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Skin Care 101: How To Have Happy and Healthy Skin With Dermatologist Dr. Tiffany Libby
Episode 9614th June 2022 • Am I Doing This Right? • Corinne Foxx and Natalie McMillan
00:00:00 00:43:33

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OUR HOSTS: 

Corinne Foxx - @corinnefoxx

Natalie McMillan - @nataliemcm and @shopnataliemcmillan 

What we're drinking: Bastide Miraflors Syrah - Grenache 

MEET OUR GUEST: 

Dr. Tiffany J. Libby - @dermdoclibby and brownderm.org 

ABOUT OUR GUEST: 

Dr. Tiffany J. Libby is a board-certified dermatologist and dual fellowship trained Mohs surgeon and cosmetic surgeon. She's the Director of Mohs Micrographic and Dermatologic Surgery and an Assistant Professor of Dermatology at the Brown University Warren Alpert School of Medicine.

Dr. Libby graduated from an accelerated seven year program on a merit-based scholarship from Rutgers University in New Jersey, where she was inducted into the Alpha Omega Alpha Honor Society. She completed her internship in Internal Medicine at Mount Sinai Hospital in New York City. She specializes in skin cancer surgeries, facial reconstruction for the treatment of basal cell and squamous cell carcinoma, and she's performed over 4000 Mohs surgeries and reconstructions. 

TOPIC: 

Dr. Libby joins us on the show to discuss how our skincare needs change over time, debunk myths about sunscreen, and share her recommendations for how to build a solid skincare routine. Dr. Libby touches on the wide range of conditions that dermatologists treat and when she would advise people to seek out professional help for a hair, nail, or skin concern. We also talk about how to fight adult acne, what to consider before getting Botox and fillers, and what her favorite drugstore skincare brands are. 


In this episode, we discuss:

  • What influenced Dr. Libby to pursue dermatology 
  • The staples to include in your skincare routine 
  • Dr. Libby’s trick for remembering the order of application of your skincare products 
  • Signs that you should get a professional skin check
  • Controversies and misinformation about skin cancer and sunscreen 
  • What happens to our skin as we age 
  • Why you need to change up your skincare routine with the seasons 
  • Anti-aging treatments that don’t require injectables 
  • Products to save vs. splurge on 


END OF THE SHOW: 

Corinne and Natalie introduce Hottie of the Week: Kerry Washington 


WINE RATING:

Bastide Miraflors Syrah - Grenache  =  9 / Kerry (but if you have it with a chocolate chip cookie, it’s a 10/Kerry!) 


WRAP UP:

To wrap up the episode, Corinne and Natalie play 200 Questions. Corinne asks Nat who has impressed her most with what they've accomplished, and Nat asks Corinne if there's a lifestyle change she’s been meaning to make for a while now. 


We have a newsletter for our Am I community. You can sign up for the newsletter on our website: amidoingthisrightpod.com

You can email us for episode ideas or Random Advice: amidoingthisrightpod@gmail.com

Follow us on Instagram: @amidoingthisrightpod 

Don't forget to rate and review the podcast! It really helps us grow!

Transcripts

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[00:00:05] Natalie McMillan: And I'm Natalie McMillan.

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[00:00:17] Natalie McMillan: And each week we cover a new topic and we drink a new bottle of wine.

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And if, and when we should start treatments like Botox and filler. Hot topic, hot topic for our age. We'll find out like, yeah, but at first we have some housekeeping.

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[00:01:10] Corinne Foxx: reviews.

We love reading reviews and we would love

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[00:01:25] Corinne Foxx: it. We love when you guys talk to us at all, I'm sorry. I'm thinking of my mouth. I don't

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[00:01:31] Dr. Tiffany Libby: it's like we have a, you're talking on a podcast.

Yeah.

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[00:01:51] Corinne Foxx: Okay. Now let's get into the wine.

Do I can have a cookie and wine? Yeah.

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[00:02:19] Corinne Foxx: I mean, bestie mere

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[00:02:28] Dr. Tiffany Libby: Yeah. Figure it out. Okay. Let's take

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[00:02:35] Dr. Tiffany Libby: I'm

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[00:02:39] Natalie McMillan: of the day at the end. I don't remember who our hot he is, but I'm excited to find out,

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[00:02:46] Corinne Foxx: I find out with you guys. Yeah. So let's get into this episode and why we chose this topic now. We love skincare, but.

With social media, it seems like everyone thinks they're an expert everyone's giving their hot takes throughout tips and in a sea of ads for different skincare brands. Sometimes it feels like we need like 400 different products to achieve glowing, healthy skin, which I really don't think as a case. I don't think, I don't think I need this much stuff.

I don't think we.

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[00:03:19] Corinne Foxx: do Jack shit. Joe has an incredible skin and he does nothing. This man is using bodywash up in his face. So we need to bring in Dr. Levy, who is a serious expert to school us in the skincare do's and don'ts, and to teach us how to properly build out a skincare routine for healthy skin, especially with summer.

Yeah. You know, we're out here in the sun, but we need to be protected. Right. And it's not based

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Tiffany J Libby, she's a board certified dermatologist and dual fellowship trained most. The surgeon and cosmetic surgeon. Wow. I know she's the director of Moe's micro graphic and dermatologic surgery and an assistant professor of dermatology at the brown university, Warren Alpert school of medicine.

What can't she do? Also most surgery, if you're listening and you're like, what is that? It's when they like take the skin cancer off of your body. And it's a whole process Dr. Libby graduated from an accelerated seven years. Program on a merit based scholarship from Rutgers university in New Jersey, where she was inducted into the alpha omega alpha honor society.

When we said we had an expert, we went, we had an expert, she completed her internship in. At Mount Sinai hospital in New York city, she specializes in skin cancer surgeries, facial reconstruction for the treatment of basal cell and squamous cell carcinoma. And she's performed over 4,000 most surgeries and reconstruct.

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[00:05:08] Corinne Foxx: That's a lot. I'm impressed by her. I'm impressed. You could read all those words. Let me tell you who couldn't meet.

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[00:05:15] Natalie McMillan: have else in her downtime. She enjoys spending time with her husband, three young kids exploring their new home in Rhode Island and just get this she's an accomplished violinist and plays.

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Hello, Dr. Lynn knee doctor.

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[00:05:45] Corinne Foxx: guys? We are great. We're so excited to have you on. I actually, it's a funny story. I found you through a friend of mine who is studying dermatology at Cornell right now. And we wanted to find a dermatologist. And I said, well, who are you obsessed with right now?

And she immediately sent me your profile. And she was like her, like, please I'm obsessed with her. And I was telling Natalie, when we were writing these questions, I was like, dermatology is actually like. One of the most competitive fields or I guess, specialties to get, right?

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So I see all the incoming applications every year. Each and every year the applicants are, I don't even know how, but they're more and more outstanding and I'm just happy I got in when I did. I always say that I'm like, good thing. I'm not applying now. I'm like, I wouldn't even stand a chance to congratulations to your friend.

Who's an Inn at Cornell. It's an amazing program. And what an honor, I started this Instagram for fun and it's kind of fun to see how it's, how it's grown. So yeah. I'm happy to be here.

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[00:07:01] Dr. Tiffany Libby: So I did this. I'm from New Jersey. I did this seven year med program.

So there aren't that many of them now I think there used to be more, um, there are some seven and eight year programs. So the way that works is you apply to med school from high school. Oh my God. Oh my gosh. Wow. Yeah. So you applied to med school from high school and you have to meet certain criteria to apply.

So it's quite competitive. And the benefit is to both the student and to the state, because what they do is they, they, their goal was to keep smart and bright students in the state. And what's great for the student is they pay for your, so it's three years of college instead of four, and they pay for your.

College, which is huge and get in state tuition for med school. I mean, you know, those are just so expensive. Uh,

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[00:07:57] Dr. Tiffany Libby: I did, you know, I, my dad's a doctor. I feel like a lot of people who'd know that they want to be in the medical field.

Probably had some sort of influence when they were younger from a family member or someone they looked up to because otherwise. It's hard. And you may not realize your passion until later, you know, there's many different routes. I've seen a lot of people come into dermatology for many different, many, many different avenues.

But I think for me, my, my dad was a doctor in a small town and he always came home. So just very fulfilled and it was really sweet. Some of his patients would drop off homegrown tomatoes, you know, like made me wherever you live. Very nice. And that small town vibe, I mean, I think the private, the solar practitioner office.

That's not as common nowadays, you see a lot of these group practices and, you know, it's harder that I'm more, I would say old school physician profile, but it was really inspiring. And I, I knew I wanted to do something in healthcare and I was always gravitated towards science and I just love patient care.

So I think that's, that's what inspired me early. Yeah. Ah, well, we're so happy

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[00:09:22] Dr. Tiffany Libby: What would you say are like the staples? That is a really good question. And you know what I feel like because I live in this skincare bubble, I think that everyone knows. You know, I had some sort of understanding of like, oh, like different are as well versed in all these different products. And many people don't even have a solid skincare routine or one that they're using consistently.

So I think that's a really good question and definitely a good place to start for many people. So I would say the basics of any skincare routine you want to cleanse your skin. You want to protect your skin, you want to moisturize. So, you know, sometimes I find patients aren't even doing that, you know, they'll say, oh, I never use a cleanser.

I'm like, well then what do you use to wash your skin? Oh, goodness.

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[00:10:11] Dr. Tiffany Libby: I think I need a minute. Like, I don't know. We can, we have the, this is a inflection point in our relationship.

Exactly. This is a red flag. I hear that so often, you know, and men will, they'll just use the bar soap and there's just so much more, although I will say men are starting to become more savvy with skincare.

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[00:10:33] Dr. Tiffany Libby: And then, then there comes the point where now my husband uses a lot of my expensive products and uses them all over.

And I'm like, do you know how expensive that serum was? This is not a body lotion. You know, like, can we dime-sized amount,

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[00:10:45] Dr. Tiffany Libby: Like, we need to conserve this. We can't use this all in one week, you know? So I would say, start there, get a good cleanser, obviously for cleansers, it's really particular to what kind of skin type you have.

So, you know, we can start with the different skin types, like dry skin, normal, oily combination, sensitive skin. So there's many different types out there. I would reserve foaming cleansers for people who are more oily prone. There are really hydrating cleansers if you have really dry or sensitive skin. So I think there's just a lot out there that we have now available.

Which is great, but also makes it really confusing for the consumer. Yeah, yeah.

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Retinol. Like, I'm always

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Yeah, I know one of your, um, you want to talk about what we're to splurge. So serums tend to tend to contain more of your active ingredients. So that's what you want to apply on your skin first after cleansing, and then you would use a moisturizer. And if it's your morning routine, your sunscreen has her last step in your skincare routine and that's your protection step.

Okay.

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[00:12:38] Dr. Tiffany Libby: Yeah, people are really, um, I feel like there's, there have been many controversies about sunscreen.

I think the clear statement is there's no scientific evidence that using sunscreen causes cancer. But what we do know is that you'd be ready. From the sun is responsible for 80 to 90% of skin cancers. So, you know, we know that using sunscreen is important and I can go through some of those myths and some of those controversies that have been in the press lately.

But if you're concerned about those, we have other options. So I always tell, I mean, while I say any sunscreen, whatever sunscreen you decided to use, Yeah, that's what I would recommend. You know, find one that you love to use, incorporate into your routine and use it daily. But if you're concerned about some of those, there are mineral options and those have by and large, been determined to be very safe for use across the board.

So those, when I say mineral sunscreens are going to be the ones you turn the bottle over, we'll say in the ingredients titanium. Dioxide and zinc oxide. So you can look for those specifically, if you have concerns, but dermatologists are huge proponents of using sunscreen to protect your skin against developing skin cancer.

And UV radiation is responsible for up to 90% of photo aging. So we know that. Will damage collagen will cause those brown spots not good for your skin. You can see over time, the difference in your skin quality from the areas that are constantly exposed to the sun versus areas that are photo protected.

So like you might notice in the chest versus someone's a little lower down on the v-neck. You can really see the difference of the skin and that's really shows you what UV rays can do to your skin over.

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This was an influencer that I saw on a story and I had to screenshot it. So it says, do you wear sunscreen in the summer? And she says, literally never, you don't burn from the sun. You burn because of the seed oils and preservatives and toxins in your bloodstream that are then baked in the sun. And the fear of this.

So can you, is there any tree guys, the doctor Levy's right now? No, these are the types of, that's what I'm saying. There's these types of things are on the

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Sharing people's voices with. And, you know, I just think there's so much out there. And I, I hear crazy things all day long, you know, from patients, you can look up, you know, so many things on Google, we call a doctor Google for a reason. They come in, oh, I was so scared. I didn't want to get the skin cancer surgery.

I looked this up. You can find anything you want. You know, and the scary thing is when someone has a large platform and they'll share this misinformation, that's really troublesome because. We know sunscreen helps to protect against developing melanoma and other skin cancers. And it's just, every dermatologist is like the number one thing for everything.

It sounds to me like we do any cosmetic procedures. What should I do to protect my skin sunscreen? And there's just so many benefits. And unfortunately, as a skin cancer surgeon, I see those patients who didn't have sunscreen options when they were younger and they. Grew up rubbing baby oil on their skin and using iodine and all these crazy things to get that what they thought was a healthy tan.

And now I hear regrets all the time, you know, and I see younger and younger patients coming in with melanoma and that's because of indoor tanning use even one use of entertaining. Will increase her risk of developing skin cancer, namely melanoma, which is a deadly form. So even just one, one use I've definitely had patients say I've only done it a handful of times.

You still need to get your skin checked because I've definitely seen melanoma in 20, 30 year olds and with no family history. But the only history was really using indoor tanning beds. Wow.

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Nothing happened to her, but God was nothing done out the door, but I remember sitting in the waiting room while she would go and, you know, get her tan, like that was glamorous. It was just like part of her lifestyle and the nineties. And obviously she didn't do it anymore. But I want to talk to you more about that with summer coming up, because you know, we're going to be out in the sun more, we're going to be wearing less.

We're going to be in, you know, bathing suits and stuff like that. What are some of the signs of skin cancer that we can look for? I know we should also just be coming in and getting skin checks, but what are some signs of skin cancer?

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And those can really look like pimples. Even that don't go away. I hear a lot of patients coming home. I thought it was a pimple, but it's stuck around for, you know, X number of months. And it just continued to grow. It started to bleed. It can look like a large oil gland. So they're, they're tricky. But things that you should be aware of is.

If they don't go away, if they're irritating in any way or start to bleed when they're slightly manipulated. So those are little signs as well, or they had crusty or scab Dover. So that's what you may look for for Bazell seller, squamous cell. And for melanoma, we use the ABCDs of melanoma. So we talk about.

Looking for any suspicious or new mole changing moles, I'm kind of doing a quick scan over your body. You know, obviously if you have family history, we want you to go in and get a full body skin check. But, you know, I think that it's prudent for a lot of patients will actually find they'll come in with concern about a particular.

So I think a lot of patients or spouses or partners will find these leaders because a lot of times we're not looking at our back and the back is one of the most common places for men to develop melanoma legs for women. That's that's good to know. So in terms of the ABCDs of melanoma are going to be a symmetry, so, you know, look up kind of split it in half.

Do they look the same on both sides, B for border? Does it have an irregular border C for color? Different, you know, in terms of the darker different event, your normal moles diameter is a bigger than say a pencil tip eraser and an E evolution. That's probably the most important is it, has it been changing?

Um, and then I think also just paying attention, kind of doing an inventory of your body. Like, you know, sometimes it's hard if you have a lot of moles, but. Getting a sense.

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[00:19:31] Dr. Tiffany Libby: Right. And I think there were studies done, um, sort of surveying people. Do you have any moles in the bottoms of your feet? And most people didn't know or they were inaccurate, you know, cause people don't look down there. They don't look between their toes. A lot of times we hear these scary stories when we're doing skin exams, kind of pull apart the toes and you see a suspicious molder that happens to be melanoma.

So definitely anywhere on the skin, you can develop melanoma. I think didn't Bob

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[00:20:04] Dr. Tiffany Libby: Yeah. April melanoma. So I think one of the big misconceptions about skin cancer is that patients with darker skin types, you know, are not susceptible to developing skin cancer.

And while they may be less likely to develop it, they, um, are definitely still at risk. And studies have shown that when they do come in. With the diagnosis, they are, they're often diagnosed at a much later stage, so they often require more aggressive treatment. And that's because there's just been a long delay from their time of developing it to the time of diagnosis.

So you've had a lot

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[00:20:51] Dr. Tiffany Libby: Yeah, that's a tricky question. Cause we, we can't really, we don't have the bandwidth really to do skin checks on everyone.

Right. So it's like, how do, how do we know when we should be going in for a skin check? I think really important is do you have any risk factors? You know, are you lighter skin type or had some, a lot of sun blistering sunburns as a kid or family history of melanoma. Anytime you have a mole or just something that you want to get checked out, you should go into the dermatologist.

atologist are experts in over:

Yeah, that

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[00:21:42] Natalie McMillan: Yeah. She hooked us up with the scene. Yeah, we were struggling, but Hey, it worked.

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Cause a lot of people have psoriasis and I think, you know, we talked about skin cancer a lot in sunscreen, but there's so many other conditions that dermatologists treat and that's what makes it so fun. I think. Such a wide range of diseases and diagnoses to know, and it's a very procedural and like hands-on specialty.

So most of what I do every day now is after this. They'll have a skin biopsy confirming that it's skin cancer they'll come to me. I'll remove it, stitch them back together. I also do a lot of cosmetics, so it's really fun for me having to kind of play artists in a way. And yeah. And then work with the patient to kind of figure out a treatment plan for them that works for their timeline, their budget.

And then we talked about, you know, skincare and everything. I mean, it's, I really enjoy my day job. Yeah.

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[00:22:45] Corinne Foxx: Yeah, I know you were talking about all the different kinds of conditions that you work with. And I feel like one thing that maybe we don't talk about a lot is that like, even as an adult, you can still get acne.

And I, we have friends that still struggle with adult acne. I do from time to time as well. And so if someone's listening right now and they are an adult and they're still struggling with their acne, what are some ways that they can combat it? And also I wanted to add what are some. Things they might be doing that they think is helping it, but it's actually making it worse because they've, I've heard a lot about like over washing, under washing sometimes, you know, it, it helps it doesn't have barrier.

I'm like

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And it's really common and it's acne can be caused from many different things, you know, it can be, cause usually it starts from the pores being clogged, then there's inflammation or something that makes it worse and there's can be bacteria involved in there too. And then it can develop into a little pimple there and.

Hormones are a place. So I definitely see a lot of women, you know, in their thirties or forties and, you know, they'll have breakouts and we tend to see them more around the jaw and area also. Things like masks, you know, I think I've, I've done some segments on masking me just kind of trapping in that humidity and the mask and a physically rubbing in dirt oil bacteria in the skin.

So there's a lot of reasons that we may be breaking out now. And then as seasons change, we don't realize that our skin's needs change as well. So if we're working out a lot of now, we're, it's getting into the hotter months. There's more sweat and oil kind of building up on our skin and bacteria. We need to be mindful of how we're cleansing our skin.

And when you just mentioned, what are some things that people are doing that they shouldn't be doing? So I think one thing I hear really commonly is I don't moisturize my skin because I have oily skin and, you know, I don't need, I don't need a moisturizer. So back to the skin barrier, I have to go back and educate and say, you know what?

The. Dry skin is angry skin. It will be irritated. You'll break out more. So basically, even if you have acne, you should be moisturizing your skin. There are many different ways to risers out there. You can find one. That's not going to be, you know, oily. It can be more of a gel cream formula, but you really want to make sure your skin is sort of at this good homeostasis.

It's kind of balanced, you know, it's happy that's going to lead you to less breakouts overall.

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I don't know. My facialist gave it to me, but it works. I

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So even more, so you need to make sure you're well moisturized. I always would get

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And I think I was just

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Yeah. So a lot of times you might be overdoing it. Using the same actives, multiple times in your routine, without even realizing that's a really common mistake, I'll see where someone's using a really, an acne targeted cleanser. And then they're also using a topical that has, you know, an acne ingredient in it.

And then maybe also using an exfoliating agent on top and they're in their night cream and not realizing it. Some people can tolerate that, but some will definitely have irritation. Yeah.

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[00:27:08] Dr. Tiffany Libby: It's very complicated. I feel like there's, we love talking about this all, you know, so I always encourage patients to come in and a lot of times they're surprised.

They're like, oh, I don't want to overwhelm. I don't want to take up your time about skincare. And I'm like, no, I, this is like the basis of your skin health. So I really appreciate when patients bring in their bag of, this is what I use at home.

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Tell me what's working and what's not working.

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[00:27:44] Corinne Foxx: Oh, you're like, this tube is full.

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If you wanted to, or what, what is the time you would even consider it? And for what reasons.

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I think it really depends on your agenda. You know, we start losing college and at a rate of 1% per year, starting in our twenties, I know it's a scary statistic, but you know, we just you're, you'll notice your skin quality start to change over time. And you might start noticing, noticing these changes more into your thirties or forties.

So there's a lot we can do in terms of prevention and preventing some of these lines from forming, preventing them from worsening. So. My go-to because I do get asked a lot in clinic is a time for me to start, you know, and really if they have, if they're really expressive and they're creating a lot of wrinkles on their forehead, maybe a good time, you know, because you will likely with those repeated.

Movements start to form lines. You can also look at it and one of your parents and see how you, you know, everyone's tends to age like one of their parents and you'd say, oh, you know, they have lines here. I'll probably get those eventually, you know, maybe I should start minimizing those movements and there's way to do Botox where you still have movement, but it's just lessening them so that you are allowing your skin to not kind of tenuously fold in on itself and create those lines because once those lines are there, you know, it's really difficult to erase.

You can soften them. And I tell patients, cause sometimes they come, okay, I'm ready now for Botox. And I'm like, well, this is what we can do. We can soften those lines. We won't be able to get rid of them. And sometimes you can soften them. I'll combine different treatments. I'll use the Botox to prevent those lines from getting worse and soften them.

And then we might need to use lasers now, resurface the skin and help stimulate more collagen production there so that, you know, those lines can be further saw. Yeah. So

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[00:30:13] Dr. Tiffany Libby: Yeah. So I feel like if you already starting to have resting lines, I would definitely start thinking about Botox.

I mean, some people are like, I don't want that at all. I just want to age naturally. And I respect that, you know, I say there's a process that's happening. We're losing college and we're losing bone won't bone resorbs over time stamp pads, move. There's ways to counteract that. So we can still age gracefully and age naturally, but we can replace what's being lost.

So I think people feel better when they think about replacement other than, or slowing down the process is an easier way for people to feel more comfortable with it. And then there are a lot of other procedures that we do that don't require injectables per se, that rely on your own body's wound healing process, like microneedling or lasers.

So sometimes I definitely. Patients who trend towards more towards those procedures.

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And we, we touched about on, in a little bit, but. I'm curious, like which products you feel like are worth splurging on because they can be really expensive sometimes. And which ones you're like, Hey, you can get this at the drug store and it works just as good. So I'm curious what your thoughts are.

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Um, they're going to be your antioxidants, like your vitamin C. They're going to be your peptides. And then in terms of where you don't need to splurge cleanser, Moisturizers your retinoids. You can really get all of them at the local drug store. We have such a wide selection now. I mean, as so many of my favorite products, you can easily pick up at the drug store.

I even did a post on kind of like last minute gift giving around the holidays. And people were surprised at how much you can just actually like even throw in a bag for like kids, teachers for the holidays. And there's such great brands that are available. So, for example, like if I'm giving a basic routine, you're going to cleanse your face morning and night, right?

So in your morning routine, use a gentle cleanser. I really like CFL's daily facial cleanser. If you want a foaming one, they have a great foaming one. I don't really like physical exfoliant. So there's like ones with the ability people. I feel like men tend to really like that. They're like, they feel like they're getting a layer off.

So if you must. CFL has a really nice, really gentle scrub that has a low concentration of these really fine bamboo granules. So they're really, really small. And I find that that's, you know, they formulate that specifically for sensitive skin. So that's like this one that I like and. Then in the evening, I would definitely do use a cleanser with maybe more actives in it.

So like Vichy has one that has salycilic acid. I really love that cleanser Glytone has great cleansers that have like colic acids and these are things going to brighten your skin and exfoliate because we get a lot of buildup on the skin. Yeah. Yeah, these things help treat those dark spots and just brighten your skin overall and improve your complexion, which everyone wants.

And then in the morning, um, so vitamin C is really hard. One to formulate because it's really unstable and that's definitely one where I would splurge. So I'm sure you've. The ones by SkinCeuticals. Yeah. That's like the one, I mean, the one that smells funky, you know, but it works and patients are like, I lived through it, you know, I, they get used to it.

Yeah. There's many different ones out there now to it. That's sort of where I was sports is, antioxidants are really important. They help brighten your skin. They help protect against free radical damage. And what that means is when the. Or pollution is kind of hitting your skin and you're kind of calling these free radicals and that can damage collagen.

So you're kind of slowing down that college and degradation process and. Peptides. I love my peptides. I think those are tricky because those are really hard to formulate and they do a lot of things from stimulating your skin to make more collagen and elastin firming up your skin, helping with pigmentation.

So peptides are definitely a place where I would want to splurge as well. I don't

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[00:34:29] Dr. Tiffany Libby: Yeah, there's definitely great peptide products out there. You want to make sure that they have enough? Cause sometimes there's a sprinkling of peptides in there and I feel like they make claims, you know?

And um, so that's definitely one where I like brands that will do some clinicals and test them on patients and just kind of make sure they're using. Right. Amount of their set ingredients to actually demonstrate that results that they're showcasing.

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Well, Dr. Libby, I don't want to take any more of your time. You are a working mom. I know you have three kids, is that you said three kids. Surgery's today. So we just want to thank you so much for your time. This is such an important episode, especially with summer coming up and we want to make sure our listeners have healthy skin and are seeing their dermatologists when they need to.

So thank you so much where I really appreciate your time.

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[00:35:30] Corinne Foxx: gosh. So much. Have a great rest of your day. Thank you. You too. Bye.

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[00:35:43] Corinne Foxx: get that was so informative. I learned so much. I feel like, I mean, that's what we're saying. She was an expert. She is an ex Burt. What our peptides are, how my God, she was like peptides. And I'm like, that was the only thing. I didn't have my skincare routine

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An appointment with our dermatologist. Yeah.

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Why sunscreen is the holy grail of skincare.

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[00:36:29] Corinne Foxx: that's absolutely insane. Insane, insane.

[:

[00:36:36] Corinne Foxx: it that you eat oils the oils

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[00:36:38] Corinne Foxx: bloodstream? Oh Lord. Woo. I wouldn't want to see her and Dr.

Libby,

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[00:36:45] Dr. Tiffany Libby: imagine? Okay, now let's go

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[00:36:53] Natalie McMillan: a 2018 it's Busteed Mira flow floor. A floor. I can't pronounce it very well. It is a blendy blend from France. Oh, we love it. We love it. And, uh, do you want to introduce our Hottie?

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[00:37:15] Natalie McMillan: We didn't, she also play. Wasn't she

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Not because she's my phone mother, but because she is an ambassador for Neutrogena, I feel like she does all those ads, those ads, where they would splash their face. I was like, that's still. I know I made it if I'm splashing water on my face in slow motion, the splashing.

[:

And then also just like it was that commercial and then wanting to be on the cover of 17. Yeah.

[:

Do another little speed. It tasted really good with my cookie. Ooh, I'll take a bite of Mick, your cookie and then reevaluate how they work together, because there's something about the combat.

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[00:38:19] Natalie McMillan: thing. This is so weird. Okay.

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Maybe the chocolatey,

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[00:38:32] Natalie McMillan: Okay with cookie, I'm going

[:

[00:38:35] Natalie McMillan: It's a Kerry by itself by itself. I'm going to give it a nine.

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[00:38:43] Dr. Tiffany Libby: chocolate chip cookie.

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[00:38:47] Corinne Foxx: it's a periodic

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[00:38:50] Dr. Tiffany Libby: I

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[00:38:57] Corinne Foxx: all right. This is the part of the episode where we play a little wrap up game. And this week we're playing 200 questions. It's a fan favorite. But I love it. And here it is. And no, we're not answering 200 questions. We are picking a question one through 200 and they get progressively more spicy. Yeah.

Intimate. I don't tense. We'll see Natalie one to 200. What's your flavor.

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an,

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[00:39:33] Natalie McMillan: Does it last time you climbed a tree in the same vein.

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[00:39:41] Natalie McMillan: Zero, zero times zero often, zero often. I, what did, I mean, I go to Pilates like every day, but I don't think that's a sport. Um, do you

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[00:39:52] Corinne Foxx: think I'll do a redo on that.

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[00:40:05] Dr. Tiffany Libby: Oh,

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I think I got this question once, but you haven't gotten it.

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And. It's just a really, I love, I love seeing him and

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[00:41:10] Natalie McMillan: Kenny, did I mention that? Kenny's my brother. I mean,

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[00:41:19] Natalie McMillan: And then you are going to pick a number.

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[00:41:23] Corinne Foxx: with a crazy 1, 1 68 push that's a number that would never get

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[00:41:35] Dr. Tiffany Libby: eighties.

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[00:41:44] Corinne Foxx: now?

Oh, I love this question one. Love it. Okay. Well there's one. I want to go back to, I used to work. First thing in the morning and meditate. I do not do that anymore. It's easy to fall out of it. So I fallen. Yeah. I fallen out of that habit and it just, I couldn't really feel that like the effects of that on my day-to-day life.

So I would really love to go back to. And waking up first thing and sitting down and meditating for at least 10 minutes. And then also within that same vein journaling. Yeah. I used to be, I'd wake up. I'd meditate, 10 minutes. And then right before I went to bed, I would journal my day. Why am I not doing that?

I would

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[00:42:24] Corinne Foxx: all year. Oh yeah, for sure. And then it gets intimidating. They get in your head. You're like, well, I haven't driven for this year

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[00:42:33] Corinne Foxx: It's too much. So yeah.

I would say those are the things I'm I really would like to bring back into my life and reincorporate.

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[00:42:42] Corinne Foxx: All right. You guys. Well, again, like we said, at the top of the episode, if you love this episode, feel free to rate and review the podcast. It really helps us grow.

And if you want more of what you just listened to, we have other episodes like main attraction, how to create a heritage. Actually works. You can go back and listen to that more. If you are trying to build out your routine like me, we have an episode called morning routines, how the most successful people start their day.

It can go back and listen to that one as well. That one's a big one. That was like one of our most, one of our most listens to.

So if you have a center, I go back and listen to it and like always we'll be back next week with another episode. Love you guys. .

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