The Truth About Eye Bags, Sunscreen & Red Light Therapy| Derm Q&A

Hinzugefügt: 2026-06-01

[00:00:00]Well, hey guys. Welcome back. We have some great questions to tackle this weekend, starting today, and then of course I will pick back up tomorrow with a part two. These questions are coming from last weekend's Q&A's on Saturday and Sunday. So, thank you in advance for all of your comments. And as before, if you have a question you want me to address in a future video, just drop it down below in the comment section of this video or when you come back tomorrow, if you think of it, leave it in the comment section of tomorrow's video. Please discuss Lar Ro Pose's ingredient Neurosensing. Neurosensing is a cosmetic ingredient. It's naturally found in your skin. It is a small peptide that has been shown to calm the skin and reduce inflammation. It may be helpful for the symptoms of rosacea and overall sensitive skin like burning, stinging, and irritation. It's found in Lar Ro Pose's Derm Allargo line, which I reviewed a couple of years ago, as well as a product from them in their AR line.

[00:00:56]If you're interested, just type into YouTube Dr. Dre Lose Pose and my reviews of those products should come up for you. Do you have any suggestions for dealing with puffy eyes/ eye bags? Eye bags are going to be managed surgically.

[00:01:12]They are displaced fat. Think of eye bags as the same problem as under eye hollows. The difference is the fat has repositioned into a different location.

[00:01:23]In under eye olives, it's down and back.

[00:01:26]In prolapse and bags, it's forward.

[00:01:28]Aside from eye bags, there are also undereye fesunes, otherwise known as marar mounds. So, eye bags versus marar mounds. They are different. Eye bags are prolapsed fat, and they form as it relates to age related change around the eye. namely a shortening of some of the ligaments, a weakening, a atrophy of fat and repositioning as well as resorption of bone, bone loss around the orbital rim. The eye socket widens with age.

[00:01:58]Malar mounds or fesunes on the other hand, these bags are not bags of prolapse fat, but rather fluid and like some loose muscle tissue. They are the result of age related change to the supportive ligaments coupled with fluid accumulation under the eye and a decrease or loss of midfacial volume.

[00:02:19]And so you have that descent of the cheek pulls everything down and allows for stuff to spill into that thin under eye area namely fluid and loose connective tissue. And the way to tell the difference between an eye bag and a marar feston or a marar mound there actually a few ways. First of all, eye bags due to fat prolapse, they're directly underneath the lower eyelids, whereas mar mounds aka festoonses are going to be lower down on the lower eyelid and extending to the top of the cheek. Marounds and fesunes will look the same no matter which way you gaze, whereas an under eye bag will be more obvious with upward gaze. A mar mound will be more prominent in the morning as it relates to fluid accumulation. A mor mound aka dune is soft. It's squishy.

[00:03:06]Whereas a eye bag is firm and the fat you can feel more of a rubbery texture down deeper in the skin. But whether it be marar mounds fonses or eye bags, it's going to be surgical management in most cases. And there's no eye cream or eye care product that gets at those. Can I layer tootine and azelleic acid together? If so, which one to layer first? doesn't make a difference. They can be layered together. The order does not matter. Acelic acid, as a side note, it can be used alongside any ingredient.

[00:03:39]In fact, I would say it is rare. It is rare and the cases are few and far between where you cannot use an ingredient with another ingredient.

[00:03:47]They're they're very uncommon situations. So those questions, can I use this with that? Nine times out of 10, the answer is going to be yes if tolerated. In the case of pairing kazeritine with azelleic acid, you may get some complimentary benefits from both drugs. Namely for uh perhaps acne control cuz both treat acne as well as for helping to cut down on those little papules and pules of rosacea and also for hyperpigmentation. So they definitely can complement one another and getting perhaps better overall results than either treatment alone. But I did get a lot of questions. Can you do a video on tazeritine? I actually have several videos on tazeritine here.

[00:04:29]They're all in the retina playlist where I talk about a different retinoids. So rather than repeating those, I would encourage you to check out those tarotene videos because I do deep dives comparing how tarotene is versus tininoan for anti-aging and all of those kind of questions. I developed moles in the area where I had shingles on the left shoulder blade. Is that normal?

[00:04:49]That definitely can happen. and it's called wolf's isotopic response.

[00:04:55]Essentially, you can develop a new skin problem in an area where a prior skin problem arose and herpes zoster or shingles as it's commonly referred to is a classic classic scenario because the reactivation of the shingles virus that leads to the shingles rash. a situation where within the skin you have some alterations of the immune system going on and it can literally set the stage and kick off a whole new skin condition and that includes skin lesions like non-cancerous melan they're called melanocyic nevi u moles as well as even skin cancers can arise sometimes a tumor might arise that way also conditions that are classified as lychenoid based on how the pattern of inflammation comes into the skin like lychen planus or conditions that are characterized as granulomatus like sarcoidosis for example. Now wolf's isotopic response where you get a new rash in an area where you had a different rash is not the same thing as kebab. I talk about kebab quite a bit in videos where it is relevant namely psoriasis and ly and planus. Kebner is a little bit different in that you get a skin condition coming out as a result of skin injury. In other words, you get a disease in an area where there was no disease, just trauma.

[00:06:18]Whereas with wolves, you're getting a different disease. So you start with one disease, it goes away. It alters stuff and as a result, you get a new skin condition in that area as a result of the alteration. Whereas Kebner is I've traumatized the skin. I have a history of the skin disorder that is prone to Kebner like psoriasis or like implanus.

[00:06:40]know that's going to bring out more of my existing disease. You see what the difference there? Existing disease brought out by trauma. New disease brought out by the trauma of a different disease. That's wolves. But yeah, absolutely can happen for sure. How can you tell if you have acne on your chin or if it's peroral dermatitis? Peroral dermatitis is a variant of rosacea.

[00:07:03]Peroral dermatitis will not have comedones. Combidones are either closed, aka a white head, or open, a blackhead.

[00:07:13]Comedyones are not the same thing as postules. Watch my recent YouTube short distinguishing the difference. Peroral dermatitis will not have comedy. By definition, acne has comeones. It may be few and far between, but comedones are the root issue, the primary lesion, I should say, of acne. With rosacea and peroral dermatitis, you have no comedy.

[00:07:36]With peroral dermatitis, it notoriously around the mouth spares the area right up close to the mouth. You'll have this clear area of clearing around your mouth. You'll have little little bumps, right? You'll have little bumps all around your mouth, but up close to the lip will be completely spared. Whereas acne can creep on over up close to your lip. Perorficial dermatitis in most cases is going to have more of the symptoms that you might encounter with rosacea. burning, stinging, itch, irritation, sensitivity, like that's very uncomfortable. Perorficial dermatitis is going to tend to feel dry and flaky in many cases. It's not always that way, but in more more often than not, that is the case. Whereas acne, yeah, it can itch. It can get dry, especially if you've used a bunch of products on it and develop irritation.

[00:08:26]But for the most part, the skin is not necessarily really symptomatic that commonly. and it usually feels oily if anything. What are good deodorant options for those of us who may not use aluminum antipersperants because of breast cancer radiation therapy? So antipersperants with aluminum are not contraindicated in breast cancer or in radiation. They're they're not they've never been shown to be harmful.

[00:08:53]Legitimately in those circumstances, they're safe to use. Um, however, a lot of people find that aluminum salts and antipersperants cause a lot of underarm irritation if you've been going through radiation therapy. That's a scenario where you're going to be more vulnerable to irritation. So, you may not tolerate them. You may not get along with them.

[00:09:12]When it comes to deodorants, recently I talked about how I've come around to Lumi's deodorant. I used to be like this is like not logical. But the thing about Lumi's deodorant, of the products that do not have aluminum, which are by default deodorants, okay? If you don't have aluminum salt, you are by default a deodorant if you're, you know, intended for odor control. So, of the products that do not have aluminum that are deodorants, I would say the Lumi one.

[00:09:41]The I like it because there's an unscented option and it does a pretty good job absorbing excess sweat, absorbing excess moisture without causing abrasive uh particles. So, if you ever use a powder, for example, under your arms or in the skin folds, you get really sweaty. Well, the powder can become very abrasive cuz it kind of clumps together. that can actually cause a lot of irritation. So, the Lumi product doesn't do that. It has I want to say mandelic acid as well, which in a deodorant may help in normalizing or helping to keep the pH um more on the acidic end where it needs to be normalizing skin microfllora, cutting down on types of bacteria that would otherwise break down sweat and contribute to odor. So, that's one that I would recommend. But 99% of straight up deodorants out there, they introduce more risk without any benefit. And the reason is essentially they are just stick perfumes. They have a very high concentration of the fragrance compounds as a the way they're formulated. So they end up if anything just being more irritating than using nothing. And that irritation can ultimately mess up the barrier. the microfllora there can get altered and you can have even more odor as a result. Not to mention the irritation is a common trigger for hyperpigmentation even in the absence of any clear rash. Um fragrance and antipersperence and deodorants is associated with unwanted hyperpigmentation in the underarm area.

[00:11:12]So for that reason I'm just like deodorants whatever. I mean find one that you like the way it smells but it's not going to really truly target odor in any mechanistic way. It's not going to reduce sweat. That's a big driver for odor. It's not going to alter the microbiome. It might, depending on how well it's formulated, absorb a little bit of moisture, but yeah, otherwise, no. The other thing is, uh, Botox injections can significantly reduce sweat, and they're typically need to be administered twice a year, although some people get away with once a year, and that really can make a huge difference.

[00:11:45]And then also stick to lightweight, breathable fabrics that wick away sweat and moisture. And then I often recommend washing the underarms with a benzol peroxide acne wash. It can be drying and irritating. I suggest choosing the lowest percentage strength available to cut down on that, but that definitely can help in cutting down on the types of bacteria that otherwise break down sweat and lead to odor. Can trenan be used with red light mask? Yes. So, I know a lot of the brands say, "Oh, if you're using retinoids, be careful or don't use the mask." There's really not any good reason for that recommendation because topical retinoids do not increase your sensitivity to visible light. So it's not clear why that recommendation is there. Now some older formulations of teninoan are photo unstable like they degrade in the presence of certain wavelengths of visible light. And so in that case, it kind of makes sense to say, okay, it's probably not a good idea to if you're using the mask at night to also put your treadan on at night as is typically advised. Put it on and then immediately do the mask because the light may degrade the treadan on your face at that point and compromise, you know, the overall amount that you have.

[00:12:56]But it's fine to put it on afterwards.

[00:12:59]And the other reason to consider not putting it on first and then the mask immediately on over is that the mask will increase irritation potentially of trenin or any skin care product because anything under occlusion just becomes more irritating. But otherwise like this whole thing of like you can't use a red light mask if you're using tren it makes zero sense. Um it makes zero sense or that goes for retinol retinaldahhide tootene adapylene triferitine any of them. Can people with rosacea use a red light mask? Yes, if tolerated. Rosacea is triggered by ultraviolet radiation from the sun, which these masks should not emit. If anything, it can be helpful for rosacea because it has anti-inflammatory benefits. So, yeah, um there's nothing about th those masks that is contraindicated with rosacea.

[00:13:45]Now, you didn't ask this specifically, but I always get this question. What about melasma? So, melasma is sensitive to visible light, but that's typically blue light. So I I do suggest that if you have mealasma, do not use the masks that have blue light in them for that reason. And those are typically going to be the ones that are meant to improve acne because the blue light targets the acne causing bacteria. But other masks like the Omnilux Contour, for example, that are just red and near infrared, those do not those are not wavelengths that are known to exacerbate melasma.

[00:14:17]That being said, everyone's melasma is different. There's some theoretical concern that the increase in blood flow might aggravate melasma as can happen with red light therapy which generally a good thing but in the case of mealasma it's like oh well could that cause the melasma to get worse there's really no good data there is one study looking at these red light for melasma showing improvement that was kind of small and there haven't been very many so I think it's a good idea to be extra conservative if you have um melasma but even that is not completely like established to be contraindicated ated.

[00:14:49]If the FDA actually regulates their sunscreens, how come there's research that the FDA approved sunscreens that are hormone disruptors? They've done nothing about it. And there's also research that our FDA approved sunscreens become really unstable in the sun compared with new advanced filters.

[00:15:04]Who cares where the sunscreen comes from, EU or Asia? What matters is if they work better. So, sunscreen ingredients, they've never been shown to or proven to cause any kind of hormonal disorder in users and people. Um, There's no evidence that they disrupt hormones. Uh the only evidence that fuels that fiery debate is where they take an ungodly amount of a sunscreen ingredient. But that's not what's happening when we apply sunscreen to the skin. First of all, the amount that you would ever be absorb would ever be absorbed systemically from applying sunscreen to your skin is so negligible that it's not enough to it doesn't reproduce what was shown in these studies. it it's never been shown to cause any kind of hormone thing, but these fear-mongering groups just keep saying that over and hormone just not safe. And they make up their own pregnancy safety data and scare women into using mineral sunscreens. Yeah.

[00:16:02]None of that is there's no evidence for that. People have been using these ingredients for a long time with no evidence of any kind of hormonal problem arising as a result of their use. As far as the filters being photo unstable, that has been known for a long time because by themselves in a dish, yeah, they're not, but they're formulated with photo stabilizers, which allows for them to remain stable. So, that's not an issue. The other thing is work better has never been proven as I outlined in the Q&A that the Korean and um Japanese and European suns sun sun sunscreens they have in Europe, they're they've never been proven in real world use conditions to offer superior protection than American ones. It's just assumed that because they have different filters, they must be better. But objectively speaking, that data doesn't exist. So it it it doesn't exist. Uh it's just based on speculation. I recently had surgery and was prescribed painkillers, 400 milligrams of ibuprofen every eight hours. During the use of the painkillers, my acne, KP, and back acne all went away within 5 days. I have never been able to get rid of KP and it was actually increasing on my back and down my legs. I'm currently on a dapylene.3.

[00:17:17]Does that mean that there's inflammation throughout the body? Not sure how to proceed to keep the skin smooth. So, ibuprofen is a non-steroidal anti-inflammatory drug and it is a common pain reliever you can get over the counter. It's not, you know, it would make some sense that inflammatory skin conditions like acne might improve potentially a bit, but it's not common that taking ibuprofen will get rid of acne by any means. And the other word of warning about ibuprofen, if you missed my video on this topic, but it can make you more sensitive to a sunburn for sure. Now the other question is you could have received some medication around the time of surgery or in surgery intraoperatively that also has had some impact on your skin such as an antibiotic. Acne will clear with any antibiotic uh for that matter. Um also uh predinazone or other glucaorticoid steroids may have been given. I I don't know what kind of surgery you had done.

[00:18:13]Um, and those notoriously will silence any inflammatory skin condition. But in many cases, um, when they're tapered off or discontinued, that problem comes back 10,000 times worse. So much so that they systemic corticosteroids should pretty much never be given to patients with psoriasis because they can rebound so bad they get what's called ariththodermic psoriasis, like red from head to toe. Also, that happens with patients who have attopic dermatitis. if you give them a course of oral uh steroids, they will rebound so bad they'll get beat red and and flaky. But to answer your question, I suppose it's possible that the ibuprofen had some benefit. If you want more tips though on skin care for smooth skin on the body with KP, check out my videos. I've got a couple of very recent ones, updated ones too on tips, tricks, approaches for controlling KP. And I also have a video on how to tell if it's actually KP or something else, one of the mimickers.

[00:19:10]And it sounds like you've got acne as well, so it might be helpful to watch that video. Your lipstick is very pretty. What color are you wearing?

[00:19:17]Well, thank you. This is Clinique's ColourPop in the shade AB Bear Pop. I really like it because it's not drying.

[00:19:24]It stays in place. It feels pretty moisturizing. It's comfortable to wear.

[00:19:29]It spreads on the lips easily, and it doesn't get all over my teeth. Those are like my main criteria for a lipstick.

[00:19:36]All right, guys. So, those are all the questions for today, but again, be sure and come back tomorrow. I will be tackling even more of these great questions. I have them all here on my phone, so just keep going here. But, uh, thank you again for those of those of you who have questions. I hope this was helpful and I appreciate you all tuning in. If you like today's video, give it a thumbs up, share it with your friends, and as always, don't forget sunscreen and subscribe. I'll talk to you guys tomorrow. Bye.

[00:20:18]Heat. Heat.