Explorez tous les épisodes du podcast Skinfluence with Dr. Dustin Portela
| Titre | Date | Durée | |
|---|---|---|---|
| Guest Episode: Dr. Wallace Nozile on Becoming a Dermatologist, Beating the Odds, and the Future of Medicine | 02 Jul 2026 | 00:42:49 | |
Most people who want to become a dermatologist know it's competitive. Few understand what it actually takes to get there when nothing is handed to you. Dr. Wallace Nozile is a board-certified dermatologist, social media educator, and someone who came very close to choosing a career in R&B over medicine. In this conversation recorded in studio, he and Dr. Dustin Portela trace the full arc of what it takes to match into one of the most competitive specialties in medicine, from a rocky undergraduate start and a student advisor who laughed at his ambitions, to a grueling step one prep schedule and a mentor who changed everything. Dr. Nozile is candid about the role discipline played, or didn't, in his early years. He was pre-med from the start but largely coasting until a dismissive advisor put a chip on his shoulder. That moment, he says, did more for his trajectory than anything else. He went from Cs in organic chemistry to a 4.0 in a master's program alongside first-year medical students, then into medical school, and eventually into dermatology, one of the hardest fields to match into in the country. The conversation gets into the emotional weight of that process in ways a checklist never could. Dr. Nozile talks about skipping his best friend's bachelor party to study, becoming temporarily socially awkward after weeks of 12-hour study days, and the unexpected mentor who turned out to be his greatest advocate. That mentor, Dr. Stanton King Wesson, was a Vietnam veteran and program director who told Dr. Nozile plainly: "The only difference between you and that person is time." It's the kind of line that stays with you. They also look ahead, discussing personalized medicine, genetic testing for treatment response, and what role physicians will play as AI reshapes dermatology. And in a field where social media has become its own form of medical education, Dr. Nozile reflects on why reaching patients who might never see a dermatologist matters as much to him as anything he does in clinic. Product of the Week Avene Tolerance Foaming Cleanser A gentle foaming cleanser Dr. Nozile recommends for dry, sensitive skin patients who thought foaming cleansers were off the table. Follow Us Dr. Dustin Portela Dr. Wallace Nozile Skinfluence Podcast | |||
| EP 49: What Happens to Your Skin After 35 (And What to Do About It) | 01 Jul 2026 | 00:30:34 | |
Your skin at 37 is not the same organ it was at 22. Collagen is breaking down faster than it's being replaced. Fat pads are shifting. Cell turnover is slowing. And one morning you wake up and wonder where your face went. Dr. Dustin Portela and Austin Lee break down the biology of aging skin in a way that's actually useful, covering the collagen and elastin loss that starts in your 30s, why the dermis gradually thins, how fat pads descend over time, and how cumulative sun damage eventually overwhelms your skin's antioxidant defenses. It's a slow process, mostly invisible, until it isn't. The episode then turns to what you can actually do about it. Sunscreen and sun-protective clothing are the foundation. Vitamin C serums help neutralize free radical damage. Retinols, on both the face and body, can slow collagen decline and improve texture over time. Diet matters more than most people realize: chronic sugar intake accelerates the breakdown of collagen, while inadequate protein makes it harder to rebuild. Sleep, cardio, and resistance training round out the picture, with real data showing that weightlifting can improve skin thickness, not just build muscle. For those already seeing changes, the hosts get more specific. Topical pigment inhibitors like hydroquinone and thiamidol can address sunspots, with the important caveat that not every dark spot is the same. Microneedling, chemical peels, and CO2 laser resurfacing each have a place depending on the severity of concerns. Dermal filler can be transformative for volume loss when used correctly, though Dr. Portela is candid about what happens when it isn't. The episode closes with a reminder that aging is not a problem to be solved. It's something to be managed thoughtfully, with realistic expectations and a little grace. Product of the Week Activé Restore Body Firming Cream — Dean Skincare A retinol body cream with hyaluronic acid, ceramides, and caffeine formulated to improve skin resilience and support collagen production. Available at shop.drdustinportela.com. Follow Us Dr. Dustin Portela Austin Lee, PA-C Skinfluence Podcast | |||
| Episode 44: Celebrities and Skin Conditions — What We Can Learn From the Spotlight | 23 Apr 2026 | 00:26:04 | |
Celebrities might live in the spotlight, but when it comes to skin conditions, they're dealing with many of the same challenges as everyone else. In this episode, Dr. Dustin Portela and PA Austin Lee walk through real examples of well-known public figures who have dealt with skin conditions, and what their stories can teach us. From Kim Kardashian's psoriasis and Winnie Harlow's vitiligo to Michael Jackson's reported depigmentation, they break down what these conditions actually are, how they show up, and what treatment can look like. They also cover cases like rhinophyma in Bill Clinton, melanoma in Teddi Mellencamp, Merkel cell carcinoma in Jimmy Buffett, and discoid lupus in Seal. Along the way, they explain how these conditions develop, why some are more serious than others, and what people should actually watch for when it comes to their own skin. But this episode goes beyond just naming conditions. Dustin and Austin talk about why it matters when public figures open up about their health, how it helps normalize conversations around skin issues, and why it can encourage people to seek care earlier. They also address the downside, including the risks of trying to diagnose people online and the importance of respecting privacy. The bigger takeaway is simple. If you see something on your skin that concerns you, get it checked. Early detection matters, and reassurance is never a waste of time. Product of the Week Kill Switch A sleep support supplement that Dr. Portela uses regularly to help improve sleep quality and recovery. Better sleep plays a major role in overall health, including skin health, and this is one tool he uses to stay consistent. https://www.switchsupplements.com/DUSTIN Follow Us: Dr. Portela Austin Lee | |||
| Episode 43: Adult Acne — Why It Happens and Why It's So Hard to Treat | 16 Apr 2026 | 00:29:53 | |
Acne isn't just a teenage problem. In fact, more adults than ever are dealing with breakouts, and they often behave very differently than what you experienced growing up. In this episode, Dr. Dustin Portela and PA Austin Lee break down the unique causes of adult acne and why it tends to be more stubborn, more inflammatory, and more frustrating to treat. From hormonal shifts and testosterone exposure to stress, sleep disruption, diet, and modern lifestyle habits, they explain why adult acne is becoming more common and why it often shows up differently in men and women. They also walk through the biggest mistakes people make when trying to treat acne at home, including over-scrubbing, using overly aggressive routines, microneedling over inflamed skin, and popping cystic lesions that never come to a head. These habits often make things worse, leading to more inflammation, longer healing times, and higher risk of scarring. On the treatment side, they cover what actually works. From over-the-counter options like salicylic acid, benzoyl peroxide, sulfur, and niacinamide to prescription treatments like tretinoin, clindamycin, Winlevi, spironolactone, doxycycline, and Accutane. They explain how each works, when to use them, and why there is no one-size-fits-all approach. They also dive into the mental side of acne, especially in adults, where breakouts can impact confidence, work, and daily life in a very real way. The key takeaway is consistency, patience, and working with a professional to find the right combination for your skin. If you're dealing with acne in your 20s, 30s, or beyond, this episode will help you understand what's actually going on and how to treat it the right way. Product of the Week MANTL Complete Skincare Bundle A simple, effective routine that covers the essentials without overcomplicating things. The bundle includes a cleanser, anti-aging moisturizer, and the Invisible Daily SPF, one of Dr. Portela's go-to sunscreens with a clear, matte finish that works especially well for men and anyone with facial hair. Bundle: $30 Available at: Follow Us: Dr. Portela Austin Lee | |||
| Guest Episode: The Future of Healthcare — Can AI Actually Improve Your Doctor Experience? | 09 Apr 2026 | 00:45:29 | |
What if your doctor was always just a message away… and actually knew you? In this guest episode, Dr. Dustin Portela sits down with Dr. Usama Syde, founder of Future Clinic, to break down how technology, AI, and chat-based care are reshaping the way patients and doctors connect. But this is not about replacing doctors. It is about bringing back something healthcare has quietly lost: real relationships. They dig into why modern medicine feels so fragmented, how the system turned doctors into interchangeable "providers," and why trust between patients and physicians is at an all-time low. From there, the conversation shifts to a new model of care that feels surprisingly simple. You choose your doctor, you build a relationship, and you communicate directly, just like you would with someone you trust. Dr. Syde explains how Future Clinic uses AI the right way. Not to replace medical decisions, but to streamline communication, gather information, and give doctors more time to actually think, care, and connect. The result is a system that feels more personal, more flexible, and more aligned with how people already live their lives. They also get into the real risks of AI in healthcare, where it works, where it absolutely does not, and why removing the human element is a mistake. From doctor burnout to the rise of private equity in medicine, this episode pulls back the curtain on what is actually happening behind the scenes and where things are headed next. If you have ever felt like healthcare has become rushed, impersonal, or harder to navigate, this episode will change how you think about what is possible. Product of the Week Future Clinic Find your doctor or learn more: Follow Us: Dr. Portela Austin Lee Dr. Usama Syde | |||
| Episode 42: Pore Size Truth — Can You Actually Shrink Them? | 02 Apr 2026 | 00:28:19 | |
Pores are one of the most talked-about topics in skincare, and one of the most misunderstood. In this episode, Dr. Dustin Portela and PA Austin Lee break down what pores actually are, why they exist, and why the idea of "shrinking" them isn't as straightforward as social media makes it seem. They walk through the biology behind pores, including their role in oil production, skin health, and barrier function, and why they're something you need, not something to erase. The conversation digs into what really determines pore size, from genetics and hormones to oil production and aging. They also explain why pores can appear larger over time and what factors like sun damage, clogged pores, and collagen loss have to do with it. Dustin and Austin cut through the noise on popular trends like "glass skin" and pore-minimizing products, explaining what actually works versus what is just marketing. They also cover how to improve the appearance of pores the right way, including ingredients like retinoids and salicylic acid, proper cleansing, and when in-office treatments may make sense. If you've ever felt like you're chasing smaller pores and not seeing results, this episode will reset expectations and give you a smarter, more effective path forward. Product of the Week Paula's Choice Skin Perfecting 2% BHA Liquid Exfoliant Differin Gel (Adapalene 0.1%) Follow Us: Dr. Portela Austin Lee | |||
| Episode 41: Rosacea Explained — Triggers, Treatments, and What Actually Works | 26 Mar 2026 | 00:35:23 | |
Rosacea is one of the most common conditions seen in dermatology, and one of the most misunderstood. In this episode, Dr. Dustin Portela and PA Austin Lee break down exactly what rosacea is, why it shows up, and why it can look completely different from one person to another. From persistent redness and flushing to acne-like breakouts and even thickened skin on the nose, they walk through the different types and how to recognize them. They dive into what is actually happening beneath the skin, including inflammation, blood vessel changes, and even the role of Demodex mites. The conversation also covers one of the most important parts of managing rosacea: identifying triggers. From sun exposure and heat to alcohol, caffeine, spicy foods, and exercise, they explain why flare-ups happen and how to better control them without over-restricting your lifestyle. Dustin and Austin also clear up one of the biggest mistakes patients make: treating rosacea like acne. They explain why harsh scrubs, over-exfoliation, and aggressive skincare routines often make things worse, and how focusing on barrier repair, gentle products, and consistency can make a major difference. On the treatment side, they walk through everything from over-the-counter options like niacinamide and azelaic acid to prescription topicals, oral medications, and when more advanced options like lasers or low-dose Accutane come into play. They also explain why rosacea is a chronic condition, what realistic expectations should look like, and how to maintain long-term control. If you struggle with redness, flushing, or breakouts that never quite respond to typical acne treatments, this episode will help you understand what is really going on and how to manage it effectively. Products of the Week Paula's Choice 10% Azelaic Acid Booster EltaMD UV Skin Recovery Follow Us: Dr. Portela Austin Lee | |||
| Episode 40: Medicine's Biggest Misses: The Skin Treatments We Got Wrong | 19 Mar 2026 | 00:37:50 | |
Dermatology has come a long way, but not every treatment from the past deserves a comeback. In this episode, Dr. Dustin Portela and PA Austin Lee take a fascinating look at some of the biggest blind spots in skin health and beauty, from mercury and arsenic in cosmetics to x-ray treatments for acne, sun lamps, coal tar therapies, and aggressive phenol peels. They break down why these treatments were once accepted, what doctors and patients believed at the time, and how better evidence eventually revealed the risks. Along the way, they also touch on acne myths, outdated assumptions about hygiene and diet, the dangers of unregulated skin-lightening creams, and why some modern at-home beauty devices may become the next blind spot we look back on with regret. But this episode is not just about the past. It is also about how good medicine actually works. Dustin and Austin talk about why evidence-based care matters, how science keeps evolving, and why the best providers stay humble, keep learning, and listen closely to their patients. They also explore how technology, research tools, ingredient transparency, and personalized skincare are helping modern dermatology move in a smarter and safer direction. If you have ever wondered how medicine changes over time, why old advice falls apart, or what current trends may not age well, this episode is equal parts eye-opening, thoughtful, and incredibly relevant. Product of the Week: AlphaRet from Skinbetter Science AlphaRet is one of Dr. Portela and Austin's favorite retinoid products because it combines real results with a level of gentleness that is hard to find. It features retinoic acid along with lactic acid and glycolic acid to improve skin tone, texture, and signs of aging while staying more tolerable than many traditional retinoids. It is one of the most popular products in their office and a longtime Skinbetter Science standout. Follow Us: Dr. Portela Austin Lee | |||
| Episode 39: Skin Biopsies Explained — What Happens and Why You Might Need One | 12 Mar 2026 | 00:37:04 | |
Hearing the word "biopsy" can make a lot of people nervous. In this episode, board-certified dermatologist Dr. Dustin Portela and physician assistant Austin Lee break down one of the most common procedures performed in dermatology: the skin biopsy. They explain why biopsies are done, when they're necessary, and why having one does not automatically mean you have skin cancer. The conversation walks through the different types of biopsies dermatologists perform, including shave biopsies, punch biopsies, and excisional biopsies. They also explain what the procedure actually feels like, how long it takes, and what patients can expect during and after the appointment. Dr. Portela and Austin also take listeners behind the scenes of what happens after a biopsy is performed. They discuss how samples are processed in pathology labs, how dermatopathologists analyze tissue under the microscope, and why your dermatologist's relationship with a skilled pathologist is so important for accurate diagnoses. They also cover healing timelines, scar prevention, when to worry about infection, and how biopsy results are delivered to patients. If you've ever delayed a dermatology appointment because you were worried about needing a biopsy, this episode will help demystify the entire process. Product of the Week Silicone Scar Gel After a biopsy or procedure, proper scar care can make a big difference in healing and cosmetic outcomes. Silicone scar gel helps support healthy healing while minimizing the appearance of scars. For areas exposed to sunlight, the Flawless SunShield adds SPF protection to help prevent post-inflammatory pigmentation and discoloration. Follow Us Dr. Portela Austin Lee | |||
| Guest Episode: The Identity Shift That Changes Men and Families with Matt Beaudreau | 05 Mar 2026 | 00:36:30 | |
What if the biggest change you could make in your life isn't a tactic, a productivity hack, or a new routine, but a shift in identity? In this guest episode, Dr. Dustin Portela sits down with educator and Apogee Strong founder Matt Beaudreau to talk about leadership, fatherhood, discipline, health, and the power of becoming the kind of person who naturally lives the habits you want to build. Matt shares the philosophy behind Apogee Strong and Apogee Schools, a model focused on whole-family education, personal responsibility, entrepreneurship, and character development. The conversation explores why expectations matter more than rules, how kids rise to the standards we actually enforce, and why identity drives behavior far more than motivation ever will. They also dive into burnout among high-achieving men, the trap of tying self-worth to financial success, discipline versus punishment, how fathers can lead by example, and why consistency in health, marriage, and parenting compounds over time. From food choices to phone habits to servant leadership, this episode is about building strength in every area of life. If you are a father, a parent trying to raise strong kids, or a man who knows he can level up, this conversation is practical, challenging, and deeply applicable. About the Guest: Matt Beaudreau Matt Beaudreau is the founder of Apogee Strong and co-founder of Apogee Schools. He works with men, women, and families to build leadership, discipline, health, and responsibility through whole-family mentorship and education programs. Learn more at: Follow Apogee Strong: Follow Us: Austin Lee | |||
| Episode 38: Grandma's Skincare Advice — What Actually Works and What to Skip | 26 Feb 2026 | 00:37:10 | |
Toothpaste on pimples. Lemon juice for dark spots. Egg whites for tightening. Butter on burns. We've all heard them. In this episode, Dr. Dustin Portela and PA Austin break down the most common old-school skincare remedies passed down from grandmas, TikTok, and well-meaning family members and explain what actually works, what's harmless, and what can seriously damage your skin. They cover toothpaste for acne, lemon juice and apple cider vinegar for pigmentation, cucumbers for puffy eyes, turmeric masks, oatmeal baths, honey for wounds, aloe for burns, and even the dangerous rise of black salve. Along the way, they explain the science behind why some of these remedies gained popularity and why modern skincare products are often safer, more effective, and better regulated. This episode is part myth-busting, part science lesson, and part reality check. Just because something is "natural" doesn't mean it's safe. And just because it's been around for decades doesn't mean it works. If you've ever been tempted to DIY your skincare from your kitchen cabinet, listen to this first. Product of the Week: EltaMD Sunscreen EltaMD remains one of the most trusted sunscreen brands recommended in dermatology offices nationwide. Through the Air Skin Store, you can get 15% off EltaMD products for every purchase, not just your first order. Products ship directly from the manufacturer to ensure authenticity and quality. Follow Us: Austin Lee | |||
| Guest Episode: Therapy Without the Fluff with Trey Tucker | 19 Feb 2026 | 00:49:48 | |
Mental health does not need to be complicated, soft, or filled with buzzwords. In this guest episode, Dr. Dustin Portela sits down with licensed therapist and author Trey Tucker to talk about what he calls "therapy without the fluff." Trey shares his straightforward approach to anxiety, purpose, relationships, and the challenges facing young men today. The conversation explores the mind-body connection, how emotional injuries shape adult behavior, why many men struggle with vulnerability, and how silence and self-awareness can completely change your mental health trajectory. They also dive into loneliness, modern social media pressures, fatherhood, purpose, and why chasing happiness often leads to less fulfillment. If you have ever felt overwhelmed, disconnected, or unsure how to process what is happening inside your own head, this episode offers practical tools and grounded perspective. No jargon. No fluff. Just honest conversation about what actually helps. About the Guest: Trey Tucker Trey Tucker is a licensed therapist, speaker, and author of Tough Enough, a book focused on helping young men build emotional strength, purpose, and resilience. His work centers on straightforward, actionable mental health guidance designed to cut through noise and stigma. Find Trey and his book: Follow Us: Austin Lee
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| Guest Episode: Clear Health, Accutane Online, and the Future of Telehealth Dermatology | 18 Jun 2026 | 00:35:54 | |
What if getting expert acne treatment didn't require months of waiting, multiple office visits, and endless trial-and-error with products that never seem to work? In this guest episode, Dr. Dustin Portela is joined by Michael Chang, founder and CEO of Clear Health, and board-certified dermatologist Dr. Aaron Farberg to discuss how telehealth is changing the way patients access acne treatment. Michael shares his personal journey through years of persistent acne, multiple dermatologists, restrictive diets, and frustration before finally finding success with Accutane. That experience ultimately led him to create Clear Health, a telehealth platform focused on connecting patients with board-certified dermatologists and expanding access to evidence-based acne care. The conversation explores common misconceptions about Accutane, why so many patients wish they had started treatment sooner, and how telehealth is helping remove barriers that often delay care. They also discuss Isoclear, a new topical isotretinoin treatment designed to deliver many of the benefits associated with isotretinoin without the monitoring requirements of oral Accutane. Dr. Farberg breaks down the science behind topical isotretinoin, how it compares to tretinoin, and why this approach could become an important option for acne and anti-aging treatment in the future. Whether you're struggling with acne, considering Accutane, curious about telehealth dermatology, or interested in the future of personalized skincare, this episode offers an inside look at one of the fastest-growing areas in dermatology. Guest Info Michael Chang Dr. Aaron Farberg Learn more: helloclearhealth.com Follow Us Dr. Portela Skinfluence Podcast | |||
| Episode 37: Psoriasis Explained — Triggers, Treatments, and What Actually Works | 12 Feb 2026 | 00:41:59 | |
Psoriasis is more than just a rash. In this episode, Dr. Dustin Portela and PA Austin Lee break down what psoriasis really is, why it happens, and how treatment has completely changed over the past decade. They explain the difference between autoimmune and autoinflammatory disease, why psoriasis is driven by inflammatory signaling pathways like TNF alpha, IL-17, and IL-23, and how that inflammation affects more than just the skin. The conversation covers plaque psoriasis, guttate psoriasis, nail psoriasis, inverse psoriasis, erythrodermic psoriasis, and psoriatic arthritis, along with the serious cardiovascular and metabolic risks that can come with uncontrolled disease. Dustin and Austin also walk through treatment options from old school coal tar and phototherapy to modern topical medications, oral therapies, and the biologic injections that have transformed patient outcomes. They discuss what to expect with lab monitoring, why biologics are far safer than many people assume, and how these medications can be life changing for patients struggling physically and emotionally. They also touch on lifestyle factors including stress, alcohol, weight, diet, and sunlight, plus the powerful emotional toll psoriasis can take and why treating it often restores far more than just skin. If you or someone you love has psoriasis, this episode offers clarity, hope, and a roadmap for what modern treatment can look like. Follow Us: Austin Lee Product of the Week: Future Clinic Future Clinic is Dr. Portela's teledermatology platform, currently available in Idaho and New York with more states coming soon. Through a simple monthly subscription starting at $50, patients can receive real medical advice, prescriptions, and follow ups directly from Dr. Portela through the app. Spots are currently limited, so if you live in Idaho or New York and want direct access to dermatology care, you can sign up through this link. | |||
| Episode 36: Skincare Marketing Lies, Buzzwords, and How to Shop Smarter | 05 Feb 2026 | 00:45:56 | |
Skincare marketing is loud, confusing, and often misleading. In this episode, Dr. Dustin Portela and PA Austin Lee break down the most common skincare buzzwords and claims so you can stop falling for hype and start making smarter decisions. They unpack terms like clinically tested, dermatologist recommended, hypoallergenic, fragrance free versus unscented, medical grade, non comedogenic, clean beauty, and organic, explaining what each one actually means and what is mostly just marketing. You will learn why many of these labels are unregulated, how companies legally stretch the truth, and why price does not always equal performance. The conversation also dives into influencer marketing, TikTok shop, affiliate links, filters, and before and after videos, including how social media shapes unrealistic expectations around skin. Dustin and Austin share real examples of deceptive trends, why apps like Yuka and EWG can be misleading, and how even identical ingredient lists can hide major differences in formulation. They wrap with practical advice on how to read ingredient labels, when over the counter products make sense, how to patch test new skincare, and how to approach shopping without overspending or getting overwhelmed. Plus, Dr. Portela introduces a new telehealth option for patients who want real dermatology guidance instead of social media guesswork. If you have ever stood in the skincare aisle feeling confused, skeptical, or unsure who to trust, this episode gives you the tools to shop smarter and take control of your routine. Follow Us: Austin Lee Product of the Week: Future Clinic Telehealth Click here: https://app.futureclinic.com/clinics/drportela/profile | |||
| Guest Episode: How Your Mattress Is Quietly Ruining Your Sleep with Derek Hales | 29 Jan 2026 | 00:35:05 | |
Sleep is one of the most important pillars of health, but the thing you sleep on is often the most overlooked. In this guest episode, Dr. Dustin Portela sits down with mattress expert Derek Hales, Founder and Editor in Chief of NapLab, to break down how your mattress directly affects sleep quality, recovery, and overall health. Derek has tested over 500 mattresses using objective, data-driven methods, and he explains why most people shop for mattresses the wrong way. Together, they talk through firmness, materials, price points, and why lying on a mattress in a store for two minutes tells you almost nothing about how you will actually sleep on it. They also dive into motion transfer, cooling, durability, and why many expensive mattresses are not actually better. The conversation covers how poor sleep impacts skin disease, stress, and mental health, why most people should choose a medium-firm hybrid mattress, how much you actually need to spend, and how to choose a mattress for kids. They also discuss popular sleep tech like Eight Sleep, active cooling systems, and wearables, plus what really matters versus what is just hype. If you have ever wondered whether your mattress is holding you back from better sleep, better recovery, and better health, this episode gives you clear, practical guidance you can actually use. Follow Us: Austin Lee Guest: Derek Hales Website: https://naplab.com/ | |||
| Episode 35: The Mind Skin Connection and Why Stress Shows Up on Your Face | 22 Jan 2026 | 00:32:49 | |
Stress does not cause every skin condition, but it can make almost all of them worse. In this episode, Dr. Dustin Portela and PA Austin Lee dive into the powerful connection between your mental health and your skin, an area known as psychodermatology. They explain how stress hormones like cortisol disrupt the skin barrier, trigger flares of eczema, psoriasis, acne, and hidradenitis, and fuel cycles like itching, scratching, picking, and hair pulling. The conversation also explores conditions like prurigo nodularis, trichotillomania, compulsive skin picking, and why these symptoms are very real even when they are misunderstood. Dustin and Austin share real clinic stories, discuss sleep deprivation, gut health, antibiotics, probiotics, and why chronic stress quietly affects everything from breakouts to healing. They also break down what actually helps, including better sleep hygiene, walking outside without distractions, mindfulness, cognitive behavioral therapy, and simple daily habits that calm both the nervous system and the skin. This episode is about treating people, not just skin. If you have ever wondered whether stress is affecting your breakouts, rashes, flares, or healing, this conversation will give you clarity, reassurance, and practical tools you can use right away. Follow Us: Austin Lee Product of the Week: Kill Switch Sleep Cocoa | |||
| Episode 34: Shelf Wars — Drugstore vs Luxury Skincare and What's Actually Worth It | 15 Jan 2026 | 00:40:12 | |
Is expensive skincare really better, or is it just better marketing? In this episode, Dr. Dustin Portela and PA Austin Lee go head-to-head breaking down drugstore, mid-tier, and luxury skincare products to figure out what's actually worth your money. They walk through every major category, including cleansers, vitamin C, retinol, moisturizers, sunscreen, and eye creams, explaining where you can save, where it makes sense to splurge, and where price makes little to no difference. The conversation cuts through common marketing buzzwords like "dermatologist recommended," "clinically tested," "clean beauty," and "non-comedogenic," translating what those labels really mean when you're standing in the aisle or scrolling online. You'll also hear honest takes on viral skincare trends like slugging, glass skin, and skin cycling, plus real-world insights on ingredient lists, product formulations, and why consistency matters more than brand loyalty. To wrap things up, Dr. Portela shares a complete beginner-friendly skincare routine that covers all the essentials without unnecessary extras. If you've ever felt overwhelmed by skincare options or wondered whether luxury products actually deliver better results, this episode gives you the clarity you need to shop smarter and build a routine that works. Follow Us: Austin Lee Product of the Week | |||
| Guest Episode: The Truth About Lasers with Dr. Ciaran Smythe | 08 Jan 2026 | 00:39:39 | |
Lasers can do incredible things for skin, but the way they are marketed often makes them confusing, overpriced, and misunderstood. In this guest episode, Dr. Dustin Portela sits down with dermatologist and laser company founder Dr. Ciaran Smythe to pull back the curtain on how laser technology really works and how patients can make smarter decisions. Dr. Smith shares his unique path from orthopedic surgery to dermatology and explains why he started his own laser company, Solace Medical, with a focus on transparency, realistic expectations, and better education for both doctors and patients. Together, they break down the biggest myths in the laser industry, why downtime still matters, how to spot red flags in marketing claims, and why the person operating the laser matters more than the device itself. They also dive into lasers for pigmentation, wrinkles, acne scars, and skin cancer prevention, including what wavelengths actually work, which treatments require real downtime, and why some clinics promise results they cannot safely deliver. This conversation is honest, practical, and packed with insights that will change how you think about laser treatments. If you have ever considered laser treatments or felt overwhelmed by conflicting advice, this episode gives you the clarity you have been missing. Follow Us: Austin Lee | |||
| Special Episode: How to Make Your New Year's Resolutions Actually Stick | 01 Jan 2026 | 00:16:25 | |
Let's be real. Most New Year's resolutions fail, and it's not because you are lazy or lack willpower. It's because you've been taught the wrong strategy. In this special episode, Dr. Dustin Portela breaks down a simple, science-backed framework for building habits that last. Pulled from a recent YouTube video, this episode explains why focusing on identity beats focusing on goals, why systems matter more than motivation, and how starting ridiculously small is the secret to real, long-term change. Using ideas inspired by Atomic Habits, Dr. Portela walks through practical examples you can apply immediately, whether your goals involve your health, your skin, your fitness, or your daily routine. This is not about extreme makeovers or overnight transformations. It is about building habits that compound over time and actually fit into real life. If you have ever set the same resolution year after year and wondered why nothing sticks, this episode will change how you think about self-improvement and give you a framework you can use starting today. Follow Us: | |||
| Special Episode: A Holiday Thank You from Skinfluence | 25 Dec 2025 | 00:02:17 | |
This is a quick holiday check-in from Dr. Dustin Portela to say thank you. If you listened to even one episode this year, you are the reason this show exists, and we wanted to take a minute to acknowledge that. Skinfluence has grown in ways we honestly did not expect, and 2025 has been a blast. From deep dermatology dives to guest conversations and real-world skin advice, this show has become something we are genuinely proud of, and it is because of this community. We also want you in the driver's seat for what comes next. Big things are already planned for 2026, and we want to hear what you loved, what stuck with you, and what you want us to cover next. Head over to Instagram, follow @skinfluence_pod, and send us a message with your favorite episode or a topic you want us to break down. However you are spending the holidays, we hope they are restful, joyful, and filled with good people. Thanks for being here. We will see you in the next episode and in an even bigger year ahead. Happy holidays from Skinfluence. 🎁🎙️ Follow Us: | |||
| Episode 33: Lumps, Bumps & Pops — Cysts, Lipomas, Milia and What's Actually Going On | 18 Dec 2025 | 00:38:52 | |
From viral pimple popping videos to mysterious bumps that show up out of nowhere, this episode breaks down the most common lumps and bumps people find on their skin. Dr. Dustin Portela and PA Austin Lee walk through what these growths actually are, where they come from, and when they are completely harmless versus when they need medical attention. They cover epidermal cysts, pilar cysts, lipomas, dermatofibromas, milia, and sebaceous hyperplasia, explaining how each one forms, why some smell worse than others, and why squeezing them at home often makes things much worse. You will hear real clinic stories, including rare cases where something that looked like a simple cyst turned out to be cancer, and why sending everything to pathology is non negotiable in dermatology. The episode also covers treatment options, what removal looks like, when to wait versus when to act, and how inflammation or infection can change outcomes. Plus, a fun but informative Did You Know segment dives into lipoma statistics and the rise of Dr. Pimple Popper, along with behind the scenes insight into what dermatologists actually think about popping culture. If you have ever wondered whether a bump is normal, whether it is safe to pop, or when it is time to see a dermatologist, this episode gives you clarity, reassurance, and practical guidance. Follow Us: Austin Lee Product of the Week: Shark CryoGlow and Facial Pro Glow System | |||
| Episode 32: A Day in the Life of a Dermatologist | 11 Dec 2025 | 00:30:47 | |
Ever wondered what a dermatologist really does all day? In this episode, Dr. Dustin Portela and PA Austin Lee take you behind the scenes for a full look at the daily rhythm of clinic life. From early morning workouts and reviewing charts to juggling medical visits, surgeries, cosmetic procedures, biopsies, and the unexpected surprises that walk in, they share what it takes to run a busy dermatology practice with accuracy, empathy, and efficiency. They talk about balancing high patient volume, managing complex schedules, working closely with medical assistants, and the emotional side of patient care. You will also hear stories about same day procedures, emergency situations that pop up in the middle of clinic, and the powerful moments when delivering good news brings patients to tears. Plus, this week's Did You Know segment highlights why dermatology sees some of the highest outpatient visit counts in all of medicine. Whether you love the medical side, the surgical side, or the human side of dermatology, this episode gives you a real look at what the job is like from sunup to sundown. Follow Us: Austin Lee Product of the Week: Kill Switch Sleep Cocoa | |||
| EP 48: Laser Hair Removal, Shaving Mistakes, and the Best Way to Get Rid of Unwanted Hair | 11 Jun 2026 | 00:35:57 | |
Shaving, waxing, laser hair removal, sugaring, electrolysis... with so many options available, what's actually the best way to get rid of unwanted hair? This week, Dr. Dustin Portela and Austin Lee break down the most common hair removal methods, who they're best for, and the biggest mistakes people make that can lead to irritation, ingrown hairs, burns, and long-term skin damage. They discuss the pros and cons of shaving, waxing, depilatory creams, electrolysis, and laser hair removal, along with what makes someone a good candidate for treatment. You'll also learn why skin tone and hair color matter, how to prepare for laser hair removal, and why "permanent hair removal" isn't always as permanent as people think. The conversation also covers pseudofolliculitis barbae, hidradenitis suppurativa, acne keloidalis nuchae, shaving bumps, razor burn, and dermatologist-approved tips for preventing ingrown hairs and keeping your skin healthy. Plus, Austin shares one of the most questionable hair removal decisions of his life involving a Taco Bell parking lot, Axe body spray, and an open flame. If you've ever struggled with unwanted hair, ingrown hairs, razor bumps, or wondered whether laser hair removal is worth it, this episode is packed with practical advice to help you choose the right approach for your skin. Product of the Week Dean Skincare Botanical Calming Serum Designed to help calm irritation, reduce visible redness, and support the skin barrier after cosmetic treatments, shaving, and everyday skin stressors. Use code SKINFLUENCE20 for 20% off. Follow Us Dr. Portela Austin Lee, PA-C Skinfluence Podcast | |||
| Episode 31: Derm Punk and the Future of AI in Dermatology | 04 Dec 2025 | 00:39:42 | |
Artificial intelligence is everywhere, but what does it really mean for your skin? In this episode, Dr. Dustin Portela and PA Austin Lee take a deep dive into how AI and new technology are already shaping the world of dermatology. From smartphone apps that try to analyze moles to FDA approved radiology and pathology tools, they break down what works, what does not, and what patients should approach with caution. They also share real stories from clinic, including patients who came in because AI scared them with a false cancer warning, and cases where AI unexpectedly pointed someone in the right direction. The hosts discuss teledermatology, the rise of AI assisted intake systems, full body mole mapping, and how technology can support dermatologists without replacing the human judgment and empathy that medicine depends on. This week's conversation also looks ahead at predictive algorithms, wearable integrations, and why the future of skin tech may be helpful as long as it does not replace common sense or real connection with a trusted provider. Whether you are curious about AI, nervous about it, or already using it in your daily life, this episode gives you an honest look at where the field is going and what to expect next. Follow Us: Austin Lee Product of the Week: Ulike LED Face Mask | |||
| Special Episode: Black Friday Skincare Deals We Actually Recommend | 27 Nov 2025 | 00:24:17 | |
It is the biggest shopping week of the year, and in this Black Friday special, Dr. Dustin Portela and PA Austin Lee break down the skincare deals actually worth your time and money. No gimmicks, no pressure, just the products they genuinely use, trust, and recommend in the clinic every day. They walk through the Dean Skincare Anti-Aging Bundle and explain why the Activ V Vitamin C, Sheer Shield sunscreen, exfoliating pads, retinols, and Activi Repair Cream stand out this year, and they share an exclusive 30 percent off code for Skinfluence listeners. Dustin and Austin also highlight their top device picks, including the Cure LED red light mask and the Jill Razor dermaplaning system, along with this year's rare SkinBetter Science holiday gifts with purchase. To wrap things up, they share their favorite non-skincare deal: the Kill Switch sleep cocoa that helps Dustin sleep deeper and wake up refreshed without melatonin. Whether you are shopping for yourself or hunting for gifts, this special episode helps you navigate Black Friday with confidence. Follow Us Dr. Portela Austin Lee Product Spotlight: Black Friday Picks We Love Dean Skincare Anti-Aging Bundle Quire Skincare mask Jill Razor Dermaplaning System Skinbetter Science AlphaRet Overnight (all products can be accessed here) KillSwitch Sleep Supplement | |||
| Guest Episode: Braiden Shaw on Financial Health, Freedom & The Wealth-Health Connection | 20 Nov 2025 | 00:45:18 | |
In this special guest episode, Dr. Dustin Portela sits down with entrepreneur and financial educator Braiden Shaw for an eye-opening conversation about a part of wellness most people overlook: financial health. Braiden—known for his viral money content and no-nonsense, practical approach to building wealth—shares his path from college basketball player to multimillionaire investor, and why taking control of your finances is one of the most powerful ways to reduce stress and improve your well-being. They dig into why financial stress impacts everything from sleep to skin, how to avoid lifestyle creep, the five essential financial accounts everyone should have, and the mindset shifts that separate long-term planners from paycheck-to-paycheck living. They also explore investing basics, retirement misconceptions, the role of Bitcoin, and how small daily habits create both financial stability and healthier living overall. This episode delivers clarity, motivation, and actionable next steps for anyone looking to strengthen their financial foundation—and their peace of mind. Follow Us: Austin Lee Guest: Braiden Shaw | |||
| Episode 30: Skin Cancer Smarts — Moles, Melanoma & When to Worry | 13 Nov 2025 | 00:36:16 | |
Skin cancer is the most common cancer in the world, but with early detection, it's also one of the most treatable. In this episode, Dr. Dustin Portela and PA Austin Lee take a deep dive into everything you need to know about skin cancer—from what to look for and who's most at risk to what happens during a skin exam or biopsy. They explain the key differences between basal cell carcinoma, squamous cell carcinoma, and melanoma, sharing clinical insight and real patient stories that highlight why regular skin checks save lives. You'll learn how to spot suspicious moles using the ABCDE rule, what "ugly duckling" lesions are, and why sunscreen myths are still circulating online. Plus, in this week's "Did You Know?" the hosts discuss the rarest skin cancers, genetic risks, and how mutations like the Sonic Hedgehog gene can even cause cancer in kids. Whether you're diligent about your SPF or overdue for your first skin check, this episode gives you the knowledge—and motivation—to protect yourself year-round. Follow Us: Austin Lee Product of the Week — Neutrogena Collagen Bank SPF 30 | |||
| Guest Episode: Dr. Michael Christopher on Detecting Melanoma & The Future of Skin Cancer Screening | 06 Nov 2025 | 00:42:16 | |
In this special guest episode, Dr. Dustin Portela sits down with board-certified dermatologist Dr. Michael Christopher to discuss one of dermatology's most powerful diagnostic tools: dermoscopy. Often called "the stethoscope of dermatology," the dermatoscope allows doctors to detect skin cancer earlier and more accurately than ever before. Dr. Christopher explains how dermoscopy works, why it's not yet standard in every clinic, and what patients should expect during a thorough skin exam. The two also dive into the broader conversation about proactive healthcare—covering topics like optimal screening vs. standard guidelines, full-body imaging, AI-assisted diagnostics, and the changing landscape of melanoma detection. Whether you're a dermatologist, a medical student, or someone who wants to take your skin health seriously, this episode will leave you seeing skin checks—and your annual exam—in a whole new light. Follow Us: Austin Lee Guest: Dr. Michael Christopher | |||
| Episode 29: Skin in the Office — How Stress, Screens & Sitting Impact Your Skin | 30 Oct 2025 | 00:24:48 | |
You don't have to work outside to take a hit from your environment. In this episode, Dr. Dustin Portela and PA Austin Lee uncover the hidden ways office life can affect your skin—from blue light exposure and recycled air to stress, poor posture, and even those tempting breakroom snacks. They discuss how blue light can worsen pigmentation, how dry indoor air and heaters dehydrate skin, and why sitting all day can lead to circulation issues that dull your complexion. Plus, they share practical tips for healthier skin at work: using tinted sunscreen to block visible light, hydrating often, taking stretch breaks, managing stress, and even cleaning your phone and headset to avoid breakouts. This week's "Did You Know?" features wild skin trivia about heat exposure and office-induced rashes you've probably never heard of. Whether you're working from home or back at the desk, this episode helps you build better skin habits where you spend most of your time—at work. Follow Us: Austin Lee Product of the Week — Kill Switch Sleep Cocoa | |||
| Episode 28: The Skin-Gut Connection — How Digestion Impacts Your Skin | 23 Oct 2025 | 00:35:43 | |
It's one of the most talked-about topics in dermatology—and one of the most misunderstood. In this episode, Dr. Dustin Portela and PA Austin Lee explore the fascinating connection between your gut and your skin. They explain how inflammation, diet, and the microbiome influence everything from acne and eczema to psoriasis and overall skin health. You'll learn how food choices, stress, and even sleep affect your gut's barrier (and, in turn, your skin's barrier), plus why the gut-brain-skin axis matters more than ever. The hosts share practical, science-backed ways to support gut health—from fiber and probiotics to lifestyle adjustments—and debunk myths about "one-size-fits-all" supplements and miracle diets. This week's "Did You Know?" reveals just how many bacteria call your gut home (hint: way more than your skin has cells) and how they help your body heal itself from the inside out. Follow Us: Austin Lee Product of the Week — Pendulum Probiotics
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| Episode 27: Teen Skin 101 — What I Wish I Knew at 16 | 16 Oct 2025 | 00:31:15 | |
Teen skin comes with its own set of challenges—and lessons that last a lifetime. In this episode, Dr. Dustin Portela and PA Austin Lee break down everything you need to know about teenage skin, from acne and oily skin to dandruff, deodorant, and even the emotional side of breakouts. They cover why acne happens, how hormones trigger oil production, and the simple skincare routines that actually work (without overcomplicating things). The hosts also share their own teenage skincare mistakes, discuss the dangers of social media "hacks," and explain how confidence and clear skin aren't the same thing. Plus, this week's "Did You Know?" reveals how common acne really is—and a few surprising facts about who gets it worst. Whether you're a teen struggling with breakouts, a parent trying to help, or someone who just wishes they had this advice sooner, this episode offers practical tips, honest talk, and a dose of reassurance that you're not alone. Follow Us: Austin Lee Product of the Week — La Roche-Posay Purifying Foaming Cleanser, Differin Gel & EltaMD UV Clear | |||
| Episode 26: Barrier Breakdown — Repairing Over-Exfoliated, Angry Skin | 09 Oct 2025 | 00:27:36 | |
When your skin is red, tight, flaky, or stinging—your barrier might be crying for help. In this episode, Dr. Dustin Portela and PA Austin Lee unpack everything you need to know about the skin barrier: what it is, what damages it, and how to repair it. They break down how harsh cleansers, over-exfoliation, environmental stress, and even skincare "enthusiasm" can compromise your barrier—and what to do when it happens. You'll learn how to simplify your routine, which ingredients actually help (ceramides, niacinamide, urea, and petrolatum), and when to ditch actives like retinol or acids. They also share dermatologist-approved strategies for soothing irritation, rebuilding the microbiome, and preventing future flare-ups. Plus, this week's "Did You Know?" features some wild animal skin trivia you won't forget. Whether your skin's feeling dry, angry, or overworked, this episode gives you a reset plan for a calm, balanced, and healthy complexion. Follow Us: Austin Lee Product of the Week — Avène Barrier Repair Collection | |||
| Episode 25: Pigmentation Problems — Treating Dark Spots, Melasma & PIH | 02 Oct 2025 | 00:31:19 | |
From stubborn acne marks to melasma and sunspots, unwanted pigmentation is one of the most common reasons people see a dermatologist. In this episode, Dr. Dustin Portela and PA Austin Lee break down the different types of pigmentation, why they happen, and the science behind how to treat them. They cover post-inflammatory hyperpigmentation (PIH), melasma, sunspots, freckles, and even lighter pigment changes like idiopathic guttate hypomelanosis. You'll learn why pigmentation is so persistent, how heat and even blue light can make melasma worse, and why sunscreen is always step one. Dustin and Austin also dive into prescription options like hydroquinone, over-the-counter ingredients like kojic acid and niacinamide, and emerging alternatives like thiamidol and melasyl. They also explore in-office options—chemical peels, lasers, and microneedling—and explain which treatments work best for which conditions. This week's "Did You Know?" reveals just how common pigmentation really is in dermatology offices—and why it often shows up alongside other concerns. Follow Us: Austin Lee Product of the Week — Eucerin Radiant Tone Collection | |||
| Guest Episode: Dr. Tony Youn on Plastic Surgery, Longevity, and Looking Younger Without Going Under the Knife | 04 Jun 2026 | 00:38:17 | |
What if the best plastic surgery advice is how to avoid plastic surgery in the first place? In this guest episode, Dr. Dustin Portela sits down with board-certified plastic surgeon Dr. Tony Youn, known to millions online as "America's Holistic Plastic Surgeon." Together, they explore a different approach to aesthetics, one that prioritizes lifestyle, nutrition, skincare, and overall health before ever considering surgery. Dr. Youn shares how a life-changing patient complication reshaped his philosophy on medicine and why he now views surgery as a last resort rather than a first step. The conversation covers longevity, weight loss, GLP-1 medications, skincare, social media, and the growing overlap between plastic surgery, dermatology, and preventive health. They also tackle one of the most confusing topics in aesthetics today: the difference between a board-certified plastic surgeon and a cosmetic surgeon. Dr. Youn explains what patients should know before choosing a provider and why training, credentials, and complication management matter more than ever. Whether you're considering cosmetic procedures, interested in healthy aging, or simply want to understand how the aesthetics industry is evolving, this is a fascinating conversation with one of the most influential voices in plastic surgery today. Guest Info Dr. Tony Youn Instagram: @tonyyounmd Follow Us Dr. Portela Skinfluence Podcast | |||
| Guest Episode: Chris Salgado on Men's Skincare, Mental Health & Building Atwater | 25 Sep 2025 | 00:33:52 | |
In this special guest episode, Dr. Dustin Portela sits down with Chris Salgado—founder of Atwater Skincare and former president of Kiehl's—for a candid conversation about men's self-care, confidence, and mental health. With over 40 years in the beauty industry, Chris shares what inspired him to create a modern men's brand, why skincare for men needs more than just "marketing," and how grooming habits like beards fit into the bigger picture of self-image. They also talk openly about the role skincare can play in building emotional resilience, the challenges of launching a brand in today's crowded market, and why small intentional habits (like daily sunscreen or a simple skincare routine) can transform more than just your skin. Plus, Chris opens up about his personal journey—from motorcycles to mental health advocacy—and offers an exclusive discount for Skinfluence listeners on Atwater Skincare. Follow Us: Austin Lee Atwater Skincare Offer | |||
| Episode 24: Skin Myths Busted — TikTok Trends You Should Definitely Skip | 18 Sep 2025 | 00:31:57 | |
From toothpaste on pimples to lemon juice masks, TikTok is full of skincare "hacks" that promise quick fixes but can actually do more harm than good. In this episode, Dr. Dustin Portela and PA Austin Lee put the most viral trends under the microscope, breaking down why they don't work and what you should be doing instead. They cover everything from sugar scrubs and at-home microneedling to slugging, jade rollers, beef tallow, pimple patches, and DIY masks. Along the way, they share personal stories from the clinic, laugh about some of the stranger cases they've seen, and highlight the difference between harmless self-care rituals and habits that can really wreck your skin. Plus, this week's "Did You Know?" dives into some surprising historical skincare practices—from crushed pearls to the "retinol sandwich" myth. If you've ever been tempted to try a social media hack, this episode will help you separate fact from fiction—so your skin stays safe, healthy, and glowing. Follow Us: Austin Lee Product of the Week — Cure Red Light Mask | |||
| Episode 23: Scalp Check — Dandruff, Psoriasis & What's Actually Going On | 11 Sep 2025 | 00:27:42 | |
Your scalp is skin too, and it can face just as many problems as the rest of your body. In this episode, Dr. Dustin Portela and PA Austin Lee break down the most common scalp conditions, including dandruff, seborrheic dermatitis, and psoriasis—explaining what causes them, how they're different, and the treatments that actually work. They also share surprising connections between scalp health and other conditions, from Parkinson's disease to psoriatic arthritis, and explain why product buildup isn't the same as dandruff. You'll learn about the best over-the-counter shampoos, when prescriptions are needed, and why rotating products can make a big difference. Plus, this week's "Did You Know?" covers the unexpected link between scalp oil glands and the greasiness you feel by the end of the day. Whether you're battling flakes, itch, or irritation, this episode offers clarity, practical advice, and a few laughs along the way. Follow Us: Austin Lee Product of the Week — CeraVe Hydrating Anti-Dandruff Shampoo & Conditioner | |||
| Episode 22: Under the Surface — Understanding Skin Texture & Large Pores | 04 Sep 2025 | 00:30:51 | |
We all want smooth, even skin—but texture and pores are a universal struggle. In this episode, Dr. Dustin Portela and PA Austin Lee break down what "skin texture" really means, why pore size is mostly genetic, and the common bumps that throw people off track—from milia and sebaceous hyperplasia to keratosis pilaris and blackheads. They also explain why you can't actually "shrink" your pores, but you can improve how they look with smart skincare and treatments. From exfoliation with AHAs and BHAs to retinol, hydration, microneedling, dermaplaning, and chemical peels, Dustin and Austin share the best options for smoothing things out—plus the ones to avoid. Along the way, you'll get a crash course in why over-exfoliation backfires, how social media filters skew reality, and why confidence matters more than "glass skin." This week's "Did You Know?" reveals just how many pores you really have on your face (hint: it's more than you think) and how often your skin actually renews itself. Follow Us: Austin Lee Product of the Week — Dean Skincare Clear Choice Acne Pads
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| Episode 21: SPF Wars — Mineral vs. Chemical Sunscreen | 28 Aug 2025 | 00:38:46 | |
Not all sunscreens are created equal, and in this episode Dr. Dustin Portela and PA Austin Lee dive deep into the great sunscreen debate: mineral vs. chemical. They break down how each type works, what "broad spectrum" really means, and why SPF numbers don't always tell the whole story. From UV myths and viral TikTok misinformation to practical tips on when, where, and how much sunscreen to actually use, this is your ultimate guide to smart sun protection. They also tackle reef-safe claims, sunscreen safety studies, tinted formulas for darker skin tones, and the truth about makeup SPF. Plus, in this week's "Did You Know?" segment, you'll learn what ancient civilizations used as their version of sunscreen (hint: it wasn't very effective). Whether you're a daily user, a weekend warrior, or someone who's just trying not to burn, this episode will give you clarity on choosing the right sunscreen—and how to enjoy the sun without the fear. Follow Us: Austin Lee Product of the Week — EltaMD UV Clear
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| Episode 20: Barrier Breakdown — Repairing Over-Exfoliated, Angry Skin | 21 Aug 2025 | 00:27:13 | |
Your skin barrier does more than just "hold everything in." It keeps good things—like water and nutrients—inside while blocking out irritants, allergens, and microbes. But what happens when that barrier is damaged? In this episode, Dr. Dustin Portela and PA Austin Lee explain the science behind the skin barrier, the signs it's compromised, and why over-exfoliation, hot showers, climate changes, and even your skincare products might be making things worse. They share practical tips to prevent barrier damage, the ingredients that truly help restore it, and the myths that can keep your skin in a constant cycle of irritation. From ceramides and urea to Vaseline and niacinamide, Dustin and Austin unpack what really works when your skin is inflamed, dry, or breaking out. Plus, this week's "Did You Know?" proves that dermatologists sometimes have the most entertaining names for common skin conditions. Whether you're battling redness, sensitivity, or just overdid it on actives, this episode is your roadmap to a healthy, resilient skin barrier. Follow Us: Austin Lee Product of the Week — Dean Skincare Activi Advanced Therapy Repair Cream | |||
| Episode 19: Backne, Chestne & Buttne — The Truth About Body Acne | 14 Aug 2025 | 00:27:06 | |
Body acne might be common, but that doesn't make it any less frustrating. In this episode, Dr. Dustin Portela and PA Austin Lee tackle everything you need to know about breakouts beyond the face—from backne and chestne to the lesser-discussed "buttne." They break down why body acne happens, how it differs from facial acne, and the unique challenges of treating it on thicker skin. You'll learn the real triggers (including gym habits, clothing choices, and even hormone therapy), why fungal acne is overdiagnosed online, and how to spot its telltale signs. Dustin and Austin share practical tips for prevention, discuss treatment options that actually work, and explain when it's time to see a dermatology provider. Plus, this week's "Did You Know?" proves the back is more than just a backdrop—it's an oil gland hotspot. Whether you're a weekend gym-goer or just tired of stubborn body breakouts, this episode has the clarity—and the laughs—you need. Follow Us: Austin Lee Product of the Week — Dean Skincare Clear Choice Acne Pads | |||
| Episode 18: Laser Focus — What They Do, How They Work & When You Actually Need One | 07 Aug 2025 | 00:34:39 | |
From fine lines to freckles to full resurfacing, lasers can do a lot—but not all lasers are created equal. In this episode, Dr. Dustin Portela and PA Austin Lee break down the most common types of lasers used in dermatology and aesthetics. They explain how lasers actually work, which concerns they're best suited to treat, and what you need to know about prep, downtime, and results. They also talk about the difference between ablative and non-ablative lasers, fractional technology, pigment and vascular targets, hair and tattoo removal, and the unique considerations for darker skin tones. You'll learn why lasers can be transformative in the right hands—and potentially harmful in the wrong ones. Plus, this week's "Did You Know?" dives into some surprisingly ancient laser tech roots. Whether you're laser-curious or ready to book a treatment, this episode gives you the clarity you need to make smart, safe decisions. Follow Us: Austin Lee
Product of the Week — Summer Essentials Bundle | |||
| Guest Episode: Dr. Gary Linkov on the Truth About Hair Transplants | 31 Jul 2025 | 00:59:24 | |
In this guest episode of Skinfluence, Dr. Dustin Portela sits down with renowned facial plastic surgeon Dr. Gary Linkov for an open and personal conversation about hair loss, self-image, and the evolving landscape of hair restoration. Dr. Linkov shares his powerful journey with alopecia areata—including how losing his own hair changed the way he connects with patients—and why embracing baldness or seeking treatment are both valid choices. Together, they unpack hair transplant myths, the state of black market clinics, and how to spot ethical, high-quality providers. Plus, Dr. Linkov gets candid about launching his Feel Confident skincare and haircare line, and the real challenges of building a science-first product brand in today's saturated market. Whether you're considering a hair transplant, navigating hair loss, or simply curious about the latest treatments and technologies, this episode is packed with perspective, humor, and honesty. Follow Us: Austin Lee Product of the Week — Feel Confident by Dr. Gary Linkov
More from Dr. Gary Linkov:
Bio: Dr. Linkov Bio | |||
| Episode 17: The Truth About Tretinoin, Retinol & Results | 24 Jul 2025 | 00:24:09 | |
Retinoids are one of the most powerful tools in skincare—but they're also one of the most misunderstood. In this episode, Dr. Dustin Portela and PA Austin Lee break down everything you need to know: the science behind how retinoids work, the real difference between retinol and tretinoin, how to build tolerance, and why consistent use matters more than strength. They also dive into side effects (like dryness and "the purge"), debunk myths around skin thinning, and explain who shouldn't use retinoids (hint: rosacea and pregnancy need special care). Plus, they introduce a new medical-grade retinol serum available through Dr. Portela's office—designed for results with minimal irritation. Stick around for a double dose of "Did You Know" trivia, practical starter tips, and advice on when (and if) you should level up to a stronger formula. Follow Us: Austin Lee | |||
| EP 47: Inflammaging, Chronic Inflammation, and Why Your Skin Ages Faster | 28 May 2026 | 00:38:29 | |
What if one of the biggest causes of aging isn't just getting older, but chronic inflammation happening inside the body every single day? This week, Dr. Dustin Portela and Austin Lee break down the growing conversation around "inflammaging" and how inflammation may be impacting everything from wrinkles and rosacea to fatigue, joint pain, hair loss, and long-term health. The conversation explores the difference between healthy inflammation and chronic inflammation, why modern lifestyles keep so many people stuck in an inflamed state, and how things like sugar, processed foods, poor sleep, stress, UV exposure, and even overdoing skincare can quietly accelerate aging. They also discuss blood sugar spikes, insulin resistance, longevity trends, continuous glucose monitors, and why simple skincare routines often outperform aggressive ones when it comes to healthy skin and aging well. If you're interested in anti-aging, skin health, wellness, rosacea, longevity, or dermatologist-backed skincare advice, this episode is packed with practical, real-world takeaways you can actually use. Product of the Week Dene Skincare Botanical Calming Serum Follow Us Dr. Portela Austin Lee, PA-C Skinfluence Podcast | |||
| Episode 16: Beard Basics — Grooming, Skin Care, and Shaving Secrets | 17 Jul 2025 | 00:22:10 | |
Whether you're rocking a lumberjack beard, keeping things trimmed and tidy, or struggling to grow more than stubble, this episode has you covered. Dr. Dustin Portela and PA Austin Lee dive into all things beard care—from how to clean the skin underneath to preventing common problems like ingrown hairs, irritation, and beard dandruff. They explain conditions like pseudofolliculitis barbae (shaving bumps), seborrheic dermatitis under facial hair, and why those multi-blade razors might be causing more harm than good. Plus, they share practical tips on oils, balms, trimming techniques, and why sometimes switching to an electric razor can save your skin. You'll also hear some fascinating beard trivia (hello, ancient Egyptian razors) and why growing facial hair might just be a summertime advantage. Whether you're a beard veteran or a bare-faced hopeful, this episode delivers practical advice and a few laughs along the way. Follow Us: Austin Lee | |||
| Episode 15: Rash Decisions — When Your Skin Acts Up and What to Do About It | 10 Jul 2025 | 00:42:12 | |
Not all rashes are created equal. In this episode, Dr. Dustin Portela and PA Austin Lee break down the most common types of rashes, from allergic contact dermatitis to eczema, psoriasis, and the mysterious world of hives. They explain why "just switching your detergent" rarely solves the problem, when a rash might be more than skin deep, and how stress plays a surprising role in flare-ups. You'll learn why taking photos of your rash could save your dermatologist a headache (and you a biopsy), the science behind itching and inflammation, and modern treatment options—from over-the-counter fixes to powerful biologic therapies. Plus, get the lowdown on trendy home remedies like beef tallow and why they might not be the miracle you're hoping for. As always, the duo shares practical tips for protecting your skin barrier, choosing the right moisturizers, and knowing when it's time to see a dermatologist. Follow Us: Austin Lee | |||
| BONUS: A Conversation on Oral Health, Microbiomes & Whole-Body Wellness | 03 Jul 2025 | 00:53:41 | |
In this special bonus episode, Dr. Dustin Portela welcomes his very first guest to Skinfluence: functional biomimetic dentist Dr. Craig Clayton. Together, they dive into the surprising links between your oral health and your whole-body health—unpacking how inflammation, cavities, mouth breathing, and even tongue posture affect everything from acne and gut health to cardiovascular disease. Whether you've had dental work, deal with chronic skin issues, or just want to better understand your body's systems, this conversation offers a fresh, holistic take that goes way beyond brushing and flossing. You'll also hear actionable tips on oral microbiome support, mouth taping, and why bleeding gums are never "normal." Products of the Week: https://elementasilver.com/?dt_id=2083996 The discount code is RESTORATION15 for 15% off.Follow Us: Austin Lee | |||
| Episode 14: Peels & Reveals — The Real Deal on Chemical Exfoliation | 03 Jul 2025 | 00:25:48 | |
Ready for smoother, brighter skin? Dr. Dustin Portela and PA Austin Lee dive deep into the world of chemical peels in this episode of Skinfluence. They break down how peels work, who's a good candidate, and the difference between in-office treatments and at-home exfoliation. From glycolic and salicylic acids to powerhouse TCA and even intense phenol peels, they discuss the benefits, risks, and myths surrounding this classic skin treatment. They also share tips on avoiding common peel mistakes, how to prep and protect your skin, and why sometimes less is more when it comes to exfoliation. Plus, discover ancient beauty secrets (Cleopatra's sour milk baths, anyone?) and modern product recommendations for safe at-home exfoliation. Whether you're curious about tackling acne, pigmentation, fine lines, or just want that glow, this episode has you covered. Products of the Week: SkinBetter Science AlphaRet Exfoliating Peel Pads: https://go.shopmy.us/p-20611042 Dene Exfoliation Pads: https://shop.drdustinportela.com/products/rapid-reveal-exfoliation-pads?_pos=1&_sid=c8f7bd077&_ss=r At-Home Peel YouTube Video: https://youtu.be/c5df9WzyOb8Follow Us: Austin Lee | |||