Episode Transcript
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Speaker 1 (00:08):
This is News Radio seven ten WNTM. Uncle Henry here
once again on Ask the Expert. And in this episode
of Ask the Expert, We're going to talk to Board
certified dermatologist doctor Thomas Bender with Advanced Dermatology and Skincare Center.
Advanced Dermatology and Skincare Center has a team of board
(00:31):
certified dermatologists with locations in Mobile, Daphne, Baymonette, and Northwest Florida.
You can find out more about the doctors and the
services they provide by going to the website Advanceddermclinic dot com.
That's Advanceddermclinic dot com. You can also make appointments at
the website, or you can call two five to one
(00:54):
six three one thirty five seventy. That's two five to
one six three one thirty five seventy to make an
appointment with doctor Thomas Bender and Advanced Dermatology and Skincare Center.
This month, Advanced Dermatology in Skincare Center is offering forty
dollars off jeuwvo. That's forty dollars off JEVO while rebates
(01:17):
last at Advanced Dermatology in Skincare Center. And if you'd
like more information on Jewvo and those products you can
go to Advanced germ Clinic dot com. That's Advanced derm
Clinic dot com. Now let's begin our conversation with doctor
Thomas Bender. We had our conversation at doctor Bender's office
(01:38):
in Westmobile in Providence Park, near Providence Hospital. So, doctor Bender,
how are things going this month in March at Advanced
Dermatology and Skincare Center.
Speaker 2 (01:48):
Things are absolutely wonderful.
Speaker 1 (01:50):
Well, we love hearing that. I noticed that you've always
got plenty of patients and yet still people can make
appointments and get in. They don't have to wait that long.
Speaker 2 (01:59):
You know. We have a new board certified dermatologist just
arrived in the fall, wonderful young lady who's working and
living in the area and was trained at LSU, and
that obviously has helped us out dramatically, you know, with
her being able to provide care for our patients both
in Mobile and Daphne. And then we also have a
(02:19):
new physician assistant, so we're making sure that folks have
good access to care.
Speaker 1 (02:23):
Doctor Bender. We're in Lent in March. Now, if there
was one thing that I was going to give up
that would make my skin better Should it be sun?
Should it be sugar? Giant giant martinis? What should it be?
Speaker 2 (02:40):
Doctor Benner, Well, I think that son would be the
easiest thing to not necessarily avoid completely, but to protect
yourself from, and that would do absolutely everything for your
skin as far as helping reduce your risk of skin cancer,
helping reduce how many fine lines and wrinkles that you
have as you go through life. So you know that's
(03:00):
probably going to be number one always, but hey, the
sugar is a close second. We're learning more and more
about sugar and carbohydrates and how bad they are, not
just for our skin, but for a lot of different
parts of our bodies.
Speaker 1 (03:11):
Fantastic. Now we have some questions. Listeners have questions for you,
Doctor Bender that have emailed in. You can email those
questions to me Uncle Henry iHeart Media dot com, and
I can get them to doctor Bender. We're going to
start with Sarah and Mobile Doctor Bender. Sarah asks what
she says, you recommend sunscreen every time you're on the radio.
(03:32):
Is there anything else I can do daily in addition
to my sunscreen that will make my skin look better
and healthier?
Speaker 2 (03:41):
There are, so, of course, what we're trying to do
with sunscreen is protect you from more damage and your
body actually, if you just did that will actually start
to correct a little bit on its own. So what
can we do to help correct, you know, as your
body's working to do so as well. And for example,
skin suticles essentially created and has the best vitamin C
(04:02):
serum in the industry. And why is that important? Well,
what's important because the vitamin C has be delivered at
a certain pH and little chemistry here. This could be
scary for some of them. I know it's scary for me.
Speaker 1 (04:12):
You're looking at me, but yes, I'll follow along as
best I can.
Speaker 2 (04:15):
So the pH has to be specific and the way
they put the molecule together is very delicate so that
the vitamin C can actually have some help and basically
be able to be used by the skin. Whereas a
lot of products that say they're viamin C, they do
have vitamin C in them, so they're not, you know,
marketing improperly. But what patients don't know is it really
(04:37):
is in a form that their skin can utilize. It's
kind of like, you know, there's vitamins out there, lower
quality vitamins your skin can't utilize. It's in a form
that your body can't absorb. The a little bit more
expensive vitamins are in a form that your body can't absorb.
So you think you're taking something and getting one thousand
percent of vitamin E or whatever, but actually you're just
getting rid of that and waste. It's the same thing
(04:59):
with these topicals. You know when you go get the
less expensive brand that says, hey, it's the vitamin CA cream.
It's moisturizing, so it can help, but you're not really
getting the vitamin C benefit.
Speaker 1 (05:10):
Okay, And you know, Skinceuticals does the research so they
know what works exactly.
Speaker 2 (05:15):
I mean, you know, Cumulates skin Suticals, they do the work,
They do the research. Everything that they claim has been proven.
And again Lorele owns skin Suticals, and Loreole's probably the
largest beauty brand in the world, and they could have
had any one of the numerous you know, solid cosmeceutical companies,
and of course they decide that this is a true
(05:35):
medical grade skin care line from Skinceuticals, which is why
we have them.
Speaker 1 (05:39):
Okay, one more quick email on the topic of sunscreen.
James from Theodore and he emails, hey, there, doctor Bender,
I work outside on the bay all day and my
buddies say sunscreen is overrated if you're already tan, Is
that true? Or am I messing up my skin if
(06:00):
I don't use it?
Speaker 2 (06:02):
Well, he definitely should be using micronized inc oxide, especially
if you're working around the water in South Alabama or
anywhere for that matter. That's the first step. And then
the second step is you really need to be covering up.
I mean we need to you know, be wearing long sleeves,
you know, long pants. And your skin is tan when
it's damaged. So tanning is a way that your body
(06:22):
protects itself from getting burned. But a tan is actually
your skin being damaged. And so really what we'd like
to see is you know, less tan, no burns, and
than protecting their sun if it's never too late to
start either, absolutely never too late to start. So even
if he's thirty, forty fifty years old been working outside
a lot, he can reverse some of those some of
(06:43):
that damage by protecting himself better.
Speaker 1 (06:45):
Now, all right, Next email is from Sarah Lane Travis.
In Sarah Lane, Travis writes, my teenage son, God acne
that won't quit and now I'm breaking out at age
forty five. What's happening to both of us and what
can we do well?
Speaker 2 (07:03):
You know, we know now that adults can suffer with acne.
Some of it is diet related. Certainly high carbohydrate diet
that most Americans eat is going to contribute to all
kinds of information, including acne. A lot of times we
also have patients who are taking different hormonal therapies to
(07:24):
try to improve their energy or something else that's going
on in their life, and then this is a side effect,
so they end up with acne because they're replacing hormones.
And then at other times, you know, it's just something
that comes up and we really can't explain it, but
we certainly can treat it regardless of what's causing it.
You know, sometimes that's all medications. A lot of times
we try to stick with you know, oral topical medications
(07:47):
instead of all medications, especially in older patients because they're
probably they may be taking other medications. Younger patients, it's
critical because you know a lot of those kids are
just trying to spread their wings a little bit, you know,
friend groups at school, especially if they have terrible sistic
actney and if they have that in my experience, I've
had numerous patients come to see us over the years,
(08:08):
last decades and they don't want to go to school.
They're actney so bad, and we can help them with that.
That's very satisfying for us to help someone that's a
teenager and get them back in school, get them back
excited to go to school and to participate with their friends.
Speaker 1 (08:23):
Now, of course you can't diagnose over the radio through
an email, but this is a father and a son,
and you mentioned diet, so there could be a lifestyle
choice that a family has made that is actually affecting
everyone's skin.
Speaker 2 (08:37):
Definitely, Definitely. I always encourage them and take the time
to talk about about diet. You know my background, I
was a primary care doc in the military for nearly
five years, and so that was a really important part.
Of course, when you're taking care of patients on a
regular basis, has diet And we know a lot more
now than we did even when I was in primary
care twenty five years ago.
Speaker 1 (08:55):
Okay, next email reads doctor Bender. I've noticed the red,
itchy patches on my forearms. They come and go but
are super annoying. Could this be something serious? Thank you?
And that's from Sarah and Midtown Mobile.
Speaker 2 (09:12):
So it sounds like me. It could be psoriasis, it
could be atopic dermatitis, and the good news is we
can make that a lot better. You know, there's a
lot of patients who are suffering with both of those
disease processes. And fortunately, in the last twenty years, we
have a lot of really good medications for both of
those diagnosies and we can really improve them, if not
(09:34):
make them go We almost completely okay.
Speaker 1 (09:36):
Next emails from Emily and Westmobile. Emily writes, my hands
get so dry and cracked from washing dishes and doing laundry,
especially this time of year. Any quick fixes, Doctor Bender
to stop the flanking and the cracking.
Speaker 2 (09:54):
You know, that's something that can be extremely difficult. It's
difficult to treat because you know, someone might not have
a good idea of what's causing it in their life.
Over fifty percent of the time, even if we did
allergy testing, we can't find the exact substance that they're
allergic to. But we do have some things that will help,
you know, we have different medicated ointments that can help. Also,
(10:17):
always tell patients, look, you can go get some superglue.
If you've got some painful fissures, and put some superglue
on those fissures and that will help it to heal
from the inside out and help with their discomfort. Because
that's the big problem with this is it's a quality
of life issue. You know, they just you know, are struggling.
They don't want people to see it because then folks
think they have something infectious and then it's uncomfortable. And
so you can imagine someone with their hands like that
(10:38):
trying to work, for example, in the food service industry.
Speaker 1 (10:40):
Yeah, and it's not something we think of in terms
of what do I go to the dermatologist for. I
bet a lot of people have stuff like this and
they're afraid to come to you. They don't think it's
a big enough deal.
Speaker 2 (10:53):
Well, I would encourage them to always come to us.
I mean, there's no better time than twenty twenty five.
We have so many great tools in our toolbox now
that when I first started as a dermatology resident in
two thousand and one, we didn't have period I mean,
you know, if someone came in for sariasis, for example,
you know, we had topical steroids, a medication that that
(11:13):
would require a lot of lab work or light therapy,
which are great therapies in a good place to start.
But you got someone that's had to you know, head
to toe in sariasis. You know that's kind of hard
to put an oointment on.
Speaker 1 (11:25):
Yes, indeed, yes, indeed, our net we have another Shaarland
email Marcus in Shaarland. He writes, I've got these dark
spots on my face that showed up after last summer.
Should it be worried or is this just a sun thing?
Speaker 2 (11:41):
Well, you know again, we need to have them come
in for you know, an evaluation, because it could be
something that the skin just became darker in some areas
and we could fade that down for them, and or
it could be you know, we're getting some litigenies we
need to check out, and certainly could also be something
like melanoma. You know, I mean one patients, I have
(12:03):
a new dark spot and versus another patients I have
a new dark spot, completely different.
Speaker 1 (12:09):
Okay. Next email is from Spanish Ford Kelly, and Spanish
Ford Kelly writes, my ezema flares up every time the
weather changes, like now, is there any trick to calm
it down fast?
Speaker 2 (12:25):
So you know, we start with you need to be
not taking real hot showers, and of course when it's
cold outside, there's nothing that feels better than a nice
hot shower. But you know, lukewarm, I saying to take
a cold shower, lukewarm would be better because the het
of the water, the more dry it's going to cause
your skin to be. And then when you get out,
you blot dry and you put on a good moisturizer
(12:46):
like Serave or userin those are over the counter, set
a fill, all great brands. You can get them just
about anywhere, and those are kind of basic things you do.
You can use a sensitive body wash for sensitive skin
with moisturizing can also help in the shower, and then
if that's not fixing it, certainly we can do some medicated
creams if it's if it's in a localized area, like
(13:06):
maybe it's just the hips or maybe it's just the back,
and kind of go from there all right.
Speaker 1 (13:12):
Next email reads doctor Bender, I've got psoriasis and it's
really affecting my confidence when it comes to dating. Any
tips on managing my skin's appearance or explaining it to
new partners, And that email comes from Ben in Mobile.
Now this and crisis is something that we've done a
(13:34):
lot of shows over the last ten years. I don't
know that I've ever understood what it is.
Speaker 2 (13:39):
Well, you know, basically, cyriasis is a disease where your
immune system is not performing the way it should perform.
You know, your T cells are basically binding themselves to
the receptors in the skin, causing you the skin not
to slough properly, and so then you end up with
this kind of overgrowth of skin and that's a sooiatic plaque.
And so you get these plaques which then you know,
(14:00):
you basically have all this skin cells that are basically
you know, like was it Linus and Charlie Brown, which
one was it with the guy with the with the
blanket pigpin pig pen? I mean, you know one of
those guys.
Speaker 1 (14:14):
And so of course hits Hen, we didn't know that
he actually had a condition.
Speaker 2 (14:17):
It's we did have a condition. But I mean, so
you know, I'm trying to make the fact that of
course it's going to affect your you know, the way
you're whether you're dating, and also you know they're very
concerned about exposing their skin in every situation. And the
good news is is that right now, I mean seriously,
I mean I don't hesitate to say this. I mean,
we can make your sris. It's just about going one
hundred percent where no one knows you even have it,
(14:39):
so then you have to share it with them that oh, yeah,
you know, I've got this one little spot here. Maybe
I've got crisis, but I'm on a medication. So we
really would love to see Ben because we can really
help him.
Speaker 1 (14:50):
Great, Okay, good for you, Ben, all right. Next email
midtim mobile, Rachel writes, doctor Bender, I keep hearing about
boat talks from my girlfriends. I'm tempted, but I'm scared
of I will look fake. What should I know before
I try it?
Speaker 2 (15:08):
You know, it's it's one of those things you want
to find someone who's board certified and who has a
lot of experience with us. I mean, one of the
things that we pride ourselves on is these nice but
subtle improvements that no one's gonna look at one of
our patients go oh, you had botox, because that's exactly
what we don't want to happen.
Speaker 1 (15:28):
Does that happen though? Something?
Speaker 2 (15:29):
Oh, you know, someone's doing something. But I mean, you know,
you want to have some movement, but you want to
take away and make them look refreshed, make them look
more youthful, of course, and that's just a form of beauty,
a part of being beautiful, and we're really good at
doing that. And that's another thing. Patient needs to come in.
We can talk to them, we can tell them what
(15:50):
they need, and we're very conservative in what we do.
And the one thing I tell patients all the time is, look,
we can always do more. But what we can do
is once we you know, inject some Botox or one
of its competitors into a patient, you know, then we
just have to wait three to six months until it
goes away. So I'd rather do a little bit less
than we may we think we need to do, bring
the patient back in a couple of weeks, especially if
it's their first time having this treatment, and then we
(16:12):
can always add some.
Speaker 1 (16:13):
And this and this is a key is seeing somebody
that's board certified, that knows what they're doing here. This month,
you're offering I believe it's forty dollars off Juvo while
supplies last Juvo, a competitor to botox. Correct.
Speaker 2 (16:30):
You know, they do a great job as far as
you know, they're trying to give patients an incentive to
try their product. Mean, obviously, Botox has been around for
a long time. Botox does a great job for patients.
This is a newer competitor, and I think that they're
very similar what they do it for patients and how
long they last.
Speaker 1 (16:46):
Next email might be about botox or juvo. It's from
Brandon in fair Hope. Now. Brandon writes, my wife says
I've got crow's feet and she's pushing me to get
something done. What's the e seest fixed for a guy
like me?
Speaker 2 (17:03):
Well, that's easy. We can do some juvo for you
and you can come in and that's easy, and within
just about a week you'll see a major improvement in
your crows feed. If you're looking for more of a
permanent fix, we could certainly do radio free, some microneeling
or CO two laser. Those require some downtime, whereas you
know the botox or juvo treatment, you made a little
(17:23):
bruising for a few days and that's it.
Speaker 1 (17:25):
Now, do you I don't want to get into anybody's business,
but do you have a lot of men that show
up for this?
Speaker 2 (17:30):
We do have men who come in for this I mean,
it's not as many women as women that we treat,
but yeah, there's definitely some men who come in for
some botox with juvo.
Speaker 1 (17:40):
I got an email here from Tina in Chickasaw, Alabama.
Tina says doctor Bender, I saw an ad for laser
treatment for smoother skin, but I don't know if it's
worth it. Do you Can you tell me about laser
treatments for skin because I do want to look better.
Speaker 2 (18:01):
So there are several lasers that can definitely help regenerate collagen.
And when we do that, that helps with fine lines,
it helps with wrinkles, it helps with deeper furrows, and
it also helps with skin laxity. So the answer is yes,
but you know it's going to be a subtle improvement
with each procedure that you do. I mean, we can't
correct forty to fifty sixty plus years of sun damage
(18:24):
and environmental pollution all the other things our skin's protecting
us from in one treatment. So yeah, I tell patients, look,
you can have one treatment a year, or you can
have one treatment every six weeks for three or four treatments,
however you want to do it. We pride ourselves on
not being pushy and you're going to see some improvement
because the collagen regeneration, like with CO two laser, actually
lasts for nearly six months. So after one CO two
(18:47):
for your face, we're probably destroying about fifteen percent of
the old tissue on your face in one treatment. You know,
it's a fractionated treatment so that it heals in four
or five days. And when we do that, they've done
studies where they actually take biopsies for these patients and
they see new baby, fresh college and this generating primarily
in the first couple three months before as long as
six months after that one treatment.
Speaker 1 (19:08):
You've been listening to Board certified dermatologist doctor Thomas Bender
with Advanced Dermatology and Skincare Center, a forefront dermatology clinic.
Advanced Dermatology and Skincare Center has a team of board
certified dermatologists with locations in Mobile, Daphne, Baymonette, and Northwest Florida.
(19:28):
You can call and make an appointment at two five
to one six three one thirty five seventy that's two
five one six three one thirty five seventy to make
an appointment at Advanced Dermatology and Skincare Center. You can
find out more about all the services they provide. You
can find out about their doctors and make appointments at
(19:49):
their website advanced at dermclinic dot com. Again, that website
is advanced at dermclinic dot com.