Skinfluence with Dr. Dustin Portela
Skinfluence is a podcast dedicated to helping you understand and take control of your skin health. Hosted by board-certified dermatologist Dr. Dustin Portela and Physician Assistant Austin Lee, each episode blends expert insights with practical advice to guide you through the world of skincare. From treating common concerns like acne and eczema to exploring the latest innovations in cosmetic dermatology, Skinfluence offers trustworthy information you can use—whether you're a skincare beginner or looking to take your routine to the next level. Tune in weekly for science-backed tips, patient stories, and honest conversations about what really works.
Episodes
EP 58: Would You Do This? Botox at 25, Accutane for Your Kid, Spending $1,000 on Skincare — Part 1
There is a version of skincare advice that stays comfortably abstract, and then there is this. Dr. Dustin Portela and Austin Lee turn the tables on themselves, answering yes-or-no questions about real decisions they face in the clinic, the treatment room, and their own lives before explaining why. The format cuts through the usual hedging fast. Would they put their own teenager on Accutane? Yes, b
Guest Episode: J.C. Dombrowski on Exosome Scams, Ingredient Marketing Lies, and How to Actually Read a Skincare Claim
Most skincare marketing is built on a foundation of real science stretched just far enough to become fiction. A cell study becomes a product claim. An ingredient supplier's dossier becomes a brand's clinical proof. And somewhere along the way, consumers end up paying $200 for a moisturizer that contains something the company cannot prove exists. J.C. Dombrowski came to skincare through a genuinely
EP 57: Skincare for Teens: What the Sephora Generation Actually Needs vs. What They're Buying
There is nothing wrong with a teenager who wants to take care of their skin. The problem is that the skincare products flooding social media feeds, the ones showing up in Sephora haul videos and dermatology influencer posts, were not designed for them. They were formulated for adults trying to correct years of sun damage, declining cell turnover, and diminishing collagen. Selling those products to
EP 56: Derm Confessions — Close Calls, Missed Diagnoses and What Changed How We Practice — Part 2
Part one was the absurd and the unexpected. Part two is the stuff that keeps clinicians up at night. Dr. Dustin Portela and Austin Lee go somewhere more vulnerable in this episode, sharing the near misses, the misdiagnoses, and the moments that quietly but permanently changed how they practice. The cases are real. The self-reflection is genuine. And the honesty about what it actually feels like to
EP 55: Derm Confessions — The Weirdest Things We've Seen in Practice — Part 1
Every dermatologist has stories they can't tell at dinner. This is that episode. Dr. Dustin Portela and Austin Lee set aside the science and spend an episode doing something different: sharing the cases that stuck with them, the moments they didn't see coming, and a few things patients put on their skin that genuinely defy explanation. No personally identifying details. No punching down. Just two
EP 54: Ozempic Face — What GLP-1 Drugs Do to Your Skin, Hair and Appearance
The weight is coming off. But something else is changing too, and nobody warned you about it. GLP-1 medications like Ozempic, Mounjaro, and Wegovy have reshaped the conversation around weight loss in a way that nothing has in decades. What that conversation often leaves out is what happens to the face, the hair, and the skin in the process. Dr. Dustin Portela and Austin Lee are seeing it in clini
EP 53: Derm Myth Court: Tanning for Vitamin D? Oily Skin Doesn't Need Moisturizer? — Part 2
Some skincare myths are easy to knock down. The ones in this episode are trickier, because the prosecution actually has a case. Round two of Derm Myth Court brings three myths that feel more defensible than last week's, which makes them more dangerous. Dr. Dustin Portela and Austin Lee trade sides again, and the debate format earns its keep here because at least one of these arguments is genuinely
EP 52: Derm Myth Court: Does Sunscreen Cause Cancer? Beef Tallow? Lemon Juice for Acne? — Part 1
Some skincare myths are easy to dismiss. Others are built on just enough real science to sound credible, and those are the ones that spread. For the first episode of Derm Myth Court, Dr. Dustin Portela and Austin Lee take three of the most persistent myths in dermatology and put them on trial. The format is simple: one host argues in favor of the myth, the other defends against it, and then the ac
Featured Episode: A Medicare Proposal Could Change How You Receive Care — Here's What You Can Do
Most people don't follow healthcare policy. But this one is worth your attention, and the window to do something about it closes September 14th. A new CMS proposal, if passed, would cut reimbursement by 50 percent any time a doctor performs a procedure on the same day as an office visit. On paper, it sounds like a billing technicality. In practice, it means that if your dermatologist finds a suspi
Guest Episode: Dr. Mary Alice Mina on Perimenopause, Collagen Loss and What Women in Midlife Actually Need
At 40, Dr. Mary Alice Mina noticed her neck for the first time. She was a dermatologist, she knew the science, and it still caught her off guard. That moment of recognition is exactly what she now builds her practice around. Dr. Mina is a board-certified dermatologist, host of The Skin Real podcast, and one of the clearer voices in a space crowded with noise about menopause and perimenopause skin
EP 51: Sunburn, Sweat Acne and Summer Skin Damage — What Dermatologists See Every July
Summer has a way of reminding people that their skin has limits. Every July, the same things land in Dr. Dustin Portela and Austin Lee's clinic: sunburns that crossed a line, back acne that appeared out of nowhere, rashes from sources nobody thought to question. This episode is their honest take on the summer conditions they see year after year, what causes them, what to do, and in a few cases, wh
EP 50: When Your Skin Is Trying to Tell You Something Is Wrong Inside
Your skin is not just your largest organ. It is also, occasionally, a window into something going wrong much deeper than the surface. Autoimmune disease has a reputation for being mysterious, slow to diagnose, and easy to dismiss. Part of the reason is that the early signs often look like something ordinary: a rash that won't quit, fatigue that sleep doesn't fix, joints that ache without a good ex
Guest Episode: Johanna Young of Solbari on Sun Protective Clothing, Skin Cancer Prevention, and What Australia Gets Right
Two in three Australians will be diagnosed with skin cancer by the age of 70. That statistic is the backdrop for everything Johanna Young does. Johanna is the founder of Solbari, an Australian sun protective clothing brand now distributed in over 160 countries. What started as a solution for herself and her fair-skinned husband on the golf course has grown into a company of 35 people, a warehous
Featured Episode: Dr. Portela on Derm It Trotter, Debunking Social Media Skincare Myths
Not everything trending on your feed deserves a place in your routine. This week, we're sharing a conversation Dr. Portela had on the Derm It Trotter podcast, hosted by board-certified dermatologist Dr. Shannon Trotter, where the two broke down some of the biggest skincare trends circulating online right now and separated what's worth your attention from what isn't. The conversation covers a lot
Guest Episode: Dr. Wallace Nozile on Becoming a Dermatologist, Beating the Odds, and the Future of Medicine
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
EP 49: What Happens to Your Skin After 35 (And What to Do About It)
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 der
Guest Episode: Clear Health, Accutane Online, and the Future of Telehealth Dermatology
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. Mich
EP 48: Laser Hair Removal, Shaving Mistakes, and the Best Way to Get Rid of Unwanted Hair
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
Guest Episode: Dr. Tony Youn on Plastic Surgery, Longevity, and Looking Younger Without Going Under the Knife
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
EP 47: Inflammaging, Chronic Inflammation, and Why Your Skin Ages Faster
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 t
Guest Episode: Estheticians vs Dermatologists and the Future of Skin Care
Who should you trust with your skin: a dermatologist, an esthetician, or both? In this guest episode, Dr. Dustin Portela sits down with licensed esthetician and skincare clinic owner Letitia Christine for a candid conversation about the evolving world of aesthetics, skincare treatments, medical oversight, and the growing tension between dermatology and esthetics online. The conversation was sparke
Episode 46: Excessive Sweating Explained — Why It Happens and What Actually Helps
Sweating is normal. Sweating through your shirt while sitting still in class, shaking hands with drenched palms, or avoiding certain colors because of pit stains? That's something different. In this episode, Dr. Dustin Portela and PA Austin Lee break down hyperhidrosis, the medical term for excessive sweating, and explain why it affects far more people than most realize. From sweaty palms and feet
Special Episode: The Barbie Drug — The Truth About Melanotan II
A peptide that promises a darker tan, appetite suppression, and increased libido all at the same time has exploded across social media. It's called Melanotan II, better known online as "the Barbie drug," and people are injecting it into themselves based on advice from TikTok, forums, and influencers. In this special solo episode, board-certified dermatologist Dr. Dustin Portela breaks down exactl
Episode 45: Gym Acne Explained — Why Your Workouts Are Breaking You Out
Working out is great for your body… but it might be wrecking your skin. In this episode, Dr. Dustin Portela and PA Austin Lee break down a common but overlooked issue they see in clinic every day: acne caused by workouts, also known as acne mechanica. From sweat, friction, and tight clothing to gym equipment, supplements, and even hygiene habits, they explain why healthy routines can sometimes tri
Episode 44: Celebrities and Skin Conditions — What We Can Learn From the Spotlight
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 Michae
Episode 43: Adult Acne — Why It Happens and Why It's So Hard to Treat
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 exposu
Guest Episode: The Future of Healthcare — Can AI Actually Improve Your Doctor Experience?
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 relations
Episode 42: Pore Size Truth — Can You Actually Shrink Them?
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 barrie
Episode 41: Rosacea Explained — Triggers, Treatments, and What Actually Works
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 diff
Episode 40: Medicine's Biggest Misses: The Skin Treatments We Got Wrong
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 wer
Episode 39: Skin Biopsies Explained — What Happens and Why You Might Need One
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
Guest Episode: The Identity Shift That Changes Men and Families with Matt Beaudreau
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
Episode 38: Grandma's Skincare Advice — What Actually Works and What to Skip
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 toothpas
Guest Episode: Therapy Without the Fluff with Trey Tucker
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 conne
Episode 37: Psoriasis Explained — Triggers, Treatments, and What Actually Works
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 inflammatio
Episode 36: Skincare Marketing Lies, Buzzwords, and How to Shop Smarter
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 bea
Guest Episode: How Your Mattress Is Quietly Ruining Your Sleep with Derek Hales
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 meth
Episode 35: The Mind Skin Connection and Why Stress Shows Up on Your Face
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 cycle
Episode 34: Shelf Wars — Drugstore vs Luxury Skincare and What's Actually Worth It
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 sa
Guest Episode: The Truth About Lasers with Dr. Ciaran Smythe
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 orthopedi
Special Episode: How to Make Your New Year's Resolutions Actually Stick
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 matt
Special Episode: A Holiday Thank You from Skinfluence
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 some
Episode 33: Lumps, Bumps & Pops — Cysts, Lipomas, Milia and What's Actually Going On
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,
Episode 32: A Day in the Life of a Dermatologist
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 dermatolog
Episode 31: Derm Punk and the Future of AI in Dermatology
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 approac
Special Episode: Black Friday Skincare Deals We Actually Recommend
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 su
Guest Episode: Braiden Shaw on Financial Health, Freedom & The Wealth-Health Connection
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 t
Episode 30: Skin Cancer Smarts — Moles, Melanoma & When to Worry
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
Guest Episode: Dr. Michael Christopher on Detecting Melanoma & The Future of Skin Cancer Screening
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 no
Episode 29: Skin in the Office — How Stress, Screens & Sitting Impact Your Skin
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 sitt
Episode 28: The Skin-Gut Connection — How Digestion Impacts Your Skin
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 slee
Episode 27: Teen Skin 101 — What I Wish I Knew at 16
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 wor
Episode 26: Barrier Breakdown — Repairing Over-Exfoliated, Angry Skin
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
Episode 25: Pigmentation Problems — Treating Dark Spots, Melasma & PIH
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 pigme
Guest Episode: Chris Salgado on Men's Skincare, Mental Health & Building Atwater
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 hab
Episode 24: Skin Myths Busted — TikTok Trends You Should Definitely Skip
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 sluggin
Episode 23: Scalp Check — Dandruff, Psoriasis & What's Actually Going On
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 o
Episode 22: Under the Surface — Understanding Skin Texture & Large Pores
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 y
Episode 21: SPF Wars — Mineral vs. Chemical Sunscreen
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 actual
Episode 20: Barrier Breakdown — Repairing Over-Exfoliated, Angry Skin
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, an
Episode 19: Backne, Chestne & Buttne — The Truth About Body Acne
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
Episode 18: Laser Focus — What They Do, How They Work & When You Actually Need One
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
Guest Episode: Dr. Gary Linkov on the Truth About Hair Transplants
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
Episode 17: The Truth About Tretinoin, Retinol & Results
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 (li
Episode 16: Beard Basics — Grooming, Skin Care, and Shaving Secrets
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
Episode 15: Rash Decisions — When Your Skin Acts Up and What to Do About It
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
BONUS: A Conversation on Oral Health, Microbiomes & Whole-Body Wellness
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
Episode 14: Peels & Reveals — The Real Deal on Chemical Exfoliation
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 myt
Episode 13: SPF Is Your BFF — The Ultimate Sunscreen Deep Dive
In this episode, Dr. Dustin Portela and PA Austin Lee break down everything you think you know about sunscreen—and then go deeper. From SPF ratings and reapplication rules to chemical vs. mineral formulas, they unpack the science behind how sunscreen actually works, what your SPF number really means, and why daily use is crucial (yes, even indoors). You'll learn about ingredients to look for, myth
Announcement: My Go-To Sunscreen Just Got a Major Upgrade
Dr. Portela drops in with a special update: he's officially taken over one of his favorite men's skincare brands—MANTL. In this mini-episode, he shares why their Invisible Daily SPF 30 has been his top pick for years (no white cast, no greasy finish, and facial-hair friendly), and how the new bundle lineup makes quality skincare easier and more affordable than ever. Whether you're dialing in a min
Episode 12: Tattoo Talk — Art, Aftercare, and Dermatologist Red Flags
Thinking about getting a tattoo—or already have one? This episode dives into the dermatology behind the ink. Dr. Dustin Portela and PA Austin Lee break down what happens to your skin during tattooing, how placement affects longevity, and why some tattoos age better than others. They share best practices for healing, how to avoid allergic reactions and infections, and the truth about sun exposure,
Episode 11: All About Microneedling — Myths, Methods, and Real Results
Microneedling may sound intense, but it's one of the most effective (and versatile) treatments in the cosmetic world—and in this episode, Dr. Dustin Portela and PA Austin Lee go deep. They break down how microneedling works, what it's used for (from acne scars to fine lines), and how to do it safely. Whether you're considering in-office treatments or eyeing a home device, you'll learn the differen
Episode 10: Let's Talk Hair Loss — Causes, Treatments, and Confidence
Hair loss can be frustrating, emotional, and deeply personal—but there are more treatment options (and hopeful stories) than you might think. In this episode, Dr. Dustin Portela and PA Austin Lee unpack the causes of hair loss for both men and women, from genetics and hormones to stress and lifestyle. They break down popular treatments like minoxidil, finasteride, oral medications, PRP, red light
Episode 09: Girl, Wash Your Face — The Right Way to Cleanse
Washing your face might seem basic, but doing it right can make a big difference in your skin. In this episode, Dr. Dustin Portela and PA Austin Lee break down everything you need to know about cleansing—from choosing the right product for your skin type to understanding when (and if) you should double cleanse. They cover techniques, common myths (like whether hot water opens pores), and tips on h
Episode 08: Accutane Deep Dive — Clearing Acne for Good
Is Accutane the ultimate acne cure—or just a last resort? In this episode, Dr. Dustin Portela and PA Austin Lee take a comprehensive look at isotretinoin (commonly known as Accutane): how it works, who it's for, what to expect, and how to manage the journey. They unpack dosage strategies, success rates, side effects (from dry lips to rare complications), and clear up common myths—especially around
Episode 07: Skin Allergies — What's Really Irritating Your Skin?
Itchy, red, and suddenly reacting to products you've used for years? You might be dealing with a skin allergy. In this episode, Dr. Dustin Portela and PA Austin Lee break down what causes allergic and irritant contact dermatitis, why your skin sometimes turns against you, and how to tell the difference between an allergy and an irritation. They cover the most common culprits—from Neosporin and fra
Episode 06: Cold Sores — Causes, Myths, and How to Take Control
Cold sores can be painful, stressful, and—let's be honest—embarrassing. But they're also incredibly common. In this episode, Dr. Dustin Portela and PA Austin Lee break down everything you need to know about cold sores: what causes them, why they come back, and how you can prevent outbreaks. They dive into over-the-counter and prescription treatments, debunk common myths, and even share how histori
Episode 05: Botox 101 — What to Know Before You Get Poked
Whether you're curious, cautious, or ready to book your next appointment, this episode is your one-stop guide to Botox. Dr. Dustin Portela and PA Austin Lee break down how Botox works, what areas it treats best, and how to avoid the dreaded "frozen face" look. They share tips on pricing, preparation, and post-care, plus dive into common myths and the differences between neuromodulators like Botox,
Episode 04: Bye Bye, Breakouts — Understanding and Treating Acne
From stubborn blackheads to painful cystic pimples, acne can be a confidence killer—but it doesn't have to be. In this episode, Dr. Dustin Portela and PA Austin Lee break down the science behind breakouts, the types of acne they see most often, and the best ways to treat them—topical routines, prescription options, in-office treatments, and lifestyle changes. They also get real about their own emb
Episode 03: Heal Like Wolverine: Wound Care, Scar Prevention & Recovery Boosters
Got a cut, scrape, or scar you're trying to fix? In this episode of Skinfluence, Dr. Dustin Portela and PA Austin Lee team up to teach you how to care for everyday wounds like a pro—from cleaning and bandaging to avoiding scars altogether. They'll also dig into advanced recovery methods like microneedling, red light therapy, and collagen support. Whether you're bouncing back from a procedure or ju
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