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

Episode Date: January 10, 2025

#795: Join us as we sit down with Dr. Sheila Farhang – a renowned Celebrity Cosmetic & Mohns Skin Cancer Surgeon, & host of the Derm Approved podcast. In this episode, Dr. Sheila shares expert advice on anti-aging strategies, essential skincare ingredients, & the essential treatments for healthy, glowing skin. Discover celebrity skincare secrets, the latest impactful beauty trends, tips for detecting skin cancer, & the ultimate 2025 skincare hacks & must-have products - including Lancôme's Génifique Ultimate Serum!   To connect with Dr. Sheila Farhang click HERE   To connect with Lauryn Bosstick click HERE   To connect with Michael Bosstick click HERE   Read More on The Skinny Confidential HERE   To Watch the Show click HERE   For Detailed Show Notes visit TSCPODCAST.COM   To Call the Him & Her Hotline call: 1-833-SKINNYS (754-6697)   This episode is brought to you by The Skinny Confidential   Head to the HIM & HER Show ShopMy page HERE to find all of Michael and Lauryn's favorite products mentioned on their latest episodes.   This episode is sponsored by Lancome   Shop now on lancome-usa.com and use code TSC20 for 20% off GenifiqueUltimate.   Produced by Dear Media

The following podcast is a dear media production. She's a lifestyle blogger extraordinaire. Fantastic. And he's a serial entrepreneur. A very smart cookie. And now Lauren Everts and Michael Bostic are bringing you along for the ride. Get ready for some major realness. Welcome to the skinny confidential, him and her.

Things have tradeoffs, right? If you want like super high cheekbones, what about your temples? What about your mid-cheek? things like that. Like I have filler. It's like my job. I do think it got villainized because everyone went too crazy with it. And it was like this thing called perception drift where you forget what you look like. Your provider's not, maybe you're not going to the same provider. Maybe they're not looking back at the photos. But I like have to cut people off sometimes not in a bad way. It's just like, hey, we are where we need to be. Everything's balanced. Everything's looking good. So I totally agree.

I also don't think that fillers or sculpture or all these other things are like ruining your face so much where you can't get a facelift. I think that's a little fear mongering from some plastic surgeons. But in any case, you've got to do it right. You've got to be conservative. And some things are fine to do. Happy Friday. Celebrity dermatologist, Dr. Sheila Farheng is on the show today. We are talking preventative anti-aging hacks, celebrity plastic surgery. We get very into that. what everyone will be using on their skin in 2025, a bunch of beauty secrets, some wild beauty trends, and must-have skin treatments. I enjoyed this episode thoroughly because you know I love all things skin and beauty. On that note, let's welcome the Instagram famous Dr. Sheila Farhang

to the show. This is the skinny confidential, him and her. Michael has a dot on his face that we have been talking about for the last year every single morning. It's an actual dot. It's not a, well, you can't see it right now. It's a piece of pepper. It started out as like my son scratching me in the face. Okay. Young son.

We have a young son. Got it. He's 25 years old. So it was an accident. Yeah, exactly. There's an accident. And then it was like struggling to heal. And then I wasn't thinking much about it.

And then it did heal. And it keeps like healing. but then opening. I went to a derm and they said it's a blood vessel. Okay. That I forget the exact word for it. It's probably a hymangioma. Let's take a look.

Okay. It's right here. Can you come to me or should I come to you? I will come to you. But anyways, I don't really notice it other than like sometimes it'll get red. And again, like I notice it every day because he talks about it every day. I get red. That's just like my thing.

Rosacea tendencies. Yeah. maybe and I noticed it sometimes if I put like a vitamin C it like oh it's a little sting but then I go get skincare so regularly that they're like yeah the things healed they calm down buddy but I'm just got it let's take a look kid on over here it's not like a real life console it's gonna it's gonna make me sound crazy because just go shower the dots so we can move it along can I spend my mic no Michael we don't need your mic just we don't need a narration so really has dermatologist oh okay yeah so really I need my lay I need my dermatoscope okay

So when I press on it, it blanches, which means it goes away, and that means that it is a blood vessel. It probably is from trauma. You have a little rosacea. Did you know that? Yeah. So I'm not worried about it. It never opens up or bleeds, right? Great. So I don't think it's a skin cancer. It probably is a little hemangioma. We all have little broken blood vessels around our noses. Yeah. So we could just laser it off. I'm not worried. Do you have a name for it? It's called a hemian. No wonder I can never remember it because I was trying to explain to Lauren. I just call it a blood vessel. But I was going because I went down the... I got to change the subject. Move it on, Michael. I went down the rabbit hole. This is relevant to our listeners and viewers. The rabbit dot. Oh my God. I have a wound. It won't close. I've got skin. Because people have to watch for that. And so then I was like freaking out. But then I went and was it a Jimangamoglio. Yeah. Hamandiyoma. Which let's talk about what you can do for that. And then I was like freaking out. But then I went and was it. It's a Jimangioma. Yeah. Which let's talk about what you can do for that. And

that's going to be how to improve your skin barrier, how to do all that, because you probably have a real sense of skin. Thank you for that transition. But I went to a derm here. Hey, Michael, oh, real quick, Lauren. You open Pandora's box here and he said the same thing, but I just want the thing to like close. And then I was wondering, can I get it burned off? And then it'll just like go away and be done. Yeah, you want to blazared off. I got you. What can people do for this? Am I going back to Tucson? I'll see you in Tucson where you, yeah, where you used to live, which is crazy. I'm ready to, I'll make a trip out to Tucson to see you. We can. Okay, perfect. Or have an office in Beverly Hills.

Beverly Hills. Let's go back to Tuesday. Okay. Okay. What can people do to support their skin barrier? My goal's taking notes. I love that question. You know, that is going to be the theme for 2025. Now, we're that wrapping up the year. We always think about what is going to be the new thing.

What is everyone focusing on? And I think that skin barrier is like so important, especially because people are getting introduced to more ingredients. They're using more products, right? Than ever. than ever. And, you know, not that I'm like totally against like a 10-step skincare routine, but I really do think people need to be careful. But I think that for skin barrier, what you want to do is first minimize it, minimize the products you're using, use skin-loving ingredients, right? So with like a skin

barrier, everyone wants like a healthy skin barrier, right? It doesn't mean that you have eczema or rosacea. Those people need it the most. Those people have to be really careful about exfoliants that they're using. They have to be really careful about different like retinols that they're using. Oh, great. I'm using all of these things like that. No, he's using Alpharet. She'll be happy about that. Oh, I love that. I knew. I knew it. Yeah, yeah, yeah. Love that. I don't lead you wrong, bitch. Yeah, yeah. Love that. So how do we improve the skin barrier? You have to use products that are really good for your skin type. You knowing that you have really like a rosacea sensitive skin type, which is why you're on a product that is with peptides and a very mild retinal, right? And then you want to moisturize

and you want to add in some of those ingredients that improve your skin barrier, like seramides or different oils or humectants that pull in water. And we can talk about some of these ingredients and even some of the products that I recommend for that because I think 2025 is like the year of like kind of like new skincare in a way. Everyone's looking at Lindsay Lohan, right? And it's really funny because I actually know her derm, not like she's in L.A. And she is a huge, like, laser queen. And I really think that, like, Lindsay Lohan, I don't think she got a lot done. I don't think she got like a whole bunch of plastic surgery. She has really nice features.

But I think she got healthy. I think she reversed some of the filler in her face, right? And then I think she really went in hard with, like, good skincare and good lasers. Wait, wait, wait, wait. I really do. I really do. You don't think she got a mini lower facelift and a necklift? Maybe a little one. A little baby. A little baby. A little baby. And only because she had a baby, she did lose a little bit of weight when you do, you do have some laxity there. But lasers can do a lot these days. I totally agree. There's a little, there's a little happening. Yeah. But yes, she has focused on good

skincare. I would agree with you. And people are missing that element when they say she's gotten work done. You can get work done, but if you don't have a good, healthy skin barrier, I agree with you. But there is a little nip-in-tech, maybe. But I think-I-love it for her. Yeah. Oh, my gosh. Go for it. Amazing.

But I think all, you know, she's done tons of lasers to resurface that skin because she's probably done tons of, like, tanning bed, da-da-da. But everyone wants that one answer. And it's like, she did a lot. That was not one thing. It's a commitment. Totally. 100%.

And I think people, instead of like, going straight to the base of it's like, let's look at her skin quality. Let's look at her like filler reversal. She does, I think she does still have filler, but like done correctly. And like it's really undetectable, you know? That's what I think everyone in this moment wants, if anyone who's going to get work done is undetectable work. I think that's what the goal is. I think it was like so far, people like took it so far with the cheeks and the lips. And it actually ends up working against you where you look older subconsciously because it looks like you need a lot of work done. So I, I mean, personally, I just like a little filler in the lips. I think that's enough. I think if you go too hard,

you're almost setting yourself up for a disaster if you ever want to get a facelift. Totally. And also, things have tradeoffs, right? So when I have a patient who's like, oh, I just want like a little, like we always go like this. My patients always go like this and pull up their cheeks. And it's like, okay, we can add, like, sometimes I'll just take one or two syringes and, like, do a little bit everywhere just for, like, how the light, like, goes off of the skin. It's like how everything kind of looks, the contour, the highlights, things like that, reflects off the skin. And I don't think people need much, but you're right. If you want, like, super high cheekbones, what about your temples? What about your midcheek, things like that? Like, I have filler. It's like my job. I don't

think, I do think it got villainized because everyone went too crazy with it. And it was like this thing called perception drift where you forget what you look like. Your provider's not, maybe you're not going to the same provider. Maybe they're not looking back at the photos. But I like have to cut people off sometimes not in a bad way. It's just like, hey, we are where we need to be. Everything's balanced. Everything's looking good. So I totally agree. I also don't think that fillers or sculpture or all these other things are like ruining your face so much where you can't get a facelift. I think that's a little fear mongering from some plastic surgeons. But in any case, you've got to do it right. You've got to be conservative, like you said, and some things are

fine to do. I think the biggest win, in my opinion, with any work is it's harmonious. Yes. I think the right, it's like in alignment. Because even if you, if you go and you spend all your money on like getting the perfect lips, it throws something else off if you're not careful. And I've talked to a lot of people about this, like, they'll get their nose done and then they're like, wait, I need my chin done too. And they never notice their chin because they change their nose. So it takes the harmony out of it. I think the right, my word, if I was going to get into like plastic surgery all over my face would be harmony. Yeah. No, I think you're spot on. And a lot of us kind of say that too. It's like facial optimization, facial balance. I think harmony is like such a great. Because it has to

go, if you look at their ethnicity, you have to look at their eye shape. Like me personally, I cannot have huge lips. I have like massive eyes. Like it would just look really odd. And I can do it on myself. Anyone can do it on me. It's just like you've got to find yourself a good provider, find yourself a good derm, you know, trust in them, find someone who vibe, how you vibe with and let them be your like person. But don't be afraid to ask questions too. And like, I don't know. If someone's just saying yes, yes, I think that's a red flag. We've kind of been talking about a lot of things besides me for a while now. Oh. I'm teaching you how to be in. I'm just kidding.

I'm going to change it back to yourself? No, no, no, no. But I was going to ask, when people come to you at this point of your career, are they mostly coming for aesthetics or are they coming because of problems and issues with the skin or is it a combination? That's a really good question. So I am highly specialized and like I'm a freak of nature, I feel like. So I'm a board certified dermatologist.

So that's like after med school, it's like four years of derm or one year of medicine and three years of Derm. So I do have a half a day of clinic where I do like skin checks. That's not like my main thing. I did like extra training and I'm a most micrographic. And how crazy should people be? Not only say crazy. How often should people be doing that? The skin checks. The skin checks. I think once you turn like 30, you should do it once a year. And it's if you have insurance, it's covered by insurance. It's not a cosmetic thing. The full body one where you go in. People need to know that. Yeah. And like treating rosacea, treating eczema, treating hair loss. Some of those treatments for hair loss are not covered by insurance, but like oral monocidal, things like that are covered

through insurance. Use your insurance. When you're doing a skin check, is it like spreading everything? Like what's this? Like what do you? What's the skin check and tail? This guy was in there on me. He was up your eye. People get really nervous about this. So we usually say I put people in a gown. Okay. And I say bras off just your underwear on. If they want to keep their bra on, they can. and usually, you know, I see men and women. So I keep things pretty, you know, I look at their arms first, so they're comfortable, and then I look at their face and then look at their scalp by their ears. I have them stand up.

I look at their back and bottom. I ask them if there's anything on their bottom they want me to look at. If they have a lot of moles, I kind of just say, can I look at your bottom? There are some people that come in like butt ass naked. I'm not going to lie. I would go butt naked. I went full in. Yeah, yeah.

I usually ask. We might as well. We might as well get a. I asked. I was like, listen, we're here. We might as well make. Was he to check your balls? He got, he got it.

We got in there. Okay. You can't. And I do too. I ask. Like sometimes people guys come in. But I mean, what if you miss something there? Exactly.

So I, but I, there's less things there. But I usually, if they have a lot of moles, I say it's usually recommended or if they come in for a spot. Or sometimes they have to ask, like, hey, is there anything else you want to look at, you want me to look at your growing area. And then they'll say yes or no. There's like skin tags. They want me to remember whatever. The guys are like grab on to those guys. Yeah, yeah, yeah.

So, what? The guys are probably like, yeah, I want you. I had a man looking at me. I know what's crazy. You know, my main office is in Tucson. We have U of A there. And the amount of like frat daddies. Oh, I'm sure.

Or frat guys that I've had come in just be like, is this normal? Is this okay? Is this an STD? Come in is insane. And it's good. It's good they do that. But I don't know if they know it's me looking at it.

I don't know if they're a lot of STDs. Yeah. There's a lot of it's a lot. There's a lot of, no, I mean, not that many, but there are a lot of genital warts. Oh. Yeah. What do you do for genital warts? This is a little tangony question.

Yeah, I know. So I've had to cut some out because they were malignant. Oh. You have to cut a wart out. Not a wart. So if they just have little warts, I'll freeze them. If they have more than one or ones growing, I'll biopsy it and strain it and have them check the HPV strains to see if it's like a bad strain or a benign strain. and I would say in like a few handful of people,

one guy I set, it was on his penis, I sent him to a colleague of mine to do the surgery. And then a few other people I just do the surgery on their penis. This is really. I don't ask this. I'm a skin cancer surgeon. Wait, hold on. I don't ask this to like to like make fun of it.

I ask it because I want to take the tabooness out of STDs. No, 100%. I remember when I was growing up having an STD was like, oh my, it was like a scarlet letter. So I just am trying to like, no, no, people have had us to you like,

back in your day, they sent you off to live on the side of a hill for the rest of your life. No, and, and, you know, I am making light of it, but it's definitely,

it's definitely not. And my biggest thing is to make patients feel as comfortable. If, if they don't want me to operate on them, I'll send it to a male colleague. Yeah. But I have done it several times on people, even in their 30s,

40s. I wouldn't say this is common. So I don't want everyone listening, like, get freaked out or get their, partner, like, freaked out. But I will say general wartser can be common. They usually need to be frozen. But if they keep coming, there's a lot of them. Maybe one little biopsy is not a bad idea, just to see if you have like HPV, the bad strains, just like women. I think it's good

to talk. What I was mostly getting to with the initial question is at this stage in your career, are people now more focus on the aesthetics or are people going to see germs for health? And And the follow-up is, are we maybe getting so focused on some of the aesthetics and skincare that we're neglecting some of the health that is required to make sure that we are keeping our skin safe? That is a great question. Okay. So in my practice, we do medical, surgical, cosmetic, everything.

And then I also do integrative. Your dermatologist should be offering medical skin checks, right? If they're not, someone in their office will be, right? for people that are like more specially, so I did a fellowship in cosmetics in skin cancer surgery. So for me, I do less skin exams than some of the surgeries and things like that. But I would say that it's just as important. And I've found so many patients where I've done Botox on them. I saw their kids for acne where I diagnose a melanome on their mom or they came in for Botox.

I'm like, let's do your skin check. There's been plenty of times where I've found a skin cancer. So I think that as a physician, it's like, do no harm first. And if you find it early enough, what are, is it, again, this is based on a place of ignorance. For sure. If you say you catch it in the very earliest stages, like how big of a deal is it compared to if you wait too long? Because I think being proactive about these things is important.

Yeah, 100%. So there's melanoma. That one is the one that can spread and kill you a little bit more scary. I've seen a lot more melanomas lately, I would say. That one is where if you don't catch it six months, or a year, it really kind of just depends. That one is the one that can kind of spread. So I would say, get your yearly checks, your family history is so important, tanning bed history is so important, and the number of moles you have is really important. After the age of 30, you really shouldn't start,

you shouldn't see any new dark moles. So anyone who hears that, that is like your red flag. That is like your little guidance to go see a dermatologist. And then I'll tell patients, like, hey, you're pretty low risk, you know, you don't need to come in. Or someone else, I would be like, let's, I'll check you again in six months. What profiles someone as low risk? Low risk would be no family history, not a lot of blistering sunbirds, no tanning bed history, and less moles. Like people who have more moles have a higher risk of delping melanoma. There's just like a chance that your body will mess up.

And when you say tanning bed history, is this for a prolonged period of time or you've gone in once or twice? Yeah, great question. There is some data to support, like even one tanning bed use can increase your risk. I forget what that number is. But this, you won fine. We all like did it for prom, whatever. Like you probably did it. You probably did it.

Have you gone in a tanning pad? I've gone to the tanning pad. How many times? Maybe honestly, swear to God, maybe two to three times maximum. Okay, so that means 10. No, no.

Nice. I've done. In Tucson. So you're like would be like a little, I would want to, I would ask you that. And then I would like have a lower threshold to check things. So that's melanoma, right?

And then we have some of that spring break body, you know what I mean? Yeah, yeah. And then we have, well, some of the dorms at U of A, I don't know if they still do, but they had tanning beds. And then we have non-melanoma skin cancers, right? These are the most common ones.

These are not as scary. They're not typically going to spread. And these are the ones that I diagnose in like 30-year-olds. And then 60-plus, they really have them. So basal cell would be something like if you have a pimple that's healing. So I didn't like that you were like that spot is healing and then coming back and healing. That is kind of a red flag. I looked at it.

It looks fine. But if you feel like a pimple's like showing up and then like healing on its own and something's been there for about three months, that's when you should go and check it because skin cancer doesn't always need to hurt. They don't always have to bleed. They're really slow growing and they look like they kind of heal on their own. And then you have squamous cell, which is this other type of non-melonomous skin cancer. And these are usually a little bit more scaly. So if you have a little scaly patch that's not going away, that is also a time to get it checked out by your derm. What about periola?

peri-oral dermatitis. Yeah, this is a big one. A lot of people have experienced this. I've been talking just in my community and I've heard this a lot and I've had it before. Yeah, I have so many patients with this. Peri-oral dermatitis is the cousin of rosacea. So they have very similar triggers, travel, like irritating skincare, diet, which can be anything inflammatory and that's so different for every person. I usually see this flare up with my patients that are traveling somewhere and using a new product. I shaved my face, which I do all the time.

Yeah, derma planning. Totally fine. But then I made a mistake and I got a peel. Okay. Yeah. And woof, baby. Yeah. That was bad.

Yeah. So it comes and goes. There's no cure for it. There are things that you can do to improve your skin barrier. I think stop your, if you do have like a little bit of flare. Sometimes it can be red. We call it peri-oral dermatitis. Dermatitis means rash.

Pari-oral means like around the mouth. But it's usually kind of like around the nose too. So with anything like this, you kind of know what triggers it. People kind of know what triggers it. So I say stop any of your actives for like two weeks. Even like toothpaste. The fluoride and toothpaste can. Cinnamon.

Totally. Yeah. Exactly. The fluoride. The fluoride. Cinnamon. And then the triggers that can. make it worse that are similar to rosicia include vasodilators like alcohol it can include

well cinnamon is an irritant for sure chocolate hot teas what else anything that's like really fun and amazing like heat sauna high emotions things like that but peri-oral derm peri-oral derm is like really irritating and it can really irritate people when it gets really bad i honestly prescribe a whole bunch of stuff just to just to keep it at bay so that then they can, their skin can heal and then they can just do their normal life, but they sometimes just need some prescription to keep on hand because sometimes it gets really bad and raging. Out of all the topics that you've discussed on your podcast and your Instagram and TikTok, what has gone the most viral and why do you think it did?

You know what's so crazy? Nail stuff. Yeah. I don't know if it's because people don't talk about nail health or gel manicures or if they're safe. But every time I talk about nails, and it's not that many times, but the videos always go kind of crazy and it's like has a lot of a lot of discussion in the comment section. I think it's just people don't, derms don't talk about it enough. Everyone talks about skincare and hair. Here's another topic that's really important. But yeah, that is like a big one. And then also I do a lot of

so I'm a skin cancer surgeon and cosmetic surgeon, but I also did this year of like integrative Derm, which I think you would actually love you guys would both love because it's like, what can you do with your diet? What can you do with supplements? What can you do with like some of these alternative things in your life to help some of these common skin concerns? Because Tucson is a little bit of woo-woo is like a little woo-woo, you know? We have like Miraval there, which I know we have here. It's earthy. And some of my patients don't want traditional treatments for acne. So I go through like a list of other things that they could try first, like Like what?

Let's give us some examples. For acne, for example, supplements are really important. So prebiotics, probiotics, sometimes I run a panel with that. Diet is super important, right? So we talk about weigh protein if they're on that. Good or bad way? Bad for skin. Yeah, it is bad.

Not the way protein is like so bad for everyone. Just if you're trying to heal acne or. Yeah, if you have acne, breakout, especially in men. Like if they have back acne, weight protein is usually. something where I'm like, you got to go with pre-proaching. What about like little bumps on your arms? Is it going to make it worse? So that is like a type of eczema. The little bumps on your arms is called carotosis pylaris. Yes. Yes. And what makes that worse? An impaired skin barrier. So basically what those little bumps are, they're like little dead skin cells getting stuck in the hair

follicle. So you've got to moisturize. If you live in the desert, you got to add a humidifier to your bedroom and you want to exfoliate. I'm not a huge fan. a physical exfoliation because it can end up being just red and we have to laser it. But I love chemical exfoliants like lactic acid, glycolic acid, urea is so nice because it's a humectin, which means it moisturizes, but then it also exfoliates. So there's a whole bunch of like cheaper over-the-counter stuff for KP as well. Any foods that you would say to avoid or eat more of? For like an eczema type, I have to kind of go through it with the patient and see like what

they eat. I know when an egg, like a patient has eczema when they're really tiny, food is more of an issue when they get older. Food is not a huge flare up for things like eczema. But I always say, you know, keep it like anti-inflammatory. Right. That makes sense. Like always, like with anything. And this is where I really like some of the supplements. This is where I really like some of the infrared sonas. We have a red light panel that I really love. And so there's like, it's just, It makes sense, right? Your lifestyle and your body and your skin, they're all like super related. How do you feel about red light therapy? We use a light stem bed. Do you like red light therapy for the skin? Yeah. And if so, how often and like what application? Yeah. Red light actually has a whole bunch of studies to support it both for the body. And I have like a red light, a huge red light panel in my office too for patients. So it stimulates collagen, decreases inflammation, increases that circulation to that area, which is what you need.

And just overall, that's a really good thing. And then for hair, we know it stimulates hair loss. We know it stimulates hair regrowth and helps decrease hair loss. So of course, this doesn't replace hair treatments, but I think it's a nice addition. And then just, I think, the placebo, not even the placebo effects, but you just being in that, like, red, you said it's like a big light stem thing. So it's like a whole body thing? Yeah, it's like a whole body thing.

I'm sure you've seen like the face panels and the body panels. Yeah, for sure. I mean, people, that's the same thing as like the masks. Yeah. I don't think they replace skin care, but it's, it's not completely nothing. Yeah. What about nails? You mentioned nails earlier.

What are some things that people have freaked out about with nails? You got to tell us the videos. Okay. Well, so the UV or the LED lights, right? So the, for the gel. Oh, I just did it the other day. Yeah. I were driving gloves, but that's

I just sent a video. You're so funny. Like, I'm not the target, but my sister, she gets these all the time and I send her a video. I'm like, hey, this looks a little dicey. Well, his sister has like crocodile claws. Oh, no. Because it's like so much sun damage. No, no. No. No. Like her like she gets the long nails. Like she gets the

nails that are like a crocodile do claw. I see. Okay. Not her hands are crocodile. I'm like, oh my God, I don't know. Crocodile skin, though, is a great term. We want to avoid crocodiles. Yeah, like they get the long-ass nails. Yeah, I know what you mean. I know what you mean.

That's a lot of maintenance. She's probably there every three weeks. Well, that's why I said it. I say, yeah, I don't think this looks. Maybe you can speak to it better than me. I just literally forward a video online that I see saying, hey, I'm careful. So are the gel things you put your hands in horrible? So the traditional UV lamps are.

Okay. But the thing is the newer lamps that are LED, that's still UV, but a very specific. wavelength and a very short amount of time. What's the brand? Do you know the brand? I want to buy it. Yeah. I mean, they're also a sponsor of my love. Yeah, yeah, I love them. So really, and you will see a difference. Like, C&D Schallack, if you go to a C&D specialist that's like a professional, you are putting your fingernails in that little thing for like no more than 10 to 15 seconds. tell me who that you've gone to leaves it only in there for 10 to 15 seconds. No one. It's like a minute and a half. Yeah. And it like burns, right. That is not right. That is not right. And also people should not. So this is like a really big thing for me. Like gel shouldn't be like thinning out your nails. But them drilling it off is absolutely messing up your nails. They should not be drilling off the gel. Like with something like shellac, they soak it in acetone.

literally just like pops off. They just like pull it off. Well, can I ask you a question? I like a Russian manicure, which has changed my nail health. Because, yeah, because they don't drill it off like that. They're so about the integrity of the nail. Yeah, yeah, yeah. I just need to get you. You have to tell me what the brand of the thing is. Everyone's going to ask. What's the brand of the? Oh, it's like C&D. It's shall ask. It's literally C&D. It's literally. Okay. So the hold on, Michael. I'm sorry. We need to know about this. I need to ask something here. What's it called? It's like a bed for your nails. It's a light. The LED light. Okay. So it. So it's a LED light. So it. So it's. So it. So it. So it. So it. So it. So it. Okay. So it. So it. So it. So With C&D, that's the brand. Yeah, that's the brand. It's if you want a light to do whatever a gel at home, you want to make sure it's LED. Got it. LED versus the traditional UV lambs. LED may have a little bit of UV in there, but it's not more than it's just like you walk into your mailbox. Got it.

And of course, wear a little bit of SPF, wear your gloves. That's going to help like your hands, right? Okay. So Michael's acting like he's never had a pedicure before, which I was going to ask a question, but now I'm like kind of debating. Go ahead. No, do it. No.

Then I was like, do I like, do this? And they're going to get. Go ahead. I'm trying to wonder if it comes to these long dew claw nails that these girls are doing. Okay. Who are they doing that for? Themselves. They want to look hot.

Yeah. But I'm what, but look hot to who. Who are you doing your hair for? Well, no, okay. But I'm wondering. Carson. Who are you getting your salmon seam and facial for? He gets salmon seam and facials.

Oh, that's going to be wonderful talk about. I understand having bright, youthful glowing skin to. be an indication of hotness for everyone, right? Everyone wants to have nice, dewy skin. So they want pretty nails. No, but the long, like, do you think, do they think that men find those long nails exciting? Some men do like them. Carson, do you?

Okay, some men do like them. But I'm always wondering, what the hell are you getting stuck under those nails? They're doing things for themselves. There's this thing about, and I like just get my nails on for really like podcast and stuff. It makes you feel more put together. Well, for me, I like a short square nail because I, Wait, hold on. Answer me this. You guys have, this is too much. We both don't have long nails.

If you have these long-ass nails and you got to wipe, what is happening underneath those nails? I think that there's a lot of bacteria going on. I can't get past that. However, I think that everyone should be able to express themselves with their nails how they want. For me, I personally think that it's the chicest to have a square. There's actually a reel on that of like someone demonstrating how they wipe. So you can reach it if you want. I bet this is probably what they do. I'm going to guess.

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

How exciting for it? Well, what do you do? How do you wipe? I don't have long-ass claws that I need to worry about that with. You have hairy knuckles. What is? My knuckles? Do you think I'm wiping with my knuckles?

No, I go in like a normal. person and I assume it's someone with normal nail length. Okay. Anyways, but I just wonder about this thing because I was like, oh, like, I guess people's think that this is exciting and attractive, but I'm like, is this for other women or is it for the men? I think it's for themselves. I'm just saying, I never sat around in a group of my men and be like, man, did you see

that girl's long ass nails? I hope everyone who has long nails on social media eats him alive, but I do want to know how you type. How do you, how do you play, like, how do you, what do you? They probably voice note. That's what I would do. I see these girls sometimes and they have their phone and they're clicking like this almost. Like they can't use it normally.

Anyways. Honestly, I think they like, they like learn. It's a whole new skill. Yeah. I hope that we don't have a lot of listeners or viewers with those long ass nails. Oh, they're going to tear you a new one for sure. There's so many listeners with those nails. Like when I picture our listeners, they don't have the nails.

No, I don't think so. I think it's honestly in to get like shorter nails. Yeah. Less is more now. I don't mean to brag, but I've always loved short nails. I think it's so chic. The ladies that I talk to, they have nice. nails, nice cuticles, not too long, polish.

Plus, like, a lot of jobs, like, you know, there's, like, regulations now. On nails? Well, yeah, like, for us. Like, my girls can have, like, fake nails, but we have to, like, wash them really specifically, like, with hippoclein's beforehand. Yeah, because imagine, like, I come in, I'm like, I got my hemoglobin thing or whatever on my face and then you're touching me with the...

She's like... She's, like, pulls out her, like, pointer. Like, from, like, way back here. She's like infiltrating it with the pointer, cutting off the genital wart with it. Carson, get in touch with HR and say we have a new nail policy in this office. Okay, I have important things to discuss. The salmon semen facial, I get one probably once a month at this point. I personally think it's life-changing.

I know that I'm also using now, don't freak out. You have to Google it. You can talk about it. Embilical cord exosomes. So are you. So don't roll your eyes, Michael. Can you talk about that? Yes.

Okay. This is actually going to be huge in 2025. I'm glad you bring it up. Because, okay, salmon sperm facial, what is this? It's not actual raw salmon sperm that's like getting squirted on your face. Thank you for clarifying. It's the extraction of some of an ingredient called PDRN, polydeoxy ribonucleotides. And these are super energized like DNA built like building blocks for DNA, right?

It just so happens that salmon sperm has the. richest, purest, highest quantity of this, right? I don't think sammons are like hurt in the process, whatever we eat them anyway. Probably feels good. Yeah. So exactly. Now that is going to make a TikTok. That is absurd one. It's probably good for that. Sammons like, oh, this is my ear. Oh my God, I love it. I'm canceling the show myself. So that is why people find it really helpful A salmon sperm facial is not very cheap. And I will say, do you guys get injected in? I haven't gotten the injection yet.

Good. But I get microneedled. But I want to try the injections. Okay. That's not technically approved in the U.S. yet. Oh, it's legal. Kind of. Not that it's illegal.

It's like exosomes. It's not like FDA approved. There's no like straight up regulation on it. But this happens in other parts of the world. 100%. And it's approved. Yes. Like South Korea.

That's like where. all this stuff comes from. Well, I think it's important to articulate because, again, like, people are going to do what they want. For sure. This is not some, like, crazy thing that, you know, it's been popular in Korea for 14 years. So go ahead. So you do like the injection? I wouldn't do it for my patients right now. We do do the facial. We have done them. I tried it because I was, like, on a segment for entertainment tonight talking about it. And this is a really good ingredient. For 2025, I do foresee companies coming out with ingredients. I see companies coming out with products with PDRN in there.

Got it. So now that you have to go get the facial or anything, anything that's injected in is good, but then you have those risks of like, is something contaminated? Are there, is this actually good? Am I going to get an allergic reaction? Because that's my biggest thing.

Allergic reaction and contamination for anything that's injected in, that's like not like vetted, right? So, so that's my take on that. I think PDRN is awesome, salmon sperm facial. If it's like microneedolin fine and or just use as a facial fine, I think products are going to come out with it in 2025. And this is very similar to my thoughts on exosomes, which are also not as an injectable FDA or FDA approved yet. And I think of Exosome is kind of like crypto where it's like kind of sounds amazing. It is. It could be. But it's just not like regular. It's not like it doesn't have like that substance regulation to it yet. So I think things are going to change. We just haven't me personally. I haven't found like a good

company or enough like like research studies to like make sure it's like safe and effective for my patients. I do PRP or PRF all the time all day long for my patients. I'm like use their own stem cell. use their own growth factors. So axisomes, you said use as a skincare product. Well, I look at it like, I use Dermafirm. Okay. It's a Korean brand. Okay.

PDR. And I in it. Oh, nice. Yeah, I feel like you would like this brand, Dermafirm. It's, it's, it's, I, there's this toner that my facialist. Ooh. Her name is Jamie. Yeah, yeah, yeah.

Has that is one of like the most amazing products that tightens the skin. Speaking of amazing product. Yeah. Let's talk about what your best ingredients for 2025 are ones that you would universally recommend. Yeah. So I think for 2025, so one, it's like New Year's, right? What do we want to do for our skin? What do we want to do for our body? It's winter. Our skin is dry. Our skin barrier is disrupted. We want a good refresh. And there's going to be like certain ingredients that are, I think, going to be super key and super new and innovative. So that includes beta glucans. Beta glucans, it's a humectin. So it pulls in water and it's in it. So what beta glucans does is it helps hydrate the skin, kind of like hyeronic acid does,

but it goes a little bit deeper and it actually like renews the skin, calms the skin down, plumps up the skin, improves elasticity of the skin. So that's really a huge thing. So you want to look for products that have beta glucans in it. One example is Lankham's Genifique line is really awesome. Have you heard of that one? I love that brand. Yeah. Yeah. I used that brand the other day when I was doing one of my facial massage videos. It's it's it tightens the skin. It plumps it and you can really get in there. This specific serum is a good one. Yeah. It I mean, Lankham's been around for like ages, right? My mom used to use it. It's one of the first brands. Exactly. And I remember my mom using it so vividly. I feel like they know they know. stuff when it comes to skin care. And this particular product that's interesting that you mention it is definitely on my vanity at this moment. Yeah. So it's a serum, which I love. And I think also in

2025, people are going to want to find products that are multitaskers, right? Economy is going to change. Things are going to get more expensive. We're busier. We want to minimize and we want to really look for ingredients. So that product is really nice because like each little drop, do you know, each little drop of that stuff has like 90 trillion beta glucaan molecule like it's insane so you see that instant plump up which is great that's why i'm seeing when it like my skin feels like it like almost craves it yeah it's it's that's why i like it for facial massage yeah yeah like i'll like and then you use your little guasha or something i use this is how i use it yeah ice roller love then i'll use like a serum like this or i'll use an oil and i'll really get in there manipulate my

face. This is so good for plumping. Yeah. And then after that, I'll bring in my facial massager and I'll get in there with it. And I like how it glides against the serum. Totally. So what's the technology behind it? So I think it's the fact that they know an ingredient works. They know it can get delivered to the skin, right? Because that's the biggest thing. It's like, okay, you have products that have an ingredient. Is it actually going into the skin? Is it actually doing what it needs to do? And it? And it's And then not only that this product, specifically the Genafake recovery serum has hyeronic acid, which we love, and it has licorice root. Licarous root is really an interesting product because it helps brighten and it helps soothe the skin. And then for the recovery part, and this is probably why you'll see kind of the long-term benefits from it also, is it has microbiome technology.

So prebiotics, probiotics. That's why I like it. I love it. Because I can get dermatitis and I need that proin prebiotic. Exactly. Why is hyaluronic acid so important? So hyerronic acid, I mean, we've known it. This is something that I think was like the last year or maybe the year before is like

everyone that was talking about it type of product. So hyerronic acid's intrinsic in our skin. We have it. It creates like that plump, right? We lose it over time as we age. So hyerronic acid pulls like a thousand times its weight in water. it's nice because it plumps up the fine lines like immediately on like wet skin and then you want to like moisturize afterwards depending on what other ingredients are there it's very similar now I think the new

hyeronic acid is honestly like beta glucans because it does a little beta glucans does a little bit more it renews the skin it helps brighten there's studies behind it which there are for hyeronic acid too but I think in this case you want to, one in 2025, if you want to do, if you want to find a right product, you want to look at your skin concerns, you want to know your skin type, you want to look at your skin concerns. And then you want to find ingredients for that and then find a product that has those ingredients that has been around for a really long time. And what about liquor shrew? What exactly does it do? So it helps brighten. It's like a really, it's lighter so it's not going to irritate your skin. It's one of those like integrative like holistic type ingredients that I recommend for my

patients. And it also is really soothing. And is this something that you can take these ingredients down to the chest? Because I like to take it to the tits. Oh yes. So you can take it all over the neck? You can. Yeah. That's a really good point too because I think our skin on our neck is so thin. It's like 10, I don't know, it's not 10 times. Our eyelids are 10 times thinner. I don't know how thinner our neck is, but it definitely is thinner. And that's why we see the signs of aging there. And then, of course, we always miss, like, the declite and neck and chest area. So you absolutely could. And because it's a serum a little bit, kind of goes a long way.

It kind of like drips all over. Do you know how important it is to bring your skincare down to your nipples? I bring it down. I got it because I read so much and I'm always like this. I'm trying to get. Yeah, the tech neck. Well, I got these glasses. My friend Keda gave them to me.

So I don't have to look down at my phone anymore. The glasses reflect so I don't have to move my neck. Okay. So I look like Iqabod Crane when I'm looking. at my phone, but I'm not looking at my phone. So everyone when I zoom with gets mad because they think I'm not looking, but I am looking. It's just a reflection. You have to send me those. It's ridiculous. It looks like it has multiple angles to the glasses. If I'm going to use my hyloronic and my liquor shrewd and my beta glue cans, then I am going to let that stuff sit in and I'm not going to be

moving my neck up and down. I don't want tech neck. Totally. Totally. There are things that we can do for a technique. But yeah, all this stuff costs money. So why go through that? What are some other little tiny tweaks that you would make to people's skincare routine that are easy and efficient and quick? So let's see. I think that number one, if they do come to my office, I want to make sure that I look at their skin as a whole. Do they have rosacea? Because their skin and what ingredients they need for them for their skin is going to be different with someone that doesn't have rosetia or doesn't have acone. Do they have oily skin? Do they have combo skin? Do they have dry skin? So that's going to be, I think, a big thing is like know your skin type. Is it mostly genetics that play into that? Or is

it genetics combination with diet and lifestyle? That's a good question. I think genetics is huge. I think where you live is huge too. Like it's way more humid here than like the desert, like where I live in Tucson and then also in LA. I liked it when it was out there was like dry. But I guess it's not the best for skin, right? It's so dry. Like everyone has eczum there. Everyone has like. Everyone has like. some type of dermatitis. Like perioral derm is like rampant there. I feel like it's just everyone's skin barrier is so compromised. I visited out there and I had 10 humidifiers in my room. Yeah. I don't you have to have 20 humidifiers. You get used to it though a little bit. Yeah. Yeah. I like it. You do. I love it. Yeah. I liked it when I was out there. It's been a bigger adjustment

me coming out here with the humidity. Yeah. I guess some people say it's good for the skin. Yeah. The thing with dehydrate the skin, is you just look older. So people come in and they're like, I just look and feel so old. And then I'm like, your skin's just dehydrated. Let's hydrate you up.

That makes sense. So you need a humidifier. But there. What are other little tweaks that we can do? Let's see. So I think in 2025 people are going to, I think, dibble dabble with cosmetic treatments a little bit too.

I think they're going to be careful about who they're going to a little bit more. I think this year, filler was vilified. And I think in 2025, maybe they're going to, try it again. Maybe this year they got it dissolved next year. They're kind of getting it get in there again a little bit. Okay. I think lasers are going to be huge. I think lasers are like

that one X factor where if you know, you know and your skin looks so much better if you're getting some type of laser to help resurface, help tighten. Like give us some examples of names. Okay. So I think as if as just to start if someone hasn't done anything before like clear and brilliant is nice, A cool peel is so great. So these are things that resurface the skin. So helps with like fine lines, large pores, things like that. I'm a huge advocate for energy-based devices that tighten the skin. Like radio frequency, migraine, like Morpheus.

I know everyone, this was like a huge thing where everyone was like, oh, but it melts fat. It disrupts your skin. But I think it just got so big and popular that it got in the wrong people, like people went to people who didn't know how to use it. You know, you were talking earlier about some of the stuff with the micro-needling and some of those practices, and I look at it the same way. I look at Botox or a tattoo artist. It's like some of these people that are on the cutting edge of this technology that have done the most research and taken the time to become professional practitioners of this kind of new technology. They're few and far between. Like, there's a rarer people. I think you have to be careful when these things become mainstream

and everyone starts doing it. And I think that's why these practices get a bad name. Even like the exosome PR, what is it, PDRN? Yeah. PDRN, like, I agree with you. You have to be very careful. Those things can get more popular and you have everybody that doesn't have the know-how jumping in and doing it to people that and you could have dangerous practices. You'll get like fake stuff because this stuff's expensive.

But same thing happened with like filler, right? And same thing happened with Botox. Yeah. I just think people, even when they hear podcasts like this, I want to caveat them and disclaim that Lauren and are fortunate that we spend a lot of time making sure we're going to people that are well vetted and professional have like really built upon their skill set to be able to do these things properly, we would be the first people to say like we would not go to anybody that does not know their shit. A hundred percent. And I think that's why you guys have brought people here

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

My perspective on like it being more expensive is I would rather pay the expensive rate and get it right as opposed to paying a cheap rate and getting it wrong. And I know, like, I know that sounds like something. to say is obviously somebody who's, you know, I have financial means, but I would almost forego the service completely if it's going to be with somebody who doesn't know what they're doing with a risky service provider that's not vetted and not doing best practices because, like, you can have way more problems that end up costing you way more in the long run. It does. Like when I see a lot of patients that come in and they got overfilled somewhere and we're kind of starting over, it does cost a lot of money and time to take off work, blah, blah, blah,

to dissolve it off and then restart again, ends up being more. But I never want to, like, shame anyone for, they don't, sometimes they don't know. They'll go to, like, a random med spa down the road, whatever. They don't know what they're getting into. And I think it just, we learn from it. And I think people are so knowledgeable now about speaking up for themselves and being their own advocate for a lot of these things for health, especially. I think is so important, but also, like, cosmetics.

I, out of everything I've ever tried and done, think that the two best things that I've done for my skin are facial manipulation mixed with good skin care. If someone's listening and they want to start with three products for great skin, what are the three products that you're recommending? Okay. I'm going to do ingredients. Does that work? Yeah. Okay. So I would say if you're just starting off, you have like no, no, no. base at all. I would say you need to be on some type of retinal. I know that's controversial. Not everyone's on a retinal. Not everyone can tolerate a retinal specific retinoles. But I think that most everyone, like you're on a retinal, but your skin's like not irritated. So I think that a retinoid and retinol being the over-the-counter version is truly the gold standard. And I had

Shawnee Darden on a while ago. And we were just like band-girling over. like retinol and I'm like because we know like what it can do to the skin and it truly is the one huge anti-aging ingredient. So I would say find yourself a product that you can tolerate that is has retinol in it. Okay, that's number one. And then number two, it's like SPF. Yes, you don't have to like put yourself all throughout your body head to toe in sunscreen. I think. there's other ways to sun protect. Like I don't like putting my whole body and like rubbing myself with sunscreen. I will do my face. But like other areas I'll wear a hat. I'll wear long sleeve if I'm out, things like that. But I think a good SPF is good. If you're anyone's listening and they're

at all worried about SPF or their ingredients, go with the mineral, go with non-nano. There are sea fur, they're all safe, but there are all different types of SPF that perhaps are less chemical. I have to give you a skinny confidential SPF. It's mineral. Okay. And it's caffeinated. Oh, I love that. So it tightens the skin while it's protecting. And it's got the prettiest tint. I love that. I have to give you some before you leave. I bet it's really nice under the ice too. It's so nice. I'm obsessed with it. I use it every single day under my makeup. Oh, I love. And what's the third one? The third one's got to be the best one. Oh my gosh. Honestly, number three is finding a product that has something for skin hydration. plumps up the skin, helps fine lines, has pre and probiotics, and that's one by Longcombe,

which is the Genifee line because it's like a multitasker. You love this product so much. You gave us a code for the audience to shop. You guys can go to Longcombe-DashUSA.com and use code TSC20. You get 20% off. The one that we like specifically is the Genifique Ultimate. That's the one that has all the ingredients in it. I like to use it for facial massage.

I've heard about this product for the last year. From so many different people off air, on air. Is this one mine? No? You can actually have that one because I have three bottles at the house. And I would use this. If it's okay with Dr. Sheila, can you steal that? I would use it after.

I love that. Okay, it's a serum, right? So you want to go thinest to thickest. So you want to cleanse first and then that. And then your SPF, like somewhat cream afterwards. Okay. Yeah, if needed. but SPF usually.

And I really wish you would start doing facial massage with me because you can give yourself a brow lift with it. Listen, I'm coming to Tucson. Yes. I graduated and everybody goes back for these like reunions. But I was like, I'm out of here. I'm too cool. I never went back.

I just feel like I did it. You know, I was like, I'm back in the reunion. You didn't want the whole school to see you looking like wuggy with that shit on your face from something about Mary? But I feel like it's been now. That's what he's acting like. He's acting like he has open sores all over his face. It's a fucking dog.

It's been at least 15 years, 10, 15 years. Now I'm going to come back to Tucson. We're going to hit some lasers. We're going to get this thing off my face. Yeah, we'll go to that one bar you were talking about. Well, not dirtbacks. We're going to go like Bashful Bandit. I don't know what you're talking about, Michael.

I don't know if all these faces even exist anymore. I don't know. I feel like they like are turned over like this. And Dr. Sheila has her own podcast. It's on Dear Media. It's called Derm Approved. What can our audience learn from your podcast? What are some guests that you've had on? What are you proud of?

Yeah. So I love it because it's backed by you guys. I'm a dermatologist. So it is all things skincare, cosmetics and skin hair and nail wellness, right? And I have some solo episodes where I dive into the details of just all the info. I answer questions. My last solo I talked about, stretch marks, cellulite, KP, body acne, hyperpigmentation. She liked so many things. And I've had some great guests. So we've had like Shawnee Darden. I had Dr. Pimple Popper on. I've had some, I've done some swaps with other dear media girlies. And it's just been so much fun.

Dr. Pimple Popper. Does she like to pop pimples? You know, no. And it's so funny because on, we did a reel. And it's on the Dear Media page. And it says like, we don't recommend squeezing pimples. I think it really kind of depends. But Sandra Lee, she is amazing.

So nice. It was such a good time. And it was like really a good episode because it was on acne and acne scarring. I've never been a girlfriend that's like lay down. Let me pop your pimples. Like that's just never been me. No, good. And that's like it creates, honestly, it's like makes them worse.

I have this theory. Now imagine you have those long. You can tell me if I'm wrong or not. I have a theory that when you pop a pimple and one speck of that bacteria juice gets in the other area, another pimple forms. No, you're so right. And not only that, but on an inner. Like internally, it creates like a inflammatory cascade where you get more. And then it drops somewhere else and then you get another pimple.

The only time. Yeah, the only time that I say it's okay to pop a pimple. To lance it. The lancet. When it's a white head. It is almost on its way. You heat it with a little warm right after the shower. It's soft.

It's warm. You can almost like just wipe it off. Right. Should I come work at your clinic? Yes. Oh my God. I think that I like maybe. You're like a dorm.

All right. I'm coming to see you. You know why? I went and I was looking around and I'm like, I don't know. This guy's nice. But I need somebody that I can trust with a laser. There you go. And then he was up your balls looking at if you have any moles up there.

I can confirm you have no moles. All right. Good. We'll get you down there more often. Get your skin check people after last night. Okay. Where can everyone find you, follow you, pimp yourself out? Oh my gosh.

Thank you. So the podcast, Durham Approve podcast. I've been IG for that. And then my main social handle is Dr. Sheila Durham. I'm super active on there. It's on Instagram. It's on TikTok and then on YouTube. And I'm just spreading all the knowledge.

I love it. Thank you so much for coming on the show. Of course. I have notes. I'm inspired. Amazing. To shop Dr. Sheila's favorite product, you can go to Lawncombe-USA.com and use code TSC20 for 20%

off, Geneficultimate. Thank you.