February 6, 2025 • 41 mins
Amy sits down with board-certified dermatologist Dr. Vineet Mishra to get expert advice on everything from the best drugstore products to whether collagen supplements actually work. They also dive into shower myths (do we really need to shower every day?), the real impact of diet on your skin, and the most overhyped skincare trends. Plus, the truth about beauty sleep, face fitness, daily sunscreen use, and more—including the age-old debate: body wash or bar soap? The answer may surprise you!
Here is the snail serum they mention and code HAPPY will give you a discount!
HOST: Amy Brown // RadioAmy.com // @RadioAmy
GUEST: Dr. Vineet Mishra (co-founder of Restoration Dermatology in Nashville & Franklin, TN // @RestorationDermatology
See omnystudio.com/listener for privacy information.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:08):
Okay, cats up little food for yourself life.
Speaker 2 (00:18):
Oh it's pretty bad. Hey, it's pretty beautiful, beautiful. That's
a little mouth's exciting.
Speaker 1 (00:27):
Said, he can cut your kick in with four with Amy.
Speaker 2 (00:32):
Brown, Happy Thursday. Four Things Amy Here, and I am
sitting in my dermatologist's office, one of your patient room.
Yeah I am. I'm a patient right now and i
have numbing cream all over my face because I'm about
to get a laser situation done. And I'm gonna go
ahead and have my dermatologists introduce himself and you can
(00:54):
say where you're from, where where your practice is, you
got into dermatology or why are you even care about
the skin?
Speaker 1 (01:01):
Absolutely well, thank you for having me. My name is
Venit Mishra. I'm a dermatologist PORT certified who opened our
practice here in Green Hills called Restoration Dermatology in Nashville
in Nashville, Yes, in Nashville, Tennessee. We actually opened our
second site down in Franklin this past month as well.
(01:21):
And I have been in practice for almost eleven years now,
mostly in Texas and California at big academic centers at
the University of Texas, University of California, and scripts clinic
in San Diego, and I was born and ras here
in Nashville and wanted to come back closer to home.
So I decided to move back to Nashville and open
(01:43):
up my practice and put down roots.
Speaker 2 (01:45):
And so you're a dermatologist and a most surgeon.
Speaker 3 (01:47):
Correct, absolutely.
Speaker 1 (01:48):
So the difference is that Moe's surgery is focusing on
skin cancer surgery. So I did an extra year of
training after my residency in a fellowship specifically on skin
cancer surgery, which is called MOSE surgery. And I am
unique in the sense that I actually practice both medical
dermatology seeing kids and adults, as well as surgical and
(02:12):
cosmic dermatology as well.
Speaker 2 (02:14):
So you're qualified to have this conversation about skin, hair
the different treatments that are out there. Skincare myths, things
we need to know about our scalp. Like I didn't
realize until we had a conversation the last time was
in how much you knew about hair loss and scalp stuff.
I didn't associate that with a dermatologist, but it makes
(02:35):
sense because that's part of our skin. Absolutely, actually, which
I hate pop quiz question for you here, we'll.
Speaker 1 (02:40):
Test your knowledge fire away, captain.
Speaker 2 (02:41):
What's the largest organ in the human body.
Speaker 3 (02:44):
It is a skin.
Speaker 2 (02:45):
Okay, all right, you're qualified.
Speaker 1 (02:47):
That's right, hair nails in skin, and mucosa. My definition
falls under the jurisdiction of a dermatology.
Speaker 2 (02:54):
What is mucosa like your lips?
Speaker 1 (02:57):
Oh, mucosa is part of the body that is more hydrated.
Speaker 2 (03:03):
Oh okay, yeah, got it. We sometimes have a word
of the day on the podcast, and I feel like
that's now our word of the day.
Speaker 1 (03:10):
Mucosa.
Speaker 2 (03:10):
Y yeah, I'd be like, oh, my mucosa is dry.
Speaker 3 (03:14):
Yes, your oral mucosa is dry.
Speaker 2 (03:17):
Okay, let's start with like a soft ball when it
comes to showering, because that's how this all came up.
You coming on the podcast, I had that rash on
my chest, and so we went ahead and I switched
my detergent to something gentle and clear, no more fabric softener,
dryer sheets like just doing those wool balls. And also
(03:38):
hot showers were likely a culprit in my chest rash.
And you're like lukewarm only. And so we were having
that discussion and I thought, I've probably have a lot
more questions for you that it's some of its basic stuff,
but we need to be reminded because I know I'm
not supposed to take a hot shower, right, but then
you start taking them and they feel good, and then
you just keep doing it and not realizing the problems
(04:00):
that it's causing your skin. Like I had, you notice
like eggzema on my arms and on my stomach, and
my hot showers were definitely not going to be helping that.
Speaker 3 (04:10):
Not in the wintertime, No.
Speaker 2 (04:11):
Especially not in the wintertime. So this is just friendly reminder.
So we know, lukewarm showers, But how often should we
be showering, because sometimes, depending on my workout or what
I've done in the morning and the evening, I'll end
up showering twice a day.
Speaker 1 (04:23):
Well, you know, as a society, I think there's an
emphasis on being very clean, which is good. However, when
you do shower perhaps more than once a day, you
could dry the skin out. If you do sweat a
lot and you're working outside and showering twice a day's
totally fine. However, in the wintertime, where when you probably
don't sweat as much and your pores aren't as clogged,
(04:45):
there's not really a scientific reason to shower twice. But
if you're working out doing like hot yoga or orange
theory or CrossFit, then you do want a shower because
if you can get as pores cleaned, then the bacteria
and the fungus won't get trapped in there. But the
key thing is that if you do shower shower once
a day, use lukewarm water. Try to use like a
(05:06):
gentle soap. Sometimes people use a scented soap and that
can make their skin more inflamed. I like Dove Dove
bar soap unscented. You can find it in any store.
Speaker 3 (05:16):
It's like two bucks.
Speaker 1 (05:17):
It's interesting that the liquid body washes actually drier skin
out more than a bar soap does, and a lot
of people like the body washes because it's easy to use,
but the bar soap actually is probably more effective for
people who do have dry skin, or people in the wintertime.
It's also important to note that you got to do
things after the shower as well, So you want to
(05:38):
moisturize within three minutes of getting out of the shower.
Stick and lock in that moisture. If you moisturize afterwards,
a lot that moisture has evaporated and your skin is
baseline dry and so I like using creams as opposed
to lotions because creams are more thick for like the
arms and legs.
Speaker 3 (05:56):
The lotion you use for your neck or.
Speaker 2 (05:57):
Face if you want it to Okay, so within three
minutes of getting out of the shower, we need to.
Speaker 1 (06:01):
Be there should putting lotion that goes off. Now I'm
playing around. Absolutely three minutes is ideal. But if you're
to take a shower and then moisturize after an hour
or half an hour, you've already lost a lot of water.
Speaker 3 (06:13):
And as you age, and of course you're very young
twenty five years.
Speaker 1 (06:17):
Old, but as you age, people lose a lot more
water in their skin. And so that's why folks are
older have to be very careful because you do not
want to lay your skin dry out after your shower.
Speaker 2 (06:29):
Well, we can be honest, I'm forty three, about to
be forty four.
Speaker 3 (06:33):
I'm miscalculated.
Speaker 2 (06:34):
Yeah, I know. Thanks though, But do you ever have
patients that come in and you're just right away, you know, like, oh,
they need to drink more water. Okay, so just by
looking at their skin.
Speaker 3 (06:43):
Yes, Actually, if you look at.
Speaker 1 (06:45):
Their lips, they're micosis, they're mucosa.
Speaker 2 (06:48):
Oh, mucosa. Dang it, I already messed up the word
of the day.
Speaker 1 (06:51):
If their lips are dry, absolutely, you got to hydrate.
In fact, what people forget is then the wintertime you
have the heat on, so your air is more dry.
I actually reckon men for patients who are you know,
having ezema or what we call a topic dermatitis to
use a humidifier at night, because sometimes people like it
nice and cozy, un warm in their house, like seventy
(07:12):
five degrees, but that will dry the air out. The
ideal temperature is more like sixty eight. I know it
sounds a little chilly, but in the wintertime, if you're
trying the heat, it will dry the air. So the
humidifier really helps a lot to add to the humidity.
Speaker 3 (07:25):
Of the air at home.
Speaker 2 (07:26):
Okay, I might have to get one of those. I
have been keeping my heat at sixty eight though.
Speaker 3 (07:30):
Oh it's good.
Speaker 2 (07:31):
That wasn't per like a skin situation. It was a
note for my energy company saying that's the advised temperature
for your home energy.
Speaker 3 (07:41):
Absolutely absolutely, so now.
Speaker 2 (07:42):
You're saying it's advised for our skin.
Speaker 3 (07:45):
Yes.
Speaker 1 (07:45):
And one more thing to make a comment about the
shower is that you want to pat dry. Sometimes people
rub dry. When you rub dry, you actually strip the
moisture out of the skin. So once again, if you
want to maintain good skin health after the shower, you
just want to.
Speaker 3 (07:59):
Pat dry the skin.
Speaker 2 (08:00):
So get out of the shower, pat dry, and somewhere
within a three minute period, apply your moisturizer.
Speaker 1 (08:05):
Absolutely, Okay, got it.
Speaker 2 (08:07):
Since we're in the shower realm, how often should we
be washing our hair?
Speaker 3 (08:13):
Great question?
Speaker 1 (08:13):
You know it varies a lot. People who are perhaps
working out very sweaty, you need to wash your hair
more often because that build up in the scalp can
lead to danger of can lead to small infections or
bumps into the scalp as well. But if someone's not really,
you know, working out a lot, not very sweaty, I
think they can wash your hair maybe twice or three
times a week. It's different for different races, So for example,
(08:37):
African American hair, you cannot wash that often, so they
have to wash it maybe less often. It's also important
to note what season you're in, So summertime, for example,
you're probably going to be a lot more sweaty, so
you may want to wash your hair more than in
the wintertime. For example, like I have baseline hand eggzema,
so in the wintertime I have to moisturize my hands
a lot. Some people's scalp is also very dry, so
(09:00):
to be careful once again to kind of not overwash
the hair, and if someone has a very oily scalp,
then to maybe wash more just because the fact that
you want to make sure that the scalp has what
we call homeostasis, where everything is in harmony. What we're
learning a lot is that everything is based upon inflammation.
If you can control inflammation, you have better skin health,
(09:24):
hair health, and so forth. So hair loss, dry skin, rosatia, acne,
these are all forms of inflammation, and back in the
day we thought these are all independent pathways. That's how
we're learning more about the gut microbiome and how that
can affect skin health and hair health as well.
Speaker 2 (09:44):
So as a dermatologist, do you spend a lot of
time learning about the gut and is that something you recommend?
Obviously you have topical things and different treatments for your patients,
but sometimes do you have a conversation of Okay, what
are we eating?
Speaker 1 (09:57):
Absolutely one hundred percent, it wasn't actually I hevered that
much back in the day when we were in med school,
because they were looking at the body as different systems.
You know, you have skin, you have gut, you have
your kidneys, your liver. But now there's an emphasis on
how you can tie this all together. And research has
shown that there's certain foods that are pro inflammatory for
(10:21):
certain conditions. So, for example, let's say someone has roseatia,
which is rendouts of the cheeks. We know that there
are certain foods that can make it worse. Alcohol, caffeine,
so anything like coffee and so forth, spicy foods, and
this varies on the person, so each person may have
a different response. I have some patients who have acne
(10:44):
and if they eat let's say, a lot of sugars
during Christmas time, they will break out immediately.
Speaker 3 (10:49):
We're learning more about dairy.
Speaker 1 (10:50):
Dairy is still kind of like in flux. Some people
have maybe an intolerance to gluten, to cern types of diet.
So I think it's important to know your body and
the best way to do it is actually, for example,
cut out alcohol for three weeks or two weeks and
see higher skin response.
Speaker 3 (11:10):
You'll be surprised.
Speaker 1 (11:11):
Cut out certain types of sweets, you know and you
will see a difference in your skin.
Speaker 2 (11:16):
As a doctor, do you have strong thoughts about alcohol,
because I feel like earlier in the year, I know
it's still only February, but I believe it's early January.
The Surgeon General came out talking about how there should
be a warning label on all alcohol for cancer. And
I know that's not your specialty. But when it comes
to aging, because like we've always heard, well, one glass
(11:38):
of wine a day keeps the doctor away, or it's
good for your heart. And looking at the body as
a whole, do you find that heavier drinkers tend to
look older than they are.
Speaker 1 (11:49):
You know, when you drink alcohol, it actually causes a
lot of oxidation. Oxidation leads to inflammation. Inflammation is honestly
what causes all these issues. So for example, when we
look at patients, let's have a heart disease, let's just
go out of the skin, go to the heart for
a second. Heart disease is actually a form of inflammation.
(12:11):
It is nothing different than perhaps what's going on with
roseatia with your face.
Speaker 3 (12:17):
Now, you can.
Speaker 1 (12:18):
Argue that certain types of alcohol, like red wine, for example,
may help for people with heart disease because of thins.
Speaker 3 (12:24):
Or blood out.
Speaker 1 (12:25):
So if you drink alcohol, you're less likely to clot,
so therefore you're less likely to have a heart attack.
But that's like maybe a glass of wine here or there.
But yes, heavier drinkers put a lot of stress in
the liver, and the liver is what's responsible for clearing
all the toxins. And if we're not careful, over time,
your liver becomes less efficient. When you're younger, I mean,
(12:46):
you can do whatever you want to and your body
can respond down the road. It's like if you get injured,
it takes longer to heal if you have a cut
to skin if you're like ten years old versus fifty,
big difference in the healing time, the scarring.
Speaker 2 (12:59):
So that's I as I have aged one margarita with
my friends, you know on a Tuesday night Wednesday impacts
me or maybe a Friday night. But I'm just giving
an example of I wake up the next day feeling
way different than I did if I had a margarita
a long time ago.
Speaker 1 (13:15):
Absolutely, standing with sleep before, you might be able to
be up and work late next day still be functional.
So I look at this as you have to know
your body. You will you have to like listen to it.
If you listen to it, if you understand what it's
telling you, and you sole accuse, you can actually kind
of adjust things and perfect yourself because it's all about
(13:38):
health and wellness in my mind.
Speaker 2 (13:39):
So you mentioned sleep, let's pivot for a second to
that beauty sleep, like is that a real thing? So
you hear like, oh, I got to get my beauty sleep.
It was just sort of a saying back in the day.
But yeah, there's definitely something to.
Speaker 1 (13:52):
It, absolutely, and we see it in the skin immediately
because people who don't sleep get dark circles already seeing
that inflammation forming, You are in real time looking at
that person and you can identify their skin doesn't look fresh.
Speaker 3 (14:10):
Sleep has a way to.
Speaker 1 (14:11):
Regenerate your body. That regeneration is important for silk turnover,
for good skin tone, good health. In fact, let's all
about hair loss for a second. There is a type
of hair loss called telagen effluvium, which is due to stressors.
Hair loss due to stress, Now, what's the stress from?
Lack of sleep is one of the things. So if
(14:33):
you're working hard NonStop, if you're under stress, chronic stress.
We're talking about not a huge stress. It takes a
toll aging. If you look at people who eat well,
sleep well, take care of their body, they actually do
substantially better in terms of their blood work and their
overall skin health and hair health as well.
Speaker 2 (14:54):
So simply adjusting how much sleep you might be getting
could be step one. Easy things yeah, which I mean
if you're stressed, though sometimes it's not easy to fall
asleep fair enough.
Speaker 1 (15:05):
But then there's things that you can do that can
be ways to mitigate that stress, like, for example, go.
Speaker 3 (15:12):
For a little walk.
Speaker 1 (15:13):
Sometimes if you go for a walk and that would
be a run, I know people say do a little
bit more physical activity. Go for a walk for fifteen minutes,
walk like three miles per hour on that trendmill three
and a half miles pour. You'll feel better, Your mind
will be more clear, your thoughts will become a little
bit more crisp, you're more centered, and then your body
will kind of take itself out of this flight and
(15:34):
fight response. The problem is that we are bombarded by
so much all the time, social media, this, that text messages,
So you never give your time, you never give your
body time.
Speaker 3 (15:44):
To recuperate to heal.
Speaker 1 (15:47):
So what you're doing is say, if you do certain activities,
you can actually take your body out of this whole
like fight and flight response. And that's what unfortunately the
world has become becoming more responsive, supposed to be proactive
and how I can take care of situations more not
responding to each stimuli.
Speaker 2 (16:07):
I like that you mentioned a fifteen minute walk because
that seems bite size and doable instead of stressing yourself
out of like, oh, I wasn't able to make it
to my hour long workout today. Yeah, well, don't add
more stress by stressing about how you didn't go. Just
take yourself on a fifteen minute walk without your phone probably,
or something that's been really helpful for me is meditation
(16:28):
or breath work, but not overwhelming bite size. Maybe it's
five minutes absolutely, because I personally can't sit and meditate
for an hour. But when I first started meditating a
couple of years ago, that's what I thought it had
to be, and I quickly learned it doesn't have to
be that absolutely.
Speaker 1 (16:42):
And you know, even small things like let's say you're
sitting at work in a chair, stand up stretch for
like thirty seconds sit back down. You'll have a lot
more mental clarity. It's as simple as that. You just
put your arms up, lean to the left and right,
maybe just kind of open your mouth. Why close it,
It's just you're trying to recalibrate your body. Even that
(17:05):
thirty seconds, you'll feel much better.
Speaker 2 (17:08):
Okay, So as you're listening to this right now, stand up.
As long as you're not driving, stand up, and for
the next thirty seconds as you listen, do some stretches.
Speaker 3 (17:17):
Do some stretches.
Speaker 1 (17:18):
Yeah, it could be as simple as that, you're trying
to do some big arm circles. Do that, and you're
going to feel much better.
Speaker 2 (17:34):
So you mentioned you can see in patients sometimes if
they come in and they've got bags under their eyes
or they're looking like they haven't gotten much rest. So
that's the goal here, we can get rest. But what
are your thoughts on lymphatic drainage, like for underreye stuff.
I've been doing some of those exercises in the morning
to kind of release my limbs and then and I
(17:56):
instantly see if I do my left side and then
my right side aft, but I see a difference in
the left side before I'm like, oh, there's been a release.
Speaker 1 (18:03):
Absolutely, because you know, your lymphatic system carries actually a
lot of fluid in the body. After a certain time,
it's not as efficient in getting the fluid out. So
whatever you can do to kind of massage it out,
you can actually help to drain all the extra excess fluid.
And a lot of people do lymphatic therapy not just
for the face, but also for like the legs post surgery. Absolutely,
(18:27):
there's a lot of value to healing, to wound healing
because what you're doing is that you're taking away inflammation.
Lymph is a lot of inflammation. It's a lot of
inflammatory cells, immune cells.
Speaker 2 (18:37):
Since you're a doctor, can you explain lymph nodes lymph
I feel like the first time ever became familiar was
when my mom had cancer, and you know, she had
a certain stage and then when it spread to the limps,
I just kept hearing, Oh, it's spread to the lymph nodes,
Like that's the first sign, and then it spreads to
the organs. But like, what are our lymph nodes and
where are they?
Speaker 3 (18:59):
Yeah, so, lymph nodes.
Speaker 1 (18:59):
Are found throughout the body. Think of it as like
how airlines have hubs, so Let's say you're flying on
American you got a hub in Chicago, Miami, Dallas, LaGuardia
and so forth, and lax.
Speaker 3 (19:10):
Every plane if you're flying.
Speaker 1 (19:12):
These legacy cures, has to go through a hub. That
lymph node is a hub, so it collects lymph fluid
from that part of the body. So if for example,
you have an infection, let's say you have like a
sinus infection, sometimes your lypt nodes in your neck get swollen.
That is simply your body just saying, hey, we got
to go in and attack what's going on. We're got
(19:32):
an infection. Cancer cancer, by definition, is also a foreign body.
It's something that shouldn't be there. So your body is
trying to attack it, and it sometimes gets lodged in
these hubs or these lymph nodes, and that's where they say, hey,
the cancer has spread to a lymph node. So basically
what that is is it's a hub through which all
(19:53):
the limp fluids go through and it helps to clean
things out. And once again, it can only work so efficiently,
and so when it gets overloaded, it gets reactive, it
gets bigger, and that's when the body's trying to work
over time to get rid of those toxins, okay.
Speaker 2 (20:10):
But it can be beneficial to clear our limps on
our own if we can. I mean, there's just tons
of tutorials on YouTube. That's where I've been getting things YouTube, TikTok, Instagram,
but from certified people and they know what they're doing.
And I found it to be very relaxing, which again
could lead to more rest, which is better skins, which
of course seeing you for other things has been helpful
(20:33):
for me, and then of course checking my body for
skin cancer. And then I've got a mild rosaceous situation
that we're working on. But I like giving people things
they can do every day at home to take care
of their skin, like getting the rest, maybe trying some
of these facial fitness things that help release the limp.
Speaker 1 (20:52):
I think so, I think there's value to anything that
can help to facilitate the body's healing. That's why I
look at it. You know, it's the same thing like
when you get injured. You have a lot of swelling
there that's fluid. That's your body saying, hey, we got
to go in and try.
Speaker 3 (21:07):
To repair ourselves.
Speaker 1 (21:09):
But the problem is at some point it becomes too much.
So when you do that lymphatic drainage that massage. It
helps to kind of open up things, helps to accelerate
the healing process. I like it because it's easy, you know,
it's not you're putting something into your body.
Speaker 3 (21:24):
And you're right.
Speaker 1 (21:24):
There are people who are licensed in this who can
actually do it appropriately, and there's also ways you can
do it at home too.
Speaker 2 (21:30):
What's one of your favorite treatments that you offer that's
not totally crazy and unreasonable. Yeah, because there are tons
of really crazy expensive things people can do, but which
like your favorite go to of somewhere to come in
and just like want a little pick me up for
their skin.
Speaker 1 (21:46):
You know, there are small things that you can do.
So for example, let's say if someone, let's say you
have a prom night for a teenager, you know, and
they have some mild acne. You can do a very
gentle glacolic peel that helps it kind of make the
pores cleaner, helps to get rid of that skin debris,
makes the skin shinier, and you can do that before
(22:08):
a dinner or an event. There's a procedure called the hydrofacial,
which is kind of nice because it actually has a
section tip that can remove things from the skin. I
actually had this done once back in Vegas is about
eight years ago. There is a conference and at the
exhibo hall, they say, hey, do you want to get
a hydrofacial? I say, yeah, sure, why not? And my
nose most men tend to have more oil glands on
their nose because it's very concentrated. It just felt kind of,
(22:30):
you know, congested. Anyways, they did the hydrofacial, my face
and my nose and cheeks felt so clean. I was like, wow,
I had no idea. And so there's small things that
you can do that can be very cost effective but
gives you that glow so that when you go out
there you feel more confident, and to some extent, it
gets rid of all that pollution, debris and build up
(22:51):
that our skin gets over time that we don't realize.
And especially if someone is looking for like a three
to four day out type thing, you know, with no downtime.
Speaker 3 (23:01):
Absolutely.
Speaker 2 (23:01):
Yeah, no, I'm a big fan of hydrofacial. I've liked
that one for years. What about sunscreens, we're talking about
the skin. I meant to ask this kind of early
on for people because speaking of disinformation online on TikTok, instagram, whatever.
I feel like there's been a movement against sunscreen. Are
you familiar?
Speaker 3 (23:21):
Absolutely? Yeah.
Speaker 1 (23:22):
There's a lot of chatter about sunscreen and the effects
that can have on the body and the environment.
Speaker 3 (23:27):
And so forth. There's different types of sunscreens.
Speaker 1 (23:30):
I think that people need to realize there's what we
call the chemical blockers and the physical blockers. The physical
blockers are your zinc oxide and titanium dioxide sunscreens. Those
are really good for people with sensitive skin. So when
you go to like a buy a baby sunscreen, that's
what they have. It's less reactive, so someone has roseatia
or acne. Use a physical blocker as opposed to a
(23:52):
chemical blocker.
Speaker 2 (23:53):
How do you know what?
Speaker 1 (23:54):
Primarily the two physical blockers are zinc oxide and titanium dioxide.
Speaker 2 (23:59):
Oh perfect, I'm using a zinc oxide one perfect, super good.
Speaker 3 (24:03):
Yeah, so you're good.
Speaker 1 (24:03):
So that means that you are getting less chemicals per se,
because a physical blocker, by definition, just physically blocks the
UV rays.
Speaker 2 (24:12):
I use intell a shade.
Speaker 1 (24:14):
Okay, re familiar which yeah, which SPF is.
Speaker 2 (24:17):
That forty five?
Speaker 3 (24:18):
Yeah? That's fine.
Speaker 1 (24:19):
The key thing about sunscreen use is that if you're
going to be outside. Let's say you're going to be
out on the boat or outside, you know, at the park,
and it's hot and you're swimming a lot, you have
to reapply because that sunscreen will only last for a
certain period of time. If you're in the water swimming,
then you have to make sure that you reapply. That's
kind of the the caveat is that it's not like
(24:40):
one and done. It's reapplication because sometimes people also don't
put enough sunscreen on. So you're supposed to put actually
for your whole body, for average American one shot class
worth of sunscreen for the whole body. If you use
less than in theory, you have less protection. And if
you use a sprays then be careful because some people
don't really sprail as well.
Speaker 2 (25:01):
Okay to clarify and telligay, it is something i'd put
just on my face, as like a tinted moisturizer, but
then on my body I'll put other things. Should we
be putting sunscreen on our neck and chest every day?
Speaker 1 (25:14):
That's where I see a lot of skin cancers and
that's where I see a lot of sun damage. A
lot of people like to be active, and unfortunately that's
where people get a lot of sun exposure. I tell
people wear sunscreen on the neck and the chest, especially
for women who like to wear v NEX, because that's
where over time you start to get the creepiness of
the skin, the thickening the skin.
Speaker 3 (25:35):
You get these.
Speaker 1 (25:36):
Brown spots, red spots, and you get these crevices that
form in those lines, and so you don't want that
sign of aging to show.
Speaker 2 (25:44):
So I saw this thing, speaking of things I see
on TikTok, where someone had this pillow brawl, like a
sleep brawl or something, and it was this contraption that
kind of fit around the shoulders and snapped in the back,
but it was like this little pillow for your chest,
like in between your breast, especially as a woman. I
guess men could have it too, but I think more
(26:05):
women probably have the creepiness in the chest. But it
holds it flat so that way, if you lay on
your side, you can't like squeeze your skin together, so
therefore you wake up wrinkle free. Have you seen this contraption?
Speaker 3 (26:15):
You know?
Speaker 1 (26:16):
I how to research this one. I think this is
the person I've heard of it.
Speaker 2 (26:19):
Oh well, I'm gonna have to show you exactly what
it is, because trust me, I almost fell for it
and bought it, and then I'm like, I don't need
to I don't need to buy this right now. I
don't sleep on my side as much. I try to
sleep on my flat on my back. Yeah, but sleep
is a weird thing because, yeah, our face can sometimes
get smushed and that can lead to more wrinkles. But
that's why I try to do on my back. And
(26:40):
I know they sell these pillows, like if you're a
side sleeper, that'll help keep you from wrinkling your face. Like,
what are your thoughts on those?
Speaker 3 (26:47):
I think there's some value to it.
Speaker 1 (26:48):
People who sleep on you on one side, you do
see actually a difference in their skin texture and you
can almost tell which side of sleeping on really. Yeah,
so I do think there's if you're able to sleep,
for example, on your back, this way, it is not
one side is always getting all the pressure and so forth.
And the same thing like when you drive, for example,
(27:10):
if you look at certain people, the left side is
substantially worse than the right side because the driving side
all the sun, and hence we see more skin cancer
in the left side. And when I do my laser
treatments for my patients and so forth. The left side
is the one that we are always more cautious on too,
unless you're I guess a mailman or you're in England
or something.
Speaker 2 (27:29):
Driving gloves are also something that I've seen that some
people are doing to protect their hands from when they're
on the steering wheel and the sun is coming right
right through your.
Speaker 1 (27:38):
Gloves are huge in Asia really, yes, Korea, China, India, Singapore,
you name it.
Speaker 3 (27:46):
You know, every society has your ideal beauty.
Speaker 2 (27:49):
Well, it's just not making its way to.
Speaker 1 (27:51):
America, and you know in Asia, actually these are for
two purposes. One it's sun protection and secondly is that
with sun exposure you get more brown spots and so
forth and broken blood vessels. I think is actually smart
because we see a lot of people with skin cancer
on their arms and hands, and especially in people who
are outside a lot and those who drive a lot.
(28:12):
So there's value and you know, there's different styles and
they live very stylish. Actually, it's a whole market out
there if you ever want to research online.
Speaker 2 (28:20):
Okay, looking at my hands, like, do you think I
need to invest in driving gloves?
Speaker 1 (28:24):
I mean with my skin type, it.
Speaker 3 (28:25):
Look really good.
Speaker 1 (28:26):
I would say the forearm might be getting some sun
that could be from back in the day as well.
Speaker 2 (28:42):
When I'm coming to you at forty something and you're
looking at skin damage, like you took some biopsies from me, absolutely,
what is that damage from? It's likely from my childhood, right, Yeah.
Speaker 1 (28:52):
So the thing is that what we're looking for is
what could be abnormal. Things become abnormal over time. It's
not overnight for.
Speaker 3 (29:01):
Most people at least.
Speaker 1 (29:03):
And what happens is that what people don't realize is
that the sun is a form of radiation that creation.
When it hits your skin, it forms a mutation, a
mutation think of it like as compounding interest. Over many years,
it becomes worse, so that mutation becomes much more amplified.
That is what one day leads to either brown spots
(29:23):
or in worst case, a skin cancer.
Speaker 2 (29:26):
So what should someone be looking for if they do
see a freckle or a mole or something on their
body that is starting to change, Like, what's the change
they're looking so?
Speaker 1 (29:35):
Yeah, so if you notice, So what we look for
is the abcds. That's for milanoma. So as for asymmetry
for moles, asymmetric that could be a red flag. B
border you want smooth, not irregular border. C color you
want one, not multiple colors in that mole. D diameter
smaller the better. E is evolution. If you see any
(29:55):
change in size, shape, or color or symptoms, that should
be a evaluated because we don't know if that mole
is active, and if it is, then we want to
make sure it's not a melanoma.
Speaker 2 (30:05):
When someone is going to the dermatologist, should they arrive
with no fingernail polish and toenail polish on because do
you want to check their nail beds?
Speaker 3 (30:13):
Absolutely?
Speaker 1 (30:14):
Actually, I look into the web spaces, I look at
the nails, I look at the bond, the feet, I
look from head to toe because at the end of
the day, you can have a skin cancer beyond any
part of the body. And want us to be very
careful that the dermatologists can look at all parts of
their body to make sure that they do a complete
skin exam because one in five Americans get skin cancer.
Speaker 3 (30:33):
In their lifetime.
Speaker 2 (30:34):
Okay, I did not know that statistic, and forgive me
for not knowing how to ask this a better way,
But is skin cancer like how much of it is deadly.
Speaker 1 (30:44):
Well, that's good question. So there's different types of skin cancer.
The most common kind in the US is called a
basal silk car soinoma. The most deadly kind, one can argue,
is a melanoma. Melanoma has a very high mortality rate
in the US, and partially is because when you find
it sometimes it's may have spread to other parts of
the body.
Speaker 2 (31:02):
So something that is on the outside of the skin
can spread internally as it grows, and so then the
tumor is no longer visible on the outside, like it's
growing somewhere on the inside, or can spread to like
can you have melanoma on your liver?
Speaker 1 (31:17):
Yeah, so melanoma actually likes the liver, brain, lungs. Yeah,
these are places where it's hot spots. And melanoma is
highly aggressive because it mutates and it divides rapidly. These
are all time dependent. This is why tell patients it's
actually a race against time. If you have something that's
been there for a while, get it checked out.
Speaker 3 (31:37):
Worst comes worse.
Speaker 1 (31:38):
We do a small skin shave biopsy. We send that
to the pathologists. They will then give us report. That
report will tell us exactly what it is. Then you
have peace of mind on how to move forward. The
biggest issue is that a lot of people don't get
their skin checked.
Speaker 2 (31:54):
And because I feel like going to the dermatologists is
not as common as you know, making sure you're going
to your gynocologists appointment, or won't you hit a certain
age your mammogram. It kind of feels especially for you know,
certain demographics, like a very privileged fruit through thing to
go to your dermatologist.
Speaker 1 (32:12):
Well, I will tell you this much that a lot
of patients I see who have skin cancer are people
who've had a lot of sun.
Speaker 3 (32:19):
Exposure for many years.
Speaker 1 (32:20):
So if you're one of those folks who perhaps has
a family history of skin cancer or perhaps has a
history of being immunocompromised, a lot of people you know,
have some immune system issue, or let's say you've had
many sunburns when you're a kid, or let's say you
have red hair.
Speaker 3 (32:38):
These are risk factors.
Speaker 1 (32:39):
Red hair is actually have the highest rate of skin cancer,
the highest risk compared to other hair types. And that's
because the melanin is called THEO melanin is unable to
block the UV radiation as efficiently as the umlanan can.
Speaker 2 (32:55):
So if you have any of those variables, then try
to prioritize and appointment at your dermatologists if you can,
and you can.
Speaker 1 (33:03):
Even ask your primary care doctor, hey, I have a spot,
what do you think? And if your primary care doctor says, hey,
you know what, I'm not sure we should get checked out,
then yeah, just go to your dermatologists, have that doctor's
center referral.
Speaker 2 (33:14):
Okay. And then the melanoma, if that is caught early, Yeah,
then survival right is very high.
Speaker 1 (33:20):
Very absolutely, But it's just the deeper it goes, the
survellery drops.
Speaker 2 (33:24):
Substantially, all right, And not to scare anybody, but just
knowledge is power and a lot of times with cancer,
which my mom had the basil cell carcinoma, Yeah, that's
how you're saying. And you know she had to have
her face completely cut open, sewed back up by a
mose surgeon. But it was imperative to get out so
that while it's not like the melanoma, why was it
(33:47):
important to go in and scrape it all out and
get it out? Can it evolve?
Speaker 3 (33:51):
Yeah?
Speaker 1 (33:52):
The thing is that you know, skin cancers can grow
the definition of cancer's uncontrolled growth of the cells. So
it's going to eat into the muscle and the other tissues,
and then from there it can spread to other parts
of the body. That's a concern is that you're going
to get pain, You're going to get weeping of the
skin as it breaks down, and at some point the
(34:14):
reconstruction of it is a lot more intense. It's easier
to sew the skin backup than if something has gone
into the muscle or down to the bone. That's a
different level. Plus over time, the mortality rates do change.
So there's certain types of skin cancers like a squamous
cell carcinoma, which is the second most common kind after
basal cell, and those have a high risk of spreading
(34:34):
to other parts of the body.
Speaker 2 (34:35):
Okay, so I feel like my mom had that one too,
because that sounds familiar. And then that's why I've been
very proactive about going to the dermatologist raptually because of
what I saw my mom go through, which the type
of cancer she died from was not that. However, her
cancer did spread, you know, like we were talking about
subtle lamps. Then it spread to her organs, and then
it became epidermic, like it spread to her epidermis, like
(34:58):
it was her cancer started internal and then ended up external.
Speaker 3 (35:02):
So you get that.
Speaker 2 (35:03):
And I could see the tumors on the outside of
her body, which was crazy.
Speaker 1 (35:07):
So you can have skin cancers that form metastasis, which
is spreading to other parts of you. Know, it's important
to if you see something or you know, you'll be surprised. Actually,
hairstylists find a lot of spots on the scalp for people.
When you go to your masseuse, they find a lot
of spots on the back. When you have patients who
(35:30):
like loved ones, they can actually be a very helpful
resource as well in helping to identify spots that could
be abnormal. For example, if you can have your your
husband or wife look at your back, that can help
to point out spots as well, because you'll be surprised.
I have patients who come in whose passes have circle
spots on their back saying, hey, this has changed you know.
Speaker 3 (35:51):
That's helpful. Every bit of information helps.
Speaker 2 (35:54):
Okay, we'll pivot a little bit to collagen. I have
a quick question about your thoughts on collagen, because that's
another thing that's all the rage. Is that something I'm
talking about the kind you and jest like you added
to your coffee or report and you're smoothie. What are
your thoughts on that?
Speaker 3 (36:09):
I think there's value to it. Here's the thing.
Speaker 1 (36:10):
So collagen, a lot of it is sometimes decreated when
it goes into your body, when you eat it or
swallow it or whatever you're.
Speaker 3 (36:17):
Doing with it.
Speaker 1 (36:18):
But collagen is a necessity for living and having the
right type of collagen is important too.
Speaker 3 (36:26):
I think there's value to it.
Speaker 1 (36:28):
I would be doing your research and making sure that
a it's safe, and be that you're not spending too
much money because some things can be very costly as well.
Speaker 2 (36:36):
Yeah, you just want to make sure you've got a
quality one though, if you're ingesting it. And then there
are ways to stimulate collagen through procedures that you offer lasers.
Lasers do that and you know we were talking about
different growth factors. Does that help with collagen.
Speaker 1 (36:53):
Absolutely, Yeah, you can use different growth factors. You got lasers,
you got micro needling, you have microderma. All these things
can help to turn over sell so you allow for
new collegen, new elassin to be placed and get the
bad stuff out. The bad stuff is it stuff that
has been fried from the sun or you know it
nichses be removed anyways. So once you have these treatments,
(37:16):
your body puts in fresh college and fresh alass and
basically you're turning back the hands of time.
Speaker 2 (37:21):
Okay, And my snail serum is a growth factor, my
biopal and I love that treatment.
Speaker 1 (37:27):
It's been around for a long time, actually for decades,
and people rave about it. And I actually think there's
value to all these things. And be at the snail
serum they're using. As long as it's done consistently. You know,
it's not a one and done. These are not one
and done type things. And you're still doing everything in
coordination with your sunscreen. And you know, good skin care
(37:48):
and good skin health.
Speaker 2 (37:49):
All right, if you could recommend only three skincare products
for the rest of our lives, what would they be.
Speaker 3 (37:55):
Let's talk about the face. I guess good face wash.
Speaker 1 (37:58):
Because at end the day, if you don't walk, your
face your poresia clogged and that can lead to acne.
Speaker 3 (38:03):
And so forth.
Speaker 2 (38:03):
But we need to double wash, right, it depends.
Speaker 1 (38:06):
If you have dry skin, then you probly don't need to, Okay.
Speaker 2 (38:08):
But if we're removing makeup, yeah, yes, absolutely, because most
women at the end of the day, or I have
that what's that stuff called the missilin water or yeah.
Speaker 1 (38:17):
The misoles there you go, yeah, yeah. And then number
two would be that good sunscreen. Why because as the day,
if you're outside, it's easy to put on. It helps
you to protect you from the sun. The physical blockers
do great. Number three a good moisturizer. That's like your hallmark.
If you just do those three things, your skinn be hydrated,
it'll be clean and protected from the sun, and you're solid.
Speaker 2 (38:39):
So how do you know if something's a good moisturizer,
like for your whole body? I mean I get I
spend more on my face skincare products, then I do
like my body's products, Like I don't want to be
spending a bunch of money on especially if I'm supposed
to use, you know, as much like the shot glass
wharf like I want.
Speaker 1 (38:56):
You know, if you want to save some money, you
can buy a lot of things that are over the
count or that a should do fairly well.
Speaker 3 (39:01):
There's Nuta, Gena, a Veno, Serve, a set of fill.
These are all great brands.
Speaker 1 (39:07):
And you can have a good facial moisturizer with SPF
thirty built into it. You know, for daytime you can
buy a night time these. You can find a Target
or Walmart.
Speaker 2 (39:16):
We should go to a CBS or something and do
it like a.
Speaker 1 (39:20):
Absolutely yeah, buy this a little chopathon, you know, kind
of go and you know, check out the aisles because
you'll be surprised. There's a lot of things that you
can buy for twenty bucks or less that work awesome
and I think are good long term products.
Speaker 2 (39:36):
Okay, let's wrap with what's the most over hyped skincare
trend right now?
Speaker 1 (39:40):
You know, I'm not as cool as you are, just
be honest, you but I've heard so much about beef tallow.
I think it is kind of way overboard.
Speaker 3 (39:50):
It's just a moisturizer.
Speaker 2 (39:51):
All right, Well, thank you so much for your time.
I feel like I could talk to you for another
thirty minutes. Yeah, well, so we can do it again absually.
Speaker 1 (39:58):
Yeah, well have you you know, and let's do that
target thing or do a chapathon type thing too.
Speaker 3 (40:03):
It'll be fun, yeah, so fun, awesome.
Speaker 1 (40:05):
Okay, well, thank you.
Speaker 2 (40:06):
Restoration Dermatology. Why the name restoration?
Speaker 3 (40:10):
The goal was.
Speaker 1 (40:10):
To make something back to its original state. My goal
is to not change you to something you're not, but
to make you the best version of who you are.
Speaker 2 (40:19):
I love that. I love knowing the route or the
origin behind someone's simple like why they decided to name
their company something, and that is that. I honestly, I
wasn't expecting that answer, but I didn't want.
Speaker 3 (40:30):
My need to be part of it because I didn't
want to be about me. Just be honest.
Speaker 2 (40:33):
You love it? Yeah, And it's so funny because like
right around the corner is restoration hardware.
Speaker 3 (40:38):
We spill. We spend a lot money there for our furniture.
Speaker 2 (40:40):
So yes, yeah, okay, and where can people find y'all
on Instagram? Ill link it in the show notes. But
I'm pretty sure is it just restoration dermatology exactly?
Speaker 3 (40:51):
Is that? Ye?
Speaker 2 (40:52):
Perfect?
Speaker 3 (40:52):
Simple?
Speaker 2 (40:53):
Simple, simple? Okay, thank you, thank you.
Speaker 1 (40:55):
Byel
Okay, cats up little food for yourself life.
Speaker 2 (00:18):
Oh it's pretty bad. Hey, it's pretty beautiful, beautiful. That's
a little mouth's exciting.
Speaker 1 (00:27):
Said, he can cut your kick in with four with Amy.
Speaker 2 (00:32):
Brown, Happy Thursday. Four Things Amy Here, and I am
sitting in my dermatologist's office, one of your patient room.
Yeah I am. I'm a patient right now and i
have numbing cream all over my face because I'm about
to get a laser situation done. And I'm gonna go
ahead and have my dermatologists introduce himself and you can
(00:54):
say where you're from, where where your practice is, you
got into dermatology or why are you even care about
the skin?
Speaker 1 (01:01):
Absolutely well, thank you for having me. My name is
Venit Mishra. I'm a dermatologist PORT certified who opened our
practice here in Green Hills called Restoration Dermatology in Nashville
in Nashville, Yes, in Nashville, Tennessee. We actually opened our
second site down in Franklin this past month as well.
(01:21):
And I have been in practice for almost eleven years now,
mostly in Texas and California at big academic centers at
the University of Texas, University of California, and scripts clinic
in San Diego, and I was born and ras here
in Nashville and wanted to come back closer to home.
So I decided to move back to Nashville and open
(01:43):
up my practice and put down roots.
Speaker 2 (01:45):
And so you're a dermatologist and a most surgeon.
Speaker 3 (01:47):
Correct, absolutely.
Speaker 1 (01:48):
So the difference is that Moe's surgery is focusing on
skin cancer surgery. So I did an extra year of
training after my residency in a fellowship specifically on skin
cancer surgery, which is called MOSE surgery. And I am
unique in the sense that I actually practice both medical
dermatology seeing kids and adults, as well as surgical and
(02:12):
cosmic dermatology as well.
Speaker 2 (02:14):
So you're qualified to have this conversation about skin, hair
the different treatments that are out there. Skincare myths, things
we need to know about our scalp. Like I didn't
realize until we had a conversation the last time was
in how much you knew about hair loss and scalp stuff.
I didn't associate that with a dermatologist, but it makes
(02:35):
sense because that's part of our skin. Absolutely, actually, which
I hate pop quiz question for you here, we'll.
Speaker 1 (02:40):
Test your knowledge fire away, captain.
Speaker 2 (02:41):
What's the largest organ in the human body.
Speaker 3 (02:44):
It is a skin.
Speaker 2 (02:45):
Okay, all right, you're qualified.
Speaker 1 (02:47):
That's right, hair nails in skin, and mucosa. My definition
falls under the jurisdiction of a dermatology.
Speaker 2 (02:54):
What is mucosa like your lips?
Speaker 1 (02:57):
Oh, mucosa is part of the body that is more hydrated.
Speaker 2 (03:03):
Oh okay, yeah, got it. We sometimes have a word
of the day on the podcast, and I feel like
that's now our word of the day.
Speaker 1 (03:10):
Mucosa.
Speaker 2 (03:10):
Y yeah, I'd be like, oh, my mucosa is dry.
Speaker 3 (03:14):
Yes, your oral mucosa is dry.
Speaker 2 (03:17):
Okay, let's start with like a soft ball when it
comes to showering, because that's how this all came up.
You coming on the podcast, I had that rash on
my chest, and so we went ahead and I switched
my detergent to something gentle and clear, no more fabric softener,
dryer sheets like just doing those wool balls. And also
(03:38):
hot showers were likely a culprit in my chest rash.
And you're like lukewarm only. And so we were having
that discussion and I thought, I've probably have a lot
more questions for you that it's some of its basic stuff,
but we need to be reminded because I know I'm
not supposed to take a hot shower, right, but then
you start taking them and they feel good, and then
you just keep doing it and not realizing the problems
(04:00):
that it's causing your skin. Like I had, you notice
like eggzema on my arms and on my stomach, and
my hot showers were definitely not going to be helping that.
Speaker 3 (04:10):
Not in the wintertime, No.
Speaker 2 (04:11):
Especially not in the wintertime. So this is just friendly reminder.
So we know, lukewarm showers, But how often should we
be showering, because sometimes, depending on my workout or what
I've done in the morning and the evening, I'll end
up showering twice a day.
Speaker 1 (04:23):
Well, you know, as a society, I think there's an
emphasis on being very clean, which is good. However, when
you do shower perhaps more than once a day, you
could dry the skin out. If you do sweat a
lot and you're working outside and showering twice a day's
totally fine. However, in the wintertime, where when you probably
don't sweat as much and your pores aren't as clogged,
(04:45):
there's not really a scientific reason to shower twice. But
if you're working out doing like hot yoga or orange
theory or CrossFit, then you do want a shower because
if you can get as pores cleaned, then the bacteria
and the fungus won't get trapped in there. But the
key thing is that if you do shower shower once
a day, use lukewarm water. Try to use like a
(05:06):
gentle soap. Sometimes people use a scented soap and that
can make their skin more inflamed. I like Dove Dove
bar soap unscented. You can find it in any store.
Speaker 3 (05:16):
It's like two bucks.
Speaker 1 (05:17):
It's interesting that the liquid body washes actually drier skin
out more than a bar soap does, and a lot
of people like the body washes because it's easy to use,
but the bar soap actually is probably more effective for
people who do have dry skin, or people in the wintertime.
It's also important to note that you got to do
things after the shower as well, So you want to
(05:38):
moisturize within three minutes of getting out of the shower.
Stick and lock in that moisture. If you moisturize afterwards,
a lot that moisture has evaporated and your skin is
baseline dry and so I like using creams as opposed
to lotions because creams are more thick for like the
arms and legs.
Speaker 3 (05:56):
The lotion you use for your neck or.
Speaker 2 (05:57):
Face if you want it to Okay, so within three
minutes of getting out of the shower, we need to.
Speaker 1 (06:01):
Be there should putting lotion that goes off. Now I'm
playing around. Absolutely three minutes is ideal. But if you're
to take a shower and then moisturize after an hour
or half an hour, you've already lost a lot of water.
Speaker 3 (06:13):
And as you age, and of course you're very young
twenty five years.
Speaker 1 (06:17):
Old, but as you age, people lose a lot more
water in their skin. And so that's why folks are
older have to be very careful because you do not
want to lay your skin dry out after your shower.
Speaker 2 (06:29):
Well, we can be honest, I'm forty three, about to
be forty four.
Speaker 3 (06:33):
I'm miscalculated.
Speaker 2 (06:34):
Yeah, I know. Thanks though, But do you ever have
patients that come in and you're just right away, you know, like, oh,
they need to drink more water. Okay, so just by
looking at their skin.
Speaker 3 (06:43):
Yes, Actually, if you look at.
Speaker 1 (06:45):
Their lips, they're micosis, they're mucosa.
Speaker 2 (06:48):
Oh, mucosa. Dang it, I already messed up the word
of the day.
Speaker 1 (06:51):
If their lips are dry, absolutely, you got to hydrate.
In fact, what people forget is then the wintertime you
have the heat on, so your air is more dry.
I actually reckon men for patients who are you know,
having ezema or what we call a topic dermatitis to
use a humidifier at night, because sometimes people like it
nice and cozy, un warm in their house, like seventy
(07:12):
five degrees, but that will dry the air out. The
ideal temperature is more like sixty eight. I know it
sounds a little chilly, but in the wintertime, if you're
trying the heat, it will dry the air. So the
humidifier really helps a lot to add to the humidity.
Speaker 3 (07:25):
Of the air at home.
Speaker 2 (07:26):
Okay, I might have to get one of those. I
have been keeping my heat at sixty eight though.
Speaker 3 (07:30):
Oh it's good.
Speaker 2 (07:31):
That wasn't per like a skin situation. It was a
note for my energy company saying that's the advised temperature
for your home energy.
Speaker 3 (07:41):
Absolutely absolutely, so now.
Speaker 2 (07:42):
You're saying it's advised for our skin.
Speaker 3 (07:45):
Yes.
Speaker 1 (07:45):
And one more thing to make a comment about the
shower is that you want to pat dry. Sometimes people
rub dry. When you rub dry, you actually strip the
moisture out of the skin. So once again, if you
want to maintain good skin health after the shower, you
just want to.
Speaker 3 (07:59):
Pat dry the skin.
Speaker 2 (08:00):
So get out of the shower, pat dry, and somewhere
within a three minute period, apply your moisturizer.
Speaker 1 (08:05):
Absolutely, Okay, got it.
Speaker 2 (08:07):
Since we're in the shower realm, how often should we
be washing our hair?
Speaker 3 (08:13):
Great question?
Speaker 1 (08:13):
You know it varies a lot. People who are perhaps
working out very sweaty, you need to wash your hair
more often because that build up in the scalp can
lead to danger of can lead to small infections or
bumps into the scalp as well. But if someone's not really,
you know, working out a lot, not very sweaty, I
think they can wash your hair maybe twice or three
times a week. It's different for different races, So for example,
(08:37):
African American hair, you cannot wash that often, so they
have to wash it maybe less often. It's also important
to note what season you're in, So summertime, for example,
you're probably going to be a lot more sweaty, so
you may want to wash your hair more than in
the wintertime. For example, like I have baseline hand eggzema,
so in the wintertime I have to moisturize my hands
a lot. Some people's scalp is also very dry, so
(09:00):
to be careful once again to kind of not overwash
the hair, and if someone has a very oily scalp,
then to maybe wash more just because the fact that
you want to make sure that the scalp has what
we call homeostasis, where everything is in harmony. What we're
learning a lot is that everything is based upon inflammation.
If you can control inflammation, you have better skin health,
(09:24):
hair health, and so forth. So hair loss, dry skin, rosatia, acne,
these are all forms of inflammation, and back in the
day we thought these are all independent pathways. That's how
we're learning more about the gut microbiome and how that
can affect skin health and hair health as well.
Speaker 2 (09:44):
So as a dermatologist, do you spend a lot of
time learning about the gut and is that something you recommend?
Obviously you have topical things and different treatments for your patients,
but sometimes do you have a conversation of Okay, what
are we eating?
Speaker 1 (09:57):
Absolutely one hundred percent, it wasn't actually I hevered that
much back in the day when we were in med school,
because they were looking at the body as different systems.
You know, you have skin, you have gut, you have
your kidneys, your liver. But now there's an emphasis on
how you can tie this all together. And research has
shown that there's certain foods that are pro inflammatory for
(10:21):
certain conditions. So, for example, let's say someone has roseatia,
which is rendouts of the cheeks. We know that there
are certain foods that can make it worse. Alcohol, caffeine,
so anything like coffee and so forth, spicy foods, and
this varies on the person, so each person may have
a different response. I have some patients who have acne
(10:44):
and if they eat let's say, a lot of sugars
during Christmas time, they will break out immediately.
Speaker 3 (10:49):
We're learning more about dairy.
Speaker 1 (10:50):
Dairy is still kind of like in flux. Some people
have maybe an intolerance to gluten, to cern types of diet.
So I think it's important to know your body and
the best way to do it is actually, for example,
cut out alcohol for three weeks or two weeks and
see higher skin response.
Speaker 3 (11:10):
You'll be surprised.
Speaker 1 (11:11):
Cut out certain types of sweets, you know and you
will see a difference in your skin.
Speaker 2 (11:16):
As a doctor, do you have strong thoughts about alcohol,
because I feel like earlier in the year, I know
it's still only February, but I believe it's early January.
The Surgeon General came out talking about how there should
be a warning label on all alcohol for cancer. And
I know that's not your specialty. But when it comes
to aging, because like we've always heard, well, one glass
(11:38):
of wine a day keeps the doctor away, or it's
good for your heart. And looking at the body as
a whole, do you find that heavier drinkers tend to
look older than they are.
Speaker 1 (11:49):
You know, when you drink alcohol, it actually causes a
lot of oxidation. Oxidation leads to inflammation. Inflammation is honestly
what causes all these issues. So for example, when we
look at patients, let's have a heart disease, let's just
go out of the skin, go to the heart for
a second. Heart disease is actually a form of inflammation.
(12:11):
It is nothing different than perhaps what's going on with
roseatia with your face.
Speaker 3 (12:17):
Now, you can.
Speaker 1 (12:18):
Argue that certain types of alcohol, like red wine, for example,
may help for people with heart disease because of thins.
Speaker 3 (12:24):
Or blood out.
Speaker 1 (12:25):
So if you drink alcohol, you're less likely to clot,
so therefore you're less likely to have a heart attack.
But that's like maybe a glass of wine here or there.
But yes, heavier drinkers put a lot of stress in
the liver, and the liver is what's responsible for clearing
all the toxins. And if we're not careful, over time,
your liver becomes less efficient. When you're younger, I mean,
(12:46):
you can do whatever you want to and your body
can respond down the road. It's like if you get injured,
it takes longer to heal if you have a cut
to skin if you're like ten years old versus fifty,
big difference in the healing time, the scarring.
Speaker 2 (12:59):
So that's I as I have aged one margarita with
my friends, you know on a Tuesday night Wednesday impacts
me or maybe a Friday night. But I'm just giving
an example of I wake up the next day feeling
way different than I did if I had a margarita
a long time ago.
Speaker 1 (13:15):
Absolutely, standing with sleep before, you might be able to
be up and work late next day still be functional.
So I look at this as you have to know
your body. You will you have to like listen to it.
If you listen to it, if you understand what it's
telling you, and you sole accuse, you can actually kind
of adjust things and perfect yourself because it's all about
(13:38):
health and wellness in my mind.
Speaker 2 (13:39):
So you mentioned sleep, let's pivot for a second to
that beauty sleep, like is that a real thing? So
you hear like, oh, I got to get my beauty sleep.
It was just sort of a saying back in the day.
But yeah, there's definitely something to.
Speaker 1 (13:52):
It, absolutely, and we see it in the skin immediately
because people who don't sleep get dark circles already seeing
that inflammation forming, You are in real time looking at
that person and you can identify their skin doesn't look fresh.
Speaker 3 (14:10):
Sleep has a way to.
Speaker 1 (14:11):
Regenerate your body. That regeneration is important for silk turnover,
for good skin tone, good health. In fact, let's all
about hair loss for a second. There is a type
of hair loss called telagen effluvium, which is due to stressors.
Hair loss due to stress, Now, what's the stress from?
Lack of sleep is one of the things. So if
(14:33):
you're working hard NonStop, if you're under stress, chronic stress.
We're talking about not a huge stress. It takes a
toll aging. If you look at people who eat well,
sleep well, take care of their body, they actually do
substantially better in terms of their blood work and their
overall skin health and hair health as well.
Speaker 2 (14:54):
So simply adjusting how much sleep you might be getting
could be step one. Easy things yeah, which I mean
if you're stressed, though sometimes it's not easy to fall
asleep fair enough.
Speaker 1 (15:05):
But then there's things that you can do that can
be ways to mitigate that stress, like, for example, go.
Speaker 3 (15:12):
For a little walk.
Speaker 1 (15:13):
Sometimes if you go for a walk and that would
be a run, I know people say do a little
bit more physical activity. Go for a walk for fifteen minutes,
walk like three miles per hour on that trendmill three
and a half miles pour. You'll feel better, Your mind
will be more clear, your thoughts will become a little
bit more crisp, you're more centered, and then your body
will kind of take itself out of this flight and
(15:34):
fight response. The problem is that we are bombarded by
so much all the time, social media, this, that text messages,
So you never give your time, you never give your
body time.
Speaker 3 (15:44):
To recuperate to heal.
Speaker 1 (15:47):
So what you're doing is say, if you do certain activities,
you can actually take your body out of this whole
like fight and flight response. And that's what unfortunately the
world has become becoming more responsive, supposed to be proactive
and how I can take care of situations more not
responding to each stimuli.
Speaker 2 (16:07):
I like that you mentioned a fifteen minute walk because
that seems bite size and doable instead of stressing yourself
out of like, oh, I wasn't able to make it
to my hour long workout today. Yeah, well, don't add
more stress by stressing about how you didn't go. Just
take yourself on a fifteen minute walk without your phone probably,
or something that's been really helpful for me is meditation
(16:28):
or breath work, but not overwhelming bite size. Maybe it's
five minutes absolutely, because I personally can't sit and meditate
for an hour. But when I first started meditating a
couple of years ago, that's what I thought it had
to be, and I quickly learned it doesn't have to
be that absolutely.
Speaker 1 (16:42):
And you know, even small things like let's say you're
sitting at work in a chair, stand up stretch for
like thirty seconds sit back down. You'll have a lot
more mental clarity. It's as simple as that. You just
put your arms up, lean to the left and right,
maybe just kind of open your mouth. Why close it,
It's just you're trying to recalibrate your body. Even that
(17:05):
thirty seconds, you'll feel much better.
Speaker 2 (17:08):
Okay, So as you're listening to this right now, stand up.
As long as you're not driving, stand up, and for
the next thirty seconds as you listen, do some stretches.
Speaker 3 (17:17):
Do some stretches.
Speaker 1 (17:18):
Yeah, it could be as simple as that, you're trying
to do some big arm circles. Do that, and you're
going to feel much better.
Speaker 2 (17:34):
So you mentioned you can see in patients sometimes if
they come in and they've got bags under their eyes
or they're looking like they haven't gotten much rest. So
that's the goal here, we can get rest. But what
are your thoughts on lymphatic drainage, like for underreye stuff.
I've been doing some of those exercises in the morning
to kind of release my limbs and then and I
(17:56):
instantly see if I do my left side and then
my right side aft, but I see a difference in
the left side before I'm like, oh, there's been a release.
Speaker 1 (18:03):
Absolutely, because you know, your lymphatic system carries actually a
lot of fluid in the body. After a certain time,
it's not as efficient in getting the fluid out. So
whatever you can do to kind of massage it out,
you can actually help to drain all the extra excess fluid.
And a lot of people do lymphatic therapy not just
for the face, but also for like the legs post surgery. Absolutely,
(18:27):
there's a lot of value to healing, to wound healing
because what you're doing is that you're taking away inflammation.
Lymph is a lot of inflammation. It's a lot of
inflammatory cells, immune cells.
Speaker 2 (18:37):
Since you're a doctor, can you explain lymph nodes lymph
I feel like the first time ever became familiar was
when my mom had cancer, and you know, she had
a certain stage and then when it spread to the limps,
I just kept hearing, Oh, it's spread to the lymph nodes,
Like that's the first sign, and then it spreads to
the organs. But like, what are our lymph nodes and
where are they?
Speaker 3 (18:59):
Yeah, so, lymph nodes.
Speaker 1 (18:59):
Are found throughout the body. Think of it as like
how airlines have hubs, so Let's say you're flying on
American you got a hub in Chicago, Miami, Dallas, LaGuardia
and so forth, and lax.
Speaker 3 (19:10):
Every plane if you're flying.
Speaker 1 (19:12):
These legacy cures, has to go through a hub. That
lymph node is a hub, so it collects lymph fluid
from that part of the body. So if for example,
you have an infection, let's say you have like a
sinus infection, sometimes your lypt nodes in your neck get swollen.
That is simply your body just saying, hey, we got
to go in and attack what's going on. We're got
(19:32):
an infection. Cancer cancer, by definition, is also a foreign body.
It's something that shouldn't be there. So your body is
trying to attack it, and it sometimes gets lodged in
these hubs or these lymph nodes, and that's where they say, hey,
the cancer has spread to a lymph node. So basically
what that is is it's a hub through which all
(19:53):
the limp fluids go through and it helps to clean
things out. And once again, it can only work so efficiently,
and so when it gets overloaded, it gets reactive, it
gets bigger, and that's when the body's trying to work
over time to get rid of those toxins, okay.
Speaker 2 (20:10):
But it can be beneficial to clear our limps on
our own if we can. I mean, there's just tons
of tutorials on YouTube. That's where I've been getting things YouTube, TikTok, Instagram,
but from certified people and they know what they're doing.
And I found it to be very relaxing, which again
could lead to more rest, which is better skins, which
of course seeing you for other things has been helpful
(20:33):
for me, and then of course checking my body for
skin cancer. And then I've got a mild rosaceous situation
that we're working on. But I like giving people things
they can do every day at home to take care
of their skin, like getting the rest, maybe trying some
of these facial fitness things that help release the limp.
Speaker 1 (20:52):
I think so, I think there's value to anything that
can help to facilitate the body's healing. That's why I
look at it. You know, it's the same thing like
when you get injured. You have a lot of swelling
there that's fluid. That's your body saying, hey, we got
to go in and try.
Speaker 3 (21:07):
To repair ourselves.
Speaker 1 (21:09):
But the problem is at some point it becomes too much.
So when you do that lymphatic drainage that massage. It
helps to kind of open up things, helps to accelerate
the healing process. I like it because it's easy, you know,
it's not you're putting something into your body.
Speaker 3 (21:24):
And you're right.
Speaker 1 (21:24):
There are people who are licensed in this who can
actually do it appropriately, and there's also ways you can
do it at home too.
Speaker 2 (21:30):
What's one of your favorite treatments that you offer that's
not totally crazy and unreasonable. Yeah, because there are tons
of really crazy expensive things people can do, but which
like your favorite go to of somewhere to come in
and just like want a little pick me up for
their skin.
Speaker 1 (21:46):
You know, there are small things that you can do.
So for example, let's say if someone, let's say you
have a prom night for a teenager, you know, and
they have some mild acne. You can do a very
gentle glacolic peel that helps it kind of make the
pores cleaner, helps to get rid of that skin debris,
makes the skin shinier, and you can do that before
(22:08):
a dinner or an event. There's a procedure called the hydrofacial,
which is kind of nice because it actually has a
section tip that can remove things from the skin. I
actually had this done once back in Vegas is about
eight years ago. There is a conference and at the
exhibo hall, they say, hey, do you want to get
a hydrofacial? I say, yeah, sure, why not? And my
nose most men tend to have more oil glands on
their nose because it's very concentrated. It just felt kind of,
(22:30):
you know, congested. Anyways, they did the hydrofacial, my face
and my nose and cheeks felt so clean. I was like, wow,
I had no idea. And so there's small things that
you can do that can be very cost effective but
gives you that glow so that when you go out
there you feel more confident, and to some extent, it
gets rid of all that pollution, debris and build up
(22:51):
that our skin gets over time that we don't realize.
And especially if someone is looking for like a three
to four day out type thing, you know, with no downtime.
Speaker 3 (23:01):
Absolutely.
Speaker 2 (23:01):
Yeah, no, I'm a big fan of hydrofacial. I've liked
that one for years. What about sunscreens, we're talking about
the skin. I meant to ask this kind of early
on for people because speaking of disinformation online on TikTok, instagram, whatever.
I feel like there's been a movement against sunscreen. Are
you familiar?
Speaker 3 (23:21):
Absolutely? Yeah.
Speaker 1 (23:22):
There's a lot of chatter about sunscreen and the effects
that can have on the body and the environment.
Speaker 3 (23:27):
And so forth. There's different types of sunscreens.
Speaker 1 (23:30):
I think that people need to realize there's what we
call the chemical blockers and the physical blockers. The physical
blockers are your zinc oxide and titanium dioxide sunscreens. Those
are really good for people with sensitive skin. So when
you go to like a buy a baby sunscreen, that's
what they have. It's less reactive, so someone has roseatia
or acne. Use a physical blocker as opposed to a
(23:52):
chemical blocker.
Speaker 2 (23:53):
How do you know what?
Speaker 1 (23:54):
Primarily the two physical blockers are zinc oxide and titanium dioxide.
Speaker 2 (23:59):
Oh perfect, I'm using a zinc oxide one perfect, super good.
Speaker 3 (24:03):
Yeah, so you're good.
Speaker 1 (24:03):
So that means that you are getting less chemicals per se,
because a physical blocker, by definition, just physically blocks the
UV rays.
Speaker 2 (24:12):
I use intell a shade.
Speaker 1 (24:14):
Okay, re familiar which yeah, which SPF is.
Speaker 2 (24:17):
That forty five?
Speaker 3 (24:18):
Yeah? That's fine.
Speaker 1 (24:19):
The key thing about sunscreen use is that if you're
going to be outside. Let's say you're going to be
out on the boat or outside, you know, at the park,
and it's hot and you're swimming a lot, you have
to reapply because that sunscreen will only last for a
certain period of time. If you're in the water swimming,
then you have to make sure that you reapply. That's
kind of the the caveat is that it's not like
(24:40):
one and done. It's reapplication because sometimes people also don't
put enough sunscreen on. So you're supposed to put actually
for your whole body, for average American one shot class
worth of sunscreen for the whole body. If you use
less than in theory, you have less protection. And if
you use a sprays then be careful because some people
don't really sprail as well.
Speaker 2 (25:01):
Okay to clarify and telligay, it is something i'd put
just on my face, as like a tinted moisturizer, but
then on my body I'll put other things. Should we
be putting sunscreen on our neck and chest every day?
Speaker 1 (25:14):
That's where I see a lot of skin cancers and
that's where I see a lot of sun damage. A
lot of people like to be active, and unfortunately that's
where people get a lot of sun exposure. I tell
people wear sunscreen on the neck and the chest, especially
for women who like to wear v NEX, because that's
where over time you start to get the creepiness of
the skin, the thickening the skin.
Speaker 3 (25:35):
You get these.
Speaker 1 (25:36):
Brown spots, red spots, and you get these crevices that
form in those lines, and so you don't want that
sign of aging to show.
Speaker 2 (25:44):
So I saw this thing, speaking of things I see
on TikTok, where someone had this pillow brawl, like a
sleep brawl or something, and it was this contraption that
kind of fit around the shoulders and snapped in the back,
but it was like this little pillow for your chest,
like in between your breast, especially as a woman. I
guess men could have it too, but I think more
(26:05):
women probably have the creepiness in the chest. But it
holds it flat so that way, if you lay on
your side, you can't like squeeze your skin together, so
therefore you wake up wrinkle free. Have you seen this contraption?
Speaker 3 (26:15):
You know?
Speaker 1 (26:16):
I how to research this one. I think this is
the person I've heard of it.
Speaker 2 (26:19):
Oh well, I'm gonna have to show you exactly what
it is, because trust me, I almost fell for it
and bought it, and then I'm like, I don't need
to I don't need to buy this right now. I
don't sleep on my side as much. I try to
sleep on my flat on my back. Yeah, but sleep
is a weird thing because, yeah, our face can sometimes
get smushed and that can lead to more wrinkles. But
that's why I try to do on my back. And
(26:40):
I know they sell these pillows, like if you're a
side sleeper, that'll help keep you from wrinkling your face. Like,
what are your thoughts on those?
Speaker 3 (26:47):
I think there's some value to it.
Speaker 1 (26:48):
People who sleep on you on one side, you do
see actually a difference in their skin texture and you
can almost tell which side of sleeping on really. Yeah,
so I do think there's if you're able to sleep,
for example, on your back, this way, it is not
one side is always getting all the pressure and so forth.
And the same thing like when you drive, for example,
(27:10):
if you look at certain people, the left side is
substantially worse than the right side because the driving side
all the sun, and hence we see more skin cancer
in the left side. And when I do my laser
treatments for my patients and so forth. The left side
is the one that we are always more cautious on too,
unless you're I guess a mailman or you're in England
or something.
Speaker 2 (27:29):
Driving gloves are also something that I've seen that some
people are doing to protect their hands from when they're
on the steering wheel and the sun is coming right
right through your.
Speaker 1 (27:38):
Gloves are huge in Asia really, yes, Korea, China, India, Singapore,
you name it.
Speaker 3 (27:46):
You know, every society has your ideal beauty.
Speaker 2 (27:49):
Well, it's just not making its way to.
Speaker 1 (27:51):
America, and you know in Asia, actually these are for
two purposes. One it's sun protection and secondly is that
with sun exposure you get more brown spots and so
forth and broken blood vessels. I think is actually smart
because we see a lot of people with skin cancer
on their arms and hands, and especially in people who
are outside a lot and those who drive a lot.
(28:12):
So there's value and you know, there's different styles and
they live very stylish. Actually, it's a whole market out
there if you ever want to research online.
Speaker 2 (28:20):
Okay, looking at my hands, like, do you think I
need to invest in driving gloves?
Speaker 1 (28:24):
I mean with my skin type, it.
Speaker 3 (28:25):
Look really good.
Speaker 1 (28:26):
I would say the forearm might be getting some sun
that could be from back in the day as well.
Speaker 2 (28:42):
When I'm coming to you at forty something and you're
looking at skin damage, like you took some biopsies from me, absolutely,
what is that damage from? It's likely from my childhood, right, Yeah.
Speaker 1 (28:52):
So the thing is that what we're looking for is
what could be abnormal. Things become abnormal over time. It's
not overnight for.
Speaker 3 (29:01):
Most people at least.
Speaker 1 (29:03):
And what happens is that what people don't realize is
that the sun is a form of radiation that creation.
When it hits your skin, it forms a mutation, a
mutation think of it like as compounding interest. Over many years,
it becomes worse, so that mutation becomes much more amplified.
That is what one day leads to either brown spots
(29:23):
or in worst case, a skin cancer.
Speaker 2 (29:26):
So what should someone be looking for if they do
see a freckle or a mole or something on their
body that is starting to change, Like, what's the change
they're looking so?
Speaker 1 (29:35):
Yeah, so if you notice, So what we look for
is the abcds. That's for milanoma. So as for asymmetry
for moles, asymmetric that could be a red flag. B
border you want smooth, not irregular border. C color you
want one, not multiple colors in that mole. D diameter
smaller the better. E is evolution. If you see any
(29:55):
change in size, shape, or color or symptoms, that should
be a evaluated because we don't know if that mole
is active, and if it is, then we want to
make sure it's not a melanoma.
Speaker 2 (30:05):
When someone is going to the dermatologist, should they arrive
with no fingernail polish and toenail polish on because do
you want to check their nail beds?
Speaker 3 (30:13):
Absolutely?
Speaker 1 (30:14):
Actually, I look into the web spaces, I look at
the nails, I look at the bond, the feet, I
look from head to toe because at the end of
the day, you can have a skin cancer beyond any
part of the body. And want us to be very
careful that the dermatologists can look at all parts of
their body to make sure that they do a complete
skin exam because one in five Americans get skin cancer.
Speaker 3 (30:33):
In their lifetime.
Speaker 2 (30:34):
Okay, I did not know that statistic, and forgive me
for not knowing how to ask this a better way,
But is skin cancer like how much of it is deadly.
Speaker 1 (30:44):
Well, that's good question. So there's different types of skin cancer.
The most common kind in the US is called a
basal silk car soinoma. The most deadly kind, one can argue,
is a melanoma. Melanoma has a very high mortality rate
in the US, and partially is because when you find
it sometimes it's may have spread to other parts of
the body.
Speaker 2 (31:02):
So something that is on the outside of the skin
can spread internally as it grows, and so then the
tumor is no longer visible on the outside, like it's
growing somewhere on the inside, or can spread to like
can you have melanoma on your liver?
Speaker 1 (31:17):
Yeah, so melanoma actually likes the liver, brain, lungs. Yeah,
these are places where it's hot spots. And melanoma is
highly aggressive because it mutates and it divides rapidly. These
are all time dependent. This is why tell patients it's
actually a race against time. If you have something that's
been there for a while, get it checked out.
Speaker 3 (31:37):
Worst comes worse.
Speaker 1 (31:38):
We do a small skin shave biopsy. We send that
to the pathologists. They will then give us report. That
report will tell us exactly what it is. Then you
have peace of mind on how to move forward. The
biggest issue is that a lot of people don't get
their skin checked.
Speaker 2 (31:54):
And because I feel like going to the dermatologists is
not as common as you know, making sure you're going
to your gynocologists appointment, or won't you hit a certain
age your mammogram. It kind of feels especially for you know,
certain demographics, like a very privileged fruit through thing to
go to your dermatologist.
Speaker 1 (32:12):
Well, I will tell you this much that a lot
of patients I see who have skin cancer are people
who've had a lot of sun.
Speaker 3 (32:19):
Exposure for many years.
Speaker 1 (32:20):
So if you're one of those folks who perhaps has
a family history of skin cancer or perhaps has a
history of being immunocompromised, a lot of people you know,
have some immune system issue, or let's say you've had
many sunburns when you're a kid, or let's say you
have red hair.
Speaker 3 (32:38):
These are risk factors.
Speaker 1 (32:39):
Red hair is actually have the highest rate of skin cancer,
the highest risk compared to other hair types. And that's
because the melanin is called THEO melanin is unable to
block the UV radiation as efficiently as the umlanan can.
Speaker 2 (32:55):
So if you have any of those variables, then try
to prioritize and appointment at your dermatologists if you can,
and you can.
Speaker 1 (33:03):
Even ask your primary care doctor, hey, I have a spot,
what do you think? And if your primary care doctor says, hey,
you know what, I'm not sure we should get checked out,
then yeah, just go to your dermatologists, have that doctor's
center referral.
Speaker 2 (33:14):
Okay. And then the melanoma, if that is caught early, Yeah,
then survival right is very high.
Speaker 1 (33:20):
Very absolutely, But it's just the deeper it goes, the
survellery drops.
Speaker 2 (33:24):
Substantially, all right, And not to scare anybody, but just
knowledge is power and a lot of times with cancer,
which my mom had the basil cell carcinoma, Yeah, that's
how you're saying. And you know she had to have
her face completely cut open, sewed back up by a
mose surgeon. But it was imperative to get out so
that while it's not like the melanoma, why was it
(33:47):
important to go in and scrape it all out and
get it out? Can it evolve?
Speaker 3 (33:51):
Yeah?
Speaker 1 (33:52):
The thing is that you know, skin cancers can grow
the definition of cancer's uncontrolled growth of the cells. So
it's going to eat into the muscle and the other tissues,
and then from there it can spread to other parts
of the body. That's a concern is that you're going
to get pain, You're going to get weeping of the
skin as it breaks down, and at some point the
(34:14):
reconstruction of it is a lot more intense. It's easier
to sew the skin backup than if something has gone
into the muscle or down to the bone. That's a
different level. Plus over time, the mortality rates do change.
So there's certain types of skin cancers like a squamous
cell carcinoma, which is the second most common kind after
basal cell, and those have a high risk of spreading
(34:34):
to other parts of the body.
Speaker 2 (34:35):
Okay, so I feel like my mom had that one too,
because that sounds familiar. And then that's why I've been
very proactive about going to the dermatologist raptually because of
what I saw my mom go through, which the type
of cancer she died from was not that. However, her
cancer did spread, you know, like we were talking about
subtle lamps. Then it spread to her organs, and then
it became epidermic, like it spread to her epidermis, like
(34:58):
it was her cancer started internal and then ended up external.
Speaker 3 (35:02):
So you get that.
Speaker 2 (35:03):
And I could see the tumors on the outside of
her body, which was crazy.
Speaker 1 (35:07):
So you can have skin cancers that form metastasis, which
is spreading to other parts of you. Know, it's important
to if you see something or you know, you'll be surprised. Actually,
hairstylists find a lot of spots on the scalp for people.
When you go to your masseuse, they find a lot
of spots on the back. When you have patients who
(35:30):
like loved ones, they can actually be a very helpful
resource as well in helping to identify spots that could
be abnormal. For example, if you can have your your
husband or wife look at your back, that can help
to point out spots as well, because you'll be surprised.
I have patients who come in whose passes have circle
spots on their back saying, hey, this has changed you know.
Speaker 3 (35:51):
That's helpful. Every bit of information helps.
Speaker 2 (35:54):
Okay, we'll pivot a little bit to collagen. I have
a quick question about your thoughts on collagen, because that's
another thing that's all the rage. Is that something I'm
talking about the kind you and jest like you added
to your coffee or report and you're smoothie. What are
your thoughts on that?
Speaker 3 (36:09):
I think there's value to it. Here's the thing.
Speaker 1 (36:10):
So collagen, a lot of it is sometimes decreated when
it goes into your body, when you eat it or
swallow it or whatever you're.
Speaker 3 (36:17):
Doing with it.
Speaker 1 (36:18):
But collagen is a necessity for living and having the
right type of collagen is important too.
Speaker 3 (36:26):
I think there's value to it.
Speaker 1 (36:28):
I would be doing your research and making sure that
a it's safe, and be that you're not spending too
much money because some things can be very costly as well.
Speaker 2 (36:36):
Yeah, you just want to make sure you've got a
quality one though, if you're ingesting it. And then there
are ways to stimulate collagen through procedures that you offer lasers.
Lasers do that and you know we were talking about
different growth factors. Does that help with collagen.
Speaker 1 (36:53):
Absolutely, Yeah, you can use different growth factors. You got lasers,
you got micro needling, you have microderma. All these things
can help to turn over sell so you allow for
new collegen, new elassin to be placed and get the
bad stuff out. The bad stuff is it stuff that
has been fried from the sun or you know it
nichses be removed anyways. So once you have these treatments,
(37:16):
your body puts in fresh college and fresh alass and
basically you're turning back the hands of time.
Speaker 2 (37:21):
Okay, And my snail serum is a growth factor, my
biopal and I love that treatment.
Speaker 1 (37:27):
It's been around for a long time, actually for decades,
and people rave about it. And I actually think there's
value to all these things. And be at the snail
serum they're using. As long as it's done consistently. You know,
it's not a one and done. These are not one
and done type things. And you're still doing everything in
coordination with your sunscreen. And you know, good skin care
(37:48):
and good skin health.
Speaker 2 (37:49):
All right, if you could recommend only three skincare products
for the rest of our lives, what would they be.
Speaker 3 (37:55):
Let's talk about the face. I guess good face wash.
Speaker 1 (37:58):
Because at end the day, if you don't walk, your
face your poresia clogged and that can lead to acne.
Speaker 3 (38:03):
And so forth.
Speaker 2 (38:03):
But we need to double wash, right, it depends.
Speaker 1 (38:06):
If you have dry skin, then you probly don't need to, Okay.
Speaker 2 (38:08):
But if we're removing makeup, yeah, yes, absolutely, because most
women at the end of the day, or I have
that what's that stuff called the missilin water or yeah.
Speaker 1 (38:17):
The misoles there you go, yeah, yeah. And then number
two would be that good sunscreen. Why because as the day,
if you're outside, it's easy to put on. It helps
you to protect you from the sun. The physical blockers
do great. Number three a good moisturizer. That's like your hallmark.
If you just do those three things, your skinn be hydrated,
it'll be clean and protected from the sun, and you're solid.
Speaker 2 (38:39):
So how do you know if something's a good moisturizer,
like for your whole body? I mean I get I
spend more on my face skincare products, then I do
like my body's products, Like I don't want to be
spending a bunch of money on especially if I'm supposed
to use, you know, as much like the shot glass
wharf like I want.
Speaker 1 (38:56):
You know, if you want to save some money, you
can buy a lot of things that are over the
count or that a should do fairly well.
Speaker 3 (39:01):
There's Nuta, Gena, a Veno, Serve, a set of fill.
These are all great brands.
Speaker 1 (39:07):
And you can have a good facial moisturizer with SPF
thirty built into it. You know, for daytime you can
buy a night time these. You can find a Target
or Walmart.
Speaker 2 (39:16):
We should go to a CBS or something and do
it like a.
Speaker 1 (39:20):
Absolutely yeah, buy this a little chopathon, you know, kind
of go and you know, check out the aisles because
you'll be surprised. There's a lot of things that you
can buy for twenty bucks or less that work awesome
and I think are good long term products.
Speaker 2 (39:36):
Okay, let's wrap with what's the most over hyped skincare
trend right now?
Speaker 1 (39:40):
You know, I'm not as cool as you are, just
be honest, you but I've heard so much about beef tallow.
I think it is kind of way overboard.
Speaker 3 (39:50):
It's just a moisturizer.
Speaker 2 (39:51):
All right, Well, thank you so much for your time.
I feel like I could talk to you for another
thirty minutes. Yeah, well, so we can do it again absually.
Speaker 1 (39:58):
Yeah, well have you you know, and let's do that
target thing or do a chapathon type thing too.
Speaker 3 (40:03):
It'll be fun, yeah, so fun, awesome.
Speaker 1 (40:05):
Okay, well, thank you.
Speaker 2 (40:06):
Restoration Dermatology. Why the name restoration?
Speaker 3 (40:10):
The goal was.
Speaker 1 (40:10):
To make something back to its original state. My goal
is to not change you to something you're not, but
to make you the best version of who you are.
Speaker 2 (40:19):
I love that. I love knowing the route or the
origin behind someone's simple like why they decided to name
their company something, and that is that. I honestly, I
wasn't expecting that answer, but I didn't want.
Speaker 3 (40:30):
My need to be part of it because I didn't
want to be about me. Just be honest.
Speaker 2 (40:33):
You love it? Yeah, And it's so funny because like
right around the corner is restoration hardware.
Speaker 3 (40:38):
We spill. We spend a lot money there for our furniture.
Speaker 2 (40:40):
So yes, yeah, okay, and where can people find y'all
on Instagram? Ill link it in the show notes. But
I'm pretty sure is it just restoration dermatology exactly?
Speaker 3 (40:51):
Is that? Ye?
Speaker 2 (40:52):
Perfect?
Speaker 3 (40:52):
Simple?
Speaker 2 (40:53):
Simple, simple? Okay, thank you, thank you.
Speaker 1 (40:55):
Byel
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