Shadowing Practice: Skin: Multitalented and underappreciated | DW Documentary - Learn English Speaking with Video
Creating lesson...
1
The skin is our largest and arguably most beautiful organ, measuring up to 2 square meters and weighing 10 kilos.
2
It's a marvel that renews itself every 4 weeks and protects and regulates our body's temperature.
3
The epidermis is 4 millimeters thick on the palms of the hands
4
and soles of the feet and as thin as a sheet of paper on the eyelids.
5
We associate smooth clear skin with beauty, youth and sensuality.
6
When I look in the mirror, I don't like what I see when the skin sags like that.
7
Our skin shows everyone who we are, and it should be as flawless as possible.
8
Back then, I felt that typical urge to change, mainly triggered by other people's comments about my appearance.
9
Hey, you've got such a pronounced lower lip, you should get your upper lip filled.
10
the mind and the skin are closely linked it's said that the skin is a mirror of the soul
11
how can we protect it what can we do to keep it smooth and firm
12
nowadays many of our skin care wishes can actually be fulfilled if we want them to be
13
When I meet someone, I look at them.
14
How has their skin aged?
15
Or how have their facial features aged?
16
It's actually very important to start by looking at what's happened to them.
17
Have their facial features sagged?
18
Do they have bags under their eyes?
19
And so on.
20
And then I think about it.
21
If this person were to seek help, what could be done?
22
My name is Claudia Borelli.
23
I head the Aesthetic Dermatology and Laser Unit at Tübingen University Hospital.
24
We treat skin conditions here at the dermatology clinic, of course, but I also offer skin care advice every day.
25
Being a dermatologist is wonderful because you get to see all the problems that affect the skin.
26
And it's a field where you look after everyone, from toddlers to the elderly, men and women alike.
27
It's an amazing thing.
28
We naturally try to ensure that, in the end, patients know what's suitable for their specific skin type.
29
To do this, you need to take all the layers of the skin into account.
30
The visible outer layer, the epidermis, is our protective barrier.
31
Beneath it lie two further layers.
32
First comes the dermis.
33
It consists mainly of a dense network of tear -resistant collagen fibres, elastic fibres and connective tissue cells.
34
They make the skin both firm and elastic.
35
Then comes the subcutaneous tissue.
36
This consists of fatty tissue and provides insulation and cushioning for the body.
37
The dermis acts as a control centre.
38
Depending on the location, there are hundreds of pain, temperature and pressure receptors per square centimetre.
39
Then there are hair follicles and glands that produce odour, sweat and sebum.
40
Internal skin aging can start as early as 25.
41
The skin's repair mechanisms no longer function as effectively as they used to.
42
The skin becomes thinner and tiny wrinkles appear.
43
I get up, stand in front of the mirror and think, oh God, who is that?
44
I'm Britta Philipp.
45
I live here in Schleiftlarn and work as a medical assistant in Munich.
46
I'm 48 years old and, unfortunately, I'm starting to notice wrinkles appearing and my skin isn't quite as firm as it used to be.
47
And on nights when you don't sleep as well, your eyes are a bit puffier in the morning.
48
I don't devote my time to beauty products, creams and makeup these days, as I've got two boys and a dog as well as my work.
49
I just don't have much time for that.
50
I'm particularly bothered by these smile lines, as well as rings under my eyes, and the fine lines.
51
It's hard to stay on top of everything.
52
I don't use the lotions and creams regularly because I don't have the time.
53
I'm considering hyaluronic acid injections just to see what it's like.
54
I have tried lots of creams, from cheap to expensive, that have vitamin C, Q10 in them, or that have any sort of anti -aging properties.
55
As we age, the sweat and sebaceous glands produce less fluid.
56
The skins protect acid mantle gets gradually thinner.
57
Cells regenerate more slowly.
58
The elastic and collagen fibers in the deeper dermis lose their stability.
59
The result?
60
Wrinkles.
61
My son has mentioned it.
62
He says, Mom, you're getting those little wrinkles between your lip and your nose, and it reminds me of old ladies.
63
Internal skin aging is what we inherit genetically from our parents.
64
External skin aging, or extrinsic skin aging, is largely caused by UV light, and above all, through smoking.
65
You can definitely tell by looking at someone whether they work night shifts, how well they sleep.
66
In the end, all of that is reflected in our skin.
67
The number one most effective anti -aging product is sun lotion, factor 30 to 50, and in sufficient quantities.
68
For adults, the rule of thumb is this.
69
For each part of the body, such as the head and neck, chest, stomach or arm, use a line of sun cream about the length of your whole hand.
70
The photographer Thomas Leverett used a UV camera lens to reveal skin damage that's invisible to the naked eye.
71
His photographs show the harm caused by UV radiation and how sun cream protects the skin.
72
The pictures show the areas where skin aging has already set in, such as sunspots or the early signs of age spots.
73
This is actually a sign that far too much UV light has already reached the skin.
74
UV exposure causes deep wrinkles to form in the skin.
75
This happens because, at some point, the skin's repair mechanisms become overwhelmed and no longer function properly.
76
Cosmetics can certainly help to manage the aging process and, in this respect, have a positive effect.
77
There are active ingredients that have been scientifically proven to be effective.
78
These are, for the most part, antioxidants, which are free radical scavengers.
79
Primarily products with vitamin A, vitamin E, and vitamin C.
80
And there's also sound research data on low -molecular -weight hyaluronic acid, which can penetrate the skin and improve its hydration.
81
I'm Eva Kohlet, a yoga teacher.
82
I don't have a problem with wrinkles, but I don't like how oily my skin is.
83
It's bothered me since I was a teenager.
84
Large pores, the odd pimple or black head every now and then.
85
It's a problem in my job because when I practice, I sweat, which produces a greasy sheen.
86
Let me show you how oily my skin is.
87
I was constantly going to see the dermatologist for advice and at the same time trying out various serums, creams and cleansing lotions.
88
Then I realized that wasn't going to get me anywhere.
89
I had a look on TikTok and Instagram, checking out different people, various influences in that field.
90
I found some of the tips really interesting.
91
It's important to accept that our skin is influenced by hormones as well as genetics.
92
You don't need much, and it's good for all skin types, including oily skin.
93
But others left me puzzled.
94
Don't let your skin dry out.
95
Add more oil so that it produces less oil.
96
Your morning cleansing routine determines how quickly your skin becomes oily again.
97
I'm still not sure whether that's what I should be doing.
98
My skincare routine looks like this.
99
First, I use an oil to open the pores, followed by soap to wash it all off.
100
That's my evening skincare routine.
101
The pH level is essential for any skincare routine.
102
It measures how acidic or alkaline a solution is on a scale of 0 to 14, with 7 being neutral.
103
The protective film on the skin's surface is slightly acidic with a pH value of around 5, so skincare products should match this.
104
Soap is more alkaline and can damage the skin's barrier.
105
For cleansing sensitive skin, Dermatologists recommend what are known as SYNDETs, short for synthetic detergents, with a neutral pH level.
106
I'd like to check with the dermatology clinic whether this is good advice
107
and will help me get rid of my enlarged pores.
108
There are different skin types.
109
There's seborrheic skin or overly oily skin, which doesn't require any additional moisturizing and in fact can be adversely affected by it.
110
There are people with dry skin who are sometimes prone to eczema
111
or who have atopic skin and who need to moisturize after every bath or shower.
112
And then there are those, the majority, who have some combination of oilier and drier areas.
113
The oiliness or dryness of your skin depends on your genetic predisposition and hormones.
114
The oil produced by the sebaceous glands keeps the skin supple and protects it from pathogens.
115
If too much sebum is produced, the pore that the hair comes out of can become blocked.
116
The sebum can no longer drain properly.
117
Bacteria begin to grow.
118
This bacterial growth triggers an immune response, leading to inflammation, which eventually becomes visible as a pimple.
119
It bothers me because I don't think enlarged pores look good, because I'd like to have smoother skin, and because when pimples and blackheads appear,
120
they don't look nice, and they're also a nuisance, and because when I put on makeup, it smudges within just an hour or two.
121
You can improve your skin and think about how to achieve the perfect glow, how to look younger, and how to reverse the appearance of wrinkles.
122
But what I value about my skin is that it allows for touch, that you can feel the sun on your skin or the wind brushing against your arms.
123
So for me personally, I try to prioritize that sense of feeling over optimization and appearance.
124
My name is Elisabeth Lechner, I'm a scholar of literature and cultural studies,
125
and in my PhD thesis I explored the politics of the body positivity movement and what is considered a disgusting female body,
126
why some bodies are considered beautiful and others disgusting.
127
And the skin in particular is a good indicator of this.
128
In times of antiquity, a smooth pale complexion was considered a status symbol.
129
Women painted their faces with toxic white lead or bean flower.
130
But as warriors, men were expected to have a brown, suntanned complexion.
131
In the Middle Ages, both sexes were expected to have pale skin tanned skin was a sign of low social status.
132
As of a century ago, a dark complexion has been regarded as athletic and attractive.
133
The ideal skin is young, fair, with no body hair, or in the case of men, very well -groomed body hair.
134
And it's very firm, with no signs of aging.
135
It is by no means saggy.
136
Skin always requires more and more care.
137
In other words, whereas a few decades ago we used to look after our skin with creams
138
and then apply our choice of makeup, it's now the case that minimally invasive procedures have become far more common,
139
particularly on the face, which is after all the main way we interact with the outside world and with others.
140
I'd quite like to try a treatment with a filler or hyaluronic acid that's injected straight under the skin,
141
because unfortunately I'm not very consistent when it comes to using creams, face masks, and all that sort of thing.
142
If you have deeper wrinkles or changes to the structure of your face, creams won't help.
143
Instead, you'll need to have hyaluronic acid injections, which can improve both the skin's texture and the contours of your face, making you look younger again.
144
Hi, I'm Britta Philipp.
145
I have an appointment.
146
Could you please fill out the consent form for me?
147
Thank you.
148
You're welcome.
149
use the mirror to show me exactly what's bothering you the lines here here on the mouth
150
and on my upper lip okay we'll use botox on the
151
frown lines her facial expression is a little more relaxed
152
and the whole face has sagged a bit so we'll try to lift
153
that up this will make everything look a bit smoother
154
and as for the lips i'll try to define them a
155
little more finally i'll use a bit of hyaluronic acid to take care of the mouth here.
156
There are potential side effects, of course.
157
The worst -case scenario, we hit a blood vessel and block it with a hyaluronic acid gel.
158
The biggest risk, which is extremely rare, is that it could lead to blindness.
159
You can read all about it later in the pamphlet.
160
In Frau Philipp's case, it'll be about 2 ,200 euros.
161
My name is Dr. Christoph Liebig.
162
I'm a practicing dermatologist in Munich.
163
I put my heart and soul into every aesthetic treatment I carry out.
164
For younger patients, it's usually the lips.
165
For older patients, it's the sagging structures, which we then lift back into place.
166
Wherever there's movement, frown lines, crow's feet, forehead wrinkles, we can use Botox.
167
It inhibits muscle movement and relaxes the facial features.
168
If used early enough, it prevents that crease or fold from becoming deeply etched, just like creasing a sheet of paper.
169
In contrast, hyaluronic acid is a substance produced naturally by the body and now also by genetically modified bacteria.
170
We use this to correct any loss of volume or to lift the face and restore the sunken contours.
171
I've got nothing against cosmetic surgery or procedures.
172
However, I do take issue with the way it's marketed, particularly to younger people with the idea that it's a quick fix
173
that can be reversed and people don't give enough thought to the long -term consequences.
174
My name is Yasmin Gnu and I'm a YouTuber, but I'm also active on all the other platforms such as Twitch, Instagram and the like.
175
We're at Fantasy Basel now and I'm about to meet my fans.
176
I'm really looking forward to it.
177
There's loads to do here, you can try out games and check out some brilliant costumes.
178
On my main channel I play computer games, and these are edited into videos of about 12 or 13 minutes, to hopefully put a smile on people's faces.
179
And one of my channels focuses more on general topics, a bit more on self -care and the idea that you shouldn't let social media get to you too much, especially when it comes to appearance.
180
and on making people aware that looks aren't everything.
181
There's been a recent stir in the English -speaking world surrounding the Sephora brand, the Sephora Kids.
182
Young people showcasing their skincare routines on TikTok and making it immediately clear just how much these products cost.
183
Yes, that's my primer.
184
I use it for this and that.
185
And when you add it all up, you find yourself wondering how that's all financially possible.
186
We're also seeing that the beauty industry's target audience is getting younger.
187
Market research just published in the U .S shows
188
that the biggest growth segment in the skincare industry is 8 to 13 -year -olds.
189
That's total nonsense because their skin hasn't started to age yet.
190
They don't have any skin problems at all.
191
Why on earth would you use retinol when you don't have any wrinkles yet?
192
Show me what you're using at the moment.
193
In the morning I use eye creams, then hyaluronic acid, sun cream, and if my skin feels very dry, an oil.
194
And occasionally I add this cream as well, and occasionally vitamin C.
195
That's quite a lot.
196
generally speaking i wouldn't rate the oils very highly
197
so i'd probably leave this one out and you'd need to check whether the cream is too fatty
198
from what i've seen on social media my skin needs much more moisture I wouldn't quite agree with that.
199
The skin, which is actually quite resilient, with a bit of seborrhea and oiliness, is sufficiently moisturized.
200
I don't get the impression it's dry.
201
If it were, we'd have fine lines caused by dryness, but we don't.
202
Having this kind of skin is a positive thing, you'll get smaller wrinkles later on.
203
I'll stand up, that way I can see better.
204
Look in that direction first so I can take a look at this side and examine the skin up close.
205
There's still a bit of oiliness, which isn't surprising given the oils.
206
In terms of skin type, you have seborrheic skin, which means it tends to be slightly oily.
207
Consequently, anything containing oils is unsuitable.
208
I'd give all that careful thought and probably stop using those products.
209
Then I'd recommend a chemical peel containing glycolic and salicylic acid
210
so that we can make further improvements to the condition of your skin, making the pores slightly less visible and reducing the oiliness.
211
Read this through carefully and we'll see you at your next appointment for the treatment.
212
Oils always sound so lovely, so nourishing and beneficial, but they're actually very bad for people with skin
213
that tends to be on the oily side and can cause inflammation and breakouts.
214
And I think you should always ask yourself, what's this person trying to tell me?
215
Are they motivated by sponsorship?
216
Is it all just advertising?
217
Am I being encouraged to use
218
so many different products for the benefit of a company or even the person on the screen?
219
I take a very critical view of this.
220
Not every lay person can meaningfully assess the scientific data.
221
It's no trivial matter.
222
My name is Ingo Hefke, and I'm a school support worker.
223
I've had problems with psoriasis since I was a child.
224
But it's gotten much worse in recent years.
225
I've only just moved into this house, together with my wife and our 37 -year -old son.
226
He has a disability, and there's always a lot to do.
227
So I have psoriasis here on my elbows and on the sole of my right foot,
228
which is sometimes is very uncomfortable psoriasis is an autoimmune condition
229
that can also be hereditary and can be triggered by inflammation
230
or stress this brings about an overreaction of the immune system as well as viruses
231
and bacteria it also starts attacking the body's own cells
232
in psoriasis this causes skin cells to renew themselves up to 10 times faster resulting in red, scaly patches of skin.
233
I used to be given ointments and tried bath salts and cloths soaked in tea, but nothing really helps.
234
It helps me keep it more or less under control.
235
It's not getting any worse, but… I think stress is a major factor.
236
We've just moved, and we were under a lot of stress beforehand, and now it's completely flared up again on my left elbow,
237
for the first time in years." The skin and the mind are fundamentally interconnected.
238
Take goosebumps for example, an example of how directly emotional reactions affect the skin.
239
My name is Uwe Gila.
240
I'm a clinical director of the Department of Psychosomatics at Vitos Gießen.
241
Here we specialize in the treatment of skin problems,
242
looking at how stress affects the skin.
243
Psoriasis is a very common condition affecting around two or three percent of the population.
244
And from a psychosomatic perspective, it's true to say it can become a type of defense mechanism.
245
I once had a patient who said, my psoriasis armor protects me, and I never forgot that.
246
Right, please take a seat.
247
Tell me how it all started, what the situation is like now, how you're coping with it, and what you're doing in regards to treatment.
248
My hands and fingers are dry, and I chew on them obsessively.
249
When it comes to the elbows, I can hold back, though.
250
I mean, your nails are quite visible.
251
Have you ever found that people comment on them, that it affects you personally, or that you've ever felt embarrassed to show them?
252
It's not great.
253
And because I work in the after -school club looking after a young Somali boy, the children do see it and ask what's going on there what's that
254
let's take a look we'll start with the fingernails they've been affected for a long time right both thumbs yeah
255
And you said that you tend to bite them a bit?
256
Yes, for sure.
257
Right, then I'll take a quick look here.
258
That's right, and here too.
259
In the past, treatment mainly involved cortisone or similar drugs that suppress the entire immune system.
260
Today we're able to target the condition specifically.
261
For about 15 years now, we've had two important new medicines at our disposal.
262
Biologics and small molecules are revolutionising the treatment of skin conditions such as atopic dermatitis and psoriasis.
263
Biologics are antibodies that specifically block the immune system's messenger substances responsible for inflammation.
264
This results in a weaker immune response.
265
Small molecules are tiny drugs that can penetrate cells and once inside curb the production of inflammatory mediators.
266
Within a few months, the appearance of the skin can improve significantly.
267
Of course, we're interfering with the autoimmune system, and this can sometimes result in changes.
268
However, we can intervene in these immune reactions in a very targeted manner, and thus with significantly fewer side effects.
269
I've thought it over and decided to go ahead.
270
I'm excited to see the results.
271
There are some concerns, though, like whether there might be any skin infections or redness or swelling.
272
There are risks, of course, but he's experienced, and he's done this many times before.
273
We're going to try to lift Frau Philipp's sagging tissues back into place.
274
I'll try to relax certain facial muscles.
275
We're starting.
276
Everything okay?
277
Yes, all good.
278
We're injecting hyaluronic acid.
279
and trying to pull the face back a little.
280
As you can see, it's already become quite a bit smoother here.
281
It's crackling a bit in there.
282
The body's own hyaluronic acid keeps the skin firm.
283
Hyaluronic acid fillers emulate this effect.
284
An injection into the dermis smooths out wrinkles or fills out the lips or chin.
285
Whereas Botox only lasts for a few months, hyaluronic acid fillers visually last for up to 18 but a small amount often remains in the body.
286
Complications occur in around one in every 250 procedures, swelling or nodules, for example.
287
By comparison, botulinum toxin, or Botox, what patients usually go for, is quite safe.
288
We know exactly how it works, and there are no permanent, long -term side effects.
289
Anything that might appear will eventually disappear again.
290
But in terms of effectiveness, hyaluronic acid or fillers are better than botulinum toxin.
291
It's particularly problematic when alternative medicine practitioners or others inject fillers into the upper third of the face,
292
the area normally treated with Botox.
293
In particular, the glabella region is often treated with hyaluronic acid or other fillers, but this is completely unsuitable as there's a risk of blindness,
294
which would, of course, be terrible.
295
Here we have a patient who had treatment abroad because it was cheaper.
296
And she then came to us with a major problem.
297
A lump had formed in the area where hyaluronic acid had been injected.
298
And we have no idea what the substance was.
299
She doesn't know exactly either.
300
And so we treated her here at the University Dermatology Clinic, in particular with oral cortisone tablets.
301
And the condition has been improving over the course of several months.
302
Using the correct injection technique, finding the correct depth, And in particular, knowing which areas are at risk is certainly challenging.
303
It's no small thing.
304
Exactly the same on the other side, pulling it up here as well.
305
I'm trying to pull the area back by injecting small amounts of hyaluronic acid, always aspirating first to make sure we're not in a blood vessel.
306
And we aspirate again to ensure we don't hit a blood vessel.
307
Then inject very slowly.
308
Wow, that's awful.
309
Look, we've pulled this back a bit.
310
I've also smoothed out the nasolabial wrinkles a little.
311
It's become less pronounced.
312
And here, those lines that were bothering you before have almost disappeared.
313
Open your mouth, please.
314
More.
315
Try not to shake, relax.
316
It really hurts.
317
That's the first reaction.
318
And now we'll inject some Botox into the frown lines.
319
Give us another angry look, please.
320
The difference between Botox and hyaluronic acid is that Botox is a licensed medicinal product,
321
which means it can only be injected by doctors, whereas hyaluronic acid is a cosmetic product sold by companies.
322
In theory, anyone can buy it in Germany.
323
We've seen cases where patients have been injected with it by friends, people from non -medical professions, and alternative practitioners.
324
This is going to sting a bit.
325
Nearly done.
326
She's got something to cool the skin No sport for two
327
or three days The sauna and solarium would also be a bad idea And if anything happens,
328
I'm here for her We'll see you for a checkup in three to four weeks Great Okay, thank you Thank you very much You did well, Frau Philipp All the best,
329
bye That was a lot and a bit painful But that's all in the past now
330
Back then, I felt that same urge to change something, mainly triggered by other people's comments about my appearance.
331
Hey, you've got such a pronounced lower lip, you should get your upper lip done.
332
And if you do this or that, you'll look much better.
333
So I had my lips done first.
334
At the time, I was told to have it done every six months because it wears off.
335
Look, it's crooked.
336
I did the dark circles under my eyes, and the same thing happened.
337
It slipped down, leaving little eye bags.
338
Then, ten years later, realizing it wasn't going to go away, I had an ultrasound.
339
And there was still a lot of it in there.
340
So I decided to have it dissolved with hyalase.
341
And that sounds great at first, because you think, great, I can reverse the effects of hyaluronic acid.
342
But you have to be careful not to break down the body's own hyaluronic acid.
343
So this idea that you can just keep having lip fillers and then dissolve them doesn't quite work, because you can be breaking down the body's own hyaluronic acid,
344
which you'll need as you get older when your skin starts to age.
345
And that really shocked me.
346
The realization gained a lot of traction on social media, and that's why many people now know to be careful when using hyaluronic acid.
347
There's a widespread desire to change yourself.
348
And that should always be questioned, because in some cases it can be a sign of body dysmorphic disorder.
349
In other words, a perceived ugliness that isn't actually there.
350
It's estimated that half of young people use beauty filters for photos and videos.
351
The German Society for Aesthetic
352
and Plastic Surgery says the rising demand for cosmetic procedures is also linked to the use of these apps.
353
Whereas in the past people wanted to look like a celebrity, the aim now is to be as beautiful as your filtered self.
354
Researchers at Boston University have found that constantly comparing oneself with idealized images fuels self -doubt and can lead to mental illness.
355
Some young people develop body dysmorphic disorder, a pathological belief that they are fat, ugly or disfigured.
356
Okay, that's normal.
357
Let's try it.
358
Bring a different version of yourself to life.
359
Okay.
360
A version with fuller lips, a slimmer face, bigger eyes, higher cheekbones, a more angular jawline.
361
It's important to me to say that we're not powerless.
362
Rather, it's critical that we learn how to healthfully consume these types of media.
363
This should play a central role in the training of teachers.
364
It should feature in school textbooks to fight an unhealthy self -image.
365
I think it would do us good to post Instagram stories without filters, to show ourselves without makeup for a change and get back to a more realistic way.
366
You clearly have psoriasis in the areas we've been looking at, and these need to be treated more aggressively than they have been so far.
367
Do you think stress might be a significant factor after all?
368
I think stress certainly plays a big part.
369
I notice that time and again.
370
When I'm stressed, it always flares up somewhere.
371
Even on my back or stomach, I notice that I suddenly get dry patches.
372
And I put that down to stress as well.
373
I believe we need to consider more thorough treatment options here.
374
I'll give you another questionnaire so
375
that we can better assess how your quality of life is affected
376
and then we'll need to discuss whether psychosomatic treatment might be
377
appropriate for you to enable you to cope better with your psoriasis
378
and also with the stresses that have influenced and triggered it.
379
You're welcome to come here.
380
Yes.
381
Today we offer, and this is also what we practice here at the clinic,
382
nutritional advice and a plan to eat in a way which can also help to minimize inflammation.
383
Numerous studies have shown the close links between the gut and skin microbiota.
384
A balanced, healthy diet can help improve the condition of the skin.
385
It's quite straightforward.
386
Raw and cooked vegetables contain plenty of anti -inflammatory compounds, such as antioxidants and vitamins.
387
The omega -3 fatty acids in fish also strengthen the immune system.
388
Flaxseed oil and wheat germ oil, which is rich in vitamin E, have anti -inflammatory properties as well.
389
Nuts, berries and fruit also contain phytochemicals that strengthen the skin.
390
He's just offered me the option to try out the day clinic here, and I'm thinking about it.
391
I'll have a word with my wife.
392
I mean, it's not too far to come.
393
It's something worth considering.
394
Just keep your eyes closed and try not to move them if possible.
395
Is that okay?
396
At -home exfoliation involves tiny beads or very low concentrations of acids.
397
What we're doing here is much, much stronger.
398
I've mixed two different acids together to enhance the effects slightly and minimize side effects as much as possible.
399
I'm now applying these acids to the skin.
400
It's a combination of glycolic and salicylic acid.
401
Salicylic acid is particularly beneficial for acne -prone skin as it reduces oiliness and helps to calm inflammation.
402
Glycolic acid is used to speed up skin renewal.
403
It sounds very promising.
404
I'm curious to see the effects.
405
I'm going to start applying the acid now.
406
If you feel a very strong burning sensation anywhere, please tell me immediately.
407
A slight burning sensation is completely normal and it may also feel a bit warm.
408
How does it feel?
409
It burns a bit.
410
I'm keeping an eye on the skin the whole time.
411
I'm here and can step in at any moment to neutralize anything and stop the process.
412
So please don't worry, I'll neutralize it straight away.
413
I'm going to add an alkaline substance now this will stop the process.
414
The acid really stung, and even the neutralizing treatment didn't bring any relief at first.
415
But then came this cloth.
416
That felt really good.
417
Yes, I can see a clear difference.
418
My pores have become noticeably smaller, and my forehead is now less shiny.
419
I can see a definite improvement.
420
Initially, this should be done regularly, every two to three weeks, building up to a six -week interval in the long term.
421
So, Frau Philipp, how have you been?
422
Have you had any difficulties?
423
Pain or severe bruising, no severe swelling, that's good to hear.
424
Looking up here, that frown line is nicely smoothed out, as are the crow's feet.
425
The Botox has worked well.
426
I really like the jawline, the corners of the mouth look lovely too, and the lip has turned out beautifully as well.
427
A very nice result.
428
Hi, darling.
429
Hey, sweetie.
430
It's turned out well.
431
Your forehead, your eyes.
432
The only problem is, I can't tell when you're annoyed with me anymore.
433
Because of the frown line.
434
I'll have to let you know in other ways then.
435
Personally, I now think that you don't need to have flawless skin at all.
436
It's about feeling comfortable in your own skin.
437
That's the most important part.
438
That's why I advise everyone who's unhappy with themselves, and this might sound a bit crazy, to switch off social media, get out of the house,
439
pop down to an outdoor swimming pool, have a look at other people, and not be too hard on yourself.
440
It'd be all too easy to say, yes, that cultural studies academic says we should give it all up, never paint our nails again and boycott all the creams,
441
that the most extreme boycott is actually a very good idea.
442
But I've also realized that the beauty treatment of one's own body can be a form of self -care.
443
For example, when life gets stressful, taking time for one's own body.
444
It can also be an act of turning one's attention towards one's own body.
445
But it's important to me to emphasize that this beauty routine doesn't happen in a vacuum.
446
Others profit from our insecurities.
447
And yes, doing it does make a difference.
448
And through the research I carry out, I'm fighting for a world where it doesn't matter whether I go out wearing makeup or not.
449
Irfa has changed her skincare routine.
450
She no longer uses facial oils and has regular exfoliation treatments.
451
My skin feels cleansed and I can already see that my pores have shrunk.
452
Ingo has found the courage to book a course of treatment in Gießen to hopefully get rid of his psoriasis.
453
Britta has decided that her Botox and hyaluronic acid treatments will remain a one -off experiment If I had the money,
454
I'd do it all over again But it's quite an expensive business, and we all need a few laughter lines
455
We'll be right back.
📺 Same Channel
B21
The secret to concentration - How to increase your attention span | DW Documentary
Business EnglishUniversity StudentsWorking Adults
B21
BookTok and Gen Z - Are young people saving the book market? | DW Documentary
TeensDaily ConversationHigh School Students
B2China's competition for living space | DW Documentary
Business EnglishDaily ConversationUniversity Students
B21
Cheap and toxic - The dark side of mass-produced fashion jewelry from China | DW Documentary
Business EnglishUniversity StudentsWorking Adults
B22
Virtual love - How dangerous are AI relationships? | DW Documentary
Business EnglishDaily ConversationUniversity Students
B24
What it's like to be a working homeless person in Germany | DW Documentary
Business EnglishWorking Adults
B21
Eco-burial - Would you consider being composted? | DW Documentary
Daily ConversationUniversity StudentsWorking Adults
C15
Can trees save the planet? | DW Documentary
IELTS PrepTOEFL PrepUniversity Students
C111
Global renewables: Pioneering the energy transition | DW Documentary
IELTS PrepBusiness EnglishUniversity Students
B27
Father unknown? Life as a sperm donor's child | DW Documentary
Daily ConversationUniversity StudentsWorking Adults
B24
Our memory - A phenomenal storage system | DW Documentary
Daily ConversationUniversity StudentsWorking Adults
C12
Junk food, sugar and additives - The dark side of the food industry | DW Documentary
Business EnglishDaily ConversationUniversity Students
C1Do we need to eat meat? | DW Documentary
IELTS PrepTOEFL PrepUniversity Students
C1Smart insects - The astonishing intelligence of bumblebees, wasps & co. | DW Documentary
IELTS PrepTOEFL PrepUniversity Students
B2Rivers under pressure - From drought and competing agendas | DW Documentary
IELTS PrepTOEFL PrepUniversity Students
B2Why India is one of the most dangerous places in the world for women | DW Documentary
University StudentsWorking Adults
✨ Recommend Video
B21
132 sentences
Top 5 Diet Tips for Flawless, Youthful Skin
Daily ConversationUniversity StudentsWorking Adults
B21
45 sentences
The TV is called: The Good Doctor S01-E02 #shorts
Business EnglishDaily ConversationUniversity Students
B22
77 sentences
Cara Delevingne On Being Naked, Her Foot Tattoo, and Crush on Brangelina | Screen Tests | W Magazine
Daily ConversationUniversity StudentsWorking Adults
B27
57 sentences
RE3 Unit 2A
Daily ConversationUniversity StudentsWorking Adults
B21
416 sentences
This Is All About You With Dr Shauna Watts
Business EnglishDaily ConversationUniversity Students
B22
318 sentences
I Got A $450 Celebrity Contouring Facial
Business EnglishDaily ConversationUniversity Students
B21
33 sentences
Skin Types: Everything You Need To Know
Daily ConversationUniversity StudentsWorking Adults
B22
223 sentences
My 87-Year-Old "Less is More" Skincare Routine | The Beauty Of Being Real & 90’s Memories
Business EnglishDaily ConversationUniversity Students
B22
107 sentences
Tattoo Removal Is Insane
Daily ConversationUniversity StudentsWorking Adults
B21
25 sentences
How to Maintain Eye Health
Daily ConversationUniversity StudentsWorking Adults
B21
137 sentences
Why your anti aging routine is not working ?
Daily ConversationUniversity StudentsWorking Adults
B2363 sentences
How to Feel Beautiful When You Don’t Feel Pretty
Daily ConversationUniversity StudentsWorking Adults
Vocabulary and speaking notes for this lesson
This speaking lesson is built on the video “Skin: Multitalented and underappreciated”. The speaker keeps coming back to these words: skin, acid, hyaluronic. This video has 298 sentences and 5650 words to shadow. The speech runs for 43:05. The speaker talks at a steady 131 words per minute, a comfortable pace for shadowing. Only 78% of the words are among the 3,000 most common in English, so the vocabulary is demanding.
Key vocabulary in this video
15 words from the video worth learning, with pronunciation and meaning:
| Word | Pronunciation | Meaning |
|---|---|---|
| acid noun | /ˈæsɪd/ | A sour substance. |
| smooth adjective | /smuːð/ | Having a texture that lacks friction. Not rough. |
| immune adjective | /ɪˈmjuːn/ | Exempt; not subject to. |
| routine noun | /ɹuˈtin/ | A course of action to be followed regularly; a standard procedure. |
| facial adjective | /ˈfeɪ.ʃəl/ | Of or affecting the face. |
| vitamin noun | /ˈvɪt.ə.mɪn/ | Any of a specific group of organic compounds essential in small quantities for healthy human growth, metabolism, development, and body function. They are found… |
| inflammation noun | /ɪnfləˈmeɪ̯ʃən/ | The state of being inflamed. |
| clinic noun | /ˈklɪn.ɪk/ | A medical facility, such as a hospital, especially one for the treatment and diagnosis of outpatients. |
| lip noun | /lɪp/ | Either of the two fleshy protrusions around the opening of the mouth. |
| mirror noun | /ˈmiɹɚ/ | A smooth surface, usually made of glass with reflective material painted on the underside, that reflects light so as to give an image of what is in front of it. |
| procedure noun | /pɹəˈsiː.d͡ʒə/ | A particular method for performing a task. |
| whereas | /(h)wɛɹˈæz/ | In contrast; whilst on the contrary; although. |
| bother verb | /ˈbɑðɚ/ | To annoy, to disturb, to irritate; to be troublesome to, to make trouble for. |
| visible adjective | /ˈvɪzɪb(ə)l/ | Able to be seen. |
| trigger noun | /ˈtɹɪɡɚ/ | A finger-operated lever used to fire a gun. |
Phrasal verbs you will hear
| Word | Pronunciation | Meaning |
|---|---|---|
| make up verb | /ˌmeɪk ˈʌp/ | To constitute, to compose. |
| try out verb | To test (something) to see how it works or whether it is suitable. | |
| break down verb | To stop functioning. | |
| check out verb | To record the departure or withdrawal of someone or something (such as guests, employees, books, etc.). | |
| fill out verb | /fɪl ˈaʊt/ | To complete a form or questionnaire with requested information. |
| turn out verb | To end up; to result. | |
| carry out verb | /ˈkæ.ɹi aʊt/ | To hold while moving it out. |
| dry out verb | To cause moisture to be completely removed from; to make dry. |
Sentences worth repeating
Short, complete lines from the video that you can reuse in everyday conversation:
- How can we protect it?
- What can we do to keep it smooth and firm?
- I just don’t have much time for that.
- It’s bothered me since I was a teenager.
- Have you had any difficulties, pain or severe bruising?
Grammar in this video
The structures the speaker uses most, with the exact words from the video:
| Structure | In the video |
|---|---|
| “Used to” used to + verb — a past habit or state that is no longer true | used to be · used to look |
| Present perfect continuous have/has been + -ing — an action that started earlier and is still going on | has been improving · we've been looking |
| Conditional sentences if + clause, will/would + verb — a condition and its result | If it were, we'd have · if you do this or that, you'll look |
| Present perfect have/has + past participle — a past action that still matters now | have tried · has mentioned · has already set |
Pronunciation to watch
The speaker uses 138 contractions and reduced forms, such as I'm, don't, I've. Say them the short way, as you hear them.
- The “th” sounds: smooth /smuːð/, bother /ˈbɑðɚ/, thin /ˈθɪn/, aesthetic /ɛsˈθɛ.tɪk/, strengthen /ˈstɹɛŋ(k)θən/
- The “sh” and “zh” sounds: facial /ˈfeɪ.ʃəl/, inflammation /ɪnfləˈmeɪ̯ʃən/, injection /ɪnˈd͡ʒɛk.ʃən/, tissue /ˈtɪʃ.(j)u/, sheet /ʃit/
- Long words — get the stress right: inflammation /ɪnfləˈmeɪ̯ʃən/, inflammatory /ɪnˈflæmət(ə)ɹi/, naturally /ˈnæt͡ʃ.(ə.)ɹə.li/, occasionally /əˈkeɪʒənəli/, mechanism /ˈmɛk.ə.nɪ.zəm/
How to practise with this video
- Listen to the whole video once without speaking and note the words you do not know.
- Shadow it sentence by sentence at normal speed, repeating each one until your rhythm matches the speaker.
- Record yourself and compare with the original, paying attention to words like acid, smooth, immune.
What is the Shadowing Technique?
Shadowing is a science-backed language learning technique originally developed for professional interpreter training and popularized by polyglot Dr. Alexander Arguelles. The method is simple but powerful: you listen to native English audio and immediately repeat it out loud — like a shadow following the speaker with just a 1–2 second delay. Unlike passive listening or grammar drills, shadowing forces your brain and mouth muscles to simultaneously process and reproduce real speech patterns. Research shows it significantly improves pronunciation accuracy, intonation, rhythm, connected speech, listening comprehension, and speaking fluency — making it one of the most effective methods for IELTS Speaking preparation and real-world English communication.