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Speaker 1: Beyond the Beauty is a production of I Heart Radio.

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Speaker 1: I'm your host, Bobby Brown. I get asked a lot

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Speaker 1: of questions from so many women about what to do

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Speaker 1: to stay looking young, to stay looking healthy. My advice

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Speaker 1: is always the same. Start with what you're putting in

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Speaker 1: your body number one, and then you know what, There's

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Speaker 1: so many things that you could do to look better

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Speaker 1: without altering the way you look. So my philosophy of aging,

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Speaker 1: and I don't even like that word, because we are

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Speaker 1: all aging and that's a good thing. It's not negative.

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Speaker 1: But my philosophy is, if there's things that are really

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Speaker 1: bothering you, examine how you could make them better without

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Speaker 1: changing your face. I am not a fan of fillers

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Speaker 1: because most fillers I could see when people put it

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Speaker 1: in their face, it doesn't always work perfectly. I'm sure

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Speaker 1: they're any of fillers and people's face that look great.

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Speaker 1: I have seen a lot that haven't do. I wish

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Speaker 1: I had less lines in my face, yes, but I

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Speaker 1: don't even bother that energy because there's nothing I could

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Speaker 1: do about it. And I find that when I'm rested

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Speaker 1: and I am hydrated from the inside out, and I

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Speaker 1: have the right moisturizers and creams on my skin. I

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Speaker 1: can handle my age. I wanted to have a dermatologist

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Speaker 1: on the podcast because there's so many questions I want

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Speaker 1: to ask him about what can be done without altering

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Speaker 1: your face. I first started seeing Dr Glasshowfer because I

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Speaker 1: was concerned about thinning hair and just what happens to

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Speaker 1: hair as you get older. He also has a condition

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Speaker 1: called alopecia, which means he doesn't have any hair, but

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Speaker 1: he happens to be a hair lost expert. I probably

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Speaker 1: because he was a hair lost patient. He has a

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Speaker 1: lot to teach about our concerns. Here's my conversation with

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Speaker 1: Dr Mark glass Hoffer. Doctor Mark glass Hoffer, is that

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Speaker 1: how I said? Okay, pretty good? A dermatologist, but more

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Speaker 1: than a dermatologist, an expert in not only skin, but

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Speaker 1: also an expert in hair loss. Yes, that's correct. So

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Speaker 1: I'm expert hair loss as well as I'm fellowship trained

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Speaker 1: in MOSE micrographic surgery and cosmetic dermatology. And for those

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Speaker 1: don't know, MOSE surgery spelled m o h S, named

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Speaker 1: after the surgeon who invented the technique, is a way

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Speaker 1: of delicately removing skin cancers from usually head and neck

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Speaker 1: in other sense of areas of the body. Okay, well,

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Speaker 1: very interesting. The other thing about Dr glass Hoffer, he's

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Speaker 1: my dermatologist, and I went to see him first because

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Speaker 1: of hair loss. And when I walked in to say hello,

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Speaker 1: because he was recommended to me by another dermatologist. And

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Speaker 1: when I went into say hello, the first thing I

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Speaker 1: noticed is that he didn't have any hair. So your

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Speaker 1: story is that you were diagnosed as a kid with alopecia. Yeah,

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Speaker 1: so it is ironic that I've gotten into this field.

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Speaker 1: You know, people walk in, they're dealing with hair loss,

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Speaker 1: and the first thing they see is this shiny dome

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Speaker 1: and a gentleman who has no hair and tattooed eyebrows,

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Speaker 1: and they're like, well, am I in the right place?

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Speaker 1: But a really cute face? So how many guys look

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Speaker 1: good with tattooed eyebrows? And yeah. So my my story

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Speaker 1: and what sort of partially led me on this path

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Speaker 1: is I was diagnosed at the age of eight with

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Speaker 1: alopecia areata. When people refer to alopecia, that's generally meaning

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Speaker 1: hair loss, but alopeciata is a specific form of hair

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Speaker 1: loss that's an autoimmune condition. So basically my body and

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Speaker 1: people who have this condition, our body's immune system gets

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Speaker 1: confused and instead of attacking bad things like viruses and

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Speaker 1: bacteria and god forbid, cancers, it attacks our own selves,

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Speaker 1: our our own auto self. And so in my case

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Speaker 1: it attacks it very efficiently. And I have no hair,

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Speaker 1: So I have a form of alpeciata called alopecia universalis,

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Speaker 1: which is I'm or extreme form. Of course you had

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Speaker 1: to get the better one, of course. Of course, well,

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Speaker 1: if I'm gonna do it, I'm gonna do it right.

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Speaker 1: But it was an evolving process. And so when I

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Speaker 1: was first diagnosed, what I remember or constructed at this

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Speaker 1: point in life is that when I was eight years old,

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Speaker 1: my father took me to the barber and the barber

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Speaker 1: pointed out a quarter sized bald patch. And I've heard

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Speaker 1: a lot of patients tell me that story kind of

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Speaker 1: that an initial original patch, and then I don't really

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Speaker 1: remember it till I was around twelve or so. Coincidentally,

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Speaker 1: I was diagnosed with some form of crones yep, and

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Speaker 1: so I was on steroids at that point, which is

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Speaker 1: one of the treatments for alpi shada. So probably masked

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Speaker 1: the progression until later on. And then I remember through

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Speaker 1: high school and junior high, high school just sort of

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Speaker 1: kind of having various patches of loss. I would go

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Speaker 1: to dermatologists. It's one of the reasons I'm in Dermatology

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Speaker 1: is one of my mentors. One of the doctors I

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Speaker 1: was seeing, Dr Larry Miller, who passed about a year ago.

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Speaker 1: He evolved into a very close friend of mine, and

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Speaker 1: he guided me into his condition and I used to

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Speaker 1: go to every six weeks for shots and light therapy,

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Speaker 1: and as you can tell, nothing really helped, but he

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Speaker 1: really provided me with a lot of comfort. Basically, from

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Speaker 1: about twelve to sixteen seventeen or so, I had patchy

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Speaker 1: hair loss. And then I remember distinctly my senior year

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Speaker 1: of high school, was in the middle of a soccer game.

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Speaker 1: My brother was there, and uh, I remember coming off

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Speaker 1: the sidelines and sweating and I wiped my face and

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Speaker 1: this shocked look came over his face and some of

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Speaker 1: my teammates. I kind of had wiped off like half

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Speaker 1: my brow. I didn't quite know that till the game

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Speaker 1: was over. Obviously devastating and you don't really know you

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Speaker 1: know where to go with that, so I started doing

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Speaker 1: shots of cortizone in the eyebrows, which it helped the

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Speaker 1: cord zone shots that was getting from from Dr Miller.

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Speaker 1: I would grow a patch of hair back and then

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Speaker 1: I would develop another patch, and it's sort of like

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Speaker 1: chasing your tail. As things progressed, I started losing eyelashes

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Speaker 1: right before starting college, so kind of, uh, you know, tough,

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Speaker 1: tough way to start freshman year. It kind of went

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Speaker 1: in some actually remission. I did a treatment when I

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Speaker 1: was around twenty three that grew on my hair back

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Speaker 1: on my scalp treatment, so yes, that's one of things

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Speaker 1: I want to touch on it. It It was basically it's

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Speaker 1: called immunotherapy, and you apply a substance, a chemical to

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Speaker 1: the scalp that causes a mild irritation, and the concept

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Speaker 1: is is that you're creating an inflammatory response on the

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Speaker 1: skin that draws the inflammatory cells from the hair follicle

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Speaker 1: away and takes it somewhere else. It was like a

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Speaker 1: better party for the inflammatory cells to go to and

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Speaker 1: it allows the hair to grow. And it worked for me,

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Speaker 1: but it then stopped working, and unfortunately that's somewhat the

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Speaker 1: case with a lot of the treatments for this specific

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Speaker 1: form of hair loss is it sometimes things work for

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Speaker 1: one person that don't work for another person, or sometimes

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Speaker 1: things work and then they stopped working. And then after

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Speaker 1: that treatment, all of a sudden in med school, over

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Speaker 1: a one month period of time, I lost about seventy

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Speaker 1: percent of my hair. I was on a particularly tough

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Speaker 1: and challenging rotation at that time. Kind of can't stop,

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Speaker 1: you can't just not show up for rounds and things

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Speaker 1: of that nature. And then next thing I know, I

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Speaker 1: was down to about ten percent and then it was

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Speaker 1: time to, you know, to shave off the last little whisps.

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Speaker 1: And since then I've had the clean look that you see,

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Speaker 1: do you have any hair on your head? Like do

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Speaker 1: you have to shave it at all? Or now it's nothing.

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Speaker 1: I occasionally will get a wisp of hair, which is

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Speaker 1: kind of funny exactly. It's sort of like this little

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Speaker 1: like snoopy hair that goes up and my daughter gets

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Speaker 1: excited and it's funny, but she wants to pluck it

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Speaker 1: out right when it comes. But the thing that was

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Speaker 1: the best for me, ironically is after I lost it

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Speaker 1: all and everybody was like, wow, you look so good,

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Speaker 1: or this is, And it was sort of like this

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Speaker 1: kind of coming out type situation where I was like,

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Speaker 1: oh gosh, like how different and awkward must have looked

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Speaker 1: over all this time, and nobody wanted to say anything,

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Speaker 1: and I was like a chance for everybody, like this

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Speaker 1: is good and embrace this. So it's kind of like

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Speaker 1: finally not having to fight or worry about is this

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Speaker 1: patch gonna come? Is this gonna grow back? It was

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Speaker 1: sort of like, all right, this, this is it, This

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Speaker 1: is who I am, This is down to the core.

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Speaker 1: Obviously still working on that, but I think there's a

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Speaker 1: couple of actors that finally just took their hair pieces off.

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Speaker 1: I don't know, was it John travill To, I don't remember,

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Speaker 1: And it's like, you know what, so what exactly exactly?

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Speaker 1: For me, I'd say, you know, back then it was

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Speaker 1: probably Michael Jordan was one of the few people that

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Speaker 1: you know, could really rock that look. You know, it's

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Speaker 1: hard growing up with this type of condition, And nowadays

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Speaker 1: I look around and I'm like, wait a second, I

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Speaker 1: had to have so much grief grown up with us.

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Speaker 1: Now everybody just has my look, And when did you

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Speaker 1: get your eyebrows tattooed? So probably two My aunts took

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Speaker 1: me around some makeup artists. We were trying to get

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Speaker 1: the right brow color and stencils and shapes, and it

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Speaker 1: was horrendous and I was actually trying to draw my

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Speaker 1: brows on, not very artistic in that sense, and came

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Speaker 1: upon somebody who's a phenomenal cosmetic makeup artist and he

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Speaker 1: does the tattooing. And so since then I've had it

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Speaker 1: done and I've had some touch ups along the way. Well,

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Speaker 1: this is a podcast, and no one could see what

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Speaker 1: you look like, but you don't look weird at all,

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Speaker 1: Like you look normal, Like you just look like some

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Speaker 1: guy that has like a shaved head. Ironically, after some

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Speaker 1: years having to explain myself of what I have, ironically,

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Speaker 1: now people come up to me like I remember this one.

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Speaker 1: I was in ving for dermatology positions and I was

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Speaker 1: in Penn station and a particularly creepy bathroom and this

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Speaker 1: is Timing came up and he was like insistent on

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Speaker 1: finding out what my secret was for shaving my head.

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Speaker 1: He was like, what what magic solution do I use?

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Speaker 1: What blade do I use? What direction or angle do

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Speaker 1: I go in? And I kept insisting on telling him,

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Speaker 1: you know that this is not something I shave, and

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Speaker 1: I don't think he was completely coherent, and he was

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Speaker 1: getting angry and angry with my response. I wasn't actually

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Speaker 1: giving him my secret. But I have that from time

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Speaker 1: to time and when a lot of patients come in

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Speaker 1: and say, what do you do, and I explained, this

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Speaker 1: is this is the condition. And what's nice about with

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Speaker 1: the role that I play with having so much exposure

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Speaker 1: to patients, is that when I tell people that this

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Speaker 1: is not something that I actually chose, but I have

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Speaker 1: this condition, people say, oh, that's interesting. You know Bob

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Speaker 1: in accounting has this, or my next door neighbor's child

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Speaker 1: has this, so it sort of increases awareness. Yeah, you,

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Speaker 1: I mean certainly. The first person I heard was a

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Speaker 1: friend of a friend, a girl who was making mushroom

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Speaker 1: tea which now turns out to be kombucha because she

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Speaker 1: was told of that would help. So I don't know

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Speaker 1: if things like that help. There's there's no clinically proven,

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Speaker 1: rigorous studies to show that a lot of things with

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Speaker 1: the hair are coincidence. Sometimes for whatever the reason is,

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Speaker 1: especially with what I have, the ALP share out if

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Speaker 1: you get it later in life, sometimes it develops is

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Speaker 1: a patch that just spontaneously regrows, and we don't know

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Speaker 1: why it happened, why things got off kilter, and so

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Speaker 1: there's a lot of times spontaneous regrowth can occur, and

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Speaker 1: so if you're doing X, Y, and Z, we sometimes

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Speaker 1: like to attribute it to that, but often isn't the case.

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Speaker 1: It just happens. So we're going to talk about what

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Speaker 1: works and what doesn't work in your opinion, But what

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Speaker 1: are the causes of hair loss, particularly in women? Absolutely

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Speaker 1: so you can break down the causes in terms of

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Speaker 1: inflammatory and noninflammatory. It's one way of looking at it.

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Speaker 1: In terms of inflammatory conditions, they're they're rare. So we

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Speaker 1: talked about what I have, the alp shariata. There's rare conditions,

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Speaker 1: something called like in planet Polaris, or variation of that

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Speaker 1: called frontal fibrosing alopecia, which is being diagnosed a little

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Speaker 1: bit more. And women come in with often a very

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Speaker 1: itchy or painful scalp and a particular type of hair

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Speaker 1: loss which is clinically recognizable. You want to treat that

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Speaker 1: sooner rather than later, because it's actually a scarring form

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Speaker 1: of hair loss. It's another way of categorizing hair loss.

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Speaker 1: Between scarring and non scarring, meaning the hair follicles themselves

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Speaker 1: are scarred down and if they're scarred from the inflammation,

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Speaker 1: you're not going to grow more hair through that follicle,

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Speaker 1: through that opening, So you really want to treat that. Early.

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Speaker 1: Rarer forms of alopecia can be seen in Natians have

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Speaker 1: lupus and so same thing, you want to prevent that

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Speaker 1: from scarring. So in terms of the inflammatory scarring alopecias,

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Speaker 1: we have that category, then we have the more common categories.

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Speaker 1: So the majority women that coming to see me have

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Speaker 1: female pattern hair loss otherwise known as androgenetic alopecia. And

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Speaker 1: just like we all know there's male pattern hair loss,

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Speaker 1: we've known that for a long time, female pattern hair

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Speaker 1: loss does exist and it's just represented, under recognized, and

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Speaker 1: not talked about as much. But I also see a

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Speaker 1: lot of women that they don't necessarily have, you know,

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Speaker 1: the bald pattern, but they just have really thin hair

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Speaker 1: where you could see their scalp yes, like, what is

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Speaker 1: that from. It's a diffuse form of hair loss, and

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Speaker 1: it's basically men and women they have different ways of balding,

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Speaker 1: they have different patterns. So the pattern you're describing with

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Speaker 1: that diffuse hair loss and sort of the the part

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Speaker 1: gets wider and the central scalp and a little bit

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Speaker 1: the temporal recession. That's usually how women have their balding

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Speaker 1: pattern and their hair loss pattern compared to men. Just

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Speaker 1: going back to touch on it. Another form of hair loss,

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Speaker 1: which is very common in both genders, but I see

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Speaker 1: it more in female patians, is something called intelligent effluvium,

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Speaker 1: and that's when you have rapid shedding of the hair.

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Speaker 1: So a lot of times you see it or you

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Speaker 1: hear about it after pregnancy. A couple of months later,

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Speaker 1: you might have a rapid shedding and diffuse shedding of hair.

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Speaker 1: And it's very alarming because you're in the shower and

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Speaker 1: clumps the hair coming out, and you're seeing in the

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Speaker 1: sink or in the hairbrush or on the bed. And

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Speaker 1: it can happen after any type of shocked the body,

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Speaker 1: so any type of stress, so pregnancy is very stressful,

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Speaker 1: or a surgery or a big stress. Not you know,

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Speaker 1: daily stresses and nuisances, but something like death in the family,

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Speaker 1: loss of a job, divorce, rapid weight loss, any type

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Speaker 1: of restrictive diets that can lead to telligent of fluvium.

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Speaker 1: You also need to make sure when you're seeing somebody

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Speaker 1: with air loss that they don't have underlying medical conditions.

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Speaker 1: So thyroid disease of very common condition, especially in women.

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Speaker 1: About ten percent of women will develop some form of

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Speaker 1: thyroid abnormality and that could lead to hair changes. And

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Speaker 1: then just going down the list of things you want

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Speaker 1: to rule out any new medications. I want to rule

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Speaker 1: out any nutritional deficiencies, which are really rare in this country.

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Speaker 1: You thank goodness, but there are times when people are

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Speaker 1: iron deficients or have deficiencies and other things. But it's

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Speaker 1: not as common. But isn't hormones like people always say,

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Speaker 1: check your hormones? Are your hormones? Okay? Exactly? So that

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Speaker 1: ties back into so what does androw genetic alopecias? So

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Speaker 1: Androw refers to hormones basically, mainly testosterone Specifically, and Andrew

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Speaker 1: genetic genetic means just that it's the luck of the draw,

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Speaker 1: the roll of the dice, how we were born. So

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Speaker 1: as women men mature, they have less estrogen and testosterone

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Speaker 1: levels don't increase, but they play more of a role.

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Speaker 1: So testosterone is what's responsible in the byproducts of testosterone

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Speaker 1: are what are responsible for causing hair miniaturization and decreased

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Speaker 1: hair growth and the thinning that we see in both

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Speaker 1: men and women. And so with men, we we do

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Speaker 1: have decreased testosterone as we mature. Women you have decreased

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Speaker 1: estrogen and more of an effect of the testosterone, not

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Speaker 1: necessarily more testosterone, which is more relative effect of the testosterone,

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Speaker 1: and so you don't necessarily have to have hyper testosterone.

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Speaker 1: So a lot of times if you check the labs,

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Speaker 1: all the labs look fine, but the effects of the

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Speaker 1: testosterone around the hair follicle are more susceptible at a

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Speaker 1: later age. Additionally, the genetic and we don't know the

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Speaker 1: exact combination of things that lead to baldness, but we

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Speaker 1: do know there's receptors and there's molecules, and some people

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Speaker 1: are more sensitive to the effects of testosterone. And I

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Speaker 1: bring that up because sometimes we see female pattern hair loss. Unfortunately,

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Speaker 1: I have patients that come in their twenties or thirties,

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Speaker 1: and you can have premature both male and female pattern

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Speaker 1: hair loss. And so it's not just something that occurs

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Speaker 1: later in life. But about fifty women after the age

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Speaker 1: of fifty do have some noticeable signs of female pattern

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Speaker 1: hair loss. Okay, so what could these women do? Like

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Speaker 1: who who could expect to get a benefit and who

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Speaker 1: really shouldn't bother And we always want to have an answer,

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Speaker 1: and usually there's not a good answer, and that's unfortunate

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Speaker 1: because human beings like control and like to be able

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Speaker 1: to blame things. So often you you can't predict. And

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Speaker 1: so some people come in and say, you know, my

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Speaker 1: mom and my dad have full heads of hair, and

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Speaker 1: I have this, and well, it doesn't always work like that,

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Speaker 1: but it's not uncommon that when will come in and say,

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Speaker 1: I have a couple of ants, or my mother had

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Speaker 1: very thin hair and they're in their eighties, and I

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Speaker 1: just I don't want to end up like that, And

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Speaker 1: that's one of the things that we'll bring them into

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Speaker 1: initiate treatments. So one of the things in terms of

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Speaker 1: trying to create a treatment plan is education affirming that

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Speaker 1: what they have is normal, because a lot of women

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Speaker 1: come in and they think they're the only one suffering

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Speaker 1: from this. And also it's it's a stressful period because

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Speaker 1: it does to indicate that we're getting a little bit

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Speaker 1: more mature. I keep using that mature older. Well, because

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Speaker 1: you know what, no one talks about women's hair loss.

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Speaker 1: It's all men's hair loss. On a personal note, when

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Speaker 1: I first noticed things were changing for my hair, you know,

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Speaker 1: I I didn't understand it. You know, I didn't know

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Speaker 1: anyone else had had this issue. And it turns out

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Speaker 1: two things were happening to me personally. One is my

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Speaker 1: hair is white. No one out there who knows what

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Speaker 1: I look like can even imagine what I would look

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Speaker 1: like with white hair. I've been coloring my hair since

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Speaker 1: I'm twenty five, and apparently the hair follicle is thinner

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Speaker 1: when it's gray, correct, it can appear thinner. Yeah, so

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Speaker 1: I have, you know, less density in my hair. But

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Speaker 1: then I also was finding that that I was getting,

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Speaker 1: you know, some spaces in my hair without the hair grows.

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Speaker 1: So you know, I freaked. I'm in the public eye.

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Speaker 1: You know, I'm someone that actually I'm my beauty is

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Speaker 1: always like all about my hair, you know, my skin

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Speaker 1: and my hair, and it was kind of scary. So

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Speaker 1: I went to see you, and you know, you automatically

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Speaker 1: gave me this treatment p RP, so would you And

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Speaker 1: I have to say it worked. It was a little painful.

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Speaker 1: A little expensive, but it's so worth it. But could

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Speaker 1: you tell everyone what it is? Certainly so, PRP is

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Speaker 1: one of the most recent and newest advances in medicine

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Speaker 1: and specifically hair loss. So prpsints are platelet rich plasma.

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Speaker 1: So the platelets are these bags. They're technico even cells,

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Speaker 1: but these bags that are floating through our bloodstream. And

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Speaker 1: when we get injured, either internally or externally, the platelets

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Speaker 1: they rupture and they release all these growth factors and

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Speaker 1: regenerative molecules, and these things help promote tissue healing. And

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Speaker 1: so originally PRP was used in athletes and before going

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Speaker 1: to surgery. Some interesting orthopeda started playing around the PRP

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Speaker 1: and injecting into these injured joints, and they found that

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Speaker 1: it was able to push off patient's need for surgery.

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Speaker 1: So in the lab and else where, people start to, well,

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Speaker 1: what else can platelests do? And we started using it

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Speaker 1: for a college and rejuvenation on the face, and then

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Speaker 1: some early pioneers started using it in practice. And then

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Speaker 1: about four years ago I said, hey, you know this,

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Speaker 1: this is interesting, and I'm not quite sure why exactly

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Speaker 1: this would work, but it's it's the science is looking good,

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Speaker 1: And so I said, I have to start trying it,

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Speaker 1: And so I start trying it on some patients and

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Speaker 1: and lo and behold, I saw results. Now, Now what

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Speaker 1: a results mean? And this is part of understanding is

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Speaker 1: I always tell patients that no matter what you do,

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Speaker 1: whether it's PRP or other treatments, when you are having

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Speaker 1: a hair loss, you can only think about hair growth.

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Speaker 1: How how can I get more growth? And what you

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Speaker 1: forget is that how do you stop the loss? How

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Speaker 1: do you minimize the loss? How do you minimize the

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Speaker 1: thinness and the shedding? So that's success if you can

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Speaker 1: do that. It's a harder thing to see, but about

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Speaker 1: fifty percent of patients will get an increase in hair

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Speaker 1: thickness and density and some regrowth with PRP in what

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Speaker 1: I've seen now, that's just in my use of it

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Speaker 1: and what I've seen amongst my patients. There's unfortunately, currently

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Speaker 1: there's no definitive case controlled rand my studies. They are coming,

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00:19:03,320 --> 00:19:06,440
Speaker 1: but it's not there quite yet. But I started doing it,

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Speaker 1: and I went from saying, Okay, this seems like it

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00:19:09,040 --> 00:19:11,520
Speaker 1: could work too, Yes, this is this works, And I

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Speaker 1: can now offer this consciously that I know that this

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Speaker 1: is something that I can promote to patients and give

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Speaker 1: them an option. Before PRP, I used to say, Okay,

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Speaker 1: we have row gain and we could potentially do some

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Speaker 1: oral medications, and then there's hair transplant and and there's

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Speaker 1: nothing in between. People like I don't want to get

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Speaker 1: a hair transplant, and it's generally safe, but there's some

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Speaker 1: invasive things involved that people do. You know, it works

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00:19:33,320 --> 00:19:35,040
Speaker 1: and it's great, but it's end of the road. Do

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Speaker 1: you think rogain works ro gain is of benefit for

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Speaker 1: slowing the process down? I do not think it quote

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Speaker 1: unquote works and regrowth and I don't think it has

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00:19:44,160 --> 00:19:48,080
Speaker 1: a big wow effect, but it's something that does benefit

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00:19:48,119 --> 00:19:51,160
Speaker 1: in terms of slowing the progression. The PRP results are

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00:19:51,240 --> 00:19:54,560
Speaker 1: more beneficial when you're using the row gain rogain alone.

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Speaker 1: I do try to get people to get to start that,

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Speaker 1: but by itself, I'm not super impressed. So some people

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Speaker 1: come in and say, I don't want to do row

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Speaker 1: gain because it's a pain to do, and you know,

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Speaker 1: it's I have to do. It's Bessie. But you know PRP,

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00:20:07,560 --> 00:20:10,000
Speaker 1: it's natural and people like that. It's it's your platelets.

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Speaker 1: There are no side effects short of some of the

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Speaker 1: discomfort that you you you can attest to. You know.

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Speaker 1: I like to say in terms of the pain talking

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Speaker 1: about that, it's like the gym. You know, you're not

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Speaker 1: gonna stay in good shape. Plus you expend some efforts.

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Speaker 1: If ten is the worst pain in your life and

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Speaker 1: one is nothing, I tell patients it's probably about a

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Speaker 1: two to three out of ten, I would I would

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Speaker 1: give it a six. I mean, no, it hurts. It hurts,

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Speaker 1: but it's not that I mean, look, I've done it

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Speaker 1: because I did the first series, which was what five times.

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Speaker 1: The way I do it, I do one treatment per

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Speaker 1: month for four months. That's what I call the loading phase.

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Speaker 1: We try to jump start the hair follicles. And then

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Speaker 1: I recommend a maintenance phase, usually every four months. Sometimes

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Speaker 1: people can push you to six months. And so it's

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Speaker 1: like two or three times per year for the maintenance.

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Speaker 1: And what does it normally cost? I know it it

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Speaker 1: varies where you live, it varies. And so you're a

428
00:20:59,640 --> 00:21:01,760
Speaker 1: New Jery is he not New York? So yeah, it's

429
00:21:01,800 --> 00:21:04,080
Speaker 1: not as bad as New York executive New York, you know,

430
00:21:04,200 --> 00:21:06,800
Speaker 1: things are everything is more expensive here. I charged seven

431
00:21:07,440 --> 00:21:10,680
Speaker 1: and basically I'm a true believer that it's the platelets

432
00:21:10,880 --> 00:21:13,360
Speaker 1: that are doing the heavy lifting and having the results.

433
00:21:13,560 --> 00:21:15,160
Speaker 1: There's a lot of things out there where people say

434
00:21:15,600 --> 00:21:19,239
Speaker 1: PRP with stem cells. Stem cells haven't quite made it

435
00:21:19,280 --> 00:21:21,600
Speaker 1: to real life there in the lab, and there's great

436
00:21:21,600 --> 00:21:24,160
Speaker 1: potential of them, but there's no such thing as really

437
00:21:24,240 --> 00:21:28,359
Speaker 1: true stemselves out there. I don't personally believe that those

438
00:21:28,520 --> 00:21:31,720
Speaker 1: things help anymore than just sort of being able to

439
00:21:31,800 --> 00:21:34,960
Speaker 1: charge more. That's that's my opinion. UM. I also don't

440
00:21:34,960 --> 00:21:37,760
Speaker 1: want to outprice anybody. I know it is pricey, but

441
00:21:37,800 --> 00:21:40,040
Speaker 1: I feel like that's a good price point for many

442
00:21:40,080 --> 00:21:41,639
Speaker 1: people to be able to get it, and there's so

443
00:21:41,640 --> 00:21:44,280
Speaker 1: many people suffering from it. I'm definitely a believer. But

444
00:21:44,520 --> 00:21:46,679
Speaker 1: you don't believe in by at In or any of

445
00:21:46,720 --> 00:21:49,680
Speaker 1: that stuff. To you, the studies have never played out.

446
00:21:49,920 --> 00:21:52,240
Speaker 1: The whole by at In story, so to speak, comes

447
00:21:52,280 --> 00:21:54,879
Speaker 1: from back in the day whatever you want to describe

448
00:21:54,920 --> 00:21:58,360
Speaker 1: that as eight nine hundreds, when we didn't have as

449
00:21:58,440 --> 00:22:01,280
Speaker 1: rich of a diet. If you had a by Ittin

450
00:22:01,440 --> 00:22:04,679
Speaker 1: deficiency and it was diagnosed, so you'd have a lot

451
00:22:04,720 --> 00:22:06,960
Speaker 1: of hair loss, and then you would have by as

452
00:22:07,000 --> 00:22:09,280
Speaker 1: in rich foods and things, and you'd go your hair

453
00:22:09,359 --> 00:22:11,800
Speaker 1: back and so so wow, it's amazing. It's a magic here.

454
00:22:12,080 --> 00:22:15,120
Speaker 1: So somebody was smart and said, well, everybody has hair

455
00:22:15,160 --> 00:22:17,639
Speaker 1: loss and they all want to take by it, you know,

456
00:22:17,640 --> 00:22:19,840
Speaker 1: they want something to do. So that's where the bit

457
00:22:19,960 --> 00:22:22,479
Speaker 1: and market came. I make a make a bytin gummy

458
00:22:22,680 --> 00:22:24,920
Speaker 1: and you know, I eat it every day. I still

459
00:22:24,960 --> 00:22:27,520
Speaker 1: have hair and people tell me that they've noticed their

460
00:22:27,520 --> 00:22:30,080
Speaker 1: hair like coming in. You know, I I can only

461
00:22:30,119 --> 00:22:32,359
Speaker 1: hope that it's true. I will never tell somebody, you know,

462
00:22:32,440 --> 00:22:35,280
Speaker 1: to not take it in the sense it's not harmful.

463
00:22:35,880 --> 00:22:38,240
Speaker 1: It's more just that I can't recommend it because it

464
00:22:38,280 --> 00:22:40,960
Speaker 1: hasn't been proven to be the case in a scientific way,

465
00:22:41,359 --> 00:22:44,360
Speaker 1: like most supplements. Like most supplements, exactly most supplements get

466
00:22:44,359 --> 00:22:46,959
Speaker 1: paid out. There is actually a recent study showing that

467
00:22:47,119 --> 00:22:51,159
Speaker 1: too much byton can actually affect certain lab tests. So

468
00:22:51,200 --> 00:22:52,760
Speaker 1: if you're taking high doses of by it in and

469
00:22:52,760 --> 00:22:55,480
Speaker 1: you go get certain routine bloodwork from your primary care doctor,

470
00:22:56,160 --> 00:22:58,479
Speaker 1: those tests might be altered if you're taking too much byton.

471
00:22:58,800 --> 00:23:00,800
Speaker 1: So well, we tell people only two gummies, and I

472
00:23:00,840 --> 00:23:03,879
Speaker 1: know there's people, so I won't tell you to not

473
00:23:03,960 --> 00:23:06,439
Speaker 1: take your gummies. If you want, you can you know,

474
00:23:06,520 --> 00:23:08,159
Speaker 1: and maybe it does work for some and maybe it

475
00:23:08,160 --> 00:23:10,240
Speaker 1: doesn't for others. But a lot of times people we

476
00:23:10,480 --> 00:23:13,680
Speaker 1: want something to do. For instance, an analogy is when

477
00:23:13,680 --> 00:23:17,120
Speaker 1: I'm doing skin cancer surgery, people will come back and say, hey,

478
00:23:17,160 --> 00:23:19,000
Speaker 1: I want I want something to put on my scar.

479
00:23:19,320 --> 00:23:22,639
Speaker 1: And there's certain things you can recommend, usually silicone sheeting

480
00:23:22,680 --> 00:23:24,879
Speaker 1: and things of that nature. But a lot of times

481
00:23:25,359 --> 00:23:28,639
Speaker 1: your body is pretty amazing and it's healing, and people

482
00:23:28,640 --> 00:23:30,440
Speaker 1: come back and say, I use this product and God,

483
00:23:30,480 --> 00:23:32,439
Speaker 1: and you know, my scar went away. It's more your

484
00:23:32,480 --> 00:23:35,000
Speaker 1: scar went away because it was well sutured and your

485
00:23:35,000 --> 00:23:36,719
Speaker 1: body just did what it was supposed to do. Oh,

486
00:23:36,760 --> 00:23:39,400
Speaker 1: I don't know. I I might disagree with the doctor.

487
00:23:39,560 --> 00:23:43,560
Speaker 1: I'm only an honorary doctor. But you know, whether you

488
00:23:43,560 --> 00:23:46,800
Speaker 1: put vitamin E on something or some kind of ointment

489
00:23:46,920 --> 00:23:49,119
Speaker 1: that you're you are correct, You are correct. It's not

490
00:23:49,240 --> 00:23:51,320
Speaker 1: vitamin E. And that's another myth that I'm gonna spell now.

491
00:23:51,400 --> 00:23:55,800
Speaker 1: Vitamin actually can cause a contact dermatitis. Vitamin E keeps

492
00:23:55,880 --> 00:23:58,919
Speaker 1: the wound moist, and so we found that it's not

493
00:23:59,000 --> 00:24:02,320
Speaker 1: the vitamin E. Per se, you can use vasoline which

494
00:24:02,400 --> 00:24:05,680
Speaker 1: can keep the area moist. So moist wounds, moist scars,

495
00:24:05,680 --> 00:24:08,639
Speaker 1: and things of that nature. Hydrated skin heals better, and

496
00:24:08,680 --> 00:24:11,439
Speaker 1: that's sort of the concept of silicone sheeting. Silicone sheeting

497
00:24:11,440 --> 00:24:14,080
Speaker 1: creates sort of a micro environment where it's more moist

498
00:24:14,119 --> 00:24:25,800
Speaker 1: and things of that nature are going on. All right, Well,

499
00:24:25,840 --> 00:24:28,560
Speaker 1: we learned a lot about hair. Now let's go to skin. Okay,

500
00:24:28,600 --> 00:24:32,560
Speaker 1: because you treat people skin, well, what's the biggest complaint

501
00:24:32,560 --> 00:24:34,680
Speaker 1: when people come in. So at this time of year,

502
00:24:34,760 --> 00:24:37,359
Speaker 1: you see a lot of dry skins. We mature our

503
00:24:37,440 --> 00:24:39,600
Speaker 1: skin and I'm starting to see it too, our our

504
00:24:39,680 --> 00:24:42,120
Speaker 1: legs and our skin. Stork gets very dry and very scaly,

505
00:24:42,520 --> 00:24:44,360
Speaker 1: and we don't like that. And sometimes not just dry

506
00:24:44,359 --> 00:24:46,240
Speaker 1: and scaly, someone who becomes itchy and get these little

507
00:24:46,240 --> 00:24:49,879
Speaker 1: patches of exema the form. So that's seasonal things. You

508
00:24:49,920 --> 00:24:52,720
Speaker 1: see that pretty frequently. Of course, acne is one of

509
00:24:52,720 --> 00:24:55,119
Speaker 1: the top diagnosis we always see, and we see a

510
00:24:55,119 --> 00:24:57,680
Speaker 1: lot of that year round. And what is adult acne

511
00:24:57,720 --> 00:25:01,720
Speaker 1: caused by So adult acne, especially female adult acne's which

512
00:25:01,760 --> 00:25:05,119
Speaker 1: is usually who gets the adult acne, is hormonally driven.

513
00:25:05,280 --> 00:25:08,120
Speaker 1: I saw a woman today who had clear complexion all

514
00:25:08,119 --> 00:25:10,520
Speaker 1: throughout her teenage years. In early twenties, and now she's

515
00:25:10,520 --> 00:25:13,440
Speaker 1: breaking out. And and the adult female acne usually has

516
00:25:13,840 --> 00:25:16,960
Speaker 1: this characteristic picture doesn't always, but of usually kind of

517
00:25:17,000 --> 00:25:19,880
Speaker 1: the cystic a little bumps underneath the skin. They're they're

518
00:25:19,960 --> 00:25:21,600
Speaker 1: often hard to get rid of, and they usually on

519
00:25:21,600 --> 00:25:24,359
Speaker 1: the jaw line around the mouth. And what's showing is

520
00:25:24,400 --> 00:25:28,000
Speaker 1: that that same medication I mentioned before, spironolactone, which is

521
00:25:28,119 --> 00:25:31,200
Speaker 1: used at times for hair loss, it has a great,

522
00:25:31,280 --> 00:25:34,679
Speaker 1: great significant effect on adult female acne, so I usually

523
00:25:34,680 --> 00:25:39,320
Speaker 1: will recommend that over an antibiotic combines with a retinoid.

524
00:25:39,760 --> 00:25:43,400
Speaker 1: So so retinoids are the first line agents in acne,

525
00:25:43,480 --> 00:25:45,159
Speaker 1: in any form of acne. What it does is it

526
00:25:45,200 --> 00:25:47,600
Speaker 1: helps break up all the dead skin cells that are

527
00:25:47,600 --> 00:25:50,600
Speaker 1: in the follicle, and that's the process that causes acne.

528
00:25:50,640 --> 00:25:52,680
Speaker 1: We have these dead skin cells behind that you get

529
00:25:52,680 --> 00:25:54,600
Speaker 1: a backup of oil. Within the oil, you can get

530
00:25:54,640 --> 00:25:58,640
Speaker 1: bacteria growth and then an inflammatory process. Acne is there

531
00:25:58,720 --> 00:26:01,760
Speaker 1: is a bacterial component, but acne is actually an inflammatory process.

532
00:26:02,160 --> 00:26:05,280
Speaker 1: And the retinoids they hit every level of acne. They

533
00:26:05,280 --> 00:26:09,120
Speaker 1: open up the pores, they decrease oil size and oil productions.

534
00:26:09,200 --> 00:26:11,200
Speaker 1: You're not as greasy, so you can't have as much

535
00:26:11,200 --> 00:26:14,240
Speaker 1: bacterial growth, and they also do have some effects on

536
00:26:14,280 --> 00:26:16,359
Speaker 1: the bacteria. So retinoids is the first line agent for

537
00:26:16,400 --> 00:26:20,480
Speaker 1: any form of acne. Retinoids also slow down the breakdown

538
00:26:20,760 --> 00:26:24,960
Speaker 1: of collagen, So there's an enzyme that naturally breaks down

539
00:26:24,960 --> 00:26:29,520
Speaker 1: the collagen we have, and on the molecular level, retinoids

540
00:26:29,520 --> 00:26:32,520
Speaker 1: help minimize the effect of that enzyme, so it keeps

541
00:26:32,520 --> 00:26:36,159
Speaker 1: our collagen more plumped and more around. And retinoids can

542
00:26:36,200 --> 00:26:40,240
Speaker 1: help with fine lines and dark spots and just overall

543
00:26:40,359 --> 00:26:43,760
Speaker 1: complexion and rosy glows. How do we keep the collagen

544
00:26:44,160 --> 00:26:46,200
Speaker 1: or can you? So patients come in and they say,

545
00:26:46,280 --> 00:26:48,040
Speaker 1: you know, I was at X, Y and Z store

546
00:26:48,080 --> 00:26:49,919
Speaker 1: and I saw all these things on the shelves. What

547
00:26:49,960 --> 00:26:52,000
Speaker 1: should I do for my skin? So the two things

548
00:26:52,040 --> 00:26:53,960
Speaker 1: I always recommend, two things I'd love to have every

549
00:26:54,000 --> 00:26:55,760
Speaker 1: patient on, and I have my wife on it, and

550
00:26:55,800 --> 00:26:59,240
Speaker 1: my mom on it and myself. So sunscreen. Anytime you're

551
00:26:59,240 --> 00:27:01,480
Speaker 1: gonna be outside side for a significant period of time,

552
00:27:01,680 --> 00:27:04,679
Speaker 1: you have to remember, not just during summertime. If you

553
00:27:04,680 --> 00:27:06,960
Speaker 1: know it's April and you're going outside for you know,

554
00:27:07,000 --> 00:27:09,320
Speaker 1: forty five minutes here and there, all that sun adds

555
00:27:09,400 --> 00:27:11,520
Speaker 1: up when we in our sixties and seventies and eighties,

556
00:27:11,600 --> 00:27:14,359
Speaker 1: we we see those effects sometimes earlier. Of course, if

557
00:27:14,359 --> 00:27:16,399
Speaker 1: you're going skiing, you know you have to consider the

558
00:27:16,480 --> 00:27:18,720
Speaker 1: rims of the ears and nose. Those areas get burned

559
00:27:18,760 --> 00:27:21,320
Speaker 1: pretty pretty easily. Top your head, top your head, so

560
00:27:21,440 --> 00:27:23,840
Speaker 1: sunscreen for any significant sun exposure you can have. And

561
00:27:23,880 --> 00:27:26,440
Speaker 1: then at nighttime I recommend some form of a retinoid

562
00:27:26,480 --> 00:27:29,920
Speaker 1: because the renoise are really just great for rejuvenation cell turnover.

563
00:27:30,000 --> 00:27:32,760
Speaker 1: And we talked about the decrease in collagen breakdown and

564
00:27:32,800 --> 00:27:34,560
Speaker 1: the fine lines and dark spotts. And is that a

565
00:27:34,600 --> 00:27:38,439
Speaker 1: prescription or non prescription. I think the prescription strength products

566
00:27:38,480 --> 00:27:42,040
Speaker 1: work better. There are retinal products that are on the market.

567
00:27:42,240 --> 00:27:44,679
Speaker 1: They work fine enough, but if you're gonna do something,

568
00:27:44,960 --> 00:27:47,800
Speaker 1: I would go for the actual product that technically works better.

569
00:27:48,200 --> 00:27:49,760
Speaker 1: But some people don't have time to go see the

570
00:27:49,760 --> 00:27:51,840
Speaker 1: doctor and get a prescription. So if you do something,

571
00:27:52,040 --> 00:27:54,800
Speaker 1: a retinal based product is a benefit, and you have

572
00:27:54,840 --> 00:27:56,960
Speaker 1: to make sure that you're not over using it. It's

573
00:27:56,960 --> 00:27:59,439
Speaker 1: one of those things where less is more use it

574
00:27:59,520 --> 00:28:01,600
Speaker 1: just so you at the benefits you put under your

575
00:28:01,600 --> 00:28:05,120
Speaker 1: eyes or not, so you can be put it very

576
00:28:05,359 --> 00:28:09,040
Speaker 1: very sparingly it's not recommended to do that much of it,

577
00:28:09,119 --> 00:28:11,080
Speaker 1: or to use a very high strength. I would when

578
00:28:11,080 --> 00:28:14,040
Speaker 1: I use retinoids, I moisturize first, and then I take

579
00:28:14,040 --> 00:28:15,840
Speaker 1: a piece size and mountains spread it to my entire

580
00:28:15,880 --> 00:28:18,480
Speaker 1: face underneath my eyes. I might do it like once

581
00:28:18,560 --> 00:28:21,160
Speaker 1: or twice a week, a very small amount. Sometimes when

582
00:28:21,160 --> 00:28:24,000
Speaker 1: I see my mom, she's scaling in what's called the

583
00:28:24,080 --> 00:28:26,600
Speaker 1: national labi or faults from from the nose to uh

584
00:28:26,840 --> 00:28:29,040
Speaker 1: to the lips, and she's like, I'm using that cream,

585
00:28:29,040 --> 00:28:30,639
Speaker 1: but why am I getting this? And I'm like, are

586
00:28:30,640 --> 00:28:32,680
Speaker 1: you just putting it like right in that area because

587
00:28:32,680 --> 00:28:34,040
Speaker 1: that's where you have a lot of volume loss and

588
00:28:34,080 --> 00:28:37,080
Speaker 1: you're trying to stimulate information. She's like, yep, I'm like,

589
00:28:37,280 --> 00:28:38,960
Speaker 1: it's not how you want to do it. And what

590
00:28:39,080 --> 00:28:41,239
Speaker 1: about rose sha, I have a lot of people that say,

591
00:28:41,280 --> 00:28:44,200
Speaker 1: what do I do about rosation? Sure so, roseatia is

592
00:28:44,200 --> 00:28:47,600
Speaker 1: a frustrating condition. Roseta sort of a cousin of acne

593
00:28:47,640 --> 00:28:50,960
Speaker 1: and some people rosatious acne rosasia. It's a combination of

594
00:28:51,000 --> 00:28:54,280
Speaker 1: inflammation where you get the red bumps, and a vascular

595
00:28:54,280 --> 00:28:57,400
Speaker 1: condition where people's blood vessels are just more sensitive, you know,

596
00:28:57,440 --> 00:29:00,479
Speaker 1: spicy foods and red wines and citrus fruits, things like that.

597
00:29:00,560 --> 00:29:02,960
Speaker 1: You know, things that we enjoy can cause the blood

598
00:29:03,000 --> 00:29:04,720
Speaker 1: vessels to open, and so we get a combination of

599
00:29:04,760 --> 00:29:07,280
Speaker 1: flushing and redness as well as bumps. Some people have

600
00:29:07,320 --> 00:29:09,200
Speaker 1: both those components. Some people just have the red some

601
00:29:09,240 --> 00:29:11,160
Speaker 1: people just have the bumps. So there's a lot of

602
00:29:11,200 --> 00:29:13,720
Speaker 1: things you can do. Topical medications, some of the same

603
00:29:13,760 --> 00:29:16,160
Speaker 1: ones you'd use for acne, and then we also use

604
00:29:16,200 --> 00:29:19,720
Speaker 1: anti inflammatories. There's some medications that work like steroids but

605
00:29:19,760 --> 00:29:22,160
Speaker 1: are safer than steroids. There have benefit. And then some

606
00:29:22,200 --> 00:29:24,680
Speaker 1: people come in for just the redness, and there's some

607
00:29:24,760 --> 00:29:27,600
Speaker 1: molecules are specifically meant to clamp down the blood vessels

608
00:29:27,600 --> 00:29:30,680
Speaker 1: topically to help get rid of the redness temporarily, and

609
00:29:30,880 --> 00:29:33,880
Speaker 1: at times we use lasers. Lasers actually work the best

610
00:29:33,920 --> 00:29:37,800
Speaker 1: for the redness of rosation. Like what lasers there's vascular lasers,

611
00:29:37,840 --> 00:29:40,680
Speaker 1: and lasers work based on wavelength and what they target.

612
00:29:40,920 --> 00:29:43,560
Speaker 1: There's lasers have a five eighty five and five ninety

613
00:29:43,640 --> 00:29:46,440
Speaker 1: five wavelength. There's one laser in particularly I like called

614
00:29:46,440 --> 00:29:49,320
Speaker 1: the v beam lasers. Another one called XLV which really

615
00:29:49,360 --> 00:29:52,160
Speaker 1: helped target those blood vessels and basically makes the blood

616
00:29:52,240 --> 00:29:54,440
Speaker 1: vessels go away, makes you less red. I think lasers

617
00:29:54,480 --> 00:29:57,000
Speaker 1: are amazing. Lasers are amazing, and people come in they say,

618
00:29:57,040 --> 00:29:59,680
Speaker 1: I want laser. There's so many different uses of them.

619
00:29:59,680 --> 00:30:01,640
Speaker 1: It's not is one lasers. How much of your practice

620
00:30:01,680 --> 00:30:06,200
Speaker 1: as lasers, I'd say about twenty five of my practice

621
00:30:06,840 --> 00:30:09,640
Speaker 1: is cosmetic, and within that I do fer amount of lasers.

622
00:30:09,640 --> 00:30:12,440
Speaker 1: Some some people that's their entire business, exactly some people.

623
00:30:12,480 --> 00:30:14,280
Speaker 1: And we owe a debt of gratitude to those people

624
00:30:14,280 --> 00:30:17,080
Speaker 1: because a lot of often are doing the trials to

625
00:30:17,160 --> 00:30:19,920
Speaker 1: prove the efficacy of those lasers. All right, well, let's

626
00:30:19,960 --> 00:30:23,920
Speaker 1: talk about wrinkles, or I like to call them lines. Lines.

627
00:30:24,080 --> 00:30:27,000
Speaker 1: So there's like, right, so what could you do about

628
00:30:27,080 --> 00:30:29,360
Speaker 1: lines in the face? So so lines in the face

629
00:30:29,440 --> 00:30:32,120
Speaker 1: depends where in the face, and so we're talking about

630
00:30:32,200 --> 00:30:35,360
Speaker 1: most commonly the we call them the elevens, those lines

631
00:30:35,360 --> 00:30:37,680
Speaker 1: in between the brows. That region is called the glabella.

632
00:30:37,720 --> 00:30:40,360
Speaker 1: And there's three muscles there that when we use that

633
00:30:40,560 --> 00:30:43,200
Speaker 1: over years and years and decades, they start to make

634
00:30:43,200 --> 00:30:47,600
Speaker 1: those muscles they create creases in the skin. So the

635
00:30:47,760 --> 00:30:50,360
Speaker 1: lines in the glabella region between the brows and the

636
00:30:50,360 --> 00:30:53,040
Speaker 1: foreheadlines and what we call the crow's feet around the eyes.

637
00:30:53,440 --> 00:30:57,000
Speaker 1: Botox is the best medication for that. And I love botox.

638
00:30:57,080 --> 00:31:00,320
Speaker 1: I hate botox. Don't you like about it. We're gonna

639
00:31:00,320 --> 00:31:03,760
Speaker 1: have a debate. Number One, it's bottle is um. It's poison.

640
00:31:04,480 --> 00:31:08,480
Speaker 1: So you're putting it in your face. Okay, it's got

641
00:31:08,480 --> 00:31:10,600
Speaker 1: to go somewhere. It's got to end up in the brain.

642
00:31:10,680 --> 00:31:13,440
Speaker 1: It's gotta It doesn't just like go into thin air.

643
00:31:13,520 --> 00:31:16,320
Speaker 1: It's an interesting perspective, and that's what people do. But

644
00:31:16,600 --> 00:31:20,360
Speaker 1: it is created from Bochlin toxin and basically it's so

645
00:31:20,520 --> 00:31:25,320
Speaker 1: diluted out, so diluted out, it has no adverse effects

646
00:31:25,760 --> 00:31:29,960
Speaker 1: like eating a bed, micro dosing heroine. Yeah, well what

647
00:31:30,120 --> 00:31:32,960
Speaker 1: we do that for pain? And you know, God forbid,

648
00:31:32,960 --> 00:31:36,760
Speaker 1: when somebody has cancer, we're using poisonous substances to try

649
00:31:36,800 --> 00:31:41,680
Speaker 1: to eradicate that. Not comparing obviously cancer and and cosmetics.

650
00:31:41,720 --> 00:31:44,400
Speaker 1: But it's it's basically we are using such a micro

651
00:31:44,640 --> 00:31:46,240
Speaker 1: dose if you want to look at it, that it

652
00:31:46,360 --> 00:31:48,720
Speaker 1: is safe. So it's not like you're eating a old

653
00:31:48,800 --> 00:31:51,360
Speaker 1: can of beans that you found and you're eating getting

654
00:31:51,360 --> 00:31:53,640
Speaker 1: a whole dose of that will kill you. All right,

655
00:31:53,680 --> 00:31:56,040
Speaker 1: So I've done it a couple of times, and when

656
00:31:56,040 --> 00:31:58,880
Speaker 1: it first came out, I must have been in my forties,

657
00:31:59,160 --> 00:32:02,880
Speaker 1: and we didn't know, you know, if it was good,

658
00:32:02,920 --> 00:32:05,080
Speaker 1: if it was bad. It just came out. I had

659
00:32:05,240 --> 00:32:09,480
Speaker 1: two of the worst side effects ever. I had a

660
00:32:09,480 --> 00:32:12,160
Speaker 1: brow drop once and my husband thought I was having

661
00:32:12,160 --> 00:32:14,280
Speaker 1: a stroke and I never admitted to him that it

662
00:32:14,320 --> 00:32:17,200
Speaker 1: was botox. And the other time, I had, you know,

663
00:32:17,240 --> 00:32:20,440
Speaker 1: an eyebrow that like shot and I went to like

664
00:32:20,600 --> 00:32:23,320
Speaker 1: the best New York germs that you can go to.

665
00:32:24,200 --> 00:32:25,920
Speaker 1: It just and I'm like, all right, God is telling

666
00:32:25,920 --> 00:32:28,360
Speaker 1: me something and I just stopped. That's one thing. Okay,

667
00:32:28,360 --> 00:32:32,320
Speaker 1: So I've had bad I've also seen so many women.

668
00:32:32,440 --> 00:32:35,360
Speaker 1: I've seen really good botox. Okay, but I've seen so

669
00:32:35,400 --> 00:32:39,400
Speaker 1: many women who have this like intense shiny forehead and

670
00:32:39,440 --> 00:32:41,880
Speaker 1: the rest of their face and body is wrinkled. And

671
00:32:41,960 --> 00:32:46,120
Speaker 1: it doesn't So when you get to a certain age,

672
00:32:46,240 --> 00:32:49,560
Speaker 1: like it just doesn't work. So I I agree with you.

673
00:32:49,720 --> 00:32:52,840
Speaker 1: Let's address the side effects. So anything in that potential

674
00:32:52,880 --> 00:32:55,000
Speaker 1: side effects basically how boche of them talks and works

675
00:32:55,080 --> 00:32:58,200
Speaker 1: or botox is it Basically it causes the muscles and

676
00:32:58,200 --> 00:33:01,719
Speaker 1: make facial expression. It minimizes their movements, you know, so

677
00:33:01,800 --> 00:33:06,760
Speaker 1: some people say it it doesn't make a complete paralysis

678
00:33:06,840 --> 00:33:09,440
Speaker 1: unless you use a large difference and until it leaves

679
00:33:09,480 --> 00:33:11,560
Speaker 1: your body, then you start moving. And it's a protein.

680
00:33:11,680 --> 00:33:13,760
Speaker 1: It's basically it's a protein that's taken up by receptor

681
00:33:13,800 --> 00:33:16,040
Speaker 1: and that protein breaks down over time over the next

682
00:33:16,080 --> 00:33:17,840
Speaker 1: couple of months. So it doesn't stay in your body.

683
00:33:17,880 --> 00:33:19,800
Speaker 1: It doesn't eat away your brain, it doesn't do anything

684
00:33:19,800 --> 00:33:23,000
Speaker 1: that's definitely been proven that should lay your concerns there

685
00:33:23,080 --> 00:33:25,520
Speaker 1: doesn't work like that. You get botox every four to

686
00:33:25,640 --> 00:33:28,400
Speaker 1: six months. Some people do it even more frequently for

687
00:33:28,600 --> 00:33:30,800
Speaker 1: decades and you're not gonna have any long term side effects.

688
00:33:30,840 --> 00:33:33,680
Speaker 1: But even in the best of hands, you can get

689
00:33:33,720 --> 00:33:35,840
Speaker 1: a brow drop. Basically, there's a muscle around the eye

690
00:33:35,840 --> 00:33:38,320
Speaker 1: called you know, the bigularius oculi, and if you put

691
00:33:38,320 --> 00:33:39,960
Speaker 1: it too close to the brow, you will get that

692
00:33:39,960 --> 00:33:42,760
Speaker 1: brow drop. But sometimes there's even diffusion. Even in the

693
00:33:42,800 --> 00:33:45,680
Speaker 1: best of hands, people know their anatomy, you can inject

694
00:33:45,720 --> 00:33:47,560
Speaker 1: it and you can get the bo tex going in

695
00:33:47,560 --> 00:33:49,080
Speaker 1: a place. It gives you a spock or give you

696
00:33:49,120 --> 00:33:51,200
Speaker 1: a drop. But I always sell patients. You know, it

697
00:33:51,240 --> 00:33:53,920
Speaker 1: doesn't happen frequently, but it is a risk. And now

698
00:33:53,960 --> 00:33:58,120
Speaker 1: they're putting botox under the chin for next. So there's

699
00:33:58,160 --> 00:34:00,520
Speaker 1: there's something called platisma bands that you sort of see

700
00:34:00,520 --> 00:34:02,640
Speaker 1: when people when they clenched down on their teeth. You

701
00:34:02,640 --> 00:34:05,720
Speaker 1: could see those bands, especially if somebody is very thin,

702
00:34:05,800 --> 00:34:08,800
Speaker 1: and that can release those muscle bands. There's a muscle

703
00:34:08,840 --> 00:34:11,359
Speaker 1: down in the lower face. Put a little botox taken,

704
00:34:11,360 --> 00:34:13,759
Speaker 1: given a little upward turn of the smile. I'm a

705
00:34:13,760 --> 00:34:16,080
Speaker 1: big fan of of botox. But if you can do

706
00:34:16,160 --> 00:34:18,520
Speaker 1: agent gage free, it's perfect. And I'm an advocate for that,

707
00:34:18,560 --> 00:34:20,200
Speaker 1: and I wish I could be more like that. When

708
00:34:20,280 --> 00:34:22,359
Speaker 1: you do these things, you have to do things conservatively.

709
00:34:22,719 --> 00:34:25,360
Speaker 1: I call like the newscaster look, and it's it's a

710
00:34:25,400 --> 00:34:27,800
Speaker 1: look you see these people on TV and they're frozen,

711
00:34:27,960 --> 00:34:31,600
Speaker 1: like they are just completely frozen. And I personally do

712
00:34:31,680 --> 00:34:33,680
Speaker 1: not like that look. I hate that look. And it

713
00:34:33,760 --> 00:34:36,880
Speaker 1: looks like they're done. They don't look natural, there's no expression.

714
00:34:37,239 --> 00:34:39,919
Speaker 1: And how many actresses do you see and you're like, who,

715
00:34:40,080 --> 00:34:42,200
Speaker 1: I can't even tell if that's who it is, and

716
00:34:42,200 --> 00:34:44,840
Speaker 1: and and that happens, and that sometimes happens a stage

717
00:34:45,000 --> 00:34:47,800
Speaker 1: of life, and I feel for people that's that's their career,

718
00:34:47,880 --> 00:34:50,879
Speaker 1: and they're they're so wrapped up in what what they

719
00:34:50,920 --> 00:34:53,480
Speaker 1: look like. I can empathize with that because, you know,

720
00:34:54,200 --> 00:34:57,040
Speaker 1: just with my hair loss, I can imagine as an

721
00:34:57,080 --> 00:35:00,719
Speaker 1: actor or somebody who's in the public I and you

722
00:35:00,800 --> 00:35:02,600
Speaker 1: have it in your certain look at one point and

723
00:35:02,600 --> 00:35:04,560
Speaker 1: then all of a sudden, you're you're changing, and you don't.

724
00:35:04,600 --> 00:35:06,640
Speaker 1: You try to capture that, and sometimes you overjump it.

725
00:35:06,920 --> 00:35:09,239
Speaker 1: And when you overjump it, whether it's uh, you know,

726
00:35:09,719 --> 00:35:13,120
Speaker 1: an overdone eye job or too much filler and cheek implants.

727
00:35:13,120 --> 00:35:15,440
Speaker 1: It all can be done well, and many colleagues that

728
00:35:15,520 --> 00:35:18,680
Speaker 1: do do it amazingly well. But some people think that,

729
00:35:18,719 --> 00:35:21,200
Speaker 1: you know, go go bigger, go home. And I think

730
00:35:21,200 --> 00:35:24,200
Speaker 1: there's like this over lasered look, as over botox, over filled,

731
00:35:24,239 --> 00:35:27,000
Speaker 1: overlaser look. And just like you're saying, it's like people

732
00:35:27,640 --> 00:35:31,080
Speaker 1: they might look quote unquote good, but it almost doesn't

733
00:35:31,080 --> 00:35:33,920
Speaker 1: look natural. But I think of it like when I'm

734
00:35:33,960 --> 00:35:36,680
Speaker 1: weeding my garden. Okay, you're making it look better, but

735
00:35:36,840 --> 00:35:39,439
Speaker 1: like where do you stop? Where does the obsession? When

736
00:35:39,440 --> 00:35:42,240
Speaker 1: am I done? And it's the same thing on your face,

737
00:35:42,280 --> 00:35:44,360
Speaker 1: It's like, you know, okay, I'll do this I'll do

738
00:35:44,360 --> 00:35:45,479
Speaker 1: a little bit of this, and all of a sudden

739
00:35:45,520 --> 00:35:46,920
Speaker 1: it's like, all right, that's not working. Let me do

740
00:35:46,960 --> 00:35:48,799
Speaker 1: this too. And then all of a sudden, what do

741
00:35:48,840 --> 00:35:51,719
Speaker 1: you do? You're in your sixties seventies. There's a high

742
00:35:51,800 --> 00:35:54,840
Speaker 1: degree of body this Morfi syndrome and facial syndrome and

743
00:35:55,000 --> 00:35:57,080
Speaker 1: people trying to chase after every single do you see

744
00:35:57,080 --> 00:35:59,480
Speaker 1: this crease? Do you see this sprinkle? And it's a

745
00:35:59,520 --> 00:36:02,279
Speaker 1: serious thing. And I will tell people you really don't

746
00:36:02,280 --> 00:36:04,840
Speaker 1: need this. I actually think that you should not be

747
00:36:04,880 --> 00:36:07,680
Speaker 1: pushing things that people don't need and put the brakes

748
00:36:07,719 --> 00:36:09,360
Speaker 1: on it when when they need it. Yeah, But I

749
00:36:09,400 --> 00:36:11,279
Speaker 1: also think there's a certain time in your life where

750
00:36:11,320 --> 00:36:14,920
Speaker 1: you just have to say, okay, okay, I'm not that anymore.

751
00:36:15,040 --> 00:36:18,680
Speaker 1: This is who I am now. Yeah, no, no, And

752
00:36:18,800 --> 00:36:21,120
Speaker 1: you know, I mean, look, I planned to be, you know,

753
00:36:21,200 --> 00:36:23,319
Speaker 1: a grandmother one day. You know, I don't want to

754
00:36:23,320 --> 00:36:26,760
Speaker 1: look like one. But it's okay, you look great personally.

755
00:36:26,920 --> 00:36:30,440
Speaker 1: And years ago these products weren't around. You know, Collagen

756
00:36:30,480 --> 00:36:32,600
Speaker 1: was the first filler out there. Even actually silicone was

757
00:36:32,640 --> 00:36:34,600
Speaker 1: the first filler out there, yeah, I believe it or not.

758
00:36:34,719 --> 00:36:36,600
Speaker 1: And it was actually a decent filler, but except now

759
00:36:36,600 --> 00:36:38,839
Speaker 1: all these women have to take their silicones out because

760
00:36:38,840 --> 00:36:42,480
Speaker 1: it's affecting their body. That's a different Yeah. No, But

761
00:36:42,520 --> 00:36:44,960
Speaker 1: I'm a holistic health coach because I really do believe

762
00:36:45,440 --> 00:36:47,520
Speaker 1: that you have to be a little careful of what

763
00:36:47,600 --> 00:36:50,759
Speaker 1: you're constantly putting in your agree completely, I agree, and

764
00:36:50,840 --> 00:36:54,080
Speaker 1: you know, tying into the hormones, and yeah, girls are

765
00:36:54,080 --> 00:36:55,920
Speaker 1: having that periods earlier. Yeah, we you have to be

766
00:36:55,920 --> 00:36:58,000
Speaker 1: careful of what we're putting in, what we're consuming, what's

767
00:36:58,000 --> 00:37:00,480
Speaker 1: in our environment, No, no doubt. So the things weren't

768
00:37:00,480 --> 00:37:04,279
Speaker 1: around before, and so people did age gracefully and there's

769
00:37:04,320 --> 00:37:07,400
Speaker 1: a lot to be said for that when used correctly

770
00:37:07,560 --> 00:37:10,279
Speaker 1: and in moderation. Like everything, you can make that case.

771
00:37:10,400 --> 00:37:16,200
Speaker 1: Everything these products, whether it's fillers, lasers, botox, or other approaches,

772
00:37:16,520 --> 00:37:21,480
Speaker 1: can provide a certain person benefit. Okay, I will. I

773
00:37:21,520 --> 00:37:24,560
Speaker 1: will accept that. And I do believe that it's okay

774
00:37:24,600 --> 00:37:27,120
Speaker 1: to contour. If you're someone that wants to contoy your face.

775
00:37:27,239 --> 00:37:30,080
Speaker 1: I don't like contouring, that's okay. We're allowed to have

776
00:37:30,760 --> 00:37:34,120
Speaker 1: different things, and I'm I am. I'm also very excited

777
00:37:34,160 --> 00:37:36,080
Speaker 1: because I think there's going to be more things on

778
00:37:36,120 --> 00:37:38,319
Speaker 1: the horizon. That will help. And I know one day

779
00:37:38,560 --> 00:37:40,319
Speaker 1: there's gonna be a laser that gets rid of you

780
00:37:40,320 --> 00:37:43,799
Speaker 1: know that eleven between your between your brow, So I

781
00:37:43,840 --> 00:37:46,200
Speaker 1: will talk, Yeah, I will. I will sign up for that,

782
00:37:47,280 --> 00:37:49,640
Speaker 1: Thank you. And what do you think about the you know,

783
00:37:49,719 --> 00:37:52,720
Speaker 1: the body treatments, like do you think you know whatever

784
00:37:52,760 --> 00:37:54,839
Speaker 1: those things are called that gets rid of the fat

785
00:37:54,880 --> 00:37:59,080
Speaker 1: cells whatever? Cool skulls? Yeah, I mean they work. They work.

786
00:37:59,120 --> 00:38:02,360
Speaker 1: Once again, you were is always you gotta you're really encapsulate.

787
00:38:02,400 --> 00:38:04,640
Speaker 1: What work means? You can't come in and be obese

788
00:38:04,680 --> 00:38:06,759
Speaker 1: and say cool sculpt me, and you know you're gonna

789
00:38:06,800 --> 00:38:09,719
Speaker 1: walk out the six pack. Cool scope is really specifically

790
00:38:09,760 --> 00:38:14,160
Speaker 1: meant for somebody who isn't relatively decent shape for their age,

791
00:38:14,480 --> 00:38:16,799
Speaker 1: but you know, the hormones are slowing down and they've

792
00:38:16,840 --> 00:38:19,239
Speaker 1: got certain pockets of fat they got you know, the

793
00:38:19,320 --> 00:38:21,840
Speaker 1: love handles and the spare tire and the thighs and

794
00:38:21,880 --> 00:38:23,960
Speaker 1: things of that nature, and they're like, this is annoying.

795
00:38:23,960 --> 00:38:26,040
Speaker 1: I go to the gym experience, you know, five times

796
00:38:26,280 --> 00:38:27,759
Speaker 1: a week and I can't get rid of it. So

797
00:38:27,800 --> 00:38:29,600
Speaker 1: cool scope is helpful for that. Once again, when you

798
00:38:29,640 --> 00:38:31,520
Speaker 1: get cool sculpt it's not like you just grab this

799
00:38:31,560 --> 00:38:33,319
Speaker 1: pocket of fat and it just all goes away. You'll

800
00:38:33,320 --> 00:38:35,799
Speaker 1: have about a thirty percent reduction with each treatment you do,

801
00:38:36,440 --> 00:38:39,399
Speaker 1: and so there there are benefits. Pretty good. It is good.

802
00:38:39,520 --> 00:38:42,239
Speaker 1: It's painful though, right it can be once again, I'm

803
00:38:42,239 --> 00:38:45,439
Speaker 1: gonna believe you know. Pain is pain is pain. There's

804
00:38:45,480 --> 00:38:48,960
Speaker 1: cool Sculpture's two different ones. The cooling technique basically is

805
00:38:48,960 --> 00:38:51,160
Speaker 1: based on if you cool the fat cells such a degree,

806
00:38:51,360 --> 00:38:53,879
Speaker 1: you kill the fat cells and one in fat cells

807
00:38:53,920 --> 00:38:56,960
Speaker 1: us early their finite amounts. So once they're gone, they're gone.

808
00:38:57,400 --> 00:38:58,960
Speaker 1: You know what happens when you, you you know, put on

809
00:38:59,000 --> 00:39:02,040
Speaker 1: the weight again, you'll you'll you'll add the fat too

810
00:39:03,280 --> 00:39:05,319
Speaker 1: well to the cells that persist. It's not gonna get

811
00:39:05,400 --> 00:39:07,880
Speaker 1: rid of every single But so there's the cooling and

812
00:39:07,880 --> 00:39:10,880
Speaker 1: then there's the heating. They both work by by working,

813
00:39:10,880 --> 00:39:12,680
Speaker 1: you have to sort of meet with somebody and really

814
00:39:12,680 --> 00:39:14,960
Speaker 1: assess your goals and really have a realistic goals, have

815
00:39:15,000 --> 00:39:18,120
Speaker 1: a nutrition plan, workout plan, and then basically you can

816
00:39:18,360 --> 00:39:20,480
Speaker 1: do these other things. It's another technique out there called

817
00:39:21,000 --> 00:39:24,560
Speaker 1: m scalpe, which actually caused these micro contractions and can

818
00:39:24,600 --> 00:39:27,680
Speaker 1: tone muscles. That's for a very unique group of people.

819
00:39:28,440 --> 00:39:30,479
Speaker 1: Well exact, basically, you have to be in good shape.

820
00:39:30,520 --> 00:39:33,279
Speaker 1: Once again, if you have too much adipose, too much

821
00:39:33,280 --> 00:39:36,479
Speaker 1: fat covering your muscles. So it's meant for somebody who's

822
00:39:36,480 --> 00:39:39,120
Speaker 1: in really good shape, who just needs to who wants

823
00:39:39,120 --> 00:39:41,160
Speaker 1: to get toned up. I mean personally, I think it's

824
00:39:41,160 --> 00:39:43,920
Speaker 1: somebody who's probably a model or an actor. Okay, so

825
00:39:43,920 --> 00:39:46,719
Speaker 1: now I've got a speed round of questions. All right,

826
00:39:46,840 --> 00:39:51,799
Speaker 1: what's the last thing you ate? Cheese, sandwich? What's your

827
00:39:51,880 --> 00:39:54,920
Speaker 1: drink of choice? I hate to admit this dia pepsi.

828
00:39:56,040 --> 00:39:59,760
Speaker 1: I know pepsi. I was talking about Tequilan vodka, wine.

829
00:40:00,040 --> 00:40:02,840
Speaker 1: Gonna get that diopepsi. All right, now your health coach

830
00:40:02,960 --> 00:40:06,640
Speaker 1: is starting. Okay, I'm taking over this episode. No diapepsi.

831
00:40:06,760 --> 00:40:08,520
Speaker 1: I'm trying to I'm really trying to cut back. My

832
00:40:08,520 --> 00:40:11,000
Speaker 1: wife refuses to buy it for me. She knows. How

833
00:40:11,000 --> 00:40:14,040
Speaker 1: many do you know it's unhealthy? You drink coffee? You do?

834
00:40:14,480 --> 00:40:16,960
Speaker 1: I'm a big fan of coffee. I'm big believer in caffeine. See, okay,

835
00:40:17,200 --> 00:40:21,319
Speaker 1: caffeine is fine. But there's green tea, there's espresso. I mean,

836
00:40:21,600 --> 00:40:24,040
Speaker 1: you know, I know you're a guy that likes chemicals.

837
00:40:24,080 --> 00:40:28,359
Speaker 1: But it's that and you like science, go read read

838
00:40:28,400 --> 00:40:31,759
Speaker 1: about the signs. It's the nial. But but my drinker

839
00:40:31,800 --> 00:40:33,960
Speaker 1: tries to vodka. Vodka, okay, how do you drink it?

840
00:40:34,520 --> 00:40:38,520
Speaker 1: Martini up with blue cheese olives my favorite? Nice? What's

841
00:40:38,520 --> 00:40:41,400
Speaker 1: your personal skincare routine? Less is more? I use a

842
00:40:41,440 --> 00:40:44,360
Speaker 1: moisturize of sunscreen in the morning and which one whatever

843
00:40:44,520 --> 00:40:46,600
Speaker 1: is in my drawer, usually some form of a sample

844
00:40:46,680 --> 00:40:49,560
Speaker 1: that somebody wants me to try. And then in the evening,

845
00:40:49,840 --> 00:40:51,880
Speaker 1: I if I remember I am a guy. At the

846
00:40:51,960 --> 00:40:53,560
Speaker 1: end of the day, I try to do some form

847
00:40:53,600 --> 00:40:55,600
Speaker 1: of retinoid a couple times a week. Maybe. What do

848
00:40:55,680 --> 00:40:58,840
Speaker 1: you think a skincare item that most women don't have

849
00:40:59,120 --> 00:41:02,279
Speaker 1: but need some form of a retinoid? I'll tell your

850
00:41:02,280 --> 00:41:05,200
Speaker 1: skincare item that I hate that women have. Two things.

851
00:41:05,640 --> 00:41:08,560
Speaker 1: I'm not a big fan of exfoliators. Thanks foliating is

852
00:41:08,600 --> 00:41:12,000
Speaker 1: actually quite bad or routine exfoliating I think drives out

853
00:41:12,040 --> 00:41:15,000
Speaker 1: the skin and can possibly cause more acne and more

854
00:41:15,600 --> 00:41:18,520
Speaker 1: dryness and decreased glow, so to speak. And second thing

855
00:41:18,640 --> 00:41:22,920
Speaker 1: is the magnifying mirror. Oh gosh, now you for what

856
00:41:23,080 --> 00:41:25,960
Speaker 1: you do? You you probably advocated don't well for putting

857
00:41:25,960 --> 00:41:28,600
Speaker 1: on makeup. I don't. I don't. I don't believe in

858
00:41:28,680 --> 00:41:31,440
Speaker 1: magnifying mirrors. I believe in skinny mirrors. I believe in

859
00:41:31,520 --> 00:41:34,080
Speaker 1: good lightmres that. I never look in a mirror in

860
00:41:34,120 --> 00:41:36,759
Speaker 1: a in a airplane bathroom, magnifying mirror. One of my

861
00:41:36,800 --> 00:41:39,439
Speaker 1: professors back in training at two Lane used to say,

862
00:41:39,640 --> 00:41:41,719
Speaker 1: do you have a magnifying mirror home? And if you

863
00:41:41,800 --> 00:41:44,399
Speaker 1: answered yes, you'd say throw it out. That's the first

864
00:41:44,440 --> 00:41:46,520
Speaker 1: thing you have to do because nobody sees you like that.

865
00:41:46,880 --> 00:41:48,399
Speaker 1: You take that magnifying mirror, you're like, oh my god,

866
00:41:48,480 --> 00:41:50,600
Speaker 1: what's going on? You don't look like that either? You

867
00:41:50,600 --> 00:41:52,640
Speaker 1: don't look like that. You don't. I wish women would

868
00:41:52,640 --> 00:41:54,600
Speaker 1: get rid of that, and men too. So when you

869
00:41:54,680 --> 00:41:58,680
Speaker 1: talk about exfoliating, do you mean just a washcloth alofa

870
00:41:58,880 --> 00:42:01,279
Speaker 1: or you're talking about scrubs? Are you talking about you know,

871
00:42:01,400 --> 00:42:04,680
Speaker 1: whatever those treatments are that gets yourselves off. So I'm

872
00:42:04,719 --> 00:42:07,719
Speaker 1: not I'm not against all exfoliation. If you have like

873
00:42:07,800 --> 00:42:10,440
Speaker 1: one of those clasonic rushes or a competitive that if

874
00:42:10,440 --> 00:42:12,239
Speaker 1: you do that from time to time, once a week,

875
00:42:12,320 --> 00:42:14,279
Speaker 1: once every two weeks, it's not horrible But some people

876
00:42:14,360 --> 00:42:16,800
Speaker 1: come in and I say, you know what treatments or

877
00:42:16,800 --> 00:42:18,920
Speaker 1: medication you're using, And they say, well, exfoliating. I bought

878
00:42:18,960 --> 00:42:21,880
Speaker 1: this exfoliator CVS, and I bought this and and and

879
00:42:21,960 --> 00:42:24,880
Speaker 1: they're actually they're physically they think the acne is caused

880
00:42:24,920 --> 00:42:28,560
Speaker 1: by dirt, and so they're physically scrubbing and rubbing, and

881
00:42:28,600 --> 00:42:31,160
Speaker 1: they're using loofahs and they're they're just stripping away the

882
00:42:31,280 --> 00:42:34,719
Speaker 1: natural moisturizing elements of the skin, and they're creating irritation

883
00:42:34,800 --> 00:42:36,920
Speaker 1: and it makes your skin more prone to acne. And

884
00:42:37,120 --> 00:42:39,440
Speaker 1: so that's what I mean by exfoliating. You know, there's

885
00:42:39,480 --> 00:42:41,640
Speaker 1: a role for chemical peals as a role for exfoliating,

886
00:42:41,800 --> 00:42:44,120
Speaker 1: but not exfoliating in a way that's too harsh and

887
00:42:44,160 --> 00:42:46,200
Speaker 1: too frequent. So you're probably not a fan of the

888
00:42:46,280 --> 00:42:50,520
Speaker 1: Obagi method, which is purely exfoliating. It's a little rough.

889
00:42:50,760 --> 00:42:54,239
Speaker 1: It's a little rough. Moderation, moderation, Okay, So tell me

890
00:42:54,320 --> 00:42:56,719
Speaker 1: if these things are worth it in your opinion. Facials

891
00:42:58,360 --> 00:43:00,040
Speaker 1: my opinion. People ask me, oh, do you know what

892
00:43:00,040 --> 00:43:03,279
Speaker 1: do you think about facials? I think facials are like massages.

893
00:43:03,360 --> 00:43:05,040
Speaker 1: So you know, if you have back pain or you

894
00:43:05,080 --> 00:43:07,440
Speaker 1: have a serious worth peak issue. If you get a massage,

895
00:43:07,480 --> 00:43:09,560
Speaker 1: it's not gonna address the underlying issue, but it will

896
00:43:09,600 --> 00:43:11,800
Speaker 1: make you feel good. I think the same thing with facials.

897
00:43:12,000 --> 00:43:15,600
Speaker 1: How about sheet masks. Not a huge fan of masks.

898
00:43:15,640 --> 00:43:17,959
Speaker 1: I think they do more harm than good, but people

899
00:43:18,040 --> 00:43:20,920
Speaker 1: think they're doing something. How about facial rollers, those new

900
00:43:21,000 --> 00:43:24,800
Speaker 1: jade rollers, whatever those are you see? Yeah, not not

901
00:43:24,960 --> 00:43:27,200
Speaker 1: a big fan. There's something got derma rolling too, that

902
00:43:27,320 --> 00:43:29,759
Speaker 1: was interviewed on in the past. People like to be

903
00:43:29,960 --> 00:43:33,279
Speaker 1: physically involved in their regiments and so, and they feel

904
00:43:33,280 --> 00:43:35,440
Speaker 1: like they're doing something or like back in the day

905
00:43:35,480 --> 00:43:37,439
Speaker 1: they used to have like those clinchers that you could

906
00:43:37,440 --> 00:43:40,719
Speaker 1: like do the muscle exercises and so I don't believe

907
00:43:40,760 --> 00:43:43,000
Speaker 1: in a lot of those things. Yeah, facial exercises do

908
00:43:43,120 --> 00:43:47,080
Speaker 1: they work in theory? I mean if you're stimulating the

909
00:43:47,200 --> 00:43:49,440
Speaker 1: muscles and facial expression, but it would have to be

910
00:43:49,560 --> 00:43:53,560
Speaker 1: such a amount of facial movements in reality, No, it

911
00:43:53,640 --> 00:43:57,279
Speaker 1: does not work. Okay, well, this is really interesting, and

912
00:43:57,320 --> 00:43:59,440
Speaker 1: I want to make sure that I get a prescription

913
00:43:59,560 --> 00:44:02,279
Speaker 1: for retin voids before before the day is done. But

914
00:44:02,520 --> 00:44:05,200
Speaker 1: where could people find you? So? I practice in Northern

915
00:44:05,280 --> 00:44:08,759
Speaker 1: New Jersey, primarily in Livingston, but I run between a

916
00:44:08,800 --> 00:44:11,160
Speaker 1: number of different offices because I do skin cancer surgery

917
00:44:11,200 --> 00:44:13,560
Speaker 1: and a few different offices. But to the days per week,

918
00:44:13,640 --> 00:44:17,200
Speaker 1: I'm in Livingston doing cosmetic dermatology, hair loss and some

919
00:44:17,280 --> 00:44:20,560
Speaker 1: of the general and no Instagram. I should have. I

920
00:44:20,560 --> 00:44:23,000
Speaker 1: should have Instagram. I'm sort of in that funny generation

921
00:44:23,040 --> 00:44:25,840
Speaker 1: where I I know Facebook, I can email and do

922
00:44:25,960 --> 00:44:28,560
Speaker 1: things of that nature. Well, your daughter, hopefully we'll be

923
00:44:28,640 --> 00:44:30,520
Speaker 1: coming up and she could do it. I might develop

924
00:44:30,560 --> 00:44:34,360
Speaker 1: the newest exactly. But this is really informative and I

925
00:44:34,600 --> 00:44:37,560
Speaker 1: really appreciate that you came in. Thank you so much.

926
00:44:37,680 --> 00:44:41,719
Speaker 1: Thank you. I appreciate you having it. For more podcasts

927
00:44:41,800 --> 00:44:44,640
Speaker 1: from I Heart Radio, visit the I Heart Radio app,

928
00:44:44,800 --> 00:44:48,240
Speaker 1: Apple podcast, or wherever you listen to your favorite shows.