Subtitles section Play video Print subtitles - Dermatologists say you don't need special eye creams. Use what you use on the rest of your face, it's just skin. It's never just skin. (upbeat music) Hey guys, my name is Dr. Michelle Henry, I am a board certified dermatologist practicing in Manhattan, New York, and I do the full range of dermatology, so everything from skin checks to acne consults to skin cancer surgery to Botox and fillers, so I'm excited to be here with you guys today. We're gonna take a deep dive into the Go To Bed With Me comment section and I am gonna answer some of your most burning questions. (upbeat music) So I don't have one specific cleansing method that I recommend for all patients. What's really important is that you know your skin type. Let's say you have oily skin. Now what's going to be critical is that you're removing the oil, the dirt and debris from the day. So you're gonna want a slightly stronger cleanser, so maybe a gel or a foaming cleanser. If you have dry skin, I recommend something like mycellar water. So mycellar water is a really gentle way to cleanse the skin. So really choosing your cleansing method depends on your skin type. So first ask yourself, what is my skin type? And then choose your cleanser. I like that you alternate your cleansers. I'm going to try that. I agree with her. Our skin changes, the weather changes, our micro environment changes from day to day, and some days I have normal to combination skin. Some days I'm dry, and some days I'm oily. And I really do have to change my products and my cleanser on a daily or weekly basis based on my skin's needs. So ask your skin, how am I feeling today? And if you're feeling dry, it might not be the day to use a really harsh exfoliant or to use a really drying cleanser with really strong, active ingredients. Really listen to your skin. Think about your microenvironment. Think about the season of the year. Think about how it's feeling, and choose your products based on that. Does anyone else cringe at her rubbing and tugging so harshly? Rubbing and tugging harshly is absolutely something we do not want to do. Our skin is a very delicate organ, and in my opinion, one of our most important organs, and so we really have to treat it delicately. So when we're cleansing our skin, even if you're wearing really heavy makeup, make sure that you remove it gently and make sure that you're using the appropriate cleansers and makeup removers so that the process is nice and smooth and seamless. But tugging will not get your makeup off any faster. It will not make your skin happier or healthier. It will more likely cause little microtears, causing your skin to become inflamed, making your skin at risk for having infection, and it really is not what we're looking for. Next comment by Red Candy is, she has on her jewelry while doing her skincare routine. Rings and watches carry a large amount of bacteria. No wonder her face gets easily inflamed. Also, calls moisturizer crazy, but uses lemon on her face. So, two things here. Rings and watches, especially rings, which are typically metal, aren't really what we call fomite, so they're not holding a lot of bacteria typically. Of course, could they? Yes. But typically one does not have to remove a nice, smooth ring to tend to their skin. Now if you're wearing a ring that's quite jagged, I'm more concerned about it tearing the skin than I am about it causing a bacterial infection. The likelihood that she's getting bacteria from her ring is teeny teeny tiny, so that's not a concern. What I'm more concerned about is the lemon. Using lemon on the face, lemon can be really drying. It can actually be quite caustic to the skin. Further, citrus fruits can cause something we call phytophotodermatitis, and so they can sensitize the skin, causing inflammation, and actually causing a really, really dark hyperpigmentation. So I really don't want her using that lemon and then going out into the sun tomorrow. That's more problematic to me than wearing her rings. Exfoliators shouldn't be used as a second cleanse. It should really be a cleansing oil to break up makeup, followed by a gentle water-based cleanser like a gel cleanser to remove remaining dirt and whatnot. But whatever works for her, I guess. She's gorgeous. I don't agree with this. It depends on the exfoliator. So if you're wearing really heavy makeup, an exfoliator is not going to be able to exfoliate the skin. And why are we using exfoliators? We want them to remove the dead skin. Of course to remove dirt, oil, and debris, but they're usually more effective at removing dead. We want to first remove that barrier. So if you're using a makeup that's heavy, I'd prefer that you use an oil cleanser or whatever cleanser you're using to remove your makeup, and then use the appropriate exfoliant afterwards. If you're starting out a new exfoliation regimen, I always recommend no more than once or twice a week, and gradually work your way up. It also depends on if you're using physical or chemical exfoliation. So physical exfoliation or manual exfoliation, which is using something like a spin brush or using something that has beads in it or even sugar granules, something that's manually exfoliating, is oftentimes a little bit harsher than using a chemical exfoliant. Whatever you do, it's based on your skin type, start out one to two times a week, and gradually work your way up based on your tolerance. Foam cleanser can't remove makeup completely and they all feel light on the skin. It's foam. I don't necessarily agree with this either. So it depends on the type of makeup. So if you're wearing your daily makeup, a really robust foam cleanser, especially foam cleanser that has ingredients like glycolic acid or salicylic acid, which are really great at exfoliating and breaking down dirt, oil, and debris, can remove makeup from the skin. If it's for daily makeup, a foam cleanser, the appropriate foam cleanser can work and can give you an efficient cleanse. (upbeat music) A serum is typically in the treatment phase of your skincare regimen. It's a lightweight product that's pact with active ingredients. So you choose your serum based on your skin concern. So whether that is brightening, fine lines, or dark spots, a serum will help target that specific concern. A serum and essence, they may sound similar but they are quite different. A serum typically has a higher concentration of active ingredients and it's a little bit heavier, whereas an essence has active ingredients but it's a little bit lighter and it's a little bit more hydrating. So let's say you're someone who has more sensitive skin, you might want to start with an essence first. If you're someone who has a little bit more robust skin, you're less sensitive, then the serum might be the answer for you. So the next comment is by Melissa MJ, and she says, she's doing oils first, then serums, no. Melissa, you're right. So, an oil is typically occlusive. And so that means that it doesn't allow things to penetrate, it doesn't allow water to come out, nor does it let water or other ingredients to cross it to get in. And so if you're using an oil first on your skin and applying your serum next, you're wasting your serum, it's not able to penetrate. I'm genuinely interested to see how well the next generation will age. Given what we know about retinol and other skincare ingredients, will there be lots of 50-something-year-old people walking around with baby soft, unlined skin? I certainly hope so. I have been using retinol for as long as I can remember. I actually use it twice a day, which is a little bit naughty, but I absolutely love it. And in seeing my patients and practicing for many years, it is changing skincare. We look at a lot of celebrities that we love and we wonder why they look so fantastic, and I think a big part of it is excellent skincare, which using a retinol is absolutely the gold standard and should be a part of that. The next comment is by Maddy O'Toole. You only need two to three drops of serum. Well Maddy, this is not correct. Everyone's different. Some faces are more generous than other faces. Some serums are a little bit thicker or a little bit thinner, and so you know, there is no strict rule that you need two to three drops. Frankly, I need more than two to three drops. It just depends on the nature of the serum and your skin. What we're looking for is that you're making a thin, even layer. When you're putting on serum, it's not drippy. It's just a thin, even layer. You should allow your skin to absorb it, and that can be anywhere from two to six drops, who knows. How do you know if you're using too much of a product? Your skin will tell you. If you're irritated, if you feel that your other products aren't working because you now have 14 products and your moisturizer can't get in. So listen to your skin. If you're using too many active ingredients, one of the top things I see in my office is that when patients have a skin concern, they turn into little mad scientists and they're using everything and they're trying to improve their skin, and they often get irritation. So I think irritation is one of the top key indicators that you're using too many products. So the next comment is, you can see that the vitamin C serum has gone bad. That's why she's got a yellow tint. Well, this is incorrect. Vitamin C serum typically has a yellow kind of golden hue, so you really can't tell that it's gone bad by looking at it. If it smells bad, then maybe you could tell, but by looking at it, it's really difficult to tell. When you're buying a vitamin C serum, what's key is that the bottle should really be opaque, because vitamin C can be quite unstable. And so we take lots of precautions and lots of steps to stabilize, and because it's sensitive to light, we typically put it in an opaque bottle. The average shelf life, you know, it's hard because different products have different ingredients. Some of them have more water.