Dermatologist Answers More Skin Questions From Twitter | Tech Support | WIRED

[@Doctorly]

The questions that come in just keep getting better! Honored to be part of this series again - Dr. Shah

[@Docmain3]

How do I rid heat rash for good or am I cursed to burn every time I play disc golf and hacky sac?

[@obaz91]

thank you for giving real answers about medical grade prescriptions!

[@Potencyfunction]

Yes it is true, when one have HCV can be treated with Seroquel according to medicine boarding in Denamark.@@obaz91

[@Potencyfunction]

If you are cursed with rush than you shall stay online and chat with your local dermatologist about a prescrprtion regarding rush. Than you will have a online recipe but you still need to go at farmacy and pay for medicine because is not free unless the online local demnts association does not donate you to you for free@@Docmain3

[@davidfletcher4449]

Good job Dr. Shah! You rep the youtube Dermatologists well!!!

[@greenblack539]

8:10 interestingly, this is how laser tattoo removal works. the laser targets the ink deposits and breaks them down into smaller chunks so that your body’s white blood cells can effectively metabolize them and flush them out of the body. its why people report being tired after a removal session, your body is reacting to the ink the same way it would an infection

[@stellarae8257]

that's cool! thanks for sharing :)

[@scholarmama3581]

It is so unbelievably painful, quite expensive, and takes multiple laser treatments. I had 11 tattoos removed. Ugh. Really think through your choices, kids. Forever is a very long time. The story you put on your body at 20 might not represent you at 35.

[@alhypo]

Just a three step skin-care routine? I like it! That's only 3 more steps than my current skin-care routine. 😆

[@annapatton4544]

as one comedian joked - men would rather vacuum their skin off the carpet than put a lotion on it.

[@valak9574]

This is a joke you would find on Facebook with a minion next to it

[@kevinaa1622]

I feel personally attacked as I just got out of a hot shower and am now in fact all dry

[@AmandaTheStampede]

I just got out of the shower and was moisturizing while my cat was watching me. I explained to her that since I stripped my skin of its natural oils I’m now replacing so,e so my skin won’t over-compensate for it later. And then I saw this video :p

[@burnin8able]

Ya know, they did actually discover the number one leading cause of dry skin: Towels.

[@elleeffat3193]

If this is a joke then that's funny, if not I need to know more lol@@burnin8able

[@venusiangoddess8262]

bruhhhh! Not today... lol @@burnin8able

[@gabbonoo]

@@burnin8able maybe you are making a joke... anyways, i dont dry off after a shower. still turn into jerky. i think it's more shampoo than hot water since my nose dries out and i dont leave it under hot water for long

[@Violetta-ql8mg]

You COULD NOT have chosen a better spokesperson for this! Gosh when I saw the thumbnail my eyes lit up like me 6 years old seeing the presents on christmas morning. Literally. I’m SO proud of you Dr. Shah🙏🏼

[@bri_the_esthi399]

I love this series and the doctor. He's so easy to understand, makes it seem simple

[@daracella]

He’s on TikTok and also has a KZbin with another derm. Their channel is called Doctorly!

[@laurao3274]

Regarding the skin's microbiome... I read in a baby book that one of the advantages to breastfeeding is that your baby is constantly touching your bare skin. Contact with your skin's microbiome helps her to build up her microbiome and immune system. So if you can't breastfeed, make sure your baby gets plenty of contact with your skin.

[@bananiiiiii]

but of course that’s referring to the gut microbiome effects more so than the skin microbiome effects, just an interesting fact to add on to your observation :)

[@MySmileStillStaysOn]

btw, momma also gives baby a positive skin microbiome when baby is born through the birth canal vs by C-section.

[@andij605]

08:50 I love a doctor who is open to read up on new things

[@AprilTheRockStar]

Thank you so much for addressing the other effects of psoriasis beyond the appearance of it *and* for not calling it a skin disease

[@dorothypettijohn1037]

I have had psoriasis since my early 30s. In my 50s I was diagnosed with psoriatric arthritis! It is a debilitating form of arthritis.

[@katelynnyangweso2961]

My mom is 70, I'm 40, she's had it since she was like, 18 maybe 16....it was so hard to explain to ppl when I was younger bc no one had ever heard of it in those days. Idk what's happened over the last like 25 years or so that it's become so much more well known, I think part of it may be the medicine's they have now. A friend of mine also had it when we were teenagers and I remember in like 2002ish he was starting Humera and it was so like, unknown at that time about the side effects etc but it worked so well. Now everyone knows what it is but I agree, a lot of people don't realize it's an autoimmune disorder and not a skin "disease"

[@boy638]

His knowledge is more than skin deep.

[@Potencyfunction]

Oh really ? We couldn´t guess that he had a entire medicine university study! I was thinking only at the surface how to make laser with CO2 so the skin tighten up and resurface by stimulating cell growth. 😄It is at the mind of a 5 years old to stay in a stagnation cell growth. Move at the university level.

[@hoo8072]

​@@Potencyfunction?????????

[@Potencyfunction]

If you never meet me in person do not pronounce my name. What is it you wonder about it ? You can not read English well or what is your question signs about? It is enough to have a single question sign, gramatically speaking @@hoo8072

[@jonathanfoster4202]

Is “skin deep” something people say?

[@lorena.e]

@@jonathanfoster4202yes, it means surface level/superficial lol

[@JarrodFrates]

Fun fact on fingerprints: We dont actually know if fingerprints are unique. They *seem* to be unique, but no one has done a large enough analysis to be scientifically certain in part because the analysis has been extremely expensive. There are some studies proposed or going on to have AI review very large sets (millions or even tens of millions) to try to quantify the uniqueness, but it will be a while before even those are complete, and there may still be questions until we can review hundreds of millions of fingerprints in a single study. That raises privacy and data control concerns, though, and it may be difficult or even impossible to collect enough data to do that.

[@maiaceto]

I wonder the same about snowflakes often.

[@unrealed]

IIRC there's been a legal case that was retried because they'd found that someone other than the defendant (that was found guilty) had the same fingerprints. It's probably good enough in a good number of situations but maybe not enough for immigration or the law

[@berry.x9388]

he's very good at explaining stuff at an easy to understand level. love this doctor!

[@BenjamintheTortoise]

Well done. But we need at least 3 more skin support episodes!! Come back for more! 😊 So many topics... Sunburns, hormones, hair loss, allergic reactions, nail fungus (yuck).... But still! We need all the things!

[@annapatton4544]

check his channel Doctorly

[@possiblyarealcat]

Ladies AND GENTLEMEN (yes, both) I highly recommend getting satin/silk bedsheets/pillowcases. They hold less bacteria and more gentle on skin. This will help prevent frizzy hair and breakage as well as preventing acne too! Still want to change out your sheets as often as you can!

[@gabriellapineiro2201]

Thank u❤

[@TheJohtunnBandit]

Probably shouldn't surprise me, but wow he's got nice skin!

[@JarrodFrates]

Recent research suggests that tattoo ink particles are taken up by dermal macrophages, but these macrophages are stationary so the ink doesn't move. This isolates the ink particles and reduces irritation. When the macrophages die, the ink particles are released and then recaptured by other dermal macrophages. This cycle continues on for as long as the skin is alive. Some of the ink particles are broken down over time, accounting for tattoos lightening somewhat as the skin ages, but for the most part, it stays in place. See Baranska, et al., in 2018 in the Journal of Experimental Medicine.

[@1bootliz]

As a random youtube commenter, I just wanted to thank you for citing your source!

[@abigaillowry3354]

My BIL insisted that chapstick was a scam and that it's designed to provide temporary relief but later flake your lips so you apply it more. I asked him to tell me in more detail what it feels like and what it does, he proceeded to describe exactly what it's like to be allergic to your chapstick.

[@charlenef.9055]

Thanks for your time and enthusiasm in delivering this information

[@possiblyarealcat]

I was about to comment how he seems to genuinely enjoy helping everyone get better skin 😂❤

[@ashall5673]

The tattoo one is so mind blowing to me. I watched an entirely other video on this before and it’s our immune system that goes in to grab on to the ink and holds it in place. The cells or whatever that go in to hold on to it though eventually die, other cells have to rush in to grab it again, and that’s why tattoos gets blurry over time. 😮

[@obaz91]

please do these videos more often 😭♥️

[@nightview93]

me watching this while applying scented lip balm: i think he's onto something here

[@theavengers.]

Another educational video love it

[@Potencyfunction]

It is indead educational.

[@jairz9232]

Wow so much information!! 😮 thank you Doc! We really need this I love every part of it!

[@LumosNightXD]

8:00, my friend had some bad tattoo he made himself and his solution was to simply cut deep enough over the entire tattoo untill it faded away.

[@Morbatx]

His skin looks healthy, so I trust his advice. Gotta practice what you preach!

[@annapatton4544]

That feeling when you don't miss a single video on Doctorly channel and know all those answers 😎

[@orcjoefitnessnut]

This was really informative and he explained them really well!

[@Jackiedevice]

I can watch him do this all day 😍

[@Jadiexox]

This was so well explained ! Thanks for the info 🤗

[@SAmaryllis]

Appreciated the explanation on blackheads!

[@MySmileStillStaysOn]

If you look at them real up close you can see the dark spot on the very tip of the blackhead after you squeeze it out

[@ArnoldsKtm]

he looks like a dermatologist

[@allybird1440]

I have dry, sensitive skin and a history of eczema. Back in the early 80s my grandma gave me a small bottle of glycerin to add to my lotion and vaseline. A quarter-size dollop of glycerin in vaseline every day and after bathing will make a world of difference. I would slather my shins in corhuskers and Crisco because my skin would scale like a fish. The skin is an organ and when it is dry, itchy, scaly and painful it makes you feel bad all over. And it's embarrassing, especially when you're a teen.

[@markdevlin8471]

Mites on my skin... thanks for that, now won't be able to sleep as I'm imaging the little sods having a party.. 😢 got itchy bug feeling now 😅

[@possiblyarealcat]

Don't even bother googling a close up of the mites. You will never sleep again.

[@MadTrump]

lol

[@julieveras2839]

I live in Oslo, Norway. during winter, it's cold, few hours of daylight and the UV-meter is always at 0. Should I still be using sunscreen during this period? And if so, why?

[@thatsydvicious]

Good question! I'm in Canada and winter is similar here 👀

[@palalabu]

hm i'm not sure if you're actually use a tool to measure that, but personally usually, i only ask google the uv index at that moment where i'm at. and for uv index it only measures the risk of getting sunburn, so i assume it only takes into account the UV-B. But not the UV-A, which causes aging. And iirc, UV-A is harder to measure anyway. that said, if the uv index is in green, i don't put on sunscreen either. so i guess you're the one who could judge it yourself.

[@aspannas]

I’m Swedish so I’m in the same boat and I don’t use sunscreen right now during winter. I think it’s just a waste of product and money to use it now when there’s such a small chance of even being exposed to sunlight

[@MSWMW]

This guy has absolutely no crow's feet...I am both impressed and unnerved

[@Haleigh_Tortilla]

He uses botox! Don't be discouraged lol

[@irissupercoolsy]

Crows feet is difficult to eliminate without botox tho, and is often not super related to healthy skin.

[@cherisenunez2530]

Wow I love how Dr Shah dodged that multi step routine question 😅😅

[@byuftbl]

1:27 I actually don’t have that experience with chapstick. For me, I only really need chapstick if I talk a lot to someone, or exercise and breathe heavy. Because I’m breathing more through my mouth and dries out my lips

[@peoplearepeople4998]

the one about blushing and helping us survive: My theory (I am a random heath enthusiast with no medical background, just a random guy) is that when you're blushing, it's usually because of an intense emotional reaction which your body interperets as "potential threat" and may need to run and get outta there, so it increases your blood flow rapidly

[@irissupercoolsy]

yeah was thinking the same

[@shawnbowen6833]

I feel like theres something in chapstick that works well but also dries your lips back out. I NEVER used chapstick until my first winter when i was stationed in upstate NY. That winter my lips got so dry i started using chapstick. And now to this day 20 years later i carry a stick with me every single day. Cannot go a day without it. And ive tried them all, flavored or not.

[@treasurechest123]

Me too…I commented similarly…folks who are not physically addicted to lip balm misunderstand and make assumptions. His response wasn’t wrong but not complete!

[@somebodyoncetoldme2664]

True! Now I need chapstick everyday but I have cold sores and I get them much less often because of it so oh well.

[@user-qj1hq2qu8c]

Supergoop ‘unseen sunscreen’ spf 40- my DAILY, year-round sunscreen for very dark skin tones!

[@onyx2047]

As an esthetician I always thought that "medical grade" products meant that you are able to sell up to 20% of an active ingredient (stronger product). 10% in drugstores and 20+ in dermatology clinics. Am I wrong here? Was I taught incorrectly? Also, is exfoliation not the most important part after the age of 30 as the processes start slowing down? Would you not be just putting your moisturizer on dead skin cells? In terms of oils, creams etc are not oils/serums deeper "absorbed"???

[@C.Tee88]

Appreciate you Dr Shah ❤

[@SeniaKings]

love this guy!!!! i learned so much, he's so succinct widdit

[@daleecamp4315]

For the question about the sunscreen, we've starting using the Black Girl Sunscreen brand for my grandkids. We love it.

[@dawnwyatt2096]

You can absolutely be addicted to lip balm, physically, and not just in a cycle of using it making you need it. I had Jaw surgery as a teenager that required me to have my jaw wired shut for six weeks. That meant that I couldn’t lick my lips at all, and I started to use Carmex. I didn’t really use lip balm of any sort much before that, but after those six weeks, I tried to stop using the Carmex, and my lips were in physical pain when it wore off. My guess is I got addicted to either the menthol or camphor in it. Over the years, I’ve pared down, and while I still use Carmex, I can go much longer between applications (a couple of hours even, sometimes), and my lips just feel dry when it wears off, not painful. Plus side is I haven’t had chapped lips in 25 years…

[@shannonm8512]

That would go along with what he said about ingredients like menthol, fragrance etc causing irritation and then creating that cycle of needing to reapply. I am pretty sure Carmex in particular also contains salicylic acid so it’s not just causing irritation with the menthol but the exfoliant could be contributing as well. You could try switching to plain Vaseline, that should help eliminate the irritation and break the cycle of dryness when it wears off.

[@andij605]

Or switch to something like shea butter or cacao butter or even olive oil or literally anything else...

[@MarieJanePlatypus]

they always tell us to re apply sunscreen during they day but nobody ever gives helpful tips to get it done. What if im in the water? What if im wearing makeup? Do I need to wash the sweat off my face before reapplying?

[@MerlinsFiles]

3-4 years ago I got a sunburn so bad on the fronts of my legs that I couldn't walk for 3 days (I expected to be standing more, didn't put it on at the house, but then got to the shore and just read but forgot to apply more sunscreen to my legs!) And while I am worried that I will one day get skin cancer, that peel was... legendary

[@Methequeen]

Wow never thought of the hot water vs body oil

[@hotsaucexo]

“i dont wanna freak anyone out” and then says the most horrifying thing i can imagine

[@bobbybecker80]

Very interesting and informative, thank you.

[@jasmineluedi7265]

Why is it that blackheads seem to increase in frequency when you start getting them out??? I never had a big problem on my forehead until I took out the few I had.

[@giananina]

i do agree with lipbalm. When I used lipbalm with flavor, I dont realised I licked my lips again and again. I re-applied more often but still get dry lips. I thought the ingredients of flavor made my lips dry, then I tried vaseline. Viola, it worked well!

[@scurry2175]

It's really hard to get used to seeing Prince talking about dermatology issues other than playing music

[@feliciasjoberg9886]

4:15 Am I the only one who thought of when Al Murray on Taskmaster argued that sweat = urine? 😅

[@Angel-nl2gz]

Seeing you here for me feels so much better than seeing you on tiktok

[@DeLunaInBloom]

i wouldve asked if we really need 5-15min of sunlight w/o sunscreen to get that vitamin d? and do we all need it or just elders need it? i need to know cause im very sensitive to the sun and cant be w/o sunscreen for one minute help!

[@thehomeschoolinglibrarian]

We all need it. Babies are often given vitamin d drops to help prevent vitamin d deficiency and adults need it too.

[@mdml0]

No. Sunscreen isn't a perfect shield even at spf 100. You will still get vitamin d with the small amount that passes through. Most sunscreen users don't apply enough and regularly throughout the day anyway.

[@bluwasabi7635]

Thank you for mentioning Glycation!

[@shelbychng9129]

I think I can taste sunscreen through my skin! About an hour after applying I swear I can taste it! Any recommendations for flavourless sunscreen?

[@ebmage8793]

I wonder if the smell is also playing a part in this. Maybe if you can find something with a neutral scent

[@shelbychng9129]

@@ebmage8793 I’ve tried the scentless ones too. It’s almost like it’s a metallic taste.

[@andij605]

​@@shelbychng9129 Are they zinc based? While I had a copper IUD, I couldn't wear my zinc-based sunscreens, cause everything suddenly started to taste and smell like copper😭 If it's not zinc-based then Idk. I stopped using zinc-heavy ones then

[@treasurechest123]

So interesting and a great point as to why we need to be so careful about what we apply to our skin…we absorb it! Good luck with that. My challenge is how incredibly toxic I find all the Chemical sunscreens. Just being near someone with chemical sunscreens gives me a massive headache. So toxic.

[@shannonrobinson262]

I have psoriatic rheumatoid arthritis. I’m on otzela. It’s doing well to control the plaques. I use soaps rather than detergents due to sensitive skin and sls allergy. The oils on my skin feels more waxy now I have psoriasis. How can I get rid of it or adequately clean my skin?

[@ADogWithGlasses00]

Super informative! *applies lotion every 5 minutes to keep my skin hydrated*

[@MichelleDespres]

I'm absolutely a lifetime Chap Stick addict

[@12thDecember]

Great questions, great content. Now I'm off to Amazon to buy a retinol cream and creepy LED mask. 😄

[@HenryCalderonJr]

Learned a few things that I was not aware of thank you

[@amitgottstein9785]

Great information 👍

[@Potencyfunction]

Delayed due the network capacity the video has no good capabilietis online streaming.

[@camillechapman3108]

I am concerned that retinol caused my dry eye. The glands in my eyelids have died and caused a horrible chronic problem. Is this proven and why didn’t my dermatologist warn me about this possibility?

[@snowboardgurl4545]

I'll only give up my boiling showers when I'm dead and gone. 😂

[@necrogenesis1981]

I lick my lips regardless of whether it’s flavored or not because the greasy feeling is annoying, but I have no alternative.

[@Kholdilocks]

The theory I've heard for why our face flushes when embarrassed is that it's a sign of submission along with avoiding eye contact and other behaviors. "I'm not a threat, please don't hurt me."

[@roseusnay2909]

but i love my showers steaming hot 😭

[@aspannas]

Just make sure to moisturize the skin after

[@samanthaxxxxx]

i don’t know if anyone will read this but i use to be addicted to lip balm for so many years. i would always need to reapply it. one day i switched to using rimmel clear lip gloss and the difference is night and day. i don’t need to reapply all the time and my lips are never dry. once in a while i will use a lip balm if i don’t have my rlg and ten minutes later my lips are chapped. it really is amazing and i have been using it for years! i always order more when it gets low and i’m not even the kind of girl who would use lip gloss. if you have this issue with lip balm please try this!

[@JanaSiratranont]

Which lip gloss is that, is that the Stay Glossy one?

[@samanthaxxxxx]

@@JanaSiratranont yes the stay glossy one! it’s the clear one named “seduce me” (:

[@JanaSiratranont]

@@samanthaxxxxx thank you!❤️

[@luz9742]

I LOVE DRR SHAH!! I wonder if he let them powder him this time…

[@hanaandnutrition]

Wow, you’re glowing!!! ❤❤❤❤

[@try8042]

I'm allergic to chemical sunscreens. Blue Lizard mineral sunscreen works the best for me. Even though I'm allergic, wrinkles are forever, so I wear it!

[@palomareyes1951]

This is my doctor! 👏🏼👏🏼👏🏼 not really but I’m an avid follower of doctorly lol

[@90s_kids_lifestyle]

I have oil skin so how many minutes after i should wash my body with soap?

[@mvp_private3431]

why is he so so flawlessly speaking???

[@JuliaSomova]

In all of my 20s I had dry patches on my skin and they never went even though I tried all the moisturisers available. They went away when I stopped drinking alcohol for good. Duh 😅

[@ulissesmm]

Alrighty then!

[@rxbeckett]

How can one get adequate levels of vitamin D if they have a sun allergy and also live in the far north where it's fully dark for many months of the year?

[@bellatrix1408]

u cant! take supplements

[@YourMsRightHere]

DO NOT TAKE AWAY MY HOT SHOWERS

[@nothingworksworks3511]

how often does that red light application need to happen?

[@briantreanor960]

The handle of the last question is definitely a Hollow Knight reference, nice

[@sesshylover17]

But I love Mint Lip balm!!

[@AngelaRamirez-dd4hd]

Love Skin support so much I put up with apple commercials...

[@cheryl-lynnmehring8606]

Thank you, doctor, for answering these questions! So many of them, I, too, have wondered about. The blackhead question, tattoo not wearing off, stretch marks, and those face LED masks.

[@NoNames-vw3bq]

Saw it was Dr Shah, so I clicked. No other reason. I think this only came up in my feed BECAUSE it was Dr Shah 😂

[@muticere]

That revelation about chapstick is kind of a big deal for me. I loved chapstick as a kid, but I noticed that the more consistently I used it, the worse my lips would feel, and I’d have to apply it more and more. Eventually I stopped using it altogether because I decided it just wasn’t for me. Now that you explain it to me as an adult, I wonder if because I was probably given flavored chapstick, that was encouraging me to lick it and apply it more often due to the flavor and sensation. Makes me want to finally try chapstick again so many years later.

[@katherinerichardson2273]

yeah my boyfriend his brother his sister and his dad will have some weird skin condition that I can't quite pinpoint all it is is they have darker or large spots of pigment that show up more in the sun and the increase over time

[@frankiegarcia6100]

This dude is awesome

[@kanchan4298]

Please reply can we use carrot oil on body

[@treasurechest123]

Dr Shaw I adore you but man you under-answered the lip balm question! I am 100% addicted and have tried every different type of balm. I recall Dr Maxfield and you commenting on this topic. I just know that folks who are not addicted misunderstand the issue and make assumptions…

[@madilynpendergrass5180]

dont talk about my cotton candy chapstick shes mine and im hers

[@stealth_meister4939]

Any time I get an in grown hair, I just grab one of those pointy tweezers and just stab in and get it 🤣

[@amlaaaa479]

I got confused. What Retinol am I supposed to buy?

[@Storm411z]

Where’s his partner in crime Dr. Maxfield? We demand the duo!!

[@no8652]

Genuinely love that this guy looks like a yassified Jonathan Frakes

[@codename495]

Never getting that image out of my head.

[@бронза.вафля.конус]

I just googled him. Hilarious, he really does 😂

[@YuBeace]

If you want your freckles to be permanent, get them tattoo'd. It's safer than constantly getting UV light on your face. It's all a matter of having pigment there, the method's just different is all.

[@iceeirony]

We4ather absolutely affects skin. I have a friend with atopic dermatitis who used to live in MN. Always flared up, he started to need prescription medication for it. He moved back to FL and his skin is fine. There is more moisture in FL air. There was no moisture in MN air.

[@rossellaemanuele2271]

Where can I ask some questions?

[@woutervanr]

That last answer will change, depending on where you are and climate change. Summers will become dryer and winter wetter where I am.