تدريب Shadowing: Facial Consultation #1 - تعلم التحدث بالإنجليزية عبر الفيديو

Hello this is Trina welcome to Spalli Law and today we are interviewing Isabel and we're going to talk about acne, oily skin and acne scarring.

So Isabel tell us 12 years old

so there's a lot of scarring as well okay um seven picking okay

and scarring and picking scarring and picking

and I have oily skin okay as far as I can see it's an oily skin okay

and anything else that is a concern of yours Not at the moment.

Just mostly acne, scarring, picking, and oily skin.

Okay, so what do you do right now to help with that?

Like my routine?

Yeah, like what is your skincare routine?

I cleanse So, like I guess a gentle cleanser.

Okay.

And then toner and then moisturize.

Okay, so you tone and then moisturize.

And is it tone and moisturize both morning and night?

Yes.

Okay.

And what kind of toner are you using?

I'm using like a rose water.

Rose water.

Okay.

And then are you doing any kind of exfoliation at all?

Um, I have a scrub that I use once a week.

Okay and what's inside the scrub is it made with like do you know what it's is it jojoba beads,

apricot, I don't know.

It's one of those like drugstore just little scrubby ones.

Like a fine scrub?

I don't know what the little balls are made of.

Okay.

Yeah.

So there's no like glycolic or salicylic acid or anything like that in there?

Salicylic, yes.

Salicylic, okay.

Salicylic and in the scrub.

Okay. that you're using?

No. Okay.

And any antioxidants or oils or anything like that?

No. Okay.

All right.

So, in this routine that you're doing right now to combat your acne,

you're not really using anything that's going to help stop the acne.

So, doing a scrub once a week isn't really going to do anything because acne's inside of the skin.

and it's under the skin.

So what a scrub does is it feels good on the surface, but if you think of like, like if there's a clog inside of a hole.

you're scrubbing at the surface you're not getting what's inside the hole right

so you have to get something that's going to go down

and unclog that pore so that it'll come out so

so scrubbing at the surface and salicylic acid is good for acne

but it's good for like surface acne

when you have already a pimple that's there

and it's gonna help to fight that but you want to unclog the pores

so that you don't get a buildup it which causes the acne

so stuff like that would be do ever get cystic acne

or is it mostly like blackheads

and pitbulls cystic as well where do you get those I get them around my chin sometimes my forehead okay

so does that usually come during your period yes okay so

so to help with cystic acne is one ingredient it's called benzoyl peroxide

and benzoyl peroxide is like a liquid oxygen and cysts are like little hard balls under is P bacteria and bacteria,

the P bacteria doesn't like to live in oxygen, so that's why it's contained in this circle.

You can't get a scrub on there and you can't get anything in there.

So what you want to do is use benzoyl peroxide, which can go in and put like it's like a liquid oxygen.

It can go in there and kill the bacteria in the pore, I mean in that sack and then the sack will go down, the bacteria will die and it'll go down.

You never want

your cysts because those when you pick them that's

when you get scarring because also when you pick a cyst it's like a sack

and if you're pushing on it and you break the sack

and it opens inwardly it'll cause your skin to fall in and cause like the you know the scar but also

it'll cause that P bacteria to escape and go to other parts around there and then you get pimples around the area.

So like you never want to pick a cyst.

You always just put benzoyl peroxide on it.

You can get over the counter benzoyl peroxide.

You can also get it from your doctor.

And then so that you would put that on when the cyst

when you very first start to feel one of those bumps coming on.

Usually they start to throb.

You can feel them growing.

That would be for that for blackheads and pustules or like, you know, when you get pussy cysts,

pimples, you want to use like a glycolic and a salicylic.

So glycolic has the smallest molecule of the fruit acids.

It goes into the pore and like liquefies what's in the pore, where salicylic acid more works like on the overall acne that's on the surface of the skin.

So a lot of times they'll blend the two together.

So using something like that, if you have problems with both or all three of those, it's almost like you need to use a couple different ingredients.

glycolic salicylics you can get blended and then benzoyl peroxide would be a separate

so you kind of need both of those ingredients

so that's something I would add in there is there a reason

that you use the rosewater toner is there a reason you use it owner are you using it too

and what I've heard that you need a toner yeah

so is it is it because you want it to clean your skin more or is it Well,

when I first started even having a facial routine, my mom put me on the Clinique 1 -2 -3 -step.

So that's what got me into, okay, toner's part of a routine.

And then I just heard that rose water is very good for hydrating.

And so I just picked that.

Okay.

So, I mean, basically a toner is a...

whatever product originally they made the toner

because they wanted to put ingredients in there

that strip the oils off the skin

because they thought it would help with acne and help with cleaning

so they that was like in the 90s

100

and the 80s um marketing material it was like in the 70s even is

101

that in our mom's generations is that you it toner is part of the routine you have to use a

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And so it was like for that purpose.

103

But what they found, what they found was that that's actually stripping the oils that we need on our skin.

104

And it was actually not good for the skin because it was making your skin extra dry.

105

So they took the ingredients out of the toner, but left the toner in the market because everybody was so used to buying a toner.

106

Like you can't just take it out because if people are going to want it and they want to sell it.

107

So they just took that ingredient out.

108

So then what did it become?

109

Just basically a hydrating mist.

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and so then it became the hydrating mist

111

so then it's like do you really need

112

that not really you could buy a product that you really need for your skin and That's just a feel -good product.

113

If you love it and you're like, I love the smell of rose and it makes me feel good when I put it on, then that's fine.

114

But it's not a necessary product to use. So there's your toner.

115

That's, like I said, you can use it or you don't have to use it.

116

You can use it for hydrating if you want to hydrate.

117

That's fine. which is good.

118

Sometimes, moisturizers can clog your skin.

119

So, the fact that you get acne, that's always one of the things I look at is what kind of moisturizer you're using.

120

Some moisturizers have things that clog pores, and if people have dry skin, it doesn't matter because they don't really get clogged pores, but when you do, you have to be careful.

121

Okay, so after toner, then you moisturize.

122

So, that's good.

123

I like that you're moisturizing.

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The important

125

can tend to it can be caused by the moisturizer

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so I'd like to take a look at the moisturizer

127

that people are using when they have acne to make sure the ingredients are not clogging your pores so

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do you know what the brand is that you're using it's a ole okay um ole has a few different lines

129

switch your moisturizer.

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Olay tends to be for an older audience, a drier audience.

131

So, I'm not sure which one you're using, but something's not working in your routine and it's not the Cetaphil or the rose water.

132

And the only other thing that you're using is Olay.

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So, we might want to change that and see if we can get a difference, along with using things that are going to unclog your pores.

134

Acne is something that you've been dealing with for a really long time.

135

So, it's really just about under control.

136

So then you're not using an SPF, but the picking and the scarring,

137

it's important when you have acne and it's in the healing stage

138

when it's red that you're using sunscreen on it because if you're not, then the sun looks at that as a wound

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and then your melanin comes to push forward and protect and

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that melanin can stay there because it's a wound and it kind of damages You want to put sunscreen on,

141

especially in the healing process of acne, so that you don't get the brown spots.

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Red goes away, brown stays, and then you have to fight the brown, which is like using things to get rid of pigmentation.

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Also try not to pick.

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So I feel like when you're taking care of your skin more, maybe getting some extraction facials, getting the products in there that should be clearing up the acne,

145

it'll make you not want to pick as much. as much.

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So, you know, control the picking because the picking causes scarring.

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And so, the other thing that I feel like you need in your routine is a sunscreen.

148

And we can get you a sunscreen that's not greasy and doesn't feel like a lot of creamy, heavy cream.

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There's sprays, there's powders.

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Probably the spray, I feel like for acne is good because it's really light.

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You can mix it skin.

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It's nice.

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It's a physical, a lot of the sprays are physical barrier, so it doesn't go in the pores.

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just sits on the surface so that's a really important step

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when you have acne to keep you from getting um brown spots

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and pigmentation after moisturizer yeah so

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and you could pick up your cleanser i mean you're using

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cetaphil it's a gentle cleanser it's not doing a deeper a good cleanse

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so you know you might want to get a little uh some something a little stronger i feel that little help there.

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But I wouldn't change that right away.

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I'd start you on a glycolic salicylic, get you some benzoyl peroxide for the cysts, get you on a sunscreen, and then

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get you an extraction facial so that we can really see what's going on there

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and then start handling the acne and then caring for it later.

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So if you want to change cleansers now, it's not a bad idea either.

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Okay.

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So do you use anything from a doctor's office?

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Do you see a dermatologist?

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No. No?

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Okay.

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So have you ever been on Accutane?

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No. Do you for any reason?

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No. On your skin?

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Okay.

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Have you ever had peels or microdermabrasion?

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No. Okay.

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Any lasers?

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Botox?

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No. Fillers?

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No. Nothing?

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All right.

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So, do you have epilepsy, diabetes, or a pacemaker?

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No. And do you have any metal in your body, like plates in your legs, pins in your knees?

183

Other than feelings, but no. Okay.

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The reason we ask that is because we do something for acne called high frequency.

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It's a current that also kills bacteria.

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It's kind of like a electric oxygen.

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So we do benzoyl peroxide and in the high frequency current

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and that Helps to kill the bacteria and cysts

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and any acne bacteria that's on the skin and

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if you have metal in your body It can you know shock you

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so it's important to tell people if you have metal in your body or not And then are you on any medications?

192

No, okay What?

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The best thing to do to help you with your acne and scarring is to get you first clearing the acne, doing acne sessions that are like 30 minute sessions,

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and then getting you on the right products.

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And then once we heal the acne, we can start dealing with the scarring and doing things like peels and microdermabrasion.

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You can do lasers for that, different kinds of treatments.

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But first we want to correct the acne.

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Like, when you eat certain foods, do you have an acne flare?

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Or is it just kind of your skin just breaks out?

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It's been hard to tell since I've been dealing with it since I was very young,

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but um, one thing I did notice is that dairy was kind of triggering it a little bit,

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but so flare up a little yeah, but even when you don't take dairy, it's still there.

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Okay.

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Yeah.

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So yeah, clear that for sure all right well thank you is about it thank you

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