Skinside Out

Welcome to Skinside Out, where Science meets Beauty! Join Dr. Zain, Heather, Courtney, and the new face of the show, Nurse Wendy, as they delve into the world of wellness and skin health. In this episode, they discuss the critical role of antioxidants, the benefits of IV hydration, and the latest in lifestyle medicine. Learn about the powerful impacts of Vitamin C, NAD, B12, and glutathione on your skin's health and explore cutting-edge treatments such as exosomes, PRF, and growth factors. Discover how these innovations and fundamental lifestyle changes can help you achieve vibrant skin and overall well-being. Don't miss out on this comprehensive discussion on enhancing your health from the inside out!

00:00 Welcome and Introductions
01:31 Exploring Wellness and Antioxidants
06:53 The Power of IV Hydration
09:40 Popular IV Therapy Packages
15:23 Lifestyle Medicine for Healthier Skin
15:46 Introduction to Lifestyle Medicine
16:20 Nutrition and Skin Health
16:39 Physical Activity Benefits
17:01 Managing Stress for Better Skin
17:37 Avoiding Harmful Toxins
17:52 Importance of Restorative Sleep
18:22 Social Connections and Wellbeing
21:16 Innovative Dermatology Treatments
22:09 Exosomes and PRF Explained
25:25 Growth Factors and Peptides
28:05 Red Light Therapy Benefits
29:58 Emerging Wellness Trends
32:20 Conclusion and Final Thoughts



Creators and Guests

Host
Courtney Carroll, LE
Courtney Carroll, LE is a licensed aesthetician with extensive experience performing non-invasive cosmetic treatments and customized skincare.
Host
Dr. Zain Husain, MD
Dr. Zain Husain, MD FAAD FACMS is a dual board-certified dermatologist and Mohs micrographic surgeon with fellowship training in cosmetic dermatology.
Host
Heather Murray, PA-C
Heather Murray, PA-C is a distinguished board-certified and fellowship-trained dermatology physician assistant specializing in medical and cosmetic dermatology.

What is Skinside Out?

Welcome to Skinside Out, where science meets beauty, the ultimate dermatology podcast! Dive deep into the fascinating world of skin health with expert insights, evidence-based discussions, and myth-busting truths. Each episode explores the medical, cosmetic, and surgical aspects of dermatology, while keeping you informed about trending skincare topics. Whether you’re a skincare enthusiast, medical professional, or just curious about how to achieve your best skin, Skinside Out is your go-to resource for staying informed and inspired.

011 Skinside Out
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[00:00:00]

Dr. Zain Husain, MD: Welcome to Skin Inside Out where Science meets Beauty. I'm your host, Dr. Zane, with Heather Courtney, and a new face here today, nurse Wendy. So since Nurse Wendy is new, let's have her introduce herself.

Nurse Wendy: my name is Wendy. I've been the nurse at No Dermatology for about two years now. I've been a nurse for a long time. Um, I'm a mom of three grandmother, two seven wonderful little girls and one boy. She is not old enough to be a grandmother. I'm, I have a really good, she looks amazing, dermatologist.

Kind of head up the wellness department [00:01:00] at, um, nor, and we do some wellness IVs. We do some, um. Wellness injections. We also do a little bit of glide, things like that.

Dr. Zain Husain, MD: She's also kind of like our office mom. She takes care of all of us.

She does. She's the wise one who kind of gives us good advice to take. Um, she also makes sure that we're well fed,

Courtney Carroll, LE: not only us, but our plants too.

Dr. Zain Husain, MD: Oh, yeah. All of our office plants would be dead without her. And her husband's really cool too. All right, so as we're exploring the world of wellness I thought it would be really cool to have an episode talking about what we can do to help enhance our health.

not only our skin, but also just our wellbeing and our psychosocial health.

Heather Murray, PA-C: Yeah. So to break it down today, we'll talk about the incredible, um, benefits of antioxidants, IV hydration, lifestyle medicine, and its play on skin health, um, as well as the ever evolving world of wellness.

Dr. Zain Husain, MD: All right, so let's get [00:02:00] right into it.

So let's talk about antioxidants and how that can help our skin,

Courtney Carroll, LE: right?

Nurse Wendy: Antioxidants play a crucial role in protecting our skin and our body from environmental stressors like UV rays, pollutions, anything in the environment that we come into contact with that can harm us.

Heather Murray, PA-C: Yeah. And they're really fighting off free radicals, which are unstable molecules that can cause skin aging or skin damage.

Courtney Carroll, LE: So antioxidants come in all different forms. Some are topical, some are gonna be supplements that you take. Um, through our food is another way that we're able to get those which is probably the best way to get the antioxidants. It's usually better absorbed than through supplements.

Dr. Zain Husain, MD: So let's talk about some key antioxidants that can help with your skin.

I.

Heather Murray, PA-C: So vitamin C plays a big role. , it reduces the appearance of fine lines and wrinkles, um, supports collagen production. It also can brighten the skin, help improve hyperpigmentation and even the skin tone. Um, and also overall enhance your skin's [00:03:00] appearance.

Dr. Zain Husain, MD: Yeah, so I mean, taking oral vitamin C is really good for our health, but is it the same as topical application of vitamin C serums?

Heather Murray, PA-C: Not necessarily. Ideally you want both a topical vitamin C, um, ideally in the morning, as well as supplementing vi vitamin C through your food and diet.

Dr. Zain Husain, MD: Yeah, and dermatology. I mean, vitamin C is one of those co-factors that is required for producing collagen. That's why it's so important for skin integrity and health.

Courtney Carroll, LE: , another antioxidant that we're seeing a lot in the dermatology world is NAD, so that is gonna be

Dr. Zain Husain, MD: Courtney, what does NAD stand for?

Courtney Carroll, LE: Heather, what does NAD stand

Heather Murray, PA-C: for? Ide Adenosine. Dilu. Dinucleotide

Courtney Carroll, LE: say that more

Dr. Zain Husain, MD: times.

Courtney Carroll, LE: So, um, NAD is a co-enzyme that has been essential in essentially, um.

Preparing DNA damaged, DNA energy production as well as maintaining cellular health.

Nurse Wendy: And another one that's pretty [00:04:00] popular and well known is B12 people come in for B12 injections. Mm-hmm. You can have B12 insert. Um, B12 is an additive in all our IVs. Um, but it helps in red blood cell production. It helps support your DNA synthesis, your skin, um, cell turnover.

Um, it helps promote regeneration of skin cells and it's just overall for your wellbeing and health for many things to deal with in your body.

Dr. Zain Husain, MD: Yeah, and it's funny, whenever I've gotten B12 shots. I feel incredible afterwards, but a lot of people say it's placebo. What are your thoughts on that?

Nurse Wendy: Oh, I mean, just on my own personal level.

Mm-hmm. I mean, I usually get one at least once or twice a month. Yeah. Um, I mean, it helps me sleep better. Mm-hmm. I feel more energized and just overwhelm my wellbeing is better. So I don't think it's a placebo effect. Yeah. And I think it really does help.

Dr. Zain Husain, MD: I do think so. Yeah.

Heather Murray, PA-C: Especially if you don't eat meat a lot.

Mm-hmm. Um, vitamin B12 is found in soil. That animals eat. And that's how a lot of people who eat meat get [00:05:00] their vi VI vitamin B12. And so if you are vegetarian, vegan, or if you are kind of low on the um, meat intake, it's definitely worth supplementing or getting injections. And

Dr. Zain Husain, MD: people with B12 deficiencies mm-hmm.

I mean, they can definitely benefit from it. Yeah.

Nurse Wendy: Anemia is a real disorder. Mm-hmm. Mm-hmm. So we can help that.

Dr. Zain Husain, MD: Yeah. Um, so let's talk about glutathione. So this is another antioxidant that's pretty hot. Um, so this also reduces oxidative stress throughout the body. And what's interesting with its tie with dermatology is that, especially in Asia, we're seeing a lot of glutathione being used to help improve skin health appearance, especially at the tone.

So in Asia, um, especially like in Southeast Asia, um, and South Asia as well, glutathione are actually being used to help lighten skin. Um, which, you know, it's controversial and you know, I think that it can help to an extent, but I [00:06:00] don't think it's the right treatment specifically to kind of improve. Skin pigmentation from that standpoint.

Also, like the, the use of like bleaching creams constantly which is rampant in South Asia because everyone wants to look lighter. Don't get me started on that. We, we'll talk about another podcast about, you know, these colonial like psychology that's been, you know, impart onto the people, so,

Heather Murray, PA-C: so those four antioxidants are the, the biggest ones that we wanted to touch on. That's something that we actually offered these in our office, but there are other antioxidants that can help improve skin health. There's vitamin e, betacarotene, selenium, copper, zinc, and Co coq 10, just to name a few.

Dr. Zain Husain, MD: many of these vitamins can be injected. Two muscle subcutaneous tissue, um, but it can also be administered through iv. So let's talk about IV hydration and what benefits that can play.

Nurse Wendy: hydration, um, Is [00:07:00] kind of the new up and up thing right now. So, I mean, IVs typically in the past or for illnesses or sickness if you're feeling bad or to treat you.

Um, so now the curve is wellness, so preventative things. So how can you feel better from the inside out? And the nutrients that we absorb through food have to go through your stomach or the um, supplements and they go through your stomach acid and a lot of 'em are destroyed before they can even get in your bloodstream.

So IV therapy, it's straight into your bloodstream. It's on a cellular level, so you're getting those nutrients right away. It's usually minimally painful, a small little prick. We ask you some questions beforehand, make sure you don't have any contraindications that would keep you from getting any of these additives or the, um, wellness IVs.

But yeah, I mean, it's a great way to start feeling better immediately. Yeah.

Courtney Carroll, LE: Yeah, that's the nice part is the. You know, direct, um, effect that it has on the blood Ste bloodstream. Um, you're able to feel those benefits much quicker rather [00:08:00] than, you know, building up, let's say through food or through supplements, um, and having to keep it in the, in the body for longer.

Heather Murray, PA-C: Yeah. And it's, you know, good to keep in mind too, that this is not something that's curative. It's. Created to supplement or assist in your overall wellbeing. Um, support the body's natural process for healing. And so IV hydration can definitely be a valuable additive to your routine.

Dr. Zain Husain, MD: So let's not forget also that yes, these are key vitamins and antioxidants that we're putting in, but the main ingredient, that bag is water.

And water is really helpful for our body to function properly. So I mean, people are just constantly dehydrated. I am. I'm one of those people. I don't drink enough water. I need to work on that. But it's one of those things that tends to be underestimated, like how much better you can feel when you're absolutely well hydrated.

Nurse Wendy: Yeah, I mean, what are we, 80% water? I mean, our cells function on water. [00:09:00] Everything. Everything crosses the blood barrier through water. So I mean, water is life.

Dr. Zain Husain, MD: It flushes out toxins, right? So it's needed for all those processes in our body. So, I mean. We see a lot of these benefits and we want to be at the forefront of providing our patients with, you know, the best care possible.

So we recently introduced a lot of these IV therapies in our office and I know that some people aren't believers of these therapies, but I do think that they do help. And you know, we have specific combinations that we give to patients to provide. A specific result. So let's go into those.

Nurse Wendy: Yeah, so one that's super popular for us, I mean, we deal with skin, it's appearance, it's the inner glow.

These compound, these are made at a certified compound. Um, pharmacy in Florida been around for years. The additives are very pure. They're all made in America. They all have specific dates on them and [00:10:00] they're in sealed containers. So there's not a whole lot of handling in office because this is going directly in your bloodstream.

It needs to be sterile our Inner Glow package, um, works for helping with your skin, your hair, and your nails. It has a complete vitamin complex that, um, helps with cell turnover, but it also has biotin, biotin's, controversial, whether or not it really helps, it's a protein so it isn't gonna hurt you, but it's got a big boat.

Boost of biotin that's in your bloodstream. A lot of people have added that for coming in for alopecia, um, acne, um, overall just, um, healing nails. Yep. Nails. Mm-hmm. You know, growing nails, stuff like that. But it's, it's fairly popular, especially with us in our practice. Mm-hmm.

Courtney Carroll, LE: Another one we offer is the get up and glow.

So that one is a B complex, um, and it also has some essential amino acids in there, so this is gonna be a great one for energy. I like doing that like before the weekend, especially if I have like a lot of plans going on. It just [00:11:00] gives you that little extra boost to kind of. Feel more energized and just feel healthier and better, and you like wanna get stuff done.

Mm-hmm. Um, and it also can help support muscle recovery too. So it's a good one if you know you're working out at the gym and, um, maybe you went a little bit harder than normal, um, come in, get an IV and just help recover.

Dr. Zain Husain, MD: Yeah. A lot of our patients are in the process of their weight loss journeys.

Mm-hmm. They're trying to lose fat, become more fit improve their lifestyle. And we have an IV therapy called the Slim and Shine. I like that, um, to kind of help them along with that process. So this IV specifically contains B complex l tourin methylcobalamin, and this actually helps enhance fat metabolism.

So it's really helping. You to lose more weight, um, in a safe manner, whether you're doing it just through diet and exercise or using some help, um, such as like semaglutide or, you know, any other GLP ones. Um, so that can be very helpful.

Heather Murray, PA-C: Yeah. And lastly, we have our fourth iv, which is the Myers [00:12:00] cocktail, and we decided not to, um, name this one on the same trend as like the glow and the shine because Myers Cocktail is very well known.

Mm-hmm. As. That classic iv, um, it's full of magnesium chloride, b complex vitamins, um, B12, calcium gluconate and ascorbic acid. And so it's, it has this well-rounded option to support your general health, reduce stress and manage fatigue.

Dr. Zain Husain, MD: This is the one that I really like for those patients that are feeling run down, they're feeling tired, maybe getting over some viral illness.

So let's go

Nurse Wendy: like you were back in November.

Dr. Zain Husain, MD: Yeah. So after Thanksgiving, tell us about your

Nurse Wendy: personal experience. So after

Dr. Zain Husain, MD: Thanksgiving, um, probably had a little too much to eat and got a viral. Infection and you know, it was not fun throwing up, diarrhea, all that jazz. And honestly, being the martyr that I am, I, [00:13:00] you know, trucked into work, kept seeing all my patients, but I was feeling awful.

Like I. I don't know how I functioned that week. I've never

Courtney Carroll, LE: seen you so pale. Oh God. On Saltines. And that's PJ Trails. Yeah. Like my

Dr. Zain Husain, MD: staff was literally keeping me alive getting p loli saltines and, 'cause literally I could not keep anything down and I was just feeling awful. Yeah, yeah. Really, really bad.

So, you know, Wendy, being our office mama, she came and hooked me up with, um, this iv and honestly, I felt so much better. So much better. Um, I feel like I was definitely dehydrated. I mean, I lost 10 pounds in a week. Yeah. Um, and I was just able to just get over it. And I think by the next day, like I was really kicking it.

Mm-hmm. Um, and I was doing much better. So I think that helped my recovery. I should have done it probably sooner. Yeah. Yeah.

Heather Murray, PA-C: I don't only have a video of

Courtney Carroll, LE: it. I think the, the same day he's walking into the break room for, we gotta play the [00:14:00] video.

Dr. Zain Husain, MD: Oh my God, guys, you,

Heather Murray, PA-C: I was off that day and Courtney texted that to me, and I had such a good time watching that, watching him. Didn't, Wendy, didn't you? Say that typically when somebody is getting an iv, if they're getting a full bag, they have to go to the bathroom in the middle of it or anything. But Dr.

Zane was so dehydrated that he didn't even have to eat. Don't stop. I don't even think

Nurse Wendy: he, yeah. And I gave him a thousand ccs too. And you ran

Dr. Zain Husain, MD: the bag? Yeah, I, I

Nurse Wendy: gave him the whole bag. It went wide open. Yeah. Wow. It was so dehydrated. It was just, he's just sucking

Dr. Zain Husain, MD: everybody. But you know, I got. Five star treatment.

So when he hooked me up literally to iv, I had a pillow, I had my blanket, the blanket lights off. And Yeah, I, I felt better. Yeah.

Courtney Carroll, LE: The cool part too about the IVs just in general is because you see how seamless it is, you can also pair them with things like, you know, red light therapy or other treatments, facials, things like that.

Do we have a patient

Dr. Zain Husain, MD: who is combining some of her laser treatments while getting an IV simultaneously? Yes. Yeah. Talk about [00:15:00] multitasking. Yes. Yeah.

Heather Murray, PA-C: And you can add those antioxidants to the IVs. So like that glutathione. Mm-hmm. The B12 N-A-D-N-D, you can always add that as a

Nurse Wendy: booster. Yep. Yeah. And I have several patients.

To get the Mars cocktail. Um, they have a history of migraines and magnesium is known to help with that, with nerve function and everything. And um, so they really like it a lot. And I mean, it seems to help. It's a very well-rounded mix.

Dr. Zain Husain, MD: I think that we should move on to the next piece, which is lifestyle, which I think is so important in helping you achieve not only a healthier skin, but just healthier life.

So let's go into some of the. Six pillars of lifestyle of medicine.

Heather Murray, PA-C: Yeah. So the American College of Lifestyle Medicine has, um, deemed six pillars of what entails lifestyle medicine. Courtney made me, um, shorten this section, but I think it is so important. Um, anyway, some of us

Nurse Wendy: are avoiding pillars.

Heather Murray, PA-C: The six pillars of lifestyle medicine are, um, [00:16:00] nutrition.

Physical activity, stress management, um, avoiding risky substances and having restorative sleep.

Courtney Carroll, LE: This is all the stuff that your primary care doctor will go over, or Heather, yeah. Or Heather. Um, at your, at your yearly exams.

Dr. Zain Husain, MD: You wanna go onto them? Individual? Yeah.

Heather Murray, PA-C: So, um, nutrition, um, just making sure you have a balanced nutrient rich diet that can really help support the skin.

I think. The skin is like a window into the body. And so if you're healthy on the inside through diet, you can um, you know, show that through your skin too.

Dr. Zain Husain, MD: Yeah, physical activity, we know what it does for our bodies, but what does it do for our skin? So it really helps us to. It helps to deliver blood, which carries oxygen to our skin.

So for function, um, it expels toxins, it helps with lymphatic drainage. So a lot of [00:17:00] great benefits that we can see.

Courtney Carroll, LE: Um, stress management for sure, which I think we all could use a little help on. So, um, stress can definitely influence a lot of different conditions on the skin, including acne, rosacea, psoriasis, eczema.

So trying to limit your stress and find ways of, you know, practicing mindfulness. Um, I know Heather's really into yoga. Um, I need to get back into it. Finding your outlet and what works for you.

Dr. Zain Husain, MD: Yeah. And tying in with physical activity. The release of endorphins mm-hmm. Can really make you feel good.

It's like your own bodies. Anti-depressants.

Nurse Wendy: Yeah. Kill two birds, one stone. Another thing we need to do is avoid harmful toxins. Putting things into our body that we know is not gonna help us. Tobacco, alcohol, um, just avoiding environments that are moggie and, um, just

Heather Murray, PA-C: full of toxins. Yeah. Um, restorative sleep.

Sleep really helps to repair and regenerate skin cells. Um, it helps to regulate cortisol levels as well as [00:18:00] supporting collagen production for the skin.

Courtney Carroll, LE: Yeah, I feel like this last year I became a real stickler about my sleep schedule.

Like I am in bed like by like 10 o'clock and then I like wake up, you know, set like sleep.

Dr. Zain Husain, MD: It's because you're old now, you're 30. Yeah.

Courtney Carroll, LE: Well, yeah, for background I did turn 30 in October and it changed everything. So yeah,

Dr. Zain Husain, MD: now she understands what we go through. Yeah.

Heather Murray, PA-C: Um, the sixth one I forgot to mention earlier, but social connection.

Courtney, do you wanna touch on that one?

Courtney Carroll, LE: Um, because

Heather Murray, PA-C: I'm so social,

Courtney Carroll, LE: she's, she's a social butterfly. Making sure you have a strong support system I think is always really important. Maintaining social connections, um, just to, um, you know, essentially help your, your psychological wellbeing. Um, which in turn, I think when you have a healthier psychological wellbeing, it.

Contributes to other factors like maintaining things like the physical activity, doing your skincare routine, things like that. Reducing stress that also helps, you know, you go out with your friends, have a nice dinner, um, are able to unload a [00:19:00] little bit. So making sure you're having strong, um, support systems I think is incredibly important.

Dr. Zain Husain, MD: Yeah, and that's actually has been found in scientific studies, like social connection is probably the highest correlation with longevity. So, um, and health. So I do think that there is a very powerful. Um, portion of our lives that's tied to that social connection that we have. We're social beings. That's what we are.

Courtney Carroll, LE: Well, I remember in psych, we had watched a video about these, like monkeys that were. Given the option of water, or it was like this toy that was supposed to be like their mom. It was like a bigger monkey toy. And almost every time the monkeys would choose, the mom figured like the connection over the water, which as we all know, we need water to live.

Yeah. But I think it just goes to show how strong that need is, um, that those animals were still choosing to have. That connection over, um, a basic need.

Dr. Zain Husain, MD: I've got a family, I've got, you know, my wife and three kids and I love [00:20:00] that connection.

We have our friends, but another big part of my life is my work life and my work family, and honestly. I couldn't imagine a better team of people to be around and, you know, we rely on each other. Um, we get along really well and it really does help my mental wellbeing just being around you guys.

Courtney Carroll, LE: Aw, well I was joking with Heather.

You know, we all went on a staff trip, um, last weekend and then we're doing some more, um, things together this weekend. So I made a joke with Heather recently. I'm glad I like you guys. We spend a lot of time

Dr. Zain Husain, MD: together. And I think we've all been in jobs where we did not like our coworkers and toxicity, and it's just such a refreshing and rare chance that we have to like work with.

Each other. I mean, sometimes we deal with difficult patients, difficult situations, difficult diagnoses, but we kind of have each other and we can help support each other, especially also when we're going through stuff personally. Mm-hmm. Mm-hmm. You know, like we have each other to pick each other up. So I do think that that social [00:21:00] connection is so important and you know, a lot of people are miserable at their jobs and also at home, like, you know, and it really does take a toll on your mental health.

Mm-hmm. And that. Exterior physical health. Yep.

Courtney Carroll, LE: Yeah, exactly. So

Dr. Zain Husain, MD: after that warm and fuzzy discussion, we've got a lot of different options that we have to help unlock our potentials with wellness, but there's some new stuff that is being introduced and I think it's really cool how dermatology is kind of like the face of these new innovations.

We're able to deliver a lot of new treatments and cutting edge innovations based on science to help improve our skin health. So some of the newer things that we're being able to induce directly to the skin P-R-P-P-R-F, um, we have the salmon sperm, the pns.

Dr. Zain Husain, MD: Um. Heather, what does that stand for? Poly deoxy, rib cleide. Lemme

Heather Murray, PA-C: tell my poly [00:22:00] deoxy ribonucleotide fraction. Oh, I didn't have that one Memorized.

Dr. Zain Husain, MD: Growth factors, um, and also using light therapies to help improve skin health. So let's talk about exosomes.

Um, so that's a pretty hot topic, um, in dermatology and regenerative medicine. So what exosomes really are, are these small little vesicles, are these little envelope. Um, carriers of signaling molecules that can help stimulate, you know, biological processes and cause like protein synthesis and other changes in our skin and as well as other cells.

So it's pretty interesting that it can be actually applied to the skin and actually lead to skin changes. So that's something that I think is pretty cool.

Courtney Carroll, LE: Yeah. PRF also, um, we've been using a lot and seeing a lot recently, so that stands for platelet rich fibrin, which is different than platelet rich plasma.

Um, the PRF is gonna be a more concentrated, um, [00:23:00] version of your growth factor. So very similar to the PRP. We do draw your blood. We spit it in the centrifuge, but we also use, um, heat to essentially coagulate it instead of adding the anticoagulant. Um, like we do with the PRP, which can actually burn upon injection.

So if you've ever had, you know, PRP in the scalp, you might have noticed that burning sensation and you don't get that with the PRF. So it's just a more concentrated, version of those growth factors that can help, essentially restore the skin, restore the growth factors, and build collagen.

Dr. Zain Husain, MD: Yeah, and it releases it slowly over time, so you're still seeing the results of it. As you know, those growth factors are being released, so it does stimulate your own collagen production, which is really cool.

Courtney Carroll, LE: And I think people are using it more in place of filler, which is really interesting. So key points, really under the undereye, sometimes in the cheek area.

Um, just temples those areas that are losing volume. Um, we're able to replenish [00:24:00] naturally.

Dr. Zain Husain, MD: Yeah. Mm-hmm. It's a great option for patients who either don't want to do filler or are scared about it. This is derived from your own body and it does work very well.

Heather Murray, PA-C: Mm-hmm. Yeah, and there are ways to get it into that gel form, so it's kind of acting like that filler.

Nurse Wendy: That's pretty low risk too, at any adv. Reaction. Yeah.

Courtney Carroll, LE: You don't have to worry about the vascular occlusion like you can get with filler. Um, you know, necrosis migration, things that we do look at when we are injecting filler.

Dr. Zain Husain, MD: Yeah. Um, so let's talk about pns Poly Doxy. Ribonucleotides,

Courtney Carroll, LE: yes. Okay.

Salmons, sper derived sperm. So that's

Dr. Zain Husain, MD: where it's derived from. It's not salmon, sperm itself. It's more

Courtney Carroll, LE: fun if.

Dr. Zain Husain, MD: Um, I think I got that buzz. Um, when, you know, I think Kim Kardashian, Haley

Courtney Carroll, LE: Bieber's been posting about a lot too recently. So, yeah,

Dr. Zain Husain, MD: so it's all the rage. It's been around in Korea for a while, um, as are most things beauty.

Um, [00:25:00] but what these are small pieces of. Nucleotide. So they're like genetic material that are like broken down into small pieces and they are like growth factors and they kind of induce these cellular changes help for like tissue regeneration. So that's how it helps it induces collagen synthesis and just improves the appearance of skin when it's applied topically.

Heather Murray, PA-C: Um, next we have growth factors in peptides. So, um, growth factors are naturally occurring Proteins that play a critical role in the body's healing process. Um, they can trigger cell cellular regeneration, repair cellular tissues, um, or repair tissues and improve the function of skin as well as hair. Um, peptides also help stimulate the production of collagen and elastin, and I like to describe.

The differences between collagen and elastin. So think of it like a mattress. So collagen is the stuffing of the mattress, [00:26:00] and elastin is the spring of the mattress. And so I like that. Mm-hmm. Yeah, you can, um, there are ways to, you know. Bring some of that back or produce more of it. Um, typically like your classic filler will help kind of replace that collagen, that stuffing.

Um, but there are other ways to, to stimulate those as well.

Dr. Zain Husain, MD: So would a water bed kind of be like onic acid?

Heather Murray, PA-C: That I don't know. Um, so when we introduce growth factors into the body, whether it's through exosomes, um, PRF or. PRN salmon, sperm. Um, we're essentially accelerating that body's natural healing process.

Um, and there are other, you know, products that you can use topically that can complement any sort of injections. So, um, my favorite topical growth factors are, um. I've got three in mind. So Neocutis, their eye cream called Lumiere. Um, they're bio serum from Neocutis [00:27:00] as well. And then the Skin Medica, TNS is also great.

Courtney Carroll, LE: Yeah. And those products, I just think they're so underrated. I think so many people are used to, you know, your vitamin C, your sunscreen and your retinol or retinoid. And while all of those are important too, I think growth factors are just so underrated. , they're a little bit pricey, but I think they're so worth the money.

I get patients all the time that are like, oh, I'm so mad that you got me hooked on this because it works so well. But yeah, it's an investment

Heather Murray, PA-C: and it really helps to reduce inflammation, stimulate that collagen, um, improve tone and texture. So it's great for fine lines and wrinkles. It can also be used in the hair too for hair thinning.

It's

Dr. Zain Husain, MD: really well tolerated. Mm-hmm. So it's not like irritating like a lot of the retinoids are. Mm-hmm. And you know, some of the other acids that we use topically. So patients really like it.

Courtney Carroll, LE: Yeah. And I think they're just so important post procedure. I really love using them with microneedling or, you know, laser treatments.

I [00:28:00] think they just really help enhance the results that you're getting from those procedures.

Nurse Wendy: Yeah, yeah, yeah. Well for healing, So red light therapy can be used in conjunction with medications like amylose for, um, treating dynamic therapy and things like that.

But it can also just be rejuvenating because the red light, um, I. I was using a, a specific wavelength that's either red or near infrared light, and it penetrates the skin, it helps stimulate the cells to regenerate, it decreases inflammation. Um, we use it post-treatment when we're doing some pretty invasive things like sub precision and stuff like that in the office.

Um, and it just helps calm everything down, all the, you know, brings the body cells, um, to the source wherever you're shining the red light. And it helps. Um. Healing it helps carry away the bad thing. So it's, it's a very painless, um. Feels good. It's warm. You have to wear some safety goggles, but you can have it done as quick as 10 minutes in the office.

And there's many, you know, you can get some cheap [00:29:00] at home things to do as well with red light.

Heather Murray, PA-C: Yeah. And it can also help, supplement some of the treatments that we're doing, especially with like growth factors. So we have a treatment in the office that we do, um, for hair loss where we're actually kind of creating these micro channels, um, in the skin, on the scalp or wherever you're, um, noticing hair loss.

And then we. Apply a growth factor serum, and then we expose that skin to red light and that actually activates some of those growth factors and makes it a more effective process.

Nurse Wendy: Yep. Hair treatments as well too.

Dr. Zain Husain, MD: Mm-hmm. Mm-hmm. I love it post procedure. Um, it can really cut down the healing, um, and really enhance the results.

I love it post microneedling, some of our lasers. Um, it really does stimulate, um, the healing process

Nurse Wendy: and it kind of calms people down too. It actually helps with

Courtney Carroll, LE: sleep. Yeah. Yeah. I use it in my facials. Yeah. So especially after like extractions where people might be a little red and swollen the red light is really nice to use for those patients.

So. There's so much. In the wellness front that [00:30:00] it can definitely be, I think, a little confusing. So many new things that are coming out. Um, I think all of us would agree. We're pretty research driven. And so, um, you know, there are things like cryotherapy, infrared saunas, um, these, um, salt caves, you know, all sorts, all all sorts of things that are marketed for wellness and overall wellbeing.

And so while some of these, I think, you know. Is it placebo? Is it working? Um, that's still to tell. Um, so making sure that you're kind of following things that are backed by science, um, you know, moving forward.

Heather Murray, PA-C: Yeah, I think evidence-based medicine plays a huge role, especially if your provider is following that and staying up to date on it.

Um, but I think as science and technology continues to advance, there are a lot of wellness professionals that are uncovering these new ways to help us live healthier. More vibrant lives. And, um, while these traditional [00:31:00] approaches like antioxidants and lifestyle changes can, um, and are important these new emerging treatments offer new hope for looking into different ways to rejuvenate the skin.

Dr. Zain Husain, MD: Yeah, I mean, I think that. We live in a world where we're really prioritizing health and wellness and it's constantly evolving, and we really need to stay at the forefront of data science studies and being able to offer these treatments to our patients to help improve their lives. Um, everyone's looking at quality of life and.

We can as dermatologists, improve their lives, um, by offering them these technologies, these treatments, I think it's a win. Mm-hmm. And it's a really meaningful way to impact patients' lives. So I think offering that in a holistic environment, um, is really good. But we're still looking at the data and the science and making sure that everything that we're recommending is really in the [00:32:00] patient's best interest.

Because, you know, we see, some marketing strategies that aren't really based in the science and it's just a, you know, quick money scheme. That's not really what we're looking for. We're really trying to help your skin be the best it can be, and also improving your health at the same time.

Mm-hmm. Yeah. Yeah. So I think that this was a really enlightening discussion, about wellness. I think that it is the future. It would be remiss not to discuss it, um, with our patients. So I'm really happy that we have that space, um, in our practice to be able to discuss that with patients and we don't brush it off.

I do think it's so important. It's not just giving pills and creams. We really have to take a deeper dive and see what our patients need. What can help them, and that's what it's all about. Agreed. All right, so hopefully you guys enjoyed this interesting discussion, um, for this week's, um, podcast. And if you enjoyed it, please [00:33:00] like us.

Please follow us. But until next time, skin side out