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A
So most of you are chasing the next miracle cream or trend, but I don't think a lot of you know that much about lasers. Well, I definitely did not. And that's where I came across Rebecca Truston, the queen of laser. So I came across her because my cousin has the most incredible, beautiful skin. She's one of the hardest people to get an appointment with. But I was really lucky. The beauty gods shined down upon me, and I got my appointment. And I can tell you guys, my results were incredible.
B
Lasers will stimulate for sure and sort of firm the capsule. They'll firm your skin. If you're even just doing three treatments a year, in five years, your skin will be better than the day you started.
A
So I said I have to bring Rebecca on and debunk all the bullshit you hear online about lasers, thin your skin or what not to combine, or if you have melasma, you cannot do lasers. I have melasma. I treated myself, and I've had incredible results. So I'm excited for you guys to listen to this episode. And by the way, when we're referencing bbl, that's not a Brazilian butt lift we're talking about. It is a specific laser that we referring to. And please, guys, like, comment and subscribe and share our show. I appreciate you all so much. Please get my show out to your community. We're building this together. And as I always say, curiosity heals. Rebecca, I am so excited to have gotten my own laser treatments done. That was such an experience.
B
My pleasure.
A
So I didn't know anybody else except for these videos I see in Korea that women can layer so many lasers on at the same time. So can you walk me through the treatment that I had with you?
B
So the treatment that we did for you was to address texture, some pores, and pigmentation. You mentioned age and stimulating collagen. So the purpose behind layering lasers is to address the different planes of the skin, to address the different chromophores in the skin, and to create what I would call a true rejuvenation, which is to stimulate function and structure of the skin. So I used a combination of a nano pico laser, which is an acoustic laser. So that was a first pass. And that would break down some of the deeper pigmentation, but also clean the surface of the skin. It would bleach the little fine hairs, just remove a little layer of the pigment so it allows the other lasers to penetrate deeper. Then we did the Fotona, which is an NDAG laser. We used a short pulse so that we could work on the microvascular because a lot of the vessels are dilated, especially when you're treating melasma. So we worked on the microvascular system and at the same time we stimulated the fibroblast to create more collagen and, and to sculpt the face. And then we used a bit of bbl, just that's really surface again, it heats up the water in the skin. We didn't use too much heat, it was more in a, in a very low, low power. And that stimulates water. It gives the skin a really glassy effect because it works on that superficial pigment and, and, and just correcting the skin. And then we did a light fractional laser. So the light fractional laser was literally 100 microns just in order to penetrate the surface. And then we can use the in pigment inhibitors on top.
A
So when you talk about the glassy skin, because that is one of the effects that I had and I loved it.
B
Yeah.
A
How long does that affect last? Because now I'm obsessed.
B
Yeah. So basically, I mean, obviously we try not to, you know, chase these trends because if you over exfoliate your skin, it's not good. But, but when you do about two or three of these sessions and then you maintain with your melody or your exfoliator, it will keep the skin nice and bright. So it depends where people are in their journey. For someone like you that looks after their skin, a couple of treatments and that will be long lasting, amazing.
A
And then you're known for the method which is this layering that you meet a client, you do their intake, you review where their skin is, like you said, and then you come up with these combinations of lasers. How did you come up with that?
B
So basically lasers are single wavelengths. So that single wavelength is absorbed by a certain chromophore in the skin. So most people present with a number of things going on. You know, they've got redness, they've got pigmentation, they may have some acne texture, pores. You can't use a single wavelength or a single laser to address all of that. So I mean, I've been working with lasers for more than 20 years. So you know, we had single devices, you know, and then, you know, as you get better, you can start practicing and putting more things together. So that's, I mean it wasn't any major. It's literally just trying to treat the skin as a whole and having the confidence to do that, knowing how much energy the skin can tolerate and knowing
A
essentially what each patient's outcomes will be right. Because given your ethnicity, I would say how much sun exposure you have, how your body naturally would heal, it makes a massive difference to the outcome.
B
It does. But again, you know, so it does make a difference. But lasers have improved so much. The technology has improved so much. So most people can tolerate lasers, it's just how often they should have them. Maybe they should be having that with something else like skin boosters and peptides and things like that. So I mean, most people can tolerate lasers. Yeah.
A
What is a laser that you don't love though and don't believe in like an arrow lays or so?
B
Yeah, I'm not as keen on aerolays, but I think Everlase came in a bit later and I already have short post lasers, you know, and I think obviously there's a lot of marketing, a lot of everything going on. So you don't, you know, once you understand the physics behind the laser and, and how it works, how it works and you can just skip through it.
A
Yeah. Who do you, which laser do you think is the most overhyped that people tend to do? And you're like, that is super unnecessary or the results are not what they sell it to be. And you would be like, I don't want to touch that.
B
Oh gosh, you know, there probably isn't one simply because all energy based devices do something so long as you're the right candidate for it. And so I mean, I try and stay away from the hifuse. Okay. When I say hifu, there's things like thera that they do work well, but you have to understand the consequences of doing them or overdoing them.
A
So there is the one that's extremely painful, correct?
B
Yeah, there is painful. It's an ultrasound device. So it uses focal points of energy at certain depths of the skin. So you know, if you're going down towards the SMAs, okay. And you keep use, you keep doing it, you're going to create scar tissue on this mass. Okay. So that's basically how that will work. And if you want to do a facelift, you know, you've, you've sort of damaged that fascia so you know, you won't get a good pool and things like that. So there's, but there's a place for all of them. You just got to know how to use them. So I don't think there's particularly one device that comes into place. It's, you know, for instance, like Morpheus gets a big, you know, issue. But again, it's a great device if you want to melt fat. It's great, you know, it's got the energy. It's just in the wrong hands, it
A
can be an issue. I would think most women as we age, we don't want to lose our volume because that's essentially what gives us this youthful complexion. If anything, I had to get a fat transfer because I'm like really skinny and I had to get a fat transfer. I think last year I got it. I think it's 15 months ago, 13 months ago. And, and I love it. I'm really protective about my fat. I'm like anything that could even remotely touch my fat, I'm like, do not go there. You know, volume as we age anyways.
B
Yeah, and so that's what I mean. There is generic treatments that are built into the lasers that I already have. For instance, like 4D fotona 4D so that one of the wavelengths is a really long pulsed NDAG which no other device has. But when you use that long pulse over time you're going to start to melt the fat. So for instance, and you mentioned that to me during our consultation, so everything I use on you was a short pulse. So the heat doesn't have time to melt fat.
A
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B
Yeah, so that's really the only time I tend to really slow down is I have a lot of patients with melasma. And, you know, people want to go on holiday and in this part of the world, they go away for maybe one to two months at a time, so you can't end up treating them and then them going to a sunny climate. And if they want that, then they know it's going to come back and it's going to come back quickly. Everyone with melasma is going to, you know, it's going to be activated if they're outside, because in Dubai, most people are inside. You know, we work, we're not out in the sun a lot, so we can manage it. Most of the time it's just summer holidays, but then you've got patients that go back to Australia or South Africa where it's winter, so you just have to be mindful of where they're going back to. Yeah.
A
So where these multiple laser treatments got. Went viral is Korea. You see all these influencers going, Kim Kardashians going down. You're like, wait, what's going on in Korea? So when I saw you for the first time, I asked you, I was like, rebecca, what is the deal with Korea and why is everybody rushing there? And why were they the first to launch all these multiple lasers? You're like, no, I've been doing this for 20 years.
B
Yeah, I've been doing it for a long time. So they. Yeah, I mean, there's a massive trend. And, you know, to me, when I hear about people going to do it, there doesn't seem to be a lot of strategy in it. They just seem to dump it on all. On all, just keep going. And it just doesn't make much sense to me. But people want to experience it, you know, they. So a lot of my patients have been just because they wanted to, but.
A
And are they doing anything else when they're going to career? They're like getting the lasers and are they doing the skin boosters? By the way, what is your take on salmon DNA?
B
Look, I think it's good. I don't know necessarily on its own. I think, you know, so with lasers, you're nudging the skin, right? You're, you're asking the skin to start producing collagen. So by putting in the salmon DNA or the amino acids that support that is going to help, right? You build. So I mean, they're good together on their own. Probably not as.
A
Probably not as well. And when it comes to skin care in our 30s versus skincare in our 40s, what are some of the do's and don'ts for women?
B
So, I mean, look, from, I mean, across the board, sunblock is the most important thing. From early on 30s, you can just start introducing some actives. You know, you need to be a bit more proactive. 40, you tend to start maybe restoring a little bit more. But I think if you keep it simple and effective, I mean, again, I'm not one of the like 20 step skincare routine. You need some antioxidants in the morning, you want some exfoliator at night, you want a good moisturizer, you know, and a good cleanser and that's it. And sunblock.
A
And what do you do for like people like myself who have hyperpigmentation and melasma in terms of product recommendations?
B
So of course, like, obviously like hydroquinone and the tret and the, the steroid combination is one of the sort of gold standards. But for most of my patients, we just put them on a glycolic blend. Okay. That just lightens the skin. For people that become a bit resistant to that, then they can cycle with the hydroquinone.
A
What does the glycolic blend include?
B
So we've got all types of acid. We've got a zylic acid, glycolic acid, lactic acid, all in one blend? Yeah, Kojic acid. It's a blend of all of them.
A
And is it like applied like a toner?
B
No, it's a cream. It's the one that you have in your bag.
A
Oh, that's the one. That's the one that I'm just about to start. Yeah. Okay. So I'm going to make sure I report back on how it is. So the buy is also the capital when it comes to all things fillers. And Botox. So we know the fillers, not Botox. But when. Let's talk about fillers for a second. Fillers are not good because it essentially block the lymphatic flow in your face. Right. So I remember getting. I broken my nose and I had to get a nose job about three years ago because I had a really bad fall. And when I got my nose job, I had, Rebecca, the worst bruising in God's planet earth, under my eyes. And then when I went in, my surgeon's like, your bruising is so bad. Back in the day. He's like, have you ever done under eye filler? And I said, yes, I had under eye filler. He's like, well, that's what's caused it because the blood flow and the oxygen isn't right over there. So I'm not a fan personally of fillers at all for anywhere on the face except for my lips maybe. But I wanted to ask you, do you think lasers are a good alternative for some of these treatments?
B
So lasers will stimulate for sure and sort of firm the capsule. They'll firm your skin, but once you've lost volume. I had a similar situation. I had the tinsel effect from filler under my eyes. And a doctor used the hyaluron days, but put so much in, one side of my face literally collapsed and I hadn't done much filler.
A
Yeah.
B
So even though they say it doesn't melt your own. It does. Yeah. On one side, which was, yeah, really upset. And so I needed volume. I also did a fat transfer. Yeah. Unfortunately, didn't last as much, but now we've got all these new sort of growth renewal stuff. Yeah. I think we're definitely coming away from fillers and trying to, you know, use natural.
A
So renewable is an incredible product that I love and I use it. And the guy did my fat transfer, Dr. Miguel Moscaro, who's one of the best plastic surgeons in all of the east coast. He uses Renova a lot. And that's like a really good top up. But you see more and more, even with the way he's doing Renuva, with the way he's pulling it out, doing the nanofat under the eyes, the way he's taking care of the fat, it's to, you know, maintain results longer because it takes about two to three fat transfers for it to really retain and hold. I think when you do a fat transfer, only about 40%, if I'm not mistaken, actually stays in the rest. Obviously, it's your own fat. Right. It doesn't necessarily stay the way, you know, if you put on weight or lose weight, it doesn't stay in one way, one setting.
B
Yeah. I mean, look for me, like, I don't like fillers. Most people don't like fillers. I think when you're younger and you don't particularly need them, they look okay.
A
Yeah.
B
And then as you start to lose that, that elasticity and then you're trying to chase that, you know, lines and everything.
A
Right.
B
You just change the shape of your face. You just don't look good. Especially if you're someone that swells and. Yeah, it's not really pleasant. Look, most people don't like it.
A
Do you think when your patient walks into your office, how do you know for the first time, like, with me, you were great. How did you know how I would recover? So we did the four lasers and I was really read that day. But the next day I started clearing up really fast versus Mariam. My cousin was like, iman, I actually stay red a lot longer than you did. So how do you know with patients who walk through the door?
B
So look, you, you don't. You, you've got a general idea. You know, some people are faster healers than others, some are slightly more sensitive than others. But generally, you know how, you know, you know, from how you're treating it, what you're using, what energies you're using, you know, if you're going to go like really harsh and deep, you're going to have a longer downtime. But even though we layered the lasers, it was, it was, it wasn't a harsh treatment at all.
A
Right. I was going to say. And why do you think nobody in America is doing multiple lasers at the same time?
B
I really don't know. I think they are because I have listened to a couple of podcasts and I think, you know, they sort of do a cocktail. I think those in the know are doing it. Are doing it.
A
I haven't come across one person like you.
B
Oh, really? Not one? That's so strange.
A
So nobody in America I know is, I think, and I want the audience to tell me, by the way, guys, if you find somebody in America who is doing multiple lasers at the same time and is good at it and is getting good results, please send me a DM because I would love to know.
B
Yeah, no, I mean, it just nowadays some of the laser machines are coming as, you know, platforms where they've got
A
multiple built into bbl.
B
They've got the bbl, which is a broadband light, then they've got the moxie which is a. A light non ablative resurfacing. It's got an ND yag. So now you know by default they
A
probably are coming it.
B
But I guess as well maybe America is a bit of a suing culture and.
A
Oh yeah.
B
And so they have to be even more cautious.
A
And what are some. So let's talk about melasma for a second and then hyperpigmentation. So when it comes to melasma, are there any lasers that you tell women I cannot touch you with this one at all.
B
So I would say in the 20 something years I've been practicing, I treat a lot of melasma patients. You have to prep the skin. Okay. So you want to make sure the pigment cells are settled. Settled. So you go on your prep, you go on your hydroquinone, you go on some sort of inhibitors before. But honestly I'd probably name on one hand the patients that don't do well. But you tend to get a feel for that during a consultation. Right. You know how they react even to the hydroquinone cream. If people actually get worse after using a hydroquinone cream because then you know, it's then they. And they got dark. Just don't go with they with heat because any inflammation is going to build, it's going to do it. Sometimes it's because they've not been careful with the sun and not being careful with sun protection. But most of the time in this day and age with people with melasma they are very cautious. So some people just don't react at all to any type of inflammation. Not necessarily lasers. And also you don't use such thermal lasers on melasma. Yeah, we know that he can excite it. So we stick to the acoustic lasers and the laser, which is what the
A
ones that I have.
B
Yeah.
A
And when it comes to hyperpigmentation, which is it the same, you know, theory or is it different?
B
Melasma's the one that can react to anything. So you could be really cautious about other types of pigmentation. You can go a little bit more, you can go stronger. You can use like more thermal energies. You can use like higher settings of BBL pico where you isolate the spots and of course you resurfacing devices.
A
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B
Even again, the way that I do lasers is sort of a more, you know, I don't come in with the big guns and just like obliterate everything.
A
Right.
B
You know, so not really. I, I haven't had really anything back maybe 20 years ago with hair removal. One lady. Absolutely. Because in this region you're either tanned or, or you may be just, you know, darker skin, toned. So that matters. And, you know, promise, promise, promise. You had been in the sun and then got. Well, yeah, yeah. And it was. She had been in the sun.
A
I want to talk to you about Lindsay Lohan's glow up.
B
Okay.
A
Okay. So she, that girl went from one to another. I mean, her glo was serious. She went from being like maybe a five to being a full on ten.
B
Yeah, yeah, yeah.
A
So what do you think she's had done? She looks beautiful, by the way.
B
I mean, she's definitely done the lasers. Her skin quality is amazing. She does, she looks reflective. She looks beautiful, in my opinion. She's definitely had surgery and she's, she's had refinement, she's had a nose done. She's probably done a facelift, you know, and she's had that refinement because she just. Yeah, she looks great.
A
And I was gonna say from a, from. I definitely think she's had a fat transfer, which I've had a fat transfer. So I'm all here for it. I've had a nose job, so I definitely think she's the end. You know, I'm not, I'm not here to judge anybody. I think she looks great. But in terms of like, because she's very fair and she has all those freck. So I would have thought somebody like her, given her skin is sensitive, might not be able to do as many of the lasers.
B
So she probably would have done sort of knowing the clinical so that she was doing it and sort of knowing the devices they have it was probably very much the bbls, the clear and brilliance, the light laser. She wouldn't need anything too aggressive, Anything.
A
And I wanted to also talk about how lasers, when we're talking about zombie cells, which are the senescent cells, so lasers, there's some research to suggest that it can take out the zombie cells from your skin. Is that fully true or not really sure about that. Right. Honestly, I always wonder if that's true, you know, because I know they're also these. You know, that's the thing with marketing.
B
It's marketing.
A
I think, you know, that's the same thing with products. So you take all these products on the market. I've tried some, and they're like, well, this clears out 70 or 80 of the zombie cells out of your system and gets you to detox them and stuff. And I'm like, where is the research on this stuff? Like, have they done real clinical studies where they've watched people dump out these zombie cells out of their system?
B
Doubt it.
A
Right. It's just refreshing your skin.
B
Right. Just marketing. That's it. I mean, obviously all of these treatments will just get rid. You know, if you think like the BBL and you get that little dark crust in, that's your pigment being burnt, and then it will shed away. But again, you know, if you go back to the sun, you'll excite those pigment cells and it will come right back. Yeah, yeah.
A
Because I always say your skin is your biggest organ, so, you know, it can get really damaged if you take extra care of it. But I don't know where the science is really there to be like these or protocols or the this and that will really clear out those dead skin cells from you.
B
I mean, I. Yeah, I think a lot of it is probably marketing. I mean, there was one. One study done in Stanford with the BBL about the gene expression, how it would reverse the gene. Oh, so there is a study.
A
What is that a study?
B
I think It's. It was Dr. Patrick Bitter, who is the godfather of BBL back in the
A
States in Stanford University.
B
He done the study on bbl, the
A
laser that I can reverse skin expression.
B
Yeah, it literally reverses the gene expression. Almost switches off the old and switches on the new. Okay.
A
So that's essentially like.
B
And I see it so, like, if I can. If my patients can tolerate BBL in all my treatments, I do. I can see, especially in older women that have either going through or post menopause where they've got thin skin.
A
Yeah.
B
You can see it thicken up and if you start, if you even just doing three treatments a year, in five years, your skin will be better than the day you started.
A
But that's amazing to know that there's such strong scientific evidence for this laser.
B
Well, I think, I think, I mean, now we can see it, right?
A
Yeah, you see it visibly treating patients, you're seeing them change their skin, their complexion, all of that stuff.
B
And I'm seeing such better results now that people are combining it with peptides and, you know, supporting it with the skin boosters or exosomes.
A
So I got an exosome IV right after. So this is a fun thing that I discovered because I interviewed somebody who is a research scientist, part of a really big lab. And so all of this stuff that they say don't microneedle on peptides or stem cells because they don't actually survive. The glow up that you're getting is actually from the microneedling. It's not from the exosomes or the stem cells surviving. They're like the only way to take in the exosomes or stem cells is through IV or injection at the actual site. So there are like a lot of people who just have a glow up and they're just saying, oh, it's just the exomes. It's actually the microneedling.
B
Yeah. I can, I mean, I have to be honest, I don't use exosomes.
A
Yeah.
B
I just rely on the skin to heal again. The peptides, they can do absolutely. But I don't put them on top.
A
On top of.
B
I don't see the difference.
A
You don't see the difference. So on what I did is because I was doing it for longevity reasons, I did 100 billion exosome IV.
B
Okay.
A
That did help with my recovery.
B
Yeah.
A
Because of my.
B
And how did you feel? Did you.
A
I feel a really good sleep quality, improved, good energy. The laser obviously give me a glow to my skin. So I can't say was the exosomes this time, if next time is. It's, you know, comes up and I'm like, oh my. Is the exosomes. But I feel hydrated, I feel really boosted. Brain fog is less. Even though I tend to have. My brain fog has improved a lot. And really where I see it is measuring my sleep quality. Right. My REM sleep, my deep sleep, how much that has increased, how many times I'm waking up during the night, do I wake up in the morning actually rested or groggy.
B
Okay.
A
And then it works for a few weeks. Right. So you kind of see the difference over time. But those things I think make a difference. Especially when we live in these high impact cities. We're on the go, we're traveling so much we get all this radiation from our flights. Nights we're inflamed, retired. Where I'm working across time zones, all of these little things added together make a difference.
B
They do.
A
So they kind of deposit into my bank of wellness and they every time give me a little bit more push and a little bit more. So it's a combination of things. Right. It's not. One thing is not going to solve your problem.
B
Exactly. And that's the same with any, any treatment.
A
You can't rely on just one thing. Right. It's a product, it's a, you know, it's doing the lasers and taking care of yourself. It's properly cleaning your face at night before you go to sleep. And sleep, you cannot replace any sort of treatments, anything at all in the world with sleep.
B
Yeah.
A
How many hours of sleep do you get a night?
B
So I, I do need my sleep. I usually go to bed about 9 o'. Clock.
A
Really?
B
Yeah. I'm gonna. Yeah.
A
And what time do you wake up in the morning?
B
At 5.
A
Okay, that makes sense. But 9 o' clock on the dot. So what time are you having dinner?
B
You.
A
Sorry, what time are you having dinner?
B
So 6 o', clock, 6:37?
A
Yeah. Really? That's a really good habit. So you're just like, you're digesting your food before a few hours before you go to bed. And that's it.
B
That's it.
A
It's amazing. And then why 5am wake up wired like that? School.
B
I like to get to the gym in the morning. I start early in the clinic. So. Yeah.
A
And what made you get into this space? You're like, you like the science of skin care? You're like, I like how, you know, treating people and seeing the results fell into it.
B
I sort of studied to be an esthetician and I literally almost fell into it. The place I worked at, it was the, it was, you know, back in the late 90s, so microdermabrasions were just coming out and the company that I worked for, they had a clinic in London but also had a manufacturer. So.
A
Right.
B
We, we had aesthetic devices and we started building some of the first commercial lasers. So I've just sort of been involved in the industry and I always loved the lasers. It's just my passion.
A
Is there anything, you know, research wise or something that they're trying out that you're really excited about for them to release.
B
I don't think there's anything particularly new that's coming. It's more just the. I think how they're blending all the machines together and getting the results, that that's sort of a new thing, which for practitioners, because obviously to do what I do, you've got to be able to afford all of those devices together, you know, so it's not necessarily that people aren't doing it. They might not have the practice that allows them to do it. And so, like now with the new technology, then it's obviously making that much easier. So hopefully then more people can get some good treatments.
A
Is there ever a case that there's over treatment or there's an addiction to it and people are coming too much
B
if you let them. Always. Yeah, I mean, yeah, I. I see that a lot in this country, for
A
sure, that they're like, rebecca, I look so good. Can I come? Can I come? Can I come?
B
And you're, like, now? Well, luckily, because I'm so busy. The opportunity. But I just. Generally it's once a month for three months and then you go to maintenance. Unless you've got some sort of chronic condition, maybe like acne or rosacea, where you might need a few more. But it's not about. Just keep hitting.
A
It's time to recover as well.
B
Yeah.
A
What do you do for acne or rosacea? I should ask, because just because I don't have it doesn't mean other people
B
don't suffer from it. So for acne and rosacea, it's an inflammatory disorder and there's usually a lot of redness. And so I use India glazes because they can go deeper to the sebaceous gland and use energy to shrink the sebaceous gland and calm the inflammation. And BBL is really great. We've also got a new laser called aviclear, which is specifically designed for acne. It will treat the sebaceous gland. So, like, the same way Accutane would go in and shrink the sebaceous gland, but it's systemic and it's a medication
A
which is not even good for you.
B
Yeah. So the laser is literally absorbed by the sebum in the gland. So if you've got more sebum and more inflammation, it will be more absorbed by that particular gland and it will break it down.
A
And there are lasers called. What's the name again?
B
This one's called Aviclear.
A
Aviclear. So more people should be turning to Aviclear than Accutane, because Accutane does not have good health impacts at all, especially for a lot of these people that started young.
B
Yeah, yeah. I mean, it's definitely an alternative now.
A
Yeah. And you have it at your, your clinic. And how young are the patients that are able to see you when. If they have acne?
B
So they're coming in around sort of 12, 13.
A
Oh, wow, that young.
B
It's, you know, it's not a pleasant treatment. It's, you know, you can.
A
Painful.
B
Yeah, it's painful. And the problem is you can't put any topical anesthesia on because it will get absorbed by the skin into the gland. So that's a no go. So they are the perfect candidate because they're young and you don't want them to go on medication.
A
Correct.
B
But you know, tolerance are treating it is a bit difficult.
A
And I was going to tell you, you spoke about peptides for a minute. Are there any peptides that you love mixing into your protocols or patients are telling you?
B
So generally, I mean, I don't. I will send them to the functional medicine doctor and then they'll do the, the workup. But the glow mixture is a good one. But. Yeah, but I have definitely seen with the patients that go on the peptides, the differences are night and day. Right. You know, and these patients I've been seeing for many years and when they've been on the peptides, it's.
A
It makes a nice difference.
B
Yeah, it really does.
A
So one of the things that I learned when I interviewed Miguel Moscara, because I've done two recordings with him, is the patients that come in, 35 plus, who are sleeping properly, hydrating properly on proper supplementations and are, if they're 40 plus, are doing HRT, they have much better results and outcomes than women who are not.
B
Yeah.
A
And he's like, I see it night and day in their recovery and their inflammation and their skin texture.
B
Yeah. When you have healthy biological functions, everything works better. Absolutely. For sure.
A
So I think anybody listening, if you really want to get into this. And I also say peptides, for me at least, and I say this is not the place to start. It's about the core foundational habits, which is hydration, nutrition, sleep. That's where you should be starting. Then reducing inflammation through correct diagnostic, you know, supplementation and then adding in and layering peptides. The peptides is like step number three versus the step number one is absolutely free.
B
Yeah. Again, I suppose, you know, this part of the world, people are so much more invested in the health. So we, we have like a Big demographic. So usually people are already at that stage. Yeah.
A
And one of the things I'm seeing down here in the Middle east is people are just really keen to learn more and absorb and are really willing to invest the money on their health versus in America, that maybe this, maybe not that. But the only thing I am getting annoyed about here, everyone just wants to talk about peptides and not talk about all the other stuff that comes before that.
B
Yeah, yeah.
A
And they just want to do the really expensive things like inferesis. I'm like, guys, before you even do an inferesis, I think you should, like, stabilize your detox pathways before fix your cell membrane and then get onto something like that.
B
Yeah, I suppose. I mean, it comes down to education. Right.
A
So.
B
And unfortunately, this is. You need to sell a product.
A
Right. You also talk about inflammating. How do I say it?
B
Inflammation.
A
Inflammating. Inflammating. What's wrong with me today? Inflammation, guys. So you're saying when people are aging, inflammation represents itself first. And do you see signs of inflammation on the skin?
B
Yeah. So inflammation would present, maybe a bit. Puffy, acne, pigment. All of these are a response that something is off in the skin. You know, like. And I think with skin rejuvenation, for instance, that's what I specialize in. It is about improving the function and structure. And so rather than patients just running in for a treatment, it's. It is about restoring the function and structure, which means a healthy skin. And a healthy skin would be free of pigmentation. It would be free of any type of medical disease. It would have a healthy skin barrier. It would. It wouldn't have irritation. It would be functioning. So any. All inflammation will lead to that. Yeah.
A
Also, the number one cause of aging in the body is inflammation on a cellular level. So when your cells are actually inflamed.
B
So a few years ago, I was doing a lot of fasting, and I would do fasting for two weeks at a time.
A
What do you mean? Every? Like, long period.
B
So it would be like every 72 hours. We would have a refeed. Yeah. So it was.
A
You were fasting for seven. That must have caused so much stress on your body, Rebecca.
B
It was, but it was. I think it was for the short term, it's good. You know, it was 72 hours refeed. But honestly, that first time I did it, the. I looked like I had a facelift. In two weeks, I probably lost 8, 9 kilos, and my skin was so tight, all the inflammation had gone. You know, Your body goes into autophagy. You don't want to do that all the time. And I. Did you overdo it Extremely.
A
This feels and looks so good, guys.
B
Well, you do. And. But then you can. Then you start seeing the. You know that it's not beneficial.
A
And were you being guided for the 72 hour fast? It's the water fast you were doing.
B
I did electrolytes. Okay.
A
Yeah, electrolytes. And not any lemon or any.
B
So in. In. I think it was a mixture. We did. It had bicarb, lemon, a little bit of Himalayan salt. Yeah.
A
And at what point in the 72 hours did you start feeling hungry or you didn't.
B
So now you do feel hungry, especially if you're not fasting fit. Because I've done several of these journeys, but at the beginning, yeah, you feel really. Yeah, but you just. I mean, in those times of fasting, you tend to just take it a little bit more easy. You walk, you don't train, you go to bed early. You have magnetic. You know, it's very much the person that I did this journey with, it was guided.
A
Right.
B
Now, we had certain rituals to do and so it was just a time of rest.
A
And so the first time you did it, you said you, like, look like you literally had a face.
B
I did it for weight loss. Okay. I was shocked how.
A
But was it just water weight that came off? It was real body fat.
B
It would have been a bit of both for sure. Because obviously for the almost two weeks without eating, they would. You'd definitely.
A
And you were meant to do it for two weeks.
B
Yeah.
A
I wonder how much muscle mass you might have lost.
B
I don't know.
A
Yeah.
B
I mean, I've got good muscle mass anyway. And again, it's very short amount of time, but, I mean, I was probably one of the smaller people in the group, but there was a lot of sort of very, very overweight. I mean, they were losing 40, 50 pounds in two weeks. I'm not joking.
A
But is that even. Do you think they were. Did they put their weight back on? Have you followed some people's journeys?
B
Yeah, but then you repeat it. And I suppose for people that have that amount of fat, their bodies can. Can do it because they've got the energy. You know, for me, it was. I didn't have much, so, yeah, I was probably going into muscles and everything else, so. But for the people that need it, it was a great tool. Yeah. And they do. They. They get to where they need to be. I mean, look, this was before the GLP1s were coming out. So I'm not sure people would still
A
do the two weeks. But I bet you this two weeks doing it like this is healthier than the GLP one.
B
Oh, yeah, for sure.
A
Because there's a lot of side effects. So when it comes to GLP ones, and I know in the region, they're like, everyone's taking them like cotton candy. It's like everyone's on GLP1. So one, I think you should only be doing a GLP1 if you're extremely overweight. Right. And you're like, this is my last resort, can't do anything else. This is what I have to do. Two people are microdosing DLP ones, but then again it's for a specific treatment or protocol. So people dealing with pcos, endometriosis, because those are metabolic disorders and they want to regulate themselves, going through IVF treatments is having success over there. But beyond that, I don't think people should be taking this stuff because there's no magic pill. Yeah, everything has side effects.
B
So I think a lot of, say
A
menopausal women, for instance, per menopause symptoms
B
is another one or becoming insulin resistance. And our diets, you know, even those that are healthy, all the processed foods put the body out of. So a lot of doctors are just prescribing them with microdosing. It seems to be a thing to. To regulate the blood sugar without the high dosing.
A
But I think there's so many other things that they can do because there's ways to regulate our blood sugar. Like sodium butyrate is a great product. So butyrate levels naturally go down in our body. And sodium butyrate essentially is a short chain fatty acid and you produce butyrate in your body anyways. And it's a postbiotic. And one of the things it does is regulates your blood sugar. So you take it after every single me quick. It doesn't sometimes smell the best, but it's two tablets or three tablets, take it. You see the difference right away. So you're not having these crashes. So I think we've gone so far as a society to constantly be looking for that magic pill, that we're not looking at alternatives, knowing that they are there.
B
And it comes down to education.
A
Yeah, because absolutely.
B
People don't know they don't have an alternative.
A
And pharmaceutical companies, because they have massive budgets and can market the shit out of their products, push, push, push these products. And because practitioners can make more money from this versus being like, here, here, take these pills instead. They're like, no, I can sell you a $1500, a $2000 $800 product. I think that's where the education really comes down to and being like, why are we having these glucose spikes as we get older? Right. And can you stabilize in especially the case of women when we're becoming perimenopausal, menopausal, can we stabilize those spikes with hormones?
B
Well, now in the, with AI and all these trackers, I mean we can be, we can know more. Right. So we, we've got that sort of real time feedback. So I mean, I'm sure everything is heading that way.
A
Right. Do you think there's sermon certain hormones that when women get on them, they can make certain skin conditions worse as they get into perimenopause and menopause?
B
Yeah, definitely. I mean, for sure. When the hormone, I mean, obviously during pregnancy you see that surge with the melasma. So that's. And again, at menopause it can happen as well. So definitely hormones affect the skin.
A
And people who are getting put on progesterone, estrogen or testosterone, like, or estradiol, what are some of the things you're seeing on their skin and then how are you treating them differently?
B
So I mean, look, most of the time people need to be on their
A
hormone replacement, of course, to function and be normal and not kill somebody.
B
Exactly. So you just have to work with them, educate them, so they know what's causing it. And you just have to do certain
A
things to mitigate it.
B
So you know, like testosterone, for instance, if there's too much, they tend to break out. With acne they can get more hair and things like that. And that would suggest it was maybe
A
too much for them.
B
So they can cause more pigmentation, I mean estrogen. I mean, when we're got none of that, we're just drying up.
A
You're creeping away dried up flour.
B
Yeah.
A
One of the things is how can you diagnose if something is actual melasma versus hyperpigmentation? Because I used to say my thing is hyperpigmentation.
B
There is a pattern.
A
Okay.
B
There's a pattern. Melasma usually has a pattern where it's like larger patches. Yeah. Above the brows, the cheeks, above the lip, but also can present like sun damage. So you. So basically with anybody, I treat them as if they were melasma. Yeah. There's any shadow of a doubt, you just treat them because either way we can remove it. We just do it in a way, the right way. Yeah.
A
What I loved was so my cousin Mariam has the most beautiful skin. And so I'm like, mariam, you have such most gorgeous skin ever, and you live in the bind. You're not getting the hyperpigmentation. My last one, she's like, girl, I literally see this woman called Rebecca Trustin. And I was like, who is Rebecca? So I started following you on Instagram. I was like, mariam, please get me an appointment with Rebecca. I beg you for me to go see Rebecca. And now that I saw my results, it's the first time I saw you. And I got my own laser done. The results in a week have been so amazing that I'm excited to see where else my skin goes, given that I also take care of myself.
B
Yeah, y. Yeah, for sure. I mean that the layering allows us to do that.
A
Right.
B
So we are addressing several things at once. And so rather than doing, say one harsh resurfacing, which you end up having downtime, and then you still may see the redness. So this. That. So definitely the way of laying it. People see results again. That's why people come and they're happy to come. They see results quickly. But without all that downtime, I mean, I think you were still able to.
A
I had to record and film.
B
Yeah.
A
I was peeling a little bit, so you could. It looked like I'd done like fractional laser on my face over here.
B
Severe.
A
No, not at all. Not at all. My inflammation wasn't bad, but I take peptides.
B
Yeah.
A
So I'm doing the peptides. I'm. I put. And I put the top of the
B
peptides on as well as quick recovery.
A
Yeah.
B
Everything that we do.
A
I looked like I was super hydrated. My skin felt super soft, like a baby's bottom. That's how I would describe it. I was like, this looks great. I was like, if I was in a relationship, my man would be lucky. I was like, I look great over here. So I'm like, rebecca, can you make my whole body like that?
B
Absolutely.
A
I'm gonna book in for a full body treatment next time.
B
Honestly, I didn't used to do body treatments because it was so time consuming. And who's got. I mean, some people have time for it, but yeah, you know, you're talking hours and you have to keep coming back. But now with again technology has changed AI, The. The. The frequency, you can really knock out a body treatment in a couple of hours.
A
So for people want beautiful glowing legs for the summer, what do you. What are you recommending?
B
Yeah, so, I mean, look, definitely bbl.
A
Okay.
B
BBL is brilliant, but you can, you can do some light resurfacing with moxie. I mean, gotta be careful with legs. Yeah. I mean we can, we can, it depends on the patient, what they need.
A
Yeah.
B
But yeah, we can combine a lot of things for the body as well.
A
So what helps in terms of. So when we think about body and aging in women, the first thing that sags is you get creepiness on your legs. No matter how much you work out, no matter how much protein, it's the legs. And then the banana roll is where you kind of see it and women kind of see it at the back of their arms. Right. And so all is, is a loss of collagen and elasticity. Right. And then some discoloration from us traveling, being in the sun and all that stuff. And I always think to myself, we spend so much money, time and effort on our thing, everything. Neck up. Why do we just think, oh, we just go to the gym and eat and that's enough for our body. Or maybe like okay, you dry brush a little bit, but that's not enough. It's, it's the same, it's, it's an organ.
B
And once the face and the neck and the declutter looking great, people are now coming for the rest of their body.
A
Right.
B
Because it's, there's a big difference, creates a difference.
A
And so you're saying BBL is one of the best ones.
B
BBL is great because again, when you, when you come away from the face, every area that you come away from the face, the recovery is much longer.
A
Really?
B
Yeah. So for instance you have, because it's away from the heart and, and the sebaceous glands and things that support the skin. But legs, you, you can't be aggressive on the legs because they won't heal properly. So you have to be careful. But things like bbl, it's a non ablative treatment. You're just stimulating, you're heating up that water. The water stimulates the fibroblast. So you're just, just by going over the skin.
A
That's enough of it.
B
It will start to smooth the skin and it's within a session. And then of course you've got the different filters that will work on the dyschromias. You can mix that with a bit of pico if the pigment is deeper. So you can just again, all about the layering. You've got things like for toner where you can actually go deep because obviously on certain areas we've got more depth. You've got things like Morpheus, which can go deeper. So I mean there's lots of ways to combine the crepey skin. You could do a little bit Morpheus, you could do thermade, you can do a moxie on top. So, right. There's ways of addressing your skin damage.
A
I didn't even know that, that you could actually now do full fledged body treatments.
B
And then by injecting again the skin boosters in that area, the collagen stimulators.
A
And again, would you use the same scholage collagen stimulators for the, for the, for the body?
B
I, I don't do the injectables, but yeah, they would do you. I think now they've got sort of sculptures and yeah, all these four body.
A
So I don't know if it was. I read it somewhere, I saw it somewhere recently, that salmon DNA, you know how this whole thing came out? This sculpture is actually causing damage for people on a deeper layer. And then so when they're going to get a facelift or something like that, there's a lot of scar tissue that is creating sculpture in particular. So that' what's come out with sculpture?
B
That's it. But usually I think, I mean again, some people that have had sculpture done well, I think it's the way they mix it and if they inject it poorly, then it just starts clumping together.
A
Right.
B
And again it is stimulating collagen and it can create that fibrous tissue. So again, for plastic surgeons, they don't like it. No, because it makes their work job harder.
A
But I've heard the same thing about salmon sperm DNA, which is a thing that people are like going off the rails about injecting and, and it's having the same issues as Sculptura is creating that fibrosis which is causing the scar tissue. So when people are trying to go in to do facelift, even a mini lift is causing issues.
B
Okay, I haven't sort of heard as much about that. But again, I guess it can all
A
of these things
B
all about dosing, isn't it? It's about the correct dose with anything. You can't keep punching at it, punching
A
at it, punching at it.
B
Give it time. You've got to let your body respond.
A
I also want to ask you. A lot of dermatologists argue that micro injuries with lasers lead to long term thinning of the skin or creepiness.
B
No.
A
Right.
B
Well, I've been doing it that long, I would know.
A
That's what I'm saying.
B
So I see the skin thicken, it thickens that's what.
A
Because yeah, a lot of these dermatologists are like, oh, if you do too many lasers, you're gonna like, I think, wear down your skin.
B
It depends. Technology changes. There's so many lasers. You're talking about resurfacing and constantly taking
A
your skin off, then it's going to cause an issue.
B
It's going to cause an issue. You're going to thin the barrier, you're going to have really reactive skin. So you wouldn't do that. But again, things like nd the non ablative lasers that are just stimulating collagen production, not going to thin your skin.
A
I wish to God somebody would come up with a laser that would grow more if you're fat. I know that would be my dream laser. Is this anybody listening in this universe, if there was a laser that could stimulate fat production, that would be my dream laser, I think.
B
Well, we've got the stem cells now. Haven't we got the growth factors that are stimulating fat?
A
Yeah, but even then it's not the same as a fat transfer.
B
No.
A
You know, so I'm like, I really want somebody to come up with a laser that helps create the volume in your face again. You don't think so?
B
I think that's going to be possible.
A
And it goes in and like encourages the fat to kind of plump out.
B
I mean, we already have, I mean anything that encourages the function. Right. So we're doing all of that. We just don't want to overdo it. We stimulate them, you know, but so I don't know. I don't know. We might wait in a while.
A
I hope one day they come up with it. Are there any supplements that you recommend that are incredible for skin health, that you love, that you see a, that you see results, make us a kids.
B
Okay. Vega oils and I think just some zinc and things like magnesium.
A
Healthy fats. Exactly. Omega 3, Omega 6. So for anybody listening as well, 90% of the fish oils in the market unfortunately are rancid. That's a huge issue that by the time they hit the shelves, by the way they manufacture and they're putting on the shelves, they're rancid. So there's some very, very few brands that are good with, you know, fish oils. And fish oils give you an incredible glow. The best source for fish oil for, for omega 3, omega 6 is caviar.
B
Okay, so that's it on most of my patients. I mean, they say about collagen supplements, just get your bone broth, just get it. Free food as much as you can wherever you can.
A
And that's the best way to do it. So bone broth is incredible. Magnesium, zinc for supplementation is incredible. Taking obviously enough healthy fats. There's also a product called Balance Oil. It's by a company that I love called Body Bio and that gives you that healthy, like linoleic acid that you actually need, your body actually requires. And the right balance of omega 3 and omega 6. So I love that product. Caviar is obviously amazing. They also have a product called Resolve in which they make from fish, which they make from caviar. That's like their official. That's incredible. But those are the things that I've seen that impact the skin. Hydration, minerals, electrolytes are all things that have helped me. And then having like clean skincare, I can't go completely clean, but skincare that has actives in it, peptides, you know, things like that have helped me a lot.
B
Yeah, I mean, we've got a company here called Joanna Skin, which is a really clean, clean, clean product.
A
What's it called?
B
Joanna. And it's got CBD oil in it. But it's amazing.
A
Amazing. How many SKUs do they have and what are the different products that they give?
B
They have a cleanser, they have two moisturizers. They've got this beautiful body butter that I use and it's local. Yeah. Locally made. Well, I. Well, yeah, but essentially. Yeah, yeah, but it's. It really is amazing. And obviously I see a lot of inflamed skin.
A
Calm down.
B
I do. I have rosacea, I have irritated skin. So I mean, it's been amazing for me. It's beautiful.
A
Is there any other local brands? Because I'm always so curious to learn more about what's coming out of the region that you love.
B
Find it difficult to keep up with all the brands. So it's the ones that I like that suit my skin and I'm quite sensitive, so, I mean, I do like SkinCeuticals. I like Vito C, they're good. They're not necessarily local brands. Joanna Skin is the local one here that I use. So.
A
Have you heard of like One Skin?
B
I have.
A
I really like. I love them. I swear by them.
B
I don't think we have that.
A
Amazon. They have an Amazon storefront now.
B
What's the other one? Better Skin Ultimate Better Skin.
A
I haven't tried. The One Skin has an Amazon storefront that I love. There's also a brand called, called. They just have one product, it's called Regenerate and it's like 23 to 27 different peptides, all compounded according to what you need. So you go online, you take a quiz, it tells you, okay, this is what you need and I really like it. I've been using the serum actually after my, after my treatments because it was really hydrating. But these are brands that I love and I'm like, you know, they're not a hundred. Well, regenerate is, but the other brand's not 100 clean, but it's pretty non toxic.
B
Yeah, yeah.
A
You know, to some extent I don't think good, good, good skin care can completely be non toxic as long as clean of Phates and BPAs. The rest is what it is essentially. Rebecca, I loved having you on the show. My skin looks so amazing. I'm excited to now come back and do my legs with you right after the show. Is there any tip? One tip, if you had to give to the listeners as we're coming to the end of the show, if they want to start their skincare journey, what should it be? As in with treatments, Treatments or diagnostics or where should they be starting? If they're looking at themselves and being like, I love listening to this episode. She's a wealth of knowledge. Rebecca, I'm thinking twice about my skin. What should I do?
B
I think one of the biggest things is that now it's a bit of a trend word but the collagen banking.
A
Okay.
B
So you know, years and years ago I, you know, I wouldn't be doing energy based devices on, on younger skin. But again the right dose, not don't over treat, but treat younger because you're, you'll preserve good quality collagen. Don't wait until you get older. Yeah, don't wait.
A
How young should somebody start?
B
Look, I think taking care of your skin starts from, you know, as early as possible with sun protection. But I mean in your 20s, like when you're teenager and 20s, you might have too much oil so you'll, you'll treat that and then I would say in your mid-20s, just be aware of
A
where you were doing.
B
Necessary mean laser in all the time. But you could do a couple of treatments towards the late 20s. Skin starts losing collagen from the age of 21.
A
Yes.
B
So and you can double that if you're a bit of a sun worshiper. So from that age, you know, strategic, intelligent treatments to stimulate good, healthy quality collagen rather than waiting till you see everything happening and it's much harder to restore.
A
If you look at any of the celebrities out there in the world, whose skin do you love? And you're like, damn, she looks great. That's beautiful work she's had besides Lindsay Lohan, huh?
B
Jlo.
A
Jlo. Someone has an age.
B
She hasn't. She looks incredible, actually. I mean, Victoria Beckham, you see, she's had work done. Yes, but she does look good.
A
Yeah, she does look good as well. But JLO is, like, on another level. Yeah, it's all those Hispanic genes that they have. The genetics do play a role as well. And how you recover, how your skin feels after, how much you're able to push someone's skin. So you see it a lot with South Asians, because I'm obviously South Asian, we tend to preserve ourselves, like neck up. We don't get as many wrinkles. And I think, you know, facelifts can be pushed off to later. So I think that's a good trait,
B
I will say, when you have beautiful
A
eyes and other things that make you so beautiful. So it's a trade off, you know? So thank you, Rebecca, so much for coming on the show, and I'm excited for my community to learn about you and all the incredible treatments that you do.
B
Thank you for having me, Sam.
Episode Title: She Dissolved Her Filler and It Collapsed Half Her Face. Now She Won't Touch Them
Host: Iman Hasan
Guest: Rebecca Truston (Laser Specialist and Skin Rejuvenation Expert)
Date: May 7, 2026
This episode dives deep into the world of advanced skincare, focusing specifically on laser treatments, the science behind them, and how they compare to other trending solutions like fillers and exosome therapies. Host Iman Hasan and guest Rebecca Truston, known as “the queen of lasers,” have an honest, science-driven discussion around debunking myths, personal experiences with fillers and fat transfers, melasma, layering lasers, skincare routines for different ages, recovery, and the latest integrative modalities. The tone is open, candid, and oriented toward empowering listeners with information for genuine skin health.
On Layering Lasers:
Rebecca (02:00): "The purpose behind layering lasers is to address the different planes of the skin... and to create what I would call a true rejuvenation."
On Fillers and Volume:
Iman (07:29): "I would think most women as we age, we don't want to lose our volume because that's essentially what gives us this youthful complexion."
Rebecca (14:59): "One side of my face literally collapsed... Even though they say it doesn't melt your own, it does."
On Melasma Caution:
Rebecca (18:26): "You have to prep the skin. Make sure pigment cells are settled... I'd probably name on one hand the patients that don't do well."
On Science vs. Marketing:
Iman (23:16): "Where is the research on this stuff?... Doubt it."
Rebecca (24:34): "It literally reverses the gene expression. Almost switches off the old and switches on the new."
On Recovery and Over-Treatment:
Rebecca (29:34): "If you let them... I see that a lot in this country. Generally it's once a month for three months and then you go to maintenance."
On Longevity and Basic Health:
Iman (33:13): "It's about the core foundational habits, which is hydration, nutrition, sleep."
Iman and Rebecca’s conversation is an honest, evidence-driven exploration into advanced skin health, revealing the complexities behind the “glow up” and urging listeners to prioritize science, prevention, and holistic health over trends and shortcuts.
Quote of the Episode (03:57):
"Treat the skin as a whole and have the confidence to do that, knowing how much energy the skin can tolerate."
— Rebecca Truston
Quote on Skincare Philosophy (33:13):
"Peptides is like step number three versus step number one is absolutely free."
— Iman Hasan