Celeb Dermat Dr. Rashmi Shetty Reveals Biggest Skin Secrets - Acne, Anti-aging & Botox | TRS 367

Dermatology has sadly become a field where it is slightly trivialized I have my fun but I don't smoke I don't drink alcohol now my skin is calmed down is this a nice General guideline for people dealing with adult acne you know Singapore had declared acne as a pandemic at one time do you or do you not recommend antibiotics nowadays I know of children who gone and done their lip jobs in bad places not just is the aesthetic outcome bad it could be serious comp lications of death of a tissue what do actors come in for there are a lot of people I simply do bio stimulatory injections are these things painful there's makeup harm skin the stress of looking good today I think is half the stress if people are dealing with a lot of pimples or any skin condition if they take a blood test will that blood test actually indicate the core problem but I want to ask you in detail about acut in and isot retinoid because globally speaking this is one of the most popular YouTube search terms related to acne she's considered the film Industries goto dermat the media Industries goto dermat but in the medical circles she's considered one of the top dermatologists not just in India but in the world as she said over the course of this conversation Dermatology and actually treating skin and improving skin in the long term is a lot about understanding the science and craft of Dermatology so while we've spoken about acne pimples dry skin skincare routine and the basic skin care stuff in this episode we also went pretty deep I personally would like every single young adult at least in India to watch this episode till the end because you learn a lot about your own skin you learn a lot more about skin care than a 10-minute video can teach you and you'll be left with weapons for life I understand that all of us are basically dealing with some sort of skin issues your answers are packed into this introductory episode with the legendary do Dr Rashmi Shetty she's going to be back for many episodes after this because ladies and gentlemen we found a TRS Allstar but this is one of my absolute favorite biology and science episodes of the year it's also pretty much a bit of a free of cost consultation with one of the top dermatologists in the world so you're welcome just sit back enjoy learn relearn take notes because you're going to be left with a lot to absorb at the end of this episode enjoy yourself this is Dr Rashmi shti on [Music] PRS you're welcome guys today we have Dr Rashmi shti on the show India's top dermatologist uh literally all my actor friends my model friends uh and these aren't even upand comers these are all established people who are so-called famous my influencer friends everyone um has spoken about you at some point like your name comes up so much in like uh at least media circles um and um the media world is generally obsessed with skin so uh I'm grateful to you for being on the show thank you so much thank you so much for having me uh how have you done this like how do people you know uh know about you so much I'll tell you something so when the first super model came to my clinic you this is like 20 years ago I and she was happy once I finished okay so I said done now I'm going to have line of people outside nothing happened little did I realize that that was a very hush hush thing right so she of course did not tell anyone and nobody else told anyone one and I had a small office me and my one girl assisting me who would tell anyone right so that's it over that was no Instagram right nothing over so that's it that was the start of my one Superstar walking in then some point things happened people came in and rest is history but it didn't like say the first one came in the line L that didn't happen okay but what are you doing different as a dermatologist because our city is full of dermatologists yeah and honestly there's too many skin problems nowadays the primary one being acne this is what I true and please chip in correct me anyway but uh uh especially adult acne is so common yeah uh i' I've dealt with adult acne a lot in my own life and um I just have always wondered at what separates a great dermatologist from a good dermatologist so I'd like you to answer that question from your perspective so in my perspective I like you rightly said there is dime a dozen experts right now right Dermatology has sadly become a field where it is slightly trivialized and diluted so there's something called Skin expert somebody saying aesthetic physician so so many people are claiming that realm of speciality of Dermatology in order to solve the problem of pimples primarily exactly right from the Auntie the salon to uh physician to everyone is trying to chim in and say we are all there so the difference then becomes one you firstly being a legitimate qualified board certified dermatologist that's number one starts from there being rightly qualified two understanding the diagnosis again today it's become more every field including medicine has become more like a business there's a Target there is a running of the clinic XYZ now if you can dissociate that and come back to being a pure clinician at heart where you started out from to me whether it is acne it's Dermatology or Cardiology your differentiation from good to Great is just that remember that you're basically a clinician at heart and get to the diagnosis first and then start off with the simplest of things to help your patient could simply be lifestyle and you will see a lot of acne can simply be solved with lifestyle sleep well your acne will be solved at many times wash your scalp well your acne will be solved so to me that is what sets me a part where I get to the diagnosis start very simple and you shouldn't be dependent on your dermatologist right that's the whole thing make them independent of you at some point and you know that's the goal to start with right from the beginning uh so you primarily focus on the craft related to whatever you're growing and when it comes to actually solving skin problems you get to the root of the problem exactly and my next obvious question is at least in our city Mumbai and I probably also speak for Delhi Bangalore because I see a lot of adult acne there as well yeah uh in all the Metros there's too much adult acne I travel around the country for work when I go to tier two and tier three there's less adult acne why is this happening is it because of the air is it because of the food the water um because it can't be as simple as uh City people smoke drink and you know have a wrecked sleep cycle there's got to be something which is not controllable by City people like I know some of my healthiest friends who are dealing with a lot of adult acne I'm glad you brought that up why is your healthiest friend dealing with adult acne there could be two three reasons which I've always seen the most healthiest fellows coming with adult acne one either they are on protein supplements which in excess cannot be digested by the body in an absence of carb cannot be digested by the body so it becomes really difficult and that excess protein is inflammatory so it's counterproductive to your body that's exactly when you have acne on the back acne on the face all this happening that's number one if you see a a smaller town guy who's also exercising like my cousins in Mangalore are all buff Shetty buff guys but they're all eating regular food to get that protein they're not pumping in protein powders that's what they do here that's number one in a lot of like you said the media guys and the hey girls who get adult acne I have seen the main thing is excessive dieting zero fat zero carb diet and the so-called keto diet and intermittent fasting not meant to your body because it it disrupts your hormone cycle you end up literally there are people who come with not even getting periods so that level of disruption to the hormone is happening obviously there's going to be acne obviously it's going to pop somewhere so therefore you see more but obvious like you said metros there is pollution there is sleeplessness there is addictions there is blah blah in intoxications XYZ along with it it's stress simply stress of looking good so let's not look at stress as this you know major I'm an achiever and I have 8 hours of working and 20 hours of something else simply stress of turning out well is a stress I see young adults going through the stress and mam bringing young adults and saying I don't know what to do she refuses to meet people because there's acne I'm like it's acne it's fine I'll treat you that's a separate question but to start with it's fine it's acne so the stress of looking good today I think is half the stress okay uh you've given me 10 tangents to take you upon uh so I don't actually know where to go with the conversation but I'll probably go in the direction of myself okay um the one thing I figured through the show by talking to a lot of doctors uh even like we've had people like Luke coutinho we've had like you know Health experts as well I've realized everyone 's bodies are different so true like and some a food that suits someone may not suit another person which is why you'll see someone eating lots of cheese drinking lots of milk and it's fine the skin is glowing and another person who has even a cup of milk or a little cheese they get a lot of acne just because of that I think that's the primary uh thing I've learned about skincare that everyone's skin is different and it will get affected by your diet and as an adult if you're dealing with adult acne you have to figure what foods work for your body and what doesn't and probably what diet works for your body and what doesn't have I said something wrong medically in saying no would you like to add anything to what I've said no you're right you're right in what you're saying all I want to say is you are talking still about physiology and pathology all of that coming together microbiology all of this coming together since we're talking science I will tell you there is variation is something as fixed as anatomy in us it's linear right here there are 10 things which are influencing like you said there is food there is lifestyle there is another one there is somebody coming from some region somebody knowing to digest something else all this is coming Anatomy which is more like linear there is so much difference like I'm an expert with face for example if you cut up my face and your face the facial artery which is supposed to have a course like this wow is different in you and different in me and there's so much percentage which is like this so much percentage so that also is so much varying how can you expect 1 million things that is happening to be consistent no two people are the same M so when I said that different foods suit different people uh what you're chipping in and saying is that yes because even though we're the same species as human beings every human's Anatomy when you actually cut up the body it's fully different no so I am saying something as linear as Anatomy is different but if you're sticking to food let me make it more simpler so if you're sticking to food for example you and I both have a cup of milk right you are Punjabi yes okay so you have been born in North India you have understood your system has understood digest wheat digest probably CH I am a South Indian my system does not know how to digest that so innately my system knows to digest rice I won't put on waight I eat rice every meal I don't put on weight with rice but you may put on weight with rice because my body knows how to digest and use it to my best possibility to gut bacteria your microbiome is very different because you've had coffee had tea for example you've had antibiotic yesterday I am against pills various things might have made your microbiome different than mine and again microbiome is very important for you to digest what you're breaking break up what you're eating that is different everything is different the way you may boil is different than the way I may boil the cow that you're using is different than the cow that I'm using for the milk you may put something in the milk I may not put anything in the milk so there is so many variations genetically you may be getting acne I may not get acne at all no matter what I do you may have your oil glands bigger different I may have oil glands differently your hormones are different mine are different nutritionally certain vitamins and fats are different in you different in me so there's in number of variation that is why a glass of milk to you and a glass of milk to me will never be the same and will never give the same so as a doctor when multiple personalities are walking into your clinic how do you even begin if everyone's so different yeah so that is where a detailed consultation is important and there are you were just going back to you asking me what's the difference between a good to great for me even if you have a a demand for your time I still don't see more than 22 to 25 patients in a day and I work from 10: to 6 with no break with like a 10minute break I give a lot of time to each patient I see the patient myself I do have doctors working with me but I I will still be the one asking you what is your name and age so I will literally take a detailed history that is where I differentiate you from another I will go into very details from your childhood to now what is your skin like what is your parents skin like where have you traveled and what is your diff I literally go through very detailed history okay that is where I decide in a lot of cases of people my age early '90s born I'm I just on 30 I still see my friends struggling with adult acne and the big hope is that when all of us turn 35 or 40 it'll kind of reduced by itself because at least in guys the testosterone levels will reduce a little bit so there will be some kind of conjunction uh I remember my acne began at around like 14 16 14 yeah uh it increased a lot when I started lifting weights even without even without theone goes up yeah anyways like with muscle yeah once I started taking way protein it went up a hell of a lot more uh I did a keto phase to experiment with my body because 8 years ago I was trying to go into the details of Health for the sake of YouTube so I was like before putting up content on the internet I'm going to experiment with my own body that was the worst my skin ever became um because I I didn't just do like a zero carb thing I took it to an extreme but even the vegetables I ate it was just leafy vegetables my God because there's no uh carbohyd there's very little carbohydrate in that so it it wrecked my system on multiple levels but it did the job that ketogenic diets were meant for like I I got a six-pack and everything but my skin had never been worse uh I went on acutane after that came out the acutane phase got done a little bit of acne started coming back and that's when I realized wait there's something I'm doing wrong in my diet remove the whe protein for me plant proteins really work I switched to that it's easier to digest less inflammatory and I also noticed that through the course of my 20s now I don't know this is definitely my subjective reality but I feel so many of my friends who are dealing with adult acne I sometimes want to tell them that hey you know why don't you try changing this about your diet because this is what helped me a lot but then you don't it's rude to talk to people about their pimples because I have had pimples and I know what it's like when someone tries giving you advice uh but in so many cases I see them drinking a lot of milk yeah eating a lot of junk food specifically eating a lot of cheese Crest Food never yeah uh eating a lot of cheese smoking a lot um for me again this is I'm not one of those people who like preach for dietary changes and all that but because I did a lot of yoga I felt like my body was rejecting meat and I I ate a lot of meat so first I ended up giving up red meat for a while then I just didn't feel like eating chicken after a point so I gave it up and I was just listening to my own body uh it was probably in conjunction with my Y Yoga based lifestyle uh I'm like pure vegetarian now like but I even gave up eggs and i' I'm from a hardcore non-vegetarian family who still eats like a lot of nonv uh I don't look at it from a moral compass or anything I'm just purely talking about my skin Journey uh and now only at age 30 after having this like very basic diet like we diet I'm not fully also like as I have my fun but I don't smoke I don't like drink alcohol uh you know I'm the kind of guy you take home to your mother okay he's saying something but uh from a skin care perspective so uh now my skin is calmed down and I still have some trouble with skin when I get stressed I get acne now see yeah uh like that that's what I've noticed that if my stress levels are through the roof something will happen so it's actually much more about handling stress which then shows up on your face yeah so if I'm doing my pran yoga regularly I'm fine everything is fine I'm glowing I'm a magazine cover and you can take him home uh now whatever I said there are two aspects to this one I'm showing off a little bit I can I I I just totally got it and two uh is this a nice General guideline for Mumbai Delhi Bangalore Chennai Kolkata people dealing with adult acne what I've given what I will do is since you gave me one long thing of what you did I'm going to break it up sure so it's easy for our kind of listeners to grasp from what beautifully you did so the first thing you said is I ended up doing keto whatever what intermittent so when anybody chooses a diet you must understand the idea of diet is to heal your body to take it a good place not to stress your body further simple so keto may like you said I don't know keto might work for some people may not work work for another people you need to realize when you start a diet is that stressing you out is it causing you acne is your skin maybe not everybody will break into an acne you will get a red skin irritated skin chappy skin your eczema might become more if you have had aoris that might become more so in Diwali my one of my from my ca's office has psorasis which we are treating came back with new lesions because he had had a lot of sweets so you it could be any of the skin issues we are talking AC but I'm saying any of these skin issues can exacerbate with a wrong diet now you sit down start your diet see how it feels in one week is any disruption there if there is then this is not diet for you look for another diet how do you figure if there's a disruption you may end up getting an acne you may end up getting a chapped skin you may suddenly see hairfall you may see folliculitis or acne on your back you may end up uh like I said exacerbating uh eczema uh psorisis any of these things that you may have had and it is sitting quietly now you start a diet and things change then you know it is this so you know that's not happening and as a woman along with all these things if that month your period is disrupt disrupted then you kind of know oh there is something which led to it because there's nothing else I'm doing but starting this new diet it only means it's stressing your body you don't need anything which is stressing your body shift to another diet shift to another diet shift to you will find your peace in two three diet forms that you have followed so that's I eat red meat I'm very happy like I said I eat price I'm very happy my body knows that if I stop all that with the kind of work I have and the concentration that I have to do and high energy I have to have even at 6:00 patient comes I can't say you know what I'm tired I don't have that full energy I need my sustained release C all the day so for me it works so you need to find out what works for you in your giving given lifestyle need goal and for your body so that is your diet part the next you said I gave up milk and I see you repeating that many times through our conversation very important to three things that I inen tell them to give up one is dairy and dairy products except kurd which to me is a broken Dairy there is good bacteria in it so there is a lot of lot of good things in that CD so I always tell them eat C in the afternoon because one of my aura friends said apparently kurd is difficult to digest so I tell them not to have it at night and you have it in the afternoon so Kur is allowed and I have allowed people to have very very buttermilk which is already butter removed not just diluted CD yeah so that is something and ghee are the three Dairy that I allow you to have then I tell them to cut off all processed food like you said cheese cheese is processed chips packet whatever comes in the packet whatever is processed do not have there'll be a lot of hidden things which I also won't understand you also won't understand so please don't have it the other one one that I um which includes the proteins from the packet that you have so these are all processed food I tell them to avoid in fact these are the only two I'm thinking these are the only two things I blanket avoid everyone and tell them anything processed packet what you have to buy from outside stop stop Dairy and then I move them to some other milk now I want to also tell the audience and people who are listening to this to say that when I say stop dairy dairy I've seen people go and have glass full of almond milk not happening again there is so so many almonds required to squeeze a glass full of almond milk you're overing other processed things correct so when you no when you skip to another milk when I say no milk you're looking for an alternate right what is your alternate then do you have an alternate what do you do um I I primarily have black coffee now like or green tea but but if you were to have milk milk very good choice so to me again a vegetarian source of milk is a very good choice to have which is oat milk is the most least in its inflammatory quality other than any nut milk which will be heavy in fat right why would you want to have that most of you who are on a diet is also trying to reduce weight so you're having something as rich in fat so no the third thing that you said is how avoiding Foods you said I avoided dead meat most of us may not avoid the same food and get the benefit yeah an easy thing to understand what might help you is when you eat something you see what makes you bloated what makes you uncomfortable purpy not happy in your system so you know gut is not handling it gut is going to throw it out on the skin in the end it's all connected gut is going to throw it out on the skin in the end can can we just pause this thing just talk about like this in a few sentences we actually had a gut expert on the show who said that there's too many nerves connected to your gut which is why they relate IBS to how your mind feels yeah but I also want to know specifically why is gut the gut related to pimples is it because your gut gets inflamed because your body is not able to digest certain things that that excess heat in your body shows up on your face yeah yeah a Layman way of calling in saying inflammation is heat that's it what is inflammation actually medically speaking medically inflammation is anything that disrupts your body for example to put it simply let's say pollution wrong food causes uh inflammation and free radical damage Dage what is free radical damage free radical damage is um Rogue oxygen species which means to say if you breathe there is a chemical reaction in the body you eat to digest there are multiple chemical reactions while that is happening there is a lot of enzymes involved Yeo everything involved right while that is happening on the side while things are utilized free radicals are released like pollutants of the food uh not really it's just a it's just a radical less of an it's just an molecule less of an ion so it's hyperactive okay and it can destruct things now generally body has its own free radical quenes which we call antioxidants you can quench it and body goes on but when the free radical becomes excess that is when body can't handle and today we have supplements with free radicals which which does quite a lot of damage control as in supplements to counter free radical damage correct like like the most famous Infamous glutathion for example is one of the free radical damage controllers and that then leads to inflammation and inflammation is your body calling all its defense system to say come and fight so that is inflammation but when it is simply calling everyone to fight inflammation is counterproductive then right so that is what happens that is inflammation inflammation when it happens is good for a reason at a certain extent in a certain direction that is saving your body of anything that is aggressors interal or external but you keep irritating it the fellows keep coming then there's so much inflammation there which itself becomes counterproductivity so that is information okay originally we were talking about your review of my 20s that whole timeline and we'll go back to that but uh I want to ask you something that I've thought about and correct me as a doctor okay in my eyes what I have figured about say that one stray pimple you get once in a while which everyone deals with okay uh or if you're dealing with adult acne and your whole face is covered in acne uh any pimple is your body trying to tell you hey this could be something that's wrong it's like your body's Compass to your mind it shows up on your face you're seeing your face every day it's your body saying something's going wrong on the inside and if you just accept that and understand that and then try reverse engineering it sorry sorry about bringing engineering but uh if you try reverse engineering then H what did I do in the last week did I smoke did I drink did I eat something that I don't usually eat in excess yeah that's what showed up on my face because this is literally what I did in my 20s that I had a little book I was just want to say maintain a food dairy or maintain a activity Dairy so you will know like I think the the thing that's all my acne in the long term was just dietary changes yeah I mean the Accutane solved it for that one phase but it's just a it's like a crin and I want acutane later a lot I have friends who are taking acutane perpetually and all that talk about it interesting so that's a whole other topic because it's also one of the most effective ways to fully like make your acne sleep I'll tell you how we we we come because it's a very it's one of my big pre-planned questions for this podcast and we have a long way to go but I think it's important to talk about this basics of acne things so we'll go back to the timeline you were talking about how food we solved yeah and we solved your aggressors such as smoking drinking AO we said No it's it's the stress that is important whatever stresses you sure if smoking is stressing you out if drinking is stressing you out sleep lack of sleep can also cause acne anything that stresses you can throw out like you rightly said it's the compass skin hair and nail are literally a diagnostic tool for what's happening inside the body very very easy to find out just looking at this what's happening inside so therefore acne is one of those things like I like you rightly said okay go back to the timeline I forgot what we did and what you want me to now go I was uh for me we finished what uh we were talking about for me like when I left meat so I tell you what happened food we saw when I specifically left red meat there was a massive drop in how much acne I had and for a while my white meat didn't like affect it and I didn't leave nonv overnight I left it gradually uh I went into pescat pescetarianism which is only eating Seafood that also was a significant Improvement for me and I'm this is not me saying he turn vegetarian and all that I'm not one of those people I dislike those people but uh because I food is so personal there's so much emotional ATT food um I get everyone's moral angles and all that but food is a very personal thing you can't force your ideas onto someone else who's not ready to change this is what worked for me and again I'm approaching it from the perspective of skincare uh so the seafood thing it actually was great for my skin it's got lovely omegas 36 which are also antioxidants like I said which is also anti-infl so fish not only is a lean meat and does not give you things bad but gives you things good so it helps you in multiple ways also from an aesthetic perspective uh I was very concerned that if I'm leaving n where am I going to get my protein and it when you eaten so much nonv in your life your body takes time to um switch to a vegetarian diet for protein which is why if anyone's even thinking of leaving non I always say leave it gradually uh because those Cravings actually mean something if you're craving chicken it a little bit in that phase of leaving um my point is uh you talking about Seafood yeah but I'll tell you in this whole journey the one thing I figured out and out uh my body started reacting very badly to eating egg yolks and I've eaten eggs all my life so now I didn't know whether this is because as they say that modern day eggs are not eggs yeah that they fill the I mean they they pump the chicken with uh lots of hormones yeah in order to lay more eggs uh likewise the milk likewise the milk yeah how long does a normal cow if you go to the village and ask them how long after the birth of a baby can it give milk it doesn't perpetually give milk right here your cow is perpetually giving you milk what what I find hurtful is that my childhood I ate so many eggs I drank so much milk and nothing would happen even as a teenager for a long time I had like egg egg yolks and milk and only in adulthood so it's one of two things it's either that the quality of milk and eggs has reduced in Indian cities or my body as it aged was just rejecting these two food items uh but this was again the significant jump for me uh would you like to say anything about this my only two bits to this is it's not just that things are going bad from the outside like bad eggs and bag milk it's also as a child you're expending so much energy so these things you know how to digest will happen and your body needs it and then as you grow older like I said what you don't need will only turn against you so it's just causing more inflammation you don't need it you firstly not spending so much energy in the out putting it out so there's a multiple factors usually that involve it's not as simple as yeah bad egg okay let me start now getting from the G Egg and I will start having five egg it may still not work got it as a doctor would you say that as you age your body accepts and rejects different foods yeah and it needs less food it needs less food so if you go back to our scriptures there is those way various phases of life right in that various phases of life that if I'm right there's van prasta in the end or something like that they end up going also to the forest then they start eating less and less and less also because body needs less your your expansion of energy expanding energy is lesser so you need less so your own body changes over time and sometimes you say oh this was fine for me like you said after sometime my egg yoke didn't work for me so as you keep changing your diet and your lifestyle some fellow is working like a carb is working with a protein to cut this cut that and go ahead an apple is not just a vitamin A right there are so many things that we know and we don't know in that so one cuts the other and life goes on but once you take away one just this one may not work for you that is when you say oh this was fine before now why is it not working that could be you're simply your body can grow and say now I don't like it anymore so you can develop an allergy any point of your life likewise you can develop a rejection to food at any point a particular food at any point in your life you just like you said listen to your body close your eyes listen to your body that's all is what you need to do you don't even need a doctor yeah also considering the fact that there's so much pollution nowadays at least I can speak for Mumbai and Delhi that definitely plays a role yeah in your Skin's Health yes and no it does but honestly ranir how many of us are running in the pollution you're sitting in an AC room you're sitting in an AC car you're going to an AC restaurant so it's all I wouldn't say AC means no pollution there is still things here which are not absolutely clean we're not air filtering it and purifying it but dust and pollution and all this I would still relate it more to the allergies to the eczemas that are so much on the highrise now acne acne I would still relate it to stress and food and hormones and hereditary I wouldn't say personally pollution is such a big thing a hand in playing towards okay um I'm feeling a little guilty right now because I'm I'm indirectly taking a free consultation from you in some ways so sorry that's okay me DMS are used to it really I'm telling you it's so difficult you go to any party anywhere there are people one they ask about themselves I can still understand that you know my sister-in-law had this oh my God okay how do you feel no now I have learned the art of just smiling AA really uhhuh and that's it you're not asking me for solution I'm not giving you solution then the next step of K is a little difficult to ask no so I don't earlier I was like what they asking means I have to give a solution do all of that solution and then feel irritated also saying you know I never had a good time all I did was talking this how irritating how can they do this to me blah all that now I've learned to say okay you're asking I'm happy thank you God grateful that you asking me and you're considering me as an expert but I'm not answering so it happens at parties everywhere after this episode get used to it happening even more uh but okay we're going to come back to that timeline I have two three more factors again which I felt used to wreck my skin see the reason I'm expanding these thoughts so much is um it took me more than a decade to figure out this mathematic formula and if my kid is going to deal with acne or if a younger brother younger sibling is dealing with acne I will tell them the same stuff that listen try these these things uh because when I was that age I didn't know who to ask and all that um so the other thing that really affected me was um artificial sweetness yeah like I noticed this based on my food diary it's not just artificial sweeteners I'm telling you you look at a prepacked food and it'll be written fruit sugar and you think ah this is fruit sugar this is very good what is that fructose coming from it is artificial he's not going to squeeze a fruit and extract a thing and put it in there it is the most biggest lie there so yes any sugar for that matter any sugar so cut out sugars completely when I say cut out sugars most of my patients H we cut out sugars but we have now started Stevia no not happening why are we okay let's get back to why are we saying cut out sugar because it gives you an insulin it gives you sugar Spike when you get a sugar when you eat for example a protein why do they say it's good because of course there's a lot of energy there is a sustained release of sugar right it's all sugar at the end correct you eat a sustained release C like we mangaloreans eat parboiled rice which has the envelope outside so these are sustained release carbohydrates so they give you the sugar you eat anything sweet it could even be a fruit like a chicku or a you know cust must Apple safal what we call it it could be even that minute it tastes sweet on your tongue means your body is getting sugar it keeps getting sugar each time it get sugar a little insulin is released to digest that and store that right you keep giving it sugar insulin keeps getting at some time insulin doesn't work so you get an insulin resistance uh basically when you eat carbohydrates especially the building block of a carbohydrate is sugar is glucose the way your body digest that and please chip in doctor H the way your body digests that is it sees oh okay there sugar in my stomach I need to spike this hormone called insulin in order to digest that glucose uh the thing is if you're eating too much sweet food over time your insulin spikes so much that your body develops a condition called insulin resistance it doesn't work then but insulin is still sitting there floating free floating which is a very harmful thing yeah so it's the sugar is also har coming the insulin which fellow is not working now but it is sitting there that is also not a good thing oh okay just excess of insulin in your bloodstream is also not good thing it'll cause inflammation yes it'll cause inflammation it'll cause other hormone disruptions that like an LH surge like then you're more getting into more depth so all this is going to happen that can lead to PCOS in a woman lutenizing hormone oh my God are you an engineer right it's l if you want go into the details yeah watch podcast for this oh lovely so everybody wonders right why PCOS happens now where does it start from how does it happen again PCOS I'm bringing in because acne happens with PCOS that's one thing that people recognize right along with skin pigmentation on the neck and XYZ so you let's there are stress there are other things that cause it your excessive weight stress all of this but in all this one common factor also is the the insulin surch resistant insulin there is an LH surge so your LH is then more than the FSH that ratio tilts once that tilts there is lot of other things that happens in the end what happens is your male hormone also goes up your dhes can go up your testosterone can go up your DHT can go up your sometimes your inflammatory female hormone which is Prolactin can go up that causes this red Angry Angry acne on people's faces with a little bit of breast tender Ness then I know there is a prolactin race that should be then brought down so there a whole gamut of hormones which actually come together or work individually to cause a hormonal acne in a woman even in men it's not just testosteron like you said prolactin exes can cause um acne LH exes can also happen L surgeon a man can also cause cause acne so all of this can happen Okay uh damn um I want to talk about this whole testosterone rise in males causing acne okay uh I okay you know what let's talk about that after this particular question is male acne and female acne different acne in a male and acne in a female is different because in general I'm generalizing in again a female can have exactly the same gland sizes a male can have but I'm saying in general males have more sebaceous gland which is the oil gland in a given surface area on the cheek or on wherever than I have as a female first difference second difference your gland itself can be bigger than my gland two glands are usually influenced by hormones testosterone is one of the main hormones that influences the gland so testosterone in you and testosterone in me will influence it similarly influence it will cause it to secrete more oil more the gland can become bigger more secretion can happen it can have more Pockets there it's not just one clean gland like that it is like a bunch of grapes so it can secrete more it can secrete more all that can happen gland size only can be when the gland size become bigger your pore size becomes bigger because the opening is bigger then your skin becomes oily so an oily skin is usually having a bigger pore and therefore more prone to acne because not because of the pore itself getting clogged or whatever whatever beneath the bigger pore is a bigger gland which can have more contain content of sebaceous secretion in it which is that white uh steric acid the fatty acid steric acid content that is there which comes out if it didn't come out and got plugged from the top and then it sits there it gets inflamed it get infected and become an acne that is your pimple correct so that is usually triggered that excessive oil is the first thing that can happen and that is triggered by testosterone so testosterone in you is more than me my testosterone only may become excess that it can make acne on my face is when I may have a PCOS or I have not just the ovarian adrenal excess of uh testosteron can happen male hormone can happen so this in a woman in a woman how does an adrenal excess have again stress cortisol release a whole hormonal pathway which leads to more adrenal excess of hormone that can happen so we make some we do some blood tests to figure out where the excess is and treat accordingly sometimes we as derms treat ourselves sometimes we are in conjunction with an OBG which is a gynecologist and we treat sometimes we in conjunction with an endocrinologist and we treat so this is how it's a multip speciality thing it becomes therefore when you get an acne just go don't go to your auntie or your medical store get a tube and just apply it it's not as simple put some multani materi okay um again too many tangential questions if people are dealing with a lot of pimples or any skin condition if they take a blood test will that blood test actually indicate the core problem can but you don't randomly do a blood test one blood test are expensive number one so every teenager acne teenager is not going to just simply say blood test and they'll say what is this that itself will cost you more than tens of thousands so you don't end up doing it how much I think I genuinely don't know because I don't have a tie up with any lab so I don't know I've had patients come and say Doc this costed me more than 102,000 so something like that if I give you a whole hormone panel it can cost you something like that my point is unless I clinically examine you like I said for example prolactin excess if you have breast tenderness as a man if you have gynecomastia and breast tenderness I may think oh maybe prolactin say Okay prolactin or if I think no no her periods are disrupted or I see hair fall or I see hair growing on the face along with then I'll say oh there there's an excessive Androgen excess male hormone excess then I will check two three androgens that I want to check then to see if it is adrenal or it is ovarian I will check a few things so then I need a blood test so I will only order or ask for a blood test if clinically I have first taken history examined you had some signs to indicate to me this is a hormonal driven acne number one to then which hormone driven also I already know when I have done it most of the times just for the thrill of it show off I tell my patients we'll do all of these tests but I'm telling you these three will be disrupted but these two I just want to make sure oh my God you're exactly right I'm very thrilled so so we already know in a clinical examination what is wrong only then will I ask for a blood test everybody doesn't have to do a blood test like for example insulin resistance I get to know if you have a little Darkness on the neck the thick dark skin on the neck what we call a cansis Darkness around this part many men have that so if I look at it and if you're slightly overweight then I know okay there is a cansis happening let us check insulin resistance which means I will do a fasting insulin I will also do something called as HBC to see your cumulative sugar and how you you're assimilating it I will get an idea then it could be this then I will give you certain medications to see how I can lower thing I'll give you a dietary adjustment I will do all of this so that is the way I give you blood investigations not like a random list and say okay um I've noticed that if one visits a dermatologist and say if you have pimples I've gone myself I've taken a cousin of mine also the dermatologist will look at the person's pimple with a magnifying glass sometimes uh and from the nature of the pimple they'll be able to kind of tell what's happening like cystic acne versus redness Etc what's happening in your head as a dermatologist when you're doing so when I'm honestly holding now I'm going to give you one little secret inside are holding this and all is simply simply we do because I'll tell you as a doctor with 20 years of experience I look at you and I know what's happening finish one minute I know what's happening right I can dish out and say but you're not happy doctor never gave me time doctor didn't look at me properly so we simply do little looking at times which is not necessary most of the acne times it's really not necessary because you look and you know the morphology or the type of acne like you said is it all looking similar type of little little white uh pules sometimes it may be I'm going to throw another angle to your talk it may not even be the regular thing that you're thinking it may be steroid abuse acne which means to say you've used steroid over a long period of time then you get something called Almost sterile acne it's not infected but it is it looks like acne sometimes what what is that that is that looks like acne it's very difficult to treat because it's not acne but you've been using steroid for a long time and that happens and because this acne happens you're continuing to use steroid because somebody told you use steroid and that's a nightmare to treat so that could be something else so that I can see by naked eye I don't need a lens or a mirror to see that you're talking about anabolic steroids right no no no application which is so easy in our country over the counter you know elal all these are steroids which you shouldn't be touching you're think steroid based ointment yes which are used to treat acne in the first place first place should not be used used in the wrong way that benzo peroxide benzo peroxide is not a steroid okay benzol peroxide is is a a substance or a chemical which actually gives you bacterio static it is which means it stops the bacteria from growing it reduces the oil it's a wonderful thing for me that is that is one of the magic things every acne patient goes with the benzol peroxide but again it can be very very irritant to the skin so it's important to make sure your skin is firstly healthy can take benzol peroxide barrier is protected and healed then I give benzol peroxide we start with a short contact therapy we do like a 1 hour or a 2 hour to see how the skin is taking it otherwise firstly you have acne then you have a red skin dry skin how many of acne patients I'm really wanting to know acne is one thing you're also worried about what those ointments did to your face it became red it became irritated it became painful it is tender you can't apply anything everything is burning you don't want that to add onto your an right so therefore you titrate it in such a way okay I did a separate angle sorry no that's that's how bka we can we can go back you talking about steroid based acne so please don't jump and use steroids for your acne be very careful number one long-term use of steroids can cause acne which is not necessarily the acne that we are talking about acne form eruptions is what happens there so it looks like acne so everything that looks that's why you're saying a doctor looks at your skin more deeply sometimes it may not even be acne sometimes it could be foliculitis on the neck or on the beard area when men come with saying oh I have AC it could be foliculitis where the hair follicle is infected so then we do treat similarly but a little differently there so that's not necessarily hormone induced then acne itself like you said if it is red if it is angry you know it's very inflamed acne if there's a lot of pus there if it is also painful it could be inflammatory and infected first it could just be a blackhead it could just be a white head those are first grades of acne initial stages of acne then you can have all of them at one point then you can only graduate and become very painful hard pimples and nodules they become if they become really hard so it could be that in which case sometimes you may have to cut open and remove the whole capsule sometime we may inject a little steroid into it to suppress the inflammation all this is done judiciously but go to the right doctor don't treat acne like acne no I think until this point of the podcast we've only addressed that root cause problem I correct me if I'm wrong yeah but all these actors models content creators influencers who come to you uh a lot of them come for uh cleaning up their skin in the short term as well that's my assumption happens happens because tomorrow they have a shoot then there's an acne today what happens lock fix me now then we'll figure out it's like that that happens and what's the the medical treatment for that so if you do have one acne sitting there which is irritating we all know makeup can cover imperfections in terms of color surface imperfections are very difficult to cover so I understand it's their it's their emergency so we end up giving in a tiny bit of steroid in we call it intralesional steroid but but but please go to our qualified dermatologist please don't do it excessively that can cause a side effect of causing like a cut down on your face if it is done wrong ly so go to an expert make sure the right amount right quantity right little bit is put in there to immediately suppress the inflammation you can cover them with an antibiotic if you think two three are there and if it looks inflamed or infected it depends I may simply give also like a anti-inflammatory an enzoflam to pop so the inflammation the redness the itching goes down sometimes acne is with with an inflammatory background so there's very itching in your acne if that is there then there's also an inflammatory background there so I give simply anti-inflammatory with the acne therapy gone of the days that antibiotic was given for long I for one don't believe in giving too much of isotroin or tretinoin whatever you call it I for one don't believe it we'll get there when you ask me those questions so like I said we are dwelling deep and asking is it food is it pollution is it hormone it could also simply be an inflammatory acne an allergic acne you got to something that you just applied a cream and you can break out like for example I'm I'm a Derm right so I keep keep getting haar products to test so yesterday I saw some bottle which looked very if you touch me you will see there's an acne now and and for me I've never had an acne in my life you have amazing skin thank you it's jeans I I want to say it's all me but mangalorean jeans as well and very very disciplined lifestyle we were just talking before and you said what helped me is discipline I wanted to say I am born like a military regim till date I have an alarm in my head I get up at the same time I sleep around the same time I eat around the same time I eat the same thing it's regimental lifestyle which is Rel to good skin anyway so my point is I have an acne because day before yesterday somebody got me some beautiful seram and said doc we want you to test it last morning I was looking I had put it on left it for some 2 three hours later in the clinic in the evening I could already feel something happening by night I knew there was an acne so it could just be that so causes of acne like you rightly said can't be covered in a 2C Instagram video when people tell me talk about name people's attention is short please do it within 1 minute like I can't but how about a 2hour podcast I think this is reading there no but can it yeah of course I mean it's interesting for a person who's interested and who's affected I don't know how much interesting it'll be in such depth for a person who's not affected um pimple related videos of the content is strong are some of our shot hits wow that's how much the country is suffering yeah yeah you know Singapore had had declared acne as a pandemic at one time really they had so much acne and it had become all resistant because everybody gave antibiotics this is this was some years ago and it had become resistant so that is when people started shifting from giving earlier they used to give antibiotic for 6 six months 3 three months in acne now I for one give you for maybe 10 days worst case scenario I also give pulse therapy wherein I give you or like a 10 or a 15 day then I give you on a just weekends for a couple of times till I get the control of that infection that me severe cases otherwise 7 to 10 days is all that I give initially to just get rid of that infection on your face so anyway okay on the one thing I know about the medical community is that you guys are lifelong students because the body is yet to be understood completely also that's why it's called a practice right like medical practice so we are practicing we practicing we are learning we are understanding science is evolving our under body may not be evolving as much as our understanding of it is changing we are learning more every day even today we do c uh like I don't know whether you know my expertise is in facial reshaping and keeping someone youthful and getting their best attractive face forward and I'm also known for a very natural result where nobody can say What I've Done even today I go and do K Labs where we open up which should have finished in my first year mbbs and Anatomy it is right how much we are not changing from a we finished changing from a monkey to here we're not now evolving and changing we're still there but we still go and continuously do K dissections and each time you do there's something new coming even now there are papers published in anatomy to say oh there's an aberration in this artery oh we found a new thing here oh we found a new ligament there continuously we are still finding so science science is evolving is one thing basis on our understanding evolving we are still discovering we're still finding out we're still knowing what body's yeah and as you learn about the body more you also learn about the treatments more ex then you evolve the signs accordingly treatments also change correct correct I'm from a family of doctors which is why maybe I may have the liberty of saying this but I have this is outside perspective okay just observation I've always seen there's two kinds of doctors the ones that evolve at the times and the ones that don't yeah true have I said something too harsh no this is how the medical community 100% And it's not like the older ones don't know even amongst the older doctors who are above age 60 there's the same category I've seen an 80-year-old doctor asking questions nothing to do with age like you rightly said we've got some rock stars at 0 who are still evolving who are still on stage teaching us the New Concept doing the next new thing you're like wow inspirational um we had Dr pal manikam who actually runs a very nice Instagram page he's a gut doctor oh W gastrologist okay yeah that's what Gast very nice conversation uh he spoke about how our microbiome is so diverse and all that uh and i' just like to know what you think of what I'm going to say now um he it was a very long it was like how we're talking in detail about skin he spoke about the gut and detail fantastic conversation one of the takeaways for me was that he's very very hesitant about antibiotic use now yeah he's like even he said that 5 years ago it was different but over the course of his career he's just seen that even a basic level antibiotic nothing too strong but even a basic one is like an atom bomb for your gut true in terms of it'll just wipe away your natural uh gut bacteria which is actually needed for living a life with even good mental health that was the core of oh yes like your gut bacteria imagine how it's related to your phys so I want to know what you think of antibiotics because I also remember when I was dealing with my acne one of the most effective treatments for me was I don't remember which antibiotic antibiotic but some doctor had put me on an antibiotic and my acne cleared up like in a week and my skin was glowing also so two questions one how did that happened from a skin perspective like how did the antibiotic look so much on my skin and two do you or do you not recommend antibiotics nowadays I do I still do I do in a way where like I said initially if a patient has come to you acne for many people can just be oh it's an aesthetic thing trust me I've had youngsters or even adults for that matter coming to me crying saying it is so painful even if it touches the pillow I Screech with pain it is so painful I remove my clothes it touches it hurts so it is very painful so I need to relieve you of that pain instantly the pain is because there's so much infection and inflammation there which has to subside in your gut no on the face the so I have to give you an antibiotic okay now when I give you an antibiotic it is going to affect the gut so to kind of mitigate that I'm also giving you a good gut bacteria with it so I your question is do you still treat and acne with antibiotic yes I do but that is not my main state so I only treat that in infection part for the first few days with an antibiotic curb it down while I do that I'm giving you the good bacteria I am looking over your diet to make sure you're getting all of that soothing and healing the gut lining once I do that then I switch off from antibiotics because I'm not the doctor who likes a long-term antibiotic I would rather do things from the top so when my young teenagers come with their masam and I say oh let's do a peel on her and let's just do a little clean up they're like oh she's so small you want to do a peel I'm like I'd rather do a controlled peeling from the top in that surface that I want to then putting her through many many medicines inside for it to slowly come and reach the skin to actually work then they see sense in it and then in the end they're obviously thankful and say oh you know it's cleared up and you didn't give her any medicines you're so happy BL blah so my whole point is yes you disrupt the gut for a little while that body is so beautiful it'll recover unless you badgering it for a long time where body forgets that gut some Flora you wiped it out then it is difficult but otherwise you're killing a few few stra that strain a few still remaining it'll recover a small term antibiotic in my opinion you don't need to get so hyper about because it is important for you to actually take care of yourself at that moment for example a lung infection face infection skin you need that at that moment then yes you the minute you don't need you should get off those long antibiotics that we used to do before that is what killed the gut Flora for good here you depleting it a little it'll come back again you're depleting it it'll come back again okay uh I'm just trying to draw the parallels between the Dr manikam conversation and this sure uh he spoke about how important it is to actually uh take care of your gut bacteria and the the CTA like the call to action there is eat a lot of varied Foods Etc that's that's the basic CTA because our bodies are still in stone AG Zone like that's how how our biology is built and when we were hunter gatherers we would end up eating a lot of different uh kinds of foods uh Etc uh my non-medical conjecture and please correct me if I'm wrong is that I've noticed that again coming back to the tier two angle if I spend a week in Goa uh my skin starts glowing and it's not just Goa this is any any place outside of Mumbai Delhi Bangalore Chennai yes when you're here you're doing 20 things like you said when we walked and I have 10 other businesses so you're doing that and you're doing this and I can see how much preparation you've already done before this podcast to ask me the relevant questions and to know it if you didn't know well enough you won't ask me these questions and when I answered you didn't know what to do next so I see put in a lot of work it's stress gut where it comes in terms of maintaining the bacteria the food is how I understand as a doctor is your body has understood like I said in the beginning of a conversation how to digest your food because your body innately from your mother's Canal from your whatever body that you have had has had a certain flora and it is maintaining that flora and nurturing it and depending on what you have eaten as you grow there is a set of Flora there is there is a set of combination in your stomach which is yours that is why it knows to digest its food that is why it's happier when it eats certain food because you have your set so that is it I don't think you know I don't believe in simply everyday popping a microbacterial whatever combination the gut bacteria they say probiotic we'll have Prebiotic we'll have this one every day I don't believe in doing that because you don't need to put that x million that he has put inside that may not be my gut bacteria he can't be putting everything so allow it to heal have your DIY food have your comfort food for me I remember my uh mom when we were young and if you had a bad tummy if you went out and ate something got a bad me two days your mom said D chavel my mom said D chavel with a little Rasam also in it if you want or they ended up saying we eat something called ganji the par boiled rice you end up boiling it and you actually remove away the water so you have drained off the excess starch now it's more easy to digest so excessively boil we boil it excessively so it literally each grain opens up that ganji is so and today this the world world is talking about that kji they call it oh crispy kji rice ah that is it kji is nothing but our ganji which was parboiled rice which was overly boiled starch removed sometimes kept overnight and fermented comes to a stage of fermentation in the morning you can even add uh benana they call it ganji benana is ganji and uh CD so you put that in the morning have it there is no better probiotic than that healed our gut soothed our gut and we are very happy so like that your each each region will have the other day I went to one of my friends house Mona is a bong she had similar I was like wow so they had mutton with this overnight fermented rice with uh very very diluted card in it I was like wow we do it we also do it they had some name which I've forgotten so I'm sure every region has their own DIY probiotic so that's that's good to heal your gut and yes gut is very important not just for acne again I'm bringing back also for your eczema also for your other things gut is very important there is a gut skin AIS very important why do you bring up exzema so like what is eczema eczema is when you this is eczema like can't see much because it's not exacerbated right now you know you see Cuts in some people's skin some people have lip that they keep licking licking all the time and they're licking because they are thinking oh lip is dry but there is a slight lip eczema there like dry skin very dry skin which almost leads to cut and pain for some people people extreme eczema can cause pain now I have seen a lot of patients with eczema because pollution stress all that actually induces and exaggerates eczema eczema skin so that can run in the family so that's eczema so I keep bringing it up because also allergies are related to it so a lot of allergies com in so highest thing like you said initially acne is the highest in in DM practice for teenagers I would say eczema allergy acne and pigmentation these are the four things which see Max pigmentation what is pigmentation darkness of your skin for anything maybe post acne you end up getting those black spots gray spots red spots they can be pigmentation or like I said in insulin resistance you can get end up having a dark skin all over here or on your neck that is a form of pigmentation could be anything okay uh what is your body trying to tell you through the eczema that there's a lot of inflammation I'm angry I'm unhappy treat treat me calm me soothe me even my skin also like the gut has a microbiome skin has a microbiome you could get acne when the skin microbiome is disrupted and therefore your P acne stands up or your um skin microbiome disrupts so you may end up getting eczema eczema in turn causes cuts and disruption in the barrier and that can also lead to skin microbiome difference simply you put your AA BHA can cause disruption of skin microbiome how do you actually damage your skin microbiome like I said simply using excessive so-called scrub I hate that word exfoliation uh so-called scrubbing your skin in excess I see a lot of young oh we love this scrub we love that scrub I don't want to name a brand there is on very very popular brand horrible thing that is such thick granules so rough on the face I'm like what are you scrubbing away you need to be treating your skin like a petal you can't be scrubbing it away do you not believe in exfoliation I do believe in exfoliation I don't believe in scrubbing how what's the difference scrubbing is Harsh it is it is uh it's rough you're just taking thicker granules and just doing that to see whether something is coming out nothing actually comes out it's not so easy to rip your skin off that is scrubbing why it's like a sandpaper on your skin is scrubbing exfoliation is a gentle loosening of the top dead layer of the skin which is still sticking there and you actually don't need it body has already kind of thrown it out layers of skin come up as they mature right they keep coming up from the Bas a layer and then they sit on the top which is a dead layer of kinos sites which is your like a protein dead cell and it is sitting on top which also has some melanin which is your pigment cell which gets clumped and sits with it so so therefore when you exfoliate you feel a little fairer because clumped melanin and the dead keratin is kind of gone now that can be done either physically or chemically when you do it physically in a harsher lay and term it's called scrub which is not a nice thing to do what you could do is still use your so-called Scrub but look at the granule size you have these beautiful rice powder from one particular brand I love it you have these very nice sugar from another brand which is very beautiful so these are nice things where you should know when you're rubbing it's not feeling rough on your skin it's kind of melting on on your skin the granules are more round smooth small you usually use it along with the face wash so there is water and it's easily moves on your skin use it with the face wash so that is gently exfoliating in the olden days we used to do microdermabration in the clinics which I hate right now I don't know if still some people are using it that's something that you don't do but a hydrofacial is something where you gently exfoliate it like that then there is chemical exfoliation which is your ahas bhas whatever you call lactic acids salicylic acid all those acids that you get over the bottle now everybody has serum 10% 20% 12% those are all chemical exfoliants and in your doctor's office we do peels which is a chemical exfoliant of different acids different grades different combinations now they exfoliate so in bringing back to the perspective of acne if you do have clogged pores if you do have continuous blackheads and white heads then a good exfoliation gentle exfoliation under your doctor's guidance May benefit you quite a lot does makeup harm skin no I love makeup and I think everybody should love makeup I I don't apply makeup but I would love if I knew well I would what harms the skin or leads to so-called let's say exageration of your acne is the applicator most people don't clean their sponges well and then they say oh I cleaned it means what I've just washed it with a little soap under the thing the bacteria will be sitting inside the things of the sponge sitting that wet sponge tomorrow morning you're using it again it is bad so disposable sponges a quick tip uh brushes absolutely no if you're if you're a artist and you have need makeup on I always tell my artists please with 300 rupees you get a whole dubba of disposable triangle sponges so just keep chucking it out don't reuse the sponge and don't use a brush at all you can use your brush for your eyeliner your lip and whatever defined makeup that you have to do blending a makeup on your face please don't use a brush because the bristles can harm your skin quite a lot even if it's soft even if it is soft and bristles can just transfer the infection also pretty much you know well if you have a pimple it'll move lart yeah so and it'll irritate also however soft it is it'll still irritate and you don't want anything even mildly irritating and therefore inflammation coming there so you're you're wait you're taking away inflammation why are you bringing in and leading inflammation to that point so it is the applicator and not the makeup of course I'm assuming everybody is using great makeup good makeup they understand you need to preserve your makeup well you need to wash tubes has to be clean you don't want things flowing out of the you know dubba you need to clean it all well close it really well keep it really clean not in a place where there's a lot of dust your cakes cake makeups should not be kept open those sponges which come with it has to be just thrown so that it is clean and you use a disposable sponge you make sure every now and then you see the expiry date and throw it away however favorite of makeup is we all travel and buy this one that one that one and oh you love it so you don't throw it I'm not getting it here here no throw it so these are a few things General caution if you take use a good good brand it's not something very heavy so that it's all clogging your face don't leave makeup on your face for a long time wash it off if you do all of this really well then makeup is enjoy okay so we covered acne and I think honestly there's so much content about acne that people know the basics of it this is why I wanted to bring on a dermatologist to talk about it from your own lens but I'd also love for you to talk about skin skincare a little bit from your own lens other than the basics of washer face twice a day if you worked out and youve uh you're sweating a lot then washer face um there's a lot of new stuff that's come into the world of skincare recently for example Retinol for example um I don't know some acid what's the everything is an acid retinol is also retinoic acid lyu lonic hyaluronic hyaluronic I me hyaluronic uh but I I hear these two words a lot uh my initial plan with you was to cover Dermatology as a whole and now realize that we need a second episode to cover um things like glutathion and all those um but from a very 2023 skin care perspective and I'm not asking you for the basics because even teenagers nowadays know that you're supposed to wash your face and all that um we just spoke about exfoliation and you know you broke it down maybe the last question related to exfoliation is is it correct to say that you exfoliate you should exfoliate once a week yeah you can you okay okay now give us that advanced breakdown of all this retinol V I'll tell you the problem in that is it is so vast so I would say in general for the actives I understand during covid there were so many companies which floated lot of Indian companies also floated and international companies floated with actives and with Advanced skin treatment and with all those things and 10 steps and one step and all that came out right Korean skincare everything came out so everybody started self buying things so I must tell or warn that skincare is not like fashion it's not that you buy something off the net you wear it oh it's not looking nice okay let me chalk it when you apply it like I said in this episode earlier that I used a cream and it gave me an acne one use of something can harm if it's not the right thing for you so ingredients you need to leave it to a doctor I'm on the on the scientific panel for a lot of corporates like unever and pngs and stuff like that I work on a scientific basis with them so they were giving me the market intelligence which said that the highest searched ingredients today is like you said hyaluronic acid vitamin C and retinol so three are the highest searched things and imagine everybody is using vitamin C but vitamin C can be very harmful if your skin is dry if your skin is chappy or if it is like I keep saying eczema if I bring it like an ezema skin or a zerotic excessively dry skin a sensitive skin a a sunburned skin a skin which is ready to go for Holiday which means there is an impeding sunburn any of those situations of vitamin C can be detrimental to your skin one it is an acid it will sensitize your skin it'll burn your skin it'll be more sensitive to you so as much as you think oh it's an antioxidant it'll protect me it'll do this it'll make me Bri lighter brighter fairer whatever you want to not for everyone not for every skin type not for every situation fair to say it's like a junior peel yeah fair to say that okay to say that so likewise I'm saying something as common and as harmless as you're thinking vitamin C can do so much and hyaluronic acid that you say has become everyone's God everybody say I hydrant plump your skin hyaluronic acid is just let's say how can I put it's a concentrated water tightly bound concentrated water Loosely that is what a honic acid can be like so it'll give you a lot of hydration to the skin a hydrated look hydrated look hydration but it is an acid at the end of the day right so if you still put that on a very dry skin it won't hydrate you it'll irritate you further so that has to be also put on a skin where the barrier is intact and just water is not enough skin needs to repair or protect or take care of itself three important things water oil and protein which you call as peptides correct so water oil and protein so you can't put one or the other you can't put one and expect magic there has to be a combination of certain thing and it is not easy to say let's talk about ingredients and let let's tell one thing there is no one ingredient which will match everyone so all I'm trying to tell you is if you want me to now give you more skin care than wash your face twice today protect nourish cleanse let's say start with this three as your Mantra okay cleanse of course you know what to do now cleanse can be very very complicated actually I just did one long video on cleanse for my own audience because you think just buy a face wash and wash it no or you think there's a three-step rate no firstly choosing the the cleanser correct cleanser can make or break your skin so if you are a dry skin person and if you end up using a brightening face wash for example which may have acids in it can harm your skin make it further dry irritated eventually that irritation leads to pigmentation so you're trying to do brightening and lightening you'll end up getting pigmentation so therefore choosing the face wash is very important and acne prun skin sometimes they end up going and looking at salicylic acid 2% or something a said that many perc I know you have acne I know you have oily skin but you don't want to be driving it to extreme dryness Body Works on a feedback mechanism then your oil gland will say there's no oil and it'll produce even more so face wash becomes very very important so cleanse is your first step it's not just about washing face twice a use a correct cleanser if you are someone who's out in the pollution dust a lot you may need a pre- cleanse which is oil soluble dust has to be also removed so you may need something like an oil to remove it off if there's lot of of makeup you may need misell water to remove it off or post the wash itself you may want to wash your face first off the dust and grime and like you said once in a week use a little exfoliator to remove the top dead skin so these all comes under cleansing how do you remove your makeup correctly you remove the pigment makeup first don't rub everything like this with an oil remove the pigment makeup then use a separate cotton to remove the rest of so methods of cleansing what you use for cleansing what are the steps of cleansing what skin type can be a discussion on its own so yes first thing is cleansing second thing simply protect your skin it could be from free radical damage from pollution from Sun from wind from anything do you think sunscreen should be used by everyone yeah yeah okay yeah so these days formulations of sunscreen is amazing it just doesn't protect you from the UV rays protects you from the visible light protects you from infrared rays which can be inflammatory make your skin red and irritated so it really works well so sunscreen is a must in everybody's Reg in the time when the Sun is up in the sky what if you don't use sunscreen what if you don't use a sunscreen nothing will happen uh you may be more prone to pigmentation you may be more prone to a slightly faster deterioration of your elastin and your collagen your aging will be faster a little faster you may get a little dehydrated a little inflamed more than the person who is nicely using a sunscreen regularly a little inflamed means if you have little acne on your face it'll grow in size it could be little more red and more aggressive okay um simply your skin might become red and irritated because infrared will heat up the skin so that can end up making it red and irritated so those things eventually leading to pigmentation acne whatever whatever any aggression so yeah protection means protecting from all of this which could be moisturizer is itself a protection right against the dust and the particles so that's protection uh then nourishing nourishing is if your skin is right a good moisturizer is nourishing if your skin is very dehydrated something very nice and you know like a little Mist on the skin could be nourishing so nourish your skin to what it requires to quench it to calm it fourth step which is optional is correction and enhancement that is where you can bring in your this serum that serum that tube this acid that all that can come there nourishment can also come from some good ingredients like food no I'm still talking of from the top you're talking only skare regime from the top so I said three step right so cleansing protection and nourishment okay so nourishing the skin can come from any of these good ingredients like a licorice very nourishing to the skin calendula calming and nourishing to the skin aloe vera um I'm not a great fan of aloe vera to be honest I was talking to a botanist long time back when aloe vera was right then everybody started growing one aloe vera in the Kitchen pot that is when I was like how is this even possible and me and my daughter were allergic to aloe vera even from the plant so I was like oh how did this happen I'm not a botanist so I don't understand that that well so in some conference I met a botanist I was talking so he was telling me I may be wrong with the numbers that I'm I'm telling you now he said there's some 400 species of aloe vera or 700 something he said out of which only four have medicinal value for skin and he says once you extract it within four minutes those values die so what are we doing I don't know so like that so everything natural may not be necessarily good yes so that is a long and short of skincare regime okay I think nowadays the chatter about skincare regimes is mainly about the sunscreen angle which I asked you because I see a lot of Indians on the fence about it for multiple reasons there are a lot of old school thinkers who think that I mean this is what ay says that the sun is very good for your skin it is good it is good it's still I'm also saying even Western medicine will tell you sun is good for the skin you need the vitamin D that it gets you need it's stimulates happy hormones y so sun is very good in multiple levels for you but that is that early morning sun which is nice the old or the late evening the dawn of the dusk the older people like my mother never wore a sunscreen she does have a pigmentation it's a different question but that's a familiar pigmentation runs in the family called melasma she also has it some of her sisters have it that is different she would get it even if you wore a sunscreen for example but I'm saying they never ended up wearing a sunscreen their skin was fine we end up wearing a sunscreen so I can always argue and say but my mom never some people's moms have great skin they can say but my mom never wore it but that day's food the nourishment you got from the food the pollution the hole in the ozone was all different then what it is today so it's much more harsher my mom never used an ah BHA cleanser you end up using that and walk into the sun you're going to burn your skin so contextually it is very different today let us forget the ozone and the pollution the number of things we are abusing the skin is not how my mom did it right at the most what did they put banana on the skin honey on the skin like you said maybe aloe vera on the skin was Advanced so that is it we are putting God knows how many things on our skin right now teenagers to I I I I I have a habit of saying carry all your all your skincare when you come to me for the first consultation I am shocked at the bag they bring in and some people have genuinely have 10 step regime I'm like do you really have the time so yeah so we are abusing the Skin So you need Extra Protection then you can't say I will abuse and I will not protect how will that work okay have you seen a modernday human with good skin but who doesn't use sunscreen do you use sunscreen no your skin is good you're a modern day human and I don't use it because I'm kind of lazy that's all there are many people like that like I'm saying it's still okay it's still okay like I said are you then using an eh and getting out in the sun you're not you're lazy so you're not not doing anything so that is still okay you can't disrupt and say I will not protect I mean over the years I figured the skincare that works for me Punjabi with good skin come on I don't think I'm genetically uh blessed with good skin that is because you're talking of acne let's forget acne acne is one part of it no look at your skin on your hands your fingers they F it's like a baby skin fantastic yeah you have beautiful skin how do you quantify that one your skin is not too thin like for example my skin you're saying is beautiful when we started I know it is a beautiful skin I've got my Dad's skin but I can already see all my arteries and veins here which is such a thin skin I want age well no matter what I do because there's such a thin skin but you firstly as a man have a thicker skin but even otherwise your skin is nice and thick I can see it's very even toned look at your knuckles look at your hands they're nice and even toned they have a luminosity in it so I know you're not putting junk into your gut so you can tell that much skin is very well hydrated look at the little shine on your nose look at the little shine on your chin your fingers I usually first thing better than the face I always look at the hands and their feet because that is something which is most exposed so I can see it at its worst you have not put a cream and come I don't know what you have put and come to me right so when I check I'm always I I have a table where they're sitting there obviously bottom is just legs so I can see their legs down I see their Fe feet their elbow their hands everything as that and neck these two three things for me are very important to see I come to and scalp then I come to the face so face is obvious but all of these contribute to I know your hygiene then your skin then your whatever you know issues then I know many things from just checking these many things wow okay I never knew the hands and the feet are an indicator yeah yeah okay um in the same way that you know a lot of my female friends told me that the first thing they notice about a guy is the hands such a shock for me like why any uh but anyway uh coming back to skincare for me a lot of my skincare this is just again my subjective experience I don't know how true this is this something I discussed with Luke coutinho at length I worked a lot on my physical flexibility and I saw that that added a lot yeah yeah it does uh so I asked him why it happens he says that basically even your bones have in have an inherent amount of flexibility they're not meant to be fully hard they're slightly meant to bend no it's okay like you can I encourage disagreements on the show you have joints for it to bend bone itself won't Bend like there are cartilages around the some parts to bend not not not Bend I understand but even not even an ounce of flexibility will happen on strong bones when it starts to become flexible is when you see B legs happening for older people which means it's a weak bone okay um okay okay let's just talk about flexibility in that case in general uh medically speaking when you're becoming physically more flexible firstly I would like to know what happens because till now I assumed it's this slight increase in bone flexibility other than the muscle flexibility and all that but his logic was that your bone marrow gets more stimulated over doing yoga in the long term that's why you'll see that a lot of people who do a lot of yoga their skin glows a lot like you'll see this difference is there any medical truth in the statement bone marrow getting stimulated with yoga I don't know I don't think there's any legit studies about it I don't know so I don't like to comment on what I don't know at all uh what does yoga do to you to get more better skin one from a deeper perspective it actually balances out your hormones it calms your mind once your mind is calmed a lot of stress hormones from the mind is released in a better way happy hormones are released so body is at a much better physiological State already so the skin gets better we approach this to from a medical perspective like my first statement to what you said is what I've learned in yoga is that your parasympathetic nervous system is getting awakened correct parasympathetic nervous system please correct me doctor is related to your state of relaxation also effectively you are stress hormones are calmed down you're using the levers of your body to calm yourself down that is one two okay medically because you're stretching and pulling and pushing there's a lot of blood release that's happening right so the tiniest vessels around your fingers also are getting full Supply now so you're getting a lot of nutrition there your all the waist is also better taken out and when you move the muscles all your muscles act like peripheral Hearts so they pump and they pump and they pump back everything that is stagnated including your Venus fluid extracellular fluid extra tissue fluid lymphatic fluid all this is gone back so your puffiness reduces and when the puffiness reduces again circulation gets better because there is no clogging so it is one leading to the other basically you get really detoxed better nourished better worked out that's all is what happens when you do exercise any form of exercise yoga in general because it's also calming in its nature uh I had a shoulder issue this last year for which I went to a physiotherapist they happened to correct my posture they also happen to introduce me to this thing called lymphatic drainage massages correct where they massage my face in a particular way and then they also massage your arms and all that and it's like a 10 uh session course correct uh and after the lymphatic drainage massages the first day they said you'll probably just feel a little dizzy today I was actually feeling great I was kind of feeling high but uh I just felt that I didn't feel bad the second third fourth time they were like listen you got to sit down uh and today if uh your stomach gets upset or if you pee a lot then that means something has worked and I was like yeah that's not going to happen to me and it actually happened and I was like what is happening here so I realized that there's some truth in what they were doing with that lymphatic drainage massage and I asked them that what's the visual indicator for you in terms of your lymphatic drainage massage is working so they said that usually acne reduces what is this Con I'm asking a dermatologist this and I actually saw that I mean I'm not dealing with too much acne right now but my skin definitely was glowing uh and I was feeling much better uh there was a like that was one of the best things I've done for my body the lymphatic drage massage so do you have anything to say about this like what was happening from a medical perspective inside my skin lymphatic drainage like I said in the previous answer what happens when you do yoga lymph also drains back so there's a lot of stagnation of that fluid which is the fluid that usually leaks from your blood vessels from your vein or your artery some fluid sometimes leaks why because everything is permeable right okay so some leaks so those leaks are sitting in the tissue that is again scavenged from this tiny little white little pipes called lymphatic channels and they have little little nodes everywhere lymph nodes which drain drain drain drain drain back to your heart back to the Venus system so it is like it just collects whatever is left fluid the fellow who literally collects whatever is left and brings it back and dumps it back to the heart so he is the lymphatic guy now sometimes when you see puffy face puffy eyes puffy legs on people it is all because there is stagnation of lymphatic drainage may not be always lymph it can also be Venus drainage but contribution is quite a lot from the lymphatic drainage as well that needs to be trained back a massage really helps in draining it opening the channels pushing it back what I've also seen in recent times is especially people who do a lot of fillers around the eye it's become a big thing in India tear truff they call it it's also called something like a trench under the eye and everybody fills it up and it looks like one big blue thing here and there's a lot of they would have poked it so many times distrupt disrupted the lymphatics of this area so there's a lot of puffy iron swelling so there was such fine channels if you keep poking if you keep irritating you disrupt them so massaging really helps them back for example in the face if you want to massage yourself these are where there's lot of lymphatics from here they all end up draining to per per oric pre oric lymphatic area so there's a lot of in front of the year there's lymph so they will drain from here to here then from here to the neck there are a lot of glands here all over here there are glands so you drain then you drain the whole thing under the arm there is a lymphatic big lymphatic channels here glands here so like that and so and so forth you keep draining everything so that is how a lymphatic massage is done it reduces puffiness therefore reduces inflammation as well does it is it a form of treatment I do for acne no not really because at that time I don't want to massage your face I want to leave it alone I don't want to touch you yeah but is that something that there is science behind it could there be lymphatic obstruction yes there is could the massage help yes it can there are experts who do lymphatic massages you could end up doing that it is very easy to learn n number of YouTube things which will teach you it's a simple thing to do it on your own for those people who feel very puffed up in the morning they can do their own little lymphatic massage it really kind of helps just just kind of beep off okay um in that whole skincare section we were discussing we didn't touch upon retinol which has become very very popular I have heard it's for Fine Lines wrinkles and it's kind of one of the most common anti-aging things now uh I have a lot of correct me if I'm wrong do girls have skin that ages faster than male skin is does that happen it happens why does it happen one and two I'm asking you this cuz all my female friends who are my age uh are all using retinol and they're talking about how it's actually have the acne also and all that I don't know how much truth there is in that it has what how does retinol work should people be using it Etc ET you can expand this SP as much as you like so break down first what is retinol retinol is one of the precursors or some side step to retinol vitamin A simply put now this retinol is not a new ingredient it is one of the oldest ingredient with maximum studies as an anti-aging one because it increases your cell turnover and changes the DNA of your basil cell in a way that produces good cells repaired cells and increases the cell turnover so it it keeps bringing in freshh cells so this skin looks nice and fresh now is it anti-aging yes because it's increasing the cell turnover and taking out the dead cell from top so it kind of makes the skin look more youthful over a period of time should everyone use retinol no I have never put retinol on my face I cannot handle retinol like my skin is super thin if I use retinol it will only that turnover is not going to help me firstly unless you really have like a thick skin to help the turnover two I don't have a lot of clogged skin I am Expos ating it regularly three my skin is dry and sensitive putting retinol will only irritate my skin there is not not even easing my skin into it I've tried even that it doesn't work so not all ingredients work for everyone for me a peptide is better for anti-aging which are the proteins what are we trying to build more proteins and help the outer dead cell get better right so I'm inducing peptide as it so I'm still continueing to with retinol let me not digress so retinol is not for everyone retinol works best best for thicker skin type acne prone skin oily skin type works brilliantly well whereas a very thin skin transparent skin dry skin I wouldn't really jump and use retinol on them there are lot more other anti-aging also available for them which is easy to use Easy on the skin as well so that is that and there is no downtime there is no irritation the next morning you're not wondering now how do I cover this up so therefore they are not the retinol they the retinol types they are not the retinol types now the last question does retinol also work on acne yes it does so how does it work same thing what is your isotroin it is one form of retinol itself tretinoin it's one form of retinol it's an oral retinol so that is something which is retinoid we call it anyway it's all similar cousins let's say they're all cousins same effect on the cousins so on an acne also it reduces the oil glands it increases turnover so the clogging reduces oiliness reduces uses skin kind of becomes much more nicer the scar reduces because the turnover is increasing but honestly scar doesn't reduce it's it's it you will have to apply a strong Retinol for over 2 three years for scar to reduce there are better things to do now you don't have to do that so that's how it also helps AC okay is it a daily use product and can you use it for the rest of your life or should you only can you can like I said if you if you are the retinol kind which I explained initially if it feels happy on your skin you can use it use it rest of your life no problem but please understand it is it is doing increased cell turnover and it is also slowing the top skin like exfoliating it so you need a strict sun protection the next morning if it's somebody like you who says I am lazy I don't want to put sunscreen please don't use retinol also this is what I was trying to ask that what is the downside to this you don't use retinol also either you do something in total or you don't do anything because doing half will harm you and not help you okay gotcha uh do you want to give some precautions about hyaluronic acid as well hyaluronic acid again you are the hyaluronic acid type if you have a normal skin calm skin not an irritated skin oily skin and just need that moisture that hydration for your skin your hyaluronic acid is your best friend if you have a dry skin sensitive skin red skin easily irritable skin honic acid is not for you okay gotcha all right and for the final segment of this particular episode which I think is going to run into 30 minutes honestly and we won't end up doing the second episode that we planned for today but I want to ask you in detail about acut and isot troid because globally speaking this is one of the most popular YouTube search terms related to acne yes Wow since years and I don't see that term dropping down in terms of popularity like how it's skare as with any other subject there are Trends but when when it comes to isot tronoid acutane people are still as onto it as they were in 2015 wow um I don't have a single friend at least in media who's not had it at some point yes everyone's had it uh I have friends who take it in perpetuity 5 mg every day can can wow really uh ma'am maybe a great place to begin this would be WTF is isotretinoin like what is it what is the molecule like why and I've also taken it it literally and this is in my phase where I was eating a lot of as well and had bad habits it just wiped out my acne correct so how did it work so effectively I was I was shocked at how effective it was was it just that effective for me or is it actually effective for everyone everyone if you have an oil gland it will work and if you have to have acne you have to have an oil gland correct so it work now isotroin trono acut trate whatever you call are either trade names or cousins of the same thing it is again vitamin a precursor like the retinol you applied on the skin this is edible fellow okay how does this work it dries out all your glands including your tear glands it can even cause dry vagina dry eye dry skin dry lip dry everything so basically this fellow will dry everything out and I think the one precaution if you're trying to conceive you don't have it correct because any form of retinol is teratogenic which means it can cause harm to your baby in men also no no not in men there are recent studies which have shown it is not in men um so that is it blanket dries everything out so most of you who've been taking isotroin Orin have realized that you have lip smacking lips go dry that's the first thing that happens right that's all is what it is doing it is drying everything why I don't give too much of ret all I do very rarely to my patients is one I don't want to dry everything out firstly you're trying to lubricate everything why are you drying it all out you're trying the hyaluronic acid you're trying this that and the other you don't need to dry everything out I do use it in a in a bad acne with hereditary acne where I have found no other cause to treat it is simply family your food is quaky clean hormones are perfect everything is perfect and you have big painful cystic acne then I do use isot for a certain time I have used it I do use it but what I do is once I get a hand of it and control of it I don't see sense in drying you from even your hair Falls hair becomes brittle dry all of that I don't see you drying from here to here to dry this much right so what we do is once I get it under control I start doing a procedure called micro needling radio frequency where we end up using tiny little needles get into your skin release radio frequency at different depths like a 2.2 or a two where I know the oil glands are situated so I'm shrinking the oil gland permanently oo along with it as a side effect I'm also treating your scars because I'm increasing collagen with the same procedure so why am I drying drying you out entirely when I can just dry this and dry it permanently for you so micro needling radio frequency therefore has become one of the most popular treatment in most doctor's clinic but you need to do it in the right way to make sure your your no cause acne can be simply treated if there's a cause obviously you're first treating the cause like I said getting to a remission getting to that and then making sure it never comes back so why am I giving you iine because that can be hepatotoxic which means it can be toxic to your liver it can derange your lipid profile it could be teratogenic in a woman it could be so many things and I said it could dry you hairf it can cause dry skin it can cause it can increase if you have eczema and cuts and dry skin lip smacking will cause lip pigmentation there after so there are 10 things that can can cause ofal complications so you don't want to give it but those are all quite rare if you're kind of you know not not that everybody gets it so please don't get scared if you're taking it your doctor would have thought of all this looked at all this and then given it to you having said that I would say this is how it is so if you have an oil gland isotroin will work on you okay I have to ask you a podcasting question it's a rude question so don't mind how expensive is that treatment that you spoke about micron frequency one depends on the clinic you will go to which city you are going in depends on the doctor obviously doctors charged for the expertise uh three there is a consumable in it so depending on which machine you're using you will have a very small Indian made machine to a Korean machine to a Chinese machine to a US FD approv machine depends on that it could be I think anywhere I don't know at my clinic it's I I don't know the cost rates to be honest in my clinic somewhere if I Benchmark it between 20 25 Grand a sitting and how how many let's say start off with four so minimum roughly 1 lak L is what you're looking at it yeah and I think when it comes to medical expenses people should I am very vaguely giving you this Benchmark figure because I'm also not 100% sure yeah but people should not try saving money when it comes to medical no come on that that's something I'm glad you brought it up three things I want to tell especially for all the modern listeners here because dermatologist is so diluted and everybody claims to be a skincare expert today from um you know school dropout who can say I'm skincare expert on the social media to clinics which have opened up by either businessmen or someone someone someone it's it's just diluted so one please don't go for deals I get really worried and angry when I see Diwali sale in dermatology clinics I mean what are you doing so you can't be doing that so there is no deals there is no discounts there is no sale there is no anniversary sale you need to please go for this is not passion this is really medicine this is if you give that respect to that it will treat you that respectfully back is what I feel respectfully back so you need to know this is not where you bargain this is not very where you look for cheap things yeah it's getting into your body it is going in there like there are people who come and say oh but in that clinic Micron needling radio frequency was only this much for four settings how do you know which machine how do you know that dis exposable that I'm attaching to it they are not I know many clinics reuse it you can't reuse it because there's a plastic component there is a metal component how would you sterilize it even if I put it in an autoclave the damn needle then gets blunt you can't end up putting it then you you you induce holes on the face for some people they come back and say we did micro needling that left holes in our skin that's because the needle might have not been sharp the depth might have not been right so there are so many things that you need to look so don't don't take it at face value don't don't take it at just a then I'm going to do it okay no um one question about isoto again we spoke about that permanent usage of it it's becoming very common in cities like maybe I'm we in Versa right now that's why I'm saying that perhaps but I hear this a lot lot of people use it permanently they use 5mg every day there are some studies which say just a 5mg isotretinoin can be like an anti-aging pill it's a retinol at the end of the day it kind of helps the skin remodulate but that's a very nent study I can't remember the exact study so I don't want everybody to take home this but my only point is like a 5 mg to keep it going may not harm you but make sure your doctor knows it so she is going to make sure your lipid profile is checked there is no toxicity out of it but it's not an oh my God don't take it stop it right now no I wouldn't say that yeah um you know they say that one of the best best things about earning money in life is that you get to create your own wardrobe and your own life yeah uh but I also think one more factor to be added in this that you get access to some of the best Healthcare treatments with the money you've made which why I strongly believe in getting your blood and your your blood reports done your full body checkup done once every year at least get it in the like I keep saying skin is a reflection of your internal health so if something is going wrong with the skin a doctor has to give you time completely look at what's happening and healthy skin is going to remain in fashion forever yeah sure okay uh I don't want to end this episode right now there's a little more there's little more questions about the peels H what is appeal you know all the I know because I've dated people from media who have gone to Dermatology otherwi I'm an engineering grad the first time I heard peel I like why would you do that to your face why you peel it off now I understand a little bit more more yeah with slightly incomplete understanding which we're going to correct today so what's the so like you said it is a peel only but uh what are you trying to peel is important so it could be uh depending on the depth that it peels your skin off it is very superficial superficial medium depth and deep peels when you say very superficial it literally takes away the top dead layer of your skin so you put the peel you remove it you just look that bit brighter so that's the just that's what it's doing a little deeper when it goes it becomes a let's say superficial peel where it may lead to a little redness or a little irritation for a very short time a medium depth peel may actually cause a little bit of rough and slowing skin but not really slowing away now deeper peels literally shrink and take away a portion of your skin so there depending on the depth of the peel like a very superficial you do it 20 minutes you're out of the clinic looking glowing happy go life is gone second level of the peel when you go a little deeper the doctor will tell you oh be a little careful don't go out in the sun don't do scrubs don't do rubs don't jump into the pool where there's a lot of chlorine nothing to irritate your skin for a week you take care of yourself by then the skin kind of recovers medium depth peel you will say oh my God 10 days strictly Sun avoidance the Deep peel you're literally bandaged for the first seven days and then you have to stay in and so you will never see an Indian do it because that is not for brown skin that is only for white Western skin we don't even do I have never done one in my 22 years of practice I don't know how to do it one of my colleagues who I I really love her I've looked up to her when I was a younger derat is Dr Marina L I was just talking to her this morning she does these aggressive peels ripping away his eyes and all it's gone but then beautiful it becomes but that's only possible for a white skin why that's we P we pigment badly you can even scar badly if it is done badly that's a different question brown skin yeah brown skin pigments badly very badly because we Pi very there's this content of melanin in us which can just go left or right depending on its mood so it can either become fully dark or it can completely lose pigmentation and become white okay like the dacy bias in me always assume that brown skin is healthier better than 100% 100% healthier and better in fact uh just now there is a study from Northwestern University which says they have devised a synthetic melanin wherein they're applying imagine applying melanin on the skin we to hate our melanin in the skin they're applying melanin on the skin and they have realized it not only protects the skin from Sun it also is wonderful at skin repair so they've seen it on a wound where the scabs fell off much sooner skin healed much sooner closed in much sooner so they're in fact now thinking of using it on burns patients to help kind of get the skin back quickly so melanin is a beautiful thing which is our brown skin that is why we don't burn like the West that is why we don't age like the West that is why we heal so much better it is all because thanks to our melanin okay uh you were saying about deep peel peel so peel not happening okay what we do in an Indian scenario is just superficial peel very rarely medium depth that also none of us do it we do it like a concentrated one like a TCA cross for acne scars that's the Deep peel that you medium depth peel that you end up doing literally in a toothpick we put one one dot on the scar only and that to a shorter period of time and Tuck it's over medically what's happening then it'll just peel off a little uh then the scar kind of closes in a little better a scar is basically your skin having different Contours correct now texture texture uh it's cadas like basically like a gap in your skin so when you're putting the the peel I'm assuming it flattens it out by removing that the cliff the the peak yeah the the the the the the ice pick like that so imagine this is your acne scar and I'm taking a uh taking a toothpick dipping it into the bottle of my peel that's literally candle oh my God dipping it into the thing and then dipping it back into this so this entire cone I am peeling off and the raw skin will py okay okay okay okay understood but that is only that situation in general lightly what everybody keeps telling oh I did a peel and came back today that is a very superficial peel where it could be vitamin C ferulic coic ailc ftic haar peels are there so we either use single peels or we combine the peels we depending on if it is acne usually it is salicylic mandelic that we end up using we can even use TCA at a very low concentration blah blah blah everything we end up mixing up and then it's literally like taking paint brush and painting it on your skin taking a Q-tip and applying depending on each doctor's Technique we end up applying it some peels are sequential I'll apply one kind of a peel then I'll put on top on top on top to build up my peel or I'll do segmental peel which means your skin is not equal everywhere right this is oily this is dry this is dry this is pigmented for example and dry and dry most people Indians I see this area is pigmented and dry though this is oily so then I put a different peel different peel different peel that you got as a segmental peel then we have a long stay peel certain peels like kojic peels retinol peels your retinol is also in a peel form we apply that and send them off home then they remove it after some six seven hours and slowly you will see peeling in the next six seven days and skin becomes nice and neat so there is a lot of uh variations that we do in peel to give a lot of results usually it clears out your complexion clears out kind of uh top dead layer so skin looks brighter cleaner acne scars Fade Out imperfections Fade Out uneven tones kind of blend in and Fade Out so various peels we do for various things so that is a peel it's an office procedure come in go out okay um I don't know why I feel like asking you this now what but what do actors mainly come in for they just do yoga of course of course no so I do have actors coming in male actors especially could be male and female actually why am I saying male actors any one of them hair very big concern in them as much as one would like to think it is skin hair is a big concern receding hairlines yeah receding hairlines thinning hair burnt out hair they keep pulling the hair putting attachments putting product every day imagine today my daughter is going to watch this and Shout at me saying mom couldn't even do a blow dry she hates my jungly hair and I thought oh I don't want to put heat like yeah she's like what do you look at you I have South Indian frizzy hair and I've just come now and I don't know how I'm looking anyway it's also healthy hair healthy hair so you know you imagine blow drying every single day and that two it's not just blow drying to tame it you have to make it sit a certain way means that much heat is put on it you're blow drying then you're ining then you're tonging then you're doing 10 things so literally all of them lose hair poor things so they all have you know kind of either brittle hair dry hair thin hair hair that is going going so that is something that they come for hair which is important skin yes you're an actor you have to look your best gone of the days where you knew there is post- production pre-production makeup light enough today there is papped at the airport papped at the restaurant papped in the promotions that they do so they have to even look beautiful 24/7 so yes they come to you for everything from a simple skincare regime to one acne two maybe pigmentation and to remain young to remain youthful to remain having a perfect Contour the light has to take up your face well right it's it's all about the light what comes on your face and how it throws back how your face looks so they all want the face looking beautiful how an actress even at 3540 if she's looking exactly or rather suly if you trace them from the first release of their movie to now you will see how slowly they become prettier youthful Lovelier but I can definitely vouch for my work that you can never say what I've done so mostly they come in for that some the bad work is what you can actually point out to be honest the good work you will never be able to tell you will never be able to tell it just looks like oh they've done good skin care but I would have done haar things when someone's had plastic surgery on the face does Skin Care also change skin care may not change if you do a plastic surgery because if you look at the younger artist if someone has done a plastic surgery could be rhinoplastic which is their nose for example I know of a few let's say male artist who have also done something for their chin which is not necessary now to put an implant because we do a beautiful jawline and creation of a chin which just fillers which is a one second job where you don't have to go in for a surgery and it as against the popular belief that oh we have to keep doing it no fillers when it is a well done job when I say first if I say I usually don't do everything at one sitting I take them to stages and and say okay now I'm done then I many of times I don't do anything more for the next 5 years so changing the face contour is something we can do but post plastic surgery why will it change because even if you've done something for your nose for example or done something for the chin skin is still the same even for example an old artist has gone let's say to get a face lift done a part of her skin is cut off because they have pulled and pegged it up but the rest of the skin is still there it is the same skincare which will will continue same skincare meaning to say not what she's doing in the teens obviously we're changing skin according to her age but pretty much okay so again there's no one single answer to this question of what do actors come in for even their skin simply a glow skin they might come because every day they're putting makeup it is light it is dehydrating so there are a lot of people I simply do bios stimulatory injections which is like a hyaluronic acid your favorite ingredient which we just inject Under the Skin doesn't change the Contour of your face doesn't change it just gives you that dewy look so even for acne scars it works wonderfully gives you that dewy look stretched skin that Alabaster skin that you have it gives you that because it's well hydration along with hydration it stimulates your own collagen elastin and gives you ground substance so we call it bio stimulators okay are these things painful no you have no idea what all people can take for looking beautiful like one of my patients was saying yeah AG if this was a tchis shot I would have run out and made brought the clinic down you're poking on my face look at me how beautiful y I'm sitting so one they take it for that two if I can say so myself I have been told I have a Pat I have a lot of patients who come internally because they also have work done here there there they always say I have the smoothest hand it just doesn't hurt when I inject and I take pride in that so it just doesn't hurt Plus in general we use extra fine needles we use like a 30 gauge needle 34 gauge needle I use when I'm injecting onto the scalp which is your General Hospital May when they give you IV and all they give you 18 gauge needle as as the number goes higher it is thinner thinner thinner thinner so I'm using 34 gauge needle which you can't even see sometimes so not to worry what is the most painful skin care treatment the Deep peel Al therapy Al therapy Al is the machine Al therapy is the treatment which is a highly focused ultrasound commonly known as hu again people say the technology name and they have lesser machines but althera is the gold standard most expensive best machines with the maximum number of studies therefore you're accurate when you're delivering something you're getting that result so therefore you go for better machines althera is very painful I don't know why patients do it but I know why they do it once I tell them the first time oh you heard it's painful then when I do it every year they quietly come and sign on themselves saying okay now I it's time for my Al therapy what is it for it's for skin tightening and lifting it's an amazing machine I do that on my own face every year and guys I'm I have no financial interest in the machine I'm just telling you so I do that for myself every year because that's how you can I'm otherwise a nice regular round faced South Indian I'm 50 and I have a clean jawline which is I think Lots is to do with how I am you maintain your weight you make sure you're slim you make sure you're healthy there's no water retention along with all that you need to also have your skin tightly wrapped now that for me and Al therapy really helps every year of me doing so I always tell people if someone is doing and someone is not doing you can see the difference in eight 8 nine years how their skin has panned out and how and there's multiple studies done internationally with identical twins to say one has done some treatments one hasn't and how they age and it's it's amazing how they age when it is when it is done well you can still age so to me graceful aging is when you age looking like yourself but taking that little help of Science and taking care it's it's graceful aging not just letting yourself all go but if you want to do that good for you I'm not judging but I'm saying yeah you can age gracefully with things done aging gracefully doesn't mean that you age without things done and it does have psychological implications in terms of yeah skare I remember my mom telling me after ice surgery I said Mom how's how's your how are you feeling now she's saying what's the whole point now I I can see every act every wrinkle on my face and feels bad feels aged so it's such a you know Clarity of vision made her see her lines which she didn't have earlier her first first observation is wow my vision is clear that's what I was expecting instead she she was actually feeling disappointed that her face is aged so it has definitely a psychological implication on it's like a it's like a saying of good hair day right so when your skin feels good you are a better person to yourself you're happier your output is better you're better to the other person his output becomes better so it's like a chain reaction of a good day I'm Blown Away by even this subject in general um it's it's so important for people to know these things because I didn't know all this until I moved to Versa I'm started living among the Al thies I was just an engineering grad but I remember um my co-founder saying like I I used to wear glasses and I could never wear contact lenses because my eyes were just sensitive uh and it used to actually add a charm like in terms of like I used to be looked at as a nerd which was great we all love nerds but when I got my glasses removed through smile SM SM i l e which is the you know like it's it's like basic it's advaned correct um I did it very impulsively because I couldn't read teleprompters yeah that was my actual reason I was like no dude I'm sick of this like T make a media person's life very easy you toaru the whole all so that was my intention but when my glasses came off and I had a pretty high number my number was five on both eyes oh which meant I couldn't even wear stylish glasses I had to wear like thick one it had to hold the glass thickness the frame it anyway I I always look nerdy yeah um when my glasses came off I saw how people treated me different huh yeah huh and I realized okay wow this is this is why people go in for plastic surgery also then it made sense to me which is why now in Vera when I hear about skin based treatments a past version of me would have judged it as many Indians on a high horse yeah not for me God very vain not at all like you know stick to the satk Lives why do you want to do these things yeah but the thing is when you go through one of those treatments and you see how it's changed the reality of your life you understand the value of modern day science so add to more than just that it's like education now if you don't educate people what is out there and what can be done they will do it hush hush and it'll all be done wrong correct so to me it's like I know of children who've gone and done their lip jobs in bad places children I would call a 16 17 children right they would have gone and done lip jobs in bad places one not just is the aesthetic outcome bad there could be serious complications of death of a tissue when you do fillers in a wrong way or in an unqualified or an untrained hand so you need to be very careful and please the next time you go to your doctor please don't ask how much is it per unit and how much is it per syringe this is not BD you're buying so it is so important therefore I think this education is important for you to understand laser is not a blanket statement there are million equipments it's a category of energy based devices which could be radio frequency laser highly focused ultrasound like Altera we were talking million other things there so education is very important otherwise our children the young individuals who who today in the pressure of the society want to look good and people who are just tilting the age who I know a lot of people who come and tell me thank you so much you have changed my confidence have people crying after I finish the work in tanking me and saying you have no idea what you have done and what I thought G I remember this Hindi sentence one lady said but thank you for what you end up ended up doing to my face that I feel I still can go out and live and be happy it it you may find it very trivial but it is true when you come there like you said now out of this pressure whether it is a teenager or an adult you don't want them going misinformed and going into small Lane and quietly doing something you want them to be informed you want them to know what it is now whether you want to take or not it's your perspective like how you don't want to body shame a person who is who is whatever let's say big in size or who is something something don't body shame a person who wants to do Botox it's okay I have a zillion more questions in my head honestly about aging fillers uh all these other treatments we we can actually break down from both a biological perspective and a cosmetic perspective but we'll do that the next time Dr Rashmi that's the end of this episode I know that you get asked these questions a lot but uh uh it was a very important episode for the internet like if I had this episode in my hands at age 22 my 20s would have been different which is my major intention be doing this particular episode so thank you and I'm sure you're solving problems constantly but you've also solved a lot of people's problems today especially young adults thank you who are going through major psychological issues yeah because of however the Skins are reacting to life yeah I'd also like to put a disclaimer which is kind of a throwback to what you said at the start of the podcast that chill out yeah like you know don't don't it's okay take skin problems so seriously it's 2023 it's all solvable uh but learn your body like I think a majority of the issues I had and the majority of the issues I see around me basically boiled on people not understanding how their body works and not seeking medical help yeah fair enough these two factors while you're doing that as a closing sentence I want to reate and say don't traumatize yourself with skin issues if there is an acne if there is a wrinkle if there is a line a pigment patch so be it don't let that dampen your confidence and spirit at the same time like you said seek the medical advice can be done but just just don't bother it's just a bloody pimple yeah and you know everyone's skin has trouble like including including like the biggest Superstars that you know they all every every human who's born in our world is going through the same problems you've gone through recently so true so there's too many people watching this probably crying right now uh just at the end of this conversation I wish when I was dealing with my skin trouble when I was 22 23 and didn't know what's happening I wish someone had told me these things so I'm just glad I get to do it at age 30 for other people and I'm sure there's a part of you that feels that as well because I know that the biggest gift of a doctor's career is how you can change people's lives so true I I have to tell this one thing I remember after my mbbs for a long for for a year I was working in the ICU as a as a not an intern what do you call it I had a post ICU post so I was working there as a resident and um I still love it you know you finish your ICU Duty and come out as against a w doctor where when you're are a w Junior doctor you're just calling the doctor saying doctor coming on around you're writing down notes and just do making sure that's done well in an ICU when things go wrong you first treat then you call the senior consultant to say Sir I've done this this this what do you think he will change a little or do a thing he'll come for rounds a little later so the power that you have as a doctor as a clinician is real you're doing it you're saving the life so when you finish your that 12 hour Duty and when you walk out you will see those relative standing and you know they'll come and say how's my Dad how's my mom how's the child whatever whatever and they look at at you like as if you God who's walked out and next day when you walk into the I see again they say will you please look at her will you please tell this it's it's it's a beautiful feeling and at the same time I couldn't handle it because I get very emotional with everything I get very attached to my patients so I had to get out of that then I gotten into Dermatology studies and then I I'm a dermatologist today somewhere along the line in dermatology I remember coming home once and crying with my daughter and saying you know I don't feel like a doctor anymore I don't think I'm saving lives so says ma you're not looking at it you're looking at it wrongly look at the amount of patients who come and thank you you saved people's confidence their marriages they extended their careers their confidence have changed you have no idea what you're doing you have may not be saving the life but you're saving the quality of their life and enhancing it and making them live so well now so I'm just saying this to say don't look down upon someone who is wanting to look beautiful or wanting to have a good skin and good help them guide them that's that that issue is real all I'll say in the end is that you're not a dermatologist you're the dermatologist today so uh ma'am I hope to speak to you again lots more to like unpack this is just an intro to Dermatology so I appreciate your time and your presence and all your skincare tips thank Youk you thank you so much so that was the episode for today ladies and gentlemen but as I said at the end of this particular podcast this should reach maximum people because so many people are dealing with psychological trauma because of cosmetic issues and when it comes to cosmetic issues everything is solvable that's what we tried doing on this episode we just tried putting a lot of free of cost knowledge out there I sincerely hope that it reaches the people who need this kind of knowledge of course Dr Rashmi shetti is going to be back on the show very very soon the next time we'll talk a little bit more about aging anti-aging Botox filler uh modernday Cosmetics a lot of other stuff please tell me in the comment section what you'd like us to cover in that particular episode I'm super pumped about having multiple conversations with the legendary doctor but for now that's it for today ladies and gentlemen we'll see you very soon on [Music] TRS a

Channel: BeerBiceps

Views: 2,045,223

Keywords: podcast, indian podcast, indian podcasts english, ranveer allahbadia, beerbiceps, the ranveer show, the ranveer show podcast, the ranveer show beerbiceps, trs, dr rashmi shetty on the ranveer show, dr rashmi shetty on trs, skin care, skin health secrets, acne problems, adult acne problems, botox, surgeries, healthy skin, skin care routine, anti aging treatments, sugar affects, diet, healthy diets, healthy skincare, makeup, makeup dos and donts, skincare basics, hair problems

Id: 7B1bL1QcjEY

Length: 132min 30sec (7950 seconds)

Published: Wed Dec 20 2023