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Botox, Fillers, and Cosmetic Surgery: Derm Advice from Dr. Erin Gilbert
167 Plays1 year ago
In this episode, I'm speaking with Dr. Erin Gilbert, on the basics of Botox, fillers, and cosmetic surgery. Dr. Erin Gilbert is a Board-Certified Dermatologist and Neuroscientist based in New York City. We're discussing the pros and cons of these procedures, as well as some advice on how to choose the right products for an effective skincare routine.
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Transcript
Introduction to Dr. Erin Gilbert
00:00:14
Speaker
Hey guys, so welcome back on the pod. So today I'm in a studio in New York City and I have a very special guest, Dr. Erin Gilbert. She's a board certified dermatologist and neuroscientist based in New York City. Hi. Hello. Thanks for having me. It is so good to see you. I feel like last time I saw you, I was like, it was a blur. I'm like, that was January, right? Yeah. Long time
Dr. Gilbert's Career Journey
00:00:38
Speaker
ago. Do you want to tell us a little bit about your background and like how you got into
00:00:42
Speaker
Yeah. So, um, so my background is actually kind of interesting, I think. So I actually was not a medical student. Um, I was actually an art history major, so I was studying art history. I was working at an art gallery and I did a total 180 and went to study medicine and in fact get a PhD and then do dermatology. So what caused that turnaround is that I really found that I wanted to help people and be engaged with them.
00:01:12
Speaker
rather than selling them art.
00:01:17
Speaker
That's like how you got into it. I did not see that at all. Yeah, I mean, so I was at an art gallery, kind of realized that I wanted to do medicine, went to a post-bac pre-med program at Columbia, and that took like three years. That was like turning my brain around completely. I was like, oh my god. And then essentially what happened out of that was med school got invited to get a PhD in neuroscience,
00:01:44
Speaker
agreed to do it, came out MD PhD, did derm, hello here we are today.
Cosmetic Dermatology Basics
00:01:50
Speaker
Wow, that is so interesting because I feel like a lot of like some like because I have met like a bunch of dermatologists like through some brands and like they all have like oh I always wanted to do this and like I was like I was in the esthetician or whatever and like I like kind of get yours is like such a different story.
00:02:06
Speaker
Well, the thing that actually I think connects it all is that being an art historian, that means that I studied the aesthetic. So I was studying the look, I was studying sculpture and paintings. So now when you look at the fact that I'm doing cosmetic dermatology,
00:02:24
Speaker
Oh, it's kind of like a canvas. People are like your canvas. Exactly. So what that means is what I bring to that is I bring my eye to what I'm doing with my patience. And thankfully, I was looking at art that actually was really tasteful and proportionate, so I don't like making people look crazy. Right.
00:02:45
Speaker
So what would you say like that common things that people are like always trying to like fix up themselves like the first things? I know it's like I feel like dermatologists such a vast thing is like people do so many things and like I feel like also some derms they have like kind of like a focus, right? Like they do specific things. What is like the common things that people are trying to fix these days?
00:03:07
Speaker
Well, you know, I think that now that there's so much available, I think there's stuff that ranging from lasers, microneedling, you know, PRP, skincare regimens, fillers, toxins, there's all of this stuff available. So people essentially come and I think the thing that most people want to do is either learn about their skincare regimen and how to take care of their skin. And that's all ages.
00:03:34
Speaker
And the other thing is that they want to kind of make themselves look younger. And sometimes this is because they feel like they just look tired and they just kind of want to look more like refreshed. And so this is what they're really coming
Philosophy of Natural Beauty
00:03:49
Speaker
for. Yeah.
00:03:50
Speaker
So now, I get some really young patients in who've read some magazine article. How young? How long are we talking about? Oh my god, like 29, 30. Wait, you consider it, oh my god. See, like, I feel like I, like, because I'm 27 now, and I'm like, I feel old. Like, after 25, I'm like, this is, this is bad. Like, I feel absolutely old. Because like, I feel like a lot of times, especially like in the creator industries, like, there are so many people who are so much younger than you. And like, you immediately, like, you're like, oh, my time has passed.
00:04:19
Speaker
Right. Right. So that's never the case. First of all, guys, that is never the case. Your time has not passed. So the thing that I think is really important, when they come in, what I tell them is this, I take a serious look at them. So it's not as if I'm not looking at them. In some cases, there is a place and a role for preventative things, just like neuromodulators, AKA Botox and all of its friends.
00:04:47
Speaker
So there is a role for that, particularly in people that are starting to get lines when they're frowning, smiling. So there's a place for that. But for people that come in and they have nothing, I literally am like, thanks so much, bye. Because it's just, for me, I'm not about making the money off of them. It really is about me wanting to offer them something that they need. However, what I find is that people also, they come in for basically asking about skincare regimens.
00:05:17
Speaker
And that's kind of a great thing to be able to do because you can then construct something for them. And also always throw in the sunscreen, of course. And that's another debate which I can get into because it's hard. Yeah, we're going to get into that. We're definitely going to get into that. But yeah, I mean, I think the main thing is really kind of looking at what's appropriate. So for example, I started doing Botox when I was 30.
00:05:39
Speaker
Okay? Yes. And I am now 50. So there is an advantage in the sense that you don't get these deep lines, you know? So I do gradual things all along. So I think there's kind of a maintenance concept that's important. The critical thing that I would tell all of you is do not go overboard.
00:05:58
Speaker
It's just like there's so many people out there that are going to crazy inject you and it's like really not the way to go. So you want to find somebody who is like a board certified so it's safe. And also you're going to do stuff that's like not over the top because that it just doesn't like make you look younger. In fact, when people do stuff that's over the top,
00:06:20
Speaker
It makes them look not only weird, but also older. So it makes them look older, in fact, when they do stuff like that. And I just feel like that's the whole point. I feel like the best way to get something done is looks like nothing has been done. Exactly. Right? Because if it looks like something has been done, then that kind of lost the whole purpose behind that. Exactly. And so most people who come to me, even if it's just for Botox or whatever, people are like, the reaction is, oh my god, did you go on vacation?
00:06:49
Speaker
Or like, you look really rested. Like, that is your goal. Is you want to make people look like a better version of themselves. You don't want to make them look like, you know, Hollywood, like, too plumped up. Right, exactly. And I feel like also the other thing is, like, that's why sometimes I get annoyed by that. I feel like you still need to have some expressions in your face. Yeah.
00:07:11
Speaker
Because I feel like sometimes people go so overboard that even when they are making some expression, I'm like, I cannot tell if you're angry or I cannot tell if you're happy because I don't see anything happening on your forehead or on your side. I don't know what's going on.
00:07:27
Speaker
I think that, I think that that can be the case. Even if you have a lot of... Like for actors, you know what I mean? Because they need to like somewhat have something. Yeah, the actors that I do them really light with so that they can still have expression. But you know, there's actually, you can do it in such a way that it's not over the top. You can do it in such a way that people still have movement, which is really critical. There's also a concept that's very interesting called the fiducian smile. Yes.
00:07:55
Speaker
Getting technical here. Okay. Explain to us. Bear with me guys. The fiducians smile. The concept there is that people actually have an express, they have an expression with their eyes. So you can kind of tell, regardless of what's going on, if they're smiling. Now,
00:08:10
Speaker
I'm not a fan of over injecting people such that they don't move. But I think again, it's really like looking at the face holistically and looking at how the pieces all go together.
Advancements in Dermatology
00:08:21
Speaker
So if you've got someone who's over overly frozen and then they have these huge lips.
00:08:27
Speaker
these huge cheekbones, you're just like, which planet did this alien walk in from? Where did they land from? So that I think is important to balance. I got you. Well, would you say something that has kind of evolved over the years in the industry that you would say, oh, that's kind of so exciting and promising that?
00:08:47
Speaker
in the future that people can. I really feel like a couple of things. One is that we're getting a lot of newer fillers and Europe had this incredible variety. Can you explain that to those fillers? Because there's two different kinds of fillers. Some of them say they dissolve naturally.
00:09:07
Speaker
Yes, okay, so hyaluronic acid is one of the fillers that dissolve. And it dissolves in about, it depends on the person. If the person's more physically active and thin, actually, commonly, like runners, it'll be about four months, five months, normal people, like maybe six, seven. And then there are other fillers that are hyaluronic acid that are sort of firmer, and those will actually be like 12 months.
00:09:33
Speaker
Okay, so that's a category. Other categories like stimulate your own collagen synthesis. And so those guys actually cause like, it takes longer for them to have an effect. But then when they do, it's actually your own collagen. So that's a different category. Okay, since you're talking about collagen because someone asked the question too, because I know some people say like, even if you take collagen, that doesn't necessarily help with it.
00:09:59
Speaker
How does the collagen help? Let's just say, because I know over time, as we get older, our body naturally stops producing collagen.
00:10:07
Speaker
is taking helps or it needs to be injected to get, or does the product that says collagen moisturizer, whatever, does that actually do anything? Good question. Okay, so with age, you basically get a reduction in the percentage of collagen that you're making, and then you also have an increase in the amount of collagen that's being broken down. No fun, because you're getting decreased production, and you're getting increased degradation,
00:10:36
Speaker
Not good. So that's happening. Okay. Now in terms of what we can do, injection, great. Stimulation, great. Oral collagen. I speak at conferences, and this was always a question for me because I did like nutraceutical talk, right? Like what does it do?
00:10:51
Speaker
Okay, my own experience is that actually it does help. And there are particular brands that I like and it actually does help. So I find when I do it, I actually recommend it to my patients. And I find that it actually does help. And I actually, nerd wise, because I'm a PhD, looked up papers and there was studies on, I'm going to have to say it mice and no animal rights, I'm sorry. And then essentially what they found is that the collagen that they tagged wound up in the skin.
00:11:20
Speaker
So they ate it and then it wound up in the skin. Meaning that it actually does get there. Is it a significant enough amount? I'm not sure. I just know like in my own, in my own experience using it and having my patients using it, that I do notice a difference. You would say that like that kind of helps in that aspect.
00:11:42
Speaker
I'm gonna call out a product if I may. Yeah. Am I allowed to? Yes. Yeah. Okay, so vital proteins is the one that I like unflavored Put it in your coffee in the morning one and done or a shake
00:11:55
Speaker
That's the one I like. Oh, okay. Because I think I've only tried like my own printings once. Yeah, that's just happened to be the one I like. It's also widely available. So it's kind of... Yeah, that's true. It's like everywhere. It's like Walmart, Costco, every places you can go. Today's podcast is brought to you by our partner, Minn Mobile. So once again, I want to talk about Minn Mobile because I just feel like these days, we are spending so much money on so many things. Like starting from as little as like groceries,
00:12:22
Speaker
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00:12:43
Speaker
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00:13:04
Speaker
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00:13:21
Speaker
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00:13:36
Speaker
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Impact of Skin on Self-Esteem
00:13:42
Speaker
Go to minmobile.com slash WP. Back to what you were saying earlier, like with some patients that like you don't think they necessarily need to get anything done, because I feel like
00:13:52
Speaker
Since this podcast, we talk a lot, I talk a lot about that, like mental health and like self-esteem. And like, I think a lot of like how we look or how our skin feels, it's really connected to how we feel about ourselves, especially if you have like prone acne or like acne scars and like stuff like that. Like.
00:14:09
Speaker
How do you, I guess like have a conversation with your patient that like when you think that like they don't necessarily need it per se they maybe need to work on something else per se like them cells per se like how do you have that conversation they're like no you don't necessarily need this like
00:14:24
Speaker
Like, how do you have that kind of like a boundary you're setting that like, I don't think you need it right now or like you shouldn't do this. Okay. So this is a really important topic in dermatology because it's aesthetic, right? Yeah, it is. So there are people that come in that actually have sort of a body dysmorphic disorder where they think that they need stuff that they actually don't. Yeah. So that's something that you can see. People will come in demanding things and you're like,
00:14:49
Speaker
you look perfectly fine like why would i do that there's other patients though who like legitimately have
00:14:56
Speaker
you know, concern, like they've got really bad acne, they have eczema, they have psoriasis. They have things that are really affecting how they look, which, you know, are serious derms. Yeah, those are serious things. Right. And so and they come in and one of the things that I think is really critical is just like feeling people out. You have to kind of get a vibe for them. Yeah. And when you see them, you'll really sort of, you know, you'll notice how they're feeling about things. And it's really important to be sensitive to that.
00:15:26
Speaker
Yeah, because you do if you're paying attention, you'll feel the vibe and whether it's a dysmorphic vibe or whether it's a real concern. So I think the most important thing, first of all, is to be able to address their concerns in a way
00:15:42
Speaker
that they can actually maintain and do because of their lifestyle. So you got to kind of tailor it. And then you also just have to be like a human being. And you have to not be like, I'm the doctor and you're the patient. You kind of have to be like in it with them and sort of like in it with them for the long haul.
00:16:04
Speaker
Have you had like those incidents that maybe like they showed you some pictures from like, I don't know, Instagram and stuff and they're like, wow, this girl looks like this. And like, how can I look like that? And like, how do you explain that? Because I feel like someone would also like, because they make it seem like it's natural, but like someone is also not even like pla- not even like cosmetics. It's like Facetune or like some other stuff that- So I mean, filters- Does that happen a lot or like, that's just me thinking that- No, it doesn't. I mean, to the people that come to me- Yeah, they wouldn't be like, oh, I want to look like-
00:16:33
Speaker
Yeah, I'm sure that that happens. It doesn't really happen to me. But I think the unfortunate thing, quite honestly, is that in this day and age, if you look at the trends in the media,
00:16:49
Speaker
and in, you know, less so in acting. I'm actually glad that a lot of people are getting mellower in acting now. They don't look as sort of pumped up, plumped up. But in the media, you know, and you know who I'm talking about, and all of you know who I'm talking about, there are people who essentially are completely overblown. And I think that that is, it's just a, you know, it's a point of view of like wanting to kind of like
00:17:17
Speaker
be part of the herd, but then you got to look at what the herd is. And the herd is kind of wackadoodle. So, you know, this is just my opinion. But if they say that, you know, honestly, for my style, like, they're not for me, you know, because my style is not to do that.
00:17:35
Speaker
you know and you can have a conversation with them like i do which is like hey you know let's make you look like you you know and not somebody different exactly because i feel like also you can tell sometimes because like the way they get the injections or the way that they get things done
00:17:49
Speaker
They almost kind of look the same. And you're like, why do you want to look like everyone else? Yeah, no, exactly. That is completely true. And I mean, I got to say, like, when I'm in LA, it's like I'm sitting there having lunch and I look this way and I look this way and I'm like, I can't escape.
00:18:05
Speaker
Lips! I can't escape them. So, yeah, I mean, I think that's true. But I think, you know, one of the messages that I would give people in giving them advice about injectables is this. I would say, like, be yourself, okay? You're yourself. There's nobody else in the universe right now who is you.
00:18:28
Speaker
So be yourself. You can do procedures to kind of like bring out certain features that you like about yourself, but essentially you got to be yourself. So, um,
Dermatology and Plastic Surgery
00:18:38
Speaker
it may sound sort of like, you know, I don't know, but, but that's basically what I think. It's just be authentic, be you. Yeah. Well, we just say, because since you talked about that, what are your thoughts about like plastic surgery? Because I know I think
00:18:53
Speaker
people sometimes think that like I think that's just over the top and like there's no need for that because it's permanent you know when you think about it it's just just done and like you cannot necessarily be like oh I don't want to do this it's like that's just like that's why like kind of I feel like Botox or fillers it's kind of like you're testing the waters and like if it doesn't work out it dissolves hopefully it's a good one that like yeah doesn't cause you anything else
00:19:13
Speaker
Would you say those are better long term or versus do something that's just plastic surgery and just be dealt with? Well, I kind of think about this a lot. The role of plastic surgery is certainly a good one. There's a role for plastic surgery.
00:19:30
Speaker
One of the things that we always have to think about in plastic surgeons are actually doing a lot of non-invasive procedures, meaning they're doing Botox and fillers. They're actually doing that in addition to other stuff like operating room stuff. From a dermatologist's point of view, your skin, if you're getting into any of those procedures,
00:19:50
Speaker
your skin has to be in good shape and your skin has to be strong. Right. Because if you think about it, you're actually pulling the skin, you're doing different types of things to the skin, and so the skin itself has to be in good shape. It's like you have to have a foundation. Exactly. It's not like you cannot make something out of nothing. Exactly. And I think when you wind up, there's a lot of non-invasive options right now.
00:20:13
Speaker
you know, body procedures. There's also thread lifting, which is very cool. I like those ones. Yeah, which is, you know, thread lifting, which is very cool. It's kind of wild. It's almost like I'm there. Is that Bella Hadid? What? Bella Hadid, you know, Gigi Hadid's sister. Yeah. Well, there's basically a bunch of different companies, too, that make them. And so it's wild to watch. So you essentially put them in and then you kind of lift it.
00:20:38
Speaker
And then you try a knot. And the great thing is, if it's not good, you just, you know, scissors and snip it. But essentially, yeah, I mean, that kind of thing is really cool. I like that. So that effectively is like a facelift without getting a facelift. So I would say, and you also, plastics are, it's rarer to find a really good plastic surgeon. Yeah. Right? It's like, they're going to botch your face.
00:21:02
Speaker
Yeah. I mean, they won't botch them, but it's like you don't want something to look like really like, you know, huge scar line from facelift, you know, like it just has to look good. You know, too much butt in a butt, you know, you know, enhancing procedure. So and too much liposuction, which then can sometimes make your skin look really thin. Right. So you have to just find people that are qualified and good and they're out there, but you just have to find people that are good and just remember that your skin quality is important.
00:21:32
Speaker
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Skin Cancer Awareness and Sunscreen
00:22:52
Speaker
So skin cancer is a huge thing obviously, you know, everyone is like scared of that. What is like the earlier stages that you were like, Oh, let me look out for that. Or like you would say like regularly get tested. Okay. So, um, so essentially, I mean, people that have fairer skin that have a history of like sunburns when they were younger, that's sort of a classic example of people in which you'd want to look for like melanoma.
00:23:17
Speaker
But everyone's getting constant sun exposure. What I would say essentially is what you want to be looking for is moles that change color or get larger or that start bleeding and have a different texture. So that's the first thing. One of the things that nobody mentions that I think is really important actually
00:23:37
Speaker
is there's one type of skincare called a basal cell, and you can actually just look at the skin a little bit from the side, and you'll see that there's a spot that's a little bit shiny, and that actually is what basals look like early on. So one shouldn't diagnose themselves, but for me, it's like clear as day when people come in. So any changes in what you have going on with your skin is important. One other thing, the early actinic keratosis.
00:24:06
Speaker
feels like essentially something that's a little bit like a grain of sand. Like you can kind of like sometimes scratch it off, but then it comes back in the same spot. So that's also an early sign that can turn into skin cancer. So that's another one. Let me see if I'm missing anything here.
00:24:22
Speaker
I think that's about it. So do you want to talk about sunscreen? Yes, let's talk about it. And prevention? Yes, but first let's see. That's a huge thing for me because I care so much about the environment and I care so much about the animals and the wildlife. Yup. Mineral and physical or chemical sunscreen. Yup.
00:24:40
Speaker
Can you start talking about the difference first and also say, what is necessarily good for us and good for the nature? Yeah. All right, so physical sunscreens, the major difference, effectively, between them is the ingredients, as you know. Right. The oxybenzone or something. Yeah, avobenzone, oxybenzone. You got it, yeah.
00:25:05
Speaker
Physical sunscreens, I mean what chemical sunscreens do is they effectively, the light is absorbed and they absorb the light. Mineral sunscreens actually bounces off of the mineral like the zinc and titanium. Okay, so what's the difference? I actually have a house in Hawaii. I have become an avid surfer.
00:25:26
Speaker
and I've gotten totally into reef conservation. In Hawaii, it's illegal to use a chemical sunscreen. Oh, that's so cool. I didn't know that. You can't do it. All you got is physical, so you got zinc and titanium. The thing that's amazing is right now, they've made all these micronized zinc products that actually look really good.
00:25:49
Speaker
So that you don't look like, you know, this classic white surfer, which sometimes people do just to look cool anyway in the water surfing. But basically, you know, it looks a lot better. So I am going to call out another product line that I really like, which is called Color Science.
00:26:08
Speaker
I like them. And they also have tinted versions too. They have like tinted too. Yeah. And you know, La Roche-Posay has a really great one as well. I love color science because I, because it's actually, they have a glow version, which I call beautiful sunscreen.
00:26:22
Speaker
because you put it on your skin and it looks like you're wearing some kind of glow powder. I love that product. They also have something that's really critical that addresses this issue of reapplication. They have a powder with a brush that you actually can reapply. If you have makeup on, it's not like you're going to try to goop on some liquid or fluid. This guy actually has sunscreen in it, so you can just use that brush
00:26:52
Speaker
Oh. And so that's a really great thing. Yeah. I really like that one. So just the technology has gotten so much better that, you know, you're not looking like super white. I also really like Elta MD. I love them. They make pretty decent products. They have. I mean, sometimes they're a little white in the beginning and then that goes away. Fate is away. Yeah. But I like it. But I think also like from a cosmetic point of view, I'm a big fan of color science. I really love them.
00:27:18
Speaker
What do you mean by like I know because I don't have partnership with them so I don't care Sun bum because I have used their mineral sunscreen when I was in Hawaii. It was absolutely awful I was white everywhere and I thought like maybe you will like pass like, you know, I got into the water and water was white
00:27:36
Speaker
And I was like, maybe it's a bad batch or something. I think that research and development is a very expensive process. And the sunscreen is very difficult to get approved and everything. It's an interesting process. It's been a very interesting process and development.
00:27:56
Speaker
People at L'Oreal and who actually have been like involved in the early stages of that and it's really interesting to me as a nerd but what I would say now is Yes, there's a lot of junky products And I think again, this is kind of where you get recommendations from somebody who knows what's going on And you know essentially for like sun, you know for Sunscreens you're gonna get some like, you know
00:28:23
Speaker
You sometimes might get a kid and you're like, okay, like am I a kid? And then sometimes you're gonna get a sexy lady. And so it really depends on like, you know, what you're looking for. I would just go to a professional who knows like a term.
00:28:35
Speaker
Yeah. What about like the, because I've seen, again, this is all TikTok. I feel like I'm getting all my knowledge from TikTok. You know, like they say like how much sunscreen you're applying. Like they have this new rule. Well, I guess like the rule that I've seen was like there are three fingers and like three lines and then you just put it in your face. And they're like, that shows like that's like enough. Right. Is that true? Like they're saying like you would rather apply more sunscreen than like less sunscreen. Like, so like.
00:28:59
Speaker
Yeah, so my answer to that is if you, I mean, and indeed there's sort of a commentary in the derm world. My thought is if, my thought really honestly is first of all, live and let live. So I think if people are like completely flipped out by the sun, completely paranoid about something, like how fun is that?
00:29:21
Speaker
Right? That's not a good way to live life. I'm always concerned. I'm like, I want to go have fun. Like, I want to go to the beach with something like, fuck. Like, I forgot my sunscreen. Like, I forgot to put sunscreen. Yeah. No. So essentially, I mean, it's a balance, right? Right. So what I would say is this whole thing about how many fingers, a teaspoon, a tablespoon. Right.
00:29:39
Speaker
What I would say is if you're putting on sunscreen period, that's a win. Number one, you're putting on sunscreen, pat on the back, good job. Then you're basically just going to use what's comfortable to you. If you're going to get slathered with stuff, it's going to get transferred to all your clothes, and then you're like, oh, I hate this, I'm not going to do it, then that's not what you want to do.
00:30:01
Speaker
You know, like what you want to do essentially is make something possible for your own use. And so honestly, just do what you can handle. And that's like, that's better than I mean, it's sounding very like laissez-faire coming from dermatologists. But I think I think all of my patients come in and they're like terrified. Yeah, I'm because media makes us terrified, like the amount of shit that goes around.
00:30:24
Speaker
No, people are terrified about sunscreen. When you're paranoid and terrified about something, how do you handle it? You don't do it. You kind of avoid it. I feel like you really have to be a little chill about it and be like, it's a win if you're trying to wear sunscreen. Cool.
00:30:42
Speaker
You got it. Yeah, just be like, I'm trying, essentially.
Affordable Skincare Recommendations
00:30:44
Speaker
Yeah. What about like, do you think the texture matters? Like, you know, there's something that's like stick, some is like powder, I guess, form some is like the spray. People, because people, I mean, or I just heard that like sprays, like sometimes you forget, like, or you're not applying enough. Does it matter, honestly, or not necessarily?
00:31:02
Speaker
I know I hate the stick because sticks always feel so sticky too afterwards. When I touch my skin, I'm like, this is... It just feels so gross. I think that sticks are really good for kids because you can kind of hold them still and then do that. I can see that now.
00:31:23
Speaker
Also, frankly, if you don't have a mirror, and I'm going to get back to the surfing thing because that's part of my life, you just basically can just throw it on like this and you got it. I think for the average person, sprays, you got to make sure that you're rubbing it around because you don't want to have that streak of sunburn, so that's that.
00:31:45
Speaker
Again, one is not better than the other. It's really a matter of, is it effective? Does it work for you? And therefore, you're going to do it. And I've actually heard about, I don't remember the brand, but I've seen some oil-based sunscreens that actually have a high SPF and some shit like... You like Super Goop? What? Super Goop? What are your thoughts? Just honest thoughts.
00:32:17
Speaker
I love the concept of authenticity. I love the lifestyle. I don't want Gwyneth Paltrow to hate me. So it's not actually owned by Gwyneth Paltrow. I made that mistake. So her brand is Goop.
00:32:38
Speaker
Oh, you know what? I made that mistake. I made that mistake. That's absolutely right. You're so right. I made that mistake. I so made that mistake. OK. So cut off the super and just leave it as soup. Got it. Yeah. So I actually have experienced stuff like I've played with those products as well. Yeah. Sunscreens. Yes. From them. They're OK. Yeah.
00:33:01
Speaker
I think they're OK. I think. Yeah. I mean, if I were going to really go into it, what I would do is I would use I would probably for like full body just get like technical and go for LMD if you really want to. Right. Yeah. They've got a U.V. sport, which is great.
00:33:16
Speaker
So that's it for really- Something like, sorry, something like affordable. You know what I mean? Because I feel like there are some, a lot of my listeners show, so they're like, they're in their 20s or less, like younger than that. Something like they wouldn't like, because Elton is not cheap or anything like that. You know what I mean? So like, what is something affordable you could be like? Right, right.
00:33:34
Speaker
Do you believe in Korean beauty products or K-beauty stuff? Yeah, no, I think that a lot of them can be really great. I actually have just started watching Korean series, like TV series, and they're awesome. You of course look at the skin. I know, it's so good, so glowy, so dewy. That's dedication. That's like an umbrella when you're walking down the street all the time. But what I would say about that is, you know, I mean,
00:34:02
Speaker
Product cost. I feel like there are places to invest in products. I also feel like if you're looking at a sunscreen, it's not going to be as effective, I think. Some of them are effective. I'm down for a lot of drugstore stuff.
00:34:22
Speaker
I really like it, and there are drugstore products. Like Neutrogena, per se? There's a lot of them that I can get into, like we want to talk regimens. I just want you to give like some, I guess, affordable product that someone can buy. In general? In general, for like as a sunscreen.
00:34:37
Speaker
So I am actually a big fan of, okay, so critical, Neutrogena oil-free makeup remover. So you can basically come out of like a Halloween situation, crazy makeup day with like red, you know, matte red lipstick, matte black lipstick, crazy eyes, and that thing like gets them off immediately. Okay, so that's one I really like, basic.
00:35:02
Speaker
Um, I also really like, I'm a big fan of actually moisturizing all over, um, every day. Um, and so what I do is I actually use Cetaphil cream or Sarabay cream. Yeah. Um, and in like the jar. Yeah. Um, so that's one thing that I do. Um,
00:35:19
Speaker
And I've actually used Vichy sunscreen. Is it good? I actually really like it. And I use it actually in place of moisturizer sometimes. So I'll actually put it on the sun exposed areas instead of moisturizer. So that's something that I do. Okay, let's move on to some more.
00:35:38
Speaker
AM, which has sunscreen in it. The Sarabay products, I really like. Sarabay PM, I really like. Vichy products are also great. So they have a Mineral 89, which is a hyaluronic acid product, which is really great. L'Oreal Paris, they have a vitamin C that's great. They also have some moisturizers that are great. They're drugstore expensive, but affordable in that way. I got you, yeah. Yeah. So those are some that I really like.
00:36:08
Speaker
Oh, I appreciate it. One last thing about the SPF, because I am always getting confused about that too. They say lip balms and some lip balms that have SPF in it. Is that necessary, per se? Here's what I would do. You know why? Because some lip balms that has SPF in it, especially because some of them, I feel like I want to give it a try, but it legit tastes like SPF in your mouth. That is inherently the problem.
00:36:36
Speaker
which is really true. So I've had that experience where I've actually tried to use them and I've had that experience as well. One thing you do want to do is actually make sure your sunscreen is kind of covering this area. You can actually just put a layer of your sunscreen over your lips.
00:36:51
Speaker
Oh, okay. And then throw some lip gloss on top or whatever, blot it a little. Yeah. Because I find most of them really do taste like SPF. But again, make sure you get these upper lines because that also is where you're going to get collagen loss and those lines like this. Got it. So you want to make sure you do that.
00:37:10
Speaker
Yeah. There are situations where it is valuable. If you're going to be like in the water, for example, for a long time, I keep bringing about surfing. You look at these surfer's faces, even if they're young. Oh my God, the damage. It's so bad. I want to help you people, particularly the people I love. John-John Florence, I want to help you. Nate Florence, I want to help you.
00:37:34
Speaker
You know, Betty Lusicker Johnson, I want to be in there with you. Because, you know, there's so many things that you can do. But, you know, the lip damage also from the reflection of the water is significant. And that's a place where you actually can get skin cancers as well. Oh, that makes so much sense. But for the average person who's not in the water all the time, I would just actually rock your sunscreen over your lips, blot it a little, and then do whatever you're going to do on top.
Closing Advice and Contact Information
00:37:57
Speaker
Oh, that's great. No, that's a very good one. Okay. So lastly, what is like one piece of advice you would give to younger generation? So essentially like, I know this is like a very like loaded question, but like, so they can take care of their skin and they won't like, I guess, suffer the consequences later in life.
00:38:13
Speaker
Right, right, okay. So sunscreen topic again, you know. It's not a myth, you should use it. If you have a bad day and you miss it, okay, that's fine. But this is why it's critical to find something. Like if you're using like a BB cream, switch to like the tinted sunscreens that are really good. Like that color science sunscreen is gorgeous. You know, it's not too chalky in coloring, but it really looks, I'm actually wearing it right now.
00:38:41
Speaker
I love that. Find a sunscreen that works for you. You're getting out there and doing a little more sports, going to the beach, put a little more hardcore stuff on. The other thing is a lot of people don't really do things like vitamin C because it's an antioxidant.
00:38:59
Speaker
So you want an antioxidant that's going to kind of prevent environmental and UV damage. It also tends to really help with like, this is usually they won't say this, but it actually helps with like pigmentation. Oh, that's good. It really actually does. I mean, I was working with some of the people from L'Oreal and one of the person who works there from Paris, she kind of did some on one side and not the other. And I was like, wow, that actually really helped. It's a huge difference, right? Yeah. So that really works. So antioxidant.
00:39:27
Speaker
sunscreen. And then the other thing I would say is you want to just keep your skin like, don't like harsh it out by stripping it, by using something that is foaming and too hard for your skin and it's going to make your skin dry. Got it. Okay. So simple is fine, you know, like a vina. So you know, my routine is washing my face in the morning. Yeah. Water. That's it.
00:39:46
Speaker
Water. Okay. Yeah. Keep it simple. And then use like a hyaluronic acid if you want more like, you know, moisturization. Yeah. It's fairly simple. I would say especially if you're young and just like, you know, just do a little cute makeup, sunscreen, moisturize well, eye cream, you know, make sure you're using an eye cream. Yeah. Two that I really like. I really like SkinCeuticals A-G-E-I Complex. It's one that I like because it doesn't migrate into your eyes. Is that how you say it? This whole time I was pronouncing SkinCeuticals.
00:40:19
Speaker
So you could say sin-suticles, the sin of fixing your skin. No, skin-suticles. And they also have really good vitamin Cs. They've been doing that research forever. So that's actually nice. But again, there are multiple products on the market. So that's what I would say about it. Got it. Where can everyone find you if they want to get some recommendation from a dermatologist, especially if they are based in New York City?
00:40:45
Speaker
Yes, so you can find me at www.eringilbertmd.com That's where you can find me. There's a phone number listed there. You can email probably emailing is the best way to reach me and Yeah, you know I get back to people and I'm very
00:41:05
Speaker
I spend a lot of time with people, so I don't accept insurance. Sorry guys, but that's just my thing. But I spend a lot of time with people. I spend an hour to two hours with a patient because I feel that it's my responsibility to get to know them and that way I can actually provide them with what they need. Got it. Well, thank you so much for coming to the show. You're welcome.