121: Skin Care Deep Dive ft. The Skin Clique

Transcript

Well, well, well, this is an emergency episode we considered recording last night. We have late breaking news that we have to discuss. Honestly, everyone wants to talk about Pete and Kim, but there's another disillusion that is much more pressing, much more pressing. I am starting to even believe that this dissolution was just literally released today. You know, in light of Kim breaking up just so that, you know, they could be shielded from the public like it was all a publicity stunt. Pete and Kim, the whole thing was a publicity stunt so that this dissolution, you know, could go under the radar. Yes, you guys. Beyond the breakdown of Kim and Pete, which really no one saw coming this quickly. We need to get into another romantic breakdown, which is that of Kody Brown and Christine Brown. Now, we all knew that Kody and Christine were over, right? This was the season finale of Sister Wives last season. However, the trailer dropped of this season of Sister Wives and watching the fallout. After Christine decides to leave the family, it has shaken me to my core. Mm hmm. I know, I know Christine was the foundation of that family. She was my favorite sister wife from the get go from day one. I stand Christine. And if she's packing her bags and leaving Henderson, Nevada? So am I. I think the best part about the entire trailer is Cody saying that it's like a knife to the kidneys. It's like a knife to the kidneys. I've never heard that phrase before. Now I've heard knife to the heart, but knife to the kidneys is a really it's a really striking choice of organs to have punctured. You know it's a knife. Yeah, absolutely. Definitely a graphic. But you know what, Cody? You know it's a knife to the kidneys when you basically, you know, regard one of your wives as a friend and you admit that on national television that you guys are just more friends right now. That's a knife to the kidneys, Cody. I wonder if it was a knife to the kidneys when Christine was forced to, you know, be the basement wife for 10 years and then have her husband, who she gets 25 percent of the time, but basically none of the time. Because Cody with Robyn to have her husband tell her that he has no interest in ever having sex with her again, I mean, the gall of this man to deny Christine intimacy. True partnership, right? Like, he's a victim when she basically leaves, even though he has, for all intents and purposes, left her the sacrifices I've made. He said in the trailer, Honestly, I mean. Christine Hands-Down was the most fun wife. She was the most loving, in my opinion. Yeah, I'm just going to go in on every other one. I'm sorry, but I thought Janelle was cold. I thought, Janelle, you know, didn't emit much love or fun into the family home. I thought Robin was kind of a hard ass, too. And then there was Christine who was all I wanted to do was, Oh, nuzzle my head into her bosom, frankly, because she just was. She was the herthe of that family home. No. Yeah, absolutely. Christine is Gaia. She is Mother Earth. She has that maternal warmth that fire you want to be warmed by. She is so her energy is just so attractive. You want to go to a Thanksgiving hosted by Sour Mary. I don't think so. You want to go to a Christmas hosted by snoozy, Janelle? Absolutely not. Here's what it is. You know, like those signs you get at Marshalls or home goods that say like love and laughter abides here like that is the epitome of Christine Brown. OK. Love and laughter abide about love and laughter. Abided by love and laughter was, you know, abounding in her home. She she yeah, she just was full of everything I would want and, you know, one of my sister wives. So it's a really big bummer. It's a loss to the polygamist community. I don't know. Yeah. Well, I will also say I think that the brown family was really coasting on Christine's charisma. OK. There on the atmosphere, conviviality, joy she brought to the family. She was the glue which allowed sour puss Mary to, you know, continue on her grumpy ways. Janelle to continue just being no nonsense. Boring, right? No Robin to dominate Cody's attention without a worry. Because really, Christine and the love she has for everyone and the love everyone has for Christine held that family together. Now, when Christine decides to go on her merry way, no pun intended, it's it is a grenade into the brown family. And you know what Janelle said is right. What Janelle said on the trailer is correct, Janelle said. I don't not sure there is a family anymore. Janelle, the families over the family, it's over. All I'm picturing is that that Henderson, Nevada, cul de sac and a tumbleweed, you know, just rolling through it because it's desolate. This this family cul de sac is desolate now. No structure. Chandler will ever be built upon. Coyote Pass is destined to be a wasteland for all of the hopes and dreams of the brown family. And it's a great metaphor for the life they were unable to build. Right, right? Anyways, late breaking news, everybody. You know, if the flag is at half mast today, you'll know why. But let's get to less exciting news. But you know, I would say definitely something we need to address. The breakdown of Kim Kardashian and Pete Davidson. I don't think anyone saw this coming so quickly. I don't think anyone thought that they would, you know, perish hand-in-hand in old age together. I think that we all thought that this was still, you know, that they were still pretty hot for each other. But now it was announced on Friday that Pete and camera over Kim has dumped Pete, reportedly for being too young and immature. Janet, what are your thoughts? You know, I think you said my top of mind best. I did not expect it to end this quickly. I definitely thought both of them would milk it for a little bit longer. You know, it was a fun relationship to watch unfold. I liked seeing this rebound for her, so I thought this would last more like a year. This has not lasted long enough. I do wonder if there was something that happened or if maybe she just, you know, I guess, got over it. She does have four kids, after all. And maybe, you know, her fuse is shorter. But yeah, I guess I was. I was taken aback. I do think that ultimately she he needed her more than she needed him. Well, I think that ultimately, there's no way that Pete Davidson, 28 year old Pete Davidson, comedian in New York City living the high life free as a bird, is going to really be folded into the Kardashian machine and Empire media empire. You know, that's the marketing yourself to the clutches of Kris Jenner. And I don't think he was willing to, you know, forgo his freedom. And so I think that that was probably one of the big issues is that he wouldn't be he wouldn't be controlled by the Kardashians. And I think that that was probably something that was causing friction, right? I heard a report that I saw, I think it was posted on Damour that they had not finished the new season and they really wanted to get some sort of lovey dove. They wanted to get some scenes with Pete, but he wouldn't play along for the cameras. And so I think when Kim threw the axe down, honestly, he's an idiot because that gravy train is pretty good. And you know, I would absolutely, you know, do a lovey dovey scene or whatever go to, you know, a painting class and sip wine and, you know, pretend to be in love. If it meant that I would get some of that media empire, but you know, whatever his loss, I never thought that he was really mature enough, obviously, to take on four children at twenty eight. And clearly, it's a very volatile person in terms of, yeah, clearly being kuru, being a volatile person who's emotionally volatile. I don't know if he was. I just think he's yeah. Yeah, he's a go ahead. Love Homer, right? He's a very intense person. He doesn't have that steady stability that Kim really needs in a partner. So it makes absolutely. I think that really, I think that we were all just blinded by how hot they were for for each other in the paparazzi photos. I mean, also the my girl is a lawyer tattoo. I mean, yeah, the the thing is, though, is those guys, they don't really care. Like for them, their bodies are like Johnny Depp says journals. So tattoos like that, they just get them covered. They just get new ones. They get as a memory, whatever. Did you see the tech talk about the easy fix for his tattoo? Yes. Which I thought was solved so that the person who came up with that deserves the Medal of Honor. You know, you should be in Mensa. I was a you guys where where it showed Kim's tattoo or a tattoo that says, my girl's a lawyer and someone, you know, photoshopped it. So it was the same exact lettering and just the letters appeared around. My girl's a lawyer to make it say, Tommy Girardi was a lawyer, which is hilarious. So guys, and I think it's a great idea, a great alternative for people, right? Any any any final thoughts. No final thoughts. I I guess I wonder who she will be on to next. You know, honestly, I've lost faith in Kim Kardashian. I will say because I really thought that after Kanye, she would have wanted someone with gravitas and seriousness. I thought she would have gone for a Van Jones, which she was rumored to be, who she was rumored to be dating a while back. And I just have no faith in her now, so I don't know what's coming up next with your finger. Oh gosh, that would be, you know, a watershed moment, as I like to say that that would make me lose all faith in her. I don't know. You know, she's just a part of the Kardashian machine. And I do think that whoever she dates next will just be another person who can, you know, bring her relevance. And you know, I say this with love and light, but yeah, that's what I think. OK. But beyond the break down of Cody and Christine and Kate, alas, let's turn to Chandler Ah, episode. Our interview with the gals from the skin. Click Sarah and Claire. This was such a good conversation. Absolutely. I feel like we got to talk to them for another six to eight hours. I would have happily just held them hostage on Zoom, getting all of their knowledge. I basically at one point hijacked the interview and just said, Hey, this is what I do with my skin. Tell me what I'm doing wrong. So I know, is there a fountain of knowledge and we think you guys will really like this episode? Yeah, it's so good. Because, I mean, I don't know, unless you're a skincare expert, I think a lot of times there's just so much confusion. Like, you just get, you know, you have all this, you're bombarded by people on Instagram telling you random products you need that are amazing. You have no idea really what anything really does, and it can just be really exhausting to put together a comprehensive skincare routine. So I actually did my consult with Sara yesterday. This was oh no way recording the podcast. Yeah, so we recorded the podcast at the end of last week. Then I had my console. Sara asked. Today, Sara said, the skin. Click Sara specifically. She does these consoles there. She doesn't. Over face time, you send her photos of what your skin looks like, sounds Paris filter, and she goes over everything you're using and basically creates a customized routine for you. And the thing that's really valuable about it is I'm like, OK, here's this $150 serum. Here's this $100 thing. Here's this expensive thing. And she's like, OK, basically, you don't need any of this anymore. Like, don't buy any of this. Maybe one thing like that, and here's what you can get for $60. It's the same quality as the thing that you had for 120. This, you know, she just she's really science based, breaks it down, creates a very effective, simple routine for you of high quality products, and then it's just amazing. It was honestly such a such an incredible hour to really drill down to what I'm trying to achieve. What I you know what she recommends that I do get my beauty routine for to prepare for my wedding. So I'm super excited and I got married. I got all my products. They're going to being shipped to me. I know what I'm what, you know, procedures. I'm going to get done before my wedding and I'm super, super excited. Also in the episode we get into, you know, not only skincare, but botox and procedures and microneedling. And just like all of the skincare du jour that is in the cultural ether, you know what's worth it? What's not? And yeah, we talk about it all. Yeah, I will say you guys highly, highly, highly recommend listening that episode and then booking a concert with Sarah. It's $150, but this is my thought she will save you, that you will make that money back in recommending products that are the same quality as whatever you're using for less money. So it's a huge value. I'm so happy I did it. I will be excited to share the journey on Instagram, and with that said, enjoy her interview with the gals from the skin. Click. Well, well, well, today is a very exciting day. It's a day I have been waiting for personally and it has been a long time in the making. We finally are doing our all things skincare aesthetics, botox, fillers. I mean, maybe even a little plastic surgery chat with first Sarah Moran. She's at Sarah Marion Underscore and P Women's Health Nurse Practitioner on Instagram. Sarah has incredible content. She talks about skincare that's overpriced. And basically, you know, you could get the same thing for 30 bucks at a drugstore or less. She talks about skincare that is amazing and worth the price, and she just has really valuable content and she's not trying to sell you anything. So I reached out. I was like, I need you on the pod. I need your no nonsense skincare tips and secrets for our listeners. And then she said, OK, I would love to come on, but I want to bring on. My my boss, Claire, who's the co-founder of the Skin Clinic and Claire was down, she's the host of the Darvel Co podcast, and so anyway, we are joined by two skincare experts. It's very long winded intro. Sorry, you guys, but welcome to the show. Thanks. Nice. Nice. Oh, we're so excited to hear this is going to be amazing. I feel like we have so many questions for you guys. Like I feel like when we put out the call, we got just like little downpour of questions like there was not. There's honestly not a better like, you know, guest or guest to have on than y'all. So we're excited. I think when it comes to skin care, one of the hardest things is that there's just so much noise out there and there's so many gadgets and potions and lotions, things you can buy every day. A new celebrity is coming out with a nine step regime that, for, you know, the low price of $600, you can look like them. And I say that in quotes, because it's usually B.S. So anyway, it's a lot of muck to wade through in order to glow like an infant. And I really need you guys to, you know, lead us down that path. Show us how to do that. Tell us the tips we need without having to spend a thousand dollars on Kim Kardashian's getting Caroline right. Yeah, I think this comes at such a great time, since there are so many talks with celebrities about procedures, what they have, what they don't have. I know just last week episode, you all talked a lot about listening to Kim Kardashian in what she said about not getting treatment since she was very diplomatic in that and saying, I haven't gotten filler in my chin and lips and everyone's freaking out being like, she said. She's never gotten anything done. But you're right. Listen to what she's saying. You know, she is not saying that she yeah. And it's not true, obviously. But no, I think this could be a better opportunity. And Claire and I both are we inject botox and filler and conservative and what we believe is a natural looking way. And we both get Botox. So it's so frustrating. You know, to hear somebody like Kim come out and say they've never had anything. I think a lot of people in the aesthetics industry were really frustrated by that because it sets fully unrealistic expectations for for women. I mean, for everybody, because it's just simply not true. And so, yeah, we we do. We love all the procedures. But you know, let's just be open and honest about it. Right? Well, and I think that a lot of times what's really hard is you have people idolizing these celebrities like Kendall Jenner, like Hailey Bieber, like Kim Kardashian, and they look so beautiful and they all think, you know, Oh, it's it's a little botox and filler and maybe a nose job or they don't realize is is a lot of these girls, even in their 20s, a Bella Hadid are getting facelifts, are getting bluff fro pasties, are getting brow lifts to have an upswept look. They're completely transforming their faces with the best surgeons in the world. This is not an equal race or playing field, and it's almost just like setting yourself up to feel bad about yourself, to even try to, I guess, be in that race. And so I would love to talk about skin care and aesthetics. Aesthetic treatments for women that want to look great, want to look natural, but they don't want to spend 100 grand fine tuning their face, which is, I think, is our audience. Yeah, yeah. I think most people have like a misconception if they don't know anything about the cosmetic procedures or they just like, look to a Kylie or Bella Hadid. Like, I totally agree with you. They are not just getting botox and fillers like there is a facelift. There's whether it's fat transfers, there are other things that are happening. And the skin flakes whole like mission is to really help people, you know, feel better in their own skin. And like when I treat my patients, I want them to look like themselves. But just maybe like a more refreshed, better sleeping, just like a healthier version of themselves. And whether that's just skin care or that's Botox, that's filler. But it's never trying to look like someone else. I feel like with someone like Bella Hadid like. She she is she's definitely had a bluffer policy facelift, like it's just obvious. And you just can't achieve probably her buckle fat removed. Yeah, yeah. Oh yeah, you just you can't say that. That's just like growing out of puberty, like promoting women, which is what I think tries to sell people on. Yeah. And I think, you know, for me, I never want anyone to look at me or any of my patients and say, Oh, you're filler, looks really good or even know that they've had filler at all. I mean, my my goal for my patients is for no one, really. You should just look like yourself, like Sarah was saying yourself, but refresh like you. Maybe you slept the whole night or you know yourself, but you're that your your cheeks are where they were, you know, in college versus, you know, in middle school. Like, that's a different look. I mean, and so we and there's only so much you can achieve with all possible, you know, like there's really so much more that these celebrities are saying. It's unreal. I kind of have a question based off of that. Obviously, Lauren and I talk a lot about this idea of the Instagram face that everybody wants. You know, these the eyebrows and like, you know, the just like the perfective sculpted, you know, thin nose. So how do you navigate like, I'm sure clients come into you and show you pictures of people with that Instagram face? And I don't know, how do you like navigate that, I guess? Yeah, I personally, every injector is going to take a different approach and I encourage people to. When you're vetting injectors, you know, look at how you think they look because everyone has a different style eye. And it's so hard sometimes. And I'm I'm gonna sound like I'm high and mighty and I'm not. But like, I always on Instagram. I will never use a filter because it's it's so invasive, and it's just like changing, very subtly changing the way that we think about things. I mean, I know you all talked about, I talked about this like there was probably three years where I wanted like a thinner nose job, a smaller, cuter nose. And it was literally because of that Instagram filter that Marianna Hewitt Instagram filter. Oh my gosh. Oh my gosh, you know, screw the Marianna Hewitt filter. That's all I have to say. It's so sad and you're like, It just doesn't make you feel good. So I'm always like, sirens kind of go off for me if I have a patient who brings me a picture, which it doesn't happen, at least in my patients, probably because I have more of a natural look. It doesn't happen as much as you would think, but if someone's coming to be showing me a picture of a celebrity, you know, I want to make sure I have a conversation with them about like. Yeah, what's their goal this treatment like we're not going to be looking like Bella Hadid and nor should you look like Bella Hadid. Yeah, that's right. I think that Mark is honestly going to go away. Like I think it's almost going to follow that the Kardashian BBL trend where, you know, there was a little a little bit of time which is still going on where people felt like they had to have that tiny waist and just huge a*s. And right now, it's kind of lips and a little bit of cheek, you know, the cheek pop and and no, you know, no nasal labial folds whatsoever. You know, too much to your trough filler, and it's you get filler face very quickly. So I mean, I'm just super honest with my patients and I agree with Sarah. I think it's it's also our our our population, you know, looking at, you know, the work that we do specifically. And if somebody comes in and listen and they want a really big lip, I'm not I'm not going to say no, but I might say I might send them to someone else who does more of that style, you know, I mean, it's it's really cosmetic medicine. It's medicine, but it also is a little it's not a little. It's a lot of your personal artistic style. And a lot of those looks just aren't what I write comfortable with. And so I might send them to somebody else if they're not going to be happy with with what I offer. But oftentimes when I explain to people one how much filler it took to achieve that, my friend sent me a picture last night and was like cheap goals. And I was like, That's eight thousand dollars worth of filler y or a cheek implant. Like, it's not just like a one time procedure, and she was like, Oh my God. And and I showed her several other pictures of the same person. She to me on Instagram. I was like, Look how it looks here. Yes, it looks good in this one picture, but then look how it looks over here and look how it looks when she's smiling and these different angles and people just don't think about that. And so it's our job to kind of for sure that I think things can look great in a still Instagram photo from that great angle and good lighting. And you know, you can't if you do go that route, you can't have this amazing look. But I would say the wheels start falling off once the face starts moving. For a lot of these people with all that are way overdone and it's looks so unnatural. I mean, I talked to Chandler, but we were. I was watching Real Housewives Ultimate Girls Trip, and it was like a lesson in in in getting subtle work right and embracing, you know, change your face, changing with time and embracing your natural self because honestly, people can start looking scary. And it's it's it's unfortunately sad. I hate. I love Real Housewives. As a consumer, but as an injector like it really does not do our business any any favors because especially like. Spouses or partners who don't understand it are think that you get Botox, you're going to look like the Real Housewives, and that's just never, never going to happen with just Botox, right? I hate it, and I would've told you, if you think about this, the celebrities we were kind of talking about, like the Kendall Jenner and even even like a Kourtney Kardashian or Kim Kardashian or Bella or Gigi, they've all had just a bunch of work done. They started out really beautiful. They started out at baseline, really beautiful. And then you've got other people who are everybody's beautiful, right? But they they didn't start out with that bone structure. They didn't start out with that, you know, really special specific ethnic look that we're now trying to achieve through these procedures. And that's when you look unnatural and we hear Real Housewives all the time. I don't want to look like a Real Housewife, and I'm like, What? Someone should have told that woman No. Seven syringes ago like that. That's on them. And they're going to an injector who's telling them, Yes, and that's fine. Right? That's when you get somebody like Brandi Glanville, who looks like a literal different person, like she is unrecognizable. LeAnn Rimes, who initially marked who no one knows. It's crazy. Yeah. And I think that I think that for this conversation, we just want to approach it, not from the perspective of like, Oh, let's talk about how you can be as hot as possible and look as young as possible for as long as possible. But how you can instead of that, which I think is a dark way of looking at your face and your your body. And I think instead of that looking at aesthetics as a way of, you know, just being as refreshed and happy as possible, look, you know, feeling good in your skin without going down that scary rabbit. Brandi Glanville rabbit hole. So, OK, so let's start off with skincare. So skincare basics, if someone has no skincare routine, what is the routine you would put someone on? What are the things that are really going to drive the needle? Move the needle? And I when I am like meeting with someone for the first time and we're doing a skin care consult and we've gone through all their history and whatnot. Everyone says it and it's not sexy, but it really like, I'm like no one, we have to be on a sunscreen that's like race or everyone that is going to that is the best investment that is going to make you look the best. And I. Don't understand, oh, I understand, but like, I hate the sunscreen has this like people just really want to stay away from it. So first, I like harass people about that. But then, you know the. The best thing to do is approaching it if we're talking about like an acne patient that's going to look different than someone who has hyperpigmentation when he was like, it needs anti-aging, and this is kind of why I always encourage people. If you are like not seeing the changes you want to see in your skin to talk to someone, whether it's your dermatologist, whether it's someone like me or Claire, someone who actually can help you sort through all the noise and weeds. Because if you just go into a Sephora and you're like asking a sales associate to help you like, you're just going to spend like $500 and you're going to use that like six weeks, maybe you're not going to see results. So. Yeah. Which I did in like twenty eighteen, I ride drunk elephant hard and then I was like, Wait a second, I actually haven't seen any change in my skin at all. Well, there are. Yeah, you're going to buy a bunch of vintners, daughter from Goop and think you're going to look, you know, glowing like Gwyneth Paltrow. They're not the key ingredients to like. Sarah touched on sunscreen, but there are really some very fundamental things that are the right thing to do for essentially every single patient like, I love how Sarah said, You know, yes, the routine is going to look different depending on your specific needs. But I mean, I would say just just at baseline. I mean, I'm I just going to your consults all the time where people don't wash that, even wash their face. So one thing that's really important is simply washing your face because if you don't wash your face and get that dead skin off the top layer, we all have a top layer of dead skin all the time. OK, you're making new skin cells all the time, and the little baby skin cells at the bottom are fighting their way to the top and you get that infant glow. As we were talking about, but you have to help them achieve getting to the top. And so washing your face, exfoliating as much as your skin will tolerate. And then, like Sarah said, SPF yes, daily, whether you're going to go outside or not, I mean, do you have windows? I'm looking at you with these giant windows behind you. Do you have windows? Do you drive a car? I mean, then you're having sun exposure all day, every day. And then the next thing after that to protect from from photo aging is vitamin C. And photo aging, by the way, is the number one cause of of aging, collagen loss, wrinkling of the skin. All of that because it breaks down the collagen and elastin. So not even getting into the skin cancer side of it, but the Sun truly is your your mortal enemy in terms of all of this, if you're trying to protect your face, but so wash your face, exfoliate if possible, you know a couple of times a week at minimum and then vitamin C SPF and a retinoid somebody, something in the retinoid family. It can be as gentle or as up to, you know, 0.1 percent tretinoin or retinoic acid as you tolerate. But those are some of the really fundamental things and and you may be able to achieve that with drugstore things. That's absolutely fine. There's nothing wrong with drugstore brands. We just want to steer people, you know, with their budget bang for your buck and in the right ingredients. And there's a lot of hype about a lot. Yeah. And again, like you said, vintners daughter, my god, what is even in it? No one knows. It's like fruit juice and oils like, you know? Yeah. So okay, so just to sum up, recap that a little bit because I'm I'm in the lazy person category. Like for me, I just want to do. It's it's very hard for me to not just go to sleep. And so for the lazy people amongst us, including myself, it's exfoliating a couple times a week. Sunscreen in the mornings. Vitamin C in the mornings. And then at night, some sort of retinoid up to a tretinoin or which is retina. Depending on what your skin can tolerate, you can build up to that. And when washing your face and probably what about moisturizers or serums? I know that's a, you know, a very hot topic. Fiery debate in the aesthetics world would love your thoughts on that. Oh yeah, we we are passionate about this, and I've learned this from Dr. Abaji and Zo that, you know, moisturizers are the first thing that we like learn to use when we're like 12 and start washing our face, you know, like wash your face and you're always moisturize and stuff. And a lot of times this is not for everyone. But I would say, like 90 percent of my patients are moisturizers. Just your general everyday moisturizer is just like sitting on the top layer of your skin, and it isn't really doing anything. It's not really hydrating you anything. It's including pores. It's interesting number that Claire was talking about. It's inhibiting that, slowing that down. There's just like a lot of different things, and I always talk to my patients about this. Patients who like I have one patient in Colorado who we talked about this so many times and she was like, Sarah, I can't give up my moisturizer like my skin is so dry here. Once I got her on the right thing and there is like replacements like serums that have antioxidants, have hyaluronic acid in them, like those kind of things that act like a moisturizer, but do so much more and actually penetrate. Now that I have her on that she doesn't even use a moisturizer anymore. And she was like, I can't believe the results and my skin looks so much healthier and it actually doesn't feel dry anymore. Well, the problem is that dryness is really an indication of something more. You repaired her skin barrier from underneath, right? Like we make our own. So there's hyaluronic acid as a. Is a big hype product right now, which is it's fine, it makes this the skin flexible, pliable, glowy. We make our own hyaluronic acid and the goal. If you think about chapped lips, right, this how I explain it to my patients. So if you have chapped lips and you're putting on chapstick for whatever, you feel better temporarily. Imagine if you're putting all that chapstick on, but you're not drinking any water underneath like you're never going to actually get rid of your chapped lips. You're always going to be dry. And it's it's really a mask of what's going on underneath like, Sarah said. So what you did by getting her on the right products was repairing her own skin barrier. So then you retain your own moisture. Now I get like, she said, that's not for as some people have to have a moisturizer totally fine, and there's nothing wrong with a highly ironic acid serum that's going to give you a nice glow. But there are things that you would pick certainly before that that are going to do more for your skin from the underneath than putting things on top. Mm hmm. So I have a question I will spare you going through my skincare routine and asking you for step by step feedback. We're happy to do that. You do a lot, I want salt. I have a I have two questions. The first one is about sunscreen and I feel like I wear sunscreen every day. That's not a problem for me to remember to do. What I am trying to train myself to do is to wear it all the way down to my boobs or my. So my mother would say, that's a non-negotiable. I take it right. I just needed to hear confirmation that I need to be wearing it like from here to here. I mean, I tell people, wear it to where you don't want, where you want to slow aging as much as possible, so you don't want to. I personally do wear it down to my chest just because you've you've seen those people who like have so much sun test and it's just it does age you. That being said, I'm really fighting the fight to get people to wear sunscreen just on their face. So what do I need to reapply, though, to my chest? This is where I'm like, I want. I am going to apply my face throughout the day, but I don't reapply my chest like it's not going to be. If you're outside, you would. I mean, oh yeah. Oh yeah, of course. Yes, you're talking about like every day in the back of your hands. I'm OK to the back of my hands. These are things you think about Madonna and you see these pictures of Madonna and you're like, Oh my God, your your hands are 30 years older than your face. Like, so what you don't want is there to just be a hard line where, like your face looks great and then all of a sudden, boom, there's 25 years plus photo aging down. That's what we're trying to avoid. Yeah, yeah. Chan, I just have to tell you, I woke up in the middle of the night last night with a little bit of anxiety. I had half an early bird gummy and I swear to you within 30 minutes, I was peacefully dozing off. Early bird CBD gummies are magic. They're truly magic. They are literally magic. I don't want to travel without them. I don't want to be without them. I think it's the twelve point five milligrams of CBD, two point five milligrams of THC. It's that little c**ktail. It gives you the warmest Julius fuzzy best feeling. It feels so good. It's so light. Also, one bottle last so long, it's a lot of product. Also, I feel like I prefer it to drinking at this point. Absolutely. You guys go to Earlybird CBD dot com. Use Code Pop Pathologist's 20 for 20 percent off your order. You will not regret it. Earlybird CBD Icon Use Code Pop Apologist 20 OK, last second rapid fire question. I have done the retinol retinoid. I still don't know if I know the difference between the two, but I was using a retinol, I believe, and I feel like my skin does not react very well to it like I'm sure I was. There might have been some user error, but I've noticed I get a lot tighter results the next morning when I use a glycolic acid like literally, I'm using not to don't get mad at me, but I'm using the drunk elephant like the pink one or whatever because I do notice a difference. The next morning when I've used that. So tell me what's wrong about that? Yeah, there's totally nothing wrong about that. It's just so the difference in the names. And I'll just like, do this very briefly is how many times it has to convert to get to the pure form of vitamin A, which is what RET Retina is, OK? So in retinol, clear my two or three conversions to get to vitamin A. So that's like what you're drunk elephant is going to be. So it's just like it works slower. It's not as efficient, but glycolic is slower. Oh, sorry, you're asking about glycolic works better, you think, or for me, I've just noticed it works a lot better. So so they're doing different things. Should I be using one or the other so you can use both? Absolutely. And we I mean, I use and have most of my patients on both. They're doing totally different things. So your glycolic acid is exfoliating and yes, you're you're you're retinoid. Family is exfoliating, but it also is stimulating production of collagen and elastin from underneath. So, so they're just doing different things. And when you say you didn't tolerate a retinoid, I mean, that means something different for everybody. Right. And and everyone can tolerate it. It's how slow do you have to start it? So you might have to start a little bit slower like everybody. I it's I think it's the slow start that's hard for me and I think other people, it's like, OK, so I have to do it once a week like that. Just I'd rather be on a routine or something. That's like every day I do this versus the ramping up, which I think I get. I don't see results, then I get over it and then, but you know, that might just be millennial laziness. I don't do people once a week, and I just tell people like, back up, you're going to like, this is going to suck. And yeah, like I said, I'm straightforward, but once, oh, interesting that you say, just get through the the part and do it. And I'm like, If that's gonna be a problem, then like, let's find a time in your schedule when it's not. I'm not saying I put everyone on every day, but that if people really react like I'll be like and there are other ways we can help, like they might take a break from their assets, they might. Take a break from other things, but like to every other night is where I start, most people like I agree people want to see results in a party takes to get maximum results from your right and I like can take three to four months. So it's wrong. You see instantly with glycolic acid when you use that you like can kind of see a benefit really quickly because you immediately different method. But I feel like it immediately exfoliates, right? So slow. You're like, Oh my God, this works so well, which it does. But yeah, it's doing something different, right? And both are. So I shouldn't be like switching off. Yeah, yeah. OK, cool. Thank you. Yeah. And then once you get on that, once you don't use drunk OUTFRONT, next time, we'll just want something stronger. Perfect. Let's do it. Let's do it. OK, so Sarah, I'm so curious if you have what is your retina protocol, then your suck it up and deal with it. Batch protocol. Yeah. Oh, that's a great way to put it. I really need you to make like club cards that that like, suck it up and deal with it. Patch Retina Protocol Yeah, I think so. I will say why the product that's kind of saved a lot of my patients and helping my patients who are like, No, I have, like some, will claim that they have allergic reactions to any type of retinol. And I'm like, skin better is one line. It's sorry, my dog, one side lipo skin. It's called skin better alpha rat. And they're very secretive about the formulation. But basically, it has all these great things in it that makes it like the equivalent of the lowest level of prescription, but it's tolerable for everyone, so that's good. All right. Claire, you want to you can mute and also they can finish off for me. So skin better are the reason it's great for beginner retinoid users is because they actually made up their own retinol molecule that is double bound to lactic acid. And so you would think, oh, another acid, that's going to be a harsh product, but it actually lactic acid is anti-inflammatory. And so that is what allows a lot of people to tolerate this product. So so Alpharetta, actually to your to your point, has glycolic acid in it as well. So not only can you use those ingredients together, I mean, you should. I love Glycolic four for all my patients. For the most part, that can can tolerate it. So there's definitely and there are a million different strengths, right? And we can always find some way. If somebody is really nervous or has particularly sensitive skin, we can find a way in a product to start you out slowly or on a lower dose product. And an alphabet is a good, a really good starting point because it has that lactic acid in it. But yeah, it is. They are secretive about it, but I can I can pull back the curtain on that a little bit. It's because it's double bound to lactic acid. That's why. Okay, so so you guys start us. What? Sorry, what was the name of it? Again, that's just getting better and better. Yeah, one specific product that we have when that's one, when people say that they're really sensitive or I've had another, the reaction, it's typically just that they reacted strongly to the retina and kept using it and then kept getting more red, more inflamed, itchy. You can get retinoid dermatitis and then have to put on a topical steroid, so it's just one way to get it to be more tolerable. So if you start with skin better, will you still see those great results in three to four months like you would with the with just starting on a retinoid or retinol? Yeah, you really well. And I usually like we'll do people like. Maybe one cycle through on like one last four or five months, the product and then of them from there, if they want to increase their like, keep going. But you know, it is one hundred and thirty dollars a bottle, so not all my patience for. And that's why, like, the prescriptions are great option, like if you live in the same state as your provider there, but the prescriptions like only 40 to 50 dollars, but they are not as well tolerated. And that's the one where I'm like, You just gotta get through it. And yeah, I have several patients right now who are on that beginning phase who were like, This sucks so much and like, I hate you, but I'm like, It's going to be worth it, I promise. So how long does it take for people to get through that phase? Oh, I mean, it can. I mean, worst case scenario can be like up to 16. Yeah, I mean, oh my gosh, the four months of like redness and peeling. Well, that would be worst case. And you can also a lot of people don't realize you can have something called purging, which is where let's say you break out a little bit and you start on your retinoid or your knowing and your breakouts might actually get worse before they get better. And so it's really a long game like it's not. It's not for the faint of heart, and that's where patient education is so important, and I am so I'm so sick of seeing patients that go into, you know, either and I don't want to knock anyone. So I'll just say it into appointments in general, and they come out with either prescriptions or products. And no one took the time to actually educate them on how to use it. Anticipated reactions, which is redness and link from a retinoid, from retinol, from tretinoin. And they think they don't work. They think they wasted their money. And really, it's just simply no one took the time to educate you. And so honestly, that's one of the most fun parts I would say about skin. Click is, you know, coming from a hospital medicine and academic medicine where you have like seven minutes per appointment is because everything that we do is concierge and we come to you. I mean, I can spend 30 45 minutes with someone going through their skincare routine and like Taylor saying, I don't want to worry as my whole skincare routine. Like, No, I love that. Like, that's what I love to do. And then people get much better results because they know what they're using and why and when and what to do, right? No, it's so funny and so true. Like what a value add that would be, because for me, with my routine right now, it's very much just like cobbled together products that random, you know, I went to a facialist here in Puerto Rico, and she recommended two products to me. I don't know what they are. I don't know what they do. I don't even know if I'm using them correctly. But I and they were expensive. They were like, SkinCeuticals, you know, each $150 I put, yeah, I put them on at night and whatever, and I put on a little retinoid and just, you know, let go and let God. And honestly, it would be a lot better to to have that education so that you could know what to expect and actually get through it if necessary or, you know, pay the extra. I mean, it sounds like a really great deal to pay 60 bucks more and not have to go through the full potential for months of agony. So well. And I just want to add to that, like I think there's also so much self-diagnosis where it's like, I think, like for me, I'm like, I think I have oily skin, but maybe I actually have more have combination. And then I'm just like getting all this input of like people on Tik Tok that I'm saying that. Like, I think of similar skin to me, but like, I don't know, it's really hard to know what type of skin you actually have. I don't know what you're like seeing a, you know, someone like you guys or a dermatologist regularly. Yeah, I started to kind of want clear sang about the skin care consult process. That is, I love injecting too. But like the skin care stuff is really, you know, like, I'll be injecting someone and she'll be like, Oh, can we just like, go through my skincare routine? And then we probably pulls out over a thousand dollars worth of product that the patients like? I have no no idea what this is like. I used it once or twice, and now I don't want to do anymore when I am dying, like with a patient con like consulting with them. My main goal is for every product that they have that they know exactly what it's doing and why they're using it. And that just really, you know, helps someone to one, understand their skin, but to understand like the investment that they're putting in and how much it's going to help because and also that keeps you using things I don't think before. I like got my skin education that I'd ever like, truly finished the product and my products for two years of the same product. Like, yeah, you might get a little bored and you want to go to Sephora and like, spend money on like random pretty products. But when you are consistent, like you're going to see massive results. And I would rather see people on your products consistently, like three to four products consistently than a drawer full of amazing products that they're it's like spitballing and like throwing things at the wall and seeing what sticks. I'd rather see you use two to three products in the morning, two or three products at night, consistently for months, then the other way around. Well, I think and care is a lot like working out. Sorry, just really quick, I think skincare is a lot like working out where you have to do it consistently to see results and really it's just the same thing over and over. The problem is, though, is that working out as a business in skincare is a business and it doesn't work for, you know, for fitness teachers or people that do courses or apps to tell you that, oh, here's this one program. If you just do it over and over again and maybe just lift heavier as time progresses that you'll see results, they need to give you a new program every 12 12 weeks. You consider them to be changing it up, and it's kind of the same thing with skincare. There's always like this new thing. And so I think people have choice fatigue because there's too many things to to to choose from and then they just get exhausted and do none of it, which has been, you know, me for a lot of years. Capitalism, baby, yeah, capitalism, I definitely have a few of those patients who like a new product will come out or they see something on like goop or whatnot. You might be a fine product, but they'll screenshot to me to be like, Tell me I don't need this and I'm like, You don't need to stick to the plan. And there's like, Thank thank you. Thank you for bringing that money on something. And honestly, even the lines that we carry, I'll get texts from patients that are like, you know, Oh, so-and-so line don't want to call me about like, they just came out with this new neck cream. Don't I need that? And I'm like, No, you need to take your products, just like you're saying down to your neck in your chest. Like, there's no magical difference. They'll say there's magical, different things in the neck cream, but it's it's really just the same product in a different bottle and often with eye creams, too. So, you know, if you're using, Oh, I want to tell you, I created something about eye cream so that I, you know, the skin around the eyes, the most delicate. And so you do have to be careful. But you know, if you can tolerate your retinoid around, you know, start creeping up towards your eyes. And if you can tolerate it around your eyes, then you don't need to buy a retinoid eye cream. Now there's different categories like one. My favorite is an eye cream that has growth factors in it, and it's safe to put even on the eyelids like retinoids can be really irritating, so the eyelids are a little bit off limits there. But so there's different categories. But if you can take your your retinoid around your eyes, then you don't need a retinoid eye cream, which is what most of the lines that we carry have we only carry. We have two eye creams. That's it. We have retinoid eye cream and we have a growth factor serum eye cream because those are really the two main things you need to put around your eyes and hyaluronic acid because it is their one stretchy. But is there one that's better for dark circles? Because we got a lot of questions about dark, dark circles. I have dark circles. Pretty bad. So I'm going to tell you, dark circles is notoriously essentially the most difficult thing to treat and like all of ascetics. So just to get on the transparency and honesty. An eye cream is part of the kitchen sink, but it takes the whole kitchen sink. You might need a laser under the eyes microneedling prp under the eyes. I mean, significant laser like Fraxel. We're not talking like Beebo. IPL interesting like baby lasers. We're talking about significant because you want to thicken. You have to thicken that skin in order to because what you're seeing is we're blessed with plastic. Yeah, but in what I mean, a blast might not even help with the darkness. It's just it's so what does that mean? No more bad blood for a glass? I don't know what a bluff best when you remove the well, it depends if it's top or bottom. So if it's top, they're removing the extra skin where your eyelids are hanging down, right? So you see, I mean, and let me tell you, twenty five year olds like we're talking about people like Kendall Jenner could have had a blast. There's there are twenty five year olds in Hollywood who are getting blood for plastic and then underneath where a lot of people think they need tear trough filler. Really, that fat has herniated and is causing a big bag underneath there and that you can't fill, that you can't ice cream, that you can't laser, that you need an actual surgery to to fix that. So I tell people that all the time, but is that that's her bag? So that's not her hollowness, right? I mean, gosh, all these terms are can be so vague and hard to explain without because looking at a picture. So it just kind of depends on your goal. Like in a bluff riposte, a may help with the hollowness, depending on where the hollowness is occurring and if they're pulling back the skin and they tighten the ligament. I mean, it just it kind of depends like I'd have to see what what specific? Yeah, you're talking about, you know. Gotcha. And just to tell people that are maybe a little confused with a reason why a 25 year old would get a laugh replaced isn't necessarily because they have eyelids that are aging and drooping is because they want to have a more. They want more of their eye there. What's the eyeballs? Yeah, the one more of their eyeballs to show. So they have a more refreshed look like a bigger eye, essentially, and it's an aesthetic thing. Obviously, some people are just naturally born with with just really hooded eyelids that make this go. Yeah, and it's just going to like open up a little bit at some time. And it's now at the point where it's not even that expensive of a surgery and right. It's not a hard look, but it's a very I never promised, you know, a very short recovery is very minimal. Hmm. So another another thing people are utterly lost about is when to start with the Botox. We've gotten so many questions about, do I wait for the first sign of wrinkles? What's you know? What about preventative? So I think like, let's clear the air and talk about that. Yeah, a lot of I mean, there's only two camps on it right there. The people who say, start getting botox before you have any wrinkles to preserve. And then the other candidates, like one, when you see lines at rest, how do you mean my lines at rest? So like when you're putting on your makeup and this is the first place I saw it putting on makeup and there is a line in between my eyebrows from where I furrow because I just like furrowed and didn't really realize it and I was getting, like, very faint. At age twenty four for me. And was there when I wasn't growing. And so that's when I started getting it. That being said, a lot of people might see it first on, therefore had doubts like me. Yeah, it's all. It's all dependent on. Like your facial expressions. Some people are just way more expressive. Like, I just have an expressive face. I take more talks and my face than some people. But I don't personally, if people want it, I give it to them. But I don't personally believe you need to start before you have those lines start to bother you, but also don't want to wait until they get too deep and then you can't do anything about them. And there's no age. Yeah, are we talking like, are we talking fine lines? It depends. I mean, it can be fine. Or are we talking like a wrinkle? Like a wrinkle? It totally depends. So like, you got really fine lines typically around your crow's feet until it's not until it's like a cavern. And then same thing here. Like, it starts as a a fine faint line, but I describe it as a piece of paper. So if you think about the piece of paper as your skin and then underneath the muscles are moving the paper right and they're folding it, and the more you fold the paper, the deeper the crease is going to get and the harder it's going to get to turn to to reverse the crease or get it to go away. And eventually it won't go away. But I absolutely have 20 year old patient right who have significantly worse wrinkles and static lines at rest than some of my forty five year old patients. It's it's genetics, it's sun exposure. It's are they a smoker? Do they use skin care when there's a million different writers? So there's not an age I would. I never give people an age. It's when when you're ready or when you have something that bothers you, or if you want to get into preventative mode. Cool. That's all of it's totally fine. And there is no age for any of that other than over the age of 18. And we absolutely have crazy moms bring their kids in at age 14 and we're like, Literally get out what? Yeah, it's yes, I want to look. I think we should look into starting Botox around kindergarten. You know what I mean? Let's just preserve that youth, baby. I tell my phone all the time that our belief is like not enough to start Botox new in middle school. Now it's upsetting. But what can you do? Oh my gosh, it's so there is. Yeah, you got it. You got to teach the young kids, you know, I could tell my niece, don't smile too much. Those nasal nasal labial folds will come in quicker than you would try to quit the live in girlfriend. No. OK, so so I know that what I did for our listeners is I just noticed when I saw my reflection in a car window. I think that car window is like, for some reason, direct sunlight on your face, looking at your reflection and in like a park car when a park car window. For some reason, it's the least flattering light. And I noticed that accordion like fine lines were beginning to develop between my brows. And so I've sir, I've religiously botox them since probably 27 28. Those 11? Yeah, and obviously it's phenomenal. I cannot like sing the praises of Botox enough, but then there is a part of me that's like, I do go do it every three months. I'm really religious about it. And so there is a part of me that's scared that one day my one day my forehead will turn into like this like tight, scary-looking forehead. That's never had a wrinkle because I've been too religious about my botox. Curious if you have any thoughts about that of like how to still kind of get that. Robin Wright aged gracefully, look. Yeah, I mean, people, people say, Oh, isn't it true that, you know, if you use Botox with time? And so first of all, let's go back to the word Botox is now a noun and a verb. There are four different brands, so Botox is not the end. All, be all. We actually, in my practice, we prefer a brand called Zeeman because you're significantly less like, oh, nice to form antibodies to it. So eight to 10 percent of people that use Botox do sport and vivo will form antibodies to it. And then that neurotoxin no longer works for them. So that's a little bit terrifying. So that's why we always push the image. It's my favorite gives you a little bit more of a natural look, but people are like favorites. Yeah. If it's good enough for one, yeah, that's enough for me. So you're not going to you're not going to get to a point of weirdness. Truly, I mean, it's not going to change. Your face is just going to maintain that skin integrity. So it doesn't form those static lines. No, and the goal is to make those interesting weaker. I mean, yeah, that's that's the goal to make the most. Yeah. So then how do people end up with those crazy looking foreheads that look like the skin has been stretched so tightly over them and they're so glassy looking? You know what I mean? Like that look is just so it's not my favorite. And so I'm curious what that is if you have any insight there. I think it's usually it's just truly more than bow top baseline isn't going to get a handle. Yeah, it's a facelift. It's Morpheus. It's like all these things together. It's it's going to someone who was very, very aggressive with treatment and botox. Yeah, it does weaken the muscles by small degree. Yeah, over time. But like Claire said, that's the point. But that's not going to give you that stretched out like skin in your sixties where you look like gla*s. Yeah, it just gets a facelift, usually, honestly. OK, so tell. Interesting. OK, that's good. That's really helpful. OK. Curious about under-eye filler? This is obviously another controversial thing and something that I perpetually want, but I'm terrified of because of the risk of going blind. And so we'd love to hear your thoughts on under-eye filler. Well, I definitely wanted to talk about this, Lauren, because I I love how educated you are on it and you know about Hyland X or hiler on a days. You were talking about it last week. Yeah, I'll just tell you that it is true, obviously, that there are risks with filler. And if you go get filler and you and your injector, don't talk about the risks at all if they are not carrying like, I just think like like we always have hundreds of units of Highland X on us. That's the reversal agent. Now, like, we talk to patients about risks and you know, that's any sort of any sort of treatment has risks. But right alongside, yeah, the under-eye is a very, very tricky area. I personally don't inject there, not because I don't like it in some patients, but I find that almost all of my patients who think they want under-eye filler actually need cheek failure filler. And that's where their volume loss is. And you can achieve beautiful results and support the under eyes with cheek filler. And there's like eight new fillers coming out that you can lay in the right area that gives that rested. Look without that because you've seen everyone seeing teardrop filler go bad where it's a and puffy, and because it only really takes a little bit in that area. So yeah, when I was talk to patients about the risks and to like, I always carry that on me at all times, I don't know if every practice always does, but there we are trained to know the emergency signs of when filler has. We're talking vascular occlusion, it's gone into somewhere it's not supposed to be into an artery, into any sort of vessel and yeah, that's that's a risk, but we take every step we need to in order to minimize those risks. OK. OK, that's interesting. And it's funny. I went in to get I got under-eye filler and I got a tiny bit of filler on my nose, actually when I was twenty five. And so by now, it's probably all dissolved. But but my provider, who is an M.D., when I asked her about the risks, she was like, Oh, that never happened. She was like, looked at me like I was crazy. And the crazy thing is, at the time, I didn't know that filler and the nose actually a higher risk for the nose is very. Yeah, yeah. And I didn't know that. So it's just crazy. And she was an M.D. with like a very established practice in Salt Lake City. You know, and her whole business was aesthetics. And so it was really disappointing looking back and I was like, you know, I was just I was just like, twenty five and screw it, let's get as hot as possible. Who cares? So, so anyway. But no, that's that's helpful. And I think that another thing that I always try to think about is like, let's embrace it. Like, I see 22 year olds with a little hollow under one of their eyes or both their eyes like, let's just embrace a human face. And then most of the time, people, no one notices. It's just something that you see. I actually feel really nice post one time. I think it was Injector Bunny that did it, and she compared. It was a few famous people. And her point was, you should have a little bit of a trough, you should have a little bit of a step off. And she took like, they're airbrushed pictures, let's say, of going back to like Hailey Bieber, Kylie or Kendall Jenner. And like, if you look at their magazine airbrushed pictures, they have no tear trough. They have no. It's just like one, you know, poor or less flawless, you know, under eye. But then if you look at them in real life where they're still, you know, absolutely stunning, it's looks more natural when they do have a little bit of a trough. So I mean, you do need some variation there, or it's when you start to look puffy and weird and get filler face. And I feel the same way about the nasal labial folds. Yeah, you know, that was OK, so that was a big question. People had like, What can I do about under? What can I do about Naser Nazy? How do you pronounce it? You know what I'm about to say? What can you do about naso labial folds? Whatever. What are those? Because I don't know that I like right here like lines that go from like the corners of your nose down to your smile. And some people will really be like, they don't want that at all. And I agree with clear like, it looks freaky when you don't have anything there at all because it's literally like the struct. the anatomy of a normal face. But so I nasal labial folds is also very hard, a difficult area to treat, and one that also needs to be approached from, like the top down. If you just go and put filler in someone's nasal labial folds like. It might not even look like they got anything, it's just going to look a little bit awkward because then your volume of your lower face starts get a little bit heavier than your upper face. So once again, I mean, I also am just, like, probably biased because I love cheek filler, and I think it really just looks makes everything just look a little bit brighter. So that's always where usually my patients who are like, want their nasal labia folds and they have never had cheap filler. We do some tea filler and they don't want their nasal labia holes anymore. But you want everyone to know even procedures like microneedling and laser. Anything that's going to build the natural collagen from underneath is going to help soften those, those lines and those molds. And so, you know, I encourage patients. Yeah, I do. Same technique. Is there like a start from the top down typically will do maybe temple and cheek or mid face, sometimes even chin. But there there are a lot of things you can do before you fill the nasal labial folds. And I mean patients, just typically unless they're an ideal candidate and just absolutely the perfect candidate, the perfect technique and all of that, they're just not happy because it gives you a puffier look. I mean, that is Real Housewife. Look to me when they start feeling there and you have the right interface. So I feel like what I'm hearing from you is the best way to treat that is from on something almost like the inside out, like having really good skincare lasers, just having that skin. The best quality it can be. Yeah. Interesting. OK, that's super helpful. I have a question on lasers. So one of the questions listeners got was, I guess, conveniently about me. They wanted to know my beauty prep is about and leading up to my wedding, and I've considered getting some Fraxel Fraxel done on my face. I've, you know, I've freckles all over my face and my. I'm in an interesting conundrum, which is I don't want to get rid of my freckles because I really like I feel like they're just a part of me and like a corny way. And my fiancee, like, you know, for him, he wants my freckles to stay, but I want to have the best, you know, most refreshed look I can have, and I would like to minimize some of them, you know, maybe, you know, so I'm curious if you guys have any thoughts on on that. Is there a way to do Fraxel, but like maintain some freckles? Yeah. But also, why do you have glare? Have you got? Yeah, why do you have to do Fraxel? I mean, there's so many other laser is really intense. Yeah. If X is really intense, especially before that, just what was recommended. Yeah, it was what it was, what a provider recommended based on a console. And he was said, he said that we would do, you know, Fraxel every he was at, every about my nose and cheeks, we would do it on like the normal level. But then we'd do a really low level, my nose and cheeks to try to maintain the freckles there, essentially. So that was his plan. But yeah, I'd be curious as to what you guys think, and I know this is a very niche question. So sorry, listen, I know this is like, this is a great question because I obviously I'm getting married next year and I like Lorna. I've very similar skin to you and I like my freckles and stuff. But I agree, like we can lighten them a little bit just so it's not like, you know, dark spots all over your face in one. Lying around is best is one you don't know. You have your good skincare routine and then like non hydroquinone, that skin brightener zo bridal I was probably my favorite. That's just going to really help as you move towards your wedding, like give you more of a glow bright in some of those freckles that are actually more sunspots and then also doing like medium depth like chemical peel would be where I would like that should be enough. I think personally, if it were me, I think you're a little young for Fraxel. Could you get it? Yes, but it's really going to like, really get rid of freckles. Like, probably more than, yeah, I've heard you talk about I wouldn't say like it's you shouldn't do it 100 percent, but I think it's going to get rid of too many of them based on what you describe that you like and stuff. And it's it's like you're going to have a lot of to significant downtime from a lot of downtime, whereas like a medium to chemical peel, like you're going to get significant brightening and lightening of the sunspots, and you might have more downtime of like five days. Sarah, they're not sunspots, they're angel kisses. Among them are angel kisses. Well, we love the type that gets those spots so much easier than people who don't have that skin type. Yeah, it does not mean we're sun damaged because our kiss by angels. Of course, there was a sign hanging in our house like that for Lauren. Yeah, you remember that year? Yeah, yeah. Anyway, OK, so I will. I'm going to ask, do you guys do virtual consults? I'm sure everyone is going to want to sign up. I was going to explain about that. Yes, we do email consults. Those are seventy five dollars and we do virtual based on consoles and those are one fifty. When you do that, you get 15 percent off your products. People will probably get free shipping and also like when we talk, consult like we are going very in-depth with you, like we are talking about your medical history we're talking about. I'm talking about your supplement routine. If you have one I'm talking about like your skin history. Have you had significant acne growing up, birth control, all that stuff. So this isn't just like a little five minute chat like this is a significant focus on you. Yeah. And Claire does, too. We have a lot of providers who do them. They're great, and then you have that as like like you can text that person or email them and be like. Checking in with them, I always do things in phases for consoles like I think the worst thing is like when you go somewhere and they give you like six products and you're like, What the hell is going on? What am I supposed to do like? We work through it slowly and slowly titrate up type of deal. All of it. OK. That's incredible. So all I will offline my personal niche questions to my console, which I'm definitely booking because I've I've waited till the final hour. Full time. You're just no right. I mean, we're we're definitely. August, September, October, nine more months. But you are consistent. So Lauren, our Sara, I was planning on just sending you close ups of my faint wrinkles and asking you for free advice. But I will also be getting a couple of I to not do that. I know, I know. I'm also on the skin clay, 'cause I mean, we have providers all around the country. So I know there's an actor in Salt Lake City, right? Claire? Yep, Apollonia. Oh yeah, you comes to your house up one that's like, I mean, I can't be with so many of our listeners are in Utah. Do you guys are people in New York? A couple. Yeah, a couple in New York state. And then we will literally. So Manhattan has completely different tax laws, and so we've been working on that for like six months. But we just got approved for that like yesterday. So literally yesterday. So we will I'd be willing to go to New Jersey. We'll have Manhattan if need be, but we've got one New York state here. Yeah. OK, perfect. Don't worry, I'm excited. Do I have a quote? So I have a listener question, I would love you guys thoughts on how much filler to do for a nonexistent jawline. Curious how you guys feel about filler for the chin, filler for the jaw line, kind of trying to recreate a new shape in the face with filler? I think it's great. Get ready to. Yeah, it's great. You got to say get ready to pay. Oh, really, it's great. It's yeah, it's great. I mean, Chandler's on the chin filler is one of my favorite things. Totally great. Jawline is harder if you have no jawline like it's it takes a lot. So we like radius in the jaw, which is a different. It's not a highly ironic acid filler, but you jawline can be harder to achieve just because it can take so much more product. But a chin chin balancing profiles is so fun it takes two seconds. It's in. It can make such a huge difference for people. So love a chin less and not a lot of times. You know, that's not. Yeah, when people have a nonexistent jawline and they want that. Another trend that snaps jaw line over, like I always tell people, I'm like that it's tough and it's going to take a lot, but it's amazing. People who want that, I'm always like, Let's just start with little chin filler balancing out the profile. And a lot of times, just like one syringe of Chandler has a big impact. Can you see immediate differences with filler? I'm like very new to everything. That's no filler right away. You'll see. I mean, you'll be a little swollen usually. So like it'll go down a little bit, but you'll see those results right away, lasting 12 to 18 months, whereas botox, once you get injected, it's going to take typically 14 days for your results to be right. Appearance. So last three months, OK, so rapid fire question round just to get through some of these that were submitted. Want to know how much water do I actually need to be drinking? I don't know where that rule came up of like eight fourths of the day, 64 ounces. I just feel like that was made up somewhere. I just say drink as much water till like, you feel hydrated. I don't know. I'm someone who like, I need to drink like sixty four ounces or I feel bad and I get like a headache where I have friends who like to go days without drinking water. I tell people that drink when you're thirsty. Obviously, more water is always good, but it's not like if you drink, you know, 100 ounces or a gallon of water a day, you're going to have all a sudden clear skin. No. Now anyone that says that or that, you have to do that to have clear skin. Obviously, hydration is great. I'm not endorsing, not drinking water. I think it's one to consume that much water or the right thing all day, right? OK, another question is a little more specific, but this person asked, Can lip filler fix my crooked smile? I'm worried about it moving around in my lip. Yeah, so crooked smile. It depends, but a lot of time Botox is actually what's going to help with that. I personally get this for my self, like getting either a gummy smile correction or which will drop your top lip a little bit or a little bit of a lip flip to kind of even out how much your smile turns out so crooked. Smile usually. Yeah, I approach it from Botox first, because OK, yeah, it doesn't need to be symmetrical. OK, next question. They heard gel treat. I'm guessing that's printed on tretinoin, so they said her gel Trentino is not as good as the cream version. Is that true? Not necessarily. One's better for the other, but for different patients. Some might be able to tolerate that. Or I would put a patient who has like more oily skin. They can maybe tolerate a gel better gels typically going to be a little bit more drying. So if you already have dry skin, I would stay away from a gel trap. No end and request a cream. OK, invasive or noninvasive solutions for neck skin losing elasticity. I mean invasive. A neck lift obviously noninvasive for like mild laxity. I like all thera. That's a different treatment that uses ultrasound to promote collagen growth, collagen stimulation. It kind of pizza epidermis, which then stimulates collagen. That's those results last like two years, up to two years. But that's for my laxity. So my patients who I do that for, we really talk about that because if you have major laxity, a neck lift is going to be what you want to do. Yeah, so OK, going off of that? Is there something specifically you can do for your neck and chest, like if you're if you're worried about chest wrinkles from sleeping on your side? I'm a side sleeper. That's something I'm now staring down the barrel of. Are these chest wrinkles? Are there specific target solutions for that? Not that's any different from your face skin care. Like, I personally will use like certain like you could use, like your weaker retinol, like you're drunk elephant or something on your neck and chest hands. All of that and then use a. Stronger on your face? Yeah, I'm going to tell people, bring everything down to your boobs, OK? Next question. The popular skin care items that you do think are worth it. I know you have a little bit of content on this on your page, but if you want to call any out they think are worth it and then be that are then not worth it. Yeah, I'll give a few. So ones that I think are worth it at one that we talked about earlier skin better alphabet that has to be purchased through a medical provider. This is going to be an amazing retinol option for people who think they can't tolerate retinol. It's one hundred and thirty dollars, but it's cool because it lasts like a hundred and thirty pumps and you use a single pump, so it lasts 130 days. Yeah, it's not bad. I mean, that's not bad. I also really like any sort of glycolic salicylic acid toning pads. I like those. That's probably my favorite. We also make one that I like. There are a lot of different ones that are good, but that's worth it. I've seen glycolic like pads on Amazon, like, am I terrible for getting those? The only if you can tolerate them, a lot of times they're just going to be like, they don't have, like the nice botanicals in it that make them soothing as well as chemically exfoliating. But if you can tolerate them, that's great. Don't use like oxy pads. Like, I remember, like, like the s**t out of your skin. Yeah, but if you can tolerate it, great. But I love about like the Zello toning pad. It's sixty or sixty pads or No. Fifty one dollars for 60 pads, but you can. It has so much product on it that I use that my face, my neck, my chest, the backs of my hands and my armpits, and that's just exfoliate everywhere. Would you put that on? Take the pad, wipe all of your face and then put on your retinol? Yes. Wow. OK. It's like I'm seeing game changing for me. Yeah. And I like have worked up to where I use, like the strongest strength retinol, but it's taken me probably like two years to get there. Yeah, but and I'm scared for the day when I like, I'm not using it. Then I do that all over again, but that's definitely worth it. And then also, like if you have any sort of like darkness and you want your skin to feel brighter, like non hydroquinone hydroquinone is like the gold standard prescription brightener. It's actually being like, it's not. You can't get it in Europe anymore. It's probably not going to be available in the U.S. in the next couple of years just because it has systemic effects. So that being said, it's not the people are on it. You can still be on it right now, still up to you. But there are a lot of non hydroquinone brightness that are definitely worth the money on. Things that aren't worth the money is like very expensive was any expensive moisturizer like run run from what about can you name names or something? Lemaire, yeah, Lemaire. What are the other ones that any, any Bender's daughter, any like anything over $60, basically? Well, I think the tough part about moisturizers is you put it on and you're like, f**k this s**t is working. I am going, you know, and it's just like, what you said, it's just this thing sitting on your skin. It's actually improving. I mean, again, I literally use like you saw in like I have like a big, yeah, you can use that. The only thing I would be concerned if it's just if it's including your pores and not alignment, right? Right. If you are like, I'm really like when I bring my patients on those retinas like I will tell them, like we can use like Vaseline or like set up a moisturizer, because to help you tolerate it better, that's the only time. Would you say this set of feels the best moisturizer that doesn't clog our survey? Either one of those. But. Yeah, not every a drugstore. And then, yeah, vintners, daughter, there's another one that I'm right. I mean, skinceuticals, like, do you feel like those one? Any of those are. I like SkinCeuticals. I just don't understand why they're vitamin C is one hundred and sixty five dollars, right? Or amazing ones that range more from like the 90 to 120 dollar. Why do you need an expensive vitamin C? That's another thing where I'm like, I could just buy this on Amazon. Yeah, no vitamin C and there are now you mean like more formulations out that might make it a little bit cheaper, but the best burger, most potent version of it is L ascorbic acid, and it's just a very unstable molecule in itself. And that being unstable, like it's just oxidized by the Sun, it's likely to be in the right packaging. It needs to be like in its purest form because what it does is it like neutralizes these free radicals by joining an electron. It's like kind of chemistry ash. So I won't bore you with that, but it's just something that is hard to make, and I would not recommend buying a vitamin C on Amazon would not recommend buying one from the drugstore if you really want to Quora. Is there any firm support? No. I mean, is there anything I can buy from SAFA that you would sanction or no? Honestly, if you work with me, if you work for someone like me, you're going to spend less money and have better products, interesting, expensive. I don't know. It totally is. Yeah, it adds up, but I wouldn't say that everything is bad for by any means. I just have seen better results, get better things like I use these products and I have phenomenal results and my skin is glowing and it's not genetic. And I'm like, OK, you deal. Yeah, yeah. I have answered all the questions that I I will say I do want to just put a shout out for great skin care. My, ah, oldest sister. Yes, we can all just admit she has the best skin in our entire family. She's never had a needle near her face. She's almost 40 and literally has baby skin like, look so young. Look so fresh. Look so pretty. She also doesn't. She also doesn't live her life like as much as I think, like she like we went. She avoids the sun to an extreme degree, like we were. Yeah, yeah. It's why she looks so good. I think that I think that children were in the camp look like it's OK. We would rather just, well, look a little older and enjoy the outdoor terrace at this five stars or whatever. Yeah. Now with the Sun. So I get it. But what I'm writing, the name of her line is you have a place where she has a. Yeah, she has a product called It's a serum. It's a botanical serum. It's called, yeah, her brand. It's called Jonsdottir Apothecaries, and she has this serum that is really great and it's so rapacious. It's in a in the dark glass bottle. And yeah, it is very liberating. Yeah, yeah. Yeah, no, that's also something like there is like a lot of good things out there. People just know what they know. And your sister's a midwife, isn't she? So she, like, knows what she's doing, but she has medical. She knows what she's talking about. Yeah, she's explained to me the retinol chemicals like a million times and I cannot like, you know, like sticks in my brain. But she she has her clit. Yeah, well, yeah, that's definitely listening to people who like you feel confident that they know what they're talking about. And that's I mean, that's what anything. So that's kind of overall. But, you know, I don't feel confident knows what she's talking about. Hailey Bieber, right? Yeah. Like, you know, like you were a slut. Right, exactly. You're right. We all know those people, too, who have that skin texture that she has. It's almost like, like, this is a random, but I feel like I had friends with like really squishy cheeks like their skin was like super soft. And just like Paulus and I don't know, like, I just I feel like I that's the type of skin I feel like she has. It's just like elastic, but in the perfect way. Yeah, and it's just like extremely glassy. And so I, yeah, we all know people with that skin texture. And so I'm not going to buy their skin care line because it's not happening for me. Yeah, that's how I feel, too. I've heard good things about the lip hurt, the lip balm that they carry. People say it's good, but yeah, when you're using that face to sell that stuff, it's just it's hard for me until I see the real results of people who have, like cystic acne know smell that. But that's just like the world I live in, like people who have like normal skin is when that's what I like to work. Yeah. Anything for acne. I mean, I still struggle with a little bit of hormonal acne on my jawline and sometimes on my back. Right now I'm like, I don't have monkeypox, I just have back knee. That's like a mantra I'm trying to remember as anything, we recommend acne. I really like and I probably shared all the time because I use it for myself. Pan. OK, so oh, I have that. Yeah, I mean, if you're consistent about that on your back, yeah, you know, it's easy to remember and also using that something with benzoyl peroxide to really like, usually back me. That's like pretty oily. Yeah. And it's just like needs to be dried out. It's like it's like a combination of living. Some are super humid and also like working out. And yeah, it's like they work out. The more I work out, the more acne I get. So, you know, it's a lose lose over here. But yeah, so definitely doing that. And also like things like the glycolic acid salicylic acid, those are your acne heroes. Yeah, right now. Yeah. And like spa treatment, though for acne, what would you be? So I like zit patches for and I shamelessly like all wear one all throughout the day, like people really don't notice. And I think a lot of people's acne gets worse when they when they pick it up slowly, but it's just really easy to do when it's open. So my approach to my acne is one like soaking it with the toning pad of glycolic and salicylic acid like at night, then putting like a mask that has some sort of clay or sulfur on it. Overnight, there are several. I mean, there's some on Amazon. I have a ZO one, obviously I like, but using not a spot treatment that will help dry up. All the Seebohm and whatnot, and then the next day, slapping on the zit patch and knowing that acne and breakouts are very normal. That said, if you have them all the time, we need to change your routine. Sometimes I had to put people on prescriptions. It's just a lot of times its products are already using that are causing breakouts. Interesting, so many different effects, but that's how I treat like a pimple that comes up so pimple patch, sulfur mask, soaking it in glycolic, salicylic acid and not touching it. Easier said than done. Easier said than done. One more question. Someone to know what's an average amount and what's like the top range of products you can get in your weapons? The top range, an average amount. I take most of my most of my patients, I do 20 units on that I want, and that's not 20 pokes that's separated into five packs of four units in each spot. That's like the medium level, like you have a little line at rest and like, I want them to lock it, to last you to get good results. The mix said on site I have patients with 30 units and just in their lives, and I have a couple patients who it's more preventative and ideal, more like 15 Rite Aid, one that I do like 10 units on, but know that when you go to an injector and you want to get it in your forehead, that means you're going to have to get it in your lungs too. Or else it's going to make your eyebrows heavy. If you don't get your lungs as well, you say, Oh, that's a Mustang, offset each other, but you can just get your lungs. As Lauren, you said you do. But I'd say 10 to 30 units. Pretty wide range, but 20 yards. Okay, you expect OK. Amazing. I usually do 20 in there, but I have a friend who does 30 and so it's I think I might ratcheted up. Yeah, twenty five. But. Thirty yeah, thirty will also it'll and your duration will increase, usually the more units. Do you mean you don't have to get it as often? Yeah, I mean, it might last you like. And everyone obviously metabolizes, do you do every 90 days? I mean, I just do it whenever I'm not in Puerto Rico, and that generally turns out to be every three months, for sure. Okay, I'm in California or New York or somewhere. Do you mind if I ask you how much it cost per unit, where you going to in California? I would just like to know. Oh yeah. I mean, usually I think I'm paying around 10 to $12 a unit. OK. That's yeah, that's sometimes I know in like new. I have a few patients who live an hour from Charlotte but go to New York and they'll go to their German New York. And at seventeen dollars a unit which I mean, I understand to New York and everything's more expensive. Chan, I'm sure you know, I know, but yeah, I know in Puerto Rico it's actually $22 a unit. Oh my gosh. I don't get it done here. I mean, hey, you're getting your hair done here is like $500. It's just they there's only a few providers for everything, and they know that there's a lot of anyway, so it's a lot of money to pay for it. That's so fascinating. Yeah, a lot of wealthy women here. So yeah. That being said, if you go somewhere that's giving you like $7, $8 per unit and it's not like a training or something like be scared, it's an OK. Yeah, that's amazing. That's good to know. Plus, they're like, we're training new injectors, which I mean, we do that monthly, and that's something that you're like. Your hand is held like, there's two providers with you, one experienced and one that's learning. And that's why you get a discount, right? We're still going to get great results, but it's just like you shouldn't from an experience injector. It shouldn't be eight dollars. Yeah, yeah. Sarah, thank you so much. Yeah, not this is so this is incredible. This has been a lot of fun. I love it. Sarah, before we close out, where can people find you again? Sarah Moran underscore W, H and P on Instagram. Can they book with you? A console via Instagram on Instagram? There is a book now button that you can click to book to your email, console or or or face to face, face time or use DM me. I always am checking DMs for that and also make sure you check out the skin. Click Click Click Q. You e because we're in like 30 states or something where you can have an injector come to your house, which is always really having an incredible concierge service that I don't know how it hasn't happened before this. And yeah, Claire's the co-founder Tabaco DAB L E Co, and she is also the podcast that talks about health care and different health care topics. So amazing. Also by me on tech talk for those who aren't on tech talk. Yeah, hi. That's like where I'm that's like my version of their patriarch, except you don't pay for it. It's just like my funnier version and my, like less professional version. My more real, the more real me. Love it. OK, thank you guys for listening. We'll catch you next week. Bye, bye bye. That's all for now, folks. Don't forget. Give us a five star review. Hit us up on Instagram at pharmacologists, and we will see you next week. Live every Wednesday.