← Derm Approved
Derm Approved
Exploring Aesthetic Alternatives and Wellness with Arielle Lorre from The Well Podcast
00:48:18
<p>In this episode of Derm Approved, I sit down with Arielle Lorre, the influential voice behind The Well podcast, to discuss innovative alternatives to traditional aesthetic treatments like Botox and fillers. We explore the potential of treatments such as lasers, lymphatic massages, face taping, and red light therapy, as well as dive into how wellness habits can elevate your skin health from the inside out. Our conversation also highlights the benefits of diet, essential supplements, and acupuncture in supporting skin vitality, as well as celebrity-endorsed IV drips like NAD and Glutathione for an added boost. We break down which skincare ingredients actually work, debunk viral trends, and provide practical advice on navigating the wealth of information (and misinformation!) out there.</p><p>Connect with me on social media <a href="https://www.instagram.com/dr.sheila_derm/?hl=en" rel="noopener noreferrer" target="_blank">@dr.sheila_derm</a> and <a href="https://www....
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The following podcast is a Dear media
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production I'm Dr. Sheila Farhang and welcome to Derma Proved, your number one source
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for all things dermatology, from skin and hair health to the latest celeb cosmetic treatments.
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I'll be providing you with valuable science
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backed information so you can feel more knowledgeable and empowered as you navigate and make decisions about what's right for you and your journey. So let's get into today's episode. In this episode of dermaproof, I I sit down with Arielle Lore, the influential voice behind the well podcast to discuss innovative alternatives to traditional aesthetic treatments like Botox and fillers.
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We explore the potential of treatments such
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as lasers, lymphatic massages, face taping and red light therapy as well as dive into how wellness habits can elevate your skin health from the inside out.
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Our conversation also highlights the benefits of
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diet, essential supplements and acupuncture in supporting skin vitality, as well as celebrity endorsed
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IV drips like NAD and glutathione.
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For an added boost, we break down which skincare ingredients actually work, debunk viral trends and provide practical advice on navigating the wealth of information and misinformation out there. But before we get into today's episode,
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this show was made possible from four
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of my favorite beauty and wellness brands
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and here is more about them.
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As a dermatologist, I often get asked if gel manicures are bad for the nails. The truth is it's not the gel polish, but rather the improper application or removal that causes problems.
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That's why I recommend CND Shellac to my patients.
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It's the original gel polish brand tested to ensure no damage to your natural
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nails when used correctly.
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There are many brands out there that don't follow the latest regulations or which can lead to damage or allergic reactions, so keep your nails looking and feeling healthy. With C and D Shellac, you can
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visit cnd.com to find a C and
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D salon near you. As a board certified dermatologist that specializes in integrative derm, I'm always looking out for the most effective clinically tested supplement on the market. Dicera is a once daily skin supplement clinically proven to reduce wrinkles and fine lines and increase skin smoothness. In 90 days you can start Hyacinth to minimize wrinkles without compromising on clean science. Hyacra from Ritual is a clinically proven skin supplement that you can actually trust. You can get 25% off your first month@ritual.com Dr. Sheila 25. You can start ritual or Add Hyacara to your subscription today. That's ritual.com Dr. Sheila 25 for 25% off at home devices I get asked about this all the time, so let's talk about red light therapy. One of my favorites from Solo Wave is their 4 in 1 radiant renewal skin skincare wand that combines four scientifically backed proven skincare technologies for the ultimate non invasive at home skin care treatment. And in addition to the Solo Wave devices, they also have a skincare line which is a blend of pre and probiotics which helps benefits the skin microbiome. You can visit mysolawave.com and use code doctorsheela at checkout for 25 off your first order. So that's M y S o L a w a v e.com and you can use Dr. Sheila for 25% off your first order as a board certified dermatologist. Many patients ask me what they can do at home to treat wrinkles and one of my all time favorite anti aging drugstore brands is ROC Skincare. I've been working with them for years. Every ROC product is science led, developed and tested to ensure highest quality and efficacy. Every single ROC product is clinically proven with over 100 clinical studies, 75 safety studies and 35 patents. Every ROC formula is scientifically crafted and clinically tested to ensure the best results for your skin. For more info on this skincare product visit www.rockskincare.com. all right, let's get back into the episode.
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All right. Hello everyone. Welcome back to Derma proofed. I'm Dr. Sheila Farhang. This is the podcast on all things dermatology, cosmetics, skincare and I'm super, super excited because we have the wellness queen herself who shares her own experience on skincare cosmetics, her wellness journey, Arielle, who just rebranded to the well podcast. Thanks for being here.
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C
Thanks for having me.
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B
I am super excited because what we're going to focus on in this podcast and I really wanted to curate it based on kind of what your journey has been like and what you like to talk about and that is more of the wellness aspects of dermatology as it pertains to skin and hair and anti aging. So I'm a dermatologist and then I did a cosmetic fellowship, I did a skin cancer fellowship. So I'm also a skin cancer surgeon, cosmetic surgeon, but then I did a year of integrative dermatology and so that is all labs, supplements, what you can do that's not technically medicinal for things like acne, hair loss, things like that. That really Helps optimize. And I feel like incorporating some of those in this episode. Some of them you may know, some of them you may not know will be really helpful for viewers and listeners. So I think that'll be great.
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C
Yeah, I want to know all of that. I want you to teach me all the things.
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B
I honestly, you probably know a lot of them because you are very, very, I think, educated. You've had some amazing guests on your podcasts. A lot of things from MDs to PhDs, from those that are a little bit more on the holistic side to those are. That are derm. Actually. Have you had a derm? I know you've had plastic surgeon. I know you've had some nurse practitioners and injectors, but I don't know if you've had a derm.
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C
I don't know, Ashley. Have I?
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B
So we're doing a swap. Yeah. So we're doing a swab. So we'll. That's going to be really exciting. So we can do an axoderm or you can do all the questions.
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C
Yeah, we're doing Ask the Derm on my show. Yes, I think I maybe have, but I've been doing it for, for five and a half years, so I think it was maybe, maybe a while ago towards the beginning.
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B
Got it, Got it. Well, I literally binged all your episodes. I have seen them. I love the clips. I think your clips are amazing. Your little bites are great. But yesterday I went through and I really loved the episode with like Amy Chang.
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C
Yes.
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B
So I feel like you guys are really similar in that sense. And from an injector dermatologist Dr. Point of view, I love that your perspective are like for the people and especially for you. And we can talk about this as much as you want or don't want, but your experience with Botox, because I think what you're doing with it is so correct. I think you're telling people your experience. You're not fear mongering, you're kind of telling what happened with you. And as a cautionary tale for people. And although it's really rare, I don't think that people should take. And I literally do this for a career is Botox neuromodulator injections. I don't think people should take it so lightly because things can happen not only cosmetically with like bad results because I know Amy Chang and I think it was you were saying that you were getting your like masseters done, which I love that. But you shouldn't be getting that every quarter. Like that is something that's like once a year if you only need it. And as you get more mature, like in your mid-30s above, you may not. You may be sacrificing it for that jowling which you guys, I think both experience or your injector could be hitting another muscle, which is like. Like what makes you smile. And if that's paralyzed, you can't smile for three months. So do you mind kind of just briefly talking about your experience as much as you would like?
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C
Sure. So, yes, I did do master Botox, and Amy did as well. This is separate from what I think we'll talk about, but one thing that I have experienced in 14 months of not getting Botox, which I'll get into in a second, is that my masseter came back and I have a jawline now, and the lower face is, like, tightened up, which is kind of a nice benefit. Silver lining to this experience that I went through that was otherwise pretty debilitating and devastating. But I appreciate you talking about it, given that you are somebody who does this. You do inject people, and you do work with these neurotoxins, and you're also willing to talk about the potential downsides of that. And that's something that I just really appreciate having gone through what I went through. And, you know, I experienced a lot of gas lighting, and I am not anti doctors. Anti. You literally went back and did it right.
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B
You tried. And I'm like, this girl really wants Botox.
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C
K. Oh, I love my tox. So rewind. I did botox for 10 years. I first got it when I was 28 years old. I went to my dermatologist at the time for a skin check, and they said, hey, do you want to hit some of those lines in your forehead? Which I had at 28, because I had been in drug addiction, alcoholism. I was a smoker, daily dress, tanning beds, drinking, tanning beds. So I did have static lines at that time. So I didn't know anything about Botox, but I said, sure. And it was amazing. My skin smoothed out, and from there on out, anytime I would get some movement back or some lines, I would go back and get Botox, Xeomin, Dysport, Juvo, Daxify. When I say Botox, I know it's a brand name, but I just mean, like, neurotoxin. So I never had any issues. And then in August 2023, I got my regular injections. And the next day I woke up, and I felt very strange. I had weakness in my extremities. I Had really crippling physiological anxiety. It wasn't like mental anxiety. I wasn't anxious about anything. I didn't have thoughts associated with anxiety. It was just my body was almost trapped in this fight or flight kind of feeling. As the day went on, my vision started getting blurry. Things started going black. I got really bad vertigo to where it felt like I was on a boat. And then from there, I experienced full body muscle spasms. I had ptosis in each of my eyes. I had very dry eyes to where I had to just lay there with compresses on my eyes like 24 7. I had weakness in my neck. I was wearing, like, a neck brace for a short period of time. I had dysphonia, so it was like my. Sounded like I was being strangled when I would try to talk. So I had all of these systemic symptoms. And since I had been getting Botox for so long, I had the thought in my mind I was 100% fine before this happened. And then 12 hours later, or whatever it was, this all came on so quickly. So it's kind of like Occam's razor. The most obvious answer is the answer, but at the same time, I did not want it to be the Botox. And I didn't know that that was even possible.
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B
I mean, it's super rare. So what Ariel experienced, I would say, is like the most rarest case. And in fact, you didn't even get a lot of units right? Because usually what happens is. And what I see and what I'm really worried about and like, people getting injectables is like, basically getting so many units where you're almost getting, like, a systemic reaction. I don't even know. You'll probably never know why you got this. Like, it's. I must be like an autoimmune type of, like, set off that happened that it was like a lot of neuromodulator neurotoxin in your body. I think that with anyone else, it's like, one listen to your symptoms. I like that you are kind of like a voice for people. Because also, we're going to get into there's alternatives. Not everyone has to do Botox. And you can still see your injector, you can still see your dermatologist. You can still want to prejuvenate, help with the aging process without doing something like a neuromodulator. So not saying that it's bad, but it may not be for everyone. Especially. I had a patient who literally got some viral disease, Guillain Barre she got Guillain Barre where her muscles, she was, she's like in a, on a cane. But she came in to get her Botox with me because that was like the one thing she was like, it makes me feel good. My eyebrows are lifted. I just feel happier because there's a lot of studies on that too how if you want it's your perception of how people see you. If your eyes are brighter, your eyebrows are wider, or if you don't feel as tense between your eyebrows, then that could be a good thing. But anyway, she wanted her tox because that was amazing. And I was like, girlfriend, I cannot do your talks. Your Guillain Barre is going to get flared up again. So there are a few of those little things and there's so much of
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what we don't know in medicine, like
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what if you had a virus or something else or what if it's some type of autoimmune, who knows why it happened to you type of thing. But I think you identifying it, sticking with your guts and being like, no, this is what it is and, and kind of speaking our truth, I think is great.
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A
Okay, let's take a quick break from the show. As a board certified dermatologist, I'm only usually recommending products that I actually use and have vetted. Ritual has been one of my favorite supplements for years. I love their science. I love that they're very specific with their claims. And when I learned about their new wrinkle support skin supplement, I had to try it. Hyacra is a once daily skin supplement clinically proven to reduce wrinkles and fine lines and increase skin smoothness in 90 days. And what I love is that it's rigorously tested and validated by a third party for allergens, microbes and heavy metals. If you're obsessed with reading the skincare labels, this is for you. Hyacinth is made traceable so you know the form supplier and studies behind its key ingredients because not all skincare ingredients are create equal as you know. I love that it's formulated with hyaluronic acid which naturally occurs in our skin but decreases with age. The decrease in hyaluronic acid can cause thinner drier and make your skin more prone to wrinkles. Rituals Hiacera supplement is clinically proven to reduce wrinkles and improve skin smoothness. You can start hair to minimize wrinkles without compromising on clean science. Hair from Ritual is a clinically proven skin supplement you can actually trust. Get 25 off your first month@ritual.com Dr. Sheila25. You can start Ritual or add hair to your subscription today. That's ritual.com Dr. Sheila25 for 25% off from running between my dermatology practice, performing skin cancer surgeries and balancing with my other projects, I notice eye bags. I've been talking about eye bags a lot lately on my podcast and when I'm not getting enough sleep, if my diet is not the way it's supposed to be, with a lot of carbs or salty foods, and if I'm traveling, these eye bags will show up. It's usually due to fluid or sometimes a little fat pad that's showing up there. But there's other things with the eyes too, such as dark circles that can show up if you are again not getting enough sleep if you're dehydrated or fine lines that can just happen over time as we mature and with some damage. So it's so important to do skincare as part of the regimen to help with the eye and eye issues. And of course when it comes to skincare, I am looking for things that are scientifically backed, that are drugstore and affordable. Affordable. And ROC is a brand that I've worked with with years. They have a Rock dual eye cream. It's a two in one eye treatment really for that age defying result. With this product, in just one week, 96% saw the look of lines plus puffiness reduced. And in two weeks, 90% experience visibly lifted eyelids and reduced darkness. Which is really great when it is something that you can do at home, it's affordable. Every Rock product, like I said, is science led and developed and tested to ensure the highest quality and efficacy. Every ROC product is clinically proven with over a hundred clinical studies, 75 safety studies and 35 patents. And this is a brand that has been around for over 65 years. For more information you can visit www. Rockskincare.com okay, let's get back into the conversation.
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B
What are some other things that you've done? I know skincare. I'm gonna definitely ask you about your skincare routine because you truly are like someone who has glass skin after because on Instagram and reels the thing about those that people are like glass skin but I'm like you, the skin's gonna like dry out and your skin's gonna look normal. It's just because you literally applied the serum but you're, I mean you're like hours out, I'm sure from your skincare routine. And it still looks really nice and glowy and so we definitely Want to talk about that. But I know you tried acupuncture, which I think is great, but you do have to continue. We can talk about facial massage, which there's some studies to support that, but you literally have to do it 30 minutes a day, which is like, who's gonna do that? And then now you're trying face taping, which I want to hear more about because I have my thing with like face taping. And I'll tell you why too.
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C
Okay. Yeah. So acupuncture I've only done once.
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B
Okay, got it.
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C
I mean, I do regular acupuncture on my body, which was actually one thing that really helped me overcome the symptoms when I was experiencing that last year. Facial acupuncture I only did once. I'm a little bit of an instant gratification girl where I want to see results more quickly than maybe I would see results with facial acupuncture. Not saying that that's off the table, but I don't have time to do like all of the things.
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B
Right, right, exactly.
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C
So, yeah, facial massage, I love. That's something that I do maybe once a month if that. If I can get to my place that I go to here in La Kocha Spa.
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B
Yeah.
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C
The most amazing.
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B
Is it like a lymphatic or Bali.
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C
They do buckle massage. They do. They start at your scalp, then they go down your face to your chest, your, your traps. Like everything, everything just loosens up.
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B
Do they use any like gua Sha tools?
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C
They use Gua Sha tools. They do a sound bath while you're in there. I mean it is the most, just incredible experience.
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B
That sounds great.
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C
So relaxing. And when I leave there, my face is tight, it's lifted. It really does work. It's not like something where you're going to get a three month result from it.
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B
Right.
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C
But you know, if you want to get some relaxation, I feel like it does really get the blood flowing. My skin always looks plump and great for like a week after.
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B
Great for before and event or something.
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C
Great for before an event. Yeah. So the face taping, I mean, look, I am a skeptic with this.
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B
I know. Tell me about this because I'm going to tell you what I think about it.
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C
I mean, I think I did a reel on this where I said, if you had told me 14 months ago that I would be taping my face instead of doing Botox and putting it on the Internet, like and it actually worked, I would have thought that I lost my mind.
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B
Sure, sure.
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C
So I know how it seems. I'M sure to like the person who. Who has not tried it.
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B
Sure.
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C
That being said, without the Botox option, I was like, okay, I gotta do something. Yeah. And I will say that the first few months after the experience that I had with Botox, those were the most nerve wracking as far as like, I didn't know what was gonna happen. I hadn't seen my face without Botox in 10 years. This sounds very vain, but like, I'm sure most of the women listening to your podcast get it. I'm 39 years old. It's still young, but sliding into 40. Things are changing and I just didn't know what was gonna happen. I thought the wheels were gonna fall off and they really haven't. Ten years of doing Botox was preventative. Yeah.
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B
It's not anti aging. Yeah. Doesn't reverse the lines, but it does prevent. But when you stop, those lines will come back.
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C
Yeah.
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B
Slower, but they will.
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C
Yeah. So I have movement, but I don't have static lines. Some would say I don't have movement. I'm like, I'm just not expressive. I'm trying not to express just for
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A
sake of the line.
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C
But anyway, so I tried a few of the things that were on the market. I tried frownies. This is nothing against frownies. If you're not familiar with them, people seem to love them. It's almost like a paper mache to
- [20:00]
B
your face that sounds.
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C
It was extremely uncomfortable and I just. It was so hard to get off. You have to completely soak it. And even then it's like removing a cast from your face. It smelled, it was uncomfortable. Your skin can't breathe under it. I was like, there has got to be a better way. I tried a few other ones that were on the market. Patches, things like that. Didn't really like anything. And then I came across this Japanese face tape that this woman, her Instagram handle is Natural Face Bible.
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B
Okay.
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C
She promoted it and I was like, you know, $28 for a roll of tape. Like, it can't hurt. Let's see what it does. Because I do notice that the only time that I really have lines on my face, aside from when I'm moving it, is when I wake up in the morning. I sleep on my side.
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B
Exactly.
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C
I think that I have my face sometimes in a surprised expression in my sleep.
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B
I'm so glad you mentioned this because face tape only works to address the lines that show up while you sleep, not the dynamic lines that you make during the day.
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C
Yeah, no, it's not.
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B
I think you should talk about that more, though, on your videos.
- [21:05]
C
Yeah. There may be a misconception.
- [21:07]
B
Yes.
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C
Unintentionally.
- [21:08]
B
Yes.
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C
I thought that it was a little bit intuitive.
- [21:10]
B
No. People think it's for, like, these smile lines, but I'm like, you're not smiling at night unless, like, you're squinting or. A lot of times what I see is people have a vertical line, and that's from sleeping. So that's where face tape comes in. And that could be a nasal labial, or that could be. If one side is just more aged than the other. I'm a side sleeper. I, like, literally sleep on my face. I hate it. I've tried all the pillows. I, like, love sleeping on my stomach.
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A
It's just a thing, too.
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B
I'm on my stomach with my head to the left. Same.
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C
I'll forever be flatter on my left side.
- [21:44]
B
Same. And it's like, I'd rather get good sleep than. Right.
- [21:47]
C
Thank you.
- [21:48]
A
Yes.
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B
Yes, I know.
- [21:49]
C
I thought about getting those pillows.
- [21:51]
B
I tried them, but, yeah, they're not.
- [21:53]
C
It's not going to get the eight hours and be well rested and get all of those, you know, growth hormones and.
- [21:59]
B
Yes. Repair during the night. Yellow. Yeah.
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C
So I did not have any expectations, really, for this tape. But what I love about it, it's super gentle, it's breathable, it is comfortable. I can do it over my skincare. It doesn't peel off, it doesn't pull the skin. It's so easy to take off in the morning. And when I wake up, I only do it a couple nights a week, but it is, like, very smooth. And it does kind of just for a few hours in the morning, inhibit some of that movement.
- [22:29]
B
I think face tape is face tape. I think what you need to be careful when you're buying face tape is you're not pulling that stitch skin, especially around the eye, which is 10 times thinner.
- [22:38]
C
Yeah.
- [22:39]
B
Sounds like the first one you had was a little bit more traumatizing. I saw someone online who was, like, really into holistic. And she was like, medical tape. This is what I use. And I'm. I almost did a reaction video. I'm like, that is tape that's supposed to stay on there. And the adhesive that's on there is going to cause allergies. You're literally demolishing the. The skin barrier of your skin by pulling that off, and that's causing more trauma and probably aging. So you want to make sure, if you do want to try that face tape that it pulls off like butter. That it really is just doing its job, holding things in place. Especially if you are seeing those like lines set in when you wake up. That is the time to use face tape. It's not for, like we said, dynamic lines where at the end of the day you're starting to see your elevens. But again, who knows, if you see your elevens in the morning, maybe you're making like a really mad face face at night.
- [23:29]
C
So yeah, I, I honestly, I wake up some days that I don't do the tape and I have horizontal lines.
- [23:35]
A
Sure.
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C
As though I had my face in a surprise.
- [23:37]
B
You probably.
- [23:38]
C
And I don't have elevens.
- [23:39]
B
Yeah. At all. Yeah.
- [23:40]
C
Like my face just doesn't do that. Everybody's movement is different. And it's funny because I, you know, post these videos and everyone's like, yeah, you're still freezing your face with Botox. And I'm like, my area is my eyes, my crow's feet. That's genetically everyone in my family is very like smiley, squinty, have those lines there.
- [23:57]
B
Yeah, lines there.
- [23:58]
C
But I don't have 11. Some people are more prominent there and don't have the horizontal lines. Like everybody's different.
- [24:04]
B
Mine is like horizontal lines. But my thing is, even as an injector, it's so hard to do my talks. And that's why it's to go and get really good. Something like Botox is so difficult because if you want lifted eyebrows, so you want like a brow lift without a
- [24:19]
A
brow lift, surgical brow lift.
- [24:22]
B
That trade off is decreasing the number of units in your forehead. You probably already know that. So if I want a patient or in my, for my own self, just with my face shape, I feel like a very wide face. So I need eyebrows that are a little bit more lifted instead of flatter. So. And one day I will probably go get a brow lift, to be honest. But right now it is a, I guess like a chemical brow lift with tox where I only do between my eyebrows. So this muscle relax is between my eyebrows. It's like a set of like four muscles. Five actually. And so my frontalis muscle, the one forehead muscle actually overcompensates, pulls up and that's how you get that brow lift. The more injections you do in your forehead, the less of that lift you get. So I'll go in and do like micro injection, like tox injections to my like forehead lines because I still want that lift, but I still have lines, which sucks. But it's that trade off. So I think people need to also Understand that you can't have both. And also you can get some trade off too. Like, some people will get like a shelf. If I completely get rid of every single wrinkle around their eyes. They almost get this like shelf where you just have like no movement around the eye. And then you have this like shelf of a muscle there of your cheek. And it just. That transition looks really, really odd. So you need an injector that's like really will finesse and make sure we're hitting your goals. But still looking natural. So lasers, I'm sure. Did you try lasers around your eyes? That is a really great thing to do.
- [25:45]
C
I did a baby, like very baby CO2 in July.
- [25:49]
B
Okay.
- [25:50]
C
We went extremely light.
- [25:51]
B
Great.
- [25:52]
C
Because it was four days before my boyfriend's birthday weekend. So I was like, I really can't be looking crazy. I didn't even like scab or anything. So I'd probably go back maybe and do it again. But as far as lasers go, I do like a fraxel a year love. And then I just did Easy gel.
- [26:08]
B
Okay.
- [26:09]
C
We can talk about that DVD on that.
- [26:11]
B
Yeah, I do that a lot in my office. So what Easy gel is, it's prf, Platelet rich fibrin, which is different than prp. You know, we pull your blood, spin it with easy gel, which is prf. That fibrin is different than the platelet that prf because it creates like a scaffold of fibrin there. So pull. It's actually not stem cells. So people are like, it's stem cell therapy. What it does is it's your blood products have growth factors and by injecting that in, it pulls in a whole cascade and it pulls in stem cells. So technically it's not like going to an orthopedic surgeon and them doing stem cell PRP in your hip because they're pulling it actually from your bone marrow. So that is truly like stem cell. But we call it stem cell prf, prp, whatever, because it pulls it in. The easy gel is really nice because. And I love it for the under eye. And I feel like it's like all over tick tock and everything right now. But because instead of the PRP pulling in those growth factors for like hours to days, the PRF pulls in the growth factors for like weeks to months. So it's a little bit more regenerative. And I think you're a perfect candidate
- [27:18]
A
for it because it's going to help
- [27:19]
B
with that skin quality, strengthen that skin. It's going to help with the Blue tone. It's going to help with the fine lines. It doesn't necessarily add volume, although initially it will look like it because we add your own albumin, which is like protein. That's why it looked like really thick and fillery. So it looks full in the beginning, and then your body gets rid of it, and then your body stimulates collagen. So it's super popular in my office, especially for patients that aren't quite under eye filler. Patients or people who've gotten really bad under eye filler, I'll dissolve their under eye filler. I'll go in with radio frequency microlink, and then I'll go with the prf and then maybe filler. But it's like a whole protocol. But I love that people are kind of embracing this, like, prf. So, yeah, let me know. You need more than one session for
- [27:58]
C
things Thanksgiving, because I love having a little bit of diffuse swelling.
- [28:02]
B
Yeah.
- [28:03]
C
So I was like, I actually want to go right before Thanksgiving so that I have that diffuse swelling. Baby face.
- [28:08]
B
Got it. There's one thing, you and Amy talked about it, and she mentioned it's called Skin Vive, and you actually asked a really good question. I don't know if she answered it, but you were like, okay, since it's really thinner product, does it not cause, like, obstruction or all the issues or migration? And you're completely right. So basically, Skin Vive, it's an allergan product. It's basically hyaluronic acid. It's basically filler, but it is so, so flexible to add technically volume. But it pulls in that water and hydrates the skin and helps. Basically, it's like hyaluronic acid injected in. I don't think everyone's a good candidate for this. It's not. If you want, like, volume or anything, I wouldn't put in the nasolabial, but off label, it's for the lower face. But off label, it's been fantastic for these little fine lines around the eyes because it's not adding technically volume. A little bit of volume, like, tiny bit of volume, more than what, like, PRP would do. But on a cellular level, it's actually like hydrating the skin, plumping it up, and really helping just with that whole pathway. So that's been really great for my patients, especially if they see the lines that are going down their cheek area. So some people see that and tox can't help that because it's hitting another muscle. So that might be something to look into. It is an injectable but it is. Shouldn't cause a lot of that lymphatic obstruction because that, that people see is with thick products inappropriately placed really deep that really like decreases your body's ability to one get rid of the filler there, which there's no issue with the filler staying there for years and years unless it's done poorly. And then you just. Then you shouldn't wait for your filler
- [29:47]
A
to dissolve because it's probably not going to dissolve.
- [29:49]
B
So that might be a good option. But yeah, try the prf. Prp. I'd love to have you report back on your social. I think it's really subtle, but it's a good for me, for my patients, a good, like also in between filler treatments if they're like not quite ready yet.
- [30:03]
C
Yeah, that's good to know. Yeah. I feel like I did fat transfer in 2021, which I loved because I did have filler prior to that and I got hollow puffiness. That's how I would describe it. Yes, it migrated. I had it done really conservatively, but still it just, it would. It was hollow and then I had this lump. And so I did very conservative fat transfer, which is how I think you should do it under the eyes. And that's been great. So it's really just the lines which did bother me a lot initially after the botox wore off. And now I actually really appreciate movement in my face and other people's faces. And I remember people in the beginning said to me, you look so much better because you can express how you're feeling and it's not just kind of this flat. And I remember thinking, you're just saying that. And now I notice that in other people, I mean, you have movement in your forehead and you can express and I really like that. And I think it's so beautiful. So for me, it's like not about trying to completely eliminate anything anymore, but just soften to kind of, you know, prolong the youthfulness.
- [31:10]
B
Nothing wrong with trying to decrease and do what we can to look as good as we feel. Right. Okay.
- [31:18]
A
I'm sure you love getting your nails done as much as I do, but
- [31:21]
B
we want to ensure we keep them
- [31:22]
A
healthy in between salon visits. One of the best ways to do this is by incorporating a cuticle oil into your daily routine. My absolute favorite is C and D solar oil. It's actually an award winning cuticle oil that will transform your nails and cuticles and all it takes is applying a
- [31:38]
B
few drops every day. I literally keep mine at my nightstand.
- [31:42]
A
Make Sure, I use it every night before I go to bed. The C and D Solar oil formula is a blend of naturally light oils such as jojoba oil, vitamin E, rice
- [31:51]
B
brain oil, and sweet almond, which get
- [31:53]
A
right into your nails, the skin and the cuticle. It penetrates deeply by entering through the of length layers of nail polish in the tiny spaces in the nail plate, filling them with nourishing oils while pushing out any damaging moisture. So this keeps your nails moisturized, supple and looking healthy. There's no more peeling, there's no more dryness, or no more breakage. Plus it can help your manis last longer. I've been using C and D solar oil for months now and my nails have never looked better. They're stronger, they're shinier, and the skin around my nails look moisturizing pretty much all the time. Whether you're at home or at the office or on the go, you can use C and D Solar oil as your perfect little companion for maintaining beautiful hydrated nails. You can head to Amazon.com and try C and D solar oil for yourself. Okay. As a dermatologist, one of the top questions I get is how to stimulate collagen at home using devices. So first let's get into what collagen is. Collagen is so important. It's basically what gives our skin structure and we start losing 1% of the production of starting at the age of 20 every year and then 30% the first five years after menopause. So it's super important to really think about collagen in your anti aging skincare routine. What I love to recommend is Solo Waves 4 in 1 Radiant Renewal Skincare wand that I've been using for years now. It uses a red light therapy technology. It also has galvanic current, a warm therapeutic massage, which is really nice because it helps decrease that inflammation, maybe that fluid retention that's there. And then of course, the red light stimulates collagen. And then what's also nice about the red light, it helps decrease breakouts and discoloration. And as a dermatologist, I'm always looking out for what patients can do at home and in the office. But I think finding something that's affordable, that they can use, that actually has science behind it is so important. I think if you're looking for a safe and effective way to improve your skin's appearance and you want to do something at home, Solo Wave is worth considering. Its product combines multiple technologies all in one device, so it really saves you time and money on that. Aspect and it's pain free. No needles or anything. Also, don't sleep on their skincare line. They have pre and probiotics in their skincare line, which I'm all about a good balanced skin microbiome. Probiotic skincare is really nice to help hydrate and boost the skin barrier. You can visit mysolawave.com to use Dr. Sheila at checkout for 25 off your first purchase. That's mysolawave. M y s o l a w a v e dot com and use code doctorsheela for 25% off your first order. All right, let's get back into the episode.
- [34:25]
B
I'm also, like, near 40. There was a study that came out. I just talked about my previous episode on. Did you see it? That there's two bursts of aging, 44 and 60. Not that people should get really scared and like, oh, my gosh, there's a dooming craziness that, you know, you turn 44 and you're gonna look so much older.
- [34:45]
A
But I think it gives us a
- [34:46]
B
little bit of validation where it's like, if you do wake up in the morning and you're like, I just feel like. Like I'm doing all the wellness things. I feel great, but I just don't look good. Like, it could just be genetic. Like, aging process is not linear, especially if you're going through a lot of stress and things like that. So it's kind of just like, embrace it. And there are things that you can do beforehand without going in and getting a facelift really quickly.
- [35:07]
C
And hormones, I imagine, are so impactful. Even I noticed with my own skin. Throughout my cycle the last few weeks, my skin was, like, glowy, dewy, plump, amazing. And then I, like, got my period, and it's now it feels flat, dry, just kind of like. I don't know the word that I'm looking for. Completely different. It's night and day. Who is this person?
- [35:30]
B
So this is like, literally the, like, our cycle, right? Like, ovulation cycle. We want to reproduce. That's when we, like, look the best. We are just, you know, living our best self. And then, like, when you're on your period, you're just, like, oily. Your skin's more inflamed. You're a little bit more swollen. So I did a post on this, like, literally talking about that luteal phase, all the little phases that we have, it's like, each week. And that's why also sometimes our energy level is different and how maybe we should change our workouts based on like our cycle and things like that. And I think skincare should be really different based on like where you are in your, your cycle too. So I love that you mentioned that. What are your favorite things such as like, have you tried like IV drips or red light, anything like that? Because I'm starting to add those. Or for the past two years there's this been this wellness aspect to aesthetic offices and I'm like very pro that because if someone is looking good on the outside, I want them to feel good on the inside too. And it's unfortunate that your regular primary care doctor, just because of the timing, you usually have to see like a concierge type different doctor to like run labs. Because I'm like a huge advocate on run your labs, run your cortisol supplements are so important.
- [36:53]
A
Important.
- [36:53]
B
Adaptogens are so important. Depending on if you have hormonal acne. Not everyone needs to be like, has to be on spiral. There's like some other things that you can be on before being on that. So I think that that aspect is really important.
- [37:07]
A
It's like the blood work.
- [37:08]
B
But is there anything that you feel like has been like game changer, like any like red light or IVs or seeing a certain doctor or anything?
- [37:14]
C
I haven't really gone the IV route, but that is something that I want to explore. I mean I have friends who are in aesthetics and have their own practices and they're like nad, you need to nad. Like, because I've had, especially with all of the issues that I've had since the Botox situation.
- [37:31]
B
Right. Really quick. For those that don't know, like NAD and glutathione are like the two biggest ones. And it's kind of like this whole like CEO. Like I know a lot of people who do it and I think it's fine. Nad you can think of it as it repairs. It's like anti aging. It repairs your DNA.
- [37:49]
C
Right.
- [37:50]
B
So there's like also nasal sprays. I me like, I, I offer these in my office. Like nad, Myers glutathione. It's just I can't sit there with an IV for like 30 minutes to 45 minutes plus some of them you have to drip really slowly because you
- [38:03]
C
can get like nad.
- [38:03]
A
Right.
- [38:04]
B
Sick. Yeah, the NAD one. Yeah. NAD you have to be really careful about. You have to like ease into. But I have like patients that are like 60 plus and like so healthy. Like running marathons that are like goals. Especially in my Tucson office, which is like so interesting. The people there because there are a
- [38:20]
A
lot of them are, like, retirees are
- [38:22]
B
from, like, New York or LA or whatever, and they're just, like, hanging out there, living their best life. And glutathione is a very, very strong antioxidant. So you can think of it as. It is basically helping repair oxidative damage that has been done with age and life and all the things. So a lot of times those are, like, grouped together. So I think that they're not absolutely necessary. They're expensive. A lot of these wellness things are, unfortunately. And not everyone has to do them, but if you're looking to do them, there's some science to back it up, especially if it makes you feel good. Yeah.
- [38:59]
C
Yeah. So another one that I love is red light. I do, like, red light for my face, for my chest. I find that it helps with fine lines. It helps with, like, pigmentation issues, things like that. You have to be consistent with it, which is the hardest thing for me. So I've kind of tried different masks and. And lights. I really like the lume box right now because it is just. You can put it on a stand or you can hold it, and it hits the face and the chest. It's very powerful. You only do it five minutes a day versus, like, some of the other ones that are 20. Yeah. So I'm really liking that. I also really love my sauna.
- [39:36]
B
Yes. Is it an infrared or.
- [39:37]
C
Yes.
- [39:38]
B
Okay.
- [39:38]
C
So right now I'm just doing, like, the sauna blanket.
- [39:42]
B
Okay.
- [39:43]
C
Which is infrared.
- [39:43]
A
I have that.
- [39:44]
C
Yeah. Love. Because I do find that when I go into a traditional sauna, I tend to get kind of dry.
- [39:50]
B
Yes.
- [39:50]
C
It dries my eyes out.
- [39:51]
B
Rosacea can flare. Your melasma can flare. Red light is not the same as infrared. So red light is more, like, stimulates collagen, as, you know, stimulates that circulation, decreases inflammation. So those are those, like, red light masks. At my office, we have this, like, red light room where it's, like, a really powerful, like, professional panel. So people come in and get that done.
- [40:11]
A
And this is different than infrared, which
- [40:13]
B
is, like, heat that can potentially, like, worsen your rosacea melasma.
- [40:16]
A
But it's.
- [40:17]
B
I also have the blanket, so it goes, like, up to, like, my neck. And I like it for, like, deep bloating. It's for, like, detox, basically. Yeah, yeah. Sweat it all out. It's great.
- [40:26]
C
It's so easy. You can multitask. You can totally read. You can be on your phone, you can watch tv. I mean, I do like, a traditional sauna too. And I like cold plunge things like that. I like all of the wellness things, but that one is like just so convenient. And I always feel great after. My skin always glows when I do that consistently. And by consistently I mean like three times a week max maybe, which I don't always get to do. So that's another one. Those are kind of the only ones really. The red light and the sauna are like the big.
- [40:58]
B
Yeah, I love that ones. For me, these are some really good ones. So now that we kind of talked about a lot of these little wellness things, I'm gonna end it off with. Tell me about your skincare routine. I may or may not critique it.
- [41:13]
C
Yeah, I could critique away. Yeah, my skincare routine is excessive.
- [41:17]
B
Okay.
- [41:17]
C
That way.
- [41:18]
B
But it's your self care. So if anything, that's your time that helps decrease stress which accelerates aging. So I don't care what you put on your face as long as it's like you time. That is great.
- [41:28]
C
And it takes me less than 10 minutes. So whenever I post my videos too, people are like, who has the time for this? Which I get. But I'm also like, no, I've got it down to like a science. And I stay to my boyfriend every night. I'm like 10 minutes or under because I want to like get ready and get in bed and like have our cuddle time or whatever. So I started this routine over two years ago when I suddenly developed acne out of nowhere. And I did go down the lifestyle path, see if there was anything going on. There was nothing in my blood work. There was really no nothing that we could pinpoint. And so I did two things. I did go on Spiro and then I started this routine. So I do Jan Marini, the skincare management system, which is designed for adult acne and anti aging. And I went to Candace Marino, the LA facialist. She's amazing and she had a lot of success using this particular skin skincare routine. So it's a bioglycolic cleanser.
- [42:27]
B
Okay. So glycolic acid helps exfoliate gently.
- [42:30]
C
Love, followed by vitamin C. Vitamin C.
- [42:33]
B
It's a must have in the morning because it's an antioxidant and helps brighten the skin and support skin structure.
- [42:38]
C
And I do it a.m. pM love.
- [42:40]
A
Even better. I think maybe the PM whatever.
- [42:42]
B
Yeah, it's fine.
- [42:44]
C
I recently added skinceuticals PTOX after the
- [42:47]
B
vitamin C. So we just talked about this on the last episode. Episode. This is a peptide that and it has a very mild exfoliant in there, too. It's all the rave right now. All the rage right now.
- [42:57]
C
Jury's out for me.
- [42:58]
B
Sure. Yeah. But they sent it to me. I haven't used it yet.
- [43:01]
C
Yeah. But I know some people that really like it. So I was like, sure, try.
- [43:04]
B
Sure.
- [43:05]
C
Follow that with something called Bioclear Lotion. This has azelaic acid. It's very gentle, though.
- [43:11]
B
So azelaic acid, it's not actually an acid that, like, exfoliates your skin. It is. Is the most fantastic thing for rosacea, especially red flushing rosacea. So on a prescription level, I prescribe it 14%, but you can find it in skincare over the counter as well. And it's really great for redness and decreasing inflammation.
- [43:29]
C
Okay, so approved so far?
- [43:32]
B
Approved, love.
- [43:32]
C
Okay. So then sometimes I'll add in. She has a product called Hyala 3D. It's a hyaluronic acid. I don't generally need it because I'm not that dry usually.
- [43:41]
B
It's exactly.
- [43:42]
C
Yeah. I do use a product called rosalieve after the azelaic acid. That's for redness. I'm like, pink in my T zone. No more. I mean, it got rid of my redness. It's crazy. So I do that, and then I'll do moisturizer. Spf. That's in the morning. At night, Jan Marini.
- [44:01]
B
Oh, okay. Got it.
- [44:02]
C
Yeah. It doesn't pale under my makeup.
- [44:04]
B
That's good that you like it, because a lot of people with systems, they'll love one, not the other. And a lot of these can be expensive. So. Not saying that you need to use a system, but I'm so glad that you found one that actually helps your skin.
- [44:14]
C
Yeah. And prior to that, my skin was so sensitive, it was so clogged, I couldn't tolerate anything. So I was like, whoa, all of these steps. I mean, the system itself is only four products, but then there are ones that you can add in depending on if you need them. I didn't think I could tolerate anything, let alone, like, any kind of acid.
- [44:31]
B
Any retinol or. Yeah.
- [44:32]
C
So at night, I follow the rose, leave the one for redness with a product called Age Intervention Duality. It's like a dual pump. It has benzoyl peroxide.
- [44:41]
A
Okay.
- [44:42]
C
Trans retinol.
- [44:43]
B
Perfect. Love that.
- [44:44]
C
And then moisturize.
- [44:45]
B
Okay, cool. And that's it.
- [44:47]
C
Yeah.
- [44:48]
A
Oh, amazing. Yeah.
- [44:49]
B
So that's so interesting that you really focus on a lot of your morning stuff just to help antioxidant. So a lot of her morning is like, Antioxidant skin hydration. The hyaluronic acid helps like plump fine lines.
- [45:01]
A
I wonder what gives you the glass, like really moisture.
- [45:03]
B
What's the end like?
- [45:05]
C
I think it's all of them. So I do the morning routine at night as well, but I add the, the benzoyl trans retinol. So I do pretty much the same thing twice a day.
- [45:13]
B
Oh, got it. Okay, that makes sense.
- [45:14]
C
I think, I think it's the exfoliation for sure.
- [45:18]
B
And you're not super aggressive. So I get really nervous about people when they're like, I have a 10 step skincare routine because they go in with an exfoliator, another exfoliator. One product has a retinol, another one has a retinol, but she's using really skin loving ingredients, hyaluronic acid, moisturizers, things like that. And she's using spf, guys. So super important.
- [45:37]
C
Yeah, yeah, the SPF is great. It definitely adds to the do. If I really want to be very dewy, which sometimes I want to look wet.
- [45:45]
B
Yeah. That's crazy because I love matte. Like I went in here and like powdered my face because I'm like, I don't like shine. I don't like do.
- [45:51]
C
I'm the opposite. I'm like, I want to look like I just came out of the ocean or something.
- [45:55]
B
Yeah.
- [45:55]
C
The Internet hates it as well, but whatever.
- [45:58]
B
I think it looks great in person.
- [45:59]
C
Thank you. Thank you. Yeah, sometimes, you know, the lights in here pick things up and it looks a little more dramatic maybe than it is in real life, but I use the color Clarins double serum. I'll do that before I moisturize. And then I put the moisturizer SPF on top of that. Love.
- [46:14]
B
That's a good order.
- [46:15]
C
And I feel like it locks it in.
- [46:17]
B
Yeah.
- [46:18]
C
I don't know if the ingredients in the Clarence serum really penetrate after I'm doing those other steps, but it's like it just gives it like a gloss, which is really why I'm using it. So that definitely adds to like the glassy daytime look.
- [46:31]
A
Love that.
- [46:32]
C
When I feel like it. But sometimes, like certain times of my cycle, I'm very. I don't need all that because, you know, like what we were just talking about. Things are like a little more oily, in a good way. Dewy, plump. And then sometimes I need a little extra help.
- [46:46]
B
Well, thanks so much for being on. We had some great little convos on, like your journey. Thanks again for sharing that, but I think you're talking about it in a really good way. Of course we both said that neurotoxins are still fine if done correctly and there's no contraindications and so. And I love all the little skin. I love the skincare tips that you gave too. So thanks so much guys for watching. And if you have any follow up questions you can go to the well podcast and ask her if she want more skincare recommendations. You can ask me any questions on Derma proof podcast or Dr. Sheila Derm and if you could rate review, do all the things to support, I will really appreciate it and I'll see you guys next week. Thank you for tuning in and taking time to invest in yourself.
- [47:30]
A
Be sure to catch new episodes of Derma Proved every Thursday and I'd love
- [47:34]
B
to hear from you. Drop any questions or comments on social
- [47:37]
A
media at Dr. Sheiladerm and Derma Proved Podcasts.
- [47:41]
B
Don't forget to follow and leave a rating and review. See you next week.
- [47:47]
A
This podcast is for informational and educational purposes only. The discussion and opinion shared by the hosts and guests are not a substitute for professional medical advice, diagnosis, or treatment. If you have a specific medical concern, please consult your licensed dermatologist or healthcare professional who can provide personalized advice and treatment tailored to your situation.
- [48:06]
C
Please note that this episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.