← Culture Apothecary with Alex Clark
Culture Apothecary with Alex Clark
Look 5 Years Younger In 2 Min! Why Women Are Getting Facelifts In Their 30s— Is Lindsay Lohan Lying? | Dr. Anthony Youn, MD
01:52:30
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- [00:00]
Alex Clark
If you do this mini facelift in your 30s or early 40s, are you almost for sure gonna need to then do a full facelift later?
- [00:06]
Dr. Anthony Yoon
The results of the facelift study show lasts about seven and a half to 15 years. If you do it younger, the fact is those results are gonna last longer because the quality of your skin is better. Nobody needs plastic surgery if you want to and it's gonna benefit you. You feel like it's gonna improve the quality of your life and help you deal with some insecurity, that's okay. You know, talk with a surgeon about it. Use it as a last resort. But always, always, always remember that, you know, as you get older, things will change no matter what. And it's okay.
- [00:53]
Alex Clark
You've seen the headlines. Kris Jenner's facelift, Lindsay Lohan's comeback face, the death of filler, the rise of nad drips, buccal fat removal and ballerina boobs. Today we're getting real about what's trending, what's terrifying and what's totally worth it in the world of beauty and plastic surgery. With none other than Dr. Anthony Yoon. He's a board certified surgeon, best selling author of Younger for Life and host of the Dr. Yoon Show. Oh. And with over 14 million followers, he is the most followed plastic surgeon on the Internet. A huge thank you to why refi making this interview possible and hosting us while my home studio is out of commission. There was a scorpion, had a home birth. It's this whole thing had a lot of cleanup. You gotta watch this episode on the real Alex Clark YouTube channel or culture Apothecary on Spotify. They do video there as well, if you didn't know. Now the convos in the cuteservatives Facebook group I know are gonna be unhinged after this episode. I already know it. Make sure you're a part of that for all the five orange juicy discussions. I love chiming in myself. You can also find the show on Instagram at culture apothecary and me eealalexclark. If you pause the episode right now and take 30 seconds to leave a five star review, that significantly helps the show. And you can write a short and sweet favorite moment that you've heard on one of my episodes that absolutely wrecked you, either in a good way or just made you laugh. Please welcome America's holistic plastic surgeon, Dr. Anthony Yoon to Culture Apothecary. You call yourself a holistic plastic surgeon? Never heard a sentence like that strung together before. What does that even mean?
- [02:25]
Dr. Anthony Yoon
So what it means is basically using plastic surgery as a last resort. So I trained as a traditional plastic surgeon. I went to four years of medical school. I got my md, I did three years of general surgery residency, I did three years of plastic surgery residency. And I honestly, Alex, I thought I hit the pinnacle of success in my practice. I was doing all these operations. You know, in plastic surgery, the pinnacle of operations is basically the facelift. You can do liposuction on people and people will not be as choosy, but when you're talking about your face, they are very, very choosy. And so I got to a point in my career where I actually measured how successful I was based off of how many facelifts I was doing. And I had a patient who had a horrible complication from one. And it got me into thinking that what I had been taught as a surgeon, the idea to cut is to cure. You know, the idea that your goal is to bring people to the operating room was wrong, but that would cut.
- [03:17]
Alex Clark
Directly into your bottom line.
- [03:19]
Dr. Anthony Yoon
It did, yeah, of course. And so that got me into really thinking that there has to be a better way to do this. As I really, really rethought the practice of medicine and plastic surgery. And I came up with this concept of holistic plastic surgery. And it's the idea of using actual plastic surgery as last resort and focusing on all the other things that we can do, from diet to skincare to supplements to lifestyle and all the other non invasive and minimally invasive treatments that we have. That's the idea of holistic plastic surgery looking at somebody as a whole person and that plastic surgery component only being that tiny part that you do when it's absolutely necessary.
- [03:56]
Alex Clark
So is a facelift like the end all, be all? That's where plastic surgeons make the most money now.
- [04:02]
Dr. Anthony Yoon
In general, it is. Facelifts are the most complicated operations with the highest risk of a patient who's unhappy because it's their face. You know, you can do a breast lift or a tummy tuck and you can botch it and they can hide it under clothing, but you can't hide your face. And so that's the operation that typically when you do it, patients are going to be very, very choosy. And at the same time, they're not just going to choose somebody that they find on TikTok or on Instagram. They're going to ask around and make sure that whoever does their face is going to be the top surgeon.
- [04:33]
Alex Clark
So what happened with this person where it went wrong?
- [04:35]
Dr. Anthony Yoon
We always do a battery of Tests on every patient that comes in, especially if you're going to have a facelift. You know, we actually had her see a cardiologist. She got cleared for everything. I did the operation. We actually kept her overnight in the hospital just to monitor her. I saw her the next day, discharged her from the hospital. And then the weekend came by and I was having a normal weekend with my family. And I got back to the office on Monday morning and I had a message from her daughter. And her daughter left me a message asking, why did my mom die?
- [05:03]
Alex Clark
I didn't know this. Yeah, I didn't, I did not know this.
- [05:07]
Dr. Anthony Yoon
Yeah, it was why did my mom die? And it's like it's only happened to me a couple of times in a 20 plus year career where your stomach just drops and you start sweating. You know, I had this, all of a sudden I was nauseated and it turned out over the weekend. I mean, she looked great when I saw her Friday morning and she was doing fine Saturday. And then Saturday night, her actually husband left for a while, came back and she was dead.
- [05:36]
Alex Clark
What in the world happened, you think?
- [05:37]
Dr. Anthony Yoon
So at the time, I obviously I went into a spiral. You know, I'd been in practice for a long time. I'd operated on probably over a thousand people and never had anything like this happen before. And so I started thinking, okay, I mean, for me, the first thing I always think of is like, what did I do wrong? You know, is there something that I missed? You know, I went all through her medications, her past history and all this stuff, and it turned out that there was nothing that came back. Like it wasn't a mistake, it was nothing. And when her autopsy came back, her family called me and they said she had a heart attack.
- [06:09]
Alex Clark
Oh, so it was not the facelift or could that stress maybe put stress on the heart?
- [06:13]
Dr. Anthony Yoon
Yeah, I mean, she probably at some point may have had, you know, an issue with that. But most likely my guess is that the surgery would precipitated at the stress on her body, potentially precipitated. Now, she had done a stress stress test a couple weeks before with a cardiologist, and that was normal. Like it came back fine.
- [06:30]
Alex Clark
So there's no way you could have.
- [06:31]
Dr. Anthony Yoon
Predicted other than just not operating on her. And so really what it got me, you know, I mean, initially it sent me in a spiral where, well, for months I was gun shy and I didn't want to operate on anybody. And I, and I questioned, should I even stop being a surgeon altogether?
- [06:46]
Alex Clark
That's what I would think. Because nobody ever talks about that. Like, when we think about medical complications and surgeries and things that go wrong and people that die on the operating table, like, you're always thinking of the patient and their family and what that's like. But I think that's the part of the story you never hear, is what it's like for the medical provider and what you go through.
- [07:07]
Dr. Anthony Yoon
Well, I would never. I. I appreciate it, but what I went through, obviously, is not important compared to what her family went through and all of that. And so for me, you know, what really strikes me is that I still have a picture of the photo that I saw of her with her pet, you know, that they had, like, in the paper and stuff like that. And it still strikes me because I still feel a lot of inner guilt. But what that did was it taught me that I got, you know, I need to really rethink all of this stuff. And really what it got me into realizing, I think, and reminding me, because as a surgeon, you always know, like, whenever somebody sees me and they say, hey, you know, I'm thinking about having breast surgery or a tummy tuck or lipo, and they say, what's the worst that can happen? I will always tell them, you can die.
- [07:51]
Alex Clark
Yeah.
- [07:52]
Dr. Anthony Yoon
You know, I mean, I flew here to come to this podcast. I could have gotten in a plane crash coming here. You know, we all take risks, but there is that risk that you take with surgery. And so for me, it just reminded me of why we do it. And keeping in mind the power of putting somebody under the knife, you know, and in this situation, it was very tragic. But hopefully, for me, it's like, how do I take this and make a good thing out of it?
- [08:16]
Alex Clark
Well, speaking of facelifts, there is no one I was more just excited to talk about than Kris Jenner and Lindsay Lohan.
- [08:23]
Dr. Anthony Yoon
Yes.
- [08:24]
Alex Clark
Okay. Lindsay Lohan comes back from the dead. We even heard from her, and I don't even know how long. She looks insane. She looks like a different person, but in the best way possible. She's insisting that she's never had a facelift. What is really going on, in your opinion?
- [08:38]
Dr. Anthony Yoon
Okay, so she has denied having a facelift. So this is all just conjecture. Opinion. I'm not her surgeon. What I think is going on with a lot of these celebrities is it's a combination of factors. Number one, it's ozempic, the GLP1 agonist medications. Okay, so people are losing weight, and that is causing their face to get thinner. So that's the first thing. Second, Thing is that a lot of celebrities are no longer overinflating their faces with filler. They're just doing touches of filler here and there. They're doing it the way it should ideally be done, where it just enhances the volume a little bit, softens the face, but does not completely distort it and reshape it. So that's the second thing. And then the third thing is it's a lot of work. And obviously, the number one thing we always have to consider is a facelift. You know, the facelift is what creates the sharp jawline, the sharp neckline, all of that that you're seeing with some of these celebrities who are, you know, in their 40s, 50s, and older now that are having these just perfectly chiseled faces. You cannot get that with lasers. You can't get that with radio frequency. That's typically all done surgically, but you combine that with little operations here and there, like a blepharoplasty, where you take just a little bit of extra skin from the eyelids. You can do a pinch of the lower eyelids, where you take a little bit of extra skin there. These little tweaks that they're doing over the whole face. And that's how you get faces like what you're now seeing in Hollywood.
- [09:58]
Alex Clark
So you think Lindsay Lohan's lying?
- [10:02]
Dr. Anthony Yoon
I can't say specifically because I'm not her doctor, but do I think she's had more work done than she may have maybe saying, yes.
- [10:10]
Alex Clark
Tell us about Kris Jenner's facelift, because we do know that she had a facelift.
- [10:14]
Dr. Anthony Yoon
A lot of people harsh on the Kardashians and the Jenners. I, you know, I give them credit in that they have been very open. I think they have, too, with the fact that they've had work. There's so many celebrities out there who say, I just use olive oil. That's why I have a perfect complexion. That's why I've got a perfectly shaped jawline. No. And I. So I do credit her. So I think with Chris, there's a couple of factors here. You know, she has come out, and it looks amazing. Literally looks like one of her daughters. Okay, so obviously she's had a facelift. A lot of people are speculating it's a deep, plain facelift, but it's not.
- [10:47]
Alex Clark
It isn't.
- [10:47]
Dr. Anthony Yoon
No, it's not.
- [10:48]
Alex Clark
What is it?
- [10:49]
Dr. Anthony Yoon
There are two types of facelifts that we in general do. There's the traditional SMAS facelift, where essentially you make incisions around the ears, you lift the skin up separately from the fat and the muscle. So you lift the skin, you reposition the fat, and then you tighten up the muscle. And there's different ways to tighten that muscle up. And then you elevate the skin and cut the skin out and stitch it into place. That's a traditional SMAS facelift. SMAS is the name of the muscle. Okay. The deep plane facelift is where you make the incision, you elevate the skin, and then right about mid cheek level, you actually incise, you cut through the muscle and you go underneath that muscle and lift the skin. Fat and muscle all is one big piece. It's called the deep plane because it's a deep plane dissection. And so there are some doctors who like to do that technique. The argument is that you may have a longer lasting result and you may have a little less tension on your incision, so it may heal the scars better. But that's never been proven. Okay? Now, the thing with deep plane facelifts is that it's become a bit of a social media phenomenon. You know, she comes out, everybody's like, it's deep plane, deep plane, deep plane. Well, it's not because her surgeon, a lot of surgeons know him, say he does not do a deep plane facelift. He does a SMAS facelift.
- [12:01]
Alex Clark
What is that?
- [12:02]
Dr. Anthony Yoon
So that's the muscle tightening where you, you do it. And it's basically more the traditional way of doing it. And his mentor did what's called a smasectomy where you basically elevate the skin, you elevate a little bit of the muscle and you cut it out, then stitch it up higher. That's not a deep plane facelift. So it's just two different techniques. The surgeons who do one technique, like myself and I do the SMAS facelift because I think it's less risky and I think people heal faster from it. They will argue that their technique is better, and then the deep plain face of doctors will argue that theirs is better. The fact is, is doctors now are charging for a deep plane facelift 100, 150,000 plus sometimes.
- [12:38]
Alex Clark
I was going to ask you, there.
- [12:40]
Dr. Anthony Yoon
Is, I think, a dollar component here that's kind of driving some surgeons to do that because they think they can charge more.
- [12:46]
Alex Clark
How much do you think Kris Jenner's facelift cost?
- [12:49]
Dr. Anthony Yoon
They're talking. Well, now he's charging a lot more than he probably charged her, but I would say probably about $150,000, which is nothing to her.
- [12:56]
Alex Clark
But what I heard about Kris Jenner's facelift is that it looks super snatched and looked amazing for the Bezos wedding, but that it was going to fall and it's not going to look that snatched forever. It's going to like settle. Is that true?
- [13:07]
Dr. Anthony Yoon
So that was something that I put out there, actually. Oh, it was you possibly. Because that was. So I did post a video and, you know, some of it went viral and stuff. So this is what I think happened with her. Okay. She. She went ahead. She had a SMAS tightening facelift. Okay. From this doctor in New York. And she. I believe she's probably on a GLP1 agonist medication. I think she's lost a bit of weight. Like I mentioned before. I think that she has had very small amounts of filler injected. And so those are the three things I've told you so far. But there's a fourth component here that people haven't mentioned that I did bring up. She's in the sweet spot after a facelift surgery. So my guess is that she is about two to four months, probably not even four, more like probably two to three months post op. And when you do a lift, everything, you lift up this. The skin initially is tight. It's a little bit swollen. The wrinkles are smoothed out. But if, if you give it time, three, four, six months, things relax, skin stretches. Especially in somebody who I think she was. She's 69. I think that skin is going to relax and settle. And I bet you that you give it about six months from now, you'll start seeing that she looks a lot like the older Chris that we, you know, know and love and less like the version that we saw more recently.
- [14:22]
Alex Clark
Well, I was thinking, you know, there's no way this is her first ever facelift.
- [14:26]
Dr. Anthony Yoon
No, she actually, she's had them before. So she has had at least one before because she had actually done on the Kardashian show.
- [14:32]
Alex Clark
Okay.
- [14:32]
Dr. Anthony Yoon
Keeping up with the Kardashians. Yeah.
- [14:34]
Alex Clark
And so that obviously showed. I mean, she had wrinkles and everything even after that facelift. So if you get a facelift and you age.
- [14:42]
Dr. Anthony Yoon
Yeah.
- [14:42]
Alex Clark
There's still gonna be some signs of aging.
- [14:44]
Dr. Anthony Yoon
Yeah. So initially things will look tight. And like I said, you get in that sweet spot. And I see that with my patients too. You know, they're two months out, they go, oh my gosh, it looks so amazing. And I'll tell them, I said, know you've got some wrinkles here. Starting out, I go, initially they're going to disappear, but they're going to come back. Okay, because when you're tight and you're a bit swollen, they're going to disappear and you're going to tell me, Dr. Y, you're wrong. You made those wrinkles go away. You give it four to six months and they're going to come back.
- [15:07]
Alex Clark
So is there an age like past this age of facelift is basically worthless?
- [15:11]
Dr. Anthony Yoon
Not necessarily. I mean, you know, with her, she's still going to get a significant improvement over where she started. It's just she's not going to look like her like she does on these famous photos. And plus we know that they're all photoshopped and there's filters being used and all of that. But my guess is you're going to see, like I said, within the next six months she's going to look a bit more like the old Kris Jenner. And that's fine, you know, it's just the way it is. But right now I think she's in that sweet spot.
- [15:37]
Alex Clark
What do you think Melania Trump has had done?
- [15:40]
Dr. Anthony Yoon
I would say Melania Trump has had a lot of non invasive stuff. So she's obviously had laser treatments, chemical peels. I do think she's had a good amount of Botox. I think she's had very tasteful filler done, but not overdone.
- [15:52]
Alex Clark
Like where and what would that mean?
- [15:53]
Dr. Anthony Yoon
Typically it's in the cheeks, a touch in the lips, in her nasolabial folds potentially. I do think at some point she may have had a rhinoplasty. And other than that, the question really is has she had major cosmetic surgery done? I don't think so yet.
- [16:09]
Alex Clark
I mean, she looks, here's the thing, she does look very similar to her photos of herself. Young modeling days, I mean, so I agree she's doing some stuff, I definitely think Botox and things. But like major face surgery, I don't.
- [16:22]
Dr. Anthony Yoon
I don't think she's had a facelift or anything like that. I think that she is one of those people who is using every, everything at her disposal and she, you know, God bless her, she can do everything if she wants. There are so many non invasive and minimally invasive treatments available nowadays that show no sign of any, you know, issues afterwards. And, and if you do all of those, then yes, you can keep things relatively tight. Yes, you can. You know, if you look at her, she just hasn't overdone any of it. But it's a lot of things that she's doing, I think, to keep things up versus to change things completely around. So the only surgery, I think maybe, like I said, maybe a rhinoplasty way back when. But I don't think she's had anything really much else. She may have had a touch of an upper blepharoplasty, where, you know, a tiny bit of skin can be removed, but even that's arguable. You know, I don't see anything major in her face at all. That's not the case for some of the other people in the administration, where obviously it's obvious they've had some big, big things done.
- [17:16]
Alex Clark
Who's obvious? Who's obvious in the Trump administration? Dr. Yu.
- [17:20]
Dr. Anthony Yoon
Some of them you could just see, you know, I mean, you've got the Homeland Secretary that you obviously.
- [17:25]
Alex Clark
Oh, oh, Christy Noem.
- [17:26]
Dr. Anthony Yoon
Yeah. I mean, night and day.
- [17:28]
Alex Clark
But Christie, to me, just. She clear. She went. She got the hair extensions. I mean, I think she gets Botox filler.
- [17:36]
Dr. Anthony Yoon
Yeah.
- [17:37]
Alex Clark
But you think major surgeries.
- [17:38]
Dr. Anthony Yoon
She may have had a facelift.
- [17:40]
Alex Clark
Really?
- [17:40]
Dr. Anthony Yoon
Maybe. Yeah. It's not obvious.
- [17:42]
Alex Clark
Well, if anyone knows, you can let us know.
- [17:43]
Dr. Anthony Yoon
She's pretty. She's pretty tight. I haven't looked really, really closely at her. And a lot of these, you really do have to look closely, because a good, good plastic surgery is so good that you can only tell they've had it done when you see the scars or you find out how old they are. And you know that anybody who's in any Caucasian in their mid to late 50s who has a perfect jawline, usually that's not real.
- [18:05]
Alex Clark
In your opinion, is Hailey Bieber blessed, or did she buy what she has?
- [18:12]
Dr. Anthony Yoon
I am actually friends with Justin's mom.
- [18:14]
Alex Clark
Oh, great.
- [18:15]
Dr. Anthony Yoon
And so I. I try not to comment on him or Haley, honestly.
- [18:19]
Alex Clark
Nice of you.
- [18:20]
Dr. Anthony Yoon
Yeah. Just because we're friends. And the last thing I want is for her to text me, like, tony, what are you talking about? So I. I honestly have not really studied her face because I've had tabloids reach out to me. I've had people ask me, what do you think about Hailey B. And I.
- [18:34]
Alex Clark
You're trying to be, like, honest and stay away. Cause you're friends with Patty.
- [18:37]
Dr. Anthony Yoon
Yes, because I know Patty. Very sweet gal. And she actually grew up not that far from me, and we have some common friends.
- [18:45]
Alex Clark
Are you from Canada?
- [18:46]
Dr. Anthony Yoon
No, no, I'm from. So I'm near Detroit, and she's from Stratford. Stratford. Which is like an hour away. And so I met her because we have some common friends, and she's always been very kind, and every once in a while we text each other and Stu, I can't go out there saying stuff about her daughter in law.
- [19:02]
Alex Clark
Yeah, you can't. I totally don't blame you. Okay, see, I didn't know that. Now, okay, what about Miley Cyrus? Do you think Miley Cyrus has had buccal fat removal or is she just aging?
- [19:14]
Dr. Anthony Yoon
I think she's just aging. I mean, she is so lean that I can't imagine that she'd had the buccal fat. You know, we know that Chrissy Teigen, she has admitted to having it done.
- [19:24]
Alex Clark
Not enough.
- [19:25]
Dr. Anthony Yoon
I think she's actually kind well, but she's had filler in his chipmunks. I know Chrissy too, so I can't say too much about it. She's actually okay if I talked about her because she had a brow lift recently. But anyways, so I think Miley, she's so lean that I don't think she hardly has any buccal fat anyway. You know, I mean, I've not had a buccal fat removal, but I have very little buccal fat here just because I've got a pretty lean face. And so these operations, yes, they have been done in the past and people who've had relatively thin faces and it makes them look even more like kind of skeletal. But no surgeon, their right mind would do that on somebody who's as lean as her. I mean, it would be a bad, bad idea. Chrissy's a different story because Chrissy starts out with more of a rounder face. And people with rounder face, sometimes they want to create some natural contouring. And so a buccal fat removal in those patients can actually be beneficial. You know, if you see your mom or your dad as they get older and they're getting kind of jowly and they get heavy in this area, then a buccal fat removal can actually be a beneficial operation for them.
- [20:28]
Alex Clark
Interesting.
- [20:28]
Dr. Anthony Yoon
Okay, so I do do it on people who are have a quote unquote bottom heavy face or a quote unquote chubby face. We actually wrote an article in one of our big journals many years ago about facial reshaping and we kind of classify different facial shapes and that a buccal fat removal is actually a reasonable operation for those. Those facial shapes.
- [20:46]
Alex Clark
What do I have?
- [20:48]
Dr. Anthony Yoon
You don't have either of those. Yeah, I mean, you actually have more.
- [20:51]
Alex Clark
Of some kind of weird alien in between thing.
- [20:53]
Dr. Anthony Yoon
No, you have actually, you have more of a. So you know what, describe it and you may be too young for this. It's the difference between a Marianne From Gilligan's island face and a ginger from Gilligan's Island's face.
- [21:04]
Alex Clark
Dang it. No. I don't know what any of them look like on the top of my head.
- [21:07]
Dr. Anthony Yoon
Okay, so Marianne had a very round, more of a rounder, like face that's kind of fuller and is more the girl next door. And Ginger, and this is obviously a very old show, had more of a glamorous, contoured, longer, thinner face. And they age very differently. Okay.
- [21:23]
Alex Clark
And so we have to see where I go.
- [21:25]
Dr. Anthony Yoon
So you have a face that's going to be more like the Marianne face, where you're going to retain volume in your cheeks, and that's going to keep you looking younger. You know, you probably find people who ask you. You probably go and get carded when you go to, you know, go to the restaurant or something like that.
- [21:38]
Alex Clark
That's true.
- [21:39]
Dr. Anthony Yoon
Even at your age.
- [21:39]
Alex Clark
Every time I get my nails done, you know, I. They're like, why aren't you in school? Yeah. I'm like, okay, as long as someone's saying that to me, I feel good.
- [21:47]
Dr. Anthony Yoon
And that's because you of your facial shape, you know, that's really doing that. For me, it's the opposite. I have more of a longer, thinner face. And because I' Asian, you know, Asian don't raisin. And so people think I'm younger, but my facial shape is going to age me, definitely.
- [22:00]
Alex Clark
Okay, so can I ask what you do? Like, you're a plastic surgeon. Are there certain treatments that you're like, oh, I'm always getting this. This is like what I would always do or like, I would never touch.
- [22:10]
Dr. Anthony Yoon
This first thing is always going to be skincare. And as you know, I've got my own skincare line. So, you know, you always want to look at certain actives. And we usually recommend for people, definitely use a retinol. If you can't tolerate, then I usually recommend peptides and bakuchiol. And so for me, I have very sensitive skin. I have a peptide makuchi moisturizer that I use every night in the evening, and then in the morning, I use a vitamin C serum. Okay. So products are key as far as treatments. The treatments that I do, I do ipl, intense pulse light. And so it's like a laser, and it targets brown spots. Very efficient if you're talking about cost, because there's no downtime to it. And most, you know, med spas have it. It's usually a pretty safe procedure to do and not real painful or anything like that.
- [22:53]
Alex Clark
Have you been on Arielle Laurie's podcast?
- [22:56]
Dr. Anthony Yoon
Oh, no, I know Arielle very well.
- [22:57]
Alex Clark
One thing that she does that I think is so interesting is she talks about how she does vitamin C at night.
- [23:03]
Dr. Anthony Yoon
Interesting. I didn't know.
- [23:04]
Alex Clark
You didn't know this?
- [23:05]
Dr. Anthony Yoon
No.
- [23:05]
Alex Clark
Okay. She said I just saw her like.
- [23:06]
Dr. Anthony Yoon
A month ago too.
- [23:08]
Alex Clark
Yeah. Okay. Next time you see her, be like, are you doing vitamin C at night? Why are you doing that? Because I thought that that was fascinating.
- [23:14]
Dr. Anthony Yoon
So vitamin C, number of things. Number one, it's an antioxidant. So antioxidants fight oxidation and free radicals. That's one of the main causes of aging. And, and you can get free radicals from ultra processed food, from pollution, from cigarette smoke, automobile exhaust, all that type of stuff. And so you ideally do want to apply it in the morning because it will help to protect your skin throughout the day. But the other benefit of vitamin C is it is a co factor in the production of collagen. And one of the other main agers of our skin is a breakdown of collagen. And so you need vitamin C. We know that from, you know, high school biology with scurvy, where these pirates would go sailing off, you know, and they have all these fresh fruits and vegetables. When they go sailing off now they're stuck in the middle of the Pacific or the Atlantic. Months go by, they have no fruits and vegetables, they're getting sores inside their mouth. Some people actually die from it because they, their collagen is actually breaking down inside and outside their body because they didn't have any vitamin C, because vitamin C is only in fresh fruits and vegetables. So it's that combination of in the morning you can apply it as an antioxidant. But yeah, I mean, if you do apply it at night, the antioxidant effect, you know, it's not all that beneficial, but you still have the fact that it is necessary for the production of collagen. So it's also a brightener of the skin. So you can get some benefits for it. My recommendation, you know, if you're Ariel Laurie and probably the cost of the product isn't as huge of a deal for her as maybe some people who are listening to this show where they say, look, I really want to, I want to spend my money very wisely and I don't want to waste my product, then I would say just use it in the morning and use an active, like a retinol, like a Bakuchiol or peptides at night. Then you're actually going to be making the best use of your dollars.
- [24:57]
Alex Clark
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- [27:32]
Dr. Anthony Yoon
So right now there are some devices. So the original one was like called the New Face, where it is electrical stuff, stimulation of your facial muscles. And there's a handheld device, and you may have seen videos like on TikTok where people do it on one side of the face and then that side of the face is all elevated and the other side is not. And so then they try to do it on the other side to show it that type of electrical stimulation. You know, those devices aren't that expensive. They're a few hundred dollars. And if you want to do it, you may get a temporary benefit out of it. But now there are companies who are making devices like that for the whole body. And we actually had one at one point where basically uses electrical stimulation to stimulate your muscles to contract 20,000 times in, let's say a half hour session. And the idea is that you can build up muscle, get a better six pack, get a lifted butt. Now they're even doing it on the face to try to lift the face. And you know, we had one of those for a while. It's still really popular. I ended up selling it on ebay, I think I bought the device for 120 grand and I sold it for less than $10,000 on eBay a few months ago just because I couldn't. I'm like, I'm not going to have my patients, patients do this if they're not going to benefit from it.
- [28:37]
Alex Clark
Why that big of a loss?
- [28:39]
Dr. Anthony Yoon
Because these devices, they sell us at this huge amount and it's like a nice car that you drive out of the lot. Like, once you get in your office, the resale value plummets. Oh, my God. And so, yeah, I sold it on ebay. It was like less than $10,000.
- [28:53]
Alex Clark
Oh, that hurts my soul. Speaking of facelifts, neck lifts, is your 30s a good time to start to do a mini procedure?
- [29:03]
Dr. Anthony Yoon
Many procedures, to an extent, are good. Many facelifts are a different story. And the main reason why is, as I mentioned to you before, when we do a facelift, we make incisions in front of and behind the ears. We lift the skin up and pull the skin back and cut skin out. But anytime you cut out skin, you are creating scars. Those scars are permanent. They never disappear. And, you know, it irritates me because I see surgeons who go online and they say, oh, well, my scars, look, look Great. You know, it's because I'm such a good surgeon. And the fact is that's BS because what I do in, let's say a three hour operation pales in comparison to what your body does to heal a scar 24 hours a day for seven days a week, for 365 days in the year. And it can take up to two years to heal a scar. And during that entire time, your body is creating collagen, it's breaking down collagen, it's creating this scar. And what we do in a small operation has very little impact on it. So we can control whether we have little track marks from scars. You know, by leaving sutures in too long. We can control if the scar is jagged, but we can't necessarily control if it gets thick, even if you get a keloid, which is an extra thick scar that's grown outside the normal boundaries of it. And so any type of a procedure that you do surgically, you're going to have some type of scar with. And that's what you have to make sure it's worthwhile. And so when you're talking about, let's say, doing a mini lift and yes, I do think some, some of these popular celebrities that people are talking about, like, wow, their face is so tight. And I think they've had lifts done.
- [30:30]
Alex Clark
Well, Anne Hathaway is one of those people that's rumored that she just did a mini facelift.
- [30:35]
Dr. Anthony Yoon
Yeah. So I think that the celebrities are doing that, but at the expense of those scars. And if you really want to know whether she's had something like that done, what you want to do is, is watch it, watch her next movie on hdtv and when they do a close up look around the ears and see if you see that scar. You know, a lot of celebrities now, you see them on the, on the red carpet or I've even seen like at award shows and they zoom in on them and you can see, okay.
- [31:00]
Alex Clark
Now there's, who's one of those people where it was obviously noticeable.
- [31:04]
Dr. Anthony Yoon
Some of the guys are really noticeable because what happens is, is that they have a scar coming right in front of the ear. And the skin of the ear here is very different than the skin of their cheek. And so they move that skin over and you've got this line between the skin of, of the cheek and the skin of what we call the tragus is covering of the ear. And so there are celebrities like Michael Douglas where it's pretty obvious when you see it, but a lot of celebrities are very, very smart. You know, if you look at Madonna and if you look at her Instagram, okay, and you look, try to find a photo, you're not going to find it of this part of her ears where we would normally see a scar. There's always a strand of hair covering each side. You will find almost no pictures that. And if there are, they've probably been shot. These are not ones that are like, you know, even videos, you see videos of her, there's almost always hair coming right in front of where those scars would be.
- [31:54]
Alex Clark
I know people thought that Angelina Jolie went away during the pandemic. She used that to her advantage to go get a facelift. Was there like a massive celebrity influx of like, hey, this is the time to get our facelifts now?
- [32:04]
Dr. Anthony Yoon
Yeah. But the problem is, is there's also a lot of fear there because of, you know, having surgery. And, you know, I mean, Covid is a whole other deal, but there is a lot more people getting blood clots at that time. I know there's people talking about the vaccine, people talking about COVID I mean, just the. Of COVID We know that people had a higher risk of blood clots. And so even with. With that time, I had a patient of mine where this was this one of the scariest things I've ever seen in my practice. I had a patient, perfectly healthy, came in to see me for a tummy tuck. And she is in her early 40s. And we brought her in for surgery. And right when we induced anesthesia, meaning that we put her to sleep, all of a sudden her blood oxygen levels plummeted and she had had bilateral both sides pulmonary emboli. She had huge clots on both sides and had compensated for it for probably several weeks, not telling us she had anything. And once we put her under anesthesia and her lungs and her heart were getting a bit of a hit from that, you know, a challenge from it. Everything crashed. And it was nuts because I remember at the time I was doing it at the hospital and we called the ICU to move her to the ICU because we were barely essentially keeping her alive. And the ICU was full. So they're like, we can't take her.
- [33:17]
Alex Clark
Oh, my God.
- [33:17]
Dr. Anthony Yoon
So we're here in the operating room and they're like, we can't take her. We don't have anybody. So can you send like a intensivist to come see her? And they're like, we don't have anybody. They're all, you know, doing codes on people who are Dying right now, like, it was crazy.
- [33:29]
Alex Clark
What do you think caused that for her? The vaccine itself or just having Covid?
- [33:33]
Dr. Anthony Yoon
Having Covid.
- [33:33]
Alex Clark
Really?
- [33:34]
Dr. Anthony Yoon
Yeah, yeah. I mean, that we know that that is a condition that increases the, you know, the risk of blood clots. And does a vaccine have something to do with it? Possibly. But we know that people who have Covid. That's a well known fact. Wow. Luckily, we're past a lot of that, so we're not seeing that anymore. But, yeah, that was crazy time.
- [33:52]
Alex Clark
Yeah.
- [33:52]
Dr. Anthony Yoon
And she. Thank God she did fine. Like, she came out of it and she was fine. And I told her, I'm like, look, I'm not gonna operate on you. And she's like, please, please do my tummy tuck. And I was like, no, I'm just not gonna do it.
- [34:04]
Alex Clark
That's good. Yeah. Probably saved her life.
- [34:06]
Dr. Anthony Yoon
She probably went to somebody else and had it done afterwards, but.
- [34:09]
Alex Clark
So if you do this mini facelift in your 30s or early 40s, are you almost for sure going to need to then do a full facelift later? Or can you maybe just get away with that?
- [34:17]
Dr. Anthony Yoon
So the results of the facelift study show lasts about seven and a half to 15 years. And how long it lasts depends on the technique. It depends on the quality of your skin and how well you take care of your skin and then the age that you have it done at. So if you do it younger, the fact is those results are going to last longer because the quality of your skin is better. But that being said, you don't want to do it so young that you're dealing with scars that you may not really need, you know, because I do get people who come in to see me, and they're 40, 42, they have a little bit of looseness here, like, well, I just want to do it now. Let's do it prophylactically. Well, what are we. We're trading looseness for scars. And the way I describe to patients is you want to look at the benefits and the drawbacks. And when you're young and your skin's pretty tight, the benefits are pretty low. But the drawbacks are here. Okay. Because you get those scars. And as you get older, those benefits gradually increase because you look worse, more aged. And at some point it goes above where the drawbacks are. And usually that's what I recommend is a good time to do it.
- [35:16]
Alex Clark
Are you seeing an increase in women asking for breast explant surgery?
- [35:20]
Dr. Anthony Yoon
Yes. So many years ago. So I trained as a traditional plastic surgeon, and for a long time I Believe the dogma that breast implants don't make people sick. You know, I was always told throughout my training and everything, oh, well, the science has shown that, you know, we had this moratorium on silicone implants, and moratorium was lifted in November of 2006. We were able to use them again. And that was proof that these implants are safe and that all of this stuff of women saying they make them sick, it's all BS the studies disprove that. And as a dutiful plastic surgeon who believed what my mentors and the doctors were telling me and what I heard in conferences, I believe that that was true. But did I actually look at the studies? Not necessarily. This is what I was told. You can't read every study, you know, and so I went through that in my practice for a while, and I started having some patients who started having issues, and I started talking to them. And then I had this issue with my patient who. That I told you earlier about who died. And it made me really rethink everything. So I started. I started. I stopped looking at the plastic surgery studies, and I started looking at studies outside of plastic surgery, studies done by rheumatologists, by internists. And I started seeing that there were these connections being made between silicone breast implants, and people were having these constellation of symptoms ranging from fatigue to brain fog to thinning hair to unexplained rashes and all this stuff. And after looking at that and reading their accounts and. And seeing some of my patients get better when I took their implants out, I realized that I was wrong and that the dogma was wrong, and that these studies that have been performed up till that time were performed by plastic surgeons who are making some of them hundreds of thousands of dollars from these implants and from doing these studies and stuff. And so I was one of the first ones, plastic surgeons to go public on social media saying that I believe breast implant illness is real. And the backlash was pretty swift.
- [37:18]
Alex Clark
Who was giving you backlash?
- [37:19]
Dr. Anthony Yoon
It was basically other surgeons. So I was rising in the ranks of one of our big plastic surgery societies, like, oh, here's a hotshot young surgeon. He's doing a lot of tv. He's got a big following. And so I was rising amongst the ranks. And then I decided to go public with breast implant illness and my belief with it. And then all of a sudden, all of my committee assignments were stripped for me, and I was Persona non grata. I was literally on the cusp of being a board member of one of our Big societies. And then the next thing I know, the next year I was off of everything.
- [37:50]
Alex Clark
And did you know in your heart like it was talking about breast implant illness?
- [37:54]
Dr. Anthony Yoon
I. So I asked some people what their opinions were and they said, look, these things are not random was my, was what they have told me. So I've not had somebody ever tell me specifically I was at a meeting where they said, let's get rid of him. But I have been at meetings where people who are in charge of the societies say, hey look, I don't like this person, let's get them off of all the committees. I've seen that before and I assume that that probably happened to me. Now this was many years ago. Now there have been a lot more plastic surgeons who have come forward. Even the societies now are being more open. They're doing a lot more studies on looking at breast implant illness. So yes, I do a lot of explants, but I'm also, I also do a lot of implants too. You know, I don't think that, you know, I think that there are these extremes where there are some plastic surgeons who say breast implant analysis is all in women's heads. It's a very, you know, old fashioned and dogma filled way of looking at it. And so I know some patients of mine actually had a patient of mine who had, I did implants on many, many years ago and she saw older plastic surgeon while she was there with her husband because he was getting like a hair transplant or something. And she said, you know, Dr. Yoon did my implants many years ago. I'm having these symptoms. Do you think maybe I have breast implant illness? And the surgeon said, you gotta go see a psychiatrist.
- [39:07]
Alex Clark
Oh my God.
- [39:07]
Dr. Anthony Yoon
That was his reaction. Just like, you gotta see a psychiatrist. And so she came and told me that, you know, after that. So there's that group of people who believe that. But on the flip side there are also, you know, breast implant illness advocates who believe all implants are toxic and it's just a matter of time. It's a ticking time bomb inside your body.
- [39:26]
Alex Clark
It's just, it's totally individual, I feel.
- [39:29]
Dr. Anthony Yoon
So we don't know what causes it. I believe it's real. Studies show that if you have implants and you have a lot of these symptoms that I'm talking about if you don't have a defined diagnosis of lupus or rheumatoid arthritis or something sort of autoimmune. Yeah, if you don't have that diagnosis, but you have all these symptoms and they're in the vicinity of, you know, a couple years of having implants, then there's anywhere from about an 85 to 99% chance that if you have your implants removed that those symptoms will significantly improve.
- [39:57]
Alex Clark
Do you tell your patients or do you walk your patients who are interested in getting breast implants through any testing to see if they do have autoimmune.
- [40:04]
Dr. Anthony Yoon
Before doing no testing? That's the problem for us to find out whether implants may be an issue. So I always talk to them about it. There are three conditions that may increase your risk of it, and those are having autoimmune disease, already having a history of severe allergies, and for some reason, irritable bowel ibs. You know, if you've got those three conditions or some small studies that show that you may be at higher risk of your implants making you sick.
- [40:28]
Alex Clark
Interesting about IBS for that.
- [40:30]
Dr. Anthony Yoon
Yeah, I don't know. But that was what a small study showed. So those three things. And so I believe it's real. I don't think that it happens to everybody. We don't have any percentages, unfortunately. I was actually in a webinar just last week, and that was one of the questions I brought up, and it was all about bii is, does anybody have an answer? When our patients ask us, what are the chances of me getting sick from my implants? And nobody had an answer. We just don't have those statistics. And that's what we really need.
- [40:57]
Alex Clark
What are ballerina boobs? And are you seeing a bunch of celebrities asking for ballerina boobs instead of these massive implants?
- [41:05]
Dr. Anthony Yoon
Ballerina boobs reminds me of Barbie talks where you get these ideas. So plastic surgeons are all. And you know, a lot of plastic surgeons are really into marketing, and so they create these cutesy names. And some of this is media too, you know, creating these cutesy names for procedures they do as a way to market them. So the idea behind ballerina boobs is that implants that are being used nowadays may be on the smaller side. Okay. Even that, I think, isn't necessarily true. I think it's more of a news item that surgeons can try to get their name out in articles and stuff like that. And so, yeah, so ballerina boobs there was Barbie talks. You may remember that not that long ago. Some doctors now, because menopause is like, big in the news and stuff, they call it, they're doing menopause makeovers, which is what really. It's whatever combination of procedures on a woman over the age of 40 that they want to call a menopause makeover.
- [42:00]
Alex Clark
It's just marketing.
- [42:01]
Dr. Anthony Yoon
It is. That's all it is.
- [42:02]
Alex Clark
It's all procedures that have always been done. It's just a new name. Marketing.
- [42:04]
Dr. Anthony Yoon
It's just marketing. And so this whole Barbie boobs thing, I mean, so I still do a lot of breast implants. Obviously I educate my patients on it and make sure that they understand the potential risks. Have the sizes gone down in recent years? I don't know, because my patients in general are looking for a natural result. And there's some patients that still want to go fairly big. I mean, Kylie Jenner was very open recently that she has 445cc implants. They're moderate profile silicone. Those are big implants on a tiny frame. But then you've got Alex Earle who's come out and said that she's got like 250s or something which are quite small. But people are happy with both of them. So I don't know that there's truly this big trend towards smaller implants versus I think surgeons who, they get calls from media organizations say, hey, are you seeing this trend towards smaller implants? And of course they're gonna say yes.
- [42:54]
Alex Clark
There's been a lot of talk about Kylie Jenner and the different procedures she's had done and how she looks and a lot of criticisms about how she looks and that she looks way older than her age. As a plastic surgeon, do you think Kylie Jenner looks a lot older than her age?
- [43:09]
Dr. Anthony Yoon
I actually think that that criticism is not founded, but I do think that that criticism is founded is, is correct for a lot of other people.
- [43:16]
Alex Clark
Okay.
- [43:17]
Dr. Anthony Yoon
Because you know that there are celebrities. So I think what it is is that you have people who are literally in their 50s and 60s. They're like real housewives. Okay. And their faces are pillow faces, they have way too much filler. The lips are real plump, the cheeks are real plump. And you know looking at them that they're a 60 year old woman who's trying to look 25. Okay, well, what's going on now is that you have 25 year olds who are doing the same thing with their face. They're over plumping it. You just watch Love island and you see a lot of that. O. Okay. And so now what's going on is they're doing the same types of procedures, but their face is a 25 year old face. Now they are then looking like they're a 60 year old person trying to look like they're 25 because they're doing those same things. And I think that's what we're seeing, we are actually seeing in my practice and I think we're seeing probably around the country. There has been a lot of talk about filler. And you know, we were always taught in the studies and everything that filler lasts anywhere from six months up to a year. Some fillers that are a bit thicker may last up to two years. And the reality is, is that some fillers are lasting a lot longer than that. And that's something that we're, we're realizing. And that fact in and of itself. And now social media videos, people saying, I've seen these videos where they're like, you get filler put in your lips and it's going to migrate up to your forehead and to your cheeks. And like, that's just not true. Yes, it can migrate, but it's not going to migrate from one part of the body to a whole other part of the. There's a lot of tissue it has to go through. Like, it's not like some parasite that's going to move underneath your tissues and go up to different parts of your body. But that being said, filler can migrate a little bit, you know, a few millimeters. That's definitely possible. Especially if it's around muscles and those muscles are actively moving all the time, then yeah, I can technically move filler a little bit. And we know that filler can actually increase in size. Certain types of fillers are very hydrophilic, meaning that they absorb water and moisture. And with time they can actually increase in size.
- [45:07]
Alex Clark
Whoa.
- [45:07]
Dr. Anthony Yoon
And then. And depending on where you put filler, filler sometimes can just last a lot longer than we ever thought.
- [45:13]
Alex Clark
What about these chin fat treatments like Kybella? Do you think that those are totally okay to do or are the long term risks too high?
- [45:25]
Dr. Anthony Yoon
So Kybella is made of deoxycholic acid, and this is a naturally occurring substance in our GI tract that basically dissolves fat. And Kybell is based off of an old, old idea called mesotherapy. And this has been around for probably 50 years or longer. It started actually out, I think, in France, where they would inject various caustic substances into the fatty layer underneath the skin. And those substances were so caustic that they would actually dissolve fat. The problem with those treatments, and those were very popular probably about 20 years ago, 15 to 20 years ago, there were doctors who were doing this mesotherapy, which are fat melting injections. But the main issue with that treatment was it was there was no standardization to It. So it was any doctor would create their own witch's brew concoction of caustic stuff, stick it in a needle and inject it into people's bodies. And, you know, there was a period of time where a lot of doctors were doing this, and there weren't usually plastic surgeons. There were like internists and ER docs and people who are masquerading as plastic surgeons. And it's a way for them to, hey, we got fat melting injections. Like. Like, who doesn't want to melt fat without going under the knife? You know? And so this idea was this company, Allergan, which they make Botox. They said, okay, there is some truth to it. Like, some of the stuff that they inject does melt fat, but also other stuff that they inject can create sinus tracts, can create inflammation and infection and all this stuff. So why don't we just isolate it to the one thing we know melts fat, we purify it, and then we test that to see if that will work. And that's where Kybella came from. And so Kybella is deoxycholic acid. It's FDA approved. You can inject it. It's FDA approved for injection into the submentum, which is the double chin fat. And it does work. Like, I've done it on hundreds of patients probably, where we inject it into that double chin fat. It gets inflamed, you get swollen and get kind of red. It gets numb for a while, and gradually that fat, some of that fat dissolves. The problem with that treatment, number one, you can get a lot of swelling and stuff from it. Okay? And you have to do it at least two to four times to get rid of enough fat that you're usually happy with it. So it's not just a one and done deal. So you have to undergo the multiple treatments of swelling and then waiting for it to come down, then do it again, swelling. So it's pretty onerous. And then the second thing, and that's come up more recently, is that that it is an inflammatory procedure. You are creating scar tissue in that area. And you may not see the scar tissue if it's done well. But if you go in, let's say later on, and you have a facelift done, that could make a surgery like that more difficult to perform. And so that's one reason why some doctors are really not happy about it. But the other thing you have to consider is when somebody, let's say poo poos Kybella, they say, hey, I don't like, it. Is it because they like to do liposuction? You know, because they make more money off of liposuction. So I will do Kybella. I don't do a lot of it. I'll do it here and there just for the right patient. Would I make more money doing lipo on that patient? Yeah, I would. But there are certain patients who I believe may do better with the Kybella than with the lipo. Maybe they've got some loose skin and they just want a tiny change there. And then some of them. I will do Kybella. And they've typically all done pretty darn well.
- [48:33]
Alex Clark
Questions for you about Botox. I feel like we're starting to see a lot more conversation about Botox poisoning. Do you know anything about the statistics of how many women are likely to develop Botox poisoning?
- [48:46]
Dr. Anthony Yoon
So this is an interesting topic because Botox is the number one cosmetic treatment in the history of the world. Just in the United states. There's over 5 million people get it done every year. And I had a friend of mine a few years ago who was a naturopathic doctor, and she called me and she said, look, I had Botox, and I'm having these weird neurologic issues. You know, have you ever heard of this before? And. And I had not. And so I did some research on it. I talked to a number of dermatologists. Some of them have been around for a really long time, and there really was very little to no data. There are a few Facebook groups, but it's nothing like, let's say, breast implant illness, where you're talking like, tens of thousands of women on these Facebook groups telling all their stories. I fully believe that in bio individuality and that there are certain conditions, and I think this is why breast implant illness is so difficult, is that there are certain conditions that may kind of fit all together in the perfect storm to cause a certain person to have a reaction to a treatment or an implant or a Botox or whatever that maybe the average person just wouldn't get. So I would never say that that can't happen. Our friend Ariel, okay, we talked about her ears are going to be burning. She's been very upfront that Botox. She's had some issues with it.
- [49:56]
Alex Clark
Horrible experience.
- [49:56]
Dr. Anthony Yoon
She actually called me. She was DMing me when that was all happening. She's like, have you ever heard of this? You know, and we were going back and forth about it. I think it's very, very rare. You know, there are very few people. Because it is temporary. You know, I Tell you, in my office, it's the number one cosmetic treatment that we've ever done. We have probably, in my Office, treated over 10,000 people with Botox, and I've not had a single patient ever come back and tell me that they've had those types of issues. Sometimes they're like, oh, yeah, I get a headache, you know, afterwards, or I had it done, I didn't feel right. But it was never like a debilitating type of a reaction that didn't go away. Typically, the worst thing they get, typically, is a headache. Physically, what I've seen the worst is a droopy eyelid when it. When it accidentally migrates down to where the eyelid retractors are, essentially.
- [50:44]
Alex Clark
And then how do you get rid of that? You just wait for it to go away?
- [50:47]
Dr. Anthony Yoon
Yeah, you can do drops. Some drops will actually help to open it up a little bit, and then you wait for it to go away. But at the same time, like, you know, Arielle's very intelligent person. I would never tell her that her experience is intelligent, a correct one, but I do think there are probably some people who are just hypersensitive and just don't do well with it, you know?
- [51:03]
Alex Clark
So here. Here's what's interesting. So her story. She had been getting it forever, you know, no issues. And then one day she had an issue. Right. I also. I started getting Botox in my mid-20s, and I'm 32 now. And the last time I got Botox, which was, I don't know, two years ago or something now I had flu symptoms for an entire week. Major fever, chills, all that. My hair started falling out. And then I found out a couple months later I had autoimmune. Now, what I. I feel like similar to Ariel, it seems like we've been doing it or whatever, and I just feel like our toxin load bucket was filling, and then all of a sudden, it was like our body just couldn't handle it anymore. I mean, what do you think about that?
- [51:46]
Dr. Anthony Yoon
I mean, I think that there's a lot that we just don't understand. And I do believe in toxic load. I think that that's something that's not talked about with traditional medicine enough. And, yeah, I mean, you combine that with hormones, you combine that with, you know, some environmental types of factors, you know, potentially stress at that time of your life and things, you know, you just. You just don't know. I mean, the. The human body is a beautiful, complicated, unexplained thing. And I think that in these situations, we have to give grace to people and believe their stories. And I think that was what bothered me so much with breast implant illness is so many people just, just would poo poo these symptoms, say oh, you know, it's in their head and all this stuff. And I think we are now realizing, and I think with functional medicine and with a lot more alternative and holistic medicine becoming more in the forefront, people are realizing that, you know what, just because the studies show that, that this in general should not be a risk doesn't mean that that may not impact you in a different way. You know, right. When we're really good at physicians and healthcare, we're really good at analyzing the whole population and saying, okay, there's a, this percent risk of this complication, this percent risk of that. But there are outliers in everything and, and it's okay that there will be because I do think we, you know, once again we have this bio individuality. And you know, just because you may not have a reaction to something doesn't mean that I won't.
- [53:04]
Alex Clark
Right, exactly right.
- [53:05]
Dr. Anthony Yoon
And there is this unknown factor. You know, some of it is probably in our head, okay, but some of it too could be in our physiology that we just don't understand.
- [53:15]
Alex Clark
Have you ever totally wiped out on the pavement mitten scraped half your face off? I did this. I think I was 4 or 5 years old. Knocked one of my main front teeth out and I just had to be toothless for like five extra years. Soup was an experience. If this happens to you or your kid, you should know about active skin repair. Active skin repair is a clean, non toxic skin solution that works with your body, not against it. It uses hypochlorous acid, the same molecule that your immune system naturally produces to cleanse wounds, reduce inflammation and speed up heal healing. You can use it on scrapes, sunburns, cuts, rashes, kitchen burns, even acne or eczema. Anything that needs help calming down and healing fast. No greasy mess, no stinging. And it's safe for every skin type, all ages, from toddlers to grandparents, even your pets. With over half a million happy customers and thousands of five star reviews, Active skin repair is like having a first aid kit in one simple spray. Just ask the cute servitors Facebook group about their experiences with active skin repair. People go ham over this stuff. Go to ActiveSkinRepair.com to learn more and use code ALEX for 20 off. Off. That's ActiveSkinRepair.com code ALEX for 20 off. If you're not doing red light Therapy yet. What are you doing? I'm serious. Your cells are literally starving for this. Listen, I'm starving. Help. Help. I'm starving. We spend our lives drowning in junk light, LED screens, fluorescent lighting, zero sunlight. And then we wonder why we're inflamed, exhausted, aging like avocados and can't sleep. It's because your mitochondria are so suffocating. That is why I use juve red light every single day, morning and night. 10 minutes I stand in front of it like I'm charging my soul. Because that's basically what's happening. This is clinically proven medical grade red and near infrared light that goes deep into your tissues to boost cellular energy, reduce inflammation, improve your skin, speed recovery, balance hormones, and yes, even enhance sleep. Juve is the gold standard of red lights. Real medical grade panels independently tested for safety with clinically validated wavelengths in the right dosage, not just some trendy knockoff glow going red on Instagram. This is the foundation of health. If you want energy, if you want better skin, deeper sleep, less pain, start with your cells. Go to Joovv.com Alex that's J-O-O-V-V.com Alex to get an exclusive discount that automatically appears in checkout. That's Joovv J-O-O-V-V.com Alex go plug your body into something that actually works with options from handheld to full body. Joovv is flexible, quality, focused and rigorously engineered. Go to joovv.com Alex is preventative Botox in your 20s even a real thing? Or is that another marketing gimmick?
- [55:55]
Dr. Anthony Yoon
I think that's a marketing gimmick.
- [55:57]
Alex Clark
I was duped. But let me tell you something though.
- [55:59]
Dr. Anthony Yoon
Dr. Yuvan is.
- [56:00]
Alex Clark
And despite what happened to me, I've maintained this and this really pisses people off. But I'm like, I'm just telling you what I'm seeing with my own eye. I started getting it just a little bit here and there, only a couple units mid, mid to late 20s. And I. And now, even though I haven't gotten in in a couple years, I still feel like, compared to other girls that, like, I graduated high school with same age group, people I know, same age. I feel like I look a little bit younger than them now. That has a lot of different factors, I'm sure my diet, different things, you know, that I'm doing skincare, whatever. All of those things contribute for sure. But all I'm saying is, I just wonder, even if preventative Botox isn't Real. I mean, I wasn't able to relax. And I'm the most. I mean, you're sitting here. I'm the most expressive puppet of a person ever. So it's like my face is always contorting all these ways, and I feel like maybe did it prevent me from making wrinkles?
- [56:52]
Dr. Anthony Yoon
But your face is very, you know, dynamic. But you're not making those facial expressions that are creating wrinkles.
- [56:59]
Alex Clark
I know, but as you are talking.
- [57:01]
Dr. Anthony Yoon
To me, I'm not seeing those being created because I don't think.
- [57:03]
Alex Clark
I think I'm trained to. Not because I started getting Botox earlier. You can tell me you're nuts. Alex isn't your.
- [57:08]
Dr. Anthony Yoon
No, no, I think there's truth to that. I mean, that's the whole thing. Back to Arielle, our friend Arielle again. You know, she's taping her face, okay? And there's no evidence, and it doesn't make any sense that putting tape on your face physically is going to get rid of wrinkles. But what it can do is it can train your body, your. Your muscles maybe not to create that.
- [57:26]
Alex Clark
That's what I think happened there.
- [57:28]
Dr. Anthony Yoon
There was. There is this urban legend, I don't know if it's true, that Elvis Presley, way back long ago, forbade Priscilla Presley to elevate her eyebrows so she wouldn't get wrinkles of her forehead. Now, terrible thing. Okay, that's crazy. But there's some truth to that, you know, and it's the same idea of facial taping that. I think that's why that works for some people now. You know, at the same time, you also then have to look at people who don't necessarily do that and how are they aging? And a good example of that is Jim Carrey. You know, I mean, he hasn't been in the news a lot. That guy's got a rubber face. It's all over, and he's looking pretty rough nowadays. Those lines are pretty deep set now. He's not a young guy anymore, but I do think that, you know, it's kind of like the. What our, you know, mothers, grandmothers always said to us. You know, you make that face, it's going to stay that way. You create those lines. And, yes, they're going to keep. They're going to come back more and more.
- [58:18]
Alex Clark
Why is it that white people age so much worse?
- [58:21]
Dr. Anthony Yoon
So that's a lack of melanin. Okay, so it's UVA and UVB rays. Okay? We do know. Know that, you know, one of the main agents of our skin is excess UV radiation. Okay, we can talk about sunblock and all that.
- [58:31]
Alex Clark
Oh, yes, I want to. It's on here.
- [58:33]
Dr. Anthony Yoon
But UVA rays are the main agers of the skin. So you can remember at uva, UVA rays don't burn your skin. Okay. But they will age your skin, and melanin will help to basically absorb those UV rays and prevent that damage. And so that's why you have people who are African American who are darker skinned, and their skin is perfect. You know, I saw a patient of mine the other day. She was, like, 74, and she was African American. She came to see me for a facelift. And I tell you, were you, like.
- [59:01]
Alex Clark
You don't need me.
- [59:03]
Dr. Anthony Yoon
Most of my patients are Caucasian, and they come in, and once you're in your mid to late 50s, like, everybody's a candidate for a facelift. I'm sorry, but if you're Caucasian, mid to late 50s, you're a candidate for a facelift just the way it is. It's okay. She was literally, I think, I swear to God, like 72 or something. And her neckline was like mine at that age. Okay. And that's, I think, because once again, that melanin of her skin absorbed those UVA rays. It basically blocked it and did not cause that damage. You compare that to. I have some patients of mine who are Irish, really fair skin, red hair, and it's a whole other story. You know, those wrinkles come out much more quickly. And so it really. It comes down to the protective effects of melanin in your skin.
- [59:47]
Alex Clark
What is your opinion on coolsculpting?
- [59:49]
Dr. Anthony Yoon
So coolsculpting is proven to work if you do a treatment. Basically, the idea. And this came out from this interesting idea where a kid was actually sucking on lollipops. It was, I think, the son of, like, a plastic surgeon or dermatologist, and this kid was addicted to sucking on lollipops on one side of his mouth. And the surgeon, the doctor at one point, realized that there was an indentation in this kid's cheek and realized that it's because that's where that. That Popsicle was always against his cheek. Now we know that the skin, okay, is much hardier than the fat underneath it. And we see this when we do surgeries, let's say, on people with pressure sores. People, pressure sores who are paraplegic, they can't move. They get pressure, and they get the sore that may be a small, you know, little hole on the skin, but underneath it, there's all this damage. A lot of times to the underlying fat and muscle, because the fat and the muscle is much less hardy. Okay, the skin takes that. That. That pressure much better. And so this doctor plastic surgeon thought, okay, the skin is hardier than the fat underneath. What happens if we create a device that basically chills the tissue so much that it basically kills off the fat cells, but not to the extent where the skin gets killed off. And that's the idea behind coolsculpting. And so the idea is that you chill the skin to such an extent and the underneath fat that those fat cells will crystallize, but the skin itself, because it's not chilled excessively, actually survives, and then your body eventually gets rid of it.
- [61:11]
Alex Clark
So that's the idea how it's supposed to work.
- [61:13]
Dr. Anthony Yoon
The problem with coolsculpting is there's a. There is this phenomenon called paradoxical adipose hyperplasia, which is a fancy term for somehow fat gets bigger. Yeah, it grows. Somehow the fat grows. And I've seen this in a couple of patients now. We don't have coolsculpting. We have something called sculpsure, which heats the fat, and that gets rid of fat in a very similar way as coolsculpting, but doesn't chill it. And it does not have this paradoxical adipose hyperplasia. Pah. But about 1% of patients who get coolsculpting, the fat doesn't thin. It has this weird reaction where it gets thicker. I've had two patients that I've seen with that. They were not my patients. We don't have coolsculpting, but they came to see me to liposuction them. And one of them had it underneath her chin, and she had a massive double chin afterwards.
- [61:56]
Alex Clark
Oh, my gosh.
- [61:57]
Dr. Anthony Yoon
And then the other one had it on her upper and lower abdomen, and she had literally two large pads of fat fat of her upper and lower abdomen. And for her, I did a tummy tuck on her and then liposuction the rest of it away. The fat, when you do look at it, it's a different type of fat than normal fat. It's kind of more. Honestly, it looks more like if you have. That's bad because if you have, like, food out for a long time and there's, like, fat in it that it kind of discolors a little bit. It kind of looked more like that. It didn't look like kind of bright yellow fat that we normally see in surgery.
- [62:30]
Alex Clark
Is there a way to contour your jaw and your neck without surgery?
- [62:34]
Dr. Anthony Yoon
Yes. Yeah. So there's a lot of treatments. You know, we actually wrote a paper on this, and that was when I talked about the buccal fat removal is facial reshaping using minimally invasive treatments. And so there are little things that you can do. So, for example, buccal fat removal, that is a surgery, but that's one way to narrow and contour the cheeks. You can inject Botox into the masseter muscles, which are the muscles of the jawline. That's very common, especially in Asian countries. In Korea, where, where my ancestors are from, we have this tendency to grow that muscle and to get these wide jawlines. People who chew a lot of gum, people who grind their teeth at night sometimes, that gets thick. And so you can inject Botox to basically narrow it. Other things would be taking out fat from here. You can do that with Kybella. You can do that technically with coolsculpting. You can do it with sculpture as well, which is the laser that heats the fat. Those are some different ways to basically do some reshaping of those areas.
- [63:28]
Alex Clark
What do you think of the upper eye bleph surgery trend? Is this something that we're all going to really regret later?
- [63:33]
Dr. Anthony Yoon
I don't think so. Because right now, when you're seeing, I think, a lot of celebrities where they're. They're tweaked, but you're not quite sure what's going on. It's because they've had an upper blepharoplasty. And if it's done conservatively, where you're just removing a few millimeters of skin from each side, it's a surgery that you can. I mean, the scar almost always heals really well, you know, unless it's overdone. The people have to watch out. Are guys okay? Because this operation is based off of the female face. And whenever we do blepharoplasty, the idea is we remove excess skin, sometimes a little bit of fat from each upper eyelid. That helps to open the eyelid up a bit so it's not puffy. And you don't have that skin hanging over your makeup. You know, it isn't smudging that type of thing. In women, we can do it pretty aggressively, and it's a feminizing procedure. And I never worry that my patient is going to tell me, unless they literally can't close their eye, which, thank God, that hasn't happened. They usually don't say, hey, put more skin back on. I'm not happy with it. But in men, it's a different story because it is a feminizing procedure. And there are celebrities who've had it done. And you look at them, you're like, they don't look quite right. And it's the guys, you know, we know that Kenny Rogers, the late Kenny Rogers, he admitted to having it done. I'm not the surgeon, but Robert Redford doesn't look quite the same. And I think he may have had a blepharoplasty at one point, but once again, it's just conjecture. And some other celebrities, if you look at them and they're male and they don't have skin that's kind of hanging over, they probably had a blepharoplasty.
- [64:56]
Alex Clark
Do you know who Pookie is?
- [64:57]
Dr. Anthony Yoon
Pookie?
- [64:58]
Alex Clark
No.
- [64:58]
Dr. Anthony Yoon
Who's Pookie? I can look at Pookie on my phone.
- [65:01]
Alex Clark
Pookie on social media. She's like, mega famous influencer. Her and her husband Jet. Pookie and Jet. And he's always, like, surprised that this.
- [65:07]
Dr. Anthony Yoon
One'S not ringing a bell for me because I'm pretty on top of this.
- [65:10]
Alex Clark
Oh, they're huge. They're so massive. They got famous because he just loves his wife so much and just. She'll just show her outfit, and he's just gassing up her outfit. Like, how beautiful does my wife look? Whatever. Anyway, she has very, very unique features and eyes that, like, really bug out. And what I was going to ask you is if you've had patients come in and say, like, I want an upper bleph. I want to look more like Pookie.
- [65:33]
Dr. Anthony Yoon
Well, if I did, then I'd have to look her up and I tell you, like, yeah, I do know. So unfortunately, no. But I guess. Guess the way you're describing it, maybe that's a good thing.
- [65:41]
Alex Clark
Yeah, well, no, she. I mean, I think she's beautiful. She's just very unique looking. But, I mean, I don't know, maybe she's had an upper bluff. But she is very unique. Huge eyes. So I just thought, like, she's so big. I wonder if we're gonna start seeing people ask for that.
- [65:53]
Dr. Anthony Yoon
But it's possible. We do get those. I mean, whenever somebody is, you know, big in the media and people are always asking for that.
- [66:01]
Alex Clark
Well, you know, if you get somebody saying, Dr. Yoon, I want the pookinator, then just remember where you are.
- [66:05]
Dr. Anthony Yoon
I gotta look her up now.
- [66:07]
Alex Clark
What do you think of the NAD IV trend? Like, is that good, bad? Does it do anything?
- [66:15]
Dr. Anthony Yoon
So NAD is interesting, you know, so it's nicotina, nicotinamide, adenide, Dinucleotide. And it's basically what it is is it's an enzyme in our body. It's naturally occurring that essentially takes the energy from our food and brings it to our cells. Okay. So the idea is that it helps to generate energy from the food that we eat. And we do know that levels of NAD drop as we get older. And there's a belief that that is one of the reasons why we don't have as much energy as we get older. Now, there are some rat studies showing that if you supplement with NAD that they can actually live a longer life. It does appear to help with longevity in humans. The data is fairly limited. There are some small studies showing that it may have an impact on cognitive performance, on athletic performance, on general energy levels, but there aren't. The studies are pretty few and far between. If you're going to get an NDA supplement, you have to get through the iv. There's no oral form of NAD that's available. So the oral versions are precursors, which are NR or nmn. Okay, so if you look at oral versions, it's NR or nmn. I'm not a fan of IV nad. You know, I know that there was Hailey Bieber and Kendall Jenner. There's a famous video of them on the Kardashian show where Haley says, you know, I'm going to NAD for the rest of my life. I'm never going to age. My issue with IV treatments, and I have a lot of friends of mine who are naturopathic docs, functional medic dots, and they're big on IVs, is that I've worked in the ICUs before. You know, I did my training in there. And they're. When people get older, sometimes we have a problem of not having venous access. So they get sick and we can't get a. You know, it's kind of like drug ash. You know, you can't find a vein to put an IV in. In those situations, we have to put what's called a central line, where you put a huge catheter either in their neck, right under their collarbone, or in their groin, in the big vessels there. My concern is that when you're young, you're healthy, you're having fun, oh, let's just do some IV treatments. Every time you stick an IV in your vein, you're going to create some scarring of that patient. You know, even if it's a healthy IV and stuff like that, you're going to create scarring. What happens in the future if you have Essentially scarred up your veins so much on non necessary treatments that you actually need an IV and they can't get one for you.
- [68:30]
Alex Clark
Oh my gosh, that's really terrifying, actually.
- [68:32]
Dr. Anthony Yoon
And I think that it's important for people to realize that there are long term potential ramifications of treatments that maybe we're not looking at right now because, hey, it's kind of exciting to do this treatment. So if we knew that the only way to get NAD was through an IV and we knew that it had a defined benefit that has proven that you can increase your longevity and all that, then that may be a different story. But that being said, I'm all for taking oral NAD supplements, the NR or nmn, because what's the harm in it? I went on an NR supplement for a while and I had a friend of mine who's a podcaster and she actually represents this NR treatment and she gave me a couple bottles. She's like, oh, you should try this. And I was like, okay. And this was a couple years ago when, when NMN and NR and all this stuff was just kind of getting popular. So I had like looked at, like, oh, you know, what does this do for you? She's like, oh, it's great for longevity. Gives you energy and this and that. So I go, so you've tried it and how did you feel after taking it? I don't really feel anything. Yeah, I don't feel anything. So I got a couple months of it. The company even sent me some and I tried it.
- [69:36]
Alex Clark
It.
- [69:37]
Dr. Anthony Yoon
I didn't feel anything from it. Yeah, you know, but I have a friend of mine who I was talking to the other day, Dr. Stephanie Esteema. She's got a podcast and she's on timeline, has got one, a company, I have no affiliation with them or anything. And she swears she takes it and she can feel an energy boost from it. So I may try that. But like I said, I'm not a fan of the IV stuff. It's expensive. I feel like my concern is that you may be, you know, hurting your veins for the future. By all means, if you want to try the oral version, then go ahead, see if it makes you feel better.
- [70:07]
Alex Clark
What do you think of the anti sunscreen trend that we're seeing in the wellness community? Is this like super dangerous or just misunderstood?
- [70:15]
Dr. Anthony Yoon
So I'm going to age myself. My favorite singer is Jimmy Buffett and he died a couple years ago from Merkel cell cancer, which is a skin cancer. So I and I have, you know, as a plastic surgeon I have had patients come into my office with basal cell carcinoma, skin cancer of their nose. It's a little dot. And I say, look, I think that's a skin cancer. I'm going to send you to a dermatologist, get it checked out. And then they come back to see me three weeks later, and half their nostril is gone because they had to get that skin cancer removed. And now I got to try to reconstruct their face. You do not want to have a skin cancer on your face, period. And so I am. I am all for moderation in this situation. So I think it's. I think the sun is very therapeutic. You know, I'm all for. I'm all for its effects on circadian rhythm. I'm all for getting vitamin D. I live in Detroit. You know, we don't get a lot of sun, and when the sun comes out, we enjoy it. And I do think that there's a lot of therapeutic benefits from it. But also, I do know that as a plastic surgeon, I see aging from it. You know, that's. I mean, it's unquestioned. You know, you just look at the skin on your butt when you're 50 and compare that to skin on your neck or your face or your hands. It's very, very different, you know, and then, like I said, the worst part of it is when you see people with skin cancer on their faces, that's when it gets really worrisome. So I'm all for using safe sunscreen sunblocks. Okay.
- [71:34]
Alex Clark
What is safe sunscreen? What is unsafe sunscreen?
- [71:36]
Dr. Anthony Yoon
Okay, so this is what I recommend for sunscreen. So sunscreens come in chemical or physical sun blocks. So physical chemical sunscreens. Physical sun blocks in general is kind of how we describe it, although those terms can be used interchangeably. The physical blockers are zinc oxide and titanium dioxide, and those are the ones that basically just sit on the surface of your skin. We know that they don't get absorbed into your skin. In general, they're considered very safe. And for children, that's what I recommend. Okay? But the negative of those is that they can be very tacky. They can, if you have darker skin, create a whitish hue on your skin, even if they're micronized, meaning that they're created into small particles that can change the color of your skin. There are chemical sunscreens that I, in general, don't recommend. And those are. Are oxybenzone and octinoxate. Those are potential hormone disruptors. They may disrupt the coral Reefs as well. And, and we do know that there, that you can find that in people's urine actually and you know, in people who are wearing sunscreen. So we know that gets absorbed into the body, so I recommend avoiding those. But there are other safer sunscreens out there. Avobenzone Mexoral xl. There are a lot of blockers actually that are even better that you can get, get overseas that are much lighter on the skin. I recommend if you're going to be out in the sun to, and let's say if you've got darker skin than to wear those chemical blockers that are considered non hormone disrupting agents. Okay, children, you want to go with the physical blockers and if you want to go with the physical blocker, by all means you can. But once again, you know, for me to put that physical blocker on my face like every day or something, it's, it's just, it's heavy. And I don't.
- [73:12]
Alex Clark
What about mineral sunscreens? Because that's what I always.
- [73:14]
Dr. Anthony Yoon
Those are the mineral ones. Ones, yes, those are the physical blockers. So you can't go wrong with those. But you also have to be realistic in that if you're African American, you've got dark skin and you want to put that over your, over your body. Yeah, it's not going to look right. You're not going to like that. And plus they can be very heavy on the skin and hard to wash off and all of that. And that in and of itself is a deterrent for people using it. And what we do want is when you're going to get significant exposure to sun, you do want to protect your skin. And so using something that is comfortable for you, for me, I'm lucky. You know, I went to Korea a year and a half ago and I bought a ton of their sunscreen out there. And you used to be able to.
- [73:49]
Alex Clark
Korean skincare is better.
- [73:50]
Dr. Anthony Yoon
We used to be able to actually order that and get it here in the United States. But they recently, I don't know why, literally like a few months ago, the government put a halt to all of that. And so you cannot import in those Korean sunscreens anymore. It's really annoying. Strange they haven't updated. I think it's been like 1997 or something. We haven't had a new blocker here in the United States. And it's just, it's, it's a problem because I do think, like I said, that there is a happy medium there where in the morning, go out and get Your sun, if the uv, you know, level is fairly low, then get.
- [74:20]
Alex Clark
Your son in all the middle of the daytime. That is when it's like, wear linen, long sleeves, have a hat on, sunscreen.
- [74:26]
Dr. Anthony Yoon
Yeah, exactly. And if you're going to be out the beach, if you're going to be out a lot, you know, I mean, I get it. I think, you know, these types of cancers and skin cancer, those things are multifactorial. It's not just the sun.
- [74:36]
Alex Clark
What do you think, Dr. Yoon, about the studies that say you see a higher risk of skin cancer in people that are in constant blue light, you know, office situations, not out in areas where they're always in the sun?
- [74:48]
Dr. Anthony Yoon
I think that there's some truth to that. You know, there's definitely some truth. And there is a lot that we don't really understand. I mean, there really is. And I can't really explain exactly why. But in general, when you look at people who do truly have skin cancers, there's always like, there's going to be outliers to somebody who's like, look, I have a skin cancer on my butt and my butt's never in the sun. I'm not a nudist, like, why do I have a skin cancer? But the vast majority of the cases that we see that I've seen in my practice, it's people who have skin cancer in sun exposed areas. And you can see they have a lot of sun damage on top of that. It's the aging part of it too. You know, if you do want to continue looking younger, you're not going to continue looking younger. If you're getting a ton of sun, you know, once again, you can really see it. Even some people wear their truck drivers and you see the left side of their face is much more aged than the right side of their face.
- [75:35]
Alex Clark
Yeah, I've seen that.
- [75:36]
Dr. Anthony Yoon
Because of the sun, I have more spots on the left side of my face than I have on the right side of my face. And I think it's because I live in Detroit and I'm always driving to work and all that type of stuff. And admittedly, I don't put sunscreen on every day. If I'm gonna be or all day, then I'm not gonna put on sunscreen, you know, I'm gonna be, you know, under the fluorescent lights all day.
- [75:53]
Alex Clark
How much do you trust dermatologists when it comes to somebody really struggling with acne? Acne. Like, are you sending them to a dermatologist first? Are you like, no, you need to go to A nutritionist.
- [76:04]
Dr. Anthony Yoon
So that's a tough question. I think acne is very multifactorial and there are. And in general, when you look at acne, it's an inflammatory situation, but acne has so many different parts of it. So dermatologists are fantastic with stopping the symptoms of acne. You know, whether it's getting you on, you know, a antibiotic that will help to reduce inflammation. Obviously, you know, Accutane works in those situations where it's, you know, really cystic acne. But we also know that there are factors that really can play a part. So in general, when I have people who have acne, I don't treat acne. Okay. I'm not a dermatologist and I don't want to treat acne. I'm into anti aging stuff. I will always tell them, get on a probiotic, okay? Try to eat more fermented foods, okay? Because there is a gut component to it. If your gut is inflamed, then your skin will show it. You know, the skin is a magic mirror of what's in your gut. But I do recommend, you know, reducing the amount of ultra processed foods because we know that that can contribute to it. And I know you're not gonna want to hear this.
- [77:02]
Alex Clark
What is it now?
- [77:03]
Dr. Anthony Yoon
Dairy. Also, there is a connection between dairy and. I'm not anti dairy overall. I mean, I like cheese on my pizza and stuff like that. I'm lactose intolerant, so I can't drink milk. But we do know there are real studies that do show a connection between dairy and acne. And dairy can be inflammatory.
- [77:20]
Alex Clark
Yes, I'm into the raw milk.
- [77:22]
Dr. Anthony Yoon
Yeah, I know, I know. We won't get into that. And so we know that there are those components to it. And in general, ideally, you would have, you know, I have a dermatologist friend of mine, Dr. Doris Day, she's been around for a long time. She's in New York City and she's, I think, fantastic with this and that. She knows that yes, there are things that we can do on the surface that can treat acne, but we also have to get down to that root cause of it. And ideally, you want to treat both. And the thing I recommend for people who are listening, you know, I know you have a younger audience who, a lot of them have younger children, and those children are going to become teenagers. And the worst scenario is when you get a teenager with cystic acne and you're not treating that quickly, because I can't tell you how many adults that I see who have acne scarring that just, it's like, it just. It's so troublesome for them. And you got to prevent that. Whatever you do, you got to prevent them from getting to that point. I don't prescribe Accutane. There are a lot of concerns with it.
- [78:14]
Alex Clark
I have major. I would tell my audience, do not take acne Accutane, but if you're a.
- [78:17]
Dr. Anthony Yoon
Situation where you see some of these people where they're just cystic acne all over their face and they have tried everything, you've got to do something to stop it. Because my opinion, the long term, you know, psychological consequences of that type of scarring could outweigh the. The shorter term potential risks of medication like that. I would use that as a absolute last resort. But there are those people where you just can't get it controlled. And if you can't get it controlled, you gotta control it.
- [78:45]
Alex Clark
Do you think that looking into the.
- [78:47]
Dr. Anthony Yoon
Food or something, all of that you can do? But there are people who do that. And if you don't, if you can't control it that way, then you gotta do something. You can't just expect that it'll just magically go away. No. So I only recommend that in the extreme cases. But if you are. That you don't wanna give false hope to somebody. But if you are at that point where we see this young people, where it's just all over and it's getting cystic and it's creating these pockmarks and all that stuff, we just, we have to prevent that because you can't treat that. You know, even the treatments that we have to try to treat it, you know, they're the most aggressive. Lasers and chemical peels, even that doesn't get rid of it. It's really, really harmful for people.
- [79:26]
Alex Clark
Is it actually possible to shrink your pores or is that a total myth?
- [79:29]
Dr. Anthony Yoon
It's a myth. You can clean your pores out, but you can't shrink them.
- [79:34]
Alex Clark
That's just genetic. You're born with it.
- [79:35]
Dr. Anthony Yoon
Pretty much. Yeah. Yeah. And so whenever people say that their pores look better, it's typically because they're using treatments like alpha hydroxy acid or a salicylic acid wash, those types of things that will help to clean those pores out.
- [79:49]
Alex Clark
What is the best way to fade acne scars?
- [79:51]
Dr. Anthony Yoon
So acne scars are different than like acne dark spots. So you usually want to fade. Hyperpigmentation. That's different than scars. Scars are really, really tough. And there's no and that's Once again, why I mentioned like the best treatment for acne scars is to prevent them from happening. You really, as a parent, your job is to try to prevent that from happening to your kids. Because once again, the treatments we have just aren't good.
- [80:17]
Alex Clark
So if it's too late and somebody does have those severe scars, I mean, is there any laser that's better than others?
- [80:22]
Dr. Anthony Yoon
So you can do a series of fractional laser treatments, you can do a deeper chemical peel, but those treatments can be very uncomfortable. They can have one to two weeks of downtime. And even those, you may get a 20 to 30% improvement. And that's it. There's no, no eraser for these types of scars. And that's why it's so difficult is that even the most aggressive treatments out there, you'll be lucky if you get 40% improvement.
- [80:47]
Alex Clark
What skincare products do you think are totally unnecessary?
- [80:50]
Dr. Anthony Yoon
The old fashioned, the astringents and toners are unnecessary in general. So toners in general initially were used as a way to, you know, you cleanse your skin and then you apply this astringent that has alcohol in it and makes your skin feel just squeaky clean. And there was a belief in the past that if you have acne, you want to get rid of the oil on your skin and that will make your acne better. The problem with that is, is that once you clear your skin of that, you are creating this feedback mechanism where the skin will create more oil in response. And so your face can become kind of like an oil slick from it. And then the other thing is, if you're using something like that that does have some type of alcohol in it, you'll also kill off the microbiome, the trillions of bacteria that will actually that are growing on your skin, helping your skin be healthy. So the first thing you want to do is avoid those old fashioned astringent type toners. And they're still out there, a lot of people still using them. Toners in general now they have been changed to be more of a ph balancing type of a treatment. You don't really usually need them because once you start applying your creams and your serums and your moisturizers, usually those are things that aren't always that necessary. The other thing that I don't think is necessary is there are still a lot of companies that are selling moisturizers just as a moisturizer. I mean, if you're going to spend your money and apply a cream, make sure there's something active in it and so typically like the ones we have in my line, they've got antioxidants in it, they've got Bakuchiol, they've got peptides. Why put something that doesn't have something that's going to actually actively treat your skin when you can get both?
- [82:18]
Alex Clark
As a plastic surgeon, what do you think about beef tallow as a moisturizer?
- [82:23]
Dr. Anthony Yoon
I, it's, it's got plenty of healthy fats in it and it is a good moisturizer for the skin. I'm not a fan of making it on your own because you don't know when it's going to go bad. If you want to get it, you know, commercially made and that you can get that online, I think it's fine. But I also don't think that it has any true anti aging components to it.
- [82:43]
Alex Clark
No it doesn't. It's hydrating and that is it.
- [82:45]
Dr. Anthony Yoon
Exactly. So if you want to use it as a moisturizer and you don't mind smelling a little bit beefy, then by all means do that. I don't think it's harmful. I know some people are making it at home. That's where I just be careful because you don't know when it goes rancid. But other than that I think it's fine. But once again it's like I just mentioned like, you know, applying a moisturizer that doesn't have anything that's truly going to de age your skin, you can do it. But are you, you know, is it worth your money? I'd rather have something that I know. Oh look, this has got antioxidants or this has got peptides in it. These got things that are going to stimulate collagen production, that type of thing.
- [83:19]
Alex Clark
In my DMs yesterday, some guy started bragging about eating raw liver every morning like it's a performance enhancing drug. I'm over here gagging just thinking about it. I mean, who has time for that? That's why I am obsessed with Paleo Valley's grass fed organ complex. Work smarter, not harder baby. It's freeze dried so you get the full spectrum of nutrient packed organs from grass fed cows. Not just liver, but three different organs. All the traditional superfood power without the chew factor or smelling like a slaughterhouse house. I haven't found another organ meat capsule like it. Plus, unlike the spray dried knockoffs cooked at some industrial sauna, Paleo Valley uses a gentle freeze dry process to keep the enzymes intact, meaning your body actually gets the good stuff. So if you want to level up your nutrition without gagging at the breakfast table. Head to paleovalley.com Alex and use code Alex for 15 off. That's paleovalley.com Alex with code Alex for 15 off eat organs like a civilized person When I moved into my new place, I didn't realize how much more windows would mean more heat, especially in the bedroom. I was waking up sweaty, tossing and turning and desperately needing sheets and pajamas that actually kept me cool. I'm thankful for Cozy Earth. Their viscose from bamboo sheets are hands down the softest and most breathable sheets I've ever slept on. They actually regulate temperature and wick away heat and moisture, which meant I finally slept a few degrees cooler even though it feels like a sauna outside. Which is not an exaggeration when you live in the desert in summer. And let me tell you about Cozy Earth's all day tea and studio pants. It's like wearing loungewear made of a cloud. When I am working from home or running errands, I stay cool in those. I'm comfortable and I never overheat. Cozy Earth even offers a 100 night sleep trial so you can test your new set of sheets during peak summer nights risk free plus a 10 year warranty on bedding. That's not just luxury, it's a long term investment in better sleep sleep. Upgrade your summer sleep. Go to cozyearth.com use code ALEX for 40 off the best selling temperature regulating sheets, apparel and more sleep cooler lounge lighter Stay cozy with cozy earth cozyearth.com code Alex what is Skin Cycling?
- [85:21]
Dr. Anthony Yoon
Skin cycling is a term given by a friend of mine, dermatologist Dr. Whitney Bow. Where what so the idea behind it is you cycle your skin in and out of of a treatment and the treatment is typically retinol. So retinol, if you were to pick one anti aging cream to use, most dermatologists and plastic surgeons would tell you retinol is the most effective. It's been studied the most. Retinol is a retinoid. Retinoid is kind of like the generic term for retinol and tretinoin. Tretinoin is retin A, that's prescription strength and retinol is over the counter strength. A lot of studies have been done on tretinoin, the prescription strength strength, showing that it will reduce fine lines and wrinkles, it exfoliates the skin, it reduces chronic inflammation, it thickens the dermis or thickens the collagen of the skin and it can even reverse early pre skin cancers. So if you know somebody who's got a skin cancer or they've got history of them, tell them to apply Retin A on their face because it may help prevent more from coming up. So anyways, Retin A and retinol, the one negative of it is it can create irritation to the skin. And the idea is that it can cause an acute inflammation that can reduce chronic inflammation with time. When I first tried Retin A, I was a medical student and I was having some acne issues. And I went to my family doctor who had really oily, thick skin and I said, I've got some acne. Do you have any suggestions? So she said, let me write you for 0.1% retin A. That's what I use on my skin. So I go, okay, and I start putting on my skin. And my wife, who's got skin, beautiful skin like yours, she started putting on her skin and I didn't see her for a week. And then a week later we got together and we started laughing because our faces were bright red, they were flaky, they looked like pizza faces because they were so inflamed. We start laughing and our faces like cracking and all this stuff because you can get this pretty intense reaction to it. Now my family doctor did fine with it because she had real thick, oily skin and she tolerated it. But my skin, like your skin wouldn't. And so you can get these reactions to it. So skin cycling is a way to essentially reduce the reaction because you may then use a Retin A or the retinol one night, but then the next night you don't use it and you cycle through it. So then the next night you'll apply some. That's going to be more moisturizing and like reducing irritation of the skin, like with antioxidants and stuff.
- [87:37]
Alex Clark
I mean, I guess I do.
- [87:38]
Dr. Anthony Yoon
Then you kind of cycle through it. That's essentially what it is.
- [87:40]
Alex Clark
I didn't even know it had a name, but I mean, I just do that on my own anyway.
- [87:43]
Dr. Anthony Yoon
That's all it is. It's just. It's a term that she coined for it, but. But it's basically just cycling through so that you will use a retinol sparingly a couple of times a week, that type of thing, giving your skin a chance to essentially get used to it and not react to it.
- [87:58]
Alex Clark
What should people look for in a collagen powder?
- [88:02]
Dr. Anthony Yoon
So the key is you want to make sure that it's hydrolyzed collagen peptides. So collagen is something that has been Poo pooed by traditional medicine for a long time, you know, and I've seen videos.
- [88:13]
Alex Clark
That's their issue.
- [88:15]
Dr. Anthony Yoon
The main reason is, number one, it's a supplement. And traditional medicine in general has been anti supplement.
- [88:20]
Alex Clark
Oh, gosh, what are we gonna do?
- [88:22]
Dr. Anthony Yoon
And then the second thing is they say, well, collagen is a large protein. And they always would say, how do you know if this protein is gonna get absorbed by your body? It goes to your stomach. Your stomach acids break it down. How do you know what's even gonna get into your body? And so the answer to that is you hydrolyze it. You take this large collagen protein, and you break it down into its individual amino acids and peptides, which are short chains, amino acids. So it's small enough that your body can then actually absorb it through the GI tract. And that's why you get it. And like, you know, for ours, we have our human beauty supplemental collagen, where it's a powder. It's a very, very fine powder. You mix it with a hot drink like coffee, it dissolves into it. You don't even taste it. You don't even know it's there. And that's how you ingest it. And you know it's hydrolyzed, so it's getting absorbed into your bloodstream. Now, the studies that have been done on collagen, there have been a lot of them. There are meta analyses of 1700 people, 1100 people, 900 people. They take a daily hydrolyzed collagen supplement for two months. Typically, the two months is when they start testing them and they find an increase in the hydration of the skin, an increase in the collagen content of the skin and the elasticity of the skin. And they've even biopsied the skin after a couple months and taken blood samples and found increased levels of collagen as well. So we do know it works. And if you talk to people who've been on collagen supplements, they'll tell you that their hair gets thicker, that their nails feel stronger, that they grow faster. I actually send our collagen to my mom every month. And I was visiting her a couple months ago, and we were just having breakfast, and she's like, tony, my hair's getting thicker. Do you think it's that collagen that you keep sending me? And I'm like, it could be mom, probably. So I think it does a lot. And obviously, if you're vegan, you can't take it. There's no such thing as unfortunately, there's no such thing as vegan collagen. Collagen can come in bovine or marine. So either cow based or fish based. Ideally you want to go with a high quality one. You know, like any type of meat, there's high quality meat and low quality meat. The one that we have in ours is called Verisol. It's been very well studied and tested and, and is a very, very high quality one.
- [90:25]
Alex Clark
How does red light therapy actually work? And do you think that it is really beneficial and everyone should be doing red light therapy?
- [90:33]
Dr. Anthony Yoon
Yes. So first of all, we want to. There's a difference between red light and infrared light. So red light therapy, the idea behind it is that the energy of that red light gets taken up by the mitochondria of your cells, which are the powerhouses of your cells, and it causes them to increase the production of ATP. Like we talked about way earlier, you know, with nad, the idea is that our, our body, the energy production of our body gradually declines as we get older. And so one of the things we want to do is we want to power those mitochondria. And so what it appears that red light therapy does is it will then increase production of ATP in your skin cells. And there are studies of people who have been doing red light therapy, typically on their face or other parts of their body. And they do see an increase in collagen and elastin content with frequent use of red light therapy. So it's an anti, it's an anti aging treatment that's not necessarily for longevity, but it's purely for appearance. That's why you have the red light masks. That's why they're tabletop devices. The ones I don't recommend. There's cheap ones that you may find like on TikTok and stuff, where people have handheld devices for like $20. They move it around their face. The problem is you have to have that treatment on your face, continual treatment, for like 20 minutes, ideally 15, 20 minutes, depending on the device. You want to have at least 50. I think it's 50 millijoules per centimeter squared, ideally even more than that, maybe even better. And the idea is, once again, you're going to help to de age the skin that way. Infrared is different, so that goes much deeper. And that's why you have things like infrared saunas. That's going to be more of a detoxifying effect. You know, I have an infrared sauna in my house and it has both infrared and it has red light therapy because ideally, hey, if you can do both then. Why not?
- [92:12]
Alex Clark
What's the brand?
- [92:13]
Dr. Anthony Yoon
I have a sunlighten in my house.
- [92:14]
Alex Clark
Okay, what red light brands do you like for red light devices? Devices.
- [92:19]
Dr. Anthony Yoon
So there's one called the loom box. That's nice. It's a tabletop device. So you, you can put it on your chest, you can put on your face, you can put it on other parts of your body. And that's from a functional medicine doctor that I'm friends with who helped to devise that. That there are also masks out there. There's one from Irestore that I think is really nice. They also make the laser helmets. I, I use that myself. But they have a nice mask out there. There's a bunch of them out there. I think current body has a really nice one too. The problem with those masks is they're expensive. You know, you're going to spend at least 3 to $400 for a good one of those, but they can last you for a long time.
- [92:53]
Alex Clark
All these men are going to Turkey to get these hair transplants. What's the deal? What are the pros and cons? Is it really going to last forever? You know, do they work?
- [93:03]
Dr. Anthony Yoon
So hair transplants. So if you have thinning hair, you ideally want to get it taken care of before you need hair transplant. So just real quick for thinning hair for and this for both women and men, first thing you want to look at is stress. So if you've got a lot of stress in your life, meditation, you know, I'm a fan of yoga. Like anything that reduces stress, you want to do that, you know, counseling, whatever you need. Second thing is you want to look at nutrition so you can go and see a functional medicine doctor. Get a bunch of labs drawn. I myself take an all in one supplement. I take neutrophil for my hair because I'm too lazy, honestly in my labs drawn one. So I take an all in one. So that's the second thing would be nutrition. Third thing would be laser helmet. And typically those have been studied. It's called low light laser therapy or basically red light laser. And that does the same idea is that it helps to power add power to the mitochondria in the hair follicles to cause your hair to go into a growth phase. So that's the other thing. And then some type of a topical. I recommend if you want to go completely natural then you can use use topical rosemary oil. One small study compared topical rosemary oil to 2% minoxidil and found very similar results. But that's 2%. You can also get up to 5% minoxidil. And so if you're open to a pharmaceutical, most doctors do find that minoxidil is the most effective as a topical. But if you want to go natural, then topical rosemary oil is usually what people recommend hair transplants. So if you've got thinning hair, do all of those things, okay, because that can potentially help it. But you got to give it a good six months. The other thing you can do is you get injections of PRP where they draw your blood, they spin out the platelets, take out the growth factors, they inject that into your scalp. That can really, really help as well. That's totally natural. It's just all from your own body.
- [94:47]
Alex Clark
How much does that cost?
- [94:48]
Dr. Anthony Yoon
That can cost over a thousand dollars and that does need to be repeated typically two to three times a year. If, however, you have areas that are bald, then these treatments aren't going to treat that, that, and that's when you have to go to a hair transplant. There are different types of hair transplants. So the old fashioned ones, and this is why you want to go to a place that's really state of the art. Old fashioned ones were called macro graphs where you would take like a group of hairs and then put them as literally hair plugs. There are certain politicians that appear to have had those because they literally look like President Trump hair. I'm not going to say, I'm not going to say, but they literally look like doll's hair because you do like five to 10 hair follicles at one time, like dolls, you know. Then from there. And that was done.
- [95:33]
Alex Clark
Cynthia, on the rugrats, are you old? Are you?
- [95:36]
Dr. Anthony Yoon
Yeah, yeah.
- [95:37]
Alex Clark
Cynthia the doll kind of like that.
- [95:39]
Dr. Anthony Yoon
Yes. But there are certain politicians that I think I made a YouTube video where we looked at that. But anyways, so that's one way. So then they go from there to micrographs where it'd be one or two follicles per hair. But the problem with that treatment is that they would have to take a strip of scalp from the back of your head and that would leave a scar back there. And there are certain celebrities where you could actually see the scar on the back of their head. Actually the new treatments are called follicular unit extraction, where you actually use a robot now and a robot can actually harvest the hairs one at a time, the hair follicle. And then as a surgeon, what you do is you make a tiny incisions all throughout where you want to put it and Then you literally plant those little hairs one by one into these little holes. I've done that surgery many times. I hate doing it because it's so tedious. And every time you put one hair into like, it's like you plant one hair, the hair next to it pops out. Then you got to replant that, and then the one next to that pops out. It's just, it's frustrating. But that's technically the way to do it is typically you do it hair follicle by follicle, and then you take the area and you literally will plant those hairs. It does take a few months for that hair to actually grow, but that's how you grow hair in a new location.
- [96:49]
Alex Clark
And will it. I mean, you have hair then for the rest of your life or what?
- [96:52]
Dr. Anthony Yoon
In general, yes.
- [96:53]
Alex Clark
And so, geez, that seems worth it to me. I mean, what is this surgery in Turkey, like five, six grand?
- [96:59]
Dr. Anthony Yoon
Oh, it can be a lot more. So usually you're paying per. Per follicle and it can be like $3, $4 a follicle depending on who does it. It that's a good treatment for, you know, one of the things that's been real popular and you know, I'll say. Actually, you know, we talked about Chrissy Teigen earlier. She went online and admitted that she had a brow shortening procedure because she had a very high hairline. And one of the things I commented on that and you know, lovely woman, is that instead of doing a brow shortening where you're going to get a scar right in front of your hairline, why not just do hair transplants to recreate that hairline? To me, that makes a lot more sense. Sense. Because my worry if you do a brow, a forehead shortening procedure is that you've got a scar there now and your hair has already proven that it recedes. It could recede farther. And now you got that scar and then your hairline behind it.
- [97:50]
Alex Clark
Yikes.
- [97:50]
Dr. Anthony Yoon
And that's not going to look so good.
- [97:51]
Alex Clark
Right.
- [97:52]
Dr. Anthony Yoon
And so I'm all a fan of doing hair transplant to shorten the forehead. If you've got a five head, like I've got a six head, probably, but I'm not gonna do anything.
- [98:02]
Alex Clark
What is your famous two minute skincare routine for busy moms?
- [98:06]
Dr. Anthony Yoon
So yeah, so this is a thing that we came up with as we were putting together different bundles for my skincare line. People always ask, like, what's a good simple skincare routine? Because I don't want to do a 10 step Korean skincare Routine. Understandable.
- [98:19]
Alex Clark
I do. So we'll do that next.
- [98:21]
Dr. Anthony Yoon
So this is a simple skincare routine. The first step, every morning, you cleanse your skin for. With a cleanser appropriate for your skin type. So if you've got oily skin, you want to use a foaming type of a cleanser. That'll help get rid of some of that extra oil. If you've got real sensitive or dry skin, then use a more milky or hydrating cleanser. Second step, use a vitamin C serum. We have one. Yep, we have one called the CE antioxidant serum. You know that if you combine vitamin C and vitamin E, they're synergistic and they work even better. So you do a vitamin C serum and then you want to apply a sunscreen if you're going to be out. Okay, that's all you have to do in the morning, at night. Night. Got to cleanse your skin. If you only cleanse your skin once a day, you got to do it at night because you got to get rid of the day's worth of dirt and grime and pollution and makeup. If you want to double cleanse, that's a great way to get rid of makeup as well. So you start with an oil cleanser, then you follow that up with your regular cleanser after that. And then you want to ideally apply a retinol if your skin can tolerate it. So we usually recommend a retinol moisturizer. That way you've got kind of two in one, you've got the retinol and you have the moisturizing component to it.
- [99:19]
Alex Clark
And should that only be at night?
- [99:21]
Dr. Anthony Yoon
Just at night? Because the sunlight will deactivate retinol. No point in using it in the morning. And that's all you have to do now. You do that morning, you do that even. So, morning cleanse, vitamin C serum, sunscreen if you need it. Night cleanse retinol moisturizer. That's it. Once a week. If you have sensitive skin, two to three times a week. If you have normal skin, you want to exfoliate. What we know is that when we're young, our skin turns over every six to eight weeks.
- [99:47]
Alex Clark
Weeks.
- [99:48]
Dr. Anthony Yoon
And that's one reason why your skin is smoother and softer than mine. Okay? Because as we get older, that turnover process slows down. It takes eight weeks, 10 weeks, 12 weeks. And we get this clumping up of skin on the surface. That's why exfoliation is so important. When you actually exfoliate that upper layer of skin cells, it sends a cellular signal to the deeper layer of skin cells to create more skin and to actually turn over more quickly. And you can kind of rev that process up. Now you can do that with a gentle scrub. That's what we recommend in our skincare line. Or you can do an enzymatic treatment like alpha hydroxy acid peel. However you want to do it. You want to do that once a week with sensitive skin. Two, three times a week if you've got normal skin. And we did this on a group of women who were kind of middle aged and they didn't take great care of their skin. They had kind of average skin. And we took photos of them before and then after two months of doing this every day took about two minutes a day for them to do it it. And we found, and then we took those photos. We, we polled people asking them, okay, how much younger do you think they look? And they looked an average about five years younger. So we call it the 2 minutes 5 years younger skincare routine. Now if you start doing it, you're not going to look fine. I'm. Because your skin looks already really good. But for the average person who maybe, you know, has been taking like great care of their skin, but they're also not like horribly sun damaged. Yes. Five years I think is fairly reasonable if you go on a skincare routine like that. That's very simple, but definitely is effective.
- [101:11]
Alex Clark
Thoughts on combining hyaluronic acid with vitamin C?
- [101:14]
Dr. Anthony Yoon
I think it's fine. Hyaluronic acid is a moisturizer.
- [101:17]
Alex Clark
I'm obsessed with that combo.
- [101:18]
Dr. Anthony Yoon
Oh, really?
- [101:19]
Alex Clark
Yeah.
- [101:19]
Dr. Anthony Yoon
Why is that?
- [101:20]
Alex Clark
I don't know. I just feel like it's just my magic sauce.
- [101:23]
Dr. Anthony Yoon
Oh, really? Yeah. Hyaluronic acid is great. It's a humectant, so it absorbs moisture. I think it's a great product, but it's not truly anti aging. But if you need something to hydrate your skin that doesn't feel greasy, then hyaluronic acid is great. Vitamin C, once again, great in the morning. It's also a good skin brightener. You can do it twice a day. You can be like Ariel. Although I would recommend Ariel do it in the morning too if she's doing it at night. Just because you will definitely get those benefits.
- [101:48]
Alex Clark
I am world's driest skin.
- [101:51]
Dr. Anthony Yoon
Oh really? Dry.
- [101:51]
Alex Clark
Horrifically dry. So that's why I like to use hyaluronic acid. Give me your like, you know, billion dollar face. 10, 10 years younger. Korean, 20 step.
- [102:05]
Dr. Anthony Yoon
So if you're looking at like the ultimate skincare routine.
- [102:07]
Alex Clark
Yeah. Yeah, that's what I want.
- [102:08]
Dr. Anthony Yoon
Okay, so cleanse your skin in the morning. Okay. Once again, we talked about what would be good. I would apply a vitamin C serum in the morning and then I would have followed it up with a hyaluronic. We have one that's called the hyaluronic and probiotic serum. Okay. So one of the things that we don't talk much about and we're just learning about, you know, we know about the, the, the microbiome of the gut and its importance in the health of our whole body. But there is a microbiome on your skin as well, and that's really important to the health of your skin. And so taking a. There are lines now that are having probiotic based skin creams, which I think make a lot of sense. Okay. So if you're going to be a skincare enthusiast, I would add that in with it. So I would add a hyaluronic and a probiotic, probiotic type of a serum. And then after that I would apply brightening cream. So one that ideally has lycogic acid, niacinamide, licorice root extract. Because as you get older, you know, spots can become an issue.
- [102:59]
Alex Clark
You sell that?
- [103:00]
Dr. Anthony Yoon
Yeah, we have a brightening cream that's, that's like. Yeah, per for that. So you do a brightening cream and then I would go ahead with the sunscreen, you know, or a moisturizer if you need it at that point. But usually you probably don't. You know, usually those are sufficient at night. Double cleanse. So you would want a makeup removing oil cleanser or a micellar water if you want to go less expensive, and then follow that up with a regular cleanser. That way you're going to get rid of all of the makeup and the dirt and all that stuff.
- [103:24]
Alex Clark
Are you a fan of double cleanse thing for makeup removal?
- [103:28]
Dr. Anthony Yoon
Yes. Yeah, I think. I mean, I don't do it because I don't wear makeup.
- [103:31]
Alex Clark
Right.
- [103:31]
Dr. Anthony Yoon
But so many people love doing it. And you can do it with micellar water. That's an inexpensive way to do it. A lot of people like it. Oil cleanser is great if you've got oily skin. Believe it or not, oil cleansers can be really good for people with oily skin. And it's the idea that like dissolves like that. The oil cleanser can actually get into those pores and help clean them out. It's weird because people who have acne are like, oh, I don't want to use an oil cleanser. But Actually oil cleansers can even help people with acne.
- [103:55]
Alex Clark
Interesting. Okay.
- [103:56]
Dr. Anthony Yoon
So it can actually help to penetrate those pores. And so depending on what type of skin you have, either an oil based cleanser that also once again is really good at removing makeup because once again it's an oil or a micellar water. Then you do a gentle cleanser after that. Then I would apply. If you want to go ahead and apply the like a hyaluronic probiotic serum, I think that's great at night too. And then the brightening cream, you can always do that twice a day. I do it twice a day and then I'll follow up with either with the retinol moisturizer would be after that. Okay. So you always want to go thin to heavy, active to inactive. Okay. With your products. Thin to heavy, active to inactive. So we would apply retinol after that. Then I would actually apply a peptide and bakuchiol moisturizer after that. If you're a skincare enthusiast. Because now you're truly targeting the collagen degradation in three different ways. Retinol, peptides and bakuchiol obsessed. Okay, so now you're right, now you're targeting it in different ways. So if you want to save money, start with retinol. If you've got the ability add bakuchiol and add the peptides because they, they function all differently. Very moisturizing. And then after that if you want to apply a, like a night cream, you can if you really want that extra moisturizer. But usually you don't really need anything after that.
- [105:06]
Alex Clark
You haven't met my skin. Dry as a bone.
- [105:10]
Dr. Anthony Yoon
You are living here in.
- [105:11]
Alex Clark
I know that's what it is.
- [105:12]
Dr. Anthony Yoon
Arizona. So yeah, yeah, if I live, I'd probably be putting more moisturizer too.
- [105:16]
Alex Clark
What do you think about these 10, 11 year old girls going crazy ham on the anti aging stuff in Sephora?
- [105:22]
Dr. Anthony Yoon
I think it's a mistake because their skin is perfect and I think it's good to teach good habits. So what type of a skincare routine would I recommend? Let's say for a 12 year old it would be cleansing your skin and it would be applying sunscreen. If you're going to be out like that's it, you probably don't even need a moisturizer. You know, if it's really dry in the climate and they, they look dry, then go ahead and use a moisturizer. But that's it. And at night, same thing. You don't need all these actives and these actives can cause Problems with people with younger skin, they can get reactions to it. Just because I have patients of mine who tolerate my retinol moisturizer. They love it. I can't use it. It causes my rosacea to flare up. And so I don't use my own retinol. It's like our number two selling product, but I don't use it. I use our peptide bakuchin moisturizer. And it does great for me because I've got sensitive skin. So I think we have to be really careful. I think it's great to teach them healthy habits, but at the same time, I think we can also get over zealous with it and find that we can actually cause problems with their skin. And that's the last thing you want to do.
- [106:24]
Alex Clark
One question I always ask every guest, if you could offer one remedy to heal a sick culture, it could be physically, emotionally or spiritually, what would that remedy be?
- [106:32]
Dr. Anthony Yoon
It would be to appreciate how you look look today, period. Because, you know, we all have our insecurities. And I mean, that's what I deal with every day with my patients. And for every person who's in their 20s or their 30s and they're unhappy with how they look, I see so many people who are in their 50s, 60s, and 70s, and they look back, they go, man, I was beautiful back then. And I just wish I would have appreciated the fact that I was and would have enjoyed that. I think that's so important to realize nobody's perfect. You know, there's always somebody who's going to be better looking than you or that you think is better looking than you, that has less wrinkles, that has a better shaped nose and all that stuff. There's beauty in everybody, you know, and a lot of that comes from inside. And I think that we don't realize how good we have it when we're younger until sometimes it's too late.
- [107:21]
Alex Clark
Yeah.
- [107:22]
Dr. Anthony Yoon
And so doing these things, like getting these invasive treatments and stuff when you're younger, be careful because you can really ruin your face, you know, and just be happy, you know, that God created you, that you're beautiful the way you are.
- [107:34]
Alex Clark
But people are going to say, how are you a plastic surgeon saying you're beautiful the way you are?
- [107:37]
Dr. Anthony Yoon
So I think I fully believe that, you know, I mean, life is a gift, and every day that we live is a gift to us. And, you know, for me, the way I look at it is that beauty is in everybody. And at the same time, it's no fun to look in the mirror and to see a different face than you want to see. You know, I see that myself. You know, I'm 52 years old and I'm like, oh, man, where are these, where's the puffy bags under my eyes coming from? And stuff? But the fact is, is that it's a blessing. Every day that we're living on earth, that we're not in the ground is a blessing. And we have. And if you want to fight the aging every step of the way and have fun with it, then by all means do that. Like, enjoy doing it. But if it's a chore, if it's something where you feel bad about yourself, if you don't do it, then really what you want to do is talk to somebody and try to change your mindset around the whole aging process and realize it's a blessing to get older. But once again, if you want to fight it every step of the way, by all means, do that. But just have the right perspective on it, you know, and that's what I would recommend. You know, you don't. Nobody needs plastic surgery. You know, you don't need to get a cosmetic surgery done if you want to. And it's going to benefit you. You feel like it's going to improve the quality of your life and help you deal with some insecurity, that's okay. You know, talk with a surgeon about it. Use it as a last resort. But always, always, always remember that, you know, as you get older, things will change no matter what. And it's okay.
- [108:57]
Alex Clark
I love your book because you go into everything like diet and the sunscreen conversation and all of the different things, what your routine should look like. Tell everybody about your book.
- [109:07]
Dr. Anthony Yoon
So my book is called Younger for Life. It's a big bestseller. And it's basically everything you need to know about how to turn back the clock naturally and holistically. And it has a 21 day jumpstart. So. So, you know, we talked about the 2 minutes 5 years younger skincare routine. It's part of that along with diet and a little bit of intermittent fasting. All of that stuff can really combine in just 21 days to really change how you look and feel about yourself.
- [109:29]
Alex Clark
Yeah, that's a good book. And it just came out very recently.
- [109:31]
Dr. Anthony Yoon
Came out about a year ago.
- [109:32]
Alex Clark
Yeah, it came out about a year ago.
- [109:33]
Dr. Anthony Yoon
You got the paperback coming out in just a few months.
- [109:35]
Alex Clark
Ooh, that's exciting. Okay, cool. Well, my reader listeners will love that. And then your skincare line.
- [109:41]
Dr. Anthony Yoon
Yep, my skincare line is Yoon Beauty. So it's available at yoonbeauty.com it's made with natural and organic ingredients. It is cruelty free and it's what I consider to be the best of both worlds. So it's no added fragrances, no added preservatives, all that. It's clean skin care with medically active components. And so when I back when I was trying skincare products, I sold them actually in my office for many years of the product lines that were available to plastic surgeons and they really de age people's skin and they saw change with it. But I had a secret that I didn't tell anybody. I couldn't use those products because my face would break out in hives. And so it wasn't until I actually discovered organic and natural products I realized I can actually put creams on my face that feel good. And so that's why I created my skincare line, Yoon Beauty as a combination of the best of both worlds. So clean natural products with actual active components like retinol, like bakuchiol, like vitamin C and all those things we've talked about today.
- [110:35]
Alex Clark
I love the eye cream and the eye cream has retinol in it a little bit, right?
- [110:38]
Dr. Anthony Yoon
Yes. Because as we get older, the eyelid skin is the thinnest skin of our whole body. Sometimes it's only a few cell layers thick. As that gets thinner as we get older, you get crepiness. And the one thing we know is proven to help with crepey skin and thickening, it is retinol that's the most effective. And so that's why we have retinol in the eye cream. It's also got caffeine, it's got antioxidants as well. It's a nice moisturizer.
- [111:00]
Alex Clark
I'm very also very picky about eye cream and I almost am not impressed by any of them. I've really been impressed by it.
- [111:05]
Dr. Anthony Yoon
And it's one ounce, so it's going to last you a really long time.
- [111:08]
Alex Clark
Oh my gosh, it's huge. I was like, am I opening the moisturizer? Because I've never had an eye cream that huge. So it is worth the life.
- [111:14]
Dr. Anthony Yoon
It lasts you a long time.
- [111:15]
Alex Clark
Where can people follow you on social media? TikTok Instagram.
- [111:18]
Dr. Anthony Yoon
So yeah, you can find me. I'm Dr. Yoon on TikTok, Tony Yoon MD on Instagram and I've got my podcast, the Dr. Yoon show as well where we cover all this stuff and alternative and holistic medicine and all that too. So that's a good place to find me is on the podcast.
- [111:31]
Alex Clark
Thank you Dr. Yoon, for coming on Culture Apothecary.
- [111:34]
Dr. Anthony Yoon
It's a lot of fun. Thank you so much.
- [111:39]
Alex Clark
Okay. Tea on President Trump's hair. I wasn't expecting that. I mean he didn't confirm that's who he's talking about, but I think that's who he was talking about. What do you think? And what else did he say that absolutely blew your mind? How about oily cleanser is good for oily skin? I have never heard that in my life. I definitely knew about the foam for oily. I knew about the like milky hydrating for more dry. But I had never heard of oil for oil. Fascinating stuff. Make sure you leave a five star review. Follow the show on Instagram at Culture Apothecary. Follow me at Real AlexClark. We post new episodes every Monday and Thursday night, 6pm Pacific, 9pm Eastern, anywhere you get your podcasts. And of course the real Alex Clark YouTube channel where you'll you're going to find tons of additional content and vlogs and all kinds of stuff from me. I'm Alex Clark and this is Culture Apothecary.