Dr. Sheila Farhang On Anti-Aging Strategies, Skin Health, & Skin Cancer Prevention Tips

Summary

The Skinny Confidential Him & Her Podcast: Dr. Sheila Farhang on Anti-Aging Strategies, Skin Health, & Skin Cancer Prevention Tips

Hosts: Lauryn Evarts Bosstick & Michael Bosstick
Guest: Dr. Sheila Farhang, Celebrity Dermatologist
Release Date: January 10, 2025

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1. Introduction

Lauren and Michael Bosstick kick off the episode by welcoming Dr. Sheila Farhang, a renowned dermatologist known for her expertise in skin health and beauty. Dr. Farhang introduces the episode's focus: preventative anti-aging hacks, skin health maintenance, and skin cancer prevention tips.

Notable Quote:
Dr. Sheila Farhang [01:13]: "We are talking preventative anti-aging hacks, celebrity plastic surgery, and must-have skin treatments."

2. Personal Stories: Lauren's Hemangioma

Lauren shares her personal experience with a blood vessel mark on her face, discussing its impact and her journey to understanding it better. Michael provides a semi-diagnostic analysis, reassuring her about its benign nature and explaining it as a hemangioma.

Notable Quote:
Dr. Sheila Farhang [04:44]: "What can people do to support their skin barrier?"

3. Discussing Skin Health and Anti-Aging

The conversation delves into the essentials of maintaining a healthy skin barrier, emphasizing the importance of minimal product usage with skin-loving ingredients. Michael highlights trending components like beta glucans and hyaluronic acid, which play pivotal roles in skin hydration and renewal.

Notable Quote:
Michael Bosstick [05:56]: "I think that for skin barrier, what you want to do is first minimize it. Minimize the products you're using. Use skin loving ingredients."

4. The Role of Fillers and Cosmetic Surgery

Dr. Farhang and Michael discuss the nuanced use of fillers in cosmetic enhancements. They stress the importance of balance and harmony in facial features, cautioning against overuse that can lead to unnatural appearances. The hosts advocate for conservative approaches and highlight the fear-mongering surrounding cosmetic procedures.

Notable Quote:
Dr. Sheila Farhang [10:17]: "I think the biggest win in my opinion with any work is it's harmonious."

5. Importance of Skin Cancer Screening

Michael underscores the critical need for regular skin checks, especially after age 30 or for individuals with risk factors like extensive sun exposure or a family history of skin cancer. He shares insights from his dermatological practice, emphasizing early detection of melanoma and other skin cancers.

Notable Quote:
Michael Bosstick [17:36]: "Melanoma is the one that can spread and kill you, so I would say get your yearly checks."

6. Trending Skincare Ingredients and Treatments

The hosts explore emerging skincare trends for 2025, such as red light therapy and innovative ingredients like beta glucans and pdrn (polydeoxyribonucleotides) derived from salmon. They discuss the benefits and regulatory considerations of these treatments, highlighting their potential in skin rejuvenation and anti-aging.

Notable Quote:
Michael Bosstick [38:00]: "Beta glucans, it's a humectant, so it pulls in water... it renews the skin, calms the skin down, plumps up the skin."

7. Nail Health and Care

Surprisingly, nail health emerges as a viral topic. Michael addresses common misconceptions and best practices, advocating for short, well-maintained nails to prevent issues like bacterial buildup and damage from UV lamps used in gel manicures.

Notable Quote:
Michael Bosstick [26:59]: "The traditional UV lamps... should only be used for 10 to 15 seconds to prevent burning."

8. Cautions in Cosmetic Procedures

Both hosts emphasize the importance of choosing qualified professionals for cosmetic procedures. They warn against the dangers of inexperienced practitioners, which can lead to complications like overfilled features or skin damage. The discussion reinforces the value of being an informed and vigilant consumer in the beauty industry.

Notable Quote:
Lauren Bosstick [47:44]: "People should know their provider, know who they're going to, and don't cheat yourself out on this."

9. Recommendations for Skincare Routine

Dr. Farhang and Michael outline a foundational skincare routine, recommending three essential products: a retinol or retinoid serum, a broad-spectrum SPF, and a hydrating serum containing ingredients like beta glucans and hyaluronic acid. They stress the importance of understanding one's skin type and concerns to tailor the regimen effectively.

Notable Quote:
Michael Bosstick [50:12]: "First, you need to be on some type of retinol. Second, it's like SPF. Third, find a product that has something for skin hydration."

10. Conclusion

The episode wraps up with mentions of Dr. Farhang's own podcast, "Derm Approved," and her active presence on social media platforms. Lauren and Michael express their appreciation for Dr. Farhang's insights, encouraging listeners to prioritize their skin health through informed choices and professional guidance.

Notable Quote:
Dr. Sheila Farhang [56:56]: "To shop Dr. Sheila's favorite product, you can go to lancome-usa.com and use code TSC20 for 20% off Genifique Ultimate."

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Key Takeaways

• Skin Barrier Health: Essential for overall skin health; prioritize minimal, effective products.
• Cosmetic Procedures: Seek qualified professionals; aim for harmony and balance in enhancements.
• Regular Skin Checks: Crucial for early detection of skin cancers like melanoma.
• Emerging Skincare Trends: Red light therapy and advanced ingredients like beta glucans are gaining traction.
• Nail Care: Maintain short, clean nails to prevent health issues.
• Foundational Skincare Routine: Incorporate retinol, SPF, and hydrating serums tailored to individual skin types.

Listeners are encouraged to adopt a holistic approach to skincare, integrating professional treatments with everyday care practices to achieve and maintain healthy, youthful skin.

Transcript

[Lauren Everts]

The following podcast is a Dear Media Production. She's a lifestyle blogger extraordinaire.

[Michael Bostick]

Fantastic.

[Lauren Everts]

And he's a serial entrepreneur, a very smart cookie. And now Lauren Everts and Michael Bostick are bringing you along for the ride.

[Dr. Sheila Farhang]

Get ready for some major realness.

[Lauren Everts]

Welcome to the Skinny Confidential. Him and her.

[Michael Bostick]

Things have trade offs, right? If you want like super high cheekbones, what about your temples? What about your mid cheek? Things like that. Like, I have filler. It's like my job. I do think it got villainized because everyone went too crazy with it and it was like this thing called perception drift where you forget what you look like. Your provider's not. Maybe you're not going to the same provider or maybe they're not looking back at the photos. But I like have to cut people off sometimes. Not in a bad way. It's just like, hey, we are where we need to be. Everything's balanced, everything's looking good. So I totally agree. I also don't think that fillers or Sculptra or all these other things are, are like ruining your face so much where you can't get a facelift. I think that's a little fear mongering from some plastic surgeons. But in any case, you gotta do it right. You gotta be conservative and some things are fine to do.

[Dr. Sheila Farhang]

Happy Friday. Celebrity dermatologist Dr. Sheila Farhang is on the show today. We are talking preventative anti aging hacks, celebrity plastic surgery. We get very into that. What everyone will be using on their skin in 2025. A bunch of beauty secrets, some wild beauty trends, and must have skin treatments. I enjoyed this episode thoroughly because, you know, I love all things skin and beauty. On that note, let's welcome the Instagram famous Dr. Sheila Farhan to the show.

[Lauren Everts]

This is the Skinny Confidential. Him and her.

[Dr. Sheila Farhang]

Michael has a dot on his face that we have been talking about for the last year every single morning. It's a, an actual.it's not a.

[Lauren Everts]

Well, you can't see it.

[Dr. Sheila Farhang]

It's a piece of pepper.

[Lauren Everts]

It started out.

[Michael Bostick]

Yeah, yeah.

[Lauren Everts]

As like my son scratching me in the face.

[Michael Bostick]

Okay.

[Lauren Everts]

Young son. We have a. We have a young son.

[Michael Bostick]

Got it, got it.

[Lauren Everts]

25 years old.

[Michael Bostick]

An accident. Yeah, exactly.

[Lauren Everts]

It was an accident. And then it was like struggling to heal and then I wasn't thinking much about it and then it did heal and it keeps like heal feeling but then opening and I told you I don't like that. I went to a derm and they said it's a blood vessel.

[Michael Bostick]

Okay.

[Lauren Everts]

That I forget the exact words.

[Michael Bostick]

It's probably a hemangioma. Let's take a look.

[Lauren Everts]

Okay. It's right here.

[Michael Bostick]

Can you come to me or should.

[Dr. Sheila Farhang]

I come to you on air?

[Lauren Everts]

But anyways, I don't really notice it other than, like, sometimes it'll get red.

[Dr. Sheila Farhang]

And again, like, I notice it every day because he talks about it every day.

[Lauren Everts]

I get red. That's just like.

[Michael Bostick]

Sure.

[Lauren Everts]

My thing.

[Michael Bostick]

Rosacea tendencies. Yeah, maybe.

[Lauren Everts]

And I notice that sometimes if I put like a vitamin C, it'd be like, oh, that little sting. But then I go get skincare so regularly that they're like, yeah, the things healed. I calm down, buddy. But I'm just.

[Michael Bostick]

Got it. Let's take a look. Kid on over here. It's not like a real life consult by a dermatologist.

[Lauren Everts]

It's gonna make me sound crazy because.

[Dr. Sheila Farhang]

Just go show her the dog so we can move it along.

[Lauren Everts]

Can I swing my mic over?

[Dr. Sheila Farhang]

No, Michael, we don't need your mic.

[Michael Bostick]

Just.

[Dr. Sheila Farhang]

We don't need a narration.

[Michael Bostick]

So really, as dermatologist. Oh, okay. Yeah. So really, I need my light. I need my dermatoscope.

[Dr. Sheila Farhang]

Okay.

[Michael Bostick]

So when I press on it, it blanches, which means it goes away. And that means that it is a blood vessel. It probably is from trauma. You have a little rosacea. Did you know that? Yeah, so I'm not worried about. It never opens up or bleeds. Right. Great. So I don't think it's a skin cancer. It probably is a little hemangioma. You have little. We all have little. Little broken blood vessels around our noses. Yeah. So we could just laser it off, but. Okay, I'm not worried. You have a name for it. It's called a hemangioma.

[Lauren Everts]

No wonder I can. No wonder I can never remember it, because I was trying to explain to Lauren, I just call it a blood vessel.

[Michael Bostick]

Yeah.

[Lauren Everts]

But I was going. Because I went down the.

[Dr. Sheila Farhang]

I gotta change the subject. Hold on. Move it on, Michael.

[Lauren Everts]

I went down the rabbit hole. This is relevant to our listeners and viewers.

[Dr. Sheila Farhang]

The rabbit hole.

[Lauren Everts]

Oh, my God. I have a wound. It won't close. I've got skin. Because people have to watch for that. And so then I was, like, freaking out, but then I went and was it a hemandromoblia?

[Michael Bostick]

Yeah, hemangioma, which. Let's talk about what you can do for that. And that's going to be how to improve your skin barrier, how to do all that, because you probably have a. Really. Thank you for that.

[Dr. Sheila Farhang]

That transition.

[Lauren Everts]

But I went to a derm here.

[Dr. Sheila Farhang]

Okay, Michael, hold on real quick.

[Lauren Everts]

Lauren, I know some good dermatologist and he said the same thing, but I just want the thing to like close and then I was wondering, can I get it burned off and then it'll just like go away and be done?

[Michael Bostick]

Yeah. You want to laser it off? I got you.

[Dr. Sheila Farhang]

What can people do for this?

[Lauren Everts]

Am I going back to Tucson?

[Michael Bostick]

I'll see you in Tucson. Where you. Yeah, where you used to live, which is crazy.

[Lauren Everts]

I'm ready to. I'll make a trip out to Tucson to see you.

[Michael Bostick]

We can burn somewhere or have an office in Beverly Hills.

[Lauren Everts]

Beverly Hills. Let's go back to Tucson.

[Michael Bostick]

Okay. Okay.

[Dr. Sheila Farhang]

What can people do to support their skin barrier? Michael's taking notes.

[Michael Bostick]

I love that question. You know, that is gonna be the theme for 2025 now. We're wrapping up the year. We always think about what is gonna be the new thing, what is everyone focusing on? And I think that skin barrier is like so important, especially because people are getting introduced to more ingredients. They're using more products. Right. Than ever than ever. And you know, not that I'm like totally against like a ten step skincare routine, but I really do think people need to be careful. But I think that for skin barrier, what you want to do is first minimize it. Minimize the products you're using. Use skin loving ingredients. Right? So with like a skin barrier, everyone wants like a healthy skin barrier, right? Doesn't mean that you have eczema or rosacea. Those people need it the most. Those people have to be really careful. All exfoliants that they're using, they have to be really careful about different, like retinols that they're using.

[Dr. Sheila Farhang]

Oh, great.

[Lauren Everts]

I'm using all of these things.

[Dr. Sheila Farhang]

No, he's using Alpharet. She'll be happy about that.

[Michael Bostick]

Oh, I love that.

[Dr. Sheila Farhang]

I knew I knew it.

[Michael Bostick]

Yeah, yeah, yeah. Love that.

[Dr. Sheila Farhang]

I don't lead you wrong, bitch.

[Michael Bostick]

Yeah, yeah, love that, love that. So how do we improve the skin barrier? You have to use products that are really good for your skin type. You knowing that you have really like a rosacea sensitive skin type, which is why you're on a product that is with peptides and a very mild retinol. Right. And then you want to moisturize and you want to add in some of those ingredients that improve your skin barrier, like ceramides or different oils or humectants that pull in water. And we can talk about some of these ingredients and even some of the products that I recommend for that because I think 20, 25 is, like the year of, like, kind of, like, new skincare in a way. Everyone's looking at Lindsay Lohan, right? And it's really funny because I actually know her derm. Not like she's in la and she is a huge, like, laser queen. And I really think that, like, Lindsay Lohan, I don't think she got a lot done. I don't think she got, like, a whole bunch of plastic surgery. She has really nice features, but I think she got healthy. I think she reversed some of the filler in her face. Right. And then I think she really went in hard with, like, good skincare and good lasers.

[Dr. Sheila Farhang]

Wait, wait, wait, wait, wait.

[Michael Bostick]

I really do.

[Dr. Sheila Farhang]

I really think she got a mini lower facelift and a neck lift. Maybe a little one.

[Michael Bostick]

A little. Maybe baby. Little baby. And only because she had a baby. She did lose a little bit of weight. When you do, you do have some laxity there, but lasers can do a lot these days.

[Dr. Sheila Farhang]

I totally agree. There's a little. There's a little happening.

[Michael Bostick]

Yeah.

[Dr. Sheila Farhang]

But, yes, she has focused on good skin care. I would agree with you. And people are missing that element when they say she's gotten work done. You can get work done, but if you don't have a good, healthy skin barrier, I agree with you. But there is a.

[Michael Bostick]

A little nip and tuck maybe.

[Dr. Sheila Farhang]

But I love it for her, people.

[Michael Bostick]

Yeah. Oh, my gosh. Amazing. But I think all. You know, she's done tons of lasers to resurface that skin, because she's probably done tons of, like, tanning bed. But everyone wants that one answer. And it's like, she did a lot. She. That was not one thing.

[Dr. Sheila Farhang]

It's a commitment.

[Michael Bostick]

Totally, 100%. And I think people, instead of, like, going straight to the face of it's like, let's look at her skin quality. Let's look at her, like, filler reversal. She does. I think she does still have filler, but, like, done correctly and, like, it's really undetectable, you know, that's what I.

[Dr. Sheila Farhang]

Think everyone in this moment wants. If anyone who's gonna get work done is undetectable work, I think that's what the goal is. I think it was, like, so far. People, like, took it so far with the cheeks and the lips, and it actually ends up working against you where you look older subconsciously, because it looks like you need a lot of work done. So I. I mean, personally, I just like a little filler in the lips. I think that's enough. I think if you go too hard, you're almost setting yourself up for a disaster if you ever want to get a facelift.

[Michael Bostick]

Totally. And also things have trade offs, right? So when I have a patient who's like, oh, I just want like a little like, we always go like this. My patients always go like this and pull up their cheeks and it's like, okay, we can add. Like, sometimes I'll just take one or two syringes and like do a little bit everywhere just for like how the, the light, like, like goes off of the skin. It's like how everything kind of looks. The contour, the highlights, things like that reflects off the skin. And I don't think people need much, but you're right if you want like super high ch bones. What about your temples? What about your mid cheek? Things like that. Like, I have filler. It's like my job. I don't think. I do think it got villainized because everyone went too crazy with it. And it was like this thing called perception drift where you forget what you look like. Your provider's not. Maybe you're not going to the same provider. Maybe they're not looking back at the photos. But I like, have to cut people off sometimes. Not in a bad way. It's just like, hey, we are where we need to be. Everything's balanced, everything's looking good. So I totally agree. I also don't think that fillers or sculpture or all these other things are like ruining your face so much where you can't get a facelift. I think that's a little fear mongering from some plastic surgeons. But in any case, you got to do it right. You got to be conservative, like you said. And some things are fine to do.

[Dr. Sheila Farhang]

I think the biggest win in my opinion with any work is it's harmonious.

[Michael Bostick]

Yeah.

[Dr. Sheila Farhang]

I think the right. It's like in alignment. Because even if you, if you go and you spend all your money on like getting the perfect lips, it throws something else off if you're not careful. And I've talked to a lot of people about this. Like, they'll get their nose done and then they're like, wait, I need my chin done too. And they never notice their chin because they change their nose. So it takes the harmony out of it.

[Michael Bostick]

100.

[Dr. Sheila Farhang]

I think the right. My word. If I was gonna get into like plastic surgery all over my face would be harmony.

[Michael Bostick]

Yeah. No, I think you're spot on. And a lot of us kind of say that too. It's like facial optimization, facial balance. I think harmony is like such a great. Because it has to go. You have to look at their ethnicity, you have to look at their eye shape. Like me personally, I cannot have huge lips. I have like massive eyes. Like, it would just look really odd. And I, I can do it on myself. Anyone can do it on me. It's just like, you gotta find yourself a good provider, find yourself a good derm. You know, trust in them. Find someone who vibe you vibe with and let them be your person. But don't be afraid to ask questions too. And I don't know if someone's just saying yes, yes. I think that's a red flag.

[Lauren Everts]

We've kind of been talking about a lot of things besides me for a while now.

[Dr. Sheila Farhang]

I'm teaching you how to be in her mind.

[Lauren Everts]

I'm just kidding.

[Dr. Sheila Farhang]

And you change it back to yourself.

[Lauren Everts]

No, no, no, no. But I was going to ask, when people come to you at this point of your career, are they mostly coming for aesthetics or are they coming because of problems and issues with the skin? Is it a combination?

[Michael Bostick]

That's a really good question. So I am highly like specialized and like I'm a freak of nature. I feel like. So, so I'm a board certified dermatologist. So that's like after med school it's like four years of derm or one year medicine and three years of derm. So I do have a half a day of clinic where I do like skin checks. Okay. That's not like my main thing. I did like extra training and I'm a most microcosm.

[Lauren Everts]

How crazy should people be? Not crazy. How, how often should people be doing that?

[Michael Bostick]

The skin checks.

[Lauren Everts]

The skin checks.

[Michael Bostick]

I think once you turn like 30, you should do it once a year. And it's, if you have insurance, it's covered by insurance. It's not a cosmetic thing.

[Lauren Everts]

The full body one where you go.

[Michael Bostick]

You still need to know that. Yeah. And like treating rosacea, treating eczema, treating hair loss. Some of those treatments for hair loss are not covered by insurance. But like oral minoxidil, things like that are covered through insurance.

[Dr. Sheila Farhang]

Use your insurance when you're doing a skin check. Is it like spreading everything? Like, what's this? Like, what do you, what's a skin check?

[Lauren Everts]

This guy was in there, this, he.

[Dr. Sheila Farhang]

Was up your eyes.

[Michael Bostick]

People get really nervous about this. So we usually say I put people in a gown, okay. And I say bras off, just your underwear on. If they want to keep their bra on, they can. And usually, you know, I see men and women, so I keep things pretty, you know, I. I look at their arms first. Are they comfortable? And then I look at their face, and I look at their scalp by their ears. I have them stand up. I look at their back and bottom. I asked them if there's anything on their bottom they want me to look at. If they have a lot of moles, I kind of just say, can I look at your bottom? There are some people that come in, like, butt, ass naked. I'm not gonna lie.

[Dr. Sheila Farhang]

I would go butt naked.

[Lauren Everts]

I went full in.

[Michael Bostick]

Yeah. Yeah.

[Dr. Sheila Farhang]

I was like, we go here.

[Michael Bostick]

We might as well.

[Dr. Sheila Farhang]

We might as well get your dick with.

[Lauren Everts]

I was like, listen, we're here. We might as well.

[Dr. Sheila Farhang]

Was he. Did you check your balls?

[Lauren Everts]

We got in there.

[Michael Bostick]

You can't. And I do too. I ask, like, sometimes people. Guys come out, but, I mean, what.

[Lauren Everts]

If you miss something there?

[Michael Bostick]

Exactly. So I. But I. There's less things there. But I usually. If they have a lot of moles, I say, it's usually recommended. Or if they come in for a spot or sometimes I have to ask, like, hey, is there anything else you want me to look at? You want me look at your growing area? And then they'll say yes or no. There's, like, skin tags they want me to remove.

[Dr. Sheila Farhang]

The guys are like, grab onto those guys.

[Michael Bostick]

Yeah, yeah, yeah.

[Lauren Everts]

So what?

[Dr. Sheila Farhang]

The guys are probably like, yeah, I want you.

[Lauren Everts]

I had a man looking at me.

[Michael Bostick]

You know what's crazy? You know, my main office is in Tucson. We have U of A there. And the amount of, like, frat daddies. Oh, I'm sure guys that I've had come in just be like, is this normal? Is this okay? Is this an STD come in? Is insane. And it's good. It's good they do that. But I don't know if they know it's me looking at it. I don't know.

[Dr. Sheila Farhang]

Is there a lot of STDs?

[Michael Bostick]

Yeah, there's a lot of. There's a lot of. No, I mean, not that many, but there are a lot of genital warts. Oh, yeah?

[Dr. Sheila Farhang]

What do you do for genital warts? This is a little tangent y question.

[Michael Bostick]

Yeah, I know. So I've had to cut some out because they were malignant.

[Dr. Sheila Farhang]

Oh, you have to cut a wart out?

[Michael Bostick]

Not a wart. So if they just have little warts, I'll freeze them. If they have more than one or ones growing, I'll biopsy it and strain it and have them check the HPV strains to see if it's, like, a bad strain or a Benign strain. And I would say in like a few handful of people. One guy I sent. It was. It was on his penis. I sent him to a colleague of mine to do the surgery. And then a few other people, I just do the surgery on their penis.

[Dr. Sheila Farhang]

I don't. I don't.

[Michael Bostick]

I'm a skin cancer surgeon.

[Dr. Sheila Farhang]

I don't ask this to, like, to like, make fun of it. I ask it because I want to take the taboo ness out of STDs.

[Michael Bostick]

I know 100%.

[Dr. Sheila Farhang]

I remember when I was growing up, having an STD was like, oh, my. It was like a scarlet letter. So I just am trying to, like, people have had us back in your.

[Michael Bostick]

Day, they sent you off to live.

[Lauren Everts]

On the side of a hill for the rest of your life.

[Michael Bostick]

No. And. And, you know, I am making light of it, but it's definitely. It's definitely not in. My biggest is to make patients feel as comfortable if. If they don't want me to operate on them, I'll send it to a male colleague.

[Dr. Sheila Farhang]

Yeah.

[Michael Bostick]

But I have done it several times on people even in their 30s, 40s. I wouldn't say this is common. So I don't want everyone listening, like, get freaked out or get their partner, like, freaked out. But I will say general warts are. Can be common. They usually need to be frozen. But if they keep coming, there's a lot of them. Maybe one little biopsy is not a bad idea just to see if you have like, hpv, the bad strains. Just like women.

[Dr. Sheila Farhang]

I think it's good to talk 100%.

[Lauren Everts]

What I was mostly getting to with the initial question is, at this stage in your career, are. Are people now more focused on the aesthetics or are people going to see derms for health? And is. And. And the follow up is, are we maybe getting so focused on some of the aesthetics and skincare that we're neglecting some of the health that is required to make sure that we are keeping our skin safe?

[Michael Bostick]

That is a great question. Okay, so in my practice, we do medical, surgical, cosmetic, everything. And then I also do integrative. Your dermatologist should be offering medical skin checks, Right. If. If they're not, someone in their office will be right for people that are, like, more specialized. So I did a fellowship in cosmetics in skin cancer surgery. So for me, I do less skin exams than some of the surgeries and things like that, but I would say that it's just as important. And I've found so many patients where I've done botox on them. I saw Their kids for acne where I I diagnose a melanoma on their mom or they came in for Botox. I'm like, let's do your skin check. There's been plenty of times where I've found a skin cancer. So I think that as a physician, it's like, do.

[Dr. Sheila Farhang]

No.

[Lauren Everts]

Did you find it early enough? What are is it again? This is based on a place of ignorance, for sure. If you say you catch it in the very earliest stages, like, how big of a deal is it compared to if you wait too long? Because I think being proactive about these.

[Michael Bostick]

Things is important 100%. So there's melanoma. That one is the one that can spread and kill you a little bit more scary. I've seen a lot more melanomas lately. I would say that one is where if you don't catch it six months or a year, it really kind of just depends. That one is the one that can kind of spread. So I would say get your yearly checks. Your family history is so important, Tanning bed history so important. And the number of moles you have is really important. After the age of 30, you really shouldn't start. You shouldn't see any new dark moles. So anyone who hears that, that is like your red flag. That is like your little guidance to go see a dermatologist. And then. And then I'll tell patients like, hey, you're pretty low risk. You know, you don't need to come in or someone else. I'll be like, let's just check you again in six months.

[Lauren Everts]

What profile is someone as low risk?

[Michael Bostick]

Low risk would be no family history, not a lot of blistering sunbirds, no tanning be history. And less moles. Like, people who have more moles have a higher risk of developing myeloma. There's just like a chance that your body will mess up.

[Lauren Everts]

And when you say tanning bed history, is this for a prolonged period of time or you've gone in once or twice?

[Michael Bostick]

Yeah, great question. There is some data to support. Like even one tanning bed use can increase your risk. I forget what that number is, but this you one. Fine. We all like, did it for prom. Whatever. Like, you probably did it. You probably did it.

[Dr. Sheila Farhang]

Have you gone into.

[Lauren Everts]

I've gone to the tanning bed.

[Dr. Sheila Farhang]

How many times?

[Lauren Everts]

Maybe. Honestly? Swear to God, maybe. Maybe two to three times maximum.

[Dr. Sheila Farhang]

Okay, so that means ten.

[Lauren Everts]

No, no, just to go maximum in Tucson.

[Michael Bostick]

So you're like. Would be like a little. I would want to. I would ask you that. And Then I would, like have a lower threshold to check things. So that's melanoma. Right.

[Lauren Everts]

And then some of that spring break body. You know what I mean?

[Michael Bostick]

Yeah, yeah. And then we have, well, some of the dorms at U of A. I don't know if they still do, but they had tanning beds. And then we have non melanoma skin cancers. Right. These are the most common ones. These are not as scary. They're not typically going to spread and kill you. These are the ones that I diagnose in like 30 year olds and then 60 plus, they really have them. So basal cell would be something like if you have a pimple that's healing. So I didn't like that. You were like, that spot is healing and then coming back and healing. That is a kind of a red flag. I looked at it. Looks fine. But if you feel like a pimple's like showing up and then like healing on its own and something's been there for about three months, that's when you should go and check it. Because skin cancer doesn't always need to hurt. They don't always have to bleed. They're really slow growing and they look like they kind of heal on their own. And then you have squamous cell, which is this other type of non melanoma skin cancer. And these are usually a little bit more scaly. So if you're a little scaly patch, that's not going away. That is also a time to get it checked out by your derm.

[Dr. Sheila Farhang]

What about perior. Perioral dermatitis?

[Michael Bostick]

Yeah, this is a big one.

[Dr. Sheila Farhang]

A lot of people have experienced this. I've been talking just in my community and I've heard this a lot and I've had it before.

[Michael Bostick]

Yeah. I have so many patients with this. Perioral dermatitis is the cousin of rosacea. So they have very similar triggers. Travel like irritating skin care diet, which can be anything inflammatory, and that's so different for every person. I usually see this flare up with my patients that are traveling somewhere and using a new product.

[Dr. Sheila Farhang]

I shaved my face, which I do all the time.

[Michael Bostick]

Yeah. Dermaplaning totally fine.

[Dr. Sheila Farhang]

But then I made a mistake and I got a peel.

[Michael Bostick]

Okay. Yeah. And whoo, baby. Yeah.

[Dr. Sheila Farhang]

That was bad.

[Michael Bostick]

Yeah. So it comes and goes. There's no cure for it. There are things that you can do to improve your skin barrier, I think stop your. If you do have, like a little bit of flare, sometimes it can be red. We call it perioral dermatitis. Dermatitis Means rash. Perioral means like around the mouth, but it's usually kind of like around the nose too. So with anything like this, you kind of know what triggers it. People kind of know what triggers it. So I say stop any of your actives for like two weeks. Even like toothpaste. The fluoride and toothpaste can.

[Dr. Sheila Farhang]

Cinnamon.

[Michael Bostick]

Totally. Yeah, exactly.

[Dr. Sheila Farhang]

Or the fluoride.

[Michael Bostick]

The fluoride, cinnamon. And then the triggers that can make it worse that are similar to rosacea include vasodilators. Like alcohol. It can include. Well, cinnamon is an irritant for sure. Chocolate, hot teas. What else? Anything that's like really fun and amazing, like heat, sauna, high emotions, things like that. But periorm. Perioral derm is like really irritating and it can really irritate people when it gets really bad. I honestly prescribe a whole bunch of stuff just to. Just to keep it at bay so then their skin can heal and then they can just do their normal life. But they sometimes just need some prescription to keep on hand because sometimes it gets really bad and raging.

[Dr. Sheila Farhang]

Out of all the topics that you've discussed on your podcast and your Instagram and TikTok, what has gone the most viral and why do you think it did?

[Michael Bostick]

You know what's so crazy? Nail stuff. Yeah. I don't know if it's because people don't talk about nail health or gel manicures or if they're safe, but every time I talk about nails and it's not that many times, but the videos always go kind of crazy and it's like. Has a lot of, a lot of discussion in the comments section. I think it's just people don't. Derms don't talk about it enough. Everyone talks about skincare and hair. Hair is another topic that's really important. But yeah, that is like a big one. And then also I do a lot of. So I'm a skin cancer surgeon and cosmetic surgeon, but I also did this year of like integrative derm, which I think you would actually love. You guys would both love because it's like, what can you do with your diet? What can you do with supplements? What can you do with like some of these alternative things in your life to help some of these common skin concerns? Because I. Tucson is a little bit of woo woo. Is like a little woo woo. You know, we have like Miraval there, which I know we have here. It's earthy and some of my patients don't want traditional treatments for acne. So I go through like a list of other things that they could try first, like supplements.

[Dr. Sheila Farhang]

Give us some examples.

[Michael Bostick]

For acne, for example. Supplements are really important. So prebiotics, probiotics, sometimes I run a panel with that. Diet is super important. Right. So we talk about whey protein, if they're on that good or bad? Bad.

[Lauren Everts]

Bad for skin.

[Michael Bostick]

Yeah, it is bad. Not that whey protein is like so bad for everyone.

[Lauren Everts]

Just if you're trying to heal acne or.

[Michael Bostick]

Yeah, if you have acne breakouts, especially in men, like if they have back acne. Whey protein is usually something where I'm like, hey, you gotta, you gotta go with.

[Dr. Sheila Farhang]

What about like little bumps on your arms? Is it gonna make it worse?

[Michael Bostick]

So that is like a type of eczema, the little bumps on your arms called. It's called keratosis pilaris.

[Dr. Sheila Farhang]

Yes, yes, that what makes that worse.

[Michael Bostick]

An impaired skin barrier. So basically what those little bumps are, they're like little dead skin cells getting stuck in the hair follicle. So you gotta moisturize. If you live in the desert, you got to add a humidifier to your bedroom and you want to exfoliate. I'm not a huge fan of physical exfoliation because it can end up being just red and we have to laser it. But I love chemical exfoliants like lactic acid, glycolic acid, urea. So nice because it's a humectant, which means it moisturizes but then also exfoliates. So there's a whole bunch of like cheaper over the counter stuff for KP as well.

[Dr. Sheila Farhang]

Any foods that you would say to avoid or eat more of for like.

[Michael Bostick]

An eczema type, I have to kind of go through it with the patient, see like what they eat. I know when an egg, like a patient has eczema when they're, they're really tiny, food is more of an issue when they get older. Food is not a huge flare up for things like eczema. But I always say, you know, keep it like anti inflammatory.

[Dr. Sheila Farhang]

Right.

[Michael Bostick]

For me, like always like with anything. And this is where I really like some of the supplements. This is where I really like some of the infrared saunas. We have a red light panel that I really love. And so there's like, it's just like, it makes sense, right? Your body, your lifestyle and your body and your skin, they're all like super related.

[Lauren Everts]

How do you feel about red light therapy? We use a light stem bed. Do you like red light therapy for the skin?

[Michael Bostick]

Yeah.

[Lauren Everts]

And if so, how often and like what application?

[Michael Bostick]

Yeah, Red light actually has a whole bunch of studies to support it, both for the body. And I have like a red light, a huge red light panel in my office too, for patients. So it stimulates collagen, decreases inflammation, increases that circulation to that area, which is what you need. And just overall that's a really good thing. And then for hair, we know it stimulates hair loss, we know it stimulates hair regrowth and helps decrease hair loss. So of course, this doesn't replace hair treatments, but I think it's a nice addition. And then just, I think the placebo. Not even the placebo effect, but you just being in that like red. You said it's like a, like a big light stem thing. So it's like a whole body thing.

[Lauren Everts]

Yeah, it's like a whole body thing. But you see, I'm sure you've seen like the face panels and the body panels.

[Michael Bostick]

Yeah, for sure. I mean, people. That's the same thing as like the masks.

[Lauren Everts]

Yeah.

[Michael Bostick]

I don't think they replace skincare, but it's. It's not completely nothing. Yeah.

[Dr. Sheila Farhang]

What about nails? You mentioned nails earlier. What are some things that people have freaked out about with nails? You gotta tell us the videos.

[Michael Bostick]

Okay, well, so the UV or the LED lights. Right, so the. For the gel. I know, I just did it the other day. Yeah, mine are too.

[Dr. Sheila Farhang]

I wear driving gloves. But that's.

[Lauren Everts]

I just sent a video. You're so funny. Like, I'm not the target, but my sister. Yeah, she gets these all the time. And I sent her a video. I'm like, hey, this looks a little dicey.

[Dr. Sheila Farhang]

Well, you're. His sister has like crocodile claws.

[Michael Bostick]

Oh, no. Because it's like so much sun damage.

[Dr. Sheila Farhang]

No, no, no, no. Like, she gets the long. She gets the nails that are like a crocodile dew claw.

[Michael Bostick]

I see. Okay. Not.

[Dr. Sheila Farhang]

Her hands are cracked.

[Michael Bostick]

I'm like, oh, my God. I don't know.

[Dr. Sheila Farhang]

Crocodile skin though, is a great term. We want to avoid crocodiles.

[Lauren Everts]

Like, they get the, they get the long ass talent.

[Michael Bostick]

Yeah, I know what you mean. I know what you mean. That's a lot of maintenance. She's probably there every three weeks.

[Lauren Everts]

Well, as I said, I said. Yeah, I don't think this looks. Maybe you can speak to it better than me. I just literally forward a video online that I seen. Hey, careful.

[Dr. Sheila Farhang]

So, so are the gel things you put your hands in Horrible.

[Michael Bostick]

So the traditional UV lamps are like, like. But the thing is, the newer lamps that are led, that's still uv, but a very specific Wavelength in a very short amount of time.

[Dr. Sheila Farhang]

What's the brand? Do you know the brand? I want to buy it.

[Michael Bostick]

Yeah. I mean, it's. They're also a sponsor of my love, so. Really? And you will see a difference. Like CND shellac. If you go to a CND specialist that's like a professional. You are putting your fingernails in that little thing for, like, no more than 10 to 15 seconds. Tell me who that you've gone to leaves it only in there for 10 to 15 seconds. No one. It's like a minute and a half.

[Dr. Sheila Farhang]

Yeah.

[Michael Bostick]

And it, like, burns, right? Yeah. Like, that is not right. That is not right. And also, people should not. So this is, like, a really big thing for me. Like, gel shouldn't be, like, thinning out your nails, but them drilling it off is absolutely messing up your nails. They should not be drilling off the gel. Like, with something like shellac. They soak it in acetone. Literally just, like, pops off. They just, like, pull it off.

[Dr. Sheila Farhang]

Well, can I ask you a question? I like a Russian manicure, which has changed my nail health because. Yeah. Because they don't drill it off like that. They're so about the integrity of the nail.

[Michael Bostick]

Yeah, yeah, yeah.

[Dr. Sheila Farhang]

I just need to get. You have to tell me what the brand of the thing is. Everyone's gonna ask, what's the brand of the.

[Michael Bostick]

Oh, it's like cnd. It's shellac.

[Dr. Sheila Farhang]

It's literally cnd.

[Michael Bostick]

Literally.

[Dr. Sheila Farhang]

Okay, so the. Hold on, Michael. I'm sorry. We need to know about this. I need to know what's it called? It's. It's like a bed for your nails. It's a. The light.

[Michael Bostick]

The LED light.

[Dr. Sheila Farhang]

Okay, so it's cnd. That the brand?

[Michael Bostick]

Yeah, that's the brand. It's. If you want a light to do whatever, a gel at home, you want to make sure it's led.

[Dr. Sheila Farhang]

Got it.

[Michael Bostick]

LED versus the traditional UV lamps. LED may have a little bit of UV in there, but it's not more than just like, you walking to your mailbox.

[Dr. Sheila Farhang]

Got it.

[Michael Bostick]

And of course, wear a little bit of spf. Wear your gloves. That's going to help, like, your hands. Right.

[Dr. Sheila Farhang]

Okay. So Michael's acting like he's never had a pedicure before, which I was going.

[Lauren Everts]

To ask a question, but now I'm, like, kind of debating.

[Michael Bostick]

Go ahead.

[Lauren Everts]

Hesitant to be.

[Michael Bostick]

Do it. Do it.

[Lauren Everts]

Then I was like, do I do this? And they're gonna get.

[Dr. Sheila Farhang]

Go ahead.

[Lauren Everts]

I'm trying to wonder if it comes to these long dew claw nails that oh, these girls are doing okay. Who are they doing that for?

[Dr. Sheila Farhang]

Themselves. They want to look hot.

[Michael Bostick]

Yeah, but I'm. What?

[Lauren Everts]

But look hot?

[Dr. Sheila Farhang]

Who are you doing your hair for?

[Lauren Everts]

Well, no. Okay, but I'm wondering who are you.

[Dr. Sheila Farhang]

Getting your salmon semen facial for? He gets salmon semen facials.

[Michael Bostick]

Oh, that's gonna be.

[Lauren Everts]

I understand having bright, youthful, glowing skin to be an indication of hotness for everyone. Right? Everyone wants to have nice dewy skin.

[Dr. Sheila Farhang]

They want pretty nails.

[Lauren Everts]

No, but the long, like, do you think. Do they think that men find those long nails exciting?

[Dr. Sheila Farhang]

Some men do like them.

[Lauren Everts]

And men do you.

[Dr. Sheila Farhang]

Okay, some men do like them.

[Lauren Everts]

But I'm always wondering, what the hell are you getting stuck under those nails?

[Michael Bostick]

It kind of grosses me out. Things for themselves. There's this thing about. And I like just get my nails done for really? Like what do you do when you got a wipe? It makes you feel put together.

[Dr. Sheila Farhang]

Well, for me, I like a short square nail because.

[Lauren Everts]

Hold on, answer me this. You. You guys have. This is too much.

[Michael Bostick]

We both don't have long nails.

[Lauren Everts]

If you have these long ass nails and you gotta wipe, what is happening underneath those nails?

[Dr. Sheila Farhang]

I think that there's a lot of bacteria going on.

[Lauren Everts]

I can't get past that.

[Dr. Sheila Farhang]

However, I think that everyone should be able to express themselves with their nails how they want. For me, I personally think that it's the chicest to have a little.

[Michael Bostick]

There's actually a reel on that of like someone demonstrating how they wipe. So you can.

[Dr. Sheila Farhang]

I can't get.

[Michael Bostick]

Pal, you can search it if you want.

[Dr. Sheila Farhang]

I don't know. This is what probably what they do. I'm going to guess. They probably wrap their nails in toilet paper. This is what they do. I'm going to already tell you. I just know they wrap their nails in toilet paper and then they take a big ball and then they go back there and they wipe. Which is like a condom for your nails while you're wiping. I don't think it's that weird.

[Lauren Everts]

How exciting for.

[Dr. Sheila Farhang]

Well, what do you do? How do you wipe?

[Lauren Everts]

I don't have long ass claws that I need to worry about that with.

[Dr. Sheila Farhang]

You have hairy knuckles.

[Michael Bostick]

What is my knuckles?

[Lauren Everts]

You think I'm wiping with my knuckles? No, I go in like a normal person and I assume it's someone with normal nail length.

[Dr. Sheila Farhang]

Oh, okay.

[Lauren Everts]

Anyways, but I just wonder about this thing because I was like, oh, like, I guess people think that this is exciting and attractive, but I'm like, is this for other women or is it.

[Michael Bostick]

For the men, Because I think it's for themselves.

[Lauren Everts]

I'm just saying I never sit around in a group of my men being like, man, did you see that, girls?

[Dr. Sheila Farhang]

I hope everyone who has long nails on social media eats him alive. But I do want to know how you type.

[Lauren Everts]

How do you. How do you, like, play? Like, how do you. What do you.

[Dr. Sheila Farhang]

They probably voice note. That's what I would do.

[Lauren Everts]

I see these girls sometimes and they have their phone and they're clicking like. Like this. Almost like they can't use it normally anyways.

[Michael Bostick]

Honestly, I think they, like, they, like, learn. It's a whole new skill.

[Dr. Sheila Farhang]

Yeah, I hope for sure we don't.

[Lauren Everts]

Have a lot of listeners or viewers with those long.

[Michael Bostick]

Oh, they're gonna tear you a new one.

[Dr. Sheila Farhang]

For so many listeners.

[Lauren Everts]

I feel like our listeners don't have those nails. Like, when I picture our listeners, they don't have the nails.

[Michael Bostick]

No, I don't think so. I think it's honestly in to, like, shorter nails.

[Lauren Everts]

Yeah.

[Michael Bostick]

Less is more.

[Dr. Sheila Farhang]

Now, I don't mean to brag, but I've always loved short nails. I think it's so chic.

[Lauren Everts]

The ladies that I talk to, they have nice nails, nice cuticles, not too long polish.

[Michael Bostick]

Plus, like, a lot of jobs, like, you know, there's like, regulations now on nails. Well, yeah, like, for us, like, my girls can have, like, fake nails, but we have to, like, wash them really specifically, like, with hibiclens beforehand.

[Lauren Everts]

Yeah. Because imagine, like, I come in, I'm like, I got my hemoglobin thing or whatever on my face, and then you're touching me.

[Michael Bostick]

She's like.

[Dr. Sheila Farhang]

She said she, like, pulls out her.

[Michael Bostick]

Like, pointer from, like, way back here.

[Dr. Sheila Farhang]

She's, like, infiltrating it with the pointer. Cutting off the genital wart with Carson.

[Lauren Everts]

Get in touch with. Get in touch with HR and say we have a new nail policy in this house.

[Michael Bostick]

Okay.

[Dr. Sheila Farhang]

I have important things to discuss. The salmon semen facial. I get one probably once a month at this point. I personally think it's life changing. I know that. I'm also using now. Don't freak out. You have to Google it. You can talk about it. Umbilical cord exosomes. So are you. So don't roll your eyes. Michael, can you talk about that?

[Michael Bostick]

Yes. Okay. This is actually gonna be huge in 2025. I'm glad you bring it up because. Okay. Salmon sperm facial. What is this? It's not actual raw salmon sperm. That's, like, getting squirted on your face. Thank you for clarifying it's the extraction of some of an ingredient called pdrn, polydeoxyribonucleotides. And these are super energized, like DNA. Like building blocks for DNA. Right. It just so happens that salmon sperm has the richest, purest, highest quantity of this. Right. I don't think salmons are like hurt in the process. Whatever. We eat them anyway.

[Dr. Sheila Farhang]

Probably feels good.

[Michael Bostick]

Yeah. So exactly.

[Lauren Everts]

Now that is gonna make a TikTok. That is absurd.

[Michael Bostick]

It's probably good for them.

[Dr. Sheila Farhang]

Salon's like, oh, this is my year. Oh my God, I love it.

[Lauren Everts]

I'm canceling the show myself.

[Michael Bostick]

So that is why people find it really helpful. A salmon sperm facial is not very cheap. And I will say, do you guys get it injected in like microbials?

[Dr. Sheila Farhang]

I haven't gotten the injection.

[Lauren Everts]

Micro needle.

[Michael Bostick]

Good. But I will.

[Dr. Sheila Farhang]

I get micro needled but I want to try the injection.

[Michael Bostick]

Okay. That's not technically approved in the US yet. Oh, it's illegal? Kind of. Not that it's illegal. It's like exosomes. It's not like FDA approved. There's no like straight up regulation on it.

[Lauren Everts]

But this happens in other parts of the world.

[Michael Bostick]

100% and it's approved? Yes. Like South Korea. That's like where all this stuff comes from.

[Lauren Everts]

Well, I think it's important to articulate because again, like people are gonna do what they want for sure. This is not some like crazy thing that, you know, it's been popular in.

[Dr. Sheila Farhang]

Korea for 14 years. So go ahead. So you, you do like the injection?

[Michael Bostick]

I wouldn't do it for my patients right now. We do do the facial. We have done them. I tried it because I was like on a segment for Entertainment Tonight talking about it and this is a really good ingredient for 2025. I do foresee companies coming out with ingredients. I see companies coming out with products with PDRN in there.

[Dr. Sheila Farhang]

Got it.

[Michael Bostick]

So not that you have to go get the facial or anything. Anything that's injected in is good, but then you have those risks. Risks of like is something contaminated? Are there, Is this actually good? Am I going to get an allergic reaction? Because that's my biggest thing. Allergic reaction and contamination. For anything that's injected in that's like not like vetted. Right. So. So that's my take on that. I think PRN PDRN is awesome. Salmon sperm facial. If it's like microneedling fine and or just use as a facial fine, I think products are going to come out with it in 2025. And this is very similar to my thoughts on Exosomes, which are also not as an injectable FDA or FDA approved yet. And I think of Exosome as kind of like crypto, where it's like kind of sounds amazing. It is. It could be, but it's just not like regular. It's not like, doesn't have like that substance regulation to it yet. So I think things are going to change. We just haven't. Me personally, I haven't found, like a good company or enough, like, research studies to like, make sure it's like, safe and effective for my patients. I do PRP or PRF all the time, all day long. For my patients. I'm like, use their own stem cell, use their own growth factors. So exosomes. You said use as a fake skincare.

[Dr. Sheila Farhang]

I use Dermafirm.

[Michael Bostick]

Okay.

[Dr. Sheila Farhang]

It's a Korean brand. Okay.

[Lauren Everts]

Pdr.

[Michael Bostick]

Oh, nice.

[Dr. Sheila Farhang]

Yeah. I feel like you would like this brand. Derma Firm. It's. It's. I. There's this toner that my facialist, her name is Jamie.

[Michael Bostick]

Yeah, yeah, yeah.

[Dr. Sheila Farhang]

Has. That is one of like the most amazing products that tightens the skin. Speaking of amazing products.

[Michael Bostick]

Yeah.

[Dr. Sheila Farhang]

Let's talk about what your best ingredients for 2025 are. Ones that you would universally recommend.

[Michael Bostick]

Yeah. So I think for 2025, so one, it's like new Year's, right? What do we want to do for our skin? What do we want to do for our body? It. It's winter, our skin is dry, our skin barrier is disrupted. We want a good refresh. And there's gonna be, like, certain ingredients that are, I think, gonna be super key and super new and innovative. So that includes beta glucans. Beta glucans, it's a humectant, so it pulls in water in its. In it. So what beta glucans does is it helps hydrate the skin, kind of like hyaluronic acid does, but it goes a little bit deeper and it actually, like, renews the skin, calms the skin down, plumps up the skin, improves elasticity of the skin. So that's really a huge thing. So you want to look for products that have beta glucans in it. One example is Lancome's Genifique line is really awesome. Have you heard of that one?

[Dr. Sheila Farhang]

I love that brand.

[Michael Bostick]

Yeah. Yeah, I love it. Really good.

[Dr. Sheila Farhang]

I used that brand the other day when I was doing one of my facial massage videos. Yeah, it's. It tightens the skin, it plumps it, and you can really get in there. This specific serum is a good one.

[Michael Bostick]

Yeah. It, I mean, Lancome's been around for like ages. Right.

[Dr. Sheila Farhang]

My mom used to use it. It's one of the first brands.

[Michael Bostick]

Exactly.

[Dr. Sheila Farhang]

That I remember my mom using it so vividly. I feel like they know their stuff when it comes to skincare. And this particular product that's interesting that you mention it, is definitely on my vanity at this moment.

[Michael Bostick]

Yeah. So it's a serum, which I love. And I think also in 2025, people are going to want to find products that are multitaskers. Right. Economy is going to change. Things are going to get more expensive, we're busier, we want to minimize and we want to really look for ingredients. So that product is really nice because like each little drop. Do you know each little drop of that stuff has like 90 trillion beta glucan molecules. Like, it's insane. So you see that instant plump up, which is great.

[Dr. Sheila Farhang]

That's why I'm seeing when it like skin feels like, like almost crazy. Yeah, it's, it's. That's why I like it for facial massage.

[Michael Bostick]

Yeah, yeah.

[Dr. Sheila Farhang]

Like, I'll, I'll like.

[Michael Bostick]

And then you use your little gua sha or something.

[Dr. Sheila Farhang]

I use. This is how I use it.

[Michael Bostick]

Yeah.

[Dr. Sheila Farhang]

Ice roller love. Then I'll use like a serum like this. Or I'll use an oil and I'll really get in there, Manipulate my face. This is so good for plumping.

[Michael Bostick]

Yeah.

[Dr. Sheila Farhang]

And then after that, I'll bring in my facial massager and I'll get in there with it. And I like how it glides against the serum.

[Michael Bostick]

Totally.

[Dr. Sheila Farhang]

So what's the technology behind it?

[Michael Bostick]

So I think it's the fact that they know an ingredient works. They know it can get delivered to the skin. Right. Because that's the biggest thing. It's like, okay, you have products that have an ingredient. Is it actually going into the skin? Is it actually doing what it needs to do? And then not only that, this product, specifically the Genifique Recovery serum, has hyaluronic acid, which we love, and it has licorice root. Licorice root is really an interesting product because it helps brighten and it helps soothe the skin. And then for the recovery part, and this is probably why you'll see kind of the long term benefits from it also is it has microbiome technology. So prebiotics, probiotics.

[Dr. Sheila Farhang]

That's why I like it.

[Michael Bostick]

Love it.

[Dr. Sheila Farhang]

Because I'm, I can get dermatitis and I need that pro and prebiotic.

[Michael Bostick]

Exactly.

[Dr. Sheila Farhang]

Why is hyaluronic acid so important?

[Michael Bostick]

So hyaluronic Acid, I mean, we've known it. This is something that I think was like the last year or maybe the year before is like everyone that was talking about it type of product. So hyaluronic acid is intrinsic in our skin. We have it. It creates like that. That plump, right. We lose it over time as we age. So hyaluronic acid pulls like a thousand times its weight in water. It's nice because it plumps up, up the fine lines, like immediately on, like, wet skin. And then you want to like, moisturize afterwards, depending on what other ingredients are there. It's very similar. Now, I think the new hyaluronic acid is honestly like beta glucans, because it does a little. Beta glucans, does a little bit more. It renews the skin. It helps brighten. There's studies behind it, which there are for hyaluronic acid too, but I think in this case, you want to 1 in 20, 25 if you want to do. If you want to find the right product, you want to look at your skin concerns, you want to know your skin type, you want to look at your skin concerns, and then you want to find ingredients for that and then find a product that has those ingredients that has been around for a really long time.

[Dr. Sheila Farhang]

And what about licorice root? What exactly does it do?

[Michael Bostick]

So it helps brighten. It's like a really. It's lighter, so it's not going to irritate your skin. It's one of those integrative, holistic type ingredients that I recommend for my patients. And it also is really soothing.

[Dr. Sheila Farhang]

And is this something that you can take these ingredients down to the chest? Because I like to take it to the tits.

[Michael Bostick]

Oh, yes.

[Dr. Sheila Farhang]

So you can take it all over the neck.

[Michael Bostick]

You can. You can. Yeah, That's a really good point too, because I think our skin on our neck is so thin. It's like 10. I don't know. It's not 10 times. Our eyelids are 10 times thinner. I don't know how thinner our neck is, but it definitely is thinner. And that's why we see the signs of aging there. And then, of course, we always miss like, the decollete and neck. Neck and chest area. So you absolutely could. And because it's a serum, a little bit kind of goes a long way. It kind of like drips all over.

[Dr. Sheila Farhang]

Do you know how important it is to bring your skincare down to your nipples?

[Lauren Everts]

I bring it down. I got. Because I read so much and I'm always like this. I'm trying to.

[Michael Bostick]

Yeah. The tech neck.

[Dr. Sheila Farhang]

Well, I got these glasses. My friend Kada gave them to me so I don't have to look down at my phone anymore. The glasses reflect so I don't have to move my neck.

[Michael Bostick]

Okay.

[Dr. Sheila Farhang]

So I look like Ichabod Crane when I'm looking at my phone, but I'm not looking at my phone. So everyone, when I zoom with, gets mad because they think I'm not looking, but I am looking. It's just a reflection.

[Michael Bostick]

You have to send me the homes.

[Lauren Everts]

It's ridiculous.

[Michael Bostick]

It looks like you have to send me those.

[Lauren Everts]

It, like, has multiple angles to the glass.

[Dr. Sheila Farhang]

If I'm going to use my hyaluronic and my licorice root and my beta glucans. Glucans, then I am going to let that stuff sit in, and I'm not going to be moving my neck up and down. I don't want tech neck.

[Michael Bostick]

Totally, Totally. There are things that we can do for tech neck, but, yeah, all this stuff costs money, so why. Why go through that?

[Dr. Sheila Farhang]

What are some other little tiny tweaks that you would make to people's skincare routine that are easy and efficient and quick?

[Michael Bostick]

So let's see. I think that, number one, if they do come to my office, I want to make sure that I look at their skin as a whole. Do they have rosacea? Because their skin and what ingredients they need for them for their skin is going to be different with someone that doesn't have rosacea or doesn't have acne. Do they have oily skin? Do they have combo skin? Do they have dry skin? So that's going to be. I think a big thing is, like, know your skin type.

[Lauren Everts]

Is it mostly genetics that play into that, or is it genetics combination with diet and lifestyle?

[Michael Bostick]

That's a good question. I think genetics is huge. I think where you live is huge, too. Like, it's way more humid here than, like, the desert, like, where I live in Tucson. And then also when I liked it.

[Lauren Everts]

When it was out there, it was, like, dry.

[Michael Bostick]

Oh, yeah.

[Lauren Everts]

My hair is the best for skin. Right.

[Michael Bostick]

It's so dry. Like, everyone has eczema there. Everyone has, like, some type of dermatitis. Like, perioral derm is, like, rampant there. Feel like, because just everyone's skin barrier is so compromised.

[Dr. Sheila Farhang]

I visited out there and I had 10 humidifiers in my room. Yeah, I don't. You have to have 20 humidifiers.

[Lauren Everts]

Really do get used to it, though, a little bit.

[Michael Bostick]

Yeah. Yeah. I like it.

[Dr. Sheila Farhang]

You do?

[Michael Bostick]

I love it.

[Lauren Everts]

Yeah. I liked it when I Was out there. It's been a bigger adjustment, me coming out here with the humidity. Yeah, I guess some people say it's good for the skin, but the thing.

[Michael Bostick]

With dehydrates skin is you just look older. So people come in and they're like, I just look and feel so old. And then I'm like, your skin's just dehydrated. Let's hydrate you up.

[Dr. Sheila Farhang]

That makes sense. So you need a humidifier.

[Lauren Everts]

But there when I was younger, what.

[Dr. Sheila Farhang]

Are other little tweaks that we can do?

[Michael Bostick]

Let's see. So I think in 2025, people are gonna, I think, dibble dabble with. With cosmetic treatments a little bit too. I think they're gonna be careful about who they're going to a little bit more. I think this year filler was vilified. And I think in 2025, maybe they're gonna try it again. Maybe 20. This year they got it dissolved. Next year they're kind of getting it get in there again a little bit. Okay. I think lasers are gonna be huge. I think lasers are like that one X factor where if you know, you know, and your skin looks so much better. If you're getting some type of laser to help resurface, help tighten, like, give.

[Dr. Sheila Farhang]

Us some examples of names.

[Michael Bostick]

Okay. So I think as a as just to start, if someone hasn't done anything before, like clear and brilliant is nice. A cool peel is so great. So these are things that resurface the skin so helps with like fine lines, large pores, things like that. I'm a huge advocate for energy based devices that tighten the skin, like radio frequency microne, like Morpheus. I know everyone, this was like a huge thing where everyone was like, oh, but it melts fat, it disrupts your skin. Da da da da. But I think it just got so big and popular that it got in the wrong people. Like people went to people who didn't know how to use it.

[Lauren Everts]

You know, you were talking earlier about some of the stuff with the micro needling and some of those practices. And I look at it the same way I look at Botox or a tattoo art or something. It's like some of these people that are on the cutting edge of this technology that have done the most research and taken the time to become professional practitioners of this kind of new technology are, are they're few and far between. Like, there's a rarer people. I think you have to be careful when these things become mainstream and everyone starts doing it.

[Michael Bostick]

Totally.

[Lauren Everts]

And I think that's why these Practices get a bad name. Even like the exosome pr. Was it pd?

[Michael Bostick]

Yeah, prn.

[Lauren Everts]

Yeah, pdrn. Like, I agree with you. You have to be very careful as things didn't get more popular and you have everybody that doesn't have the know how jumping in and doing it to people that you could.

[Michael Bostick]

Yeah.

[Lauren Everts]

Dangerous practices.

[Michael Bostick]

You'll get like fake stuff because this stuff's expensive.

[Lauren Everts]

But same thing happened with like filler. Right? And same thing happened with Botox.

[Michael Bostick]

Yeah. Yeah.

[Lauren Everts]

I just think people, even when they hear podcasts like this, I want to caveat them and disclaim that Lauren and I are fortunate that we spend a lot of time making sure we're going to people that are well vetted and professional have like really built upon their skillset to be able to do these things properly. We would, we would be the first people to say, like, we would not go to anybody that does not know their shit 100%.

[Michael Bostick]

And I think that's why you guys have brought people here that are really knowledgeable. And I think that people really should just know their provider, know who they're going to. And unfortunately, the better providers are more expensive. Right. So I just say, don't cheat yourself out on this. You don't need filler all the time. Also, like, the people are like, I don't want filler because it doesn't 100 go away. That's not a bad thing. Like, if you have good filler, you want it to stay there as long as you. As long as you can.

[Lauren Everts]

You know, my perspective on, like, it being more expensive is I would rather pay the expensive rate and get it right as opposed to paying a cheap rate and getting it wrong. And I know, like, I know that sounds like something privileged to say is obviously somebody who's, you know, I have financial means, but I would almost forego the service completely if it's going to be with somebody who doesn't know what they're doing. With a risky service provider that's not vetted and not doing best practices because, like, you can have way more problems that end up costing you way more.

[Michael Bostick]

It does. Like when I see a lot of patients that come in and they got overfilled somewhere and we're kind of starting over. It does cost a lot of money and time to take off work, blah, blah, blah, to dissolve it, you know, dissolve it off and then restart again, ends up being more. But I never want to, like, shame anyone for they don't. Sometimes they don't know they'll go to like a random Med spa down the road, whatever. They don't know what they're getting into. And I think it just, we learn from it. And I think people are so knowledgeable now about speaking up for themselves and being their own advocate for a lot of these things. For health especially, I think is so important. But also like cosmetics.

[Dr. Sheila Farhang]

I, out of everything I've ever tried and done, think that the two best things that I've done for my skin are facial manipulation mixed with good skin care. If someone's listening and they want to start with three products for, for great skin, what are the three products that you're recommending?

[Michael Bostick]

Okay, I'm going to do ingredients. Does that work?

[Dr. Sheila Farhang]

Yeah.

[Michael Bostick]

Okay. So I would say if you're just starting off, you have like no, no base at all. I would say you need to be on some type of retinol. I know that's controversial. Not everyone's on a retinol. Not everyone can tolerate a retinol specific retinols. But I think that most everyone like you're on a retinol but your skin's like not irritated. So I think that a ret, a retinoid and retinol being the over the counter version is truly the gold standard. And I had Shani Darden on a while ago and we were just like fangirling over like retinol and I'm like. Because we know like what it can do to the skin and it truly is the one huge anti aging ingredient. So I would say find yourself a pro. Find yourself a product that you can tolerate that is has retinol in it. Okay. That's number one. And then number two, it's like spf. Yes. You don't have to like put yourself all throughout your body, head to toe in sunscreen. I think there's other ways to sun protect. Like I don't like putting my whole body and like rubbing myself with sunscreen. I will do my face but like other areas I'll wear a hat, I'll wear long sleeve if I'm out, things like that. But I think a good SPF is good. If you're anyone's listening and they're at all worried about SPF or the ingredients. Go with the mineral, go with non nano. There are C4, they're all safe. But there are all different types of SPF that perhaps are less chemical.

[Dr. Sheila Farhang]

I have to give you one a skinny confidential spf. It's mineral.

[Michael Bostick]

Okay.

[Dr. Sheila Farhang]

And it's caffeinated.

[Michael Bostick]

Oh, I love that.

[Dr. Sheila Farhang]

So it tightens the skin.

[Michael Bostick]

Yeah.

[Dr. Sheila Farhang]

While it's protecting. And it's got the prettiest tint.

[Michael Bostick]

I love that I have to give.

[Dr. Sheila Farhang]

You some before you leave.

[Michael Bostick]

I bet it's really nice under the eyes.

[Dr. Sheila Farhang]

It's so nice.

[Michael Bostick]

I'm obsessed with it.

[Dr. Sheila Farhang]

I use it every single day under my makeup.

[Michael Bostick]

Oh, I love.

[Dr. Sheila Farhang]

And what's the third one? The third one's got to be the best one.

[Michael Bostick]

Oh, my gosh. Honestly. Number three is finding a product that has something for skin hydration. Plumps up the skin, helps find lines, has pre and probiotics. And that's one by Lancome, which is the genifique line, because it's like a multitasker.

[Dr. Sheila Farhang]

You love this product so much, you gave us a code for the audience to shop. You guys can go to longcomb-usa.com and use code TSC20. You get 20% off. The one that we like specifically is the genifique Ultimate. That's the one that has all the ingredients in it. I like to use it for facial massage. I've heard about this product for the last year from so many different people. Off air, on air.

[Lauren Everts]

Is this one mine?

[Dr. Sheila Farhang]

No, you can actually have that one because I have three bottles at the house.

[Michael Bostick]

Right.

[Lauren Everts]

And I would use.

[Dr. Sheila Farhang]

If it's okay with Dr. Sheila. Can you steal that?

[Lauren Everts]

I would use it after.

[Michael Bostick]

I love that. Okay. It's a serum, right?

[Lauren Everts]

Okay.

[Michael Bostick]

So you want to go thinnest to thickest. So you want to cleanse first and then that and then your spf. Like somewhat cream afterwards.

[Lauren Everts]

Okay.

[Michael Bostick]

Yeah, if needed, but SPF usually.

[Dr. Sheila Farhang]

And I really wish you would start doing facial massage with me because you can give yourself a brow lift.

[Lauren Everts]

Listen, I'm coming to Tucson.

[Michael Bostick]

Yes.

[Lauren Everts]

I graduated, and everybody goes back for these, like, reunions. But I was like, I'm out of here. I never.

[Michael Bostick]

Too cool.

[Lauren Everts]

I never went back. Oh, I just. I just feel like I did it, you know? I was like, back in the day, you didn't want.

[Dr. Sheila Farhang]

I want the whole school to see you looking like Woogie with that on your face from Something about Mary.

[Lauren Everts]

Like, it's been now.

[Dr. Sheila Farhang]

That's what he's acting like. He's acting like he has open sores all over his face. It's a.

[Lauren Everts]

It's been at least 15 years. 10. 15 years now. I'm gonna come back to Tucson. We're gonna hit some lasers. Yeah, we're gonna get this thing off my face.

[Michael Bostick]

Yeah, we'll go to that. That one bar that you were talking about.

[Lauren Everts]

Well, not dirt bags. We're gonna go we're gonna go, like, Bashful Bandit.

[Dr. Sheila Farhang]

I don't know what you're talking about, Michael.

[Lauren Everts]

I don't know if all these places even exist anymore.

[Michael Bostick]

I feel like they, like, are turned over like this, this.

[Dr. Sheila Farhang]

And Dr. Sheila has her own podcast. It's on Dear Media. It's called Derm Approved. What can our audience learn from your podcast? What are some guests that you've had on? What are you proud of?

[Michael Bostick]

Yeah, so I love it because it's backed by you guys. It's a. I'm a dermatologist, so it is all things skin care, cosmetics, and skin, hair and nail wellness. Right. And I have some solo episodes where I dive into the details of just all the info. I answer questions. My last solo, I talked about stretch mark, cellulite, KP body, acne, hyperpigmentation, like, so many things. And I've had some great guests. So we've had, like, Shani darden. I have Dr. Pimple Popper on. I've had some. I've done some swaps with other Dear Media girlies, and it's just been so much fun.

[Dr. Sheila Farhang]

Dr. Pimple Popper, does she like to pop pimples?

[Michael Bostick]

You know? No. And it's so funny because on we did a reel, and it's on the Dear Media page, and it says, like, we don't recommend squeezing pimples. I think it really kind of depends. But Sandra Lee, she is amazing. So nice. It was such a good time, and it was, like, really a good episode because it was on acne and acne scarring.

[Dr. Sheila Farhang]

I've never been a girlfriend that's like, lay down. Let me pop your pimples. That's just never been me.

[Michael Bostick]

No good. And that's like. Like, it create. Honestly, it's like, makes them worse.

[Dr. Sheila Farhang]

I have this theory.

[Lauren Everts]

Now imagine if you had those.

[Dr. Sheila Farhang]

You can tell me if I'm wrong or not. I have a theory that when you pop a pimple and one speck of that bacteria juice gets in the other area, another pimple forms.

[Michael Bostick]

No, you're so right. And not only that, but honestly, like, internally, it creates like. Like a inflammatory cascade where you pop.

[Dr. Sheila Farhang]

The pimple and then it drops somewhere else, and then you get another pimple.

[Michael Bostick]

Yeah. The only time that I say it's okay to pop a pimple.

[Dr. Sheila Farhang]

The lancet.

[Michael Bostick]

The lancet. When it's a whitehead, it is almost on its way. You heat it with a little warm right after the shower. It's soft. It's warm. You can almost, like, just wipe it off. Right.

[Dr. Sheila Farhang]

Should I come work at your clinic?

[Michael Bostick]

Yes. Oh, my God.

[Dr. Sheila Farhang]

I think that I, like, maybe you're like a derm.

[Lauren Everts]

All right, I'm coming to see you. You know why I didn't try? I went and I was looking around, and I'm like, I don't know. This guy's nice, but I need somebody that I can trust with a laser.

[Michael Bostick]

There you go.

[Dr. Sheila Farhang]

And then he was up your balls looking at. If you have any moles up there, I can confirm you have no moles.

[Michael Bostick]

Good.

[Lauren Everts]

We'll get you down there.

[Dr. Sheila Farhang]

No, I'm good, actually, after last night.

[Michael Bostick]

Yeah.

[Dr. Sheila Farhang]

Okay. Where can everyone find you? Follow you, Pimp yourself out.

[Michael Bostick]

Oh, my gosh. Thank you. So the podcast, Derma Proof Podcast, I have an IG for that. And then my main social handle is Dr. Sheila Derm. I'm super active on there. It's on Instagram, it's on TikTok and then on YouTube, and I'm just spreading all the knowledge.

[Dr. Sheila Farhang]

I love it. Thank you so much for coming on the show.

[Michael Bostick]

Of course.

[Dr. Sheila Farhang]

I have notes. I'm inspired.

[Michael Bostick]

Amazing.

[Dr. Sheila Farhang]

To shop Dr. Sheila's favorite product, you can go to lancome-usa.com and use code TSC20 for 20 off Genifique Ultimate.