ฝึกพูดภาษาอังกฤษด้วยเทคนิค Shadowing จากวิดีโอ: What Actually Works for Your Skin? A Stanford-Trained Plastic Surgeon Explains

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What is one beauty trend on TikTok that makes you want to scream?

Over using LED masks.

Oh, this is a hot take.

Like if we're staying indoors all day and I'm like, I have no plans to go outside, I'm just working from home.

Do I still have to wear sunscreen?

Yeah.

Is it because of the sun getting into the house or like the fluorescent lights?

No, it's the lights themselves.

Are you kidding?

Yeah.

That's horrible.

I'm going to work in the dark.

Fact or fiction, collagen supplements actually work and noticeably improve your skin.

Fiction.

What?

Yeah.

I take it every day.

No. What is your high maintenance to be low maintenance routine?

Okay, she's already dropping facts.

This is already so helpful.

Yeah, I had no idea.

Okay, you just saved us $2 ,000.

I'm Sheree.

I'm Jean.

I'm Sharmila.

And we're the Tiger Sisters.

We are your Wall Street and Silicon Valley big sisters.

And we're a top 10 business podcast bringing late night sister talk meets boardroom strategy.

Hi, Tiger fam.

Welcome to Skincare and Aesthetics 101.

Every time I open Instagram, I feel like there's a new hot take on skincare, aesthetic procedures, and aging.

It can be super overwhelming because it feels like for every single decision, there are hundreds of opinions out there online.

Luckily, we are joined today by Dr. Sharmila Sunder, who is a double board certified plastic surgeon based in Beverly Hills,

who studied at Johns Hopkins, Cornell, and Stanford.

And she is here with us today to separate beauty myths from science.

Today, we're demystifying it all.

Skincare, Botox, microneedling, lasers, and more.

We're going to find out today what actually works, what is marketing, and what is right for you.

We are so excited for this episode

because Dr. Sunder's philosophy is all about helping people feel more informed and feel like the best version of themselves, not like a different person.

So quick note before we get into it, this episode is educational.

We are not saying and would never say that anyone needs Botox, surgery, or any sort of aesthetic treatment to look beautiful or age well.

We are here to help you understand the options, ask better questions, and make informed decisions for yourself.

All right, let's get into it.

Sharmila, welcome to the Tiger Sisters podcast.

I'm so excited to be here.

Thank you.

Yay!

Dr. Sunder, we have some icebreakers and we wanna get into some hot, juicy topics.

What's the beauty treatment you think people are overdoing right now?

I think one of the treatments that people are just overdoing is filler.

And nicely, I think we're trying to come off of that trend a little bit, but there's still a lot of overdone filler out there.

Okay, we're gonna get into that later.

We have a ton of follow -up questions, but I'm glad we're starting there.

Okay.

All right.

She's setting the scene.

Okay.

Filler.

The other thing that I'm seeing a lot of is on the opposite end, there are people that are doing surgery too prematurely.

So I think that's the flip side of the coin.

And I think a lot of that has to do with messaging on social media.

So on one end, you hear a lot of fillers are bad, fillers are bad.

So people are swinging completely the other direction, going to surgery prematurely

and then you're seeing the flip side of it as well.

I'm totally getting all of that content on social media.

Like everything about mini facelifts and how like that's like the best way to I guess stay looking like yourself.

And people are saying you should do it as early as in your forties.

I'm like, what?

Okay, so we'll get into that too.

And so we also want to ask like, since you brought up social media, we can be quite influenced by the things

that we see as we're scrolling like what are some I guess guardrails

or things that we can tell ourselves as we're scrolling

and we're seeing people talking about these topics yeah I think

it's really easy to get stuck in this like echo chamber of information

because you went once you engage with one video even

if you don't necessarily agree with the information in there you're going to be fed similar information

and then you hear it over and over again

and then your mind kind of starts playing tricks on itself and you think, well, maybe I do need this surgery or this procedure.

And I think it's really important to level set every once in a while and say,

okay, this is just information for me to process and perhaps research and think about whether it's a good fit for me.

Yeah.

And really break it apart in that way rather than just taking it at face value.

Yeah.

I need to stop the doom scroll at like 11 PM before bed.

And I'm like seeing all these cosmetics procedures and I'm like, oh, no, I'm spiraling.

So it's good to get out of that.

What is one beauty trend on TikTok that makes you want to scream?

I would say overusing LED masks.

Oh, what?

I was not expecting this.

This is a hot take.

Yeah.

So LED masks, I mean, there's so much I can say about that,

but LED technology, a lot of the masks are just a waste of money.

They're not effective.

And for it to be effective, usually you need a certain number of lights, you need them spaced a certain way, and they need to pulse.

And there's all this metrics that goes into it.

100

So a lot of the at -home devices really aren't effective.

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Secondarily, even if you had one that's effective, it's not safe on all skin types.

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So most of these devices aren't tested on skin types five and six.

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So I'm five and six or I'm five.

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So I don't think a lot of people who are skin of color should be using these devices

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because not only are they helpful, but sometimes they could be harmful if you're not the target population.

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then people that have are

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that are prone to hyperpigmentation people with melasma should not be should not be using led mass

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so i see a lot of oh my god yeah i've seen a lot of patients who have melasma

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and they come in they're like oh my melasma has just gotten worse

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this year i'm doing the sunscreen i'm trying to stay away from heat

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and then we'll kind of go down the list of things

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that they're using and the led mass will pop up so

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that is you know i think a lot of people use it thinking it's going to help them.

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And in a lot of scenarios, it's not only not helping, it's actually hurting you.

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Oh my gosh.

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Okay.

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So my journey with the LED mask is that a few years ago,

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I bought one from the Nordstrom anniversary sale and I tried it on one time,

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but it was too heavy and it was like pulling my face down.

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So then I returned it.

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Yeah.

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So I never ended up using it but what about the panels

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so the panel so for example in our office

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and a lot of medical offices medical spas they have these panels

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that are appropriately calibrated

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and those are what a lot of the the fda trials were performed on

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and so those are effective

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but the at -home ones especially the really small ones

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there just aren't enough led lights on there to affect the change so i see yeah I have a really, really tiny one.

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It's like a handheld.

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It's like about this small.

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Yeah.

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And I'm figuring out that probably is in that category where it's

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so tiny that it's not really doing anything except for maybe gua sha -ing my face a little bit.

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Exactly.

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But I want to get one of those like larger panels that, okay, this is me also influenced by social media.

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But I'm like, I should wake up

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and sit in front of my large LED light panel for like 10 minutes when I get up in the morning.

139

But it sounds like that might be closer to, you know, the effectiveness that we're looking for rather than the face one.

140

Yeah.

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Yeah.

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But then you have to know your own skin.

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If you're likely to get melasma or hyperpigmentation, it could do more harm than good.

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Okay.

145

Yeah.

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Well, I think you just saved me $500 or however many.

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Yeah.

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No, they're like $800.

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The bowels are expensive.

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Well, the face masks are a little bit more affordable, but if they're not working.

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Yeah.

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And, you know, all the studies on these masks

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or all the studies on LED light really has to do with inflammation and healing.

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So if you're trying to heal from something, sure.

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Or if if there's inflammation, sure, it'll help.

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But everyday life, we're not walking around inflamed, right?

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Or at least our skin isn't walking around inflamed.

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And so I don't really know if there's really

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that much value in it for that the amount of money you're spending on it.

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Yeah.

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Okay.

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She's already dropping facts.

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This is already so helpful.

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Yeah.

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I had no idea.

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Okay.

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You just saved us $2 ,000.

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Let's back up a little bit and start from the foundations.

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We want to talk about Botox.

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So the first question is what is preventative Botox?

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Should people in their twenties be considering it or is it just marketing?

172

So preventative Botox in its purest form,

173

what it means is if you are intended to get a line in a certain area,

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doing Botox to that muscle could prevent that line from developing sooner than it would have originally developed.

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And so that has more to do with your anatomy than age.

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So for some people, that line can form in their 20s

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and for other people it's not going to form until their 50s

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so if you were supposed to get that line in your 20s

179

and you start the preventive Botox maybe you're going to push it to your 30s

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if you were supposed to get in your 50s starting Botox

181

in your 20s really isn't going to do anything right you know whenever people ask me

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when should I start Botox a good example is I tell people you know

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if it's if you're worried about your forehead go ahead

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and raise your forehead keep it there for about a minute and then relax.

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If you have a line in your forehead after you relax it, even for, you know, for five seconds, that means you're eventually going to develop.

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a permanent crease there.

187

And so now is this time to start doing Botox to prevent that line from becoming permanent.

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But if you do that and there's no line, you know, even for a few seconds

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and you don't have to treat it just yet and try again six months later or a year later.

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And at some point there will be a line that shows up.

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So then you can do it to start preventing that line from setting it.

192

Yeah.

193

So for some people, I mean, I've definitely seen patients where they're in their mid -20s

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and they have creases in their skin and

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that could be age related it could be lifestyle related it could be history of smoking vaping whatever it is

196

and so for those patients starting in their 20s makes sense

197

but for the vast majority of people I think you want to start probably in your 30s

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and then I've had patients who I mean

199

I saw someone last month who had never done Botox She was in her late 40s.

200

And I was like, I don't think you really need to start it now.

201

Give it another year or so.

202

So it just really depends on the patient.

203

Yeah.

204

I feel like the other thing that I've been hearing a lot is the term baby Botox.

205

And that gets conflated with preventative Botox a lot, right?

206

But baby Botox is kind of just, I'm thinking it's kind of just a marketing term for people to be like, I just got baby Botox.

207

Exactly.

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What is baby Botox?

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Baby Botox is one amount.

210

Exactly.

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It's just a smaller dose.

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And I think for a lot of people, it makes them feel better that they don't have to do large amounts of Botox.

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Or it seems like it's an entry dose as opposed to a full on dose.

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But I think you should do the dose that that's going to work the best for you.

215

You know, there are people who need 48, 50 units to the upper face.

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And then there are people that need 50 units for their entire like neck and face.

217

And if you undertreat, you're actually not helping things because you're not really treating the muscle to its fullest extent.

218

So long term, you might actually be hurting things.

219

So I would say don't don't get fixated on the number too much.

220

Just allow your as long as you trust your injector, allow your injector to dose you appropriately appropriately.

221

OK, so you just touched upon the other topic that I wanted to bring up,

222

which is that I feel like historically Botox used to be really focused on sort of spot treatment.

223

And everyone was like, oh, getting Botox in your forehead to prevent the forehead lines or like the 11s.

224

But now there's a whole new kind of philosophy of treating the whole face right

225

and getting botox is not just for one area it's to kind of there's the term facial balancing i guess

226

and then there's also it's not just wrinkles either exactly a holistic application

227

so can you tell us a little bit more about

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that yeah so exactly

229

when botox first came out it was actually it came out for medical indication not cosmetic indications

230

but for when it first came out for cosmetic indications it was just targeting lines right crow's feet lines

231

and glabellar lines which are the Angry 11s.

232

And now we use it much more artistically, I would say, so you can actually shape the face using Botox

233

so people get it in their masseter to slim the face or to make it look a little bit softer.

234

You can also use Botox to impact other muscles that aren't being injected.

235

For example, you can inject this area and this area,

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So you can inject in between the brows and around the eyes to allow the forehead muscle to relax.

237

Or you can treat the DAO to keep your lower face

238

from turning into like a more of a pulled look or like pre -jowling, things like that.

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So you can actually weaken a muscle to allow the lifting muscles to get stronger.

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So you can use it a lot more artistically than we were 20, 30 years ago.

241

I don't know if you've seen this, but recently a podcast host, comedian, Hannah Berner from Giggly Squad was injected, I think, in her jawline somewhere.

242

And it like froze her face and she couldn't smile all the way.

243

So there's been like a ton of clips of her like

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kind of like this where she's like trying to smile or when she's like laughing, she's like.

245

And like it's become this whole thing.

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Yes.

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So that's been sent to me a few times.

248

And I think I might not have the facts completely right, but I think she got masseter Botox.

249

And what sounds like happened is there's a muscle called the rasorious muscle, which pulls your lip corners to the side when we smile.

250

And that sits right in front of the masseter.

251

Sometimes there could be a little bit of overlap, but it sits right adjacent to the masseter. So.

252

And Botox that's injected into the masseter could drift into the rosorius and then that could impact that muscle from moving.

253

So it can limit how much you smile or how wide your smile is.

254

So it sounds like that's what happened to her.

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Yeah.

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And she's just waiting for it to fade now, I think.

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Yeah.

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Unfortunately, you know, for fillers, we have a way to reverse it.

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Botox, there's just no way to reverse it yet.

260

And so you just kind of have to wait it out.

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There are things you can do to hasten the process, but for the most part, you just have to wait it out.

262

Yeah.

263

Can you sweat out Botox?

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I've heard.

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Maybe it's like exercise a lot.

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Old wide tail sauna.

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So there is some evidence, and it's not very strong evidence, but heat to the muscle can make the Botox effects go away sooner.

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And sometimes vibration or friction.

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So I've had patients where I've advised them to use like a mechanical,

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like a buzzer or like an electric toothbrush, use the opposite side of it and hold it on to the muscle.

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And sometimes that can speed up the effects of the Botox.

272

I never knew that.

273

Yeah.

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If there's, you know, if there's ever a time

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when you feel like the Botox is too strong or you want it to come out sooner, those are things you can try.

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Like heat to the area or friction vibration.

277

Cool.

278

And so going off the topic of like injectors and people who maybe are injecting the Botox,

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are there things that we should look out for?

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Like, for example, if we go to a med spa, like, should there be questions

281

that we have ready to ask them to suss out whether the injector is qualified

282

or someone that we would trust with our face?

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Yeah.

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So now in the U .S

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and depending on the state there are different types of professionals

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that can inject so in California yeah in California a physician MDDO and

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that could be you know a dermatologist a plastic surgeon

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it doesn't even have to be someone that's trained in aesthetic

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so it can be a gynecologist it could be a medical doctor.

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A dentist?

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A dentist, yes.

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And then nurses, physician associates, really anyone can inject as long as you have one of those degrees.

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And so that means that if someone got their degree on Friday, like their nursing degree on Friday,

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they can theoretically start injecting Monday without having any proper training

295

or instruction on the muscles

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and how they're what their interplay is like for example the rosorius masseter thing I bet

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if you asked a lot of injectors they wouldn't know

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that relationship they wouldn't be able to tell you where the rosorius is relative to the masseter

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and so I don't think and that goes for MDs there might be nurses

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that know that relationship and there might be MDs that don't know that relationship, right?

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And so I think it has more to do with experience

302

and their level of training within the field more than their degree.

303

So there are a lot of great nurse injectors.

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There are a lot of great PA injectors.

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And I think what's more important than anything is who the PAs and nurses are working

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which company they're working as part of.

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So I think the ones that are affiliated with a plastic surgeon, I'm biased, right?

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So I'm a facial plastic surgeon.

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So the nurses in our practice really, really know their anatomy.

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They know the limits.

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And I think that's really important because knowing when to say no is so important in our field.

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And I think that's why you see so many crazy looking faces out there

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because there are a lot of providers that don't know how to say no, are uncomfortable saying no. And so knowing your limits is really important.

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And I think when you work within a plastic surgery practice or you're working within a dermatology practice, I think those standards are established.

315

And there are a lot of good med spas, but I would say a lot of the med spas are

316

not as critical in the thinking as some of these physician -led practices.

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But that's a generalization, right?

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So there are, like I said, there are some great med spas where they have routine training and continued medical education.

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And so they're great.

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So it's just really hard to tell, you know, as a patient who to go with.

321

But I think the experience is really important and seeing who they're affiliated with.

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Hmm.

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That's a good starting point.

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And also like maybe if there's like a consultation or some sort of conversation you can have ahead of time,

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I think the, the point that I'm really latching onto is like, do they know their limits or like when to stop to?

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Exactly.

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Or like if someone comes in like wanting to do a lot of things, like at what point is the,

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is it the provider's responsibility to say no?

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Yeah.

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I see patients all the time where they come in and they say,

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oh, you know, I wasn't happy with this injector because they wouldn't do this.

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And I know you guys do that.

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And I always tell them, that's wonderful that your provider knew their limits and wouldn't do it because they didn't feel comfortable doing it.

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On the flip side, I've seen

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so many patients whose faces have been ruined by someone

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that didn't know that this was inappropriate to do and went ahead

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and did it anyways because they were asked to do that.

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So I think it's always better to have a provider say, I don't know how to do this, or this is not a good idea.

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Go see someone else.

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And here's a referral to someone that's comfortable doing this.

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Yeah.

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And when you see those patients, have they had procedures done to them that are irreversible or what, like, what are some examples?

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Yes.

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So because our practice is both surgical and non -surgical, we see the gamut.

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So we've definitely seen irreversible treatments for example with a lot

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of these devices okay these heat devices these radio frequency devices ultrasound devices we've seen fat loss okay

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and so that's irreversible in the sense

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that your body's not going to produce the fat we there are ways to you know with fat transfer

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or sculpture there are treatments to try to fix it it won't be back to 100%, but there are ways to fix it.

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And then there's reversible treatments, for example, filler scenarios where someone looks crazy or it was placed inappropriately,

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and then we can reverse it and address it.

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Well, I don't know if you remember this, but I used to write for the school newspaper,

353

and I actually had an interview column in the Dartmouth, which was our daily newspaper, and I would interview students where every time I interviewed them,

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I would audio record the whole interview and then play it back and manually transcribe the whole interview out for myself.

355

Oh my God.

356

I feel like that must've taken so much time.

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So much time.

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Honestly, think about all the hours I could have gotten back in my life if I had had granola back then.

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Well, thankfully, 2026, Jean has granola because granola is an AI powered notepad built for the way that people really meet.

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You can take rough notes in the meeting like you normally would, and then Granola runs in the background and it securely transcribes the meeting.

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Then at the end of the meeting, Granola gives you these really clean and structured notes.

363

And Granola works through your device's audio, which means it integrates seamlessly into the video conferencing tools you already use.

364

And as someone who has literally done the manual version of this dozens, if not hundreds of times,

365

let me tell you, I am so happy that we have Granola today.

366

So if meetings are eating up your day, granola is a no -brainer.

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You can try it totally free.

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Just head to granola .ai slash tigersisters.

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371

Alrighty, now back to the show.

372

Okay, so before we get even deeper into aesthetic treatments, we were thinking let's take it back to even more basics.

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So we start with, let's start with like skincare care.

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Yeah.

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So we want to ask you a little bit more about sunscreen because everyone says you have to wear sunscreen, but what does that actually mean?

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Like SPF 30 versus 50, mineral versus chemical, how much should we be putting on our face and reapplying?

377

That's a great question.

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So the most important thing with sunscreen is consistency.

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Okay.

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And secondarily, more important than the number is the amount.

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So the number is important, but if you're doing SPF 30 and just doing a small smear of it,

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you might as well just not be using anything.

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So the appropriate amount is, I think it's two grams per centimeter squared.

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So what that works out to is about half a teaspoon for your face and extend down to your neck.

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So what this is really fascinating when I learned this is that the protection goes down exponentially if it's less than that.

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So if you're doing SPF 50, which is what I usually recommend, and you're doing half a teaspoon, then you're getting SPF 50.

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But if you're using a quarter of a teaspoon of SPF 50, you go down to like SPF 7.

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Oh, okay.

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So the amount really matters.

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And I think a lot of people just put a little bit on and they are like, okay, I'm good for the day.

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And that's just not cutting it.

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So I prefer SPF 50 because I feel like most people are under treating anyways.

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You need at least SPF 30.

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And SPF 30 gives you 97 % protection.

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SPF 50 gives you 98 % protection.

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So it's just 1%.

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But if you're not using the amount that you really need to of the 30,

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then you're just putting water on your face at that point, right?

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So I feel like if you can bump it up to SPF 50, then you're giving yourself a little bit more protection.

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But then you really want to make sure you're doing that half a teaspoon on your face and neck.

401

Is SPF 100 100 % protection?

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No. So that's like 99%.

403

Okay.

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Yeah.

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So you're still not a, you don't ever really get to a hundred percent.

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You're never protected.

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You're never protected.

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And then the other thing I, I just thought people knew,

409

but I've been understanding that people don't really know is tinted sunscreen is really important for skin of color,

410

for melasma, because it offers indoor light protection,

411

which can trigger melasma and can trigger hyperpigmentation or worse than hyperpigmentation on skin of color.

412

So anyone that's not of Northern European descent or European descent is technically skin of color.

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So we're all skin of color, right?

414

And so tinted sunscreen is really important for us.

415

Wow.

416

I've actually heard, so correct me if this is right or wrong or just, you know, in the ether,

417

but I've heard that tinted sunscreen can actually start to help reverse skin damage

418

or it can actually improve your skin as opposed to just preventing further damage what's the level of truth

419

I don't know if it can improve the skin but

420

if you in the sense that

421

if you are preventing further damage you're protecting your skin so

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that it has the chance to heal from the previous damage so you know through that mechanism it could be doing that.

423

And there are certain sunscreens that have antioxidants built into them.

424

So Isden is a brand that I really like and it has what are called DNA repair zones.

425

And so there are certain factors in it

426

that can help reverse some of the sun damage and it comes in a tinted form.

427

Yeah.

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And when you say indoor light, like if we're staying indoors all day and I'm like, I have no plans to go outside.

429

I'm just working from home.

430

Do I still have to wear sunscreen?

431

Yeah.

432

Why?

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Tinted sunscreen.

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Tinted sunscreen.

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So skin of color.

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Yeah.

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If you're prone to hyperpigmentation and then if you have melasma.

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Yes.

439

Is it because of the sun getting into the house or like the fluorescence?

440

No, it's the lights themselves.

441

Are you kidding?

442

Yes.

443

The fluorescence of the lights?

444

Yeah.

445

That's horrible.

446

I'm going to work in the dark.

447

Obviously it's not as strong or as impactful as solar UV, but it still has some sort of effects to it.

448

So my patients who have melasma or the ones that are really trying to work on reversing melasma,

449

that you could be doing all the things, but if you're not wearing that tinted sunscreen, you're just throwing away thousands of dollars, you know?

450

So for people that have pigment concerns, it's really important to wear sunscreen indoors.

451

How do you know if you're prone to melasma?

452

How can you tell?

453

Well, I mean, you don't really know until it shows up.

454

And it shows up more commonly in skin of color.

455

It usually shows up on your cheeks, on the sides of your cheeks.

456

It can show up as like a darkening of your upper lip.

457

So it can look like a shadow almost or like a little mustache, if you will.

458

And then it can show up along the periphery of your forehead also.

459

So is it kind of like freckles for people of color?

460

It can look like freckles, but usually freckles are sun damage.

461

Oh, but it can look like freckles in some people.

462

But it's more it's more coalesced than.

463

Yeah, more splotchy.

464

Exactly.

465

Wow.

466

Exactly.

467

And it's it can correlate with your period.

468

So it's hormonally mediated.

469

So oftentimes it used to be called like the mask of pregnancy because when your hormones are elevated during pregnancy, it really shows up.

470

Wow.

471

Skin of color and pregnant women can't catch a break.

472

Ever.

473

Watch out for those indoor lights.

474

Hey, Tiger fam.

475

Take five seconds to subscribe to the Tiger Sisters podcast.

476

When you subscribe, you are notified every single time a new episode drops.

477

And if you're listening on Spotify or Apple Podcasts, please rate us five stars and leave a comment about this podcast

478

because it really helps people discover our content and it helps us to continue to make the show for you.

479

If you're listening to this on Spotify right now, take this opportunity to turn on the video.

480

Thanks.

481

Now back to the show.

482

So the next thing I want to talk to you about is skincare routine.

483

And I'm going to kind of talk about mine.

484

So I'm really into skincare, but I am not overly specific about my products.

485

So usually I will use some sort of serum, a moisturizer, tinted SPF, and what else?

486

Oh, and then some sort of Korean skin wipes with active ingredients.

487

And my philosophy in general is that I think that Korean skincare

488

and Japanese skincare is generally better than the skincare you can get in the U .S.

489

Because, and this is just my theory, but I think that the competition is higher in those countries.

490

So you have to have better product for cheaper prices to stay in the market.

491

And I also think they have higher like FDA equivalent regulations.

492

So for me, I'll just kind of buy whatever Korean skincare and not be super discriminating.

493

And is that true?

494

Okay, fine.

495

Let's stop there.

496

Is that true?

497

What do you think?

498

I think the logic makes sense because Korean skincare is like 10 years ahead.

499

Yeah.

500

Yeah.

501

So I do think a lot of the skincare there is better than a lot of the skincare here.

502

However, we have some really great products here.

503

So it might be, you know, 5, 10 % of our products are comparable to 90 % of Korean products maybe.

504

The other thing is what is highlighted in Korean skincare products is different than what's highlighted here.

505

So pigmentation is number one priority in Korean skincare, right? and

506

that and and skin texture which is not necessary

507

or until recently was not necessarily a priority for americans

508

or american skin care and and i think for you know you have asian skin

509

so it will play it'll play well with your skin type whereas someone

510

which asian skin tends to be a little bit more sebaceous

511

not as dry in general right whereas caucasian skin is not that right it's not as sebaceous usually.

512

So I think you do need to be a little individual in picking skincare.

513

And so I can see how it would work well for you.

514

And I think that logic completely makes sense, but it doesn't apply to everyone.

515

Okay.

516

But it would apply to Asians.

517

Yeah. And I think...

518

Well, I'll sell my Asians out there.

519

But also for Caucasians that have pigment concerns and textural concerns

520

and they're incorporating a lot of ingredients

521

that we haven't really started thinking about yet so for example pdrn

522

or even snail mucin was or allantoin was i remember like 20 years ago

523

when i was in asia picking up this product like snail mucin

524

and being like it was so popular there and no one had heard of it in the U .S.

525

And then like 10 years later, it worked its way over here.

526

And so there's a lot of like TXA in Asian products.

527

What does that mean?

528

TXA is tranexamic acid, which is a good component for pigmentation.

529

That is just starting to show up in American skincare.

530

Interesting.

531

And I feel like also niacinamide, right?

532

It affects like the pigment pathway.

533

Yeah.

534

Yeah.

535

Yeah.

536

Gina's definitely way more advanced than I am in her skincare routine.

537

I'm really into skincare.

538

I love it.

539

Well, you know, when you were asking about what's a TikTok beauty trend that drives you nuts,

540

that is actually my number one issue is kids who do

541

not need to be using anti -aging products who are using a ton of skincare.

542

I think that is my number one issue.

543

Because it's just too young.

544

It's too young.

545

There's no need for it.

546

And a lot of kids are damaging their skincare barrier by using these products that are way too strong.

547

So I hear that term a lot.

548

What does it actually mean to damage your skin barrier?

549

People are always trying to repair their skin barrier.

550

Yeah.

551

So I think we're going to talk about retinols or retinoids, right?

552

And so that is something that happens commonly with retinoid is when you use too much of it, you're actually breaking down the,

553

so the barrier is basically, you know, like the fabric of the skin and you're breaking down the,

554

the surface layers of it and creating little cracks in the layer, initial layer of the skin.

555

And that, that's what causes redness that that's what causes that stinging sensation.

556

And so your body needs to go through a process of healing all that before you can introduce retinoids again.

557

And so a lot of a lot.

558

It's really funny.

559

I'll see these influencers with super shiny skin and it's meant to be perceived as healthy skin.

560

But oftentimes it's really them like really aggressively weakening their barrier.

561

And so the skin is just trying to heal itself and it looks really shiny and it's not healthy skin.

562

So it's a different type of shine on healthy skin versus damaged skin.

563

How can you tell visually?

564

There's you.

565

I mean, I think it's just gotten because I've gotten used to seeing what that looks like.

566

But it's it's just different it's not like like you've got this glowy skin

567

and it looks plump and glowy

568

which is different than the irritated shiny okay yeah

569

I was an expert eye yeah I was at Sephora um a few months ago

570

and I was buying some makeup there I was online

571

and these two young girls were next to me online

572

and in my head I was like where are your parents number one number two

573

I like engaged with them I was like hi girls they're like one of them's like 10 or 12

574

and I asked him like how old are you guys she's like I'm 12 I'm 9 wait no I'm 10

575

and I'm like what are you buying and they're like lotions

576

and stuff and they had like drunk elephant

577

and I was like how are you affording this right

578

and also I'm like in my mind I was just like wow

579

they're really young I'm like 20 years older than them

580

and we're like in the same line at Sephora yeah

581

so I thought that was pretty insane

582

and I wasn't gonna be like where's your parents

583

but I was just like she was about to though I was engaging with them

584

i was like hey girls dang it was

585

so crazy yeah i mean at that age you really just need spf

586

and then maybe a moisturizer but that's you don't really need much more than

587

that at 10 and you know 10 11 12.

588

yeah

589

and in our practice we've definitely seen young patients where they've

590

i had a patient um who basically burned her skin with using a retinoid and the salicylic acid cleanser,

591

which she then usually that would be our recommendation for someone that has acne.

592

She never had acne.

593

She just saw someone doing it.

594

Yeah.

595

And so really traumatized her skin and basically gave herself a chemical peel.

596

Oh, doing that combination.

597

Yeah.

598

Yeah.

599

Because there are definitely some things you should never you shouldn't combine.

600

Yeah.

601

Like I know if you're doing a retinol like at night, like you probably shouldn't do vitamin C in the morning or no,

602

you can do vitamin c in the morning

603

but you don't want to do too many acids all together

604

okay yeah okay back to me okay my other question is

605

that i well so both sheree and i recently started doing facials

606

so we started getting facials monthly and i really think it makes a difference

607

and i love it but i guess what is the the science behind it is it just

608

that it's helping to like cleanse your skin and then is there,

609

it just seems funny in my mind because you're putting on just lots of layers of things to treat the skin.

610

So is it scientifically helpful?

611

So facial is like a very broad term, right?

612

It's an umbrella term.

613

So it depends on the type of facial that you're getting.

614

So if it's just a basic facial, I think the only way

615

that it's helping is it's probably just cleansing your skin to a deeper level

616

but as part of the facial you can also incorporate certain ingredients

617

so if someone's not using vitamin c routinely incorporating the vitamin c as part of the facial may help

618

or a lot of facials have certain enzymes that exfoliate your skin

619

and a lot of people don't exfoliate regularly and

620

so this is an opportunity to have that exfoliation

621

but then there are more advanced facials also like there's hydrofacial

622

there are facials where you're using different types of AHA BHA acids

623

that are really improving or increasing cell turnover

624

so that's more of a true treatment and

625

so it depends on what kind of facials you're getting and

626

so I can definitely see it being impactful if it's one of the ones that are incorporating these acids and higher

627

active ingredients.

628

Okay, Dr. Sunder, let's talk lasers.

629

I feel like lasers are such a broad category and I'm not sure if they include all of these things.

630

So radiofrequency, ultrasound, all therapy, Morpheus, Zerf, SoftWave, Thermage, CO2, Pico laser.

631

They're all, I think they're all totally different modalities, but they all get bucketed under the same.

632

bucket yeah so can you tell us a little bit more about

633

that and how do you figure out what is right for you yeah

634

so those are all what we consider devices lasers are actually very specific

635

so IPL is a laser co2 technically isn't a laser radio frequency ultrasound those aren't really lasers they're all devices

636

and they all tackle different problems so usually ultrasound is for tightening and toning.

637

So all therapy, softwave, those are ultrasound devices.

638

Then there are radio frequency devices.

639

They can also tighten and tone,

640

but they can be combined with microneedling like Morpheus, Viva, Potenza, Vivace.

641

All those are microneedling radiofrequency treatments.

642

So those can help with texture and tone as well as a little bit of tightening.

643

The issue with the radiofrequency and some of the ultrasound devices is that depending on the energy level and depth of penetration,

644

it can lead to fat loss in some cases.

645

And so when we were talking about experience level of the provider and, you know, choosing a med spa versus choosing a physician's practice,

646

I think that's where some of that is really important because when these device companies give you, you know, when you buy the device,

647

they tell you standard settings.

648

And, you know, just between the three of us, your skin depth is different than your skin depth is different than mine.

649

And so it really needs to be a provider

650

that can tell based off of what we look like and based off of examination, how to adjust that setting.

651

Because if you just did standard settings on everyone

652

or you cranked up the settings trying to achieve tightening then you could run into trouble with fat loss

653

and we've seen that a lot with patients

654

that have referred into us who've had fat loss or other complications

655

so in our practice we really understand how the technology works

656

and we know how to adjust it so

657

that you can achieve great results without really cranking the energy

658

so rather than doing one treatment at the highest setting you do three treatments at one -third the setting maybe

659

and ultimately get to the same result okay so there's risk even for

660

radio frequency yes oh yeah yeah now it's not a very high percentage

661

i think this is another scenario where social media is really blown

662

it out of proportion where i have patients come in And if I'm recommending a radiofrequency treatment, they're like, oh, no, no, I can't.

663

I don't want to have fat loss.

664

So it's not that anytime you get radiofrequency, you're going to have fat loss.

665

But if it's used inappropriately or if it's used to lift, there's a chance that you can have fat loss with it.

666

Because the settings required for lifting heat up the tissue so much that you could inadvertently get fat loss.

667

Okay.

668

So radio frequency is not really intended for lifting.

669

It is.

670

Oh, it is.

671

So there are some radio frequency devices that you use for lifting.

672

And what are they called?

673

I mean, all of them.

674

So Morpheus, you can use it for lifting.

675

But if you use it at that setting, you're usually going to get fat loss.

676

So when I have a patient come in and say, I want to have a certain level, you know, a certain result.

677

We have that discussion.

678

And I say, well, if we do it at this setting to give you the level of lifting that you're hoping to achieve,

679

the unintended side effect will be fat loss.

680

And so I don't want you to have, and there are lots of people who say, oh, I feel like I have a full face.

681

I'm fine with losing a little bit of fat.

682

You don't want to lose fat because that's the subcutaneous fat, especially the fat

683

that is right under your skin kind of nourishes your skin it's what gives the skin its plump quality okay

684

so if you lose that fat that will inadvertently age your skin faster

685

I think with all of these technologies

686

and devices for someone like me who is not as advanced

687

in it it can feel really intimidating like with all these names like how do you suggest

688

that someone a consumer go research it?

689

Like what should we be looking up or is it just talking to a provider?

690

It's talking to the provider because there's just so much information

691

and it can get very confusing and it's not very black or white, right?

692

So like I said, radio frequency can cause fat loss.

693

It doesn't most of the time.

694

And in most practice.. practices where they do it in a way that's thoughtful it's not going to happen

695

and so I think the information especially on the internet it's not fact -based right there's always

696

if you're reading it off of someone's website there's some level of subjective anecdotes involved right

697

and so I think it goes back to identifying a provider that you trust that's ethical, that's going to be honest with you,

698

that can help guide you.

699

And really the other thing is I think it's really important for the patient to not push the provider either, because I think in general,

700

most of us want to help our patients achieve whatever their goal is, right?

701

And so if a patient is saying, oh, I really want to do this, I really want to do this,

702

but I don't want to do surgery but i really want lifting

703

and so the provider is going to be tempted to okay let me turn up the energy to give them

704

that lift and they're thinking about short -term benefit which is lifting

705

but long -term loss is the fat loss

706

which over the course of five years ten years is actually going to do the patient a disservice yeah

707

i think maybe a good question to ask as a

708

follow -up to a provider is like what are the

709

long -term effects of this treatment what are the long -term effects

710

but also i think a lot of patients

711

now are open to surgery the question should be asked how will this impact future surgery

712

if i'm thinking about having a facelift in five years how will this impact it okay

713

and i have heard that some of these devices can impact yeah

714

because it so it it can create scar tissue

715

or no okay yeah it creates scar tissue

716

so the dissection planes are not as easy to identify it's not impossible to do

717

but it you know it makes it more challenging

718

so it's definitely something that you want to disclose to your surgeon

719

and i usually have a time frame so

720

if someone has had any of these heat devices within a year of surgery i usually ask the patients to wait

721

And not necessarily because of the scar tissue, but because of the inflammation.

722

So when you have a treatment, it can take a full year for your body to reset and for the full healing process,

723

the collagen stimulation process to complete.

724

And so if you go in three months after a treatment, when there's some low level of inflammation,

725

you're actually going to aggravate the tissues and there could be potential complications from the surgery.

726

So if it's beyond a year, it's not as problematic, but it's good for the surgeon to know there's going to be scar tissue.

727

So the surgery may need to be a little bit longer.

728

We may want to do certain things as part of the surgery to improve healing, whether it's PRP or hyperbaric oxygen or exosome,

729

different modalities to help improve healing.

730

So I think it'll help formulate a game plan better for the surgeon to have that information.

731

And is that a general, I guess, rule of thumb that you have for each of these?

732

What do you call them?

733

Like all therapy and these other...

734

All these heat -based devices.

735

Heat -based devices.

736

Yeah.

737

Is that your rule of thumb that you should wait a year between?

738

Yeah.

739

That's my personal rule.

740

Different surgeons have different rules about it.

741

But my personal rule is you want to wait a year.

742

Because your skin is still inflamed and still healing over the course of that year.

743

Yeah.

744

And it depends on the depth.

745

So for example, Morpheus, if you're doing it at a superficial setting and you're having a deep plane lift,

746

it doesn't, you don't have to wait a full year,

747

but all therapy, which goes deeper and it can affect healing of the skin that I would wait a year.

748

In between those, even like all therapy to all therapy.

749

No, that depends.

750

Yeah.

751

Sometimes you can do it at six months.

752

Yeah.

753

Depending on, on the settings.

754

I know we talked about filler very early in this episode, but I just want to ask you,

755

do you have any words of wisdom or advice when people are thinking about fillers? So I,

756

going back to the provider and listening to the provider is really important

757

because I see it time and time again with filler.

758

Patients will come in and they're the most conservative patient.

759

They're like, I don't want to do too much.

760

I just So scared of it.

761

I just want to do a little bit.

762

And we do it.

763

And then they're back three to six months later, wanting more in the same area because our minds play tricks on us.

764

So the initial delta is so significant.

765

The change in what you see is so significant that once that change starts going away,

766

you think it's all gone so three months six months later

767

when some of it's going away patients want to come back in

768

and do another full syringe to that area

769

because they don't really forget where they started off and

770

so that's where it's really important to have a provider

771

that says no look at your photos from three months ago

772

or six months ago there's still some filler

773

there you're not ready for more yeah you might be ready for more

774

but chances are you're probably not ready for more especially in the lips right

775

and so I think not overdoing it is important so volume matters

776

and frequency matters and that's when you get a lot of these migration issues,

777

especially with the lip, is when you're doing too much in an area that can't handle that volume.

778

And so it has to go somewhere.

779

So it's following the path of least resistance.

780

So if there's no way for the filler to come forward with the lip, it has to go up into the white,

781

the mustache area of the lip.

782

So I think volume is really important.

783

Frequency is really important.

784

And so to prevent migration, it's just like, don't overfill don't overfill yeah yeah

785

and it sounds like documentation is really important yeah having a clear idea of what you looked like before

786

and after the first treatment yeah

787

that you can refer back to together with your provider exactly hey guys it came to my attention

788

that some of you don't know

789

we have a matcha brand what a matcha brand yes like

790

some of my friends were talking to me like wait you guys have a matcha brand

791

and it's called sisters matcha jean and i started it in October 2024

792

and it's something that means a lot to us because I lived

793

and worked on the farm where we source the matcha from.

794

This matcha brand is our baby and we are

795

so passionate about it and we really love everything that has gone into it.

796

There's just so much love and passion that goes into our company and we want to share it with you guys.

797

We source from a small family farm just an hour

798

and a half outside of Kyoto called Wazuka is the name of the town and it's absolutely incredible.

799

We've visited the farm.

800

We've worked on the farm.

801

And we're so excited to bring it to you.

802

So you can find out more at sistersmatcha .com.

803

That's sistersmatcha .com.

804

All righty, now back to the show.

805

Okay, so one question I've been dying to ask you, Dr. Sunder, is as someone who has unlimited access to every single treatment in the world,

806

what do you do?

807

Like, what is your high -maintenance -to -be -low -maintenance routine?

808

Yeah, that's great.

809

I love, we have a proprietary peel that we customize to patients.

810

And so I try to do that once every two years

811

or once a year just to remove any sun damage that has accrued throughout the year.

812

So I think that has been really helpful.

813

The other thing that I like is fractionated radio frequency.

814

So that helps with skin quality, skin tone.

815

And so I do that actually once a year and that

816

that way I'm not the best when it comes to skin care.

817

And so I feel like that really is a great foundation for me.

818

Botox is the other thing.

819

I think that's and I do it for preventative reasons and I think it's worked really well for me.

820

I was on board to have really, really deep 11 lines and I've really been able to reverse that pretty well.

821

So I think Botox and then Sculptra. So, yeah.

822

So I think Sculptra, especially in like the chin area for me, has been helpful just because I'm postmenopausal.

823

So postmenopausal women or women in general will start losing bone in their jawline.

824

And so that's expedited in the postmenopausal phase.

825

And so that I think has been helpful in supporting my jawline.

826

Oh, and then one quick question about Sculptra.

827

Sculptra is not a filler, right?

828

It's not a filler.

829

No, it's a collagen stimulator.

830

So it's an injection, but it's stimulating your own collagen rather than putting a gel into the face.

831

So it's a different category.

832

It's a different category.

833

Yeah.

834

Cool.

835

I love it.

836

Thank you so much.

837

Thank you for having me.

838

This is great.

839

We have one last section called fact or fiction,

840

which is a rapid fire we give you a statement and you say whether it's fact or fiction or quick clarification.

841

Okay.

842

Number one, filler always migrates.

843

Fiction.

844

Yeah, actually.

845

That one's tough.

846

That one's tough because it can migrate if it's placed improperly

847

or in a different layer or if it's in an area that moves a lot.

848

So around the eyes, it can move, it can migrate a little.

849

But I think the way people think of migration, that's not accurate.

850

So I've had patients who come in where we're wanting to do chin filler

851

and they're worried that it's going to migrate up to their cheek.

852

And that's not how it happens.

853

So from that respect, it's fiction.

854

Okay.

855

Fact or fiction, Botox prevents wrinkles.

856

Fact.

857

Drinking more water automatically gives you glowing hydrated skin.

858

Fiction.

859

I'm horrible about drinking water and I feel like my skin looks pretty good

860

because of the other things that I do to compensate for it.

861

Yeah.

862

That makes me feel better.

863

Okay.

864

Fact or fiction?

865

Everyone needs retinol.

866

Fiction.

867

Fact or fiction?

868

Expensive skincare is always better.

869

Fiction.

870

Okay.

871

Fact or fiction?

872

If a skincare product burns or tingles, that means it's working.

873

Fiction.

874

Fact or fiction, Ozempic ages your face.

875

That needs a clarification.

876

So it can age the face if you lose too much fat or lose too much volume in the face.

877

But I think for a lot of people, or for most people, Ozempic is an anti -inflammatory.

878

And so a lot of people carry inflammation in their face.

879

And so decreasing that inflammation can actually make someone look younger or more importantly, healthier.

880

So I think, yeah, yeah.

881

So I think it can do both.

882

Okay.

883

Everything in moderation.

884

Yeah.

885

Depends on the person.

886

Depends on the person and everything in moderation.

887

Okay.

888

Fact or fiction, collagen supplements actually work and noticeably improve your skin.

889

Fiction.

890

What?

891

I take it every day.

892

No. Are you sure?

893

Yes.

894

This is actually, there's like evidence to, yeah.

895

Right now, all the products on the market, there's no way that, so your body breaks down these collagen supplements, right?

896

Into like individual amino acids.

897

It can't target specifically the skin or the hair.

898

So if you're seeing a benefit, it's usually the other products that are,

899

it's usually compounded with certain vitamins and other supplements that have a benefit to skin and hair anyway.

900

So collagen itself, the molecules are just too big right now.

901

There's, they're just, they're just not doing what I think they're doing.

902

But if it's working, I mean, if it's working for you, I wouldn't say to discontinue.

903

I think it's a protein boost for you.

904

It's a protein boost.

905

Yeah, other health benefits.

906

Yeah, exactly.

907

Exactly.

908

Last one.

909

Fact or fiction?

910

It's too late to start taking care of your skin after 50.

911

No. Fiction.

912

Absolute fiction.

913

Awesome.

914

All right.

915

Thank you so much.

916

Thank you so much, Dr. Sunder.

917

This was so informative.

918

I'm so glad.

919

It was so fun.

920

Thank you for having me.

921

Where can people find you online?

922

So I'm on Instagram and on TikTok at Dr. Sharmala Sunder.

923

So it's D -R -S -A -R -M -E -L -A -S -U -N -D -E -R.

924

Awesome.

925

Thanks, Tiger Fam.

926

We'll see you next time.

927

Bye.

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คำศัพท์และข้อสังเกตด้านการพูดสำหรับบทเรียนนี้

บทเรียนฝึกพูดนี้ใช้วิดีโอ “What Actually Works for Your Skin? A Stanford-Trained Plastic Surgeon Explains” เป็นสื่อ วิดีโอนี้มี 927 ประโยค และ 9657 คำ สำหรับฝึกพูดตาม ช่วงที่มีเสียงพูดยาว 57:43 ผู้พูดพูดด้วยความเร็วเป็นธรรมชาติ ประมาณ 167 คำต่อนาที ใกล้เคียงกับบทสนทนาในชีวิตประจำวัน 83% ของคำอยู่ใน 3,000 คำที่ใช้บ่อยที่สุดในภาษาอังกฤษ ส่วนที่เหลือควรดูไว้ก่อนเริ่มฝึก

คำศัพท์สำคัญในวิดีโอนี้

คำที่ควรเรียนรู้ 15 คำจากวิดีโอ พร้อมคำอ่านและความหมาย:

คำศัพท์	คำอ่าน	ความหมาย
muscle คำนาม	/ˈmʌs.əl/	กล้ามเนื้อ, กล้าม
frequency คำนาม	/ˈfɹiːkwənsi/	ความถี่
mask คำนาม	/mæsk/	หน้ากาก
laser คำนาม	/ˈleɪzɚ/	เลเซอร์
surgeon คำนาม	/ˈsɝd͡ʒən/	ศัลยแพทย์
forehead คำนาม	/ˈfɔɹ.hɛd/	หน้าผาก, เถิก
acid คำนาม	/ˈæsɪd/	กรด
inflammation คำนาม	/ɪnfləˈmeɪ̯ʃən/	การอักเสบ
ultrasound คำนาม	/ʌl.tɹə.saʊnd/	อัลตราซาวนด์, อัลตร้าซาวด์
layer คำนาม	/ˈleɪ̯ɚ/	ชั้น
nurse คำนาม	/nɝs/	พยาบาล
tissue คำนาม	/ˈtɪʃ.(j)u/	ทิชชู่
dose คำนาม	/ˈdəʊ̯s/	ขนาดยา
podcast คำนาม	/ˈpɑdˌkæst/	พอดแคสต์, พอดคาสต์
topic คำนาม	/ˈtɑpɪk/	หัวข้อ, กระทู้

กริยาวลีที่คุณจะได้ยิน

คำศัพท์	ความหมาย
show up คำกริยา	โผล่
bring up คำกริยา	เลี้ยงดู, ฟูมฟัก
heat up คำกริยา	อุ่น

ประโยคที่ควรฝึกพูดซ้ำ

ประโยคสั้น ๆ ที่สมบูรณ์จากวิดีโอ ซึ่งนำไปใช้ในบทสนทนาประจำวันได้:

Do I still have to wear sunscreen?
What's the beauty treatment you think people are overdoing right now?
How do you know if you're prone to melasma?
How can you tell visually?
What do you call them?

ไวยากรณ์ในวิดีโอนี้

โครงสร้างที่ผู้พูดใช้บ่อยที่สุด พร้อมคำพูดจริงจากวิดีโอ:

โครงสร้าง	ในวิดีโอ
Present perfect continuous have/has been + -ing — การกระทำที่เริ่มก่อนหน้านี้และยังดำเนินอยู่	I've been hearing · I've been understanding · I've been dying
ประโยคเงื่อนไข if + อนุประโยค, will/would + กริยา — เงื่อนไขและผลลัพธ์	if if there's inflammation, sure, it'll help · if you lose that fat that will inadvertently · if it's working for you, I wouldn't say
“used to” used to + กริยา — นิสัยหรือสภาพในอดีตที่ตอนนี้ไม่เป็นแล้ว	used to be · used to write
Present perfect have/has + กริยาช่อง 3 — เหตุการณ์ในอดีตที่ยังเกี่ยวข้องกับปัจจุบัน	i've seen · has just gotten · I've definitely seen

การออกเสียงที่ควรระวัง

ผู้พูดใช้รูปย่อและรูปลดเสียง 239 ครั้ง เช่น you're, I'm, don't ให้พูดแบบสั้นตามที่ได้ยิน

เสียง “th”: aesthetic /ɛsˈθɛ.tɪk/, thumb /ˈθʌm/
เสียง “sh” และ “zh”: fiction /ˈfɪkʃən/, facial /ˈfeɪ.ʃəl/, inflammation /ɪnfləˈmeɪ̯ʃən/, tissue /ˈtɪʃ.(j)u/, physician /fəˈzɪʃən/
คำยาว — ลงเสียงหนักให้ถูกพยางค์: inflammation /ɪnfləˈmeɪ̯ʃən/, ingredient /ɪnˈɡɹiːdi.ənt/, necessarily /ˌnɛs.əˈsɛɹ.ə.li/, incorporate /ɪŋˈkɔɹ.pɚ.eɪt/, priority /pɹaɪˈɒɹɪti/

เสียงที่คนไทยมักออกเสียงยาก:

เสียงท้ายคำ — ออกเสียงให้ครบ ไม่เปลี่ยนเป็นตัวสะกดแบบไทย: facial /ˈfeɪ.ʃəl/, muscle /ˈmʌs.əl/, heal /ˈhiːl/, reverse /ɹɪˈvɝs/, nurse /nɝs/
/v/ — ไม่ใช่ /w/ ให้ฟันบนแตะริมฝีปากล่าง: provider /pɹəˈvaɪ.də(ɹ)/, reverse /ɹɪˈvɝs/, versus /ˈvɝsəs/, vitamin /ˈvɪt.ə.mɪn/, vibration /vaɪˈbɹeɪʃən/
/z/ — เสียงก้อง ไม่ใช่ /s/: laser /ˈleɪzɚ/, physician /fəˈzɪʃən/, indoors /ɪnˈdɔɹz/, whereas /(h)wɛɹˈæz/, anyways /ˈɛn.iˌweɪz/

วิธีฝึกกับวิดีโอนี้

ฟังวิดีโอให้จบหนึ่งรอบโดยยังไม่ต้องพูด แล้วจดคำที่ยังไม่รู้จัก
เริ่มที่ความเร็ว 0.75× พูดตามทีละประโยค แล้วกลับไปใช้ความเร็วปกติเมื่อเริ่มคล่อง
อัดเสียงตัวเองแล้วเทียบกับต้นฉบับ โดยสังเกตคำอย่าง muscle, frequency, mask เป็นพิเศษ

เทคนิค Shadowing คืออะไร?

Shadowing เป็นเทคนิคการเรียนรู้ภาษาที่ได้รับการรับรองทางวิทยาศาสตร์ พัฒนาขึ้นสำหรับการฝึกนักแปลมืออาชีพ วิธีการนี้เรียบง่ายแต่ทรงพลัง: คุณฟังเสียงภาษาอังกฤษจากเจ้าของภาษาและพูดตามทันที — เหมือนเงาที่ตามผู้พูดด้วยช่วงเวลาห่าง 1-2 วินาที การวิจัยแสดงว่าเทคนิคนี้ปรับปรุงความแม่นยำในการออกเสียง ทำนองเสียง จังหวะ การเชื่อมเสียง การฟังเข้าใจ และความคล่องแคล่วในการพูดได้อย่างมีนัยสำคัญ

เทคนิค shadowing: อ่านคู่มือฉบับเต็มทีละขั้นตอน →

ฝึกพูดภาษาอังกฤษด้วยเทคนิค Shadowing จากวิดีโอ: What Actually Works for Your Skin? A Stanford-Trained Plastic Surgeon Explains

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คำศัพท์และข้อสังเกตด้านการพูดสำหรับบทเรียนนี้

คำศัพท์สำคัญในวิดีโอนี้

กริยาวลีที่คุณจะได้ยิน

ประโยคที่ควรฝึกพูดซ้ำ

ไวยากรณ์ในวิดีโอนี้

การออกเสียงที่ควรระวัง

วิธีฝึกกับวิดีโอนี้

เทคนิค Shadowing คืออะไร?