WEBVTT 00:00:03.189 --> 00:00:07.250 Hey everyone, welcome to our first official episode 00:00:07.250 --> 00:00:10.449 of our podcast Derm Next Door. I'm here with 00:00:10.449 --> 00:00:13.429 Allie and we're going to be talking about a bunch 00:00:13.429 --> 00:00:18.170 of cool new exciting stuff. So happy to be back. 00:00:18.489 --> 00:00:20.850 And yeah, this is our first official episode 00:00:20.850 --> 00:00:23.429 last week or a few weeks ago, we did our first 00:00:23.429 --> 00:00:26.390 kind of test run and an intro episode. So we're 00:00:26.390 --> 00:00:30.649 really excited. All right, so Allie, what are 00:00:30.649 --> 00:00:34.530 we hot and bothered about? Okay, so I think we 00:00:34.530 --> 00:00:36.229 might have brought this up in our intro episode, 00:00:36.229 --> 00:00:39.670 but we do need to have a moment for salmon sperm 00:00:39.670 --> 00:00:42.670 skincare. It's actually kind of late to the trend, 00:00:42.670 --> 00:00:44.390 but I think we should still address it because 00:00:44.390 --> 00:00:46.890 it's just fascinating. What have you been thinking 00:00:46.890 --> 00:00:50.729 about it? So let's break it down. What is salmon 00:00:50.729 --> 00:00:55.250 sperm? So it stands, it's PDRN. And basically 00:00:55.250 --> 00:00:57.609 the way that people have been doing it in other 00:00:57.609 --> 00:01:01.310 parts of the world is injecting it superficially 00:01:01.310 --> 00:01:04.390 under the skin. Some people have microneedled 00:01:04.390 --> 00:01:07.590 with it. Some people inject it a little bit deeper. 00:01:08.890 --> 00:01:12.810 I've also seen reports or other doctors who mix 00:01:12.810 --> 00:01:17.530 it with exosomes, with mesotherapy, also injecting 00:01:17.530 --> 00:01:21.780 that. So there's a lot of potential. I'm excited 00:01:21.780 --> 00:01:25.099 to actually one day try doing it with microneedling, 00:01:25.239 --> 00:01:27.439 possibly on each other. I think that's a good 00:01:27.439 --> 00:01:30.000 place to start. Okay, I have a confession. I 00:01:30.000 --> 00:01:34.799 kind of picked up a few ampules of PDRN at our 00:01:34.799 --> 00:01:38.439 conference in large, so it's like sitting in 00:01:38.439 --> 00:01:41.060 my apartment and we can... we need to schedule 00:01:41.060 --> 00:01:43.799 that. We need to schedule that. I also got some 00:01:43.799 --> 00:01:48.260 when I was in Japan. I got the Resuron, the ampules, 00:01:48.480 --> 00:01:50.920 and I've been using it for a few weeks now and 00:01:50.920 --> 00:01:53.579 I think it is making a subtle difference. I think 00:01:53.579 --> 00:01:55.019 I probably need to give it a little bit more 00:01:55.019 --> 00:01:59.459 time, but I'm almost sold. Yeah, they talk about 00:01:59.459 --> 00:02:02.540 it's kind of like collagen stimulating properties. 00:02:02.819 --> 00:02:08.740 It helps with pore refinement, texture, pigmentation. 00:02:08.879 --> 00:02:11.360 I don't know. I feel like the claim is really, 00:02:11.360 --> 00:02:16.360 really big. We'll just wait and see. Yeah, agreed. 00:02:16.879 --> 00:02:20.719 Yeah. Other things hot? I think that you should 00:02:20.719 --> 00:02:24.620 share your most recent procedure because I'm 00:02:24.620 --> 00:02:28.560 excited to learn more about it. Okay, so I recently 00:02:28.560 --> 00:02:31.919 got PRP done, which is platelet -rich plasma. 00:02:31.979 --> 00:02:35.979 That's where they draw your own blood, spin it, 00:02:36.199 --> 00:02:38.680 take the part of the blood that's really rich 00:02:38.680 --> 00:02:41.819 in platelets and stem cells and growth factors, 00:02:41.819 --> 00:02:44.800 and then you re -inject it back into the skin 00:02:44.800 --> 00:02:49.479 or hair or whatever area you're treating. at 00:02:49.479 --> 00:02:52.340 my current kind of where my skin is right now 00:02:52.340 --> 00:02:55.979 I like I like my volume but when you want when 00:02:55.979 --> 00:02:57.939 you want to add a little bit more a little bit 00:02:57.939 --> 00:03:01.219 of a glow without adding say filler for example 00:03:01.219 --> 00:03:03.099 I'm not there yet we were just talking about 00:03:03.099 --> 00:03:06.340 this I don't I don't think I'm there yet so I 00:03:06.340 --> 00:03:09.199 like to do a little bit of PRP to my face and 00:03:09.199 --> 00:03:11.159 then whatever's left over I always inject into 00:03:11.159 --> 00:03:13.099 the hair because we never waste good product 00:03:13.099 --> 00:03:17.900 especially when it's your own But yeah, I just 00:03:17.900 --> 00:03:21.680 really like how glowy my skin feels afterwards. 00:03:21.740 --> 00:03:26.719 And I also feel like I'm injecting my own product, 00:03:26.759 --> 00:03:29.500 if that makes sense. So it makes me feel, yeah, 00:03:29.780 --> 00:03:32.759 exactly, organic. Yeah, and also your skin does 00:03:32.759 --> 00:03:35.400 look noticeably better. So I think I want to 00:03:35.400 --> 00:03:39.699 try next. Yes. Okay, other things, let's see, 00:03:39.939 --> 00:03:44.500 bothered. What is bothering me lately? I think 00:03:44.500 --> 00:03:47.080 I'm bothered by the amount of things that people 00:03:47.080 --> 00:03:50.599 are doing at home. Someone asked me the other 00:03:50.599 --> 00:03:53.080 day, a patient asked me about dermaplaning and 00:03:53.080 --> 00:03:55.599 initially I thought dermaplaning was like totally 00:03:55.599 --> 00:03:58.379 fine. But then actually, I always like to try 00:03:58.379 --> 00:04:00.419 anything I'm recommending to my patients. And 00:04:00.419 --> 00:04:04.039 I tried it myself. And I did, it was kind of 00:04:04.039 --> 00:04:07.000 rough, actually. I think that if a dermatologist 00:04:07.000 --> 00:04:09.439 can't do it, I don't know that like the lay person 00:04:09.439 --> 00:04:12.599 should be doing it at home. No, agreed. I've 00:04:12.599 --> 00:04:14.599 actually tried it myself. I've like picked up 00:04:14.599 --> 00:04:18.540 a few blades. They're really sharp, eh? Exactly. 00:04:18.660 --> 00:04:22.670 And then with like the like the the way your 00:04:22.670 --> 00:04:24.550 skin is, like your face is shaped, like there's 00:04:24.550 --> 00:04:27.250 a lot of areas that are hollow. You know, it 00:04:27.250 --> 00:04:31.649 was kind of hard and I can see how someone might 00:04:31.649 --> 00:04:34.769 hurt themselves, A, and then B, also just like 00:04:34.769 --> 00:04:37.310 irritate their skin. If you're not prepping your 00:04:37.310 --> 00:04:39.189 skin properly, if you're not applying the right 00:04:39.189 --> 00:04:42.089 products afterwards, it can lead to like irritation, 00:04:42.529 --> 00:04:46.709 it can lead to like more congestion. That's my... 00:04:46.699 --> 00:04:51.019 two cents. I'm not against it. I mean, I actually 00:04:51.019 --> 00:04:52.319 asked the person, I'm like, do you feel like 00:04:52.319 --> 00:04:54.939 it works for you? Do you like it? They're either 00:04:54.939 --> 00:04:56.720 like, yes. Oh my gosh. They rave about it. I'm 00:04:56.720 --> 00:04:59.279 like, okay, continue. But if they feel like it's 00:04:59.279 --> 00:05:01.800 not really doing much, I tell them to stop. Yeah. 00:05:01.800 --> 00:05:05.480 Yeah. I would much rather do my own botox than 00:05:05.480 --> 00:05:07.939 mess around with dermablading again. A hundred 00:05:07.939 --> 00:05:10.500 percent. But speaking of like at -home devices, 00:05:11.180 --> 00:05:14.019 what do we feel about, what do you think about 00:05:14.019 --> 00:05:18.779 at -home laser devices? Hmm scam potentially 00:05:18.779 --> 00:05:23.519 I feel like it's very dangerous because especially 00:05:23.519 --> 00:05:26.920 if you have pigmented skin any melanin you're 00:05:26.920 --> 00:05:30.790 at risk of overdoing it and you know, getting 00:05:30.790 --> 00:05:32.649 like burns on your skin and that can lead to 00:05:32.649 --> 00:05:35.029 pigmentation. Sometimes that's not easy to fix. 00:05:35.050 --> 00:05:37.449 It could be irreversible. That's one part of 00:05:37.449 --> 00:05:39.810 it. And then the second part of it is it's usually 00:05:39.810 --> 00:05:42.949 such low levels that A, it doesn't work. And 00:05:42.949 --> 00:05:45.269 then B, my fear is that you're stimulating the 00:05:45.269 --> 00:05:47.730 hair follicles, like paradoxical hypertrichosis, 00:05:47.769 --> 00:05:50.310 which can happen in like, you know, Mediterranean, 00:05:50.709 --> 00:05:53.910 Southeast Asian, Middle Eastern people. So I 00:05:53.910 --> 00:05:55.889 wonder, I don't know, it's not for the faint 00:05:55.889 --> 00:05:58.509 of heart. Yeah. And also my biggest fear, at 00:05:58.509 --> 00:06:01.329 least for patients is that patients are spending 00:06:01.329 --> 00:06:03.389 so much money on these things and there's just 00:06:03.389 --> 00:06:07.310 no data really, or there's just no science backing 00:06:07.310 --> 00:06:11.290 what they're selling online. So I don't know. 00:06:11.490 --> 00:06:13.709 I think that people should stay away from it 00:06:13.709 --> 00:06:19.129 from now. Okay, side eyeing. I saw something 00:06:19.129 --> 00:06:23.110 recently on TikTok about some... TikTok influencer 00:06:23.110 --> 00:06:26.410 was saying that she got glass skin from drinking 00:06:26.410 --> 00:06:28.870 water. And while that sounds amazing, it's really 00:06:28.870 --> 00:06:32.209 not that easy. Glass skin takes a lot of work 00:06:32.209 --> 00:06:35.870 and drinking water is good for sustaining life. 00:06:36.870 --> 00:06:38.810 Please drink water. Yeah, please stay hydrated, 00:06:38.870 --> 00:06:40.730 but it's definitely not going to give you glass 00:06:40.730 --> 00:06:45.490 skin. You need a lot more work. No, agreed. And, 00:06:45.689 --> 00:06:48.720 you know, one part of it is I feel like people 00:06:48.720 --> 00:06:51.100 who tend to drink more water and are hydrated 00:06:51.100 --> 00:06:53.160 are more likely to have, like, a good skincare 00:06:53.160 --> 00:06:57.000 routine. So, you know, I don't think that's necessarily 00:06:57.000 --> 00:06:59.040 contributing to their glass skin, but those people 00:06:59.040 --> 00:07:02.120 are just, in general, more disciplined. Right. 00:07:02.240 --> 00:07:04.779 Yeah. So this is the confounding variables here. 00:07:04.800 --> 00:07:06.879 Yeah. TikTok doesn't account for that. No, it 00:07:06.879 --> 00:07:09.040 does not. And also, I should drink more water. 00:07:10.060 --> 00:07:12.639 Ali, I love that you have a water bottle right 00:07:12.639 --> 00:07:17.689 now. Yeah, I have a water bottle, so yes. Okay, 00:07:17.850 --> 00:07:22.709 moving on to Derm in the Wild. So pop culture, 00:07:22.990 --> 00:07:26.649 any current events that are kind of, you know, 00:07:26.829 --> 00:07:29.189 filtering through our heads right now? I know 00:07:29.189 --> 00:07:32.050 that one thing, because I was just at the Met, 00:07:32.709 --> 00:07:35.069 I was actually seeing the opera Barbara Seville, 00:07:35.290 --> 00:07:37.970 10 out of 10 recommend. It was hilarious, first 00:07:37.970 --> 00:07:40.750 of all. Really? Yes, it was actually so funny. 00:07:41.970 --> 00:07:44.990 Obviously, the performers were amazing. But yeah, 00:07:45.110 --> 00:07:46.730 it was just a lovely experience. But anyways, 00:07:47.290 --> 00:07:49.689 being at the Met had me thinking about the upcoming 00:07:49.689 --> 00:07:52.569 Met Gala. And you and I were just talking about 00:07:52.569 --> 00:07:56.470 Softwave. And apparently, that's what Kim Kardashian 00:07:56.470 --> 00:07:59.189 does before the Met Gala. I mean, that's what 00:07:59.189 --> 00:08:01.810 I feel like every celebrity is doing all the 00:08:01.810 --> 00:08:04.589 time. I feel like we get our hands on Softwave. 00:08:04.889 --> 00:08:07.370 I know, I know. That's like our, that's on our... 00:08:07.420 --> 00:08:09.819 hot list. Like we need to tell our listeners 00:08:09.819 --> 00:08:11.639 a little bit more about SoftWave and what Kim 00:08:11.639 --> 00:08:14.060 Kardashian's doing with it. Yeah, so SoftWave 00:08:14.060 --> 00:08:18.339 is a device where basically it's kind of like 00:08:18.339 --> 00:08:23.319 a newer generation of skin like firming devices 00:08:23.319 --> 00:08:28.360 where you are applying this device and it stimulates 00:08:28.360 --> 00:08:32.360 the deeper layers of your collagen to basically 00:08:32.360 --> 00:08:35.700 kind of grow and it causes a little bit of lifting. 00:08:36.039 --> 00:08:37.860 Is it going to give you the same effect as a 00:08:37.860 --> 00:08:41.419 facelift? No. But when you're at that in -between 00:08:41.419 --> 00:08:44.440 age, like I would say kind of, you know, you're, 00:08:44.440 --> 00:08:48.500 you know, late 30s, early 40s, mid 40s, where 00:08:48.500 --> 00:08:50.419 you don't need a facelift, but you need a little 00:08:50.419 --> 00:08:53.039 bit of help of like a little bit of firming, 00:08:53.240 --> 00:08:55.259 a little bit of lift, I think it's a great place 00:08:55.259 --> 00:08:58.779 to start. And a lot of people are always asking 00:08:58.779 --> 00:09:01.940 about what can I do to prevent, you know, aging 00:09:01.940 --> 00:09:04.320 or what can I do to kind of preserve what I already 00:09:04.320 --> 00:09:07.139 have? So I think that's a great place to start. 00:09:08.059 --> 00:09:11.000 I feel like it's really great for brows. If you 00:09:11.000 --> 00:09:13.000 go kind of like forehead, like it gives a little 00:09:13.000 --> 00:09:16.679 bit of a similar to like a Botox brow. So if 00:09:16.679 --> 00:09:19.620 you combine it's even better, Botox and Softwave. 00:09:20.039 --> 00:09:24.299 And the way The current recommendations are to 00:09:24.299 --> 00:09:27.659 do two treatments, so three months apart, and 00:09:27.659 --> 00:09:30.679 then once a year for like maintenance. Apparently 00:09:30.679 --> 00:09:33.639 it's not as painful as like other devices like 00:09:33.639 --> 00:09:38.559 the all therapy or Thermage. So I think it's 00:09:38.559 --> 00:09:42.659 promising and it's honestly the new hottest device. 00:09:43.120 --> 00:09:46.340 Truly. I think everyone's looking for a good 00:09:46.340 --> 00:09:48.639 eyebrow lift at the end of the day. Yes, and 00:09:48.639 --> 00:09:51.320 also like for the jawline, I feel like having 00:09:51.320 --> 00:09:54.860 a snatched jawline is like clutch and, you know, 00:09:55.080 --> 00:09:58.480 very difficult to achieve and you need to do 00:09:58.480 --> 00:10:01.019 a lot of different things. Retin -A and retinol 00:10:01.019 --> 00:10:03.259 will only get you so far and sunscreen. Sometimes 00:10:03.259 --> 00:10:05.679 we need the help of, you know, different devices. 00:10:06.679 --> 00:10:09.240 And I can't wait to try it. We should try it 00:10:09.240 --> 00:10:11.059 together. We should try it. But actually, that 00:10:11.059 --> 00:10:14.019 just made me think of another thing that's sort 00:10:14.019 --> 00:10:16.080 of like, it's not really trending right now, 00:10:16.080 --> 00:10:19.960 but a lot of things that come up about jaw snatching. 00:10:20.540 --> 00:10:23.419 Masseter Botox is like surprisingly controversial. 00:10:23.899 --> 00:10:26.720 Yeah, and I'm curious. What is your take on Masseter 00:10:26.720 --> 00:10:32.200 Botox? Okay, so First of all my issue with Masseter 00:10:32.200 --> 00:10:35.240 Botox is not everyone needs it So I do believe 00:10:35.240 --> 00:10:37.759 that some people who do have like more hypertrophy 00:10:37.759 --> 00:10:40.720 or thick, you know, the the muscle of their jaw 00:10:40.720 --> 00:10:44.399 is thicker and you can visibly see it and it's, 00:10:44.399 --> 00:10:46.980 you know, contributing to like TMJ pain, you 00:10:46.980 --> 00:10:49.820 know, headaches. They can benefit and that's 00:10:49.820 --> 00:10:52.100 usually when they're younger. However, when you're 00:10:52.100 --> 00:10:55.259 older and you target that area, you're more likely 00:10:55.259 --> 00:10:58.580 to develop jowls because that bulky muscle is 00:10:58.580 --> 00:11:00.399 somehow giving you a little bit of a lift. If 00:11:00.399 --> 00:11:02.639 you're relaxing it too much or making it smaller, 00:11:03.019 --> 00:11:05.399 that skin then kind of, you know, slides down 00:11:05.399 --> 00:11:07.220 a little bit and then you get more pronounced 00:11:07.220 --> 00:11:10.620 jowls. So that's my problem with masseter botox. 00:11:11.230 --> 00:11:13.549 I'm not against it, but I feel like I do less 00:11:13.549 --> 00:11:15.250 and less of it, or I convince my patient not 00:11:15.250 --> 00:11:17.409 to do it. And what do you tell them to do instead? 00:11:18.289 --> 00:11:20.889 It depends. Is their goal, like, slimming? Snatching 00:11:20.889 --> 00:11:23.629 the jaw. If it's snatching the jaw, you can do 00:11:23.629 --> 00:11:26.710 more Botox, like, underneath, like the Nefertiti 00:11:26.710 --> 00:11:30.769 or, like, Texas Lift. That's helpful. Also, if 00:11:30.769 --> 00:11:33.889 they have less pronounced jawline or less structure, 00:11:34.149 --> 00:11:36.789 like, Radiesse or, like, a deeper filler is helpful. 00:11:37.779 --> 00:11:41.340 um, more of like the deeper kind of, um, bio 00:11:41.340 --> 00:11:43.840 -stimulatory fillers like Sculptra, things like 00:11:43.840 --> 00:11:45.940 that. Yes, we need to, we need to talk next episode 00:11:45.940 --> 00:11:47.860 about Sculptra too. We should just, yeah. Yeah, 00:11:47.860 --> 00:11:49.679 actually we could do a whole bio -stimulatory. 00:11:49.679 --> 00:11:52.000 I know. And then we can do a whole talk just 00:11:52.000 --> 00:11:55.740 on the jaw. Exactly. Wow. So many ideas. But 00:11:55.740 --> 00:11:57.559 yeah, okay. We don't want to get too sidetracked, 00:11:57.559 --> 00:12:00.860 but, um, okay. What do you, what do you think 00:12:00.860 --> 00:12:03.159 about Mastodermal Sox? I, I pretty much agree. 00:12:03.159 --> 00:12:05.799 I mean, I think you just have to have the right 00:12:05.799 --> 00:12:09.330 shape and also age. Like when patients start 00:12:09.330 --> 00:12:11.909 to get a lot older, I don't love doing the master. 00:12:12.009 --> 00:12:16.970 But if you're like in between like 20 and young 00:12:16.970 --> 00:12:20.009 50 and you are looking for just a little bit 00:12:20.009 --> 00:12:23.309 of snatching and you have the right shape, I 00:12:23.309 --> 00:12:29.379 like it. Yeah. And then the other thing is, it 00:12:29.379 --> 00:12:31.379 can be dramatic. And I feel like it was a huge 00:12:31.379 --> 00:12:34.440 thing on social media like a few years ago, but 00:12:34.440 --> 00:12:38.179 now not so much. Just one last thing with the 00:12:38.179 --> 00:12:40.460 jaw. I just feel like sometimes people do too 00:12:40.460 --> 00:12:44.200 much filler in the jaw to try to get that... 00:12:44.940 --> 00:12:47.419 Definition. Yeah, and then on on some women it 00:12:47.419 --> 00:12:50.779 can look very masculine Yeah, I found that sometimes 00:12:50.779 --> 00:12:54.399 that yes can look a little bit. Yeah. Yeah So 00:12:54.399 --> 00:12:56.279 radius is more like if you're older and you've 00:12:56.279 --> 00:12:59.500 lost bone exactly. I feel like replenish That's 00:12:59.500 --> 00:13:01.500 the mistake is that sometimes I've seen younger 00:13:01.500 --> 00:13:04.740 people. Yeah the radius and I'm like why But 00:13:04.740 --> 00:13:06.399 don't you feel and we talked about this earlier 00:13:06.399 --> 00:13:08.120 that people are just doing less and less filler. 00:13:08.120 --> 00:13:11.179 Yes Great percent and I actually find myself 00:13:11.179 --> 00:13:14.970 telling patients you know, there's a lot of other 00:13:14.970 --> 00:13:18.129 options other than filler, or I've had so many 00:13:18.129 --> 00:13:20.610 patients recently, like within the last few months, 00:13:20.690 --> 00:13:23.350 tons of them that are coming in having previously 00:13:23.350 --> 00:13:26.309 done eye filler, under eye filler, and all of 00:13:26.309 --> 00:13:28.750 them want it dissolved. Yeah. I don't know if 00:13:28.750 --> 00:13:30.669 it's because everyone's talking about it, or 00:13:30.669 --> 00:13:32.549 I think it just kind of looks like not great. 00:13:32.730 --> 00:13:34.570 I think it's like Kylie Jenner effects. Remember 00:13:34.570 --> 00:13:37.610 when she like, I forget what, when it was sometime 00:13:37.610 --> 00:13:40.330 like two years ago, when she had really bad under 00:13:40.330 --> 00:13:43.049 eye swelling? Yeah. And they thought maybe it 00:13:43.049 --> 00:13:46.009 was you know, due to filler, like, blocking the 00:13:46.009 --> 00:13:48.210 lymphatic, like, you know, a lot of, like, orbital 00:13:48.210 --> 00:13:51.049 edema. And then she went and, like, dissolved 00:13:51.049 --> 00:13:55.210 out of it. Yeah, that makes sense. I mean, I 00:13:55.210 --> 00:13:58.750 feel like she was also some, like, key and, like, 00:13:59.029 --> 00:14:01.110 monumental in, like, the lip filler revolution 00:14:01.110 --> 00:14:04.769 in, like, 2014, 2015, where everyone and their 00:14:04.769 --> 00:14:07.730 mother and, you know, everyone went out and got 00:14:07.730 --> 00:14:09.889 fillers, even if they didn't need it, and at 00:14:09.889 --> 00:14:14.019 a very young age. Yeah. So now we're seeing more 00:14:14.019 --> 00:14:16.200 of a return of like the natural aesthetic, which 00:14:16.200 --> 00:14:18.919 I am personally very pleased. Yeah, I really 00:14:18.919 --> 00:14:21.419 like that. Yeah, like a little filler in the 00:14:21.419 --> 00:14:24.139 lips, a little bit in the cheekbones, like as 00:14:24.139 --> 00:14:26.840 you're getting older and then a tiny bit in your 00:14:26.840 --> 00:14:30.029 temples as you're getting even more. Yeah, exactly. 00:14:30.549 --> 00:14:32.610 And I'm not and I feel like when I have younger 00:14:32.610 --> 00:14:34.629 patients and they want to do something I kind 00:14:34.629 --> 00:14:37.629 of steer them towards PRP Mm -hmm, because that's 00:14:37.629 --> 00:14:40.110 helpful and that's your own like growth factors. 00:14:40.230 --> 00:14:44.789 You're less likely get like reactions to it Oh, 00:14:45.850 --> 00:14:50.049 yes. Yeah. Yeah, so many options so many. Um, 00:14:50.350 --> 00:14:53.889 okay next up we're gonna do science or scam And 00:14:53.889 --> 00:14:56.950 I have a great one that I want to discuss immediately. 00:14:57.909 --> 00:15:01.710 So I think it might have been tanks or one of 00:15:01.710 --> 00:15:05.610 those like big influencers was talking about 00:15:05.610 --> 00:15:08.850 dunking your face in ice cold water, like right 00:15:08.850 --> 00:15:12.090 when you wake up. So, you know, I just wanted 00:15:12.090 --> 00:15:13.950 to try this because I'm like, what is this actually 00:15:13.950 --> 00:15:17.830 doing? And people online say that it helps like 00:15:17.830 --> 00:15:21.009 de -puff your face and whatever. And I'm sitting 00:15:21.009 --> 00:15:23.669 here thinking about it. I really just can't wrap 00:15:23.669 --> 00:15:25.789 my head around the science behind this. So help 00:15:25.789 --> 00:15:28.289 me understand. Why are people doing this? I tried 00:15:28.289 --> 00:15:32.710 it. I noticed no difference. I feel like I'm 00:15:32.710 --> 00:15:35.610 trying to think about the science. Maybe if you 00:15:35.610 --> 00:15:39.250 are, you tend to wake up puffy. Like the cool 00:15:39.250 --> 00:15:42.950 water might help that cool is freezing cold freezing 00:15:42.950 --> 00:15:46.409 cold. Okay, I Feel like there was like some kind 00:15:46.409 --> 00:15:49.879 of research about ice cold immersion, like water 00:15:49.879 --> 00:15:52.879 immersion, helping to like, to like, um, submit 00:15:52.879 --> 00:15:54.980 your vagus nerve or something like activity. 00:15:55.279 --> 00:15:57.480 So that, but that's like, that makes sense to 00:15:57.480 --> 00:16:00.820 me, but this is specifically skin related. No, 00:16:00.899 --> 00:16:04.460 I do not. That's like, remember like when we 00:16:04.460 --> 00:16:06.159 were like, when I was a teenager, it was like, 00:16:06.159 --> 00:16:08.740 oh yeah, hot water opens your pores and then 00:16:08.740 --> 00:16:10.840 you like steam your face. You do your facial 00:16:10.840 --> 00:16:12.659 and then you seal it with some cold water to 00:16:12.659 --> 00:16:14.480 close up. It's like a door that opens and closes. 00:16:14.600 --> 00:16:21.320 Your pores are not doors, you know, No. So it 00:16:21.320 --> 00:16:23.360 reminds me of, you know, this like TikTok trend 00:16:23.360 --> 00:16:25.179 of like the morning routine with the Saratoga 00:16:25.179 --> 00:16:27.440 water and the ice water, like dunking your face 00:16:27.440 --> 00:16:29.379 into the ice water. I think he did that also. 00:16:29.679 --> 00:16:32.080 That's probably why it got so viral. Right, right, 00:16:32.080 --> 00:16:36.259 right. What about ice rollers? I'm not against 00:16:36.259 --> 00:16:39.360 it. I feel like they're good when you're getting 00:16:39.360 --> 00:16:41.679 an injection, like injections in the face, they 00:16:41.679 --> 00:16:44.220 help kind of with pain, reduce pain, they help 00:16:44.220 --> 00:16:48.600 reduce swelling, bruising. But I always tell 00:16:48.600 --> 00:16:50.700 people, do you like doing it? Do you enjoy it? 00:16:50.860 --> 00:16:53.080 Is it part of your routine? And if they like 00:16:53.080 --> 00:16:55.159 it, continue. If not, I don't recommend it. You're 00:16:55.159 --> 00:16:58.580 saying that it's a placebo. Basically. In a nice 00:16:58.580 --> 00:17:01.700 way. Just give them what they want. Give the 00:17:01.700 --> 00:17:05.480 people what they want. 100%. And then one other 00:17:05.480 --> 00:17:07.660 thing that I think is worth discussing, but honestly, 00:17:07.779 --> 00:17:12.420 I think we might need an entire chunk of an episode 00:17:12.420 --> 00:17:17.970 for. is LED face masks. Because I think that 00:17:17.970 --> 00:17:20.490 I've had more and more patients come to me asking 00:17:20.490 --> 00:17:22.809 like, which one should I use? Is this one okay? 00:17:22.950 --> 00:17:26.130 This and that. So maybe we should look into all 00:17:26.130 --> 00:17:28.349 of the ones that are currently on the market 00:17:28.349 --> 00:17:31.710 and come back to our listeners with a little 00:17:31.710 --> 00:17:36.019 bit more information and guidance. Yeah, um, 00:17:36.200 --> 00:17:37.539 I think there's so much, you're right, there's 00:17:37.539 --> 00:17:39.420 so much information out there. And there's also 00:17:39.420 --> 00:17:42.160 like the hair, the head mask, like the head caps 00:17:42.160 --> 00:17:44.900 and like different things. There's like the body 00:17:44.900 --> 00:17:47.880 red light. There's like the sona infrared with 00:17:47.880 --> 00:17:49.859 the red lights. It's a lot. Do you have any of 00:17:49.859 --> 00:17:53.240 them? I do not. Yeah. And I guess it says a lot 00:17:53.240 --> 00:17:55.240 about what I think about them. I know. Well, 00:17:55.259 --> 00:17:59.740 I'm curious. They are big investments, you know? 00:17:59.740 --> 00:18:02.279 I know. And we're so used to getting things. 00:18:03.019 --> 00:18:05.940 Yes. It's part of the perks. Yeah, part of the 00:18:05.940 --> 00:18:09.359 perks. But yeah, okay, so more to come on that 00:18:09.359 --> 00:18:13.720 in a later episode. But moving on, so next we 00:18:13.720 --> 00:18:16.619 have Ask the Derms. And, you know, since this 00:18:16.619 --> 00:18:19.559 is our first official episode, we didn't kind 00:18:19.559 --> 00:18:22.759 of like poll everyone. But please, guys, please 00:18:22.759 --> 00:18:25.640 message us on Instagram. We will set out a poll 00:18:25.640 --> 00:18:28.940 before our next episode so that we can more... 00:18:28.970 --> 00:18:32.589 get more engagement. But I was thinking that 00:18:32.589 --> 00:18:34.789 since we don't have any lined up, let's just 00:18:34.789 --> 00:18:36.950 kind of like maybe touch on some questions that 00:18:36.950 --> 00:18:38.750 we've been getting in the office lately. Yeah. 00:18:38.930 --> 00:18:43.470 Or some questions or also like common themes 00:18:43.470 --> 00:18:45.670 that we've been seeing. So I can start. Yeah, 00:18:45.769 --> 00:18:50.490 sure. So I am not lying when I tell you I've 00:18:50.490 --> 00:18:55.539 probably had close to five patients within the 00:18:55.539 --> 00:18:59.099 last two months that have come in using a certain 00:18:59.099 --> 00:19:02.200 product that's like $900, not actually, but so 00:19:02.200 --> 00:19:06.319 expensive, and have the worst irritant contact 00:19:06.319 --> 00:19:10.940 I've ever seen. And this lady came in. Oh, I 00:19:10.940 --> 00:19:13.180 think I know what it is. Wait, what is your guess? 00:19:14.019 --> 00:19:17.680 Snail mucin? No, snail mucin is good. Centella? 00:19:18.400 --> 00:19:22.619 No, then Centella is good. It's not an ingredient, 00:19:22.900 --> 00:19:26.500 it's a brand. Oh, okay. Can you like multiple 00:19:26.500 --> 00:19:30.839 choice? Okay, I'm gonna give you three expensive 00:19:30.839 --> 00:19:35.579 brands. Yeah. And you're gonna tell me, let's 00:19:35.579 --> 00:19:43.079 see, by Terry, Caudele, La Mer. La Mer. 100%. 00:19:43.079 --> 00:19:49.670 Yeah. Girls, guys, everyone. please stop using 00:19:49.670 --> 00:19:52.950 La Mir. I don't know how, what more I can say, 00:19:53.190 --> 00:19:56.630 but I see this so commonly. So basically what 00:19:56.630 --> 00:20:00.029 happened is the patient had come in and she, 00:20:00.230 --> 00:20:02.789 poor lady had this like horrible irritant contact 00:20:02.789 --> 00:20:07.670 derm. And I see her like looking in her compact, 00:20:07.690 --> 00:20:10.150 like her powder mirror. And then I see that the 00:20:10.150 --> 00:20:13.470 powder compact is La Mir. And I'm like, oh, interesting. 00:20:13.569 --> 00:20:15.309 Like, do you use any of their other products? 00:20:15.309 --> 00:20:18.099 And she was like, you know, I just started. the 00:20:18.099 --> 00:20:22.319 moisturizer and like everything lined up perfectly 00:20:22.319 --> 00:20:25.079 and as soon as she's stopping it, things are 00:20:25.079 --> 00:20:26.700 getting better. Don't you love when you're a 00:20:26.700 --> 00:20:28.900 detective in clinic? Yeah, I love being a detective. 00:20:28.960 --> 00:20:32.319 But also, like why are people spending so much 00:20:32.319 --> 00:20:34.400 money? I feel bad. They're spending so much money 00:20:34.400 --> 00:20:36.400 on these products. They expect the expense of 00:20:36.400 --> 00:20:39.720 products to be like top of the line. But honestly, 00:20:39.920 --> 00:20:42.759 if you ask most dermatologists what they use 00:20:42.759 --> 00:20:46.440 day to day, like 90 % of it is probably drugstore. 00:20:46.990 --> 00:20:55.690 I would say, yeah. 60 to 80. Like 95 % of what 00:20:55.690 --> 00:20:58.369 I use. But you know what it is, sometimes I feel 00:20:58.369 --> 00:21:00.769 like these products, it's like a status symbol. 00:21:01.390 --> 00:21:04.190 Like I use La Mer, it's like top of the line 00:21:04.190 --> 00:21:06.410 because it's so expensive. But more expensive 00:21:06.410 --> 00:21:08.230 doesn't mean better. And you're right, like this 00:21:08.230 --> 00:21:13.170 goes to show. Yeah, I've actually seen it a lot 00:21:13.170 --> 00:21:16.180 with... Korean skin products, not all Korean 00:21:16.180 --> 00:21:18.140 brands, but some, especially when people kind 00:21:18.140 --> 00:21:19.799 of go all out and they're using 12 different 00:21:19.799 --> 00:21:22.759 products. And they start mixing things, like 00:21:22.759 --> 00:21:25.619 this serum with this, like, whatever essence, 00:21:25.680 --> 00:21:27.500 and then you're applying it. Things are not meant 00:21:27.500 --> 00:21:31.319 to be, like, it's not an experiment, right? You're 00:21:31.319 --> 00:21:34.440 not, like, you shouldn't be trying to, like, 00:21:34.460 --> 00:21:39.400 concoct your own, like, skincare. Yeah. No, yeah. 00:21:39.519 --> 00:21:43.109 And another common culprit, well, actually, To 00:21:43.109 --> 00:21:46.450 wrap that up, I was curious if you have any thoughts. 00:21:46.789 --> 00:21:49.289 Have you ever looked at the La Mer product? I'm 00:21:49.289 --> 00:21:51.230 speaking about like, I think it's the Rich Cream 00:21:51.230 --> 00:21:53.869 or something. No, that might be Augustine Bader. 00:21:54.410 --> 00:21:56.809 But I don't know. It's the La Mer product that 00:21:56.809 --> 00:21:58.730 everyone buys. It comes in like this little like 00:21:58.730 --> 00:22:00.890 - It's like a tub and then it has a spoon. It 00:22:00.890 --> 00:22:03.670 has a spoon. It's like so expensive for this 00:22:03.670 --> 00:22:05.630 little tiny thing. But I really need to look 00:22:05.630 --> 00:22:07.849 into the ingredient list and figure out why so 00:22:07.849 --> 00:22:10.920 many people are - So many people's skins are 00:22:10.920 --> 00:22:13.079 just freaking out. I think it has fragrance. 00:22:14.059 --> 00:22:17.279 It definitely has fragrance. Yeah. So that for 00:22:17.279 --> 00:22:19.700 sure. So I mean, it probably works well for most 00:22:19.700 --> 00:22:22.980 people, but for people with sensitive skin, rosacea, 00:22:23.579 --> 00:22:27.180 anything like that, it can be more irritating. 00:22:27.200 --> 00:22:30.680 So it makes sense. It does make sense. Other 00:22:30.680 --> 00:22:35.279 things that I see people respond poorly to are 00:22:35.279 --> 00:22:39.559 vitamin C's because So many of the vitamin C's 00:22:39.559 --> 00:22:41.440 that are on the market, they're just so crappy. 00:22:42.619 --> 00:22:44.519 Oh. Okay, so being the person that I am, I already 00:22:44.519 --> 00:22:46.359 Googled it. So, I mean, we're just going through 00:22:46.359 --> 00:22:49.359 the ingredients. So, so far, the citrus... This 00:22:49.359 --> 00:22:52.200 is for the lemare, by the way. Yeah, sesame seed, 00:22:52.299 --> 00:22:57.900 eucalyptus. Um... Yeah, those are probably... 00:22:57.900 --> 00:23:00.579 Oh, mineral oil. There's mineral oil in this. 00:23:00.579 --> 00:23:03.039 Okay, this is probably what it is. I'm telling 00:23:03.039 --> 00:23:05.829 you. Okay, because the rest of them, I mean, 00:23:05.849 --> 00:23:07.130 they're not great, but... What are you paying 00:23:07.130 --> 00:23:11.549 for, exactly? Also, algae extract can be a little 00:23:11.549 --> 00:23:14.670 bit... Irritating. Irritating, yeah. Guys, there's 00:23:14.670 --> 00:23:18.029 mineral oil in this. That's kind of gross. So 00:23:18.029 --> 00:23:21.269 gross. But yeah, please don't use that ever. 00:23:22.029 --> 00:23:26.859 Don't waste your money. Okay, and then other 00:23:26.859 --> 00:23:28.500 questions. Oh yeah, one thing that I've been 00:23:28.500 --> 00:23:32.420 getting a few times this week. People are asking 00:23:32.420 --> 00:23:35.640 what to do about periorbital hyperpigmentation 00:23:35.640 --> 00:23:41.319 and I feel like I have no answers. Yeah, so a 00:23:41.319 --> 00:23:44.539 lot of times it's post -inflammatory pigmentation 00:23:44.539 --> 00:23:47.359 from either like dermatitis, eczema that can 00:23:47.359 --> 00:23:49.740 leave like a little bit of pigmentation. You 00:23:49.740 --> 00:23:53.200 mean around the mouth? Period or oh period or 00:23:53.200 --> 00:23:55.059 but oh my god, I think I'm important period or 00:23:55.059 --> 00:23:57.500 official. We just came from work. I'm sorry guys 00:23:57.500 --> 00:23:59.720 I'm like my brain is fried. Okay, so around the 00:23:59.720 --> 00:24:02.119 eye so darkening. Yeah. Yeah, so a lot of times 00:24:02.119 --> 00:24:05.200 it's genetic if that's what I yeah Okay, I asked 00:24:05.200 --> 00:24:07.640 him like what is do your parents have this is 00:24:07.640 --> 00:24:10.140 anyone you're and you know, it's I know that 00:24:10.140 --> 00:24:12.140 Okay, I had a patient today and she's like, what 00:24:12.140 --> 00:24:14.180 do I do and I'm like, unfortunately, it's genetic. 00:24:14.180 --> 00:24:18.269 I don't know And that doesn't stop the conversation. 00:24:18.430 --> 00:24:20.170 Like, people need an answer, and I don't know 00:24:20.170 --> 00:24:22.930 what to tell them. I don't know of any treatments 00:24:22.930 --> 00:24:26.809 that actually work. I know. And a lot of times, 00:24:26.890 --> 00:24:29.869 you know, we can try doing, like, some lightening 00:24:29.869 --> 00:24:33.569 agents like kojic acid, co -apounded, vitamin 00:24:33.569 --> 00:24:36.690 C, things like that. But even then, it's not 00:24:36.690 --> 00:24:41.029 perfect. Exactly. It's not 100%. If there's a 00:24:41.029 --> 00:24:43.930 component of like shadows from like volume, maybe 00:24:43.930 --> 00:24:46.250 filler might help. That's what I was telling 00:24:46.250 --> 00:24:49.009 her today. I was like, so I told her that like 00:24:49.009 --> 00:24:52.190 a lot of times if there is shadowing, I mean, 00:24:52.250 --> 00:24:54.390 you could consider filler, but even that, like 00:24:54.390 --> 00:24:57.869 I hate using filler under eye. But she didn't 00:24:57.869 --> 00:25:00.329 even have any shadowing. And I'm like, when it's 00:25:00.329 --> 00:25:02.630 genetic, when anything is genetic, I mean, it's 00:25:02.630 --> 00:25:06.069 hard to... It's hard, yeah. Also, like people 00:25:06.069 --> 00:25:10.150 expect... to come in and see a dermatologist 00:25:10.150 --> 00:25:12.250 and have all the answers. And a lot of times 00:25:12.250 --> 00:25:15.109 they're waiting a long time. So I try to be patient 00:25:15.109 --> 00:25:16.890 with them and try to give them all the options. 00:25:17.029 --> 00:25:20.549 But it's really hard to tell someone, oh, there's 00:25:20.549 --> 00:25:24.230 nothing to do. There's two things, guys, that 00:25:24.230 --> 00:25:26.829 when you go to the dermatologist, you'll likely 00:25:26.829 --> 00:25:31.210 not get any type of treatment or answer. And 00:25:31.210 --> 00:25:32.990 those two things that are on the top of my head 00:25:32.990 --> 00:25:35.980 would be periorbital hyperpigmentation, which 00:25:35.980 --> 00:25:39.259 is darkening around your eyes and Number two, 00:25:39.519 --> 00:25:43.819 can you read my mind? No. Keratosis pilaris. 00:25:44.000 --> 00:25:47.400 Oh, yeah. Okay, there's no treatment It sucks 00:25:47.400 --> 00:25:49.619 and and people get mad because like it's such 00:25:49.619 --> 00:25:51.880 an annoying condition. I mean, I feel like everyone's 00:25:51.880 --> 00:25:54.720 had it. Yeah, everyone Yeah, I have it too. And 00:25:54.720 --> 00:25:57.380 sometimes it acts up and it's like the most annoying 00:25:57.380 --> 00:26:00.000 thing, but there is no treatment Yeah, I mean 00:26:00.000 --> 00:26:02.400 you can try to like help but like just moisturizer 00:26:02.400 --> 00:26:04.819 with specific thing, but nothing nothing really 00:26:04.819 --> 00:26:07.119 makes it go away It's not nothing you can cure 00:26:07.119 --> 00:26:10.119 exactly. But speaking of the darkening under 00:26:10.119 --> 00:26:16.619 the eyes, I wonder if we inject PDRN. Because 00:26:16.619 --> 00:26:19.559 some of them are like help with pigmentation. 00:26:19.680 --> 00:26:22.019 That's true. I feel like people in Asia are doing 00:26:22.019 --> 00:26:24.420 this already. Yeah, probably. They're ahead of 00:26:24.420 --> 00:26:29.759 us. But yeah, that's a good thought. Okay, moving 00:26:29.759 --> 00:26:33.779 right along to NYC, Lower East Side Updates. 00:26:33.799 --> 00:26:36.700 I know you've been gone for a while, but I think 00:26:36.700 --> 00:26:39.500 I have a few things that we could touch on. The 00:26:39.500 --> 00:26:42.750 first one is a little bit scandalous, but Did 00:26:42.750 --> 00:26:46.529 we talk about this in the first episode on the 00:26:46.529 --> 00:26:49.730 restaurant that you liked, 87 Ludlow? I don't 00:26:49.730 --> 00:26:51.369 know, did we? I don't know if we talked about 00:26:51.369 --> 00:26:53.289 it. But anyways, Reem had told me that she liked 00:26:53.289 --> 00:26:55.789 this restaurant in the Lower East Side called 00:26:55.789 --> 00:26:58.390 87 Ludlaus. Is that how you say it? Ludlow, yeah. 00:26:58.390 --> 00:27:01.390 Ludlow. I don't know. Sorry. Lower East Side 00:27:01.390 --> 00:27:04.130 are here. But I went and I really didn't like 00:27:04.130 --> 00:27:06.829 it and Reem liked it. So... That's just an example 00:27:06.829 --> 00:27:10.890 of like one person's like very much like, you 00:27:10.890 --> 00:27:14.289 know, like I have like a high opinion. She did 00:27:14.289 --> 00:27:16.369 not like it. But also you didn't get what I got. 00:27:16.670 --> 00:27:19.809 I got the crab, which was really good. I did 00:27:19.809 --> 00:27:22.490 not get that. I got some octopus and it was good, 00:27:22.529 --> 00:27:25.190 but I don't think I would go back. No, it's like 00:27:25.190 --> 00:27:29.470 it's a Filipino slash like Spanish tapas bar, 00:27:29.589 --> 00:27:31.369 which I really, you know, it's worth checking 00:27:31.369 --> 00:27:33.529 out. It's also cute as a vibe. Like, yeah, like 00:27:33.529 --> 00:27:36.549 a cute place to go. Maybe like after work or 00:27:36.549 --> 00:27:40.539 like, you know. dinner. Yeah, but what else do 00:27:40.539 --> 00:27:42.680 you like in this area? So other things that I've 00:27:42.680 --> 00:27:46.559 tried recently. So also, I don't drink. So I 00:27:46.559 --> 00:27:48.920 won't be able to recommend like, Reem doesn't 00:27:48.920 --> 00:27:50.519 drink. Neither do I. It's better for your skin. 00:27:50.599 --> 00:27:53.000 It's better for your skin and better for life. 00:27:53.240 --> 00:27:57.029 But anyways, do what you do. So I won't be able 00:27:57.029 --> 00:27:59.089 to recommend like cocktails and stuff, but don't 00:27:59.089 --> 00:28:01.089 get me wrong I still do go to bars because I 00:28:01.089 --> 00:28:05.170 love you know vibe -checking And two places that 00:28:05.170 --> 00:28:07.529 stand out within the last like week or so or 00:28:07.529 --> 00:28:11.609 two weeks Number one attaboy Louisa. Oh, yeah. 00:28:11.609 --> 00:28:15.049 Yeah, so that was actually really fun on and 00:28:15.049 --> 00:28:18.569 basically there's no menu and you just walk in 00:28:18.569 --> 00:28:21.769 and the conversation you have with the bartenders, 00:28:21.869 --> 00:28:24.089 the menu. Oh, I didn't know that. I went out 00:28:24.089 --> 00:28:26.589 for dinner. Oh, wait, no, no, no. You're thinking 00:28:26.589 --> 00:28:29.170 about Atta Boy, the Korean place. Yeah. No, no, 00:28:29.190 --> 00:28:32.109 no. This is Atta Boy. Oh, OK, sorry. And this 00:28:32.109 --> 00:28:35.079 is a Lower East Side speakeasy. Oh my gosh. No, 00:28:35.099 --> 00:28:37.099 no, no. This is a common misconception. Yeah. 00:28:37.200 --> 00:28:40.079 Yeah. People have mistaken it before. Yeah. But 00:28:40.079 --> 00:28:43.559 yeah, no. So I went to the bar and, you know, 00:28:43.559 --> 00:28:46.259 it was cool. I liked the idea. I liked the concept. 00:28:46.619 --> 00:28:48.700 And a speakeasy is always fine because it's like 00:28:48.700 --> 00:28:52.019 kind of sneaky. And then I had the best mocktail 00:28:52.019 --> 00:28:54.519 that I've had in New York thus far. And it was 00:28:54.519 --> 00:28:59.369 at Bonza Bar, which is Freeman Alley. You've 00:28:59.369 --> 00:29:01.650 seen, you've been there. No. It's like the area 00:29:01.650 --> 00:29:03.349 in Lower East Side where there's all this graffiti 00:29:03.349 --> 00:29:05.230 and it's like artsy. Oh, yeah, yeah, yeah, yeah. 00:29:05.930 --> 00:29:08.369 That was, and also the inside of Bonzo Bar was 00:29:08.369 --> 00:29:11.329 so cool. Oh, I really want to check it out. I 00:29:11.329 --> 00:29:14.630 want to check it out. Where have I been recently? 00:29:14.970 --> 00:29:16.490 Oh, what about the place that we went for dinner 00:29:16.490 --> 00:29:19.269 tonight at Essex Market? That was good. What 00:29:19.269 --> 00:29:24.779 was it? Zob Zob Zob burgers are so good. So Essex 00:29:24.779 --> 00:29:28.559 market is Basically a lot of few cute restaurants. 00:29:28.559 --> 00:29:31.799 There's like a gourmet cheese area. There's a 00:29:31.799 --> 00:29:34.160 vegan cheese area There's like supermarkets. 00:29:34.519 --> 00:29:36.960 It's a really cool place to like check out different 00:29:36.960 --> 00:29:39.319 cuisines. There's a Moroccan place I really like 00:29:39.319 --> 00:29:42.059 but we had burgers at Zob, which is like such 00:29:42.059 --> 00:29:44.880 a good smash burger And the fries are excellent 00:29:44.880 --> 00:29:46.779 and they have like a tie. It's like a there's 00:29:46.779 --> 00:29:50.079 like Peruvian tie. No, no, no, but Zob or is 00:29:50.079 --> 00:29:52.460 like a Thai I don't know actually don't quote 00:29:52.460 --> 00:29:54.359 me on that yeah we don't know but like it's really 00:29:54.359 --> 00:29:57.380 good let's try it and it was pretty cheap so 00:29:57.380 --> 00:30:00.779 yeah you should definitely try it yeah um okay 00:30:00.779 --> 00:30:04.230 city yeah yes I have other racks, but not so 00:30:04.230 --> 00:30:08.650 many Lower East Side. So there's other things 00:30:08.650 --> 00:30:10.470 that we need to bring up though, New York related. 00:30:10.730 --> 00:30:13.269 Oh, I went to my first basketball game. Oh yeah, 00:30:13.269 --> 00:30:16.829 that's so fun. I went to the Knicks game this 00:30:16.829 --> 00:30:21.150 past week. They played the Pistons and they lost, 00:30:21.190 --> 00:30:23.950 unfortunately. I felt like I was bad luck, but 00:30:23.950 --> 00:30:26.410 it was great. It was so much fun. There's like 00:30:26.410 --> 00:30:29.529 towel time. What's towel time? They give you 00:30:29.529 --> 00:30:31.670 a towel with like the Knicks on it and then you 00:30:31.670 --> 00:30:33.680 just... like wave it in the air when it's towel 00:30:33.680 --> 00:30:35.799 time. Oh, that's cute. Yeah. Yeah. As for the 00:30:35.799 --> 00:30:39.519 vibe, it was a lot of fun. And honestly, basketball 00:30:39.519 --> 00:30:43.359 players are so tall. Yes. I did not like… Very 00:30:43.359 --> 00:30:49.640 perceptive. Yes. Okay, um and okay also I wanted 00:30:49.640 --> 00:30:51.839 to mention to everyone New York City related 00:30:51.839 --> 00:30:53.980 so I don't know if everyone remembers but like 00:30:53.980 --> 00:30:56.079 it was like a few months ago bath houses were 00:30:56.079 --> 00:30:58.859 really trending and I knew you were gonna talk 00:30:58.859 --> 00:31:00.980 about this wait really no because I have to because 00:31:00.980 --> 00:31:05.539 I I misled my my I guess I don't even have followers 00:31:05.539 --> 00:31:07.799 but I misled everyone because I was talking about 00:31:07.799 --> 00:31:11.339 it on my blog that like bath houses are so cool 00:31:11.339 --> 00:31:13.619 and they're so vibey which you know technically 00:31:13.619 --> 00:31:17.240 they are but there are have been all these nasty 00:31:17.240 --> 00:31:19.519 reports coming out that I wanted to make everyone 00:31:19.519 --> 00:31:22.099 aware of, like, people are getting, like, UTIs. 00:31:22.380 --> 00:31:24.859 And, I mean, I knew that, like, this was not, 00:31:24.859 --> 00:31:27.059 like, a hygiene -friendly type of setting, and 00:31:27.059 --> 00:31:29.900 it could only last for so long, because, like, 00:31:30.039 --> 00:31:33.079 the amount of, like, crap that you can get in 00:31:33.079 --> 00:31:35.359 these types of places, mostly from a skin perspective, 00:31:35.460 --> 00:31:39.660 like, fungus risk, like, enormously high. I mean, 00:31:39.700 --> 00:31:43.109 I, like, as a dermatologist... I'm getting goosebumps 00:31:43.109 --> 00:31:45.910 right now. Like it's a hundred percent. So this 00:31:45.910 --> 00:31:49.609 specific one was in Flatiron. We won't name names. 00:31:49.690 --> 00:31:52.609 No, we won't. But you know, you can do your digging 00:31:52.609 --> 00:31:55.930 and figure it out. I feel like, I mean, it makes 00:31:55.930 --> 00:31:58.089 sense because New York City is such a, it's so 00:31:58.089 --> 00:32:00.269 populous. There's so many people, right? And 00:32:00.269 --> 00:32:03.990 like all walks of life, you know, different levels 00:32:03.990 --> 00:32:08.890 and varied hygiene practices, right? So it makes 00:32:08.890 --> 00:32:12.740 sense. But as a rule of thumb, First of all, 00:32:13.000 --> 00:32:15.839 it's really difficult for me to even enter a 00:32:15.839 --> 00:32:19.339 sauna or a steam room because it grosses me out 00:32:19.339 --> 00:32:23.119 because all I think of is fungus and molluscum 00:32:23.119 --> 00:32:27.400 and all sorts of infections. Let's just update 00:32:27.400 --> 00:32:31.339 our listeners. So basically, molluscum is more 00:32:31.339 --> 00:32:34.609 technically kid -related. Yeah, because Reem 00:32:34.609 --> 00:32:38.589 is also board certified in pediatric dermatology, 00:32:38.630 --> 00:32:40.869 so she might just drop some peed stuff here and 00:32:40.869 --> 00:32:43.670 there. Yeah. But it's not really affecting probably 00:32:43.670 --> 00:32:45.670 most of our listeners. You can get molluscum 00:32:45.670 --> 00:32:48.589 as an adult, for sure. You can 100 percent. But 00:32:48.589 --> 00:32:50.750 the things that we worry about most in these 00:32:50.750 --> 00:32:54.769 types of war settings, huh? Yeah, exactly. Warts, 00:32:54.930 --> 00:32:57.670 which is caused by HPV, which is a virus and 00:32:57.670 --> 00:33:00.970 that you can get contact skin contact, which 00:33:00.970 --> 00:33:03.880 is like very, very common in these types of places. 00:33:04.019 --> 00:33:08.119 Like you are rubbing up on these strangers. It's 00:33:08.119 --> 00:33:11.759 really gross. And then so warts, number two, 00:33:11.960 --> 00:33:15.319 fungus, very easy to get. Think about, have you 00:33:15.319 --> 00:33:18.619 guys ever heard of like athlete's foot or tinnia, 00:33:18.799 --> 00:33:21.160 any of these types of things that you can get 00:33:21.160 --> 00:33:24.279 in like locker rooms? These bathhouses are like... 00:33:25.059 --> 00:33:28.099 cesspools. Yeah, not just bath - also gyms, you 00:33:28.099 --> 00:33:30.440 guys. Oh gyms too, yeah. So if you were ever 00:33:30.440 --> 00:33:32.380 - never walk barefoot anywhere, just take it 00:33:32.380 --> 00:33:34.859 as a rule of thumb. If you see a yoga mat that 00:33:34.859 --> 00:33:37.259 is like moist and damp and then you're about 00:33:37.259 --> 00:33:40.319 to go on a barefoot thing twice, please. Yes. 00:33:40.579 --> 00:33:43.400 Oh god. Yeah, so never walk barefoot, always 00:33:43.400 --> 00:33:45.640 have flip -flops on, even when you shower, take 00:33:45.640 --> 00:33:48.130 like - you should have like - clean flip -flops 00:33:48.130 --> 00:33:52.109 or sandals. Another tip is if you are to sit 00:33:52.109 --> 00:33:54.710 in a steam room or a sauna, have your own towel 00:33:54.710 --> 00:33:57.549 and that's what your butt makes contact with. 00:33:58.390 --> 00:34:02.650 No surfaces at all. And this goes for gyms as 00:34:02.650 --> 00:34:05.750 well, not just for bath houses. Also, on that 00:34:05.750 --> 00:34:08.909 note, can I just say that I get a lot of patients 00:34:08.909 --> 00:34:11.130 who come to me with some kind of like contact 00:34:11.130 --> 00:34:14.349 dermatitis or even like intertrigo, which if 00:34:14.349 --> 00:34:15.909 you don't know what intertrigo is, it's sort 00:34:15.909 --> 00:34:18.250 of like a mixture of like eczema and fungus. 00:34:18.789 --> 00:34:21.309 But a lot of people are saying that it starts 00:34:21.309 --> 00:34:24.210 like right after they go to the gym. And so that 00:34:24.210 --> 00:34:26.829 makes sense because like you're sweating so the 00:34:26.829 --> 00:34:29.849 skin is moist and fungus likes moist areas. But 00:34:29.849 --> 00:34:33.719 it gets A lot of patients will say that they 00:34:33.719 --> 00:34:37.840 use the towels at the gym to like wash off and 00:34:37.840 --> 00:34:42.480 stuff. And I'm just saying that I would encourage 00:34:42.480 --> 00:34:45.699 people to bring their own towels because many 00:34:45.699 --> 00:34:47.440 of these people, even if they're not sweating 00:34:47.440 --> 00:34:49.840 and they're just like dabbing with the towel, 00:34:50.619 --> 00:34:52.480 they're coming in with the same thing. Yeah, 00:34:52.679 --> 00:34:55.500 no, 100 % agree. And also, always bring your 00:34:55.500 --> 00:34:59.090 own yoga mat. And those yoga blocks, you cannot 00:34:59.090 --> 00:35:02.250 sanitize them, okay? So, like, don't think that 00:35:02.250 --> 00:35:05.329 they're, like, clean in between. It's not a smooth 00:35:05.329 --> 00:35:08.449 surface. Even if you spray whatever, like, Lysol 00:35:08.449 --> 00:35:11.769 on them, they're still, like, really gross. Contaminated, 00:35:11.929 --> 00:35:13.510 yeah. Okay, so basically after this podcast, 00:35:13.730 --> 00:35:15.690 no one's gonna leave the house or do any, like, 00:35:16.130 --> 00:35:19.059 exercise or self -care. Good. Oh, we should talk 00:35:19.059 --> 00:35:21.480 about massages next, like next episode. Next 00:35:21.480 --> 00:35:25.380 episode. So much to talk about. Oh my gosh. Okay, 00:35:25.559 --> 00:35:29.860 the last thing in terms of New York, people are 00:35:29.860 --> 00:35:32.320 wearing less and less clothes. You do you. Love 00:35:32.320 --> 00:35:35.360 this for everyone as the weather's getting warmer. 00:35:35.719 --> 00:35:39.960 But I will say, please have your favorite sunscreen 00:35:39.960 --> 00:35:44.940 lined up. And that's all I have to say. What's 00:35:44.940 --> 00:35:51.150 your favorite? Right now, I'm using the Isdin, 00:35:51.150 --> 00:35:57.369 which I really like, for non -tinted. And then 00:35:57.369 --> 00:36:00.170 when I'm day -to -day going to work, I'm using 00:36:00.170 --> 00:36:04.429 the Eucerin mineral SPF with tint. Oh, Eucerin's 00:36:04.429 --> 00:36:07.289 having a pop -up this weekend. Yeah, we should 00:36:07.289 --> 00:36:11.039 go. Yeah, we should. Okay. I really like the 00:36:11.039 --> 00:36:14.539 L2MD, the skin recovery, the redness corrector. 00:36:15.059 --> 00:36:16.739 That one has centella, but apparently you don't 00:36:16.739 --> 00:36:18.659 like centella. No, no, no. I like centella, but 00:36:18.659 --> 00:36:22.260 there was a certain product in a Korean. I forget 00:36:22.260 --> 00:36:25.219 which one. A lot of them have. Yeah. So I had 00:36:25.219 --> 00:36:27.159 a patient with such a bad reaction that I had 00:36:27.159 --> 00:36:29.360 to give her a systemic prednisone. Oh my God. 00:36:29.420 --> 00:36:32.300 Yeah, it was really bad. Her face like doubled 00:36:32.300 --> 00:36:34.969 in size. From the prednisone? And she showed 00:36:34.969 --> 00:36:37.230 me a pic, no, from before. She showed me a picture 00:36:37.230 --> 00:36:39.250 of what she looked like before. I couldn't believe 00:36:39.250 --> 00:36:41.190 it, and so I gave her a systemic prednisone. 00:36:41.449 --> 00:36:43.630 Wow. Wait, this is actually making me think of 00:36:43.630 --> 00:36:46.190 something. If anyone has not watched The Pit, 00:36:46.309 --> 00:36:48.690 please watch it on HBO. Have you watched it? 00:36:48.869 --> 00:36:51.510 No, I'm watching St. Dennis Medical. Oh my god. 00:36:51.610 --> 00:36:53.210 No, I've never heard of that. It's like Scrubs, 00:36:53.309 --> 00:36:55.710 but like 2025. Okay, can you please watch The 00:36:55.710 --> 00:36:58.329 Pit? It's so much better. But it's on HBO. But 00:36:58.329 --> 00:37:02.139 there was an episode where... Oh, I don't know 00:37:02.139 --> 00:37:03.900 if I should say this because I don't wanna... 00:37:03.900 --> 00:37:05.480 No, it's not like a big thing. Is it like a spoiler? 00:37:05.599 --> 00:37:07.780 No, it's not a spoiler. But there was an episode 00:37:07.780 --> 00:37:10.719 that mentioned something, an ingredient in skincare, 00:37:10.940 --> 00:37:13.519 and this girl had come in with some kind of reaction 00:37:13.519 --> 00:37:15.860 to it. Was it Centella? No, it wasn't Centella. 00:37:15.940 --> 00:37:17.519 Okay, we're gonna look it up, guys, and announce 00:37:17.519 --> 00:37:20.739 it next time. As you can tell, we come very prepared. 00:37:20.880 --> 00:37:24.599 We come extremely prepared. But anything else, 00:37:24.760 --> 00:37:31.500 Rimi? No, you know, as the summer is rolling 00:37:31.500 --> 00:37:34.679 in, just, you know, sun protection, tinted sunscreen, 00:37:35.440 --> 00:37:39.199 I'm trying to be more aggressive with my tretinoin 00:37:39.199 --> 00:37:42.579 and retinols. Oh, yeah. I just restarted mine 00:37:42.579 --> 00:37:44.699 because basically what happened was I had taken 00:37:44.699 --> 00:37:48.199 a break just because I had run out. And it's 00:37:48.199 --> 00:37:51.019 a whole thing to like, you know how it is, everyone 00:37:51.019 --> 00:37:53.639 getting prescriptions. It's the same for doctors. 00:37:54.420 --> 00:37:56.739 Yeah. I can prescribe it for you. No, I know. 00:37:56.860 --> 00:37:58.480 But then I was like, you might have to do a prior 00:37:58.480 --> 00:38:00.559 authorization, whatever, whatever. So anyways, 00:38:00.719 --> 00:38:02.000 a lot of work. I know it's a lot of work. So 00:38:02.000 --> 00:38:04.639 I figured it out. But I had taken a break from 00:38:04.639 --> 00:38:07.920 my Altrino, which is my beloved retinoid. And 00:38:07.920 --> 00:38:11.480 I actually had considered trying a raslo. OK. 00:38:12.199 --> 00:38:14.539 I heard it's better. That's what I'm saying. 00:38:14.659 --> 00:38:17.360 So I was like, I've been using Altrino for years 00:38:17.360 --> 00:38:20.000 and years. It really is my ride or die. Like 00:38:20.000 --> 00:38:22.820 I have never found a retinoid that hits as hard. 00:38:24.260 --> 00:38:26.110 But. You know, being a dermatologist, you always 00:38:26.110 --> 00:38:29.010 have to push yourself to do the next best skin 00:38:29.010 --> 00:38:30.730 thing. For the sake of your patients. For the 00:38:30.730 --> 00:38:32.849 sake of my patients. And our listeners. Exactly. 00:38:33.010 --> 00:38:35.309 So I was like, I need the Araslo, but it was 00:38:35.309 --> 00:38:37.510 such a faff to try to get it and I just couldn't 00:38:37.510 --> 00:38:40.070 get my hands on it. Okay, so I'm going to prescribe 00:38:40.070 --> 00:38:41.750 it for you for the sake of the podcast. No, but 00:38:41.750 --> 00:38:44.030 you won't be able to get it. It's like... Let 00:38:44.030 --> 00:38:46.210 me try to submit a prior off. Okay, yeah. Let 00:38:46.210 --> 00:38:48.289 me try. Do the work for me because I would do 00:38:48.289 --> 00:38:52.110 it for you. Okay. But yeah, so... Compounded. 00:38:52.539 --> 00:38:55.619 Yeah, so sometimes when your dermatologist can't 00:38:55.619 --> 00:38:58.400 get you the like original prescription strength 00:38:58.400 --> 00:39:01.900 we compound it with a which debatable if it's 00:39:01.900 --> 00:39:04.400 the same F like Same thing. Sometimes it might 00:39:04.400 --> 00:39:06.659 be better. Sometimes it could be better. But 00:39:06.659 --> 00:39:09.000 yeah, the component are always out of pocket, 00:39:09.039 --> 00:39:11.739 so just make sure that you know that. But anyways, 00:39:11.900 --> 00:39:14.780 the point of all of that was I restarted my altrino 00:39:14.780 --> 00:39:17.699 and I had a little bit of a retinoid peel and 00:39:17.699 --> 00:39:19.639 I was like, oh my god, I miss this. Yeah, the 00:39:19.639 --> 00:39:22.320 retinoid scaries. Yep. And it's always right 00:39:22.320 --> 00:39:24.280 around the chin. People often come in, they're 00:39:24.280 --> 00:39:26.179 like, oh my god, why am I so scaly around my 00:39:26.179 --> 00:39:29.909 chin? But that just means it's working. Yes. 00:39:30.050 --> 00:39:32.269 That means you're putting in the hard work. That 00:39:32.269 --> 00:39:34.690 means you're putting in the hard work. Yep. Yeah. 00:39:35.090 --> 00:39:38.070 Well, so nice chatting. So good to chat. And 00:39:38.070 --> 00:39:40.349 we will be back. Everyone was traveling for two 00:39:40.349 --> 00:39:42.889 weeks, so we were a little off schedule. Sorry. 00:39:43.070 --> 00:39:45.210 But I think we should be back under a reasonable 00:39:45.210 --> 00:39:47.090 amount of time. Maybe like a week, a week and 00:39:47.090 --> 00:39:49.349 a half, two weeks. Nothing more than two weeks. 00:39:49.510 --> 00:39:52.929 We'd love to hear your feedback. So message us, 00:39:52.969 --> 00:39:55.809 reach out to us on Instagram. We love hearing 00:39:55.809 --> 00:39:58.050 from you guys. And let us know what we should 00:39:58.050 --> 00:40:01.760 talk about next. Alright guys, signing out! See 00:40:01.760 --> 00:40:03.480 you next time! Bye!