September 10, 2025 • 49 mins
Do you know what lifestyle habits can mess with your skin? How about smoking, vaping, excessive alcohol and using the wrong products? It's important to protect your skin through healthy habits and products tailored for your skin type, says Dr. Leah Jacob, Family Dermatology Specialists. Learn about common skin conditions that may occur during pregnancy and as you age and how to reduce your risk of skin cancers. Dr. Jacob underscores the importance of skin checks and wearing sunscreen year-round.
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Fearless Fabulous You is broadcast live Wednesdays at 12 Noon ET on W4WN Radio - Women 4 Women Network (www.w4wn.com) part of Talk 4 Radio (www.talk4radio.com) on the Talk 4 Media Network (www.talk4media.com).
Fearless Fabulous You Podcast is also available on Talk 4 Media (www.talk4media.com), Talk 4 Podcasting (www.talk4podcasting.com), iHeartRadio, Amazon Music, Pandora, Spotify, Audible, and over 100 other podcast outlets.
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Speaker 1 (00:00):
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(00:20):
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Speaker 2 (00:42):
Hello, and welcome to Fearless Fabulous You. I am your host,
Melanie Young. It's so good to be back after a
brief sojourn away on my well earned vacation to Hawaii.
It is the beginning of September. The weather is being
cooperative in terms of her cane season here in New Orleans,
and it is just beautiful everywhere. I am so excited
(01:06):
to have discussed on because we're going to talk about
a very important topic. We're going to talk about caring
for your skin as you grow older, but also risk
reduction for skin cancer. Why is it important? Well, According
to the Skin Cancer Foundation, skin cancer is the most
common cancer in the United States of America. With global warming,
I think it's going to get worse because people are
(01:27):
just out in the sun. More one in five Americans
will develop skin cancer by the age of seventy. Think
about that, one in five. More than two people die
of skin cancer in the United States every hour, and
having this is important. Five or more sunburns doubles your
risk for melanoma, the deadliest form of skin cancer. However,
(01:49):
when detected early, the five year survival rate for melanoma
is still ninety nine percent. So we don't want to
get melanoma. We don't want to get any skin cancer,
but we don't want to get melanoma period. This touches
home to me for many reasons, and I'll explain it
before I introduce my guests. Why it's so important. I
grew up in a family where my mother was an
(02:10):
habitual sun bather. She was blonde with amazing Mediterranean skin,
so she would get the color of a tree. I
swear to God, she would get you know, this, amazing
blonde hair like this, but just the color of a tree.
She was like dark, unnaturally dark, and she thought that
was beautiful. Because back on the sixties and seventies, tanning
(02:31):
was like a big deal. My poor dad had different
complexion and he just burned. I have his skin, and
they would leave me out in the sun and just
you know, on the beach with no protection, and I
got terrible sunburns over the years. We didn't know in
the Deep South about skin cancer back then, but we
knew tanning was cool. And I used to sit out
(02:53):
with my girlfriends with the records and the aluminum foil,
getting tan and doing sunlamps and all the things are
really bad for your skin. Now I'm a lot older.
My father had melanoma. It's not what he died of.
He died a metastasized prostate cancer, but he had melanoma.
My mother had undiagnosed melanoma because she've refused to go
(03:15):
to dermatologists ever skin check. But I live since I
think the late twenties. Definitely thirty, I went cold Turkey
and get no sun. I wear sunscreen every single day.
I wear hats out in Hawaii, I was swimming in
a hat. I historically a hat. I'm completely covered. I'm
a big believer in protection because I don't want to
(03:36):
follow in my parents' footsteps, so That's why it's very
personal for me. As a result. The first thing I
did when I moved to New Orleans was I made
sure I had a very good dermatologist who I see regularly.
For every spot, dot mole, anything I questioned, Itch, you
name it, rash, I get them all. I go to
(03:56):
my guest today, who is doctor Leah Jagub. She is
a dermatologist born and raised in Louisiana. She was a
clinical professor of dermatology at my alma mater, Tulane University,
and she now works with family dermatology specialists here in
New Orleans. I think I've seen her five times this
(04:16):
year already, and I'm really glad to see her today
on Fearless Fabulous. You so welcome.
Speaker 3 (04:22):
Hi Melanie, thanks for having me.
Speaker 2 (04:24):
Well, I'm really glad you could spare the time because
I know you're super busy. You heard me review the
stats on skin cancer, and the seasons are changing, we
are going into full A lot of people think that
if they're safe now, well talk about the year round
potential for skin cancer and how to protect yourself year round.
Speaker 3 (04:45):
Yes, and I think right now it's even more important
because it's we're getting this little cool front, so it
gives you a false sense of security that maybe the
sun's not as strong right now, but it's still it's
still there and it's still important to you.
Speaker 2 (05:00):
Protection. So let's talk about protection because you know, one
of the things that we're going to address in this
discussion is the impact social media is having on how
people taking care of their skin. So there's a lot
of hohoha and hype out there about what you should
be putting on your skin. Let's break some common sense
into it and also assure all of my viewers and
(05:20):
listeners that you don't have to spend a lot of money,
which I have in the past. What is the best
skin protection that and not just what you apply on
your face, but what you wear as well.
Speaker 3 (05:33):
The best sun protection is the one that you will use.
So there are thousands of different products out there. I
think the ingredient, the two ingredients you need to look
for is titanium dioxide and zinc oxide. Those are physical blockers.
They work the best, and they work for the broadest
(05:55):
spectrum of UV rays.
Speaker 2 (05:58):
And a lot of people concerned about the environment and
chemicals on their skin. Let's address that. Are any of
these risky for potential sea words, cancer words, or long
term health issues or the environment.
Speaker 3 (06:14):
So environment that there are a lot of studies kind
of suggesting that some of our chemical sunscreens are contributing
to coral bleaching. So oxybenzone in particular is an ingredient
that has been shown to perhaps affect our ocean environment.
Titanium oxide and zinc oxide I think are both safe
(06:38):
in regards to that. I'm not concerned about carcinogenesis with
these two ingredients.
Speaker 2 (06:44):
Well, it was. It's a just in Hawaii and there's
signs everywhere about reef safe sunscreen. Yes, because the res
are a mess out there, there's just no color left.
But you also want to have sunscreen. Amazingly, doctor Jacob,
I can't begin to tell you how many people were
out there just tanning. So somebody's not getting the message
(07:07):
because I saw a lot of tanning. It's a lot
of skin damage, and I'm like, WHOA Like, people still
don't listen.
Speaker 3 (07:16):
That's why we're still in business, you know, I mean
people didn't know. I think there's a lot more awareness
in terms of the harms of TV rays. I think
our younger generations are much more aware of that tanning
bed use has decreased, but people still love to go
out in sunbathe.
Speaker 2 (07:34):
You know, yeah, I know. When I was younger, my
mother sent me out there to Kobe who clear up
my acne. The doctors She had me sitting in front
of sunscreen to clear a sunlight clear at my acme.
Can you imagine?
Speaker 3 (07:46):
I can? I can't. You know, in certain doses, when
it's well controlled and in a very specific wavelength of light,
we use UV light to treat a lot of different
skin diseases. It's anti inflammatory, but again it's in a
controlled setting where we're giving you the exact dose that
we know that your skin needs. So I do believe
(08:07):
that that was helpful, but we're able to do it
in a much more controlled manner.
Speaker 2 (08:13):
So to that effect. Again, you know, what's important is
to you a Dermatologists don't do anything that you read
about on doctor Google or TikTok. Really, so I get
pitched a lot on anti aging pro youth you name
and what do you call it? I don't like anti
anything out pro aging okay, pro and I get So
(08:35):
let's talk about the speaking of light therapy, red light
therapy and blue light therapy. And green light therapy and whatever,
rainbow therapy.
Speaker 3 (08:43):
Yes, so red light therapy in particular, I think is
getting a lot of attention. Now. I get text messages
probably weekly from friends do I need to get this device?
And honestly, until recently I kind of was like, but
we're starting to do a little more research. And in fact,
(09:04):
I have my most recent dermatology journal. This is the
Journal of the American Academy of Dermatology August and one
of the articles was actually a review of the effects
of what's called photo biomodulation, which is the use of
light to treat various skin disorders whatever. And they're actually
(09:28):
this is a panel of twenty one experts in dermatology,
all boards certified, and they're actually making recommendations that, yes,
red light can be helpful for an anti or sort
of pro aging approach, also for androgenetic alopecia, which is
pattern hair loss. So we are seeing some uses for
red light therapy with the skin and in particular to
(09:52):
improve signs of aging. But the real nitty gritty sort
of studies are still being done.
Speaker 2 (10:01):
I was I was given one to try and then
up doing a show, and I still have it. I
won't say the name of the brand, but I use
it from time to time, and I don't you know,
I don't go crazy, but I use it, and I
haven't seen anything bad happen. If anything, I think my
skin looks better now thanks to you. And really I'm
crazy about when I put in my body and on
(10:23):
my body right now. Uh. You know, there's just a
lot of gimmicks out there. We'll get into those. I
want to get into the really important stuff now. I
sent you a question like secondhand smoke? Can is there
a risk of what we call secondhand sun raise? I'll
give you an example. I'm on the I'm in the
window seat of my plane. Should I put the window down?
(10:45):
What about driving in the car on a road trip?
Is because I remember my grandmother's arm was just modeled
from being like this. Is there a risk of what
I call window sun or certain types of lighting?
Speaker 3 (11:00):
Yes, I think so we have now as technology advances,
the windows and the glass used to make our car
wind shields is becoming more advanced and protecting more and
more against UVA and UVB raised. So we're getting better
at designing glass that filters those out. But one of
(11:20):
my favorite examples. It's in our text One of our
textbooks for dermatology is a woman who worked in an
office and for forty years she sat in the same place.
She did the same task every day. She says, I
never go outside. I go straight to work and I
go home after it's dark. They showed her face and
one half, this half is all tons of sun damage, wrinkly, saggy.
(11:45):
This half of her face is not nearly as bad.
Sitting next to the window for forty years photo aged her.
So there definitely is some damage that you can be
getting through windshields, glass, et cetera. Uh, and even overhead lights,
you know, which is a visible light. I think there's
(12:06):
something to that, especially for things like malasma or people
that have photosensitive skin disorders. I think that the overhead
light can affect that so well. Yeah, I mean the
blue light from screens can certainly activate certain things in
our skin and make photosensitive conditions worse. So yes, there
(12:29):
is there are hidden light sources in our environments.
Speaker 2 (12:34):
So we should just be wearing sunscreen. EV and the
malasma you mentioned it, explain it for someone who may
not know what it is.
Speaker 3 (12:40):
Malasma is it's basically hyper pigmentation. It's very common in
females because there's an estrogen or hormonal component to it.
But it's brown patches on the cheeks. You can get
on the upper lip, but it's it's those unwanted brown spots.
Usually is consistent with milasma.
Speaker 2 (12:59):
Isn't that common? Pregnancy?
Speaker 3 (13:01):
Very common? It's the second name for it is the
mask of pregnancy. So the estrogen and progesterone, when those
levels are high during pregnancy, it can really make melasma
flare up.
Speaker 2 (13:12):
So is it reversible or how is it treated? And
is it reversible? Is it permanent?
Speaker 3 (13:18):
It can be, it can be tough, It can be
sort of resistant to treatment. But the way we treat it.
Number ones that you have to wear sunscreen, you cannot
get any sunlight on your skin, and then we use
things like hydroquinone or chemicals or medicines that help to
inhibit the melanocyte production of melanin, which is what contributes
(13:39):
to pigment in our skin.
Speaker 2 (13:42):
Are there other ways that melanin increases? I'll give you
some examples. Are certain medications prone making you have increased
melanin and sun sensitivity? Which I know the answer to.
That's my first question, Yeah.
Speaker 3 (13:56):
Sun sensitivity. There are lots of medicines that make you
more sensitive to the sun a lot. I see it
a lot with blood pressure medications. Hydrochlorothiazide is one that
very much makes you sensitive to the sun. Antibiotics can
make you very sensitive to the sun. There's one that
we used to treat acne. It's called doxycycline that can
create a blistering, horrible sunburn if you take it and
(14:19):
go out in the sun. So definitely, medications can make
you can cause different rashes when combined with sun.
Speaker 2 (14:26):
And then what was the other part, melasma? Is there
certain medications that can that can make plasma Yeah.
Speaker 3 (14:34):
I mean I think the photosensitizing medicines can certainly make
it worse.
Speaker 2 (14:38):
It's really important everybody to read every line of the
side effects, potential side effects and discuss them because I
am on I have been on doxycycline. Actually you prescribed
it for my roseatia, which we're going to get into, UH,
and I've had it. Doxycycline is very common for other
kinds of UH Yeah, yeah, infections. I have lots of
(15:03):
doxycycling in my life. And you do have to be
super super careful. When I was younger, I was put
on something that made me so incredibly blistering, sounds sensitive,
it was it was probably dangerous and you don't ask,
You've got to ask, You got to know, and it
really always just be on the safe side and wear sunscreen.
And you know, we won't talk brands. You and I
(15:25):
have a similar brand we like. But if one clogs
your pores and you don't like the feel or it
leaves that filmy thing, keep going right. I mean, what
should you look for? You mentioned the ingredients, but what
are some things that could trigger sensitivity that maybe you
should look for when you read those ingredients.
Speaker 3 (15:44):
I mean, you know, if you're I always encourage people
to feel the sunscreen on the back of their hands
and look at how it looks on your skin. If
you're a different we call it Fitzpatrick type. But if
for people that have sort of a darker tone to
their skin, they may not like the same prime that
you or I like someone that's very fair with blue eyes.
(16:04):
So I always encourage people to try it out and
see how it feels and how it looks on your skin.
I have patients that really like the tinted mineral physical
sunscreens because it's almost like a little bit of a
makeup almost. For people that are acne prone, they're going
to want to stick with some that say non cometogenic,
so that's a buzzword that you can look for if
(16:26):
you're acne, riization prone or have sensitive skin. So it's
really trying and feeling, and that's why I always say
the best sunscreen is the one that you're going to use,
So find one that feels good to you. And some
people may need more moisturizing properties with their sunscreen as
opposed to a young teenager who has super oily skin.
So it's very individualized and just about finding one that
(16:48):
feels good to you.
Speaker 2 (16:49):
Yeah, you really have to check. I tell you what,
I use one brand more than I've tried different ones.
And once you find one that you just like and
you know you're going to wear every day, that's the
one for you.
Speaker 3 (16:59):
Yeah.
Speaker 2 (17:00):
I sometimes put a little of my makeup base in
it rather than rely on the colored tender one because
I tend to look red already because I have rosation.
I just get redder looking and it also gets on
your basebook cap. So I tend to just kind of
mix and match my own with my very very light
base if I want a hint of color. But you know,
I'm becoming part of the Pamela Anderson less is more
(17:23):
group these days, so you know I'm gonna ask you
about that. So when we were in Maui, David and
I decided to do a couple of things to detox.
And the first thing we did as a test, we
didn't drink alcohol, and as you know, we're wine writers
who drink wine every night, we went cool turkey, only
(17:45):
drank water, and that was interesting. David's red flushed face
went away and he looked less puffy. I was still red.
I was, and I came back and I had lost
a pound. We also drank a lot of water. We
wore lots of sunscreen, We slept, We did everything right
(18:05):
because we wanted to see what would happened to us
physically and emotionally. Like I said, David looks better than ever.
But we did that, and I went with no makeup
and I always just wear a little bit every day
just to hide the things, the blotches. It was freeing.
It was great, and I think you know they always say,
(18:28):
give your face a risk. Is there something like that, like,
should you give your face a rest and do a detox?
Does it really work or is it somebod you have
to do permanently?
Speaker 3 (18:37):
You know, I don't know that I love the word
detox because it's overused, but certainly avoiding alcohol as a physician,
I have to I know that that's going to make
your skin look better and more hydrated, and it's going
to reduce the redness for a lot of people, because
we know that it triggers flushing and can flare it raisation.
(19:00):
I love my wine too, and that's not really for
me to do a detox, but I think that is important.
And if it depends kind of on your daily habits.
If you're someone that wears really you know, you're on
TV and you wear a very heavy makeup, then it
may be nice to take a break from that and
kind of let your pores breathe. A chemical peel can
(19:22):
be a nice sort of detox, or just get rid
of some of those extra layers of skin cells that
are dead to kind of give you a little bit
of a glow or a little refreshed look. So, you know,
I think that's sort of the place that detoxes have
of course really breathe no good point, no, but they
need they need oxygen, you know, and when they get
(19:46):
clogged and they get stuck and filled in with your
skin cells and oil and sea bum, that's what contributes
to acne formation.
Speaker 2 (19:53):
I mean, I'm a big believer in going less when
I have my days off, which seemed to be a
lot of days off like these days not working as much.
But also water hydration u oodles of it. And I
don't smoke. Let's just talk about the many reasons and
including what smoking does to your skin.
Speaker 3 (20:16):
Yeah, So nicotine constructs your blood vessels, so you're every
time you take you inhale nicotine or to it or whatever,
you're reducing blood flow to your skin. You need. Blood
is what's going to have our nutrients, the oxidants that
we need, or I should say antioxidants that we need
(20:37):
to keep our skin looking healthy. Nicotine is just reducing
that blood flow and essentially causing the schemia of your skin.
And that includes vaping. Vaping is the worst thing that
you can do.
Speaker 2 (20:51):
And so many young people are doing it.
Speaker 3 (20:53):
It's super It's a big thing right now. And the
other thing I see are these they're called zen there.
It's nicotine pouches that a lot of the younger folks
are using. But the nicotine in any form is just
really bad and it's going to age you a lot
quicker if you're vaping, smoking, et cetera.
Speaker 2 (21:16):
So I wonder how that works with you know, the
big thing now is THC drinks and products and which
you're eating into the wine business. I don't know if
there's enough research out there yet to see what the
long term effects of that are, but I would think
that there's going to be long term effects.
Speaker 3 (21:33):
TVD, Yeah, TVD, I have to I have to think.
You know, if there's nicotine and the THHD products, that's
one thing. But pure marijuana or THHD versus smoking a cigarette,
I don't know that one is necessarily worse than the other.
Speaker 2 (21:50):
Okay, here's an interesting win. So growing up, I I
was petrified of eating chocolate fried food. Like I still
don't need fried food still, I mean I was. I
had to find sugar, actually, I because my mother was
a sugar addict. I was told chocolate's gonna make my
face breakout. So if anything fatty and greasy is gonna
make my face breakout, let's talk about the diet aspect
(22:11):
of this.
Speaker 3 (22:13):
Okay, yeah, yeah, so chocolate is all what you hear
about that, And what our research has shown in dermatology
is that it's actually the dairy and sugar content. It's
not the cocoa, it's the milk and the sugar in
it that can trigger acne flare ups. And when patients
(22:33):
ask me what kind of diet do I need to follow,
it's usually people that are prone to acne roisation breakouts.
And I think the high glycemic index diet or should
I say a low glycemic index diet, would be the
most important thing to follow because we know that the
bacteria feed off of all of those all of the
sugar molecules, and they just love that. So a low
(22:55):
glycemic index diet is probably the most important thing her
overall skin and health. Just eating real food, not eating
processed food. You know, eat things that are grown from
the ground, and don't eat too much of them.
Speaker 2 (23:09):
You know, it's interesting. I've traveled to Asia a couple
of times, and Asians have fine pores. We'll talk about
beautiful poor it's you know, a blessed you know, poorless
people I love. And then I got to Singapore, and
I've never seen such bad skin in my life. Bad
skin bad at me. And I can only think it's
(23:32):
because there's more fast food in Singapore, or the diet
because it was so dramatically different.
Speaker 3 (23:38):
Yes, our diet in the West is terrible. I mean
it's just awful. It's very rare that people actually eat
real what seems like real food anymore. I mean anything
packaged is just pumped full of preservatives and it's not
good for us.
Speaker 2 (23:55):
No, it's not. And I think one of the things
when we were out in Hawaii, and tend to hate
the word clean, but I tend to eat unprocessed and
food in its natural state more. And I could see
that and feel that we had more energy and slept better.
I mean, you just will feel better and look better.
I didn't lose any weight, but I look better better,
(24:19):
like you felt.
Speaker 3 (24:19):
Better, you know, And you're not somebody that needs to
lose weight.
Speaker 2 (24:24):
But yeah, you know, let's talk about that. The whole
zembic face situation. Are you dealing with that now in your.
Speaker 3 (24:35):
Yeah, yeah, I mean we're seeing it for sure. It's
it's with any rapid weight fluctuation, you're going to notice
changes in your.
Speaker 2 (24:42):
Skin for sure, Like give us some examples.
Speaker 3 (24:45):
Well, so people call it, you know, ozembic face, which
is basically hollowing, lose the sucutaneous fat and the temples
and in the cheeks, so people look very sunken in
and they don't like that. You can see with rapid
weight loss, some vitamin deficiencies have. I really haven't seen
that too much with the GLP one agonist, but the
(25:07):
ozmpic face is the big one that people notice. And
also hair loss is we're seeing a lot of that.
And again it's not just with these medications, it's just
rapid weight loss. Weight fluctuations can trigger a form of
hair loss.
Speaker 2 (25:23):
Wow. You know, I was reading up on how to
avoid this because the whole flappy skiff flappy skin syndrome
is a big one. First of all, try to keep
your weight in check. Really yeah, yeah, don't fluctuate.
Speaker 3 (25:38):
Don't fluctuate because when you stretch it out, it's like
a balloon, and when it collapses back, it's gonna it's
stretched and you've broken elastic fibers in your skin, so
it's not going to be as taut as it once was.
Speaker 2 (25:52):
You know, since COVID whenever we were all indoors sort
of and drinking. Our lifestyle change, and maybe even before that,
you said, what have you seen different in terms of
patients coming in? Are you seeing anything different? Is it
the same old situations coming in condition?
Speaker 3 (26:13):
Oh, that's a good question. I can't say that I've
seen a whole lot changes in terms of what issues
we see. COVID certainly changed the way we do medicine.
You know, now there's a lot of tealed medicine, teledermatology,
so you can do virtual visits. That is more so
(26:34):
what I've seen changed. I think I have seen patients
that come in and they say, you know, during COVID,
I gained a lot of weight. But in terms of
how it changed our skin and the health of our skin,
I don't know that we're seeing that yet.
Speaker 2 (26:50):
Well, I'm think and I think I think if anything,
the fact it's too soon for a lot of things
that I know, it changed a lot of people mentally. Uh,
and it really impacted the elderly. I think, if anything,
the elders were hurt the most because they were My
mother is an example. So she had a thing growing
on her face and covered it with her wig because
she was losing hair due to methyl trecks eight for
(27:12):
her ratis, which she ate a lot of sugar, so
that probably made it worse, and her skin was very
she started to I saw her skin just collapse. But
she's lost a lot of rapid light loss. And I
saw that with a lot of my mother in law,
who just passed away a couple of days ago, the
same thing. They were vastly different through lack of care,
(27:34):
lack of proper nutrition, lack of going out and moving about,
and those things can impact your skin and your texture,
but also the muscles in your skip underneath your skin.
Speaker 3 (27:46):
Yeah, that's interesting. You know what, we probably weren't smiling
as much as we normally do during COVID. I mean
it was just it was a really and we're wearing masks,
so I mean, from a dermatology's perspective, we saw a
lot of called mask me, which is acne from the
occlusion of a mask. But in the grand scheme of
things that people suffered. But yeah, the isolization or the
(28:10):
isolation of COVID certainly affected the elderly. I know it
affected school age children. I mean, how difficult for a
seventeen year old to be stuck at home during their
senior year. Yeah, you know so, but in terms of
germatology specific I don't know that. Well, it's to be seen.
Speaker 2 (28:31):
Yeah, probably to be seen. So let's I'm going to
ask you about some specific things. But to the parent
who may be watching this or the grandparent who's taking
care of the little kids while the parents were, what
should they be doing with their children, teaching them and
applying to them day in and day out. Because kids
are round about and they're untethered to a lot of
(28:53):
the day, what should they be teaching and doing.
Speaker 3 (28:57):
You know, I have a five year old. Biggest thing
was he knows it's kind of funny he avoids the
sun and he says, oh, it burns, So he has
learned that behavior from me. But I think based just
keep it simple. A sunscreen in the morning, especially if
they're going to be doing sports or in the sun
out doing after school activities, and washing their hands is
(29:21):
just a big one at that age, you know. Just
hitting home with that and just emphasizing the hand washing
I think is huge. But all the I guess we
can get into kind of the tweens skincare trends.
Speaker 2 (29:35):
Now well tween is I had terrible skin. It was devastating.
It was tea. I went through it all and I
tried everything. My grandmother would watch TV, which is before
tak TikTok and whatever she saw. You know, I landed
my dad to try what. It's a devastating time. How
do you handle it with the tweens and what and
(29:55):
having them avoid trying everything?
Speaker 3 (29:58):
You know it you're not set them loose and Sephora
or alta like, don't do it. It's just you're going
to spend four hundred dollars and it's going to be
on things that are garbage. If your child is having
trouble with their skin, take them to their dermatologists. Have
them see a dermatologist. It can sometimes be very helpful
(30:18):
for these young kids to hear something from someone else
that's not their parents, and they maybe might tend to
listen a little bit more. A lot of the over
the counter products and a lot of the Sephora products
can be really irritating to acne or broken out skin.
Some of these kids have eczema on top of acne,
so that's a really tricky sort of line to toe
(30:41):
finding a product that's going to clear up their acne,
but not irritate their eczema. So I think if they're
having problems with the skin, get the help of a professional.
Speaker 2 (30:50):
And you know, if one isn't saying what you want
to hear, keep going because I'll be honest with the doctor. Jacob.
I went to several dermans. I could write a book,
I could call it shedding my skin. And one wanted
me to shave my face. Wore that Christy Brinkley did it,
so I should do it.
Speaker 3 (31:07):
Uh huh.
Speaker 2 (31:08):
Lena one created the buff puff Dr Orntreich, so obviously
he was pushing that I have the most sensitive skin
effort buff for me.
Speaker 3 (31:17):
You know, I'm surprised for you because I know you
have your raisation ship prone. So those are not necessarily
things I would choose for you. But it's everybody's different,
and you really have to sort of customize the skincare
to the person. And to have some patients that love
to do eight steps in the morning and twelve steps
at night, so I'll work with that, but I don't
(31:38):
think it's necessary. So I also enjoy telling people you
can cut all these things out and put that away
and spend your money somewhere else because it's just not necessary.
Speaker 2 (31:49):
Yeah, I spent a fortune, and I mean I did
the buff puff. I did that. I got some with
cryosurgery in my face. I had giant plisters. It was traumatizing,
it really was, And you know, you don't want to
go through that as a teen and we're in the
teen years. Eventually, the reassuring thing sort of is you
(32:11):
grow out of it. I don't think I ever did,
because I was still breaking out my forties, like because
you still get hormone fluctuations, but then you get into
pregnancy and potentially fertility drugs if you have to. How
does that play around with your skin?
Speaker 3 (32:29):
Oh so much. I mean, hormones are a huge part
of the health of our skin, and as women, I
think we deal with a lot, you know, hormonal fluctuations,
and that can totally affect your skin. You might start
getting more cistic acme breakouts in your forties. And it
has to do with pery menopause, which is a very
(32:51):
real thing melasma, which we kind of talked about earlier.
There is definitely a hormonal component to that, and when
things are changing so rapidly around menopause perimenopause, it's reflected
in your skin, and you might start to get acne.
You might notice more brown spots, you might notice a
different texture of your skin. But those hormones changes definitely
(33:13):
play a role.
Speaker 2 (33:14):
Then you really have to have a skin plant because
it will happen. I mean, my hormones went crazy. As
a teenager, I have cystic acne. There were scars, there's
still scars. I've had to address the scars and then
my skin even out and then you know, now I'm
much older, and as you know, because I have roseicia,
which appeared appeared. Why does it appear? Is that part
(33:38):
of the growing older? Is it just was always there
inside of you, like Glenda the Goodwitch says, and one
day it just came out.
Speaker 3 (33:45):
I mean, it wasn't growing. And it's probably is a
combination of things. Rosation is multifaceted and it's affected by
lots of different things. But we do tend to call
it adult acne. So it's very rare to see a
young person with roseaesia.
Speaker 2 (34:02):
I think when I was going through chemotherapy, the first
round that I did made my skin incandescent. It was gorgeous,
poor less and incandescent, like a nice Korean cap pop
and then we switched to another round and the roseatia
just little baby pimples popped all over the place. I'm like, uh,
(34:24):
it just changed everything. So you have to identify these things,
and things change all the time, and you know when
is that a male or a pimple? Now? So David
and I have the sink on what that.
Speaker 3 (34:40):
Has?
Speaker 2 (34:41):
Asked me? Where than I am because he's got baby perfect,
baby perfect skin, hairless, baby perfect skin like a big
giant beached whale blode with me. He'll be like, what's that?
So the what's that lately is the dark little cherries? Yeah? Okay,
(35:01):
what are the red spots? And why do you get them?
When you age?
Speaker 3 (35:05):
Those are most likely. I mean, I know what you're
talking about. I don't want to tell someone if you
get a red spot, just assume it's a cherry angioma. Right.
The cherry angiomas are what you're referring to. They are
so common. I don't think i've I can find one
(35:25):
pretty much on every patient over the age of forty
that I see. They're just common. You've acquired them, you've
earned them as you get older. We don't know why
they happen. They're tiny. If you look at them, if
you were to buy ups you want and look at
it under the microscope, it's tiny little blood vessels that
form in an area. Estrogen can sometimes make these proliferates.
(35:48):
So this is another thing you can look forward to
during pregnancy is getting more sort of vascular growths on
your body. They're benign, is the good news. But you
can have twenty of them on your abdomen. That's not unusual.
Speaker 2 (36:03):
Yeah, And I don't know do you can you remove
them or they just brown?
Speaker 3 (36:09):
Sometimes if they're small enough, sometimes we can burn them off.
Sometimes you can hyphercate them. Sometimes you can laser them.
You don't have to do any of those things because
they're benign, but if they're in an uncomfortable place, or
they're getting a lot of friction and bleeding on you
all the time. I think that was the reason to
get rid of one.
Speaker 2 (36:27):
Well, they make one piece bathing suit's great again another
the next what's that is the raised peely you know
what we call the rough patch. The rough patch. It
could be red, it could be brown, it could be
but it's one of those what fats. And that's one
of those whatsats sent me to you because he was like,
what's fat on your back? You know? So what would
(36:50):
be other than cancer? Why are you getting more roughy, rough, scaly,
brown or red patches here? They're thither and they are
sometimes they itch, then they don't itch, and why are
they there?
Speaker 3 (37:02):
So these are I think you're referring to growth. They're
called sebarea keratosis, and I see them all the time,
all day long. They can look really gnarly. I mean
they can look very dark. They're benign, but they can
become itchy and irritated and turn pink or even bleed. Sometimes.
(37:24):
We do not know what causes them. They're very common
as you get older. Some dermatologists we've yet to make
a connection, but we wonder if there's a virus like
a wart virus involved in these growths, which would be
the HPV virus. Again, that hasn't been proven yet, but
you just have to hypothesize that there's something contributing to
(37:46):
all these forming. I will put an asterisk on this.
Anytime you have a new itchy, bleeding spot or a
red spot, don't assume it's it's benign. Always get it
checked out. But most of the time, I can happily
tell patients that is not a cancer. It's nothing to
worry about. And if it's irritated, or even if it's not,
(38:09):
we can freeze them off and take care of it
pretty easily.
Speaker 2 (38:11):
And don't pick at it, don't scrub it, don't try to.
Speaker 3 (38:14):
They tick off. We call them stuck on papules because
you can pick them right off. They look like they're
just stuck right on there, but they grow, they grow back.
Speaker 2 (38:22):
But fatty deposits are different. Are like pimples under your skin.
What's that?
Speaker 3 (38:27):
Okay, I'm assuming you're referring to the lipomas or cis
like a little like.
Speaker 2 (38:33):
Under your seat. It look like pimples, but they're not pimples.
They're like fatty raised depose. I've had a laser it
off my face.
Speaker 3 (38:39):
Oh are you thinking of the sabaceous hyperplasia. Yeah, the
yellow kind of.
Speaker 2 (38:46):
I call them fatty deposits, but yeah, type of place.
Speaker 3 (38:49):
So there's guys, those are actually oiled plands that are
in large so very commonly seen with rhizaesia. Mm hmm.
Speaker 2 (38:57):
So basically I'm doing it socks, but you have to
know the thing that so what kept me up a
night after I saw you once.
Speaker 3 (39:06):
Oh, I know what you're gonna say, the mites.
Speaker 2 (39:09):
Yeah, so you tell me that there's mites in my bed.
So I lie in bed and at two in the morning,
I start to itch uncontrollably, my head, everything, the pillows.
I'm driving David nuts because I want to just buy
all new Bunny. But you said everybody has mites.
Speaker 3 (39:24):
Everybody has mites. Yeah, we all have a microbiome. It's
it's our normal skin flora, and it's it's important to
have healthy bacteria on your skin to keep everything in check.
They kind of all work in harmony. The mites that
you're talking about are called Dema dex and when they
(39:45):
proliferate a little bit too much then they can cause
rhizatia and cause acne. And you treat that a little
bit different than you would a normal acne. So I
think we use probably a topical I mentioned to treat
that aspect of the roseation.
Speaker 2 (40:04):
We did doxy too, but the whole skin and the
flushing and doxie also plays with your microbiome. Makes you
feel a little icky, yes, and you can't be on
it forever, but it just so here's the question, do
you need to change your bedding and your pillows? I mean,
do they live in your pillows? You know?
Speaker 3 (40:19):
I think I think once a week is probably a
good idea to change your sheets and pillow cases. I
don't want you to think they need our They need
us to sort of support them and keep them alive,
so they're not going to live as foe mites on
a on an idle surface. So I don't. I hate
(40:40):
telling people about the mites because it does tend to
freak you out, but it's it's just a part of
our part of our normal flora.
Speaker 2 (40:46):
Well, don't google anybody, because I did and then and
then you know, once you google it, then you get
all the weird creepy ads for people to say, yeah,
and I got all the weird creepy it. Don't google
anything anymore. It's just not worth it. Don't google any illness.
It's just not worth it.
Speaker 3 (41:01):
I agree, you know it.
Speaker 2 (41:04):
Just as you said, doctor Jacob said, this is just normal.
Don't freak out. I had a couple of nights whepe.
You know, my brain started working it. But I've worked
through that.
Speaker 3 (41:15):
I disclose that to you because I want you to
understand why I'm giving you the medicines I'm giving you,
and why they're killer won't work for you.
Speaker 2 (41:24):
So yeah, and your normal. I mean a lot of
people have rosetia, a lot of people have adult like me,
you're not alone. The thing is, you're not alone. But
don't suffer in silence. Go see someone who's a professional. Yes,
and don't listen to TikTok. Which brings me to my
very last question.
Speaker 3 (41:39):
Is you know.
Speaker 2 (41:42):
One of the what's with the glassy skin and on
the snail musin the musin? Yuh?
Speaker 3 (41:53):
Wouldn't we all love to have skin that looks like
the surface of glass? I mean, why, Well, I think
it's just it's an idealized sort of thing. It's it's
a filter. When we put filters on our skin, we're
blurring our poor so that we look more even it's
just a sort of beauty perception no one has. Well,
(42:18):
I don't want to say no one, but it's very
uncommon to have perfectly glassy skin, right, I mean.
Speaker 2 (42:24):
I know you do you know everybody she has the
most gorgeous skin ever. Because you're dermatologists, you have gorgeous.
Speaker 3 (42:29):
Skins, thank you. Even I get temples, I have one
right there, so it happens. But I the glossy skin,
I think is just an idealized idea of we want
perfect blemish free, spot free skin.
Speaker 2 (42:47):
I'm just worried, you know. And then somebody was trying
to sell me on the snail musin. You know it.
Speaker 3 (42:52):
Snail Yeah, snail musin is a thing.
Speaker 2 (42:56):
I think it's an expensive thing.
Speaker 3 (42:58):
It's an expensive thing, and I don't know that it's
going to be better for you than if you were
to use aquafor on your face once a week. I
don't think, Melanie, that you should use aquafor because I
don't think that's right for your skin tape. But for
some people that have drier skin or they get dry patches.
The slugging, which is the top trend where you cover
(43:19):
your face in vasoline or aquafor and.
Speaker 2 (43:21):
Sleep with that on slugging.
Speaker 3 (43:24):
Slugging, Yeah, that can be appropriate and effective for people
to have issues with hydration, but if someone has issues
with acne or roisation, that may not be the most
appropriate thing for them to.
Speaker 2 (43:36):
Again, don't just because somebody else is doing it and
somebody a friend gave me something yesterday to try. Okay,
it's a major name. It's a major name, she's advertised,
very well known. I put it on, I just looked redd.
Speaker 3 (43:50):
You didn't like it.
Speaker 2 (43:51):
Well, it's probably great for somebody, but it's not my skin,
not my skin type. And I feel this way about
skincare as I do what you put in your body,
on your body, how you care for it, and also
your makeup. It's got to be individualized.
Speaker 3 (44:05):
For you, totally.
Speaker 2 (44:07):
Absolutely, it cannot be what your friend just gave you
to try. I I was like, oh my god, I'm
like righter than ever. I'm gonna give it back tour.
But and you really should not be trying your friend's
products because there's germs in that.
Speaker 3 (44:26):
Oh sure, yes, I didn't think about that, but yes.
Speaker 2 (44:30):
Yeah, you know, the worst pink guy of my life
was when I went to Sephora. I've had them do
my fase for my for my book tour. So I
had my book my book party with pink eye because
I went to Sephora. You know, spend the money and
have somebody to come to your house have it done.
Don't go somewhere everybody's using different stuff.
Speaker 3 (44:51):
Don't share your own applicators.
Speaker 2 (44:54):
Yeah yeah, yeah, do you ever? I mean because a
lot of people probably put me never wash their brush
or anything, so.
Speaker 3 (45:01):
I don't watch them as much as I should.
Speaker 2 (45:04):
Yeah, So last question, you're on a budget. God, everything's expensive.
Everything's expensive. You're on a budget. What you don't have
the name brand? But what can you find? Is it
a dime store opportunity, a Marshall's opportunity or you got
a spring for something a little better?
Speaker 3 (45:28):
You can find some stuff at Marshalls dime store, probably not,
but definitely Walgreens, CBS. I buy a lot of my
skincare products at CBS. I can say some brands that
I support. Vana Cream is one that I love. It's
(45:49):
very It's not fancy, but I think the ingredients are
really clean, and I feel comfortable telling people with really
sensitive skin that they can use that. Gina makes some
great sunscreens. Blue Lizard makes a great mineral sunscreen that
I use on my son. So I think the drugstore
(46:09):
is a great place to find good skincare products that work.
Speaker 2 (46:13):
Fan of Cream I was. I followed the New York
Times wirecutter, uh huh, and they gave that one high remarks.
Not for the packaging, but who cares.
Speaker 3 (46:22):
It's not fancy.
Speaker 2 (46:23):
Yeah, it's not cond And then they were this one
called Supergoop, which I think you have a your day,
but the supergroup had some issues recently. Yeah, yeah, so
you know, I don't know, we won't go there, but
they it was supposedly good but maybe not so good.
Now I use you know, I'll say, I use Alta
Alta Alta. It costs a lot more money, but I
swear by it. I do too.
Speaker 3 (46:44):
I mean, we sell it in our office, but that's personally.
My son's screen of choice is the Alta MD one.
I'm not to say there's there's not a good one
that you can get at Steves and Walgreens. But for
me and for my skin type, the Alta feels the
best for me. And it's like a luxury, a little
luxury that I put on more.
Speaker 2 (47:02):
Well, I'll do like I'll do sometimes when I'm just
hanging out during the day in front of the creater,
I'll do like my new Turgena uh huh. And I
use a lot of serave, you know, my drug store
and then my my old Elta is my go out
when Yeah.
Speaker 3 (47:17):
So you can make your products last longer.
Speaker 2 (47:20):
It's like me and the shampoo the Oliplexus for now occasionally,
and then I bought something a Costco that's panteing and
a giant ab. Yeah my hair still looks great. So yeah.
So the thing is you don't have to spend a
lot on what you put on your face, but it
is essential.
Speaker 3 (47:36):
How often should you get your skin checked? It depends
on the person. I would say once a year for anyone.
It depends. If you're somebody that has a lot of molds,
definitely at least once a year. If you're somebody that
has a history of skin cancer, probably at least once
a year, maybe every six months. It kind of depends
on your risk factors and what you're sort of dealing with.
(47:56):
But you're never in it and you're parents because that's right.
Sometimes it's not covered. It's not a bad idea to
go in and just get a baseline look over from
head to toe, and then your dermatologists can tell you
how often you should be seen based on what they
find at that visit.
Speaker 2 (48:13):
Yeah, and when you get a skin check, you are
going to go head to toe. Don't be shy bear
it all. Let appear everywhere because it can be in
your scalp. It could be behind your ear, Bob Marley,
it could be in your toenail.
Speaker 3 (48:27):
Yeah, under the feet. I always look under your feet
and between so yeah, we don't care. We want to
see it all.
Speaker 2 (48:35):
Well, I want to thank you for taking time to
be with me. We've been talking with doctor Leah Jacob
and you practice here but a family dermatology specialist. Do
you have a website or is it the family we do?
Speaker 3 (48:48):
I believe it's familyderms dot com.
Speaker 2 (48:51):
I love them. I'm really glad I found you get
a dermatologist always should be as important as your gynecologists,
your primary care phys and your dentist.
Speaker 3 (49:02):
I agree.
Speaker 2 (49:02):
All right, Well, thank you again. I really appreciate your time.
I hope it's been helpful for all of you. I
kind of bear it all and share it all because
I want you, my listeners and viewers and fans, to
be confident about taking better care of yourself all the time,
because you want to live the best of your life
the rest of your life. I'm Melanie Young. This is
fearless fabulous. You. You have the choice to live life
(49:25):
on your terms. Always choose fearless and fabulous and follow
me on Melanie fabulous. Thank you
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(00:20):
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Speaker 2 (00:42):
Hello, and welcome to Fearless Fabulous You. I am your host,
Melanie Young. It's so good to be back after a
brief sojourn away on my well earned vacation to Hawaii.
It is the beginning of September. The weather is being
cooperative in terms of her cane season here in New Orleans,
and it is just beautiful everywhere. I am so excited
(01:06):
to have discussed on because we're going to talk about
a very important topic. We're going to talk about caring
for your skin as you grow older, but also risk
reduction for skin cancer. Why is it important? Well, According
to the Skin Cancer Foundation, skin cancer is the most
common cancer in the United States of America. With global warming,
I think it's going to get worse because people are
(01:27):
just out in the sun. More one in five Americans
will develop skin cancer by the age of seventy. Think
about that, one in five. More than two people die
of skin cancer in the United States every hour, and
having this is important. Five or more sunburns doubles your
risk for melanoma, the deadliest form of skin cancer. However,
(01:49):
when detected early, the five year survival rate for melanoma
is still ninety nine percent. So we don't want to
get melanoma. We don't want to get any skin cancer,
but we don't want to get melanoma period. This touches
home to me for many reasons, and I'll explain it
before I introduce my guests. Why it's so important. I
grew up in a family where my mother was an
(02:10):
habitual sun bather. She was blonde with amazing Mediterranean skin,
so she would get the color of a tree. I
swear to God, she would get you know, this, amazing
blonde hair like this, but just the color of a tree.
She was like dark, unnaturally dark, and she thought that
was beautiful. Because back on the sixties and seventies, tanning
(02:31):
was like a big deal. My poor dad had different
complexion and he just burned. I have his skin, and
they would leave me out in the sun and just
you know, on the beach with no protection, and I
got terrible sunburns over the years. We didn't know in
the Deep South about skin cancer back then, but we
knew tanning was cool. And I used to sit out
(02:53):
with my girlfriends with the records and the aluminum foil,
getting tan and doing sunlamps and all the things are
really bad for your skin. Now I'm a lot older.
My father had melanoma. It's not what he died of.
He died a metastasized prostate cancer, but he had melanoma.
My mother had undiagnosed melanoma because she've refused to go
(03:15):
to dermatologists ever skin check. But I live since I
think the late twenties. Definitely thirty, I went cold Turkey
and get no sun. I wear sunscreen every single day.
I wear hats out in Hawaii, I was swimming in
a hat. I historically a hat. I'm completely covered. I'm
a big believer in protection because I don't want to
(03:36):
follow in my parents' footsteps, so That's why it's very
personal for me. As a result. The first thing I
did when I moved to New Orleans was I made
sure I had a very good dermatologist who I see regularly.
For every spot, dot mole, anything I questioned, Itch, you
name it, rash, I get them all. I go to
(03:56):
my guest today, who is doctor Leah Jagub. She is
a dermatologist born and raised in Louisiana. She was a
clinical professor of dermatology at my alma mater, Tulane University,
and she now works with family dermatology specialists here in
New Orleans. I think I've seen her five times this
(04:16):
year already, and I'm really glad to see her today
on Fearless Fabulous. You so welcome.
Speaker 3 (04:22):
Hi Melanie, thanks for having me.
Speaker 2 (04:24):
Well, I'm really glad you could spare the time because
I know you're super busy. You heard me review the
stats on skin cancer, and the seasons are changing, we
are going into full A lot of people think that
if they're safe now, well talk about the year round
potential for skin cancer and how to protect yourself year round.
Speaker 3 (04:45):
Yes, and I think right now it's even more important
because it's we're getting this little cool front, so it
gives you a false sense of security that maybe the
sun's not as strong right now, but it's still it's
still there and it's still important to you.
Speaker 2 (05:00):
Protection. So let's talk about protection because you know, one
of the things that we're going to address in this
discussion is the impact social media is having on how
people taking care of their skin. So there's a lot
of hohoha and hype out there about what you should
be putting on your skin. Let's break some common sense
into it and also assure all of my viewers and
(05:20):
listeners that you don't have to spend a lot of money,
which I have in the past. What is the best
skin protection that and not just what you apply on
your face, but what you wear as well.
Speaker 3 (05:33):
The best sun protection is the one that you will use.
So there are thousands of different products out there. I
think the ingredient, the two ingredients you need to look
for is titanium dioxide and zinc oxide. Those are physical blockers.
They work the best, and they work for the broadest
(05:55):
spectrum of UV rays.
Speaker 2 (05:58):
And a lot of people concerned about the environment and
chemicals on their skin. Let's address that. Are any of
these risky for potential sea words, cancer words, or long
term health issues or the environment.
Speaker 3 (06:14):
So environment that there are a lot of studies kind
of suggesting that some of our chemical sunscreens are contributing
to coral bleaching. So oxybenzone in particular is an ingredient
that has been shown to perhaps affect our ocean environment.
Titanium oxide and zinc oxide I think are both safe
(06:38):
in regards to that. I'm not concerned about carcinogenesis with
these two ingredients.
Speaker 2 (06:44):
Well, it was. It's a just in Hawaii and there's
signs everywhere about reef safe sunscreen. Yes, because the res
are a mess out there, there's just no color left.
But you also want to have sunscreen. Amazingly, doctor Jacob,
I can't begin to tell you how many people were
out there just tanning. So somebody's not getting the message
(07:07):
because I saw a lot of tanning. It's a lot
of skin damage, and I'm like, WHOA Like, people still
don't listen.
Speaker 3 (07:16):
That's why we're still in business, you know, I mean
people didn't know. I think there's a lot more awareness
in terms of the harms of TV rays. I think
our younger generations are much more aware of that tanning
bed use has decreased, but people still love to go
out in sunbathe.
Speaker 2 (07:34):
You know, yeah, I know. When I was younger, my
mother sent me out there to Kobe who clear up
my acne. The doctors She had me sitting in front
of sunscreen to clear a sunlight clear at my acme.
Can you imagine?
Speaker 3 (07:46):
I can? I can't. You know, in certain doses, when
it's well controlled and in a very specific wavelength of light,
we use UV light to treat a lot of different
skin diseases. It's anti inflammatory, but again it's in a
controlled setting where we're giving you the exact dose that
we know that your skin needs. So I do believe
(08:07):
that that was helpful, but we're able to do it
in a much more controlled manner.
Speaker 2 (08:13):
So to that effect. Again, you know, what's important is
to you a Dermatologists don't do anything that you read
about on doctor Google or TikTok. Really, so I get
pitched a lot on anti aging pro youth you name
and what do you call it? I don't like anti
anything out pro aging okay, pro and I get So
(08:35):
let's talk about the speaking of light therapy, red light
therapy and blue light therapy. And green light therapy and whatever,
rainbow therapy.
Speaker 3 (08:43):
Yes, so red light therapy in particular, I think is
getting a lot of attention. Now. I get text messages
probably weekly from friends do I need to get this device?
And honestly, until recently I kind of was like, but
we're starting to do a little more research. And in fact,
(09:04):
I have my most recent dermatology journal. This is the
Journal of the American Academy of Dermatology August and one
of the articles was actually a review of the effects
of what's called photo biomodulation, which is the use of
light to treat various skin disorders whatever. And they're actually
(09:28):
this is a panel of twenty one experts in dermatology,
all boards certified, and they're actually making recommendations that, yes,
red light can be helpful for an anti or sort
of pro aging approach, also for androgenetic alopecia, which is
pattern hair loss. So we are seeing some uses for
red light therapy with the skin and in particular to
(09:52):
improve signs of aging. But the real nitty gritty sort
of studies are still being done.
Speaker 2 (10:01):
I was I was given one to try and then
up doing a show, and I still have it. I
won't say the name of the brand, but I use
it from time to time, and I don't you know,
I don't go crazy, but I use it, and I
haven't seen anything bad happen. If anything, I think my
skin looks better now thanks to you. And really I'm
crazy about when I put in my body and on
(10:23):
my body right now. Uh. You know, there's just a
lot of gimmicks out there. We'll get into those. I
want to get into the really important stuff now. I
sent you a question like secondhand smoke? Can is there
a risk of what we call secondhand sun raise? I'll
give you an example. I'm on the I'm in the
window seat of my plane. Should I put the window down?
(10:45):
What about driving in the car on a road trip?
Is because I remember my grandmother's arm was just modeled
from being like this. Is there a risk of what
I call window sun or certain types of lighting?
Speaker 3 (11:00):
Yes, I think so we have now as technology advances,
the windows and the glass used to make our car
wind shields is becoming more advanced and protecting more and
more against UVA and UVB raised. So we're getting better
at designing glass that filters those out. But one of
(11:20):
my favorite examples. It's in our text One of our
textbooks for dermatology is a woman who worked in an
office and for forty years she sat in the same place.
She did the same task every day. She says, I
never go outside. I go straight to work and I
go home after it's dark. They showed her face and
one half, this half is all tons of sun damage, wrinkly, saggy.
(11:45):
This half of her face is not nearly as bad.
Sitting next to the window for forty years photo aged her.
So there definitely is some damage that you can be
getting through windshields, glass, et cetera. Uh, and even overhead lights,
you know, which is a visible light. I think there's
(12:06):
something to that, especially for things like malasma or people
that have photosensitive skin disorders. I think that the overhead
light can affect that so well. Yeah, I mean the
blue light from screens can certainly activate certain things in
our skin and make photosensitive conditions worse. So yes, there
(12:29):
is there are hidden light sources in our environments.
Speaker 2 (12:34):
So we should just be wearing sunscreen. EV and the
malasma you mentioned it, explain it for someone who may
not know what it is.
Speaker 3 (12:40):
Malasma is it's basically hyper pigmentation. It's very common in
females because there's an estrogen or hormonal component to it.
But it's brown patches on the cheeks. You can get
on the upper lip, but it's it's those unwanted brown spots.
Usually is consistent with milasma.
Speaker 2 (12:59):
Isn't that common? Pregnancy?
Speaker 3 (13:01):
Very common? It's the second name for it is the
mask of pregnancy. So the estrogen and progesterone, when those
levels are high during pregnancy, it can really make melasma
flare up.
Speaker 2 (13:12):
So is it reversible or how is it treated? And
is it reversible? Is it permanent?
Speaker 3 (13:18):
It can be, it can be tough, It can be
sort of resistant to treatment. But the way we treat it.
Number ones that you have to wear sunscreen, you cannot
get any sunlight on your skin, and then we use
things like hydroquinone or chemicals or medicines that help to
inhibit the melanocyte production of melanin, which is what contributes
(13:39):
to pigment in our skin.
Speaker 2 (13:42):
Are there other ways that melanin increases? I'll give you
some examples. Are certain medications prone making you have increased
melanin and sun sensitivity? Which I know the answer to.
That's my first question, Yeah.
Speaker 3 (13:56):
Sun sensitivity. There are lots of medicines that make you
more sensitive to the sun a lot. I see it
a lot with blood pressure medications. Hydrochlorothiazide is one that
very much makes you sensitive to the sun. Antibiotics can
make you very sensitive to the sun. There's one that
we used to treat acne. It's called doxycycline that can
create a blistering, horrible sunburn if you take it and
(14:19):
go out in the sun. So definitely, medications can make
you can cause different rashes when combined with sun.
Speaker 2 (14:26):
And then what was the other part, melasma? Is there
certain medications that can that can make plasma Yeah.
Speaker 3 (14:34):
I mean I think the photosensitizing medicines can certainly make
it worse.
Speaker 2 (14:38):
It's really important everybody to read every line of the
side effects, potential side effects and discuss them because I
am on I have been on doxycycline. Actually you prescribed
it for my roseatia, which we're going to get into, UH,
and I've had it. Doxycycline is very common for other
kinds of UH Yeah, yeah, infections. I have lots of
(15:03):
doxycycling in my life. And you do have to be
super super careful. When I was younger, I was put
on something that made me so incredibly blistering, sounds sensitive,
it was it was probably dangerous and you don't ask,
You've got to ask, You got to know, and it
really always just be on the safe side and wear sunscreen.
And you know, we won't talk brands. You and I
(15:25):
have a similar brand we like. But if one clogs
your pores and you don't like the feel or it
leaves that filmy thing, keep going right. I mean, what
should you look for? You mentioned the ingredients, but what
are some things that could trigger sensitivity that maybe you
should look for when you read those ingredients.
Speaker 3 (15:44):
I mean, you know, if you're I always encourage people
to feel the sunscreen on the back of their hands
and look at how it looks on your skin. If
you're a different we call it Fitzpatrick type. But if
for people that have sort of a darker tone to
their skin, they may not like the same prime that
you or I like someone that's very fair with blue eyes.
(16:04):
So I always encourage people to try it out and
see how it feels and how it looks on your skin.
I have patients that really like the tinted mineral physical
sunscreens because it's almost like a little bit of a
makeup almost. For people that are acne prone, they're going
to want to stick with some that say non cometogenic,
so that's a buzzword that you can look for if
(16:26):
you're acne, riization prone or have sensitive skin. So it's
really trying and feeling, and that's why I always say
the best sunscreen is the one that you're going to use,
So find one that feels good to you. And some
people may need more moisturizing properties with their sunscreen as
opposed to a young teenager who has super oily skin.
So it's very individualized and just about finding one that
(16:48):
feels good to you.
Speaker 2 (16:49):
Yeah, you really have to check. I tell you what,
I use one brand more than I've tried different ones.
And once you find one that you just like and
you know you're going to wear every day, that's the
one for you.
Speaker 3 (16:59):
Yeah.
Speaker 2 (17:00):
I sometimes put a little of my makeup base in
it rather than rely on the colored tender one because
I tend to look red already because I have rosation.
I just get redder looking and it also gets on
your basebook cap. So I tend to just kind of
mix and match my own with my very very light
base if I want a hint of color. But you know,
I'm becoming part of the Pamela Anderson less is more
(17:23):
group these days, so you know I'm gonna ask you
about that. So when we were in Maui, David and
I decided to do a couple of things to detox.
And the first thing we did as a test, we
didn't drink alcohol, and as you know, we're wine writers
who drink wine every night, we went cool turkey, only
(17:45):
drank water, and that was interesting. David's red flushed face
went away and he looked less puffy. I was still red.
I was, and I came back and I had lost
a pound. We also drank a lot of water. We
wore lots of sunscreen, We slept, We did everything right
(18:05):
because we wanted to see what would happened to us
physically and emotionally. Like I said, David looks better than ever.
But we did that, and I went with no makeup
and I always just wear a little bit every day
just to hide the things, the blotches. It was freeing.
It was great, and I think you know they always say,
(18:28):
give your face a risk. Is there something like that, like,
should you give your face a rest and do a detox?
Does it really work or is it somebod you have
to do permanently?
Speaker 3 (18:37):
You know, I don't know that I love the word
detox because it's overused, but certainly avoiding alcohol as a physician,
I have to I know that that's going to make
your skin look better and more hydrated, and it's going
to reduce the redness for a lot of people, because
we know that it triggers flushing and can flare it raisation.
(19:00):
I love my wine too, and that's not really for
me to do a detox, but I think that is important.
And if it depends kind of on your daily habits.
If you're someone that wears really you know, you're on
TV and you wear a very heavy makeup, then it
may be nice to take a break from that and
kind of let your pores breathe. A chemical peel can
(19:22):
be a nice sort of detox, or just get rid
of some of those extra layers of skin cells that
are dead to kind of give you a little bit
of a glow or a little refreshed look. So, you know,
I think that's sort of the place that detoxes have
of course really breathe no good point, no, but they
need they need oxygen, you know, and when they get
(19:46):
clogged and they get stuck and filled in with your
skin cells and oil and sea bum, that's what contributes
to acne formation.
Speaker 2 (19:53):
I mean, I'm a big believer in going less when
I have my days off, which seemed to be a
lot of days off like these days not working as much.
But also water hydration u oodles of it. And I
don't smoke. Let's just talk about the many reasons and
including what smoking does to your skin.
Speaker 3 (20:16):
Yeah, So nicotine constructs your blood vessels, so you're every
time you take you inhale nicotine or to it or whatever,
you're reducing blood flow to your skin. You need. Blood
is what's going to have our nutrients, the oxidants that
we need, or I should say antioxidants that we need
(20:37):
to keep our skin looking healthy. Nicotine is just reducing
that blood flow and essentially causing the schemia of your skin.
And that includes vaping. Vaping is the worst thing that
you can do.
Speaker 2 (20:51):
And so many young people are doing it.
Speaker 3 (20:53):
It's super It's a big thing right now. And the
other thing I see are these they're called zen there.
It's nicotine pouches that a lot of the younger folks
are using. But the nicotine in any form is just
really bad and it's going to age you a lot
quicker if you're vaping, smoking, et cetera.
Speaker 2 (21:16):
So I wonder how that works with you know, the
big thing now is THC drinks and products and which
you're eating into the wine business. I don't know if
there's enough research out there yet to see what the
long term effects of that are, but I would think
that there's going to be long term effects.
Speaker 3 (21:33):
TVD, Yeah, TVD, I have to I have to think.
You know, if there's nicotine and the THHD products, that's
one thing. But pure marijuana or THHD versus smoking a cigarette,
I don't know that one is necessarily worse than the other.
Speaker 2 (21:50):
Okay, here's an interesting win. So growing up, I I
was petrified of eating chocolate fried food. Like I still
don't need fried food still, I mean I was. I
had to find sugar, actually, I because my mother was
a sugar addict. I was told chocolate's gonna make my
face breakout. So if anything fatty and greasy is gonna
make my face breakout, let's talk about the diet aspect
(22:11):
of this.
Speaker 3 (22:13):
Okay, yeah, yeah, so chocolate is all what you hear
about that, And what our research has shown in dermatology
is that it's actually the dairy and sugar content. It's
not the cocoa, it's the milk and the sugar in
it that can trigger acne flare ups. And when patients
(22:33):
ask me what kind of diet do I need to follow,
it's usually people that are prone to acne roisation breakouts.
And I think the high glycemic index diet or should
I say a low glycemic index diet, would be the
most important thing to follow because we know that the
bacteria feed off of all of those all of the
sugar molecules, and they just love that. So a low
(22:55):
glycemic index diet is probably the most important thing her
overall skin and health. Just eating real food, not eating
processed food. You know, eat things that are grown from
the ground, and don't eat too much of them.
Speaker 2 (23:09):
You know, it's interesting. I've traveled to Asia a couple
of times, and Asians have fine pores. We'll talk about
beautiful poor it's you know, a blessed you know, poorless
people I love. And then I got to Singapore, and
I've never seen such bad skin in my life. Bad
skin bad at me. And I can only think it's
(23:32):
because there's more fast food in Singapore, or the diet
because it was so dramatically different.
Speaker 3 (23:38):
Yes, our diet in the West is terrible. I mean
it's just awful. It's very rare that people actually eat
real what seems like real food anymore. I mean anything
packaged is just pumped full of preservatives and it's not
good for us.
Speaker 2 (23:55):
No, it's not. And I think one of the things
when we were out in Hawaii, and tend to hate
the word clean, but I tend to eat unprocessed and
food in its natural state more. And I could see
that and feel that we had more energy and slept better.
I mean, you just will feel better and look better.
I didn't lose any weight, but I look better better,
(24:19):
like you felt.
Speaker 3 (24:19):
Better, you know, And you're not somebody that needs to
lose weight.
Speaker 2 (24:24):
But yeah, you know, let's talk about that. The whole
zembic face situation. Are you dealing with that now in your.
Speaker 3 (24:35):
Yeah, yeah, I mean we're seeing it for sure. It's
it's with any rapid weight fluctuation, you're going to notice
changes in your.
Speaker 2 (24:42):
Skin for sure, Like give us some examples.
Speaker 3 (24:45):
Well, so people call it, you know, ozembic face, which
is basically hollowing, lose the sucutaneous fat and the temples
and in the cheeks, so people look very sunken in
and they don't like that. You can see with rapid
weight loss, some vitamin deficiencies have. I really haven't seen
that too much with the GLP one agonist, but the
(25:07):
ozmpic face is the big one that people notice. And
also hair loss is we're seeing a lot of that.
And again it's not just with these medications, it's just
rapid weight loss. Weight fluctuations can trigger a form of
hair loss.
Speaker 2 (25:23):
Wow. You know, I was reading up on how to
avoid this because the whole flappy skiff flappy skin syndrome
is a big one. First of all, try to keep
your weight in check. Really yeah, yeah, don't fluctuate.
Speaker 3 (25:38):
Don't fluctuate because when you stretch it out, it's like
a balloon, and when it collapses back, it's gonna it's
stretched and you've broken elastic fibers in your skin, so
it's not going to be as taut as it once was.
Speaker 2 (25:52):
You know, since COVID whenever we were all indoors sort
of and drinking. Our lifestyle change, and maybe even before that,
you said, what have you seen different in terms of
patients coming in? Are you seeing anything different? Is it
the same old situations coming in condition?
Speaker 3 (26:13):
Oh, that's a good question. I can't say that I've
seen a whole lot changes in terms of what issues
we see. COVID certainly changed the way we do medicine.
You know, now there's a lot of tealed medicine, teledermatology,
so you can do virtual visits. That is more so
(26:34):
what I've seen changed. I think I have seen patients
that come in and they say, you know, during COVID,
I gained a lot of weight. But in terms of
how it changed our skin and the health of our skin,
I don't know that we're seeing that yet.
Speaker 2 (26:50):
Well, I'm think and I think I think if anything,
the fact it's too soon for a lot of things
that I know, it changed a lot of people mentally. Uh,
and it really impacted the elderly. I think, if anything,
the elders were hurt the most because they were My
mother is an example. So she had a thing growing
on her face and covered it with her wig because
she was losing hair due to methyl trecks eight for
(27:12):
her ratis, which she ate a lot of sugar, so
that probably made it worse, and her skin was very
she started to I saw her skin just collapse. But
she's lost a lot of rapid light loss. And I
saw that with a lot of my mother in law,
who just passed away a couple of days ago, the
same thing. They were vastly different through lack of care,
(27:34):
lack of proper nutrition, lack of going out and moving about,
and those things can impact your skin and your texture,
but also the muscles in your skip underneath your skin.
Speaker 3 (27:46):
Yeah, that's interesting. You know what, we probably weren't smiling
as much as we normally do during COVID. I mean
it was just it was a really and we're wearing masks,
so I mean, from a dermatology's perspective, we saw a
lot of called mask me, which is acne from the
occlusion of a mask. But in the grand scheme of
things that people suffered. But yeah, the isolization or the
(28:10):
isolation of COVID certainly affected the elderly. I know it
affected school age children. I mean, how difficult for a
seventeen year old to be stuck at home during their
senior year. Yeah, you know so, but in terms of
germatology specific I don't know that. Well, it's to be seen.
Speaker 2 (28:31):
Yeah, probably to be seen. So let's I'm going to
ask you about some specific things. But to the parent
who may be watching this or the grandparent who's taking
care of the little kids while the parents were, what
should they be doing with their children, teaching them and
applying to them day in and day out. Because kids
are round about and they're untethered to a lot of
(28:53):
the day, what should they be teaching and doing.
Speaker 3 (28:57):
You know, I have a five year old. Biggest thing
was he knows it's kind of funny he avoids the
sun and he says, oh, it burns, So he has
learned that behavior from me. But I think based just
keep it simple. A sunscreen in the morning, especially if
they're going to be doing sports or in the sun
out doing after school activities, and washing their hands is
(29:21):
just a big one at that age, you know. Just
hitting home with that and just emphasizing the hand washing
I think is huge. But all the I guess we
can get into kind of the tweens skincare trends.
Speaker 2 (29:35):
Now well tween is I had terrible skin. It was devastating.
It was tea. I went through it all and I
tried everything. My grandmother would watch TV, which is before
tak TikTok and whatever she saw. You know, I landed
my dad to try what. It's a devastating time. How
do you handle it with the tweens and what and
(29:55):
having them avoid trying everything?
Speaker 3 (29:58):
You know it you're not set them loose and Sephora
or alta like, don't do it. It's just you're going
to spend four hundred dollars and it's going to be
on things that are garbage. If your child is having
trouble with their skin, take them to their dermatologists. Have
them see a dermatologist. It can sometimes be very helpful
(30:18):
for these young kids to hear something from someone else
that's not their parents, and they maybe might tend to
listen a little bit more. A lot of the over
the counter products and a lot of the Sephora products
can be really irritating to acne or broken out skin.
Some of these kids have eczema on top of acne,
so that's a really tricky sort of line to toe
(30:41):
finding a product that's going to clear up their acne,
but not irritate their eczema. So I think if they're
having problems with the skin, get the help of a professional.
Speaker 2 (30:50):
And you know, if one isn't saying what you want
to hear, keep going because I'll be honest with the doctor. Jacob.
I went to several dermans. I could write a book,
I could call it shedding my skin. And one wanted
me to shave my face. Wore that Christy Brinkley did it,
so I should do it.
Speaker 3 (31:07):
Uh huh.
Speaker 2 (31:08):
Lena one created the buff puff Dr Orntreich, so obviously
he was pushing that I have the most sensitive skin
effort buff for me.
Speaker 3 (31:17):
You know, I'm surprised for you because I know you
have your raisation ship prone. So those are not necessarily
things I would choose for you. But it's everybody's different,
and you really have to sort of customize the skincare
to the person. And to have some patients that love
to do eight steps in the morning and twelve steps
at night, so I'll work with that, but I don't
(31:38):
think it's necessary. So I also enjoy telling people you
can cut all these things out and put that away
and spend your money somewhere else because it's just not necessary.
Speaker 2 (31:49):
Yeah, I spent a fortune, and I mean I did
the buff puff. I did that. I got some with
cryosurgery in my face. I had giant plisters. It was traumatizing,
it really was, And you know, you don't want to
go through that as a teen and we're in the
teen years. Eventually, the reassuring thing sort of is you
(32:11):
grow out of it. I don't think I ever did,
because I was still breaking out my forties, like because
you still get hormone fluctuations, but then you get into
pregnancy and potentially fertility drugs if you have to. How
does that play around with your skin?
Speaker 3 (32:29):
Oh so much. I mean, hormones are a huge part
of the health of our skin, and as women, I
think we deal with a lot, you know, hormonal fluctuations,
and that can totally affect your skin. You might start
getting more cistic acme breakouts in your forties. And it
has to do with pery menopause, which is a very
(32:51):
real thing melasma, which we kind of talked about earlier.
There is definitely a hormonal component to that, and when
things are changing so rapidly around menopause perimenopause, it's reflected
in your skin, and you might start to get acne.
You might notice more brown spots, you might notice a
different texture of your skin. But those hormones changes definitely
(33:13):
play a role.
Speaker 2 (33:14):
Then you really have to have a skin plant because
it will happen. I mean, my hormones went crazy. As
a teenager, I have cystic acne. There were scars, there's
still scars. I've had to address the scars and then
my skin even out and then you know, now I'm
much older, and as you know, because I have roseicia,
which appeared appeared. Why does it appear? Is that part
(33:38):
of the growing older? Is it just was always there
inside of you, like Glenda the Goodwitch says, and one
day it just came out.
Speaker 3 (33:45):
I mean, it wasn't growing. And it's probably is a
combination of things. Rosation is multifaceted and it's affected by
lots of different things. But we do tend to call
it adult acne. So it's very rare to see a
young person with roseaesia.
Speaker 2 (34:02):
I think when I was going through chemotherapy, the first
round that I did made my skin incandescent. It was gorgeous,
poor less and incandescent, like a nice Korean cap pop
and then we switched to another round and the roseatia
just little baby pimples popped all over the place. I'm like, uh,
(34:24):
it just changed everything. So you have to identify these things,
and things change all the time, and you know when
is that a male or a pimple? Now? So David
and I have the sink on what that.
Speaker 3 (34:40):
Has?
Speaker 2 (34:41):
Asked me? Where than I am because he's got baby perfect,
baby perfect skin, hairless, baby perfect skin like a big
giant beached whale blode with me. He'll be like, what's that?
So the what's that lately is the dark little cherries? Yeah? Okay,
(35:01):
what are the red spots? And why do you get them?
When you age?
Speaker 3 (35:05):
Those are most likely. I mean, I know what you're
talking about. I don't want to tell someone if you
get a red spot, just assume it's a cherry angioma. Right.
The cherry angiomas are what you're referring to. They are
so common. I don't think i've I can find one
(35:25):
pretty much on every patient over the age of forty
that I see. They're just common. You've acquired them, you've
earned them as you get older. We don't know why
they happen. They're tiny. If you look at them, if
you were to buy ups you want and look at
it under the microscope, it's tiny little blood vessels that
form in an area. Estrogen can sometimes make these proliferates.
(35:48):
So this is another thing you can look forward to
during pregnancy is getting more sort of vascular growths on
your body. They're benign, is the good news. But you
can have twenty of them on your abdomen. That's not unusual.
Speaker 2 (36:03):
Yeah, And I don't know do you can you remove
them or they just brown?
Speaker 3 (36:09):
Sometimes if they're small enough, sometimes we can burn them off.
Sometimes you can hyphercate them. Sometimes you can laser them.
You don't have to do any of those things because
they're benign, but if they're in an uncomfortable place, or
they're getting a lot of friction and bleeding on you
all the time. I think that was the reason to
get rid of one.
Speaker 2 (36:27):
Well, they make one piece bathing suit's great again another
the next what's that is the raised peely you know
what we call the rough patch. The rough patch. It
could be red, it could be brown, it could be
but it's one of those what fats. And that's one
of those whatsats sent me to you because he was like,
what's fat on your back? You know? So what would
(36:50):
be other than cancer? Why are you getting more roughy, rough, scaly,
brown or red patches here? They're thither and they are
sometimes they itch, then they don't itch, and why are
they there?
Speaker 3 (37:02):
So these are I think you're referring to growth. They're
called sebarea keratosis, and I see them all the time,
all day long. They can look really gnarly. I mean
they can look very dark. They're benign, but they can
become itchy and irritated and turn pink or even bleed. Sometimes.
(37:24):
We do not know what causes them. They're very common
as you get older. Some dermatologists we've yet to make
a connection, but we wonder if there's a virus like
a wart virus involved in these growths, which would be
the HPV virus. Again, that hasn't been proven yet, but
you just have to hypothesize that there's something contributing to
(37:46):
all these forming. I will put an asterisk on this.
Anytime you have a new itchy, bleeding spot or a
red spot, don't assume it's it's benign. Always get it
checked out. But most of the time, I can happily
tell patients that is not a cancer. It's nothing to
worry about. And if it's irritated, or even if it's not,
(38:09):
we can freeze them off and take care of it
pretty easily.
Speaker 2 (38:11):
And don't pick at it, don't scrub it, don't try to.
Speaker 3 (38:14):
They tick off. We call them stuck on papules because
you can pick them right off. They look like they're
just stuck right on there, but they grow, they grow back.
Speaker 2 (38:22):
But fatty deposits are different. Are like pimples under your skin.
What's that?
Speaker 3 (38:27):
Okay, I'm assuming you're referring to the lipomas or cis
like a little like.
Speaker 2 (38:33):
Under your seat. It look like pimples, but they're not pimples.
They're like fatty raised depose. I've had a laser it
off my face.
Speaker 3 (38:39):
Oh are you thinking of the sabaceous hyperplasia. Yeah, the
yellow kind of.
Speaker 2 (38:46):
I call them fatty deposits, but yeah, type of place.
Speaker 3 (38:49):
So there's guys, those are actually oiled plands that are
in large so very commonly seen with rhizaesia. Mm hmm.
Speaker 2 (38:57):
So basically I'm doing it socks, but you have to
know the thing that so what kept me up a
night after I saw you once.
Speaker 3 (39:06):
Oh, I know what you're gonna say, the mites.
Speaker 2 (39:09):
Yeah, so you tell me that there's mites in my bed.
So I lie in bed and at two in the morning,
I start to itch uncontrollably, my head, everything, the pillows.
I'm driving David nuts because I want to just buy
all new Bunny. But you said everybody has mites.
Speaker 3 (39:24):
Everybody has mites. Yeah, we all have a microbiome. It's
it's our normal skin flora, and it's it's important to
have healthy bacteria on your skin to keep everything in check.
They kind of all work in harmony. The mites that
you're talking about are called Dema dex and when they
(39:45):
proliferate a little bit too much then they can cause
rhizatia and cause acne. And you treat that a little
bit different than you would a normal acne. So I
think we use probably a topical I mentioned to treat
that aspect of the roseation.
Speaker 2 (40:04):
We did doxy too, but the whole skin and the
flushing and doxie also plays with your microbiome. Makes you
feel a little icky, yes, and you can't be on
it forever, but it just so here's the question, do
you need to change your bedding and your pillows? I mean,
do they live in your pillows? You know?
Speaker 3 (40:19):
I think I think once a week is probably a
good idea to change your sheets and pillow cases. I
don't want you to think they need our They need
us to sort of support them and keep them alive,
so they're not going to live as foe mites on
a on an idle surface. So I don't. I hate
(40:40):
telling people about the mites because it does tend to
freak you out, but it's it's just a part of
our part of our normal flora.
Speaker 2 (40:46):
Well, don't google anybody, because I did and then and
then you know, once you google it, then you get
all the weird creepy ads for people to say, yeah,
and I got all the weird creepy it. Don't google
anything anymore. It's just not worth it. Don't google any illness.
It's just not worth it.
Speaker 3 (41:01):
I agree, you know it.
Speaker 2 (41:04):
Just as you said, doctor Jacob said, this is just normal.
Don't freak out. I had a couple of nights whepe.
You know, my brain started working it. But I've worked
through that.
Speaker 3 (41:15):
I disclose that to you because I want you to
understand why I'm giving you the medicines I'm giving you,
and why they're killer won't work for you.
Speaker 2 (41:24):
So yeah, and your normal. I mean a lot of
people have rosetia, a lot of people have adult like me,
you're not alone. The thing is, you're not alone. But
don't suffer in silence. Go see someone who's a professional. Yes,
and don't listen to TikTok. Which brings me to my
very last question.
Speaker 3 (41:39):
Is you know.
Speaker 2 (41:42):
One of the what's with the glassy skin and on
the snail musin the musin? Yuh?
Speaker 3 (41:53):
Wouldn't we all love to have skin that looks like
the surface of glass? I mean, why, Well, I think
it's just it's an idealized sort of thing. It's it's
a filter. When we put filters on our skin, we're
blurring our poor so that we look more even it's
just a sort of beauty perception no one has. Well,
(42:18):
I don't want to say no one, but it's very
uncommon to have perfectly glassy skin, right, I mean.
Speaker 2 (42:24):
I know you do you know everybody she has the
most gorgeous skin ever. Because you're dermatologists, you have gorgeous.
Speaker 3 (42:29):
Skins, thank you. Even I get temples, I have one
right there, so it happens. But I the glossy skin,
I think is just an idealized idea of we want
perfect blemish free, spot free skin.
Speaker 2 (42:47):
I'm just worried, you know. And then somebody was trying
to sell me on the snail musin. You know it.
Speaker 3 (42:52):
Snail Yeah, snail musin is a thing.
Speaker 2 (42:56):
I think it's an expensive thing.
Speaker 3 (42:58):
It's an expensive thing, and I don't know that it's
going to be better for you than if you were
to use aquafor on your face once a week. I
don't think, Melanie, that you should use aquafor because I
don't think that's right for your skin tape. But for
some people that have drier skin or they get dry patches.
The slugging, which is the top trend where you cover
(43:19):
your face in vasoline or aquafor and.
Speaker 2 (43:21):
Sleep with that on slugging.
Speaker 3 (43:24):
Slugging, Yeah, that can be appropriate and effective for people
to have issues with hydration, but if someone has issues
with acne or roisation, that may not be the most
appropriate thing for them to.
Speaker 2 (43:36):
Again, don't just because somebody else is doing it and
somebody a friend gave me something yesterday to try. Okay,
it's a major name. It's a major name, she's advertised,
very well known. I put it on, I just looked redd.
Speaker 3 (43:50):
You didn't like it.
Speaker 2 (43:51):
Well, it's probably great for somebody, but it's not my skin,
not my skin type. And I feel this way about
skincare as I do what you put in your body,
on your body, how you care for it, and also
your makeup. It's got to be individualized.
Speaker 3 (44:05):
For you, totally.
Speaker 2 (44:07):
Absolutely, it cannot be what your friend just gave you
to try. I I was like, oh my god, I'm
like righter than ever. I'm gonna give it back tour.
But and you really should not be trying your friend's
products because there's germs in that.
Speaker 3 (44:26):
Oh sure, yes, I didn't think about that, but yes.
Speaker 2 (44:30):
Yeah, you know, the worst pink guy of my life
was when I went to Sephora. I've had them do
my fase for my for my book tour. So I
had my book my book party with pink eye because
I went to Sephora. You know, spend the money and
have somebody to come to your house have it done.
Don't go somewhere everybody's using different stuff.
Speaker 3 (44:51):
Don't share your own applicators.
Speaker 2 (44:54):
Yeah yeah, yeah, do you ever? I mean because a
lot of people probably put me never wash their brush
or anything, so.
Speaker 3 (45:01):
I don't watch them as much as I should.
Speaker 2 (45:04):
Yeah, So last question, you're on a budget. God, everything's expensive.
Everything's expensive. You're on a budget. What you don't have
the name brand? But what can you find? Is it
a dime store opportunity, a Marshall's opportunity or you got
a spring for something a little better?
Speaker 3 (45:28):
You can find some stuff at Marshalls dime store, probably not,
but definitely Walgreens, CBS. I buy a lot of my
skincare products at CBS. I can say some brands that
I support. Vana Cream is one that I love. It's
(45:49):
very It's not fancy, but I think the ingredients are
really clean, and I feel comfortable telling people with really
sensitive skin that they can use that. Gina makes some
great sunscreens. Blue Lizard makes a great mineral sunscreen that
I use on my son. So I think the drugstore
(46:09):
is a great place to find good skincare products that work.
Speaker 2 (46:13):
Fan of Cream I was. I followed the New York
Times wirecutter, uh huh, and they gave that one high remarks.
Not for the packaging, but who cares.
Speaker 3 (46:22):
It's not fancy.
Speaker 2 (46:23):
Yeah, it's not cond And then they were this one
called Supergoop, which I think you have a your day,
but the supergroup had some issues recently. Yeah, yeah, so
you know, I don't know, we won't go there, but
they it was supposedly good but maybe not so good.
Now I use you know, I'll say, I use Alta
Alta Alta. It costs a lot more money, but I
swear by it. I do too.
Speaker 3 (46:44):
I mean, we sell it in our office, but that's personally.
My son's screen of choice is the Alta MD one.
I'm not to say there's there's not a good one
that you can get at Steves and Walgreens. But for
me and for my skin type, the Alta feels the
best for me. And it's like a luxury, a little
luxury that I put on more.
Speaker 2 (47:02):
Well, I'll do like I'll do sometimes when I'm just
hanging out during the day in front of the creater,
I'll do like my new Turgena uh huh. And I
use a lot of serave, you know, my drug store
and then my my old Elta is my go out
when Yeah.
Speaker 3 (47:17):
So you can make your products last longer.
Speaker 2 (47:20):
It's like me and the shampoo the Oliplexus for now occasionally,
and then I bought something a Costco that's panteing and
a giant ab. Yeah my hair still looks great. So yeah.
So the thing is you don't have to spend a
lot on what you put on your face, but it
is essential.
Speaker 3 (47:36):
How often should you get your skin checked? It depends
on the person. I would say once a year for anyone.
It depends. If you're somebody that has a lot of molds,
definitely at least once a year. If you're somebody that
has a history of skin cancer, probably at least once
a year, maybe every six months. It kind of depends
on your risk factors and what you're sort of dealing with.
(47:56):
But you're never in it and you're parents because that's right.
Sometimes it's not covered. It's not a bad idea to
go in and just get a baseline look over from
head to toe, and then your dermatologists can tell you
how often you should be seen based on what they
find at that visit.
Speaker 2 (48:13):
Yeah, and when you get a skin check, you are
going to go head to toe. Don't be shy bear
it all. Let appear everywhere because it can be in
your scalp. It could be behind your ear, Bob Marley,
it could be in your toenail.
Speaker 3 (48:27):
Yeah, under the feet. I always look under your feet
and between so yeah, we don't care. We want to
see it all.
Speaker 2 (48:35):
Well, I want to thank you for taking time to
be with me. We've been talking with doctor Leah Jacob
and you practice here but a family dermatology specialist. Do
you have a website or is it the family we do?
Speaker 3 (48:48):
I believe it's familyderms dot com.
Speaker 2 (48:51):
I love them. I'm really glad I found you get
a dermatologist always should be as important as your gynecologists,
your primary care phys and your dentist.
Speaker 3 (49:02):
I agree.
Speaker 2 (49:02):
All right, Well, thank you again. I really appreciate your time.
I hope it's been helpful for all of you. I
kind of bear it all and share it all because
I want you, my listeners and viewers and fans, to
be confident about taking better care of yourself all the time,
because you want to live the best of your life
the rest of your life. I'm Melanie Young. This is
fearless fabulous. You. You have the choice to live life
(49:25):
on your terms. Always choose fearless and fabulous and follow
me on Melanie fabulous. Thank you
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