Anti Aging Skincare Tips and Treatments From A Doctor

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Anti Aging Skincare Tips and Treatments From A Doctor
Tonia:
Welcome to the Smazy Academy show with Tonia Ryan and?

Doc :
Dr. Christopher Khorsandi, MD.

Tonia:
AKA, doc Vegas. Combined, the doc and I have over 30 years of experience in the medical and skincare industry.

Doc :
A lot of experience.

Tonia:
And we want to share our best practices as well as tips that we've learned from seeing thousands of our client's skin transform. In today's episode we're going to talk about anti-aging skincare tips from a doctor.

Doc :
Got to flex my MD today.

Tonia:
That's right. He's going to show off that PhD he's got.

Doc :
No, no PhD. That's a doctor of letters. This is MD, medical doctor. Very important.

Tonia:
MD, okay. I'm sorry. Yes. But plastic surgeons.

Doc :
So we went to medical school. Then I did my surgery training, general surgery. I went to U Penn, which is like awesome place. And then I went to the Cleveland Clinic for plastic surgery, to train. And then I went to Beverly Hills to go work with one of the best plastic surgeons in the country. And then I've been doing this for myself for quite a while.

Tonia:
That's amazing.

Doc :
So I've been over a decade of practice. So it's been fun. So far I've learned a lot throughout my career and there's some simple stuff I could share with you. You don't need an MD degree, you just need some common sense. But I will tell you, coming from me, these are things that have been scientifically proven to help you with your skin. So let's start out.

Tonia:
Let's start with the first one. The first one is super important for women mostly, some men do this as well. We were talking about sleeping with your makeup on.

Doc :
Absolutely. I mean makeup, it may be a necessity in your life, it may be something that you just put a light amount on.

Tonia:
I wear makeup every day. I love having my makeup on. I can't say every day. If there's a day I'm just staying at home and not going anywhere then no, but if I'm going out, I like to put a light amount of makeup on to look nice.

Doc :
Personally, I don't wear any makeup. It's not my thing, but if it is, if you're a guy and that's your thing.

Tonia:
Nowadays there's lots of, yeah. Guys are painting their nails. You're doing all kinds of stuff.

Doc :
It's an awesome time to be alive. You could do whatever you want and it's cool.

Tonia:
And it should be accepted.

Doc :
Yeah. So listen makeup is one of those things. It's like spackling over like little pores in your face. What you're doing every single day is layering on all these different pigments and carrier particles. It's different types of moisturizer bases, clay bases, uric acid bases. Makeup has a lot of different bases to it and you're just putting this on layer after layer on your skin. So if you want your skin to be healthy, it's an organ that needs to breathe. You're not a salamander. You don't breathe through your skin. You don't take up oxygen. But what we say when we want the skin to breathe, we want it to be open without any chemicals on it. We want it to be natural. We want it to have a time to rest.

Tonia:
Or your pores will just be clogged otherwise.

Doc :
For sure.

Tonia:
Another thing too, if you sleep with your mascara on your eyelashes will completely break off.

Doc :
Yeah, no. Mascara is one of those dangerous dirty makeups that could cause a lot of problems and people don't think about it. It could lead to folliculitis, which is an infection of the hair follicles at the corner of the lashes.

Tonia:
That's scary.

Doc :
It can cause an absolute eye infection. So it's one of those things that you really got to be careful with. But listen, do you go to bed without brushing your teeth? Do you?

Tonia:
Some people do.

Doc :
Do you? I mean really? So why would you go to bed without taking off your makeup?

Tonia:
Well, I think some ladies, let's say some girls, when they first start dating a new guy, they're afraid to take their makeup off at night. Or, they went out drinking, had their first experience together, and then they just go to sleep with their makeup on.

Doc :
Yeah, once in a while things happen.

Tonia:
So one time's not going to be a horrible thing. If it's every day.

Doc :
Extenuating circumstances to any rule, Tonia, right?

Tonia:
Sure, right.

Doc :
You want to feel comfortable. You're being intimate with somebody, you go home, I don't know. You don't want to get in the mirror and get out of the wipes, makes sense. If you do that every night folks, we got to do something about your lifestyle.

Tonia:
Yes.

Doc :
So there's something going on there. So if you're doing this every night where you're not taking off your makeup, why are you not doing that? Ask yourself that question. What is it that is a obstacle to your day that you can't spend five minutes of self-care?

Tonia:
And if you aren't taking your makeup off, then you aren't using the proper skincare products at night that you need, so when you're sleeping you can heal your skin.

Doc :
Oh yeah. You can't put your night regimen on. Everybody should have a night regimen.

Tonia:
I have several of them.

Doc :
Yeah. And what it is is that the skin's going to heal at this time. So you want to provide it with nutrients. You want to provide it with the power to heal itself. You want to give it the building blocks that make the skin heal at nighttime. If you sleeping with your makeup on, you basically, makeup is not a restorative compound. It's just not it's.

Tonia:
No, it's not.

Doc :
It's not bad for you.

Tonia:
It's basically just to make us look better.

Doc :
Yeah, but it becomes bad when you don't take it off. So find five minutes in your daily regimen to take care of yourself before you go to bed. I know, I get it. Listen, I get home sometimes, I've been operating for 14 hours.

Tonia:
Oh, you do get it. Okay, you do.

Doc :
Been on my feet the whole day. I don't want to check emails. I don't want to do anything. I want to eat some times and I go to bed. It's not the best thing. You shouldn't eat and go right to bed, but I got to get up the next day at 5:00 AM. Got to start the day all over again. So even in those times I still brush my teeth. I still get ready for bed. And you should take off your makeup.

Tonia:
I certainly do.

Doc :
Don't ignore yourself.

Tonia:
Let's do it.

Doc :
What's number two?

Tonia:
Number two is start using medical grade skincare in your twenties, if possible.

Doc :
Yeah, this was one of my things. It's easier to paint the house than to buy a new one.

Tonia:
Very very good example.

Doc :
Maintenance work is always, I think it'll save you from having to undergo procedures later on. Now I'm a plastic surgeon. I like to operate. It's a Zen like place where I'm at, but I don't want to have to operate if I don't have to. I prefer and again, I became plus surgeon because they really like making people happy, making people feel better about themselves. Giving them the confidence that they deserve. And if we can do that and keep that going for as long as possible without surgery, all the better.

Tonia:
But no matter what you do and how amazing of a plastic surgeon you are, if they aren't using proper ... Let's say you do a facelift on someone. If they aren't using proper skincare after that?

Doc :
Well, if they got to the point where they needed a face lift, there's a chance, even though-

Tonia:
Well, let's say they're in their sixties or seventies.

Doc :
But I've seen people in their sixties and seventies Tonia.

Tonia:
If they're using proper skin care who don't need it.

Doc :
Correct. Okay, so that's my point. You don't necessarily have to commit to a face lift in your life. There are other things that we can do. If you've taken care of your skin up to that point, up to fifties and sixties, and this starts when you're in your twenties. You can't play catch up. I see patients that come in, their wrinkles have wrinkles. And then they come in and say, "I only want 10 units of Botox. That's all I normally get at my other place." And I said, "For what?"

Tonia:
I have no idea how much 10 units is.

Doc :
For your left eyebrow. It's the tiniest amount. And so what I'm trying to say is that when you get so far down the road, the damage is done and you haven't up kept the place, you haven't taken care of your face. Then the type of work we have to do is far more extensive. But if you start in your twenties using different protectives, retinol type compounds on a regular basis.

Tonia:
Vitamin C.

Doc :
Vitamin C, things that are antioxidants, then yeah, you're going to accelerate your aging. If you're smoking, things like that.

Tonia:
That's not going to work. So it's like if you gained hundreds and hundreds of pounds and lost the weight, you might've lost the weight but you still have all the loose skin. So if you aren't using the right products out of the gate when you're younger-

Doc :
Now you got to start early.

Tonia:
You have to start early.

Doc :
How early? I usually recommend when people go through their changes in puberty. I think if you have acne at that time you can use some stuff.

Tonia:
Oh absolutely.

Doc :
I don't recommend kids.

Tonia:
Not using retinols.

Doc :
No, if you haven't gone through puberty, you shouldn't be using any of this stuff. So you really want to be in your teens, your late teens, when you start thinking about prevention. And 18, 19, okay, you can join the party, I think. At that point protection is important. At every age sunscreen is important. And when you get into 18, 19, 20 years old, you start to look for protective things like our Vitamin A compounds, Vitamin Es, our Vitamin Cs. Those sorts of things become very important, but I don't think you need them at a younger age than that.

Tonia:
You're correct.

Doc :
We may find out in the future that we do. And this is the thing about science, we're constantly exploring what the limits.

Tonia:
And learning new things.

Doc :
So 10 years from now, we may have studies that show, yeah, maybe we need to give kids as young as five, Vitamin C.

Tonia:
Well because that won't hurt their skin at all, the Vitamin C.

Doc :
It doesn't hurt. But the thing is that some of these products are formulated for adult skin.

Tonia:
You're right.

Doc :
And so you've got to be very careful with young kids that the stuff that you're putting on yourself, you're not putting on them. There are kid-friendly lotions and moisturizers out there. There are things that are hypoallergenic.

Tonia:
Yes, that have plenty of research behind them.

Doc :
And we'll talk more about that stuff. But preventative stuff, 20, perfect time to start, for sure.

Tonia:
So let's go on to number three. And number three, I think, is super duper important and that's not to tan your face.

Doc :
Oh my God. Well, let's not stop at the face.

Tonia:
The sun is a powerful thing. The sun is amazing.

Doc :
Let's not tan at all. Okay? The idea of tanning to me is like ... Spray tan, sure, no problem. You go out, you go on a Caribbean vacation, I get it. You want to lay out in the sun, that's good. You felt vitamin D, your serotonin.

Tonia:
It's the most natural source of vitamin D.

Doc :
You build up serotonin. It feels good. Actually, I love coming off the beach. I use sunscreen, but here's the thing. If you tan any part of your body, you're exposing your skin to free radical damage in the form of radiation.

Tonia:
So what about when you're on vacation and you're in Hawaii or in California?

Doc :
Awesome, take me along.

Tonia:
And you want to lay out and tan? There's nothing wrong with doing that here and there as long as you have a sunscreen on.

Doc :
Well you have to use sunscreen. I mean gone are the days where this is just an innocuous harmless endeavor. When you lay out, you're taking a risk every time. So it's a small relative risk without burning. But every time you lay out, every time you're exposed in the sun, you're putting yourself at risk for skin cancers, skin aging, sun spots.

Tonia:
Premature aging, all of that.

Doc :
Brown spots, premature aging. So yes, in very moderate doses, sun is important. We have to have it or else.

Tonia:
Most natural source of vitamin D. Increases testosterone, all of that.

Doc :
Yeah, increases testosterone, for sure. It makes you feel good. Your bones are stronger, but-

Tonia:
I feel it increases serotonin because around the sun you're just so happy.

Doc :
It does increase serotonin. No, it does. Well melatonin is a analog to serotonin and it's from the same family of chemical compounds, organic compounds. So they're analogous, they're called analogs. So yes, tanning, while not the greatest thing, is not something that you should do on a regular basis. And you certainly shouldn't be using any tanning beds.

Tonia:
Just be a sun worshiper and laying out all the time.

Doc :
Tanning beds are a massive no-no and in some countries they're outlawed.

Tonia:
Yeah, they've been.

Doc :
So you've got to be very careful. If you're using a tanning bed, you're just setting yourself up for problems down the road. And you may like that little brown, golden tan, but that's actually, you're paying a price. You're paying a very steep price for long-term skin problems.

Tonia:
So we have to be careful, for sure. So we've touched upon number four quite a few times in some of our other videos, but that's because it's so important. And we're talking about using a sunscreen.

Doc :
Yeah, absolutely. And there's certain types of sunscreens that are safer than others. Certain types that don't have any benzene type of skin products in it. And that's safer not only for your skin, but also for the environment. So we've learned-

Tonia:
Aren't those also a little bit of hormonal interrupters, I've heard?

Doc :
Yeah, for sure. They can actually cause a hormonal disruption of the estrogen cascade and the heart, and the testosterone estrogen cascade.

Tonia:
Well that's not good.

Doc :
And yeah, they can cause problems. And they can affect menstrual cycles, things like that. Environmentally some of these sunscreens actually kill and damage corals, which are so important to the marine ecosystem.

Tonia:
Little coral reefs.

Doc :
Yeah. Listen, I was born a very practical person, but if you ignore these sorts of larger picture things in the world, I think that we're burying our heads in the sand. And I think it's important that we recognize that the chemicals we put on our body, and we go into the water, are affecting the ecosystem around us. So we've got to be more responsible too.

Tonia:
Right, I totally agree with that. And that's a really good point to make. Okay, so the last one is boosting your collagen. And there's so many different ways you can boost your collagen, normally with a vitamin C serum, and then things like micro needling that you do in the office.

Doc :
Yeah. So like we talked about before in another podcast and a YouTube series, when we want to build collagen we can do it in a couple of different ways. We can do it with Vitamin A compounds. Vitamin C actually helps to strengthen those collagen bonds and acts as an antioxidant. And then we can do it through things that cause controlled damage to the skin, and that's like the micro needling pins.

Doc :
And so micro needling pins are like these little tiny, very sharp pins that go in one to three millimeters into the skin and they vibrate, they go back and forth. Some people use a roller. And the idea is that you're creating controlled damage to the dermis. And what happens is those little puncture marks need to be healed. And when they're healed, they close up and they fill in with new collagen and new elastin. So we can actually, on a medical grade level, we can do this with things like fractional radiofrequency micro needling, which adds another layer. We're doing mechanical damage. We're heating it up, contracting the collagen bundles and actually stimulating DNA repair through the use of energy. This is very cutting edge science. This is like awesome stuff. Radio frequency, micro needling is one of the best technologies I've seen. It's replacing a lot of lasers in our practice.

Tonia:
So do you use a vitamin C with that as well?

Doc :
Absolutely. We use a Vitamin C for quicker recovery, for decreasing the inflammation. We pretreat some patients with darker skin type with a little bit of pigment suppressor. And then we may use something like elastins nectar.

Tonia:
Which is great.

Doc :
Which is awesome preparing skin for healing process.

Tonia:
And do you think we can use that even after you're done with that? Like let's say, is that something-

Doc :
Oh that's a maintenance thing, for sure.

Tonia:
Yes.

Doc :
The elastin nectar is like one of those like awesome compounds.

Tonia:
The greatest. It's in the top.

Doc :
It's one of the top new things that we've seen in the last 10 years. It's awesome. It'll be around for another 20 years, 30 years. People are going to use this for generations.

Tonia:
Yeah. We have that at Smazy Academy and on smazy.com, and we can help you choose the proper skincare products that you need because it's so important.

Doc :
Yeah that stuff is gold, for sure.

Tonia:
So let's go over, just real quick, our top five again we had. For anti-aging skincare tips from a doctor, do not sleep with your makeup on.

Doc :
Take that makeup off.

Tonia:
Number two, start using medical grade skincare in your twenties, if possible.

Doc :
Use medical grade stuff, guys. Look, at the end of the day there's good stuff out, there is bad stuff, but most of the stuff that we have has been tested.

Tonia:
For years and years and on hundreds of thousands of women.

Doc :
Right. These are all dermatological tested compounds that are safe to use, and they're a step above what you're going to find in your pharmacy.

Tonia:
Exactly. And number three, do not tan your face whatsoever.

Doc :
For sure. Keep your face out of the sun, keep your body out of the sun as much as you can. Get some Vitamin D, but be careful.

Tonia:
Have a little fun at the beach, just not too much. It's like drinking.

Doc :
Live a little.

Tonia:
You can have a drink, but you don't need 10 drinks.

Doc :
No, no. Everything in moderation guys.

Tonia:
Okay, number four, uses sunscreen every day. And number five, boost your collagen with vitamin C serum.

Doc :
Yeah. The serums, and I've got to say the retin A compounds for sure.

Tonia:
Yes. Retin A which are in our retinols that we have as well. So thank you so much for listening to the Smazy Academy Podcast.

Doc :
We really appreciate your feedback. So if you go ahead and put a review in at Apple Podcast and screenshot it, go ahead and email it to us at [email protected] And what we're going to do is every month we're going to enter those people into a contest for $200 in free skin care products.

Tonia:
That's great. That's a lot.

Doc :
That's awesome.

Tonia:
That's awesome.

Doc :
We appreciate your feedback and we'll see you again soon.

Tonia:
Thank you.