Episode #15: Diamond Glow, SPF and UPF Fabric

In this episode, Dr. Saluja and Kane will discuss:

1.  Diamond Glow:
Allergan's medical grade facial that exfoliates, extracts and infuses with a choice of different SkinMedica serums.
Earn Alle Points with each treatment!

2.  Sunscreen
The difference between chemical and physical blocks
What does SPF really mean?

3.  UPF Fabric
Yes, this is important!

Enjoy!

Thank you for your listenership!

Transcript

MIC1 0:09

Hi, everyone. I hope you're well. Thank you so much for joining us for the next episode of our podcast. How are you doing, Kane?

Dr. Minni Saluja 0:17

I'm doing very well and a happy Mother's Day to all the mothers out there, which is tomorrow. So

MIC1 0:22

Hard to believe that we're already marching into almost Memorial Day weekend. It's, it's upon us, Kane. It's upon

Dr. Minni Saluja 0:28

it is, and I do just want to again, thank everybody for listening. This says just taken off and exceeded our expectations. It's all because you guys listening. So if you like it, please review us and rate us and all that good stuff.

MIC1 0:40

So what are we going to talk about?

Dr. Minni Saluja 0:42

Well I think. Today is just kind of a good time to hit the pause button and talk about some of the basics of skin care I know we get a lot of questions about sunscreen and a lot of different things. Obviously, we're not gonna be able to touch on Everything but I think just a few big topics of basic skin care is a good way to go as we enter summer

MIC1 1:03

That sounds like a plan. And for, for all of y'all that have come in for consults, you know that we give you a little sheet that, basically breaks this down from AM to PM, a lot of which you can get over the counter. And then I also talk about medical grade products, but Kane, what I'm going to start with, I'm actually going to start with, if you don't mind talking a little bit about diamond glow and why hydrating is so important, especially before procedures. And then I, what I might do is it. And with talking about sunscreen, SPF, UPF, all the different type of, of protectants that we have to protect our skin so we can protect our investment post procedure.

Dr. Minni Saluja 1:39

SPF, UPF, and Diamond Glow is a great place to start, it's one of our more popular procedures and people really, really love it.

MIC1 1:45

Okay. Let's start with that, but let's start about with the wise. And so for example, Radiofrequency is such a big component of the practice. We have continuous motion radiofrequency, we have RF microneedling, and we have single needle microneedling. But the reason why I'm bringing this up is that RF works the best on hydrated skin. It does not work as well on a very dehydrated type of skin. So these are patients when they're very dehydrated, will say, okay, let's prime your skin. Let's get your skin in better condition before we do these type of procedures to maximize your results. So what we often tell patients is that, When it comes to the skin, it's really the skin barrier that we're talking about. We're trying to keep all that water within the skin and not having this water loss that can occur. So, the way we do it is we want to be able to, to really improve that skin barrier and there's different products over the counter. Again, one of my favorites is CeraVe PM. I like the PM better than the AM cane because the AM has got sunscreen and sometimes patients can get a little bit allergic to it, very rarely, but sometimes that can occur. So, we prefer the PM to be used all, all the time.

Dr. Minni Saluja 3:01

M. to be used all the time. Okay.

MIC1 3:02

But the other product that I use that I really like that we carry at the office

Dr. Minni Saluja 3:07

a wonderful,

MIC1 3:08

Triple Lipid. That is a wonderful, wonderful moisturizer as well. But another way to moisturize the skin is with Diamond Glow. And Diamond Glow cane is a medical grade facial. And so, do you remember? So, were you part of the practice when, when silk peel was,

Dr. Minni Saluja 3:26

facial. And so, silk peel, but no, I was not.

MIC1 3:29

Okay. So Allergan actually purchased silk peeled and they, they took the silk peel and they revamped it. They allowed for some of their own products, their own skin, Medica products to be utilized with the system. And this is a closed loop vacuum. So what it does, it first exfoliates the skin with these little tiny diamond burs then. Extracts, it creates an extraction with this closed loop vacuum.

Dr. Minni Saluja 3:56

with this is great for blackheads.

MIC1 3:57

great for blackheads. Once a quarter I do it, especially on my nose. And then it rehydrates the skin if you're using the hyaluronic acid, which is one of my favorites to utilize with this system. There's also different ones you can use. You can use TNS with this system. You can use a pore clarifying solution. There is a vitamin C serum as well. So there's multiple ones which Blair will, will look at your skin and kind of recommend different serums to be

Dr. Minni Saluja 4:23

And Blair is our esthetician for those of you that don't know.

MIC1 4:26

Yes, and so this is used for face, for neck. We've even had people do their feet. I can't do my feet. It just tickles too much, but certainly, you know, springtime, summertime when people are wearing their sandals, this might be a good thing to do as well. But it gets your skin back into better skin quality. So it does set you up for the different type of procedures in order to have a better response.

Dr. Minni Saluja 4:50

Yeah. And this is one of our more popular procedures because it's, it's very efficient. It's very effective. There's no downtime and you kind of walk out with a nice healthy glow to your skin. So it's, it's a very, popular procedure.

MIC1 5:02

It is. It's a good maintenance procedure. But then patients have been asking a lot about what sunscreen should I get, which one's the best, et cetera, et cetera.

Dr. Minni Saluja 5:13

Now that you have this great skin, how do you protect it?

MIC1 5:16

Exactly. How do you protect your investment? So I kind of want to first talk about UV radiation and then go into the different kinds of sunscreens that exist. And so, Kane, when we talk about UV and we talk about our skin, there's, there's two main types that we're talking about. Although there's also UVC, which accounts for less than 1% of the ultraviolet radiation. This is actually dermicidal, but UVA is one of the big ones that we're talking about, which UVA. Accounts for about 95% of the radiation that reaches the Earth's surface, and it's fairly consistent during the day. So, for example, the amount of UVA you get at 10 a. m. will be very similar if it's still light outside. At 4 PM, there's no alterations, whereas UVB, which we'll talk about next, has the highest intensity midday. And so you often hear about your sunburns can occur between 10 and two the most. That's because your UVB is the highest during those time

Dr. Minni Saluja 6:15

so and 2

MIC1 6:16

So back to UVA, UVA can penetrate the ozone. It can penetrate clouds. So, and think about the A as aging. It's a longer wavelength. It penetrates deeper into the skin. It's what leads to more of your wrinkles, more of the aging, and more of the, the cancerous effects that you can get from unprotected sun exposure.

Dr. Minni Saluja 6:39

More of the, rays in general are, can cause damage, but UVA is especially

MIC1 6:45

is a deeper one. And and also when we're driving home, UVA can penetrate through that glass. UVB cannot. So UVB is about 5% of the rays that's reaching the earth's surface. And again, like I said, it varies in intensity. It's it peaks kind of midday and it's It's partially absorbed by the ozone. It's partially absorbed by the clouds. So if you're sitting there watching your child's softball game without sun protection and you think, ah, it's no problem. It's cloudy. You still might walk away with a, with a sunburn because you are getting some UVB. UVB is what's responsible for the burning and the tanning of the skin. The American Academy of Dermatology recommends a sun protectant factor, an SPF of at least.

Dr. Minni Saluja 7:30

SPF?

MIC1 7:32

SPF? So this sun protectant factor really is in reference to

Dr. Minni Saluja 7:39

the

MIC1 7:39

amount of time that you're protected from the sun from burning. So for example, Cain, if you go outside unprotected and it takes you about 10 minutes to turn a little red or to burn. If you have an SPF of 30, that's going to protect you for 300 minutes. So that's going to protect you for about five hours. Before you burn. Does that make sense?

Dr. Minni Saluja 8:03

does. And I was unaware of that. I didn't know the number after the SPF related to time.

MIC1 8:10

Well, there's also a little bit of a clause to that because that it's really in reference to the intensity of the radiation. So for example, that might differ. That time might differ if you're out in the sun at noon or if you're out in the sun at four, because again, the amount of time that it would take for you to get red would differ as well. But also remember that there are a couple of little caveats for this as well, because when we sweat, We sweat off that sunscreen, so we might not get that duration of time. We, we have to really consider reapplying, or if we're in the pool, we want to really consider a waterproof type of sunscreen because we're, we're going to wash that off.

Dr. Minni Saluja 8:49

So if you're just sitting and you're cool and not sweating or any, any way rubbing off that sunscreen, the number would be, would somewhat equate to the time. But when you're active and sweating and doing all such stuff and wiping your face and

MIC1 9:06

and walking on sand and exfoliating it, then you really have to reapply. And what's so interesting is for an average adult, you really need about this, the amount that's in a shot glass, which is about one to 1. 5 ounces, which means it's about two to three tablespoons of sunscreen to cover the entire body.

Dr. Minni Saluja 9:25

doesn't sound real to me. That sounds like a lot.

MIC1 9:28

It, and you know what, we all get too little. So if we're getting too little, we are not really getting that effective sun protection. So if, if it says SPF of 50 and we're putting a thin layer on, we really might only be getting an SPF of 20. So make sure, I guess the, make sure you put a thick enough layer on as you, as you put your sun protected and, Also important to know that there's two basic categories of sunscreen. One you'll hear about are the chemical blocks and one are the physical blocks. Kane, do you know a little bit of the difference between these?

Dr. Minni Saluja 10:05

And one's chemical and one's like a mineral based.

MIC1 10:08

Right. Like a mineral base. Okay. So let's start with that one. We like the physical block. which is the zinc oxide, the titanium dioxide, because what it does, it basically covers over the skin and it's almost like a barrier. And when UV comes in, it deflects off of this. So it's not absorbing into the skin like the chemical blocks converting then releasing it as heat, but it's rather deflecting it. So that's what the. Physical blocks are the zinc and

Dr. Minni Saluja 10:34

It's literally describing what it is. It's blocking it.

MIC1 10:37

correct? It's deflecting it exactly. Now we'll say chemical blocks are easier to apply. In essence, you don't get as much of the white effect that you might see with the zinc and titanium and, and the zinc and titanium nowadays have been micronized to a degree where you don't see quite as much of a sheen, but some

Dr. Minni Saluja 10:55

It's not like those old shows with the lifeguard. Their nose is all

MIC1 11:00

Correct. It's not like that. But I would say chemical blocks probably go in a little bit better. However, there can be some allergic response in, in a small subset of patients with the chemical blocks. And there also can be some, you'll see information about whether they're, Reef safe or not the chemical blocks have been implicated with reef issues with bleaching of the reef.

Dr. Minni Saluja 11:22

So, if you had to,

MIC1 11:24

coral reef. Correct. Correct. So if you had to choose between the two, I would choose physical block, but again, chemical blocks, if you have the right one are a good second choice. I'd rather patients wear something rather than nothing. So I think that that is important to note. And some of my favorites, so patients will often say, what are your favorite sunscreens? And the real answer is, whatever you will wear is my favorite sunscreen because something is better than nothing. Nothing is, is definitely not a good choice.

Dr. Minni Saluja 11:55

But,

MIC1 11:55

Some of my favorites from a physical sunscreen block would be, we really like Elta MD Clear. It goes on very nice. We do carry it the office and I love a lot of the ones over the counter. I think that La Roche Posay has got a great mineral block that even has a little tint to it and, and incidentally, a tinted sunscreen is what we recommend for melasma patients because we don't just want zinc and titanium to help with the UV. We also want iron oxides to help with the visible light that can make melasma worse. So, so it's, it's nice for them to choose a tinted. Block

Dr. Minni Saluja 12:35

Okay. I, I never knew there was so much to know about sunscreens,

MIC1 12:39

there's so much. We're just, we're just giving some, some little bulletin points here,

Dr. Minni Saluja 12:43

If you were to summarize it all, basically what I heard you say is the best one is the one you'll use and make sure you're applying it often and make sure you're applying enough.

MIC1 12:55

correct. That's exactly right. But I am going to give some other names too that you can get over the counter. And one of the ones I really like for my arms and for my legs now, granted, it goes on with a little bit of a thicker feel is blue lizard. It's an Australian one. You can get it from Target from Walmart. And then Hello Bello is another good one you can get from Walmart as well. And these are again, good physical blocks. You might not like it as much for your face because it's a little thicker, but it is a good one as well. So those are what we recommend. Now I'm going to, I'm going to go over one more thing on this podcast and that is UPF. You've heard about UPF, Kane?

Dr. Minni Saluja 13:36

Yeah, but I really don't like when you do these pop quizzes.

MIC1 13:41

It keeps, you entertained.

Dr. Minni Saluja 13:42

This is more of the clothing aspect,

MIC1 13:44

This is more of the clothing. This is the ultraviolet protectant factor that's in the fabric. And And this is important because this actually blocks out the UV radiation. So for example, if there is UPF of 50, that means if you divide one into 50, which equals 2%, that means it's blocking out 98% of the UVA and the UVB. So ultraviolet protectant fabric clothing. is really good. I have shirts, I have dresses in it. I've got little hats with it. It really is helpful. Oh, and another thing that I've told patients about as well as I've got gloves in my car that I wear when I'm driving home because you can feel that heat just, just kissing the backs of your hands. And so I put those gloves on and drive home with it. And they're, they're inexpensive. You can get them off of Amazon.

Dr. Minni Saluja 14:37

Yeah, that's, and that's so easily overlooked, is your hands. Even applying sunscreen to the back of your hands, it's overlooked, so. Yeah, wear gloves when you're driving.

MIC1 14:46

For sure. I mean, those are the type of things that we want you to know. And so when you're looking for a sunscreen, again, broad spectrum, and nowadays. Pretty much all the sunscreens are broad spectrum. Broad spectrum means it's accounting for both UVB blockage and UVA blockage. It's protecting you from both. So definitely choose that as well. And that's really all I wanted to cover.

Dr. Minni Saluja 15:10

was a lot actually for, for the basics. I mean, we started with just, you know, how to, how to get that nice hydrated skin and then how to protect it and all in between. All of that was an

MIC1 15:22

And we haven't even gone into antioxidants that'll, maybe that'll be another podcast as well. Another episode. So that's it.

Dr. Minni Saluja 15:30

Anyway, thank you everybody for listening. We really, really appreciate it and we'll put out another episode soon.

MIC1 15:37

Thank you. Thank you.