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- Hello everybody, it's me Dr. Sandra Lee,

aka Dr. Pimple Popper.

I am a board certified dermatologist

at private practice in Southern California.

And you may know me more for my pimple popping these days.

So I did a video called "Go to Bed With Me"

and today we're going to react to the comments

from the video.

And a little bit later I'm going to answer

some of your questions that you guys have about acne.

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Here we go.

Okay Margarita says,

"Her, so cleansing wipes,

"me, screams in pain." In parenthesis, okay.

Cleansing wipes, I know there's a lot of debate

and there's a lot of controversy on the internet

about cleaning wipes.

There are a lot of people that are strongly against them.

I use cleansing wipes and I do know a lot of dermatologists

a lot of professionals use cleansing wipes

and I think that they're fine to use.

I don't use them on a daily basis.

I think that they can be rough on your skin.

I definitely pat my skin with them

and I don't use them solely to clean my face.

They're sort of used if I have heavy make-up on,

if I'm on the run, if I'm traveling

and I really want to get some make-up off

and clean my face, but I don't have a sink in front me

and I can't completely wash my face.

People complain too that it...

Or they say that it could be really bad for our environment

and I know that we're all doing the best we can

to save the environment and so I understand that.

So if you're against cleansing wipes, don't use them.

I mean if you feel better about not wasting something

I completely understand that.

But I do think that there is a place for them in a routine

because they do make life a little easier for us.

Okay so here's the next question, Lisa Rose says,

"I thought micro-tears were a myth."

Well anything can cause tears in your skin

I mean even if you rub your rough finger on your skin,

it can cause micro-tears.

And I mean that's what our skin is designed for.

Our skin is there to help protect what's underneath.

And it's there to handle any tears

or any disruptions in your skin.

I mean even the sun when it hits your face

it's gonna cause damage.

Everything does, pollutants in the atmosphere,

all of this, so.

I think as we get older we are certainly more careful

about things that really rub hard on our face.

And not even so much that our skin gets

less resilient to things,

but more so that we're so conscious of it

because we are more conscious of maybe like

fine lines and wrinkles on our skin.

And we're trying to keep our skin young

for as long as we can.

I'm certainly less rough on my skin, as I get older.

And I think that is probably the truth for many people.

But you know micro-tears it's a daily occurrence for us,

for many reasons.

"People should listen to these professionals only,

"don't listen to YouTuber's

"who just promote products/brands."

You just really have to be careful on the internet,

I find this more and more lately actually.

I think it's going to become a problem,

that people say things and it sort of like

it kind of snow-balls and then it becomes so

spoken about so often that it becomes like this truth

that everybody believes in.

Recently I talked about,

I think even in this "Go to Bed" series

I talked about using, CeraVe or Cetaphil Cleansers

and some people get a little angry about that.

And they say that there are carcinogens

or there are cancer causing agents in there.

I will tell you I don't know a single

board certified dermatologist that would say

don't use these products because they can cause cancer.

I mean, and that should tell you something, I think.

We went to medical school,

we did our residency for three years,

some of us did a Fellowship.

I got out of school when I was 32 years old.

I mean we had specific training

in all conditions of the skin, the hair, and the nails.

So I think the bottom line is

that you should do your own research.

And trust your own research really.

And really consult with experts in your area.

A great board certified dermatologist

would be a great start.

Lemon Sorbet says, "Since she applies deodorant at night

"did she insinuate she doesn't apply it in the morning?

"This is the simplest, most affordable routine as of yet,

"apart from the syringe."

I do apply deodorant in the morning too.

I apply deodorant in the night

and I think I explained it in the video,

because our sweat glands are not as active at night,

they're more dormant, they're sleeping, like along with us.

It's kind of better to apply deodorant at night

and it kind of helps to make it more effective.

But I definitely apply it in the morning.

I definitely apply it more when I'm sweating more

you know during certain times of the year.

But I also do Botox in the summer to my arm pits.

Not everybody may be able to do that,

I'm not telling people that they should do that.

But that actually does work amazingly well,

to help with sweat control in the area.

All right next, David Fletcher,

"It's amazing watching all of these celebrities

"YouTube stars, with their uber complicated

"expensive skin care routines,

"then most dermatologists have basic routines

"with basic products from the drugstores."

Yes, this is true.

And I do see this, and I notice this in the comments

and I notice this in a lot of videos.

You don't have to spend a lot of money

to take care of your skin.

I understand what it's like to use a really expensive cream,

it smells good, it feels good,

it makes you feel more luxurious.

But if you don't have the money to afford it,

it is not going to give you better skin than using a more

inexpensive drugstore variety cleanser or moisturizer.

I mean I love Aquaphor, I love just plain Vaseline,

to put in places that are really dry.

I love CeraVe, I love Cetaphil, I love Neutrogena,

all the products that are sort of, they're like

dermatology recommended.

So you know, don't discount

the inexpensive brands out there.

S-K says, "I love her"

I love you to S-K.

"And great tip before your wedding or special event,

"go to a derm and get the deep-zit injection for Cortisone."

That's true.

Cat in Wonderland says, "Love, love, love,

"when my dermatologist injects my pimples."

Yes that's a special kind of trick, sort of,

that we have as dermatologists,

in fact I carry that in my travel kit anywhere I go.

I have a little injection ready to inject a pimple

that I might have,

or even maybe a friend might have with me.

It's great because Cortisone,

a low-potency Cortisone injected directly into a pimple

will actually stop it's progression.

And potentially resolve it within 24 hours.

What I'm injecting is a low-potency Corticosteroid.

So a steroid like this, like Prednisone, or Kenalog

actually can be injected for multiple reasons.

What we do is we dilute this steroid to a really

really low-potency to inject directly into a pimple

so it does not spread systemically,

it doesn't affect the rest of your body,

it just locally calms that pimple down.

What they essentially do,

is they blunt your immune system.

Your immune system is so revved up,

it's attacking this pimple, this bacteria there

and making it really red and painful and swollen.

We are injecting something directly into it

to sort of settle it down, saying chill out,

just calm down and that's what it does.

Okay, Ryan Sims says, "Watching this I like

"getting a free consultation advice

"from a dermatologist without actually,

"you know having to pay for the session."

I think that's what it was meant to be.

I mean that's what I was trying to do

and that's what we try to do,

that's what I try to do in all of my videos, really.

And on my T.V. show is really just try to

give you advice honestly, from my perspective

as a board certified dermatologist

and I think that's what we all try to do.

Really the point of it is really making sure that people

feel good in their own skin.

Sometimes when you get down this rabbit hole

of watching all these skin care advice videos,

from various people, it can make you feel bad about yourself

in your own skin, you compare yourself.

Just know that there are really simple things

that you can do.

And to really feel proud in whatever skin that you have,

and feel good in the skin that you're in.

It's Echo says, "One thing I regret too,

"is rubbing my eyes, it would feel so good

"now I feel like I have dark circles from doing that."

Yes I think I talked about that a little bit,

how maybe I have a little bit of darkness around my eyes,

and rubbing your eyes, like if you have a little allergy,

and you rub your eyes every now and then,

that actually contributes to darkening around your eyes,

and dark circles.

Especially those of us who have a little darker complexion.

We're more prone to that.

So if you find that you have dark circles under your eyes,

or around your eyes, and you tend to rub your eyes

a little bit, you might want to really

focus on taking an anti-allergy medication,

to try to nip your allergy issues in the bud

so that you won't have this tendency to rub your eyes

or really try to focus on keeping your hand off of it.

Because the more you rub the more the skin

gets a little rough or thickened

and looks older and the more the area can darken.

Okay next.

Karen Fulton, "Any ideas on how to prevent milia

on the eyelids and eye area?

"I have heard that eye shadow with fragrance

"can aggravate this condition."

I don't know about eyeshadow with fragrance specifically

but I think that just products that occlude your skin

there more so, can promote milia formation.

But the skin there is very thin,

it's the thinnest skin on our body.

So it is probably more prone to being a occluded or blocked

than other areas of our body.

So that's why, that is an area

that is more prone to milia development.

So milia are those white pearly bumps that you get

predominantly around your eyes.

You'll kind of feel them and they'll feel,

your fingernail will run over them,

they're under the skin so it's not like a pimple

that you can really squeeze them out,

but they're usually like,

they look kind of like a pimple,

just like a white bump.

We as dermatologists we can remove them in the office

if we nick the skin and kind of use a Comedone Extractor

and push them out, it's like a little pearl we call them

because they look like a little perfect circle.

They're actually just really superficial, tiny cysts.

Sot they have a tiny little thin sack around them.

And that's what makes them sometimes difficult to push out.

I just had a milia right on my upper eyelid here