Brown Spots, Bad Tans, and the B’s Beautiful New Laser

Bri (00:00:00):
Okay, here's my analogy. It took me a minute to think of it. It's like your post-op care. It's like if you're going to go and have surgery, but give yourself no post-op care, your post-op care is just as important. That was way better than the oil change analogy.

 

Dr. G (00:00:13):
Sure. Got it.

 

Bri (00:00:14):
Okay.

 

Dr. G (00:00:16):
You're listening to another episode of All the B's with me, Dr. G and my scrub tech, Bri. I have never once had a patient sit down and tell me she'd like to look more sun damaged. Facts. I mean, no one's come in and was like -

 

Bri (00:00:32):
I want to be wrinkly, sun damaged and want brown spots.

 

Dr. G (00:00:35):
I want more brown spots right here. Right here would be super. And yet we collectively spent decades doing it on purpose. And some of you are still out there tracking the UV index like it's a stock ticker. My kids do it already.

 

Bri (00:00:49):
Yeah. I was just going to say, bring Bella in here.

 

Dr. G (00:00:52):
Gen Z is like, the UV is going to be eight today. No.

 

Bri (00:00:55):
Yeah.

 

Dr. G (00:00:56):
So anyway, up to 80% of visible facial aging is the sun, not birthdays. So today we're getting into what actually you did to your face and what can be done about it. But first, some important celebrity news.

 

Bri (00:01:10):
I just want to say, you guys should have just been born a natural strawberry blonde because we don't have to track the UV index. We don't get to go outside.

 

Dr. G (00:01:17):
We don't tan.

 

Bri (00:01:18):
Yeah, you just have to protect.

 

Dr. G (00:01:19):
We burn. We don't care. We're covered up from head to toe.

 

(00:01:24):
Unless you're not. I will just say my roommate in med school was a redhead, pale, and she went to those tanning beds. And one time she went and some 14 year old was manning it. Stop. And she fell asleep in the tanning bed.

 

Bri (00:01:37):
This is like final destination.

 

Dr. G (00:01:39):
It kind of is. And she ended up in there for like 30 minutes. She fried.

 

Bri (00:01:45):
Oh my God, that's like a lawsuit right there.

 

Dr. G (00:01:48):
I know. We're stupid.

 

Bri (00:01:49):
That's terrifying. Yeah, no, I'm a 90 SPF. I don't even know if that works every 20 minutes. Yeah.

 

Dr. G (00:01:55):
That's what you need to do. The rest of us need to do it too.

 

Bri (00:01:58):
I've never once looked at the index, but I got my sister, your kids are coming. I'm going to go tan because the index is nine.

 

Dr. G (00:02:04):
Yeah. Stupid.

 

Bri (00:02:06):
Don't know.

 

Dr. G (00:02:07):
Okay. Sun damage is the only kind of aging where you can name the exact summer you did it to yourself. I'd love to say mine was 1997, but I was already pulling back from the sun by then. When I went to college, my mom's friend got one of these posters. There used to be these public service announcements that said, "Fry now, pay later." And it was this lady in a bikini on the beach, a super tan and oiled up. She sent the poster with Allison and we all had a condo in Myrtle Beach right after school to go hang out or whatever. And she made her put it on the back of the front door. So when we were leaving for the beach every day, we saw that fry now, pay later.

 

Bri (00:02:47):
You need to do opposite marketing and be paying later for your fry. There has to be something good.

 

Dr. G (00:02:56):
Oh here. Fry now. Pay later.

 

Bri (00:02:58):
Yeah. Finally paying for that fry, come get it lasered. I don't know.

 

Dr. G (00:03:04):
Are you still paying? Did you put it on the layaway plan? We want to see you. Oh my God. Okay. So let's deal with some important and slash depressing celebrity news.

 

Bri (00:03:19):
I feel like all the celebrity news is low key, really depressing. There is not a lot of good things happening with celebrities. My childhood, who I grew up with, Hayden died yesterday. I've watched her on everything.That's who I grew up with.

 

Dr. G (00:03:39):
It sucks.

 

Bri (00:03:40):
Heroes, Nashville, The Ice Princesses. And her co-star died last year, Michelle Trachtenberg, who's also an ice princess.

 

Dr. G (00:03:50):
Oh she was?

 

Bri (00:03:50):
Yes. I mean, this is just so sad.

 

Dr. G (00:03:54):
36 is ridiculously young.

 

Bri (00:03:59):
That's what people are kind of tying it into, the Lindsay Clancy trial because Hayden Panettiere had terrible postpartum and it kind of led to substance abuse and how they said women just need. I mean, that's kind of like what I've seen a lot on social media. Women need better care and regulating postpartum because then she went to alcohol and then it was other things.

 

Dr. G (00:04:25):
I feel like in her case, you have the postpartum depression, but you mix it up there with some child acting and it's just not okay.

 

Bri (00:04:34):
Yeah. She did -

 

Dr. G (00:04:36):
She's been acting since she was a baby.

 

Bri (00:04:38):
Yeah.

 

Dr. G (00:04:39):
So that's a whole other pressure cooker. It's really sad. It sounds like she overdosed. She's been struggling with depression and substance abuse and alcohol abuse her whole life almost.

 

Bri (00:04:53):
Yeah. She did a podcast a couple months ago on like -

 

Dr. G (00:04:56):
Yeah, because she just had a memoir out.

 

Bri (00:04:57):
Yeah. Some awful things and giving away her kid. She was only 36.

 

Dr. G (00:05:05):
Yep.

 

Bri (00:05:05):
And then Perez Hilton.

 

Dr. G (00:05:09):
Ugh. Also though, kind of reaping the benefits of being a jackass for decades, honestly.

 

Bri (00:05:14):
I don't know. I looked at the photos of him on that live and they were like, have you seen him?

 

Dr. G (00:05:22):
I mean, he looks insane.

 

Bri (00:05:24):
All cut up?

 

Dr. G (00:05:25):
I didn't see it.

 

Bri (00:05:26):
It was brutal. It was really sad. Whatever's happening is.

 

Dr. G (00:05:30):
Yeah, no, it's not good. It's just ironic.

 

Bri (00:05:33):
I never followed him. I don't really know what he did.

 

Dr. G (00:05:37):
He was mean.

 

Bri (00:05:38):
Oh.

 

Dr. G (00:05:39):
he was one of the original gossip guys. I don't think I've ever seen him. Kind of in a snarky, mean, judgy way. And so didn't really respect people's privacy, et cetera. But anyway, yeah, still wish him the best in recovery because again, he has kids and none of this is fair to family members, honestly.

 

Bri (00:06:01):
As his website starts posting again, what do you mean? Yeah,

 

Dr. G (00:06:04):
That's what I mean. You have to feed the machine, so I don't know. Better news, TMZ had a photo montage of Madonna who turned 68, who has stayed out of the sun her entire fucking life because girl -

 

Bri (00:06:18):
She is ghostly. She looks fabulous.

 

Dr. G (00:06:21):
But slay.

 

Bri (00:06:24):
Is that her right now? No.

 

Dr. G (00:06:27):
It's like a -

 

Bri (00:06:28):
Over the years.

 

Dr. G (00:06:29):
Mashup of over the years, but this girl has not missed a workout is all I'm saying. Her arms are legit through and through whatever she's been doing is. And I think whatever she's been doing has been working out like a beast forever.

 

Bri (00:06:48):
Speaking of not missing a workout, who worked out when they weren't supposed to after we laze at our faces? I'm sitting over here following all my post-op care to a T. If you can't see us right now, I look like I got run over by a truck or a charcoaled tomato on a grill. My face is swollen and red. We laze at our faces on Friday and it's like, "Don't work out. What does she do? Go to hot yoga."

 

Dr. G (00:07:14):
It was warm yoga.

 

Bri (00:07:17):
I've never been in warm yoga.

 

Dr. G (00:07:17):
I have to work out. I can't not work out. It's fine. I didn't do hot power fusion in my defense, which was on the schedule. Okay. And then I worked out a lot. I mean, I worked out Saturday, Sunday, and today I did not skip any days.

 

Bri (00:07:34):
The next day.

 

Dr. G (00:07:35):
I mean, I just got back from outside lands where I wasn't able to work out. That's true. But wasn't able to, just not physically able to get up before 11:00 AM to start all over again with my kids. So anyway. Okay. So I think Madonna looks amazing. I feel like she is a testament to skincare goals of making sure your skin's protected. She has definitely had plastic surgery. However, her ability to protect her skin over time has really helped her out. She's never been tan and you can see her arms stay toned. They're not super creepy. She just looks freaking good. She's looked insane here and there over the years when it's been overdone, but overall at 68, she's slain. She looks so good. And I will say Lindsay Lohan, who we've talked about before, also looks good, but I think in part because she's cleaning up her act, right?

 

(00:08:34):
She's taking better care of herself overall, that is a component, but because she's so fair, she's also been one to never really embrace the tan unless it was fake tanner, which we're going to get into later.

 

Bri (00:08:47):
I love me a fake tanner. And I feel like people are taking their skincare so much more seriously that it's stemming into other things such as peptide tanning and all these other crazy things you can do to tan and intranasal tanning, things I've never even heard of.

 

Dr. G (00:09:04):
So the peptide tanning, I'm going to say do or don't, absolute don't.

 

Bri (00:09:09):
What peptide is this?

 

Dr. G (00:09:11):
Melanotan, not very creative. Melanotan. Wow. And then there's melanotan too. As with all peptides, they're. Well, not all peptides, but as with all unregulated peptides, they're labeled for research use only. People are buying them off. You're not getting them from -

 

Bri (00:09:28):
Temu?

 

Dr. G (00:09:28):
Yeah. You're not getting them from your friendly med spa. You're getting them from temu, from some Chinese warehouse. This is giving steroids of the '70s where everybody went crazy and then it became illegal for reasons, because injectable testosterone and steroids unregulated is a disaster and has a lot of poor consequences. The melatonex or whatever the hell this peptide is, is stimulating melanin production in your skin, which you would maybe argue that because you're not doing it in response to UV, radiation is better, but it actually isn't. You don't want to kickstart your melanin cells for no reason, because if you have melanin cells that are prone to -

 

Bri (00:10:13):
Skin cancer.

 

Dr. G (00:10:16):
Melanoma. Yeah. So I feel like from a skin cancer, skin exposure standpoint, these medications are not great. They are stimulating your melanocytes, which are the cells in your skin that produce melanin or pigment. It is the equivalent of tanning as far as the laser is concerned. Remember, lasers in general are looking for a target and they're generally depending on the laser and depending how you're tweaking it, but most people are tweaking against brown, right? You're looking for sun damage and you're looking for brown against not brown, so paler skin, whether it's laser hair removal or it's resurfacing. So the lasers that we're going to talk about today, a lot of them, sometimes we're looking for red, but most of the time we're looking for brown. And if all your cells are putting out brown, then there's nothing for the laser to see. It sees it all as sun damage and now you're not getting the treatment that you want.

 

(00:11:10):
Also, if you have any cells that have the potential to convert to cancer, you're just revving them up and giving them the opportunity to do that. So I'm going to go with a hot no for the peptides that involve making you look tan. We did have one patient that did that who came through and it also looks weird after a while. I feel like just like anything else, you get tan and then you forget how you looked and then you keep getting tanner until you look like an oompa loompa.

 

Bri (00:11:39):
It was like an oompa loompa, but literally so jaundiced, like a yellow, like an unwell. It's like lip filler blindness. You just keep going.

 

Dr. G (00:11:52):
Or blonde highlight blindness where you get a few -

 

Bri (00:11:54):
No such thing.

 

Dr. G (00:11:55):
Well, you're blonde, but for me, I see pictures of where I had tons of highlights and I'm like, not sure what was happening there. But you get used to, you're like, "Oh yeah, a little more. A little more."

 

Bri (00:12:06):
A little bit more. I'd love to be tan. Not in the cards for me.

 

Dr. G (00:12:11):
Segueing into skin cancer-ish celebrity stuff. Carly Simon, who's in her 80s revealed that she had facial skin cancer surgery. She had a basal cell cancer removed. She also has Parkinson's. Basal cell is also a skin cancer that you get as a direct result of being exposed to the sun. I feel like the basal cell is the more minor of medical diagnosis she's going through right now with this Parkinson's. She's beat breast cancer in the past, back in the '90s, so good for her. But the basal cell, actually the effect it had, it was on her face. And so it sounds like she had surgery to remove it and it left a scar and it makes her uncomfortable going out in public. So depending on how large the basal cell is and the location, sometimes the surgery can be kind of extensive to get it all, and then putting everything back together is a bigger deal than you would imagine.

 

(00:13:07):
Most of the time, if you catch it early though, it's not that big a deal and can be treated with Mohs. So a procedure where they're just taking the cancerous cells and not any of the good surrounding tissue, and then you get somebody to come in and close that with some little flaps and stuff and it looks crazy and then the scars heal and settle down and it looks good and it's undetectable ideally. But yeah, the ongoing exposure can set you up for either squamous cell or basal cell cancer. And then we all know melanoma is definitely a no. We don't want to get that. So tanning is trending now as we just talked about. The younger generation is checking the UV index and I feel like tanning is always trending. It almost never isn't. People think they're going to look healthier. It's associated with looking thinner.

 

(00:14:06):
It makes you look more wealthy. It makes you look like you just got back from some vacation. It has status.

 

Bri (00:14:14):
Every time I get a spray tan, I automatically am five times hotter. I'm so much skinnier in my clothes. My clothes, I can put on the same outfit white and it looks terrible, but I get a spray tan and I put on the same outfit. I'm like a whole new bitch. Tanning is great.

 

Dr. G (00:14:31):
Spray tan.

 

Bri (00:14:32):
Spray tanning.

 

Dr. G (00:14:33):
Yeah. I don't disagree with that.

 

Bri (00:14:36):
Yeah. Just being tan just makes you feel so much better about yourself.

 

Dr. G (00:14:41):
I agree, but it should be spray tanner or self-tanning.

 

Bri (00:14:46):
I will always have. I have a spray tan membership. We don't want to go out in the sun, not with all the things that. I'm already trying to keep my face as young as possible. I can't go out and get all these wrinkles and sun spots.

 

Dr. G (00:14:57):
Yeah. I will say I grew up in Florida, so my progression from fry now, pay later was in my late teens, early 20s, protect the face. And I didn't go out and lay in the sun pretty soon after, in my late teens. I stopped doing that, mostly because I was just busy trying to become a doctor. But I did run and I wasn't good about putting sunscreen on my face. And so then in my, again, late teens, early 20s, I started applying sunscreen to run. That wasn't an automatic thing at the time for me, at least in my head. And then that got better, so I protected my face and then I realized my neck and chest were getting blasted. And so then probably the next decade, I was more careful about my neck and chest. And I have not been always super careful about my body, but I don't spend a lot of time, if any, laying out.

 

(00:15:57):
And when I do, I put a ton of sunscreen on. However, and I do love a good spray tan, you can see the sun damage I have from just being a kid growing up in Florida on my body. It takes its toll. You just are going to see more creepy skin. You start to pop up these crazy sun spots that come out of nowhere. I have one, my sister who laid out a lot more than I did has several more on her legs, like these dark spots that just pop up. It's a lifetime accumulation of sun damage. I see older women who come in and are like, "Treat this stuff on the front of my thighs." I'm like, "That is just kind of accumulation of aging and sun damage, and it's so much worse when it's sun damaged skin." We had a patient who was trying to do microneedling and all these treatments on her thighs, and then she'd get back from somewhere and I'm like, "Why are you so tan?

 

(00:16:55):
Oh, I was on another cruise," or, "I'm always on the river," or, "I'm always at the beach," or, "I like to kayak," or whatever it is. If that's going to be your thing and you're not going to wear sunscreen, then you're just kind of throwing money out the window on your arms and legs, honestly. Just cover that shit up then, because it's not going to get better. You need to be Madonna pale or spray tanned.

 

Bri (00:17:18):
I can't even tell you how many times I've heard my mom say she's now allergic to the sun because she lathered herself in baby oil her whole life growing up. She's like, "Now I can't even go out in the sun." And she is covered. Her legs are covered in sun spots.

 

Dr. G (00:17:33):
Yeah. It definitely, it takes a really long time to undo that. You can, you can be really aggressive with the BBL, so broad based light on the body. It works great. It works so well that you kind of have to transition. When you see some of the really awesome results on arms and legs, you have to pick somewhere to stop. And so people look crazy. They do their arms, but then there's this hard stop. It's sort of like you can see people, the person we BBL'd on Friday, you can see she's protected her chest except for this V of sun damage that hasn't been protected over a long time. And that's an easier thing to treat, but let's say your whole chest is sun damage, then when we do this cleavage area, then you're like, "Okay, but what about the..." You just keep working your way down. Yeah. Keep going. Got to figure that out. But yeah, I don't know why tanning is trending. It's not ever safe. You need 20 minutes of sun exposure per day so that you don't get a calcium or vitamin -

 

Bri (00:18:36):
Get your vitamin D.

 

Dr. G (00:18:37):
Vitamin D deficiency, but you're going to get that driving to and from work, honestly. It's fine.

 

Bri (00:18:43):
Yeah. Unless your car, I mean, windows are super tinted.

 

Dr. G (00:18:47):
I guess so.

 

Bri (00:18:48):
Mine are really tinted.

 

Dr. G (00:18:49):
I mean, we're in this office and we're constantly exposed to sun, honestly.

 

Bri (00:18:53):
That's true. You need the UV rays on you, not just the supplement.

 

Dr. G (00:19:00):
Okay. And then we have Hollywood icon to powerful skincare health advocate, Brooke Shields. So she describes having a pre-cancerous lesion diagnosed on her upper lip, which is probably in her case, honestly, pretty scary because - Was that her? That was her back in the day, man. Wow. Yeah. She was like Blue Lagoon.

 

Bri (00:19:22):
I don't even know what that is.

 

Dr. G (00:19:23):
It was a movie where she was like 14 or something in it. She was highly sexualized as a teen in her Calvin Klein ads and her movies. She turned out great considering. Anyway, so she had a lesion on her upper lip that required multiple treatments. I think it required multiple treatments because nobody wants to go in there and cut in on her upper lip. Her face is her way of making money.

 

Bri (00:19:50):
Your money maker.

 

Dr. G (00:19:52):
Yeah, that's her moneymaker. So she talks about a pre-cancerous lesion. I think it was actinic keratosis. So AKs and SKs are these kind of pre-cancerous brown, usually flaky spots sometimes, and they can show up on areas that have had max sun exposure. I actually had one on my back, which is an area, whatever. I'm not looking at it, so it doesn't get as much attention as the rest of -

 

Bri (00:20:18):
Is that the one you had Dave cut out?

 

Dr. G (00:20:20):
No, that was like a. I don't even remember what that was. I think it was a cyst or something. Yeah. Biggest scar ever. My husband, the general surgeon.

 

Bri (00:20:31):
Don't let a general surgeon close you.

 

Dr. G (00:20:33):
No, I had a SK or AK, one of those bad boys and our friendly dermatologist downstairs, shout out to Dr. Keel, K-E-E-L, at Pacific Dermatology just froze it off.

 

Bri (00:20:47):
Slay.

 

Dr. G (00:20:48):
Gone. It was kind of ugly. Anyway, she had one on her face, which is awful, upper lip. First, they biopsied it, which was smart to make sure it wasn't something worse. It probably wasn't that large. And then once they determined that it wasn't actual cancer, then they froze it off with liquid nitrogen. And then I think she needed another treatment to clean it up again. So the whole process between doing that and healing and healing again is a couple months and probably a little stressful if your goal in life is your face. But she's definitely an advocate for sunscreen and protecting your skin. And I think that's good. That's what we need. We need more people to talk about it.

 

Bri (00:21:31):
Yeah.

 

Dr. G (00:21:32):
SPF, which is on the flip side to the tanning obsession is SPF obsession. So everybody has their favorite SPF. What did you find that after a laser in your face, what did you put on it for SPF this weekend?

 

Bri (00:21:45):
I put the. Is it acidian?

 

Dr. G (00:21:49):
Oh, ISDIN?

 

Bri (00:21:50):
ISDIN. I was really close. I put that on because the SPF I wear every day is the Alumier, the moisture mat one, but it is really thick and tinted and I just felt like it was too thick to put on after a laser. So I used the ISDIN because it's 100% mineral sunscreen and that's what they told me to use.

 

Dr. G (00:22:08):
The clear, the non-tinted?

 

Bri (00:22:09):
Yeah.

 

Dr. G (00:22:10):
Yeah.

 

Bri (00:22:10):
Also didn't move from my bed, so I only put it on once. I really went with it and I took this whole weekend to, I've never woken up so late in my entire life and it was great. I was in bed for two days straight.

 

Dr. G (00:22:23):
That's awesome.

 

Bri (00:22:24):
Yeah.

 

Dr. G (00:22:25):
I need that in my life. Yeah.

 

Bri (00:22:26):
It was so nice. And then I was so inconvenienced when my kids asked me to take them places. I was like, "Can't you say I'm trying to nap? Go get me another glass of wine."

 

Dr. G (00:22:39):
ISDIN awesome. It's from Spain. We do like European and some of the Asian skincare products because they have. And Australia, honestly, shout out to all these countries that have different stringent. They allow other products into their sunscreens that filter out UVA, which the FDA doesn't currently recognize, but might be working on. And then they also have these band products that they don't let in skincare lines, which is interesting that the FDA doesn't regulate here. So Alumier is a great product. Alumier MD, because they're clean. They keep all the European banned ingredients out of their products and everything's clean skincare. That being said, they lean a little bit heavy on the botanicals, so it's probably good that you weren't using that. I put the Clear Shield made by them on my face post-procedure day one and felt my face light on fire. For the Halo Tri-Brid, you're supposed to not put anything on your face for 48 hours, which was hella impossible, except for CeraVe and Cetaphil.

 

(00:23:48):
And you don't even need sunscreen because you shouldn't be going anywhere, but I didn't play by it.

 

Bri (00:23:52):
Unless you need to go to warm yoga. Yeah.

 

Dr. G (00:23:54):
Or take your kids to the mall or do the other eight million freaking things I had to do this weekend. So Clear Shield I love is great and it is mineral based, but it does have a lot of even the MD formulas have extra stuff. ISDIN does too, but it actually was very lightweight and soothing.

 

Bri (00:24:14):
Yeah. It's so lightweight.

 

Dr. G (00:24:16):
It has anti-aging stuff mixed in with it, which is great, generally speaking, when you're putting it on sunscreen, but post-procedure, you want to make sure it's a clean version that you can tolerate. And so I would say that ISDIN is the way to go for that. And then after that, you need to use a sunscreen that you can use. I also had a sample of the Elastin 30 SPF, which was also easy on my skin too in those first two days. So something that's not harsh is probably helpful. And when they start adding a bunch of other nonsense in it, then it ends up being really hard on the skin. I'm going to say EltaMD, which usually comes up as a popular sunscreen, is also very safe, but it has so many different formulations, so you just have to find one that works for you.

 

Bri (00:25:05):
Oh, I didn't realize.

 

Dr. G (00:25:06):
I mean, it's fine. There's just -

 

Bri (00:25:07):
People say it's like a cult following. People love that shit.

 

Dr. G (00:25:12):
That's what they make. So there's 800 versions of sunscreen, so you can find it kind of overwhelming. And then outside the US, like I said, there's Australian brands. They have a very high rate of melanoma in Australia, and they take sunscreen very seriously. They have a lot -

 

Bri (00:25:29):
Obviously not if they have a very high rate of melanoma.

 

Dr. G (00:25:31):
Well, they've pushed a public health campaign. They are close to the sun. People are fair there. So they have been aggressively combating that with educating. And I think people there are much more aggressive about putting sunscreen on their kids and wearing sunscreen, and their sunscreens are usually mineral based, which we know is an effective blocker. And then Asian skincare products generally have great sunscreen options too. So I read in this one article that talked about the new SPF obsession is this one dermatologist talks about how her husband doesn't like to put sunscreen on his legs when they're outside at the beach or whatever, because it gets all sticky and in his hair. And so he uses the spray stuff. We know the spray stuff isn't as effective as the cream, but you have to go with what you're going to use. So anything is better than nothing.

 

(00:26:31):
And certainly there are goals for how much you need to use, how often you need to reapply, what other sun protection things you can be doing, but just use something that you like, doesn't make your skin break out. If it offers something like tint to make your skin feel better, that's great too.

 

Bri (00:26:50):
My kids would never sit there and let me rub on - Sunscreen. Sunscreen on their bodies. I will spray them down and they'll fight me as I'm spraying them. Peyton and I went to the beach the weekend before, and even while she's tanning, I'm sitting there spraying her while she's not looking. I'm like, "Come on, girlfriend." She still ended up. I mean, I sprayed her every 40 minutes, but my son won't even wear. My son's samoan, so he won't even wear sunscreen. He doesn't care. He's like, "I'm brown. Let me be brown." I'm like, "Whatever."

 

Dr. G (00:27:23):
Brown and wrinkly. Okay. So when someone says, "I have sun damage," what are we looking at when we see their skin? I'm looking for brown, right?

 

Bri (00:27:34):
Brown little sun spots.

 

Dr. G (00:27:36):
And then wrinkles?

 

Bri (00:27:38):
They're leathery.

 

Dr. G (00:27:39):
Yeah. I mean, not

 

Bri (00:27:41):
Depending on how old you are. Sometimes you come in and they want to look like they're pre sun exposure 50 years ago.

 

Dr. G (00:27:50):
Right. I would say sun damage comes with, generally speaking, texture problems, brown spots, wrinkles. And then the one thing that tells me you've had a lot of sun damage, to be honest, and this is generally speaking in fairer patients, is white spots. So hypopigmentation from terrible burns. I have a white spot from a burn where I burn my arm on the oven, like seared it, honestly. So it's permanently hypo pigmented.

 

Bri (00:28:29):
Oh.

 

Dr. G (00:28:29):
Yeah, because I just took out all the cells in that area. It was a pretty bad burn, but I've seen patients that have. It's usually not on the face. It's on either the lower jawline or on the neck, and it's from really bad sunburns, and they have these little white spots where -

 

Bri (00:28:46):
I've seen some of those. Yeah.

 

Dr. G (00:28:49):
That's sun damage that got so bad, your skin just gave up. It stopped producing melanin there. That's not a good sign.

 

Bri (00:28:57):
Yeah. We don't want to live here no more.

 

Dr. G (00:28:59):
In addition to the sun spots, the freckles, all the other things, your collagen and elastin is already slowing down starting at the age of 35, but your production's going down, but now you're just causing it to be more damaged, and because you're not producing as much, those two things together cause you to age faster.

 

Bri (00:29:21):
We don't w

 

Dr. G (00:29:22):
ant that. Someone says sun spots, age spots, freckles, melasma, they're not all equal. Melasma is usually heat related or hormonal related, and heat usually makes it worse. So melasma, we do treat differently. So we like the Sciton BBL for sun damage. For melasma, it's a no-go because you're using heat and this intense pulse visible light to target the sun damaged skin cells and pull them up, but that heat will trigger a flare melasma. Melasma. Melasma is a bummer of a diagnosis, honestly, because a lot of things that could be used to treat it, chemical peels, radiofrequency microneedling, laser, IPL or BBL, all induce heat, which then triggers melasma. So you have to find something that's not going to be as strong in terms of heat or an oral or topical treatment. So we know that TXA is effective as a topical treatment. You can use HQ, hydroquinone to kind of reduce your melanin production prior to doing a treatment.

 

(00:30:40):
That also helps hand in hand. And then you can take oral TXA or use it topically on the skin to also help kind of dampen the amount of melanin that's coming up so that you don't have that flare. It usually presents as what we call the mask. So mask of pregnancy, you can get sort of across your cheeks, but sometimes people just get melasma on their upper lip or somewhere else. It can be really stubborn and hard to remove. And just like anything else, you can undo it pretty quickly, more so than a lot of other things. So you go to a hot yoga class or you step outside in the sun for 10 or 15 minutes and your melasma re-flares. So it's a little bit more stubborn than sun spots, for example, to treat and take care of.

 

(00:31:32):
Sun damage, same thing though. If you have a ton of it or decades of it, when we treat with BBL, for example, we usually recommend a series because first we got to find out what your skin can tolerate. We don't want to overdo it on the first time. And then as your skin gets a little bit healthier, the superficial pigment is the stuff that comes off first. And then the other nonsense that's been hiding in there will start to rise to the surface. And so sometimes spots you didn't know were there will come up over the course of a couple treatments. And so that's why you need three to five treatments to really get an effective result and then maintenance after that.

 

Bri (00:32:11):
But we do have a laser here that you can use for melasma, right?

 

Dr. G (00:32:16):
Right. That's the Moxie. So I would stay away from BBL, right? But the Moxi is a superficial laser, non-ablative, fractionated laser. And it's designed to treat both melasma and texture and superficial pigmentation. And so it's a great treatment for the younger population or for people with melasma. But like I said, with melasma, you also have to be cognizant of staying out of the sun or hot stuff and treat your skin properly. It's not like, "Oh, here's this Moxi, we're just going to do this. It's going to fix your problem." It's sort of like acne. It's like an ongoing problem that needs both maybe systemic treatment, but also daily topical regimens, something going on. It just isn't like one laser and you're done. But Moxi itself is a great standalone treatment. We had the Tribrid, which is basically combining the old school halo with the Moxi. So you're getting three wavelengths, three lasers in one sitting.

 

Bri (00:33:15):
Yes.

 

Dr. G (00:33:16):
We went hard on Bri because we could -

 

Bri (00:33:19):
We wanted to look like we were 12.

 

Dr. G (00:33:22):
Yeah. And we went less hard on me because I didn't want to blast my face necessarily, but it still is making an impact for sure. I was hot for a couple hours afterwards, right? You feel like you're radiating heat for a minute.

 

Bri (00:33:43):
I'm just itchy. I'm so itchy. Yeah. All I want to do is scratch my skin, which is the biggest no-no.

 

Dr. G (00:33:50):
Yeah, you do not pick at it.

 

Bri (00:33:51):
But it's itchy.

 

Dr. G (00:33:53):
So there's a couple things you can do if you're itchy after a laser. You can do soaks with either vinegar soaks or hypochlorous acid soaks, or we have a ZO post-treatment soak.

 

Bri (00:34:08):
I'm about to put that on.

 

Dr. G (00:34:09):
Yeah. You can also put a balm on, so not quite Aquaphor, but some people could do that. I feel like it'll clog up your skin if you do Aquaphor.

 

Bri (00:34:19):
I was afraid to put anything on.

 

Dr. G (00:34:21):
Yeah. Well, because the trainer was such a like -

 

Bri (00:34:26):
Don't do anything.

 

Dr. G (00:34:27):
Hardcore.

 

Bri (00:34:27):
So I was like, okay, won't touch.

 

Dr. G (00:34:30):
I think what my understanding is with the Halo Tri-Brid is that when it first came out last year, since this is new technology of combining these three lasers in one, is that people went ahead and treated it like you normally do laser, which is we're going to put all this magical shit on your face in the immediate 24 hours like exosomes and skin nectar and all these great skincare products. And what happened is people got dermatitis because the three lasers are hitting at different surface levels. So one's hitting at the epidermis, one's hitting at the mid dermis, and one's hitting deep dermis. And you need to be able to let all that heat escape. And so anything that you put on your face that's occlusive, which we normally would do, some sort of Aquaphor or Biogel or anything that's trying to keep the moisture in is also trapping the heat in and people who are having reactions.

 

(00:35:26):
So now they've taken the stance to not put anything on your face for 48 hours. And I even sat in a webinar where this dermatologist was like, "Quit asking me if you can use this product line or this product line or this product line. It's CeraVeve and Cetaphil, that's all you get." And then sunscreen after that. And again, something mild. But I think after two days, you can start putting on the more occlusivey balm and it's not going to be problematic and it will help with the itching. So I like personally, you can do Aquaphor. It's fine. I like Stem Biogel by Antiage. That stuff is really nice. That can also be helpful. And then not picking it because your face feels dry and scratchy.

 

Bri (00:36:12):
And really tight if you're as swollen as I am.

 

Dr. G (00:36:15):
Yeah. And I feel like the paler you are, generally speaking, the more swollen you are.

 

Bri (00:36:20):
Oh yeah, you should have seen me yesterday.

 

Dr. G (00:36:25):
Yeah. I mean, for hardcore CO2 laser treatment, sometimes I would prescribe people steroids. I try not to do that because it's a systemic issue, but sometimes people really do puff up as we've seen. Yeah. Okay. I did not have melasma when I was pregnant, but I can't imagine. You're too pale to have it. It can be a hormonal situation and sometimes it can go away after pregnancy and sometimes it sticks around. Thank God I never had it. It does behave differently from everything else because I feel like for the longest time there hasn't been that much, not research about it, but not that much we could offer people for treatment and a lot of mystery around what was happening and how to fix it and why some people get it and some people don't. It is very similar, I think, to post-inflammatory hyperpigmentation, which is something that I am prone to. So if I get a scar or a scratch, that area is going to be darker than my surrounding skin. That's called post-inflammatory hyperpigmentation. I actually have from Coachella in April, I have this blister or I have this spot on my leg that is so dark still. It's finally fading. So months ago where I had a blister on the side of my leg from the boots I was wearing and then

 

(00:37:51):
I sort of ignored it and then it probably got sun exposed the next day with a different shoe. Then I finally started putting a hydrocolaid patch on it, but it's still darker just from the trauma of the blister and it'll be there for another year, I guarantee it. So post-inflammatory hyperpigmentation is also a drag. You can reduce your risk of getting it by pre-treating your skin with something that suppresses melanin. The gold standard, which is controversial, is hydroquinone. We know it works. The problem is that if you're on it chronically, you can get rebound pigmentation, so that's a no-go. And it's one of those products that's banned in the UK because of a potential for carcinogenic properties, for cancer causing properties. I don't think that's been played out, but some people won't use HQ. It's hard to find in products now. I feel like ZO is one of the last people to have it in their product line.

 

(00:38:50):
You can get it compounded. Anyway, it works. It suppresses melanin in the skin. And so then if you then laser the face, since there's less melanin happening, your risk of getting pigmentation, hyperpigmentation due to the heat of the laser is drastically reduced. There are other good substitutes for hydroquinone. And so those products are in every skincare line has a proprietary lightning product, every major line. And it's usually some botanical plant-based situation, but cogic acid is a classic one, right? But every major line has something that's kind of a lightning product and that you can use in lieu of the hydroquinone just so that your skin is a little bit suppressed and produced. It's not ready to go as soon as it gets heated by the laser to pull up hyperpigmentation. So that's important. And I think what's important is that you need to be doing that for at least two weeks before your laser treatment, ideally four to six weeks to get some cells turning over before you have the laser.

 

(00:39:57):
And this is America. We're not very patient. We're like, "You want the laser when? We want it now."

 

Bri (00:40:02):
America, baby.

 

Dr. G (00:40:03):
So I think the best plans and what we're going to kind of shift to at Restore is having a membership. Okay, this is your skincare plan and then we're going to hit it with a laser here, here and here. And then more maintenance with skincare. You would not want to jump into the Halo Tri-Brid with no background anything. If you're able to, you should be doing a series of BBLs first to prep your skin and then you'll get the most out of the Tri-Brid and also have the right skincare products. It doesn't have to be complicated. It just has to be something that's helping turn over your skin. So it's like, I'm going to do a deep clean of my teeth at the dentist for a couple thousand dollars. I'm not, but I'm just saying sometimes they offer, do you want this deep clean situation? And you're like, okay, but I'm not going to go every three to six months to get my teeth clean and I'm not brushing my teeth every day. That makes no sense. You need to do those other two steps first and then you'll get the most out of the deep cleaning. And I feel like there's other analogies as well, but that's the one I usually harp on. You want to make sure that you're getting your oil changed or whatever before your car breaks down completely.

 

Bri (00:41:22):
You know my analogy with the oil change.

 

Dr. G (00:41:26):
Get somebody to do it.

 

Bri (00:41:29):
I don't remember what it was, but it was on a podcast and they made a clip of it and I just sounded like an absolute idiot. But I mean, yeah, I don't know. That's really kind of out of my -

 

Dr. G (00:41:40):
You just need to do it.

 

Bri (00:41:41):
The car he beeps at you.

 

Dr. G (00:41:44):
Yeah. Don't wait for the engine failure light to go on.

 

Bri (00:41:47):
Yeah.

 

Dr. G (00:41:49):
Yeah. And then is there a point where damage is too far gone to treat? No. However, you have to have the appropriate expectations of what you're going to gain and it's going to be a longer, slower road to get improvement. I mean, sometimes people with really bad damage get kind of a wow factor, but I do think they need to prep the skin first.

 

Bri (00:42:08):
Yeah. Okay. Here's my analogy. It took me a minute to think of it. It's like your post-op care. It's like if you're going to go and have surgery, but give yourself no post-op care, your post-op care is just as important. That was way better than the oil change analogy.

 

Dr. G (00:42:23):
Sure.

 

Bri (00:42:23):
Got it. Okay.

 

Dr. G (00:42:25):
Okay. And then a spray tan, although it doesn't count against you in terms of sun damage.

 

Bri (00:42:32):
Have you remember What's Her Face? The comedy skit on Netflix? What about the labias and the spray tanning and the acrylic ladies?

 

Dr. G (00:42:43):
Oh yeah.

 

Bri (00:42:43):
And the nails. Nikki Glaser. Yes,

 

Dr. G (00:42:46):
Nikki Glasser.

 

Bri (00:42:47):
Yes. And her whole spray tanning thing and nail thing and we're just all going to end up dead from the fumes anyways.

 

Dr. G (00:42:53):
Oh right. Yes, because we're sucking in the spray tan, the acrylic, whatever's on that eyelash glue.

 

Bri (00:43:01):
You're like, we thought they all wore masks because they're like Vietnamese or whatever. They wear it because they know they're going to die, like the chemicals in it. They can't breathe that in, but you, you're fine. They don't care about you.

 

Dr. G (00:43:10):
Spray tan girl wearing a mask too.

 

Bri (00:43:12):
Yeah.

 

Dr. G (00:43:13):
Now that you talk about it. Yes. So spray tan doesn't count against you in terms of creating sun damage. I'm actually a big fan of spray tan, but you cannot put tanning drops or spray tan on your face prior to a laser. It makes the laser stupid. The laser doesn't know that that's spray tan and not an actual tan. And so you have to be tan free for two weeks. And I feel like that one was a hard one for me to wrap my head around in this recent training because I hadn't really thought about it and it hadn't been as like everybody's doing it. 10 years ago, that wasn't part of laser training because I don't know, nobody was doing spray tans as. I don't know. It's really popular, at least in Southern California. People have tanning packages. They have the self-tanner. They don't even think about it anymore.

 

(00:44:00):
The stuff that you put on your face, if it has some sort of glow up or whatever, you cannot have that on your face prior to doing a laser because the laser doesn't know that it's spray tan. It just thinks it's tan and it can't treat the skin effectively. We did talk about hydroquinone a little bit. I talked about why it's the gold standard. Transamic acid or TXA is also very effective for pigmentation. Systamine and azyleic acid and cogic acid are all really good at fighting sun damage and brown. I will say systamine is good and effective. Similar to HQ, it really stinks. It doesn't smell good. And that's why I feel like people. So if you do HQ, if you just get the generic hydroquinone from the pharmacy, it kind of smells bad. And I've tried it before, the generic form and not been able to be compliant with it.

 

(00:45:01):
And systamine, I have trouble pronouncing it, but anyway, it's the active ingredient in Syspera, which is a product that's available, also doesn't smell great. And so you're supposed to put it on your face, leave it on for 15 minutes and wash it off, but it is really. Again, you got to find something that you can use and that you can be consistent with. HQ, the ZO version, totally nice. Nice product because it's been put in a carrier that's effective and smells good. And a lot of times you can mix it in other things that have other properties. So you could do HQ, I guess, and TXA if you compounded it. TXA is usually an additive in some skincare lines too. It's good topical. It's certainly not going to hurt. Again, you can add in just like vitamin C, which is a potent antioxidant. Everybody reacts to every single one of these products differently. Vitamin C makes you break out, right?

 

Bri (00:45:59):
Yeah. I'd love to be able to use it.

 

Dr. G (00:46:02):
So if it's not something that works for your skin, it might be not the actual active ingredient, although vitamin C, it usually is, but it could also be what it's in, what the carrier is in, or what a lot of times, again, even with the medical grade skincare, we don't just do vitamin C. We do vitamin C and E. Vitamin CE and ferulic acid is a popular one. Vitamin C and TXA. It's always like some combo and then they add a bunch of botanicals in there and maybe a peptide because you're trying to do as many things as possible with one product and you might have a reaction to any one of those products. So trying to figure out what it is is important, but also finding something that your skin's going to tolerate. Vitamin C is real. It's very unstable. So I don't waste money on things that come over the counter or at Sephora because they're not required to tell you what percentage of vitamin C is in their product.

 

(00:47:03):
So it could be a whisper, what they call angel dusting or something. They just put a tiny little bit in and then they can say there's vitamin C in there and it might not be a shelf stable version. Personally, like the liquid version that it has to come in a dark container because it's also very sensitive to light and will break down with light. So it's usually clear and it starts turning brown, not as effective. So Alumier MD, which we talked about, has vitamin C where the crystals are kept in the top of the vial and when you're ready to use it, you pop it and mix it in with a solution and then you put that dropper of that on your face every day. Really nice and that should last you a month. ZO also makes a cream based one. It's very stable and looks good and smells nice, but yeah, they can be a little harsh.

 

(00:47:54):
I think patients get consistently wrong that it's going to be some magic eraser because the before and afters are always amazing, but it's at least three months of consistent use, sometimes longer.You should never use any of these products without using sunscreen because otherwise you're just undoing your damage. And yeah, make sure that you have somebody educated helping you figure out what exactly you need to put on your face and when. And you can discount some of the other stuff like toner, exfoliating, facial wash, but a lot of those products, especially the medical grade stuff, have science behind it. So the toner especially is setting the pH of your skin so that the next active product you put on is going to be effective. The face wash can also be doing that or is removing pollutants. Exfoliation is important because if you're applying expensive stuff to your face, but you're not exfoliating, it's just sitting there on the top of your skin and not doing anything. So all of those things are critical. It's just finding a regimen that you can manage.

 

(00:49:07):
And then about sunscreen, mineral versus chemical. I mean, I'm team mineral. I just don't do chemical, period.

 

Bri (00:49:18):
Period.

 

Dr. G (00:49:20):
Chemical is having a reaction on your skin and mineral is just blocking and I think it's just the most effective sunscreen. It's safe for the reefs in Hawaii and I think it's important. And then you should be applying a nickel size amount and no SPF in your makeup is not enough. If it's built into your makeup, it's helpful, but there's no reason not to put a layer of SPF on your face and then get your makeup.

 

Bri (00:49:51):
Agreed. Speaking of our faces looking wrecked, what just erected in our office?

 

Dr. G (00:49:57):
So we have the Sciton Jewel platform. It has the heroic, so the broadband light based laser, which like I said, we usually do in a series and can tackle pigment and sun damage and just overall make your skin look better. And then it also comes with, we have the Tribrid. So that's what used to be known as the Halo plus the Moxi, and it's adjustable. So you could do the Moxi alone or you could do the Tribrid. There's really no reason to just do the Halo. For most people, if you're going to invest in a really intense laser, I would do the Tribrid. It's synonymous with the. It's like a Halo Plus and you could stack a BBL with that, but I feel like that is not for. I should have done that. That's not for your first timers. So that's a varsity move on somebody that's been doing consistent laser treatments and has a consistent skincare regimen.

 

(00:50:57):
Yeah. We're really excited to offer it.

 

Bri (00:50:59):
So excited.

 

Dr. G (00:51:00):
And excited about getting some kind of glow up results with our patients because they've been asking for it and now we can offer it.

 

Bri (00:51:08):
I know. And there's so many other lasers on the market. What made you go with the Sciton versus.

 

Dr. G (00:51:14):
Oh, some of the other platforms?

 

Bri (00:51:16):
Yeah.

 

Dr. G (00:51:16):
Sciton's been around for a long time and it has consistently delivered great results, yet it hasn't sat back and been like, "This is what we're doing." They have been modifying and tweaking their systems and they're constantly making it better. And this is their latest iteration of that. I think that's amazing. The Moxi, I almost bought the Moxi itself two years ago.

 

Bri (00:51:42):
Is that a standalone laser?

 

Dr. G (00:51:44):
It was. I mean, it still could be if you have that platform. So they had the Halo and they've always had the Halo and they've had the BBL, what they call the heroic or the hero BBL hero. And then they made it heroic because now it's got that sensor on it that really makes what we know as IPL just so much smoother and faster and more efficient, honestly, because old IPL, you were like beep, beep, beep stamping someone's skin. Now this one, you can move and the laser is smart enough to fire when it needs to with the percentage of overlap you plug in. So anyway, so they had those two things and then they added the Moxi, which was the superficial. It was addressing melasma. It was treating this niche of problems that we've seen very like a superficial laser wavelength. And then they got the bright idea of like, well, let's create some way to put all three, the halo, which is two wavelengths and the Moxi together, and they call that the tribrid.

 

(00:52:50):
And so now you're getting, like I said, those three levels of your skin hit in one treatment, which is -

 

Bri (00:52:56):
I love that. If we can send Katy Perry to space, we can create a laser with all three settings.

 

Dr. G (00:53:02):
Yes. I mean, you're going to feel it, just like the Halo was notorious for having some downtime, but it really is amazing technology and it's great. And then you can pull it apart and do the Moxi. And so I heard about the Moxie when it first came out and I looked into just getting it on its own, and then we kind of went back and forth and then maybe the BBL and I dragged my feet for as long as I did. And now we are able to get the best, the culmination of all of that, which is great. But the Moxi was, like I said, as a standalone treatment is great for like we did Ava's face, someone young with great skin who just wants a little glow up, do a series of Moxis and you're really going to kind of start prepping your skin for just being its healthiest version over time.

 

(00:53:48):
Because you look at her and you don't think, "Oh, she has sun damage." She doesn't really. She's been taking good care of her skin for a long time.

 

Bri (00:53:55):
Is there an ideal patient for this, let's say the Tribrid or a patient that's not a candidate for it?

 

Dr. G (00:54:02):
The ideal patient for Tri-Brid is somebody who has sun damage and wrinkles and really wants to address some combination of that. So I would say older patients are probably better candidates for the Tri-Brid as long as you've been doing something to your skin. And if not, we can get you to the point where you're ready for a Tri-Brid, but somebody who's going to commit to. You can have sun damage, but you need to commit to taking that improvement and protecting it. You want to protect your investment.

 

Bri (00:54:30):
Yeah. And have you done the Tribrid before?

 

Dr. G (00:54:33):
Not before this, no. Yeah. I've done a CO2, which is a different technology, fractionated CO2, but it's been a while.

 

Bri (00:54:41):
And what's the difference between the two?

 

Dr. G (00:54:43):
So they're different lasers, different wavelengths. So a CO2 laser is 1064. It's fractionated. All of these are fractionated, meaning they're aerating the lawn, they're not mowing the lawn, so they're not just shaving off the top layer of skin. Most laser technology today will do the poking holes, and then you can control how tightly spaced the holes are being poked. When we see people in La Jolla that had the old school ablative CO2 before it was fractionated laser, you'll notice there's not as many of them around anymore, but they have that really waxy skin appearance that's from the ablative laser. They used to take you legit two weeks to heal from. So fractionated because it's just poking holes in the skin allows the surrounding non-damaged tissue to help it heal. And so that's why the healing time's a little bit faster and also your skin doesn't look as weird afterwards or weird at all.

 

(00:55:43):
But that waxy appearance, that was from the old school ablative CO2 laser. So they have a 1470 diode, a 2940, and a 1927. Those are the three wavelengths of these lasers that are combined in the tribrid.

 

Bri (00:56:00):
It also has this skin tite, which I'm really excited about because I'm just going to be in there lasering my body. I'm going to be so tight and right, which I'm super excited about.

 

Dr. G (00:56:11):
Yeah. So the skin tite function is attached to the BBL and it's a visible wavelength and it's basically we're heating up your skin a little bit to tighten

 

Bri (00:56:21):
It's hot.

 

Dr. G (00:56:22):
Yeah, it gets hot.

 

Bri (00:56:22):
We did my knees on Friday.

 

Dr. G (00:56:24):
So yeah, we are excited about offering that.

 

Bri (00:56:26):
I'm about to have the sexiest knees you've ever seen.

 

Dr. G (00:56:30):
We're going to be offering that. I think it's great for neck and it's also good for knees, elbows, booty. We'll be doing it on the booty.

 

Bri (00:56:37):
I'll be doing it for my little bat wings. Abdomen.

 

Dr. G (00:56:42):
We're excited about that as abdomen.

 

Bri (00:56:44):
Yes. I am excited to try because I have more loose skin on the top than I do the bottom.

 

Dr. G (00:56:51):
Yeah.

 

Bri (00:56:51):
I'm going to see how it fares. I'll give you my honest feedback, Sciton. I always do.

 

Dr. G (00:56:58):
Yes.

 

Bri (00:56:58):
The reps love my feedback.

 

Dr. G (00:57:00):
Yeah. We tend not to hold back on that.

 

Bri (00:57:02):
Yeah. Okay. Let's rapid fire this.

 

Dr. G (00:57:06):
Okay.

 

Bri (00:57:06):
Myth or reality. You can't get sun damage through your car window.

 

Dr. G (00:57:11):
Oh, we already discussed that. 100% you can.

 

Bri (00:57:14):
Darker skin doesn't really need sunscreen.

 

Dr. G (00:57:16):
That is not true.

 

Bri (00:57:18):
Sorry, Trevor. A base tan protects you from burning.

 

Dr. G (00:57:21):
Oh my God, no.

 

Bri (00:57:23):
SPF 100 is twice as good as SPF 50.

 

Dr. G (00:57:26):
Absolutely not. It just tells you how long you can be in the sun before you need to reapply.

 

Bri (00:57:30):
Oh, is that what it means? Oh, I didn't know that.

 

Dr. G (00:57:36):
Also, anything over 50 is redundant because it's blocking 90% of the wavelengths.

 

Bri (00:57:43):
I just didn't realize that that was the time.

 

Dr. G (00:57:45):
No, it's not an actual time. SPF 30 isn't 30 minutes, but it is loosely correlated.

 

Bri (00:57:52):
No wonder if pain keeps getting burnt. Cloudy days are safe days.

 

Dr. G (00:57:56):
Not safe days.

 

Bri (00:57:57):
Sun damage can be completely reversed. That baby oil did a number to you and Diddy. All right.

 

Dr. G (00:58:09):
Are we going to end on Diddy? I'm not sure that's a great wrap up.

 

Bri (00:58:15):
Okay. So now that we have the laser, can people start booking?

 

Dr. G (00:58:20):
Yes. People can start booking their appointments. They can start booking their consultation to see where. I don't want you to book, "I want a moxie." I want people to book and say, "Hey, I'm interested in having some treatment to my skin. These are my concerns." And then we're going to go from there. Is it redness? Is it sun spots? Is it texture? And then we take that in combination of I want minimal downtime or I've got a week where I can look crazy and I stay out of the sun and not have anybody ask questions. I don't have Zoom calls or whatever it is, and I have time for the downtime. And we are heading into laser season in San Diego, which means -

 

Bri (00:59:00):
Summer's over. Actually, October is like August, September, October, prime summer for San Diegans.

 

Dr. G (00:59:07):
Yeah, it kind of is. The pumpkins come out, but soon we're going to be in laser season.

 

Bri (00:59:12):
I have two weeks where I've had nothing to do, so.

 

Dr. G (00:59:15):
Yeah. No, I know. It is a lot right now because it starts to get even sunnier, but yeah, start planning now. So November, December and January, we can be hitting your face with the laser and getting things tight and right.

 

Bri (00:59:29):
Amen.

 

Dr. G (00:59:29):
All right. I think that's all we have.

 

Bri (00:59:32):
That's all we got. That's all she wrote.

 

Dr. G (00:59:33):
If you have questions, check out our website or reach out.

 

Bri (00:59:37):
If you're listening to this in your car, just log onto YouTube so you can see what my face looks like right now. So you just got to see.

 

Dr. G (00:59:47):
And then in two weeks, you'll see the shiny new faces.

 

Bri (00:59:49):
I feel like I need to do an up close. Let's see here. Let's see if I can move so you guys.

 

Dr. G (00:59:59):
Oh yes. We can see that. It looks good.

 

Bri (01:00:07):
Okay. I know.

 

Dr. G (01:00:09):
My youngest was like, "So can you get that cleaned up before Wednesday, meet the volleyball coach?" I'm like, "I think so. No, you have to have that fixed." I'm like, "Okay, it'll be fine."

 

Bri (01:00:19):
I have a concert Thursday.

 

Dr. G (01:00:21):
It'll be fine.

 

Bri (01:00:22):
It's fine. It's at night. No one's going to see me.

 

Dr. G (01:00:26):
It's all good. All right, so we're going to scrub in.

 

Bri (01:00:29):
And scrub out.

 

Dr. G (01:00:32):
Peace. If you're listening today and have questions, need info about scheduling, financing, reviews or photos, check out the show notes for links. Restore SD Plastic Surgery is located in La Jolla, California. Learn more about us, go to restorestplasticsurgery.com or follow us on Instagram at RestoreSDplasticsurgery. If you enjoyed this episode, please share it and subscribe to all the Bs on YouTube, Apple Podcasts, Spotify, or wherever you like to listen to podcasts.