Skincare Secrets, Hair Health, and Hormones with Dr. Mamina Turegano

it's even overwhelming for me and i feel like i know better i am 43 i have a lot of information i know it works for me and i still i'm like do i need that should i be getting that treatment oh my gosh same and i'm a dermatologist this podcast is a dear media production hi guys hi guys welcome back to another episode of girls gotta eat welcome back coming to you from both coasts yet again we're making it work well the interview we were together and it was a blast yes so we have a really fun interview today with dr mamina teregano and we are talking all about skin and hair and it's really fun but before we get into it we're just going to catch you guys up on some stuff okay i have something so excited to tell you wait before you tell me what you know what's funny is like this is an episode not about like dating or sex or relationships but you did manage to get salmon sperm in there just wait it's at the very end wait listen till the end and we got that's how we make it sexy if you can bring up sperm which i'm sure you have plenty of that all over your house what is there it's in my hair it's everywhere it's everywhere okay well i have something really exciting to announce so today as you guys listen to this mr shonk and i are starting our foster dog journey so we have been wanting to foster i feel really inspired by isabel clee who we had on and azul is just so good with other dogs so i really want to do that so i'm going to do that today so i'm going to do that today it was like let's just try it let's just see if we can bring another dog into the home he can have a buddy and we got approved with wags and walks and when they send the list out of all the dogs that are available for fostering they're not always a fit because some of them can't be in a home with another dog or just various reasons they might have something going on health-wise which could be fine if you didn't have another dog at home but like with azul obviously he's our priority so we put in our first choices when we got the email yesterday i sit all day waiting for this email to come it comes around like lunchtime and i'm just like waiting and i pounce on it and the first two options just were already spoken for and then they were like would you want to take this dog for a short-term foster we're only going to have him for like five days which i thought was interesting and i don't really know why i'll get the whole story so today as you guys listen the 17th we are going to take in this dog for the next five days and i'm just going to show you on the screen oh my god is it a black pug it's an eight-year-old black big pug 25 pounds is it a boy or girl it's a boy oh my god i love him his name is zizu which like is something i call azul like i know how did this happen so we have azul and zizu a senior pug can you believe the first i can't believe i'm not there i'm so upset the first dog you foster is a pug oh i'm so jealous so it just says zizu eight-year-old 25 pound male pug mixed breed he was found as a stray before coming into our care he's really funny he just wants to chill he just loves affection and he has some allergies we might have to like give him a bath he takes like weekly baths to manage his allergies like an old man i can't wait to see videos of them together oh i'm so excited just two black dogs so we'll see how this goes and honestly this is probably for the best like because usually you really need to commit to two weeks and we've never done this before and so i like this short-term five-day see how it goes to start this whole process so do you feel like a lot of this is going to fall on you i mean shashank goes to work every day i mean it's just gonna be you and the dogs every day that's why i like a old chill dog hell yes eight eight is not a that old but they send you their personality types and there are a few that like i love the look of them and the vibe but they're like puppy energy and i just don't they need some of them say like needs an experienced handler which i'm an experienced handler but like i'm taking two dogs like we wanted to almost take this 120 pound saint bernard and i was like i just can't do it it's just i you can't be alone all day long with two giant dogs right like who's this will be fine and she comes home midday like he can always he jets home midday all the time okay all right so you can come help babysit in the middle of the day well yay congratulations i'm very excited i can't wait to see all the content online this is this really like picked this picked up my spirits today we've been having some some issues um but this really lifted my this this um lifted my spirits a lot yes a pug for reina uh okay well let's just talk about our partners then i know you have some stuff to share okay thank you to rocket money reach your financial goals faster at rocket money.com slash gge and better help see reviews and decide if it's right for you at better help dot com slash gge and i am eight get a free welcome kit five free travel sachets and ten percent off your order at i am eight health.com slash gge and use code gge okay and thank you to smile set get five hundred dollars off your aligner treatment at smile set.com slash gge and mint mobile get your new wireless plan for just fifteen dollars a month at mint mobile.com slash gge and revolve get fifteen percent off your first order at revolve.com slash gge with code gge okay i'm gonna i'm dealing with a situation i'm just curious what you think about it what you do i'm curious what the audience thinks um so i had this guy call me to stay with me um reina's taking a lava i'll tell you guys when there's something to tell you but um i've only been in this apartment like 10 days over the last two months so i don't have food here i have no food i have zero things in my refrigerator and like melanie was like show me your refrigerator i know it's fucking in there it's tequila and water and like three prepared food containers i know it is and i open it that's literally exactly the only thing that i have in there i can picture it i've seen it and those water bottles you guys are just like water bottles like that she just refills from the tap which is fine but it's like you're not getting a freshie you're never going to break the seal on a water bottle out of reina's fridge no that's a good point you're never going to break the seal so melanie forced me to go to the grocery store and stock the fridge she was like you're gonna look like a serial killer like you need to go to the grocery store and stock the fridge and stock the food for a man if he's like in your house and i'm like i don't know why who cares he looks like he eats a lot of protein oh he needs it when he popped in earlier i was like please let him still be there i just want to take a look um so i was like what do i get so i made her like make me a grocery list so you get out of the game so long what do men eat like what do people keep in their refrigerator i just i don't do that like i go to whole foods when i need food or i go to the grocery store downstairs i get the prepared foods i need but like i didn't even have condiments like i don't have a bottle of ketchup in the fridge i have nothing so i had to go to the grocery store and like i got stuff for charcuterie i got three cheeses and three meats um i wanted to make it look like i cook breakfast sometimes so i got spinach and eggs okay um i got limes and lemons for the tequila i got some la croix and then i stocked the whole fridge with condiments i just sent you this photo and it's i think they're a little we'll put it up on the screen for you guys too i think they're a little too organized and it looks performative yes melanie told me it looks like an ai photo of condiments like 100 this is the funniest photo it's also just like really clean and nice but it it looks like a woman entered the dating world and was like i need condiments in my fridge so this guy doesn't think i'm a psycho and that's what she did and you know what else she made me do was i had to open them all so i had to take the little plastic off you did it to break a seal so i had to open all the condiments up and make everything look like it's been used i had to like use a little bit of some of them like i just spilled out some of the mayonnaise stop it you were like you know what let's put a little french red hot around the top you know it gets all like all crusty jelly or crusty around the top yeah reena i like what you have going on here though i like this organic greek yogurt dressing looks good are there olives capers you got capers i got capers and cornichons i got two i'm sending you a photo of the full fridge as well so that you know there's it um i got two bottles of natural wine i got some hummus this looks great okay he said he likes mountain valley he says he likes mountain valley water i know that's how i know i like him this is my boyfriend and my wife so much in common so okay lemon spin drifts we have those in the fridge right now too okay great okay i see an ice roller love that this is great that's it yeah he said that he likes mountain valley so i got him one bottle so i wanted to do something nice and then you will be refilling that from the tap sir new york water he doesn't live in new york y'all so he doesn't know about that clean new york city water i said i said i fill up with the tap and it's the best it's the best tap water in the world it is it is it really is okay well i think you did good emily was like you need to have food in your fridge you look like a serial killer and i was like well unlike you i give blow jobs so here i'll ask him if he would like me to suck his dick or if he'd like a slice of manchego cheese and i promise you fired poor emily emily catching a stray over here no i'm proud of her she feels no need whatsoever she's like i'm not like you i'm pretty so i don't have to suck dick she's never said that to me but yes i was like i don't i suck dick unlike you so you make a little i don't have to go or a blow job green and greenberg I couldn't wait to hear it. tell you. Do you think men would care? I don't think they care about anything, but do you think it was, she said it was a huge red flag if somebody opens your fridge and there's no food in it. And I feel like if I opened a man's fridge and there was no food, I would find it a little odd, but I don't care what standard my refrigerator is being held to. I don't think a guy would ever be like, oh, I have the ink. She didn't have anything in her fridge. I just, I mean, you know me, I don't, I've, my man cooks for me. So the fridge, that's his business. No, I make a lot of food too, but our fridge looks like so adult now. It's like, it looks like a grownup family fridge. There's tons of condiments, tons of stuff, you know, like it's just, it's a lot. It's, it feels grown up. I feel proud of it. Tons of meat, that butcher box is still hidden. I still have tons of meat, but like, okay. Other people, okay. If you don't have kids and you live above a grocery store, which is my situation, all I have to do is just go feed myself downstairs. Why would I have food in the fridge? I don't, if I want to cook something. Food. Like, I don't know. You have such weird eating habits. Like I make breakfast, I make lunch and then we make dinner. I don't know what you're doing. You leave the house for every meal. Like I love to, I have to have my fruit in the morning. We get it from the farmer's market every Saturday. And then I usually make eggs for late breakfast with some sort of toast or English muffin or bagel or whatever. And then I might have like something in the afternoon and then we cook dinner. I don't know. Like we just got shit in the fridge and that's really not how you're living. But when your fridge is stocked, it's a good fridge. Cause when I would come to your house and you would have all those dips, all those prepared foods, like you really, your snack game is on point. It's all or nothing with you really. Yeah. That's why I had sex three times today, you know? And, but I haven't had sex in ages. You're going to need that fuel. So you need to make sure you get those capers. Don't walk down. I don't know what the fuck those are for. Really get that Frank's Red Hot and those capers and those lemon spin drifts ready for the summer. Yeah. I don't think he would have opened up the fridge and be like, we're not having sex. Cause you don't have enough. I don't, I don't think guys are, I don't know. I guess there's guys out there that they want a woman who cooks and cleans and should be in the kitchen. And they are thinking about it from a little more conservative angle and they would flag it. But also just anyone who lives alone, you can't really judge them on their fridge. Thank you. Thank you so much for the support. And also I do cook and clean. It's just, I don't happen to have anything in the fridge. Thank you. Thank you for your support. Well, let us know in the comments, what you guys think about this. Is it crazy to open up a woman's fridge and there's no food? No. And do we care? I don't care about that. Live your truth ladies. Yeah. Okay. Well, I, I guess I want to share a little life update. We talked last week about my decision to move or not move from LA to New York. And I do feel like where I stand now is if it's not a fuck, yes, it's a no. And I feel like where I stand now right now, and Raina supports this, this isn't a surprise to her. I really just feel like if we're so, if we can't make this decision, then it's not the right time. And I really want to feel like I'm so ready. And that is how I am approaching this of like, if this decision is so hard to make, then we don't need to make it right now. Yeah. I mean, I thought we had you for a second. I thought, I really thought we had you. I was like, she's going to do it. We've had the most fun this summer. How could she ever be away from me? And I thought that you were, really doing it. And Shashank was in, but then we went back. I also went back with you. And when you went upstairs to take a shower and him and I were having our friendship moment downstairs, he was like, we just had this really nice day today. And the weather was beautiful. And we took a walk with Azul and we're just like in our house cooking dinner. And I just like, I don't think I'm ready for it either. And at least you're aligned on it. And I mean, I say all the time, it's not like I moved, no offense to like North Dakota, but I didn't move to North Dakota. Like you and I will be in each other's cities all the time. So yeah, I have a lot of plans to go to New York. I was in a lot this summer and I'll keep doing that. And I just think that's the life I want to live right now. I've changed my mind. I thought it would be sooner than this. And I think where we're at now is like, if Shashank gets a job transfer or he gets like another job or an opportunity on the East coast, we will go, or it will be the spring and it's kind of whatever comes first at this point. But I think we're going to be here a little bit longer. And we just had the best weekend. And I just kind of wanted to share a couple of things that we did. So Saturday morning was this event he does our injectables, but he brain has also gotten plastic surgery with him. And she got a breast augmentation and some other things. And they did this recovery wellness, little retreat thing. And it was just so stunning. It was at this gardens and Beverly Hills, like Pilates class, sound bath, just like all these beautiful women and matching sets. I was like, this is paradise. It was so nice. He was there. He like spoke, his wife was there, Rosalyn, we love her. And it was like, I'm like, give this all up for what, you know? And I get it there there's it's different lifestyle, but like, I'm really like, I like that. Like, you know what I mean? That's what I want to do on the weekends. But I said this all the time. I want to be in LA on the weekends. I want to be in New York during the week. So that was really nice. So shout out to Dr. Barrett. You guys always like check them out and they are really focusing on this Barrett recovery, which is like the NAD supplements I take and the collagen that we take and the red light mask and all this stuff. And you know, I, I, we talked about him all the time, but he did my breast augmentation and the recovery was completely unlike the last, I mean, I needed an augmentation because of how bad the reduction was and truly was just like a different experience because of the steps that he gave me in terms of red lights and the things I was taking in terms of supplements and things like that. So, you know, I'm a, I'm a Barrett for life. Yeah. So you guys can check out post-op recovery. This isn't like an ad this week. This is just, we want to tell you where to find this stuff. So post-op recovery.com is the red light, the magnesium, which is great. I take that at night, the NAD supplements. I people have always asked me for this link. So I wanted to give it out in the actual podcast and the collagen and all that stuff. My code is code ash 20. So we did that. And then I see that Jacqueline, my wedding planner who we've had on the podcast, she posted an Instagram story that she had been to Phantom of the opera the night before in LA at the Pantages theater. And I was like, what are you saying to me? This, as we know, if you know, you know, that this was like the longest running show on Broadway. I don't know if you've heard of it. I don't know and they took it off Broadway last year. I ran since 87 or 88 or something. And they're traveling now. And I'm like, Oh my God, what is this? And she goes, girl, you got to go tonight, whatever it costs. I'm like, say less. My wedding planner says you have to do it no matter the cost I'm doing it. I learned that all last year. So I was like, I have to go. I got a line. There were like six tickets left. I did splurge, but again, I didn't have many options. I got really good seats and Shashank and I went and it was incredible. I mean, I wanted to cry. I saw this when I was six with my mom on Broadway, really great seats. She took me into the city and it was like one of my core memories from childhood. And it has still stayed my favorite musical of all time. I had the soundtrack. I listened to it nonstop. It is truly the best. I love it so, so much. And it just hit the same, like the second the like music starts and then like the chandelier shakes and they still drop the chandelier. Right. I couldn't believe they dropped the chandelier. Cause I would have thought that was in the eighties different. I was like, are they going to drop the chandelier? And they did. And Shashank loved it too. I was like, Oh my God. I was just so happy that he loved it. And it was just amazing. The production value, the cast, the singing and all the original music. I was obsessed. So we did that. And then Sunday we went and saw DJ Mike O'Leary who DJ at our wedding, but he is not a wedding DJ. He's this incredible DJ that does this. And I was like, Oh my God. I love it. I love it. I love it. I love this thing called Sunday cleaning at different spots, a lot in New York city and all over the country now and put some on YouTube and people are obsessed with them. And he's so, so good. And we hadn't been to one of them. So he came to orange County and it was about an hour, little under an hour for us to get there. And we were able to go there and like be a part of it. It was in this coffee shop record store hybrid called Contra coffee in orange California. And he did his thing and like seeing him in his element and just like being able to vibe out the vibe were so high just midday. There's no alcohol. People were just having coffee. It's one to 4 PM. People are dancing. People are grooving. And just, it was incredible. And it was so good to see him. Shashank had a gift from him. He had this Mac Miller vinyl that he had bought him to thank him after our wedding that he hadn't gotten to him yet. So we gave him that. And it was just like such a good weekend. Like those, you know, Dr. Barrett, Phantom of the Opera, Sunday cleaning with DJ Mike O'Leary. And I was like, yeah, I think we're going to stay for a minute. And then I just, Oh, this is about you moving. Get out of here. I knew you guys were going to fuck. No, I just knew that Sunday was a horny day. I just knew I could pick the days sometimes. Yeah. So we had a good little sesh and that was a weekend. So, you know, just wanted to share those things. And if you guys ever get a chance to see Phantom of the Opera or Mike O'Leary or Dr. Barrett, you should. You know what I am really like, I'm like, you know what, I like about here. I'm what I'm really enjoying is that like every day this week for the last four days, like a friend of ours has texted me, I'm downstairs or I'm like right outside your building and like, can we go for a walk? And like, that's really why I moved here is to like have spontaneous plans with people. Like our friend Bobby was like, I'm, I was training somebody downstairs, making some content. Do you want to come out and like take a walk with me? Like, it's really nice to be like, I just have people around. I love that. I want to be around people all the time. And even I feel like most of the I spent with Shashank, but at least going to that event on Saturday was with a bunch of people. people like that really filled my cup. And then the rest of the weekend was mostly us. And I mean, in Mike and different people, but I really want to be around people. And I think a lot of people travel in the summer and people are starting to come back. So I finally have social plans with the five friends I have here. And I have like a lunch tomorrow. I have like plans this weekend, plans next week. Like that's what makes me really happy and brings me joy and fills my cup is like friends, social activities, plans. Yeah, me too. We did it. But yeah, it's obviously New York is the top when it comes to that. But I think, yeah, we're going to stay here for a little while longer. So just an update from last week, but I could change my mind again next week. You guys really never know. I just like to keep you guys on your toes. I think the FOMO, I'm just going to lay in it. I just, I don't like to be not nice to you. I feel like I don't like to be like, this is so fun. You should be here, you know, but I'm going to layer on a little bit. I'm just going to kick up the FOMO like 10% and be like, no. Don't be here. You do it enough. It's constant. Kick it off a notch. Bitch, you're the one that's like, you should stay. I know you're not ready to leave yet. Because I support you no matter what you want to do, but I do want you to be here. I'm sick of this shit. I do fucking support you, whatever. But like, I'm sick of this. Listen, you have a man now. You're going to be fine. No, I don't. Okay. Well, let's just talk about our partners and then we will get into it with Dr. Mamina. So I'm telling you guys about Smile Set. So we are talking today about the way you look and feel. And a lot of people don't love their smile and their teeth. And even if they're not super unhappy, but there's just something you want to change, you can do this so easily with Smile Set. So you can get these doctor prescribed clear liners done from home completely for 60% less than braces. So Smile Set offers all of this for $12.95. 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Includes up to 20 gigabytes of hotspot. Capable device required. Availability, speed and coverage varies. See mintmobile.com. And let's get into it. All right, guys, we are really excited to welcome our guest today. She is a triple board certified dermatologist, internist and dermatopathologist, dermatopathologist specializing in medical, cosmetic and integrative dermatology with more than 2 million followers across social media, 16 years of experience in dermatology and 11 years in a private practice. She's become a trusted voice on science, fact, skincare, hair health and wellness, blending traditional dermatology with a holistic approach. Please welcome to the show, Dr. Mamina Turaganal. Thank you so much for having me. We're so glad to have you here. We are really passionate about all of this. This is a dating show, but, you know, we've been doing that for eight years. And so we're branching out into like more lifestyle stuff. The relationship you have with your skin and your hair and how you present in the world. I mean, if you feel good in the way you look, obviously you're going to, yeah, it translates to everything. Exactly. So we're glad to have you here today. Thank you. It's an honor. Love this. So we want to just hear a little bit about you and your background. And obviously you've been to school and higher education for this and everything. Have you always been really interested in skin, hair, all of that? You know, I was my first passion really is integrative medicine and taking a more holistic approach to health. And I didn't even know that I wanted to be a physician. It wasn't until I was in college where I was really interested in approaches to health. There was an integrative doctor, Dr. Andrew Weil, who's based out of University of Arizona. And I really liked his approach to health. He was a family medicine doctor, I believe, or primary care doctor who then specialized in integrative medicine. So I'm like, you know what, I'm going to either do that or go to naturopathic medical school. And I decided to go to conventional medical school because I was like, if I have an MD, I could probably do anything and I would have that credibility. So my plan was just to do primary care. But when I was in my third year of med school, I did an internal medicine rotation in a subspecialty called autoimmune diseases. And there is so much overlap with autoimmune and skin issues. And there were patients like with lupus who had all these skin issues and something called scleroderma, where your immune system attacks your collagen and like your skin gets super like taut and you can't even like move your limbs in severe cases. And I just had so much empathy for these patients. And I was like, maybe I am interested in derm. I also loved like other aspects of derm. I do appreciate looking good and all the fun cosmetic aspects, but I was really drawn to the medical aspect of derm. So I was like, well, shit, like it's so competitive. Like I'm already late to the game. Well, I barely got in by the skin of my teeth and very lucky. And so that's how I got into derm. But what's also really cool about derm is not only does it cover so much of medicine, like you could see adults and pediatric populations, it's surgical, it's cosmetic, it's like complex medical stuff, like infectious diseases. It also really can involve like an integrative or holistic approach. I think your skin can tell so much about what's going on internally. And I think that there's so much that you can do lifestyle wise and just health wise in general, that will affect your skin. And so it was a perfect field for me. And I've been in private practice for 12 years now. I graduated med school, I don't know, like almost 20 years ago. And yeah, it's been a journey, but it's been amazing. And I do everything like the cosmetic, I do the injections, but I also do a lot of medical. Okay. Yeah. I love that. And I think sometimes back to my twenties and I had so many more skin issues, like eczema, here and there and stuff I couldn't get under control. And I was so much less healthy. I drank so much. I wasn't eating as well. Like I don't have any, I have one thing. This is like a whole different thing. We'll talk after, but I don't have any of those problems anymore at all. And you can age out of course of certain things, but it really was when I really reflect, I just had so many things quote unquote wrong with me and it was just probably my health. Yeah. I think that plays a huge role and you could also age out of things too. But I think everyone has a skin issue point in their life. Totally. Yeah. My gosh. You make so much content. It's really fantastic. and digestible. And I think there's just so much noise out there. Oh my gosh. Like if you go on TikTok for 30 seconds, I mean, you're thrown so many products for your hair and your skin. And it's just like, I could buy 15 different things. I don't even know if that's enough and how much do I do? And it's really important to take advice from somebody like you with an actual medical degree. Yeah. So we want to do that today. We have so many questions for you. We're going to try to get through them all, but really condensing this down. It's even overwhelming for me. And I feel like I know better. I am 43. I have a lot of information. I know it works for me. And I still am like, do I need that? Should I be getting that treatment? Oh my gosh. Same. And I'm a dermatologist. Yes. Right. Yeah. So let's start with the lifestyle, all the things happening in your life. I mean, everything from your nervous system, lifestyle, the way you live your life, your gut health. I mean, wherever you want to start the connections between that and your exterior appearance. Well, when it comes to just overall skin health and also acne is really common. Hair loss is another. So these also apply to that as well. But nutrition really plays a big role. You talked about alcohol earlier. We do have studies to show that alcohol does accelerate aging. It does. It increases inflammation in the body, which then like has signals to like break down collagen faster. Yeah. It's just another stressor on the body, you know, on your liver and other organs. So that's one thing. But in terms of foods, sugar is another food group, unfortunately, that will plays a huge aspect with all aspects of health. But we do know that it can break down collagen faster. And then also increased sugar, you know, affects your metabolic health. So with that comes like insulin resistance, diabetes, and that increases more inflammation in the body that also accelerates aging too. And not everyone, but in some people, dairy can also affect skin health, more so in the realm of acne. It's been shown to make acne worse. Not everyone, and the other thing that's problematic too, is that today we have so much less fiber in our diet and that plays a huge role with all skin issues, a lot with acne. Yeah. We just need to like get rid of the buildup, you know, just let it all out. We just got to poop more. So yeah, really incorporating more fruits and vegetables, like what our parents told us like a long time ago, like putting more antioxidants in our diet, putting more fiber in our diet. I think there's been so much focus on protein, which is important too. And I'm obsessed with the health and I was listening to a podcast about the protein obsession. And the problem is that we've lost a lot of the fiber and the carbohydrates. Like you really do need it all for a balanced diet. You need it all. Yes. Yes. So yeah, people are like, what's the best diet? And yeah, it's, I don't think doing extreme things really are beneficial. The most studies that we do have is the Mediterranean diet, which is a very well-balanced diet, you know, with like your vegetables and like your healthy fats and protein. Yeah. A lot of grilled proteins, things like that, a lot of fried food. Yeah. My favorite. Yeah. I think that healthy fats and things, just eggs, avocado, nuts, flaxseed, all those things. Like, I mean, I've done a ton of research and I've incorporated them in my own life in terms of hair and skin. And so do you have even just super foods that you recommend or you like to recommend to patients? Yeah. I know it's hard because there are so many great things, but I just say like when it comes to like fruits and veggies, like really try to incorporate the colors of the rainbow. Like we love red foods, like darkly pigmented foods, blueberries, blackberries, bell peppers, you know, things with a lot of vitamin C. I would never put that on my list. That's the one food she doesn't like. Oh my gosh. I know. It's like random that I just said bell peppers. There's so many like other amazing foods too. No, it's very, very sweet. It's my trigger food. Oh, that's so funny. But like kale. Things like that. Yeah. Yeah. Like if it has a nice color to it and even like, you know, doesn't even have to have nice color. Yeah. Like potatoes. Right. So yeah. But just really incorporating the whole spectrum of colors and really having more fiber. Okay. Okay. More fiber. Don't avoid stuff. Do you ever, I know you're a dermatologist, not a psychiatrist, but do you focus on like nervous system regulation? Yes. Okay. So yeah. Nutrition is one topic. Stress is huge. And I feel like we've just accepted to be like part of our normal lives. And I think that's playing a huge role with accelerated aging, more acne, more hair loss. Like, that's how I manifest hair loss is with stress. Like I was like, my scalp was showing when I was in residency. I was just like stressed out. I was not sleeping. Sleep is another thing too. But, but stress definitely increases your cortisol, increases other inflammatory signals that will accelerate aging and make you look older than you want to be. And so, yeah, we're seeing that more. And I think that it's weird. Like, even though we have more technology that makes it supposed to make our lives easier, I find that it's like sometimes doing the opposite. Like we're just with our phones and everything. So I think that's playing a big role. And with that, also, I think our sleep is getting affected too. Like if you're on your screens late at night, when your circadian rhythm is off, we're seeing so many more studies too, like how that's increasing inflammatory issues. We see more psoriasis, more acne, more eczema. When people have poor sleep, accelerated aging, we have studies to show that. And yeah, we're just getting stressed out at the same time by our phones. So. I like the holistic approach though. Of course, you can prescribe all these different things and surgeries and X, Y, Z, but sleep well, eat a salad, try to reduce your stress, drink a little less. You've got to pick one because you can't be stressed, not sleep, eat poorly, not stay hydrated. If you have a stressful job, that might just be what it is. You've got to get to sleep. You've got to figure out how to combat them all because you can't have them all. You're going to fall apart. And so the sleep to me, to me, I've used to not need as much sleep. I have a different face when I wake up and I didn't sleep well. Who is she? Like to the point where. Ashley just discovered a lot of sleep. No, I just, all these things, but it's when I wake up and I had to get an early flight or whatever, I'm like, whose face is that? As opposed to waking up well rested. I swear I age 10 years. Yep. Oh, and we have studies to like prove that it does that. Yeah. Obviously alcohol. I mean, I have two drinks before bed. I wake up, I'm like, where'd her jawline go? Yeah, no, for sure. It can increase swelling on top of like, yeah, the, all the internal inflammation that we can't see. And then just general about hormones. I mean, just aging and however much you want to kind of talk about how it affects these things as well. Yes. So hormones play a huge role with aging, with acne, with hair loss. And I think that the things that I mentioned, whether it's food, poor sleep stress, those also affect our hormones too. And when your hormones are sort up like acne or accelerated aging or hair loss and with aging, our hormones naturally like decline. And then when you hit menopause, that's, that's like your estrogen really plummets, unfortunately. And we really like estrogen for healthy skin. Estrogen increases hydration in the skin. It actually increases the thickness in your skin. It helps with increasing collagen in your skin. And our estrogen does start to decline, you know, in our thirties, forties, and then yeah, it declines drastically. In our, when we hit menopause. So that's what happens. And it's hard to avoid that. I think stress can make menopause maybe hit faster. Yeah. And there's all these like longevity protocols and things coming out now that can potentially delay menopause. So something to look into, but there's that aspect. And then there's also just these, I know it's, this is kind of a loaded topic, but like endocrine disrupting chemicals out there, like, all the microplastics that we're exposed to just from like, I don't know, when I was like in residency, I would just order takeout and these, it'd be like a hot soup in this plastic container. And I would eat that all the time. And I would heat up food in like plastic containers. We didn't know better back then. I mean, you might have been a doctor, but. No, I had no idea. I didn't know back then. Well, just a hot water bottle sitting in your car, you drink out of it. Exactly. I drank out of it. I never thought about it. Like the water bottles get hot in the summer and then they get cool in the winter and you drink them. They've baked all summer. That was like my early days. A few years ago, I was like, oh, I also got a skincare routine a few years ago. Well, and we want to have a doctor on to talk about perimenopause and different things like that, but you don't have to answer this if you don't want to. But in terms of like, are you seeing people come to you that are doing hormone replacement therapy and seeing the benefits in their skin and hair? Yes. Okay. I mean, I figured as much. Yeah. It is very beneficial. And that's like a different episode. Yeah. And there's also like topical estrogen too, which is a little bit of a controversial topic amongst germs because some people are concerned that you can have that systemic effect and that, you know, germs should not be recommending topical estrogen. It's a mixed camp. I am on team topical estrogen. I do think that there are benefits from it. And I do think the absorption is very minimal. I do think we probably need some more studies before we like recommend it. What is that? I'd never heard of this. Could you? No. Actually, it's interesting when people go through perimenopause, one of the first prescriptions that they may get is vaginal estrogen cream just to help because there is some systemic absorption, but some people were like using it on their face. And noticing improvement in the fine lines around their eyes, like crepey skin. And so now it's not a prescription that's made for the skin, but like, yeah, officially, but there are compounding pharmacies that are putting it in like a nice like skin cream or what we call a vehicle that makes it more conducive to facial skin. Oh, okay. Yeah. Okay. I'm doing like tallow on my face. What? Don't do that. Yeah. Not a big fan. Not a big fan. I think it's like an okay moisturizer. So like if you're not getting issues from it, that's okay. Okay. but there are better moisturizers out there i've used a ton my skin is so dry i like here like i need something that i feel like i still even feel it in the morning i don't you know i've i mean i used charlotte tilbury's magic cream for years i feel like that was one of the better ones i'll use waletta's skin food which i feel like is a thick moisturizer um but i just got served like an ad and i it's this honey tallow is just it feels good but i probably i'll quit today i don't care probably feels good i mean but there's like some other amazing moisturizers and then also like literal vaseline like if you are having really dry skin using hydrating serums with a good moisturizer or even what we call slugging which is a trend i will stand behind where you put like a layer of vaseline or aquaphor on your face if you are not acne prone i will i will never get a pimple i'm telling you i can do that so i will do it and that's also one of my other beefs with beef tallow actually um it can be comedogenic like meaning that it can clog your pores so um yeah yeah the thicker the better yeah so but yeah i would look into like slugging and okay slugging um and that's aquaphor to the face aquaphor to the face like on top of like a hydrating serum like a good yeah yeah hyaluronic acid serum or something um but yeah and then like just yeah my other issue with beef tallow is like there are it can be kind of rancid like if it's not properly preserved and stuff so so i would just be careful and like i said it's like an okay moisturizer i'm not gonna tell people to stop using it they love it and they don't get any issues with it but there are better things out there okay i mean in this episode we are going to go through like skincare yeah obviously like what you should do day to day but can we start with hair because we've never focused on this in the episode and ashley and i have really different hair journeys but like for me especially in high school and college i had like such disordered eating issues my hair just broke constantly and on top of that i've just straightened my hair my whole life and i've been like oh my god i'm like oh my god i'm like oh my god and it's thinned like crazy as i've gotten older and of course it makes you feel a certain way about yourself and made me feel less confident and i have hair extensions now but like i think so many women are just like i don't know what to do here you know yeah and my story is i had like great hair people just thought i had extensions in for years and of course i was aging a little bit but when i got off the pill it changed and my life changed for the better in every other way so that was the only thing that i could do and i was like oh my god i'm like oh my god i'm like oh i really lost and i did notice a difference and i've done a ton of research on this the pill that i was on it was probably the estrogen i'm assuming and it was a lot it was a rapid loss and like i went to a dermatologist and diagnosed myself with telogen effluvium and it stopped shedding to such an extreme but it never really got back to like the place it used to be but i feel really good and i actually feel like it's growing fine i actually don't want even like to use growing fine i don't want to use growing fine i don't want to use growing fine i don't like the shedding phase i really don't want to be on minoxidil or any sort of growth serum it just breaks so like breakage is more of my issue look i can feel it's it's coming out of every follicle but i'm having trouble with breakage so anyway i mean your hair has been growing mine doesn't grow like at all oh yeah it's it's growing and i can see new growth but especially around my face the breakage is like my main issue now so maybe we can talk to you about thinning hair breakage and you have such a great i want to like direct people to your instagram also you have five i think five different posts recently recently i did a whole series yes about what to do but let's talk about supplements oils lifestyle everything yeah oh my gosh i feel like i'm huge on that i never conditioned my scalp for years here is huge i was like taught not to like shampoo the top condition the ends yeah which is still mostly the case some conditioners aren't actually made for the scalp but i do need to like condition my hair like yeah up here yeah yeah man so hair loss is a huge topic and there are so many different ways to deal with it and i think it's different factors that are playing a role yeah you know as we get older yes like we mentioned like hormones can steadily decline and hormones play a role with hair loss too when there is like an imbalance with the ratio between your estrogen and your androgens which include testosterone that can accelerate hair loss and birth control so many women are or have been on birth control and i do think that that plays a big role with hair too any kind of hormonal shifts can cause hair loss and not saying that you shouldn't be on birth control but it is like almost like a form of hormone replacement it's it's literal hormones so when like people who go on or off birth control either one will see hair loss because your body has just different signaling it's trying to like deal with these hormonal shifts any kind of hormonal shift like postpartum we see massive shedding and that's right because we have a huge plummet in hormones when we give birth and you mentioned t-legitimated flupium which is shedding that we see and it's about three to five months after some kind of stressor or like triggering event so giving birth is a huge thing yeah and i think that's a huge thing yeah i think that's a huge stressor to the body if whether you deal with pain or if you have surgery and so that also contributes to the postpartum hair loss but having an illness so we saw a ton of hair loss during the height of covid um but like anyone who's really really ill or if you are stressed if you have a death in the family you go through a really bad breakup it sends a stress signal to your hair follicles like hey we're gonna like reallocate our resources to areas that need it more because like the stress is like depleting our body so let's let's let's let's let's let's let's just take away some of the resources to your hair follicles and like go elsewhere so then the hair follicles go into what's called the resting phase and that lasts about three to five months that's why it takes about three to five months after that stressful event to notice the shedding it's so crazy and it was like exactly the timing of how this all happened okay yeah yeah and you can have what's called chronic telogen effluvium where the hair loss doesn't stop if there are other underlying factors at play whether you're genetically predisposed like if you have a strong family 19 so like that is how i manifest stress is with hair loss so having telogen effluvium can unmask underlying androgenetic alopecia if you are deficient in certain nutrients low iron low vitamin d sometimes zinc sometimes low b12 those can perpetuate that hair loss and like brittleness and i think thyroid issues are very common amongst women i will always test for thyroid like along with iron and vitamin d also medications play a huge role and then so birth control but another big one we're seeing is the glp-1 yeah group yeah my hairdresser said that she just her clients are just losing their hair like oh my gosh but also diet like if you're not eating right exactly nutrients for sure like proteins huge when it comes to hair and when you have like this huge drastic drop in calorie intake that can affect hair but we're also seeing that the medication itself is like hair loss inducing so people who like are even not just on a low dose or like aren't having that drastic weight loss that people used to have like a couple years ago whenever it first came out even without the drastic weight loss people who are still on it or who have plateaued will still experience hair loss from that so that's just another thing to think about yeah okay yeah and just like scalp care too so like if you are not washing your hair regularly because this is what i see a lot okay people are noticing hair shedding and it like freaks them out so they don't wash their hair in the shower and then they'll go like a week without washing their hair and then when they wash their hair they see clumps of hair coming out because they hadn't washed their hair in a week and then they're their hair and like that would have like come out in stages like yeah but it comes out in clumps and that will accelerate hair loss because when you're not washing your hair as often the oil builds up and that actually can cause inflammation on the scalp we all have like a microbiome on our scalp a lot of yeast likes to live on our scalp and that feeds on that oil and then the byproduct of that yeast is scaling which shows up as dandruff or sometimes itching and so that's why when you see more dandruff when you don't wash your hair as often and not everyone like if you're more dry see that as much but that's one of the biggest things i see in women when they notice hair loss they wash their hair less often and you should be doing the opposite like i'm so glad you said that because like i it stressed me out so much to lose all that hair in the shower and i thought i'll just wash it less and it was like coming out i mean it would just be all over i would like when you feel it like drip down your body no it's like yeah i would call rain i'm like crying when i was going through this like two three month period of like how much i was losing in the shower yeah but i luckily was like the answer is not to go a week because of your scalp health yes it's just tough i mean i want to validate it so in terms of washing it how often do you recommend it and i mean i have a friend that's like she double cleanses she'll wash it twice and then do a conditioner like i guess now also everybody is different but like what do you recommend yes i know it's tough everyone's different i would say on average two to three times a week if you can some people need to wash their hair every day if you have more like quail or textured hair i would say once a week is fine okay but yeah is there shampoos and conditioners you like for different things yeah in terms of hair loss it's so funny people like what shampoo should i use for hair loss because they think that shampoo is what's going to help their hair loss when really it's going to be topical treatments topical growth serums and oral medicines that are going to be better for hair loss not a magical shampoo however if you were to use a shampoo for hair loss i am a really big fan of shampoos that treat dandruff even if you don't have dandruff so one of my favorite ones over the counter is nizerol shampoo which is an anti-yeast shampoo it has ketoconazole which is good on amazon it's a blue yeah it's a blue bottle it's like so unsexy yes yeah but not only because it's like anti-inflammatory and like anti-yeast so you don't have that inflammation but also interestingly it can work on like hormone receptors on the scalp because that can help with hair growth so we like it for that and then like but not every shampoo right not every you're gonna do that every three or four shampoos well you could still probably get away with doing it two or three times a week okay but it depends on if you have dry scalp then yeah maybe once a week is what i was doing what i tell people is just to like massage it in your scalp like don't wash your hair with it because it can make your hair like straw Just wash your scalp with it and then use your normal shampoo and conditioner, you know, and then leave it in your scalp for a few minutes before it's getting out. I'm also a fan of like zinc-based anti-dandruff shampoos like CeraVe makes a nice one, Head and Shoulders, you know, like zinc has also been shown to help with hair growth. Caffeine in shampoos, it's not in Nizoral or the anti-dandruff shampoos, but caffeine is another ingredient that I like in shampoos or in like topical serums. In terms of what works the best though, it's like the prescriptions as well as like topical minoxidil for hair growth. So non-minoxidil OTC products I like because minoxidil I think works the best, but it's just so annoying because you do have that shedding phase. And you take it for life, right? You can't stop. Yeah, I mean, if you stop it, you're not going to be worse off. You're just going to be back to square one. But aren't you going to lose the hair you grew on it for the most part? If you stop it? If you stop it. Probably. I mean, it feels like a lifetime commitment, but so is brushing your teeth. I don't know. I see people talk about this where they're like, like tinks is like, I'm on this for the rest of my life. Well, I'm on blood pressure medication for the rest of my life. I take a pill every day. Yeah. Unless the underlying issue for your hair loss is addressed, like unless like your iron deficiency is corrected or your thyroid is corrected or your stress is corrected, you know. But yeah, unfortunately, it's one of those things that you're just on chronically until the point you stop caring. But I want to address that shedding phase because, again, like it took me a while to kind of realize like growth is not my issue. Like I'm seeing the growth. I don't have any patches or anything like that. So I started growth serum and I shedded so much hair. And that sounds really scary to a lot of people. But it can be worth it if you really should be. Like, again, I just I think tinks is one of the influencers. I feel like the talks about minoxidil the most. And it is worth it to get through it to the other side. But that wasn't my issue was more breakage based on hair health. So they work, but they're pushing out the is it just essentially just pushing out the hair so you can get rid of it. And I think that's a really good thing. I think that's a really good thing. It's trying to put everything in the same growth phase. Some of the older hair has to grow up first. And it takes like six to nine months for it to work. Some people maybe three months. But that's so discouraging. People are like, "What? I want my hair now." So that's the thing. Hair growth is such a slow process. But that does work in terms of other products over the counter that I like. So I mentioned caffeine is a good ingredient. There's a lot of like peptides that can also signal for hair health. So if you have breakage, too, in addition to hair growth that I think are good. Like The Ordinary makes a super affordable one. I can't even remember. It's like their Hair Density Peptide Serum. It's something along those lines. But it has caffeine. It has amazing peptides. So I really do like that one. Obagi has a really good one. Their NuCyl Hair Growth Scalp Serum. That one's really good for scalp health. Which will also help with like brittle hair. Hair density, like the thickness of the hair strands. Love that one. And one of my colleagues, she's a derm, Dr. Joyce Park. And she has this growth serum that's wonderful. That also has wonderful peptides and other antioxidants. So definitely a fan of those. Do you feel anything about rosemary oils? Oh, rosemary oil. Constantly. Hair oiling in general, that's a whole thing. And I want to clarify between growth serums. Because they're completely different. We're just asking about the oils that you're getting on Amazon that oil your scalp. One of our friends swears by Berber Hair Oil. She's like, "It changed my whole life." Honestly, I do like that one. Rosemary oil is interesting because it smells. So I don't know if I could commit to that. Okay, I do want to ask you about this. Berber Hair Oil is not a growth serum. It's just more of moisturizing the scalp. Is that the point? Yes, I think that's more like that. So hair oiling can be confusing. And then we can talk about rosemary oil, too, as part of that. Because there's so many different oils. There's rosemary oil. There's pumpkin seed oil. There's peppermint oil. There's argan oil. So there's some that can potentially stimulate your scalp to promote hair growth. And then there's some that are actually just nourishing to the hair strands. So it can be confusing for people. I think hair oiling can mean a lot of different things. When it comes to rosemary oil specifically, When it comes to rosemary oil specifically, I think that it can help with hair growth. It's not the most amazing thing for hair growth. So I don't want people to think, "Oh, I need to reach for rosemary oil before, like, minoxidil." But I think it's a great supportive ingredient. Like if it's in your shampoo or if it's one of the many ingredients in a hair growth serum, wonderful. But I wouldn't, like, go run for rosemary oil itself unless you're, like, already doing all the other things. To your point, though, it does take a long time. Nutrafol has been a long-time partner of ours. And, you know, we always say six to nine months. It does take a long time. It takes a long time. But I do like nourishing hair oils if you are dealing with breakage. Yeah, let's talk about that. And, like, just the process. I mean, you want to do it before you shampoo. Yeah, for most of them because, like, otherwise you'll just, like, be a greasy hot mess. There are some where you can do post, like, wash. But, yeah, most of them you want to do -- if you could leave it in your hair longer, like, overnight, that would be more ideal. But that could be messy. But you have to maybe wear, like, a bonnet or, like, a shower cap or something which also can be annoying. So like a nourishing oil that you leave on overnight helps with overall, is that going to help with the scalp care, your breakage, all of it? So it depends on the oil because there's some oils that are nourishing to the scalp and there's some that you just want to put in the hair itself. So you just have to look at the oil. I like the Berber hair oil. That's like a nice scalp nourishing oil. Changed our friend's entire hair. I mean, it's crazy. I can't believe what it's done for her. Yeah. I switched to silk pillowcases and it was a game changer. Yes. I feel like I was waking up and my hair looked so frizzy and I feel like I was having breakage happen in my sleep. And I think that's been huge. I'm a fan of silk pillowcases and silk bonnets. Yeah. Okay. And I know we're talking about all this. I think oral prescription meds work the best. Okay. Like oral spironolactone for premenopausal women, oral finasteride or dutasteride for men or postmenopausal women, and then oral minoxidil. Well, I was just going to ask you because I think people think minoxidil is topical. Uh-huh. And now, I mean. You can get it on like hers. Like it's easy to take. And it's pure. It's pure. Like it's Rogaine, right? Like minoxidil is the main ingredient in Rogaine. Okay. Well, it originally came out as a pill back in the 70s for blood pressure. And like they were noticing people were like getting hair growth. Their hair was growing, but they were also getting like hair everywhere, like a chia pet, but like facial hair. And so the founders of Rogaine were like, let's take advantage of the side effect. And that's when they make the topical version. Anyways, so the low-dose pill is now being used more often, more so in the last like five years or so. And it does work. About 15 to 20% of people can get facial hair. So that's like the main downside of it. There are a few potential other side effects, but it does work. And I will prescribe that. If people want to be aggressive, I will do that either with spironolactone or with like finasteride. What is the first one you said for women? Spironolactone, which is what's used most commonly for hormonal acne for adult female acne. And you get a little tinkle for your face. You can take that hair off. That's good. Yeah, honestly, it's easier to get rid of hair than it is to grow hair. Yeah, exactly. And people get all triggered up. But minoxidil. Minoxidil is toxic to cats, if you guys. Yeah, and dogs. And dogs, too. Yeah. The topical. What, do they like lick your face? It's really fascinating. Or like if you spill the bottle or something. If you spill the bottle, yeah. So if you see comment sections on minoxidil, it's toxic to cats and dogs. So people get all triggered up. So just, you know, if you have cats and dogs, I would do the oral. Yeah, I'd do the oral. I think you hear a lot of people say, and Raina said this before, too, like my hair just doesn't grow anymore. Like I have another really close friend that just, she never had really long, thick hair, but it doesn't grow anymore. And I'm not, I don't know. I don't want to speak for you. But I feel like you have like said that it doesn't grow like it used to. And like it just does. It never has. And I mean, it was definitely like disordered eating related when I was younger. But now that I'm an adult and I eat like a normal amount, it's just, it just doesn't grow. And is that, I mean, I guess it can be a number of reasons you'd have to do a deep dive into that person's lifestyle. Exactly. But like someone like that, it's probably a minoxidil would be their best bet. Yes. Along with all the other things that you can change. Yeah. You want to do what's called extend the growth phase of your hair cycle. There's different cycles. There's different cycles, like the resting growth, shedding. So you want to extend the antigen phase, which is the hair growth phase. And people whose hair doesn't grow that long, they have a shorter antigen phase. Like when you see like those like women with hair down to their feet, like, okay, how's that possible? They have really long antigen phases. So minoxidil is one of the ways to prolong that antigen phase. But also it can be related to like brittle hair, like hair care practices. Like if you're using heating tools extensively and not protecting your hair, you know, whenever somebody comes in, I always look at your blood panel. Look at your iron levels, your vitamin D, like in the other ones I mentioned. So making sure all that's in check, making sure your thyroid is in check. But yeah, but topical or oral minoxidil. And when you turn 40, I mean, I got a full blood panel of everything. I checked my thyroid. I checked everything to just kind of see like what I needed hormonally. And I really recommend that people do that. It was scary. I went to a gynecologist. She just was like, now that you're 40, now that you're 40. But like, I was so glad I did because we were able to like really address certain things. Yeah. And my mom has issues with her thyroid. So to like anticipate that. It was really important to me. For sure. Yeah. And that's the, I forget the word is like, it won't grow past a certain length to your point. You know, like, yeah, like this is the length that won't grow past. And I'm glad you described the antigen phase, but also the hot tools. Like if you are blow drying your hair at a high heat and you're not protecting it, and then you're styling it with like when I was touring, I noticed way more breakage because I was curling my hair with a curling iron every time I went on stage. Like those things matter as much as you can like take breaks. If you can take breaks. Yeah. Yeah. And then doing things to stimulate your scalp. I'm a fan of red light as well. Those red light. Yeah. The iris store helmets that are expensive, but they've been a partner in the show. Yeah. And yeah, red light on your scalp. But you recommend, I mean, it works. I do. Yeah. I mean, I think it's one of those things where it shouldn't be your go-to. I like the other things we talked about. I think it'd be more effective, but it's definitely supportive and we have good evidence to support it. Okay. Okay. All right. Okay. We're just going to take a quick break and we are going to get right back into it. Let's talk about rocket money. So if you guys have just spent all summer, obviously seeing everybody taking these trips or buying all these clothing, I think. think summer really is just kind of like in your face in terms of like how much everybody's doing all the time and if you're just thinking like i want to get my spending under control and figure out what i can spend and what i can cancel rocket money is the tool that ashley and i recommend it is a personal finance app it's going to help you find and cancel unwanted subscriptions i mean when i got in there i could not believe how much stuff i was paying for that i didn't even realize i had signed up for so they can cancel the unwanted ones they can do all kinds of stuff for your finances though they can set up automatic transaction categorizations for accounts they have customizable categories and tags so if you're just like i want to figure out how to set a budget what the goals are how to personalize all these insights and get reports they're going to do all 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diagnose treat cure or prevent any disease well i recommend people go to your social media you have a whole series about hair but let's move on to the next one to skincare because yeah actually and i feel like there's just so much information out there and like so many people are like use this 12-step skincare program and i think you know before we get into recommendations it's like what do people actually need and what do they need in their 20s 30s 40s you know that probably changes whether you have children or not but what do you say to people like what do we need to focus on yeah so just foundationally for anyone even for the tweens out there um is a good cleanser a moisturizer and sunscreen if you're not doing those three things then like don't even think about the other products because those are the foundational steps okay some people hate sunscreen sunscreen is so important for multiple reasons but if you're going to invest in your skincare it's kind of pointless if you're not going to be using sunscreen it's like one step forward one step back so you want to definitely incorporate sunscreen and then like washing your face it seems like such an obvious step but it is kind of an underrated step throughout the day we're building up oil debris dirt makeup all that we want to wash it off because those are stressors on our skin cells and will accelerate aging so yeah doing all those things but then once you're in your 20s i do recommend definitely incorporating a retinoid into your routine so retinoids are the kind of umbrella term for those vitamin a topical products that include over-the-counter which is retinol and retinol or retinaldehyde and then prescription wise we have tretinoin which is also known as retin-a there's a stronger one called tazerac or tazeratine and we have the most evidence when it comes to like anti-aging like decreasing fine lines and wrinkles and things like that so i think it's a good thing to have retinol and retinol in your routine i think it's a good thing to have retinol in your routine i think it's a good thing to have retinol in your routine i think it's a good thing to have tretinoin like we have so many studies because it helps remodel your collagen that's how it helps minimize fine lines and wrinkles it increases your skin cell turnover that's how it helps with acne by like unclogging your pores it evens out your skin tone so we like tretinoin or retinol so incorporating that i would say your 20s is a good time to start that okay and then i would say starting in your mid to late 20s to your 30s definitely incorporating some kind of antioxidant serum in the morning and then i would say starting in your mid to late 20s to your 30s definitely the most studied one is vitamin c okay that was yeah yeah and you think start with retinol first then vitamin c yeah and retinol at night retinol a few times a week yeah do you build up to every night do you recommend yeah the goal is to get to five to seven nights a week um some people may only be able to do two to three nights a week but find one that where you can get up to five to seven nights per week what do you recommend percentage wise of the retinol i know some products don't even label the percentage okay oh and also if it's encapsulated retinol you can potentially tolerate a higher percentage you mean orally topically like it's encapsulated so it doesn't all get released on the skin and cause irritation okay it's like a delayed release but you know there's like 0.05 to 0.1 percent yeah we have a 0.1 like i use the lower one than you yeah i use the higher one which it's something with a big z on it oh zio yes yeah that's a great one dr barrett has obagi and zio yeah so 0.1 like four times a week probably oh you that much i mean yeah if you can tolerate it then yeah i had to stop putting on my skin um at the beginning of the summer i had just i was moving and i was also in the sun a lot and i just like didn't think about the stress in the sun and all of a sudden my skin was so irritated bright red and shedding like crazy and our friend um her name is brenna she's married to andrew collin who's been on the show very much she was like get off the retinol for a few weeks and see if that helped and now i can go back to it but yeah i had to pause it because it was really i had to pause it because it was really hard to get rid of it and i was like oh my god but the retinol makes you more sensitive to sun yeah especially if you're starting out with it but if you're going through stress if you're changing climates if you're in a different environment that can affect your skin barrier too and then that will make you more susceptible to irritation and all that even if you were using the retinol for prolonged periods of time well let's talk about skin barrier because she said like you're really you're like i was on my skin was on fire yeah moving from like la to new york summertime all this so let's talk about your skin barrier yeah making sure that you're preserving your skin barrier is important that's that comes like using a moisturizer everyone benefits from a moisturizer even people with oily skin just because we are affected by the elements that we're surrounded by so definitely using moisturizer when you're starting off if you're noticing like the redness or irritation definitely cut back on any actives that you're using so actives will include things like retinoids vitamin c any exfoliating products too which that would be the next thing i would incorporate in your routine but but put a pause on all that for a minimum of a week i mean or two weeks and just use a moisturizer a gentle cleanser and uh sunscreen of course but it happens like stress can do it lack of sleep makes you lose more water in your skin changing climates yeah if you're going to be out in the sun that can affect your skin barriers yeah so at night we're cleansing obviously how often to exfoliate do you like an oil cleanser like how were your feelings on cleansers so i am a really big fan of double cleansing okay so using an oil-based cleanser first whether it's a literal liquid oil or a balm yeah one of those and then following that with like a regular cream or gel cleanser depending on your skin type gel cleansers if you have like more combo or oily skin although there are some hydrating gel cleansers too so i don't know if i should even say that but cream cleansers are more so made for like people with dry skin then i would follow that with a retinoid and then a moisturizer now in terms of exfoliating there's so many different types of exfoliating products out there there's exfoliating cleansers there's exfoliating serums or toners and they can range in such a wide spectrum in terms of strength like super gentle exfoliants and there's also different types of exfoliants like glycolic acid, which are the alpha hydroxy acids like glycolic acid, lactic acid, mandelic acid. There's beta hydroxy acid, which is salicylic acid. There's polyhydroxy acids, which are super hydrating, gentle exfoliants. So it depends on what you're using. Like you can potentially use a polyhydroxy acid exfoliating serum every day with a retinoid, but like a 10% or higher glycolic acid, you probably want to use that a couple times a week, not the same night as a retinoid for most people. Okay, so alternate those. So alternate those. Like if you're using a stronger exfoliating glycolic acid serum, ideally not the same night as your retinoid. Some people may be able to tolerate it. I hate saying you can use it on the same night because you may as well just not. Just don't. I mean, why? Like do your exfoliant the two nights and then do the six nights? Yeah. I mean, we grew up on St. Ives. I know, right? And like Noxzema. Yeah. I know. Like the way we just fucking. You put that on your face? Oh my gosh. I put like Seabreeze. They made one for the face. Oh, I don't know. St. Ives made it. They made it for your face. Like. Are there, um, are there face washes that you like a lot? Are there brands that you really like? Yeah. I mean, and when it comes to splurging versus saving money on skincare, you do not need to splurge on cleansers, moisturizers, or sunscreen. So cleansers, I love like CeraVe cleanser, Cetaphil, La Roche-Posay. They make wonderful gentle cleansers. Vanicream, which is like such an unsexy skincare brand. Okay. I like that you're saying. A lot of you brought up budget because I think some people are like, can I do the drugstore brands? Yeah, for sure. Some stuff is just too expensive. Some stuff is so annoyingly expensive. I mean, yeah, if you have the budget, sure, it's fun, but you don't have to splurge on those. When it comes to vitamin C, maybe you might want to have fun with that one. Um. I do have a lot of, a lot of, a lot of spendy fun with that one. Yeah, yeah. I only wash at night. Do you say like wash your face at night and the morning? Yeah, I want to know too because I don't wash at night. Yeah. I would say if you can wash your face at night at a minimum, fine. That's great. Many people don't need a face wash in the morning too. I think it still helps to cleanse with water. I do water. Yeah, yeah. If you're wearing like a lot of heavy product overnight, it does help to make sure that it's off. Um, if you're like acne prone or something or if you're prone to more oily skin, then yeah, using a cleanser in the morning is fine. But yeah, just at night at least. So while we're here on sunscreen, wake up if you wash or you don't, whatever you do, are you recommending to put that right on your bare skin? And then our other question is makeup too. Most makeup. Yeah. Is an SPF 30, 35. I mean, just help walk us through your feelings on sunscreen. Yeah, you can. If that's the only step in your morning routine, you can totally put it on bare skin. I recommend using an antioxidant, like a vitamin C serum first. And then if you have dry skin, like putting on a moisturizer or some kind of hydrating serum and then your sunscreen, a lot of sunscreens can be moisturizing too. So you could do like a combo moisturizing sunscreen. And then your makeup goes on after that. I am not a fan of relying on SPF in your makeup because you have to put like a shit ton on for it to. I see. Okay. And it's, you just look so cakey. So, and people don't put on enough. So I would definitely put on a regular sunscreen before your makeup. Okay. So I think people get really overwhelmed with the layering of it all and all of that. But at nighttime, your cleanse, retinoid, moisturizer, morning cleanse or not, but you would do your vitamin C serum, then your sunscreen, then maybe moisturizer or not, depending on your sunscreen and then your makeup. Moisturizer before the sunscreen. Yeah. I think that's really. Oh, wait, hold on. Yeah. Sunscreen's your last step in your skincare. Okay. And then makeup. Yeah. If you're doing it all, vitamin C, moisturizer, sunscreen. In the morning. In the morning. Because I mean, I just developed a skincare routine a couple of years ago. Good for you. I was just water only. And that's served me really well, but now I'm getting older and I want to preserve my skin. Yeah. But that was the most intimidating thing for me was how many fucking products do I need and which at night, which in the morning. I know. And how much of each thing. So I'm glad that you went through like the. Quarter of each thing. Yes. So that's the foundational. I mean, there's so many other fun things out there. There's like growth factors, peptides, like PDRN, exosomes. But I would start with like making sure you have a good vitamin C and a good retinoid. Okay. And that is where to splurge. I would say, yeah, yeah, for sure. Like vitamin C. Yeah. There's some great like drugstore vitamin C's and retinoids. Like, you know, Vichy is one of my favorite drugstore vitamin C's. Same with like CeraVe. And then retinoids like Rock ROC, they make a good retinoid. Olay, actually. Neutrogena, they make some nice retinoid CeraVe. Okay. So yeah, but there are some very nice ones that are more expensive. Well, which brands do you like for that? Vitamin C. I am a fan of the SkinCeuticals. Every day of my life. I know. What the hell? SkinCeuticals is great. Yeah. It is. They just came out with a new formulation this year because like their patent ran out last year. But I feel like nobody is able to do one, even with like the similar ingredients. Like I haven't found a match. It's annoyingly expensive. But like I've treated patients for 16 years and I've just seen patients. And SkinTransform with C. perulic. But there's some other great ones too. Like SkinBetterScience has a wonderful one. Revision SkinCare has a wonderful one. The C-Plus Correcting Complex. Okay. Yeah. There's some great ones. Is there stuff when you like look at the bottle? So for example, there's this one brand I get served a lot on TikTok. I'm not going to throw them under the bus. But I sent it to a girlfriend of mine. I was like, how is this possible? This is so inexpensive and it's claiming to be so great. And she was like, well, you need to look at the percentages of what's in it. So is there things you would say like, read this on the bottle and this is how you know what's worth the money? I know it's tough. When it comes to vitamin C, I do like, yeah, around 10 to 15% L-ascorbic acid. There's some great vitamin Cs that don't use L-ascorbic acid. Another one is THD ascorbate, which I like 15 to 20%. And a lot of brands may not even disclose that and still be fine. I think that you want to go with a brand who has good clinical studies. Not like TikTok shop. No name. I know. Yeah. I know some no name things. It's hard. They may work. They may work, but it's just annoying. If you're just going to experiment, go with something that has been tested that we know works if you don't want to waste your money. I'm surprised you said that moisturizer, you don't really need to splurge. You don't. Of course, there's some great moisturizers you can splurge on that have lovely growth factors and peptides in them. But Cervi, Cetaphil, La Roche-Posay, Olay. Olay makes a wonderful anti-aging moisturizer with peptides. They're regenerous. I'm going to get on that. Like Cervi. Yeah. The Cervi has a good peptide. Like their skin-renewing night cream is fantastic. And then what are some of the more splurges, moisturizers that you? I love the SkinCeuticals. They're agey, interrupted. It just has some other ingredients like antioxidants and other ingredients to like help with collagen remodeling. I am also a fan of, maybe because I'm using it right now, but like Lancome had this partnership with Timeline, which uses this ingredient called MitoPure anyways. Yeah, we talked about them. But yeah, so there's some nice ones out there, but you don't have to splurge. Great. Great. I'm lucky to spend less money on that. But Tretinoin, that's your retinol, and that is prescription? Yes. Well, so I know the terminology is really confusing, but retinol is over-the-counter. Tretinoin is prescription, and that's, well, the brand name is Retin-A for that. Okay. But yes, that's prescription, and that is going to be stronger than retinol and retinol because it works pretty quickly. Is there any reason why I shouldn't just be doing that? Yeah, you can totally do that. Some people, if their skin is on the drier side or on the sensitive side, may do better starting with a more gentle retinoid. That's like the high level. Yeah, but I think a lot of people- The final boss of retinol is the retinol. It's also a matter of using it correctly too. You only need a pea-sized amount for the whole face. It doesn't seem like a lot. And if you do have sensitive or dry skin, you could use a moisturizer first as almost like a buffer and then use the Tretinoin on top of it. Okay. And chemical-wise, I mean, even chemicals with sun, I mean, some people will say use mineral sunscreen only, only zinc. Yeah, let's talk about it. As an ingredient or, you know, because also, by the way, we're talking about face today. You should use sunscreen everywhere. You should put these products obviously on your neck and your décolleté, right? You know, I think we want to talk about not just focus on the face and the rest of our body, but I try to do zinc sunscreen on my body and I will sometimes just do an oil that I know has a bunch of chemicals in it and I don't care. Like, I just don't like the way it feels. I don't either. I'm just, it's tough. Like, I like these oils. Yeah. I mean- They feel nice. When people say, like, what's the best sunscreen, it's really the one that you're willing to use regularly. Okay. And we do recommend, like, yeah, we do recommend a minimum of SPF 30, which most sunscreens are, broad spectrum. But yeah, I know there's like a lot of noise about chemical sunscreens, like potentially being bad for you and, or not good, I guess. But it's a lot of people who's fearing chemical sunscreen. It's because there were studies that were done where it was given an high doses, like large doses to, like, animals, whether it was marine life or rats. And that then there were, like, some endocrine issues with that. But it was, like, abnormally high levels that we would never be exposed to as humans. So, yeah, I think people are just concerned by that. So then they'll translate that to, like, oh, just avoid chemical sunscreens altogether and just stick with mineral sunscreens. Chemical sunscreens are nice, though, because they are more elegant. They're can really do well with chemical sunscreens. The one issue that we do have as derms is that it can be irritating for some people, like people with rosacea or sensitive skin, which is to say, be cautious. It's just that the Caudalie I bought in France, like, it's SPF 50. My skin glows. Yeah, love it. It's not zinc, but I feel like I cannot wake up and slather my body in zinc every day. I don't want to. So I wanted to have this conversation. But I guess there's this part of me that's like, I'm just really baking chemicals in my skin. But it's not just me being like. Like, that's not really what's happening. Yeah, I mean, they are chemicals. But whether or not they're doing anything bad is we don't have evidence to show that it is. Okay. I've put terrible stuff in my body my whole life. Yeah. I mean. I really. Yeah. Like if you're drinking alcohol. Alcohol. It's going to be more toxic. I have a poison in my body. I mean, I'm just glad you said this. Whatever you're willing to do. You know, like I love vacation as a brand. I love the smell. Yeah. They have fine sunscreens. Sometimes it's the easiest thing for me to do is to do the spray and get my chest and my arms before I go out the door. And yes, I guess it's healthier to slather on a bunch of zinc, but I'm not doing it. So it's like I think what you're willing to do. It's what you're willing to do. Okay. Thank you. Okay. No, I think there's like a million things that people are like, I'm going to tug on this lever and this lever and this lever. It's like, I'm just, I'm trying my best out of here. Just do your best. Like skin protection is better than not. Than not. No matter what. Right. Yeah. Exactly. So just in terms of like marketing lingo in general and what you find really misleading, let's talk about it. Like I think so. Many things are claiming to be like clean and organic. And is there a certain language that you find triggering? Like that's not true. Yeah, I know. Because as somebody who is like more holistically minded and really like looking at all the environmental factors that are playing a role. I do think the word clean can be very misleading, like all natural. Because we don't even have a standard definition of what that means. Clean can mean so many things. And I think it's mostly a marketing term. I appreciate the effort behind the brand for trying to promote. It's something that may be healthier. But I just think it's misleading. So I don't know. I'm not a fan. I mean, I think if you really want to have organic skin care, you have to have a USDA organic seal of approval. Like, I mean, right? Oh, yeah. With organic skin care. Yeah, yeah, yeah. If you really want to have organic, it's hard to get an organic label. I used to work for an organic skin care company. I did their social. I remember all the ins and outs of how difficult it was to get that. So I think we all know with food, too, it is or it isn't. Natural coloring in food actually means. We chemically produce this, right? I guess it's open to interpretation. But it's like natural means doesn't mean anything. I think in general. Yeah. Anyone can say it, I guess. OK, so anybody can say it. That doesn't actually mean what you think it means in terms of like food. And like, what about like when people say medical grade and not? I know that's also another marketing term. OK. I mean, because medical grade can mean a bunch of things. It could mean like skin care that a dermatologist would sell in their office or like a physician would sell in their office. Or like. It's not a legal term. It's not. Something can be branded kosher and that's like a legal term. Same with USDA organic. Yeah. Yeah. So it's not a legal term at all. Or it could also refer to skin care brands that have a lot of clinical studies to back them up. But a lot of drugstore brands have a lot of clinical studies to back them up. Like the ones I mentioned, CeraVe, Neutrogena, La Roche-Posay, Cetaphil. Like they have amazing clinical studies. So they're kind of medical grade. So, yeah, I think it's more just for like these professional offices that sell these products. Okay, good. Okay. We want to talk to you about little things you can do that don't cost as much money if it's Gua Sha, ice roller. I mean, I think this is also the reason people go to like a face gym or, you know, do these facial massages. They're like, I look so snatched. I mean, I want to just talk to you about like moving the face around in that way and if it makes a difference or we're just playing ourselves. Yeah. Okay. So I think it's a little bit of both. I think it does make a difference. I think it's one of those things where it could be a little bit. I think it could be a little bit overhyped at the same time, too. Like I think that before you run to Gua Sha or face roller, which, by the way, I love and do those things. Yeah, I love my face roller. Oh, my God. Fridge. I'm obsessed. Yeah, I keep mine in the freezer. Yes. Yeah. It helps with like puffiness and all that. It is stimulating. And it's stimulating. Like so I'm a fan of any kind of like massage on the face. Okay. But I would say before you like run to do those things, which are affordable and easy, I just want to make sure that you're also having a good skincare routine. Because we have way more evidence to support that. It promotes circulation in your skin, whether it is Gua Sha, whether it is just like massaging your face with your fingers or using a face roller. I think that you are helping bring more nourishment to the skin and you're helping like detoxifying like the things you don't want. So you're moving the circulation around. You're moving the lymphatic system. So I am a fan of that. But like I said, I wouldn't do that as your only thing. Not our place to have. Make sure you're doing your skincare. And then red light. I'm a fan of red light, too, for the face. Yeah. I think that. We could use a little bit more evidence for it. But I do think that it is very rejuvenating for skin cells and overall will make your skin cells work better and help with things like fine lines and that glow. Okay. And lastly, collagen. Yes. Taking it. Yeah. I am on team collagen. I think that there are benefits to it. It's funny because there's still like a mixed opinion amongst derms. I think more derms are like promoting it or recommending it. But we have great studies. But most of them are industry based. So you have to kind of take them with a grain of salt. Like, are they biased in some way? But I mean, I have seen it transform my patient's skin. I do. There's a lot of like good. I mean, for me, just anecdotally, I think that it is effective. And it's hard to ignore some of these studies, even if they are industry backed, that that it is helpful. And orally or topically? Orally. So topical collagen is a different situation. I think it's very hydrating. It doesn't translate to more collagen in your skin. It's a nice hydrating ingredient. It's just it's so interesting. One of these TikTok brands was like. It's this collagen mask. And our girlfriend who's an esthetician was like, your skin can't absorb that much collagen. It's false marketing. Yeah. Yeah. It's such a large molecule. It doesn't like actually absorb. Well, Dr. Barrett, who we mentioned, sells it. And I stand by it. I do it orally. Yeah, the powder. And I put in my coffee. And I. Yeah. He said, you can put in your coffee. And I. I believe him. Of course, I trust him with my life. But I wanted to, you know, research myself because I was like, how would it not break this down? And it allegedly doesn't. But you can. Yeah. You can. The heat. The heat. Yeah. But I think it works. It's fine. It's like, so I just do it's unflavored and he designed it that way. So you could put it in water if you want. But it's just I do my scoop and my coffee in the morning. And, you know, I think there was these years of like, is it bullshit? Is it not? And I think everyone we trust has moved into this. It is beneficial. And it's not like what snake oil. Yeah. I think it's beneficial. I think if people are like, which one should I do? There's one that I do appreciate the studies for. It's called Verisol. V-E-R-I-S-O. Well. Which a lot of popular brands incorporate, like Vital Proteins has Verisol Collagen. That's the one that I've used. Okay. Yeah. And there's another brand called Sparkle Wellness. So, yeah, that's just if you're trying to not be overwhelmed by what's out there. All right. Well, let's talk about procedures that are non-surgical. But how do you feel about certain microneedling, Botox, things like that, non-surgical? And when to start those things? Yes. So I think that it's person dependent, but I am a fan of non-surgical ways to enhance your skin. There's different ones out there. So, of course, there's Botox, which, I mean, nobody needs any of these things. But in terms of when to start, it's when you start noticing lines that are just hanging around, that are like etched in your skin. And it can vary from person to person. It could be your late 20s. It could be your mid 30s. Yeah. Some, I've had like one patient who was like 16 who had this huge crease in the middle of her forehead. And that's because of her anatomy and like the way she makes expressions. My mom doesn't have that. And she never has. Yeah. My mom is like, she's 73. My mom does not have those lines that I got at 28. Like, I think she has more collagen in her face naturally. Like, I look at her, her face looks like puffy in a good way. But it's just crazy. I don't think she has crow's feet. No, it's honestly crazy. And I've noticed those lines at different points in my life. The 11 lines for me started to come in pretty early. I mean, Ashley and I just laugh a lot. But like, I was 27 when I started to see those lines really permanently forming. And I started Botox at 27. And like, it really has just alleviated that. But my crow's feet. Crow's feet. I didn't notice until we started touring, actually. And we were in so many photos. Just laughing so much. And smiling so hard. Yeah, yeah. Yeah. Casey Balsham has this. She's a comedian friend of ours. And she's like, oh, you have laugh lines, you pig. We'll zap those out. But she's laughing. Do you have any too much fun? But I didn't notice crow's feet until I was like probably 33, 34. Like, I started Botoxing different parts throughout my life. But it's been so preventative for me. Whereas, like, my mom has like deep lines, especially those 11. Yeah. Yeah. And we talked a lot. If you guys could talk a little bit about that. I can listen back. Again, we talked with Dr. Barrett, who was our injector, about Botox and fillers and when to start all that. But I did really want to ask you about these facials. And, you know, even just a big question of like, I'm getting married. Which one do I do? And I dealt with this. And I crowdsourced. And people had all kinds of things to say. And I wasn't going to do something as drastic with the time I had before the wedding to get like a CO2 laser, which Raina has gotten and like changed your whole face. Which I still want to do. But I like sort of want to go under anesthesia for it. But I was under anesthesia for it. I was getting a chin implant. And so I was not awake for it. But in terms of like microneedling or is it the Hollywood facial? There's all these different names. Like we just wanted to talk to you about like, we'd love to hear your feelings on regular just facial facials and just the more intense ones and like the spectrum of and what you feel about those. Yeah. So I think that there's also a little bit clarity that's needed on what facials are because it could also just be like a little bit of a facial massage or it could be like a full on exfoliating session with chemical peels. Yeah. Or it could be just like extractions that are done by an esthetician. So I think facials can mean a variety of different things when it comes to, I guess, different types of facials. There's like, I'll talk about microneedling first, because sometimes even that's incorporated with a facial like vampire facial. That's microneedling with PRP. Yeah, I've done that. Yeah, I'm a fan, actually. But yeah, microneedling, I love. I think it's a nice like gateway procedure for people because the downtime is so minimal, 24 to 48 hours of redness. And I mean, I don't think it's like going to be. As strong as some of the stronger lasers, whether it's CO2 or froxel, but, but I do think that it's a nice. way to get some rejuvenation stimulating your collagen and helping kind of even out your skin tone a little bit helping with fine lines wrinkles some scarring and yeah and manageable pain like yeah oh yeah there's totally a spectrum of pain too and it's like it's doable it's not scary it's not scary yeah we do recommend topical numbing cream but yeah it knocks it all out it's funny because like even though i'm a derm i like that's the only procedure that i do like maybe once a year like i barely do like any i don't do lasers or anything just because i i can't deal with the downtime i'm like i just can't i just i want 24 hours so people they i mean co2 laser i couldn't be on camera for at least a week yeah yeah a lot and then okay two questions co2 versus fraxel do you have thoughts and feelings well i think that co2 will give you more dramatic results okay um but the traditional ones like the downtime was really long like you just looked really gnarly for a week or two weeks is the other one um oh yeah that's so that's radio frequency with microneedling which actually that has low downtime it's a staple gun to the face i got it kind of it can be painful for some people um and that's also provider dependent as well in terms of your results and your experience but with co2 there there are some newer ones now where the downtime is much less okay so something to think about we don't have it in our practice but yes and then we do have fraxel which i do like that is about a one week downtime is that kind of in between microneedling and co2 pain wise yeah probably closer to co2 there's gonna be more pain with that yeah like the heat is intense they recommend that you be not for that one not for braxel yeah yeah just numbing cream can okay and then salmon sperm oh yeah so that's big what are we doing here i know well that has pdrn which has been shown to help with collagen regeneration so pdrn is is it's like polydeoxyribonucleic acid and it's and it's a molecule that can help with collagen regeneration and it works and i can see why it's incorporated it works best that we have the best studies for it as an injection so like if you've seen those videos like where it's like little it's almost like little blebs under the skin and that's done in korea there are places in the u.s where it's done but it's not fda approved so i can't wholeheartedly recommend it would i will i get it in korea yeah yeah we're gonna take like a best friend trip to korea love it and just like get everything yeah our friend got it done here and was like it's not really i'm gonna try it but yeah i didn't realize it's an injection type so it's not really your traditional facial in any way right or right yeah it's just like little injections um in your skin and it's just plumping like all the it's yeah it it plumps because it's like it's like regenerating collagen it's nourishing to the skin and you know when i was crowdsourced on what facial to get before my wedding again i didn't have much time i think it was a week before so people don't do anything crazy yeah but just get a really nice hydrating facial she did some dermaplaning she did some like exfoliating like it was nice it was just like i felt like very glowy brenna and nothing you haven't tried before yeah yeah and i'm not super prone to not super sensitive and i told her that but again our friend brenna has a tribeca esthetician as her handle and i got one with her it was just really nice you don't have to do all of that especially if you don't have the downtime and you can i feel like i could see a difference yeah for sure we have one in our office called the hydrafacial the hydrafacial yeah which is a machine by the way like a lot of people mentioned that to me and i didn't know what that meant but it is all it is is the machine yeah it's a brand of a machine it's almost just like a little microdermabrasion but it's so gentle it's infusing like serums into your skin while it's like it's right exfoliating or essentially like suctioning out like the dead skin love that i recommend that often before weddings but there's also benefit for even long-term use like it helps your collagen over time as well and there's something like a microneedling what do you see frequency of people doing this is it you know let's say it's a woman in her late 30s early 40s where money's not really a problem like are they coming six months once a year like quarterly like what do you see in terms of frequency what do you recommend initially i do recommend if you could do it like once every six to eight weeks for like three treatments initially yeah and then maintenance between you know one to four times a year depending on the person yeah so yeah like stack a few if you can and then you could even go annually okay it's like a maintenance i like that yeah okay well this i mean i can't believe how much information i know i can talk way more if you want no you're a man we would stay on it so we have to complete our agent um this has been phenomenal and i really again we recommend that people check out your instagram because it's a real wealth of information but tell everybody where they can find you your practice your social media everything yes so i'm on instagram tech talk youtube my handle is doctor dot my mina dr dot m-a-m-i-n-a i also have a website dr mamina.com if you're interested in prescription retinoids i co-founded a prescription service with two other derms yeah it's called derm click yeah it's if you want a nice tretinoin so it's like a nice formula um yeah tretinoin okay yeah and anything for acne rosacea check out derm click.com oh okay and yeah i will be doing that let's please okay and you guys know where to find us girls got to eat.com girls got a podcast on instagram and tiktok i'm ash house on instagram and tiktok rain is reina.greenberg reina greenberg.com for her fall tour tickets you can watch full video on spotify and youtube subscribe share this episode with a friend leave a comment leave a review and we will see you guys thursday have a good week guys bye you