Does everyone need to use a moisturizer?

No.

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Hey guys, it's Dr. Paul Jarrod Frank,

cosmetic dermatologist here in New York City.

And today, we're gonna take a deep dive

into the comment section of the "Go to Bed with Me" series.

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One of the most important steps in your nighttime

skincare routine is to remove any residue,

toxins or makeup on the skin.

You spend a lot time asleep hopefully,

and you wanna make sure the skin could breathe

with no residual residue.

I think the choice of cleansers really is very personal,

like any other aspect of skincare.

I think you have to find out

and determine whether you have oily skin,

dry skin, mixed skin,

and then you can really choice appropriately.

Obviously, creamier, milkier type of cleansers

are better for dry skin.

And you may want foaming cleansers or gel cleansers

for oily skin.

Hmm, Gunther the Penguin.

"Oh my god, yes.

"She washed her hands before going into skincare.

"Literally no celebrity has done this in their videos,

"but this step is crucial because imagine

"using those dirty hands."

Well I'd like to think that people are gonna clean

their hands before they wash their face.

It's usually kind of part of the whole process.

But yes, clean hands come before clean face.

Post Malone?

Post Malone's on this?

All right.

"That towel rag is making me cringe.

"Don't wipe it."

That's okay, as long as it's a soft towel and it's clean.

I mean, I wouldn't scrub your face with it,

but it's okay.

It's a basic part of a bathroom accoutrement,

so use it wisely.

And this next comment, "I don't need her skincare routine,

"I need her genes."

Well that may be true,

but a dermatologist can't give you that.

But you do need a skincare routine that is right for you.

All people are not created equal.

And not everyone is born with great skin.

Skincare routine and the quality of one's skin at birth

is like any issue of nature versus nurture.

It's really half and half.

You deal with the things that you were born with,

and the rest is up to how you treat your skin.

When discussing diet to patients,

particularly with things like acne

or other chronic skin conditions,

I always say that diet and nutrition,

they certainly affect the skin,

but they're not really the cause of the malady.

They contribute to it.

So if you have a problem,

you may wanna consider nutritional changes.

But like, stopping to eat strawberries

or eating excessive amounts of meat,

they're not really gonna cause your skin concern.

So ultimately, if you're having problems

finding something that works for you,

that's when you see a dermatologist.

TheCratsky

"I thought with cleansing oil,

"you gently massage it onto dry skin.

"Then wet hands and create an emulsion on the oily skin.

"Are you supposed to wipe off the oil before emulsifying?"

This a very complicated answer.

It doesn't have to be that scientific

when you're putting on a cleansing oil.

Honestly, I don't think it's gonna make

that much a difference in the end result of cleansing,

whether you put cleansing oil on dry or wet skin.

Ah, 20 02.

"Micellar water is not a toner!"

Actually, it could be a little bit of a toner.

Micellar water is kind of a fad that's come from Europe,

particularly from the French.

And it's a emulsification of oil beads

that are found in a soft type of water.

Often, this is not washed off the face

and is applied with something like a cotton swab.

If someone's gonna use micellar water,

I certainly recommend it for the morning cleanse.

I really don't think it's potent enough

to remove makeup at the end of the day.

I think people are still trying to figure out

exactly what toners do.

But most commonly, they're used after the cleansing step

to remove additional grime or makeup on the face.

They are not necessary for everyone.

But for that person that feels like they need

that extra step of cleansing to get rid of residue,

I think toners can be good

before serums or other moisturizers.

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I don't think everyone needs to have a serum

in their skincare routine.

It really depends if there's something specific

that they wanna target,

whether it be dark spots or wrinkles or skin tightening.

An essence is kind of a combination

between a serum and a toner.

It tends to be even more lightweight,

and can have some active ingredients

and hydration as almost like a finishing product

of your skincare regimen.

All right, Michelle D.

"She kept saying moisturizer at the end there,

"but the last product she used was a serum."

The little funny face there.

"The healing ointment she used,

"she only used on her eyes and mouth.

"Is a serum enough?"

And this really depends.

Serums were originally created

as a form of an active ingredient

when you're actually trying to treat something.

Using a serum doesn't necessitate using a moisturizer

after it if that serum has humectants in it

that add additional moisturizer.

In our MDNA skincare line that we do with Madonna,

we have hyaluronic acid as a great hydrating aspect

in all of our serums.

Katuriaan.

"Just a PSA, charcoal in face masks, cleansers

"doesn't actually do anything.

"It's a marketing gimmick like collagen serums."

Well collagen serums is one thing,

but there's no question in my mind

that charcoal in face masks and cleansers

can be beneficial.

They are not detoxifying in the way

that people are trying to market charcoal

in ingestible products,

but there's no question that charcoal

can have absorptive abilities on removing grit

and debris on the skin.

I think face masks, particularly sheet masks

are kind of all the rage right now.

There's unnecessary controversy.

The fact of the matter is if it serves you

and you like it, then use it.

It doesn't have to be for everybody.

Give it a shot and see what you get.

Alfredo lopez.

"Anti-agjing," with a J, not an I,

"means sunblock, vitamin C serum and no foam to cleanse."

I think alfredo has got it right

because really, anti-aging

is about protection, using antioxidants.

Cleaning the face, I'm not sure with a foam or not.

You know, anti-aging can be very simple.

And it's about taking care of your skin,

protecting it and treating what's available

to make it better.

You know all dermatologists are gonna say

the best anti-aging secret is sunscreen.

If you actually protect yourself,

the damage will never come about in the first place.

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So what are some of the common active ingredients?

Well the oldest and classic is retinol

which is a derivative of retin-A.

We have the alpha and beta hydroxy acids.

And over time, we're developing newer products

that have peptides in it with the building blocks

of collagen, epidermal growth factors,

and a lot of other newer type of products

that basically improve the regenerative capacity

of the skin.

Maddy.

"Everyone getting into skincare,

"do not use multiple active ingredients at a time.

"I damaged my skin doing so.

"My whole face was covered in big, dry patches

"and it would never stay hydrated

"and I don't even have a dry skin type.

"You can always use one active,

"like a vitamin C in the morning,

"and then a serum or something

"with an active ingredient at night"

This person is practically a dermatologist

and actually has a very good point.

Because you really have to be cautious

about the number of actives you're using on the skin.

First of all, they can counteract each other.

And they can also, cumulatively,

cause a lot of irritation and damage.

For example, retinol and vitamin C don't mix.

Vitamin C and beta hydroxy acids

could actually counteract each other.

So stick with one active serum for your skincare regimen.

Taylor Ryan.

"It's unnecessary to use vitamin C twice a day

"because your skin can only absorb

"so much vitamin C every 24 hours.

"You're essentially wasting product,

"especially if you are using Drunk Elephant vitamin C.

"Their formulation is potent enough

"that it stays in your skin for up to 72 hours

"after each application.

"It also works more efficiently

"to protect your skin if you use it in your morning routine

"instead of at night, but that you just don't have to do it,

"just a tip."

Most importantly, I don't think it's necessary

to use vitamin C more than once a day

because it can be potentially irritating.

Very products like vitamin C

which can be a potential irritant,

I usually tell people to use these products at night.

So if you do have any irritation, it could be gone

by morning and you'll use a moisturizer

to help counteract that.

Rocio Robledo.

"I tried using toothpaste as a spot treatment in the past,

"but that burned the (bleeps) out of my skin."

That's an interesting comment.

Toothpaste probably is not the best treatment for acne.

I think it does have kind of like an acidic, drying effect

which can be useful, but I think we have more modern

products out on the market now than toothpaste.

In general, when we give an acne regimen to patients,

we don't want them to necessarily

put it on the acne spots themselves

because once a pimple comes out,

it has to go through its process.

But there are specific ingredients like resorcinol

and salicylic acid that you can use for spot treatment.

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Every function of the skin

depends on a water to oil balance,

and that's basically what moisturizers are providing.

Limau Gajah.

"Whoever said that there is no rule for eye cream,

"the person is wrong.

"I used to slather on a lot of eye cream in my younger days,

"but I can no longer do so because I have become

"very prone to getting chalazion."

I think there's an H in that.

"I've done two surgeries on my lids

"because of my eyecare routine.

"Your glands can get blocked if you use

"too much product on your eyes.

"Use eye creams by all means,

"but be careful not to put on too much."

This is an interesting comment

from a patient who gets chalazions