
<p>In this EYE-opening episode of Derm Approved, Hosts of the Breaking Beauty podcast, Carlene and Jill, join me to dive into the world of eye and jowl rejuvenation. Together, we unpack common eye concerns like wrinkles, sagging eyelids, dark circles, and puffiness, as well as the challenges of jowls; discussing both affordable at-home treatments and effective in-office options. I give listeners a thorough breakdown of treatments, from eye creams that actually work to advanced skin-tightening procedures, while Carlene shares her personal journey with eyelid surgery. I discuss what makes someone a good candidate for eyelid surgery, tips on finding the right surgeon, and the potential risks and red flags to be aware of. Tune in for this candid and informative conversation, and discover how to make the best choices for a bright, youthful eye and jawline area.</p><p><em>This episode may contain paid endorsements and advertisements for products and services. Individuals on the show may ...
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I'm Dr. Sheila Farhang and welcome to
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Dermaprooved, your number one source for all things dermatology from skin and hair health to the latest celeb cosmetic treatments. I'll be providing you with valuable science 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 eye opening episode of Derma proved the hosts of Breaking Beauty, Carlene and Jill. She join me as we dive into the world of eye and gel rejuvenation. Together we unpack common eye concerns like wrinkles, sagging eyelids, dark circles and puffiness as well as the challenges of gels. Discussing both affordable at home treatments and effective in office options, I give listeners a thorough breakdown of treatments from eye creams to advanced skin treatments. While Carlene shares her personal journey with eyelid surgery, I discuss what makes someone a good candidate for eyelid surgery, tips on finding the right provider and potential risk and red flags to be aware of. Tune in for this candid, informative conversation and discover how to make the best choices for a bright, youthful eye and jawline area. And since we are chatting at home treatments, I wanted to be sure to mention Roc's new Derm Correction Dual Eye Cream. It's a two in one eye duo developed to help lift and firm the look of the eyelids, invisibly smooth de puff and reduce dark circles. You can find it at Walmart or Amazon for less than $30. And before we get into today's episode, this show was made possible from four of my favorite beauty and wellness brands, one of those being Roc. Here is more about them. 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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And that's why I recommend C and
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D Shellac to my patients. It's the original gel polish brand tested to ensure no damage to your natural nails when used correctly. There are many brands out there that don't follow the latest regulations which can lead to damage or allergic reactions, so keep your nails looking and feeling healthy. With C and D Shellac you can Visit c&d.com to find a C and 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 it. Hacera is a once daily skin supplement clinically proven to reduce wrinkles and fine lines and increase skin smoothness in 90 days. You can start hair to minimize wrinkles without compromising on clean science. Haasera from Ritual is a clinically proven skin supplement that you can actually trust. You can get 25% off your first month at ritual.com Dr.sheila2.5 you can start ritual or add Haicera to your subscription today. That's ritual.com doctorsheela25 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 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. All right.
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Hello everyone. Welcome to Derma Proof. I'm Dr. Sheila Farrang and I'm super, super excited because I have the hosts of Breaking Beauty, Jill and Carlene here with us today and we are going to be talking jowls and eyelid or eye bags today, which is great because you guys are seasoned, seasoned, seasoned Beauty editors have been in the world for a really long time and now as really big podcasters really are that voice for people kind of funneling things from the professionals like myself and making it easily digestible for your viewers or your readers. And I love having beauty editors and podcasters on because we we kind of know what the game is and we kind of know what the skincare trends have been and I Think that it's going to be a really interesting conversation. And Carlene, we're going to be getting your journey of your blepharoplasty. And so I'm just so excited to have you guys on.
C
Thank you for having us. Thank you for having us. And like you said, we've seen it all and swatched it all in seven years of doing a podcast. So we're really excited. And congrats on your new show. It's awesome. Thank you.
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Thank you.
C
We're excited to be here.
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I'm so excited. Okay, so with the world of aging. And I know on your show we just discussed that study that came out that really talked about these two bursts of aging, one being at 44, the other one being at 60. And I think this is interesting for us to know because we know that aging is not linear and we know that stress really impacts aging. You know, we see it after, like, intense schooling or like taking care of a parent or after giving birth and things like that. We. We feel a lot more aged because we are. Can be potentially a lot more aged
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with we've been through something.
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Yes, exactly. And I think that's okay to embrace. And what I really like about this paper is because it saw that increase in our collagen and elastin breakdown, which is that structure of our circulation skin as it pertains to skin. Of course, the study saw cardiovascular disease, how we metabolize carbohydrates, which is why we tend to maybe like, gain weight, especially like postmenopausally. But I think specifically that 44 and 60 is when I see patients in and they are kind of the ones who are coming into the office, potentially getting a facelift or surgery esque type things or just cosmetic procedures in general. So I think those are really, really important ages. Not that we need to like, wait to do anything then, or it's like a dooming age of we're going to look so much older. But I think it brings light to, hey, if you feel like you look older or you just. You don't look like how you feel, perhaps because you're doing all the wellness things, you're eating good, you're sleeping well, and your face isn't really match your. How you feel. This is perhaps some things that you could do in office or at home that can kind of catch you up to that. So it's almost like that's okay.
C
Yeah, yeah. Reassurance.
D
I think the thing is that we often, you know, when we don't see anything, we don't worry about it. Right. It's almost like a teenage mentality where, like, why do I need to wear spf? Well, someday when you finally see the effects of that, whether it's hyperpigmentation or excessive wrinkles, then you're like, if I only I could go back. So you gave us some great tips on that show, from ingredients to in office.
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Yeah.
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Tweakments you could do to just try to head that off a little bit. Yeah, the best we can.
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Exactly right. When I have patients coming into my office, of course, I do the full face consultation. And I think going in, finding a good provider, you should really do that consultation to make sure that, well, number one, you and your provider are really on the same page. I think it's a red flag if they're not assessing your face or they're just going in, doing what they think is best without really leaning in and making sure that these are things that you really want or perhaps maybe changing
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your opinion on things.
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Because it's really funny when people come in and for instance, jowls, which we'll get into, which are jowls, are that extra kind of tissue. It's kind of on the lower third of the face where we see some sagging, and it's basically where everything kind of bunches up as we age. And I'll get into what the aging process looks like. Gels are very hard to fix, and I hate them. So when it comes to things like gels, people come in and they're like, you know, they'll point to their nasal labial, and they're like, this is folded. Or I have this. So perhaps an injector who doesn't have the confidence or maybe doesn't even know that the aging process is actually from above and that the volume needs to be addressed above. You can't just go in and fill those nasolabials, or you can't go in because you'll just look heavier.
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Yeah.
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So I think that's a really important thing to kind of consider to your. Your injector really should be going in and doing that consultation. So when I'm doing the consultation first, what I do is I talk about the facial aging process. And I don't. Have you guys had, like, a full consultation with, like, your injector or your dermatologist or anything, just to kind of talk about what's aging in you or, like, talking about your genetics or talking about how your mother aged or anything like that?
C
Yeah, I have. And I think the thing that always fascinates me is like the stuff that bugs me. It's not what the derm sees. He's like, actually, you look like you're frowning all the time. I'm like, I'm not even here for that. I'm actually here for this coin slot between my brows. But fill it if you must.
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Like, how does that make you feel? Because sometimes I do like the sandwich method. Right. Where I go in with a positive and then I go in. Because sometimes. And I also gauge too, because that's really hard for me as an injector is I'm like, I see.
C
Yeah.
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Am I opening up a can of worms? And like a few.
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They didn't even see it before and now they're worried about it.
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So I have to really read the patient.
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I like a truth bomb moment. I like it. Okay. Straight. Don't. Let's not waste each other's time.
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Okay.
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You know, but that's us. And we're in the industry.
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You do have we. I do.
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Very open.
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Tread lightly. Or I don't mention in the first time.
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Right.
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Okay.
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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 clients claims. And when I learned about their new wrinkle support skin supplement, I had to try it. HA 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. Hair is made traceable so you know the form supplier and studies behind its key ingredients. Because not all skincare ingredients are created equal, as you know. I love that it's formulated with hyaluronic acid, which naturally occurs in our skin
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but decreases with age.
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The decrease in hyaluronic acid can cause thinner drier and make your skin more prone to wrinkles. Ritual's Hyacinth supplement is clinically proven to reduce wrinkles and improve skin smoothness. You can start Hyocera 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 at ritual dot. You can start Ritual or add hair to your subscription today. That's ritual.com doctorsheela 25 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 skin care as part of the regimen to help with the eye and eye issues. And of course when it comes to
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skin care, I am looking for things
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that are scientifically backed, that are drugstore and 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 ROC 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 100 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.rock skincare.com okay, let's get back into the conversation.
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Some of the most common things I see is eye concerns, basically eyes and jowls, which is why I'm like dedicating a whole episode on this. But basically around the eyes our skin is 10 times thinner. So this is where we see that signs of aging. Could you Carleen, tell me or tell us kind of the journey that took you to a blepharoplasty. I mean, you know, you're in the industry so you've tried anything under the sun. I'm sure with when it comes down to skincare, we have something called a panique that is oxymetazoline and what it does is it contracts that muscle to help lift that eye that's an eye drop. Exactly. That's an eye drop that, you know, it only works eight hours, but for
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some people it's like, hey, I'd rather
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do that more awake. Exactly. And of course, there's lasers. And I'll get into all of these kind of in detail because I don't think, you know, you should go, don't do anything and then go straight to surgery. Unless it's like genetic ptosis or something like that. Which is. Ptosis is like when you're either your eyelid ptosis is when your eyelids are a little droopy, or you could have eyebrow ptosis where your eyebrow's a little droopy. And this can happen inadvertently from bad Botox injections also. So, yeah, if you don't mind, because I know you shared it on your social and I think it's so, so great that you did because, you know, blepharoplasty is like one of those, I hate to say it, like, trendy surgeries right now that everyone's asking me about it. And it's gonna be one of those things that we're gonn. Yeah, like the surgical lip lift. I. I don't like that procedure. I don't love it. I think that it only applies to some people. And I think if you go to a really bad surgeon, that scar is going to look horrid and it's just right in the middle of your face. You can do all the lasers, but if it's scrunched up, it just looks like in curtain. It looks so bad it needs to be redone.
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Right.
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Blepharoplasty is one of those things where people are like willy nilly going in and getting it done and they're not realizing that this can affect your face shape or eye shape really. This can lead to some scarring. If it's done poorly, it can really lead to like long time dryness of your eye and things like that. And I love that you went to an oculoplastic surgeon because a lot of people can do bluffs. So there's only so much plastic surgeons can focus on. And so it's almost a red flag if your plastic surgeon is going to do every single thing on you.
D
Yeah, right.
C
It's.
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You really want to go to a specialist and, you know, if there's a nose job guy, you want to go to that guy. If there's a boobs woman, you want to go to her. Yeah, I believe that as well. In my particular instance, I actually did have ptosis.
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Yeah.
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I do have ptosis.
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Oh, got it.
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So particularly, I had it in my right eye.
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Got it.
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So potentially, if you're watching this, that could be flipped and be my left eye, but this eye. And I really don't know if it was genetic or if it came on with age, but I started to notice it probably when I was around 40. And mainly it was in pictures and selfies. It wasn't even just a drooping of the eyelid. It was kind of like a shrinking of the whole, where I just felt it was wrinkling differently, it was acting differently. Jill and I talked about it almost like it was kind of atrophying a bit, the muscle. And so I really started noticing it in pictures and it was bothering me a lot. I wasn't really doing anything about it, but at one time I went, she's
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calling it her my wonky eye. Oh, my God, my wonky eye. I'm like, it doesn't look wonky exactly. But, you know, you focus on what
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you focus on, right? Oh, I definitely could notice it, especially when you are a content creator in any way and you're doing videos. And so I. What happened was one day I went to get Botox and I started talking to the doctor about it. In this particular instance, it was a plastic surgeon. And he said to me, I don't want to do Botox on you today. Because I talked about my concerns. And he said, I think you should go to your doctor and get it checked out. And that was really the best advice. So I went to my GP and she sent me to an ophthalmologist who worked at a hospital. And I had everything checked out to make sure I didn't have, like, a brain tumor or some kind of disease or reason, medical reason why this was happening. So I had a CT scan, I had a mri, I had everything done, and I was cleared. And then I thought, okay, what now? So I asked the ophthalmologist, what should I do? Should I, you know, should I get blepharoplasty or should I get, you know, can I get Botox? And she's like, you're asking the wrong person. Because I'm the person that people come to when shit has gone wrong and I have to try and fix it for them on, you know, on a medical level. So I was like, okay. So I went away and I started looking into this, and the advice that I had was go to an oculoplastic surgeon. I wouldn't be able to go out there and just get blepharoplasty like anybody else, because they have to actually fix the muscle. And this was advice I had from Dr. Lara Devgan, who's been on our show. You can go back in our archives. She's fantastic plastic surgeon based in New York. And she had said to me, they will need to do something to adjust the muscle, whether it's pull it forward or, you know, cut it or bring
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it together exactly right.
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Something to that effect. So you need an oculoplastic surgeon. And I didn't really know where to start. I found one place where I'm based in Toronto, and I went in for a consult, and I knew based on all of the interviews that we do, because we're always trying to help people find the best dermatologist, find the plastic surgeon that I needed to look at before and afters. And so I asked them for that, and I was told that they don't have before and afters because based on patient doctor confidentiality. And I thought, well, that's just ridiculous because everybody offers those. And so I. I steered clear of that. And I actually went to Instagram and I posted. I'm looking for an oculoplastic surgeon to do mitosis correction and blepharoplasty. Does anyone know, like my fellow beauty journals and. And sure enough, beauty broadcaster in Toronto, her name's Sherry Kaufman. She reached out and she said, I had the exact same thing done. And she recommended Dr. Babak Malecki, who's based in Toronto. And to me, I'm like, if I get a recommendation from a fellow beauty editor or beauty broadcaster or journalist, then I definitely follow it. So I went to him and that's what I had done. So it was in May, and I had upper blepharoplasty with the ptosis correction. And so I overall, I'm very happy with the result. My eyes are more open in general because the shape of my eyes, which our podcast listeners can't see, but there were kind of already puppy dog eyes, is what the way that it was described the whole time when I was growing up. So it did really help with that. But I do still notice the ptosis on the right side. So I think that that's something that I've learned is to manage my expectations, because perfection is not a thing. And I can live with the fact that it's just overall better. And when I was looking ahead, when I was looking down the barrel of, you know, my next aging Spike at 60, I was thinking, this is only going to get more intense. This is Only going to continue to get more intense. And I know that the younger I am, when I get it, the better I'm going to heal. And so I'm happy with it. But yeah, perfection is not. I think it's just unrealistic to shoot for that. And. And it's not to the point where I would go in and have it redone.
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Sure.
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Although I did have a bit of a brow lift on the left side and not the right side. And I will go back in. Right. The right side brow lift.
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Yeah.
D
Because I had some ptosis there as well.
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Sure, sure.
C
I think you should also mention your under eye privilege. Let's be honest.
D
Yes.
C
You only had to do the top.
D
Yeah, that's right. And I know that we're going to be talking about dark under eye circles, so I did not get that done.
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Yeah.
D
But funny enough, my oculoplastic surgeon, Dr. Maleki, when he was looking at my face, he said, I can see that you had some filler under your eyes. Would you like it dissolved on the one side? And I was like, that was probably eight or nine years ago that I had that done one time.
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Yeah, I believe. And did you? I mean, I don't think it's necessarily a bad thing. Yeah, sometimes we need that there. And you know, it's really interesting that you shared your story on. Thank you for sharing your story on that. I'm glad that you didn't have some of the side effects that you could get, which is people get a really elongated scar. Their eye shape can change. Of course people get it and they love it. But I've seen a lot of the issues that people. People come into my office because they're dealing with scarring, say they're of like, you know, ethnicity and. And it's just very.
D
Yeah.
A
Eyes should be treated very differently in different people. And the lower is actually really hard.
D
Yeah.
A
As far as skin care around the eyes, I'm really curious to see like what your favorite, some of your favorite brands are or some of your favorite ingredients are, for sure.
D
I do want to just add that I did have laser on my eyelids for my scars and I do noticeably tell the difference of the before and after.
C
And this was when like post op kind of thing.
D
Got it. Yeah. So I had this probably about four weeks ago and it was in the oculoplastic surgeon's office. So once again, you know, even though I got my BBL at my dermatologist, which I love, by the way, I
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love a good BBL broadband light, my Skin, baby skin.
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Again, it's so great. But when it came to doing my eyelids for the scar reduction, I went there and they actually apply. You probably know the name. They're like contact lenses.
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Yeah, the eye shields.
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The eye shield. So you put. You have to put those in. And I mean, I thought it was fine. And then I got the laser done that way.
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So for textured scars, we like to do. And I talk about this in my laser 101, but for textured scars, you want something like a resurfacing device. So I'm sure they use like a fractional or something like that. And then if you have like redness, you want to use another specific laser that actually goes in and decreases the blood vessels in that area that's causing the redness. The thing that won't. And then of course, hyperpigmentation. You want to do more skin care. But one scar that is very hard to treat is hypopigmented scars. So scars that have lost their pigment, they look white. I do have a little hack where you guys know Latisse. So it's that prostaglandin, so that we know causes like an eyeliner sign and darkens the skin. So what I do for my patients is I have them grab a box of Latisse and I have them actually brush it on their hypo pigmented scar and it brings the color back. So that is a really great hack. So I have them do it every day until they get the skin color that matches everything else.
D
Before and after.
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I have some. I have this actor I did who just hated. He would have to put makeup on. But then like in scenes it would like sweat off.
D
Yeah.
A
And so I did a laser to help with the texture. And then I had him do Latisse, which is that prostaglandin eyelash growth serum that you can get at like doctor's offices. So I had him do that every day until it got to the skin color. Like the surrounding skin color looks amazing. I'll send you the before and afters. I'll put it somewhere up here if it's a clip. And what's great is. And then once it's that color, he stops. And then it doesn't last forever.
D
So I don't have to shave there. All of a sudden there's no hair coming.
A
Yeah, exactly. Yeah, no, hair does not come, which is really interesting. Yeah. Even though that eye growth serum, I also recommend it and I do in a compound for hair regrowth. Latisse is in there. To help darken the scalp because some people just hate that white shell.
D
Yeah.
A
So anyway, it's a really great thing to do, but another more kind of intense thing that I have patients do. Because lasers can only do so much, it doesn't really bring the color back. It kind of helps the edges a little bit, But a really wide scar, it's just going to be really hard to pigment back. There's another thing where it's very, very hard to treat stretch marks. Of course, we. It's. It's stretched out skin. So we want to. The best thing really for me in my office for stretch marks is we want to. Is like Morpheus, something like radio frequency microening to help increase that collagen in that area and really improve that skin integrity to tighten it. And then sometimes I do tissue micro coring, which is called ellacor, where I take little micro cores of skin. I don't know if it's available in Canada just yet, but it's basically like taking little.
C
I've heard of this.
A
Yes. Half millimeter micro cores of skin. You're essentially removing that type of like that tissue there. I do it for the lower face area for jowls. But we've been thinking about doing it around the eyes because how great would it be to remove little microcore, like 8% of the skin around your eyes without doing a surgery?
C
Very cool.
A
So, yeah, when it comes to like under eyes, I think also when it comes down to skincare, people need to know, am I dealing with darkness from like allergies, hyperpigmentation, or just genetics? Am I dealing with blue? Is that blue vessels because that's addressed differently, or is it actually a shadow of darkness because of volume loss in that area? Or am I dealing with wrinkles or puffiness or puffiness? Totally. Yeah. Puffiness from that drainage of fluids not going away and your body is not able to hold. Your skin's not able to hold down that fat pad as well as it would. It would before when you're younger because it's thicker and it can really hold down that integrity of that, like, fat pad that's trying to like, push out a little bit.
C
Yeah.
A
So I think when it comes to skincare, you have to be very specific. Of course there are some nice ones, like bite revision that strengthens that dermal epidermal junction, that skin. But if someone has darkness, for instance, you want something that's brightening a little bit more vitamin C. If someone has wrinkles there, you want something that is skin renewal. So something like retinoids that are specific for the eye area or peptides. If someone has vessels there, you want something with like caffeine or green tea to constrict those vessels. If you have swelling there, again, something with like green tea to help decrease or you need to know what's, what's the cause of this because a cream may not help it. And then if you have volume lost, creams actually may not really work. And we may need to do something like PRF or filler to add a little bit of volume or fat in that area. So I think that's really huge as a step one for people to look at. And I know you guys know that because you know the skincare game and I know in the other episode and show that we were talking about, we were talking about like peptides and things like that. And I think that's going to be really huge as it pertains to wrinkles and a lot of the eye things. Okay.
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I'm sure you love getting your nails done as much as I do, but
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we want to ensure we keep them
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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 CND Solar Oil. It's actually an award winning cuticle oil that will transform your nails and cuticles and all it takes is applying a few drops every day. I literally keep mine at my nightstand. Make sure I use it every night before I go to bed. Bed. The CND Solar Oil formula is a blend of naturally light oils such as jojoba oil, vitamin E, rice brain oil, and sweet almond, which get right into your nails, the skin and the cuticle. It penetrates deeply by entering through the 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 moisturized 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 starting 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 Wave 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
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home and in the office.
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But I think finding something that's affordable, that they can use, that actually a science behind it is so important.
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I think if you're looking for a
B
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.com and use code Dr. Sheila for 25% off your first order. All right, let's get back into the episode.
C
I'm glad we're talking about this though, because just. Sorry to interrupt you, but as beauty editors for ages now, coming from the magazine world, still the number one question, what eye cream? What eye cream? What eye cream? What eye cream? DMs flooded and people still. Not everybody can see a derm. Not everybody can afford PRP or some of these more non invasive but more expensive things. And they still want to feel like they're doing something. And we just did a whole K beauty episode And I noticed that the we. We spoke to Glow with Ava. She's incredible. K Beauty aficionado. And I noticed, like, on our shop, my shelf, one of the top things that people are going in and buying and is the eye cream she recommended, which was expensive.
A
Yeah.
C
Lawsuit.
A
Okay.
C
Ginseng. It's one of those expensive ones with a funny, cute little spoon.
A
Sure.
C
That goes around the eye, you know?
A
Yeah.
C
But people still want to feel the hope in the jar.
A
I'm sure the.
C
You know, they want to do something in that area. And one thing that I would say about that area, I'm oily skin. And watching the ingredients is important because if you don't want things like occlusives that will maybe give you milia or make your. Or if they're very oily, they can make your makeup not look great. Right. Or if you are a little bit older, you know, if you do have hooding or your makeup is transferring, like, an oily eye cream is not your friend.
A
Yes.
C
In the daytime. So these are just little things I
A
think that you can do huge.
D
I definitely recommend using something like a peptide cream at night.
C
Right? Yeah.
D
And then in the morning, you want to use more of an eye serum that's clear or more of a gel. And that way you're not going to have your transfer of your eyeliner or your mascara. And these can really range in price. Like, you can get a $15 garnier.
A
As far as, like, being, like, the retinoid.
D
Yeah.
A
In the forefront of, like, retinoids, And I've worked with them before, and they're the sponsor of this podcast, but they have a really good introductory retinol where people. If people can't really tolerate it, it doesn't need to be so. So expensive. So I love that you mentioned it doesn't need to be really expensive because you can find some drugstore products like Roc or what have you that will do the job without breaking the bank.
D
And retinoid's gonna be great over time to help with the structure of the skin. So you talked about that thin. We know that the skin is thinner there. So the retinoid is gonna help to build that up and strengthen the area over time.
A
Makeup is like one of my jams. And I think that it's really important for people to understand color concepts when it comes to makeup. So if you're looking at a color wheel, things that are opposite will cancel each other out. So that's why green tones are going to help with, like, rosacea redness. Right. And that's why peachy tones is going to help with those dark circles. And so when you're looking for your skincare product or makeup product, color, cosmetic product, it's really important to look at those, to cancel out because almost putting like white over blue can just make it look purple or green or something like that. So I love that and I love that you mentioned that and I love that there's a concept of like a lot of skincare ingredients and like a makeup product also. I think that's a. Yeah, it's encouraging.
D
It encourages you to use it every day because you're getting that instant payoff while you're getting the long term benefits as well. And even if you're not a makeup wearer, this is something that you can use that's going to, you know, just make that slight difference. And then again, the puffiness we talked to that talked about that's incredibly difficult to sort of fix even with a cosmetic. So we're hearing a lot from, we speak to a lot of facialists on our show and they talk to us a lot about lymphatic drainage in that area. So we do have, we have somebody coming up on our show. This is going to come out, I think January 1st with detox by Rebecca. And she is based here in LA and she works with the top celebrities. Can you name drop, I mean, Rosie
C
Huntington, Whiteley, Addison Rae, like Rebel Wilson,
D
all, all of the A list. And so she actually showed us an exercise that you can do specifically for lymphatic drainage. You can kind of do this every day. It doesn't cost you anything. She was like, you literally don't even need. You're just going to use your fingers.
A
Yeah, you don't need to go wash our tool, although we can. And I think those are fine too.
D
Yeah. And to your point, you mentioned this earlier, like some people have even gotten filler that's blocking that lymphatic drainage. And so that's so important to detoxify, get those toxins sort of out of there. That's creating the puffiness.
A
Yes.
D
And then also, you know, from a dietary point of view, not eating all the salt. And I notice even with mitosis that if I've gone out and eaten a lot of sushi the night before and there's all of that salt, it can impact whether I'm having a good day or a bad day. And I don't have puffy under eye bags, but I suspect it could be the same as well. So she talks about foods that are great for Anti inflammatory and staying away from foods that are really inflammatory. And so those are things that you can do that aren't even costly that could help with the situation.
A
I think that's amazing. A lot of people ask me what do I think of gua sha or a lot of these facial tools. Solo wave is one of them. Who is a sponsor of this show. Is that so basically as we age, we're not like getting rid of that fluid as much. And then of course we're traveling our salt intake. Which salt is good if it's not balanced with like hydration?
B
Right.
A
I think a little bit of, what is it called, like element or something like that. A little bit of salt is fine just to help with electrolytes, but you need to be able to flush it out and that's why you need to hydrate. So when we are thinking under eye bags, is it actually swelling or is it under eye bags? Because you can have under eye bags there that's fat and you can gua sha the heck out of it. It's not going anywhere in any case, it's getting more irritated, the swing in that area. So I think that dunking your face in ice water, I don't think ice rolling with an ice, actual ice cube is great for the face. It can really cause some trauma to the skin. But a lot of these metals, these facial tools are stones that are cooling. A lot of these like creams have the metal applicator tip. A lot of these are cooling in that sense because they're metal. I think that's fantastic. If you have swelling from just like aging process life or you have a little bit of filler there that's pulling in more water that and that's why you're feeling like there's a lot more fluid in that area. So I'm a huge advocate of a lot of these facial exercises and things like that that actually help decrease that drainage. When I see patients coming to my office because of poor lymphatic obstruction from something like filler, I do a few things. So this is kind of like my protocol when I see bad filler where it's like improperly placed, too much is placed there because all you need is like a quarter to half a syringe in the under eye tear trough area or when it's improperly placed really deep or the wrong product is used. So we were talking about different types of filler on your show where you have thicker, thicker filler and you have really soft filler that's flexible. I personally use A product that's so soft and watery, that's flexible under the eye versus I personally think a lot of the issues come when someone's using like something like Bluma or something Restylanellis, something so strong under the eye where it's maybe for them that wasn't the filler that was supposed to be used under there. So basically I go in and I dissolve it. And we talked about dissolving on your show as well, where I think if it's needed, people shouldn' scared of it. Expect a trade off of wrinkles in that area because if it's really puffed up, you may not have wrinkles there, you may like that. But I think that it's just going to look odd. And I'd rather someone have wrinkles and it look natural and it be have the concavity there and the tear trough there where it's supposed to, where it's not super flat. I would rather people have wrinkles than like a super puffed out under eye bag from filler. So I go in, dissolve it and then I go in with radio frequency microneedling. I don't know if you guys know this, but some research has come out and I've kind of known this for years, but radio frequency microneedling or just radio frequency in general increases those lymphatic vessels. So it actually has been shown to help with that drainage in that area. So either with like a radio frequency wand, I'll have them use that, which is a great pre red carpet treatment that helps with swelling, or I have patients go in and we do three sessions of radio frequency microneedling with something like Morpheus to help strengthen that skin there so it can hold potentially new filler and so it can help with that lymphatic drainage.
D
Right.
A
And then number three, we want to heal the skin from the inside out. So then I'll do something like prf, which the difference between PRF and prp, prp, they're. They're not actually stem cells. Some cells are like literally if an orthopedic surgeon is like going into your bone marrow and pulling that out and putting into your hip, these are like pulling in stem cells. So prp, we pull your blood, draw it, we pull your blood, spin it, and that basically pulls in those stem cells because it has growth factors and it pulls it in for like hours to days versus the prf, which is pulled the same way, almost made the same way. It has that like scaffold of a matrix on there. So it pulls in those growth Factors for like weeks to months instead of like hours to days. So. So that's why it's more regenerative. So I love that people are doing that under their eye to help like heal the skin.
D
Yeah.
A
And then after that, after it's been like a couple months, I may go back and like refill the area or I'll send that if I feel like they need like a bleph or something.
D
What about jowls? I know you were talking about how that's another one that's really difficult to treat. One of the things that we kind of learned this year, I would say that we thought was really interesting. We were interviewing Dr. Dennis Gross and of course he's the maker of the now famous. It's called.
B
What's it called?
D
Spectralight.
C
Spectral light.
D
This face wear mask. So that's the white mask that looks kind of like a hockey mask.
A
Oh, right, the red light.
D
But one of the things that he put into perspective, which I thought was kind of eye opening to me was the idea of LED therapy. Red light, LED therapy. Thinking of it because people don't understand it. A lot of, a lot of people is thinking of it as an ingredient.
A
Okay.
D
And so it, it's almost like the next kind of like retinol, vitamin C where it, it's something that you would work into your routine. But the way that it works, of course, is it's not an ingredient that's going, you know, you're not applying it topically, but it's kind of kickstarting your cells working the way that like photosynthesis works, where it's providing this light and it's getting your cells going. So it, it is also helping with collagen and elastin, which is so, you know, at the end of the day plays such a big role, whether you're talking about under eye bags or whether you're talking about jowls. And they actually do have an eye mask now that looks like the Batman
A
solo wave has brands who have it as well.
D
So it is, you know, and it's FDA approved, so you know that it's safe for the eye area. But he talked to us about. For this under jowl area, you can flip the mask and use it that. But it's, it's low and slow. Like, listen, guys, it's low and slow. You're going to be doing this every day as part of your regimen. Maybe before bed, they have the softer, more pliable.
A
Exactly.
D
Ones by current body.
A
Right.
D
And of course it's not going to Give you the results that, you know, a mini facelift or potentially, you know, what you would do in your office, which we'll talk about as well.
A
Right.
D
But it is a low and slow method, just like retinol. And it is science based that, that you can do because at the end of the day, skincare can only do so much. So we can certainly talk about some of the options that are out there. But in my opinion, I think for what you can do at home, that's probably the most effective thing you can do versus slathering on, you know, tightening creams that you see on TikTok.
A
And you know what I love about red light? So low level light therapy. Even Rox Anderson, who's at MGH and Harvard that developed lasers, he has, he gave a fantastic talk, literally talking about the science behind, on a mitochondrial level, on our cellular level, how this red light therapy works. Stimulates collagen, increases circulation, decreases inflammation. At my office, actually we have a professional grade huge panel. So you're like wearing little glasses and you're in there and I have patients get in there as part of our wellness services. I think the red light masks and the red light cap for hair regrowth are fantastic. So I love that companies are coming out with them. The good ones are not cheap. Yeah, you want to make sure that they are specifically that, you know that red light that they don't have like infrared in there because that heat can stimulate and make your rosacea worse or it can make your melasma worse. So you want to make sure that you're not like, you know, they're like.
C
Exactly.
A
They're like at least a hundred dollars.
C
And something that really stuck with me, he was like, red light is just used.
D
It's a misnomer, It's a buzz term that means nothing.
C
You're looking for led, which is light emitting diode.
A
Exactly.
C
So red light can encompass all of this stuff. But really what makes the difference is led.
A
Yes, yes. Light. Yeah, exactly. And that could be green light, blue light, things like blue lights more like decreases bacteria, things like that. But that red light, I love that people are doing it, but even more so the technology, I love that people are using it because it's their time for self care. And even if there's like a decrease in your cortisol, it's your time. So people are like, I do a 10 step skincare routine, but it's like my time, it's 45 minutes of my time. Like I don't care about the skincare Whatever. But the fact that you're taking time to do that for yourself and just decreasing that stress as a form of self care, that's not stressing you out.
C
Right.
A
I love that. And that's probably honestly making more of a difference than anything. So I have a red light mask myself. I have like some, several of them. Even the mask, Solo wave, the wand is great, but I love it because it helps increase that circulation. Depuffs. And depending on which wand it is, it can have like galvanic current to help, like increase that skin care that's going in. But I love that as like a at home type of thing. Other devices in addition to solo wave Nuface is not bad.
D
Yeah.
A
People ask me that all the time. The microcurrent, I think if you're doing something again, you have to be so consistent with these things. That is not a bad thing to do to increase that, like, muscle tone, in a sense.
D
And to that point, even again, Gua Sha to go back to, like, if you're on a budget, because these devices are expensive, even Gua Sha. We've talked to countless facialists on our show. Now we're 360 episodes in, and they do say it does work, but we're talking about using it every day.
A
Right. And you got it. You know, I. In New York City, I went to Langchen. I believe that's how you say it.
C
But she's treatment by Lansden.
B
Yeah.
A
Oh, my God. Isn't she amazing? She's a Chinese practitioner.
D
Yeah.
A
And have you gotten a real Gua Sha before? It does not feel.
C
No, not from her, but I have. No.
A
It's not supposed to feel great. It's like therapeutic. They get in there to your inside your muscles.
D
Yes.
A
And I mean, I looked amazing afterwards because all that decrease. I like hold a lot of like water weight in my face. And I feel like after that it just felt so good.
C
Yeah.
A
But yeah, you have to. When you're looking at gels, just as we talked about with this eye area gels, is it fat that's hanging down there? Is it skin that's hanging down there? Or is it like muscle tone that's from your platysmal muscle pulling it down. And based on this, as your injector, as your practitioner, as your provider, I look at those things. I have you animate. I. I hold onto it because the treatment for all of those are gonna be so different. Everyone's talking about the Nefertiti lift right now, doing Botox or Xeomin and the lower face area. And it only works for people that actually have that really strong platysmal neck muscle pulling down. So for myself, I see amazing results when I do a couple units of talks right here and my band because my lower face gets relaxed, my upper face actually gets stronger and overcompensates and pulls up and I get that really nice like sharp jawline where because my. A lot of my laxity or my jowls are from that muscle tone and that's like from poor posture. Just genetics me overcompensating with like my neck muscle. So I have a lot of tox in my neck and you can still see those muscles pulling down. If you have a lot of skin laxity, you want to do something. I mean you can wash all the heck out of it.
B
It's other.
A
It's not going to really decrease that skin laxity. Can you say it increases that circulation there and possibly creating a little bit of trauma in that area and all the cells going there and maybe tightening the skin a little bit maybe. So when you have something like extra skin in that area, you want to either cut it out in a facelift, which not everyone wants to do, and when they see me, they're not thinking about a facelift. Number two, you want to contract that skin there with something like Morpheus or something to really, really contract that tissue that's heat based. You want to resurface the top layer of the skin, skin. So then you can actually like resurface the skin and tighten the skin from the inside out. And something like ultrasound is really good too. Other than that, for that extra skin there, there is non surgically there's threads which I have a love hate. Have you guys gotten threads before?
D
No.
A
Okay. Yeah, yeah. I'm sure you guys know too much. I'll do it in some of my more mature patients or very selectively for the neck, I think it's fine. But hey, that ne that skin has to go somewhere. So it's going to look draped, it's going to look pulled, it's not going to look perfect. I have a love hate relationship with threads. I have them in my office. I'll offer them but usually I'll tell patients to know. And then there's this new device, Ellacor, which is tissue microcoring, which I think is fantastic for the gel area where it literally takes out half millimeter microcores of skin, sucks them out and then your skin basically contracts, heals and it's 8% less skin there. Is it like a facelift? No. But I think it's a good alternative and I have some before and afters on my Instagram that people can go
C
and see how much is something like that.
A
Yeah. So that is expensive, right? Because it's a sterile setting. I'm the one that's doing it. I'm not delegating it to my laser tech or anything. I try to do it like a one and done. It's a few thousand dollars for one treatment, which is a lot. In my office we try to make it a little bit better where we're. Because you can get some redness with this. So we add in like free IPLs afterwards, free red light treatments afterwards and things like that. But any, any laser is about a thousand dollars each and you have to do a few series of them. So. So I like that we mentioned a lot of the at home things first because these things are, I call them like your, your splurge, your saves. Right. For something like a laser. People, you know, we don't just willy nilly mention them. Like we say I, I give them a. When patients come into my office and I do a consultation, I give them a short term plan, long term plan, less aggressive plan, more aggressive plan, less aggressive. Less of a budget and more of a budget. And they have that whole plan for them. They don't have to book anything that day. And then my office staff goes in and talk to them like specifically line by line about everything. Because I think especially if you're new to the cosmetics and office treatment game, you don't realize how expensive some of these things are. But I think that it's kind of a self care type of thing. So if it's gonna make you feel good, save that trip, save that handbag and do something for yourself. And that's kind of how I tell my patients like you know, or we'd start with microneedling first which is fantastic for fine lines, especially around the eye. Right?
C
Yeah.
A
So there's just so many different things for around the eyes and then the jowls which if you have like fat in this area you could always do deoxycholic acid which helps melt the fat. Don't love that Kybella or I heard that hurts. It does. I have another. I have a, I love hate relationship with Kybella too. I love it for off label area. So I love this little bra bulge area. I've done on the mons pubis a lot for women that are really self conscious about kind of like the fat pad in that area when they're wearing leggings. Or swimsuits. So it works great there. For the submental area, I'm very careful about it because you could. You could essentially get lax skin from that area. For some jowling, I actually go in and like, liposuction, some of it out for some of my mature patients. And we go in, like, tighten the skin afterwards. But. But that's an area where jowls are a little more difficult sometimes you can do based on how much you're willing to spend, how much of these minor treatments you're willing to do that don't have surgical results. Sometimes if I'm at the point where we've done a few things, my patients, you know, has spent money, we're still not seeing the results. They want to see a little bit more dramatic result. I'll send them to a plastics colleague. And I think there's nothing wrong with that.
D
Yeah, absolutely.
C
I like how you talk about these things. Not in a vacuum, so to speak. Because everything, it's not a one and done there often. There's like so many treatment plans, protocols, and it's just not a magic pill.
A
Totally.
C
We wish there were.
A
I wish.
C
But there really isn't. Yeah. And I did want to shout out one neck cream that we had a couple of estheticians who I really trust recommend to us. One of the estheticians is Rachel Medina Cleghorn. She's in New York and she trained with Joanna. Check. And she just, like, really knows products. Okay. She recommended Auteur A U T E U R. Got it. The brand neck cream. And she said she's actually seen a really good results with that in terms
D
of like, smoothing, wrinkling, tightening, also the skin better.
C
Yes.
D
Called Techno Neck Perfecting Cream.
A
Oh, yeah, that's a good one.
D
And that's designed for crepiness, dryness, sagging.
C
LA Facialist, I think, recommended that, and
D
that was recommended to us by the LA Facialist.
A
Revision has a good one too, Candace Marino.
D
So, yeah, that's. That's another one, because I actually asked her, is there any cream that you've tried that helps?
A
Yeah. And then with any neck cream, make sure you're going down to the decollete, because that's really, really important too. So the chest area between the breasts.
C
Yeah. It's like, what is. The real question is when the jowls become the neck. The neck, how long are we going? You know what I'm saying?
A
Yes. And honestly, that's why, like, the neck deform by revision is like this big, because it's like A large surface area.
C
Like the syringe, you mean?
A
No, like the skincare product is like massive because it's like you got to get in a couple pumps. Yeah, yeah. But I love that, you know, we're off. We offered our viewers and listeners at home options what to look for, how to find your provider.
C
Yeah.
A
What to do or ask for in office. And then what are the types of things that you can do before surgery and doesn't mean surgeries, something that's bad or looked down upon. I think that sometimes that is the thing that you need to do. But there are certainly things that you can do beforehand. And I don't think people should go and rush and do surgery before doing anything else. Because even if you do get a facelift, guess what? Your skin quality still needs to be improved. So I think that's where like derms and plastic work really, really well. Hand in hand.
D
Yeah, it's kind of 360. Thank you so much for having us on our show. We review products every single month. It's called our Damn Goods Episodes. So if any of you listening out there have enjoyed these product recommendations, definitely follow us on YouTube.
C
And yeah, breaking Beauty Podcast.
A
I trust your skincare recommendations again. I told you guys on your show that I am so basic when it comes to skincare and you girls are the ones that like try it all out and vets. So I love that you popped in a few skincare ingredients and recommendations for our viewers.
C
Absolutely.
D
We learned a lot from you too. So thank you so much.
A
All right guys, so thanks so much for watching and I really love you guys. Could rate, review and support. And if there's any follow up questions for myself or the Breaking Beauty Gals, you can reach us on social media platforms, on our Instagrams and I'll see you guys next week. Thank you for tuning in and taking time to invest in yourself.
B
Be sure to catch new episodes of Derma Proved every Thursday and I'd love
A
to hear from you. Drop any questions or comments on social
B
media at Dr. Sheiladerm and Derma Proof Podcasts.
A
Don't forget to follow and leave a rating and review.
B
See you next week. 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. Please note that this episode may contain paid endorsements and advertisements for products and services.
D
Individuals on the show may have a direct or indirect financial interest in products
B
or services referred to in this episode.
DERM APPROVED: Eyeing Solutions
Episode: Tackling Eye Wrinkles, Dark Circles, Sagging Eyelids, and Jowls with Breaking Beauty (Oct 31, 2024)
Host: Dr. Sheila Farhang (Dermatologist & Cosmetic Surgeon)
Guests: Carlene Higgins & Jill Dunn (Breaking Beauty Podcast)
This episode of Derm Approved zeroes in on one of the most requested topics in cosmetic dermatology: rejuvenating the eye area and treating jowls. Host Dr. Sheila Farhang is joined by Carlene and Jill from Breaking Beauty. Together, they dissect common challenges like under-eye wrinkles, sagging eyelids, dark circles, puffiness, and the notorious jowls. They explore the science and options for both at-home care and in-office procedures, keeping the discussion candid, evidence-based, and practical.
“If you feel like you look older...and your face isn’t matching how you feel, these are some things you could do in office or at home.” – Dr. Sheila (06:03)
“Your injector really should be going in and doing that consultation...it’s a red flag if they’re not assessing your face.” – Dr. Sheila (08:58)
“Perfection is not a thing. I can live with the fact that it’s just overall better.” – Carlene (21:13)
“People still want to feel the hope in the jar...but watching the ingredients is important.” – Carlene (32:31)
“You can gua sha the heck out of [fat pads], it’s not going anywhere.” – Dr. Sheila (37:20)
“I think it's kind of a self-care type of thing. So if it’s gonna make you feel good, save that trip, save that handbag, and do something for yourself.” – Dr. Sheila (50:01)
For viewers & listeners:
Episodes like this are packed with evidence-based insights, real-world experiences, and honest product recommendations—from OTC serums to advanced in-office procedures. Whether you’re eyeing up your first eye cream or exploring surgery, this conversation is your friendly, expert guide to the best choices for youthful eyes and a defined jawline.
Follow-up:
For more, catch Breaking Beauty’s "Damn Goods" episodes for monthly product reviews, or submit questions via Dr. Sheila’s Instagram (@dr.sheiladerm) and the Derm Approved podcast channels.