,840 --> 00:00:54,160
Speaker 2: I don't know if you remember this movie. Yes I

19
00:00:54,280 --> 00:00:58,000
Speaker 2: do not, really, I don't think it's considered a classic,

20
00:00:58,080 --> 00:01:00,840
Speaker 2: but I liked it a lot. I did too, and

21
00:01:01,200 --> 00:01:03,320
Speaker 2: so we got that greenlit. So it's just great.

22
00:01:03,360 --> 00:01:06,560
Speaker 3: News is happening all over the place, and we're not alone.

23
00:01:06,959 --> 00:01:09,319
Speaker 2: We have a guest, as you can probably tell from

24
00:01:09,319 --> 00:01:12,440
Speaker 2: either like the way we titled this episode later with

25
00:01:12,520 --> 00:01:16,480
Speaker 2: some cool, catchy pun or just from the show notes.

26
00:01:16,880 --> 00:01:23,760
Speaker 2: Today's guest is skin Expert driving evidence based education, advocacy

27
00:01:23,800 --> 00:01:27,360
Speaker 2: and enterprise in diverse skin tones, and she's here today

28
00:01:27,360 --> 00:01:31,120
Speaker 2: to discuss how the dermatology industry is failing people of color.

29
00:01:31,560 --> 00:01:34,000
Speaker 3: Doctor Tia Paul. Hi, nice to meet you.

30
00:01:35,000 --> 00:01:37,200
Speaker 1: Hi, very nice to meet you, and thanks for having.

31
00:01:36,959 --> 00:01:38,640
Speaker 3: Me, No no problem, thank you.

32
00:01:39,040 --> 00:01:40,920
Speaker 2: How long do you have to go to school to

33
00:01:41,000 --> 00:01:42,479
Speaker 2: become a dermatologist?

34
00:01:44,040 --> 00:01:47,360
Speaker 1: So it is four years of undergrads, then four years

35
00:01:47,400 --> 00:01:50,880
Speaker 1: of medical school, and then four years of residency. That's

36
00:01:50,920 --> 00:01:54,040
Speaker 1: the beer minimum. But dermatology is one of the most

37
00:01:54,080 --> 00:01:57,120
Speaker 1: competitive specialties to get into. You know, it's very similar

38
00:01:57,160 --> 00:02:00,360
Speaker 1: to plastic surgery. So most people do another edition one

39
00:02:00,400 --> 00:02:02,480
Speaker 1: year or two years of research. So I had done

40
00:02:02,480 --> 00:02:05,400
Speaker 1: two years of additional research at Mass General. So in total,

41
00:02:05,440 --> 00:02:09,000
Speaker 1: it took me fourteen years to become a board certified dermatologist.

42
00:02:09,400 --> 00:02:13,560
Speaker 2: Wow, oh my god, I had no idea. And what

43
00:02:13,600 --> 00:02:16,000
Speaker 2: exactly does a dermatologist do?

44
00:02:17,520 --> 00:02:21,240
Speaker 1: So a dermatologist is a physician who specializes in treating

45
00:02:21,280 --> 00:02:24,680
Speaker 1: the skin, the hair as well as the nails. So

46
00:02:24,720 --> 00:02:29,239
Speaker 1: we specialize in both medical aspects of treating the skin, hair,

47
00:02:29,280 --> 00:02:33,720
Speaker 1: and nails, but also we treat cosmetic stuff. We do

48
00:02:33,760 --> 00:02:35,800
Speaker 1: a lot of cosmetic stuff as well. And in terms

49
00:02:35,800 --> 00:02:39,680
Speaker 1: of ages our patients, kids can be as young as

50
00:02:39,760 --> 00:02:42,480
Speaker 1: one day old to as old as, you know, more

51
00:02:42,480 --> 00:02:44,880
Speaker 1: than one hundred years old, because most of us we

52
00:02:44,919 --> 00:02:47,799
Speaker 1: specialize both in pediatric as well as adult dermatology.

53
00:02:49,919 --> 00:02:52,640
Speaker 2: And then like when you're going to school for all

54
00:02:52,680 --> 00:02:55,840
Speaker 2: of that stuff, like, is it you knew the whole

55
00:02:55,840 --> 00:02:58,320
Speaker 2: time I want to be a dermatologist or is it

56
00:02:58,400 --> 00:03:00,600
Speaker 2: like generally I just want to do something with medicine,

57
00:03:00,639 --> 00:03:04,359
Speaker 2: and then it just kept going until you arrived at dermatology.

58
00:03:05,480 --> 00:03:08,119
Speaker 1: Yeah. So my story is very unique because I'm also

59
00:03:08,160 --> 00:03:09,920
Speaker 1: an immigrant. So I moved to the States when I

60
00:03:10,000 --> 00:03:12,840
Speaker 1: was eighteen for college, and it's very very hard to

61
00:03:12,840 --> 00:03:15,600
Speaker 1: get into US medical school, especially if you're on a visa.

62
00:03:15,720 --> 00:03:18,000
Speaker 1: So but I always had this vision. I always knew

63
00:03:18,040 --> 00:03:19,880
Speaker 1: I wanted to become a physician, and I also had

64
00:03:19,880 --> 00:03:21,840
Speaker 1: this crazy vision where I always wanted to go to

65
00:03:21,840 --> 00:03:24,280
Speaker 1: Harvard Medical School, even knowing that the chances of doing

66
00:03:24,280 --> 00:03:26,640
Speaker 1: that is very very low on a visa. But I

67
00:03:26,720 --> 00:03:28,960
Speaker 1: was always very hard working and all of that so

68
00:03:29,840 --> 00:03:32,799
Speaker 1: it was when I finished college. That's when I took

69
00:03:32,800 --> 00:03:35,680
Speaker 1: the two years to do research, and then I applied

70
00:03:35,720 --> 00:03:38,360
Speaker 1: for a medical school and I actually ended up getting

71
00:03:38,400 --> 00:03:40,680
Speaker 1: into Harvard and I did a joint program between Harvard

72
00:03:40,720 --> 00:03:43,839
Speaker 1: and MIT. But even during all of medical school, most

73
00:03:43,880 --> 00:03:45,520
Speaker 1: of it, I didn't know I wanted to go into Durhams.

74
00:03:45,560 --> 00:03:47,480
Speaker 1: So most of us get an idea of what they

75
00:03:47,480 --> 00:03:49,680
Speaker 1: want to do during our third and fourth year of

76
00:03:49,720 --> 00:03:52,880
Speaker 1: medical school because that's when we rotate through every specialty.

77
00:03:52,920 --> 00:03:55,520
Speaker 1: We spent a month in pediatrics, a month in OBTI

78
00:03:55,680 --> 00:03:57,400
Speaker 1: in I knew I did not want to go into

79
00:03:57,440 --> 00:04:00,000
Speaker 1: obqi in. It was very stressful for me. But when

80
00:04:00,080 --> 00:04:02,240
Speaker 1: I went through the dermatology rotation, I was like, Okay,

81
00:04:02,280 --> 00:04:04,280
Speaker 1: I see myself doing this. You know, it's a fun

82
00:04:04,360 --> 00:04:06,600
Speaker 1: mix of procedures as well as medicine on a day

83
00:04:06,600 --> 00:04:09,360
Speaker 1: to day basis. So that's when at the end of

84
00:04:09,440 --> 00:04:11,920
Speaker 1: third year of medical school is when I decided to

85
00:04:11,920 --> 00:04:16,320
Speaker 1: go into Durham And But dermatology is very, very, very competitive,

86
00:04:16,400 --> 00:04:18,080
Speaker 1: so you have to like, I think I applied to

87
00:04:18,160 --> 00:04:20,920
Speaker 1: eighty different programs or something like that, and then I

88
00:04:20,920 --> 00:04:23,160
Speaker 1: don't know, if you're familiar in the United States the way,

89
00:04:23,760 --> 00:04:26,320
Speaker 1: you know, we end up pick going to our residency program.

90
00:04:26,400 --> 00:04:28,039
Speaker 1: It's not based on what we pick, it's based on

91
00:04:28,080 --> 00:04:30,720
Speaker 1: if the program also picks you. There is a math system,

92
00:04:31,080 --> 00:04:33,240
Speaker 1: so we will submit the list of schools we are

93
00:04:33,279 --> 00:04:36,080
Speaker 1: interested in. Depending on that, you know, we will get

94
00:04:36,120 --> 00:04:39,400
Speaker 1: an interview, We go interview there, and then we submit

95
00:04:39,440 --> 00:04:41,279
Speaker 1: our rank liss So we will say, oh, I want

96
00:04:41,320 --> 00:04:43,160
Speaker 1: to go to this school. That's my number one priority,

97
00:04:43,240 --> 00:04:45,280
Speaker 1: number two, number three, blah blah blah, and the schools

98
00:04:45,279 --> 00:04:47,880
Speaker 1: will also do the same, I want this candidate that candidate,

99
00:04:48,080 --> 00:04:51,679
Speaker 1: and then the computer system generates a match, and based

100
00:04:51,680 --> 00:04:53,440
Speaker 1: on that we get to decide which part of the

101
00:04:53,480 --> 00:04:54,440
Speaker 1: country we're going to go to.

102
00:04:55,120 --> 00:04:55,600
Speaker 3: Wow.

103
00:04:55,839 --> 00:04:59,560
Speaker 2: Yeah, Wow, that's you had to you were deciding this

104
00:04:59,600 --> 00:05:02,320
Speaker 2: stuff all along the way, like eighteen and then when

105
00:05:02,320 --> 00:05:04,160
Speaker 2: you get out of college and then or was this

106
00:05:04,360 --> 00:05:06,720
Speaker 2: like not until the last couple of years that you.

107
00:05:06,680 --> 00:05:07,640
Speaker 3: Have to make that decision.

108
00:05:08,440 --> 00:05:10,479
Speaker 1: Yeah, dermatology was in the last couple of years of

109
00:05:10,800 --> 00:05:12,919
Speaker 1: medical school. But you know, in the medical field for

110
00:05:13,000 --> 00:05:15,520
Speaker 1: most of us, like all our twenties just goes into

111
00:05:15,600 --> 00:05:18,920
Speaker 1: training like we I have probably sacrificed so many like

112
00:05:19,400 --> 00:05:22,239
Speaker 1: you know, family events, weddings or this or that, because

113
00:05:22,279 --> 00:05:25,080
Speaker 1: we spend all the time in the library, just like studying.

114
00:05:25,160 --> 00:05:27,960
Speaker 1: You know, during residency, it was very normal to have

115
00:05:28,040 --> 00:05:31,839
Speaker 1: eighty hour work weeks, and even for going into dermatology,

116
00:05:31,880 --> 00:05:34,679
Speaker 1: which is now considered more of a lifestyle specialty because

117
00:05:34,720 --> 00:05:37,280
Speaker 1: once we are board certified and once we have our

118
00:05:37,320 --> 00:05:39,320
Speaker 1: own practices and stuff like that, a lot of us

119
00:05:39,320 --> 00:05:41,640
Speaker 1: don't work over the weekends in terms of taking calls.

120
00:05:41,680 --> 00:05:43,760
Speaker 1: We're still working. I have my own private practice, so

121
00:05:43,760 --> 00:05:46,200
Speaker 1: I'm still always on. But my point is I don't

122
00:05:46,200 --> 00:05:48,400
Speaker 1: have to see patients over the weekends. But because we

123
00:05:48,440 --> 00:05:52,360
Speaker 1: typically we don't have emergencies, right But during our training,

124
00:05:52,480 --> 00:05:55,880
Speaker 1: we still had very rigorous training. I still remember being

125
00:05:55,920 --> 00:05:57,719
Speaker 1: called in the middle of the night to go into

126
00:05:57,760 --> 00:06:01,520
Speaker 1: the hospital because of you know, severe rashes that happened

127
00:06:01,520 --> 00:06:03,359
Speaker 1: to people who are very sick and they're admitted in

128
00:06:03,400 --> 00:06:06,480
Speaker 1: the hospital. I trained at University of Miami, which is

129
00:06:06,520 --> 00:06:10,880
Speaker 1: in Jackson Memorial Hospital, where there was a lot of

130
00:06:11,080 --> 00:06:14,080
Speaker 1: high rates of HIV and patients would come in with

131
00:06:14,200 --> 00:06:17,080
Speaker 1: like very low CD four counts. They were very, very

132
00:06:17,160 --> 00:06:20,040
Speaker 1: sick and they had these rashes from head to toe,

133
00:06:20,440 --> 00:06:22,520
Speaker 1: and deritology would be called in the middle of the

134
00:06:22,600 --> 00:06:24,000
Speaker 1: night and I would have to like show up there.

135
00:06:24,000 --> 00:06:26,000
Speaker 1: I still remember so many times going in at two am,

136
00:06:26,040 --> 00:06:28,520
Speaker 1: three am with my little biopsy kid and we would

137
00:06:28,520 --> 00:06:30,640
Speaker 1: do a biopsy in the middle of the night, help

138
00:06:30,720 --> 00:06:32,880
Speaker 1: the team out by telling, you know, what the patient

139
00:06:32,920 --> 00:06:34,760
Speaker 1: should get started on in terms of treatment in the

140
00:06:34,760 --> 00:06:37,040
Speaker 1: middle of the night. So yeah, it was a lot

141
00:06:37,080 --> 00:06:40,039
Speaker 1: of hard work that you know. Sometimes we have like

142
00:06:40,080 --> 00:06:45,000
Speaker 1: PTSD from those days. But then eventually, wow.

143
00:06:44,760 --> 00:06:46,000
Speaker 3: Man, that's that's intense.

144
00:06:46,120 --> 00:06:49,720
Speaker 2: That's more intense than I would associated with in my mind.

145
00:06:50,960 --> 00:06:54,760
Speaker 2: I think also in our lifetime we've watched like with

146
00:06:54,920 --> 00:06:57,760
Speaker 2: the advent of social media, I think when people think

147
00:06:57,760 --> 00:07:01,200
Speaker 2: about dermatology, they mostly just think about good like just oh,

148
00:07:01,240 --> 00:07:04,960
Speaker 2: looking good, makeup, you know, that kind of thing. And

149
00:07:05,040 --> 00:07:08,200
Speaker 2: to be like, yeah, HIV patients need help from a

150
00:07:08,240 --> 00:07:11,280
Speaker 2: dermatologist in the emergency room, Like this is not just

151
00:07:11,360 --> 00:07:15,200
Speaker 2: a uh, it's not simply about you know, looking good

152
00:07:15,520 --> 00:07:16,680
Speaker 2: or the beauty industry.

153
00:07:17,960 --> 00:07:20,640
Speaker 1: No, absolutely, And I actually have a quick story about that.

154
00:07:20,800 --> 00:07:24,680
Speaker 1: So so at Jackson Memorial Hospital, oftentimes we would have

155
00:07:24,760 --> 00:07:26,800
Speaker 1: very sick patients who flew in from different parts of

156
00:07:26,800 --> 00:07:29,240
Speaker 1: the world and they would literally come to Miami Airport

157
00:07:29,280 --> 00:07:32,000
Speaker 1: and they would be brought to Jackson. And there was

158
00:07:32,040 --> 00:07:34,000
Speaker 1: a case which was over the middle of the weekend

159
00:07:34,040 --> 00:07:36,400
Speaker 1: that I got called into because this guy was very

160
00:07:36,480 --> 00:07:39,480
Speaker 1: very sick, like his lung was not doing well, multiple

161
00:07:39,560 --> 00:07:42,560
Speaker 1: organs were feeling and I looked at him and I

162
00:07:42,600 --> 00:07:45,440
Speaker 1: remember very like, this was a rare condition, this rash

163
00:07:45,480 --> 00:07:47,200
Speaker 1: that I saw. I was like, I bet I've read

164
00:07:47,200 --> 00:07:50,000
Speaker 1: about it during my my textbook and stuff. So I

165
00:07:50,120 --> 00:07:52,680
Speaker 1: ended up doing a biopsy and it was a very

166
00:07:52,800 --> 00:07:57,800
Speaker 1: very rare type of you know, uh an infection, cryptocopal

167
00:07:58,400 --> 00:08:02,160
Speaker 1: you know, infection. But we basically diagnosed it because you know,

168
00:08:02,200 --> 00:08:04,080
Speaker 1: I was called in, I did the biopsy and that's

169
00:08:04,120 --> 00:08:06,880
Speaker 1: where you know, we were able to find the diagnosis.

170
00:08:07,200 --> 00:08:09,280
Speaker 1: And then you know, of course the team did more

171
00:08:09,360 --> 00:08:12,520
Speaker 1: tests after our initial tests. But yeah, the fact that

172
00:08:12,640 --> 00:08:14,720
Speaker 1: DERM comes in in the middle of the akin and

173
00:08:14,760 --> 00:08:17,080
Speaker 1: help out. I know, most of my colleagues wo be like,

174
00:08:17,120 --> 00:08:18,720
Speaker 1: what are you even doing here? You should be getting

175
00:08:18,720 --> 00:08:22,960
Speaker 1: your nails done or something, but we do stop and

176
00:08:23,000 --> 00:08:24,960
Speaker 1: even in clinic, right like, yes, I do a lot

177
00:08:25,000 --> 00:08:27,200
Speaker 1: of cosmetic stuff for my patients too, but I also

178
00:08:27,280 --> 00:08:30,360
Speaker 1: am the one that's diagnosing melanoma. I cut out skin cancers,

179
00:08:30,400 --> 00:08:33,640
Speaker 1: you know, and I specialized in treating folks with darker skin,

180
00:08:33,960 --> 00:08:37,160
Speaker 1: and so many time times I've actually picked skin cancer

181
00:08:37,200 --> 00:08:39,920
Speaker 1: in darker skin because people think, oh, darker skin, there's

182
00:08:39,960 --> 00:08:41,920
Speaker 1: no way I'm going to get skin cancer, and they

183
00:08:42,080 --> 00:08:44,719
Speaker 1: just like ignore it. So I was trained at the

184
00:08:44,760 --> 00:08:48,120
Speaker 1: University of Miami and they're actually Bob Marley, he was

185
00:08:48,440 --> 00:08:51,160
Speaker 1: at Miami where he was diagnosed with his melanoma. So

186
00:08:51,200 --> 00:08:53,640
Speaker 1: he actually had a melanoma on his toe and he

187
00:08:53,720 --> 00:08:55,679
Speaker 1: kind of ignored it because he was like, oh, you know,

188
00:08:55,720 --> 00:08:57,880
Speaker 1: there's no way I can get skin cancer. And the

189
00:08:57,920 --> 00:09:00,640
Speaker 1: other thing is it's on the foot, like the sun

190
00:09:00,720 --> 00:09:03,400
Speaker 1: on the foot. But there is a type of melanoma

191
00:09:03,480 --> 00:09:07,319
Speaker 1: called acral melanoma where it's way more aggressive, and unfortunately

192
00:09:07,360 --> 00:09:11,720
Speaker 1: that's how he actually passed away. But that goes to

193
00:09:11,840 --> 00:09:14,400
Speaker 1: show that you can actually get skin cancer on darker skin,

194
00:09:14,440 --> 00:09:16,960
Speaker 1: and not just that the type of skin cancer that

195
00:09:17,000 --> 00:09:19,920
Speaker 1: happens on darker skin sometimes tends to be more aggressive,

196
00:09:20,480 --> 00:09:23,880
Speaker 1: or oftentimes because it's not caught early, maybe because the

197
00:09:23,880 --> 00:09:25,880
Speaker 1: patients are ignoring it, or maybe they went to a

198
00:09:25,920 --> 00:09:29,320
Speaker 1: place where they didn't catch it. Early. Oftentimes you know

199
00:09:29,400 --> 00:09:31,600
Speaker 1: you're picking it up a little bit later then you

200
00:09:31,600 --> 00:09:32,880
Speaker 1: would pick it up on lighter skin.

201
00:09:33,240 --> 00:09:33,640
Speaker 3: Wow.

202
00:09:34,920 --> 00:09:39,200
Speaker 4: Wow, I have so many questions for you, because because

203
00:09:39,200 --> 00:09:41,160
Speaker 4: me and Roger have been talking about this, I said, Okay,

204
00:09:41,200 --> 00:09:44,000
Speaker 4: I'm excited, so I'm going to actually seriously now they

205
00:09:44,080 --> 00:09:46,400
Speaker 4: might see random because I was just typing them down

206
00:09:46,480 --> 00:09:47,280
Speaker 4: kind of as they came.

207
00:09:47,440 --> 00:09:48,000
Speaker 5: As they came.

208
00:09:49,040 --> 00:09:53,280
Speaker 4: What was something that once you got out in the field,

209
00:09:53,360 --> 00:09:55,240
Speaker 4: you was like, school did not prepare me for this.

210
00:09:57,200 --> 00:09:59,720
Speaker 1: Oh yeah, So there are so many different things I

211
00:09:59,720 --> 00:10:02,640
Speaker 1: can tell you. But that first year out of residency,

212
00:10:02,679 --> 00:10:05,720
Speaker 1: you know, when you're on your own, it's it's kind

213
00:10:05,720 --> 00:10:08,439
Speaker 1: of scary because you know this whole time, Like even

214
00:10:08,520 --> 00:10:12,200
Speaker 1: during residency, we see hundreds of patients, right, but anytime

215
00:10:12,240 --> 00:10:15,480
Speaker 1: we have a difficult patient, we have our attendings that

216
00:10:15,520 --> 00:10:18,600
Speaker 1: we go discuss those cases with, right, Like a rash

217
00:10:18,640 --> 00:10:22,040
Speaker 1: that doesn't seem the usual thing that you see on textbook, right,

218
00:10:22,080 --> 00:10:24,440
Speaker 1: you go discuss it with other folks. And then when

219
00:10:24,520 --> 00:10:26,600
Speaker 1: you're on your own during that first year, you're like, well,

220
00:10:26,640 --> 00:10:29,040
Speaker 1: I don't really have anybody to go discuss this with.

221
00:10:29,160 --> 00:10:32,040
Speaker 1: You know, in reality, you can discuss it with your colleagues.

222
00:10:32,040 --> 00:10:34,200
Speaker 1: So even now, you know most of us have like

223
00:10:34,280 --> 00:10:38,360
Speaker 1: either a phone message system or like you know, on

224
00:10:38,400 --> 00:10:40,840
Speaker 1: social media, like on Facebook. We actually have a group

225
00:10:40,840 --> 00:10:43,240
Speaker 1: called the Dramatology the boardst of our Dramatlogy group, so

226
00:10:43,280 --> 00:10:46,280
Speaker 1: when we have difficult cases, we will discuss them because

227
00:10:46,320 --> 00:10:49,240
Speaker 1: not everything is black and white. There are so many different,

228
00:10:49,320 --> 00:10:52,040
Speaker 1: rare things that can be very great. And the other

229
00:10:52,080 --> 00:10:53,760
Speaker 1: thing which a lot of time I feel like people

230
00:10:54,120 --> 00:10:56,600
Speaker 1: in general don't understand, you know, in some of these

231
00:10:56,600 --> 00:11:00,960
Speaker 1: medical conditions too. A lot of these diseases aren't not curable.

232
00:11:01,080 --> 00:11:04,560
Speaker 1: Like even acne, you cannot cure acne, eczema, you cannot

233
00:11:04,640 --> 00:11:08,200
Speaker 1: cure exima. These are conditions where you can, with the

234
00:11:08,280 --> 00:11:12,600
Speaker 1: right balance of maybe medications or even lifestyle choices, you

235
00:11:12,640 --> 00:11:16,160
Speaker 1: can keep them under control, but you cannot cure them

236
00:11:16,200 --> 00:11:19,200
Speaker 1: per se. But it was almost shocking to me, like

237
00:11:19,200 --> 00:11:21,480
Speaker 1: my first year out where the number of times I

238
00:11:21,480 --> 00:11:24,680
Speaker 1: have to like tell people that and remind people that, hey,

239
00:11:24,800 --> 00:11:26,360
Speaker 1: you know, I know you're coming to see me, but

240
00:11:26,440 --> 00:11:28,520
Speaker 1: I don't think I can cure your acne. We can

241
00:11:28,520 --> 00:11:31,120
Speaker 1: talk about getting it under control, but you probably have

242
00:11:31,200 --> 00:11:33,200
Speaker 1: to see me in follow up because acne is gonna

243
00:11:33,200 --> 00:11:35,600
Speaker 1: come and go, It's gonna wax and wan and things

244
00:11:35,600 --> 00:11:37,719
Speaker 1: like that, you know what I mean. So a lot

245
00:11:37,760 --> 00:11:40,439
Speaker 1: of these practical things I feel like you pick up

246
00:11:40,520 --> 00:11:43,560
Speaker 1: only when you're on your own. You're seeing your same

247
00:11:43,640 --> 00:11:46,680
Speaker 1: patients in follow up multiple times because it's so important

248
00:11:46,679 --> 00:11:48,840
Speaker 1: for us to see patients in follow up. That's how

249
00:11:48,840 --> 00:11:51,319
Speaker 1: I'm truly gonna get to know you versus like if

250
00:11:51,360 --> 00:11:53,960
Speaker 1: I meet you one time, there is only so much.

251
00:11:54,000 --> 00:11:55,920
Speaker 1: You know, we listen to your story, but there's only

252
00:11:56,000 --> 00:11:58,480
Speaker 1: so much we can come up with in terms of

253
00:11:58,520 --> 00:12:00,920
Speaker 1: treatment plan. We can start you on the most common

254
00:12:00,960 --> 00:12:03,840
Speaker 1: treatment plan that we prescribe for most patients, but we

255
00:12:03,880 --> 00:12:05,440
Speaker 1: need to see you and follow up to see if

256
00:12:05,440 --> 00:12:07,840
Speaker 1: that treatment plan is working for you. If that's not,

257
00:12:08,000 --> 00:12:10,640
Speaker 1: we move on to plan B. You know. And same

258
00:12:10,679 --> 00:12:13,440
Speaker 1: thing goes with skincare too. Not everybody needs to be

259
00:12:13,440 --> 00:12:15,760
Speaker 1: on a vitamin C and retinal. It's probably going to

260
00:12:15,800 --> 00:12:18,640
Speaker 1: irritate some folks skin you know, it has to be

261
00:12:18,800 --> 00:12:23,319
Speaker 1: very case by case. So yeah to slowing down listening

262
00:12:23,360 --> 00:12:26,120
Speaker 1: to folks understanding you cannot solve everything in one goal.

263
00:12:26,320 --> 00:12:28,800
Speaker 1: You need to like get to learn the person, get

264
00:12:28,800 --> 00:12:31,240
Speaker 1: to learn them over time. These are things you just

265
00:12:31,280 --> 00:12:33,880
Speaker 1: like learn when you're on your own, and they just

266
00:12:33,920 --> 00:12:34,720
Speaker 1: like practical things.

267
00:12:34,760 --> 00:12:38,240
Speaker 2: You know, when you talk about the industry failing people

268
00:12:38,280 --> 00:12:41,920
Speaker 2: of color, the dermatology industry, in what ways does that

269
00:12:42,000 --> 00:12:44,840
Speaker 2: show up? And how did you become like aware of

270
00:12:44,880 --> 00:12:48,240
Speaker 2: that and you know, make that part of like one

271
00:12:48,280 --> 00:12:51,240
Speaker 2: of the things you would like to you know, I

272
00:12:51,240 --> 00:12:53,839
Speaker 2: guess speak out about.

273
00:12:53,559 --> 00:12:55,520
Speaker 1: Oh man a lot, you know, And this is something

274
00:12:55,559 --> 00:12:58,200
Speaker 1: that has kind of like evolved throughout my career. Right, Like,

275
00:12:58,240 --> 00:13:00,800
Speaker 1: as a medical student, I probably picked it up, Like

276
00:13:00,920 --> 00:13:03,040
Speaker 1: I could tell that there was a difference, right, I

277
00:13:03,040 --> 00:13:06,920
Speaker 1: could tell that all our textbooks had these photographs of

278
00:13:07,080 --> 00:13:10,800
Speaker 1: folks with lighter skin, So exzema psoriasis like looks very

279
00:13:10,800 --> 00:13:15,239
Speaker 1: different on lighter skin versus darker skin. It's a different presentation.

280
00:13:16,640 --> 00:13:18,760
Speaker 1: Now things are changing a little bit. Now we have

281
00:13:18,880 --> 00:13:21,760
Speaker 1: textbooks that are coming out with emphasis and skin of color.

282
00:13:22,120 --> 00:13:25,880
Speaker 1: But it's a slow gradual change. But then in residency,

283
00:13:25,960 --> 00:13:29,200
Speaker 1: I also realized, not just in terms of diagnosis, even

284
00:13:29,240 --> 00:13:32,280
Speaker 1: in terms of treatment, right, there are certain lasers you

285
00:13:32,520 --> 00:13:35,960
Speaker 1: just absolutely cannot do on darker skin, like IPL, Like

286
00:13:36,320 --> 00:13:39,080
Speaker 1: every medspot has an IPL, but you cannot do an

287
00:13:39,120 --> 00:13:41,240
Speaker 1: ipl on darker skin because that can lead to like

288
00:13:41,320 --> 00:13:45,400
Speaker 1: hyper pigmentation, burns and whatnot. And so now my own practice,

289
00:13:45,440 --> 00:13:48,000
Speaker 1: which is in Newport Leachi in California, is very heavily

290
00:13:48,000 --> 00:13:51,360
Speaker 1: in on skin of color. And even yesterday I actually

291
00:13:51,360 --> 00:13:53,599
Speaker 1: had a patient that I've been seeing. This was the

292
00:13:53,600 --> 00:13:55,120
Speaker 1: second time I saw her. The first time she came

293
00:13:55,160 --> 00:13:57,040
Speaker 1: to me is because she got laser down somewhere else

294
00:13:57,360 --> 00:14:00,000
Speaker 1: and she developed really bad dark spots all the way

295
00:14:00,000 --> 00:14:02,840
Speaker 1: over her face. And this was like a well reputable

296
00:14:03,000 --> 00:14:05,319
Speaker 1: US place that she went to, so she trusted that place.

297
00:14:05,360 --> 00:14:08,360
Speaker 1: But I'm guessing maybe they just didn't feel less comfortable

298
00:14:08,400 --> 00:14:10,640
Speaker 1: treating people with darker skin because your settings have to

299
00:14:10,679 --> 00:14:12,520
Speaker 1: be different, so many things have to be different, right,

300
00:14:12,760 --> 00:14:15,360
Speaker 1: So then she came to me and very carefully, we

301
00:14:15,440 --> 00:14:18,160
Speaker 1: are treating her now with a combination of creams and

302
00:14:18,400 --> 00:14:22,600
Speaker 1: other lasers that are more appropriate for darker skin. So

303
00:14:23,000 --> 00:14:26,960
Speaker 1: there's a lot of difference for sure. And it also,

304
00:14:27,000 --> 00:14:29,120
Speaker 1: you know, kind of depends on where you trained, where

305
00:14:29,120 --> 00:14:32,520
Speaker 1: you live, like when if you're living like in Miami,

306
00:14:32,800 --> 00:14:35,160
Speaker 1: it's got a lot of exposure with different skin of

307
00:14:35,200 --> 00:14:39,040
Speaker 1: different colors, right, Like it's a very multicultural place. But

308
00:14:39,240 --> 00:14:40,880
Speaker 1: if you are in part of a country where you're

309
00:14:40,920 --> 00:14:43,360
Speaker 1: not getting that exposure, you're not going to be good

310
00:14:43,400 --> 00:14:46,360
Speaker 1: at a diagnosing like picking up the skin conditions that

311
00:14:46,400 --> 00:14:49,480
Speaker 1: can look different on dark darker skin and big treatment

312
00:14:49,520 --> 00:14:51,800
Speaker 1: because treatment is also going to vary, like even for

313
00:14:51,960 --> 00:14:54,880
Speaker 1: creams like tread knowing cream. We talk about, oh, tread

314
00:14:54,880 --> 00:14:58,520
Speaker 1: noin for acne for everyone on darker skin. Often treadnoin

315
00:14:58,600 --> 00:15:01,080
Speaker 1: will irritate your skin and it can make your brown

316
00:15:01,120 --> 00:15:04,880
Speaker 1: spots even worse by irritating the skin. So it's different.

317
00:15:05,840 --> 00:15:08,600
Speaker 5: Can you get dandriff in your eyebrows?

318
00:15:09,280 --> 00:15:11,280
Speaker 4: I've always wondered that, I know you've a kind of

319
00:15:11,280 --> 00:15:13,680
Speaker 4: an off the wild question, but I know you didn't

320
00:15:13,680 --> 00:15:15,400
Speaker 4: get any scalp, but I went, I was like, can

321
00:15:15,440 --> 00:15:16,600
Speaker 4: you get this in your eyebrow?

322
00:15:17,760 --> 00:15:18,080
Speaker 3: Yeah.

323
00:15:18,360 --> 00:15:22,000
Speaker 1: So there's a condition called sebric dermatitis, which is basically

324
00:15:22,040 --> 00:15:24,960
Speaker 1: dandruff on the scalp, but it can also present on

325
00:15:25,000 --> 00:15:28,360
Speaker 1: the face, and the classic distribution is around the eyebrow area,

326
00:15:28,760 --> 00:15:32,680
Speaker 1: around the nose area the years, and even sometime in

327
00:15:32,720 --> 00:15:36,840
Speaker 1: the chest area, So that's called sebric dermatitis. It presents

328
00:15:36,920 --> 00:15:41,040
Speaker 1: as like flaky patches or red patches, It can be itchy,

329
00:15:41,280 --> 00:15:43,520
Speaker 1: it can be very scaly, So you can see scaliness

330
00:15:43,520 --> 00:15:46,680
Speaker 1: even on the eyebrow area, and treat and wise. You know,

331
00:15:46,840 --> 00:15:49,760
Speaker 1: Ketoconsole shampoo, nyserol, you can get started with that over

332
00:15:49,800 --> 00:15:51,280
Speaker 1: the counter and if not, then you can see a

333
00:15:51,320 --> 00:15:54,400
Speaker 1: dermatolgist and we can give prescription creams. But you're absolutely right.

334
00:15:54,560 --> 00:15:58,160
Speaker 2: How long have you been practicing dermatolity, like, you know,

335
00:15:58,720 --> 00:15:59,120
Speaker 2: out on.

336
00:15:59,080 --> 00:16:02,560
Speaker 1: Your own after residency, so six years after residency, so

337
00:16:02,600 --> 00:16:04,680
Speaker 1: fourteen years of training plus six years.

338
00:16:04,880 --> 00:16:07,720
Speaker 2: So in that twenty years, I feel like social media

339
00:16:07,760 --> 00:16:10,800
Speaker 2: would have had to like come through and like really

340
00:16:11,040 --> 00:16:14,800
Speaker 2: rise the prominence. And I feel like also like even

341
00:16:14,880 --> 00:16:18,560
Speaker 2: during the pandemic, with what we're doing right now, we're

342
00:16:18,600 --> 00:16:20,640
Speaker 2: all on camera with each other, but we're also all

343
00:16:20,760 --> 00:16:21,800
Speaker 2: probably looking at our.

344
00:16:21,720 --> 00:16:25,200
Speaker 3: Faces, you know what I mean, Like you can't escape it.

345
00:16:25,280 --> 00:16:31,200
Speaker 2: So like has that changed how the industry vieused dermatology

346
00:16:31,400 --> 00:16:34,440
Speaker 2: or the kind of work that's been requested of you

347
00:16:35,760 --> 00:16:38,160
Speaker 2: when it comes to this because of just how much

348
00:16:38,400 --> 00:16:40,960
Speaker 2: it seems like we're always all of us famous not

349
00:16:41,040 --> 00:16:43,960
Speaker 2: famous on camera or you know, at least having to

350
00:16:44,000 --> 00:16:44,920
Speaker 2: think about how we look.

351
00:16:46,320 --> 00:16:49,360
Speaker 1: Oh, absolutely and I saw that, and I was kind

352
00:16:49,360 --> 00:16:51,720
Speaker 1: of in a part of that too, because I don't know,

353
00:16:51,880 --> 00:16:53,800
Speaker 1: you sorry about that if my camera went bloody for

354
00:16:53,880 --> 00:16:56,760
Speaker 1: a second. I was part of the whole experience too,

355
00:16:56,800 --> 00:16:59,840
Speaker 1: because I kind of started being more present on social

356
00:16:59,840 --> 00:17:03,120
Speaker 1: med on TikTok and Instagram, I think around twenty twenty one,

357
00:17:03,960 --> 00:17:05,280
Speaker 1: and so that was like a couple of years that

358
00:17:05,320 --> 00:17:08,320
Speaker 1: I've been out of residency. So yes, I would say

359
00:17:08,320 --> 00:17:11,480
Speaker 1: with the whole pandemic, everybody was kind of like, you know,

360
00:17:11,520 --> 00:17:13,560
Speaker 1: we had more time, right, So everybody, all of us,

361
00:17:13,600 --> 00:17:16,800
Speaker 1: we went on these apps, and partly it was for

362
00:17:16,960 --> 00:17:20,040
Speaker 1: fun and then for us as professional we also saw

363
00:17:20,040 --> 00:17:23,160
Speaker 1: it as an opportunity to speak to a wider audience. Right,

364
00:17:23,520 --> 00:17:26,000
Speaker 1: even if I see like hundreds of patients in clinic,

365
00:17:26,040 --> 00:17:28,199
Speaker 1: I'm still limited to hundreds of patients, but because of

366
00:17:28,200 --> 00:17:33,040
Speaker 1: social media, now I can reach to a million, possibly billion, right, So,

367
00:17:33,040 --> 00:17:35,720
Speaker 1: so on social media, what happened is, first of all,

368
00:17:35,720 --> 00:17:38,760
Speaker 1: like you mentioned, dermatology kind of became all about skincare,

369
00:17:38,800 --> 00:17:41,280
Speaker 1: and everybody kind of became skincare expert too. Right, even

370
00:17:41,359 --> 00:17:45,440
Speaker 1: right now, there's so many influencers. They're sharing their stories,

371
00:17:45,440 --> 00:17:48,000
Speaker 1: which we appreciate because it's important to speak out and

372
00:17:48,040 --> 00:17:50,800
Speaker 1: share about your experience. But there are pros and cons

373
00:17:50,840 --> 00:17:54,200
Speaker 1: to that. Right, If one particular individual is talking about

374
00:17:54,240 --> 00:17:58,360
Speaker 1: their individual experience, maybe those skincare products worked for him

375
00:17:58,440 --> 00:18:00,960
Speaker 1: or her, But it doesn't mean you can generalize that

376
00:18:01,040 --> 00:18:04,080
Speaker 1: for everyone. Right, It's going to cause side effects and

377
00:18:04,119 --> 00:18:06,399
Speaker 1: other things like that. And there are all these different

378
00:18:06,440 --> 00:18:09,680
Speaker 1: trends that are always trending, right, So whether you put

379
00:18:09,680 --> 00:18:12,560
Speaker 1: face tape or all these different things, again, everything has

380
00:18:12,600 --> 00:18:15,919
Speaker 1: pros and cons. But for a dermatologists, this is literally

381
00:18:15,920 --> 00:18:17,760
Speaker 1: what we do for a living. This is what I

382
00:18:17,840 --> 00:18:20,720
Speaker 1: do five days a week where I'm staring at people's skin,

383
00:18:20,840 --> 00:18:23,879
Speaker 1: but not just staring at people's skin. I am seeing

384
00:18:23,920 --> 00:18:27,439
Speaker 1: these people back in follow up to understand that that

385
00:18:27,600 --> 00:18:30,240
Speaker 1: nia cinema that I recommended, or the asalic acid that

386
00:18:30,280 --> 00:18:33,600
Speaker 1: I recommend it truly is it helping or not? And

387
00:18:33,760 --> 00:18:36,320
Speaker 1: I'm doing this with hundreds of patients, right, So that's

388
00:18:36,359 --> 00:18:39,239
Speaker 1: where the difference comes that for us, this is our

389
00:18:39,320 --> 00:18:44,120
Speaker 1: day job, our main job now because of our expertise,

390
00:18:44,280 --> 00:18:46,840
Speaker 1: Like you mentioned, a lot of skincare brands are super

391
00:18:46,880 --> 00:18:49,280
Speaker 1: interested in working with dermatologists now, right, Like when I

392
00:18:49,320 --> 00:18:51,280
Speaker 1: was in residency and all that it was not such

393
00:18:51,280 --> 00:18:54,359
Speaker 1: a big thing. And even for me, I have worked

394
00:18:54,359 --> 00:18:57,000
Speaker 1: with a lot of the leading brands, and not just

395
00:18:57,119 --> 00:18:59,439
Speaker 1: like in terms of talking about the products, but also

396
00:19:00,480 --> 00:19:02,920
Speaker 1: skincare startups. They want us to be part of their

397
00:19:02,920 --> 00:19:06,200
Speaker 1: advisory board because they are seeing the importance of having

398
00:19:06,280 --> 00:19:09,359
Speaker 1: us on it because from the practical things that we

399
00:19:09,440 --> 00:19:13,560
Speaker 1: have to offer, right. But I respect everybody's opinion, and

400
00:19:13,600 --> 00:19:15,800
Speaker 1: I think it's important to have a chemist on board

401
00:19:15,800 --> 00:19:19,679
Speaker 1: to dramatologists because we all bring our unique set of expertise.

402
00:19:19,960 --> 00:19:22,080
Speaker 1: But at the end of the day, you're gotta put

403
00:19:22,080 --> 00:19:24,919
Speaker 1: everything together right, not rely on one person.

404
00:19:25,520 --> 00:19:25,720
Speaker 5: Right.

405
00:19:25,840 --> 00:19:29,480
Speaker 4: What are trends that have happened, like you say, on

406
00:19:29,520 --> 00:19:32,640
Speaker 4: TikTok and YouTube and all these different places where you've

407
00:19:32,680 --> 00:19:35,280
Speaker 4: seen like people come in and you hear people you

408
00:19:35,480 --> 00:19:38,240
Speaker 4: have like a for you know, you have four, five, six, seven,

409
00:19:38,320 --> 00:19:40,440
Speaker 4: eight people all doing the same trend and you're like, oh,

410
00:19:40,480 --> 00:19:43,640
Speaker 4: there might be something wrong with this trend that you're

411
00:19:43,680 --> 00:19:46,639
Speaker 4: doing because it's obviously tanning up your face, messing up

412
00:19:46,680 --> 00:19:48,439
Speaker 4: your skin and all this stuff. Have you seen like

413
00:19:48,840 --> 00:19:52,360
Speaker 4: trends that people are doing like and then the consequences

414
00:19:52,440 --> 00:19:54,000
Speaker 4: of it. They're coming to you to kind of help

415
00:19:54,040 --> 00:19:56,439
Speaker 4: repair something that they've seen as a trend.

416
00:19:57,840 --> 00:20:00,640
Speaker 1: Yes, so number one, I think the the biggest thing

417
00:20:00,640 --> 00:20:04,880
Speaker 1: we see literally every day is using too many products

418
00:20:04,880 --> 00:20:09,520
Speaker 1: on their face or like combining the wrong combination, right,

419
00:20:09,600 --> 00:20:13,440
Speaker 1: Like people want instant gratification, people want instant results, right,

420
00:20:13,480 --> 00:20:15,240
Speaker 1: and they think the way to get to it is

421
00:20:15,280 --> 00:20:18,840
Speaker 1: you add on, slap on ten different products on your face.

422
00:20:19,480 --> 00:20:23,400
Speaker 1: Most commonly, that causes your skin to get super irritated.

423
00:20:23,840 --> 00:20:27,879
Speaker 1: Your skin barrier gets compromised, so then your acne gets worse,

424
00:20:28,119 --> 00:20:31,880
Speaker 1: your exzma gets worse, and you know. And that's why

425
00:20:32,040 --> 00:20:36,159
Speaker 1: I appreciate when some content creators share their journeys of

426
00:20:36,240 --> 00:20:38,920
Speaker 1: things going wrong right from using some of the information

427
00:20:38,960 --> 00:20:42,000
Speaker 1: they see online. So that's just like not even like

428
00:20:42,040 --> 00:20:43,840
Speaker 1: a trend thing, but just like a very common thing

429
00:20:43,880 --> 00:20:46,680
Speaker 1: on social media that I feel like, especially young kiddos, right,

430
00:20:46,760 --> 00:20:50,400
Speaker 1: Like they don't need red nool at the age of ten,

431
00:20:50,960 --> 00:20:53,800
Speaker 1: but it's fun to fancy. And I almost feel like

432
00:20:53,880 --> 00:20:56,960
Speaker 1: some brands take advantage of that, like they want to

433
00:20:57,000 --> 00:21:00,679
Speaker 1: target that population, so their products are very colorful, very pretty.

434
00:21:01,000 --> 00:21:04,199
Speaker 1: I have a seven year old daughter. She loves you know,

435
00:21:04,240 --> 00:21:06,600
Speaker 1: looking at all these skin care products that I keep getting,

436
00:21:06,640 --> 00:21:08,639
Speaker 1: and she wants to try them because it's a bright

437
00:21:08,840 --> 00:21:11,560
Speaker 1: yellow bottle or like a purple bottle, you know what

438
00:21:11,600 --> 00:21:14,399
Speaker 1: I mean. But this is all marketing at the end

439
00:21:14,440 --> 00:21:16,119
Speaker 1: of the day, if you think about it, everybody just

440
00:21:16,160 --> 00:21:19,520
Speaker 1: wants you to buy stuff, right, how much of it

441
00:21:19,560 --> 00:21:21,600
Speaker 1: is truly in your best interest of getting you the

442
00:21:21,800 --> 00:21:24,120
Speaker 1: best skin I don't know, it's hard to tell, right.

443
00:21:25,800 --> 00:21:28,359
Speaker 1: But then there are also particular trends, like there's like

444
00:21:28,400 --> 00:21:31,400
Speaker 1: this one thing about not washing your hair often on

445
00:21:31,440 --> 00:21:34,880
Speaker 1: social media where recently I was said that you shouldn't

446
00:21:34,920 --> 00:21:36,959
Speaker 1: even if you have dander, if you shouldn't wash your

447
00:21:36,960 --> 00:21:40,240
Speaker 1: hair often. Again, might have worked for one or two people,

448
00:21:40,480 --> 00:21:42,399
Speaker 1: but for a majority of people, that's going to cause

449
00:21:42,520 --> 00:21:47,280
Speaker 1: overgrowth of east, going to make things worse. So it's

450
00:21:47,320 --> 00:21:51,399
Speaker 1: important to get some advice from social media, but maybe

451
00:21:51,440 --> 00:21:55,760
Speaker 1: diversify the content creators that you're listening to. Maybe listen

452
00:21:55,800 --> 00:21:59,360
Speaker 1: to some germs, listen to some you know, non germs too,

453
00:21:59,400 --> 00:22:01,399
Speaker 1: like people who specializes in different things.

454
00:22:01,760 --> 00:22:04,040
Speaker 2: Is it a lot of pressure on you as well

455
00:22:04,119 --> 00:22:09,040
Speaker 2: to like maintain a certain like aesthetic because as a

456
00:22:09,080 --> 00:22:12,640
Speaker 2: dermatologist and in such like you said, yeah, you're on TikTok.

457
00:22:13,080 --> 00:22:14,800
Speaker 2: Is it a thing where people are like, I don't

458
00:22:14,840 --> 00:22:16,639
Speaker 2: want to go to her she had a pimple this morning?

459
00:22:16,880 --> 00:22:19,200
Speaker 3: Or is it you know, or is like is.

460
00:22:19,160 --> 00:22:21,280
Speaker 2: There a pressure to that or is it like you said,

461
00:22:21,320 --> 00:22:24,800
Speaker 2: where it's like a transparency or like behind the scenes

462
00:22:24,800 --> 00:22:26,560
Speaker 2: are like, hey, I get them to guys, that's all

463
00:22:26,600 --> 00:22:27,160
Speaker 2: calmed down.

464
00:22:28,560 --> 00:22:30,800
Speaker 1: Oh my god. No, there's a lot of pressure. That's

465
00:22:30,800 --> 00:22:34,000
Speaker 1: just me being honest. Even like in clinic, especially if

466
00:22:34,040 --> 00:22:36,639
Speaker 1: I'm doing like cosmetic stuff and lasers and stuff, I

467
00:22:36,720 --> 00:22:40,200
Speaker 1: feel this kind of pressure to have clear skin because

468
00:22:40,240 --> 00:22:43,240
Speaker 1: I'm also my biggest advertisement. So even I'm talking about

469
00:22:43,240 --> 00:22:44,919
Speaker 1: I forget about social media. Even like folks that are

470
00:22:44,920 --> 00:22:47,040
Speaker 1: coming to see me in clinic, they could be coming

471
00:22:47,040 --> 00:22:50,000
Speaker 1: in for a skin check for molds or something that's

472
00:22:50,160 --> 00:22:53,120
Speaker 1: completely different from cosmetic stuff, but they end up seeing

473
00:22:53,160 --> 00:22:55,600
Speaker 1: my skin and they're like, Wow, your skin seems so smooth.

474
00:22:55,600 --> 00:22:58,919
Speaker 1: What have you done? And that, you know, leads to

475
00:22:59,000 --> 00:23:02,760
Speaker 1: like a whole different converse, right, So from a clinic standpoint, like,

476
00:23:03,000 --> 00:23:05,120
Speaker 1: there's that, but then also I work with a lot

477
00:23:05,119 --> 00:23:09,000
Speaker 1: of skincare brands, including brands like reputable brands like Sara

478
00:23:09,119 --> 00:23:11,640
Speaker 1: vi Laroche pose where they don't want to when they're

479
00:23:11,640 --> 00:23:14,120
Speaker 1: taking our photos and stuff like that. They don't want

480
00:23:14,119 --> 00:23:16,399
Speaker 1: to alter the images. They don't want to photoshop it.

481
00:23:16,520 --> 00:23:20,440
Speaker 1: They want to have real skin, right, and they never

482
00:23:20,520 --> 00:23:23,640
Speaker 1: force us in any way to like maintain clear skin.

483
00:23:23,720 --> 00:23:26,480
Speaker 1: They just want it to be natural but internal. For

484
00:23:26,560 --> 00:23:28,359
Speaker 1: me and myself, I want to make sure that my

485
00:23:28,400 --> 00:23:30,639
Speaker 1: skin looks good, especially if it's going to be like

486
00:23:30,720 --> 00:23:33,440
Speaker 1: not photoshopped. And I appreciate that. That's why I like

487
00:23:33,560 --> 00:23:36,800
Speaker 1: working with Sarahvio large perse because I know that things

488
00:23:36,840 --> 00:23:39,840
Speaker 1: are clean and authentic, right, and that's how it should be.

489
00:23:40,359 --> 00:23:43,040
Speaker 2: No, that's cool, That's that's I just like something to

490
00:23:43,040 --> 00:23:44,880
Speaker 2: think about in this day and age of the internet.

491
00:23:45,280 --> 00:23:49,720
Speaker 4: It is what are the most common skin conditions conditions

492
00:23:49,720 --> 00:23:54,080
Speaker 4: that you see in adults in all different.

493
00:23:53,760 --> 00:23:56,800
Speaker 5: Skin tones, just in all different skin tones.

494
00:23:57,960 --> 00:24:00,560
Speaker 1: So in adults, I think the number one thing it

495
00:24:00,600 --> 00:24:03,600
Speaker 1: comes down to its effects of sun damage, So chronic

496
00:24:03,680 --> 00:24:06,080
Speaker 1: sun exposure. I think we forget like when we're in

497
00:24:06,119 --> 00:24:08,439
Speaker 1: our teens and twenties, pretty much all of us have

498
00:24:08,480 --> 00:24:11,880
Speaker 1: pretty good skin. That's why sometimes when I see, you know,

499
00:24:12,240 --> 00:24:15,440
Speaker 1: a content creator or beauty content creator or influencer talking

500
00:24:15,440 --> 00:24:18,000
Speaker 1: about really good skin, and they're like in their early twenties.

501
00:24:18,040 --> 00:24:19,480
Speaker 1: I'm like, I have a lot of respect for you,

502
00:24:19,520 --> 00:24:21,480
Speaker 1: but you're in your twenties, right, You're meant to have

503
00:24:21,600 --> 00:24:24,439
Speaker 1: very good skin. Later on is when the signs of

504
00:24:24,480 --> 00:24:27,920
Speaker 1: aging starts showing. So it can be as simple as

505
00:24:27,960 --> 00:24:30,520
Speaker 1: getting a lot of brown spots in all different skin tones.

506
00:24:30,520 --> 00:24:33,320
Speaker 1: So brown spots, I would say, it's inevitable. It's not

507
00:24:33,359 --> 00:24:35,359
Speaker 1: a question of if. It's a question of when we

508
00:24:35,400 --> 00:24:38,960
Speaker 1: are all going to develop that our skin is looking

509
00:24:39,000 --> 00:24:42,040
Speaker 1: more dull and coarse and fine lines. These are just

510
00:24:42,080 --> 00:24:44,920
Speaker 1: like normal parts of aging. I always say, it's actually

511
00:24:44,920 --> 00:24:48,119
Speaker 1: a privilege that we get to experience that. Yes, but

512
00:24:48,320 --> 00:24:50,639
Speaker 1: you can take care of it. At the same time,

513
00:24:51,240 --> 00:24:53,320
Speaker 1: you should be proud of it, you know what I mean. So,

514
00:24:54,400 --> 00:24:57,199
Speaker 1: but I would say those are just common concerns I

515
00:24:57,240 --> 00:24:59,480
Speaker 1: see in clinic pretty much every day. But in terms

516
00:24:59,520 --> 00:25:04,159
Speaker 1: of skin conditions, common conditions are like eggzima because our

517
00:25:04,200 --> 00:25:06,960
Speaker 1: skin also gets drier as we get older, so we

518
00:25:07,000 --> 00:25:10,240
Speaker 1: can get like very non specific like dry itchy patches,

519
00:25:10,320 --> 00:25:14,080
Speaker 1: which is like eggzema acnique and even happen in your

520
00:25:14,080 --> 00:25:16,040
Speaker 1: adult life. Even if you've not had it in your

521
00:25:16,040 --> 00:25:18,080
Speaker 1: twenties and thirties. So many times I have folks that

522
00:25:18,080 --> 00:25:19,679
Speaker 1: are in like their fifties and they're like, I've never

523
00:25:19,720 --> 00:25:21,120
Speaker 1: had happen in my whole life. Why am I getting

524
00:25:21,160 --> 00:25:24,080
Speaker 1: it now? And to be honest, there's no answer to that.

525
00:25:24,560 --> 00:25:29,880
Speaker 1: Because of hormonal changes and it just like happens skin cancer.

526
00:25:30,280 --> 00:25:32,800
Speaker 1: That's another thing that we see a lot in clinic.

527
00:25:34,440 --> 00:25:36,639
Speaker 1: But yeah, but it's fun, you know. I honestly like

528
00:25:36,760 --> 00:25:38,600
Speaker 1: I consider it a blessing to do what I do

529
00:25:38,680 --> 00:25:41,320
Speaker 1: because every day is so different. Like I'll come look

530
00:25:41,320 --> 00:25:43,119
Speaker 1: at my schedule. It could look like, oh, I have

531
00:25:43,200 --> 00:25:45,320
Speaker 1: like five different skin checks in a row, and then

532
00:25:45,320 --> 00:25:47,400
Speaker 1: the next thing, you know, some of these patients also

533
00:25:47,400 --> 00:25:50,400
Speaker 1: start talking about cosmetic concerns. So it's like a nice

534
00:25:50,440 --> 00:25:52,960
Speaker 1: mix of things. I'm cutting out skin cancer in the morning,

535
00:25:53,440 --> 00:25:56,919
Speaker 1: in the afternoon, I'm doing complete lye It's completely different,

536
00:25:56,960 --> 00:25:58,760
Speaker 1: maybe like a laser or something like that. So every

537
00:25:58,840 --> 00:25:59,600
Speaker 1: day is very different.

538
00:26:00,040 --> 00:26:03,000
Speaker 4: Are some things that actually I don't say specifically, but

539
00:26:03,080 --> 00:26:05,639
Speaker 4: have a tendency to affect darker skins more Because I

540
00:26:05,680 --> 00:26:08,800
Speaker 4: know you Your question was like, well, is there a separation?

541
00:26:08,920 --> 00:26:10,919
Speaker 4: And I was wanting to do the generalized one, but

542
00:26:10,920 --> 00:26:13,240
Speaker 4: then I was like, well, then what is something that

543
00:26:13,320 --> 00:26:16,359
Speaker 4: you see have a tendency sy more in darker colored skin?

544
00:26:18,000 --> 00:26:20,680
Speaker 1: Man, the number one thing I would say is hyper pigmentation.

545
00:26:20,760 --> 00:26:23,520
Speaker 1: Are dark spots Like I'm sure you guys can relate

546
00:26:23,520 --> 00:26:26,119
Speaker 1: to this. If we get a pimple, I could care

547
00:26:26,200 --> 00:26:28,280
Speaker 1: less about that pimple. That pimple is going to go

548
00:26:28,400 --> 00:26:31,240
Speaker 1: in three or four days. That brown spot is going

549
00:26:31,320 --> 00:26:34,520
Speaker 1: to stay for four or five months. Yes, with a

550
00:26:34,520 --> 00:26:36,600
Speaker 1: bug bite, the bug bite, the itchiness and all that

551
00:26:36,680 --> 00:26:38,960
Speaker 1: is going to go away, but the dark spot is

552
00:26:39,000 --> 00:26:41,760
Speaker 1: going to be a reminder for many, many months. So

553
00:26:41,840 --> 00:26:44,399
Speaker 1: I would say that's like the number one thing we

554
00:26:44,480 --> 00:26:48,280
Speaker 1: see for whether because of the sun directly like sunspots

555
00:26:48,280 --> 00:26:52,840
Speaker 1: and stuff, or because of some underlying condition like acne, egxemma,

556
00:26:53,320 --> 00:26:56,399
Speaker 1: bug bites, they all resolved with what we called post

557
00:26:56,440 --> 00:27:00,440
Speaker 1: inflammatory hyper pagmentation, meaning that after all that initial inflammation

558
00:27:00,520 --> 00:27:02,879
Speaker 1: on the skin or the initial irritation on the skin,

559
00:27:03,640 --> 00:27:07,360
Speaker 1: that then heals with that discoloration. So you might hear

560
00:27:07,400 --> 00:27:09,720
Speaker 1: this word called p i H. P i H means

561
00:27:09,720 --> 00:27:13,280
Speaker 1: post inflammatory hyperpigmentation, which essentially means that after any sort

562
00:27:13,280 --> 00:27:15,760
Speaker 1: of an initial insult on the skin. Your skin is

563
00:27:15,800 --> 00:27:20,080
Speaker 1: healing with that discoloration, and again it's it's normal. That's

564
00:27:20,240 --> 00:27:22,879
Speaker 1: just we have done in and that's that's normal. But

565
00:27:23,000 --> 00:27:24,240
Speaker 1: it bugs people, you know.

566
00:27:26,240 --> 00:27:30,280
Speaker 2: I noticed also you uh describe yourself as you know,

567
00:27:30,400 --> 00:27:32,840
Speaker 2: evidence based, having an evidence based education.

568
00:27:34,440 --> 00:27:36,679
Speaker 3: Is that a big fight now?

569
00:27:36,720 --> 00:27:40,119
Speaker 2: Because I feel like so much of what the world

570
00:27:40,240 --> 00:27:44,520
Speaker 2: is right now feels like evidence and education and stuff

571
00:27:44,560 --> 00:27:47,080
Speaker 2: is just under attack, Like expertise is under attack, and

572
00:27:47,119 --> 00:27:49,880
Speaker 2: it's like vibes, you know, we're just going by vibes,

573
00:27:49,960 --> 00:27:52,760
Speaker 2: especially in our country right now. It's like, you know, hey,

574
00:27:52,840 --> 00:27:54,720
Speaker 2: put somebody in charge of health services and they're just

575
00:27:54,760 --> 00:27:56,320
Speaker 2: kind of going on vibes and I'm like, I don't

576
00:27:56,320 --> 00:28:00,840
Speaker 2: know there expert professionals, you know, So like, is that

577
00:28:00,920 --> 00:28:03,879
Speaker 2: a thing you're experiencing in your line of work? Are

578
00:28:03,920 --> 00:28:07,040
Speaker 2: people coming into your office under the guy, you know,

579
00:28:07,480 --> 00:28:10,440
Speaker 2: with either misinformation or bad information that they're getting from

580
00:28:10,680 --> 00:28:11,480
Speaker 2: other sources.

581
00:28:12,920 --> 00:28:16,000
Speaker 1: Yeah? No, absolutely, you know, I feel like that's there

582
00:28:16,680 --> 00:28:18,920
Speaker 1: all the time. But like, no matter what you say,

583
00:28:18,920 --> 00:28:20,720
Speaker 1: you know, even I've seen some of my videos, no

584
00:28:20,720 --> 00:28:24,080
Speaker 1: matter what you say, you are gonna get hit with

585
00:28:24,200 --> 00:28:27,240
Speaker 1: people who disagree with you, right, And no matter what

586
00:28:27,280 --> 00:28:29,359
Speaker 1: the statement is, right, Like it could be like the

587
00:28:29,359 --> 00:28:31,200
Speaker 1: sky is blue and somebody could be like, no, the

588
00:28:31,240 --> 00:28:33,120
Speaker 1: sky is not blue blue, it's light blue or something

589
00:28:33,200 --> 00:28:36,920
Speaker 1: something like that. Right, And now what happens with evidence?

590
00:28:37,000 --> 00:28:40,200
Speaker 1: And I understand in skincare the tricky part is some

591
00:28:40,360 --> 00:28:43,880
Speaker 1: of the stuff there is no strong evidence, right, but

592
00:28:44,760 --> 00:28:50,479
Speaker 1: we make our recommendation at least based on maybe studying

593
00:28:50,520 --> 00:28:53,440
Speaker 1: a larger sample size, right, versus a lot of the

594
00:28:53,440 --> 00:28:56,120
Speaker 1: recommendations you see on social media. Again, could be a

595
00:28:56,160 --> 00:28:59,760
Speaker 1: personal sample size of one personal experience only, and then

596
00:28:59,800 --> 00:29:02,600
Speaker 1: that video goes viral like billion views or something, and

597
00:29:02,640 --> 00:29:05,480
Speaker 1: all of a sudden that seems like a more real

598
00:29:05,560 --> 00:29:08,280
Speaker 1: thing then the other stuff. That's like, you know, truly

599
00:29:08,320 --> 00:29:10,560
Speaker 1: at least backed up by evidence, but it's a very

600
00:29:10,680 --> 00:29:12,880
Speaker 1: like a gray area. It's very hard to like say

601
00:29:12,920 --> 00:29:16,600
Speaker 1: what's right, what's wrong? But at least from us, you know,

602
00:29:16,640 --> 00:29:18,840
Speaker 1: that's what when I'm talking to my patients, the way

603
00:29:18,880 --> 00:29:21,680
Speaker 1: I describe it is like I can only tell you

604
00:29:21,760 --> 00:29:24,200
Speaker 1: based on what's been studied, but there's so much that

605
00:29:24,280 --> 00:29:28,400
Speaker 1: has not been studied, Yes, and that those are the

606
00:29:28,440 --> 00:29:30,960
Speaker 1: gray areas, right, Like you know, the analogy I give

607
00:29:31,040 --> 00:29:34,120
Speaker 1: is also like a lot of like skin care and

608
00:29:34,200 --> 00:29:38,120
Speaker 1: procedure in pregnant patients, right has just not been studied,

609
00:29:38,400 --> 00:29:41,960
Speaker 1: so by default we say it's better to avoid those, right,

610
00:29:42,440 --> 00:29:45,080
Speaker 1: same thing in real life, you know, if something has

611
00:29:45,160 --> 00:29:49,560
Speaker 1: not been tested enough, it's hard for us to safely

612
00:29:49,640 --> 00:29:51,280
Speaker 1: recommend that online.

613
00:29:51,720 --> 00:29:52,200
Speaker 3: Yeah, I think.

614
00:29:52,320 --> 00:29:56,400
Speaker 2: I think also like with it being such a like

615
00:29:59,160 --> 00:30:03,200
Speaker 2: a seller this market, like if there's an economy behind

616
00:30:03,200 --> 00:30:06,320
Speaker 2: a lot of stuff, so like to me, you almost

617
00:30:06,360 --> 00:30:08,440
Speaker 2: have to be a little skeptical of where you get

618
00:30:08,440 --> 00:30:11,600
Speaker 2: your information because you may have people that are like, oh,

619
00:30:11,800 --> 00:30:15,000
Speaker 2: this lotion works for everybody one hundred percent of the time,

620
00:30:15,080 --> 00:30:16,920
Speaker 2: all skins, no matter what the condition is.

621
00:30:16,960 --> 00:30:18,080
Speaker 3: It cured me of cancer.

622
00:30:18,160 --> 00:30:20,240
Speaker 2: I got to And they may just be trying to

623
00:30:20,280 --> 00:30:23,080
Speaker 2: sell it. And I'm thinking hopeful, you know, as a

624
00:30:23,080 --> 00:30:25,479
Speaker 2: person that watches them, like, oh no, this is their

625
00:30:25,520 --> 00:30:28,760
Speaker 2: experience and this is just life. But you don't really know.

626
00:30:28,920 --> 00:30:31,480
Speaker 2: So like maybe I think, you know, being able to

627
00:30:31,480 --> 00:30:34,240
Speaker 2: go see a doctor in real life or whatever feels

628
00:30:34,240 --> 00:30:37,320
Speaker 2: like a more pertinent thing, even if it is something

629
00:30:37,360 --> 00:30:40,480
Speaker 2: that just is individually anecdotally affecting me. At least a

630
00:30:40,520 --> 00:30:43,560
Speaker 2: doctor that I'm going to see on a regular basis

631
00:30:43,680 --> 00:30:46,160
Speaker 2: or whatnot so on with some expertise, like we can

632
00:30:46,200 --> 00:30:48,680
Speaker 2: figure this out together, as opposed to a person on

633
00:30:48,720 --> 00:30:50,880
Speaker 2: the internet who, as you said, could just be talking

634
00:30:50,880 --> 00:30:53,640
Speaker 2: a singular experience or literally just be selling me something.

635
00:30:54,320 --> 00:30:57,360
Speaker 1: True. Yeah, it can be very very tricky, you know,

636
00:30:57,560 --> 00:31:00,840
Speaker 1: and even ipholl for that stuff out I said skincare right,

637
00:31:00,880 --> 00:31:03,080
Speaker 1: when I go on TikTok, I end up buying all

638
00:31:03,080 --> 00:31:06,000
Speaker 1: this other crap in thirty days. I'm like, this was

639
00:31:06,400 --> 00:31:08,280
Speaker 1: purely you know I should.

640
00:31:08,280 --> 00:31:10,280
Speaker 3: That's how they get you too. Yes, that's how they

641
00:31:10,280 --> 00:31:10,800
Speaker 3: get me too.

642
00:31:11,080 --> 00:31:12,800
Speaker 2: I have so much stuff in my house where I'm

643
00:31:12,840 --> 00:31:16,920
Speaker 2: just like, man, these are whatever it is in these

644
00:31:16,960 --> 00:31:19,440
Speaker 2: cookies that I keep accepting on these internet.

645
00:31:19,080 --> 00:31:22,280
Speaker 3: Websites, it is following me very accurate.

646
00:31:22,840 --> 00:31:25,800
Speaker 1: They're like listening to everything you're talking, right, I feel

647
00:31:25,800 --> 00:31:28,239
Speaker 1: like I'm talking to my husband about something and next thing,

648
00:31:28,280 --> 00:31:30,360
Speaker 1: you know, the product like pops up on your Yeah.

649
00:31:30,720 --> 00:31:32,600
Speaker 3: Oh yeah, I'm for sure getting some.

650
00:31:33,040 --> 00:31:35,080
Speaker 2: I'm gonna get some skincare ads soon as we get

651
00:31:35,080 --> 00:31:36,000
Speaker 2: off this podcast.

652
00:31:36,000 --> 00:31:38,960
Speaker 3: Oh yeah, you got act.

653
00:31:40,960 --> 00:31:42,960
Speaker 1: Exactly exactly.

654
00:31:43,200 --> 00:31:46,480
Speaker 4: What are some of the most common I guess I

655
00:31:46,520 --> 00:31:49,400
Speaker 4: would want to say, aeroso mistakes that you see parents

656
00:31:49,440 --> 00:31:52,640
Speaker 4: make with children, because I know you say you've seen children,

657
00:31:52,720 --> 00:31:54,920
Speaker 4: but you know when they first born, you know, and

658
00:31:54,960 --> 00:31:57,200
Speaker 4: things like that, like what are some things that you'd

659
00:31:57,240 --> 00:31:58,959
Speaker 4: be like you, I don't think you should do this,

660
00:31:59,160 --> 00:32:01,000
Speaker 4: or maybe they need to do more of this, like

661
00:32:01,040 --> 00:32:04,400
Speaker 4: because you know, children's skin when it wornt are very sensitive.

662
00:32:05,320 --> 00:32:08,800
Speaker 1: Right, right, So the number one thing is against still

663
00:32:08,840 --> 00:32:13,240
Speaker 1: like the whole sunscreen thing, you know, because because I

664
00:32:13,320 --> 00:32:17,040
Speaker 1: see this every single day. There is so many things

665
00:32:17,080 --> 00:32:19,960
Speaker 1: that people complain about later on in their life, whether

666
00:32:20,040 --> 00:32:23,680
Speaker 1: it's brown spots or if these pre cancer things you know,

667
00:32:23,800 --> 00:32:27,880
Speaker 1: like rough, crusty things, or it's wrinkles, or it's like

668
00:32:29,080 --> 00:32:32,640
Speaker 1: so many things they can easily be if not prevented

669
00:32:32,680 --> 00:32:35,920
Speaker 1: one hundred percent, but you could see less of that

670
00:32:36,160 --> 00:32:38,400
Speaker 1: if we are good about sun protection. But from a

671
00:32:38,520 --> 00:32:42,400
Speaker 1: very early on stage in your life. Right, I'm guilty too.

672
00:32:42,440 --> 00:32:44,920
Speaker 1: I grew up in India. I did not wear sunscreen

673
00:32:45,000 --> 00:32:47,160
Speaker 1: the first eighteen years of my life because it wasn't

674
00:32:47,160 --> 00:32:50,480
Speaker 1: a thing there, you know what I mean. But now

675
00:32:50,640 --> 00:32:53,160
Speaker 1: I would say that at least for my kids, I'm

676
00:32:53,240 --> 00:32:56,600
Speaker 1: pretty good about making sure they're truly wearing sunscreen, but

677
00:32:57,360 --> 00:33:00,840
Speaker 1: no sunscreen is one hundred percent effective. You still have

678
00:33:00,920 --> 00:33:03,560
Speaker 1: to be mindful when you're out in the sun during

679
00:33:03,560 --> 00:33:07,080
Speaker 1: the peak hours of ten am to four pm, even

680
00:33:07,120 --> 00:33:09,840
Speaker 1: if you're putting on sunscreen every single hour. But they

681
00:33:09,840 --> 00:33:13,120
Speaker 1: are in the crazy sun, they're getting toasted, you know.

682
00:33:14,320 --> 00:33:17,320
Speaker 1: So it's a balance. I'm not saying, you know, restrict

683
00:33:17,320 --> 00:33:20,760
Speaker 1: your kids from having fun, but it's a balance. And

684
00:33:20,800 --> 00:33:24,160
Speaker 1: if you're truly seeing them getting bad sunburns, then that's

685
00:33:24,160 --> 00:33:27,440
Speaker 1: a clear sign that you gotta slow down. Your sunscreen

686
00:33:27,520 --> 00:33:29,600
Speaker 1: is not being as effective or you're just spending way

687
00:33:29,640 --> 00:33:33,000
Speaker 1: too time in the sun, because that damage might not

688
00:33:33,080 --> 00:33:35,120
Speaker 1: be showing at the age of ten, but it will

689
00:33:35,200 --> 00:33:37,240
Speaker 1: force sure show up on your skin at the age

690
00:33:37,280 --> 00:33:38,960
Speaker 1: of forty or fifty or whatnot.

691
00:33:39,280 --> 00:33:41,680
Speaker 2: Yeah, I definitely remember the first time I found out

692
00:33:41,720 --> 00:33:43,720
Speaker 2: black people could have.

693
00:33:43,560 --> 00:33:44,520
Speaker 5: Some burn me too.

694
00:33:44,560 --> 00:33:47,680
Speaker 3: I was shot. Yeah, it was because it happened to me.

695
00:33:47,880 --> 00:33:50,160
Speaker 2: I feel like I feel like every black person finds

696
00:33:50,160 --> 00:33:51,000
Speaker 2: out the same way.

697
00:33:51,040 --> 00:33:52,640
Speaker 3: It's just you look up one day and go, what

698
00:33:52,720 --> 00:33:57,200
Speaker 3: is this? I just got really dark?

699
00:33:57,360 --> 00:33:59,120
Speaker 5: Right for me? I don't think I got.

700
00:33:58,960 --> 00:34:01,240
Speaker 3: Some burn, but I got I definitely got I got

701
00:34:01,280 --> 00:34:01,760
Speaker 3: what's dark.

702
00:34:01,800 --> 00:34:03,560
Speaker 5: I was like, oh my gosh, I am really baking

703
00:34:03,640 --> 00:34:04,040
Speaker 5: out here.

704
00:34:04,200 --> 00:34:07,440
Speaker 2: I got sunburned and I peeled and everything. Oh no,

705
00:34:07,560 --> 00:34:11,120
Speaker 2: yeah it was sore, Yeah it was I was. I

706
00:34:11,120 --> 00:34:14,000
Speaker 2: honestly got I would have if I would have failed

707
00:34:14,040 --> 00:34:15,600
Speaker 2: every lot of tech to test that, they would have said,

708
00:34:15,600 --> 00:34:17,400
Speaker 2: can black people get summer? I feel like, of course not.

709
00:34:17,520 --> 00:34:18,160
Speaker 4: I know.

710
00:34:18,719 --> 00:34:21,959
Speaker 2: So are there myths or misinformation or things like that

711
00:34:21,960 --> 00:34:24,040
Speaker 2: that you see out there that affect people like that,

712
00:34:24,120 --> 00:34:28,600
Speaker 2: because I know I definitely fell victim to black people

713
00:34:28,600 --> 00:34:29,600
Speaker 2: can't get sunburned?

714
00:34:30,600 --> 00:34:32,759
Speaker 1: Yeah, no, one hundred percent. Like the whole concept of like,

715
00:34:32,800 --> 00:34:35,560
Speaker 1: oh we have melon in our skin, we are protected.

716
00:34:36,080 --> 00:34:38,160
Speaker 1: I mean, there is a little bit of protection, but

717
00:34:38,320 --> 00:34:40,440
Speaker 1: it doesn't mean, you know, we can go take full

718
00:34:40,480 --> 00:34:42,799
Speaker 1: advantage of being in the sun, because yes, you're still

719
00:34:42,840 --> 00:34:45,960
Speaker 1: going to get the same consequences of too much sun exposure,

720
00:34:46,000 --> 00:34:50,640
Speaker 1: which is whether skin cancer or even you know, early

721
00:34:50,680 --> 00:34:53,640
Speaker 1: signs of aging somehow. You know in clinic, it's funny

722
00:34:53,640 --> 00:34:56,320
Speaker 1: if I tell people or wear sunscreen to prevent skin cancer,

723
00:34:56,719 --> 00:34:58,880
Speaker 1: I feel like that doesn't work as well as if

724
00:34:58,960 --> 00:35:01,040
Speaker 1: I tell people, Hey, where your sun screen? You're going

725
00:35:01,080 --> 00:35:03,279
Speaker 1: to be spending less on cosmetic procedure later on in

726
00:35:03,280 --> 00:35:06,000
Speaker 1: your life. But you're going to get dark spots later on.

727
00:35:06,239 --> 00:35:09,560
Speaker 1: That works way better. Wow, It's a long term investment

728
00:35:09,640 --> 00:35:11,439
Speaker 1: into your skin if you want to be spending less

729
00:35:11,440 --> 00:35:13,520
Speaker 1: money on other stuff later on in your life.

730
00:35:13,640 --> 00:35:16,480
Speaker 3: We are a vain society, so that does make sense.

731
00:35:17,080 --> 00:35:20,120
Speaker 2: It's also funny too because I feel like as a

732
00:35:20,160 --> 00:35:22,839
Speaker 2: black person is it works both ways for us, where

733
00:35:23,000 --> 00:35:25,279
Speaker 2: like there's a pressure to be like black.

734
00:35:25,040 --> 00:35:26,840
Speaker 3: Don't crack, Black don't crack.

735
00:35:27,080 --> 00:35:28,879
Speaker 2: So like you, you know, you're like, I don't want

736
00:35:28,880 --> 00:35:31,600
Speaker 2: to fail everybody by my skin falling apart when I'm

737
00:35:32,320 --> 00:35:32,720
Speaker 2: or whatever.

738
00:35:32,880 --> 00:35:35,920
Speaker 1: So yeah, and then it becomes an emergency once you

739
00:35:35,960 --> 00:35:38,640
Speaker 1: start seeing those signs. Then you're like, okay, don't fix it.

740
00:35:38,680 --> 00:35:40,799
Speaker 1: What can we do? Fix it now? And you have

741
00:35:40,840 --> 00:35:42,920
Speaker 1: to be also careful. You know, you can't just fix

742
00:35:42,960 --> 00:35:44,839
Speaker 1: everything all at once. If you're going to do all

743
00:35:45,200 --> 00:35:49,560
Speaker 1: these procedures, be careful, go slow. So it's like anything

744
00:35:49,600 --> 00:35:52,640
Speaker 1: in life, there is a fine balance, and prevention is

745
00:35:52,680 --> 00:35:54,800
Speaker 1: so much better than like trying to treat.

746
00:35:54,600 --> 00:35:58,000
Speaker 5: Stuff, right, is it hard?

747
00:35:58,120 --> 00:36:00,480
Speaker 4: Because I know you treat all types of skin canitions

748
00:36:00,560 --> 00:36:05,080
Speaker 4: and some of them probably I'm just assuming can be

749
00:36:05,400 --> 00:36:08,200
Speaker 4: amplified with like makeups and creams. Have you ever had

750
00:36:08,200 --> 00:36:10,080
Speaker 4: to tell a patient, ay, you might have to go

751
00:36:10,200 --> 00:36:13,000
Speaker 4: up period of time without putting anything on your face

752
00:36:13,520 --> 00:36:16,680
Speaker 4: in order for whatever I'm you know, me telling you

753
00:36:16,719 --> 00:36:18,399
Speaker 4: to do to clear up. And you got somebody who

754
00:36:18,719 --> 00:36:21,040
Speaker 4: wears makeup all the time kind of fighting you, and

755
00:36:21,080 --> 00:36:23,120
Speaker 4: you're like, well, it's gonna take twice as long and

756
00:36:23,239 --> 00:36:24,080
Speaker 4: might not clear up.

757
00:36:24,120 --> 00:36:26,319
Speaker 5: Like I'm telling you this because I actually want your skin.

758
00:36:26,760 --> 00:36:31,359
Speaker 4: I'm concerned about your skin, not concerned about not trying

759
00:36:31,360 --> 00:36:33,560
Speaker 4: to find of how the world views you type of thing.

760
00:36:33,680 --> 00:36:36,640
Speaker 4: Like I'm for the bitterment of the patient, and like

761
00:36:37,000 --> 00:36:38,719
Speaker 4: I got to know they has to be difficult to

762
00:36:38,800 --> 00:36:42,320
Speaker 4: kind of fight against somebody when you know, because particularly

763
00:36:42,320 --> 00:36:45,279
Speaker 4: as women, we're taught we'll make up, you know, cover

764
00:36:45,360 --> 00:36:47,279
Speaker 4: it up and all that stuff.

765
00:36:47,920 --> 00:36:50,960
Speaker 1: Yeah, I know every day. Again, So my goal when

766
00:36:51,000 --> 00:36:53,120
Speaker 1: I'm taking care of my patients, whether if they're coming

767
00:36:53,160 --> 00:36:55,880
Speaker 1: in for acne or egg amount on their face, or

768
00:36:55,920 --> 00:36:58,640
Speaker 1: if they're coming in because of you know, cousebody concerns

769
00:36:58,640 --> 00:37:01,520
Speaker 1: and they want to look you know, good for their age. Right,

770
00:37:02,040 --> 00:37:04,799
Speaker 1: the number one goal I tell people is I want

771
00:37:04,800 --> 00:37:06,799
Speaker 1: you to get to the point where you don't feel

772
00:37:06,840 --> 00:37:08,520
Speaker 1: the need to wear makeup. I want you to get

773
00:37:08,520 --> 00:37:10,520
Speaker 1: to the point where you're just wearing tinted sunscreen, because

774
00:37:10,560 --> 00:37:13,040
Speaker 1: right now all I'm wearing is tinted sunscreen. I can't

775
00:37:13,080 --> 00:37:15,040
Speaker 1: want that. I just came straight to the gym. I

776
00:37:15,040 --> 00:37:17,319
Speaker 1: didn't realize this was a live thing, so I was like,

777
00:37:17,320 --> 00:37:19,120
Speaker 1: you know what, I'll just so I came from the gym,

778
00:37:19,280 --> 00:37:21,880
Speaker 1: I changed my top, and I'm like, literally here with you.

779
00:37:22,120 --> 00:37:25,200
Speaker 1: But that's the whole goal, right to wear minimum makeup

780
00:37:25,520 --> 00:37:28,759
Speaker 1: because it's been known that if you're struggling with things

781
00:37:28,840 --> 00:37:31,440
Speaker 1: like acne, makeup can clog up your pores and it

782
00:37:31,440 --> 00:37:34,719
Speaker 1: can make your acne way worse if you have eggzima,

783
00:37:34,840 --> 00:37:37,759
Speaker 1: same thing, some products, some preservatives, and your makeup can

784
00:37:37,800 --> 00:37:39,960
Speaker 1: cause the skin to get more irritated and it can

785
00:37:40,000 --> 00:37:43,040
Speaker 1: make things worse if you have roseatiha, another indicator of

786
00:37:43,160 --> 00:37:46,120
Speaker 1: very sensitive skin. Same thing. Too much makeup can can,

787
00:37:46,200 --> 00:37:49,120
Speaker 1: you know, make things get worse. Makeup to me is

788
00:37:49,160 --> 00:37:52,319
Speaker 1: like in a way suffocating your skin, you know. And

789
00:37:52,320 --> 00:37:54,560
Speaker 1: that's why even for me, when I do put on

790
00:37:54,600 --> 00:37:57,319
Speaker 1: any makeup, I can't wait to take that makeup off

791
00:37:57,400 --> 00:38:00,520
Speaker 1: at night before I go to bed, and maybe back

792
00:38:00,520 --> 00:38:01,840
Speaker 1: in the day I used to go to bed with

793
00:38:01,880 --> 00:38:04,040
Speaker 1: makeup on, but now I'm like, oh my god, it's

794
00:38:04,040 --> 00:38:05,840
Speaker 1: like going to bed without brushing my teeth right, Like,

795
00:38:05,960 --> 00:38:08,320
Speaker 1: it just doesn't feel right. It just feels very dirty

796
00:38:08,360 --> 00:38:12,560
Speaker 1: and it just does not feel right. But yes, makeup

797
00:38:12,640 --> 00:38:16,440
Speaker 1: can definitely make things worse. The goal is to wear

798
00:38:16,560 --> 00:38:19,439
Speaker 1: less makeup and be proud of your skin, be proud

799
00:38:19,480 --> 00:38:19,839
Speaker 1: of you are.

800
00:38:20,360 --> 00:38:22,719
Speaker 2: Should people wash their legs in the shower? Because that

801
00:38:22,840 --> 00:38:25,200
Speaker 2: was a big debate on Tiptop. That was a trend

802
00:38:25,320 --> 00:38:28,400
Speaker 2: last year, and I'm I'm team wash your legs in

803
00:38:28,440 --> 00:38:30,359
Speaker 2: the shower. I'm just more of a like, if you're

804
00:38:30,360 --> 00:38:31,919
Speaker 2: in there, you might as well try to wash it all.

805
00:38:32,000 --> 00:38:34,239
Speaker 2: But I did see some people try to make some

806
00:38:34,400 --> 00:38:38,040
Speaker 2: arguments that we maybe just the water would just trickle

807
00:38:38,120 --> 00:38:41,040
Speaker 2: down to the legs and they clean themselves. Well, is

808
00:38:41,080 --> 00:38:45,399
Speaker 2: there like any dermatological opinion on this.

809
00:38:46,960 --> 00:38:48,080
Speaker 1: On washing your legs?

810
00:38:48,160 --> 00:38:50,440
Speaker 3: Yes, should people wash their legs in the shower when

811
00:38:50,440 --> 00:38:51,440
Speaker 3: they go take a shower.

812
00:38:51,480 --> 00:38:54,120
Speaker 5: That was a trend and people actually arguing about that.

813
00:38:54,719 --> 00:38:56,920
Speaker 1: Oh I would safe wash it, you know, maybe I

814
00:38:57,040 --> 00:38:59,319
Speaker 1: like it did not pay attention to this trend. But

815
00:38:59,400 --> 00:39:02,400
Speaker 1: like for we see so many like problems such as

816
00:39:02,440 --> 00:39:06,520
Speaker 1: like ingrown hair in between your legs or you know,

817
00:39:06,520 --> 00:39:09,560
Speaker 1: there are certain conditions that can happen because of overgrowth

818
00:39:09,560 --> 00:39:12,719
Speaker 1: of bacteria. And because it's important to note, we all

819
00:39:12,760 --> 00:39:15,359
Speaker 1: have healthy bacteria that lives on our skin. We have

820
00:39:15,440 --> 00:39:18,280
Speaker 1: healthy easts that live on our skin. But the problem

821
00:39:18,320 --> 00:39:20,959
Speaker 1: happens when there is an overgrowth of stuff right where

822
00:39:21,080 --> 00:39:24,480
Speaker 1: that balance is screwed up. So and you want to

823
00:39:24,480 --> 00:39:28,640
Speaker 1: maintain that with good hygiene. That goes down to like kindergarten, right,

824
00:39:29,200 --> 00:39:31,959
Speaker 1: So you want to keep things nice and clean. Yeah,

825
00:39:31,960 --> 00:39:33,800
Speaker 1: you never want to overdo it, like you don't have

826
00:39:33,840 --> 00:39:36,719
Speaker 1: to keep scrubbing your skin three times a day and

827
00:39:36,800 --> 00:39:39,560
Speaker 1: take multiple showers and dry out your skin. No, it's

828
00:39:39,600 --> 00:39:41,680
Speaker 1: about a balance. But at the same time, you get

829
00:39:41,680 --> 00:39:43,040
Speaker 1: to clean it when it needs to be cleaned.

830
00:39:43,480 --> 00:39:45,520
Speaker 3: That's what I thought me too.

831
00:39:46,320 --> 00:39:50,080
Speaker 4: For somebody that has eczema, what is a good soap

832
00:39:50,120 --> 00:39:52,080
Speaker 4: for them? You know, because I know that's kind of

833
00:39:52,080 --> 00:39:55,279
Speaker 4: a sensitive thing and I know for some people they

834
00:39:55,280 --> 00:39:57,040
Speaker 4: have a hard time because it's so much done.

835
00:39:57,160 --> 00:39:58,799
Speaker 3: Is it just one soap? Is it a thing?

836
00:39:58,920 --> 00:39:59,040
Speaker 4: Like?

837
00:39:59,200 --> 00:40:02,480
Speaker 2: Oh yeah, because a matter of fact, can let me,

838
00:40:02,600 --> 00:40:05,000
Speaker 2: I mean to change your question, go ahead, but when

839
00:40:05,040 --> 00:40:09,440
Speaker 2: should people see a dermatologist versus just like, oh, let

840
00:40:09,480 --> 00:40:11,279
Speaker 2: me just ask someone what self should I use?

841
00:40:11,440 --> 00:40:11,840
Speaker 3: True?

842
00:40:12,960 --> 00:40:15,360
Speaker 1: Sure, I mean you can always look. Not everybody have

843
00:40:15,520 --> 00:40:18,759
Speaker 1: access to dermatologists, and not everybody has intury pay for it,

844
00:40:18,840 --> 00:40:22,200
Speaker 1: so I'm very mindful of that. I would say that

845
00:40:22,920 --> 00:40:26,200
Speaker 1: it starts with simple things like what we call sensitive skincare,

846
00:40:26,440 --> 00:40:30,600
Speaker 1: so sensitive skincare meaning it means pretend your skin is

847
00:40:30,640 --> 00:40:31,359
Speaker 1: like a baby's skin.

848
00:40:31,560 --> 00:40:31,719
Speaker 3: Right.

849
00:40:32,120 --> 00:40:34,840
Speaker 1: You want to avoid things like too much perfume or

850
00:40:34,880 --> 00:40:37,640
Speaker 1: too much fragrance in your skincare products because that's been

851
00:40:37,840 --> 00:40:40,720
Speaker 1: shown to make your skin flare up or get worse

852
00:40:40,719 --> 00:40:44,320
Speaker 1: if you have sensitive skin. So finding a body cleanser

853
00:40:44,600 --> 00:40:47,560
Speaker 1: or a soap that's meant for sensitive skin that's free

854
00:40:47,640 --> 00:40:51,759
Speaker 1: of fragrance, that's an important step. Personally, I like brands

855
00:40:51,840 --> 00:40:54,879
Speaker 1: like there's a brand called Vanny Cream VA and I

856
00:40:55,200 --> 00:40:59,319
Speaker 1: Cream and Cream that most dermatologists recommend for folks with

857
00:40:59,440 --> 00:41:03,680
Speaker 1: exima or sensitive skin. I do like Sarah v Cedaphil.

858
00:41:03,840 --> 00:41:06,560
Speaker 1: These are just, you know, good. It doesn't have to

859
00:41:06,560 --> 00:41:08,480
Speaker 1: be a fancy brand, but these are good over the

860
00:41:08,560 --> 00:41:12,719
Speaker 1: counter brands that does a great job in terms of

861
00:41:12,760 --> 00:41:16,200
Speaker 1: taking good care of your skin, but it's concepts like

862
00:41:16,560 --> 00:41:20,759
Speaker 1: moisturize your skin. The number one cause of itching or

863
00:41:21,160 --> 00:41:23,960
Speaker 1: rash or redness or irritation is when your skin is

864
00:41:24,000 --> 00:41:27,360
Speaker 1: super dry, no matter how much water you drink. You know,

865
00:41:27,400 --> 00:41:29,839
Speaker 1: this is another misconception. People think, Oh, if you don't

866
00:41:29,880 --> 00:41:32,480
Speaker 1: drink enough water, that's what causes dehydration of the skin.

867
00:41:33,160 --> 00:41:35,479
Speaker 1: While there's a correlation like if you don't drink enough water,

868
00:41:35,640 --> 00:41:38,319
Speaker 1: you could be dehydrated, yes, and that could manifest on

869
00:41:38,320 --> 00:41:42,720
Speaker 1: the skin. He's drinking his water now. But no matter

870
00:41:42,719 --> 00:41:45,719
Speaker 1: how much water you drink, you still have to moisturize

871
00:41:45,760 --> 00:41:48,520
Speaker 1: your skin because that's like food and drink for your skin.

872
00:41:49,480 --> 00:41:53,839
Speaker 1: So not moisturizing your skin enough, using the wrong moisturizers

873
00:41:53,920 --> 00:41:56,160
Speaker 1: or something that has fragrance in it. And then the

874
00:41:56,239 --> 00:41:58,719
Speaker 1: third thing that can make eggzema worse or sensitive skin

875
00:41:58,760 --> 00:42:02,040
Speaker 1: worse is taking hot showers. I am guilty of.

876
00:42:02,000 --> 00:42:02,879
Speaker 5: That me too.

877
00:42:03,200 --> 00:42:06,400
Speaker 4: I'm like, oh, I want to take a loopwarmwer y'all

878
00:42:06,480 --> 00:42:07,520
Speaker 4: you come in there.

879
00:42:07,560 --> 00:42:09,759
Speaker 5: You think the building all fine? I mean, like the

880
00:42:09,880 --> 00:42:12,000
Speaker 5: hot a the better. What is we doing here?

881
00:42:12,920 --> 00:42:17,440
Speaker 1: That is where I feel like sometimes I am personally like, oh,

882
00:42:17,520 --> 00:42:19,799
Speaker 1: I told five different people this morning in clinic not

883
00:42:19,840 --> 00:42:22,759
Speaker 1: to take hot showers, but you know, my steam is up.

884
00:42:23,239 --> 00:42:25,840
Speaker 1: But I know right after that at night, when I

885
00:42:25,840 --> 00:42:28,399
Speaker 1: take a hot shower, I go crazy scratching my skin

886
00:42:28,440 --> 00:42:30,560
Speaker 1: because my skin gets dry, right, And not just me,

887
00:42:30,600 --> 00:42:32,960
Speaker 1: I see my husband with that. I see patients. They're like,

888
00:42:33,160 --> 00:42:36,000
Speaker 1: you know, doctor Paul, my skin is the worst at

889
00:42:36,120 --> 00:42:38,200
Speaker 1: night when I'm trying to go to bed, And I'm like,

890
00:42:38,239 --> 00:42:40,480
Speaker 1: do you take hot showers before going to bed? Oh? Yeah,

891
00:42:40,520 --> 00:42:42,640
Speaker 1: how do you know. I'm like, that's exactly why it's itchy,

892
00:42:42,640 --> 00:42:45,000
Speaker 1: because you're taking the hot shower. Your skin is getting dry,

893
00:42:45,000 --> 00:42:47,640
Speaker 1: you're not moisturizing. And then at the end of the day,

894
00:42:47,640 --> 00:42:50,800
Speaker 1: you know, we are relaxed during the day, we're busy, distracted,

895
00:42:50,880 --> 00:42:53,160
Speaker 1: not busy scratching our skin. At the end of the day,

896
00:42:53,239 --> 00:42:55,319
Speaker 1: you know, finally our mind is a little calm. And

897
00:42:55,440 --> 00:42:58,319
Speaker 1: once you start scratching your skin in one area, your

898
00:42:58,320 --> 00:43:00,719
Speaker 1: body sends out all these signs and its wanting to

899
00:43:00,719 --> 00:43:04,040
Speaker 1: scratch all over and then you go crazy scratching your skin.

900
00:43:04,400 --> 00:43:08,840
Speaker 2: Yeah, hot showers Karen does. She likes lava setting you know,

901
00:43:08,960 --> 00:43:12,200
Speaker 2: like one maybe one degree below lava like whatever won't

902
00:43:12,840 --> 00:43:13,760
Speaker 2: set you on fire.

903
00:43:14,239 --> 00:43:19,000
Speaker 3: One degree below that, So I hear you. Uh, But

904
00:43:19,120 --> 00:43:20,279
Speaker 3: I also like when you.

905
00:43:20,200 --> 00:43:22,719
Speaker 2: Say like moisturize, are we talking like you get out

906
00:43:22,719 --> 00:43:23,240
Speaker 2: the shower.

907
00:43:23,840 --> 00:43:25,880
Speaker 3: And I know when I was a when I was

908
00:43:25,920 --> 00:43:27,960
Speaker 3: a kid, there's no way this was right.

909
00:43:28,080 --> 00:43:31,239
Speaker 2: But whatever, maybe I'm wrong, Maybe I'm wrong. I didn't know,

910
00:43:31,520 --> 00:43:35,760
Speaker 2: but they there's people that just put vasoline on your

911
00:43:35,880 --> 00:43:39,600
Speaker 2: like face, And is that a good good thing to do?

912
00:43:40,400 --> 00:43:42,799
Speaker 1: Oh yeah, that's that's a that's a thing that was

913
00:43:42,840 --> 00:43:45,360
Speaker 1: trending on social media for a while. So it's called slugging.

914
00:43:45,560 --> 00:43:50,160
Speaker 1: I actually like that one, Okay slugging. Slugging basically means

915
00:43:50,280 --> 00:43:54,040
Speaker 1: you're putting like a layer of vasoline or something greasy

916
00:43:54,360 --> 00:43:57,279
Speaker 1: to kind of help lock in the moisture. And you know,

917
00:43:57,320 --> 00:43:59,440
Speaker 1: you can put on some moisturizer and then put a

918
00:43:59,480 --> 00:44:01,279
Speaker 1: thick layer of vascline. The whole idea is, you know,

919
00:44:01,400 --> 00:44:03,920
Speaker 1: you're absorbing all that moisture into the skin. Yeah, and

920
00:44:03,960 --> 00:44:06,439
Speaker 1: some people swear by that, you know, like aqua ward

921
00:44:06,480 --> 00:44:08,239
Speaker 1: to another thing. You know, you could put that all

922
00:44:08,239 --> 00:44:10,680
Speaker 1: over you just have to be careful. Two things. One

923
00:44:10,760 --> 00:44:14,080
Speaker 1: is if you're prone to our clogged pores or sometimes

924
00:44:14,080 --> 00:44:16,080
Speaker 1: you know it's called milia that is like little white

925
00:44:16,120 --> 00:44:18,840
Speaker 1: bumps that can happen around your eyes. If you're prone

926
00:44:18,840 --> 00:44:20,960
Speaker 1: to that stuff, you don't want to put an occlusive

927
00:44:21,000 --> 00:44:23,000
Speaker 1: such as vacline because that's going to clog up your pores.

928
00:44:23,040 --> 00:44:26,000
Speaker 1: So that's number one. And number two is if you're

929
00:44:26,120 --> 00:44:29,120
Speaker 1: using active ingredients like retinol and all that stuff, you

930
00:44:29,120 --> 00:44:30,800
Speaker 1: don't want to slug after that. You don't want to

931
00:44:30,800 --> 00:44:32,960
Speaker 1: put vacline after that because that's going to like make

932
00:44:33,000 --> 00:44:36,640
Speaker 1: your retinol go inside your skin and irritate your skin more.

933
00:44:37,800 --> 00:44:38,560
Speaker 3: That makes sense.

934
00:44:38,760 --> 00:44:43,520
Speaker 4: What do you think about the Korean skincare trend? Everybody go,

935
00:44:43,600 --> 00:44:46,960
Speaker 4: I won't glassy skin out thought it looks pretty, but

936
00:44:47,160 --> 00:44:49,759
Speaker 4: I mean, I don't think in real life my skin

937
00:44:49,840 --> 00:44:51,360
Speaker 4: is supposed to blind everybody.

938
00:44:52,440 --> 00:44:55,719
Speaker 1: Yeah, So while I love Korean products, and I feel

939
00:44:55,760 --> 00:44:58,360
Speaker 1: like Korea has done a great job with skincare products

940
00:44:58,400 --> 00:45:01,160
Speaker 1: and also proceed all of the you know, they're all

941
00:45:01,200 --> 00:45:04,080
Speaker 1: like tested out there, are very popular there because I

942
00:45:04,080 --> 00:45:06,960
Speaker 1: think Koreans are just very into skincare and good skin health, right,

943
00:45:07,320 --> 00:45:10,439
Speaker 1: so I definitely value that, and you know, I work

944
00:45:10,480 --> 00:45:13,160
Speaker 1: with skincare startups that will literally go spend some time

945
00:45:13,200 --> 00:45:16,600
Speaker 1: in Koreer just to learn about the whole skin held there.

946
00:45:17,120 --> 00:45:20,320
Speaker 1: But this glass skin, don't even get me started. Because

947
00:45:20,440 --> 00:45:24,400
Speaker 1: and you guys can vouch that it depends on your lighting.

948
00:45:24,800 --> 00:45:27,000
Speaker 1: It depends on what type of light you have in

949
00:45:27,080 --> 00:45:29,960
Speaker 1: front of your skin. It depends on how much oil

950
00:45:30,000 --> 00:45:33,839
Speaker 1: based moisturizer you're using and the right reflection of light. Right,

951
00:45:34,440 --> 00:45:38,239
Speaker 1: that's it. When I'm seeing people in clinic, even the

952
00:45:38,320 --> 00:45:40,799
Speaker 1: folks with the best skin, nobody is coming in with

953
00:45:40,840 --> 00:45:42,000
Speaker 1: glass skins.

954
00:45:41,640 --> 00:45:43,680
Speaker 4: Right because I'm like, I don't see people in the

955
00:45:43,719 --> 00:45:44,840
Speaker 4: street with this skin.

956
00:45:44,960 --> 00:45:47,960
Speaker 5: Like, I'm like, I only see it online. I was like,

957
00:45:48,000 --> 00:45:49,120
Speaker 5: this doesn't make sense.

958
00:45:50,239 --> 00:45:53,439
Speaker 1: It's ridiculous. Have you ever seen babies with glass skin

959
00:45:53,520 --> 00:45:54,879
Speaker 1: and they have the best skin on earth?

960
00:45:55,040 --> 00:45:56,600
Speaker 3: Right? Right?

961
00:45:56,280 --> 00:45:56,440
Speaker 4: Right?

962
00:45:56,640 --> 00:45:59,080
Speaker 1: We don't they have good skin. There is a concept

963
00:45:59,080 --> 00:46:01,359
Speaker 1: of clear or like, there is no such thing as

964
00:46:01,440 --> 00:46:05,000
Speaker 1: perfect skin. There's healthy skin, but there is no such

965
00:46:05,080 --> 00:46:08,360
Speaker 1: thing as you know, pure glass skin, you know. But

966
00:46:08,560 --> 00:46:11,279
Speaker 1: you know, I think we loosely use that terminology to

967
00:46:11,840 --> 00:46:16,560
Speaker 1: talk about, you know, smooth skin, and there are care

968
00:46:16,600 --> 00:46:20,239
Speaker 1: products skin that can help achieve that. But you do

969
00:46:20,400 --> 00:46:22,360
Speaker 1: want your skin to be like glass? You want your

970
00:46:22,400 --> 00:46:23,320
Speaker 1: skin to be like skin?

971
00:46:23,719 --> 00:46:29,360
Speaker 2: Yeah, do you ever see like Well, two questions first

972
00:46:29,480 --> 00:46:33,400
Speaker 2: is is there like a difference in the number of

973
00:46:33,440 --> 00:46:36,120
Speaker 2: like men that come in versus women that come in

974
00:46:36,719 --> 00:46:39,640
Speaker 2: for skin care, because I think, especially with it being

975
00:46:39,680 --> 00:46:42,080
Speaker 2: attached to like a lot in people's minds, a lot

976
00:46:42,080 --> 00:46:44,359
Speaker 2: of people is attached to like beauty, and I think

977
00:46:44,400 --> 00:46:47,319
Speaker 2: a lot of men don't necessarily want to like be

978
00:46:47,520 --> 00:46:50,440
Speaker 2: upfront about like I'm very concerned with how beautiful people

979
00:46:50,520 --> 00:46:53,239
Speaker 2: perceive me as you know, as opposed you know, at

980
00:46:53,320 --> 00:46:54,200
Speaker 2: least not in public.

981
00:46:54,239 --> 00:46:55,720
Speaker 3: But I don't know what they do with that doctor.

982
00:46:55,800 --> 00:46:58,040
Speaker 2: Maybe everyone's going to the doctor, they're just not talking

983
00:46:58,040 --> 00:46:58,360
Speaker 2: about it.

984
00:46:59,719 --> 00:47:04,600
Speaker 1: I've definitely seen a pretty big trend where men are

985
00:47:04,640 --> 00:47:07,960
Speaker 1: actually secretly very much into this stuff. In fact, in

986
00:47:08,000 --> 00:47:10,719
Speaker 1: my clinic, I have a lot of men that are

987
00:47:10,760 --> 00:47:13,919
Speaker 1: in pretty executive positions and stuff like that who come

988
00:47:14,000 --> 00:47:17,040
Speaker 1: in for all these lasers and micronailing and all these

989
00:47:17,080 --> 00:47:21,279
Speaker 1: procedures pretty regularly, probably even more than women. And in fact,

990
00:47:21,320 --> 00:47:23,320
Speaker 1: I was actually having a conversation with my husband the

991
00:47:23,400 --> 00:47:26,040
Speaker 1: other day, I was like, maybe I feel like women,

992
00:47:26,200 --> 00:47:28,600
Speaker 1: we are more conscious about the budget, and we think

993
00:47:28,680 --> 00:47:32,399
Speaker 1: more about the price stack because these things can be expensive. Yes,

994
00:47:32,400 --> 00:47:35,560
Speaker 1: they can look like guys are like it seems like

995
00:47:35,600 --> 00:47:37,600
Speaker 1: some of them don't care. Well, then I have this

996
00:47:37,680 --> 00:47:39,759
Speaker 1: hypothesis is maybe because you know, for women, we also

997
00:47:39,800 --> 00:47:42,160
Speaker 1: spend so much on our nails, our hair, like yeah,

998
00:47:42,239 --> 00:47:47,360
Speaker 1: down things, different things, right, But my point is no,

999
00:47:47,480 --> 00:47:49,200
Speaker 1: a lot of guys are into this stuff, but they

1000
00:47:49,200 --> 00:47:51,160
Speaker 1: are the ones who are not going to talk about it.

1001
00:47:51,400 --> 00:47:53,000
Speaker 1: If I ever asked them if I can share that

1002
00:47:53,040 --> 00:47:57,560
Speaker 1: before an actor on social media, the answer typically it's okay,

1003
00:47:57,600 --> 00:48:00,600
Speaker 1: which is fine, you know, I'm okay, But then it's

1004
00:48:00,640 --> 00:48:03,040
Speaker 1: totally fine. And my husband too, well, my husband, he

1005
00:48:03,040 --> 00:48:05,040
Speaker 1: doesn't have a choice. I will share his wayfore and after,

1006
00:48:06,680 --> 00:48:10,799
Speaker 1: but I can't tell secretly he loves it because he

1007
00:48:10,840 --> 00:48:13,239
Speaker 1: my husband has a lot of acne scars and he

1008
00:48:13,280 --> 00:48:15,879
Speaker 1: has darker skin. So it's very very tricky when you're

1009
00:48:15,880 --> 00:48:18,200
Speaker 1: treating acne scar for darker skin because a lot of

1010
00:48:18,200 --> 00:48:21,160
Speaker 1: the lasers, a lot of the devices can easily cause

1011
00:48:21,160 --> 00:48:23,480
Speaker 1: what we call hyper pigmentation or dark spots and stuff

1012
00:48:23,480 --> 00:48:27,120
Speaker 1: like that. So we have made a lot of progress

1013
00:48:27,120 --> 00:48:28,560
Speaker 1: and now his skin is starting to look very good

1014
00:48:28,600 --> 00:48:31,040
Speaker 1: and I can see secretly he like loves it. He's

1015
00:48:31,080 --> 00:48:33,320
Speaker 1: not going to talk about that and tell his friends

1016
00:48:33,320 --> 00:48:35,440
Speaker 1: and family and all that it's me talking about it.

1017
00:48:35,520 --> 00:48:37,080
Speaker 1: I'm like, look at his skin, how much does improved?

1018
00:48:37,160 --> 00:48:37,880
Speaker 3: Or like other people?

1019
00:48:38,200 --> 00:48:38,520
Speaker 5: I think.

1020
00:48:38,600 --> 00:48:41,120
Speaker 2: I think also part of that is just how men

1021
00:48:41,320 --> 00:48:43,640
Speaker 2: are friends. Like I was thinking of a joke the

1022
00:48:43,680 --> 00:48:45,719
Speaker 2: other day I did I just didn't say on the shelf.

1023
00:48:45,800 --> 00:48:50,719
Speaker 2: But it's like, uh, men tell each other stuff that's

1024
00:48:50,840 --> 00:48:54,880
Speaker 2: very revelatory, but it's too late and they act like

1025
00:48:54,920 --> 00:48:57,719
Speaker 2: you already knew, so it'll just be like, yeah, you know,

1026
00:48:57,800 --> 00:48:59,879
Speaker 2: I was at my kids graduation. It's like you gotta

1027
00:49:00,800 --> 00:49:06,440
Speaker 2: we haven't talked talked about ten years. So I wonder

1028
00:49:06,719 --> 00:49:10,560
Speaker 2: if that is, you know, because like something like a

1029
00:49:10,560 --> 00:49:13,719
Speaker 2: self care routine is more of an almost every day

1030
00:49:13,800 --> 00:49:14,360
Speaker 2: thing as.

1031
00:49:14,200 --> 00:49:16,840
Speaker 3: Opposed to like just I got a kid thing or whatever.

1032
00:49:17,280 --> 00:49:19,600
Speaker 3: But I feel like men don't do a good job.

1033
00:49:19,760 --> 00:49:20,120
Speaker 3: We don't.

1034
00:49:20,360 --> 00:49:22,160
Speaker 2: We don't do a good job in our friendships are

1035
00:49:22,200 --> 00:49:23,360
Speaker 2: talking about stuff like that.

1036
00:49:23,440 --> 00:49:24,680
Speaker 3: I have a friend Justin.

1037
00:49:24,719 --> 00:49:27,120
Speaker 2: Who always like it sticks out to me because he

1038
00:49:27,280 --> 00:49:29,040
Speaker 2: is the one who's like, man, we need to go

1039
00:49:29,080 --> 00:49:30,200
Speaker 2: get our feet done, dude.

1040
00:49:30,200 --> 00:49:33,520
Speaker 5: We got been asking you about that right right right?

1041
00:49:33,600 --> 00:49:36,240
Speaker 1: Yeah, I can't imagine you know, bunch of girls getting together.

1042
00:49:36,280 --> 00:49:38,360
Speaker 1: We're like, your skin is looking great right now, like

1043
00:49:38,360 --> 00:49:40,799
Speaker 1: what are you doing? Yeah, I can't imagine guys being

1044
00:49:40,840 --> 00:49:42,320
Speaker 1: like your man, right.

1045
00:49:43,280 --> 00:49:44,000
Speaker 5: What products you.

1046
00:49:48,360 --> 00:49:50,600
Speaker 1: Didn't notice or not or maybe like you know this,

1047
00:49:50,680 --> 00:49:52,560
Speaker 1: you just don't like talk about it out loud.

1048
00:49:52,680 --> 00:49:55,720
Speaker 2: Yeah, yeah, No, it sticks out to me the times

1049
00:49:55,719 --> 00:49:58,360
Speaker 2: that it does happen, because just because it's rare and

1050
00:49:58,440 --> 00:49:59,320
Speaker 2: it does happen.

1051
00:49:59,120 --> 00:50:00,719
Speaker 3: You know, depending on your of friendships.

1052
00:50:00,719 --> 00:50:03,239
Speaker 2: I had friends that'll be like, oh you are what

1053
00:50:03,280 --> 00:50:04,839
Speaker 2: do you use a face You never use a face

1054
00:50:04,920 --> 00:50:07,120
Speaker 2: mask or something like that, and I'm like, oh, yeah,

1055
00:50:07,160 --> 00:50:09,879
Speaker 2: now we're talking about it. But yeah, it's just it

1056
00:50:09,960 --> 00:50:12,800
Speaker 2: is not an often thing. And and like you said,

1057
00:50:12,840 --> 00:50:16,439
Speaker 2: I've heard that conversation many a time with women where

1058
00:50:16,760 --> 00:50:18,920
Speaker 2: it could be two stranger women like they don't even

1059
00:50:19,400 --> 00:50:22,319
Speaker 2: they don't even know what the default is for each

1060
00:50:22,320 --> 00:50:24,319
Speaker 2: other's skin, like for them to be like, girl, what

1061
00:50:24,400 --> 00:50:24,560
Speaker 2: you do?

1062
00:50:25,320 --> 00:50:26,759
Speaker 3: Okay, I'll see you face.

1063
00:50:29,000 --> 00:50:31,479
Speaker 1: Your story right, Like I'll go up to the grocery store,

1064
00:50:31,480 --> 00:50:33,680
Speaker 1: I'll go up to random places and I'll have folks

1065
00:50:33,680 --> 00:50:35,279
Speaker 1: that will come up to me like Wow, your skin

1066
00:50:35,360 --> 00:50:36,600
Speaker 1: looks so good, Like, what do you do?

1067
00:50:36,680 --> 00:50:36,840
Speaker 4: You know?

1068
00:50:37,440 --> 00:50:39,279
Speaker 1: I don't think I can ever even if a guy

1069
00:50:39,360 --> 00:50:42,000
Speaker 1: has like the best perfect skin, I can't imagine people

1070
00:50:42,040 --> 00:50:43,040
Speaker 1: like going up to them and be.

1071
00:50:43,040 --> 00:50:44,359
Speaker 2: Like, what you're doing?

1072
00:50:44,760 --> 00:50:50,480
Speaker 3: I'm gonna start it. I'm gonna start Your skin is gorgeous?

1073
00:50:51,360 --> 00:50:57,319
Speaker 4: Yes, yes, what is uh the simplest skincare routine for

1074
00:50:57,400 --> 00:50:57,920
Speaker 4: most people?

1075
00:50:58,000 --> 00:50:58,279
Speaker 5: I know?

1076
00:50:58,560 --> 00:51:05,239
Speaker 4: Like that moisturize, exfoliate, like cleans, like I don't some

1077
00:51:05,320 --> 00:51:06,880
Speaker 4: of the basic stuff, but what is it?

1078
00:51:06,920 --> 00:51:07,200
Speaker 1: You go?

1079
00:51:07,560 --> 00:51:10,360
Speaker 4: These are like the things that are like you need

1080
00:51:10,440 --> 00:51:13,520
Speaker 4: for most the foundation of most like just basic skin

1081
00:51:13,560 --> 00:51:14,160
Speaker 4: care needs.

1082
00:51:15,480 --> 00:51:18,520
Speaker 1: Yeah, so I just say the three essential steps are

1083
00:51:18,600 --> 00:51:23,680
Speaker 1: number one cleanse, number two moisturized. Number three, uh, soundscreen,

1084
00:51:23,719 --> 00:51:24,440
Speaker 1: which is protection.

1085
00:51:24,520 --> 00:51:24,759
Speaker 5: Such.

1086
00:51:24,800 --> 00:51:29,040
Speaker 1: Okay, if you really want to like add stuff, give

1087
00:51:29,080 --> 00:51:31,000
Speaker 1: me one second. I'm gonna pull up something. Okay, Okay,

1088
00:51:31,000 --> 00:51:33,480
Speaker 1: I'm actually at my clinic. So I just saw this.

1089
00:51:33,960 --> 00:51:35,560
Speaker 1: I don't know if you can see this or read this,

1090
00:51:35,640 --> 00:51:38,280
Speaker 1: but this is basically when I'm recommending stuff. So number

1091
00:51:38,280 --> 00:51:41,520
Speaker 1: one step is always cleansed. Number two can be treatment.

1092
00:51:41,640 --> 00:51:44,799
Speaker 1: So treatment is going to be very targeted based on

1093
00:51:44,840 --> 00:51:48,080
Speaker 1: your individual problem. So if you have acne, you want

1094
00:51:48,080 --> 00:51:51,200
Speaker 1: to use a treatment serum like a silicilic acid serum

1095
00:51:51,320 --> 00:51:54,239
Speaker 1: that's gonna be meant for acne. If your issue is

1096
00:51:54,280 --> 00:51:57,200
Speaker 1: not acne, if you're trying to target uneven skin tone,

1097
00:51:57,400 --> 00:51:59,520
Speaker 1: then maybe you want to go with something like vitamin C.

1098
00:51:59,680 --> 00:52:03,040
Speaker 1: So that treatment, that serum should be very, very targeted

1099
00:52:03,320 --> 00:52:06,040
Speaker 1: with what we call active ingredients. That means ingredients that

1100
00:52:06,080 --> 00:52:09,240
Speaker 1: are specifically targeting a skin concern. And then again number

1101
00:52:09,239 --> 00:52:12,640
Speaker 1: three is moisturized. Number four is the sunscreen. Same thing

1102
00:52:12,680 --> 00:52:15,520
Speaker 1: at night. All you gotta do is cleanse. If you

1103
00:52:15,560 --> 00:52:18,360
Speaker 1: want to add the treatment step, make it the next step,

1104
00:52:18,440 --> 00:52:21,120
Speaker 1: but again make it targeted, not just what you're hearing

1105
00:52:21,120 --> 00:52:25,000
Speaker 1: on social media. And number three is moisturized. And then

1106
00:52:25,120 --> 00:52:27,120
Speaker 1: a couple of times in a week you can end

1107
00:52:27,200 --> 00:52:30,480
Speaker 1: up exfoliating your skin. So exfoliation can be okay, can

1108
00:52:30,520 --> 00:52:33,040
Speaker 1: be good. I mean I do exfoliate my skin, but

1109
00:52:33,200 --> 00:52:36,600
Speaker 1: not every day, because if you overexfoliate your skin, especially

1110
00:52:36,640 --> 00:52:39,800
Speaker 1: in skin of color, you can cause too much dryness

1111
00:52:39,840 --> 00:52:42,640
Speaker 1: and too much irritation of your skin to the point

1112
00:52:42,719 --> 00:52:46,400
Speaker 1: where overexfoliation can compromise your skin barrier. Because our skin

1113
00:52:46,560 --> 00:52:49,400
Speaker 1: is like you know, we have these bricks and motor

1114
00:52:49,840 --> 00:52:52,560
Speaker 1: that is protecting our skin from the outside environment. If

1115
00:52:52,600 --> 00:52:57,880
Speaker 1: you're using too much exfoliation, that border, that skin barrier

1116
00:52:58,000 --> 00:53:00,640
Speaker 1: is no longer protected. Its compromise the gaps in it,

1117
00:53:00,960 --> 00:53:03,839
Speaker 1: and so now you can easily get irritated from like

1118
00:53:04,280 --> 00:53:06,839
Speaker 1: another skincare product, like a retinol or something that you're

1119
00:53:06,920 --> 00:53:09,959
Speaker 1: using on your skin. Right, So this is also why

1120
00:53:10,080 --> 00:53:13,759
Speaker 1: less is better. If you're exfoliating, exfoliate couple times in

1121
00:53:13,800 --> 00:53:17,640
Speaker 1: a week, not every single day, and you just listen

1122
00:53:17,680 --> 00:53:20,200
Speaker 1: to your skin. You know, every every month, your skin

1123
00:53:20,280 --> 00:53:22,719
Speaker 1: might be acting different. So your skincare routine might need

1124
00:53:22,760 --> 00:53:26,680
Speaker 1: to change every month every depending on you know, the

1125
00:53:26,719 --> 00:53:29,280
Speaker 1: place you're traveling to. You know, my skin acts differently

1126
00:53:29,280 --> 00:53:31,319
Speaker 1: inside of California where I live versus when I go

1127
00:53:31,360 --> 00:53:33,480
Speaker 1: to Florida. It's it's a different temperature. Your skin is

1128
00:53:33,520 --> 00:53:34,120
Speaker 1: going to be different.

1129
00:53:34,600 --> 00:53:38,399
Speaker 2: Does skin bleaching affect people's skin and like does it

1130
00:53:38,680 --> 00:53:40,480
Speaker 2: do or have you ever had to even work with

1131
00:53:40,520 --> 00:53:42,960
Speaker 2: someone that had like either damage from skin bleaching or

1132
00:53:43,040 --> 00:53:45,080
Speaker 2: their goal was it like bleach your skin.

1133
00:53:46,360 --> 00:53:47,120
Speaker 3: A lot a lot?

1134
00:53:47,160 --> 00:53:49,360
Speaker 1: You know, I actually get these dms on my social

1135
00:53:49,360 --> 00:53:52,440
Speaker 1: media Instagram all the time because I have a lot

1136
00:53:52,440 --> 00:53:55,640
Speaker 1: of folks that follow me there from India, And in

1137
00:53:55,640 --> 00:53:58,040
Speaker 1: India there's this whole concept of like, you know, people

1138
00:53:58,640 --> 00:54:02,000
Speaker 1: want lighter skin, right, not necessarily brighter skin. You know,

1139
00:54:02,200 --> 00:54:04,880
Speaker 1: my emphasis as a dermatologist when I'm talking about treating

1140
00:54:04,960 --> 00:54:07,960
Speaker 1: dark spot is merely to even out the skin and

1141
00:54:08,000 --> 00:54:10,520
Speaker 1: make it brighter, but not lighter.

1142
00:54:10,680 --> 00:54:10,879
Speaker 3: Right.

1143
00:54:10,920 --> 00:54:12,520
Speaker 1: You should be proud of our skin color, but we

1144
00:54:12,520 --> 00:54:15,600
Speaker 1: shouldn't later. But in India, for example, there's this big

1145
00:54:15,640 --> 00:54:18,880
Speaker 1: thing where people get this injection or not just injection

1146
00:54:19,440 --> 00:54:24,359
Speaker 1: iv intravenous injection of a product called gluta thion. So

1147
00:54:24,400 --> 00:54:28,040
Speaker 1: that's a medication or that's something where not just India, Philippines,

1148
00:54:28,120 --> 00:54:31,080
Speaker 1: a lot of other countries people get that ivy injection

1149
00:54:31,160 --> 00:54:34,600
Speaker 1: of gluta thion to lighten their skin overall. Now that

1150
00:54:34,680 --> 00:54:37,640
Speaker 1: stuff is not safe in the United States. Dermatologists are

1151
00:54:37,680 --> 00:54:41,040
Speaker 1: completely against it. Some metspas will have that stuff, but

1152
00:54:41,160 --> 00:54:44,480
Speaker 1: there have been reports of death in the Philippines, and

1153
00:54:44,600 --> 00:54:48,880
Speaker 1: in fact, I think the Philippines is banned. But you know,

1154
00:54:48,880 --> 00:54:51,600
Speaker 1: there can be libor damage, kidney damage and whatnot. But

1155
00:54:51,640 --> 00:54:54,120
Speaker 1: my point is you're right, a lot of people are

1156
00:54:54,120 --> 00:54:57,120
Speaker 1: trying to lighten their overall skin but that's not because

1157
00:54:57,120 --> 00:54:59,960
Speaker 1: they're trying to fix any problem. They're just trying to like.

1158
00:55:00,200 --> 00:55:05,319
Speaker 2: Right, yeah, internalized stuff. Yeah, and because you have like

1159
00:55:05,600 --> 00:55:08,840
Speaker 2: cast systems you have obviously in colorism. I know in

1160
00:55:08,920 --> 00:55:11,759
Speaker 2: the United States, that's a big thing in our community

1161
00:55:12,200 --> 00:55:14,160
Speaker 2: for a long period of time. So like, yeah, it's

1162
00:55:14,239 --> 00:55:18,799
Speaker 2: it's definitely it feels more like insecurity than than an

1163
00:55:18,840 --> 00:55:21,560
Speaker 2: actual medical issue to be like, hey, I need to

1164
00:55:21,760 --> 00:55:22,439
Speaker 2: brighten my skin.

1165
00:55:22,480 --> 00:55:24,920
Speaker 3: It's like, I don't think I don't think that's acting me.

1166
00:55:24,960 --> 00:55:27,520
Speaker 2: I don't think that there's no diagnosis for just your

1167
00:55:27,520 --> 00:55:29,040
Speaker 2: skin is the color that your skin is.

1168
00:55:29,080 --> 00:55:29,279
Speaker 3: You know.

1169
00:55:29,920 --> 00:55:32,560
Speaker 2: I have questions from the audience too, careen, but go ahead,

1170
00:55:33,080 --> 00:55:35,439
Speaker 2: you can go, and then I'll bring up the questions

1171
00:55:35,440 --> 00:55:36,279
Speaker 2: for the audience as well.

1172
00:55:36,320 --> 00:55:38,120
Speaker 4: Okay, oh yeah, because I like when I said I

1173
00:55:38,120 --> 00:55:40,840
Speaker 4: had tons of beause I have tons of questions.

1174
00:55:41,200 --> 00:55:44,319
Speaker 5: I have something called I think that called HS. It's

1175
00:55:44,360 --> 00:55:46,359
Speaker 5: like really really long. I don't know all.

1176
00:55:46,280 --> 00:55:50,200
Speaker 4: The words for it, like like like the like the

1177
00:55:50,200 --> 00:55:52,520
Speaker 4: the scientific way for it. And I just recently, as

1178
00:55:52,520 --> 00:55:54,960
Speaker 4: an adult, found out that this is something that I've

1179
00:55:54,960 --> 00:55:59,400
Speaker 4: had since I was a kid, and it produces balls,

1180
00:55:59,800 --> 00:56:04,120
Speaker 4: like and they can go like underneath your arms are

1181
00:56:04,160 --> 00:56:06,760
Speaker 4: you're growing and around like your breast area.

1182
00:56:07,120 --> 00:56:08,319
Speaker 5: And I remember when I was.

1183
00:56:08,320 --> 00:56:10,919
Speaker 4: A kid when I would shave my arms or if

1184
00:56:10,960 --> 00:56:13,080
Speaker 4: I would use like a too strong of a dealdrent

1185
00:56:13,120 --> 00:56:16,040
Speaker 4: because I don't sweat eat, it takes like for me

1186
00:56:16,080 --> 00:56:18,359
Speaker 4: to put to perspirate. And so I mean one time

1187
00:56:18,360 --> 00:56:20,359
Speaker 4: I tried a degree, and so when I tried it,

1188
00:56:20,400 --> 00:56:23,080
Speaker 4: I got like these bumps up beneath my arms and

1189
00:56:23,120 --> 00:56:26,399
Speaker 4: then after a while they faded away. And so I

1190
00:56:26,440 --> 00:56:30,160
Speaker 4: am very thankful for a dumbertolisist. This kind of specialize

1191
00:56:30,200 --> 00:56:33,120
Speaker 4: in black skin. Because they told me they was like

1192
00:56:33,280 --> 00:56:36,160
Speaker 4: this happens often in black people, and it was like

1193
00:56:36,200 --> 00:56:36,560
Speaker 4: a lot of.

1194
00:56:36,480 --> 00:56:38,520
Speaker 5: People grow their gold their whole life.

1195
00:56:38,320 --> 00:56:41,080
Speaker 4: And they kind of random to get these balls and

1196
00:56:41,080 --> 00:56:42,680
Speaker 4: they because they come and they go and they don't

1197
00:56:42,760 --> 00:56:45,080
Speaker 4: and they don't pay it no attention. And a lot

1198
00:56:45,120 --> 00:56:46,480
Speaker 4: of times she said, people come to me when they

1199
00:56:46,520 --> 00:56:48,440
Speaker 4: get bad, and I'm talking about like real bad where

1200
00:56:48,480 --> 00:56:50,480
Speaker 4: you have to get like injections and things like that,

1201
00:56:50,600 --> 00:56:52,320
Speaker 4: like in it and for them, because I had to

1202
00:56:52,320 --> 00:56:55,080
Speaker 4: get like injections, and that's when she told me what

1203
00:56:55,160 --> 00:56:56,680
Speaker 4: I had, and I kind of I don't want to

1204
00:56:56,680 --> 00:56:57,320
Speaker 4: say I felt stupid.

1205
00:56:57,400 --> 00:56:59,560
Speaker 5: I was like, I wish somebody would have.

1206
00:56:59,440 --> 00:56:59,920
Speaker 3: Told me to.

1207
00:57:00,080 --> 00:57:03,480
Speaker 4: It's like like earlier in life that this was something

1208
00:57:03,520 --> 00:57:06,719
Speaker 4: that I was dealing with or fighting with. So particularly

1209
00:57:06,760 --> 00:57:08,680
Speaker 4: with that, have you had people come and they're kind

1210
00:57:08,719 --> 00:57:11,319
Speaker 4: of shocked, the surprised by some of the diagnoses that

1211
00:57:11,400 --> 00:57:13,520
Speaker 4: you give them. You and when you tell them like

1212
00:57:13,600 --> 00:57:15,560
Speaker 4: more black people have a tendency to get this, they're

1213
00:57:15,560 --> 00:57:18,040
Speaker 4: more shocked by that than anything else because they might

1214
00:57:18,080 --> 00:57:20,000
Speaker 4: have family or friends that might be dealing with it.

1215
00:57:21,320 --> 00:57:24,520
Speaker 1: Yes, so what you're talking about is called hydratonitis. So

1216
00:57:24,600 --> 00:57:26,600
Speaker 1: for a TIVA, it's a very long word. I don't

1217
00:57:26,600 --> 00:57:30,720
Speaker 1: know why they they named it like that, but you're right,

1218
00:57:30,880 --> 00:57:34,200
Speaker 1: it's people. Well sometimes even in our during our training,

1219
00:57:34,640 --> 00:57:37,880
Speaker 1: we used to think that, oh, it's relatively rare, But

1220
00:57:38,000 --> 00:57:40,200
Speaker 1: to be honest, it's not that rare. I think it's

1221
00:57:40,320 --> 00:57:43,640
Speaker 1: rare because oftentimes it's being underdiagnosed, you know, Like I

1222
00:57:43,680 --> 00:57:47,160
Speaker 1: think primary care doctors a lot of times won't even

1223
00:57:47,480 --> 00:57:49,160
Speaker 1: pick it up. They might just be like, oh, you

1224
00:57:49,160 --> 00:57:51,960
Speaker 1: have acne in your armbits or you have folliculitis, you know,

1225
00:57:52,480 --> 00:57:57,400
Speaker 1: and it's often type misdiagnosed and it's also because sometimes

1226
00:57:57,440 --> 00:58:00,160
Speaker 1: it can be tricky because technically there are three different

1227
00:58:00,280 --> 00:58:04,400
Speaker 1: stages stage one, stage two, stage three. Stage one is

1228
00:58:04,520 --> 00:58:07,240
Speaker 1: very early on where it just literally presents as like

1229
00:58:07,280 --> 00:58:09,760
Speaker 1: little pimples, like little boils that come and go, come

1230
00:58:09,760 --> 00:58:12,240
Speaker 1: and go, and like you describe the classic areas of

1231
00:58:12,320 --> 00:58:16,720
Speaker 1: the armpits below the breast in the growing area. Stage three.

1232
00:58:17,080 --> 00:58:19,400
Speaker 1: Stage two is when it's a little bit more uh,

1233
00:58:19,960 --> 00:58:22,919
Speaker 1: you know, you see deeper boils like puss coming out

1234
00:58:23,080 --> 00:58:26,720
Speaker 1: like angry. And stage three is when you have even

1235
00:58:26,760 --> 00:58:30,280
Speaker 1: intense scarring because these boils are interconnected, they have like

1236
00:58:30,320 --> 00:58:33,640
Speaker 1: little sinus tracks and whatnot, right, and it it's like

1237
00:58:33,760 --> 00:58:36,600
Speaker 1: very severe painful. I mean, I have had a lot

1238
00:58:36,600 --> 00:58:39,400
Speaker 1: of patients actually throughout my career where I've seen it's

1239
00:58:39,440 --> 00:58:42,320
Speaker 1: gotten so painful that they couldn't move their armpits, you know.

1240
00:58:43,680 --> 00:58:46,600
Speaker 1: So oftentimes, you know, it's kind of like diagnosed by

1241
00:58:46,600 --> 00:58:48,800
Speaker 1: the time it's stage two or stage three, because yes,

1242
00:58:48,840 --> 00:58:51,160
Speaker 1: that's when it starts to look like classic textbook. But

1243
00:58:51,280 --> 00:58:55,919
Speaker 1: that stage one HS is often uh, you know, either

1244
00:58:56,040 --> 00:59:01,160
Speaker 1: misdiagnosed or and sometimes I unders even as germs. You know,

1245
00:59:01,200 --> 00:59:05,680
Speaker 1: it might not be as classic because a lot of time.

1246
00:59:05,800 --> 00:59:07,360
Speaker 1: By the time patients come to even see us, they

1247
00:59:07,440 --> 00:59:09,400
Speaker 1: might not even have the boil. But it's based on

1248
00:59:09,440 --> 00:59:11,520
Speaker 1: the story. If you tell me the story that it

1249
00:59:11,600 --> 00:59:14,760
Speaker 1: comes and goes, especially if you're shaving it's getting a

1250
00:59:14,800 --> 00:59:17,840
Speaker 1: lot worse. You're just won't be disposed to it. That's

1251
00:59:17,880 --> 00:59:19,800
Speaker 1: that's when for me, I'm like, yes, this could be

1252
00:59:19,920 --> 00:59:23,960
Speaker 1: early HS versus folliculitis, and we treat them very similarly.

1253
00:59:24,360 --> 00:59:27,160
Speaker 1: But it's it's a condition where the main problem is

1254
00:59:27,200 --> 00:59:30,920
Speaker 1: not even so much bacterial overgrowth. It's actually inflammation, like

1255
00:59:30,960 --> 00:59:34,000
Speaker 1: these hair follicles are getting clogged up, and then your

1256
00:59:34,000 --> 00:59:35,640
Speaker 1: body is trying to like treat it almost like a

1257
00:59:35,680 --> 00:59:40,120
Speaker 1: foreign body, and there's a lot of inflammation that goes on. So, yeah,

1258
00:59:40,160 --> 00:59:43,160
Speaker 1: you can start off with cleansers called hippocleans that can

1259
00:59:43,200 --> 00:59:48,120
Speaker 1: help keep it clean, and then you know there's different

1260
00:59:48,160 --> 00:59:51,800
Speaker 1: treatment protocols. Yeah, anti persponents can help sometimes because it

1261
00:59:51,960 --> 00:59:54,640
Speaker 1: helps with if somebody is sweating too much, it can

1262
00:59:54,720 --> 00:59:57,160
Speaker 1: help with that and and that can also keep HS

1263
00:59:57,240 --> 01:00:01,120
Speaker 1: under control. But you're right, it's more preval in darker

1264
01:00:01,120 --> 01:00:04,320
Speaker 1: skin and black skin. It's more prevalent in certain age

1265
01:00:04,360 --> 01:00:07,280
Speaker 1: groups too. I mean not age groups. But in groups

1266
01:00:07,360 --> 01:00:10,320
Speaker 1: like there is a correlation between obesity, there is a

1267
01:00:10,360 --> 01:00:14,240
Speaker 1: correlation between smoking. So those are also important factors which

1268
01:00:14,240 --> 01:00:17,600
Speaker 1: we need to ask found patients mainly not to be judgmental,

1269
01:00:17,600 --> 01:00:21,160
Speaker 1: but mainly to let them know that, hey, if you

1270
01:00:21,240 --> 01:00:24,600
Speaker 1: lose weight it might help, or if you're reducing these things,

1271
01:00:24,600 --> 01:00:27,480
Speaker 1: that's another motivation to like try to quit smoking.

1272
01:00:27,480 --> 01:00:30,840
Speaker 2: You know, I have a question from the chat what's

1273
01:00:30,840 --> 01:00:34,320
Speaker 2: the best over the counter treatment for ezema on darker skin?

1274
01:00:36,240 --> 01:00:39,440
Speaker 1: So it would always be like good moisturizing creams that

1275
01:00:39,560 --> 01:00:44,080
Speaker 1: have seramides in it, So Sarah be moisturizing cream is good,

1276
01:00:44,680 --> 01:00:49,360
Speaker 1: brands like userine Cedar fil but look for the moisturizing

1277
01:00:49,560 --> 01:00:52,680
Speaker 1: cream rather than the lotion because creams are a little

1278
01:00:52,680 --> 01:00:56,120
Speaker 1: bit thicker, so they are they do a better job

1279
01:00:56,280 --> 01:00:58,120
Speaker 1: in terms of helping dry skin.

1280
01:00:58,720 --> 01:01:02,600
Speaker 2: There you go, Let's see how much how much facial

1281
01:01:02,600 --> 01:01:06,080
Speaker 2: exfoliation is too much? Once a week twice? Is it

1282
01:01:06,160 --> 01:01:09,200
Speaker 2: the same for the body? Says think pretty smart.

1283
01:01:09,520 --> 01:01:12,840
Speaker 1: Very very good question, because yeah, body usually can tolerate

1284
01:01:13,000 --> 01:01:15,360
Speaker 1: more because the skin and the body is different from

1285
01:01:15,360 --> 01:01:17,920
Speaker 1: the face. The face is very delicate, so face, I

1286
01:01:17,920 --> 01:01:20,360
Speaker 1: would say, yeah, once or twice a week, but that

1287
01:01:20,440 --> 01:01:22,400
Speaker 1: number is going to get very from person to person.

1288
01:01:22,480 --> 01:01:25,200
Speaker 1: But you will know if you're overexfoliating, if your skin

1289
01:01:25,200 --> 01:01:27,720
Speaker 1: feels starts to feel very tight, if it starts to

1290
01:01:27,760 --> 01:01:30,640
Speaker 1: feel dry, if anytime you're putting on a skincare product

1291
01:01:30,640 --> 01:01:32,800
Speaker 1: and you feel like it's burning the skin, that those

1292
01:01:32,840 --> 01:01:36,160
Speaker 1: are just signs of your skin barrier saying hey, you're

1293
01:01:36,200 --> 01:01:37,520
Speaker 1: irritating me, back off.

1294
01:01:38,040 --> 01:01:41,480
Speaker 3: So yes, is it okay?

1295
01:01:41,560 --> 01:01:44,360
Speaker 2: I'm guessing this is baby or but maybe maybe it's

1296
01:01:44,360 --> 01:01:46,320
Speaker 2: body all and okay, yes, body all?

1297
01:01:46,840 --> 01:01:47,360
Speaker 3: Is it okay?

1298
01:01:47,360 --> 01:01:51,320
Speaker 2: To make saying body all into Vanny cream? I find

1299
01:01:51,360 --> 01:01:53,600
Speaker 2: it a little too thick by itself, said Debbie.

1300
01:01:54,880 --> 01:01:58,479
Speaker 1: You know, personally, I would recommend try the Vanny Cream

1301
01:01:58,560 --> 01:02:00,600
Speaker 1: lotion if you're not a huge fan of the cream,

1302
01:02:00,640 --> 01:02:03,840
Speaker 1: because the formulation is different, the texture is different. But

1303
01:02:04,240 --> 01:02:07,600
Speaker 1: I'm not huge into mixing things up, and especially body

1304
01:02:07,680 --> 01:02:10,240
Speaker 1: oil again not knowing how much it's going to clog

1305
01:02:10,320 --> 01:02:12,600
Speaker 1: up your pores and stuff, So I would just say

1306
01:02:12,640 --> 01:02:15,880
Speaker 1: try the lotion, which is more water based compared to

1307
01:02:15,960 --> 01:02:16,520
Speaker 1: the cream.

1308
01:02:16,880 --> 01:02:20,680
Speaker 3: All right, let's see how about Mary.

1309
01:02:21,000 --> 01:02:24,320
Speaker 2: Is laser treatment worth it or is it ultimately bad

1310
01:02:24,360 --> 01:02:26,640
Speaker 2: for the skin? Because it makes it thinner and more

1311
01:02:26,680 --> 01:02:28,840
Speaker 2: susceptible to sun damage.

1312
01:02:29,160 --> 01:02:31,720
Speaker 1: I'm so glad, thank you Mary for asking this question.

1313
01:02:31,800 --> 01:02:35,240
Speaker 1: So this is a myth. You know, it's not that laser. Again,

1314
01:02:35,760 --> 01:02:38,920
Speaker 1: when you say laser, there are thousands of different lasers

1315
01:02:38,960 --> 01:02:43,160
Speaker 1: out there. The hair removal laser is not the same

1316
01:02:43,160 --> 01:02:46,160
Speaker 1: as laser for skin rejuvenation. There's a lot of different

1317
01:02:46,160 --> 01:02:50,320
Speaker 1: types of laser. That's number one. Concept Number two. If

1318
01:02:50,360 --> 01:02:52,439
Speaker 1: you're trying to use the laser to again for skin

1319
01:02:52,480 --> 01:02:55,520
Speaker 1: rejuvenation purpose where you're treating your pores, fine lines and

1320
01:02:55,560 --> 01:02:58,760
Speaker 1: all that, do your research, find a doctor or find

1321
01:02:58,760 --> 01:03:01,400
Speaker 1: a place where you can really trust them. And if

1322
01:03:01,400 --> 01:03:05,240
Speaker 1: they have like the most latest laser technologies, almost all

1323
01:03:05,280 --> 01:03:07,160
Speaker 1: of them, they don't thin out the skin. They can.

1324
01:03:07,200 --> 01:03:09,360
Speaker 1: In fact, it's the opposite. Some of them will help

1325
01:03:09,640 --> 01:03:13,040
Speaker 1: collagen production, so it's the opposite where they like strengthen

1326
01:03:13,080 --> 01:03:15,000
Speaker 1: your skin. But this is where you're got to do

1327
01:03:15,040 --> 01:03:16,920
Speaker 1: your research and go to place, especially if you're a

1328
01:03:16,960 --> 01:03:19,000
Speaker 1: darker skin. You absolutely have to go to places where

1329
01:03:19,400 --> 01:03:22,920
Speaker 1: this is something they do on a regular basis, right right.

1330
01:03:23,000 --> 01:03:25,520
Speaker 4: Right, I've heard go to the places where you can

1331
01:03:25,560 --> 01:03:28,280
Speaker 4: see true before and after pictures like like like they

1332
01:03:28,320 --> 01:03:30,880
Speaker 4: have like the pictures of their patients and things like that.

1333
01:03:31,560 --> 01:03:33,400
Speaker 1: Yeah, and you know, and this is something I wish

1334
01:03:33,440 --> 01:03:35,520
Speaker 1: more and more people were transparent about. Like for me,

1335
01:03:36,080 --> 01:03:38,840
Speaker 1: I don't do fillers on my patients or on myself, right,

1336
01:03:39,320 --> 01:03:42,040
Speaker 1: So if somebody comes to me and they want filler,

1337
01:03:42,160 --> 01:03:44,360
Speaker 1: I mean I could probably do it because I've been

1338
01:03:44,400 --> 01:03:47,120
Speaker 1: trained to do that, but that is not something I

1339
01:03:47,200 --> 01:03:50,080
Speaker 1: do every day, So I am not gonna that's not

1340
01:03:50,160 --> 01:03:52,040
Speaker 1: in the best interest of the patient, you know what

1341
01:03:52,040 --> 01:03:55,640
Speaker 1: I mean. But I'm treating darker skin with lasers ten

1342
01:03:55,680 --> 01:03:59,440
Speaker 1: times a day. That stuff I'm comfortable with. Actually I

1343
01:03:59,480 --> 01:04:01,400
Speaker 1: made a post about this today because I have a

1344
01:04:01,400 --> 01:04:04,240
Speaker 1: patient who came to me with a complication somewhere else

1345
01:04:04,240 --> 01:04:07,000
Speaker 1: and we've been helping her improve her skin. But the

1346
01:04:07,040 --> 01:04:10,400
Speaker 1: point is, even with my own hands, complications can happen.

1347
01:04:10,480 --> 01:04:14,440
Speaker 1: That's just like it's like there's always pros and cons

1348
01:04:14,480 --> 01:04:17,120
Speaker 1: to everything. But what I know is how I know

1349
01:04:17,200 --> 01:04:20,200
Speaker 1: how to manage those complications. If something happens, I know

1350
01:04:20,200 --> 01:04:23,320
Speaker 1: what exactly to do to you know, undo them, right.

1351
01:04:23,440 --> 01:04:25,440
Speaker 1: And of course, none of the complications I've ever had

1352
01:04:25,520 --> 01:04:27,720
Speaker 1: has been permanent, And that's the whole goal. You want

1353
01:04:27,760 --> 01:04:29,920
Speaker 1: to like use technology, use things where you know it's

1354
01:04:29,960 --> 01:04:33,480
Speaker 1: not going to be permanent, right, but temporary hypo hyperfragmentation

1355
01:04:33,560 --> 01:04:36,640
Speaker 1: post procedure can happen, but at least I take every

1356
01:04:36,720 --> 01:04:40,200
Speaker 1: step possible to avoid those, and god forbid if it

1357
01:04:40,240 --> 01:04:42,560
Speaker 1: does happen, which is rare but can happen. In fact,

1358
01:04:42,880 --> 01:04:46,439
Speaker 1: anybody tells you that they have never had complication, run

1359
01:04:46,560 --> 01:04:48,240
Speaker 1: that means they have not done enough procedures.

1360
01:04:49,720 --> 01:04:53,360
Speaker 2: Let's see, Tony got a question from a man. Tony says,

1361
01:04:53,560 --> 01:04:55,959
Speaker 2: for men who are entering their early forties, what type

1362
01:04:55,960 --> 01:04:57,440
Speaker 2: of skin routine should they have?

1363
01:05:00,360 --> 01:05:02,919
Speaker 1: Again, assuming that you know you have overall healthy skin,

1364
01:05:03,000 --> 01:05:06,840
Speaker 1: no specific concern like acne, I would emphasize on the basics,

1365
01:05:06,880 --> 01:05:11,760
Speaker 1: which is every single day cleanser, moisturizer, sunscreen. That's like

1366
01:05:11,840 --> 01:05:14,320
Speaker 1: your basic basic. And then if you're looking for, like

1367
01:05:14,360 --> 01:05:17,680
Speaker 1: you know, healthy aging of this skin, you could possibly

1368
01:05:17,720 --> 01:05:20,880
Speaker 1: look into retinol, but not everybody can tolerate retinal. If

1369
01:05:20,880 --> 01:05:24,440
Speaker 1: that's the case, look for any serum or moisturizer that

1370
01:05:24,480 --> 01:05:27,600
Speaker 1: have peptide in it, because peptides also help stimulate collagen,

1371
01:05:28,080 --> 01:05:30,800
Speaker 1: because those are just natural things that over time, as

1372
01:05:30,800 --> 01:05:32,840
Speaker 1: we get older. You know, the reason our skin starts

1373
01:05:32,840 --> 01:05:35,560
Speaker 1: to sag or our skins start to look dull is

1374
01:05:35,600 --> 01:05:39,000
Speaker 1: because we're losing collagen. Our fat pads are moving, and

1375
01:05:39,080 --> 01:05:41,040
Speaker 1: those are some things you can do to kind of

1376
01:05:41,080 --> 01:05:42,360
Speaker 1: keep up with that loss.

1377
01:05:42,800 --> 01:05:45,680
Speaker 2: All right, people still have more questions. I'll try to

1378
01:05:45,680 --> 01:05:47,880
Speaker 2: go through them a little fast for you guys. I'll

1379
01:05:47,920 --> 01:05:51,360
Speaker 2: get a couple more in and some are redundant. Some

1380
01:05:51,360 --> 01:05:53,800
Speaker 2: of y'all ask like, good scared career care routine a

1381
01:05:53,800 --> 01:05:54,919
Speaker 2: couple of times, so cool?

1382
01:05:55,560 --> 01:05:59,160
Speaker 3: What SPF should we be using? Says dB.

1383
01:06:00,320 --> 01:06:03,360
Speaker 1: The number one. The best sunscreen is the one you're

1384
01:06:03,440 --> 01:06:06,560
Speaker 1: actually gonna use, and that depends on the texture of

1385
01:06:06,600 --> 01:06:09,560
Speaker 1: the sunscreen, the color, the field, the smell and all

1386
01:06:09,600 --> 01:06:14,400
Speaker 1: of that. Anything that's SPF thirty or higher is good

1387
01:06:14,480 --> 01:06:16,600
Speaker 1: enough because you know, it's like a curve, right, Like,

1388
01:06:17,160 --> 01:06:20,560
Speaker 1: the best protection is up to like SPF thirty. After that,

1389
01:06:20,680 --> 01:06:23,720
Speaker 1: even if it's SPF hundred, the difference in terms of

1390
01:06:23,800 --> 01:06:27,400
Speaker 1: actual sun protection is not that massive. The only thing

1391
01:06:27,440 --> 01:06:29,800
Speaker 1: is sometimes if it's SPF hundred, people don't like the

1392
01:06:29,800 --> 01:06:32,240
Speaker 1: texture of the sunscreen. So if you're not really gonna

1393
01:06:32,280 --> 01:06:34,880
Speaker 1: be using that SPF hundred, there's no point buying that.

1394
01:06:35,040 --> 01:06:39,960
Speaker 1: So by a sunscreen that's SPF thirty and higher, look

1395
01:06:40,080 --> 01:06:44,240
Speaker 1: for both UVA and UVB protection. And the biggest thing

1396
01:06:44,360 --> 01:06:46,920
Speaker 1: is using the right amount of sunscreen, which even I

1397
01:06:46,960 --> 01:06:48,760
Speaker 1: didn't use it my whole life till I become a

1398
01:06:48,760 --> 01:06:51,120
Speaker 1: dermatologist because it's the right amount. Is to use two

1399
01:06:51,200 --> 01:06:54,360
Speaker 1: finger lengths of sunscreen for your entire face. Most of us,

1400
01:06:54,640 --> 01:06:56,520
Speaker 1: you know, we only use a very little amount, but

1401
01:06:56,640 --> 01:06:59,320
Speaker 1: that's not enough sun protection. So two finger lens for

1402
01:06:59,360 --> 01:07:02,520
Speaker 1: your entire face. And if you're truly gonna be outside,

1403
01:07:02,520 --> 01:07:05,040
Speaker 1: then you should be reapplying your sunscreen every two hours.

1404
01:07:05,360 --> 01:07:07,400
Speaker 1: Do I reapply sunscreen every two hours every day?

1405
01:07:07,520 --> 01:07:07,640
Speaker 4: No?

1406
01:07:07,680 --> 01:07:10,919
Speaker 1: I don't because I'm mostly inside. But if you're gonna

1407
01:07:10,920 --> 01:07:12,479
Speaker 1: be outside, you're gonna do it all.

1408
01:07:12,480 --> 01:07:17,160
Speaker 2: Right, And then Ridge says, are you shocked by how

1409
01:07:17,200 --> 01:07:19,480
Speaker 2: popular those pimple popping videos have become?

1410
01:07:20,960 --> 01:07:23,560
Speaker 1: No? People love that stuff. People love love.

1411
01:07:24,040 --> 01:07:27,480
Speaker 3: Have you ever thought about doing that for your content?

1412
01:07:28,600 --> 01:07:28,840
Speaker 3: You know?

1413
01:07:29,240 --> 01:07:31,400
Speaker 1: Actually, that was like one of the first videos that

1414
01:07:31,440 --> 01:07:34,440
Speaker 1: I posted on TikTok, like three four years ago that

1415
01:07:34,480 --> 01:07:36,960
Speaker 1: blew up my TikTok Like. I posted a very what

1416
01:07:37,040 --> 01:07:39,760
Speaker 1: I thought, very mundane video of like me popping up

1417
01:07:39,840 --> 01:07:42,920
Speaker 1: simple pimple. I posted it at like ten pm at night.

1418
01:07:42,960 --> 01:07:45,200
Speaker 1: I went to bed. This is twenty twenty one. I

1419
01:07:45,280 --> 01:07:50,840
Speaker 1: woke up with forty thousand followers overnight at some multimillion

1420
01:07:50,920 --> 01:07:56,400
Speaker 1: views overnight. But then I don't post those videos because

1421
01:07:56,960 --> 01:08:00,680
Speaker 1: you know, maybe the stuff I talk about is different

1422
01:08:00,720 --> 01:08:04,000
Speaker 1: from just like popping pimple videos, you know. But I

1423
01:08:04,040 --> 01:08:05,960
Speaker 1: know if I were to pop more of those videos,

1424
01:08:05,960 --> 01:08:11,080
Speaker 1: I would probably gain more followers faster. But I just personally,

1425
01:08:11,120 --> 01:08:13,680
Speaker 1: you know, because that's not a big part of who

1426
01:08:13,680 --> 01:08:15,400
Speaker 1: I am or part of my practice, I don't necessarily

1427
01:08:15,480 --> 01:08:18,599
Speaker 1: do that, but I know they're very popular. People love

1428
01:08:18,640 --> 01:08:19,160
Speaker 1: that stuff.

1429
01:08:19,200 --> 01:08:20,800
Speaker 3: You got, You got integrity, doctor T.

1430
01:08:21,000 --> 01:08:23,240
Speaker 2: I would have been looking on the street for some

1431
01:08:23,280 --> 01:08:27,479
Speaker 2: people with some with some problems, like hey, free pimple popping.

1432
01:08:27,600 --> 01:08:30,760
Speaker 1: Come on in, come to my clinic and spend a

1433
01:08:30,760 --> 01:08:32,559
Speaker 1: couple of days with me. You will get so many

1434
01:08:32,600 --> 01:08:33,759
Speaker 1: people popping videos.

1435
01:08:38,080 --> 01:08:41,200
Speaker 3: All right, this is the last question. Let me look through. See. Okay,

1436
01:08:41,240 --> 01:08:41,720
Speaker 3: here's one.

1437
01:08:41,760 --> 01:08:43,320
Speaker 2: I think a lot of people probably want to know

1438
01:08:43,680 --> 01:08:46,120
Speaker 2: what's the best way to deal with dark spots becoming

1439
01:08:46,400 --> 01:08:49,400
Speaker 2: prominent due to the age or sun exposure.

1440
01:08:50,840 --> 01:08:53,160
Speaker 1: Number One sunscreen. Even if it's not going to treat

1441
01:08:53,200 --> 01:08:55,439
Speaker 1: the existing dark spots you have, it's going to slow

1442
01:08:55,520 --> 01:08:57,799
Speaker 1: down the rate at which you're getting new dark spots.

1443
01:08:58,200 --> 01:09:02,400
Speaker 1: Number one sunscreen number too. There are a few ingredients

1444
01:09:02,439 --> 01:09:05,599
Speaker 1: you can look for with respect to serums and stuff

1445
01:09:05,600 --> 01:09:10,240
Speaker 1: like that. So ingredients such as nice Cinemai, Kojic acid

1446
01:09:10,680 --> 01:09:13,000
Speaker 1: as a lake acid. I know these are fancy terms,

1447
01:09:13,040 --> 01:09:15,240
Speaker 1: but these are ingredients that have been shown to be

1448
01:09:15,280 --> 01:09:20,120
Speaker 1: effective in treating dark spots. But in reality, coming from

1449
01:09:20,160 --> 01:09:23,240
Speaker 1: somebody who literally takes care of folks with dark spots

1450
01:09:23,320 --> 01:09:26,839
Speaker 1: every single day, I can tell you this. Skincare products

1451
01:09:26,840 --> 01:09:31,360
Speaker 1: can help to some extent. They're fantastic in preventing new spots,

1452
01:09:31,680 --> 01:09:36,479
Speaker 1: but they are not going to completely erase your existing spots.

1453
01:09:36,520 --> 01:09:39,080
Speaker 1: They can help absolutely. You know, if you look into

1454
01:09:39,120 --> 01:09:42,120
Speaker 1: my skincare regimen, I use products that are helping me,

1455
01:09:42,600 --> 01:09:44,720
Speaker 1: but that's not the way to one hundred percent get

1456
01:09:44,800 --> 01:09:46,880
Speaker 1: rid of them one hundred percent. If you're trying to

1457
01:09:46,880 --> 01:09:49,480
Speaker 1: get rid of them, you have to look into procedures

1458
01:09:49,520 --> 01:09:52,559
Speaker 1: like laser or chemical peel blah blah blah. And even

1459
01:09:52,600 --> 01:09:55,080
Speaker 1: with that, I have to constantly remind my patients it's

1460
01:09:55,080 --> 01:09:57,360
Speaker 1: not a cure. It's not like a one time thing.

1461
01:09:57,720 --> 01:10:00,000
Speaker 1: You then have to do maintenance because if you promise me,

1462
01:10:00,040 --> 01:10:01,639
Speaker 1: I'm not going to get older. And if you promise

1463
01:10:01,720 --> 01:10:03,160
Speaker 1: me or you know, you're never going to be out

1464
01:10:03,160 --> 01:10:04,920
Speaker 1: in the sun, then I can tell you this is

1465
01:10:04,920 --> 01:10:09,320
Speaker 1: a one time thing. But going to your trainer, going

1466
01:10:09,360 --> 01:10:11,519
Speaker 1: to their gym is not like a one time thing.

1467
01:10:12,000 --> 01:10:15,280
Speaker 1: Same thing comes with all these procedures and treatments.

1468
01:10:15,720 --> 01:10:18,120
Speaker 3: Well, doctor Taya, it was great meeting you.

1469
01:10:18,520 --> 01:10:21,720
Speaker 2: We really appreciate you coming through and answering all the

1470
01:10:21,800 --> 01:10:23,200
Speaker 2: questions for us and our audience.

1471
01:10:23,240 --> 01:10:24,200
Speaker 5: This has been fun.

1472
01:10:24,520 --> 01:10:27,200
Speaker 4: Yeah, tell everybody where you're at and how to reach

1473
01:10:27,200 --> 01:10:28,680
Speaker 4: you and how to fight your own line because we

1474
01:10:28,800 --> 01:10:31,519
Speaker 4: might have fans in your area that might actually want

1475
01:10:31,560 --> 01:10:32,360
Speaker 4: to come and see you.

1476
01:10:33,680 --> 01:10:37,880
Speaker 1: Yeah. So I am based out of Newport Beach in California.

1477
01:10:38,040 --> 01:10:40,800
Speaker 1: Actually I'm very close to the John Wayne Airport, which

1478
01:10:40,800 --> 01:10:42,880
Speaker 1: is the Orange County Airport, because I do have a

1479
01:10:42,920 --> 01:10:45,120
Speaker 1: lot of folks that can't even fly from all parts

1480
01:10:45,160 --> 01:10:46,880
Speaker 1: of the country to come see me. So we are

1481
01:10:46,880 --> 01:10:50,000
Speaker 1: like five minutes from the airport. But for me, you know,

1482
01:10:50,080 --> 01:10:52,400
Speaker 1: like I said, I know that even if people want

1483
01:10:52,439 --> 01:10:54,599
Speaker 1: to come see me in clinic. Sometimes it's hard, right,

1484
01:10:54,640 --> 01:10:56,680
Speaker 1: Like logistically it's hard. You might be a different parts

1485
01:10:56,680 --> 01:10:59,320
Speaker 1: of the country. So I tried to communicate with people

1486
01:10:59,400 --> 01:11:02,679
Speaker 1: through social media, which honestly is like a creative outlook

1487
01:11:02,720 --> 01:11:06,200
Speaker 1: for an outlet for me. And so you can find

1488
01:11:06,240 --> 01:11:09,240
Speaker 1: me on social media as doctor Ta Paul d R

1489
01:11:09,400 --> 01:11:11,760
Speaker 1: t I A p A U L on both TikTok

1490
01:11:11,840 --> 01:11:16,120
Speaker 1: and Instagram and thank you for having me. Like I

1491
01:11:16,200 --> 01:11:19,160
Speaker 1: consider myself very very lucky even though I've done fourteen

1492
01:11:19,200 --> 01:11:23,000
Speaker 1: years of training. But I absolutely love dermatology. I love

1493
01:11:23,040 --> 01:11:25,360
Speaker 1: what I do every single day. I can't imagine like

1494
01:11:25,400 --> 01:11:28,320
Speaker 1: not seeing patients in clinic, you know. I mean, I

1495
01:11:28,360 --> 01:11:29,760
Speaker 1: do a lot of the social media stuff, I work

1496
01:11:29,800 --> 01:11:31,320
Speaker 1: with a lot of companies, I work, you know, do

1497
01:11:31,360 --> 01:11:32,680
Speaker 1: all these things, but at the end of the day,

1498
01:11:32,680 --> 01:11:35,920
Speaker 1: it's very important for me to actually see people in clinic.

1499
01:11:36,120 --> 01:11:38,280
Speaker 1: So that's why I have my own private practice where

1500
01:11:38,560 --> 01:11:40,840
Speaker 1: it's actually me, not like other doctors, like just me

1501
01:11:41,000 --> 01:11:43,920
Speaker 1: like seeing my patients too, and part of the day.

1502
01:11:43,960 --> 01:11:45,920
Speaker 1: It's like, you know, you realize as you get older,

1503
01:11:45,960 --> 01:11:48,280
Speaker 1: it's not just like money, fame and all that. It's

1504
01:11:48,320 --> 01:11:50,799
Speaker 1: truly everything that you do on an every day basis

1505
01:11:50,800 --> 01:11:53,519
Speaker 1: that brings you pure happiness, right, So, and my patients

1506
01:11:53,520 --> 01:11:55,519
Speaker 1: are like, oh my god, doctor Paul, like my place,

1507
01:11:55,680 --> 01:11:58,200
Speaker 1: you know, my face cleared up or these spots are gone.

1508
01:11:58,560 --> 01:12:00,599
Speaker 1: It just it does bring me a lot of happiness

1509
01:12:00,640 --> 01:12:03,000
Speaker 1: because I can see the confidence, you know, And that's

1510
01:12:03,000 --> 01:12:04,800
Speaker 1: why I always tell people the ultimate goal is not

1511
01:12:04,840 --> 01:12:06,519
Speaker 1: to have to wear a makeup. You should be proud

1512
01:12:06,800 --> 01:12:08,040
Speaker 1: about who you are naturally.

1513
01:12:08,479 --> 01:12:10,960
Speaker 2: Well, thank you for coming on. This is so fun,

1514
01:12:11,200 --> 01:12:14,679
Speaker 2: so informative. We definitely learned a lot. Our audience learned

1515
01:12:14,720 --> 01:12:18,920
Speaker 2: a lot. And you know, I love your story too,

1516
01:12:19,040 --> 01:12:22,880
Speaker 2: you know, coming here from India and like practice, like

1517
01:12:22,960 --> 01:12:26,080
Speaker 2: going to school, practice of dermatology, all of that stuff

1518
01:12:26,160 --> 01:12:26,800
Speaker 2: is really cool.

1519
01:12:27,000 --> 01:12:30,160
Speaker 3: And yeah, like just so glad you came on.

1520
01:12:30,600 --> 01:12:33,200
Speaker 2: Go find her, go follow her on the social media

1521
01:12:33,280 --> 01:12:36,080
Speaker 2: is all all that stuff, guys. And we'll be back

1522
01:12:36,160 --> 01:12:40,080
Speaker 2: on Saturday where you can, uh, you know, listen to

1523
01:12:40,160 --> 01:12:43,400
Speaker 2: us feedback. You guys are gonna write comments about doctor

1524
01:12:43,560 --> 01:12:46,479
Speaker 2: uh doctor Paul almost said, doctor t I'm from the South,

1525
01:12:47,000 --> 01:12:50,840
Speaker 2: so we're like we're like doctor first name, miss the

1526
01:12:50,880 --> 01:12:51,479
Speaker 2: first name, but.

1527
01:12:51,640 --> 01:12:53,639
Speaker 3: Doctor you can write in about doctor Paul.

1528
01:12:53,680 --> 01:12:56,000
Speaker 2: They're gonna tell us like what they thought about this

1529
01:12:56,080 --> 01:12:58,080
Speaker 2: and all that stuff on Saturday, so we love all

1530
01:12:58,120 --> 01:13:03,280
Speaker 2: that uh until then. Oh and then we have a

1531
01:13:03,320 --> 01:13:07,840
Speaker 2: movie review coming Thursday, and we have our nerd Off podcast,

1532
01:13:07,840 --> 01:13:10,479
Speaker 2: spen Off about nerd culture. That stuff is Friday. So

1533
01:13:10,520 --> 01:13:13,000
Speaker 2: if you're premium, we'll see you guys Thursday and Friday.

1534
01:13:13,000 --> 01:13:15,599
Speaker 2: Everybody else will see you Saturday. Until then.

1535
01:13:16,000 --> 01:13:17,479
Speaker 5: I love you, I love you too, Cla