Episode Transcript
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Speaker 1 (00:06):
Welcome to another episode of Plastic Surgery and Censored.
Speaker 2 (00:08):
I'm your host, doctor Roddy Rabon, and we have a
fantastic episode for you because we're talking about skincare super
relevant and more importantly, it's the fifth of a five
part series. Here with Charlene, my fantastic esthetic nurse. We
you know, as many of you know, we opened up
a new wellness center, a met SPA called Restore by Rabon,
(00:32):
MD that Charlene is heading.
Speaker 1 (00:36):
And I really wanted people who are.
Speaker 2 (00:39):
Out there because this is what I did in order
to open up this spa, which everyone who follows me knows.
Speaker 1 (00:45):
I hate spas because I hate.
Speaker 2 (00:48):
Spas that are unmanned by a clinical person who really
is curating the things that are offered to make sure
that what they're offering is really in the best of
the patients. So historically spas are, you know, they're sort
of on an island. There's a medical director. That medical
director shows up.
Speaker 1 (01:09):
Once in a blue moon.
Speaker 2 (01:11):
More often than not, the medical director has no expertise
in esthetics. They're an ob or a pediatrician, or an
internist or an er. They're just using their license and
buying larger nurses are doing whatever they need to do
or want to do. Could it work, sure, but I
don't think that's ideal for patients.
Speaker 1 (01:27):
So when we decided to open.
Speaker 2 (01:29):
Ours, I wanted to make sure anything we did was
like awesome or you know what, we don't.
Speaker 1 (01:34):
Need to carry it absolutely Yeah.
Speaker 2 (01:35):
So the five areas we talked about neuromodulators, botox for example, fillers,
wrestling for example, lasers which is so cool and we're
excited about like our Sitan halo or our BBL micro needling,
which is probably the best thing we offer in the
(01:57):
entire space.
Speaker 1 (01:57):
And the most simple and now is skincare.
Speaker 2 (02:01):
And anyone who knows me also knows that I'm all
about simple stupid. I'm all about anti marketing, nonsense, selling
people things now like five hundred dollars jar of lemaire
that probably does nothing because it's vasiline.
Speaker 1 (02:20):
Like, I'm all about that.
Speaker 2 (02:22):
So when it comes to skincare, what we wanted to
do is really break it down for people so when
they go to buy things, they can buy things that
hopefully help them and avoid things that probably do nothing
for them and it's just a waste of money. So
Charlene has a lot of experience in skincare. I have
very little experience in skincare, but I know enough to
(02:44):
know the basics. So the first thing is that if
your skincare is not medical grade skincare, I humbly suggest
you throw it in the trash.
Speaker 1 (02:59):
What is that even mean, doctor Rabon.
Speaker 2 (03:01):
So for skincare to do anything, whatever it's supposed to do,
it has to have active ingredients. That means ingredients that
actually do something right. This is a cream that's supposed
to lighten your skin, this is a cream that's supposed
to get rid of wrinkles, this is a cream that's
(03:23):
supposed to so it's supposed to do things.
Speaker 1 (03:26):
So it needs an ingredient that actually works. With medical grade.
Speaker 2 (03:32):
Skincare because it has to be prescribed or given to
you by a doctor. The ingredients in there are higher quality,
more concentrated, and therefore are more likely to do what.
Speaker 1 (03:45):
You're asking it to do.
Speaker 2 (03:47):
Well, Doctor y Bond, it's just so much more expensive, lie,
total lie.
Speaker 1 (03:54):
How much is of jar V Lameyer.
Speaker 3 (03:56):
Way more than any of the skincare that we It's bullshit.
Speaker 2 (03:59):
It's well, you go into Neemon Marcus right now, and
you go behind the counter and they have some of
the foofiest, perfume driven, nonsensical skincare. But you know they
have great advertising and great packaging. You know, we have
the overwhelming majority of products skincare. High end skincare we
sell is like fifty.
Speaker 1 (04:20):
Two hundred bucks. Yeah, that's like nothing.
Speaker 2 (04:23):
So the most important thing I want you to listen
to at home is We're not selling you rabond cream.
I'm not gonna I'm not private labeling my cream and
sending you I'm telling you that if you're gonna use skincare,
you know, through all the trouble, put it on your face.
Make sure it has active ingredients. And the best active
ingredients are medical grade active ingredients, which means.
Speaker 1 (04:42):
You want to get it from your doctor. Yeah, that's
number one. The second thing is that.
Speaker 2 (04:48):
You want to really create a protocol that you're actually gonna.
Speaker 3 (04:54):
Do they stick to because consistency is key.
Speaker 2 (04:56):
Right, So, very very common is you go to a
dermatologist and you walk out with like a bag, and
in that bag is like shit, eight items. You do
those eight items for two weeks, and then those atoms
become five items, and then they become three items, and
then you're barely putting on sunswar.
Speaker 3 (05:13):
You use it for two weeks and don't see a difference,
so you stop using it.
Speaker 1 (05:17):
Right, So that's a great point. We'll get to that second.
Speaker 2 (05:18):
So do not even begin a skin care protocol. You
cannot continue for ten years. So if you do an
eight step process like my wife and do it consistently,
your skin will crush it over someone with a five
step process.
Speaker 1 (05:37):
But if you do an eight step process.
Speaker 2 (05:39):
And only do it for a month, then you're better
off doing a three step process.
Speaker 1 (05:43):
For a year.
Speaker 2 (05:45):
The next thing is skin care is a long haul.
It is not, and I underscore designed to show you anything.
You are not supposed to put skincare on, and in
a month from now look in the mirror and be like, well,
I don't see anything. You're not supposed to see anything.
It takes years of commitment, but what it does do
(06:06):
is incrementally and gradually, in conjunction with botox, in conjunction
with micro needling, in conjunction with a BBL once in
a blue moon, in conjunction, you're you're going to go
to work, school, friends, events and.
Speaker 1 (06:20):
Be like, shit, Charlie, you looked pretty good. Thank you,
I know, it's my skincare. Yeah, absolutely, So that's the
second thing.
Speaker 2 (06:29):
So what we want to do is Charlene's going to
give you what we recommend is basically the what we
call the core, your core skincare. Like if you're not
going to do anything, but at least do these things.
Here are the things that she recommends, So write them down.
Speaker 1 (06:46):
What are they?
Speaker 3 (06:47):
So I like to simplify my skincare because I'm one
of those people that if it's too much, I'm not
going to do it. So I like to really simplify
it and use ingredients that work, and you know, make
sure that he sticks to it. So you always want
to start off with a very gentle cleanser, maybe foliate
twice a week just to kind of remove some of
the dead skin cells. During the day, you're going to
use a vitamin C serum. And the vitamin C serum
(07:07):
is really really important because it protects your sin your
skin from the sun and the UVA and UVB rays,
but also help prevent free radicals as well, so all
of the pollutants in the air as well too, So
it'll really do a lot of protection for your skin.
Gentle moisturizer, nothing, no frills, just a gentle moisturizer that's
going to keep your skin hydrated, and then sunscreen during
(07:29):
the day nighttime, we're keeping it just as simple. Instead
of the vitamin C serum that we're using in today,
we're replacing that with a retinol cream. Retinol is the
only thing that's going to help turn over your skin cells,
so it is very important that we use it. You
know a lot of people get discouraged from retinyl because
they get their skin get sensitive, it gets red irritated peely.
(07:49):
But the thing is that's all of the dead skin
that you're trying to remove so that you can get
these new skin cells. So you have to go through
that process so that underneath all of the new skin
is going to peel through. So you do have to
be consistent with it and work through that space. But
once you hit that peak of maybe about six weeks
of all the peeling and redness and irritation, your skin
(08:09):
going to do beautifully and then just a mild cleanser
and moisturizer at night, right, Safy.
Speaker 2 (08:16):
So I'm gonna break it for you guys again because
I'm the type of person that likes things spoon fed
to me. So number one is your skincare should have
a daytime and a nighttime component because what's happening during
the day is different than at night.
Speaker 1 (08:30):
So the daytime is you need a gentle cleanser. I
am cleaning my skin. It's dirty. Why is it dirty?
Speaker 2 (08:39):
Because you've been out and there's literally soot in the air,
and you go outside and your car's dirty.
Speaker 1 (08:44):
After a day, it's got hit in the air.
Speaker 2 (08:46):
So cleanse it every once in a while, as Charlie said,
maybe twice a week. Gentle exfoliate. If you are too
aggressive with your exfoliation, you will get inflamed and irritated.
Speaker 1 (08:59):
So a gentle exfoliation. Next, your skin doesn't do well dry,
it's alive, it's an organ.
Speaker 2 (09:07):
So some moisturizer. Then you need vitamin CE. Do you
put your vitamin C on before the moisturize wash If
it's your day to exfoliate, exfoliate. If not, put a
little bit of the vitamin C serum let it's soak in.
Put a little moisturizer, sunscreen, and then sunscreen. If you
(09:30):
don't add the sunscreen, don't leave the house.
Speaker 1 (09:33):
Don't bother.
Speaker 2 (09:33):
Now the key to sunscreen. You need to repeat it
every three to four hours. If you don't, it doesn't work.
Nine out of ten people are like, I'm religious about
my sunscreen. Really great. When did I put it on
every morning? And what do you do in the afternoon?
What do you mean it's gone, it's zero, it's doing nothing.
So it's every few hours. You need to have it
(09:55):
and put it on. Now, anything we tell you to
is relative to your skin. Some people are sensitive, some
people are not. Some people try this brand and it
causes them irritation, and they try that brand. And as
skin is very picky and particular, it doesn't mean that
the formula doesn't work. It means the ingredients you're selecting
(10:17):
haven't been chosen for you. And we'll get into that
in a second. So that's your daytime, got it easy.
Then you get home and it's nighttime. You wash the
shit off your face because it's dirty if you don't
exfoliate at in.
Speaker 3 (10:30):
The evenings, right, if I need to, I mean yeah, right, the.
Speaker 2 (10:33):
Exfoliating you do twice a week, usually do in the morning.
Speaker 3 (10:37):
Yes, just depends honestly when I remember to do it.
Speaker 2 (10:39):
Okay, But let's give people a very strict concept. Would
you rather them do the exfoliating in the nights or
in the mornings. I think I'd probably do it at night, Okay,
So try to do your exfoliating that when you do
it at night, so that your skin has time to
relax from exfoliating. Then instead of itamin C, you're going
to be using redmail. So I just want everyone to listen.
(11:00):
If you're never going to use any ingredients except for
one ingredient, the only ingredient, the only real, real active
ingredient is retinaal.
Speaker 1 (11:13):
Do you hear me?
Speaker 2 (11:14):
Retinal is the only active ingredient that is critical because
it actually thickens your skin. It is, It's been around
for sixty seventy years. It is the cheapest, most basic,
most revolutionary.
Speaker 1 (11:33):
Drug, and you need to use it now.
Speaker 2 (11:36):
Retinal because it is the most active ingredient, has the
most problems with it. Right, So let me explain something
to you. If you put something on your face and
nothing happens, it's shit. If you put something on your
face and like a lot happens, it's active. So retinol
is something you must play with. So Laura, my wife,
(11:58):
puts retinol on. She looks red and flaky. I put
on retinol and I look like nothing happened. I can
put a quarter sized piece of retinol on and nothing
will happen to me. And Laura will put a p
sized retinal and she will feel like it's.
Speaker 1 (12:14):
Like no one's business.
Speaker 2 (12:16):
Therefore, you must experiment, use less of it, give it
a day of break, play with it until you get
into a rhythm. And once you're in a rhythm, your
skin will be very, very happy. And then you use
your retinol till the day you die. And that is
the one thing. When I see patients and they're like
in their sixties and seventies and they.
Speaker 1 (12:37):
Come in, I'm like, wow, you look good. What have
you been using? Oh nothing, just retine.
Speaker 2 (12:42):
So again, clean your face, exfoliate at night, a dot
of retinal until you figure out what the right amount is.
Speaker 1 (12:52):
Moisturizer yeah, right, and go to bed.
Speaker 2 (12:55):
So this core is really if if if you are
able to do this core ninety percent of the days
that you go out, if I were to see you
in a few.
Speaker 1 (13:06):
Years, you'll look fantastic.
Speaker 2 (13:08):
Now there are special things that we can add to
help certain people with certain issues.
Speaker 1 (13:15):
But this stuff we just told you is the main stay.
Speaker 2 (13:18):
This is this sort of the baseline foundation of what
you need to do. So what are some of the
sort of Oh you have this problem, then add this
for a while till you improve it. Oh you have
this problem, then add this, So go ahead.
Speaker 1 (13:32):
What are the difference?
Speaker 3 (13:34):
Discoloration's a big one. So if you have tons of discoloration,
you can use hydroquinone or some non hydro quone brightening
serums to help even out your skin tone.
Speaker 2 (13:43):
So number one is if in addition to everything we
told you, you have a ton of pigment, right, sunspots,
et cetera, you a one of micro needle, you b
must do one of our lasers.
Speaker 1 (13:57):
And c you will use some of these creams.
Speaker 2 (13:59):
Yeah, together your spun sun damage will be significantly improved.
Speaker 1 (14:04):
In and of itself.
Speaker 2 (14:06):
The creams definitely help, but they're all part of a
bigger scheme. And when it comes to sun damage, not
oh I'm a young person, I'm barely having it. I'm
talking about like a fifty year old like me. It's
a multi prong approach that helps.
Speaker 1 (14:22):
But we have.
Speaker 2 (14:25):
Creams that help you with sun damage. There are two
main categories. Hydroquinone like retinol, is a drug that's been
around forever and it's very effective. But you can't use
hydroquinone like a retinol every day. After three months capute
no more zero and you have to then switch and
(14:47):
give your skin a break to non hydroquinone based lightning creams.
And they have different ingredients and they do different things.
So that's one area, pigment, there's creams for that.
Speaker 1 (14:59):
What's another area, roseesia redness roseesiha.
Speaker 3 (15:02):
So you can do calming serums to help fight off
you know, the cebum that's created from the and make
more roseicia.
Speaker 2 (15:10):
Right, So we have oh I in addition to my foundation,
I have some pretty bad roseasia. Great, we have certain
skincare that will help target that roseesia.
Speaker 1 (15:24):
What else?
Speaker 2 (15:25):
Acne?
Speaker 1 (15:26):
Ah, So, acne.
Speaker 2 (15:27):
That's a big one for me, not because I ever
had acne on the on the on the contrary, I
never had acne, but my nephew had acne, my niece
had acne, my wife had acne, and it.
Speaker 1 (15:37):
Can ruin your life.
Speaker 2 (15:40):
So acne is predominantly about oil control and cleansing and
keeping those oil glands unclogged, open and clean.
Speaker 1 (15:50):
Keep the drainage going. So what do you suggest for acne?
Speaker 3 (15:54):
We have exfolience like alpha hydroxy acid and beta hydroxy
acid to help heel this game. Help control the oil production.
Tretonoen or retinols are great for that too. As long
as you're kind of just following, you know, the proper
skincare and helping control the oil you can do.
Speaker 2 (16:12):
So an interesting thing is for acne. For acne, in
addition to baseline stuff, we have two things that I
think make a huge difference in our game changers. One
is lasers. Why what does lasers have to do with acne?
It's bacteria. And when you move a laser over an
(16:33):
area that has acne, there's so much heat that goes
through there that it kills all the acne. And it
actually it's not going to prevent future acne, but it's
certainly going to address active acne. And so if you
have active acne that you just can't get ahead of
and you can't wrap around it and you have to
go to an event or it's a wedding, certain lasers
(16:54):
at low doses of heat will.
Speaker 1 (16:56):
Cause that acne to at the moment go away. This
second and.
Speaker 2 (17:00):
By far the most effective treatment for acne is accutane,
and accutane is a phenomenal drug. Phenomenal drug, And the
biggest issue with acutane is because again the more active
the drug, the more issues that happen with it, and
you have to dial it in. And historically people took
(17:21):
really high doses of acutane and it had side effects
for example, joint pain, issues with their eyes, dryness, et cetera,
et cetera. But the way to take accutane is lower doses,
longer period of time, and it can almost cure in
many instances acne. And the key is to get at
(17:42):
it early before all the scarring has occurred in your face,
in your back, because acne scars are almost no, I
don't want to say almost.
Speaker 1 (17:49):
They are irreversible. They are forever, but you have it forever. Yeah,
So that's that.
Speaker 2 (17:56):
What other skin care stuff and what other categories of
stuff that there is, I'd say.
Speaker 3 (18:02):
That's pretty much it. Everything else is kind of, you know,
just really I don't know, not really even needed.
Speaker 2 (18:08):
So listen, if you're a skin connoisseur, as is the
case with my wife, you'll try a million other things
But if you are a person, which is ninety eight
percent of people that barely even puts on SBF, but
you really want to do something for your skin, what
we just said to you is more than enough.
Speaker 1 (18:26):
If you do the morning routine and you do the
evening routine.
Speaker 2 (18:29):
And you happen to have some of these other issues
and you dabble with those things, I think you'll be
over the moon in regards to the outcomes. So the
question then is everyone's asking is okay, great, what skincare
and the act?
Speaker 1 (18:42):
The truth is that most.
Speaker 2 (18:45):
Of the medical grade, that is the skincare that I
have access to, and doctor Smith has access to you,
and doctor Johnson has access to most of those skincare.
Speaker 1 (18:57):
Companies are pretty good. Now.
Speaker 2 (18:59):
Like when we talked about filler, we're biased towards Restallin,
Like when we talked about neuromodulators, we're biased towards Disford.
We have our biases in regards to skincare. We carry
pretty much ZEO and Skin Better right, And Charlene, who
has vast experience with skin, has decided that's what we
(19:22):
want to carry. And what was the reasons for each
of those? Why your preference on one or the other.
Speaker 3 (19:26):
CEO has one of the best medical grade skincare is,
especially when it comes to corrective you know, any sort
of corrective things that we need to do for patient skin,
whether it be malasma or roseatia or even acne. So
they have just great active ingredients for that. I love
it on correcting skin or for maybe older skin types.
And then you know, skin Better is just a very basic, basic,
(19:48):
you know product that are lie and that really just
creates these products that just work and are effective and
are very minimal, but you know, do a great job.
Speaker 2 (19:57):
Yeah, So I think what you had told me originally
is I like the Skin Better for young patients who
have good skin that want to maintain it, and I
like ZO for more mature skin aka forties and fifties
and on where they have issues that we're addressing, so
we try to address it. Will I one day have
a private label, Probably not unless I felt that we
were creating something that is equal.
Speaker 1 (20:18):
To and or better that what's out there.
Speaker 2 (20:19):
So when you know, you go to your doctor's office
and it's like doctor Rabond's cream, I don't know, you
better make sure that that's better than ZO, right, because
at the end of the day.
Speaker 1 (20:32):
What's in it?
Speaker 2 (20:33):
I don't know, but doctor Smith's recommends it or doctor R. Bond.
Speaker 1 (20:37):
I love doctor Rabon, but but that's not what I
would do.
Speaker 2 (20:41):
I am a little bit suspect of private label stuff
by doctors because I think when we're talking about super
high level medical grade skincare, I don't know that I
myself has access to the chemist that say the Zeo
company does take it for whatever it's worth. We have
one last thing that we never talked about that we
(21:01):
definitely need to talk about.
Speaker 1 (21:02):
We didn't talk about.
Speaker 2 (21:03):
It on the laser side, and we definitely have to
speak about now is malasma.
Speaker 1 (21:07):
And we just left malasma out altogether.
Speaker 2 (21:09):
So if you've been listening to our five part series,
when it comes to lasers, pretty much malasma is a
do not touch that patient, just don't touch them, don't
touch them, don't touch them.
Speaker 1 (21:22):
In general, patients with malasma.
Speaker 2 (21:24):
The answer is don't touch them, period because everything you
do to a patient with masma makes them lasma worse.
So on the laser side, it's like forbidden. But we
now have the halo, and the halo really is the
is like it's again revolutionary in the idea that you
can actually treat someone with malasma with a laser with heat.
Speaker 1 (21:47):
It's just like sort of.
Speaker 2 (21:48):
Unconscionable, Like I can't even believe that.
Speaker 1 (21:52):
So that's amazing.
Speaker 2 (21:54):
But on the skins skincare side, there are some really
incredible zeo, some things specifically that is targeted towards malasma. Now,
patients with malasma are always going to be frustrated because
it's hormonal, it's what you eat, it's coming from within.
We may do all these things and you're twenty percent
or thirty percent better, but.
Speaker 3 (22:14):
Just come back and get worse.
Speaker 1 (22:16):
But I do think that.
Speaker 2 (22:18):
It's a good time to have malasma as opposed.
Speaker 1 (22:21):
To ten years ago.
Speaker 2 (22:22):
Absolutely, I think there are definitely things that we can
do to make it better. And for some people with
like my sister with terrible malasma, any improvement is improvement.
Speaker 1 (22:34):
Absolutely, wouldn't you say?
Speaker 3 (22:36):
Absolutely?
Speaker 1 (22:37):
Yeah?
Speaker 3 (22:37):
Historically we couldn't treat malasma in the past, you know,
and if anyone ever said that you could treat it
with any sort of lasers, I would run because you couldn't.
But with the new addition to the halo, it's it's
exciting because we can treat those.
Speaker 2 (22:50):
Yes, So but if you have malasma and you're going
to I mean, and you're going out to get do
not go get a laser A thousand times worse.
Speaker 1 (22:56):
You got to make sure it's specifically a laser.
Speaker 2 (22:58):
That's Google call, ask for the name of the laser,
Google it and make sure it works with malasma.
Speaker 1 (23:04):
All right, guys. Well, that's our last of five episodes.
I hope you enjoyed them.
Speaker 2 (23:09):
Charlene and I have tried to kind of take you
through a systematic approach through the services that we provide.
We do other things like PRP to the scale for
hair loss.
Speaker 1 (23:20):
We do PRP or.
Speaker 2 (23:23):
PRF injections, We do all kinds of other things.
Speaker 1 (23:26):
But I think these.
Speaker 2 (23:27):
Five things are the core of what I think patients
have available and that work, and that together in conjunctions
with what we offer surgically, are enhanceive.
Speaker 1 (23:38):
All right, guys, I hope you enjoyed it. That's a rap.
We're gonna go ahead and call it two things before
we finish one. Do me a favor.
Speaker 2 (23:47):
You enjoy the show, you find it entertaining, educational, what
have you? Go write a nice review right now. Literally
put down this once I go cut, Go write the
review right now, because at the end of the day
it really helps us a lot. Am makes everyone feel
good about what we're doing, and two boosts our ranking.
And at the end of the day, we want as
many people to hear what we have to.
Speaker 1 (24:06):
Say as possible.
Speaker 2 (24:07):
The second is share our podcasts with the people you love,
your friends, your family members. What you don't want to
see happen is they have a complication and you're like,
oh shit, that's what doctor Bond said last week.
Speaker 1 (24:19):
Oh it's too late. That will help now.
Speaker 2 (24:21):
So yeah, that's it all right, guys, we're gonna make
it a rap. We'll see you guys next week. I'm
Plastic Surgery Uncensored. I'm doctor Rabond signing off FOW