Dr. Macrene Teaser: Skincare Do's and Don’ts!

Rachel Zoe is joined this week by the incredible Derm-Scientist, Dr. Macrene. Do not miss this teaser episode of some quick skincare do's and don’ts!

 

 

 

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Episode Transcript

Speaker 1 (00:08):
Hi, everyone. The wonderful and beyond brilliant doctor mccrean is
on climbing and hills this week. I'm lucky for you
I got her to answer some of your skincare questions.
So let's jump right in and listen to the full
interview out this Friday for my listeners.

Speaker 2 (00:28):
Who can't see you. She is so beautiful, by the way.
As smart as she is, Doctor mccrean is gorgeous. Okay,
what is one popular skincare habit that should be avoided?

Speaker 3 (00:40):
Like the most sure you two things. One is hot
water and the other is oils. These are two problems
I see regularly in my practice. Is the hot water.
And I have saved so many of my patients by
telling them avoid hot water on the face, and they've
gone thinking they had rosetia to not actually happen. For

(01:01):
that alone, it's going to save a certain segment of
your viewership. I can you use hot water in the
shower or we speaking only about the face. I have
tricks for that. So when I'm in the shower, I
take it to the temperature that I feel comfortable, but
not like scalding, So there's no steam on the medicine
cabinet mirror, and I keep the hot water off the face,

(01:21):
so when I'm washing the hair, I just tilt the
head back to make sure it's beating on my face.
It changed my life when I discovered that. In my twenties.
I went from thinking I had like broseisia, used to
be so red I didn't understand what it was, to
being the hot water And it's on the list of
my rosetia triggers. But it's so common you'd be shocked.

Speaker 2 (01:40):
I love hot water pounding on my face. It's the
less relaxing thing in the world.

Speaker 3 (01:44):
I love it. So keep it off the face, put
it on the back. It's okay. And then the other
is oils. There was a huge trend of oils. It
hasn't one hundred percent gone away. No, I'm still running
oils all the time. So the problem with oils is
they are insidious. Remember this word insidious. It means that
by the time you get these cysts and the acne,

(02:05):
it's so far later that you don't think it's the oils.
You don't put two and two together. So it starts
with little red dots in the mid cheek, and then
they are deep seated cysts. So that is another trick
is avoid oils and it will be the solution to
your skin problem.

Speaker 2 (02:22):
When you say oil is like a facial oil, like
any of that like antiox and vitamins, sea oils or
things like that, Camila oils, or you mean specifically like
products that have.

Speaker 3 (02:31):
Lots of oils in them. Both can be at fault.
It depends on the oil composition. Oils are antibacterial, and
it depends on whether you're acting prone. The issue is
not an issue for you. That's not an issue for you,
just like how water may not be an issue for
some people. But in fact, these are two things that

(02:51):
are an issue for a significant segment from my population.
So these are really good tricks that are simple to
do at home to elimit those as possible triggers for
your problem.

Speaker 2 (03:02):
Okay, so what laser treatments do you recommend the most
right now today? For like an anti aging if you're like,
let's just say you're twenty five and then one that
you're like fifty five.

Speaker 3 (03:15):
All right, let's start with fifty five. So my latest,
I love it you start with fifty five. So here's
the thing. One of my signature. Efforts in my field
has been to minimize or eliminate side effects and complications
and maximize efficacy. And it used to be a bias
that unless you saw the red bacon face, you couldn't

(03:36):
believe that you were going to get a result right.
But that would result in superficial scoring to the tissue.
So what I've been pioneering, and I'm broadly known as
the investigator who brought our f micro needling to market
radio frequency micro needle. I worked with a company called
Primeva to bring profound the prototype technology to market single

(03:57):
handedly as the clinician who brought it in it if
they approved. Yes, there were colleagues on a couple of
the studies, but I published extensively on this and helped
develop that technology and launch it. So it's called art
micro need ailing radiofrequency microneailing. It's micronedle electrodes that go
into the skin and release radiofrequency. They differ in efficacy

(04:17):
when not used in conjunction with adjuvants, but they do
work because I instituted that real time feedback. I proved
by testing temperatures for fifty two all the way to
seventy eight, that sixty five sixty seven degrees centigrade within
the dermis, which is the second layer of skin, was
yielding a one hundred percent response rate. If they're too

(04:38):
not hot enough or too hot, you do either harm
to the skin or you don't get a result. That
Emperor's close there, got it. I explains why some of
them weren't working years ago. So having said that, now
there are dozens of these devices on the market basically
imitations of the original, which is great and it's a

(04:58):
compliment to my in those of my colleagues. But I
love URF micro needling with PRP. I take your own blood,
I spin it down with and of course I've selected
the world's best PRP tubes because not all of them
are alike and it's your own growth factors. Now, RF
micro needling creates these beautiful channels in the skin that
you can't see with the naked eye, but they're there,

(05:20):
and the PUREP goes into these channels and we get
a sustained release. With one RF micro needle plus PRP treatment,
I get a similar result as I used to with
a fractional CO two, which is really remarkable because they
don't climb with this one, right because the PRP gets
rid of all the redness. You go right, you're scot free.

(05:41):
Whereas when you used to do fractional CO two you
were red for seven to fourteen days. And so now
you're like twenty five. Do you do nothing?

Speaker 2 (05:49):
Do you? Is it too strong? Because I keep getting
which I'm sure you're getting. I get from ages fourteen
to honestly like thirty five. I have so many women
that are like, my skin's breaking out, my skin's breaking out,
and even if they went through four years without pinballs,
now they're getting them again, which is like that hormonal
thirty five. So what like ACME treatment to me is

(06:13):
something that I think is a constant.

Speaker 3 (06:14):
I'm sure you get it all the time from young cupall. Yeah,
it's tough, and it could be exposures, hormonal exposure of course,
from many sources, many sources. We've learned that dairy has hormones,
so that's why there's an association with Derek high carbon riots.
All of these things affect whether you're in your twenties
and you're still cycling, or whether you're in perrimenopause. You're

(06:37):
going to get breakouts at different times. So how do
we combat that with laser based devices. Well, that was
my work. I mean, I just published last year. I
was first author lead investigator on the Avoclee, the first
FIE approved laser for acne, and I'm very proud of
that because it rivals acutin. Acutine Isotretinorine is a toxic drug,

(06:58):
it's regulated drug, it's a pain to get. You have
to have blood tests, you have to be visiting the
doctor every month, and it has side effects. So the
fast thing about a technology like avia clear. There are
a sizable portion of women in my practice who are
in their twenties who did accutate and the anthic came
back two years later because it's not forever, and they've
been very happy having an alternative and it gets them

(07:20):
ready before their big day if they're getting married. It's
a great treatment for breakouts. Then there's also the intellectual
piece I just shared with you some tips. I can't
under emphasize how important it is to me when I
see a patient that I find the source, the root
cause of their dissease. I am so focused on what

(07:42):
is it in their diet environment, hormonal status that could
be pushing and exacerbating that acne, and I try to
lign my doubts in a row, get them on the
right topical regimen which is customized to them, and also elimination,
whether it's a dietary manipulation, whether it's dealing with polycystic
over disease or hyper androgenism, putting them on the right

(08:04):
ral medication as well to control that. And that is
a great pride I have in my work is doing
that in the first visit and trying to bat a thousand.
So these are things for the twenty semi neural population
that are a big deal, and then it's broadly known.
I take care of all the models, so all the
DNA models come to me, get them ready for fashion

(08:24):
week every year, and I have to get them clear
very fast. I don't have the opportunity of months of
Abbey Clear in this and so then it's tricks. My
peels are fantastic. And then I have devices like the
Genesis laser which I can get their acne flat. And
my tinted moisturizer, the Doctor mccrean active tinted moisturizer is

(08:47):
that it's mica free, talt free, it's non chominogenic, and
it has forty five active ingredients including antiosids like superoxide
disput tastes at the gallons from Green Tea. So it's
anti against blemish and therapeutic healing the scars, reducing the
appearance of fine lines and wrinkles, brighteners for with the

(09:09):
amino acids redness reducers. So it is the best, in
my opinion in class hybrid products, which is another area
that I disruptively innovated in the mid two thousands area
for people with the amblemishes who are in there. I mean,
I genuinely feel so educated right now.

Speaker 2 (09:27):
I also think that the last, the last question I
want to ask you is, I think there's this huge
like people are very confused how in what order to
apply skin care? Right Like, I think there's like this
it used to be, like, you know, I think the

(09:47):
steps have shifted or maybe not, I don't know. You
tell me, like, okay, let's just say two things. You're
going to sleep. You don't want to do an hour
routine for ten minutes?

Speaker 3 (09:58):
What do you do? Five minutes? What do you do? Yeah,
you're hitting such great questions. So this reveals the true
underbelly of the beauty industry. So I am. I've been
around a long time. I've been practicing twenty seven years.
I grew up in New York City in the seventies.
I had an uncle work for Helena Rubinsino as a chemist.

(10:19):
I know I can think about this business. And because
I'm a formulator, I can tell you in the nineteen
seventies we had five hundred incies. I was on the
Personal Care Products Council per year. That's who decides what
the ingredient listenings are. So we had five hundred inkies.
They were all chemicals in the seventies. They were all cawvals.

Speaker 2 (10:37):
They weren't at it smelled good, it looked good.

Speaker 3 (10:41):
My last cataloging, we're going on close to fifteen thousand
inkies now. And I went at the forefront of pushing
active ingredients in this industry. So back in the day,
you weren't getting anything except the clusives, Patria, mineral oil waxes.
Of course, you can't put anything on top of that,

(11:01):
so cream was always last. It was last because it
was like a saran wrap on the skin. What did
the cream do? I disrupted that. I created my signature
high performance Bace cream, the first clean luxury cream in
the industry with liposomes. Liposomes are little fatty bubbles that
deliver ingredients into the tissue. And so you put it

(11:22):
on first, you wash your skin patroide while it's damp,
you put this on and you get over fifty active ingredients.
It's the one step skin care solution. And the other
thing is because it's petrolontum free, mineral oil free, wax free,
you could put whatever you want on top of it
and still get penetrations such as my serum if you
need more ferming. So it turned that it exposed the
hypocrisy of the field. You don't need thin to thick,

(11:46):
You just need to formulate without exclusive fillers, and you
can do one product. It saves on energetic waste of
fossil fuels, it saves on packaging waste, and it saves
you exposure to preservatives because you're doing one step instead
of ten steps of toxic ingredients to get all the
actives that you want. So it's really the most effective

(12:08):
and efficient way to restore your skin. And that is
covering not just why the formulations situation. Macreeen has disrupted
it because now you can't just tell people thin to
thick anymore. Right, also that you can get everything you
need in one step.

Speaker 2 (12:27):
I mean, all I know is I use it at
night and I wake up with my skin just feeling
tight and fresh in like a good way, just every day.

Speaker 3 (12:35):
And I remember after.

Speaker 2 (12:38):
I think, I texted you, going, wait, it really actually works,
like it really really works.

Speaker 3 (12:44):
Like you weren't just being nice.

Speaker 2 (12:45):
You were like, you're gonna need less of everything else,
And I was like, wow, this is so wild, guys.

Speaker 3 (12:53):
It's the same science that's behind injectables and lasers. If
people need that when you go and you get a
shot in your lip or you get a shot in
your cheek, that your cheeks are plumper. It's why do
you have a bias towards the needle and not my lipisomes.

Speaker 2 (13:08):
Because I think people because I think people think, yeah,
I think if they don't see it, they're like, no,
it's too good to be true to just be able
to put this on top of my skin and it
not hurt.

Speaker 3 (13:19):
I did it not. I have a tip for your people, Okay,
for the hazel, its size right when you put it
on the skin is initially you can see the cream.
It's white. Sit in front of the mirror and you're
gonna see it absorbed in front of your eyes. Interesting,
where is it going. It's not going in thin air.
It's in the skin. So think about that. Is your

(13:41):
syringe of siller but also peptides, because your skin isn't
just made of hylonic acid, it's also made of collagen, right,
and elastin amino acids for brightening. DNA repaired to actually
restore your skin back to the way it was. Antioxidants
to protect you from you V damage is fabulous. It
really is.

Speaker 2 (14:01):
The dis sex