Culture Apothecary with Alex Clark - Look 5 Years Younger In 2 Min! Why Women Are Getting Facelifts In Their 30s— Is Lindsay Lohan Lying? | Dr. Anthony Youn, MD
Episode Date: August 8, 2025Has Melania had work done? Kris Jenner’s facelift. Lindsay Lohan’s comeback face. Did you know there is an explosion of women in their 30s opting for a mini-facelift. What is going on in beauty ri...ght now?! 💉💄I sit down with Dr. Anthony Youn—the internet’s most followed holistic plastic surgeon—to break down the wildest celeb procedures, crazy trends, and the biggest mistakes women make in their 30s in terms of treatments, skincare, and procedures. This isn’t your average beauty chat—get ready for truths that’ll save your skin, your wallet, and your sanity!Thank you to our sponsors!TAYLOR DUKES WELLNESS: Use code "ALEXCLARK" for 10% off your purchaseJOOVV: Get an exclusive discount on your first red light therapy orderA'DEL NATURAL COSMETICS: Use code "ALEX" for 25% off first time ordersBLDG ACTIVE SKIN REPAIR: Use code “ALEX” for 20% off your orderPALEOVALLEY: Use code “ALEX” for 15% off your first orderCOZY EARTH: Use code "ALEX" for 40% offOur Guest:Dr. Anthony Youn, MDDr. Anthony's Links:InstagramYouTubeFacebookPodcastDr. Youn's Main websiteYoun Beauty product websiteYoun Beauty on Amazon🌿 Culture Apothecary WEBSITE👗 Get Alex’s freshest fashion picks and exclusive guest recommendations—delivered straight to your inbox!Sign up for the newsletter HERE: WEEKLY NEWSLETTER SIGNUPFOLLOW ALEX:Instagram | @realalexclarkInstagram | @cultureapothecaryFacebook | @realalexclarkX | @yoalexrapzYouTube | @RealAlexClarkSpotify | Culture Apothecary with Alex Clark Apple Podcast | Culture Apothecary with Alex ClarkJoin the Cuteservatives Facebook group to connect with likeminded friends who love America and all things health and wellness! Join the CUTEservative Facebook Group!Subscribe to ‘Culture Apothecary’ on Apple Podcasts and Spotify. New episodes drop 6pm PST/ 9pm EST every Monday and Thursday.#PlasticSurgery #BeautyTrends #KrisJennerFacelift #LindsayLohan #SkincareTips #AntiAging #RedLightTherapy #WellnessTalk #DrAnthonyYoun #BeautySecrets
Transcript
Discussion (0)
If you do this mini facelift in your 30s or early 40s,
are you almost for sure going to need to then do a full facelift later?
The results of the facelift study show lasts about seven and a half to 15 years.
If you do it younger, the fact is those results are going to last longer
because the quality of your skin is better.
Nobody needs plastic surgery.
If you want to and it's going to benefit you,
you feel like it's going to improve the quality of your life
and help you deal with some insecurity, that's okay.
Talk with a surgeon about it.
Use it as a last resort.
But always, always, always remember that as you get older,
things will change no matter what.
And it's okay.
You've seen the headlines.
Chris Jenner's facelift.
Lindsay Lohan's comeback face.
The death of filler.
The rise of NAD drips,
buckle fat removal,
and ballerina boobs.
Today we're getting real
about what's trending,
what's terrifying,
and what's totally worth it
in the world of beauty
and plastic surgery.
With none other than Dr. Anthony Yoon.
He's a board certified surgeon,
bestselling author of Younger for Life,
and host of the Dr. Yun Show.
Oh, and with over 14 million followers,
He is the most followed plastic surgeon on the internet.
A huge thank you to WiRify making this interview possible and hosting us while my home studio is out of commission.
There was a scorpion, had a home birth.
It's this whole thing.
Had a lot of cleanup.
You got to watch this episode on the real Alex Clark YouTube channel or Culture Apothecary on Spotify.
They do video there as well if you did know.
Now, the Convo's in the Cuit Servatives Facebook group, I know we're going to be unhinged after this episode.
I already know it.
Make sure you're a part of that for all the five orange juicy discussions.
I love chiming in myself.
You can also find the show on Instagram at Culture Apothecary and me at Real Alex Clark.
If you pause the episode right now and take 30 seconds to leave a five-star review that significantly helps the show,
and you can write a short and sweet favorite moment that you've heard on one of my episodes that absolutely wrecked you, either in a good way or just made you laugh.
Please welcome America's holistic plastic surgeon, Dr. Anthony Yoon to Culture Apothecary.
You call yourself a holistic plastic surgeon.
Never heard a sentence like that strung together.
before. What does that even mean? So what it means is basically using plastic surgery as a last resort. So I
trained as a traditional plastic surgeon. I went to four years of medical school. I got my MD. I did
three years of general surgery residency. I did three years of plastic surgery residency. And I honestly,
Alex, I thought I hit the pinnacle of success in my practice. I was doing all these operations.
You know, in plastic surgery, the pinnacle of operations is basically the facelift. You can do liposuction
on people and people will not be as choosy, but when you're talking about your face,
they are very, very choosy. And so I got to a point in my career where I actually measure
it how successful I was based off of how many facelifts I was doing. And I had a patient who had a
horrible complication from one. And it got me into thinking that what I had been taught as a surgeon,
the idea to cut is to cure, you know, the idea that your goal is to bring people to the operating
room was wrong. But that would cut directly into your bottom line. It did. Yeah, of course. And so that got
me into really thinking that there has to be a better way to do this as I really really rethought
the practice of medicine and plastic surgery. And I came up with this concept of holistic plastic
surgery. And it's the idea of using actual plastic surgery as last resort and focusing on all
the other things that we can do from diet to skincare to supplements to lifestyle and all the other
non-invasive and minimally invasive treatments that we have. That's the idea of holistic plastic
surgery, looking at somebody as a whole person and that plastic surgery component, only being that
tiny part that you do when it's absolutely necessary. So is a facel-be-all, that's where plastic
surgeons make the most money now? In general, it is. Faceless are the most complicated operations
with the highest risk of a patient who's unhappy because it's their face. You know, you can do a breast
lift or a tummy tuck and you can botch it and they can hide it under clothing. But you can't hide
face. And so that's the operation that typically when you do it, patients are going to be very,
very choosy. And at the same time, they're not just going to choose somebody that they find on
TikTok or on Instagram. They're going to ask around and make sure that whoever does their face
is going to be the top surgeon. So what happened with this person where it went wrong? We always do a
battery of tests on every patient that comes in, especially if you're going to have a facelps. You know,
we actually had her see a cardiologist. She got cleared for everything. I did the operation. We actually
kept her overnight in the hospital just to monitor her.
I saw her the next day, discharge her from the hospital.
And then the weekend came by and I was having a normal weekend with my family.
And I got back to the office on Monday morning.
And I had a message from her daughter.
And her daughter left me message asking, why did my mom die?
I didn't know this.
Yeah.
I didn't.
I did not know this.
Yeah.
It was, why did my mom die?
And it's like, it's only happened to me a couple of times in a 20 plus year career.
where your stomach just drops and you start sweating.
You know, I had this, you know, all of a sudden I was nauseated.
And it turned out over the weekend, I mean, she looked great when I saw her Friday morning.
And she was doing fine Saturday.
And then Saturday night, her actually husband left for a while, came back and she was dead.
What in the world happened, you think?
So at the time, I obviously, I went into a spiral.
You know, I'd been in practice for a long time.
I'd operated on probably over 1,000 people and never had anything like this happened before.
And so I started thinking, okay, I mean, for me, the first thing I always think of is like, what did I do wrong?
You know, is there something that I missed, you know, went all through her medications, her past history and all this stuff.
And it turned out that there was nothing that came back.
Like, it wasn't a mistake.
It was nothing.
And when her autopsy came back, her family called me and they said she had a heart attack.
Oh, so it was not the facelift?
Or could that stress maybe put stress on the heart?
Yeah, I mean, she probably at some point may have had, you know, an issue with that, but most likely, my guess, is that the surgery would precipitated at the stress on her body, potentially precipitated. Now, she had done a stress test a couple weeks before with a cardiologist, and that was normal. Like, it came back fine.
So there's no way you could have predicted. Other than just not operating on her. And so really what it got me, you know, I mean, initially it sent me in a spiral where, well, for months, I was gun shy and I didn't want to operate on anybody. And I, and I question.
should I even stop being a surgeon altogether?
That's what I would think because nobody ever talks about that.
Like when we think about medical complications and surgeries and things that go wrong and people that die on the operating table,
like you're always thinking of the patient and their family and what that's like.
But I think that's the part of the story you never hear is what it's like for the medical provider and what you go through.
Well, I would never, I appreciate it.
But what I went through obviously is not important compared to what.
her family went through and all of that. And so for me, you know, what really strikes me is that I still
have a picture of the photo that I saw of her with her pet, you know, that they had like in the paper
and stuff like that. And it still strikes me because I still feel a lot of inner guilt. But what that
did was it taught me that I got, you know, I need to really rethink all of this stuff. And really
what it got me into realizing, I think, and reminding me, because as a surgeon, you always know,
Like whenever somebody sees me and they say, hey, you know, I'm thinking about having breast surgery or a tummy tuck or lipo.
And they say, what's the worst that can happen?
I will always tell them you can die.
Yeah.
You know, I mean, I flew here to come to this podcast.
I could have gotten into a plane crash coming here.
You know, we all take risks, but there is that risk that you take with surgery.
And so for me, it just reminded me of why we do it and keeping in mind the power of putting somebody under the knife, you know.
And in this situation, it was very tragic.
But hopefully for me, it's like, how do I take this and make a good thing out of it?
Well, speaking of facelifts, there is no one.
I was more just excited to talk about than Chris Jenner and Lindsay Lohan.
Yes.
Okay. Lindsay Lohan comes back from the dead.
We even heard from her in I don't even know how long.
She looks insane.
She looks like a different person, but in the best way possible, she's insisting that she's
never had a facelift.
What is really going on in your opinion?
Okay.
So she has denied having a facelift.
So this is all just conjecture opinion.
I'm not her surgeon.
What I think is going on with a lot of these celebrities is it's a combination of factors.
Number one, it's Ozampic, the GLP1 agonist medications.
Okay, so people are losing weight, and that is causing their face to get thinner.
So that's the first thing.
Second thing is that a lot of celebrities are no longer over-inflating their faces with filler.
They're just doing touches of filler here and there.
They're doing it the way it should ideally be done, where it just enhances a volume a little bit,
softens the face, but does not completely distort it and reshape it. So that's the second thing.
And then the third thing is it's a lot of work. And obviously the number one thing we always have
to consider is a facelift. You know, the facelift is what creates the sharp jaw line,
the sharp neckline, all of that that you're seeing with some of these celebrities who are,
you know, in their 40s, 50s and older now that are having these just perfectly chiseled faces.
You cannot get that with lasers. You can't get that with radio frequency. That's typically all
done surgically. But you combine that with little operations here and there, like an
blephroplasty, where you take just a little bit of extra skin from the eyelids. You can do a
pinch of the lower eyelids. We take a little bit of extra skin there. These little tweaks that they're
doing over the whole face. And that's how you get faces like what you're now seeing in Hollywood.
So you think Lindsay Lohan's lying? I can't say specifically because I'm not her doctor,
but do I think she's had more work done than she may have maybe saying?
Yes.
Tell us about Chris Jenner's facelift, because we do know that she had a facelift.
A lot of people harsh on the Kardashians and the Jenner's.
I give them credit and that they have been very open with the fact that they've had
worked with.
There's so many celebrities out there who say, I just use olive oil.
That's why I have a perfect complexion.
That's why I've got a perfectly shaped jawline.
No.
And so I do credit here.
So I think with Chris, there's a couple of factors here.
You know, she has come out and looks amazing.
Literally looks like one of her daughters, okay?
So obviously she's had a facelift.
A lot of people are speculating it's a deep, plain face lift, but it's not.
It isn't?
No, it's not.
What is it?
There are two types of facelifts that we in general do.
There's the traditional SMAS facelift where essentially you make incisions around the ears.
You lift the skin up separately from the fat and the muscle.
So you lift the skin, you reposition the fat, and then you tighten up the muscle.
and there's different ways to tighten that muscle up.
And then you elevate the skin and cut the skin out and stitch it into place.
That's a traditional SMAS facelift.
Smas is the name of the muscle, okay?
The deep plain facelift is where you make the incision, you elevate the skin,
and then right about mid-cheek level, you actually, in size, you cut through the muscle
and you go underneath that muscle and lift the skin, fat, and muscle all is one big piece.
It's called the deep plane because it's a deep plane dissection.
And so there are some doctors who like to do that technique.
The argument is that you may have a longer lasting result
and you may have a little less tension on your incision
so it may heal this scars better.
But that's never been proven.
Okay.
Now the thing with deep plane facelifts is that it's become a bit of a social media phenomenon.
You know, she comes out, everybody's like,
it's like, it's deep plane, deep plane, deep plane.
Well, it's not because her surgeon, a lot of surgeons know him,
say he does not do a deep plane facelift.
He does a SMAS facelift.
What is that?
And his, so that's the muscle tight.
where you do it and it's basically more the traditional way of doing it.
And his mentor did what's called the smasectomy,
where you basically elevate the skin,
you elevate a little bit of the muscle,
and you cut it out,
then stitch it up higher.
That's not a deep plane facelift.
So it's just two different techniques.
The surgeons who do one technique like myself,
and I do the SMAS facelift because I think it's less risky
and I think people heal faster from it,
they will argue that their technique is better,
and then the deep plain face of doctors will argue that theirs is better.
the fact is, is doctors now are charging for a deep plane facelift, 100, 150,000 plus sometimes.
I was going to ask you.
There is, I think, a dollar component here that's kind of driving some surgeons to do that because
they think they can charge more.
How much do you think Chris Jenner's facelift cost?
They're talking.
Well, now he's charging out more than he probably charged her, but I would say probably
about $150,000.
Which is nothing to her.
But what I heard about Chris Jenner's facelift is that it looks super snatched and looked amazing
for the Bezos wedding, but that it was going to fall and it's not going to look that snatched forever.
It's going to like settle. Is that true?
So that was something that I put out there actually.
Oh, was you?
Possibly. Because that was so I did post a video and, you know, some of it went viral and stuff.
So this is what I think happened with her. Okay. She went ahead. She had a smas tightening
facelift, okay, from this doctor in New York. And she, I believe she is probably on a GLP1
Agonis medication. I think she's lost a bit of weight. Like I mentioned before, I think that she's
had very small amounts of filler injected.
And so those are the three things I've told you so far.
But there's a fourth component here that people haven't mentioned that I did bring up.
She's in the sweet spot after a facelift surgery.
So my guess is that she is about two to four months, probably not even four, more like probably two to three months post up.
And when you do a lift, everything you lift up, the skin initially is tight.
It's a little bit swollen.
The wrinkles are smoothed out.
but if you give a time, three, four, six months, things relax.
Skin stretches, especially in somebody who, I think she was, she's 69, I think.
That skin is going to relax and settle.
And I bet you that you give it about six months from now, you'll start seeing that she looks a lot like the older Chris that we, you know, know, know,
and less like the version that we saw more recently.
Well, I was thinking, you know, there's no way this is her first ever facelift.
No, she actually...
She had them before.
So she has had at least one before because she had actually done on the Kardashian show.
Okay.
Keep up the Kardashians, yeah.
And so that obviously showed, I mean, she had wrinkles and everything even after that facelift.
So if you get a facelift and you age, there's still going to be some signs of aging.
Yeah.
So initially, things will look tight.
And like I said, you get in that sweet spot.
And I see that with my patients too.
You know, they're two months out.
They go, oh, my gosh, looks so amazing.
And I'll tell them.
I said, you know, you've got some wrinkles here starting out.
I go initially they're going to disappear, but they're going to come back.
Okay?
Because when you're tight and you're a bit swollen, they're going to disappear and you're going to tell me, Dr.
you and you're wrong, you made those wrinkles go away.
You give it four to six months and they're going to come back.
So is there an age, like past this age of facelift is basically worthless?
Not necessarily.
I mean, you know, with her, she's still going to get a significant improvement over where she started.
It's just she's not going to look like she does on these famous photos.
And plus, we know that they're all Photoshopped and there's filters being used.
and all of that. But my guess is you're going to see, like I said, within the next six months,
she's going to look a bit more like the old Christiana. And that's fine. You know, it's just the way it is.
But right now I think she's in that sweet spot. What do you think Melania Trump has had done?
I would say Melania Trump has had a lot of non-invasive stuff. So she's obviously had laser treatments,
chemical peels. I do think she's had a good amount of Botox. I think she's had very tasteful filler done,
but not overdone. Like where? And what would that mean?
Typically, it's in the cheeks, a touch in the lips, in her nasal labial folds potentially.
I do think at some point she may have had a rhinoplasty.
And other than that, the question really is, has she had major cosmetic surgery done?
I don't think so yet.
I mean, she looks, here's the thing.
She does look very similar to her photos of herself young modeling days.
I mean, so I agree she's doing some stuff.
I definitely think Botox and things.
But like major face surgery, I don't see it.
I don't think she's had a facelift.
anything like that. I think that she is one of those people who is using everything at her disposal,
and God bless her, she can do everything if she wants. There are so many non-invasive and minimally
invasive treatments available nowadays that show no sign of any issues afterwards. And if you do all
of those, then yes, you can't keep things relatively tight. Yes, you can't, you know, if you look at her,
she just hasn't overdone any of it, but it's a lot of things that she's doing, I think, to keep
things up versus to change things completely around. So the only surgery I think maybe, like I said,
maybe a rhinoplastie way back when, but I don't think she's had anything really much else.
She may have had a touch of an upper blephaloplasty where, you know, a tiny bit of skin can be
removed. But even that's arguable, you know, I don't see anything major in her face at all.
That's not the case for some of the other people in the administration where obviously it's
obvious they've had some big, big things done.
Who's obvious? Who's obvious in the Trump administration, Dr. You?
Some of them you can just see, you know.
I mean, you've got the Homeland Secretary that you, obviously, it's night and day.
Oh, Christy, no.
Yeah, I mean, night and day.
But, um.
See, Christy to me just, she's clear, she went, she got the hair extensions.
I mean, I think she gets Botox filler.
Yeah.
But you think major surgeries?
She may have had a facelift.
Really?
Maybe.
Yeah.
It's not obvious.
Well, if anyone knows, you don't let us know.
She's pretty, she's pretty tight.
I haven't looked really, really closely at her.
And a lot of these you really do have to look closely.
because a good plastic surgery is so good that you can only tell they've had it done when you see the scars or you find out how old they are.
And you know that anybody who's in any Caucasian in their mid to late 50s who has a perfect jaw line, usually that's not real.
In your opinion, is Haley Bieber blessed or did she buy what she has?
I am actually friends with Justin's mom.
Oh, great.
And so I try not to comment on him or Haley.
That's nice of you.
Yeah, just because we're friends.
And the last thing I want us for her to text me, like, Tony, what are you talking about?
So I honestly have not really studied her face because I've had tabloids reach out to me.
I've had people ask me, what do you think about Haleyby?
And I'm trying to be like honest and stay away because your friends is Patty.
Yes, because I know Patty.
Very sweet gal.
And she actually grew up not that far from me.
And we have some common friends and stuff like that.
No.
No, I'm from.
So I'm near Detroit.
and she's from Stratzford, a Stratford, which is like an hour away.
And so I met her because we have some common friends, and she's always been very kind.
And every once in a while, we text each other and stuff.
So I can't go out there saying stuff about her daughter-in-law.
Yeah, you can't.
I totally don't blame you.
Okay.
See, I didn't know that.
Now, okay, what about Miley Cyrus?
Do you think Miley Cyrus has had buckle fat removal, or is she just aging?
I think she's just aging.
I mean, she is so lean.
that I can't imagine
that she'd had the buckle fat.
We know that Chrissy Teigen,
she is admitted to having it done.
Not enough, I think.
She's actually, well, but she's had filler in her.
I know Chrissy too, so I can't say too much.
She's actually okay if I talked about her
because she had a brow lift recently.
But anyways, so I think Miley, she's so lean
that I don't think she hardly has any buckle fat anyway.
You know, I mean, I've not had a buckle fat removal,
but I have very little buckle fat.
fat here just because I've got a pretty lean face.
And so these operations, yes, they have been done in the past in people who've had relatively
thin faces and it makes them look even more like kind of skeletal.
But no surgeon their right mind would do that on somebody who's as lean as her.
I mean, it would be a bad, bad idea.
Chrissy's a different story because Christy starts out with more of a rounder face.
And people with rounder face sometimes they want to create some natural contouring.
And so a buckle fat removal in those patients can actually be beneficial.
You know, if you see your mom or your dad as they get older and they're getting kind of jowly and they get heavy in this area, then a buckle fat removal can actually be a beneficial operation for them.
Interesting. Okay.
So I do do it on people who are having a quote unquote bottom heavy face or a quote unquote chubby face. We actually wrote an article in one of our big journals many years ago about facial reshaping and we kind of classify different facial shapes. And that a buckle fat removal is actually a reasonable operation for those those facial shapes.
What do I have?
You don't have either of those.
Yeah.
I mean, you actually have more of a...
I'm some kind of weird alien in between thing.
No, you have actually...
You have more of a...
So you know what I describe it?
And you may be too young for this.
It's the difference between Marianne from Gilligan's Island face
and a ginger from Gilligan's Island's face.
Oh, dang it.
No, I don't know what any of them look like on the top of my head.
Okay, so Marianne had a very round, more of a rounder, like, face that's kind of fuller
and's more of the girl next door.
And Ginger, and this is obviously a very...
very old show, had more of a glamorous, contoured, longer, thinner face.
And they age very differently.
Okay.
And we have to see where I go.
So you have a face that's going to be more like the Marianne face where you're going to retain
volume in your cheeks and that's going to keep you looking younger.
You know, you probably find people who ask, you know, you probably go and get carted when
you go to, you know, go to the restaurant or something like that.
That's true.
Even at your age.
Every time I get my nails done, you know, they're like, why aren't you in school?
Yeah.
I'm like, okay, as long as someone's saying that to me, I feel good.
And that's because of your facial shape.
You know, that's really doing that.
For me, it's the opposite.
I have more of a longer, thinner face.
And because I'm Asian, you know, Asian don't raisin.
And so people think I'm younger.
But my facial shape is going to age me, definitely.
Okay, so can I ask what you do?
Like, you're a plastic surgeon.
Are there certain treatments that you're like, oh, I'm always getting this?
This is like what I would always, you know, do or like I would never touch this.
First thing is always going to be skincare.
And as you know, I've got my own skincare line.
And so, you know, you always want to look at certain actives.
And we usually recommend for people definitely use a retinol.
If you can't tolerate, then I usually recommend peptides and bucuchel.
And so for me, I have very sensitive skin.
I have a peptide macuchel moisturizer that I use every night in the evening.
And then in the morning, I use a vitamin C serum.
Okay.
So products are key.
As far as treatments, the treatments that I do, I do IPL, intense pulse light.
And so it's like a laser and it targets brown spots.
very efficient if you're talking about cost because there's no downtime to it.
And most med spas have it.
It's usually a pretty safe procedure to do and not real painful or anything like that.
Have you been on Ariel Laurie's podcast?
Oh, no, I know Ariel very well.
One thing that she does that I think is so interesting is she talks about how she does vitamin C at night.
Interesting.
You didn't know this?
No.
Okay.
I just saw her like a month ago, too.
Yeah.
Okay.
Next time you see her be like, are you doing vitamin C at night?
Why are you doing that? Because I thought that that was fascinating.
So vitamin C, number of things. Number one, it's an antioxidant. So antioxidants fight oxidation
and free radicals. That's one of the main causes of aging. And you can get free radicals from
ultra-processed food, from pollution, from cigarette smoke, automobile exhaust, all that type of stuff.
And so you ideally do want to apply it in the morning because it will help to protect your skin
throughout the day. But the other benefit of vitamin C is it is a co-factor in the production of
collagen. And one of the other main ages of our skin is a breakdown of collagen. And so you need
vitamin C. We know that from, you know, high school biology with scurvy where these pirates would go
sailing off, you know, and they have all these fresh fruits and vegetables when they go sailing off.
Now they're stuck in the middle of the Pacific or the Atlantic. Months go by. They have no fruits
and vegetables. They're getting sores inside their mouths. Some people actually die from it because
their collagen is actually breaking down inside and outside their body because they didn't
have any vitamin C because vitamin C is only in fresh fruits and vegetables.
So it's that combination of in the morning you can apply it as an antioxidant.
But yeah, I mean, if you do apply it at night, the anaestine effect, you know, is not all that beneficial,
but you still have the fact that it is necessary for the production of collagen.
So it's also a brightener of the skin.
So you can get some benefits for it.
My recommendation, you know, if you're Ariel Lurie and probably the cost of the product isn't as huge of a deal for her as maybe some people who are listening to the show where they say,
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then I would say just use it in the morning and use an active like a retinol, like a Bacuchal, or
peptides at night, then you're actually going to be making the best use of your dollars.
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What is one procedure or laser or, you know, experience that people are spending a lot of money on right now in beauty that you are like, do not waste your money on this?
This is such a crock of crap.
So right now there are some devices.
So the original one was like called the new face where it is electrical stimulation of your facial muscles.
and there's a handheld device, and you may have seen videos like on TikTok where people do it on one side of the face,
and then that side of the face is all elevated, and the other side is not.
And so then they try to do it on the other side to show it.
That type of electrical stimulation, you know, those devices aren't that expensive.
They're a few hundred dollars.
And if you want to do it, you may get a temporary benefit out of it.
But now there are companies who are making devices like that for the whole body.
And we actually had one at one point where basically uses electrical stimulation to stimulate your muscles
to contract 20,000 times in, let's say, a half-hour session. And the idea is that you can build up
muscle, get a better six-pack, get a lifted butt. Now they're even doing it on the face to try to
lift the face. And, you know, we had one of those for a while. It's still really popular. I ended up
selling it on eBay. I think I bought the device for 120 grand, and I sold it for less than $10,000
on eBay a few months ago. Just because I couldn't, I'm like, I'm not going to have my patients do
this if they're not going to benefit from it. Why that big of a loss? Because this.
These devices, they sell us at this huge amount.
And it's like a nice car that you drive out of the lot.
Like once you get in your office, the resale value plummets.
Oh, my God.
And so, yeah, I sold it on eBay.
It was like less than $10,000.
Oh, that hurts my soul.
Speaking of facelifts, necklifts, is your 30s a good time to start to do a mini procedure?
Mini procedures to an extent are good.
Many faceless are a different story.
And the main reason why is, as I mentioned to you before, when we do a facelift, we make incisions in front of and behind the ears.
We lift the skin up and pull the skin back and cut skin out.
But any time you cut out skin, you are creating scars.
Those scars are permanent.
They never disappear.
And, you know, it irritates me because I see surgeons who go online and they say, oh, well, my scars look great, you know.
It's because I'm such a good surgeon.
And the fact is, that's BS.
because what I do in, let's say, a three-hour operation pales in comparison to what your body does
to heal a scar 24 hours a day for seven days a week, for 365 days in the year, and it can take up to
two years to heal a scar.
And during that entire time, your body is creating collagen, it's breaking down collagen,
is creating the scar, and what we do in a small operation has very little impact on it.
So we can control whether we have little track marks from scars, you know, by leaving sutures in too
long. We can control if the scar is jagged, but we can't necessarily control if it gets thick,
even if you get a cheloid, which is an extra thick scar that's grown outside the normal
boundaries of it. And so any type of a procedure that you do surgically, you're going to have
some type of scar with. And that's what you have to make sure it's worthwhile. And so when you're
talking about, let's say, doing a mini lift, and yes, I do think some of these popular celebrities that
people are talking about, like, wow, their face is so tight. I think they've had lifts done.
Well, Anne Hathaway is one of those people that's rumored that she just did a mini-facelift.
Yeah, so I think that the celebrities are doing that, but at the expense of those scars.
And if you really want to know whether she's had something like that done, what you want to do is watch her next movie on HDTV.
And when they do a close-up, look around the ears and see if you see that scar.
You know, a lot of celebrities now you see them on the red carpet or I've even seen like at award shows.
And they zoom in on them and you can see, okay?
Who's one of those people where it was obviously noticeable?
Some of the guys are really noticeable because what happens is that they have a scar coming right in front of the ear,
and the skin of the ear here is very different than the skin of their cheek.
And so they move that skin over, and you've got this line between the skin of the cheek
and the skin of what we call the tragus is covering in the ear.
And so there are celebrities like Michael Douglas, where it's pretty obvious when you see it.
But a lot of celebrities are very smart.
You know, if you look at Madonna and if you look at her Instagram, okay, and you look, try to find a photo.
You're not going to find it of this part of her ears where we would normally see a scar.
There's always a strand of hair covering each side.
You will find almost no pictures that.
And if there are, they've probably been shot.
These are not ones that are like, you know, even videos.
You see videos of her.
There's almost always hair coming right in front of where those scars would be.
I know people thought that Angelina Jolie went away during the pandemic.
She used that to her advantage to go get a facelift.
Was there like a massive celebrity influx of like, hey, this is the time to get our facelifts now?
Yeah, but the problem is is there's also a lot of fear there because of, you know, having surgery.
And, you know, I mean, COVID's a whole other deal.
But there is a lot more people getting blood clots at that time.
I know there's people talking about the vaccine.
People talking about COVID.
I mean, just the fact of COVID, we know that people had a higher risk of blood clots.
Yeah.
And so even with that time, I had a patient of mine where this was this one of these scariest things I've ever seen in my practice.
a patient perfectly healthy, came in to see me for a tummy tuck. And she is in her early 40s,
and we brought her in for surgery. And right when we induced anesthesia, meaning that we put her
to sleep, all of a sudden, her blood oxygen levels plummeted. And she had had bilateral
both sides pulmonary embolized. She had huge clots on both sides and had compensated for it for
probably several weeks, not telling us she had anything. And once we put her under anesthesia,
And her lungs and her heart were getting a bit of a hit from that.
You know, a challenge from it, everything crashed.
And it was nuts because I remember at the time I was doing it at the hospital.
And we called the ICU to move her to the ICU because we were barely essentially keeping her alive.
And the ICU was full so that we can't take her.
Oh, my gosh.
And so we're here in the operating room.
And they're like, we can't take her?
We don't have anybody.
So can you send like an intensivist to come see her?
And they're like, we don't have anybody.
They're all, you know, doing codes on people who are dying right now.
Like it was crazy.
What do you think caused that for her?
The vaccine itself or just having COVID?
Having COVID.
Really?
Yeah, yeah.
I mean, we know that that is a condition that increases the, you know, the risk of blood clots.
And does a vaccine have something to do with it possibly?
But we know that people who have COVID.
That's a well-known fact.
Wow.
Luckily, we're past a lot of that, so we're not seeing that anymore.
But, yeah, that was a crazy time.
Yeah.
And she, thank God, she did fine.
Like, she came out of it and she was fine.
and I told it and like, look, I'm not going to operate on you.
And she's like, please, please do my tummy tuck.
And I was like, no, I'm just not going to do it.
That's good.
Yeah, probably saved your life.
She probably went to somebody else and had it done afterwards.
So if you do this mini facelift in your 30s or early 40s,
are you almost for sure going to need to then do a full facelift later?
Or can you maybe just get away with that?
So the results of the facelift study show lasts about seven and a half to 15 years.
And how long it lasts depends on the technique.
it depends on the quality of your skin and how well you take care of your skin and then the age that you have it done at so if you do it younger the fact is that those results are going to last longer because the quality of your skin is better but that being said you don't want to do it so young that you're dealing with scars that you may not really need you know because i do get people who come in to see me and they're 40 42 they have a little bit of looseness here like well i just want to do it now let's do it prophylactically well what are we we're trading looseness for scars and the way i described
patients is you want to look at the benefits and the drawbacks. And when you're young and your
skin's pretty tight, the benefits are pretty low. But the drawbacks are here, okay, because you get
those scars. And as you get older, those benefits gradually increase because you look worse,
more aged. And at some point it goes above where the drawbacks are. And usually that's what I
recommend is a good time to do it. Are you seeing an increase in women asking for breast explant
surgery? Yes. So many years ago, so I trained as a traditional
plastic surgeon. And for a long time, I believe the dogma that breast implants don't make people
sick. You know, I was always told throughout my training and everything, oh, well, the science has shown that,
you know, we had this moratorium on silquent implants, and moratorium was lifted in November of 2006.
We were able to use them again. And that was proof that these implants are safe and that all this
stuff of women saying to make them sick, it's all BS. The studies disprove that. And as a dutiful plastic
surgeon who believed what my mentors and the doctors were telling me and what I heard in
conferences, I believe that that was true. But did I actually look at the studies? Not necessarily. This is
what I was told. You can't read every study, you know. And so I went through that in my practice for a while,
and I started having some patients who started having issues. And I started talking to them. And then I had
this issue with my patient that I told you earlier about who died, and it made me really rethink everything.
So I started, I didn't look, I stopped looking at the plastic surgery studies and I started looking
at studies outside of plastic surgery, studies done by rheumatologists, by internists.
And I started saying that there were these connections being made between silicone breast implants
and people having these constellation of symptoms ranging from fatigue to brain fog to thinning hair
to unexplained rashes and all this stuff.
And after looking at that and reading their accounts and seeing,
some of my patients get better when I took their implants out, I realized that I was wrong and that
the dogma was wrong and that these studies that have been performed up till that time were performed
by plastic surgeons who were making some of them hundreds of thousands of dollars from these
implants and from doing these studies and stuff. And so I was one of the first ones plastic surgeons
to go public on social media saying that I believe breast implant illness is real. And the backlash
was pretty swift. Who was giving you backlash? It was basically a
other surgeons. So I was rising in the ranks of one of our big plastic surgery societies. Like,
oh, here's a, you know, hot shot young surgeon. He's doing a lot of TV. He's, you know, got a big
following. And so I was rising amongst the ranks. And then I decided to go public with breast implant
illness and my belief with it. And then all of a sudden, all of my committee assignments were
stripped for me. And I was persona non grata. Like, I was literally on the cuss of being a board
member of one of our big societies. And then the next I know, the next year, I was off of everything.
And did you know in your heart, like it was talking about breast implant illness?
So I asked some people what their opinions were and they said, look, these things are not random, was my, was what they have told me.
So I've not had somebody ever tell me specifically I was at a meeting where they said, let's get rid of him.
But I have been at meetings where people who are in charge of the societies say, hey, look, I don't like this person.
Let's get them off of all the committees.
I've seen that before.
And I assume that that probably happened to me.
Now this was many years ago.
now there have been a lot more plastic surgeons who have come forward. Even the societies now are being
more open. They're doing a lot more studies on looking at breast implant illness. So yes, I do a lot of
explants, but I'm also, I also do a lot of implants too. You know, I don't think that, you know,
I think that there are these extremes where there are some plastic surgeons who say breast implant
illness is all in women's heads. It's a very, you know, old-fashioned and dogma-filled way of looking at it.
And so I know some patients of mine, actually had a patient of mine who had, I did implants on many, many years ago.
And she saw an older plastic surgeon while she was there with her husband because he was getting like a hair transplant or something.
And she said, you know, Dr. Eun did my implants many years ago.
I'm having these symptoms.
Do you think maybe I have breast implant illness?
And the surgeon said, you got to go see a psychiatrist.
Oh, my gosh.
That was his reaction, just like you got to see a psychiatrist.
And so she came and told me that, you know, after that.
So there's that group of people who believe that.
But on the flip side, there are also, you know, breast implant illness advocates who believe all implants are toxic and it's just a matter of time. It's a ticking time bomb inside your body. And the fact-
It's just, it's totally individual. I feel, so we don't know what causes it. I believe it's real. Studies show that if you have implants and you have a lot of these symptoms that I'm talking about, if you don't have a defined diagnosis of lupus or rheumatoid arthritis or something that's defined. Yeah, if you don't have that diagnosis, but you have all of these symptoms that I'm talking about, if you don't have that diagnosis, but you have all of the symptoms of. I'm talking about. If you have a diagnosis, but you have a lot of
these symptoms, and they're in the vicinity of, you know, a couple of years of having implants,
then there's anywhere from about an 85 to 99% chance that if you have your implants removed,
that those symptoms will significantly improve.
Do you tell your patients or do you walk your patients who are interested in getting breast implants
through any testing to see if they do have autoimmune before doing it?
There's no testing.
That's the problem for us to find out whether implants may be an issue.
So I always talk to them about it.
There are three conditions that may increase your risk of it.
and those are having autoimmune disease already, having a history of severe allergies,
and for some reason, irritable bowel, IBS.
You know, if you've got those three conditions, there are some small studies to show
that you may be at higher risk of your implants making you sick.
Interesting about IBS for that.
Yeah, I don't know, but that was what a small study showed.
So those three things.
And so I believe it's real.
I don't think that it happens to everybody.
We don't have any percentages, unfortunately.
I was actually in a webinar just last week, and that was one of the question.
questions I brought up, you know, and it was all about BII, is, does anybody have an answer
when our patients ask us, what are the chances of me getting sick from my implants and nobody
had an answer? We just don't have those statistics. And that's what we really need. What are ballerina
boobs? And are you seeing a bunch of celebrities asking for ballerina boobs instead of these massive
implants? Ballerina boobs reminds me of Barbie talks, where you get these ideas. So plastic surgeons
are all, and a lot of placards are really into marketing.
And so they create these cutesy names, and some of this is media too, you know,
create these cutesy names for procedures they do as a way to market them.
So the idea behind ballerina boobs is that implants they're being used nowadays maybe on the
smaller side, okay?
Even that, I think, isn't necessarily true.
I think it's more of a news item that surgeons can try to get their name out in articles and
stuff like that.
So, yeah, so ballerina boobs.
It was Barbie talks.
You may remember that, not that long ago.
Some doctors now, because menopause is, like, big in the news and stuff, they're doing
menopause makeovers.
Which is what, really?
It's whatever combination of procedures on a woman over the age of 40 that they want to call
a menopause makeover.
It's just marketing.
It is.
The same procedures that have always been done is just a new name marketing.
It's just marketing.
And so this whole Barbie boobs thing, I mean, so I still do a lot of breast implants.
Obviously, I educate my patients on it and make sure that they understand the potential risks.
Have the sizes gone down in recent years?
I don't know because my patients in general are looking for a natural result.
And there's some patients that still want to go fairly big.
I mean, Kylie Jenner was very open recently, that she has 445-cc implants, their moderate profile silicone.
Those are big implants on a tiny frame.
But then you've got Alex Earle, who's come out and said that she's got like 250s or something, which are quite small.
But people are happy with both of them.
So I don't know that there's truly this big trend towards smaller implants versus, I think, surgeons who they get calls from media organization say, hey, are you seeing this trend toward smaller implants?
Of course you're going to say yes.
There's been a lot of talk about Kylie Jenner and the different procedures she's had done and how she looks and a lot of criticisms about how she looks and that she looks way older than her age.
As a plastic surgeon, do you think Kylie Jenner looks a lot older than her age?
I actually think that that criticism is not founded, but I do think that that criticism is
is correct for a lot of other people.
Okay.
Because you know that there are celebrities.
So I think what it is is that you have people who are literally in their 50s and 60s.
They're like real housewives, okay, and their faces are pillow faces.
They have way too much filler.
The lips are real plump.
The cheeks are real plump.
And you know looking at them that they're a 60-year-old woman who's trying to look 25.
Okay.
well, what's going on now is that you have 25-year-olds who are doing the same thing with their face.
They're over-plumping it.
You just watch Love Island and you see a lot of that, okay?
And so now what's going on is they're doing the same types of procedures, but their face is a 25-year-old face.
Now they are then looking like they're a 60-year-old person trying to look like they're 25 because they're doing those same things.
And I think that's what we're seeing.
We're actually seeing in my practice, and I think we're seeing probably around the country.
There has been a lot of talk about filler.
And, you know, we were always taught in the studies and everything that filler lasts anywhere from six months up to a year.
Some fillers that are a bit thicker may last up to two years.
And the reality is that some fillers are lasting a lot longer than that.
And that's something that we're realizing.
And that fact in and of itself, and now social media videos, people saying, I've seen these videos where they're like, you get filler put in your lips and it's going to migrate up to your forehead and to your cheeks.
And like, that's just not true.
Yes, it can migrate.
but it's not going to migrate from one part of the body to a whole other part.
There's a lot of tissue it has to go through.
It's not like some parasite that's going to move underneath your tissues and go up to different parts of your body.
But that being said, filler can migrate a little bit.
You know, a few millimeters.
That's definitely possible, especially if it's around muscles and those muscles are actively moving all the time.
Then, yeah, I can technically move filler a little bit.
And we know that filler can actually increase in size.
Certain types of fillers are very hydrophilic, meaning that they absorb water and moisture.
and with time, they can actually increase in size.
Whoa.
And depending on where you put filler,
filler sometimes can just last a lot longer than we ever thought.
What about these chin fat treatments like Kybella?
Do you think that those are totally okay to do
or are the long-term risks too high?
So Kybella is made of deoxycolic acid,
and this is a naturally occurring substance in our GI tract
that basically dissolves fat.
And Kaibel is based off of an old, old idea called mesotherapy.
And this has been around for probably 50 years or longer.
It started actually out, I think, in France, where they would inject various caustic substances into the fatty layer underneath the skin.
And those substances were so caustic that they would actually dissolve fat.
The problem with those treatments, and those were very popular probably about 20 years ago, 15 to 20 years ago,
there were doctors who were doing this mesotherapy, which are fat-melting injections.
But the main issue with that treatment was it was there was no standardization to it.
So it was any doctor would create their own witch's brew concoction of caustic stuff,
stick it in a needle, and inject it into people's bodies.
And, you know, there was a period of time where a lot of doctors were doing this.
And there weren't usually plastic surgeons.
There were like internists and ER docs and people who were masquerading as plastic surgeons.
And it's a way for them to, hey, we've got fat melting injections.
Like, who doesn't want to melt fat without going under the knife, you know?
And so this idea was this company Allergan, which they make Botox, they said, okay, there is some truth to it.
Like some of the stuff that they inject does melt fat, but also other stuff that they inject can create sinus tracts, can create inflammation and infection and all this stuff.
So why don't we just isolate it to the one thing we know melts fat, we purify it, and then we test that to see if that will work.
And that's where Kybella came from.
And so Kybella is deoxycolic acid.
It's FDA approved.
you can inject it. It's FDA-proof for injection into the submentum, which is the double-chin
fat. And it does work. Like I've done it on hundreds of patients probably where we inject it into
that double-chin fat. It gets inflamed. You get swollen and get kind of red. It gets numb for a while.
And gradually that fat, some of that fat dissolves. The problem with that treatment,
number one, you can get a lot of swelling and stuff from it. Okay. And you have to do it at least two to four
times to get rid of enough fat that you're usually happy with. So it's not just a one and done
deal. So you have to undergo that multiple treatments of swelling and then waiting for it come down,
then do it again, swelling. So it's pretty onerous. And then the second thing, and that's come up
more recently, is that it is an inflammatory procedure. You are creating scar tissue in that area.
And you may not see the scar tissue if it's done well. But if you go in, let's say later on
and you have a facelift done,
that could make a surgery like that
more difficult to perform.
And so that's one reason why some doctors
are really not happy about it.
But the other thing you have to consider
is when somebody, let's say,
poo-poo's Kaibela,
say, hey, I don't like it.
Is it because they like to do liposuction?
Right.
Because they make more money off of liposuction.
So I will do Kaibela.
I don't do a lot of it.
I'll do it here and there just for the right patient.
Would I make more money doing lipo on that patient?
Yeah, I would.
But there are certain patients
who I believe may do better with the Kybella than with the lipo.
Maybe they've got some loose skin and they just want a tiny change there.
Then some of them I will do Kaibela.
And they've typically all done pretty darn well.
Questions for you about Botox.
I feel like we're starting to see a lot more conversation about Botox poisoning.
Do you know anything about the statistics of how many women are likely to develop Botox poisoning?
So this is an interesting topic because Botox is the number one cosmetic treatment in the history of the world.
Just in the United States, there's over five.
million people get it done every year. And I had a friend of mine a few years ago who was a
naturopathic doctor. And she called me and she said, look, I had Botox and I'm having these weird
neurologic issues. Have you ever heard of this before? And I had not. And so I did some research on it.
I talked to a number of dermatologists. Some of them have been around for a really long time.
And there really was very little to no data. There were a few Facebook groups, but it's nothing
like, let's say, breast implant illness where you're talking like tens of thousands of women on
these Facebook groups telling all their stories. I fully believe that in bio-individuality and that
there are certain conditions, and I think this is why breast implant illness is so difficult,
is that there are certain conditions that may kind of fit altogether in the perfect storm
to cause a certain person to have a reaction to a treatment or an implant or a botox or whatever
that maybe the average person just wouldn't get. So I would never say that that can't happen.
Our friend Ariel, okay, we talked about her. It's just, I think she's going to be, her, it's going to be
Vernon. She's been very up front that, you know, Botox, she's had some issues with it. She actually
horrible experience. She actually called me. She's been, she was DMing me when that was all
happening. She's like, have you heard of this, you know, and we were going back and forth about it?
I think it's very, very rare, you know, there are very few people, because it is temporary. You know,
I tell you, in my office, it's the number one cosmetic treatment that we've ever done. We have
probably in my office treated over 10,000 people with Botox, and I've not had a single patient
ever come back and tell me that they've had those types of issues.
Sometimes they're like, oh, yeah, I get a headache, you know, afterwards, or I had it done,
I didn't feel right, but it was never like a debilitating type of a reaction that didn't go away.
Typically, the worst thing they get typically is a headache.
Physically, what I've seen the worst is a droopy eyelid when it accidentally migrates down
to where the eyelid retractors are, essentially.
And then how do you get rid of that?
You just wait for it to go away?
Yeah, you can do drops.
Some drops will actually help to open it up a little bit, and then you wait for it to go away.
But at the same time, like, you know, Ariel is very intelligent person.
I would never tell her that her experience isn't a correct one.
But I do think there are probably some people who are just hypersensitive and just don't do well with it, you know.
So here's what's interesting.
So her story, she had been getting it forever, you know, no issues.
And then one day she had an issue, right?
I also, I started getting Botox in my mid-20s.
And I'm 32 now.
and the last time I got Botox, which was, I don't know, two years ago or something now,
I had flu symptoms for an entire week, major fever, chills, all that.
My hair started falling out.
And then I found out a couple months later, I had autoimmune.
Now, what I feel like, similar to Ariel, it seems like we've been doing it or whatever,
and I just feel like our toxin load bucket was filling.
And then all of a sudden it was like our body just couldn't handle it anymore.
I mean, what do you think about that?
I mean, I think that there's a lot that we just don't understand. And I do believe in toxic load. I think that that's something that's not talked about with traditional medicine nearly enough. And yeah, I mean, you combine that with hormones. You combine that with some environmental types of factors, you know, potentially stress at that time of your life and things. You know, you just don't know. I mean, the human body is a beautiful, complicated, unexplained thing. And I think that in these situations, we have to give grace to people and believe their stories. And I think that was what.
what bothered me so much with breast implant illness is so many people just would poo-poo these
symptoms say, oh, you know, it's in their head and all this stuff. And I think we are now realizing,
and I think with functional medicine and with a lot more alternative and holistic medicine,
becoming more in the forefront, people are realizing that, you know what, just because
the studies show that this in general should not be a risk, doesn't mean that that may not impact
you in a different way, you know. When we're really good at physicians and health care are really good
at analyzing the whole population and saying, okay, there's a this percent risk of this complication,
this percent risk of that. But there are outliers in everything. And it's okay that there will be
because I do think we, you know, once again, we have this bio-individuality. And, you know,
just because you may not have a reaction to something doesn't mean that I won't. Right. Exactly right.
And there is this unknown factor. You know, some of it is probably in our head, okay, but some of it
too could be in our physiology that we just don't understand. Have you ever totally wiped out on the pavement
and scraped half your face off. I did this. I think I was four or five years old,
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Is preventative Botox in your 20s even a real thing?
Or is that another marketing gimmick?
I think that's a marketing gimmick.
I was a dude.
But let me tell you something, though, Dr. Yun.
And despite what happened to me, I've maintained this, and this really pisses people off.
But I'm like, I'm just telling you what I'm seeing with my own eyes.
I started getting it just a little bit here and there, only a couple units, mid to late 20s.
And now, even though I haven't gotten in in a couple years, I still feel like compared to other girls that, like, I grow.
graduated high school with same age group, people I know same age. I feel like I look a little bit
younger than them. Now, that has a lot of different factors. I'm sure my diet, different things
that I'm doing, skincare, whatever, all of those things contribute for sure. But all I'm saying is,
I just wonder, even if preventative Botox isn't real, I mean, I wasn't able to relax. And I'm the most,
I mean, you're sitting here. I'm the most expressive puppet of a person ever. So it's like,
my face is always contorting all these ways. And I feel like maybe did it prevent me?
me from making wrinkles? But your face is very, you know, dynamic, but you're not making those
facial expressions that are creating wrinkles. I know, but you are talking to me. I'm not seeing
those being created. Because I don't think, I think I'm trained to not because I started getting
Botox earlier. You can tell me you're nuts, Alex is in your head. No, no, I think there's truth
to that. I mean, that's the whole thing. Back to Ariel, our friend Ariel again, you know, she's
taping her face, okay? And there's no evidence, and it doesn't make any sense that putting tape on your
face physically is going to get rid of wrinkles. But
What it can do is it can train your body, your muscles, maybe not to create that.
That's what I think happened to me.
There is this urban legend, I don't know if it's true, that Elvis Presley way back long ago,
forbade Priscilla Presley to elevate her eyebrows so she wouldn't get wrinkles of her forehead.
Now, terrible thing, okay?
That's crazy.
But there's some truth to that, you know, and it's the same idea of facial taping that I think that's why that works for some people.
Now, you know, at the same time, you also then have to look at people who don't necessarily do that.
And how are they aging? And a good example of that is Jim Carrey.
You know, I mean, he hasn't been in the news a lot. That guy's got a rubber face. It's all over. And he's looking pretty rough nowadays.
Yeah.
Those lines are pretty deep set. Now, he's not a young guy anymore, but I do think that, you know, it's kind of like the, what our, you know, mothers, grandmothers always said to us, you know, you make that face, it's going to stay that way.
You create those lines. And yes, they're going to keep, they're going to come back more and more.
Why is it that white people age so much worse?
So that's a lack of melanin.
Okay.
So it's UVA and UVB rays.
Okay, we do know that, you know, one of the main ages of our skin is excess UV radiation.
Okay.
And we can talk about sunblock and all that type of stuff.
Oh, yes, I want to.
It's on here.
But UVA rays are the main agers of the skins.
You can remember it UVA.
UVA rays don't burn your skin, okay, but they will age your skin.
And melanin will help to basically absorb those UV rays and prevent that damage.
So that's why you have people who are African-American, who are darker skin, and their skin is perfect.
You know, I saw a patient of mine the other day.
She was like 74, and she was African-American.
She came in to see me for a facelift.
And I tell you—
Were you like, you don't need me?
Caucasian.
Most of my patients are Caucasian, and they come in.
And once you're in your mid-to-late-50s, like everybody's a candidate for a facelift.
I'm sorry, but if you're Caucasian, mid-to-late-fifeties, you're a candidate for a face-lift.
Just the way it is.
It's okay.
She was literally, I swear to got, like, 72 or her.
something and her neckline was like mine at that age. Whoa. Okay. And that's, I think,
because once again, that melanin of her skin absorbed those UVA rays, it basically blocked it and
did not cause that damage. You compare that to I have some patients of mine who are Irish,
really fair skin, red hair, and it's a whole other story. You know, those wrinkles come out
much more quickly. And so it really comes down to the protective effects of melanin in your
skin. What is your opinion on cool sculpting? So cool sculpting is proven to work. If you do a treatment,
basically the idea. And this came out from this interesting idea where a kid was actually
sucking on lollipops. It was, I think, the son of like a plastic surgeon or dermatologist.
And this kid was addicted to sucking on lollipops on one side of his mouth. And the surgeon,
the doctor at one point realized that there was an indentation in this kid's cheek and realized
it's because that's where that popsicle was always against his cheek.
Now, we know that the skin, okay, is much hardier than the fat underneath it.
And we see this when we do surgeries, let's say, on people with pressure sores.
People with pressure stores who are paraplegic, they can't move, they get pressure, and they get
the sore that may be a small, you know, a little hole on the skin.
But underneath it, there's all this damage a lot of times to the underlying fat and muscle
because the fat and the muscle is much less hardy.
Okay, the skin takes that pressure much better.
And so this doctor, a plastic surgeon thought, okay, the skin is hardier than the fat underneath.
What happens if we create a device that basically chills the tissue so much that it basically kills off the fat cells,
but not to the extent where the skin gets killed off?
And that's the idea behind Cool Sculpting.
And so the idea is that you chill the skin to such an extent and the underneath fat that those fat cells will crystallize.
But the skin itself, because it's not chilled excessively, actually survives, and then your body eventually gets rid of it.
So that's the idea how it's supposed to work.
The problem with Cool Sculpting is.
there is this phenomenal called paradoxical adibose hyperplasia,
which is a fancy term for somehow fat gets bigger.
Yeah, it grows.
Somehow the fat grows.
And I've seen this in a couple of patients.
Now, we don't have cool sculpting.
We have something called sculpture, which heats the fat,
and that gets rid of fat in a very similar way as cool something,
but doesn't chill it and it does not have this paradoxical adipose hyperplasia, P.A.H.
But about 1% of patients who get cool sculpting, the fat doesn't thin,
it has this weird reaction where it gets thicker.
I've had two patients that I've seen with that.
They were not my patients.
We don't have cool sculpting, but it came to see me to liposuction them.
And one of them had it underneath her chin, and she had a massive double chin afterwards.
Oh, my gosh.
And then the other one had it on her upper and lower abdomen, and she had literally two large pads of fat of her upper and lower abdomen.
And for her, I did a tummy tuck on her and then liposuction the rest of it away.
The fat, when you do look at it, it's a different type of fat than normal fat.
It's kind of more, honestly, it looks more.
More like if you have, that's bad, because if you have, like, food out for a long time and there's, like, fat in it that it kind of discolors a little bit, it kind of look more like that.
It didn't look like kind of bright yellow fat that we normally see in surgery.
Is there a way to contour your jaw and your neck without surgery?
Yes. Yeah. So there's a lot of treatments. You know, we actually wrote a paper on this. And that was when I talked about the buckle fat removal is facial reshaping using minimally invasive treatments. And so there are little things that you can do.
for example, buckle fat removal, that is a surgery, but that's one way to narrow and
counter the cheeks. You can inject Botox into the masseter muscles, which are the muscles
of the jaw line. That's very common, especially in Asian countries in Korea, where my ancestors
are from, we have this tendency to grow that muscle and to get these wide jaw lines. People who
chew a lot of gum, people who grind their teeth at night, sometimes that gets thick. And so
you can inject Botox to basically narrow it. Other things would be taking out
fat from here. You can do that with Kybella. You can do that technically with cool sculpting. You can do it
with sculpture as well, which is the laser that heats the fat. Those are some different ways to basically
do some reshaping of those areas. What do you think of the upper eye blef surgery trend? Is this something
that we're all going to really regret later? I don't think so because right now when you're seeing,
I think, a lot of celebrities where they're tweaked, but you're not quite sure what's going on,
it's because they've had an upper blephroplasty. And if it's done conservatively where you're just
removing a few millimeters of skin from each side, it's a surgery with that you can, I mean,
the scar almost always heals really well. You know, unless it's overdone, the people have to watch
out are guys, okay, because this operation is based off of the female face. And whenever we do
blephroplasty, the ideas we remove excess skin, sometimes a little bit of fat from each upper
eyelid. That helps to open the eyelid up a bit. So it's not puffy and you don't have that skin
hanging over. Your makeup, you know, it isn't smudging that type of thing. In women, we can do it
pretty aggressively, and it's a feminizing procedure. And I never worry that my patient is going to
tell me, unless they literally can't close her eye, which, thank God, that hasn't happened.
They usually don't say, hey, put more skin back on. I'm not happy with it. But in men, it's a
different story, because it is a feminizing procedure. And there are celebrities who've had it done,
and you look at them, you're like, they don't look quite right. And it's the guys. You know,
we know that Kenny Rogers, the late Kenny Rogers, he admitted to having it done. I'm not the
surgeon, but Robert Redford doesn't look quite the same. And I think he may have had a blephroplasty at one
point. But once again, it's just conjecture. And some other sliberities, if you look at them and they're
male and they don't have skin that's kind of hanging over, they probably had a blephyoplasty.
Do you know who Pookie is? Pookie? No. Who's Pookie? I can look at Pookie on my phone.
Pookie on social media. She's like mega famous influencer her and her husband, Jett, and he's always
like. I'm surprised that this one's not ringing a bell for me because I'm pretty on top of this.
They're huge. They're so massive. They got famous because he just loves his wife so much and just
she'll just show her outfit and he's just gassed up her outfit. Like how beautiful does my wife look?
Whatever. Anyway, she's very, very unique features and eyes that like really bug out.
And what I was going to ask you is if you've had patients come in and say like, I want an upper blef,
I want to look more like pooky. Well, if I did then I'd have to look her up and I tell you like,
yeah, I do know. So unfortunately, no, but I guess the way you're describing it, maybe that's
a good thing. I don't know. I mean, I think she's beautiful. She's just very unique looking,
but I mean, I don't know. Maybe she's had an upper bleft, but she's very unique, huge eyes.
So I just thought like she's so big. I wonder if we're going to start seeing people ask for
that. But it's possible. I mean, we do get those, I mean, whenever somebody is, you know,
big in the media, and people are always asking for that. Well, you know, if you get somebody
saying, Dr. You and I want the Pookinator, then just remember where you heard it. I got to look her up now.
What do you think of the NAD IV trend?
Like, is that good, bad, does it do anything?
So NAD is interesting.
You know, so it's nicotinide, nicotinamide, adenide, dinucleotide.
And it's basically what it is, is it's an enzyme in our body.
It's naturally occurring that essentially takes the energy from our food and brings it to ourselves.
Okay.
So the idea is that it helps to generate energy from the food that we eat.
And we do know that levels of NAD drop as a lot.
we get older and there's a belief that that is one of the reasons why we don't have as much energy as we get older.
Now, there are some rat studies showing that if you supplement with NAD, that they can actually live a longer life.
It does appear to help with longevity.
In humans, the data is fairly limited.
There are some small studies showing that it may have an impact on cognitive performance, on athletic performance, on general energy levels.
But the studies are pretty few and far.
between. If you're going to get an NDA supplement, you have to get through the IV. There's no
oral form of NAD that's available. So the oral versions are precursors, which are NR or NMN. Okay. So if you look at
oral versions that's NR or NMN. I'm not a fan of IV NAD. You know, I know that there was
Haley Bieber and Kendall Jenner. There's a famous video of them on the Kardashian show where
Haley says, you know, I'm going to NAD for the rest of my life. I'm never going to age. My issue with
IV treatments, and I have a lot of friends of mine who are naturopathic docs, functional
medicine, and they're big on IVs, is that I've worked in the ICUs before.
You know, I did my training in there.
And when people get older, sometimes we have a problem of not having venous access.
So they get sick and we can't get a, you know, it's kind of like drug ash.
You know, you can't find a vein to put an IV in.
In those situations, we have to put what's called a central line where we put a huge catheter
either in their neck right under their collarbone or in their groin in the big,
vessels there. My concern is that when you're young, you're healthy, you're having fun,
oh, let's just do some IV treatments. Every time you stick an IV in your vein, you're going to
create some scarring of that vein. Even if it's a healthy IV and stuff like that, you're going to
create scarring. What happens in the future if you have essentially scarred up your veins so much
on non-necessary treatments that you actually need an IV and they can't get one for you? Oh my gosh,
that's really terrifying, actually. And I think that it's important for people to realize that there are
long-term potential ramifications of treatments that maybe we're not looking at right now because,
hey, it's kind of exciting to do this treatment. So if we knew that the only way to get NAD
was through an IV and we knew that it had a defined benefit that is proven that you can
increase your longevity and all that, then that may be a different story. But that being said,
I'm all for taking oral NAD supplements, the NR or NMN because what's the harm in it? I went on an NR
supplement for a while. And I had a friend of mine who's a podcaster, and she actually represents this
NR treatment. And she gave me a couple of bottles. She's like, oh, you should try this. And I was like,
okay. And this was a couple years ago when NMN and NR and all this stuff was just kind of getting
popular. So I had like, look for them like, oh, you know, what does this do for you? She's like,
oh, it's great for longevity, gives you energy and this and that. So I go, so you've tried it.
And how did you feel after taking it? I don't really feel anything. I don't feel anything.
Yeah. I don't feel anything.
So I got a couple months of it.
The company even sent me some and I tried it.
I didn't feel anything from it.
Yeah.
You know, but I have a friend of mine who I was talking to the other day, Dr. Stephanie
Esteema, she's got a podcast and she's on timeline, has got one, a company.
I have no affiliation with them or anything.
And she swear as she takes it and she can feel an energy boost from it.
So I may try that.
But like I said, I'm not a fan of the IV stuff.
It's expensive.
I feel like my concern is that you may be.
you know, hurting your veins for the future. By all means, if you want to try the oral version,
then go ahead see if it makes you feel better. What do you think of the anti-sumscreen
trend that we're seeing in the wellness community? Is this like super dangerous or just misunderstood?
So I'm going to age myself. My favorite singer is Jimmy Buffett, and he died a couple years ago
from Merkel cell cancer, which is a skin cancer. So I, and I have, you know, as a plastic surgeon,
I have had patients come into my office with basal cell carcinoma, skin cancer of their nose.
It's a little dot. And I say, look, I think that's a skin cancer.
I'm going to send you to a dermatologist, get it checked out, and then they come back to see me three weeks later, and half their nostril is gone because they had to get that skin cancer removed.
And now I've got to try to reconstruct their face.
You do not want to have a skin cancer on your face, period.
And so I am all for moderation in this situation.
So I think the sun is very therapeutic.
You know, I'm all for its effects on circadian rhythm.
I'm all for getting vitamin D.
I live in Detroit.
You know, we don't get a lot of sun. And when the sun comes out, we enjoy it. And I do think that there's a lot of therapeutic benefits from it. But also, I do know that as a plastic surgeon, I see aging from it. You know, that's unquestioned. You know, you just look at the skin on your butt when you're 50 and compare that to skin on your neck or your face or your hands. It's very, very different, you know. And then like I said, the worst part of it is when you see people with skin cancer on their faces. That's when it gets really worrisome. So I'm all for using
Safe sunscreen, sunblocks, okay?
What is safe sunscreen?
What is unsafe sunscreen?
Okay, so this is what I recommend for sunscreen.
So sunscreens come in chemical or physical sunblocks.
So chemical sunscreens, physical sunblocks in general is kind of how we describe it,
although those terms can be used interchangeably.
The physical blockers are zinc oxide and titanium dioxide.
And those are ones that basically just sit on the surface of your skin.
We know that they don't get absorbed into your skin.
In general, they're considered very safe.
for children, that's what I recommend. But the negative of those is that they can be very tacky. They
can, if you have darker skin, create a whitish hue on your skin, even if they're micronized,
meaning that they're creating the small particles that can change a color of your skin. There are
chemical sunscreens that I in general don't recommend. And those are oxybenzone and octinoxate.
Those are potential hormone disruptors. They may disrupt the coral reefs as well. And we do know
that you can find that in people's urine, actually,
and, you know, in people who are wearing sunscreen.
So we know that gets absorbed into the body.
So I recommend avoiding those,
but there are other safer sunscreens out there,
Avo-Benzone, Maxoril-X-L.
There are a lot of blockers, actually,
that are even better that you can get overseas
that are much lighter on the skin.
I recommend if you're going to be out in the sun,
and let's say if you've got darker skin,
then to wear those chemical blockers
that are considered non-hormone-disrupting,
agents, okay? Children, you want to go with the physical blockers. And if you want to go with the
physical blocker, by all means you can, but once again, you know, for me to put that physical
blocker on my face like every day or something, it's just, it's heavy. And I don't. What about mineral
sunscreens? Because that's what I always tell my audience. Those are the physical blockers.
So you can't go wrong with those, but you also have to be realistic in that if you're African
American, you've got dark skin and you want to put that over your body. Yeah, it's not going to look right.
You're not going to like that.
Okay.
And plus, they can be very heavy on the skin and hard to wash off and all of that.
And that in and of itself is a deterrent for people using it.
And what we do want is when you're going to get significant exposure to sun, you do want to protect your skin.
And so using something that is comfortable for you.
For me, I'm lucky, you know, I went to Korea a year and a half ago, and I bought a ton of their sunscreen out there.
And you used to be able to...
All Korean skincare is better.
We used to be able to actually order that and get it here in the United States.
But they recently...
I don't know why.
Literally like a few months ago, the government put a halt to all of that.
And so you cannot import in those Korean sunscreens anymore.
It's really annoying.
Strange.
They haven't updated.
I think it's since been like 1997 or something.
We haven't had a new blocker here in the United States.
And it's just it's a problem because I do think, like I said, that there is a happy medium there where in the morning go out and get your son.
If the UV level is fairly low, then get your son in all that.
It's the middle of the daytime that is when it's like wear linen, long sleeves.
have a hat on sunscreen.
Yeah, exactly.
If you're going to be out the beach,
if you're going to be out a lot,
you know, I mean, I get it.
I think, you know,
these types of cancers and skin cancer,
those things are multifactorial.
It's not just the sun.
What do you think, Dr. Eune,
about the studies that say
you see a higher risk of skin cancer
in people that are in constant blue light,
you know, office situations,
not out in areas
where they're always in the sun?
I think that there's some truth to that.
You know, there's definitely some truth,
and there is a lot
that we don't really understand.
I mean, there really is.
And I can't really explain exactly why.
But in general, when you look at people who do truly have skin cancers, there's always like,
there's going to be outliers of somebody who's like, look, I have a skin cancer on my butt
and my butt's never in the sun.
I'm not a nudist.
Like, why do I have a skin cancer?
But the vast majority of the cases that we see that I've seen in my practice, it's people
who have skin cancer in sun-exposed areas.
And you can see they have a lot of sun damage.
On top of that, it's the aging part of it, too.
You know, if you do want to continue looking younger, you're not going to continue looking younger if you're getting a ton of sun.
You know, once again, you can really see it.
Even some people wear their truck drivers.
And you see the left side of their face is much more age than the right side of their face.
Yeah, I've seen that.
Because of the sun.
I have more spots on the left side of my face than I have on the right side of my face.
And I think it's because I live in Detroit and I'm always driving to work and all that type of stuff.
And admittedly, I don't put sunscreen on every day.
If I'm going to be the OR all day, then I'm not going to put on sunscreen.
I'm going to be under the fluorescent lights all day.
How much do you trust dermatologists when it comes to somebody really struggling with acne?
Like, are you sending them to a dermatologist first?
Or you like, no, you need to go to a nutritionist?
So that's a tough question.
I think acne is very multifactorial.
And in general, when you look at acne, it's an inflammatory situation.
But acne has so many different parts of it.
So dermatologists are fantastic with stopping the symptoms of acne.
You know, whether it's getting you on, you know, a antibiotic that will help to reduce inflammation.
Obviously, you know, acutane works in those situations where it's, you know, really cystic acne.
But we also know that there are factors that really can play a part.
So in general, when I have people who have acne, I don't treat acne, okay?
I'm not a dermatologist and I don't want to treat acne.
I'm into anti-aging stuff.
I will always tell them, get on a probiotic, okay?
try to eat more fermented foods, okay, because there is a gut component to it.
If your gut is inflamed, then your skin will show it.
You know, the skin is a magic mirror of what's in your gut.
I do recommend, you know, reduce the amount of ultra-processed foods because we know that that can contribute to it.
And I know you're not going to want to hear this.
What is it now?
Dairy also.
Oh, no.
There is a connection between dairy.
And I'm not anti-dairy overall.
I mean, I like cheese on my pizza and stuff like that.
I'm lactose intolerant, so I can't drink milk.
But we do know there are really.
studies that do show a connection between dairy and acne, and dairy can be inflammatory. Yes, I'm into the
raw milk. I know. I know. We won't get into that. And so, so we know that there are those components to it. And in
general, ideally you would have, you know, I have a dermatologist friend of mine, Dr. Doris Day. She's been around for a long time. She's in
New York City. And she's, I think, fantastic with this. And that she knows that, yes, there are things that we can do on
the surface that can treat acne, but we also have to get down to that root cause of it. And ideally,
you want to treat both. And the thing I recommend for people who are listening, you know, I know,
you have a younger audience who, a lot of them have younger children, and those children are going to
become teenagers. And the worst scenario is when you get a teenager with cystic acne, and you're not
treating that quickly. Because I can't tell you how many adults I see who have acne scarring
that just, it's like, it just, it's so troublesome for them. And you got to prevent that. Whatever
you do, you got to prevent them from getting to that point. I don't prescribe acutane. There are a lot
of concerns with it. I have major. I would tell my audience, do not.
take acutane. But if you're a situation where you see some of these people where they're just
cystic acne all over their face and they have tried everything, you've got to do something to stop it.
Because in my opinion, the long-term psychological consequences of that type of scarring could
outweigh the shorter term potential risks of medication like that. I would use that as an
absolute last resort. But there are those people where you just can't get it controlled. And if you
can't get a control, you've got to control it.
Don't you think that looking into the food or something?
All of that you can do, but there are people who do that.
And if you don't, if you can't control it that way, then you got to do something.
You can't just expect that, well.
It'll just magically go away.
No.
So I only recommend that in the extreme cases, but, you know, if you are that, you know,
you don't want to give false hope to somebody, but if you are at that point where, you know,
we see this, you know, the young people where it's just all over.
And it's getting cystic and it's creating these.
pockmarks and all that stuff, we just, we have to prevent that because you can't treat that.
You know, even the treatments that we have to try to treat it, you know, they're the most
aggressive lasers and chemical peels. Even that doesn't get rid of it. It's really, really
harmful for people. Is it actually possible to shrink your pores or is that a total myth?
It's a myth. You can clean your pores out, but you can't shrink them. That's just genetic.
You're born with it? Pretty much, yeah. Yeah. And so whenever people say that their pores look
better. It's typically because they're using treatments like alphidroxy acid or a salicylic acid
wash, those types of things that will help to clean those pores out. What is the best way to fade
acne scars? So acne scars are different than like acne dark spots. So you usually want to fade
hyperpigmentation. That's different than scars. Scars are really, really tough. And there's no,
and that's once again why I mentioned, like the best treatment for acne scars is to prevent them from
happening. You really, as a parent, your job is to try to prevent that from happening to your kids,
because once again, the treatments we have just aren't good. So if it's too late and somebody does
have those severe scars, I mean, is there any laser that's better than others? So you can do a
series of fractional laser treatments. You can do a deeper chemical peel, but those treatments can be
very uncomfortable. They can have one to two weeks of downtime. And even those, you may get a 20 to 30%
improvement and that's it. There's no eraser for these types of scars, and that's why it's so
difficult, is that even the most aggressive treatments out there, you'll be lucky if you get 40%
improvement. What skincare products do you think are totally unnecessary? The old-of-fashioned,
the estringents and toners are unnecessary in general. So toners in general initially were used
as a way to, you know, you cleanse your skin and then you apply this astringent that has alcohol
in it and makes your skin feels just squeaky clean. And there was a
belief in the past that if you have acne, you want to get rid of the oil on your skin, and that
will make your acne better. The problem with that is that once you clear your skin of that,
you are creating this feedback mechanism where the skin will create more oil in response.
And so your face can become kind of like an oil slick from it. And then the other thing is if you're
using something like that that does have some type of alcohol in it, you'll also kill off the
microbiome, the trillions of bacteria that will actually, that are growing on your skin,
helping your skin be healthy. So the first thing,
you want to do is avoid those old-fashioned
astringent type toners, and they're still out there.
A lot of people still using them.
Toners in general now, they have been
changed to be more of a
pH-balancing type
of a treatment. You don't really
usually need them because once you start
applying your creams and your serums and your moisturizers,
usually those are things that aren't all that necessary.
The other thing that I don't think is necessary
is there are still a lot of companies
that are selling moisturizers just as a
moisturizer. I mean, if you're going to spend
your money and apply a cream, make sure there's
something active in it. And so typically like the ones we have in my line, they've got antioxidants
in it, they've got Bacuchal, they've got peptides. Why put something that doesn't have something
that's going to actually actively treat your skin when you can get both? As a plastic surgeon,
what do you think about beef tallow as a moisturizer? It's got plenty of healthy fats in it,
and it is a good moisturizer for the skin. I'm not a fan of making it on your own because you don't
know when it's going to go bad. If you want to get it, you know,
commercially made and that you can get that online, I think it's fine, but I also don't think that
it has any true anti-agent components to it. No, it doesn't. It's hydrating and that is it. Exactly. So if you
want to use it as a moisturizer and you don't mind smelling a little bit beefy, then by all means, do that.
I don't think it's harmful. I know some people are making it at home. That's where I just be careful
because you don't know when it goes rancid. But other than that, I think it's fine. But once again,
it's like I just mentioned, like, you know, applying a moisturizer, it doesn't have anything that's
truly going to de-age your skin. You can do it, but are you, you know, is it worth your money?
Yeah. You know, I'd rather have something that I know, oh, look, this has got antiosins or this
has got peptides, and things are going to stimulate collagen production, that type.
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What is skin cycling?
Skin cycling is a term given by a friend of mine, dermatologist, Dr. Whitney Bow, where
so the idea behind it is you cycle your skin in and out of a treatment.
And the treatment is typically retinal.
So retinal, if you were to pick one anti-aging cream,
to use most dermatologists and placards would tell you retinol is the most effective it's been
studied the most retinol is a retinoid retinoid retinoid is kind of like the generic term for retinol
and tretinoin is retin A that's prescription strength and retinol is over-the-counter strength
a lot of studies have been done on tretinone the prescription strength showing that it will
reduce fine lines and wrinkles it exfoliates the skin it reduces chronic inflammation
it thickens the dermis or thickens the collagen of the skin and it can
even reversed early pre-skin cancers.
So if you know somebody who's got a skin cancer
or they've got history of them,
tell them to apply retinae on their face
because it may help prevent more from coming up.
So anyways, retinae and retinol,
the one negative of it is it can create irritation to the skin.
And the idea is that it can cause an acute inflammation
that can reduce chronic inflammation with time.
When I first tried retinae, I was a medical student
and I was having some acne issues.
And I went to my family doctor who had really oily thick skin.
And I said, I've got some acne.
Do you have any suggestions?
So she said, let me write you for 0.1% retinae.
That's what I use on my skin.
So I go, okay.
And I started putting on my skin.
And my wife, who's got beautiful skin like yours, she started putting on her skin.
And I didn't see her for a week.
And then a week later, we got together.
And we started laughing because our faces were bright red.
They were flaky.
They looked like pizza faces because they were so inflamed.
We started laughing.
And our faces like cracking and all.
this stuff because you can get this pretty intense reaction to it. Now, my family doctor did finally
because she had real thick, oily skin, and she tolerated it, but my skin, like your skin, wouldn't.
And so you can get these reactions to it. So skin cycling is a way to essentially reduce the
reaction because you may then use the retinae or the retinol one night, but then the next night
you don't use it and you cycle through it. So then the next night you'll apply some that's going
be more moisturizing and like reducing irritation to skin like with antioxidants and stuff.
I guess I do this.
And then you kind of cycle through it.
That's essentially what it is.
I didn't even know it had a name, but I mean, I just do that on my own anyway.
That's all it is.
It's just a term that she coined for it.
But it's basically just cycling through so that you will use a retinal, you know, sparingly,
you know, a couple of times a week, that type of thing, giving your skin a chance to essentially
get used to it and not react to it.
What should people look for in a collagen powder?
So the key is you want to make sure that it's hydrolyzed collagen peptides.
So collagen is something that has been poo-poed by traditional medicine for a long time, you know.
And I've seen videos.
What's their issue?
The main reason is number one is the supplement.
And traditional medicine in general has been anti-supplement.
Oh, gosh, what are we going to do?
And then the second thing is they say, well, collagen is a large protein.
And they always would say, how do you know if this protein is going to get absorbed by your body?
it goes to your stomach, your stomach acids, break it down, how you know it's even going to get into your body.
And so the answer to that is you hydrolyze it. You take this large collagen protein and you break it down into its individual amino acids and peptides, which are short chains amino acids.
So it's small enough that your body can then actually absorb it through the GI tract.
And that's why you get it.
And like, you know, for ours we have our Un Beauty Supplemental collagen where it's a powder.
It's a very, very fine powder.
You mix it with a hot drink like coffee.
It dissolves into it.
You don't even taste it.
You don't even know it's there.
And that's how you ingest it, and you know it's hydroly, so it's getting absorbed into your bloodstream.
Now, the studies that have been done on collagen, there have been a lot of them.
There are meta-analyses of 1,100 people, 1,100 people, 900 people.
They take a daily hydrolyzed collagen supplement for two months.
Typically, the two months is when they start testing them, and they find an increase in the hydration of the skin, an increase in the collagen content of the skin, in the elasticity of the skin.
and they've even biopsied the skin after a couple months
and taken blood samples and found increased levels of collagen as well.
So we do know it works, and if you talk to people who've been on collagen supplements,
they'll tell you, you know, that their hair gets thicker,
that their nails feel stronger, that they grow faster.
I actually send our collagen to my mom every month,
and I was visiting her a couple months ago,
and we were just having breakfast, and she's like, Tony, my hair's getting thicker.
Do you think it's that collagen that you keep sending me?
I'm like, could be, mom.
Probably.
So I think it does a lot.
And, you know, obviously if you're vegan, you can't take it.
There's no such thing as, unfortunately, there's no such thing as vegan collagen.
Collagen can come in bovine or marine, so either cow-based or fish-based.
Ideally, you want to go with a high-quality one.
You know, like any type of meat, there's high-quality meat and low-quality meat.
The one that we have in ours is called varisol.
It's been very well-studied and tested, and is a very, very high-quality one.
How does red light therapy actually work?
And do you think that it is really beneficial and everyone should be doing red light therapy?
Yes.
So first of all, there's a difference between red light and infrared light.
So red light therapy, the idea behind it is that the energy of that red light gets taken up by the mitochondria of your cells, which are the powerhouses of your cells, and it caused them to increase the production of ATP.
Like we talked about way earlier, you know, with NAD, the idea is that our body, the energy production of our body gradually declines as we get older.
And so one of the things we want to do is we want to power those mitochondria.
And so what it appears that red light therapy does is it will then increase production of
ATP in your skin cells.
And there are studies of people who have been doing red light therapy typically on their face
or other parts of their body.
And they do see an increase in collagen and elastin content with frequent use of red light
therapy.
So it's an anti-aging treatment that's not necessarily for longevity, but it's purely for
appearance.
that's why you have the red light masks.
That's why they're tabletop devices.
The ones I don't recommend, there's cheap ones that you may find, like on TikTok and stuff
where people have handheld device for like $20, they move it around their face.
The problem is you have to have that treatment on your face, continual treatment for like
20 minutes, ideally, 15, 20 minutes, depending on the device.
You want to have at least 50, I think it's 50 millajoules per centimeter squared, ideally,
even more than that, maybe even better.
And the idea is, once again, you're going to help to de-age the skin that way.
infrared is different.
So that goes much deeper.
And that's the way you have things like infrared saunas.
That's going to be more of a detoxifying effect.
You know, I have an infrared sauna in my house, and it has both infrared and it has red light
therapy.
Because ideally, hey, if you can do both and why not.
What's the brand?
I have a sunlighten in my house.
Okay.
What red light brands do you like for red light devices?
So there's one called the loom box.
That's nice.
It's a tabletop device.
So you can put it on your chest.
You can put it on your face.
you can put on other parts of your body.
And that's from a functional medicine doctor that I'm friends with who helped to devise that.
That there are also masks out there.
There's one from I restore store that I think is really nice.
They also make the laser helmets.
I use that myself.
But they have a nice mask out there.
There's a bunch of them out there.
I think current body has a really nice one too.
The problem with those masks that they're expensive.
You know, you're going to spend at least $300 to $400 for a good one of those.
But they can last you for a long time.
All these men are going to Turkey to get these.
hair transplants? What's the deal? What are the pros and cons? Is it really going to last forever?
You know, do they work? So hair transplants, so if you have thinning hair, you ideally want to
get it taking care of before you need hair transplant. So just real quick for thinning hair,
and this is for both women and men. First thing you want to look at is stress. So if you've got a
less stress in your life, meditation, you know, I'm a fan of yoga, like anything that reduces stress,
you want to do that, you know, counseling, whatever you need.
second thing is you want to look at nutrition. So you can go and see a functional medicine doctor,
get a bunch of labs drawn. I myself take an all-in-one supplement. I take Nutrafol for my hair
because I'm too lazy. I'm saying my labs drawn. So I take an all-in-one. So that's the second thing
is being nutrition. Third thing would be laser helmet. And typically those have been studied. It's
called low-light laser therapy or basically red-light laser. And that does the same idea is that it helps
to add power to the mitochondria in the hair follicles to cause your hair to go into a growth
phase.
So that's the other thing.
And then some type of a topical I recommend, if you want to go completely natural, then you
can use topical rosemary oil.
One small study compared topical rosemary oil to 2% monoxidil and found very similar results.
But that's 2%.
You can also get up to 5% monoxide.
And so if you're open to a pharmaceutical, most doctors do find that monocidal is the most effective.
as a topical. But if you want to go natural, then topical rosemary oil is usually what people recommend.
Hair transplants, so if you've got thinning hair, do all of those things, okay, because that can
potentially help it, but you've got to give it a good six months. The other thing you can do is
you get injections of PRP, where they draw your blood. They spin out the platelets, take out the growth
factors, they inject that into your scalp. That can really, really help as well. That's totally natural.
It's just all from your own body. How much does that cost? That can cost over $1,000.
And that does need to be repeated typically two to three times a year.
If, however, you have areas that are bald, then these treatments aren't going to treat that.
And that's when you have to go to a hair transplant.
There are different types of hair transplant.
So the old-fashioned ones, and this is why you want to go to a place that's really state-of-the-art.
Old-fashioned ones were called macrographs where you would take like a group of hairs and then put them in as literally hair plugs.
There are certain politicians that appear to have had those because they literally look like...
President Trump?
Doll's hair?
I'm not going to say.
I'm not going to say, but they literally look like doll's hair because you do like five to ten hair follicles at one time, like dolls, you know?
Then from there, and that was done.
I'm thinking of Cynthia on the Rugrats.
Are you old enough to remember Cynthia the doll?
Kind of like that.
Yes.
But there are certain politicians that I think I made a YouTube video where we looked at that.
But anyways.
So that's one way.
So then they go from there to micrographs.
where it would be one or two follicles per hair.
But the problem with that treatment is that they would have to take a strip of scalp
from the back of your head, and that would leave a scar back there.
And there are certain celebrities where you could actually see the scar on the back of their head, actually.
The new treatments are called follicular unit extraction,
where you actually use a robot now.
And a robot can actually harvest the hairs one at a time, the hair follicles.
And then as a surgeon, what you do is you make a tiny incisions all throughout where you want to
it and then you literally plant those little hairs one by one into these little holes.
I've done that surgery many times. I hate doing it because it's so tedious. And every time
you put one hair into like, it's like you plant one hair, the hair next to it pops out.
Then you got to replant that and then the one next to that pops out. It's just, it's frustrating.
But that's technically the way to do it, is typically you do it hair follicle by follicle,
and then you take the area and you literally will plant those hairs. It does take a few months for that
hair to actually grow, but that's how you grow hair in a new location.
And will it, I mean, you have hair then for the rest of your life or what?
In general, yes.
And so...
Jeez, that seems worth it to me.
I mean, what is this surgery in Turkey, like five, six grand?
Oh, it can be a lot more.
So usually you're paying per follicle and it can be like $3, $4 a follicle depending on who does it.
That's a good treatment for, you know, one of the things that's been real popular.
And, you know, I'll say actually, you know, we talked about Chrissy Teigen earlier.
She went online and admitted that she had a brow shortening procedure.
because she had a very high hairline.
And one of the things that I commented on that,
and, you know, lovely woman,
is that instead of doing a brow shortening
where you're going to get a scar right in front of your hairline,
why not just do hair transplants to recreate that hairline?
To me, that makes a lot more sense.
Because my worry, if you do a brow, a forehead shortening procedure,
is that you've got a scar there now,
and your hair has already proven that it recedes.
It could recede farther,
and now you got that scar,
and then your hairline behind it.
Yikes.
And that's not going to look so good.
Right.
And so I'm all a fan of doing hair transplant to shorten the forehead if you've got a five head.
Like I've got a six head probably.
But I'm not going to do anything.
What is your famous two-minute skincare routine for busy moms?
So yeah.
So this is a thing that we came up with as we were putting together different bundles for my skincare line.
People always ask like, what's a good simple skincare routine?
Because I don't want to do a 10-step Korean skincare routine.
understandable. I do, so we'll do that next. So this is a simple skincare routine. The first step,
every morning you cleanse your skin with a cleanser appropriate for your skin type. So if you've got
oily skin, you want to use a foaming type of a cleanser that'll help get rid of some of that
extra oil. If you've got real sensitive or dry skin, then use a more milky or hydrating
cleanser. Second step, use a vitamin C serum. We have one. Yep. We have one called the CE
anti-oxone serum. You know that if you combine vitamin C and vitamin E, they're synergistic and they work even
better. So you do a vitamin C serum and then you want to apply a sunscreen if you're going to be out.
Okay? That's all you have to do in the morning. At night, got to cleanse your skin. If you only
cleanse your skin once a day, you got to do it at night because you got to get rid of the
day's worth of dirt and grime and pollution and makeup. If you want to double cleanse, that's a great
way to get rid of makeup as well. So you start with an oil cleanser, then you follow that up with
your regular cleanser after that. And then you want to ideally apply a retinal if your skin can
tolerate it. So we usually recommend a retinal moisturizer. That way you've got
kind of two and one, you've got the retinol, and you have the moisturizing component to it.
And should that only be at night?
Just at night, because the sunlight will deactivate retinol.
No point in using it in the morning.
And that's all you have to do.
Now, you do that morning, you do that even.
So morning, cleanse, vitamin C serum, sunscreen if you need it.
Night, cleanse, retinal moisturizer, that's it.
Once a week, if you have sense of skin, two to three times a week, if you have quote unquote
normal skin, you want to exfoliate.
what we know is that when we're young, our skin turns over every six to eight weeks.
And that's one reason why your skin is smoother and softer than mine, okay?
Because as we get older, that turnover process slows down.
It takes eight weeks, ten weeks, twelve weeks, and we get this clumping up of skin on the surface.
That's why exfoliation is so important.
When you actually exfoliate that upper layer of skin cells, it sends a cellular signal to the deeper layer of skin cells to create more skin and to actually turn over more quickly.
And you can kind of rev that process up.
Now, you can do that with a gentle scrub.
That's what we recommend in our skincare line.
Or you can do an enzymatic treatment like alphidroxy acid peel.
However you want to do it, you want to do that once a week with sensitive skin, two or three times a week if you've got normal skin.
And we did this on a group of women who were kind of middle-aged and they didn't take great care of their skin.
They had kind of average skin.
And we took photos of them before.
And then after two months of doing this every day, took about two minutes a day for them to do it.
And we found, and then we took those photos, we pulled people asking them, okay, how much younger do you think they look? And they looked in average about five years younger. So we call it the two minutes, five years younger skin care routine. Now, if you start doing it, you're not going to look five years younger. Because your skin looks already really good. But for the average person who maybe, you know, has been taking like great care of their skin, but they're also not like horribly sun damaged. Yes, five years, I think is fairly reasonable. If you go on a skin routine like that, that's very simple, but definitely is effective.
Thoughts on combining hyluronic acid with vitamin C?
I think it's fine.
Hyluric acid is a moisturizer.
I'm obsessed with that combo.
Oh, really?
Yeah.
Why is that?
I don't know.
I just feel like it's just my magic sauce.
Oh, really?
Yeah, hyluric acid is great.
It's a humectin, so it absorbs moisture.
I think it's a great product, but it's not truly anti-aging.
But if you need something to hydrate your skin that doesn't feel greasy, then
hyluronic acid is great.
Vitamin C, once again, great in the morning.
It's also a good skin brightener.
You can do it twice a day.
You can be like Ariel, although I would recommend Ariel do it in the morning, too, if she's doing it at night,
just because you will definitely get those benefits.
I am world's dry skin.
Oh, really dry.
Terrifically dry.
So that's why I like to use hyluronic acid.
Give me your, like, you know, billion-dollar face, 10 years younger Korean 20-step.
So if you're looking at like the ultimate skincare routine.
Yeah, yeah, that's what I want.
Okay.
So cleanse your skin in the morning.
Okay, once again, we talked about what would be good.
I would apply a vitamin C serum in the morning.
And then I would have followed it up with a hyleronic.
We have one that's called a hyluronic and probiotic serum.
Okay.
So one of the things that we don't talk much about, and we're just learning about, you know about the microbiome of the gut and its importance in the health of our whole body.
But there is a microbiome on your skin as well, and that's really important to the health of your skin.
And so there are lines now that are having probiotic-based skin creams, which I think make a lot of sense.
Okay, so if you're going to be a skincare enthusiast, I would add that in with it.
So I would add a hyleronic and a probiotic type of a serum.
And then after that I would apply a brightening cream.
So one that ideally has like cogic acid, niacinamide, licorice root extract,
because as you get older, you know, spots can become an issue.
You sell that?
Yeah, we have a brightening cream that's like, yeah, this is part for that.
So you do a brightening cream, and then I would go ahead with the sunscreen or a
moisturizer if you need it at that point, but usually you probably don't. Usually those are sufficient. At night, double cleanse. So you would want a makeup removing oil cleanser or a myceler water if you want to go less expensive. And then follow that up with a regular cleanser. That way you're going to get rid of all of the makeup and the dirt and all that stuff.
Are you a fan of double cleansing for makeup removal? Yes. Yeah. I think, I mean, I don't do it because I don't wear makeup. Right. But so many people love doing it. And you can do it with my cellar water. That's an inexpensive way to do it. A lot of people like it.
And oil cleanser is great.
If you've got oily skin, believe it or not, oil cleansers can be really good for people with oily skin.
And it's the idea that like dissolves like that the oil cleanser can actually get into those pores and help clean them out.
It's weird because people who have acne are like, oh, I don't want to use an oil cleanser.
But actually oil cleansers can even help people with acne.
Interesting. Okay.
So it can actually help to penetrate those pores.
And so depending on what type of skin you have, either an oil-based cleanser that also, once again, is really good at removing makeup because once again, it's an oil.
or mycelor water, then you do a gentle cleanser after that, then I would apply, if you want to go
ahead and apply the hyloric probiotic probiotic serum, I think that's great at night too. And then the
brightening cream, you can always do that twice a day. I do it twice a day. And then I'll follow up with
either, with the retinal moisturizer would be after that. Okay. So you always want to go thin to
to heavy, active to inactive, okay, with your products, thin to heavy, active to inactive.
So we would apply retinol after that. Then I would actually apply a peptide and Bucchal
moisturizer after that, if you're a skincare enthusiast, because now you're truly targeting the
collagen degradation in three different ways, retinol, peptides, and Bacuchio. Oh, obsessed.
Okay. So now you're targeting it in different ways. So if you want to save money, start with
retinol. If you've got the ability, add Bacuchol and add the peptides, because they function
all differently. I haven't tried Bacuchal. Very moisturizing. And then after that, if you want to apply
like a night cream, you can if you really want that extra moisturizer, but usually you don't really
anything after that. You even met my skin.
Drys a bone. You are living here in...
I know. That's what it is. So yeah, yeah. If I lived here, I'd probably be putting more
moisturizer too. What do you think about these 10, 11-year-old girls going crazy ham on the
anti-aging stuff in Sephora? I think it's a mistake because their skin is perfect. And I think
it's good to teach good habits. So what type of a skincare routine would I recommend, let's say,
for a 12-year-old? It would be cleansing your skin and it would
would be applying sunscreen if you're going to be out.
Like, that's it.
You probably don't even need a moisturizer.
You know, if it's really dry in the climate and they look dry, then go ahead and use a
moisturizer.
But that's it.
And at night, same thing.
You don't need all these actives.
And these actives can cause problems with people with younger skin.
You know, they can get reactions to it, you know.
Just because, you know, I have patients of mine who tolerate my retinal moisturizer.
They love it.
I can't use it.
You know, it causes my rosacea to flare up.
And so I don't use my own retinol.
It's like our number two selling product, but I don't use it.
Like I use our peptide Bikucham moisturizer and it does great for me because I've got sensitive skin.
So I think we have to be really careful.
I think it's great to teach them healthy habits.
But at the same time, I think we can also get overzealous with it and find that we can actually cause problems with their skin.
And that's the last thing you want to do.
One question I always ask every guest.
If you could offer one remedy to heal a sick culture, it could be physically, emotionally or spiritually.
What would that remedy be?
It would be to appreciate how you look today, period, because, you know, we all have our insecurities.
And I mean, that's what I deal with every day with my patients.
And for every person who's in their 20s or their 30s and they're unhappy with how they look,
I see so many people who are in their 50s, 60s, and 70s, and they look back, we go,
man, I was beautiful back then.
And I just wish I would have appreciated the fact that I was and would have enjoyed that.
I think that's so important to realize nobody's perfect.
know, there's always somebody who's going to be better looking than you or that you think is
better looking at you that has less wrinkles, that has a better shaped nose and all that stuff.
There's beauty in everybody, you know, and a lot of that comes from inside.
And I think that we don't realize how good we have it when we're younger until sometimes
it's too late.
Yeah.
And so doing these things, like getting these invasive treatments and stuff when you're younger,
be careful because you can really ruin your face, you know, and just be happy, you know,
that God created you, that you're beautiful the way you are.
But people are going to say, how are you a plastic surgeon saying you're beautiful the way you are?
So I think I fully believe that, you know, I mean, life is a gift.
And every day that we live is a gift to us.
And, you know, for me, the way I look at it is that beauty is in everybody.
And at the same time, it's no fun to look in the mirror and to see a different face than you want to see.
You know, I see that myself.
You know, I'm 52 years old.
And I'm like, oh, man, where's a puppy bags under my eyes coming from and stuff?
But the fact is, is that it's a blessing.
Every day that we're living on earth that we're not in the ground is a blessing.
And if you want to fight the aging every step of the way and have fun with it, then by all means, do that.
Like, enjoy doing it.
But if it's a chore, if it's something where you feel bad about yourself, if you don't do it,
then really what you want to do is talk to somebody and try to change your mindset around the whole aging process.
and realize it's a blessing to get older, but once again, if you want to fight it every step
of the way, by all means do that, but just have the right perspective on it, you know, and that's
what I would recommend.
You know, nobody needs plastic surgery.
You know, you don't need to get a cosmetic surgery done.
If you want to, and it's going to benefit you, feel like it's going to improve the quality
of your life and help you deal with some insecurity, that's okay, you know, talk with a surgeon
about it, use it as a last resort, but always, always, always remember that, you know,
as you get older, things will change no matter what, and it's okay.
I love your book because you go.
into everything like diet and the sunscreen conversation and all of the different things,
what your routine should look like. Tell everybody about your book. So my book is called Younger
for Life. It's a big bestseller. And it's basically everything you need to know about how to
turn back the clock naturally and holistically. And it has a 21 day jumpstart. So, you know,
we talked about the two minutes, five years younger skincare routine. It's part of that along with
diet and a little bit of intermittent fasting. All of that stuff can really combine in just 21 days
to really change how you look and feel about yourself.
Yeah, that's a good book.
And it just came out very recently.
Came out about a year ago.
Yeah, came out about a year ago.
We've got the paperback coming out in just a few months.
Oh, that's exciting.
Okay, cool.
Well, my reader listeners will love that.
And then your skincare line.
Yep, my skincare line is eune beauty.
So it's available at eunbriety.com.
It's made with natural and organic ingredients.
It is cruelty-free.
And it's what I consider to be the best of both worlds.
So it's no added fragrances, no added preservatives, all that.
It's clean skincare with medically active components.
And so when I, back when I was trying skincare products, I sold them actually in my office for many years of the product lines that were available to plastic surgeons.
And they really de-age people's skin and they saw chains with it.
But I had a secret that I didn't tell anybody.
I couldn't use those products because my face would break out in hives.
And so it wasn't until I actually discovered organic and natural products I realized I can actually put creams on my face that feel good.
And so that's why I created my skincare line, you and beauty, as a combination of the best of both.
worlds. So clean natural products with actual active components like retinal, like macuchol,
like vitamin C, and all those things we've talked about today. I love the eye cream. And the eye cream
has retinal in it a little bit, right? Yes, because as we get older, the eyelid skin is the
thinnest skin of our whole body. Sometimes it's only a few cell layers thick. As that gets thinner
as we get older, you get crepiness. And the one thing we know is proven to help with creaky skin and
thickening it is retinal. That's the most effective. And so that's why we have retinal in the eye
cream. It's also got caffeine. It's got antioxidants as well. It's a nice
moisturizer. I'm very also like very picky about eye cream and I almost am not impressed
by any of them. I've really been impressed by it. And it's a, it's one ounce, so it's going
to last to a really long time. Oh my gosh. It's huge. I was like, am I opening the
moisturizer? Because I've never had an eye cream that huge. So it is worth the money.
It'll last you a long time. Oh, thank you. Where can people follow you on social media,
TikTok, Instagram? So yeah, you can find me. I'm Dr. Dr. Youon on TikTok, Tony Youen,
on Instagram. And I've got my podcast, The Dr. Yun show as well. We'll recover all
stuff and alternative and holistic medicine and all that too. So that's a good place to find me
is on the podcast. Thank you, Dr. Eun, for coming on Culture Apothecary. That's a lot of fun.
Thank you so much. Okay, T on President Trump's hair. I wasn't expecting that. I mean, he didn't
confirm that's who he was talking about, but I think that's who he was talking about. What do you
think? And what else did he say that absolutely blew your mind? How about oily cleanser is good for
oily skin? I have never heard that in my life. I definitely knew about the foam for oily. I knew about
the like milky hydrating for more dry, but I'd never heard of oil for oil.
Fascinating stuff.
Make sure you leave a five-star review.
Follow the show on Instagram at Culture Apothecary.
Follow me at Real Alex Clark.
We post new episodes every Monday and Thursday night, 6 p.m. Pacific, 9 p.m. Eastern,
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And, of course, the Real Alex Clark YouTube channel where you're going to find tons of
additional content and vlogs and all kinds of stuff from me.
I'm Alex Clark, and this is Culture Apothecary.
