Derm-it Trotter! Don't Swear About Skincare.

In this episode, we talk about the psychology of tanning. I’m joined by Sherry Pogato, a licensed clinical psychologist, professor, and social media researcher at the University of Connecticut, to break down why indoor tanning and outdoor sunbathing can feel so rewarding – and why melanoma risk warnings barely register. We get into the real drivers: appearance motivation, social rewards, stress relief, and the immediate “feel good” effects people report after UV exposure.We also zoom out to tanning culture and access. As laws restrict minors in tanning salons, tanning beds don’t just vanish, they pop up in gyms, off-campus student apartments, and even through systems that let students pay with campus cash cards, creating mixed messages about safety. Sherry shares research showing how simple policy changes can reduce availability, and why “make it less easy to tan” can be more effective than another poster full of statistics.Then we tackle the modern accelerant: social media. From the “natural glow” health halo to TikTok’s visual economy and the rise of "tanmaxing," UV exposure is getting repackaged as wellness and aesthetics. Sherry also explains a promising sun safety intervention that flips the script by recruiting tanners to create and share healthy skin content, shifting behavior through cognitive dissonance instead of preaching. If you care about sun safety, skin cancer prevention, sunscreen habits, or how to change health behavior in a world of algorithms, this one is for you. Subscribe, share with a friend who loves a tan, and leave a review with your biggest question about tanning and UV risk.

“Off-label” can sound like a red flag, but in dermatology it’s often the most practical way to treat real people with real problems. Dr. Trotter sits down with board-certified dermatologist Dr. Victoria Farley to explain what FDA approval actually means, why many effective skin treatments never get a specific label, and how we talk through safety, side effects, and expectations – so patients feel confident rather than confused.We walk through concrete examples you may recognize from your own care: spironolactone for hormonal acne and androgen-related conditions, finasteride and dutasteride considerations for women, and why low-dose oral minoxidil can be a game-changer when topical routines are hard to keep up with. We also cover a classic “wait, why does my prescription mention cancer?” moment with topical 5-FU, and how that same medication can be used off label for stubborn plantar warts with thoughtful counseling and monitoring.From there, we zoom out to what’s next in medical dermatology: GLP-1 drugs and their emerging connection to inflammatory skin disease like psoriasis and hidradenitis suppurativa, plus the rapidly expanding world of JAK inhibitors for immune-mediated conditions including lichen planus, lichen sclerosus, granuloma annulare, and more. We also dig into chronic itch, especially in older adults, and why antihistamines are not always the best long-term answer, with off-label options like naltrexone and gabapentin entering the conversation.If you’ve ever wondered whether off-label prescribing is legal, ethical, or worth it, this conversation gives you a clear framework: evidence, experience, and a patient-specific risk-benefit plan, plus the reality of insurance coverage and prior authorizations. Subscribe for more practical dermatology education, share this with a friend who’s navigating a confusing prescription, and leave a review with the off-label question you want answered next.DISCLAIMER: The views and opinions expressed in the Derm-it Trotter! podcast are those of the host and guests and do not necessarily reflect the views or positions of the guests’ or host’s institution or employers. The Derm-it Trotter! Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.

Your hair can feel like a small thing until cancer treatment threatens to take it away. We sit down with board-certified hematologist-oncologist Dr. Tiffany Pompa to talk honestly about chemotherapy hair loss, why it happens, and why the emotional impact is often underestimated by everyone except the people living it. We also dig into how immunotherapy differs, why hair loss is usually uncommon with many immunotherapy regimens in real practice, and where the published numbers can be confusing without context.From there, we get practical about scalp cooling and cold cap therapy: who benefits most, when to start, and what to expect on infusion days. Dr. Pompa explains why taxane chemotherapy such as paclitaxel and docetaxel is a common setting for scalp cooling, especially in breast cancer, gynecologic cancers like ovarian cancer, and lung cancer. We walk through the three FDA-approved systems DigniCap, Paxman, and AMA, including the real-life routine of wearing the cap before, during, and after treatment, plus the most common side effects like headaches, intense cold, and rare frostbite.Access matters as much as science, so we talk insurance coverage, cost, and advocacy. Dr. Pompa shares how she argues medical necessity, why NCCN guidelines help, what Medicare and Medicaid approval in 2026 changes, and how state legislation can expand coverage. We also discuss manual frozen gel cap options like Penguin caps for patients who need a more affordable workaround, along with the tradeoffs. If you or someone you love is starting chemo, this conversation gives you language, options, and a clear next step: ask early. Subscribe, share this with someone who needs it, and leave a review so more patients and clinicians learn that hair loss prevention is part of quality cancer care.

Dark spots can be frustrating, especially when they seem to stick around despite your best efforts. Dr. Heather Woolery-Lloyd joins us to break down what causes hyperpigmentation, the differences between melasma, post-inflammatory hyperpigmentation, and sunspots, and how dermatologists approach treatment.We discuss the role of sunscreen, visible light, hydroquinone alternatives, chemical peels, and evidence-based skincare ingredients that can help fade discoloration. If you're tired of guessing what works, this episode offers a practical roadmap to treating hyperpigmentation more effectively.

You can feel the tension the moment a patient says, “I want that medication.” From SkinTok trends to viral skincare advice, dermatologist Dr. Jim Del Rosso joins us from the AOCD meeting to break down how dermatologists navigate treatment requests while still building trust. We talk about acne, rosacea, topical steroid fears, antibiotic resistance, and why the right diagnosis matters more than chasing internet trends.We also unpack the communication skills that actually improve outcomes, from setting realistic skincare timelines to explaining systemic treatments for eczema in a less intimidating way. If you’ve ever felt overwhelmed by conflicting skincare advice or frustrated that products are not working fast enough, this episode brings the focus back to evidence-based care that actually works.

Chronic hives can hijack your sleep, focus, mood, and confidence, and the hardest part is often not knowing why it’s happening. Board-certified dermatologist and Northwestern associate professor Dr. Walter Liszewski joins us to break down the biggest myths around urticaria, explain the difference between acute and chronic hives, and walk through common patterns like dermatographism, pressure hives, heat-triggered flares, and exercise-induced hives.We also get practical about treatment: when allergy testing actually helps, why Benadryl and steroids are not great long-term solutions, and how newer therapies like omalizumab, dupilumab, and remibrutinib are changing care for people stuck in the chronic hives cycle.

Joint pain with psoriasis is easy to brush off until it starts affecting your daily life. We sit down with Mark Lebwohl to break down the early warning signs of psoriatic arthritis, from nail pitting and heel pain to swollen “sausage” fingers and morning stiffness. We also explain how doctors diagnose it, why it is often mistaken for osteoarthritis, and why catching it early matters.We also unpack the rapidly changing treatment landscape, including biologics that protect joints and improve skin disease, plus the major role inflammation and obesity play in worsening symptoms. If you have psoriasis and unexplained aches or swelling, this episode gives you a clear roadmap for what to watch for and what questions to ask next.

A biopsy is still the gold standard for diagnosing skin cancer, but it is far from perfect. From the AOCD meeting in Orlando, Dr. Laura Ferris, Chair of Dermatology at the University of North Carolina, joins us to break down how skin cancer detection is evolving and why tools like dermoscopy, mole mapping, and total body photography are changing the way dermatologists evaluate suspicious lesions.We also explore the growing role of AI and FDA-cleared technologies like Nevisense and Dermasensor, plus the challenges of access to dermatology care, especially in rural communities. From smarter screening to reducing unnecessary biopsies, this episode looks at what the future of skin cancer detection could really look like.

Insurance denials are one of the most frustrating parts of modern healthcare, and in dermatology, they can delay medically necessary treatment for weeks or even months. Recorded live from the AOCD meeting in Florida, board-certified dermatologist Dr. Kristi Hawley joins us to explain what’s really happening behind prior authorizations, PBMs, formulary restrictions, and “peer-to-peer” reviews.We talk about the real impact these delays have on patients living with eczema, psoriasis, and other inflammatory skin diseases, along with what patients can actually do to advocate for themselves. If you’ve ever been told your medication “isn’t covered,” this episode breaks down why and what happens next.

Squamous cell carcinoma is the skin cancer most people shrug off until it stops playing by the rules. From the AOCD meeting in Orlando, I sit down with board-certified dermatologist and Mohs surgeon Dr. Carlos Gomez Mead to talk about why cutaneous squamous cell carcinoma can be far more dangerous than its reputation and why, on a population level, it can lead to more deaths than melanoma.We dig into what actually makes a squamous cell carcinoma “high risk” in real life: rapid growth, pain with pressure that can hint at perineural invasion, and high risk head and neck locations where lymphatic spread is a real concern. We also talk candidly about the shortcomings of common staging systems (NCCN, AJCC, and BWH) and why clinical judgment still matters when cancer behavior is unpredictable.Then we get practical about gene expression profiling for squamous cell carcinoma, including DecisionDx-SCC (a 40-gene test run on the original biopsy tissue). Dr. Gomez Mead breaks down results in plain language: low, medium, and high risk, and how those categories can change what we do next, from imaging surveillance and oncology collaboration to when adjuvant radiation therapy may actually help. We also spend time on immunosuppressed patients, especially transplant recipients, and why proactive planning can be lifesaving.If you care about skin cancer prevention, early detection, and smarter personalized treatment, hit subscribe, share this with a friend, and leave a review so more people can find the show.

Acne can feel mysterious until you zoom out and see the pattern: your skin is responding to signals from blood sugar, hormones, inflammation, stress, and even your environment. Dr. Shannon C. Trotter sits down with board-certified dermatologist Dr. Katie Varman of Shine Functional Dermatology to unpack what’s happening under the surface, and why treating acne is often about finding your biggest driver rather than hunting for a single “bad” ingredient. We dig into the science linking insulin to acne, including how frequent high-glycemic foods can activate growth pathways (including mTOR and insulin-like growth factor signaling) that increase oil production and pore-clogging skin buildup. We also talk dairy and why it can be a powerful trigger for some people, plus how a continuous glucose monitor (CGM) can help you personalize what actually spikes your blood sugar. If you’ve ever wondered why one person can eat pizza and be fine while another breaks out overnight, we explain the “threshold” concept and how to test changes without living on a permanent restriction plan. From there, we connect the dots on gut health and the gut microbiome, probiotics and postbiotics, and why processed foods can quietly undermine skin health. We also get real about stress and acne, breaking down the HPA axis, cortisol, and how your skin can behave like an endocrine organ. Finally, we cover endocrine disrupting chemicals like phthalates and BPA, why synthetic fragrance is a common exposure, and simple swaps that can reduce your load without panic. If you want clearer skin and a smarter acne routine, hit play, then subscribe, leave a review, and share the show with someone who needs a little skincare sanity.

Skincare on social media can feel like a nonstop emergency: one day red light masks are “the secret,” the next day exosomes are “the future,” and somewhere in the middle you’re told sunscreen is poison. We wanted to slow that down. We’re joined by board-certified dermatologist Dr Dustin Portella to talk through why people are increasingly turning to TikTok, Instagram, and quick searches for skincare answers and what that shift looks like inside real clinic visits.We dig into red light therapy with a clear lens: where it may help, what at-home devices can realistically do, and why it should never crowd out the basics that actually protect skin over time like daily SPF, antioxidants, and topical retinoids. Then we tackle exosomes skincare, including the big questions patients are already asking about sourcing, regulation, safety, and whether the evidence has caught up with the marketing.From there we get into K-beauty skincare routines, not just the ingredients and hydration benefits, but the ritual and psychology of self-care and why “more steps” is not always better. We also address sunscreen myths and the way sound bites distort research, plus the supplement boom and why there’s rarely a true shortcut for skin health.If you’ve ever felt pulled between curiosity and skepticism, this conversation gives you a calm framework for evaluating viral skincare trends without losing your mind or your money. Subscribe, share with a friend who lives on skincare reels, and leave a review telling us which trend you want us to myth-bust next.

That Oscars moment put the word “alopecia” on everyone’s lips, but the real story is what happens when hair loss is autoimmune and how quickly it can change someone’s life. I sit down with board-certified dermatologist Dr. Eric Dominguez to explain alopecia areata in plain language, from the classic coin-shaped patches to the tougher presentations like diffuse thinning, ophiasis patterns, and isolated eyebrow or eyelash loss that can be even harder to hide.We get practical about diagnosis and next steps: what we look for on exam, when a scalp biopsy helps confirm the cause, and why the scalp can feel like a uniquely stressful place to do a procedure. We also dig into the questions patients ask every day in clinic: Did stress trigger this? Is it genetic? What’s the risk of losing more hair or progressing to alopecia totalis or alopecia universalis? And if you have alopecia areata, what other autoimmune conditions like thyroid disease, vitiligo, eczema, or psoriasis should be on your radar?Then we move to treatment, including why alopecia areata is not a cosmetic problem and why getting help early matters. We cover the full range, from topical and intralesional corticosteroids for localized disease to the newer FDA-approved oral JAK inhibitors that are changing what hair regrowth can look like for severe cases. We also set realistic expectations: this can be a chronic, relapsing condition, and stopping an effective medication may mean losing progress.If you or someone you love is dealing with autoimmune hair loss, listen, share, and then subscribe, leave a review, and tell us what question you want us to tackle next.

Cheap Botox ads and “natural Botox” hacks are everywhere, but the real story is what happens behind the syringe. I sit down with board-certified dermatologist Dr. Gary Goldenberg to explain neuromodulators in plain language: what Botox actually does, how it softens forehead lines, crow’s feet, and the glabellar “11s,” and why the best results leave you looking rested, not overdone.We also get into the safety questions people are often afraid to ask. While the word neurotoxin can sound alarming, cosmetic dosing is tiny and highly controlled. Today, the bigger concern is counterfeit product and questionable sourcing. We break down the red flags, why deeply discounted pricing can be a warning sign, and why choosing a board-certified injector using FDA-approved product matters more than any trending brand.From there, we cover who is a good candidate, why pre-tox can help with prevention, and how a “low and slow” approach with a two-week follow-up can help avoid a frozen look. We also discuss pregnancy and breastfeeding, alternatives during that time, and what really affects longevity, dosing, and the rare cases when Botox seems to stop working.Subscribe, share with a friend, and leave a review to help more people find evidence-based skincare.

Remission in psoriasis and eczema is no longer just theoretical—it’s becoming a real treatment goal. In this episode, Dr. Joe Tung explains why chronic inflammatory skin diseases act more like high blood pressure than a one-time rash, and why clear skin doesn’t always mean the disease is gone—especially when considering stopping biologics or systemic therapy.We break down what remission actually means, why flares return (even after skin looks clear), and how immune “memory” drives recurring inflammation. We also explore differences in atopic dermatitis, the impact of early treatment, and what emerging research says about the future—from dose spacing to immune reprogramming.If you’re thinking about long-term control—not just short-term results—this episode gives you a smarter, science-based framework to guide your decisions.

A rash after you eat something feels simple, but skin allergy rarely is. We sit down with board-certified dermatologist and Mohs surgeon Dr. Carsten Hamann to break down systemic contact dermatitis, a lesser-known form of allergic contact dermatitis where reactions can be triggered not just by skin contact, but sometimes by ingestion. We unpack how this differs from true food allergy, why eczema and allergy can look identical, and why nickel—found in both products and foods—is such a common and surprising culprit.We also cover other rare triggers like cobalt, chromium, and fragrance components like Balsam of Peru, plus how certain foods and dyes can mimic or worsen reactions. If you’re stuck wondering “eczema or allergy?” the takeaway is practical: seek patch testing, take a detailed exposure history, and test changes intentionally instead of guessing.

Fillers are everywhere, but the real question is what problem you’re trying to solve. We sit down with Dr. Lisa Akintilo, a board-certified dermatologist and cosmetic dermatologic surgeon at NYU, to break down dermal fillers in a way that actually makes sense. From when neuromodulators like Botox or Dysport are the better option for movement-based lines, to understanding who’s a good candidate, this conversation clears up the confusion around “filler” as a catch-all term.We also simplify the different types—hyaluronic acid fillers vs. collagen stimulators like Sculptra and Radiesse—and touch on trends like “Ozempic face,” fat transfer, and realistic expectations. Plus, we cover safety (including vascular occlusion), common misconceptions around under-eye filler, and what to expect with results, downtime, and aftercare.

Your skin starts telling the story of aging earlier than you think. We sit down with board-certified dermatologist Dr. Dan Butler to break down what’s happening beneath the surface, from intrinsic aging (your genetic timeline) to extrinsic aging (sun exposure, pollution, and daily wear). This framework explains why collagen and elastin weaken over time, how the skin barrier changes, and why aging skin is both a medical and emotional experience.We also get practical, covering common concerns like chronic itch and easy bruising, why they happen, and what actually helps. We wrap with a simple, realistic routine: wear a sunscreen you love, consider a retinoid or gentle alternative, add an antioxidant like vitamin C, and build a routine you’ll stick with.

HS isn’t “just boils.” It’s a chronic autoinflammatory disease that often begins in the teens or 20s and affects sensitive areas of the body. We sit down with double board-certified dermatologist and Mohs surgeon Dr. Harrison Wen to explain what HS is, why it’s frequently misdiagnosed, and how recognizing it early can change the course of the disease.We break down the immune and hormonal drivers behind HS, what progression looks like, and where treatments like biologics fit into care. From medical therapy to lifestyle strategies that support long-term management, this episode offers practical guidance for reducing flares, preventing scarring, and protecting quality of life.

A tan isn’t a glow—it’s your skin raising the alarm. We sit down with runner and melanoma survivor Leah Adams to unpack the myths behind tanning culture and why sun damage is cumulative at any age. From social pressure to trending tan lines, we explore how beauty standards clash with biology—and what it really means to protect your skin.Leah shares a realistic, outdoor-friendly routine: broad-spectrum SPF 30–50, proper reapplication, and simple add-ons like UPF clothing and shade. We break down common sunscreen mistakes, better formulas for every skin tone, and the truth about vitamin D. You don’t have to give up the sun—you just need a plan that works.

What if skincare felt effortless enough to repeat—and effective enough to trust? We sit down with board-certified dermatologist Dr. Lily Park to explore how K-Beauty’s prevention-first mindset, featherlight layers, and rapid innovation reshaped modern skincare. From cultural habits to ingredient trends like snail mucin and centella asiatica, we break down what actually works, what’s overhyped, and how to build a routine that supports long-term skin health.We also dive into why Korean sunscreens stand out, featuring advanced UVA filters in ultra-light textures that make daily SPF easy to stick with. Plus, we simplify the 10-step routine into a realistic, barrier-friendly approach—even if you only have time for five steps. Walk away with a clear, evidence-based roadmap to smarter skincare without the overwhelm.

Thinking about your first tattoo or how to choose the right artist? We sit down with Morgan Benson of Hollow Earth to break down the path into tattooing, from apprenticeships to today’s highly specialized styles like realism, botanical work, and dark illustrative design. You’ll learn how artists and clients collaborate to create pieces that fit your story, placement, and skin tone—so your tattoo not only looks great now, but ages well over time.We also cover what really matters for safety and results: what to look for in a clean studio, how inks and skin tones interact, and simple prep and aftercare tips to protect your piece. From hydration and healing to a heartfelt story that shows the deeper connection behind tattooing, this episode is your guide to feeling confident, informed, and inspired before you get inked.

Most people were never taught how to care for vulvar skin, and online advice can be confusing or harmful. We sit down with Dr. Emily Murphy, dermatologist and director of a vulvar health program, to separate myths from facts and share a simple, science-based routine that actually works.We break down anatomy (vulva vs. vagina), why different areas get different conditions, and how to simplify daily care: gentle cleanser only on hair-bearing skin, wash with hands, skip douching and wipes, and use plain petrolatum for barrier support. We cover hormones and low estrogen, causes of itch and irritation, common “normal” findings, when to worry, and why pelvic floor relaxation — not more kegels — is often key. Clear, respectful vulvar health guidance without fear or gimmicks.

Psoriasis doesn’t just affect the skin — it shapes daily life, confidence, and mental health. In this episode, we talk with Dr. Scott Drew about how modern treatments reduce inflammation, improve mood, and help patients return to work, relationships, and everyday moments they once avoided. When care truly works, you see it: posture lifts, eye contact returns, and people start saying yes to life again.We explore why mental health belongs in every psoriasis visit, how to talk about intimacy and emotional strain without stigma, and what the science really says about treatment safety. This conversation is a reminder that clearer skin isn’t just cosmetic — it’s a path back to living fully and without shame.Thank you to Eli Lilly for sponsoring this podcast!

Noticing hair shedding after starting a GLP-1? This episode explains why rapid weight loss can trigger telogen effluvium, how to tell temporary shedding from pattern thinning, and what timelines are normal. We break down what’s known about semaglutide and tirzepatide and how dermatologists evaluate hair changes.You’ll learn when to wait, when to treat, and which options—like labs, minoxidil, or other therapies—may help. GLP-1s offer big health benefits, and with the right plan, your hair doesn’t have to be the tradeoff.

Boxed warnings can feel like a stop sign—but they don’t always reflect your personal risk. Dr. Nicholas Brownstone breaks down what these labels really mean, why they’re often added after approval, and how “association” (not proven causation) can still drive scary wording.We also unpack class-wide warnings (like TB language on biologics and U.S. JAK inhibitor risks borrowed from older RA populations), why derm data can look very different, and how we counsel patients: put the warning in context, match it to your health profile, and monitor smartly—so fear doesn’t lead to undertreatment.

Skin cancer doesn’t always look like a dark, jagged mole—it can be a faint freckle, a small pink bump, or a quiet spot you’d never notice. In this episode, we sit down with Dr. David Oberlin, board-certified dermatologist with a passion for skin cancer care and rural medicine, to break down what makes a skin check truly effective, comfortable, and potentially life-saving—and how a focused ten-minute exam can change everything.We walk through exactly how to prepare (clean skin, no makeup or self-tanner, nail polish off, hair down), what to expect during the exam, and how tools like dermoscopy help catch melanoma earlier while avoiding unnecessary biopsies. Plus: cryotherapy vs. biopsy basics, myths we need to retire (no such thing as a healthy tan), and realistic follow-up plans—so you can protect your future self with confidence.

Join us for a deep dive into longevity with dermatologist Dr. Ted Lain. We unpack the difference between biological and chronological age, how epigenetic clocks work, and which habits actually support healthier aging — from building fitness and protecting sleep to managing stress and diet. We also look at emerging treatments and what’s truly evidence-based for skin, including antioxidants, retinoids, and sunscreen. If you want a clearer, science-grounded roadmap to aging well, this episode is for you.

Sun-kissed without the sun, tallow on your face, tape on your wrinkles, salmon sperm for “collagen”—2025 skincare got weird. We go trend by trend and ask the only question that matters: is it safe, effective, and worth your time?We break down melanotan and drinkable tanning drops (hard no), give beef tallow a nuanced reality check, explain why double cleansing can help—or hurt—your skin, and dig into barrier repair, Cicaplast, diaper cream, and hydrating masks. We compare face taping to neuromodulators, cover when LED masks actually work, walk through smart skin cycling, and demystify hypochlorous acid as a budget MVP. And yes, we tackle salmon sperm facials—what PDRN promises, what the data actually shows, and why novelty glow isn’t the same as results. We wrap with how AI may personalize routines without replacing expert care.If you liked this trot-or-not deep dive, follow the show, share it with a skincare-obsessed friend, and leave a quick review. Your skin will thank you.

What if the most inflammatory driver of psoriasis isn’t on the skin at all, but deep in visceral fat? We sit down with Dr. James Song to unpack how adipose tissue acts like a hormone-secreting organ, releasing cytokines that can fuel psoriasis and psoriatic arthritis. From the brain’s weight “set point” to genetics linking obesity and psoriasis risk, we reframe weight as biology—not a moral failing—and explain why that matters for treatment.We break down fat types, the cytokine cascade connecting metabolic health to skin disease, and what GLP-1 and GLP-1/GIP therapies may be doing beyond weight loss. The conversation also tackles biologic response in higher BMI patients, emerging combo trials, and real-world issues like access, cost, and compounded medications—ending with a practical, whole-system roadmap that protects both skin and heart health.Thank you Eli Lilly for sponsoring this episode.

CBD is everywhere, but what does it actually do for your skin? We sit down with Adam Friedman, MD—dermatologist, chair, and translational researcher—to break down the real science. We clear up CBD vs THC confusion, map how the endocannabinoid system works in keratinocytes, sebocytes, immune cells, and nerves, and explain how CBD influences redness, itch, oil production, and inflammation. We also walk through the legal landscape, why cosmetics are the most realistic path forward, and how to spot mislabeling or contamination when choosing products.Then we get into the data. You’ll hear about research showing CBD can reduce sebum and calm the inflammasome in acne, early evidence for atopic dermatitis and scalp psoriasis, and a controlled human study where topical CBD reduced UVA-induced DNA damage linked to photoaging. We talk through delivery systems like nanotechnology, safety myths, when to avoid CBD, and what a good certificate of analysis should include. If you care about acne control, skin longevity, or smarter routines, this episode gives you a grounded, hype-free guide to CBD in dermatology.

Your best hair day starts where most routines stop: the scalp. In this episode, we break down the habits that truly help with flakes, itch, oil, and shedding. Dr. Shannon Trotter and Erica Ramos, DMSc, PA-C, unpack how inflammation and buildup disrupt growth and comfort, then lay out practical steps you can start using tonight. From medicated shampoo “masking” to washing frequency by scalp type, you’ll learn techniques that actually work without sacrificing softness or shine.We also dive into scalp sun protection, double cleansing, and exfoliation for product lovers and dry shampoo devotees. You’ll hear when persistent itch signals conditions like seborrheic dermatitis or psoriasis, which treatments to reach for, and how newer options like JAK inhibitors fit into care under medical guidance. If you want stronger hair and a calmer, clearer scalp, consider this your go-to guide.

Psoriasis doesn’t look the same on every skin tone. In this episode, we break down how psoriasis appears on darker skin, lighter skin and mixed tones, why inflammation may look purple, brown or gray instead of red, and why these differences can delay diagnosis. We explore the limits of the Fitzpatrick scale, how ancestry shapes skin response, and what patients with melanin-rich skin should know about treatment, light therapy and pigment changes.With dermatologist Dr. Mona Shariari, we explain how to recognize psoriasis on different skin tones, what symptoms to watch for, and how to advocate for accurate care. If you’ve ever wondered what psoriasis really looks like on brown or Black skin—or why your symptoms don’t match online photos—this episode brings clarity, science and practical guidance.This episode is sponsored by Eli Lilly. We’re grateful for their support in helping us highlight the importance of accurate, inclusive dermatology education and expand conversations that improve care for every skin tone.

Menopause shifts more than moods—it transforms skin. We break down what really happens when estrogen drops, why hydration and barrier function decline, and how that leads to dryness, fine lines, acne, and new sensitivity. With Dr. Brenda Dintiman, a board-certified dermatologist, we dig into the truth behind topical estrogen, what’s promising, and what still needs research.We explore modern hormone therapy options, why HRT is never one-size-fits-all, and where topical or vaginal estrogen can meaningfully help. If crepey skin or GLP-1–related changes are your new frustration, we outline realistic fixes—from sunscreen, retinoids, vitamin C, and peptides to targeted lasers like 1927 nm and 1550 nm. Clear priorities, fewer false promises, and a roadmap you can start today. If this episode helped, subscribe, leave a review, and share it with a friend navigating midlife skin.

Ever wonder how a tattoo becomes part of you for life? We sit down with board-certified dermatologist and associate professor Dr. Walter Liszewski to break down the science, safety, and art of tattooing—from how ink settles into the dermis to what really happens during healing, fading, and removal. He shares what matters most: finding a reputable artist, spotting real hygiene, and understanding how regulations differ across states.We also explore tattoo reactions and skin health, from red-ink allergies and pigment-holding macrophages to what lymph node staining actually means. Dr. Liszewski explains when skin conditions like psoriasis, vitiligo, or sarcoidosis should shape your tattoo choices, and how medical tattooing—like areola recreation or scar camouflage—can restore confidence. Whether you’re getting your first tattoo or removing one, this episode helps you make informed, skin-smart choices about your ink.

Sun, pollution, and even your phone screen constantly stress your skin. At the Science of Skin Summit, Dr. Patti Farris broke down what actually works to defend against that daily onslaught—and why vitamin C remains the MVP when formulated and used correctly. We translate the science into plain English, explaining how free radicals damage collagen and DNA, how oxidative stress shows up as wrinkles and brown spots, and why topical vitamin C outperforms diet alone by directly saturating skin and complementing SPF against visible and infrared light.Dr. Farris also walks through how to pick the right formula: L-ascorbic acid for potency, THD ascorbate for sensitive skin, and the powerhouse combo of vitamins C + E + ferulic acid for all-day antioxidant defense. Expect clear, practical takeaways—a morning routine that starts with antioxidant serum, ends with mineral sunscreen, and shifts your mindset from “anti-aging” to everyday skin resilience.

A routine Saturday turned life-changing when Leah’s dad had a seizure behind the wheel—ER scans revealed brain lesions, and a full-body scan showed his lungs “lit up like a Christmas tree.” A biopsy confirmed stage four metastatic melanoma, forcing Leah and her mom into an accelerated crash course on brain radiation, immunotherapy, and caregiving. What began as a stage zero melanoma in 2019 suddenly escalated, rewriting everything they thought they knew about “being done” with cancer.Leah shares the real story behind survival: seven rounds of gamma knife, twenty-one infusions, and the moment treatment had to stop to save his lungs. Stability came not by chance but through vigilance, monthly scans, and grace as the intervals lengthened to six months. Beyond medicine, Leah gets candid about the emotional and practical toll—losing independence, routines, and normalcy—and what caregivers and clinicians can do better: slow down, explain, listen, and humanize every stage. This conversation blends practical guidance with grounded hope for anyone navigating melanoma or supporting someone who is.

A white patch on the skin shouldn’t erase someone’s story—or their options. Live at the Science of Skin Summit, Dr. Seemal Desai breaks down what vitiligo really is: an autoimmune skin disease, not a cosmetic issue or something contagious. We trace his family’s journey from the anxiety of early PUVA treatments to today’s advanced options—topical ruxolitinib, phototherapy, oral JAK inhibitors, and promising IL-15–blocking biologics.We bust myths, explain autoimmune links, and share practical tips for care—sun protection, gentle skincare, and avoiding skin trauma. Dr. Desai also tackles stigma and insurance barriers that mislabel vitiligo as cosmetic, spotlighting the Global Vitiligo Foundation’s advocacy for access and support.

Your skin doesn’t follow the calendar—it follows the weather. As temps cool and indoor heat kicks in, we share how to shift from summer’s light layers to a fall routine that restores hydration, strengthens the barrier, and fades post-sun pigment—without irritation.Registered nurse and aesthetic nurse specialist Raquel Merlini joins us to break down hydration by skin type, smart retinoid use, and why SPF still matters in fall. We also cover post-summer pigment care, from vitamin C and azelaic acid to peels, IPL, and microneedling, for a smooth, balanced glow all season long.

A rough, sandpaper patch on your temple or ear isn’t just “dry skin”—it’s your skin whispering about years of sun you barely noticed. Board-certified dermatologist Dr. Neal Bhatia joins us to unpack actinic keratoses (AKs): how to spot them, why they appear earlier than expected, and what truly reduces their risk of progressing to skin cancer.From freezing visible spots to treating hidden sun damage, Dr. Bhatia explains what really works—field therapy, photodynamic therapy, and daily prevention that fits real life. Learn how to protect smarter with sunscreen, supplements, and simple habits that keep your skin healthier for years to come.

Contact dermatitis affects up to 20% of people and can appear as either irritant (like a chemical burn) or allergic (an immune response after years of safe use). Unlike typical allergies, it doesn’t improve with antihistamines, making patch testing the key to diagnosis.Common culprits include nickel, preservatives, and even “natural” ingredients. Dr. Dathan Heyman shares cases—from plants to kitty litter—that highlight how hidden allergens trigger rashes, and how identifying them can bring lasting relief.

In this episode, dermatologist Dr. Katie Varmann explores advanced sun protection beyond sunscreen. From antioxidants like vitamin C and E to DNA repair enzymes, melatonin, and niacinamide, she explains how these ingredients fight oxidative stress, repair damage, and boost skin defense.She also shares simple morning and evening routines tailored to your needs and budget. The takeaway: you don’t have to avoid the sun—just protect smarter with a layered approach.

Persistent facial redness isn’t always just sensitive skin. In this episode, Dr. Linda Stein-Gold unpacks rosacea — how it differs from acne, its wide range of symptoms, common triggers, and why it’s more than a cosmetic issue. She also shares practical skincare tips and highlights emerging links between rosacea and broader health conditions.Whether you’re a patient, provider, or just curious, you’ll walk away with a clearer understanding of this complex condition.

Skin cancer treatment has come a long way, yet many patients don’t know their options beyond surgery. Dr. Mark Nestor explains how image-guided superficial radiation therapy (IG-SRT) achieves up to 99% cure rates for basal and squamous cell carcinomas.Using ultrasound to measure and target cancer precisely, IG-SRT offers a non-invasive alternative with excellent cosmetic results—especially for areas like the nose, scalp, or legs. Treatment takes about 15 short sessions with minimal side effects. While not used for melanoma, it’s a highly effective option many patients never hear about.

What if your best skincare tool isn’t in your bathroom, but in your kitchen?In this episode, Dr. Matt Zirwas, a board-certified dermatologist and leading researcher, breaks down how diet directly impacts your skin. From the link between acne and foods like skim milk and chocolate to the benefits of the Mediterranean diet, he simplifies what really works.We also dive into surprising dangers in processed foods, like emulsifiers, and explore affordable, evidence-backed supplements like omega-3s, ceramides, and collagen.No gimmicks, no perfection required, just smart, science-based tips to help your skin glow from the inside out.

Dr. Raj Chovatiya breaks down the science and myths behind JAK inhibitors—powerful meds transforming dermatology. While black box warnings sound scary, he explains they’re based on higher-risk arthritis patients, not those with skin conditions.Unlike biologics, JAK inhibitors work inside cells to block multiple inflammatory pathways, delivering fast results—itch relief in days, visible skin improvement in weeks.Dr. Chovatiya also shares what to really know about side effects, monitoring, and the shingles vaccine. With growing uses beyond eczema, JAKs are changing the game.Listen in for a clear, honest look at these innovative treatments.

Dr. Shannon Trotter sits down with Dr. Shawn Kwatra, a leading expert on chronic itch, to shed light on prurigo nodularis (PN)—a painful, often misunderstood condition frequently misdiagnosed as psychological.Dr. Kwatra explains that PN is driven by a systemic inflammatory cycle between the immune system and nerves, creating an itch patients describe as worse than pain. He shares new insights into diagnosis, mental health impact, and cutting-edge treatments, including two FDA-approved biologics—dupilumab and nemolizumab—that offer real relief.This episode brings awareness, compassion, and hope to those living with PN—and to the clinicians working to better treat it.

Chemical peels have come a long way. Forget the burning and peeling—today’s treatments are gentle, effective, and rooted in cutting-edge science. Board-certified dermatologist and skincare formulator Dr. Jennifer Linder explains how modern peels work with your skin, not against it.Instead of relying on harsh damage, today’s formulations use optimal acid blends and skin-friendly pH levels to target acne, pigmentation, fine lines, and even cellular aging—without pain or downtime.“You don’t have to feel the burn to get results,” says Dr. Linder, who emphasizes that comfort no longer means compromise. These new peels are safe for all skin tones, customizable, and effective year-round.From teen breakouts to stubborn melasma, the right peel can transform your skin—minus the sacrifice. Connect with Dr. Linder on Instagram @JenniferLinderMD to learn more.

Could your grocery cart be just as important as your sunscreen drawer? In Part 2 of Rethinking Sun Protection, Dr. Katie Varman returns to explore how diet and supplements can boost your skin’s natural defense against UV damage.We unpack how nutrients like carotenoids, polyphenols, and omega-3s reduce inflammation, DNA damage, and even sunburn risk—sometimes by as much as 40–50%. From tomatoes to carrots to niacinamide, what you eat can directly impact how your skin handles the sun.Dr. Varman also dives into the balance between healthy sun exposure and personalized protection based on your skin type and lifestyle.Tune in to learn how protecting your skin might just start in your kitchen.

What happens when you're 26 years old and suddenly hear the words "you have melanoma"? Leah Adams never expected to face a cancer diagnosis in her twenties, especially not after years of tanning beds and sun exposure that had become an addiction.Leah shares her raw, unfiltered journey from diagnosis to recovery. After her mother spotted a suspicious mole on her chest, just weeks after finding melanoma on Leah's father's back, she reluctantly scheduled her first-ever skin check. The shocking diagnosis that followed turned her world "from color to black and white," as she describes it. What many dismiss as "just skin cancer" quickly became an eight-hour surgery, weeks of physical restrictions, and an emotional rollercoaster of fear, anger, and shame.Leah's story goes beyond medical details, diving deep into the psychological impact of a melanoma diagnosis on a young person. She speaks candidly about feeling responsible for her cancer, the isolation during recovery, and how finding a community of fellow survivors online helped her feel less alone. With remarkable honesty, she explains how she's learned to continue her passion for outdoor running without living in fear of the sun, and how therapy helped her process both her diagnosis and the underlying issues that fueled her tanning behavior.Whether you've faced melanoma yourself, know someone who has, or simply want to understand the human side of skin cancer, Leah's journey from patient to advocate offers valuable perspective on turning pain into purpose. Her message reminds us that while time doesn't erase all fears, it does provide space to heal and transform difficult experiences into opportunities for growth and connection.Follow Leah on Instagram @theleahalexis to learn more about her continuing journey and advocacy work.