Latest / Skin Anarchy / Dr Howard Sobel, NYC TOP Dermatologist, Pioneer in Skin Health, and Founder of SOBEL SKIN RX

Transcript

Dr Howard Sobel, NYC TOP Dermatologist, Pioneer in Skin Health, and Founder of SOBEL SKIN RX · Skin Anarchy

• 0:50
  SPEAKER_03: Hi guys, welcome back to Skincare Anarchy.
• 0:52
  SPEAKER_03: This is Ekta, and I'm so excited about our guest today because he is truly an expert in the field of dermatology, skin health, and he even has his online.
• 1:02
  SPEAKER_03: So without further ado, I want to introduce you guys to Dr.
• 1:06
  SPEAKER_03: Howard Sobel, who is a top New York City dermatologist and just very, very brilliant.
• 1:11
  SPEAKER_03: So welcome to the show, Dr.
• 1:13
  SPEAKER_03: Sobel.
• 1:13
  SPEAKER_03: I'm so thankful for your time and willingness.
• 1:17
  SPEAKER_00: Thank you.
• 1:18
  SPEAKER_00: Thank you very much.
• 1:19
  SPEAKER_00: You know, I listen to your show actually, believe it or not, all the time.
• 1:22
  SPEAKER_00: And I've I've listened to so many of your guest hosts, and I've actually learned myself.
• 1:27
  SPEAKER_03: Oh, that's very nice to hear.
• 1:29
  SPEAKER_03: I love that.
• 1:30
  SPEAKER_03: That's my goal is to make like a library of information, you know.
• 1:34
  SPEAKER_00: Well, you're never too old to learn.
• 1:37
  SPEAKER_03: Yes, very true.
• 1:38
  SPEAKER_03: I want to get started because I want to learn all about how you got involved um in dermatology specifically.
• 1:44
  SPEAKER_03: And if you can give us kind of like a little uh rerun of, you know, how things started and uh why you chose this uh area of medicine and all that good stuff.
• 1:53
  SPEAKER_00: You know, you start I started out, you know, playing basketball on the Low East side and how far back I should go, you know, and we win the city championship, and and all of a sudden I was this, you know, 5'8 Jewish guy, and I stopped growing and I realized I wasn't going to be a pro basketball player, so I went to medical school, and then you have to make a decision.
• 2:16
  SPEAKER_00: What do you do after medical school?
• 2:18
  SPEAKER_00: I'm not going to the MBA, that's for sure.
• 2:21
  SPEAKER_00: And my best friend was brilliant, and he was at Columbia Medical School, and he said, Why don't you take the MCATS?
• 2:28
  SPEAKER_00: Are you interested in medicine?
• 2:29
  SPEAKER_00: I said, Yeah, I love medicine, but just as interested as you are in medicine, you have to understand medicine is as different as what field you go into.
• 2:41
  SPEAKER_03: Yeah.
• 2:42
  SPEAKER_00: Uh you could pick from internal medicine to uh to pathology or you know, yeah.
• 2:52
  SPEAKER_00: Or you know, where you don't deal with people were anesthesiology, some of the popular fields, you know.
• 2:58
  SPEAKER_00: When I was first applying to medical school, the most popular fields were actually, believe it or not, dermatology and ophthalmology.
• 3:07
  SPEAKER_00: Okay, but but they weren't it, and the reason because there was a little medicine to it, or excuse me, a lot of medicine to it, and there was a little aesthetics, and then it's actually switched around a little because what's happened is now aesthetics has become such an incredible port, part part of medicine, and such a part of dermatology.
• 3:30
  SPEAKER_00: And I've always had my eye on what someone looked like, how they should look, how I even myself, how I should look.
• 3:40
  SPEAKER_00: Okay, I always everyone wants to look younger than their mother or father looks.
• 3:45
  SPEAKER_00: And so I got interested in dermatology and the aesthetic part before aesthetics was so important in dermatology.
• 3:54
  SPEAKER_00: In dermatology, when I first started, and you know this as well, you're a little younger than I am.
• 4:01
  SPEAKER_00: In fact, probably a lot younger than I am from seeing your picture now.
• 4:05
  SPEAKER_00: But it was if it was wet, you dried it, if it was dry, you wet it.
• 4:13
  SPEAKER_00: There were no cosmosceuticals in in products, there were no active ingredients.
• 4:19
  SPEAKER_00: In fact, the term cosmosceutical was coined by Dr.
• 4:24
  SPEAKER_00: Kligman in 1979.
• 4:28
  SPEAKER_00: And it was a combination.
• 4:29
  SPEAKER_00: People don't realize that.
• 4:31
  SPEAKER_00: There was no term for it.
• 4:32
  SPEAKER_00: L'Oreal, Estee Lauder, Lancome, no one had, if you had something that you really wanted to take care of in terms of as anti-aging, other than eczema, other than dry skin, psoriasis, there was nothing to treat your skin with.
• 4:48
  SPEAKER_00: You went to the pharmacy and there was nothing there.
• 4:51
  SPEAKER_00: So that's sort of how I got interested and in dermatology and the aesthetic part of dermatology.
• 4:59
  SPEAKER_00: And that's how I started one of the first doctors' skincare lines.
• 5:04
  SPEAKER_00: And so I'll and I talk a lot.
• 5:08
  SPEAKER_00: So just interrupt me and ask me.
• 5:10
  SPEAKER_00: No, I'm like to go on and on and on.
• 5:12
  SPEAKER_03: No, I love it.
• 5:13
  SPEAKER_03: I'm I'm just listening.
• 5:14
  SPEAKER_03: No, I love that.
• 5:15
  SPEAKER_03: And in your skill skincare line, I was just gonna say is absolutely brilliant.
• 5:19
  SPEAKER_03: You know, I just wanted to put pop that in there for everyone listening because it's such a good line.
• 5:23
  SPEAKER_03: And and so, but you know, I I want to ask you though, like in terms of like how you've, you know, you've seen so many patients and you've had over 20 years of experience in this field.
• 5:34
  SPEAKER_03: So obviously, I mean you've seen it all, right?
• 5:36
  SPEAKER_03: And and at that point, it I always wonder with with doctors, you know, we all think that we know everything.
• 5:42
  SPEAKER_03: But I mean, in that case, when you've had that much experience under your belt, like what do you think about this whole industry now?
• 5:49
  SPEAKER_03: Like when you look at it from not only like the clinicians that are in it, but also like, you know, the brands and all this stuff, like how do you how you know what's your viewpoint on this?
• 5:58
  SPEAKER_00: Well, you know, let's let's break it down, let's separate it.
• 6:01
  SPEAKER_00: You know, we separate the skincare from the aesthetic part of it at all.
• 6:05
  SPEAKER_00: First when I first started, believe it or not, and I know I have Sobel Skin RX now.
• 6:11
  SPEAKER_00: We just started with Sephora and we have it on our own line.
• 6:15
  SPEAKER_00: But before that, I started DDF.
• 6:19
  SPEAKER_00: And I don't know if a lot of your listeners go that far back, but DDF was doctor's dermatologic formula.
• 6:26
  SPEAKER_00: And it was one of the first doctor lines uh ever in the United States.
• 6:32
  SPEAKER_00: It was a complete line that got to the point that it had a hundred SKUs.
• 6:37
  SPEAKER_00: And do I think that's too much?
• 6:38
  SPEAKER_00: Yes, it was too much.
• 6:39
  SPEAKER_00: I don't think you need more than 20 SKUs in a in a in a product line.
• 6:43
  SPEAKER_00: But we built up, and every time you know someone had a problem, we added it to the line.
• 6:49
  SPEAKER_00: It was eventually sold to Proctor and Gamble, and then that's the long history after that.
• 6:55
  SPEAKER_00: Okay, and that's and then after that, I started Sobel Skin RX.
• 6:59
  SPEAKER_00: But the key was people came to my office and they lived in Idaho, they lived in Kentucky, they lived in Lincoln, Nebraska, but they didn't necessarily want to see me, but they their cousin saw me, or their aunt saw me, and they wanted they had the same problem and they wanted to get the same product, but I couldn't just give it to them.
• 7:23
  SPEAKER_00: They needed to see me.
• 7:24
  SPEAKER_00: So that's how we started DDF.
• 7:28
  SPEAKER_00: That's how the skincare industry started, and then everyone after that fouled suit.
• 7:34
  SPEAKER_00: Okay.
• 7:35
  SPEAKER_00: And a lot of and so that's the skincare part of it.
• 7:39
  SPEAKER_00: The skincare part of everyone wants to make their skin look better.
• 7:43
  SPEAKER_00: And yes, products can make your skin look much better, but then there's the lasers, and then there's the injectables, then there's the the parts that that the surgery part of it all, and then it's the liposuction.
• 7:59
  SPEAKER_00: So there's two parts of aesthetic dermatology, and they interplay now.
• 8:03
  SPEAKER_00: Now there's it's a hard, it's a cross and it's sort of almost a turf between you know dermatology and plastic surgery, and they intertwine very often now.
• 8:16
  SPEAKER_03: Yeah, no, I've I've noticed that, and also, you know, it's it's very difficult to one.
• 8:22
  SPEAKER_03: I was interviewing one um, you know, uh uh she's a surgeon, and I was interviewing her, and she was very specific and she corrected me.
• 8:30
  SPEAKER_03: She's like, I am not a dermatologist, I am a plastic surgeon.
• 8:33
  SPEAKER_03: I'm like, okay, you know, okay.
• 8:37
  SPEAKER_03: But I think it it it it really adds to the point of like, you know, you have to really understand that there are, you know, there's a separation, but they they are very much intertwined and there's a lot of overlap.
• 8:50
  SPEAKER_00: Yeah, skin is skin.
• 8:51
  SPEAKER_00: Whether you're cutting skin or you're treating skin, you have to know about skin.
• 8:57
  SPEAKER_00: You know, if you're applying, if you're applying things to the skin to change the skin from a from a cosmosceutical, or you're changing the skin from a laser, or you're injecting hyaluronic acid uh to increase the volume of the skin.
• 9:13
  SPEAKER_00: Because as you know, the biggest thing that happens to your skin as we age, other than sun damage, other than not putting the sunscreen on, and the natural aging process is dehydration.
• 9:28
  SPEAKER_00: Your skin loses the water content.
• 9:32
  SPEAKER_00: And I'll address that probably a little later when I talk about some of this products that we have in Sobel Skin RX.
• 9:40
  SPEAKER_00: If you look hollow, if your skin looks an irregular line on the jawline, if you're sunken, and we all just think of our grandmothers or our aunts that look like the like a balloon that's deflated.
• 9:56
  SPEAKER_00: Take a balloon deflated, what does it look like?
• 9:59
  SPEAKER_00: It has little wrinkles, it has fine lines, it looks, it looks old, it hangs.
• 10:06
  SPEAKER_00: It's like a think of a a house that loses its framework, and that's what happens.
• 10:12
  SPEAKER_00: As a house gets older, older, the framework collapses and the house sinks, and that's what happens to a face.
• 10:21
  SPEAKER_00: So, what are we going to do?
• 10:22
  SPEAKER_00: We could build it up with skin products, with fillers, and then of course, what happens is with sun damage, we get spots on our skin, we get sun damage on our skin, we get pre-cancers on our skin.
• 10:36
  SPEAKER_00: It's all inclusive, okay?
• 10:38
  SPEAKER_00: There's no such thing as taking care of one part of someone's skin.
• 10:42
  SPEAKER_00: You have to take care of someone's skin as a whole.
• 10:47
  SPEAKER_00: You've got to look at them, and of course, you have to ask that person.
• 10:51
  SPEAKER_00: I just had someone just before this, okay.
• 10:53
  SPEAKER_00: She said, I only want to do this, okay?
• 10:56
  SPEAKER_00: And you have to listen to that patient.
• 10:58
  SPEAKER_00: I can't look at somebody and say to you, you know, I think you should do this, you should do this.
• 11:03
  SPEAKER_00: I should can suggest it, but I cannot tell them what to do because they see themselves differently.
• 11:10
  SPEAKER_00: And they're only they won't like you as a doctor, and you want them to like you as a doctor because you want them to come back and you want them to feel happy about themselves.
• 11:19
  SPEAKER_00: So I'm not sure if I've answered your question, but I love what I do because I think most of my people walk out of here and they feel happy.
• 11:28
  SPEAKER_00: Not the ones that once in a while get a little bruised, but we have lasers, believe it or now, that we have lasers to get rid of the bruises.
• 11:35
  SPEAKER_00: So a person could get an injection injectable, get a bruise, get it in get a laser, and walk out of here without a bruise.
• 11:43
  SPEAKER_00: And we didn't have that.
• 11:45
  SPEAKER_00: We didn't have that years ago.
• 11:47
  SPEAKER_00: We didn't have fillers that really actually last.
• 11:51
  SPEAKER_03: Uh no, I want to know though.
• 11:54
  SPEAKER_03: I really am curious because I've never gotten anything done on my skin personally.
• 11:59
  SPEAKER_03: So as a consumer, I'm very curious.
• 12:02
  SPEAKER_03: I've never gotten injectables of any kind, and I want to know, like, what like how much is too much?
• 12:09
  SPEAKER_03: You know, because you see all these girls on Instagram and you see all this social media hype around like, you know, lip lip injections and you know, everything injections, cheek.
• 12:18
  SPEAKER_03: It's just like it's getting to be almost like, you know, people are getting addicted to it.
• 12:24
  SPEAKER_03: And I really want you to speak on that because I want to know, you know, what is too much and when should you really be thinking about these things?
• 12:32
  SPEAKER_00: Like, you know, this kind of I am that's a great question because I'm a believer less is more.
• 12:38
  SPEAKER_00: Okay, if you are in a restaurant and you could look across the room and you say, Oh, that person just got treated or she's been treated, then she's gotten too much.
• 12:50
  SPEAKER_00: She should look like a younger version of herself, and that's what you want.
• 12:55
  SPEAKER_00: You want her to look, if you can, 10 years younger.
• 13:00
  SPEAKER_00: If if uh if her mother's 60 and she's 40, you want her to look 35.
• 13:07
  SPEAKER_00: Okay, you don't want to make her look like a cabbage patch doll.
• 13:12
  SPEAKER_00: Those cabbage patch dolls that I see walking in here, I can't tell you almost as much as fill I put in, I take out from other people.
• 13:23
  SPEAKER_00: Because some people, and it's not sometimes the doctor's fault, other than the doctor not saying, Hey, you don't need any more.
• 13:29
  SPEAKER_00: Some people are very pushy.
• 13:31
  SPEAKER_00: Some patients will say, I want more.
• 13:34
  SPEAKER_00: And guess what?
• 13:34
  SPEAKER_00: If you don't give them more, they'll go somewhere else.
• 13:37
  SPEAKER_00: Okay, and I've lost a lot of patients that way.
• 13:40
  SPEAKER_00: You're too conservative.
• 13:41
  SPEAKER_00: You won't give me as much as I want.
• 13:43
  SPEAKER_00: But they don't realize when you put so much filler in a cheek, what happens?
• 13:48
  SPEAKER_00: You close their eyes.
• 13:50
  SPEAKER_00: Okay, you don't want to do that.
• 13:51
  SPEAKER_00: You don't want their cheeks to look like, you know, their eyes to look like slits.
• 13:55
  SPEAKER_00: You want to open their eyes, you want to give them a regular jawline, straighten the jawline, but you don't want to give them jowls.
• 14:05
  SPEAKER_00: Okay, so all those things that you have to actually instruct the patient, but at the same point, listen to the patient as well.
• 14:15
  SPEAKER_00: And you have to learn how to say no.
• 14:19
  SPEAKER_03: Right, right.
• 14:20
  SPEAKER_03: No, I I like that, and I'm I'm glad that you said that because I really feel like women and men both, obviously.
• 14:26
  SPEAKER_03: But I mean, I think people they have this like completely misconstrued conception of like what it's what is it's gonna be like when they go to a professional and then get something done.
• 14:37
  SPEAKER_03: It's like they're they're gonna look like the next Kim Kardashian or they're gonna look like you know, uh whatever.
• 14:43
  SPEAKER_03: And it's like, you know, you can't you can't go into it like that.
• 14:46
  SPEAKER_03: And so I it must be difficult, right?
• 14:48
  SPEAKER_03: Uh uh for you, because I you know, how do you know I'm gonna tell you, I'm gonna tell you a funny story, okay?
• 14:53
  SPEAKER_00: Yeah, this is a real story.
• 14:55
  SPEAKER_00: Okay, very often patients come in and they show you pictures how they looked in high school.
• 15:01
  SPEAKER_00: Now, these people are now 50 years old and they show me the high school pictures, and I have someone not so not long ago who had not seen me for 10 years.
• 15:12
  SPEAKER_00: She lived in Europe and she came back.
• 15:14
  SPEAKER_00: I treated her, and she came back a couple of weeks later, and she said, Doctor, how come I don't look as good as I used to look when I used to come to you?
• 15:24
  SPEAKER_00: You must have gotten older and you're not as good.
• 15:27
  SPEAKER_00: No, that's not what happened.
• 15:29
  SPEAKER_00: She got older, and I can't bring her back to the way I used to bring her.
• 15:34
  SPEAKER_00: I can't make her look like when she used to come to me, she was 40.
• 15:39
  SPEAKER_00: I can make her look 30.
• 15:40
  SPEAKER_00: And now she's 50.
• 15:42
  SPEAKER_00: I could only make her look 40.
• 15:44
  SPEAKER_00: I can't bring her back to 30.
• 15:46
  SPEAKER_00: Okay, and I certainly can't bring her back to 18 or you know, a high school graduation.
• 15:52
  SPEAKER_00: But I can't tell you how many people bring me in these pictures, and you have to right away say, hey, I'll make you the best you could look for you.
• 16:02
  SPEAKER_00: Understand that when someone is 60, they're not gonna ever look 40.
• 16:08
  SPEAKER_00: Or or or and if someone is 40, maybe you can make them look 30, but you can't make them look 20.
• 16:14
  SPEAKER_00: And that's an important thing, an important concept that a patient has to understand.
• 16:20
  SPEAKER_00: Okay, so and it's also and the best another question you're probably gonna ask me is when should you get started?
• 16:27
  SPEAKER_00: Yeah.
• 16:27
  SPEAKER_00: Okay, and so I'm asking myself that question because I I had the youngest patient I ever treated with Botox, she was 19.
• 16:35
  SPEAKER_00: And you're gonna say, 19, are you kidding me?
• 16:38
  SPEAKER_00: Why would you treat a patient 19?
• 16:40
  SPEAKER_00: She was a top model, she made several million dollars a year, and in all pictures, she had crow's feet.
• 16:48
  SPEAKER_00: Her parents had crow's feet.
• 16:49
  SPEAKER_00: She spent a lot of time in Florida, so we did Botox on her.
• 16:54
  SPEAKER_00: And guess what?
• 16:54
  SPEAKER_00: I wouldn't do your normal person that's not a model that has some crow's feet.
• 16:59
  SPEAKER_00: I probably would not treat her.
• 17:01
  SPEAKER_00: But just like taking a piece of paper, if you fold that piece of paper constantly, what are you gonna get?
• 17:09
  SPEAKER_03: Yeah, a bunch of crease, right?
• 17:11
  SPEAKER_00: You're gonna benchmark.
• 17:13
  SPEAKER_00: And then when you give them the botox, give them the Botox back, they're gonna say, How come I still see a line?
• 17:19
  SPEAKER_00: Because that line is etched into your skin.
• 17:22
  SPEAKER_00: All you have to do is look at the palm of your hand, and Botox makes it able so you cannot crease that skin and form that that um wrinkle in your hands.
• 17:35
  SPEAKER_00: But at the same time, you don't use it usually on the hands other than for sweating, but think of the hand as your forehead, okay?
• 17:42
  SPEAKER_00: But once that etched line is an etched line your forehead, you it's almost impossible, other than doing deep CO2 laser, to get rid of it.
• 17:50
  SPEAKER_00: You won't get rid of a Botox.
• 17:52
  SPEAKER_00: So starting early is great.
• 17:54
  SPEAKER_00: Look what look at what the mother looks like.
• 17:57
  SPEAKER_00: Look at the father, look at the older sisters, look at the grandmother, and then it'll give you a little idea when you should start that patient.
• 18:05
  SPEAKER_00: So I don't no one could give you that answer.
• 18:08
  SPEAKER_00: When is it too early?
• 18:09
  SPEAKER_00: I could tell you when it's too late sometimes, but it's very hard to say when it's too early.
• 18:15
  SPEAKER_03: Yeah.
• 18:15
  SPEAKER_03: So I, you know, what one of my biggest questions, honestly, also about Botox is like the uh, you know, how much of it is allowed?
• 18:23
  SPEAKER_03: Because, you know, obviously, from my perspective, I always think of things from like a toxicology perspective.
• 18:28
  SPEAKER_03: And I'm wondering, like, there are women that are like every week they want to go get a Botox injection.
• 18:33
  SPEAKER_03: I'm like, I don't think that's normal, and I don't think that's even, you know, uh, I I don't know, you know, how much is like what is the frequency at which you can um allow patients to get Botox?
• 18:44
  SPEAKER_00: Botox physiologically, and I know you do you do a lot of research, Botox physiologically lasts about three, three and a half months.
• 18:52
  SPEAKER_00: So there's absolutely no reason other than touching up somebody a week or two later, because it takes about four to five days for it to take effect.
• 19:01
  SPEAKER_00: And sometimes you want to be conservative.
• 19:03
  SPEAKER_00: What you don't want to do is give someone piss.
• 19:06
  SPEAKER_00: And if someone doesn't know what to the brows become very low, and someone needs makeup to not makeup, they need their hand to put up to lift their lid to put on makeup, and that should never happen.
• 19:20
  SPEAKER_00: So you're very conservative.
• 19:23
  SPEAKER_00: You put the Botox high up in the forehead, and then you tell the patient to come back in a week, and then you touch them up.
• 19:30
  SPEAKER_00: And once you do that, you shouldn't have to do the Botox for at least three to three and a half months.
• 19:38
  SPEAKER_00: So there's no such thing as there is such a thing as too much Botox.
• 19:42
  SPEAKER_00: Okay, yeah, too little Botox, there's no such thing because you could always have them come back and touch them up again.
• 19:50
  SPEAKER_00: It's you can't take Botox out, you only could put it in.
• 19:54
  SPEAKER_00: So you see if you make it.
• 19:56
  SPEAKER_03: That's important.
• 19:57
  SPEAKER_03: That's important for you to say that to these to people listening because that's exactly the point I was trying to like get at is that I don't think that people understand.
• 20:05
  SPEAKER_03: Like, once you inject Botox, that's it.
• 20:09
  SPEAKER_03: You know, you can't go to your doctor and be like, hey, my face can't move anymore.
• 20:13
  SPEAKER_03: Well, that's no yeah.
• 20:15
  SPEAKER_00: No antidote to both to uh Botox.
• 20:18
  SPEAKER_00: Now, fillers there there is hyaluronic acid, restin, juvenerm, which is made of hyaluronic acid.
• 20:25
  SPEAKER_00: There's there's an enzyme you could inject, and if you inject too much, hopefully you don't, but if you do, you can take it out.
• 20:33
  SPEAKER_00: So you are okay with that.
• 20:35
  SPEAKER_00: But the idea is don't inject too much.
• 20:38
  SPEAKER_00: Inject a little, have them come back in a couple of weeks, inject a little more if they want, okay?
• 20:45
  SPEAKER_00: And make them happy, but don't make them so happy to the point that across the room, like as I mentioned before, you could see they look like a cabbage patch doll, their eyes look like slits and they look ridiculous.
• 20:57
  SPEAKER_00: Okay.
• 20:58
  SPEAKER_03: Yeah, no, I know, I know exactly what you mean.
• 21:01
  SPEAKER_03: And you know, it's funny because people are like, well, you know, can you really tell when someone has had procedures done?
• 21:06
  SPEAKER_03: And I'm always like, hell yeah, I can I can tell immediately.
• 21:10
  SPEAKER_03: I think anyone can if you look like that.
• 21:12
  SPEAKER_03: If you're if your lips look like you got stung by 15 bees all at once, then yeah, I can tell you had something done, you know.
• 21:19
  SPEAKER_03: So I get you, I completely understand that.
• 21:21
  SPEAKER_03: You know, I want to ask you though, Doc, you know, the the next question is is really about the skincare line because it's a very, very good line.
• 21:28
  SPEAKER_03: You know, I've been using it.
• 21:29
  SPEAKER_03: I really love your uh triple acid mask.
• 21:32
  SPEAKER_03: It's literally one of my favorite products at this point.
• 21:35
  SPEAKER_03: And I want to talk about, you know, what your like what the vision was when you wanted to recreate another line and how um you figured out, you know, which products you wanted to come out with and stuff.
• 21:46
  SPEAKER_00: You know, again, great question.
• 21:49
  SPEAKER_00: Um, I didn't know, okay, when I started in '91 uh DDF, I in a sense and was one of the first.
• 21:56
  SPEAKER_00: You never want to say the first, because Someone come out and say they were the first.
• 22:02
  SPEAKER_00: So I always say one of the first, and that's what we were.
• 22:05
  SPEAKER_00: And then we had a lot of people follow, and a lot of people did great jobs following because there were no active really ingredients, even the big brands.
• 22:16
  SPEAKER_00: I was amazed in 1991, you know, that if you looked at Este Lauder, Lancombe, all the biggest brands, they didn't have glycolics, they didn't have peptides, they didn't even have the sunscreens, the organic sunscreens.
• 22:31
  SPEAKER_00: It's amazing.
• 22:32
  SPEAKER_00: Forget about, you know, well, the glycolic acids, none of this existed.
• 22:37
  SPEAKER_00: So Sephora approached me and they asked me to come back again and fill a white space.
• 22:45
  SPEAKER_00: And that white space was the most active ingredients, the ones that you see on all the newsstands, you'll still see in the Allure's magazines and the Glamour and Hopper's magazine and InStyle.
• 22:59
  SPEAKER_00: You'll still see there's four or five active ingredients that have withstood the hands of time.
• 23:05
  SPEAKER_00: So what I did is take those active ingredients, and I was actually lucky in a way, because I was working on a solvent, which is a vehicle.
• 23:17
  SPEAKER_00: A vehicle, for some people who don't know what a vehicle is, it's what you put your active ingredients in.
• 23:23
  SPEAKER_00: And people don't realize that a lot of products are great products, but if they don't get into the skin, what's the point?
• 23:34
  SPEAKER_00: So a lot of your products that you put on the skin, okay, are in emulsifiers.
• 23:40
  SPEAKER_00: And emulsifiers, it's either water in oil or oil and water.
• 23:45
  SPEAKER_00: So what does that mean?
• 23:46
  SPEAKER_00: They form bubbles, and those bubbles don't let the active ingredients get into the skin.
• 23:53
  SPEAKER_00: So that glycolic acid, that retinol, okay, all those peptides are sitting on top of the skin.
• 24:02
  SPEAKER_00: So I have a patent pending, and I'm waiting, I'm hoping this week will be the week.
• 24:07
  SPEAKER_00: Every week, I think this is the week that the patent pending will become now a patent.
• 24:12
  SPEAKER_00: And we were very, very close to that.
• 24:14
  SPEAKER_00: But what it does is, and we did clinicals, and that's what we are, we're a doctor line, so we show clinicals, and I did clinicals on almost every product, and we were able to show that we were able to have high concentration.
• 24:29
  SPEAKER_00: That's a key, by the way, to sober skin Rx.
• 24:32
  SPEAKER_00: Yeah, high concentrations, so they're basically pharmaceutical grade, but they're cosmoceuticals.
• 24:39
  SPEAKER_00: Then I was a little afraid when I had these 35%, you know, vitamin C and 4.5% retinol.
• 24:48
  SPEAKER_00: I said, uh oh, and a 14.5% niacinamide.
• 24:53
  SPEAKER_00: Was I gonna blow these people's faces up?
• 24:56
  SPEAKER_00: And then we saw I I really was.
• 24:58
  SPEAKER_00: I used it on myself first, I used it on my wife, I used it on my patients.
• 25:03
  SPEAKER_00: So, in a way, I hate to use say this, but my patients were my guinea pigs.
• 25:07
  SPEAKER_00: We used it on them first, and then we did the studies, and we were able to show because of the SD 100, which is that patent pending base, which showed the increase the absorption, but what it did is decrease the irritancy of any of the high concentrations.
• 25:27
  SPEAKER_00: So we have a high concentration in a patent pending base that goes in deeper into the skin with more efficacy, and we showed that efficacy without getting into all the 90% consumer reports and everything else, because we won't have time for that.
• 25:43
  SPEAKER_00: But I did I would not do a skincare line that didn't do clinical studies and not just clinical perception studies, because as you know, clinical perception studies are always in the 90s.
• 25:57
  SPEAKER_00: We actually did real clinical instrumental studies, and that instrumental studies are never as high as perception, because perception is always higher.
• 26:06
  SPEAKER_00: You know, we were able to show 56% increase in hydration, that's unbelievable.
• 26:12
  SPEAKER_00: A perception was 94% an increase in hydration, so that always sells better, you know, to the to the client when you can say 94 versus 57.
• 26:23
  SPEAKER_00: But when you explain what that means, 57, where you could have a 57% increase in hydration of your skin, that's just unbelievable.
• 26:33
  SPEAKER_00: So the idea I know I'm talking a lot, so please.
• 26:37
  SPEAKER_00: No, no, I like it.
• 26:38
  SPEAKER_03: I'm just like I'm agreeing.
• 26:39
  SPEAKER_03: Just please continue.
• 26:41
  SPEAKER_00: So, so the idea of this whole white space, and I'm I don't intend, we have about 14 or 15 uh products now.
• 26:49
  SPEAKER_00: I'm adding two more.
• 26:51
  SPEAKER_00: I'm adding something for hyperpigmentation that's not a hydroquinone.
• 26:55
  SPEAKER_00: As you know, hydroquinone is outlawed in a number of countries, so it doesn't have a hydroquinone in it, okay, and it has the same effect or similar to hydroquinone without the irritation, without some of the side effects that hydroquinone may have, may or may not have, because that's not necessarily been totally proven, but it is outlawed in some of the European countries and Asian countries as well.
• 27:21
  SPEAKER_00: So we so we have so the idea was high concentrations, pharmaceutical grade, but cosmaceuticals that anyone could walk in to Sephora or walk into and order online on sobelskin uh.com and order it, or go to you know, Sephora and order it, and or come into my office and get it.
• 27:46
  SPEAKER_00: And I tend to continue to order, well, excuse me, continue to add up to around 20 to 22.
• 27:54
  SPEAKER_00: Not what we had with um DDF.
• 27:58
  SPEAKER_00: We had literally 104 SKUs, not necessary.
• 28:03
  SPEAKER_00: Okay, we only have one face and one body, there's only a morning and a night.
• 28:07
  SPEAKER_00: There's only so much you could put on your face.
• 28:10
  SPEAKER_00: And I'm also again, I love layering um skincare, but too much layering.
• 28:17
  SPEAKER_00: I have so many patients that walk into my office and they put they think more is better, they put so many things on their skin, and I don't know what the problem is.
• 28:27
  SPEAKER_00: Because and so we have to slowly, one by one, eliminate it and find out which product is causing the problem.
• 28:34
  SPEAKER_00: More is not always better, and that works with concentrations as well, by the way.
• 28:39
  SPEAKER_00: But I think the yeah, sorry.
• 28:41
  SPEAKER_03: I I want to ask you though, because uh yeah, I want to ask you because honestly, for me, retinol has always also been something that I stayed away from because I don't trust over-the-counter uh things that are supposed to be in uh clinical grade.
• 28:53
  SPEAKER_03: But your retinol, your 4.5% of retinol complex night treatment is phenomenal.
• 28:58
  SPEAKER_03: Like it is really good.
• 29:00
  SPEAKER_03: Like I didn't, I you know, for me, when I look at retinol products and I see all these like vegan companies and these cool, you know, that's cool.
• 29:07
  SPEAKER_03: But it's like I didn't ever feel like, you know, as a consumer, I'm talking, you know, obviously like it never felt to me like it resonated with me.
• 29:15
  SPEAKER_03: I didn't want to use something that was supposed to be coming from a perspective of a clinician and a doctor to be used you know, to be using it from a company that has no background in that.
• 29:25
  SPEAKER_03: So this complex, like it really does work.
• 29:28
  SPEAKER_03: And I and I'm really curious, like, you know, um, were you nervous when you created a 4.5% retinol?
• 29:34
  SPEAKER_00: And still nervous because it's been out about a year and a half, and I'm waiting for that one person to say, oh my God, you're not gonna believe it blew my skin up.
• 29:43
  SPEAKER_00: But so far we have not gotten that.
• 29:45
  SPEAKER_00: Now, for sure, someone's gonna write it and said it did that to my skin.
• 29:49
  SPEAKER_00: And hopefully not, because it's the way you use it, okay?
• 29:53
  SPEAKER_00: It's in the SD100 patent pending base, but also I have them follow it with the biohyaluronic.
• 30:02
  SPEAKER_00: Now, our biohyalonic is a natural biohyaluronic that's taken from the sea.
• 30:09
  SPEAKER_00: It's marine-based.
• 30:11
  SPEAKER_00: A lot of hyaluronic acids, which is one of the, you know, the key ingredients, it's right behind retinol.
• 30:19
  SPEAKER_00: Our skin is made up of, of course, you know, collagen and elastin and hyaluronic acid.
• 30:26
  SPEAKER_00: But what happens is some of the hyaluronic acids, the molecule is so big that it doesn't get into the skin.
• 30:33
  SPEAKER_00: Ours is a pure hyaluronic acid, hyaluron, and that hyaluron, and if you look at it, it's it's a it's blue because it's natural, it's taken from the marine, from algae from the sea.
• 30:47
  SPEAKER_00: So, what happens when you put it over okay, the retinol, it helps seal in the retinol.
• 30:55
  SPEAKER_00: And that's another key that I forgot to say.
• 30:57
  SPEAKER_00: And I our SD100 helps lock in the water and helps lock in the active ingredients that that it's that it's below.
• 31:09
  SPEAKER_00: It's actually think of the SD100 as your skin barrier.
• 31:15
  SPEAKER_00: As we get older, what happens to our skin barrier?
• 31:18
  SPEAKER_00: You know, it gets depleted, it becomes like cotton's cheese.
• 31:23
  SPEAKER_00: So, what happens?
• 31:24
  SPEAKER_00: Water gets out, okay, and irritants get in.
• 31:29
  SPEAKER_00: So, and when irritants get in, what happens?
• 31:32
  SPEAKER_00: Free radicals damage our healthy skin cells.
• 31:36
  SPEAKER_00: So the SD100 mimics what it does is actually mimics the lamella structure of our skin, the membrane structure of our skin that gets depleted.
• 31:48
  SPEAKER_00: So it lays a form over our regular lamella structure that no longer looks like it did when we were a teenager.
• 31:59
  SPEAKER_00: So it forms a teenager-like lamella structure.
• 32:03
  SPEAKER_00: Think of like a pool cover.
• 32:05
  SPEAKER_00: You put a pool cover, the pool cover keeps the sun out, keeps the pollutants out, but it keeps the water in.
• 32:13
  SPEAKER_00: So what happens with our S SD100 and with all our products, or at least all the creams, it keeps the active ingredients longer in the skin, time released.
• 32:26
  SPEAKER_00: I know you hear that word time released.
• 32:29
  SPEAKER_00: Sometimes it's true and sometimes it's not.
• 32:31
  SPEAKER_00: But ours is time released because that lamella structure is keeping the active ingredient in as long as possible, keeping the water.
• 32:40
  SPEAKER_00: Water is key.
• 32:42
  SPEAKER_00: Hydration of the skin makes your skin look younger.
• 32:46
  SPEAKER_00: Your skin is dehydrated, you'll look like a prune, like a raisin.
• 32:51
  SPEAKER_00: And that's why we have fine lines and wrinkles.
• 32:54
  SPEAKER_00: And think again, best thing I think of is a balloon.
• 32:57
  SPEAKER_00: Blowing the air, putting that air back into the balloon.
• 33:00
  SPEAKER_00: Our skin looks more and think of the air as water.
• 33:04
  SPEAKER_00: We look more hydrated, we look younger.
• 33:06
  SPEAKER_00: Now, going back to your other question, if we put too much filler in, we put too much air in, right?
• 33:13
  SPEAKER_00: And we don't want that.
• 33:14
  SPEAKER_00: We want just the right amount to lift those cheeks, fix the jagged jawline, lift the skin around the eye.
• 33:23
  SPEAKER_00: And so it's all aesthetic.
• 33:26
  SPEAKER_00: And I love to work with the patient.
• 33:28
  SPEAKER_00: I put pictures up on the screen.
• 33:30
  SPEAKER_00: We have this special screen, this touch uh screen that shows them what they look like before.
• 33:37
  SPEAKER_00: I show them what they look like after, before they leave my office.
• 33:41
  SPEAKER_00: I make sure that they're happy with what they like.
• 33:43
  SPEAKER_00: That doesn't mean they don't come back a week later and say, you know something?
• 33:47
  SPEAKER_00: Can you put a little more here in?
• 33:49
  SPEAKER_00: I hope what they don't tell me, take a little out, because I don't want to put more than has they need or they want or they require.
• 33:58
  SPEAKER_00: So and but if that happens, we have something to take it out.
• 34:02
  SPEAKER_00: Be careful with Botox.
• 34:04
  SPEAKER_00: You know, what less is more.
• 34:06
  SPEAKER_03: I agree.
• 34:07
  SPEAKER_03: No, that's a really good thing.
• 34:08
  SPEAKER_03: I'm glad that you're saying that.
• 34:10
  SPEAKER_03: And I and I actually want to ask you my next question is about niacinamide because this is a very buzzworthy topic, I think, especially um in the skincare community and especially all the Instagrammers out there that love talking about niacinamide.
• 34:23
  SPEAKER_03: Um, I want you to tell us what what is the purpose of niacinamide when it comes to true health for your skin?
• 34:29
  SPEAKER_00: You know, what niacinamide, for those who don't know, is is vitamin B3.
• 34:34
  SPEAKER_00: And it it's it's been very much studied, actually, a lot, it's very much studied by PG.
• 34:39
  SPEAKER_00: Uh, and and and we studied it as well.
• 34:42
  SPEAKER_00: And in ours, we have a we have a 15% niacinamide.
• 34:47
  SPEAKER_00: I think most niacinamides, if you look on the market, are sitting here somewhere between three, four, five percent.
• 34:53
  SPEAKER_00: Okay, ours is up to 15%.
• 34:55
  SPEAKER_00: What does it do?
• 34:56
  SPEAKER_00: It helps stabilize the skin barrier.
• 35:00
  SPEAKER_00: But as I said before, that skin barrier that gets like Swiss cheese and little holes in it, this plugs them up.
• 35:08
  SPEAKER_00: It helps increase the water content of the skin barrier, helps keep it in, it helps make the skin barrier appear and look younger.
• 35:19
  SPEAKER_00: So it actually works in conjunction with my SD100, because that's what the SD100 does.
• 35:25
  SPEAKER_00: So the SD100 combined with the niacinamide together, you got a one plus one equals three instead of two.
• 35:34
  SPEAKER_00: So I have my patients use retinol one night, niacinamide the next night, and following it with the biohyalonic right after.
• 35:47
  SPEAKER_00: So you have retinol, bihyaluronic.
• 35:49
  SPEAKER_00: Next day, niacinamide bihyaluronic.
• 35:52
  SPEAKER_00: Now, could they just use retinol and not deny niacinamide?
• 35:56
  SPEAKER_00: Yes, but I want them to have both.
• 35:59
  SPEAKER_00: And it's very difficult as there's only one night, and I want them to use it at night, not during the day.
• 36:06
  SPEAKER_00: I you don't want someone to use retinol during the day because retinol makes them very um, it can make the skin somewhat sensitive to the sun.
• 36:17
  SPEAKER_00: So very important if you're on retinol to use a sunscreen, and then you asked the question before that you sent me previously that I really want to address how much sunscreen is enough?
• 36:28
  SPEAKER_00: How much SPF is enough?
• 36:31
  SPEAKER_03: Yeah, I was gonna ask you that.
• 36:32
  SPEAKER_00: See, I I did read your questions.
• 36:35
  SPEAKER_00: So I did okay, so so it's you don't need more than a 30, okay, because a 30 will block the sun's rays by the the you know, the there's two different rays, UVA and UVB.
• 36:50
  SPEAKER_00: You want to block the rays by 97, and that seems that's high enough, okay?
• 36:56
  SPEAKER_00: So but so if you go to a uh uh and say a 90 uh SPF, so that will bring it up to a 98 or a 99.
• 37:06
  SPEAKER_00: Does that 2% make a difference?
• 37:08
  SPEAKER_00: No, nowhere makes a difference how much you put on and frequency.
• 37:13
  SPEAKER_00: You want a tablespoon on your face, okay?
• 37:17
  SPEAKER_00: At least a tablespoon, you want to apply it liberally, and you don't want just a pinch and you miss areas.
• 37:25
  SPEAKER_00: And what's even more important or just as important, you'll want to put it on every two to three hours.
• 37:32
  SPEAKER_00: There's no such thing as water resistant, water repellent.
• 37:37
  SPEAKER_00: Yeah, to a certain degree, but no way are you gonna lie down in the Florida hot sun or from 11 to 2 in the sun and think you're gonna put the sunscreen on, and by four o'clock, you are still gonna have the same resistance or the same SPF.
• 37:54
  SPEAKER_00: The SPF was geared to a certain time frame, and it was within that two-hour time frame.
• 38:02
  SPEAKER_00: Once you get to three, four hours, you no longer have the SPF of 30.
• 38:08
  SPEAKER_00: So the 97 to the 99, I don't think makes a difference.
• 38:12
  SPEAKER_00: Put it on liberally and at the same time, put it on every two to three hours.
• 38:18
  SPEAKER_00: Now, that does that mean if you're in the office, you have to put it on every two to three hours?
• 38:22
  SPEAKER_00: Absolutely not.
• 38:23
  SPEAKER_00: Okay, but if you're walking around, the answer is yes.
• 38:26
  SPEAKER_00: I know that's a pain.
• 38:28
  SPEAKER_00: You gotta now take your makeup off, put the sunscreen on, and when you're walking home, but that's really important.
• 38:35
  SPEAKER_00: I just did on myself, if you look on my Instagram, I did fraxal myself because I was starting to get a lot of pigmentation, and I was starting to get pre-cancers.
• 38:46
  SPEAKER_00: Pre-cancers, which everyone thinks it's cute, freckles.
• 38:49
  SPEAKER_00: Those are not really freckles, those are sun damage, and some of that sun damage is pre-cancer.
• 38:55
  SPEAKER_00: And what I love fractal, fraxal, if it's set high enough, can get rid of the pigmentation, clean the palate of your skin.
• 39:03
  SPEAKER_00: At the same time, it also will get rid of those pre-cancers, so you don't wind up getting a cancer and a hole in your face.
• 39:11
  SPEAKER_00: So that that is incredibly important because most people think fraxal, yeah, I don't really need it.
• 39:16
  SPEAKER_00: I kind of like the frackles.
• 39:17
  SPEAKER_00: No, do it because get rid of the pre-cancers, get rid of the pigmentation.
• 39:23
  SPEAKER_00: You don't have to put the makeup on as often.
• 39:25
  SPEAKER_00: The face will just look cleaner.
• 39:28
  SPEAKER_03: Yeah, no, I I think that's really important to address because I, you know, um I was talking to another dermatologist, and she was explaining how people are um very, you know, uh, there's a lot of misunderstanding about skin cancer out there.
• 39:42
  SPEAKER_03: They think that melanoma is the only one, and it's like, you know, they don't understand that there is there's a lot of other types, and they're, you know, you you don't know when you're developing a freckle, isn't just a freckle, you have to look at it as you know, there's something going on here.
• 39:56
  SPEAKER_03: So I'm really glad that melanoma.
• 39:58
  SPEAKER_00: Melanoma is is the one that people associate with death.
• 40:02
  SPEAKER_00: Okay.
• 40:02
  SPEAKER_00: And and the squamous cell and basal cell uh cosinoma, they they're not usually associated with someone dying from it or metastatic disease from it.
• 40:12
  SPEAKER_00: Okay, but but certainly if you let it go, the the patient will wind up getting look muted, mutilated, meaning they'll have a hole in their face, it'll it'll scar them, and especially in certain areas around the face.
• 40:30
  SPEAKER_00: And that's why there's such a thing as Moe's surgery, where you cut it out and you make sure you got out the whole skin cancer, so the person doesn't have to come back for a second revision.
• 40:40
  SPEAKER_00: So it's it's it's melanoma is the most important from a standpoint of life or death, but not the most prevalent, and certainly not the most important in terms of why patients walk into my office.
• 40:56
  SPEAKER_00: Most of them walk in trying to prevent a basal cell or a squamous cell carcinoma, and they need to be treated just as vigorously as a melanoma.
• 41:06
  SPEAKER_00: Although melanoma has a people have a strong family history, and they need to be checked out if they have a melanoma at least once a year and preferably twice a year.
• 41:16
  SPEAKER_00: Because who should die of a skin cancer if they don't have to?
• 41:21
  SPEAKER_03: Right, absolutely.
• 41:23
  SPEAKER_03: I love that you said all those things because you know that's something I think the public is very undereducated around is this idea of what really is skin cancer and what is it, when is it time to really explore and go to a dermatologist and get yourself checked out.
• 41:38
  SPEAKER_03: You know, I have so many people message me and they're like, Well, do you think I should go to a deram?
• 41:43
  SPEAKER_03: And every time I'm like, absolutely.
• 41:45
  SPEAKER_03: You know, anytime you don't know what's going on or something looks weird, you need to go.
• 41:50
  SPEAKER_03: You need to go see somebody who does know what to look for.
• 41:53
  SPEAKER_03: And so, you know, this is this is definitely an area that I think the public needs to uh just learn more about, be more knowledgeable about.
• 42:00
  SPEAKER_00: So yeah, I appreciate your you know, you you're you reach an age, you know, where all of a sudden, you know, past 50.
• 42:07
  SPEAKER_00: You know, my mom had a history of colon's cancer.
• 42:10
  SPEAKER_00: So now that I'm past 50, okay.
• 42:13
  SPEAKER_00: I mean, I shouldn't have told your audience that they won't want to come to me, you'll think I'm too old.
• 42:17
  SPEAKER_00: Okay, okay.
• 42:18
  SPEAKER_00: I hope that's not the case, but but but because uh I'm past 50, you know, every year, every two years, depending if I have any polyps or anything, I'll uh I get a coronoscopy.
• 42:31
  SPEAKER_00: Okay, if I could prevent something, why would I not?
• 42:34
  SPEAKER_00: So this all started with aesthetic dermatology, how I got into it.
• 42:39
  SPEAKER_00: I got into it because I love the field, I love making people happy, and I I love just like you know, I love to play with clay and I love to sculpt things and make love to draw.
• 42:49
  SPEAKER_00: I also love to do that on a patient's face, okay?
• 42:53
  SPEAKER_00: And where it's even more serious than just drawing, and you can make a mistake, you know, on your sculpture or your drawing, but you don't want to make a mistake on someone's face.
• 43:03
  SPEAKER_00: But skin is skin.
• 43:05
  SPEAKER_00: That's what someone just called me the other day.
• 43:07
  SPEAKER_00: In fact, my wife called me and she said, you know, my friend wants you to go to a pediatric dermatologist.
• 43:12
  SPEAKER_00: I said, you know something?
• 43:13
  SPEAKER_00: She could come here, skin is skin.
• 43:15
  SPEAKER_00: It doesn't matter if it's a baby, or it doesn't really matter if it's uh if it's she's 20 or she's 50.
• 43:22
  SPEAKER_00: Okay, you're pretty much treated very similarly.
• 43:26
  SPEAKER_00: You're not gonna treat it the same way in terms of you're certainly not gonna give a little baby hyaluronic acid on the face and blow them up like a cabbage batch doll, but you're gonna treat their problems in a different way, but skin is skin, and you have to understand that.
• 43:43
  SPEAKER_03: Yeah, I agree.
• 43:44
  SPEAKER_03: I really agree.
• 43:45
  SPEAKER_03: And you know, I wanna I wanna kind of round up the episode, uh, Dr.
• 43:48
  SPEAKER_03: Sobel, and get your advice because I think there's a lot of um, you know, young people out there now, especially, you know, I know the medical school applications are blowing up these days.
• 43:57
  SPEAKER_03: You know, I I have a younger sibling, and I know when he went.
• 44:00
  SPEAKER_03: To his uh MD PhD program.
• 44:02
  SPEAKER_03: It was very hard for him, even though he had great scores.
• 44:04
  SPEAKER_03: So I know I know people need advice, you know, in this field.
• 44:07
  SPEAKER_03: And I want you to offer some advice for any aspiring dermatologists out there, anyone who wants to go into school for this, or or just really anybody who wants to get involved with skin health.
• 44:17
  SPEAKER_00: Well, I I say, you know, in your area, wherever you live, you know, go go go to your I have people in high school come to my office and they follow me around for a month, for two months, you know, and when we we leave our office open for anyone really pretty much, obviously at some point it becomes too crowded, but but we leave room for anyone that's interested in skincare, and they could trail me for a day, they could trail me for a week, and if they're interested, they could come back whenever they want, you know, and long as they kind of make an appointment.
• 44:50
  SPEAKER_00: And it and it's fun, it's not just fun for them, it's actually fun for me.
• 44:54
  SPEAKER_00: I love teaching them, I love the interaction.
• 44:57
  SPEAKER_00: Okay, it it actually passes my day a little quicker.
• 45:01
  SPEAKER_00: Uh, it's so great to see a smiling face on someone that says, Oh, really?
• 45:06
  SPEAKER_00: You could do that, okay.
• 45:08
  SPEAKER_00: And and it so it's uh so for that aspiring dermatologist, that aspiring whatever field, it doesn't have to even be dermatology.
• 45:17
  SPEAKER_00: Although dermatology, I think it's gotta be one of the biggest growing fields in medicine because it it's it's that word F-U-N.
• 45:27
  SPEAKER_00: It's fun, it's fun, it's serious, it's more fun now than when I was younger because it's all the things every every week I have someone else call me, another drug rep from a from another laser company.
• 45:41
  SPEAKER_00: Sometimes I could think I could just take the name off the machines that I have, because I must have 30, 40 lasers in my office.
• 45:49
  SPEAKER_00: And a good thing I have a big office, but I don't know what to do with them because sometimes sometimes they do the same thing.
• 45:55
  SPEAKER_00: But but companies are in competition and they compete with each other, and they have a little variant of of what the other machine does.
• 46:03
  SPEAKER_00: So it's it's how it's not always the laser, it's how you put the lasers together, how you use them in conjunction.
• 46:11
  SPEAKER_00: Same thing with skincare, and that's why we have the retinol, the triple oligopeptide, the biohyaluronic, the triple, as you mentioned, acid mineral mask.
• 46:23
  SPEAKER_00: You know, we have the 35% of vitamin C, the 30% glycolic acid peel.
• 46:30
  SPEAKER_00: That's a peel that you could do in your home.
• 46:32
  SPEAKER_00: You don't actually come have to come to see me in my office.
• 46:35
  SPEAKER_00: You could do it in your own home, start out two minutes, work your way up every 15 seconds, every week, depending on how sensitive your skin is.
• 46:44
  SPEAKER_00: Isn't it great?
• 46:45
  SPEAKER_00: I get letters from people all the time.
• 46:47
  SPEAKER_00: So I say, I love it.
• 46:48
  SPEAKER_00: I feel like my own dermatologist should I treat my skin, my skin looks radiant after a couple of days.
• 46:54
  SPEAKER_00: It peels for a day or two, and I feel like I'm doing something proactive for my skin.
• 47:00
  SPEAKER_00: What's better than being proactive?
• 47:02
  SPEAKER_00: So that's what we did, I think.
• 47:05
  SPEAKER_00: At least that's what I'm trying to do on Sobel Skin, my second time around.
• 47:09
  SPEAKER_00: I'm trying to get people involved in their own skincare where it's actually fun.
• 47:14
  SPEAKER_00: They go to the medicine cabinet where they're not overloaded.
• 47:18
  SPEAKER_00: I find that people's medicine cabinets are overloaded.
• 47:21
  SPEAKER_00: And even when you go to some of the stores, you know, even the people that work behind the counters, and you walk over there, they don't know what to show you first.
• 47:30
  SPEAKER_00: You know, and that's why we started actually going into some kits.
• 47:33
  SPEAKER_00: Kits are helpful if you have pigmentation problems, if you have wrinkle line problems.
• 47:37
  SPEAKER_00: So we're trying to go into those kits without an oversell.
• 47:42
  SPEAKER_00: I don't want to ever sell something, something, something to someone that they don't need it.
• 47:48
  SPEAKER_00: Okay, I want that person to really have a problem with the pigmentation, then we'll go after it.
• 47:55
  SPEAKER_00: Okay, I don't want to sell them something they they don't care about, other than if I see a skin cancer and then I'm very actually proactive and I'll push them and sometimes to the point they can look at a little angry at me, you know, leave me alone.
• 48:10
  SPEAKER_00: I don't care about it.
• 48:11
  SPEAKER_00: I said, Well, I do.
• 48:12
  SPEAKER_00: So so but then going back to your question, yeah, I I think it's important go wherever you live.
• 48:20
  SPEAKER_00: If you live in New York, come and visit me.
• 48:22
  SPEAKER_00: Okay, if you live in wherever you live in Tennessee, go go to your local and call them up.
• 48:27
  SPEAKER_00: Hopefully they're nice to you.
• 48:29
  SPEAKER_00: Hopefully, if it's not the doctor, at least you could you could jump in with the PA or the nurse, okay?
• 48:36
  SPEAKER_00: And see if you're really interested.
• 48:38
  SPEAKER_00: You maybe you're only interested for yourself, but maybe you're interested in for your sister or your mother and and and and and enjoy it.
• 48:46
  SPEAKER_00: Go get a book, okay?
• 48:48
  SPEAKER_00: Get a lay person's book, you know, a layman's per uh book, you know, it doesn't have to be a complicated book.
• 48:53
  SPEAKER_00: Learn a little about skin, learn the different layers, the epidermis, the dermis, the fat layer, learn a little about it.
• 49:00
  SPEAKER_00: So when we're talking, you know, you actually understand why we use certain products.
• 49:06
  SPEAKER_00: But the product, if I had to mention to you, the product, if you had to mention, I'll put you on the spot.
• 49:12
  SPEAKER_00: If you had to mention the product that's been the most studied, and probably I don't want to say the best product because it's using conjunction, what product would you think would be out there?
• 49:22
  SPEAKER_00: Would be would be it?
• 49:23
  SPEAKER_00: Vitamin C.
• 49:25
  SPEAKER_00: Vitamin C would be one, retinol.
• 49:28
  SPEAKER_00: Retinol and vitamin C or retinal and vitamin C, all conjunction, retinal, vitamin C, and now you mentioned it as well, which people don't know about niacinamide.
• 49:37
  SPEAKER_00: I love niacinamide because as I said before, what happens to us when we get older?
• 49:42
  SPEAKER_00: We become dehydrated, we become hollowed out.
• 49:47
  SPEAKER_00: If you become hollowed out, just right now, as we speak, even though I can't see really see you, just suck in on your suck in.
• 49:57
  SPEAKER_00: And and you'll see you look older looking because your cheeks have sunken in, everything becomes hollowed out, everything becomes sort of narrowed, and then blow it up, not too much, and you become younger looking again.
• 50:12
  SPEAKER_00: And that's the idea.
• 50:14
  SPEAKER_00: And then we actually go from that to the quality of skin, the fine lines, the wrinkles, the pigmentation on the skin.
• 50:24
  SPEAKER_00: And then when you put it all together, you got a 40-year-old that looks 30, you got a 50-year-old that looks 40.
• 50:32
  SPEAKER_00: You don't you never have a 70 that looks 30.
• 50:36
  SPEAKER_00: If that's the case, you got a phenomenon there.
• 50:38
  SPEAKER_03: And that's that's yeah, that's really uh something happened there.
• 50:43
  SPEAKER_03: You know, that's that's a fallacy.
• 50:46
  SPEAKER_00: Like if that happens.
• 50:47
  SPEAKER_00: But I never know what to do.
• 50:49
  SPEAKER_00: What do you do?
• 50:50
  SPEAKER_00: What would you do?
• 50:50
  SPEAKER_00: What do you do with that person that walks in and insisted?
• 50:54
  SPEAKER_00: I want to look like I did when I was in high school, and they are 50 years old.
• 51:01
  SPEAKER_00: I mean very often they're that person that just broke up with their boyfriend or girlfriend, and and they want to go out and they want to meet that person of their dreams, and they want it yesterday.
• 51:14
  SPEAKER_00: And you always can't give someone back yesterday.
• 51:18
  SPEAKER_00: We try the best we can, but there's so many things out there that we didn't have before.
• 51:24
  SPEAKER_00: And I'm excited personally to still be involved in this field that's ever growing and it's gonna continue to grow.
• 51:32
  SPEAKER_00: And when we talk, hopefully again, and whenever we do, I'm gonna have other things to tell you.
• 51:38
  SPEAKER_00: We're gonna have more things in our line.
• 51:41
  SPEAKER_00: And and and you know, and I hope one day you you live where?
• 51:45
  SPEAKER_00: Where do you live?
• 51:46
  SPEAKER_03: Well, I live in uh I live in uh New York and the Jersey area, but I'm actually in Ohio right now because of my parents and the holidays and stuff.
• 51:54
  SPEAKER_03: Well, but um I'm gonna come see you though.
• 51:56
  SPEAKER_00: I'm gonna come see you.
• 51:57
  SPEAKER_00: Personal invite to to to from me to come in and hang out with me and let's make it fun, okay?
• 52:05
  SPEAKER_00: Yeah, because skincare should be fun.
• 52:07
  SPEAKER_00: Skin care is is is not pancreatic cancer.
• 52:11
  SPEAKER_00: So you know, skincare, you know, is is should be fun.
• 52:16
  SPEAKER_00: Okay, hopefully you don't have a melanoma, but but even then it's treatable.
• 52:21
  SPEAKER_00: Make sure you get to it early.
• 52:23
  SPEAKER_00: But getting back to your question, and I still get back to it because I'm a big proponent of making sure you take care of sun damage, you know, fracts or whatever it is, put the sunscreen on every two to three hours.
• 52:37
  SPEAKER_00: Put a good amount on at one time.
• 52:40
  SPEAKER_00: Make sure, okay, that you don't skimp.
• 52:43
  SPEAKER_00: Don't put a peace size amount and say, ah, I don't need any more, because guess what?
• 52:48
  SPEAKER_00: It's a 60 or a 70 SPF.
• 52:51
  SPEAKER_00: That 60, 70 SPF is not as good as a 30 if the 30 is put on more often and put on a larger amount.
• 53:01
  SPEAKER_03: Yeah, you really want to coat your skin.
• 53:03
  SPEAKER_03: That's the whole point.
• 53:04
  SPEAKER_03: Is like you got to coat the skin.
• 53:06
  SPEAKER_03: That's the SPF is only gonna block out those rays if you have an adequate layer and it's on all over the skin, not just like on your nose, and that's it, you know.
• 53:16
  SPEAKER_00: And remember, it becomes less effective as the time goes on.
• 53:20
  SPEAKER_00: So that SPF of 30 or 50 or 60, or I said you don't need more than 30, it becomes less effective if you don't continually put it on.
• 53:31
  SPEAKER_00: That again, not doesn't mean if you're in your office, you have to keep putting it on.
• 53:35
  SPEAKER_00: Okay, but also understand the light that comes through the window, you get UVA light.
• 53:41
  SPEAKER_00: And that UVA light actually causes fine lines and wrinkles and sun damage.
• 53:45
  SPEAKER_00: A lot of people don't realize.
• 53:47
  SPEAKER_00: You also get damage through your car window, okay, of UVA light as well.
• 53:52
  SPEAKER_00: People don't realize they think uh they're behind the glass, no, no problem.
• 53:57
  SPEAKER_00: That's there is a problem, you know.
• 53:59
  SPEAKER_00: And we also believe the burning rays, which is UVB, and that's more specific to the SPF.
• 54:05
  SPEAKER_00: Okay, we thought, oh, that only the burning rays were important.
• 54:09
  SPEAKER_00: Not true, okay.
• 54:11
  SPEAKER_00: UV UVA is just as important as UVB, it's a combination of the two.
• 54:17
  SPEAKER_00: I like organic, okay, as opposed to the uh chemicals that are in some of the sunscreens, but you know something to each his own, just use a sunscreen, okay.
• 54:32
  SPEAKER_03: And if you if there's a skincare, can I just say this, Dr.
• 54:35
  SPEAKER_03: While you're here, is like if there's a skincare brand out there and they're not selling a sunscreen, you should probably not trust who the hell is making it.
• 54:44
  SPEAKER_03: Because if anyone knows anything about skin, they will know you need a sunscreen.
• 54:49
  SPEAKER_03: Yeah, like if I started online, that'd be the first thing I come out with.
• 54:53
  SPEAKER_03: Sunscreen.
• 54:54
  SPEAKER_00: No matter what I give you, if I don't have a sunscreen to offer you, yeah, and I'm giving you a retinol to put on your face, and you're not putting a sunscreen on the next day.
• 55:03
  SPEAKER_00: Shame on me.
• 55:04
  SPEAKER_00: Okay.
• 55:05
  SPEAKER_00: Uh, I mean, shame on me.
• 55:06
  SPEAKER_00: Okay, so yes, a sunscreen is a is a must.
• 55:10
  SPEAKER_00: Okay.
• 55:10
  SPEAKER_00: Well, that's so well.
• 55:11
  SPEAKER_03: I want to just I want to thank you so much.
• 55:13
  SPEAKER_03: This has been so fun, and I can't wait.
• 55:15
  SPEAKER_03: I want to do a part two, like and come up with some really, really interesting questions because I feel like you're like the go-to at this point for me for all my skincare questions.
• 55:24
  SPEAKER_00: We're gonna have fun.
• 55:25
  SPEAKER_00: I can't wait to actually meet you in person.
• 55:27
  SPEAKER_00: I think you're gonna are gonna have a good time, actually.
• 55:30
  SPEAKER_00: I okay, and uh and I'll I'm I'm not gonna talk you into getting to do anything, you're gonna tell me what you want to do.
• 55:37
  SPEAKER_00: I'm a strong believer in letting the patient tell you unless I see something that is damaging to you.
• 55:43
  SPEAKER_03: Okay, I'm excited.
• 55:44
  SPEAKER_03: I can't wait.
• 55:45
  SPEAKER_03: And I'm I'm actually going to uh request a couple products from your line because I'm now I'm very intrigued.
• 55:50
  SPEAKER_03: So I'm really excited.
• 55:52
  SPEAKER_03: Yeah.
• 55:53
  SPEAKER_00: Whatever you want, you know, just answer Andrea and thank you so much.
• 55:57
  SPEAKER_03: And everyone listening, thank you so much for tuning in.
• 56:00
  SPEAKER_03: This has been so fun, and I hope you learned as much as I did from Dr.
• 56:04
  SPEAKER_03: Sobol.
• 56:04
  SPEAKER_03: And he will definitely be back because I will be bugging his team to get him back, um, depending on the schedule.
• 56:10
  SPEAKER_03: And yeah, leave us some feedback, some comments, uh, questions.
• 56:14
  SPEAKER_03: And yeah, I hope you love that episode.
• 56:16
  SPEAKER_03: I definitely did.
• 56:17
  SPEAKER_03: So thank you again.
• 56:18
  SPEAKER_03: Hey guys, so I hope you love that episode.
• 56:20
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• 56:25
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• 56:27
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• 57:03
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• 57:13
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• 57:20
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• 57:25
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