Latest / Hurdle with Emily Abbate / 286. Skincare 101: Dr. Mamina Turegano Debunks Your Questions On Exfoliating, Retinol, Botox, A Beginner's Ideal Routine & More

Transcript

286. Skincare 101: Dr. Mamina Turegano Debunks Your Questions On Exfoliating, Retinol, Botox, A Beginner's Ideal Routine & More · Hurdle with Emily Abbate

0:00
Speaker 1: Twenty twenty. I think everyone suddenly became so involved with
0:05
Speaker 1: self care skincare. They were at home and just the
0:10
Speaker 1: skincare world blew up.
0:26
Speaker 2: Hey everyone, Emily A body here. You are listening to
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Speaker 2: episode two hundred and eighty six of Hurdle, a wellness
0:34
Speaker 2: focused podcast where I talk to inspirational people about everything
0:38
Speaker 2: up from their highest ties and toughest moments to essential
0:41
Speaker 2: tips on how to live a healthier, happier, more motivated life.
0:46
Speaker 2: We all go through our fair share of hurdles. My
0:49
Speaker 2: goal through these discussions is to empower you to better
0:52
Speaker 2: navigate yours and move with intention so that you can
0:55
Speaker 2: stride towards your own big potential and of.
0:58
Speaker 3: Course have fun along the way.
1:03
Speaker 2: For today's conversation, I am personally amped to pivot to
1:08
Speaker 2: something that I am newly really working on and passionate about.
1:13
Speaker 2: That is skincare. I am honored to welcome today's guest
1:18
Speaker 2: award winning doctor Mamina Turagano. She's a triple board certified
1:24
Speaker 2: dermatologist internist and I'm going to go for this. A dermatopathologist.
1:30
Speaker 2: I think I said that right, and she has so
1:34
Speaker 2: much insight, the perfect candidate to answer all of your
1:39
Speaker 2: skincare questions.
1:41
Speaker 3: Today we really cover.
1:42
Speaker 2: It all, chatting about things like what someone should do
1:45
Speaker 2: if they feel like it's super difficult to get a
1:47
Speaker 2: dermatology appointment, how regularly you should be going to see
1:52
Speaker 2: a dermatologist, whether or not online prescriptions are safe or
1:56
Speaker 2: legitimate skin cancer and young women, what we should know
2:00
Speaker 2: best practices for retinol, How you can navigate a skincare
2:04
Speaker 2: routine in a way that actually feels doable. Is there
2:08
Speaker 2: anything that we can do about malasma or pigmentation?
2:12
Speaker 3: Vitamin D?
2:13
Speaker 2: Really, I'm telling you, we go through the ringer. It
2:17
Speaker 2: is no wonder why doctor Mamina has so many followers
2:22
Speaker 2: on TikTok and Instagram. She is a wealth of knowledge
2:26
Speaker 2: and I am happy to deliver you to the source today.
2:30
Speaker 3: Make sure you're following along with.
2:32
Speaker 2: Hurdle over on social and at Hurdle Podcast. We've been
2:36
Speaker 2: working really hard to make really great content over there
2:39
Speaker 2: that I would love for you to engage with. Also,
2:43
Speaker 2: I am over at Emily a Body, And if you're
2:46
Speaker 2: not yet a subscriber to the weekly Hurdle newsletter, I
2:50
Speaker 2: am bringing new life to that as well. You can
2:53
Speaker 2: subscribe to it absolutely free by heading on over to
2:56
Speaker 2: the link in.
2:57
Speaker 3: The show notes.
2:58
Speaker 2: And last, but certainly not least, the super secret Hurdler's group,
3:03
Speaker 2: which is not so secret after all, the link to
3:06
Speaker 2: get in on the fund that's happening over there where
3:09
Speaker 2: we have community, we talk about our ideas, what's going on,
3:14
Speaker 2: and also me and my team are regularly programming that
3:18
Speaker 2: with prompts and things to get you thinking. So get
3:22
Speaker 2: in on that. I'd love to see you there. Now
3:25
Speaker 2: that the housekeeping is done.
3:27
Speaker 3: Let's get to it. Let's get to hurdling.
3:35
Speaker 2: Today, I'm sitting down with doctor Mamina Toregano. She's a
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Speaker 2: triple board certified dermatologist, internist and to many their favorite
3:45
Speaker 2: TikTok dermatologists.
3:46
Speaker 3: How are you doing today?
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Speaker 1: I'm doing great. Thanks so much for having.
3:50
Speaker 3: Me, Thanks so much for making the time.
3:52
Speaker 2: I was absolutely blown away when I threw out to
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Speaker 2: my community that I was having you come on the show,
4:00
Speaker 2: and the amount of questions that came in about skincare, Like, yes,
4:06
Speaker 2: we talk about all aspects of wellness here on Hurdle,
4:09
Speaker 2: but the skincare questions were abundant.
4:13
Speaker 1: Oh yeah, people are loving skincare. They wanted to know
4:17
Speaker 1: everything they.
4:18
Speaker 3: Want to know absolutely everything.
4:19
Speaker 2: It's a crazy time to be someone who has such
4:22
Speaker 2: a large platform. Talk to me about what's changed for
4:26
Speaker 2: you since you started sharing some of your knowledge with
4:30
Speaker 2: the masses.
4:31
Speaker 1: Yeah, I had no idea that it was going to
4:33
Speaker 1: blow up to the degree that it has. But you know,
4:36
Speaker 1: my goal was actually, initially I started my Instagram account,
4:41
Speaker 1: my doctor Mamina account, because I wanted to make sort
4:45
Speaker 1: of a name for myself locally here in New Orleans.
4:47
Speaker 1: I moved back here. The city is actually pretty saturated
4:50
Speaker 1: with dermatologists, and I wanted to, you know, get a following.
4:54
Speaker 1: I wanted to kind of grow my practice, and I
4:56
Speaker 1: want to kind of stand apart from the other germs,
4:58
Speaker 1: and so I gave a lot of you know, wellness tips,
5:01
Speaker 1: more holistic approaches to skin health, like certain dietary factors
5:05
Speaker 1: that can affect your skin, or supplements things that can
5:08
Speaker 1: affect like hormonal acne, things like that, and yeah, just
5:12
Speaker 1: kind of twenty twenty, I think everyone suddenly became so
5:17
Speaker 1: involved with self care skincare. They were at home, and
5:23
Speaker 1: just the skincare world blew up. And I started putting
5:27
Speaker 1: a lot of educational content on TikTok and that's how
5:29
Speaker 1: things just kind of went from there.
5:32
Speaker 2: It must have been an interesting pivot for you, because
5:35
Speaker 2: I don't expect that you thought getting into this field
5:39
Speaker 2: that being on camera very often would be a part
5:42
Speaker 2: of your every day.
5:43
Speaker 1: No idea, I had no idea.
5:46
Speaker 2: Wow, oh man, what would you say, are like the
5:49
Speaker 2: pros and cons of that for you?
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Speaker 1: For me, one of the biggest pros is being able
5:56
Speaker 1: to reach a wide audience with advice that I feel
6:01
Speaker 1: like I hear myself give daily to my patients and repetitively.
6:06
Speaker 1: So it's so nice to be able to say it
6:08
Speaker 1: and think that it potentially could reach like hundreds of
6:12
Speaker 1: thousands of people even And so I was like, okay,
6:15
Speaker 1: that that saves me a lot of time actually, so
6:18
Speaker 1: it's nice. But obviously, like having just that broad impact
6:22
Speaker 1: is so amazing and fulfilling too.
6:25
Speaker 3: Really yeah.
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Speaker 1: Yeah, And then of course with that, you know, can
6:29
Speaker 1: come a few cons. I mean, yes, it can be
6:32
Speaker 1: pretty time consuming. And then also you can't you know,
6:35
Speaker 1: please everyone. As physicians, we always promote things that are
6:38
Speaker 1: like very science and evidence based, but then you can
6:41
Speaker 1: get backlash from the community that's saying that, like, no,
6:44
Speaker 1: that stuff's poisoned, like don't ever use it talking about sunscreen,
6:48
Speaker 1: you know, like so's it's Yeah, there could be a
6:51
Speaker 1: lot of criticism out there even if you're really just
6:54
Speaker 1: doing your best.
6:55
Speaker 2: Yeah, And you know that comes back to your moral
6:58
Speaker 2: compass and your values, Like you know what your intentions are,
7:01
Speaker 2: and all you can do then is the best you
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Speaker 2: can with what you have, using your ethics as a
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Speaker 2: guiding point, right, but certainly frustrating and understanding that you
7:12
Speaker 2: know you aren't going to please everyone, like you said,
7:15
Speaker 2: and getting to a point where you're okay with that,
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Speaker 2: which isn't easy.
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Speaker 1: I feel like I've come a long way, but I'm
7:21
Speaker 1: still I'm still learning.
7:23
Speaker 3: Yeah, I hear you, We all are for sure.
7:26
Speaker 2: Well. I also really appreciate what you said about having
7:29
Speaker 2: the opportunity to impact people beyond the individuals you're able
7:33
Speaker 2: to see regularly within your practice, especially because dermatology for
7:37
Speaker 2: many isn't covered always by insurance, so seeing a dermatologist
7:42
Speaker 2: can be a pricey endeavor. This leads me into the
7:47
Speaker 2: first of many questions I have for you, doctor Treguano,
7:50
Speaker 2: and that is how regularly should someone have a dermatologist appointment?
7:57
Speaker 1: It's a great question. I would say for everyone, it's
8:02
Speaker 1: always helpful to just get a baseline exam with a dermatologist.
8:07
Speaker 1: It doesn't matter if you have zero concerns about your skin.
8:11
Speaker 1: I think it helps to just make an appointment and
8:14
Speaker 1: if I mean, of course, if you have access to
8:16
Speaker 1: seeing one in person, but make an appointment and they
8:20
Speaker 1: can you know, I mean ideally do a skin check
8:23
Speaker 1: like a full body skin check, or you could you know,
8:26
Speaker 1: come in with your questions and the dermatologists, based on
8:30
Speaker 1: what they see based on your history, can determine how
8:33
Speaker 1: often you need to see them. But in terms of
8:37
Speaker 1: you know, skin cancer prevention and skin cancer screening, people
8:42
Speaker 1: who should be seen at least once a year are
8:44
Speaker 1: people who have had a first degree family member or
8:49
Speaker 1: personally have had skin cancer. More so melanoma than the
8:52
Speaker 1: non melanoma skin cancers, and non melanoma skin cancers are
8:55
Speaker 1: way more common and thankfully aren't as scary or deadly
8:58
Speaker 1: as melanoma. But but for sure, if you had a
9:01
Speaker 1: personal or family history, you definitely want to be seen
9:03
Speaker 1: at least once a year. And then if you've had
9:06
Speaker 1: any really bad sunburns when you were younger, And when
9:09
Speaker 1: I say bad like sunburns that resulted in blisters. So
9:12
Speaker 1: just like water blisters on your skin, even having one
9:15
Speaker 1: blistering sunburn really exponentiates your risk of skin cancer. If
9:20
Speaker 1: you have more than one hundred moles, which many people
9:23
Speaker 1: do have more than one hundred moles, that's another reason
9:26
Speaker 1: to make sure you get seen once a year. If
9:28
Speaker 1: you have very very fair skin, like very fair, freckly,
9:33
Speaker 1: and then more so if you have like red hair
9:36
Speaker 1: and blue or green eyes along with a fair complexion,
9:39
Speaker 1: your risk for skin cancer is just much higher. And
9:43
Speaker 1: if you at all have any history of being im compromised,
9:48
Speaker 1: like of having a weekend immune system like history of cancer,
9:51
Speaker 1: or if you're on medications, I could be compromising your
9:53
Speaker 1: immune system. If you've used a tanning bed more than
9:55
Speaker 1: ten times, so any of those things, you do want
9:59
Speaker 1: to see a differentists regularly, like once a year. But
10:01
Speaker 1: beyond besides that, the dermatologists can tell you how often
10:06
Speaker 1: you should be seen.
10:07
Speaker 2: I'm like shaking my fist at my younger college self
10:11
Speaker 2: who had the membership to the tanning salon before she
10:14
Speaker 2: knew how bad it was. And I have so much
10:17
Speaker 2: empathy also for redheaded individuals like you, didn't ask for this, No, exactly,
10:23
Speaker 2: I know you didn't ask for this With these regular
10:27
Speaker 2: dermatology appointments. A question that came in is with a
10:31
Speaker 2: full body skin exam, are all dermatologists trained to do
10:36
Speaker 2: something like this or are there certain individuals that you
10:38
Speaker 2: should make sure can do this for you.
10:42
Speaker 1: All dermatologists are trained to do this if they are
10:46
Speaker 1: a board certified dermatologist, so that's something that they should
10:49
Speaker 1: be displaying or advertising that their Board certified dermatologist. Another
10:53
Speaker 1: indication to know that their board sort of by dermatologist
10:56
Speaker 1: is after their name, so everyone's a medical doctor MD.
11:00
Speaker 1: There's also DOOS doctor of Osteopathy, and that they have
11:04
Speaker 1: the same credentials. But after the MD or the DOO
11:08
Speaker 1: there should be the letters FAAD and that just basically
11:13
Speaker 1: means that they are sports certified with the American Academy
11:17
Speaker 1: of Dermatology. Many people may not put that there, but
11:21
Speaker 1: you want to look for at least one of those
11:22
Speaker 1: two things, especially if they've been practicing for a while,
11:25
Speaker 1: sort of evolve their practice to focus on a certain niche.
11:30
Speaker 1: And some derms like will only do cosmetic dermatology, and
11:34
Speaker 1: you could probably get that vibe from their website, but
11:39
Speaker 1: I would say anyone who supports certified derm is definitely qualified.
11:43
Speaker 2: Okay, so you mentioned the phrase cosmetic dermatology. I'm going
11:48
Speaker 2: to segue us into talking about some of these more
11:52
Speaker 2: regular treatments that people are going in to see a
11:55
Speaker 2: cosmetic dermatologist about. Specifically a question that came in ventative botox.
12:02
Speaker 2: Is this just a buzz phrase or is this something
12:04
Speaker 2: that's legitimate Because.
12:06
Speaker 3: I don't know about you.
12:07
Speaker 2: I feel like I'm seeing people that are like twenty
12:09
Speaker 2: four going in for botox.
12:10
Speaker 1: Now, yeah, I think preventative botox can mean a few
12:15
Speaker 1: different things. And the way that I would potentially use
12:20
Speaker 1: that concept in my practice is for people who So
12:26
Speaker 1: here's the thing, Like, you could have wrinkles when you're
12:28
Speaker 1: a teenager because of just how the muscles in your
12:31
Speaker 1: face move. That is what causes wrinkles in the face.
12:35
Speaker 1: And the reason why we see wrinkles as people get
12:37
Speaker 1: older is because your collagen gets weaker and that allows
12:42
Speaker 1: the wrinkles to appear more readily. But if you have
12:45
Speaker 1: fully strong muscles, the wrinkles can appear sooner, Like those
12:48
Speaker 1: muscles can like really get through that collagen and cause
12:52
Speaker 1: your skin to form wrinkles. So sometimes we can predict
12:57
Speaker 1: who's going to have really bad wrinkles when they get
12:59
Speaker 1: older because of not because of the quality of their skin,
13:03
Speaker 1: but because of the way they make expressions. And people,
13:07
Speaker 1: you know, like I said, in their teens, even we
13:09
Speaker 1: could see some wrinkles, but even twenties, you could see
13:14
Speaker 1: some early lines at rest, and it's not a big
13:18
Speaker 1: deal at all, Like everyone everyone can have like some
13:22
Speaker 1: fine lines and whatnot. But if if it bothers the person,
13:27
Speaker 1: like if they're seeing these lines already and if it
13:29
Speaker 1: bothers them, then that would be a reason to do botox.
13:32
Speaker 1: And then another reason is if we can see that
13:36
Speaker 1: if they continue to make those same expressions, those lines
13:39
Speaker 1: are going to only get deeper. That's going to be
13:41
Speaker 1: harder to correct. So then that would be somebody that
13:46
Speaker 1: I would be even if they're young, I would be
13:48
Speaker 1: more amenable to doing botox on them because I can see, Okay,
13:52
Speaker 1: it's probably gonna be harder to treat down the line.
13:55
Speaker 1: And that's how I personally view preventive botox. I wouldn't
13:58
Speaker 1: really do botox if they have zero lines, because it's
14:03
Speaker 1: possible that they may be one of those lucky ones
14:05
Speaker 1: who may not even get lines down the line. So yeah,
14:09
Speaker 1: it's I do it more for people who it looks
14:11
Speaker 1: like they're probably going to develop some lines later on,
14:13
Speaker 1: and we want to stop it in its tracks. But
14:15
Speaker 1: the goal is for me for people to feel comfortable
14:17
Speaker 1: in their skin. I don't want people to have a
14:19
Speaker 1: complex thinking that they need botox.
14:22
Speaker 2: Yeah, for sure, and I think that at this point,
14:25
Speaker 2: I mean, I'm in my mid thirties, I've had botox before.
14:28
Speaker 2: I know that there are a lot of jazzy let's
14:32
Speaker 2: call them, alternatives to traditional botox that are hitting at
14:36
Speaker 2: this point for someone who is new to the concept
14:41
Speaker 2: of botox and they're trying to figure out if it's
14:44
Speaker 2: right for them. Aside from what you just mentioned about
14:48
Speaker 2: having these lines and wanting to do something about it,
14:50
Speaker 2: is there anything else they should know in their consideration,
14:53
Speaker 2: especially when it comes to, like I said, the different
14:56
Speaker 2: options that are out there right now.
14:58
Speaker 1: There are there are a bunch of different brands for
15:01
Speaker 1: botulinum toxin, which I know toxin is a scary word.
15:05
Speaker 1: But besides Botox, there's disport Zimonjavau, and there's a new
15:11
Speaker 1: one now daxify, and they all work the same in
15:16
Speaker 1: that this chemical gets into your muscle and it prevents
15:20
Speaker 1: the muscle from contracting as deeply. There's a few differences,
15:25
Speaker 1: like nothing huge, but there are some differences between the
15:28
Speaker 1: different brands, and some brands may last longer. Some brands
15:33
Speaker 1: may have a larger diffusion in the area so it
15:36
Speaker 1: can spread a little bit more on the skin. But
15:39
Speaker 1: they're all brands of botulinum toxin. Yeah.
15:42
Speaker 2: No, that's super interesting, I know personally, and I don't
15:45
Speaker 2: even think I've ever said this on the show, and
15:46
Speaker 2: I certainly haven't talked about it on my social but
15:49
Speaker 2: I think I've been doing botox now for maybe like
15:52
Speaker 2: a year or two if that, and I started with
15:55
Speaker 2: regular botox and then found that disboard or disport however
15:59
Speaker 2: you say it. I found that disport lasted longer for me,
16:03
Speaker 2: and because it is inexpensive procedure, that's the goal, right,
16:07
Speaker 2: especially when you're active, which is something that I'd love
16:10
Speaker 2: for you to talk about. I know that these injectibles
16:14
Speaker 2: could wear off a little bit sooner.
16:16
Speaker 3: Why is that?
16:18
Speaker 1: Yeah, I mean you're using your muscles more, your metabolism more,
16:22
Speaker 1: and so when things are when your metabolism is working harder,
16:27
Speaker 1: it can process the neurotoxin faster.
16:31
Speaker 3: Got it.
16:31
Speaker 1: That's just one factor. It's also like somebody's genetics too.
16:36
Speaker 1: And then in some people, not everyone, it's not common,
16:40
Speaker 1: but in some people who've had botox, you know, or
16:44
Speaker 1: any kind of very any brand for a long time,
16:47
Speaker 1: potentially can develop an immune response as well, and it
16:50
Speaker 1: may not work as well or as long.
16:52
Speaker 3: Super interesting, super interesting. Okay.
16:54
Speaker 2: Next question that came in is the recommendation for ten
16:58
Speaker 2: minutes a day without sun's screen real exclamation point, exclamation
17:02
Speaker 2: point question mark.
17:03
Speaker 3: What should I do?
17:05
Speaker 2: Ah?
17:05
Speaker 1: Yes, that is a recommendation that I've seen for sure,
17:11
Speaker 1: and in terms of getting so this is forgetting vitamin D.
17:16
Speaker 1: And I think that it's a kind of a complex
17:19
Speaker 1: topic because for some people ten minutes might not be
17:22
Speaker 1: enough and for some people ten minutes is plenty. So
17:28
Speaker 1: I do say, I think ten to fifteen minutes without sunscreen,
17:31
Speaker 1: like on your body, I'm okay with. I would say
17:33
Speaker 1: for the face, just for sunscreen on your face if
17:37
Speaker 1: you are going to be outside, we just see way
17:39
Speaker 1: more issues on the face from chronic sun exposure. But
17:44
Speaker 1: it's interesting with vitamin D like I'll have patients who
17:47
Speaker 1: are sun worshippers. They'll come in they have like leathery
17:52
Speaker 1: tan skin just from years and years of being in
17:55
Speaker 1: the sun and like still getting a lot of sun,
17:58
Speaker 1: and they'll be like vitamin D deficient. So it's it's
18:02
Speaker 1: not as simple as, oh, yeah, you'll get your vitamin
18:05
Speaker 1: D from being out in the sun. It depends on
18:07
Speaker 1: like your overall health, how you metabolize vitamin D, how
18:09
Speaker 1: you absorb it. But that recommendation is real. I just
18:14
Speaker 1: say protect your face if you are sure.
18:18
Speaker 2: And this then goes to the question with regard to
18:23
Speaker 2: vitamin D, how do we get it in a safe way?
18:27
Speaker 3: Would you recommend as well supplementation.
18:31
Speaker 1: I'm a fan of supplementation, and I think that there's
18:34
Speaker 1: like mixed things like from like other health advocates. Some
18:38
Speaker 1: people say that you should really try to get it
18:39
Speaker 1: through food. My thing is how to absorb vitamin D.
18:43
Speaker 1: I wouldn't just take vitamin D by itself, and I
18:47
Speaker 1: recommend vitamin D three. You want to make sure that
18:50
Speaker 1: it is taken with other vitamins so that it absorbs better. Specifically,
18:55
Speaker 1: one of my favorite is taking it with vitamin K two.
18:58
Speaker 1: I think vitamin take K two is helps with the
19:00
Speaker 1: absorption also, like vitamin A can help with the absorption too,
19:03
Speaker 1: or taking it in oil form like that's so some
19:05
Speaker 1: people say, like you should take caught liber oil. That's
19:08
Speaker 1: just like a better form of vitamin D. It like
19:10
Speaker 1: absorbs better. But to me, I would say, yeah, supplementing
19:13
Speaker 1: as long as you're taking it with a good supplement
19:17
Speaker 1: and making sure you're taking it with other supplements that
19:19
Speaker 1: allow it to absorb better.
19:21
Speaker 2: I would be remiss if I didn't say here that
19:23
Speaker 2: I've been taking vitamin D three K two from AG
19:27
Speaker 2: one for like a year or two. Now. I literally
19:29
Speaker 2: do the dropper in my Greens powder in my shaker bottle.
19:33
Speaker 2: I don't even have to think about it, and I,
19:36
Speaker 2: for the first time in my life now don't have
19:40
Speaker 2: low vitamin D levels despite being someone who definitely gets
19:43
Speaker 2: a fair amount of sun even in Brooklyn. Right, I
19:47
Speaker 2: know that this is just one easy thing that I
19:50
Speaker 2: can do for my body.
19:51
Speaker 3: And it came free with my subscription.
19:54
Speaker 1: Nice.
19:55
Speaker 3: Nice, Yeah, super.
19:57
Speaker 1: Hard good to know. That's good to know. I feel
19:58
Speaker 1: like I have one from them, So I'm going to
20:01
Speaker 1: try it.
20:02
Speaker 3: Yeah, gotta try it. Got to get it on the game.
20:04
Speaker 2: Okay, So we've talked about vitamin D, we've talked about
20:08
Speaker 2: sun cancer. Let's now shift our conversation to overall skin care.
20:14
Speaker 2: I have a lot of twenty somethings thirty somethings listening
20:18
Speaker 2: to this podcast, and all of them, although maybe a
20:22
Speaker 2: little hesitant to admit this, many of them don't have
20:25
Speaker 2: a skincare routine. So someone wants to start a skincare routine,
20:30
Speaker 2: they want it to be relatively easy. Maybe they wanted
20:33
Speaker 2: to only involve two to three products.
20:36
Speaker 1: Go, okay. A super basic skincare regimen includes a cleanser.
20:42
Speaker 1: So actually washing your face, especially at night, is anti aging, okay,
20:47
Speaker 1: because you want to get rid of all the build
20:49
Speaker 1: up of whatever you've been exposed to that day. Pollutants,
20:53
Speaker 1: you know, irritants, allergens, and then like build up of
20:56
Speaker 1: like oil, grime, sweat, all those things. So washing your
20:59
Speaker 1: face at least at night, if not twice a day,
21:03
Speaker 1: and then a moisturizer that you can wear at night
21:06
Speaker 1: just to kind of keep your skin barrier healthy and intact.
21:09
Speaker 1: Our skin barrier is affected from all the elements as
21:11
Speaker 1: well during the day. And then the most important is
21:15
Speaker 1: wearing a moisturizer with SPF in the morning. There are
21:19
Speaker 1: so many like easy, elegant products out there, you know,
21:23
Speaker 1: that have SPF in them. And it's interesting because so
21:27
Speaker 1: many people are like sunscreen no, like it doesn't seem
21:30
Speaker 1: glamorous because they just associate the sunscreen that you would
21:34
Speaker 1: wear at the beach and it's just like thick and
21:37
Speaker 1: smells weird and all that. But there's a lot of
21:39
Speaker 1: nice formulations out there now, So that's like a super
21:42
Speaker 1: basic regimen. Yeah, yeah, there's no excuse now, but yes,
21:46
Speaker 1: that's the bare minimum in terms of just a basic
21:49
Speaker 1: skincare regimen.
21:53
Speaker 2: Taking a break from the show today to talk to
21:56
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22:16
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23:03
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23:40
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23:49
Speaker 2: Okay, So we want to think moisturizer, we want to
23:51
Speaker 2: think SBF and we want to make sure that we're
23:53
Speaker 2: getting rid of all that junk, especially at the end
23:56
Speaker 2: of the day. Now you said the word cleanser. A
23:59
Speaker 2: lot of individuals may be a little confused here because
24:02
Speaker 2: obviously you have cleansers that have exfoliance, you have cleansers
24:05
Speaker 2: that don't. For individuals that want to know how often
24:08
Speaker 2: they should be actually exfoliating their skin, what do you
24:12
Speaker 2: tell them?
24:14
Speaker 1: Okay, so this is not the most simple question because
24:17
Speaker 1: it depends on what exfoliant you're using. There are super
24:22
Speaker 1: gentle exfoliants, there are very strong ones, and then also
24:25
Speaker 1: depends on your skin type and your skin goals. As
24:29
Speaker 1: a general rule of thumb, for somebody who is using
24:35
Speaker 1: a product that when I say exfoliating, it feels like
24:39
Speaker 1: their skin might be like peeling a little bit, or
24:44
Speaker 1: or they feel like their skin is like more taut
24:46
Speaker 1: from using that product, I would say using it like
24:48
Speaker 1: two or three times a week. There are very gentle
24:52
Speaker 1: exfoliating cleansers and products that can be used daily, like
24:56
Speaker 1: celsilic acid is I would can put also in exfoliant
24:59
Speaker 1: fan and there are plenty of saleslic acid cleansers that
25:03
Speaker 1: people can use regularly daily, especially if you have you know,
25:07
Speaker 1: combo or oily or acneprone skin. Then there's like the
25:11
Speaker 1: super strong exfoliance. I would say if they have glycolic acid,
25:16
Speaker 1: and then oh yeah, then there's also like chemical versus
25:18
Speaker 1: physical exfoliance. But I would say, let's for the sake
25:21
Speaker 1: of simplicity, we'll talk about chemical expoliance, things like celclic acid,
25:24
Speaker 1: glycolic acid, lactic acid, mendelic acid. Physical exfoliance are the
25:29
Speaker 1: ones that are more like scrubs beads. You feel like
25:33
Speaker 1: gritty texture on the skin. But for chemical exfoliance, one
25:37
Speaker 1: of the most common ones is glycolic acid. They're in
25:40
Speaker 1: the family of alpha hydroxy acids. But if I would say,
25:44
Speaker 1: if it's more than ten percent, that's something you might
25:47
Speaker 1: want to use less frequently once a week, maybe twice
25:50
Speaker 1: a week, but I would say generally, yeah, two or
25:53
Speaker 1: three times a week.
25:54
Speaker 2: You don't.
25:54
Speaker 1: Yeah, I think it's good to give your skin a break.
25:57
Speaker 2: I had no idea, Like I thought at first as
26:01
Speaker 2: I was getting into my skin girly era that exfoliance
26:05
Speaker 2: were only the gritty things, right, Like, I was like, oh,
26:08
Speaker 2: this doesn't have little beads in it, so I'll use
26:11
Speaker 2: the one with beads twice a week, and then I
26:12
Speaker 2: have all these fun little cereums that someone said to me,
26:14
Speaker 2: and like, I'll just dabble in these whenever I feel
26:16
Speaker 2: like it.
26:17
Speaker 3: And then I learned about all of the acid being
26:21
Speaker 3: expolliance as well.
26:22
Speaker 2: So it definitely is super like there's a lot to
26:27
Speaker 2: take up. There's a lot to take in when you
26:29
Speaker 2: first start to learn about all of these products, and
26:32
Speaker 2: really there is a learning curve to figuring out what
26:36
Speaker 2: works best for you.
26:37
Speaker 1: Yeah, no, definitely, it's Yeah, it's tough because we tell
26:42
Speaker 1: people you want to use a product for at least
26:45
Speaker 1: a month, you know, to know that it's working, sometimes
26:49
Speaker 1: even longer. But I know it's that can take a
26:53
Speaker 1: long time, the trial and error of like learning how
26:57
Speaker 1: your skin handles different products. But but we do say
26:59
Speaker 1: it them.
27:00
Speaker 3: A chance, Yeah for sure.
27:01
Speaker 2: And so another buzzy product that we hear a lot
27:06
Speaker 2: about is retinol. Let's talk a little bit about best
27:09
Speaker 2: practices when it comes to using retinol.
27:13
Speaker 1: Yes, retinal is the like number one studied anti aging
27:19
Speaker 1: ingredient out there, and it is something I would say
27:21
Speaker 1: that if you really want to work on anti aging,
27:23
Speaker 1: to start incorporating into in your routine in your twenties.
27:26
Speaker 1: So just a little background. There's retinol, there's retinoids, RETINEE,
27:34
Speaker 1: Trent noen and I kind of use the overall umbrella
27:37
Speaker 1: term of retinoids as to describe all of these vitamin
27:41
Speaker 1: aid derivatives. And over the counter we usually see retinyl.
27:47
Speaker 1: Retinyl has to get converted to retinal ret now is
27:50
Speaker 1: also available over the counter retinal to hide, and retinw
27:53
Speaker 1: to hide then gets converted to retinoic acid. Retonoic acid
27:57
Speaker 1: is what's the prescription form, so Trent know and is
28:00
Speaker 1: retoic acid, and the retine is a brand name for it.
28:03
Speaker 1: So when we talk about over the counter retinoids, typically
28:06
Speaker 1: we're referring to retinols. Those are way more common than
28:09
Speaker 1: retinalde hides in terms of using it correctly. That's super
28:14
Speaker 1: important because it can be irritating, especially if you are
28:17
Speaker 1: new to the whole retinoid game. You don't need a lot,
28:21
Speaker 1: You just need a p sized amount that you use
28:24
Speaker 1: for the whole face. It might not seem like it's
28:26
Speaker 1: doing anything, and I say it's try to spread it
28:29
Speaker 1: out like I dab it on your forehead, nose, cheeks
28:32
Speaker 1: and hint and then and then rub it into your skin,
28:35
Speaker 1: and then I would follow that with a moisturizer. And
28:37
Speaker 1: retinals are typically for nighttime. There are a few exceptions.
28:42
Speaker 1: Some retinals are stable during the day, but for general
28:45
Speaker 1: the thumb, just use retinols at night. Now, when starting off,
28:50
Speaker 1: I typically tell people to start off two or three
28:52
Speaker 1: nights a week, and you know, the other nights, just
28:56
Speaker 1: use a moisturizer. If your skin is not feeling or irritated,
29:00
Speaker 1: after like two weeks of doing that, you can gradually
29:03
Speaker 1: try to go to every night. If your skin is
29:05
Speaker 1: like not able to handle two or three nights a
29:08
Speaker 1: week and it's still peeling and irritated, try using a
29:11
Speaker 1: moisturizer first, almost as like a protective base, and then
29:15
Speaker 1: you could use your retinoid on top of that. And
29:17
Speaker 1: it's interesting a study looked at what's the difference in
29:21
Speaker 1: efficacy between using a moisturizer first followed by a retinoid
29:25
Speaker 1: or retinoid followed by a moisturizer, and the effectiveness was
29:29
Speaker 1: the same. So that's kind of cool. So for people
29:32
Speaker 1: with dry skin, I say, try to use a moisturizer first.
29:35
Speaker 1: Or some people talk about this thing called the retinoid sandwich,
29:37
Speaker 1: where you do a moisturizer than a than a moisturizer.
29:41
Speaker 1: But the goal is to try to get to every day.
29:43
Speaker 1: If you still feel like you can't go to every day,
29:45
Speaker 1: you might have to use something a little bit more gentle.
29:48
Speaker 3: This is super helpful.
29:50
Speaker 2: I was laughing a little bit because even the explanation
29:53
Speaker 2: it goes back to the concept we were talking about
29:55
Speaker 2: how there are so many products and so many things
29:57
Speaker 2: out there, and the fact that there is so much
29:59
Speaker 2: to learn is a big reason why people avoid it
30:02
Speaker 2: all together, right, because it is so overwhelming.
30:05
Speaker 1: Yeah, there's so much out there. I feel like I
30:09
Speaker 1: take it for granted because yeah, I've kind of learned
30:11
Speaker 1: it over the course of multiple years. But everything is
30:14
Speaker 1: like just kind of exploded, you know, on social media recently.
30:18
Speaker 3: Another question that came in, can you shrink large pores?
30:25
Speaker 1: You can diminish the appearance of pores into certain ways.
30:31
Speaker 1: So pores are basically your hair follicles there, they're little
30:37
Speaker 1: hair follicle openings on your skin. There's just not hair
30:41
Speaker 1: growing out of there, you know. The ones that you're noticing,
30:44
Speaker 1: those little holes have are are lined with skin cells
30:51
Speaker 1: and oil there's an oil land that's like attached to
30:54
Speaker 1: each poor and it secretes oil into the poor. Now,
30:58
Speaker 1: the reason why pores appear larger is because it gets
31:02
Speaker 1: filled up with those contents. It gets filled up with
31:04
Speaker 1: more dead skin cells and oil. So when you want
31:08
Speaker 1: to decrease the appearance in the size of the poor,
31:12
Speaker 1: you want to make sure that you're clearing out those
31:14
Speaker 1: contents so it's not making the poor enlarged. What's interesting
31:18
Speaker 1: is that if you just leave your skin alone and
31:21
Speaker 1: you have in large pores for many years, it can
31:25
Speaker 1: scar like that. So let's say you're in your thirties
31:31
Speaker 1: and you've been dealing with large pores since you're in
31:34
Speaker 1: your teens. Yes, you can use products to help kind
31:37
Speaker 1: of exfoliate and clear out the contents of your pores.
31:40
Speaker 1: These include retinoids and exfoliating acids. But if your pores
31:44
Speaker 1: still look big, it could also be because they've just
31:48
Speaker 1: lived like that for so long they've scarred that way,
31:51
Speaker 1: and retinoids can help with that. Because retinoids, in addition
31:54
Speaker 1: to like clearing out the build up of dead skin,
31:56
Speaker 1: it helps remodel collagen. That's how it helps with fine
32:00
Speaker 1: and wrinkles. So it can you know, help kind of
32:03
Speaker 1: build that collagen which can like provide extra support around
32:06
Speaker 1: that poor wall and decrease the appearance of the poor size.
32:11
Speaker 1: But it can only do so much, you know. At
32:13
Speaker 1: that point. Procedures are also super helpful. There's like we're
32:16
Speaker 1: servicing lasers, chemical peels, micro needling, these are other things
32:20
Speaker 1: that can make a bigger difference on your poor size.
32:23
Speaker 1: But yes, I guess the answer to your question is, yes.
32:27
Speaker 3: There is a way. There's a way can tell me
32:29
Speaker 3: a little bit about micro needling. It sounds frightening.
32:33
Speaker 1: It does sound frightening.
32:35
Speaker 3: That's up there with the term neurotoxins.
32:37
Speaker 1: In our h I know, I'm like, we've got to
32:39
Speaker 1: like revamp our vocabulary here in Durham. But micro needling,
32:42
Speaker 1: I feel like it is one of the easiest and
32:45
Speaker 1: painless procedures that we do in our office, and I
32:49
Speaker 1: think it can do. It has a lot of great benefits.
32:52
Speaker 1: So micro needling, basically, it's a device that has a
32:56
Speaker 1: bunch of different tiny little needles, sometimes like you can't
33:00
Speaker 1: even see them, and basically when you're applying it to
33:04
Speaker 1: the skin, it's puncturing the skin. These needles are so
33:07
Speaker 1: tiny you can barely feel it. I mean, we do
33:10
Speaker 1: have patients put numbing cream on to just make it
33:12
Speaker 1: more comfortable, so it just feels like a vibration. Doesn't
33:14
Speaker 1: really feel like much. But the act of puncturing the
33:18
Speaker 1: skin with these tiny needles is causing these micro injuries
33:22
Speaker 1: in the skin, which may sound bad or scary, but
33:25
Speaker 1: actually these micro injuries aren't enough to cause any scarring
33:30
Speaker 1: or anything that. If anything, it's by puncturing the collagen,
33:33
Speaker 1: it's allowing the collagen to want to remodel, and that's
33:37
Speaker 1: how it can help with things like fine lines, acne, scars,
33:43
Speaker 1: and the little tiny openings can also allow you to
33:47
Speaker 1: use other products that normally may be harder to penetrate
33:50
Speaker 1: the skin, things like growth factors. That's after micro after
33:55
Speaker 1: micro needling is a great opportunity to use growth factors PRP.
33:59
Speaker 1: So you've probably heard of vam pyr facials. Plate lit
34:02
Speaker 1: rich plasma or PRP is what is derived from your
34:06
Speaker 1: own blood. Like we draw your blood, we spin it
34:08
Speaker 1: down in a centrifuge and we extract this beautiful liquid gold.
34:13
Speaker 1: We call it it's plate liverrich plasma, and platelets are
34:16
Speaker 1: full of growth factors, and it works better when you
34:19
Speaker 1: have those little tiny microchannels. After micro needling, that's the
34:24
Speaker 1: best time to apply PRP.
34:26
Speaker 2: Yeah, you know, it's so interesting because there are so
34:28
Speaker 2: many ties here between what we talk about in muscles
34:32
Speaker 2: and the rest of the body. Right when we're talking
34:34
Speaker 2: about activity or hypertrophy. It's like you do something like
34:40
Speaker 2: a heavy overhead press one day, and the reason that
34:42
Speaker 2: you're not supposed to work the muscles involved in a
34:44
Speaker 2: heavy overhead press two days in a row is because
34:47
Speaker 2: you're enduring those small muscular tears which then need in
34:51
Speaker 2: turn time to repair themselves. And then when they do that,
34:54
Speaker 2: they get bigger and you get stronger. The same thing
34:56
Speaker 2: is happening here when it comes to the micro needling
34:59
Speaker 2: that and how you're impacting your face. So for someone
35:04
Speaker 2: who hears this and they're like, wow, maybe I should
35:06
Speaker 2: get micro needling, would you say that everyone is a
35:10
Speaker 2: candidate for this or is this only for people that
35:12
Speaker 2: have certain conditions that are looking to maybe address those.
35:17
Speaker 1: Yeah, I mean, I guess anyone can do it, but
35:20
Speaker 1: really if people are younger, we typically do it in
35:26
Speaker 1: those who have acne scars and or want to like
35:31
Speaker 1: start working on fine lines that they have and then
35:36
Speaker 1: but I would say the most common demographic is thirties.
35:40
Speaker 1: Thirties is still young too, but thirties plus we do
35:44
Speaker 1: it a lot in gosh. Probably one of the most
35:46
Speaker 1: common complaints that I get from patients, and this probably
35:51
Speaker 1: in women who are like fifty year older. Are like
35:53
Speaker 1: lip lines like those deeplip lines and necklines too, and
35:57
Speaker 1: micro neediling is a great tool for that.
36:00
Speaker 2: What would you say the other most common quote unquote
36:02
Speaker 2: complaints you get are from your patients.
36:06
Speaker 1: Oh, besides wrinkles, hyperpigmentation like dark spots, sun spots, malasma,
36:14
Speaker 1: but like post inflammatory hyperpigmentation.
36:16
Speaker 2: Yeah, malasma is definitely a topic as well as pigmentation.
36:21
Speaker 2: For a lot of the women that may be listening
36:22
Speaker 2: to this who find themselves to be super active, maybe
36:26
Speaker 2: they are runners, They get outside a lot. What is
36:30
Speaker 2: within their power to do on their own to treat
36:33
Speaker 2: this at home?
36:35
Speaker 1: Yes, So I do want to preface this by saying
36:38
Speaker 1: that even though it doesn't seem like it, malasma is
36:40
Speaker 1: one of the most stubborn and one of the hardest
36:44
Speaker 1: conditions for derms to treat, And the reason for that
36:47
Speaker 1: is it's not just a skin issue. There's an internal
36:51
Speaker 1: issue with it too, and usually related to hormones. So
36:54
Speaker 1: we can throw everything in the kitchen sink at malasma
36:56
Speaker 1: sometimes and might clear temporarily and then could just come
37:00
Speaker 1: right back if that underlying issue is not addressed. So
37:03
Speaker 1: I just want to like put that out there because
37:05
Speaker 1: if you find it frustrating, that makes sense, because it is.
37:09
Speaker 1: It can be very frustrating. We typically see malasma, you know,
37:15
Speaker 1: I mean, we see it mostly in women, and we
37:18
Speaker 1: see it in people who've like been on birth control
37:20
Speaker 1: or like or who are changing birth controls or want
37:24
Speaker 1: to t get off birth control. We also see it
37:25
Speaker 1: a lot in this like cutting a pregnancy or even postpartum,
37:29
Speaker 1: and sometimes we could also see in a setting of
37:32
Speaker 1: like thyroid issues too, like hashi motos thyroidditis. In terms
37:36
Speaker 1: of how to best treat it at home, we know
37:39
Speaker 1: that the sun exacerbates malasma, the sun and heat. So
37:44
Speaker 1: let's say you're like using a sauna, even you have
37:46
Speaker 1: to be careful because because heat can play a really
37:48
Speaker 1: big role, and you just want to become obsessed with
37:53
Speaker 1: sun protection sunscreen, and another interesting thing is using sunscreen
37:57
Speaker 1: that's tinted so there's a chemical that causes the tint
38:02
Speaker 1: iron oxide. Iron Oxide has been shown to help protect
38:04
Speaker 1: against visible light. And because there's certain wavelength that can
38:10
Speaker 1: invisible light spectrum, that can also worseen hyperpigmentation, which is
38:15
Speaker 1: like awesome, Okay, So it's like not only just being
38:17
Speaker 1: outside sometimes like being indoors you know, can make malasma worse.
38:21
Speaker 1: So using a tinted sunscreen. And I also think that
38:26
Speaker 1: everyone should incorporate a retinal in their routine. So retinyl,
38:30
Speaker 1: you know, it's anti aging. It helps with increasing skin
38:33
Speaker 1: cell turnover, and so that's how it can also help
38:35
Speaker 1: with hyperpigmentation. And then I do recommend incorporating a vitamin
38:39
Speaker 1: C serum that can help also with pigmentation in the skin.
38:43
Speaker 1: Those aren't really strong anti hyperpigmentation products, but those are
38:48
Speaker 1: like good solid products that have in your regimen anyway
38:51
Speaker 1: for anti aging, and it's going to further help with
38:55
Speaker 1: anything else that you do to help with malasma. So sunscreen, retinyl,
38:58
Speaker 1: vitamin C, and then there are a multitude of skin
39:04
Speaker 1: lightening ingredients out there. I think that prescription skin lightning creams,
39:09
Speaker 1: like with hydroquinone are going to be the most effective
39:12
Speaker 1: so if you really want to work on your malasma,
39:14
Speaker 1: you might have to see a dermatologist. And there's also
39:16
Speaker 1: a lot of easier access to online dermatologists too, if
39:19
Speaker 1: you want to work on the malasma or just get
39:23
Speaker 1: like a simple prescription like with hydroquinone for malasma. In
39:26
Speaker 1: terms of over the counter ingredients out there, there's a
39:30
Speaker 1: few and it's hard to rank them, but ingredients that
39:33
Speaker 1: I like are tranexamic acid, cojic acid alpha r buttant
39:38
Speaker 1: as a lake acid phenyl resource, and all. I mean,
39:44
Speaker 1: there's a new one the lotus extract that I think
39:46
Speaker 1: is awesome. There's a few different products out there that
39:50
Speaker 1: have a variation of those. And then the other thing,
39:52
Speaker 1: and we touched on this before, is exfoliating. You want
39:55
Speaker 1: to exfoliate if you have malasma a couple times a week.
39:59
Speaker 2: Yeah, you mentioned a buzzword here, being able to do
40:03
Speaker 2: maybe telemedicine for dermatology. A question that came in is
40:08
Speaker 2: our online prescription safe or legitimate?
40:12
Speaker 1: Yes? And I am saying this because I have worked
40:16
Speaker 1: with three different online teledeermatology services. I can't so I
40:20
Speaker 1: can't speak for all of them, but having worked with
40:24
Speaker 1: and being a dermatologist for two of those three, and
40:28
Speaker 1: like being a consultant for one of them. Yeah, they're
40:31
Speaker 1: they're legitimate prescriptions.
40:34
Speaker 3: Great.
40:34
Speaker 2: That's good to hear, especially because, like we said, making
40:37
Speaker 2: the time or being able to get in to see
40:38
Speaker 2: someone IRL isn't always something that feels accessible. It's been
40:44
Speaker 2: really interesting to see the trend and continuation of telemedicine.
40:48
Speaker 2: I would argue for the better because of the pandemic
40:51
Speaker 2: and now we just have such a wider opportunity to
40:55
Speaker 2: get the help that we need in a timely manner
40:58
Speaker 2: that might work better for you for sure.
41:01
Speaker 1: Yeah. No, I'm definitely an advocate for teledermatology for sure.
41:05
Speaker 2: So as we're winding down here, a couple questions left.
41:10
Speaker 2: This one improving lip fullness without fillers? Is it possible? Uh?
41:17
Speaker 1: I think that it is. I mean the biggest thing
41:21
Speaker 1: is also just making sure your lips are hydrated. So
41:26
Speaker 1: when you're hydrating your lips, you want to use products
41:32
Speaker 1: that on on damp skin. So and then you know
41:35
Speaker 1: the most notable hydrating ingredients like hyuronic acid, So you
41:38
Speaker 1: could look for for lip products that have hyuronic acid.
41:42
Speaker 1: But when you apply it, make sure that your lips
41:43
Speaker 1: are damp, so that absorbs better. Otherwise, besides lip filler,
41:48
Speaker 1: it's a little bit more limited. There's you know, those
41:50
Speaker 1: like Theo's lip products that can temporarily, you know, cause
41:54
Speaker 1: some lips swelling.
41:55
Speaker 3: But yeah, those never really felt comfortable to me.
41:58
Speaker 1: Yeah, I'm just like, this doesn't seem right, Like, why
42:03
Speaker 1: is it stinging? It's hurting a little.
42:07
Speaker 2: I can't imagine like being like, you know what I
42:09
Speaker 2: wanted to do today, I want to make my lips
42:10
Speaker 2: hurt so that they look newer in person with other people. Yeah,
42:14
Speaker 2: it's not for me. Second, the last question here sorias
42:17
Speaker 2: has help. That was kind of like the theme and
42:19
Speaker 2: a lot of questions that came in. I know that
42:21
Speaker 2: a lot of individuals struggle with different levels of psoriasis.
42:25
Speaker 2: What advice do you have to offer them when it
42:27
Speaker 2: comes to kind of keeping this at bay or navigating it?
42:30
Speaker 3: Because I know that it can be extremely uncomfortable.
42:33
Speaker 1: Oh my gosh, riasis can be so tough. Thankfully there
42:37
Speaker 1: are like I mean, just even though span of the
42:40
Speaker 1: last five years, five to ten years, there have been
42:44
Speaker 1: so many new innovations in terms of treatments for psoriasis.
42:47
Speaker 1: I mean, these are prescriptions, so this is you know,
42:49
Speaker 1: something you have to see a demotolgis for. But in
42:52
Speaker 1: terms of what you can do at home to you know,
42:56
Speaker 1: treat your psoriasis or to help kind of prevent it
42:59
Speaker 1: from getting worse, there are certain things that we know
43:02
Speaker 1: from the literature that can exacerbate zoriasis. We one hundred
43:06
Speaker 1: percent note that smoking can make risis worse. Thankfully, you know,
43:10
Speaker 1: cigarette smoking is becoming less common. I hope we know
43:14
Speaker 1: that alcohol, alcohol can make zoriasis worse. We have plenty
43:19
Speaker 1: of publish studies regarding that stress can make crisis worse.
43:23
Speaker 1: And it's I know, it's so hard to address stress
43:27
Speaker 1: because you know, it's it's like we accept it to
43:30
Speaker 1: be part of our lives. But we definitely have studies
43:33
Speaker 1: supporting that. And in terms of food, we do have
43:37
Speaker 1: studies supporting that a Mediterranean based diet is helpful for
43:42
Speaker 1: psoriasis in terms of sugar. So it's interesting zoriasis is
43:47
Speaker 1: also exacerbated by yeast on our skin, and things that
43:53
Speaker 1: feed the yeast are things like sugar and alcohol. So
43:55
Speaker 1: something to think about people. A lot of people ask like, well,
43:58
Speaker 1: gluten makes up my oriasis worse and my answer to
44:01
Speaker 1: that is that it depends, because it can if you
44:04
Speaker 1: are a gluten sensitive individual. And there has been a
44:09
Speaker 1: couple studies showing that people who have markers for silliact disease,
44:13
Speaker 1: Like if you even if you don't have silliac disease symptoms,
44:17
Speaker 1: if we test your blood and check certain antibodies, if
44:19
Speaker 1: you have those markers, then gluten can make your psoriasis worse.
44:23
Speaker 1: So that can happen in some people. And having good
44:27
Speaker 1: vitamin D and getting some sun so I don't want
44:30
Speaker 1: to like say, go bask out in the sun if
44:33
Speaker 1: you have psoriasis, but having a healthy level of vitamin D,
44:38
Speaker 1: which you know we talked about getting through supplements, a
44:40
Speaker 1: little bit of sun that can also be helpful for psoriasis.
44:43
Speaker 3: Yeah, lots of really good tips here.
44:46
Speaker 2: Like I mentioned before, we have a lot of super
44:48
Speaker 2: active individuals that are listening to this podcast. I know
44:52
Speaker 2: that with activity and sweat can come what many refer
44:57
Speaker 2: to as as small annoying bumps on the forehead or
45:00
Speaker 2: maybe on other parts of your skin that don't necessarily
45:03
Speaker 2: look like the traditional pimple.
45:05
Speaker 3: For those that are really just trying.
45:07
Speaker 2: To do the best they can with what they have
45:10
Speaker 2: work out and avoid these small bumps. First of all,
45:13
Speaker 2: what are they and what can they do about them?
45:16
Speaker 1: Those are essentially like teeny little clogged pores, Yeah, like
45:22
Speaker 1: along your foreheadline. And so there's a few different ways
45:25
Speaker 1: to address them, especially if you are very active, you
45:28
Speaker 1: go to the gym, if you're sweating a lot, If
45:31
Speaker 1: you don't have access to wash your face or take
45:33
Speaker 1: a shower right then and there, which many people don't,
45:36
Speaker 1: I would carry like salslic acid wipes with you, like
45:39
Speaker 1: in your gym bag or in your purse. And there's
45:42
Speaker 1: a lot of great brands out there, and just like
45:45
Speaker 1: after working out, just do a quick wipe like in
45:48
Speaker 1: those areas where you notice those bumps. Another interesting thing
45:52
Speaker 1: sometimes it could be the shampoo that you're using, huh.
45:55
Speaker 1: That can also aggravate, especially along the hairline and on
45:59
Speaker 1: the forehead. A lot of shampoos have like derivatives of
46:02
Speaker 1: coconut oil in them, and I don't even know off
46:04
Speaker 1: the top of my head what those chemical names are.
46:08
Speaker 1: There's one of my colleagues who's a dermatologist. She started
46:11
Speaker 1: a shampoo brand specifically for this because she had seen
46:14
Speaker 1: so many people breaking out an acne from shampoo and
46:17
Speaker 1: hair products. She started a brand called Scene see N.
46:21
Speaker 1: So you know, telltale signs that it could be from
46:25
Speaker 1: your shampoo is if it's along your hairline, on your
46:27
Speaker 1: forehead or like on your back, like where your hair
46:29
Speaker 1: is in that distribution. So something to think about. And
46:34
Speaker 1: then in terms of other treatment that you could do
46:37
Speaker 1: to help with those bumps, using salsalic acid at home,
46:41
Speaker 1: like whether it's in atner, other exfoliating acids, and being
46:44
Speaker 1: regular with a retinoid as well.
46:47
Speaker 3: Love that. Love that, I know.
46:48
Speaker 2: I said that was the last question, but I have
46:50
Speaker 2: one more that I wanted to make sure that I
46:52
Speaker 2: snuck in here before the end. Here benefits of red light?
46:55
Speaker 2: Should I buy something with red light to use at home?
47:00
Speaker 1: I am pro red light. I think that it can definitely,
47:06
Speaker 1: you know, rejuvenate the skin. It works on a collagen
47:08
Speaker 1: level to potentially help tighten your collagen or remodel collagen
47:13
Speaker 1: to help with fine lines and wrinkles. And yeah, the
47:16
Speaker 1: thing about home red light devices is that we don't
47:19
Speaker 1: really have which ones are better than others. There's no
47:25
Speaker 1: like standard for what the red light should be, so
47:30
Speaker 1: it's hard to say which one's like the best one?
47:33
Speaker 1: Which one you should use? Because I don't just because
47:36
Speaker 1: they're not really standardized. But in general I think that
47:40
Speaker 1: they are beneficial.
47:42
Speaker 2: And when it comes to using those red light do
47:44
Speaker 2: you have to be cognizant of that being around your
47:46
Speaker 2: eye area?
47:48
Speaker 1: Yeah, And different brands do make it so that it's
47:53
Speaker 1: safer around the eyes. It's interesting. Some brands have it
47:57
Speaker 1: so that like there is the eye opening and like
48:01
Speaker 1: that's like sufficient if the red light's stronger. You know,
48:05
Speaker 1: some brands like make you work goggles too, So I
48:08
Speaker 1: usually trust that the brand when they like have like
48:11
Speaker 1: the right eye protection in.
48:13
Speaker 3: Place, right, yeah? Yeah?
48:15
Speaker 2: And then how often if someone's like, Okay, I want
48:17
Speaker 2: to get in on this, how often should someone be
48:19
Speaker 2: using red light therapy on their skin?
48:21
Speaker 1: I usually say like every other day or a few
48:23
Speaker 1: times a week.
48:24
Speaker 3: Okay, cool.
48:25
Speaker 2: It sounds like they're from everything that you told me.
48:29
Speaker 2: Like I said, it can be overwhelming, but it also
48:32
Speaker 2: doesn't have to be if you're willing to just do
48:35
Speaker 2: a few small things to get you in the right direction.
48:40
Speaker 2: I know that we covered a ton here, but before
48:43
Speaker 2: I let you go, any last advice to offer to
48:46
Speaker 2: someone who is in that boat who's like, geez, I
48:49
Speaker 2: just feel like I heard you, but I am overwhelmed.
48:53
Speaker 3: I don't know what to do. What do you tell them?
48:56
Speaker 1: If you had to do one thing in your skincare
48:58
Speaker 1: regimen that is to our sunscreen, that is going to
49:03
Speaker 1: make such a huge difference. It doesn't feel like it's
49:05
Speaker 1: going to be doing anything. Okay, you're like, it's going
49:09
Speaker 1: to feel pointless, but you will thank yourself in like
49:13
Speaker 1: ten years. It's it's it's that it's that daily exposure
49:18
Speaker 1: every day that accumulates over time. That's what makes the
49:21
Speaker 1: biggest impact on your skin. So if you can prevent
49:24
Speaker 1: that build up of you know, sun damage and you're
49:27
Speaker 1: going to make a big impact, you will thank yourself.
49:29
Speaker 3: Yes, you will thank yourself.
49:31
Speaker 2: Wow, I'm so happy that we were able to go
49:34
Speaker 2: through this lengthy listener.
49:36
Speaker 3: Questions, Doctor Jegano.
49:38
Speaker 2: For those that don't follow you just yet and they
49:40
Speaker 2: want to get all of your information on social where
49:44
Speaker 2: do they go?
49:46
Speaker 1: You can follow me at doctor dot Mamina Dr dot
49:49
Speaker 1: m A M I n A on Instagram TikTok. I
49:53
Speaker 1: also have a YouTube channel where I really go into
49:56
Speaker 1: death with like topics that we talked about on here,
49:59
Speaker 1: and uh, I'm on Facebook too, so yes. And then
50:03
Speaker 1: you can also go to my website doctormamina dot com.
50:06
Speaker 2: Amazing, I'm over at Emilyabody and at Hurdle Podcast Another
50:09
Speaker 2: Hurdle conquered. Catch you guys next time.