0
SPEAKER_03
The following podcast is a dear media production.
0
SPEAKER_02
She s a lifestyle blogger extraordinaire.
0
SPEAKER_02
Fantastic.
0
SPEAKER_02
And he s a serial entrepreneur, a very smart cookie.
0
SPEAKER_02
And now Lauren Everts and Michael Bostic are bringing you along for the ride.
0
SPEAKER_00
Get ready for some major realness.
0
SPEAKER_02
Welcome to the skinny confidential him and her.
0
SPEAKER_01
I think the big misconception is people think filler does dissolve in six months.
0
SPEAKER_01
They re like, does it only last six months?
0
SPEAKER_01
It doesn t.
0
SPEAKER_01
They ve done studies, they ve done ultrasound that shows that filler s in there for many, many more years.
0
SPEAKER_01
I know a lot of plastic surgeons who do facelifts.
0
SPEAKER_01
Interestingly enough, they don t mind the filler as much as they don t like the threads and stuff that people do.
0
SPEAKER_01
So the filler I m not too worried about.
0
SPEAKER_01
There s a lot of other worse procedures to do right before a facelift.
0
SPEAKER_01
Then most of my older patients are like, I d rather do more filler or more like some non-invasive procedure or laser, RF microneedling, something like that.
0
SPEAKER_01
Then go under the knife and spend like $40,000.
0
SPEAKER_00
Dr. Chris Tomassian is on the podcast today.
0
SPEAKER_00
He is the founder of the Dermatology Collective, and he is TikTok famous for all his skin tips.
0
SPEAKER_00
In today s episode, we ll be talking about skincare for men, what not to put on your skin, demystifying toxic skincare trends, how to use retinol correctly, the fix for hyperpigmentation, how birth control affects your skin, and hormones.
0
SPEAKER_00
This episode is for someone who is a beauty lover who wants to know more about skin.
0
SPEAKER_00
I wrote a book on skin and I learned so much in this episode.
0
SPEAKER_00
I was like shocked.
0
SPEAKER_00
Dr. Chris has a vast online community, a following of 2.5 million.
0
SPEAKER_00
He creates content on skin care and he is a doctor in his practice, the Dermatology Collective.
0
SPEAKER_00
If you guys are into taking care of your skin and the best practices, listen to this episode.
0
SPEAKER_00
If you guys want to take your skincare to the next level, definitely listen to Dr. Chris Tells All.
0
SPEAKER_02
On that note, let s welcome him to The Him and Her Show.
0
SPEAKER_00
I am reading this book about residency for doctors and dermatologists.
0
SPEAKER_00
It is so crazy.
0
SPEAKER_01
I will tell you residency is not like Grey s Anatomy.
0
SPEAKER_00
Oh, it s not?
0
SPEAKER_01
It s not as crazy as that.
0
SPEAKER_01
I would say like the hours and everything is pretty bad.
0
SPEAKER_01
Dermatology, I ll put to the side.
0
SPEAKER_01
You work really hard to get into dermatology and then your residency is actually not as bad as like surgery residency.
0
SPEAKER_00
Okay, so the one I was reading about, shout out to John Lawrence, playing doctor, was all about surgery, residency with doctors.
0
SPEAKER_01
Yeah, it is insane.
0
SPEAKER_00
Dermatology is different, though.
0
SPEAKER_00
How did you even get into that?
0
SPEAKER_00
Why did you want to become a dermatologist?
0
SPEAKER_01
When I first got into medical school, I wanted to be a family doctor, actually.
0
SPEAKER_03
Which is crazy.
0
SPEAKER_03
We ve got to talk about how you got into medical school right out of high school.
0
SPEAKER_01
Yeah.
0
SPEAKER_03
You got to talk about that.
0
SPEAKER_01
So there s like very few programs that are like six year programs that you actually combine your undergrad and medical school together out of high school.
0
SPEAKER_01
So I had family friends who went through it.
0
SPEAKER_01
I was like I initially I was like, let me do the traditional four years, four years.
0
SPEAKER_01
I know I want to be a doctor.
0
SPEAKER_01
My dad s a doctor.
0
SPEAKER_01
I know the life.
0
SPEAKER_01
So I was very comfortable with medicine.
0
SPEAKER_01
And I was like, let me try the six year program.
0
SPEAKER_01
I got in.
0
SPEAKER_01
17 went to Kansas City, did my undergrad in two years.
0
SPEAKER_01
So you basically just like they load you up on credits and no summers basically.
0
SPEAKER_01
So you just do a bunch of school, get in and then start seeing patients like at 19.
0
SPEAKER_01
So that was the wild part.
0
SPEAKER_00
And why skin?
0
SPEAKER_01
When I actually got into medical school, skin just made so much sense.
0
SPEAKER_01
One, you see the problem, you know, someone walks into my office, I m like,
0
SPEAKER_01
I know why you re here.
0
SPEAKER_01
There s either something growing on your skin, you have a big rash, and I could fix it pretty quickly and see an immediate result or a very quick result, which is very nice as a doctor.
0
SPEAKER_01
Many people don t want to go see your doctor, you know.
0
SPEAKER_01
A lot of people want to go see the dermatologist, which is nice.
0
SPEAKER_01
And then the last thing is it s a very like fast-paced field.
0
SPEAKER_01
I m able to walk into a room, either I m doing a procedure, I m doing a laser, I m cutting something out, I m talking to someone about their skincare routine.
0
SPEAKER_01
So every patient s really different.
0
SPEAKER_00
And you walked in and I said, who has better skin, me or Michael?
0
SPEAKER_00
And you didn t answer, but you said, well, Michael has some redness.
0
SPEAKER_04
So what does that mean?
0
SPEAKER_04
Are you just giving yourself a compliment now?
0
SPEAKER_00
Kind of.
0
SPEAKER_00
I really work at my skin.
0
SPEAKER_00
So does Michael.
0
SPEAKER_04
Well, I m learning because I get to talk to people like yourself and come on the show.
0
SPEAKER_04
You should have seen me before I started this podcast.
0
SPEAKER_04
It was a sore sight.
0
SPEAKER_00
No, you look good.
0
SPEAKER_00
But I want to know what he would do for redness around the nose.
0
SPEAKER_00
Anyone who s listening who has redness or rosacea or broken capillaries.
0
SPEAKER_04
What would you do about that giant growth on Lauren s eyelid?
0
SPEAKER_00
There s no growth on my eyelid.
0
SPEAKER_01
There s no growth.
0
SPEAKER_00
Go watch YouTube.
0
SPEAKER_04
I m trying to get something for myself here.
0
SPEAKER_01
So redness around the nose is really common.
0
SPEAKER_01
A lot of the times it s from rosacea, you know, so that s an inflammatory condition.
0
SPEAKER_01
It s genetic, it s environmental, and you get these like broken basically capillaries or blood vessels around the nose.
0
SPEAKER_04
I ve had those forever.
0
SPEAKER_01
If you have access to a dermatologist, go get a laser.
0
SPEAKER_01
It s the fastest way to get rid of them.
0
SPEAKER_01
There is multiple types of lasers, light-based devices like IPL, KCP laser, which is just a more, you know, targeted to the blood vessel.
0
SPEAKER_01
And then PDL, which is like the gold standard for red spots on the face.
0
SPEAKER_01
And that actually will like almost instantly remove the red spot, which is really satisfying for a patient when they walk in and then leave when it s gone.
0
SPEAKER_01
But in terms of skin care, I would say the best thing for redness is the same ingredient that s in Afrin nasal spray.
0
SPEAKER_04
That s interesting, I never heard that.
0
SPEAKER_01
If I m telling people to be on a budget, because the prescription version of it is very expensive, I tell them to basically go get Afrin nasal spray, spray a couple pumps into their moisturizer, and put it on their face, and it usually compresses all their blood vessels and gets rid of the redness temporarily.
0
SPEAKER_00
Chris, that is why we have you on the Skinny Confidential Him and Her Show.
0
SPEAKER_00
That is a really good tip.
0
SPEAKER_04
What is the actual ingredient that does that?
0
SPEAKER_01
Oxymetolazine.
0
SPEAKER_00
So you just take a couple squirts of the Afrin, put it in your moisturizer and rub it around your nose.
0
SPEAKER_00
How many times do you have to do it?
0
SPEAKER_01
Well, it depends on what type of lifestyle you have.
0
SPEAKER_01
You know, if you re really like a night owl and you re going out at night, I would say do it before you go out at night.
0
SPEAKER_01
But if you re like 9 to 5 working, I would say do it in the morning.
0
SPEAKER_01
And if you re at home, you don t need to put it on.
0
SPEAKER_00
What if you go to bed at 730 and you read your Kindle for fun?
0
SPEAKER_01
In the morning.
0
SPEAKER_01
Do it in the morning.
0
SPEAKER_01
And you probably have a very healthy lifestyle if you re doing that.
0
SPEAKER_04
We used to be going to bed at 7 a.m.
0
SPEAKER_04
Now we re going to bed at 7 p.m.
0
SPEAKER_04
Kids kind of.
0
SPEAKER_00
Kids turn that off.
0
SPEAKER_01
I need to get on that routine.
0
SPEAKER_00
No, your skin looks so glowy.
0
SPEAKER_00
Is there a specific thing that you do for your skin?
0
SPEAKER_00
If someone s listening and they have a boyfriend or a husband, like what are the things that you would start that person on?
0
SPEAKER_00
And how is your skin care evolved over time as a man?
0
SPEAKER_01
The first thing I would do is tell him to read your book and put your sunscreen on.
0
SPEAKER_01
That s the first thing.
0
SPEAKER_01
I think everybody wants to get the ingredient.
0
SPEAKER_01
The first thing is like, oh, let me get a new active ingredient.
0
SPEAKER_01
I m like, if you re not going to protect yourself from the sun,
0
SPEAKER_01
you re just wasting your money.
0
SPEAKER_01
Like we all know this, like sun protection is the number one thing.
0
SPEAKER_01
It prevents from fine lines and wrinkles, dark spots, all these things.
0
SPEAKER_01
So you could keep trying to build collagen, but you ll never build it faster than the sun takes it away.
0
SPEAKER_01
I always tell people that.
0
SPEAKER_01
So first thing s protection, and then add in some active ingredients.
0
SPEAKER_01
Couple of my favorites, obviously retinol, probably number one.
0
SPEAKER_01
Helps boost collagen, helps with
0
SPEAKER_01
Acne, helps with fine lines and wrinkles, dark spots, so it does a lot.
0
SPEAKER_01
And it s a pretty easy ingredient, I think, to add in.
0
SPEAKER_01
Especially for, I would say for guys more than girls, because they could just, they have usually more oily skin, so they could tolerate the dryness and irritation from it.
0
SPEAKER_00
Also, I feel like guys  skin is like thicker, and so it can handle it better than women s.
0
SPEAKER_00
Like I notice there s sort of like this waxy sheen.
0
SPEAKER_00
on women who have used retinol for a long time and while the skin does look clear and beautiful and glowy there s a waxiness to it if you
1
SPEAKER_00
overuse it on women specifically.
1
SPEAKER_02
But is that actually true?
1
SPEAKER_02
Like I get, or maybe you can t fully answer that, but in your practice, do you typically see men with thicker skin than women?
1
SPEAKER_01
Usually their skin s a little bit thicker.
1
SPEAKER_02
Why is that?
1
SPEAKER_01
Well, I mean, really where the facial hair is, you know, you have a lot more sebaceous kind of oils where you re having hair growth, especially around the nose too.
1
SPEAKER_01
I would say, for example, for rosacea,
1
SPEAKER_01
more men will get enlargement of their nose from rosacea than a female would, like that oil enlargement or rhinophymas.
1
SPEAKER_00
So it makes your nose bigger if you have redness around it.
1
SPEAKER_02
You better buckle in.
1
SPEAKER_02
In a few years, I m going to be looking like a clown.
1
SPEAKER_01
Not always just the redness, but chronic inflammation with rosacea can lead to it.
1
SPEAKER_01
When I explain it to a patient, I m like, look at what Santa Claus looks like.
1
SPEAKER_01
You know, like the big boggy nose.
1
SPEAKER_01
He s like a red... Bulbous?
1
SPEAKER_01
Bulbous.
1
SPEAKER_01
Bulbous.
1
SPEAKER_00
You re gonna get some bulbous nose as you age, and your ears grow, and your balls hang, and your dick shrinks.
1
SPEAKER_00
Oh jeez, I can t wait.
1
SPEAKER_00
Those are the four things I get.
1
SPEAKER_02
Well, it s a good thing that you re not with me for my looks, right?
1
SPEAKER_01
I only stick with the skin stuff.
1
SPEAKER_01
So no, he s good.
1
SPEAKER_01
You have him to take, you can take care of him.
1
SPEAKER_02
He s good.
1
SPEAKER_01
Yeah.
1
SPEAKER_01
Okay.
1
SPEAKER_02
Listen, you know, it s, I, people ask all the time, like we talk about testosterone on this show and I m like, listen, not yet, but probably when I m like in the late fifties, hopefully making the far sixties, I m going to jack myself up on that testosterone and I ll be, I ll be good.
1
SPEAKER_02
Don t worry.
1
SPEAKER_01
Don t do too much.
1
SPEAKER_02
I know, but you gotta, but I think there s a point where older men, it makes sense.
1
SPEAKER_02
Not now it s too early.
1
SPEAKER_01
Yeah.
1
SPEAKER_01
You want to get it to a high normal.
1
SPEAKER_02
Yeah.
1
SPEAKER_00
What is the craziest thing that you ve seen on TikTok that people are doing with their skin where it makes you want to just cringe?
1
SPEAKER_01
Everything is so bad.
1
SPEAKER_01
Like, give us some examples.
1
SPEAKER_01
One is just using cleaning supplies on their skin.
1
SPEAKER_02
What?
1
SPEAKER_02
Like what kind?
1
SPEAKER_02
What?
1
SPEAKER_01
Like I ve seen people use like baking powder and mixing it with like detergent stuff that you would like clean a table with to like remove the bacteria off your skin.
1
SPEAKER_01
I m like, that s just in general.
1
SPEAKER_01
I ve seen those videos.
1
SPEAKER_01
That s always bad.
1
SPEAKER_01
And then it gets to like people wanting like a reaction on their face.
1
SPEAKER_01
So they ll put something really basic and then really acidic and then be like, oh, it s fizzing on my face.
1
SPEAKER_01
Something s working.
1
SPEAKER_01
And I m like, nothing s, you just neutralized whatever, like that s what you did.
1
SPEAKER_01
Good job, you know.
1
SPEAKER_01
For example, lemons are huge.
1
SPEAKER_01
I don t know why everyone wants to put a lemon on their face or in their hair or something, you know.
1
SPEAKER_01
Many times they ll do that to fade, especially dark spots.
1
SPEAKER_01
And it s really used, I think, overseas.
1
SPEAKER_01
People love to use like more natural ingredients because they re scared of like the chemicals when everything has a chemical in it.
1
SPEAKER_01
But they ll put lemon and then they ll like rub, rub it with like turmeric or something, which is anti-inflammatory.
1
SPEAKER_01
Turmeric s okay, but it will give you a nice orange tint to your skin.
1
SPEAKER_01
And then they ll go outside and then usually you ll get a photochemical reaction from the lemon, which will leave you with a big burn reaction that leaves you with a terrible dark spot.
1
SPEAKER_00
Oh my God, that happened to me with antibiotics.
1
SPEAKER_01
Doxycycline.
1
SPEAKER_00
Oh, the worst.
1
SPEAKER_00
Do not take doxycycline and go in the sun.
1
SPEAKER_00
That s exactly what happened.
1
SPEAKER_00
We are saying with the lemon.
1
SPEAKER_00
Remember I got that rash in Palm Springs.
1
SPEAKER_00
How could you forget it?
1
SPEAKER_00
But that was bulbous nose.
1
SPEAKER_00
That was bulbous nose.
1
SPEAKER_00
But the photo, what s it called?
1
SPEAKER_00
A photo?
1
SPEAKER_01
Photo toxic reaction.
1
SPEAKER_00
Yeah, it s brutal.
1
SPEAKER_01
And it lasts so long.
1
SPEAKER_01
It s really common vacationers because they ll drink margaritas at the pool.
1
SPEAKER_01
And then, like, there s lemon and lime in it and it gets on your hands and it usually drips because you re a little intoxicated.
1
SPEAKER_01
And then they ll come back from their trip and be like, I have this, like, streak of dark.
1
SPEAKER_01
And I m like, were you having margaritas?
1
SPEAKER_01
Yeah.
1
SPEAKER_01
And I m like, I m a fortune teller.
1
SPEAKER_00
What are other things that you see in your practice all the time that are so weird that people who are listening maybe are like, what is that?
1
SPEAKER_00
But you know, right away, instead of margarita hand margarita hand, it s a tick tock margarita hand.
1
SPEAKER_00
If you haven t done that, you guys, that s a tick tock.
1
SPEAKER_01
I ll make it tick tock.
1
SPEAKER_01
One is I could tell when someone s using a heating pad for a long time, you get this kind of spider like rash that lasts for a while.
1
SPEAKER_01
It s usually really common in people s backs and they won t even notice because they can t see their back.
1
SPEAKER_01
And it s like this, it s called erythema abignae.
1
SPEAKER_01
It s a really long name, but from chronic heat exposure, you get this like spider-like rash and they re like, Oh, what is this?
1
SPEAKER_01
And I m like, Oh, do you have back pain?
1
SPEAKER_01
And like, yeah, I m like, you use a heating pad.
1
SPEAKER_01
They re like, yeah.
1
SPEAKER_01
And I m like, it s from that.
1
SPEAKER_00
Michael Bostic is on the edge of his seat right now because he got the worst rash anyone s ever seen in history.
1
SPEAKER_00
I ve never seen such a bad rash in my life.
1
SPEAKER_02
My phone s not here.
1
SPEAKER_00
I knew.
1
SPEAKER_00
In this rash, you have to show him this rash.
1
SPEAKER_02
Carson, my phone s in my office on my desk.
1
SPEAKER_00
Well, you can use my phone.
1
SPEAKER_02
No, no, I need the picture.
1
SPEAKER_02
But anyways, while we re talking.
1
SPEAKER_00
No, no, no, this was like... I bet you he knows what that rash is.
1
SPEAKER_02
I shared this years and years ago and it used to be on my Instagram.
1
SPEAKER_00
And we still talk about it to this day.
1
SPEAKER_02
Well, it s going to be a while.
1
SPEAKER_02
We can maybe jump back to this because Carson s going to check my phone.
1
SPEAKER_02
But
1
SPEAKER_02
It was like a full body.
1
SPEAKER_02
I was like, you know, have you seen the movie Braveheart and the leper that lives in, you know, the old man, he lives in the attic.
1
SPEAKER_02
I was like, that was me for like two months, two months.
1
SPEAKER_02
I don t know if I ate something bad, but I had to go to like the hospital about because he was itching his back on the carpet because it hurts so bad.
1
SPEAKER_00
He had to itch it.
1
SPEAKER_02
I m going to show you the picture when we started.
1
SPEAKER_00
It was the worst rash I ve ever had.
1
SPEAKER_02
I took it off my Instagram a while ago because I was just sick of looking at it and I shared it.
1
SPEAKER_00
I mean, I don t know why you shared the rash on the Instagram.
1
SPEAKER_00
No one wants
1
SPEAKER_02
People didn t really want to see it.
1
SPEAKER_02
I never figured it out, but maybe you could figure it out.
1
SPEAKER_00
Well, he sounds like you sound like you re like really savvy with seeing something random and diagnosing it.
1
SPEAKER_01
It s a great party trick.
1
SPEAKER_00
Yeah.
1
SPEAKER_01
Except when someone s like, could you take a look at something downstairs?
1
SPEAKER_01
I m like, no, no, not here.
1
SPEAKER_00
The fuck is that?
1
SPEAKER_00
We should pop it up on YouTube so everyone can see it.
1
SPEAKER_02
I went to this restaurant.
1
SPEAKER_02
I won t put the restaurant on blast because I don t want to kill them.
1
SPEAKER_02
But I had like these crazy shrimp tacos.
1
SPEAKER_00
that your wife insisted you ate.
1
SPEAKER_01
It lasted for two months?
1
SPEAKER_02
That lasted like that for probably like a week and a half, but it took a while for that to go away completely.
1
SPEAKER_02
Once the skin was discolored, it took a while.
1
SPEAKER_02
I thought I was done.
1
SPEAKER_02
I was like, well, this is it.
1
SPEAKER_02
I better start saying my goodbyes and farewells to family and friends.
1
SPEAKER_01
It could be something called erythema multiforme.
1
SPEAKER_02
See, I ve never heard that one.
1
SPEAKER_01
It looks like it was pretty dusky in the middle.
1
SPEAKER_02
Show, show.
1
SPEAKER_01
Yeah, wild.
1
SPEAKER_00
She doesn t want to lose her breakfast.
1
SPEAKER_02
My whole body.
1
SPEAKER_02
Front and back?
1
SPEAKER_00
Even the penis.
1
SPEAKER_02
No, it was not really there actually.
1
SPEAKER_02
It was like, yeah, torso mostly.
1
SPEAKER_02
Mouth?
1
SPEAKER_02
No.
1
SPEAKER_02
Face?
1
SPEAKER_00
Yes.
1
SPEAKER_02
Yeah, face.
1
SPEAKER_02
But not like that.
1
SPEAKER_02
Anyways, people are like, what the hell is he showing?
1
SPEAKER_02
That s a gnarly rash, right?
1
SPEAKER_02
I m gonna have to show it now.
1
SPEAKER_00
Yeah.
1
SPEAKER_02
God.
1
SPEAKER_02
But the thing you called it, what is the thing that you just, what is it?
1
SPEAKER_01
So usually that s like an auto-reactive condition that s either from a viral infection, it s commonly with like a herpes outbreak.
1
SPEAKER_02
Oh great.
1
SPEAKER_02
On the entire body?
1
SPEAKER_01
Like a cold sore.
1
SPEAKER_00
No, you ve never had a cold sore.
1
SPEAKER_02
No, but it wasn t, that s what freaked me out is like they took me in and they were like asking what it is and it was like they couldn t figure that out.
1
SPEAKER_00
I ve never seen him have a cold sore.
1
SPEAKER_02
I remember the day I went, I had these shrimp tacos and they were like a little bit sketchy.
1
SPEAKER_02
And then someone was telling me like sometimes the sediment that a shrimp can have, if you don t clean it out properly from the bottom of the ocean or wherever it was, the body may just freak the fuck out being like, what is this in the system?
1
SPEAKER_01
It s just weird that it lasted that long.
1
SPEAKER_01
Because usually like food stuff, you ll have a rash and it ll maybe last a week.
1
SPEAKER_01
So that s interesting.
1
SPEAKER_00
That was a fun diagnosis on air.
1
SPEAKER_02
Maybe I m a mutant now.
1
SPEAKER_00
Why do you think that your TikTok blew up the way it did?
1
SPEAKER_00
You have 1.9 million followers.
1
SPEAKER_00
What are the videos that you see go viral and why?
1
SPEAKER_01
If I had an answer to that, I think I had more than 1.9 million dollars.
1
SPEAKER_00
I mean, that s a very impressive.
1
SPEAKER_01
It is.
1
SPEAKER_01
I mean, I started to talk during the pandemic.
1
SPEAKER_01
So like most people and I was making videos, one on like how to treat conditions.
1
SPEAKER_01
that you could treat at home without seeing a dermatologist.
1
SPEAKER_01
Because most of my practice went to telehealth or virtual visits.
1
SPEAKER_01
And most people couldn t come see a dermatologist during that time.
1
SPEAKER_01
So I was like, go buy this at the store and see if it works.
1
SPEAKER_01
And in the meantime, so I started making those videos.
1
SPEAKER_01
Those did really well.
1
SPEAKER_01
And then I started myth busting.
1
SPEAKER_01
And that really did well.
1
SPEAKER_01
It caused a lot of controversy because there s a lot of people on TikTok who
1
SPEAKER_01
are like skincare experts without the degree and they ll post a lot of stuff on there that really doesn t have any science behind it.
1
SPEAKER_01
So you have to be a little careful because there s a lot of skincare experts without a degree that are very smart and actually do the research.
1
SPEAKER_01
They talk about the things that actually make sense.
1
SPEAKER_01
They put the public
2
SPEAKER_00
a
2
SPEAKER_00
like a couple of months ago is like, if you have this, use that.
2
SPEAKER_00
And that blew up.
2
SPEAKER_02
Give us, give us some of those.
2
SPEAKER_00
For example, like if you have milia or those like white bumps around the eyes, like you should start using a retinol around your eye.
2
SPEAKER_00
Right.
2
SPEAKER_00
And I ve never heard that.
2
SPEAKER_02
I ve just heard pop it.
2
SPEAKER_02
So no, not pop it with your fingers, but like go with the Lancet.
2
SPEAKER_00
Yeah.
2
SPEAKER_02
With a professional.
2
SPEAKER_00
See, that s the thing.
2
SPEAKER_00
People will do it at home.
2
SPEAKER_02
Don t Lance it yourself with a professional.
2
SPEAKER_00
Exactly.
2
SPEAKER_02
Go ahead.
2
SPEAKER_02
So tell me about the retinol.
2
SPEAKER_02
I didn t know that.
2
SPEAKER_00
So right now it speeds up your skin cycle turnover.
2
SPEAKER_00
Right.
2
SPEAKER_00
So usually if you do that it will treat a little bit of the milia you have if they re small if they re really big milia you will have to get a lance.
2
SPEAKER_00
But the beauty of using a rental is it will prevent further milia from popping up which is really helpful.
2
SPEAKER_00
And then stopping.
2
SPEAKER_00
I don t use like Vaseline or Aquaphor around the eyes.
2
SPEAKER_01
What about if you have dark circles around the eyes, hence me, what would you do then?
2
SPEAKER_00
He doesn t have any dark circles.
2
SPEAKER_00
Really?
2
SPEAKER_01
Well, yesterday was a little rough, and then we got two kids under three, so the sleep s a little dicey, but.
2
SPEAKER_00
Dark circles are tough.
2
SPEAKER_00
That s actually one I made.
2
SPEAKER_00
If you have dark circles, use this.
2
SPEAKER_00
The reason it s tough is there s so many causes of it.
2
SPEAKER_00
Lack of sleep, genetics, actual hollowness, like if you have a hollowing underneath your skin, the only way to do that is to put some sort of a volume filler, right, or something like that.
2
SPEAKER_00
there is pigment.
2
SPEAKER_00
Most of the time what I tell people that will target I think three out of the four is I would use retinol.
2
SPEAKER_00
I would use vitamin C and I would use sunscreen and then honestly maybe like a caffeine or niacinamide because caffeine will help tighten any of the vessels.
2
SPEAKER_00
Niacinamide is going to help with skin textures, skin barrier, help with dark spots.
2
SPEAKER_00
Retinol does all of it.
2
SPEAKER_00
So like fine lines and wrinkles, dark spots, collagen boosting, because that s like super thin skin.
2
SPEAKER_00
So you want to kind of thicken it up too.
2
SPEAKER_00
And then vitamin C also just supports collagen and fades dark spots.
2
SPEAKER_01
Can you overuse retinol?
2
SPEAKER_01
I m using some of it right now, but I m like, I was told only like maybe three nights a week.
2
SPEAKER_00
In reality, you should use it every night.
2
SPEAKER_00
All the studies on retinol are like every night use.
2
SPEAKER_00
But we always tell you to start three times a week because if you overdo it, you ll get too irritated.
2
SPEAKER_00
Then stop using for like two weeks and then you ll restart it.
2
SPEAKER_00
And the whole point of using retinol is like a long term success, right?
2
SPEAKER_00
So like you re not going to see any benefit for a week.
2
SPEAKER_00
a month, you ll start seeing it like six weeks in, three months in.
2
SPEAKER_00
So the best is to just stay consistent.
2
SPEAKER_00
So if you could only tolerate it three times a week, that s perfect.
2
SPEAKER_01
So it s maybe like they re testing to see if three nights a week gives me some kind of reaction.
2
SPEAKER_00
Yeah.
2
SPEAKER_02
What if you have hyperpigmentation?
2
SPEAKER_02
That s what I struggle from.
2
SPEAKER_02
Melasma and hyperpigmentation.
2
SPEAKER_02
What are some things that you would say to try?
2
SPEAKER_00
So first thing is sun protection.
2
SPEAKER_00
Because if you don t, I mean, like I said, you can t outwork the sun.
2
SPEAKER_00
Really?
2
SPEAKER_00
Like the sun s always going to beat you and make more hyperpigmentation, especially if you re prone to it.
2
SPEAKER_00
If you, what are you zero hyperpigmentation from?
2
SPEAKER_00
Is it melasma or is it?
2
SPEAKER_02
I think it s a mixture.
2
SPEAKER_02
It s a hybrid of being on birth control when I was younger.
2
SPEAKER_02
Just know if you go on birth control and you go in the sun, I don t know, you probably could speak more eloquently on it.
2
SPEAKER_02
Like there s something that happens where I got like a sun mustache.
2
SPEAKER_01
Everyone on TikTok is going to be mad about that take.
2
SPEAKER_02
What do you mean?
2
SPEAKER_01
I know the TikTokers now.
2
SPEAKER_02
How is everyone going to be mad about that?
2
SPEAKER_02
And then everyone s mad about everything.
2
SPEAKER_02
You know what I realized?
2
SPEAKER_02
It s just like a little tangent.
2
SPEAKER_02
I ve been trying to think of what the internet s like.
2
SPEAKER_02
And I m like, you know what the internet s like?
2
SPEAKER_02
Did you guys ever play the game Operation?
2
SPEAKER_02
Yeah.
2
SPEAKER_02
Okay.
2
SPEAKER_02
Well, Chris is probably fucking good at this, but the internet is like Operation, the game.
2
SPEAKER_02
How you deal with it, you have to go in with a very specific angle of your hand to get the kidney to pull it out without it beeping.
2
SPEAKER_00
Yeah.
2
SPEAKER_00
Anything you say might trigger someone.
2
SPEAKER_02
Yeah.
2
SPEAKER_02
The internet s operation.
2
SPEAKER_02
It s a hundred percent.
2
SPEAKER_00
That s a great analogy.
2
SPEAKER_02
I think so too.
2
SPEAKER_02
I thought of it while I was driving it and I was like, that is like what it is.
2
SPEAKER_02
Okay.
2
SPEAKER_02
Hyperpigmentation.
2
SPEAKER_02
I think it s from birth control.
2
SPEAKER_02
I think that it is from maybe like sun exposure.
2
SPEAKER_02
I also think, and this is, I think an important thing to know is when you get a peel or a glycolic peel, you cannot even go in the sun for one second.
2
SPEAKER_02
And what I mean is like even walking from your car to get into your car after you get the peel, you have to be protected.
2
SPEAKER_02
And I think people don t realize that incidental sun exposure really can activate something if you have had a peel or a glycolic.
2
SPEAKER_00
100% you actually like you nailed it right there because one birth control definitely triggers melasma.
2
SPEAKER_00
So it s the hormones and the birth control that usually do it.
2
SPEAKER_00
If you want to do not get melasma do a non hormonal birth control, but that mustache is like classic.
2
SPEAKER_00
And everyone comes into my clinic, and they re like, I have hair.
2
SPEAKER_00
And I m like, there s no hair.
2
SPEAKER_00
This is dark.
2
SPEAKER_00
So melasma is that ill-defined, almost sheets of brown.
2
SPEAKER_00
And it s like forehead, cheeks, around the mouth.
2
SPEAKER_00
That s due to hormones.
2
SPEAKER_00
Pregnancy is a big one.
2
SPEAKER_00
Thyroid irregularities.
2
SPEAKER_00
And then you can get it for medications, but they re pretty rare medications.
2
SPEAKER_00
So that s not a big one.
2
SPEAKER_00
That s a very, very, very, very tough condition to treat.
2
SPEAKER_00
You could do all the treatments and get it perfect.
2
SPEAKER_00
And then you ll go out in the summer for one day and it will all come back.
2
SPEAKER_02
What I ve realized about it is number one, if I spray tan, you think that that ll even it out, but it brings it out more on the face.
2
SPEAKER_02
So I don t spray tan my face anymore, which is weird because if you think about it, the spray tan clings to the dark spots on the face.
2
SPEAKER_02
So I don t spray my face anymore.
2
SPEAKER_00
I never think of spray tan on the face looks good anyway.
2
SPEAKER_02
You don t like neither does my facialist either.
2
SPEAKER_02
Stacey does.
2
SPEAKER_02
Stacey s like, Oh yeah.
2
SPEAKER_02
How could you spray tan your face?
2
SPEAKER_01
Yeah.
2
SPEAKER_01
I don t like the spray tan at all.
2
SPEAKER_01
Even on the body.
2
SPEAKER_02
No, he doesn t like the spray tan.
2
SPEAKER_01
No, because I don t like the smell.
2
SPEAKER_02
You do aggressively check out my ass though when I get a spray tan.
2
SPEAKER_01
No, no, no.
2
SPEAKER_01
I mean, listen, like I,
2
SPEAKER_02
Aggressively, I notice a huge difference.
2
SPEAKER_01
I don t know.
2
SPEAKER_02
I mean, I m not joking around about that.
2
SPEAKER_02
You do.
2
SPEAKER_01
Maybe.
2
SPEAKER_01
But I don t like the smell.
2
SPEAKER_01
Now all the spray tanners will be mad at me.
2
SPEAKER_01
Another thing to be mad at.
2
SPEAKER_01
But, you know, it s just like it s really strong.
2
SPEAKER_01
And then the sheets get everywhere.
2
SPEAKER_01
And then you touch my shirt and it s all over the shirt.
2
SPEAKER_00
But you just got to avoid them for like a day.
2
SPEAKER_01
Yeah, but that s, you know, what s the point of that?
2
SPEAKER_00
Let it all settle in.
2
SPEAKER_02
I feel like you kind of do like the smell.
2
SPEAKER_02
You just don t know that that s the smell.
2
SPEAKER_01
Here s the thing, when she d be like, hey, Michael, don t use this cleaning supply or don t burn this candle.
2
SPEAKER_01
And then she comes in with like a paint, like a car paintbrush and sprays her whole body.
2
SPEAKER_01
And I m like, this is bullshit.
2
SPEAKER_01
You know, how can you say don t like use the, you know, the cleaning supply?
2
SPEAKER_00
And they put a tent around her, though, right?
2
SPEAKER_01
Yeah, but it s like it s all over the house.
2
SPEAKER_02
Do you like a spray tan for the skin?
2
SPEAKER_00
Oh, I m pro spray tan.
2
SPEAKER_02
Because you like that we re out of the sun.
2
SPEAKER_00
Exactly.
2
SPEAKER_00
Like, I m all about it.
2
SPEAKER_00
Fake it till you make it.
2
SPEAKER_00
Anything you will do to not get in the sun and get a tan, I m happy about.
2
SPEAKER_01
But what about, like, if you just wanted, like, a decent amount of, like, daily sunlight?
2
SPEAKER_01
Will you do it, like, will you do it at all if the UV s light, or will you just avoid the sun completely?
2
SPEAKER_00
Listen, I go out to the sun.
2
SPEAKER_00
You need to enjoy your life.
2
SPEAKER_00
I think there is extremes in both worlds.
2
SPEAKER_00
I m not the dermatologist who walks around with an umbrella outside.
2
SPEAKER_00
I just put my sunscreen on and I go and enjoy the sun.
2
SPEAKER_00
If I m at the tropical place, I m by the pool, I m in the water, but I just protect my skin.
2
SPEAKER_00
And yeah, you re gonna have a natural kind of tan that your body will make from protection.
2
SPEAKER_00
If I m burning, I m doing it completely wrong and that s not good, but I think there is a fine line because you need to enjoy your life.
2
SPEAKER_00
There s a lot of things outside that require you to be in the sun.
2
SPEAKER_01
Well, I mean, and listen here, you have like a nice dark complexion, right?
2
SPEAKER_01
It s like a nice color for me.
2
SPEAKER_01
If I don t get a little sun, I m going to look like this fucking table, right?
2
SPEAKER_01
You re going to look like a sheet of paper.
2
SPEAKER_01
You re not going to get an appointment with her first.
2
SPEAKER_00
I ll be translucent.
2
SPEAKER_02
You want to be like, oh, he s he s saying, though, it makes your skin like it degenerates.
2
SPEAKER_02
Is that the right word?
2
SPEAKER_00
Yeah.
2
SPEAKER_02
It s like degenerates your skin like it.
2
SPEAKER_02
It takes the bouncy plump
3
SPEAKER_03
collagen out of your skin.
3
SPEAKER_03
You know what?
3
SPEAKER_03
I have this little thing.
3
SPEAKER_03
I do.
3
SPEAKER_03
I think you re going to be proud of me.
3
SPEAKER_03
I downloaded or my sister did it.
3
SPEAKER_03
Shout out to Mimi, the UV, but she put it on my home screen with my steps.
3
SPEAKER_03
So every time I pick up my phone on it is how many steps I ve walked my UV and, and how hot it is outside.
3
SPEAKER_03
So what I do,
3
SPEAKER_03
As I look at the UV when it s zero, which is for us in Austin, it s in the morning around eight o clock.
3
SPEAKER_03
And I ll walk my son when it s zero.
3
SPEAKER_03
I ll still wear a hat and driving gloves.
3
SPEAKER_03
I wear driving gloves, the whole thing.
3
SPEAKER_03
But it s really nice to know that it s not super strong and it s right on my phone.
3
SPEAKER_00
That s actually genius.
3
SPEAKER_03
It s easy.
3
SPEAKER_00
I should do that.
3
SPEAKER_03
Chris is make sure I do that.
3
SPEAKER_03
Chris has two tech talks to film Margarita hand and put the UV.
3
SPEAKER_03
Michael s looking at his, Michael has the stocks.
3
SPEAKER_02
That s probably a little more stressful to look at.
3
SPEAKER_03
I don t want to look at the stocks.
3
SPEAKER_02
Markets up today.
3
SPEAKER_02
Feeling good.
3
SPEAKER_03
Anyway, I think the UV, like just to look at it.
3
SPEAKER_03
Cause sometimes it s like eight.
3
SPEAKER_00
Yeah, I mean, we re in California.
3
SPEAKER_00
It s like always high.
3
SPEAKER_00
I feel like it doesn t matter when.
3
SPEAKER_03
What are these pills that people are taking to get tan?
3
SPEAKER_00
The carotenoid.
3
SPEAKER_00
Think about like a carrot.
3
SPEAKER_00
You make, so there s basically you just make yourself a little bit more orange looking from eating too much of it.
3
SPEAKER_00
Like you could have too much carrot juice and they get an orange tan from it.
3
SPEAKER_00
Which to be honest, like they ve actually been doing studies on this that I was reading that people do think like that orange, if you do it the right amount, it can look attractive.
3
SPEAKER_00
They were like looking at the attractive scale compared to like a suntan.
3
SPEAKER_00
But I think it s like either you re gonna have to take a lot of that supplement.
3
SPEAKER_00
It can be dangerous to some people.
3
SPEAKER_00
It s like any, like if it s vitamin A derived, that stores, it s a fat soluble vitamin, so it stores in your fat.
3
SPEAKER_00
So I don t recommend it, to be honest.
3
SPEAKER_00
I think spray tanning is better, so continue to spray tan.
3
SPEAKER_03
I m gonna continue with my spray tan.
3
SPEAKER_02
They harvest that stuff from the Jersey Shore.
3
SPEAKER_02
Calm down, New Jersey, it s gonna be all right.
3
SPEAKER_03
As a dermatologist,
3
SPEAKER_03
I think that you are probably seeing a filler fatigue.
3
SPEAKER_03
A lot of people coming in with too much filler in their face.
3
SPEAKER_03
They went way too gnarly.
3
SPEAKER_03
They didn t sort of keep it classy.
3
SPEAKER_03
It s like way, way overboard.
3
SPEAKER_03
What do you do when someone comes in with an overfilled face and they re young?
3
SPEAKER_00
Usually my staff will tell me before I even walk in the room.
3
SPEAKER_03
It s pretty, what did they say?
3
SPEAKER_03
What s the staff say?
3
SPEAKER_00
They just go.
3
SPEAKER_03
There s a code word for it?
3
SPEAKER_00
There s a code word.
3
SPEAKER_00
Yeah, because I don t want to walk in surprised.
3
SPEAKER_03
Oh, that s surprising.
3
SPEAKER_00
Sometimes.
3
SPEAKER_03
Oh.
3
SPEAKER_00
Because I think a lot of people are getting filler way too young.
3
SPEAKER_03
Yeah.
3
SPEAKER_00
You know.
3
SPEAKER_03
Yeah, it s too young.
3
SPEAKER_00
And I have a like, so I m Armenian.
3
SPEAKER_00
So we have a lot of, I have a lot of like Middle Eastern patients too.
3
SPEAKER_00
And they go overseas and they ll get filler too.
3
SPEAKER_00
And it s much cheaper there.
3
SPEAKER_00
So they re more prone to getting a lot more done.
3
SPEAKER_00
I would say most of my patients, I m actually talking them out of getting filler, then putting filler in, or talking about dissolving some filler.
3
SPEAKER_00
And I think they are aware of it too.
3
SPEAKER_00
They re like, it s a little much.
3
SPEAKER_00
I don t recognize myself anymore sometimes.
3
SPEAKER_03
Here s two, I think that as you age, a lot of people will get a facelift, but if you keep filling your face and filling your face and filling your face, you re stretching the skin and I think the dermis out, out, out, out, out.
3
SPEAKER_03
or long, long, long, long, long, wherever you place the filler.
3
SPEAKER_03
And then you go in and you get, if you get a facelift, then you re pulling the skin over the thing that you ve stretched.
3
SPEAKER_03
So to me, filler doesn t really make sense a lot in the face.
3
SPEAKER_03
Cause if you are going to go and get a facelift, it almost negates, like, I don t understand why you would do that.
3
SPEAKER_00
It depends on where you put the filler, right?
3
SPEAKER_00
So a lot of the times, like for the cheeks, it s on the bone, for the chin, it s on the bone, for the jawline, it s on the bone.
3
SPEAKER_04
Okay.
3
SPEAKER_00
And I think the big misconception is people think filler does dissolve like in six months.
3
SPEAKER_00
They re like, is it only last six months?
3
SPEAKER_00
It doesn t like they ve done studies.
3
SPEAKER_00
Like they ve done ultrasound that shows that fillers in there for many, many more years, especially on the, under the eye filler that last years, I would say for people, I know a lot of plastic surgeons who do facelifts and interestingly enough, they don t mind.
3
SPEAKER_00
the filler as much as they don t like the like threads and stuff that people do.
3
SPEAKER_00
And that s because there s like a lot of scar tissue that gets built in.
3
SPEAKER_00
So when they re cutting it s like basically resuspending scar tissue rather than healthy tissue.
3
SPEAKER_00
So the filler I m not too worried about.
3
SPEAKER_00
especially if it s on bone.
3
SPEAKER_00
I feel like if you put a lot in the fat, the superficial fat and the dermis, then you can definitely stretch the skin.
3
SPEAKER_00
There s a lot of other worse procedures to do right before a facelift.
3
SPEAKER_00
And I ve realized now that a lot of people don t even want to pay for the facelift.
3
SPEAKER_00
That s the thing.
3
SPEAKER_00
I think the prices of facelift has gone up so much.
3
SPEAKER_00
then most of my older patients are like, I d rather do more filler or more like some non-invasive procedure or laser, RF microneedling, something like that, than go under the knife and spend like $40,000.
3
SPEAKER_03
I would rather if I was older, I would rather do the opposite.
3
SPEAKER_03
I would rather save.
3
SPEAKER_03
For a really great facelift than do a bunch of filler, because I have this theory when you overfill the bottom of your face, it brings the eye down, which I think can be aging.
3
SPEAKER_03
So I don t get why you would keep filling the bottom of your face over and over and over because you re bringing the eye down when, as if you, I mean, maybe I should be a dermatologist in my other life, but you want to bring the eye up, right?
3
SPEAKER_00
Yeah, the canthal tilt.
3
SPEAKER_03
Can you talk about that?
3
SPEAKER_00
Yeah.
3
SPEAKER_00
So this was huge on TikTok.
3
SPEAKER_00
Did you do it?
3
SPEAKER_03
No.
3
SPEAKER_00
There s like a filter, the canthal tilt filter.
3
SPEAKER_03
No.
3
SPEAKER_00
So you should have like a neutral or positive vector to your canthus, like the lateral part of your eye, the canthus should go up.
3
SPEAKER_00
And that s like more, more attractive.
3
SPEAKER_00
Okay.
3
SPEAKER_00
And a lot of people were using this filter, and it d be like negative tilt, and they re like, dang it, I m unattractive.
3
SPEAKER_00
So you don t want your face to look this way.
3
SPEAKER_00
Oh, great.
3
SPEAKER_02
Perfect.
3
SPEAKER_00
You re good.
3
SPEAKER_00
You re good.
3
SPEAKER_00
Trust me.
3
SPEAKER_03
How s my cantle tilt?
3
SPEAKER_00
Neutral or a little up actually.
3
SPEAKER_00
Oh, yeah.
3
SPEAKER_00
You say good carriers again.
3
SPEAKER_02
Don t look at me.
3
SPEAKER_00
I m hideous.
3
SPEAKER_03
You can t tell it s a little off.
3
SPEAKER_03
Is the candle till where the temple is?
3
SPEAKER_00
It s right here like this part, right?
3
SPEAKER_00
Okay.
3
SPEAKER_00
So a lot of times when you fill the temple and feel like under the eye, you support it and it would raise it up a little bit.
3
SPEAKER_03
Hey, but here s my other thing because we re just getting so detailed.
3
SPEAKER_03
I don t like under eye filler at all.
3
SPEAKER_03
I ve never done it, but I don t like it because I don t like how it presses the eye up and makes the eye look smaller.
3
SPEAKER_03
That s my theory.
3
SPEAKER_03
These are my weird theories.
3
SPEAKER_03
I m not saying my theories are right.
3
SPEAKER_03
I m just saying like this is.
3
SPEAKER_00
I think under eye filler is overdone.
3
SPEAKER_03
Yeah.
3
SPEAKER_00
I think everyone thinks like a filler is going to fix it and it causes swelling.
3
SPEAKER_00
It can cause if it s done too superficially can cause a lot of that blue discoloration under the skin, which even makes their dark under eye circles worse.
3
SPEAKER_00
Like when we re learning about under eye filler and how to do it on patients, you want to go for like a 70% improvement.
3
SPEAKER_00
Everyone tries to go for like 100%.
3
SPEAKER_00
But if you don t have an under eye or tear trough, you look like a cat.
3
SPEAKER_00
Right so you mean yeah like you need a little bit of a hollow there like that s just a normal structure and a face and I think people are trying to get rid of like even like you re the laugh lines people like I want my laugh lines gone
3
SPEAKER_00
And I m like, if I get rid of your laugh lines, you re gonna look like a monkey.
3
SPEAKER_03
I don t want my laugh lines gone.
3
SPEAKER_00
Yeah, you look artificial.
3
SPEAKER_00
You look so artificial.
3
SPEAKER_03
Also, it brings the eye down if you get rid of them.
3
SPEAKER_03
Again, we don t wanna bring the eye down.
3
SPEAKER_02
I love this eye down.
3
SPEAKER_03
We re bringing the eye up.
3
SPEAKER_02
I have a more basic question, because Lauren s gonna go into a deep rabbit hole, which I m- I know, I have 20 more deep rabbit hole questions.
3
SPEAKER_02
But we were talking to Steph Shep yesterday on the show, and she was talking, one of her biggest skincare tips is she has a great derm.
3
SPEAKER_02
And she was basically saying that people should go and find a great derm like yourself.
3
SPEAKER_02
But if you were somebody, like say that I m coming in and I get to learn a lot on this show, so I get access to people like you, but if I was going to ask for my first consultation, like the first four things or first three things that you should ask for your skin, what would those things be for anyone that s just starting their journey and just meeting a dermatologist?
4
SPEAKER_02
great question.
4
SPEAKER_02
I would say first four things when I m looking at someone s skin, it s skin quality.
4
SPEAKER_02
then texture, then hollowness, right?
4
SPEAKER_02
Like if you re coming, this is for like cosmetics, right?
4
SPEAKER_02
So those are probably the top three.
4
SPEAKER_02
And when I look at someone, I go, what s your skincare routine?
4
SPEAKER_02
Basics, right?
4
SPEAKER_02
Are you on the things that need to improve your skin?
4
SPEAKER_02
Are you on a sunscreen?
4
SPEAKER_02
Are you on a moisturizer, vitamin C, retinol?
4
SPEAKER_02
Those are the number one, right?
4
SPEAKER_02
And then I d go, what is the number one complaint you have?
4
SPEAKER_02
So for you, it would be my redness, right?
4
SPEAKER_02
I d say, all right, let s fix the redness in the texture.
4
SPEAKER_02
It d be, let s do some sort of
4
SPEAKER_02
Either get you on a good skincare cream that will help fade the redness, or let s do a procedure or a laser or light device that will improve your skin texture, improve the discoloration, improve the redness.
4
SPEAKER_02
If you improve your discoloration and redness on someone s face, they could literally look the same.
4
SPEAKER_02
The hollowness could be the same, everything looks the same.
4
SPEAKER_02
Someone will look at that person and be like, you look night and day different.
4
SPEAKER_00
You should go to Chris and get the laser, he s saying.
4
SPEAKER_00
Yeah, come to L.A.
4
SPEAKER_00
You should go and get the laser.
4
SPEAKER_00
I mean, that s a quick one, right?
4
SPEAKER_01
What I like about what you re saying, and we can keep going, is that it is so individual for each person.
4
SPEAKER_01
You know, there s some things that we will recommend on this show that I think are like blanket recommendations, right?
4
SPEAKER_01
Like one of those is I think everybody, man, woman should weightlift.
4
SPEAKER_01
We don t have to go on that tangent, but I ll say that confidently.
4
SPEAKER_01
I think that is a good application for everybody.
4
SPEAKER_01
It doesn t have to be the main thing, but, but with stuff like this, I m a little bit more careful because I think what would work for me may not work for Lauren and what might work for Lauren may not work for me.
4
SPEAKER_01
Does that make sense?
4
SPEAKER_02
A hundred percent.
4
SPEAKER_02
And I think a lot of the times, for example, when you were coming in as I think patients come in with one complaint and it s an end result of another problem rather than that s the problem.
4
SPEAKER_00
What do you mean?
4
SPEAKER_02
For example, if you do have like really deep lines here and they re like, I want to fix this.
4
SPEAKER_02
I m like, actually you re falling from here.
4
SPEAKER_02
We need to support here.
4
SPEAKER_02
And then we need to support your, we need to support your bone rather than your skin.
4
SPEAKER_00
Yes.
4
SPEAKER_00
No one s ever said that like this on the podcast.
4
SPEAKER_00
Go off.
4
SPEAKER_00
Yes.
4
SPEAKER_02
So like you can t.
4
SPEAKER_00
And imagine someone s listening.
4
SPEAKER_00
He was saying that the cheekbones is actually where you need to be filled, not the the folds.
4
SPEAKER_02
I rarely ever feel the folds.
4
SPEAKER_02
And I m telling you, like 95 percent of the time my patient leaves and like my full looks so much better.
4
SPEAKER_02
I m like, I didn t touch your fold because you if you look in an aging face, it folds inwards and like your bone retrudes back to your facial bone.
4
SPEAKER_02
So it comes backwards and your skin falls down.
4
SPEAKER_02
So almost like collapses in on itself.
4
SPEAKER_00
Can t wait.
4
SPEAKER_00
Thanks, Chris.
4
SPEAKER_00
No, but it s like, no, hold on.
4
SPEAKER_02
Look forward to aging.
4
SPEAKER_02
So what you want to do is really support the bony structure, the deep structures on the cheek where you re lifting up here.
4
SPEAKER_02
And when everyone seems like, oh, you lift up the skin with a cheek filler, you know, it s not dramatic, right?
4
SPEAKER_02
You re not like, oh, my God, I just put your you have a whole new face, but like millimeters count on the face.
4
SPEAKER_02
Millimeters count on the face, like if you raise your eyebrow three millimeters,
4
SPEAKER_02
And don t tell anyone, people are going to be like, what s wrong with your eyebrow?
4
SPEAKER_02
Right?
4
SPEAKER_02
So that matters.
4
SPEAKER_02
So first you want to inject on the bone here and then you really want to go, there s a deep piriformis space.
4
SPEAKER_02
It s like this hole right next to your nose.
4
SPEAKER_02
And a lot of people don t realize that like you have actually a great example of what it isn t.
4
SPEAKER_02
So if you look at like your line,
4
SPEAKER_02
your nose is actually really like almost like doesn t dive into your nose at all.
4
SPEAKER_02
Your nose and your line are almost together.
4
SPEAKER_00
Is that good?
4
SPEAKER_02
That s great.
4
SPEAKER_02
Because a lot of people will have this deep like crevice right by their nose and their line, their laugh line dives into that crevice.
4
SPEAKER_00
So do you feel the hole?
4
SPEAKER_00
You feel the hole.
4
SPEAKER_02
So you put a lot of filler right on the bone right here and it plumps that back out.
4
SPEAKER_02
And then you still have this line, but it ends like naturally with your nose and people are like, wow, my laugh lines look so much better.
4
SPEAKER_00
It s kind of like building the foundation of a house.
4
SPEAKER_00
It really is.
4
SPEAKER_00
It s like it s not.
4
SPEAKER_00
You re right.
4
SPEAKER_00
It s not just like what is the symptom coming from of why you do that?
4
SPEAKER_01
No, but I think part of the problem of the world we live in now is people jump right to effect.
4
SPEAKER_01
And what I mean by that is they will see something online or they ll see a picture of their face or they ll see someone else.
4
SPEAKER_01
And instead of going to the root cause of whatever s causing that particular issue, they ll jump right to the effect and they ll try to fix
4
SPEAKER_01
the, what s on the surface and they won t go to the root of what the problem is.
4
SPEAKER_01
And I ll give you like a strange, stupid example.
4
SPEAKER_01
Like there s a lot of people that complain about back pain, especially young adults, which you should not have back pain.
4
SPEAKER_01
If you re a young adult, the reason you probably have back pain is because you re set in interior and you all, you probably have no hamstring strength.
4
SPEAKER_01
So people think like, I need to go and fix my back.
4
SPEAKER_01
It s like, no, you need to go build muscle in your hamstrings to build proper posture.
4
SPEAKER_01
Does that make sense?
4
SPEAKER_01
And so then they go and they start doing all this stuff on their back when that s not, has nothing to do with their back.
4
SPEAKER_01
It has to do with their leg strength, their hamstrings.
4
SPEAKER_01
Yeah.
4
SPEAKER_01
And same thing here.
4
SPEAKER_01
It s like you re going and trying to fill a problem that is being caused from something else.
4
SPEAKER_02
You have to work your way back.
4
SPEAKER_02
It s always work your way back.
4
SPEAKER_02
Like there s always there s something that s causing this problem, not just fix the problem.
4
SPEAKER_01
But I think that s where, like, we re a lot of trouble now.
4
SPEAKER_02
I m probably fault of this myself when I make videos.
4
SPEAKER_02
I m like, if you have this, use that.
4
SPEAKER_02
People think it s going to go away the next day.
4
SPEAKER_00
Right.
4
SPEAKER_02
I try not to do that.
4
SPEAKER_02
And I try to make videos in the in between all these things like
4
SPEAKER_02
Skincare takes time.
4
SPEAKER_02
Procedures, like if I m doing a laser to remove rounds off people s skin, and that takes two weeks, you cannot expect your cream to treat something in two days.
4
SPEAKER_00
It s sort of like that quote about like, show me your routine and I ll show you your life.
4
SPEAKER_00
Like the little habits that you do every single day, whatever that is, whether it s wellness or beauty or whatever really do add up if you do them every day.
4
SPEAKER_00
I ve found that with all the things that I ve tried, like sort of like as a beauty Guinea pig, that the skincare routine of doing it every single day and showing up for myself every single day is what really over time is the most effective.
4
SPEAKER_00
I love IPL.
4
SPEAKER_00
You said you like that too.
4
SPEAKER_00
I did IPL for brown spots and I felt like that really worked.
4
SPEAKER_02
It s amazing.
4
SPEAKER_00
Yeah.
4
SPEAKER_02
And I think it s a great entry level procedure that s not going to break the bank for a lot of people.
4
SPEAKER_02
And it does so much.
4
SPEAKER_00
Yeah.
4
SPEAKER_02
It treats browns, it treats reds, it treats, it can stimulate collagen.
4
SPEAKER_02
But you have to be the right skin type, right?
4
SPEAKER_02
You can t be like really dark skin because then you ll get burns.
4
SPEAKER_02
And there s bad videos.
4
SPEAKER_02
If anyone wants to like see what
4
SPEAKER_02
the downside of an IPL is they ve been like IPL burns.
4
SPEAKER_02
And you ll see people with like skin type six or like really, really dark skin.
4
SPEAKER_02
And they just get burned from the IPL because it s so much heat and it targets dark.
4
SPEAKER_00
And everyone has different skin types.
4
SPEAKER_00
It s like we re not all the same.
4
SPEAKER_00
You can t just prescribe one thing fits all.
4
SPEAKER_02
Yeah.
4
SPEAKER_00
What do you you said you don t like threads.
4
SPEAKER_00
I do not like threads either.
4
SPEAKER_00
I ve never tried them, but I ve interviewed a lot of people who hate them.
4
SPEAKER_00
Are you like so passionate that you hate them?
4
SPEAKER_02
I tell people if it was my money and my face, I would never do it.
4
SPEAKER_00
Yeah.
4
SPEAKER_02
And the reason for that is I really I ve seen people do threads.
4
SPEAKER_02
I ve had family members do threads and I tell them don t do threads and just don t listen to me, which hurts my feelings.
4
SPEAKER_02
So listen to me.
4
SPEAKER_02
But you re really causing a lot of scar tissue.
4
SPEAKER_02
And the result is, oh, I m building collagen by creating inflammation in the skin from putting in this thread.
4
SPEAKER_00
But you could do that with microneedling PRP.
4
SPEAKER_02
or with sculpture, there s so many other things, right?
4
SPEAKER_02
Right.
4
SPEAKER_02
You could do.
4
SPEAKER_02
And then they re like, oh, and they ll leave the appointments like crazy lifted.
4
SPEAKER_02
They look like the Joker.
4
SPEAKER_02
I don t know.
4
SPEAKER_02
Like it s like, it s a little scary.
4
SPEAKER_02
And I m like, okay.
4
SPEAKER_02
And then it falls in like six months and it s like back to square one.
4
SPEAKER_00
And it s a big fall.
4
SPEAKER_00
You would think.
4
SPEAKER_02
I mean you re trying to like they always do these videos really like they ll pull on the skin And they ll be like wow I m pulling up on the skin so much and yes temporarily you re going to have a lifting effect You will build some collagen however I ve seen many cases of threads being put in way too superficially some people try to do the eyebrow lift with threads and
4
SPEAKER_02
If you like, there s great videos also on social media for this, but they put the thread into superficial.
4
SPEAKER_02
You literally see the thread on someone s that s like going up their forehead and you just see like this barb.
5
SPEAKER_01
The only way to take care of that is to cut it, cut the skin, obviously give you a scar now, and then pull out the thread.
5
SPEAKER_01
And if they re barbed, they re really stuck into the skin.
5
SPEAKER_00
What are some plastic surgery things that you re seeing celebrities do that people just don t know about, that you think are so crazy that maybe we would never think of?
5
SPEAKER_00
Or maybe there s none and we know them all now.
5
SPEAKER_01
A lot of people are posting more about procedures than they ever have.
5
SPEAKER_00
Thank God, because who cares?
5
SPEAKER_01
Yeah.
5
SPEAKER_01
And I think it s, it s almost a flex.
5
SPEAKER_01
Like, oh, I got this done.
5
SPEAKER_01
I did that.
5
SPEAKER_00
It s like the new car that you got, but not, but not.
5
SPEAKER_00
Yeah.
5
SPEAKER_01
That s what me, when I get a new laser, I m like my new lasers.
5
SPEAKER_00
You know what else people do that with?
5
SPEAKER_00
We were laughing yesterday as they do it with like cold plunge saunas.
5
SPEAKER_00
I ll be like, well, look at my cold plunge.
5
SPEAKER_02
You do that.
5
SPEAKER_02
You are one of those people.
5
SPEAKER_00
I think it s cool to have a cold plunge.
5
SPEAKER_00
Like I don t care about the car.
5
SPEAKER_00
A cold plunge?
5
SPEAKER_00
You would love it.
5
SPEAKER_01
I feel like you would love it.
5
SPEAKER_00
It s so, like, it has to do with sin.
5
SPEAKER_01
Listen, you put me in a cold shower for like two seconds, I m jumping out of there, so.
5
SPEAKER_00
No, no, no, you would like it.
5
SPEAKER_02
I feel like you d like it, just because I could tell, like, you re a go-getter, like, you ll just get, you get so much energy.
5
SPEAKER_02
We don t have to go into tanger, we talked about it earlier.
5
SPEAKER_00
I brought you an ice roller, you can start out with this.
5
SPEAKER_01
I needed this earlier.
5
SPEAKER_00
I want to know if you like ice, if you, like, how you use ice as a dermatologist.
5
SPEAKER_01
Okay.
5
SPEAKER_00
Is there any way that you like it after Botox?
5
SPEAKER_00
I mean, you obviously don t want to roll over Botox, but like, how do you use ice as a dermatologist?
5
SPEAKER_01
It s great for like, like while you re doing filler, you put ice on the areas to help prevent bruising.
5
SPEAKER_01
Yeah, I love it for mornings.
5
SPEAKER_01
I think ice.
5
SPEAKER_01
There s a difference, like people like getting an ice bath and like shove their face in there for like five seconds and then come out and like that s not really doing much.
5
SPEAKER_01
But having ice in the actual massaging motion of it,
5
SPEAKER_01
is really good because it s like gua sha.
5
SPEAKER_01
That was a huge thing, right?
5
SPEAKER_01
Gua sha is not going to give you a jawline.
5
SPEAKER_01
However, temporarily, it s going to reduce a lot of inflammation.
5
SPEAKER_01
It s going to drain your lymphatics.
5
SPEAKER_01
It s going to tighten up some of the skin.
5
SPEAKER_01
And this is amazing for the under eyes.
5
SPEAKER_01
There s actually an eye serum by L Oreal that I like a lot.
5
SPEAKER_01
It s the HAI one.
5
SPEAKER_01
It has these steel balls on it.
5
SPEAKER_01
And you could literally massage your under eye with it.
5
SPEAKER_01
So that s what I do.
5
SPEAKER_01
And it has niacinamide and all these other things in it.
5
SPEAKER_01
ice or cooling sensation and actually mechanically aiding in lymphatic drainage, you re going to look tighter.
5
SPEAKER_01
Your skin is going to look a little better.
5
SPEAKER_00
What is a drugstore product that you think is so incredible for the skin?
5
SPEAKER_00
Like if someone could go find something and walk in and grab something, what would it be?
5
SPEAKER_01
It really depends.
5
SPEAKER_01
Like this goes back to what you re treating.
5
SPEAKER_01
It s really easy to spend a lot of money at a drugstore buying things that really, one, are not going to help your skin.
5
SPEAKER_01
But for example, if you have dark spots, the way I tell people to use dark spots is you need to hit it from multiple angles.
5
SPEAKER_01
So one protection, sunscreen, anything SPF 30 or higher, broad spectrum, make sure you re wearing it every two hours.
5
SPEAKER_01
So this one s perfect, it s SPF 50, and this one s really good.
5
SPEAKER_01
The reason I like this one is it s actually a chemical sunscreen.
5
SPEAKER_01
I don t know what your thoughts are on chemical versus mineral sunscreens,
5
SPEAKER_01
For darker skin patients who are the ones who really struggle with dark spots, especially PIH or post-inflammatory dark spots from acne and stuff, because they already have melanin, you need a sunscreen that s going to blend into their skin, or they ll never use it.
5
SPEAKER_01
So if you use that really old school white cast-y sunscreen, they ll never put it on.
5
SPEAKER_01
So you need something chemical.
5
SPEAKER_01
I think it just blends in really well.
5
SPEAKER_01
And then in the morning, vitamin C. At night, niacinamide and retinol.
5
SPEAKER_02
So you d use this one at night, this niacinamide, the dark spot serum?
5
SPEAKER_01
Yeah.
5
SPEAKER_01
That one you could use actually twice a day.
5
SPEAKER_01
There s a big like, the reason you could use this one with vitamin C, and there s like a lot of controversy on social media of like, can you use niacinamide with vitamin C?
5
SPEAKER_01
You can.
5
SPEAKER_01
You got to be careful because there s a lot of niacinamides on the market that are really high percentages.
5
SPEAKER_01
They re like 20% niacinamide.
5
SPEAKER_01
And with any high percentage, anything, you cause irritation to the skin.
5
SPEAKER_01
So with this L Oreal one s 12%.
5
SPEAKER_01
So this is 7%.
5
SPEAKER_00
I want to tell them the exact one that you can get at the drugstore.
5
SPEAKER_00
It s L Oreal Paris Bright Reveal, 12% niacinamide, and it has ferulic in it.
5
SPEAKER_01
Ferulic, so it s antioxidant and amino sulfonic acid, which is actually an exfoliant.
5
SPEAKER_00
And then you use it with Bright Reveal SPS 50.
5
SPEAKER_00
You like SPF 50.
5
SPEAKER_01
Most people don t use enough sunscreen.
5
SPEAKER_01
So I tell them if you have dark spots, you should use SPF 50.
5
SPEAKER_00
And would you bring the UV sunscreen onto your hands and your chest?
5
SPEAKER_01
A hundred percent.
5
SPEAKER_00
Yeah.
5
SPEAKER_01
You know that.
5
SPEAKER_00
I mean, I just want to make sure that everyone knows that I scream it from the rooftops.
5
SPEAKER_00
Take it to your tits.
5
SPEAKER_00
Take it to your toes.
5
SPEAKER_00
My facialist tells me, Stacy Christie, she says your skin Lauren is from your forehead to your toes and she looks fucking incredible.
5
SPEAKER_01
There are so many videos of people, like old farmers.
5
SPEAKER_01
Have you seen these?
5
SPEAKER_02
And then it s like, and then their thigh.
5
SPEAKER_01
It is ridiculous.
5
SPEAKER_01
Like if you, and this is the thing, like sunscreen s not sexy.
5
SPEAKER_01
I tell people this all the time.
5
SPEAKER_01
I m like, sunscreen s not sexy, but it s like the best thing for you.
5
SPEAKER_01
Cause you ll never be like, oh my God, my sunscreen is doing so much for my skin.
5
SPEAKER_01
But like in 10 years, when you see someone else who s not wearing sunscreen, you ll be like, my sunscreen did so much for my skin, right?
5
SPEAKER_01
But yes, hands, neck, and the neck is super hard to treat too.
5
SPEAKER_01
By the way, like down the line when you re using all these laser and light devices, it s harder to treat than your face because it s thinner skin.
5
SPEAKER_00
This is why if you re already at your facialist, I m like just have her do it.
5
SPEAKER_00
Then I have my facialist do my arms.
5
SPEAKER_00
I ve had my arms microneedled.
5
SPEAKER_00
Like if I m already there.
5
SPEAKER_00
And I can slap on an extra.
5
SPEAKER_00
Listen, I know that like some people like they re saving money, so that s not cost effective.
5
SPEAKER_00
But my point is, is if you re doing your skin care on your face and you have extra, put it on your arms, put it on your hands, like use it where you can use it.
5
SPEAKER_00
Don t just wash it off.
5
SPEAKER_01
I do niacinamide on my hands, I do vitamin C on my hands, I do retinol on my hands.
5
SPEAKER_01
Actually, any of my actives that I use in my skincare routine that build collagen, improve your skin barrier, help with dark spots, goes on my neck, goes on my hands, and it s game changer, I think.
5
SPEAKER_02
I got a different curveball question for you because I know we re getting close on time.
5
SPEAKER_02
For obviously you have a skincare routine and I now have a skincare routine, but a lot of men are resistant, even like friends of mine.
5
SPEAKER_02
Now they re like, you know, they re looking like old dust.
5
SPEAKER_00
One of his crust bucket friends brought no moisturizer or sunscreen on a trip that we were on for two weeks.
5
SPEAKER_00
And I go, what s going on with your skin?
5
SPEAKER_00
He goes, I forgot a moisturizer.
5
SPEAKER_00
I m like, you need some of my colostrum serum right now.
5
SPEAKER_00
I dragged him downstairs.
5
SPEAKER_00
This is not OK.
5
SPEAKER_00
You can t just go away for two weeks and be like,
5
SPEAKER_01
Are we talking about Crust Bucket?
5
SPEAKER_02
A lot of my guy friends now are coming to me and they ve seen a drastic change and they look like old weathered saddles.
5
SPEAKER_02
And it s still, even with that, it s hard to convince men to do a skincare.
5
SPEAKER_02
Do they think it s feminine?
5
SPEAKER_02
weird to have a routine.
5
SPEAKER_02
But the more people I ve talked to and the more I ve learned about skin, I m like, you know, you lead with your face.
5
SPEAKER_02
You want to have healthy looking skin.
5
SPEAKER_02
You don t want to look sickly.
5
SPEAKER_00
You sound like I robotically went in your body and made you say that.
5
SPEAKER_00
No, no, no.
5
SPEAKER_02
But anyways, it s it s taken a lot of drumming into me.
5
SPEAKER_02
And again, I have these conversations.
5
SPEAKER_02
But for men that come in, like, what is the easiest way, in your opinion, to get men to develop a skin care routine and think about taking care of their skin?
5
SPEAKER_01
It s with men.
5
SPEAKER_01
I love using combination products.
5
SPEAKER_01
I ll be honest, like get a sunscreen with this moisturizer, sunscreen combo.
5
SPEAKER_02
But I mean, what do you tell them to get them?
5
SPEAKER_00
No, he s saying like multitask, like how this has niacinamide and the vitamin C. They can use that.
5
SPEAKER_02
What do you tell them when they re resistant to even wanting to implement it?
5
SPEAKER_02
Because again, like I said, a lot of men, for whatever reason, they feel like uncomfortable having a skincare routine.
5
SPEAKER_01
Well, first I find out why they re uncomfortable with it, right?
5
SPEAKER_01
Like a lot of people, if it s like image wise, but they re like, I don t want to like, look like I m doing makeup and stuff.
5
SPEAKER_02
I think it s like not manly.
5
SPEAKER_01
Exactly.
5
SPEAKER_01
So then I m like, your skin is dry.
5
SPEAKER_01
Right.
5
SPEAKER_01
And most of the, most of the guys are the ones with beards.
5
SPEAKER_00
You re a crust bucket.
5
SPEAKER_01
I don t say that, but I might start using it.
5
SPEAKER_01
But most of them, I look at someone s beard.
5
SPEAKER_01
This is what always gets them.
5
SPEAKER_01
I m like, I look at their beard.
5
SPEAKER_01
I m like, you re like really flaking in your beard.
5
SPEAKER_00
Yep.
5
SPEAKER_01
I was just and then they get so like, so it sounds so bad, but they get like more self conscious about that.
5
SPEAKER_01
And I m like, you know, you should really moisture.
5
SPEAKER_01
Your skin s really dry.
5
SPEAKER_01
You should moisturize it.
5
SPEAKER_01
And I m like, you should just use this one as sunscreen.
5
SPEAKER_01
Knock out two steps and you don t need dead skin.
5
SPEAKER_00
I was a dermatologist and I saw a guy in my office that was resistant.
5
SPEAKER_00
I would do exact.
5
SPEAKER_00
I would be like,
5
SPEAKER_00
You know, you re a little crusty.
5
SPEAKER_00
Just to call someone crusty and like, it s done.
5
SPEAKER_00
No one wants to be crusty.
6
SPEAKER_01
Crusty the clown no one wants to be crusty just be like you know there s a the flake thing is great a little flaky a little crusty There s a little crust hanging off your eyebrow that would go away with moisturizer done.
6
SPEAKER_01
It s done That s all you do.
6
SPEAKER_02
So that s one way and the other way is my the scare tactic We re like I have authorization from some patients that have had really big skin cancers removed off their face Oh, and I ll literally show them like a face filleted open and I d be like you could have that if you don t wear sunscreen
6
SPEAKER_01
Carson is logging on to L Oreal to buy the Bright Reveal SPF 50 right now.
6
SPEAKER_01
I m going to leave the link for the product that you recommended and your TikTok in the show notes.
6
SPEAKER_01
So you guys can just go shop.
6
SPEAKER_01
Maybe you can like send us some of your tips.
6
SPEAKER_01
We ll put them in the show notes, the products that you recommended, the passive multitasking products that you recommended.
6
SPEAKER_01
I think it s so smart to find products, like you said, that have multiple ingredients so people don t get overwhelmed.
6
SPEAKER_01
Where can everyone find you?
6
SPEAKER_01
Pimp yourself out if they want to book with you virtually or in person.
6
SPEAKER_02
Social Dr. Tomassian on Instagram and TikTok.
6
SPEAKER_02
My clinic is the Dermatology Collective.
6
SPEAKER_02
I m in Glendora, California.
6
SPEAKER_02
I do virtual appointments.
6
SPEAKER_02
I do in person.
6
SPEAKER_02
You could do those appointments at thedermatologycollective.com or just link in my bio on Instagram.
6
SPEAKER_01
And your TikTok is off the charts.
6
SPEAKER_01
If you guys want to go watch some super interesting myth busters, ingredient information, I think it s really cool what you ve built.
6
SPEAKER_01
We ll link it all out.
6
SPEAKER_02
Thank you for coming on.
6
SPEAKER_00
Discover the new Bright Reveal Dark Spot Duo.
6
SPEAKER_00
Visit Target online and in-store to buy yours today.
6
SPEAKER_00
All the info is linked in the show notes.