← The Bobby Bones Show
The Bobby Bones Show
Are You Hurting Your Skin? Shower Myths, Skincare Truths, Drugstore Finds & The Truth About Beauty Sleep
00:41:03
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- [00:00]
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- [00:31]
Unknown Host (Black History Month Podcast)
Black History Month is here and we're excited to kick off Season four. If I didn't know, maybe you didn't either. This season we're shining a spotlight on revolutionary women who redefined excellence. Give Grace Wisher her flowers next time you see the American flag. You just remember a 16 year old black woman helped to make it happen. Listen to I didn't know. Maybe you didn't either. From the Black Effect Podcast Network on the iHeartRadio app, Apple Podcast, or simply wherever you get your podcast.
- [01:03]
Bobby Bones
Hey, it's Bobby Bones. Join me and former NFL quarterback Matt Castle every Wednesday for our new podcast, Lots to say with Bobby Bones and Matt Castle. Between us, we have over 17,500 passing yards, multiple New York Times bestsellers, and one mirror ball trophy from Dancing with the Star. So where else are you gonna find a show with that much athleticism and football insight?
- [01:22]
Matt Castle
We.
- [01:22]
Bobby Bones
We talk sports, but we talk pop culture and music and a little bit of everything. Listen to Lots to Say with Bobby Bones and Matt castle on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts. Little food for your soul. Life ain't always pretty, but hey, it's pretty beaut with Amy Brown.
- [02:05]
Amy Brown
Happy Thursday. Four things Amy here and I am sitting in my dermatologist's office. One of your patient room. Yeah, I am. I'm a patient right now and I have numbing cream all over my face because I'm about to get a laser situation done and I'm going to go ahead and have my dermatologist introduce himself and you can say where you're from, where, where your practice is, how you got into dermatology, or why you even care about the skin.
- [02:34]
Matt Castle
Absolutely. Well, thank you for having me. My name is Vineet Mishra. I'm a dermatologist board certified who opened our practice here in Green Hills called Restoration Dermatology.
- [02:46]
Amy Brown
We in Nashville.
- [02:47]
Matt Castle
In Nashville. Yes, in Nashville, Tennessee. We actually opened Our second site down in Franklin this past month as well. And I have been in practice for almost 11 years now, mostly in Texas and California at big academic centers at the University of Texas, University of California, and Scripps Clinic in San Diego. And I was born and raised here in Nashville and wanted to come back closer to home. So I decided to move back to Nashville and open my. Open up my practice and put down roots.
- [03:18]
Amy Brown
And so you're a dermatologist and a Mohs surgeon, correct?
- [03:20]
Matt Castle
Absolutely. So the difference is that Mohs surgery is focusing on skin cancer surgery. So I did an extra year of training after my residency in a fellowship, specifically on skin cancer surgery, which is called Mohs surgery. And I am unique in the sense that I actually practice both medical dermatology, seeing kids and adults, as well as surgical and cosmetic dermatology as well.
- [03:47]
Amy Brown
So you're qualified to have this conversation about skin, hair, the different treatments that are out there, skin care myths, things we need to know about our scalp. Like, I didn't realize until we had a conversation the last time I was in how much you knew about hair loss and scalp stuff. I didn't associate that with a dermatologist, but it makes sense because that's part of our skin.
- [04:10]
Matt Castle
Absolutely.
- [04:11]
Amy Brown
Which. Hey, pop quiz question for you. Here, we'll test your knowledge.
- [04:14]
Matt Castle
Fire away, Captain.
- [04:15]
Amy Brown
What's the largest organ in the human body?
- [04:17]
Matt Castle
It is a skin. Ah, yes.
- [04:19]
Amy Brown
Okay. All right, you're following.
- [04:20]
Matt Castle
That's right. Hair, nails, and skin. And mucosa, by definition, falls under the jurisdiction of a dermatologist.
- [04:27]
Amy Brown
What is mucosa?
- [04:29]
Matt Castle
Like your lips? Oh, mucosa is part of the body that is more hydrated.
- [04:36]
Amy Brown
Oh, okay. Got it. We sometimes have a word of the day on the podcast, and I feel like that's now our word of the day. Mucosa. Yeah.
- [04:44]
Matt Castle
Learn something new.
- [04:45]
Amy Brown
My mucosa is dry.
- [04:47]
Matt Castle
Yes, your oral mucosa is dry.
- [04:50]
Amy Brown
Okay, let's start with, like, a soft ball when it comes to showering, because that's how this all came up. You coming on the podcast? I had that rash on my chest, and so we went ahead and I switched my detergent to something gentle and clear. No more fabric softener, dryer sheets, just doing those wool balls. And also, hot showers were likely a culprit in my chest rash. And you're like, lukewarm only. And so we were having that discussion and I thought, I probably have a lot more questions for you that it's some of it's basic stuff, but we need to be reminded because I know I'm not supposed to take a hot shower, right? But then you start taking them and they feel good, and then you just keep doing it and not realizing the problems that it's causing your skin. Like, I had you noticed, like, eczema on my arms and on my stomach. And my hot showers were definitely not going to be helping that.
- [05:43]
Matt Castle
Not in the wintertime.
- [05:44]
Amy Brown
No, especially not in the wintertime. So this is just friendly reminder. So we know lukewarm showers, but how often should we be showering? Because sometimes, depending on my workout or what I've done in the morning and the evening, I'll end up showering twice a day.
- [05:56]
Matt Castle
Well, you know, as a society, I think there is an emphasis on being very clean, which is good. However, when you do shower perhaps more than once a day, you could dry the skin out. If you do sweat a lot and you're working outside and showering twice a day is totally fine. However, in the wintertime where you. When you probably don't sweat as much and your pores aren't as clogged, there's not really a scientific reason to shower twice. But if you're working out doing like hot yoga or orange theory or CrossFit, then you do want to shower. Because if you can get those pores cleaned, then the bacteria and the fungus won't get trapped in there. But the key thing is that if you do shower, shower once a day, use lukewarm water, try to use, like a gentle soap. Sometimes people use a scented soap, and that can make their skin more inflamed. I like Dove Dove bar soap. Unscented. You can find it in any store. It's like two bucks. It's interesting that the liquid body washes actually dry your skin out more than a bar soap does. And a lot of people like the body wash just because it's easy to use. But the bar of soap actually is probably more effective for people who do have dry skin or people in the wintertime. It's also important to note that you got to do things after the shower as well. So you want to moisturize within three minutes of getting out of the shower so you can lock in that moisture. If you moisturize afterwards, a lot of that moisture has evaporated and your skin is baseline dry. And so I like using creams as opposed to lotions because creams are more thick for, like, the arms and legs. The lotion you kind of use for your neck or face if you wanted to.
- [07:31]
Amy Brown
Okay. So within three minutes of getting out of the Shower. We need to be there.
- [07:35]
Matt Castle
Should be putting on the lotion that goes off. No, I'm playing around. Absolutely. Three minutes is ideal, but if you were to take a shower and then moisturize after an hour or half an hour, you've already lost a lot of water. And as you age, and of course, you're very young, 25 years old, but as you age, people lose a lot more water in their skin. And so that's why folks who are older have to be very careful, because you do not want to let your skin dry out after you shower.
- [08:02]
Amy Brown
Well, we can be honest. I'm 43, about to be 44.
- [08:06]
Matt Castle
Oh, I miscalculated.
- [08:07]
Amy Brown
Yeah, I know. Thanks, though. But do you ever have patients that come in and you just right away, you know, like, oh, they need to drink more water. Okay, so just by looking at their skin?
- [08:16]
Matt Castle
Yes. Actually, if you look at their lips.
- [08:19]
Amy Brown
Their mycosis, their mucosa. Oh, mucosa. Dang it. I already messed up the word of the day.
- [08:24]
Matt Castle
If their lips are dry, absolutely. You gotta hydrate. In fact, what people forget is in this wintertime, you have the heat on so your air is more dry. I actually recommend for patients who are, you know, having eczema or what we call atopic dermatitis, to use a humidifier at night. Because sometimes people like it nice and cozy and warm in their house, like 72, 75 degrees. But that will dry the air out. The ideal temperature is more like 68. I know it sounds a little chilly, but in the wintertime, if you turn on the heat, it will dry the air. So the humidifier really helps a lot to add to the humidity of the air at home.
- [08:59]
Amy Brown
Okay, I might have to get one of those. I have been keeping my heat at 68, though.
- [09:03]
Matt Castle
Oh, that's good.
- [09:04]
Amy Brown
That wasn't per like a skin situation. It was a note from my energy company saying that's the advised temperature for your home energy.
- [09:14]
Matt Castle
Absolutely. Absolutely.
- [09:15]
Amy Brown
So now you're saying it's advised for our skin?
- [09:18]
Matt Castle
Yes. And one more thing to make a comment about the shower is that you want to pat dry. Sometimes people rub dry. When you rub dry, you actually strip the moisture out of the skin. So once again, if you want to maintain good skin health after the shower, you just want to pat dry the skin.
- [09:33]
Amy Brown
So get out of the shower, pat dry, and somewhere within a 3 minute period, apply your moisturizer.
- [09:39]
Matt Castle
Absolutely.
- [09:39]
Amy Brown
Okay, got it. Since we're in the shower realm, how often should we be washing our hair?
- [09:46]
Matt Castle
Great question. You know, it varies A lot. People who are perhaps working out very sweaty need to wash your hair more often because that buildup in the scalp can lead to dandruff, can lead to small infections or bumps in the scalp as well. But if someone's not really, you know, working out a lot, not very sweaty, I think they can wash your hair maybe twice or three times a week. It's different for different races. So for example, African American hair, you cannot wash that often, so you have to wash it maybe less often. It's also important to know what season you're in. So summertime, for example, you're probably going to be a lot more sweaty. So you may want to wash your hair more than in the wintertime. For example, like I have baseline hand eczema, so in the wintertime I have to moisturize my hands a lot. Some people's scalp is also very dry. So you have to be careful once again, to kind of not over wash the hair. And if someone has a very oily scalp, then to maybe wash more, just because the fact that you want to make sure that the scalp has what we call homeostasis, where everything is in harmony. What we're learning a lot is that everything is based upon inflammation. If you can control inflammation, you have better skin health, hair health, and so forth. So hair loss, dry skin, rosacea, acne, these are all forms of inflammation. And back in the day, we thought these are all independent pathways. That's how we're learning more about the gut microbiome and how that can affect skin health and hair health as well.
- [11:18]
Amy Brown
So as a dermatologist, do you spend a lot of time learning about the gut, and is that something you recommend? Obviously you have topical things and different treatments for your patients, but sometimes do you have a conversation of, okay, what are we eating?
- [11:30]
Matt Castle
Absolutely, 100%. It wasn't actually covered that much back in the day when we were in med school, because they were looking at the body as different systems. You know, you have skin, you have gut, you have your kidneys, your liver. But now there's an emphasis on how you can tie this all together. And research has shown that there are certain foods that are pro inflammatory for certain conditions. So for example, let's say someone has rosacea, which is redness of the cheeks. We know that there are certain foods that can make it worse. Alcohol, caffeine, so anything like coffee and so forth, spicy foods. And this varies on the person. So each person may have a different response. I have some patients who have acne, and if they eat, let's say a lot of sugars during Christmas time, they will break out immediately. We're learning more about dairy. Dairy is still kind of like in flux. Some people have maybe an intolerance to gluten to certain types of diets. So I think it's important to know your body, and the best way to do it is actually, for example, cut out alcohol for three weeks or two weeks and see how your skin responds. You'll be surprised. Cut out certain types of sweets, you know, and you will see a difference in your skin.
- [12:50]
Amy Brown
As a doctor, do you have strong thoughts about alcohol? Because I feel like earlier in the year, I know it's still only February, but I believe it's early January, the surgeon general came out talking about how there should be a warning label on all alcohol for cancer. I know that's not your specialty, but when it comes to aging, because like we've always heard, well, one glass of wine a day keeps the doctor away, or it's good for your heart. And in looking at the body as a whole, do you find that heavier drinkers tend to look older than they are?
- [13:23]
Matt Castle
You know, when you drink alcohol, it actually causes a lot of oxidation. Oxidation leads to inflammation. Inflammation is honestly what causes all these issues. So, for example, when we look at patients, let's talk about heart disease. Let's go out of the skin, go to the heart for a second. Heart disease is actually a form of inflammation. It is nothing different than perhaps what's going on with rosacea with your face. Now, you can argue that certain types of alcohol, like red wine, for example, may help for people with heart disease because it thins their blood out. So if you drink alcohol, you're less likely to clot, so therefore you're less likely to have a heart attack. But that's like maybe a glass of wine here or there. But yes, heavier drinkers put a lot of stress in their liver. And the liver is what's responsible for clearing all the toxins. And if we're not careful, over time, your liver becomes less efficient. When you're younger, I mean, you can do whatever you want to, and your body can respond down the road. It's like if you get injured, it takes longer to heal. If you have a cut in the skin, if you're like 10 years old versus 50, big difference in the healing time, the scarring.
- [14:32]
Amy Brown
That's why, as I have aged, one margarita with my friends, you know, on a Tuesday night, Wednesday impacts me or maybe a Friday night. But I'm just giving an example of I Wake up the next day feeling way different than I did if I had a margarita a long time ago.
- [14:48]
Matt Castle
Absolutely. Same thing with sleep before. You might be able to be up and work late, next day still be functional. So I look at this as you have to know your body well. You have to like listen to it. If you listen to it, if you understand what it's telling you in these solo cues, you can actually kind of adjust things and perfect yourself because it's all about health and wellness in my mind.
- [15:13]
Amy Brown
So you mentioned sleep. Let's pivot for a second to that. Beauty sleep, like is that a real thing? So you hear like, oh, got to get my beauty sleep. It was just sort of a saying back in the day. But there's definitely something to it.
- [15:26]
Matt Castle
Absolutely. And we see it in the skin immediately because people who don't sleep get dark circles. You're already seeing that inflammation forming. You are in real time looking at that person and you can identify their skin doesn't look fresh. Sleep has a way to regenerate your body. That regeneration is important for cell turnover, for good skin tone, good health. In fact, let's talk about hair loss for a second. There is a type of hair loss called telogen effluvium, which is due to stressors. Hair loss due to stress. Now what's the stress from? Lack of sleep is one of the things. So if you're working hard non stop, if you're under stress, chronic stress we're talking about, not acute stress. It takes a toll. Aging. If you look at people who eat well, sleep well, take care of their body, they actually do substantially better in terms of their blood work and their overall skin health and hair health as well.
- [16:27]
Amy Brown
So simply adjusting how much sleep you might be getting could be step one, easy things. Yeah. Which I mean if you, if you're stressed though sometimes it's not easy to fall asleep.
- [16:38]
Matt Castle
Fair enough. But then there's things that you can do that can be ways to mitigate that stress. Like for example, go for a little walk. Sometimes if you go for a walk and this would be a run, I know people say do a little bit more physical activity, go for a walk for 15 minutes, walk like three miles per hour on that treadmill, three and a half miles per hour, you'll feel better, your mind will be more clear, your thoughts will become a little bit more crisp, you're more centered. And then your body will kind of take itself out of this flight and fight response. The problem is that we are bombarded by so much all the Time, social media, this, that, text messages. So you never give your time, you never give your body time to recuperate, to heal. So what you're doing is that if you do certain activities, you can actually take your body out of this whole like fight and flight response. And that's what unfortunately the role has become, becoming more responsive as opposed to proactive. And how I can take care of situations more now responding to each stimuli.
- [17:40]
Amy Brown
I like that you mentioned a 15 minute walk because that seems bite sized and doable. Instead of stressing yourself out of like, oh, I wasn't able to make it to my hour long workout today. Well, don't add more stress by stressing about how you didn't go. Just take yourself on a 15 minute walk without your phone probably or something that's been really helpful for me is meditation or breath work, but not overwhelming bite size. Maybe it's five minutes.
- [18:05]
Matt Castle
Absolutely.
- [18:06]
Amy Brown
Because I personally can't sit and meditate for an hour. But when I first started meditating a couple of years ago, that's what I thought it had to be. And I quickly learned it doesn't have to be that.
- [18:15]
Matt Castle
Absolutely. And you know, even small things like let's say you're sitting at work in a chair, stand up, stretch for like 30 seconds, sit back down, you'll have a lot more mental clarity. It's as simple as that. You just put your arms up, lean to the left and right. Maybe just kind of open your mouth wide, close it. It's just you're trying to recalibrate your body. Even that 30 seconds, you'll feel much better.
- [18:41]
Amy Brown
Okay, so as you're listening to this right now, stand up, stand. As long as you're not driving, stand up. And for the next 30 seconds as you listen, do some stretches, do some stretches.
- [18:51]
Matt Castle
Yeah, it could be as simple as that. You're trying to do some big arm circles. Do that and you're going to feel much better.
- [19:04]
Unknown Host (Black History Month Podcast)
Black History Month is here and we're excited to kick off season four of I didn't know, maybe you didn't either. This season we're diving even deeper, celebrating trailblazing pioneers who fought for change and shining a spotlight on revolutionary women who defied the odds and redefined excellence. Give Grace Wisher her flowers. She's proof that history ain't all about who gets the credit, it's about who did the work. So next time you see that 50 starred 13 striped American flag, you just remember a 16 year old black woman helped to make it happen. So this season, get ready to Be inspired, educated, and empowered. Even more. Join us as we uncover stories that deserve to be heard and celebrated. Listen to I didn't know. Maybe you didn't either. From the Black Effect Podcast Network on the iHeartRadio app, Apple Podcasts, or simply wherever you get your podcast.
- [20:00]
Matt Castle
I didn't know.
- [20:03]
Bobby Bones
Hey, it's Bobby Bones. Join me and former NFL quarterback Nat Castle every Wednesday for our new podcast, Lots to say with Bobby Bones and Matt Castle. Between us, we have over 17,500 passing yards, multiple New York Times bestsellers, and one mirrorball trophy from Dancing with the Star. So where else are you going to find a show with that much athleticism and football insight? Based in Nashville, we're more than just your basic NFL show. We talk sports, but we talk pop culture and music and a little bit of everything because we got lots to say. I texted you and you texted me back. Now, I don't know if you have the update, but, like, all the little thumbs up and heart and stuff, like, it's all colored. They changed it and the heart's a little pink. It felt like I told you I loved you. I'm gonna be honest. It was a little pink.
- [20:47]
Amy Brown
There was something sentimental when you.
- [20:49]
Matt Castle
When you send it.
- [20:50]
Amy Brown
It was like, do I send the heart now?
- [20:53]
Bobby Bones
I don't like the color edition.
- [20:54]
Amy Brown
It's extremely pink.
- [20:56]
Bobby Bones
Listen to Lots to Say with Bobby Bones and Matt Castle on the iHeartRadio app, Apple Podcast, or wherever you get your podcasts.
- [21:07]
Amy Brown
So you mentioned you can see in patients sometimes if they come in and they've got bags under their eyes, they're looking like they haven't gotten much rest. So that's the goal here. We can get rest. But what are your thoughts on lymphatic drainage, like, for under eye stuff? I've been doing some of those exercises in the morning to kind of release my lymphs. And I instantly see if I do my left side and then my right side after, but I see a difference in the left side before. I'm like, oh, there's been a release.
- [21:36]
Matt Castle
Absolutely. Because, you know, your lymphatic system carries actually a lot of fluid in the body after a certain time, it's not as efficient in getting that fluid out. So whatever you can do to kind of massage it out, you can actually help to drain all the extra excess fluid. And a lot of people do lymphatic therapy not just for the face, but also for, like, the legs post surgery. Absolutely. There's a lot of value to healing, to wound healing, because what you're doing is that you're taking away inflammation. Lymph is a lot of inflammation. It's a lot of inflammatory cells, immune cells.
- [22:10]
Amy Brown
Since you're a doctor, can you explain lymph nodes? Lymph. I feel like the first time I ever became familiar was when my mom had cancer and she had a certain stage. And then when it spread to the lymph, I just kept hearing, oh, it spread to the lymph nodes. Like, that's the first sign. And then it spreads to the organs. But what are our lymph nodes and where are they?
- [22:31]
Matt Castle
Yeah. So lymph nodes are found throughout the body. Think of it as, like, how airlines have hubs. So let's say you're flying on American. You got a hub in Chicago, Miami, Dallas, LaGuardia and so forth. And LAX. Every plane, if you're flying these legacy carriers, has to go through a hub. That lymph node is a hub. So it collects lymph fluid from that part of the body. So if, for example, you have an infection, let's say you have, like, a sinus infection, sometimes your lymph nodes in your neck get swollen. That is simply your body just saying, hey, we gotta go in and attack. What's going on? We got an infection. Cancer. Cancer, by definition, is also a foreign body. It's something that shouldn't be there. So your body is trying to attack it, and it sometimes gets lodged in these hubs or these lymph nodes. And that's where they say, hey, the cancer has spread to a lymph node. So basically what that is, is it's a hub through which all the lymph fluids go through, and it helps to clean things out. And once again, it can only work so efficiently. And so when it gets overloaded, it gets reactive, it gets bigger, and that's when the body's trying to work overtime to get rid of those toxins.
- [23:42]
Amy Brown
Okay. But it can be beneficial to clear our limbs on our own if we can. I mean, there's just tons of tutorials on YouTube. That's where I've been getting things. YouTube, TikTok, Instagram, but from certified people. And they know what they're doing. And I found it to be very relaxing, which, again, could lead to more rest, which is better skin.
- [24:00]
Matt Castle
Absolutely.
- [24:01]
Amy Brown
Which, of course, seeing you for other things has been helpful for me. And then, of course, checking my body for skin cancer. And then I've got a mild rosacea situation that we're working on. But I like giving people things they can do every Day at home to take care of their skin, like getting the rest. Maybe trying some of these facial fitness things that help release the lymph?
- [24:24]
Matt Castle
I think so. I think there's value to anything that can help to facilitate the body's healing. That's how I look at it. You know, it's the same thing. Like when you get injured, you have a lot of swelling there. That's fluid. That's your body saying, hey, we got to go in and try to repair ourselves. But the problem is, at some point it becomes too much. So when you do that lymphatic drainage, that massage, it helps to kind of open up things, Helps to accelerate the healing process. I like it because it's easy. You know, it's not. You're putting something into your body, and you're right. There are people who are licensed in this who can actually do it appropriately. And there's also ways you can do it at home, too.
- [25:03]
Amy Brown
What's one of your favorite treatments that you offer that's not totally crazy and unreasonable? Yeah, because there are tons of really crazy, expensive things people can do. But what's like, your favorite? Go to. If someone were to come in and just, like, want a little pick me up for their skin.
- [25:18]
Matt Castle
You know, there are small things that you can do. So for example, let's say if someone. Let's say you have a prom night for a teenager, you know, and they have some mild acne, you can do a very gentle glycolic peel that helps to kind of make the pores cleaner, helps to get rid of that skin debris, makes the skin shinier. And you can do that before a dinner or an event. There's a procedure called the hydrafacial, which is kind of nice because it actually has a suction tip that can remove things from the skin. I actually had this done once back in Vegas. It was about eight years ago. There was this conference, and at the exhibit hall, they said, hey, do you want to get a hydrafacial? I said, yeah, sure, why not? And my nose. Most men tend to have more oil glands on their nose because it's very concentrated. Just felt kind of, you know, congested. Anyways, they did the hydrafacial on my face, and my nose and cheeks felt so clean. I was like, wow, I had no idea. And so there are small things that you can do that can be very cost effective, but gives you that glow so that when you go out there, you feel more confident. And to some extent, it gets rid of all that pollution, debris, and buildup that our skin Gets over time that we don't realize. And especially if someone is looking for like a three to four day out type thing, you know, with no downtime. Absolutely.
- [26:34]
Amy Brown
Yeah. No, I'm a big fan of Hydrafacial. I've liked that one for years. What about sunscreens? We're talking about the skin. I meant to ask this kind of early on for people because speaking of disinformation, online on TikTok, Instagram, whatever, I feel like there's been a movement against sunscreen. Are you familiar?
- [26:54]
Matt Castle
Absolutely. Yeah. There's a lot of chatter about sunscreen and the effects it can have on the body and the environment and so forth. There's different types of sunscreens I think that people need to realize. There's what we call the chemical blockers and the physical blockers. The physical blockers are your zinc oxide and titanium dioxide sunscreens. Those are really good for people with sensitive skin. So when you go to like a buy a baby sunscreen, that's what they have. It's less reactive. So if someone has rosacea or acne, use a physical blocker as opposed to a chemical blocker.
- [27:25]
Amy Brown
How do you know what is what?
- [27:27]
Matt Castle
Primarily the two physical blockers are zinc oxide and titanium dioxide.
- [27:31]
Amy Brown
Oh, perfect. I'm using a zinc oxide one.
- [27:34]
Matt Castle
Perfect.
- [27:34]
Amy Brown
So we're good?
- [27:35]
Matt Castle
Yeah. So you're good. So that means that you are getting less chemicals per se, because a physical blocker by definition just physically blocks the UV rays.
- [27:45]
Amy Brown
I use Intellishade.
- [27:47]
Matt Castle
Okay.
- [27:48]
Amy Brown
Are you familiar which, yeah.
- [27:49]
Matt Castle
Which SPF is that?
- [27:50]
Amy Brown
45?
- [27:51]
Matt Castle
Yeah, that's fine. The key thing about sunscreen use is that if you're going to be outside, let's say you're going to be out on a boat or outside, you know, at the park and it's hot and you're sweating a lot, you have to reapply because that sunscreen will only last for a certain period of time. If you're in the water swimming, then you have to make sure that you reapply. That's kind of the caveat is that it's not like one and done, it's reapplication. Because sometimes people also don't put enough sunscreen on. So you're supposed to put actually for your whole body, for average American, one shot glass worth of sunscreen for the whole body. If you use less than in theory, you have less protection. And if you use the sprays, then be careful because some people don't really spray on as well.
- [28:33]
Amy Brown
Okay, to clarify, Intellisade is something I'D put just on my face, it's like a tinted moisturizer. But then on my body. Yeah, I'll put other things.
- [28:41]
Matt Castle
Absolutely.
- [28:42]
Amy Brown
Should we be putting sunscreen on our neck and chest every day?
- [28:47]
Matt Castle
That's where I see a lot of skin cancers, and that's where I see a lot of sun damage. A lot of people like to be active, and unfortunately, that's where people get a lot of sun exposure. I tell people wear sunscreen on the neck and the chest, especially for women who like to wear V necks, because that's where, over time, you start to get the crepiness of the skin, the thickening of the skin. You get these brown spots, red spots, and you get these crevices that form in those lines. And so you don't want that sign of aging to show.
- [29:16]
Amy Brown
So I saw this thing, speaking of things I see on TikTok, where someone had this pillow bra, like a sleep bra or something, and it was this contraption that kind of fit around the shoulders and snapped in the back, but it was like this little pillow for your chest, like in between your breasts. Especially as a woman, I guess men could have it too, but I think more women probably have the crepiness in the chest, but it holds it flat. So that way, if you lay on your side, you can't, like, squeeze your skin together. So therefore, you wake up wrinkle free. Have you seen this contraption?
- [29:48]
Matt Castle
You know, I have to research this one. I think this is the first time I've heard of it.
- [29:52]
Amy Brown
Oh, well, I'm gonna have to show you exactly what it is, because, trust me, I almost fell for it and bought it. And then I'm like, I don't. I don't need to buy this right now. I don't sleep on my side as much. I try to sleep flat on my back. But sleep is a weird thing because our face can sometimes get smushed, and that can lead to more wrinkles. But that's why I try to do on my back. And I know they sell these pillows if you're a side sleeper, that'll help keep you from wrinkling your face. What are your thoughts on those?
- [30:19]
Matt Castle
I think there's some value to it. People who sleep only on one side, you do see actually a difference in their skin texture, and you can almost tell which side they're sleeping on.
- [30:30]
Amy Brown
Really?
- [30:30]
Matt Castle
Yeah. So I do think there's value if you're able to sleep, for example, on your back this way, it's not one side is always getting all the pressure and so forth. And the same thing, like when you drive, for example, if you look at certain people, the left side is substantially worse than the right side because the driving side you get all the sun and hence you see more skin cancer on the left side. And when I do my laser treatments for my patients and so forth, the left side is the one that we are always more cautious on too. Unless you're, I guess, a mailman or you're in England or something.
- [31:02]
Amy Brown
Driving gloves are also something that I've seen that some people are doing to protect their hands from when they're on the steering wheel and the sun is coming right through.
- [31:10]
Matt Castle
Driving gloves are huge in Asia.
- [31:12]
Amy Brown
Really?
- [31:13]
Matt Castle
Yes. Korea, China, India, Singapore, you name it. You know, every society has their ideal beauty.
- [31:22]
Amy Brown
Well, it's just now making its way to America.
- [31:24]
Matt Castle
And you know, in Asia, actually, they use it for two purposes. One is sun protection, and secondly is that with sun exposure you get more brown spots and so forth and broken blood vessels. I think it's actually smart because we see a lot of people with skin cancer on their arms and hands and especially in people who are outside a lot and those who drive a lot. So there's value and, you know, there's different styles and they look very stylish. Actually, it's a whole market out there if you ever want to research online.
- [31:53]
Amy Brown
Okay. Looking at my hands like, do you think I need to invest in driving gloves? I mean, with my skin type, I.
- [31:58]
Matt Castle
Think they look really good. I would say the forearm might be getting some sun now. This could be from back in the day as well.
- [32:11]
Unknown Host (Black History Month Podcast)
Black History Month is here and we're excited to kick off season four. If I didn't know, maybe you didn't either. This season we're diving even deeper, celebrating trailblazing pioneers who fought for change and shining a spotlight on revolutionary women who defied the odds and redefined excellence. Give Grace Wisher her flowers. She's proof that history ain't all about who gets the credit. It's about who did the work. So next time you see that 50 starred 13 striped American flag, you just remember a 16 year old black woman helped to make it happen. So this season, get ready to be inspired, educated and empowered even more. Join us as we uncover stories that deserve to be heard and celebrated. Listen to I didn't know. Maybe you didn't either. From the Black Effect Podcast Network on the iHeartRadio app, Apple Podcast, or simply wherever you get your podcast.
- [33:11]
Bobby Bones
Hey, it's Bobby Bones. Join me and former NFL quarterback Matt Castle every Wednesday for our new podcast, Lots to say with Bobby Bones and Matt Castle. Between us, we have over 17,500 passing yards, multiple New York Times bestsellers, and one mirror ball trophy from Dancing with a Star. So where else are you going to find a show with that much athleticism and football insight? Based in Nashville, we're more than just your basic NFL show. We talk sports, but we talk pop culture and music and a little bit of everything because we got lots to say. I texted you and you texted me back. Now, I don't know if you have the update, but, like, all the little thumbs up and heart and stuff, like, it's all colored. They changed it and the heart's a little pink. It felt like I told you I loved you. I'm going to be honest, it was a little pink.
- [33:54]
Amy Brown
There was something sentimental.
- [33:55]
Matt Castle
When you, like when you send it, you're like, do I send the heart now?
- [34:00]
Bobby Bones
I don't like the color edition.
- [34:02]
Amy Brown
It's extremely pink.
- [34:03]
Bobby Bones
Listen to Lots to say with Bobby Bones and Matt Castle on the iHeartRadio app, Apple Podcast, or wherever you get your podcasts.
- [34:14]
Amy Brown
When I'm coming to you at 40 something and you're looking at skin damage like you took some biopsies from me.
- [34:20]
Matt Castle
Absolutely.
- [34:21]
Amy Brown
What is that damage from? It's likely from my childhood. Right?
- [34:24]
Matt Castle
Yeah. So the thing is that what we're looking for is what could be abnormal. Things become abnormal over time. It's not overnight for most people, at least. And what happens is that what people don't realize is that the sun is a form of radiation. That radiation, when it hits your skin, it forms a mutation. A mutation. Think of it like, as compounding interest. Over many years, it becomes worse, so that mutation becomes much more amplified. That is what one day leads to, either brown spots or, in worst case, a skin cancer.
- [34:58]
Amy Brown
So what should someone be looking for if they do see a freckle or a mole or something on their body that is starting to change? Like, what's the change they're looking for?
- [35:07]
Matt Castle
So, yeah. So if you notice. So what we look for is the abcd. That's for melanoma. So A is for asymmetry. For moles, asymmetric, that could be a red flag. B, border, you want smooth, not irregular border. C, color, you want one, not multiple colors in that molecule. D, diameter, smaller the better. E is evolution. If you see any change in size, shape, or color or symptoms that should be evaluated, because we don't know if that mole is active. And if it is, then we want to make sure. It's not a melanoma.
- [35:37]
Amy Brown
When someone is going to the dermatologist, should they arrive with no fingernail polish and toenail polish on? Because do you want to check their nail beds?
- [35:45]
Matt Castle
Absolutely. Actually, I look into the web spaces, I look at the nails, I look at the bottom of the feet, I look from head to toe. Because at the end of the day, you can have a skin cancer beyond any part of the body. And wants to be very careful that the dermatologist can look at all parts of their body to make sure that they do a complete skin exam. Because 1 in 5Americans get skin cancer in their lifetime.
- [36:06]
Amy Brown
Okay, I did not know that statistic, and forgive me for not knowing how to ask this a better way, but is skin cancer, like, how much of it is deadly?
- [36:16]
Matt Castle
Well, that's a good question. So there's different types of skin cancer. The most common kind in the US is called a basal cell carcinoma. The most deadly kind, one could argue, is a melanoma. Melanoma has a very high mortality rate in the US and partially because when you find it, sometimes it may have spread to other parts of the body.
- [36:33]
Amy Brown
So something that is on the outside of the skin can spread internally as it grows. And so then the tumor is no longer visible on the outside, like it's growing somewhere on the inside. Or it can spread to like. Can you have melanoma on your liver?
- [36:49]
Matt Castle
Yeah. So melanoma actually likes the liver, brain, lungs, brain. Yeah, These are places where it's hot spots. And melanoma is highly aggressive because it mutates and it divides rapidly. These are all time dependent. This is why I tell patients it's actually a race against time. If you have something that's been there for a while, get it checked out. Worse comes worse. We do a small skin shave biopsy. We send that to the pathologist. They will then give us a report. That report will tell us exactly what it is. Then you have peace of mind on how to move forward. The biggest issue is that a lot of people don't get their skin checked.
- [37:26]
Amy Brown
Because I feel like going to the dermatologist is not as common as, you know, making sure you're going to your gynecologist appointment or once you hit a certain age or mammogram, it kind of feels, especially for certain demographics, like a very privileged frou Frou thing to go to your dermatologist.
- [37:44]
Matt Castle
Well, I will tell you this much, that a lot of patients I see who have skin cancer are people who've had a lot of sun exposure for many years. So if you're one of those folks who perhaps has a family history of skin cancer or perhaps has a history of being immunocompromised, a lot of people, you know, have some immune system issue. Or let's say you've had many sunburns when you're a kid, or let's say you have red hair. These are risk factors. Red hairs actually have the highest rate of skin cancer, the highest risk compared to other hair types. And that's because the melanin is called pheomelanin, is unable to block the UV radiation as efficiently as the eumelanin can.
- [38:26]
Amy Brown
So if you have any of those variables, then try to prioritize an appointment at your dermatologist, if you can.
- [38:34]
Matt Castle
And you can even ask your primary care doctor, hey, I have a spot. What do you think? And if your primary care doctor says, hey, you know what, I'm not sure we should get checked out, then, yeah, just go to your dermatologist, have that doctor send a referral.
- [38:46]
Amy Brown
Okay. And then the melanoma, if that is caught early.
- [38:49]
Matt Castle
Yeah.
- [38:50]
Amy Brown
Then survival rate is very high.
- [38:52]
Matt Castle
Very high, absolutely. But it's just the deeper it goes, the survival rate drops substantially.
- [38:57]
Amy Brown
All right. And not to scare anybody, but just knowledge is power. A lot of times with cancer, which my mom had, the basal cell carcinoma. Is that how you say? And, you know, she had to have her face completely cut open, sewed back up by a Mohs surgeon. But it was imperative to get out so that while it's not like the melanoma, why was it important to go in and scrape it all out and get it out? Can it evolve?
- [39:23]
Matt Castle
Yeah. The thing is that, you know, skin cancers can grow. The definition of cancer is uncontrolled growth of the cells. So it's going to eat into the muscle and the other tissues, and then from there it can spread to other parts of the body. That's the concern, is that you're going to get pain. You're going to get weeping of the skin as it breaks down. And at some point, the reconstruction of it is a lot more intense. It's easier to sew the skin back up than if something has gone into the muscle or down to the bone. That's a different level. Plus, over time, the mortality rates do change. So there's certain types of skin cancers, like a squamous cell carcinoma, which is the second most common kind after basal cell, and those have a higher risk for spreading to other parts of the body. Okay.
- [40:07]
Amy Brown
So I feel like my mom had that one, too, because that sounds familiar. And then that's why I've been very proactive about going to the dermatologist because of what I saw my mom go through, which the type of cancer she died from was not that. However, her cancer did spread, you know, like we were talking about, to the limbs, then it spread to her organs, and then it became epidermis, like, it spread to her epidermis like it was her cancer started internal and then ended up external.
- [40:34]
Matt Castle
So you can have that.
- [40:35]
Amy Brown
And I could see the tumors on the outside of her body, which was crazy.
- [40:39]
Matt Castle
So you can have skin cancers that form metastasis, which is spreading to other parts of the body. Correct. You know, it's important to. If you see something or, you know, you'd be surprised, actually. Hairstylists find a lot of spots on the scalp for people. When you go to your masseuse, they find a lot of spots on the back. When you have patients who like loved ones, they can actually be a very helpful resource as well in helping to identify spots that could be abnormal. For example, if you can have your husband or wife look at your back, that can help to point out spots as well, because you'll be surprised. I have patients who come in whose passes have circle spots on their back saying, hey, this has changed. That's helpful. Every bit of information helps.
- [41:25]
Amy Brown
Okay, we'll pivot a little bit to collagen. I have a quick question about your thoughts on collagen, because that's another thing that's all the rage. Is that something I'm talking about, the kind you ingest, you added to your coffee or pour it in your smoothie? What are your thoughts on that?
- [41:41]
Matt Castle
I mean, there's value to it. Here's the thing. So collagen, a lot of it, is sometimes degraded when it goes into your body, when you eat it or swallow it or whatever you're doing with it. But collagen is a necessity for living, and having the right type of collagen is important, too. I think there's value to it. I would be doing your research and making sure that, A, it's safe, and B, that you're not spending too much money, because some things can be very costly as well.
- [42:08]
Amy Brown
Yeah, you just want to make sure you've got a quality one, though, if you're ingesting it. And then there are ways to stimulate collagen through procedures that you offer, like lasers. Lasers do that. And, you know, we were talking about different growth factors. Does that help with Collagen, Absolutely.
- [42:26]
Matt Castle
Yeah. You can use different growth factors. You got lasers, you got microneedling, you have microdermabrasion. All these things can help to turnover cells. So you allow for new collagen, new elastin to be placed and get the bad stuff out. The bad stuff is the stuff that's been fried from the sun or, you know, it needs to be removed. Anyways, so once you have these treatments, your body puts in fresh collagen, fresh elastin, and basically you're turning back the hands of time.
- [42:53]
Amy Brown
Okay. And my snail serum is a growth factor. My biopel, and I love that treatment.
- [42:59]
Matt Castle
It's been around for a long time, actually for decades. And people rave about it. And I actually think there's value to all these things. And be it the snail serum they're using, as long as it's done consistently, you know, it's not a one and done. These are not one and done types type things. And you're still doing everything in coordination with your sunscreen and, you know, good skin care and good skin health.
- [43:21]
Amy Brown
All right, if you could recommend only three skincare products for the rest of our lives, what would they be?
- [43:27]
Matt Castle
Let's talk about the face, I guess, good face wash. Because at the end of the day, if you don't wash your face, your pores get clogged and that can lead to acne and so forth.
- [43:35]
Amy Brown
But we need to double wash, right?
- [43:37]
Matt Castle
It depends. If you have dry skin, then you probably don't need to.
- [43:40]
Amy Brown
Okay, but if we're removing makeup.
- [43:41]
Matt Castle
Yeah. Yes, absolutely.
- [43:43]
Amy Brown
Because most women at the end of the day, or I have that. What's that stuff called? The misalin water or the micelles. There you go.
- [43:50]
Matt Castle
Yeah, yeah. And then number two would be that good sunscreen. Why? Because at the day, if you're outside, it's easy to put on. It helps to protect you from the sun. The physical blockers do great. Number three, a good moisturizer. That's like your hallmark. If you just do those three things, your skin will be hydrated, it'll be clean and protected from the sun, and you're solid.
- [44:11]
Amy Brown
Well, so how do you know if something's a good moisturizer, like, for your whole body? I mean, I get. I spend more on my face skin care products than I do like, my body's products. Like, I don't want to be spending a bunch of money on, especially if I'm supposed to use, you know, as much like the shot glass worth, like I. I want, you know, if you.
- [44:29]
Matt Castle
Want to Save some money. You can buy a lot of things that are over the counter. They actually do fairly well. There's Neutrogena, Aveeno, Cerave, Cetaphil. These are all great brands. And you can have a good facial moisturizer with SPF 30 built into it. You know, for daytime you can buy a nighttime. These you can find at Target or Walmart.
- [44:48]
Amy Brown
We should go to let's CVS or something and do like a.
- [44:52]
Matt Castle
Absolutely.
- [44:53]
Amy Brown
Buy this.
- [44:54]
Matt Castle
A little Shopathon. You know, kind of go and, you know, check out the aisles because you'll be surprised. There's a lot of things that you can buy for 20 bucks or less that work. Awesome. And I think are good long term products.
- [45:07]
Amy Brown
Okay, let's wrap with what's the most overhyped skincare trend right now?
- [45:12]
Matt Castle
You know, I'm not as cool as you are. Just be honest with you. But I've heard so much about beef tallow. I think it is kind of way overboard. It's just a moisturizer.
- [45:23]
Amy Brown
All right, well, thank you so much for your time. I feel like I could talk to you for another 30 minutes.
- [45:27]
Matt Castle
Yeah.
- [45:28]
Amy Brown
Well, no, maybe we can do it again one day.
- [45:30]
Matt Castle
Absolutely.
- [45:30]
Amy Brown
Yeah.
- [45:30]
Matt Castle
We'll love to have you. You know, and let's do that Target thing or do a Shopathon type thing too. That'd be fun.
- [45:35]
Amy Brown
Yeah. So fun.
- [45:36]
Matt Castle
Awesome.
- [45:36]
Amy Brown
Okay, well, thank you. Restoration Dermatology. Why the name Restoration?
- [45:41]
Matt Castle
The goal was to make something back to its original state. My goal is to not change you to something you're not, but to make you the best version of who you are.
- [45:51]
Amy Brown
I love that. I love knowing the root or the origin behind someone's simple. Like why they decided to name their company something and that. That. I honestly, I wasn't expecting that answer, but.
- [46:01]
Matt Castle
And I didn't want my name to be part of it because I didn't want to be about me. Just be honest.
- [46:05]
Amy Brown
You love it.
- [46:06]
Matt Castle
Yeah.
- [46:06]
Amy Brown
And it's so funny because, like, right around the corner is Restoration Hardware.
- [46:10]
Matt Castle
We spend a lot. We spend a lot of money there for our furniture. So. Yes.
- [46:14]
Amy Brown
Yeah.
- [46:15]
Matt Castle
Okay.
- [46:17]
Amy Brown
And where can people find y'all? On Instagram. I'll link it in the show notes, but I'm pretty sure. Is it just Restoration Dermatology?
- [46:23]
Matt Castle
Exactly. Is that. Yep.
- [46:24]
Amy Brown
Perfect. Simple, simple, simple. Okay, thank you.
- [46:26]
Matt Castle
Thank you.
- [46:27]
Amy Brown
Bye.
- [46:27]
Matt Castle
Thank you, Amy.
- [46:35]
Unknown Host (Black History Month Podcast)
Black History Month is here and we're excited to kick off season four of I didn't know. Maybe you didn't either. This season we're shining a spotlight on Revolutionary women who redefined excellence. Give Grace Fisher her flowers. Next time you see the American flag, you just remember a 16 year old black woman helped to make it happen. Listen to I didn't know. Maybe you didn't either from the Black Effect Podcast Network on the iHeartRadio app, Apple Podcasts or simply wherever you get your podcast.
- [47:07]
Bobby Bones
Hey, it's Bobby Bones. Join me and former NFL quarterback Matt Castle every Wednesday for our new podcast, Lots to say with Bobby Bones and Matt Castle. Between us, we have over 17,500 passing yards, multiple New York Times bestsellers, and one mirrorball trophy from Dancing With a Star. So where else are you going to find a show with that much athleticism and football insight? We talk sports, but we talk pop culture and music and a little bit everything. Listen to Lots to Say with Bobby Bones and Matt castle on the iHeartRadio app, Apple podcast or wherever you get your podcasts.