Skinfluence with Dr. Dustin Portela

Episoder

• 
  Featured Episode: A Medicare Proposal Could Change How You Receive Care — Here's What You Can Do 12.08.2026 18min

  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 suspicious mole during a routine skin check, many practices would no longer be able to biopsy it that same day without losing money on the encounter. You'd be asked to come back. Two appointments, two copays, two weeks of waiting for answers about something your doctor told you looked concerning. Dr. Dustin Portela and Austin Lee break down exactly how physician billing works, why the CMS framing of this as an "efficiency adjustment" misses the point, and what the real-world impact looks like across every specialty. This isn't a dermatology problem. It's a pediatrics problem, a cardiology problem, an ENT problem. Any doctor who currently handles two separate concerns in one visit would be forced to split them. For patients in rural areas who drive long distances to see a specialist, that's not a minor inconvenience. For practices already operating on thin margins after decades of declining reimbursements, it could mean staff cuts, dropped insurance plans, or closing altogether. The good news: there is something you can do before the comment period closes. Contacting your two state senators and congressional representative directly, by phone or email, carries more weight than a CMS comment. Links to a sample letter and a tool to look up your representatives are in the show notes. If you add something personal, why this would affect your specific situation, it will land harder than a form letter. Please share this episode. The more people who contact their representatives before September 14th, the better the outcome for patients. Follow Us Dr. Dustin Portela TikTok | Instagram | YouTube (Reactions) | YouTube (Educational) | Pinterest Austin Lee, PA-C Instagram: @austinleepac Skinfluence Podcast Instagram: @skinfluence_pod
• 
  Guest Episode: Dr. Mary Alice Mina on Perimenopause, Collagen Loss and What Women in Midlife Actually Need 06.08.2026 30min

  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 care. In this conversation with Dr. Portela, she covers what actually happens to skin during this chapter of life, why perimenopause symptoms are so easy to miss, and what women can realistically do about the changes they are seeing in the mirror. A few things stand out. The collagen loss that happens gradually in your 30s can accelerate sharply once estrogen drops at menopause, sometimes up to 30 percent in a five-year window. The window to do something about it is earlier than most people think. Dr. Mina and Dr. Portela both practice what they preach: daily SPF, a retinoid, and an antioxidant serum cover most of the ground. Collagen supplements, creatine, and protein intake all come up, with honest takes on what the evidence actually supports versus what sounds good on a label. Everything beyond the basics is diminishing returns unless sleep, nutrition, and stress are also being addressed. The conversation on topical estrogen and hormone replacement therapy is candid and nuanced. There is promising data and real gaps in the research, and Dr. Mina is honest about both. She also makes a point that tends to get lost: vaginal estrogen is one of the most evidence-backed and underused treatments in women's health, and many women who could benefit from it have never been told it exists. On the in-office side, she walks through laser resurfacing, microneedling, and biostimulators like Sculptra and Radiesse for collagen restoration, with a clear-eyed take on why patience matters and why the lifestyle foundation has to come first before any cosmetic procedure can do its job. Follow Us Dr. Dustin Portela TikTok | Instagram | YouTube (Reactions) | YouTube (Educational) | Pinterest Dr. Mary Alice Mina Instagram: @drminaskins Podcast: The Skin Real Perimenopause Guide: hi.theskinreal.com/peri Skinfluence Podcast Instagram: @skinfluence_pod
• 
  EP 51: Sunburn, Sweat Acne and Summer Skin Damage — What Dermatologists See Every July 30.07.2026 38min

  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, what not to do. Sunburns get a proper breakdown, including the biology of why the damage keeps happening after you're already out of the sun, what actually helps during those first miserable hours, and when a burn is serious enough to warrant a trip to urgent care. The conversation on sweat acne and folliculitis is worth the listen for anyone who spends significant time outdoors and can't figure out why their skin keeps breaking out. Tinea versicolor comes up too, including Austin's admission that he deals with it himself every summer. The diagnosis that tends to stop people cold is phytophotodermatitis. Most people have never heard of it. But if you've ever squeezed a lime into your drink at a backyard barbecue and gone back outside, you've taken the risk. The case stories here are genuinely funny, and the condition is genuinely real. Sea bather's eruption, swimmer's itch, and chiggers round things out in ways that will make anyone reconsider their relationship with warm, still water. Somewhere in the middle, a 1933 physician decides to let a black widow spider bite his own finger to prove a point to skeptical colleagues. It goes about as well as you'd expect. Product of the Week Neutrogena Ultra Sheer Body Mist SPF 70 and Inner Glow Sol Defense Supplements A water-resistant spray sunscreen for easy summer coverage, paired with a polypodium-based supplement that helps neutralize UV free radical damage from the inside out.  Follow Us Dr. Dustin Portela TikTok | Instagram | YouTube (Reactions) | YouTube (Educational) | Pinterest Austin Lee, PA-C Instagram: @austinleepac Skinfluence Podcast Instagram: @skinfluence_pod
• 
  EP 50: When Your Skin Is Trying to Tell You Something Is Wrong Inside 23.07.2026 42min

  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 explanation. What most people don't realize is that a dermatologist is frequently the first doctor to put the pieces together, sometimes years before a rheumatologist ever enters the picture. Dr. Dustin Portela and Austin Lee have both sat across from patients who had been to doctor after doctor without answers. In this episode, they talk openly about what those cases actually look like, what they're thinking when a rash doesn't behave the way it should, and what separates a routine skin condition from something that warrants a much closer look. Lupus, dermatomyositis, bullous pemphigoid, and gout all make an appearance, not as a checklist, but as real conditions with real presentations and real consequences when they go unrecognized. There is also a case that has nothing to do with autoimmune disease and everything to do with why the gut microbiome deserves more respect than it gets. A man was pulled over, failed a breathalyzer at twice the legal limit, and had not touched a drop of alcohol. What his body was doing instead is one of the stranger things documented in modern medicine. For anyone who has been told their labs are inconclusive, their rash is probably nothing, or their symptoms don't quite add up yet, this episode is for you.  Product of the Week Avene Thermal Spring Water Spray and Avene Cicalfate+ Fragrance-free, sterile formulas for barrier repair and inflamed skin. Links in the show notes. Follow Us Dr. Dustin Portela TikTok | Instagram | YouTube (Reactions) | YouTube (Educational) | Pinterest Austin Lee, PA-C Instagram: @austinleepac Skinfluence Podcast Instagram: @skinfluence_pod
• 
  Guest Episode: Johanna Young of Solbari on Sun Protective Clothing, Skin Cancer Prevention, and What Australia Gets Right 16.07.2026 30min

  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 warehouse in California, and more than 800,000 customers worldwide. In this conversation, she joins Dr. Dustin Portela to talk about UPF clothing, why most people dramatically underestimate the sun protection their everyday clothes provide, and what the US could learn from Australia's decades-long commitment to sun safety. The conversation opens with something most people don't know: a standard white cotton T-shirt offers roughly the same protection as SPF 5 sunscreen, and when wet, that drops even further. UPF 50+ clothing, by contrast, blocks at least 98% of UVA and UVB rays and maintains that protection throughout the day without reapplication. Johanna breaks down what actually determines a garment's UPF rating, from fabric composition and weave density to color and stretch, and explains why Solbari tests every color in every product to ensure that rating holds through at least fifty washes. Dr. Portela and Johanna also get into the broader cultural question of why sun protection is non-negotiable in Australia while it remains a hard sell in parts of the US. The answer involves school policies, government-subsidized skin checks, a national ban on tanning beds since 2015, and a public health infrastructure built around prevention rather than treatment. It's a candid and genuinely interesting comparison between two countries with very different approaches to the same problem. For anyone who loves being outdoors but has felt caught between protecting their skin and actually living their life, this episode is worth your time. Product of the Week Solbari UPF 50+ Sun Protective Clothing Lightweight, breathable, moisture-wicking UPF 50+ clothing designed for all-day outdoor wear. Use code SKINFLUENCE15 for 15% off at solbari.com. Follow Us Dr. Dustin Portela TikTok | Instagram | YouTube (Reactions) | YouTube (Educational) | Pinterest Johanna Young / Solbari Instagram: @solbari Skinfluence Podcast Instagram: @skinfluence_pod
• 
  Featured Episode: Dr. Portela on Derm It Trotter, Debunking Social Media Skincare Myths 09.07.2026 32min

  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 of ground. Red light therapy gets a fair but nuanced take: there's real potential there, but the people most likely to benefit are also the ones already doing everything else right, which makes it hard to know what's actually driving results. Exosomes are generating enormous buzz, with search interest up thousands of percent in a matter of months, yet the science on sourcing, purity, and efficacy hasn't caught up. K-beauty earns some genuine praise for its innovative textures and formulations, though both doctors agree that 10 steps is a hard sell when two or three solid products do most of the work. Dr. Portela also addresses the anti-sunscreen movement that reliably resurfaces every year on social media. He traces where it comes from, why the studies people cite don't hold up in real-world human use, and why sunscreen remains the most evidence-backed thing anyone can do for their skin. Supplements follow a similar thread: the industry is larger than pharma, largely unregulated, and too often marketed as a shortcut around the lifestyle changes that would actually help. The episode closes with practical advice for anyone trying to find reliable skincare information online: cross-reference your sources, be skeptical of claims made on social media that the brand itself won't make on its own website, and when in doubt, get face time with a board-certified dermatologist. Please support Dr. Trotter by subscribing to Derm It Trotter: Don't Swear About Skincare wherever you listen to podcasts. Follow Us Dr. Dustin Portela TikTok | Instagram | YouTube (Reactions) | YouTube (Educational) | Pinterest Skinfluence Podcast Instagram: @skinfluence_pod
• 
  Guest Episode: Dr. Wallace Nozile on Becoming a Dermatologist, Beating the Odds, and the Future of Medicine 02.07.2026 42min

  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 it takes to match into one of the most competitive specialties in medicine, from a rocky undergraduate start and a student advisor who laughed at his ambitions, to a grueling step one prep schedule and a mentor who changed everything. Dr. Nozile is candid about the role discipline played, or didn't, in his early years. He was pre-med from the start but largely coasting until a dismissive advisor put a chip on his shoulder. That moment, he says, did more for his trajectory than anything else. He went from Cs in organic chemistry to a 4.0 in a master's program alongside first-year medical students, then into medical school, and eventually into dermatology, one of the hardest fields to match into in the country. The conversation gets into the emotional weight of that process in ways a checklist never could. Dr. Nozile talks about skipping his best friend's bachelor party to study, becoming temporarily socially awkward after weeks of 12-hour study days, and the unexpected mentor who turned out to be his greatest advocate. That mentor, Dr. Stanton King Wesson, was a Vietnam veteran and program director who told Dr. Nozile plainly: "The only difference between you and that person is time." It's the kind of line that stays with you. They also look ahead, discussing personalized medicine, genetic testing for treatment response, and what role physicians will play as AI reshapes dermatology. And in a field where social media has become its own form of medical education, Dr. Nozile reflects on why reaching patients who might never see a dermatologist matters as much to him as anything he does in clinic. Product of the Week Avene Tolerance Foaming Cleanser A gentle foaming cleanser Dr. Nozile recommends for dry, sensitive skin patients who thought foaming cleansers were off the table. Follow Us Dr. Dustin Portela TikTok | Instagram | YouTube (Reactions) | YouTube (Educational) | Pinterest Dr. Wallace Nozile Follow on social media (links in show notes) Skinfluence Podcast Instagram: @skinfluence_pod
• 
  EP 49: What Happens to Your Skin After 35 (And What to Do About It) 01.07.2026 30min

  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 dermis gradually thins, how fat pads descend over time, and how cumulative sun damage eventually overwhelms your skin's antioxidant defenses. It's a slow process, mostly invisible, until it isn't. The episode then turns to what you can actually do about it. Sunscreen and sun-protective clothing are the foundation. Vitamin C serums help neutralize free radical damage. Retinols, on both the face and body, can slow collagen decline and improve texture over time. Diet matters more than most people realize: chronic sugar intake accelerates the breakdown of collagen, while inadequate protein makes it harder to rebuild. Sleep, cardio, and resistance training round out the picture, with real data showing that weightlifting can improve skin thickness, not just build muscle. For those already seeing changes, the hosts get more specific. Topical pigment inhibitors like hydroquinone and thiamidol can address sunspots, with the important caveat that not every dark spot is the same. Microneedling, chemical peels, and CO2 laser resurfacing each have a place depending on the severity of concerns. Dermal filler can be transformative for volume loss when used correctly, though Dr. Portela is candid about what happens when it isn't. The episode closes with a reminder that aging is not a problem to be solved. It's something to be managed thoughtfully, with realistic expectations and a little grace. Product of the Week Activé Restore Body Firming Cream — Dean Skincare A retinol body cream with hyaluronic acid, ceramides, and caffeine formulated to improve skin resilience and support collagen production. Available at shop.drdustinportela.com. Follow Us Dr. Dustin Portela TikTok | Instagram | YouTube (Reactions) | YouTube (Educational) | Pinterest Austin Lee, PA-C Instagram: @austinleepac Skinfluence Podcast Instagram: @skinfluence_pod
• 
  Guest Episode: Clear Health, Accutane Online, and the Future of Telehealth Dermatology 18.06.2026 35min

  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. Michael shares his personal journey through years of persistent acne, multiple dermatologists, restrictive diets, and frustration before finally finding success with Accutane. That experience ultimately led him to create Clear Health, a telehealth platform focused on connecting patients with board-certified dermatologists and expanding access to evidence-based acne care. The conversation explores common misconceptions about Accutane, why so many patients wish they had started treatment sooner, and how telehealth is helping remove barriers that often delay care. They also discuss Isoclear, a new topical isotretinoin treatment designed to deliver many of the benefits associated with isotretinoin without the monitoring requirements of oral Accutane. Dr. Farberg breaks down the science behind topical isotretinoin, how it compares to tretinoin, and why this approach could become an important option for acne and anti-aging treatment in the future. Whether you're struggling with acne, considering Accutane, curious about telehealth dermatology, or interested in the future of personalized skincare, this episode offers an inside look at one of the fastest-growing areas in dermatology. Guest Info Michael Chang Founder & CEO, Clear Health Dr. Aaron Farberg Board-Certified Dermatologist and Mohs Surgeon Medical Director, Clear Health Learn more: helloclearhealth.com Follow Us Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Skinfluence Podcast Instagram: @skinfluence_pod
• 
  EP 48: Laser Hair Removal, Shaving Mistakes, and the Best Way to Get Rid of Unwanted Hair 11.06.2026 35min

  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 pros and cons of shaving, waxing, depilatory creams, electrolysis, and laser hair removal, along with what makes someone a good candidate for treatment. You'll also learn why skin tone and hair color matter, how to prepare for laser hair removal, and why "permanent hair removal" isn't always as permanent as people think. The conversation also covers pseudofolliculitis barbae, hidradenitis suppurativa, acne keloidalis nuchae, shaving bumps, razor burn, and dermatologist-approved tips for preventing ingrown hairs and keeping your skin healthy. Plus, Austin shares one of the most questionable hair removal decisions of his life involving a Taco Bell parking lot, Axe body spray, and an open flame. If you've ever struggled with unwanted hair, ingrown hairs, razor bumps, or wondered whether laser hair removal is worth it, this episode is packed with practical advice to help you choose the right approach for your skin. Product of the Week Dean Skincare Botanical Calming Serum Designed to help calm irritation, reduce visible redness, and support the skin barrier after cosmetic treatments, shaving, and everyday skin stressors. Use code SKINFLUENCE20 for 20% off. Follow Us Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee, PA-C Instagram/TikTok: @austinleepac Skinfluence Podcast Instagram: @skinfluence_pod
• 
  Guest Episode: Dr. Tony Youn on Plastic Surgery, Longevity, and Looking Younger Without Going Under the Knife 04.06.2026 38min

  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 ever considering surgery. Dr. Youn shares how a life-changing patient complication reshaped his philosophy on medicine and why he now views surgery as a last resort rather than a first step. The conversation covers longevity, weight loss, GLP-1 medications, skincare, social media, and the growing overlap between plastic surgery, dermatology, and preventive health. They also tackle one of the most confusing topics in aesthetics today: the difference between a board-certified plastic surgeon and a cosmetic surgeon. Dr. Youn explains what patients should know before choosing a provider and why training, credentials, and complication management matter more than ever. Whether you're considering cosmetic procedures, interested in healthy aging, or simply want to understand how the aesthetics industry is evolving, this is a fascinating conversation with one of the most influential voices in plastic surgery today. Guest Info Dr. Tony Youn Board-Certified Plastic Surgeon Host of The Dr. Youn Show Podcast Instagram: @tonyyounmd TikTok: @doctoryoun YouTube: @tonyyounmd Follow Us Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Skinfluence Podcast Instagram: @skinfluence_pod
• 
  EP 47: Inflammaging, Chronic Inflammation, and Why Your Skin Ages Faster 28.05.2026 38min

  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 the difference between healthy inflammation and chronic inflammation, why modern lifestyles keep so many people stuck in an inflamed state, and how things like sugar, processed foods, poor sleep, stress, UV exposure, and even overdoing skincare can quietly accelerate aging. They also discuss blood sugar spikes, insulin resistance, longevity trends, continuous glucose monitors, and why simple skincare routines often outperform aggressive ones when it comes to healthy skin and aging well. If you're interested in anti-aging, skin health, wellness, rosacea, longevity, or dermatologist-backed skincare advice, this episode is packed with practical, real-world takeaways you can actually use. Product of the Week Dene Skincare Botanical Calming Serum A calming antioxidant serum designed to help reduce visible redness and support irritated, inflammation-prone skin. Follow Us Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Austin Lee, PA-C Instagram/TikTok: @austinleepac Skinfluence Podcast Instagram: @skinfluence_pod
• 
  Guest Episode: Estheticians vs Dermatologists and the Future of Skin Care 21.05.2026 30min

  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 sparked by a viral social media debate surrounding mole removal and scope of practice, but quickly expands into a much bigger discussion about education, patient safety, licensing laws, and the future of the skincare industry. Letitia breaks down what it actually takes to become an esthetician, how wildly different regulations can be from state to state, and why she believes the aesthetics industry has outgrown traditional cosmetology education. Dr. Portela shares the dermatologist perspective on pathology, medical responsibility, and why proper training matters when procedures become more invasive. Together, they unpack the rise of TikTok skincare culture, the dangers of poorly trained providers, the "Wild West" nature of certain states, and why collaboration between estheticians and dermatologists ultimately leads to better outcomes for patients. But this episode is not about attacking one side or the other. It is about creating a more informed, transparent, and respectful conversation around skincare, aesthetics, and patient care. If you've ever wondered who should handle certain treatments, what "medical esthetician" actually means, or why the skincare industry feels so chaotic right now, this is a fascinating behind-the-scenes look at the realities of modern aesthetics. Guest Info Letitia Christine Owner of No Filter Aesthetics Instagram: @thescandalousesthetician Follow Us Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Skinfluence Podcast Instagram: @skinfluence_pod
• 
  Episode 46: Excessive Sweating Explained — Why It Happens and What Actually Helps 14.05.2026 34min

  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 to underarms, scalp, and facial sweating, they walk through what causes it, how it impacts confidence and daily life, and why so many people silently struggle with it for years before seeking treatment. They explain the difference between primary and secondary hyperhidrosis, common triggers like stress and social situations, and why this condition often starts during adolescence. The conversation also explores the emotional side of sweating, including the embarrassment, social anxiety, and lifestyle changes many patients deal with behind the scenes. On the treatment side, Dustin and Austin go deep into what actually works. They cover over-the-counter antiperspirants, prescription-strength options like Drysol, topical medications like Qbrexza and Sofdra, oral medications such as glycopyrrolate and oxybutynin, Botox injections, iontophoresis devices, and even longer-term solutions like miraDry. They also discuss side effects, insurance frustrations, compensatory sweating, and how to think through the trade-offs between different treatment approaches. If excessive sweating has ever made you self-conscious, uncomfortable, or frustrated, this episode will help you understand that you are not alone and that there are real solutions available. Product of the Week MANTL Invisible Daily SPF A lightweight, gel-based SPF designed to protect your skin without leaving behind a white cast or greasy finish. It works especially well for active lifestyles, facial hair, and all skin tones. Special pricing currently available: 1 for $10 2 for $15 Available at: https://shop.drdustinportela.com Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinleepac
• 
  Special Episode: The Barbie Drug — The Truth About Melanotan II 07.05.2026 25min

  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 exactly what Melanotan II is, how it works inside the body, and why he believes the risks are being massively downplayed online. From nausea, flushing, and spontaneous erections to kidney injury, rhabdomyolysis, and published melanoma case reports, this episode takes a hard look at the real-world complications linked to the drug. Dr. Portela explains how Melanotan II interacts with multiple melanocortin receptors throughout the body, why the effects go far beyond tanning, and why sourcing these peptides online creates an entirely separate layer of danger. He also walks through multiple published medical case reports involving melanoma, eruptive moles, priapism, kidney injury, and other serious complications associated with use. This is not fear-based content. It is a grounded, evidence-driven conversation about risk, marketing, and the growing trend of people experimenting on themselves with poorly regulated compounds promoted online as wellness shortcuts. If you've seen the TikToks, heard people talking about tanning peptides, or are simply curious about what's actually happening behind the hype, this episode is essential listening. Follow Dr. Portela: TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela  
• 
  Episode 45: Gym Acne Explained — Why Your Workouts Are Breaking You Out 30.04.2026 25min

  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 trigger stubborn breakouts. They walk through real-world scenarios, including athletes dealing with chin strap acne, gym-goers breaking out on their back from benches, and people getting irritation from compression clothing. The conversation also dives into less obvious triggers like whey protein, testosterone and anabolic steroids, B12 injections, biotin supplements, and pre-workout formulas that can all contribute to inflammation and acne. Dustin and Austin also call out common mistakes, like over-washing with harsh gym soaps, wearing makeup during workouts, or waiting too long to shower after sweating. From there, they get practical with what actually helps: cleaning equipment, using barriers like towels, avoiding face touching, choosing the right cleansers, and building a simple post-workout routine that protects your skin. They also cover when it's time to stop guessing and see a professional, especially if acne is painful, persistent, or starting to scar. If you're putting in the work at the gym but your skin isn't keeping up, this episode will help you understand why and what to do about it. Product of the Week MANTL Skincare Set A simple, effective routine designed to cover the basics without overcomplicating your skincare. The set includes a cleanser, age-defying moisturizer, and the Invisible Daily SPF, a clear, lightweight sunscreen that won't leave a white cast or clog pores. Limited-time pricing: Sunscreen now $10 (previously $15) 2 for $15 Full set available for $30 Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinleepac
• 
  Episode 44: Celebrities and Skin Conditions — What We Can Learn From the Spotlight 23.04.2026 26min

  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 Michael Jackson's reported depigmentation, they break down what these conditions actually are, how they show up, and what treatment can look like. They also cover cases like rhinophyma in Bill Clinton, melanoma in Teddi Mellencamp, Merkel cell carcinoma in Jimmy Buffett, and discoid lupus in Seal. Along the way, they explain how these conditions develop, why some are more serious than others, and what people should actually watch for when it comes to their own skin. But this episode goes beyond just naming conditions. Dustin and Austin talk about why it matters when public figures open up about their health, how it helps normalize conversations around skin issues, and why it can encourage people to seek care earlier. They also address the downside, including the risks of trying to diagnose people online and the importance of respecting privacy. The bigger takeaway is simple. If you see something on your skin that concerns you, get it checked. Early detection matters, and reassurance is never a waste of time. Product of the Week Kill Switch A sleep support supplement that Dr. Portela uses regularly to help improve sleep quality and recovery. Better sleep plays a major role in overall health, including skin health, and this is one tool he uses to stay consistent. https://www.switchsupplements.com/DUSTIN Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinl
• 
  Episode 43: Adult Acne — Why It Happens and Why It's So Hard to Treat 16.04.2026 29min

  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 exposure to stress, sleep disruption, diet, and modern lifestyle habits, they explain why adult acne is becoming more common and why it often shows up differently in men and women. They also walk through the biggest mistakes people make when trying to treat acne at home, including over-scrubbing, using overly aggressive routines, microneedling over inflamed skin, and popping cystic lesions that never come to a head. These habits often make things worse, leading to more inflammation, longer healing times, and higher risk of scarring. On the treatment side, they cover what actually works. From over-the-counter options like salicylic acid, benzoyl peroxide, sulfur, and niacinamide to prescription treatments like tretinoin, clindamycin, Winlevi, spironolactone, doxycycline, and Accutane. They explain how each works, when to use them, and why there is no one-size-fits-all approach. They also dive into the mental side of acne, especially in adults, where breakouts can impact confidence, work, and daily life in a very real way. The key takeaway is consistency, patience, and working with a professional to find the right combination for your skin. If you're dealing with acne in your 20s, 30s, or beyond, this episode will help you understand what's actually going on and how to treat it the right way. Product of the Week MANTL Complete Skincare Bundle A simple, effective routine that covers the essentials without overcomplicating things. The bundle includes a cleanser, anti-aging moisturizer, and the Invisible Daily SPF, one of Dr. Portela's go-to sunscreens with a clear, matte finish that works especially well for men and anyone with facial hair. Bundle: $30 Invisible Daily SPF: $15 or 2 for $24 Cleanser: $10 Moisturizer: $12 Available at: https://shop.drdustinportela.com/collections/mantl Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinleepac
• 
  Guest Episode: The Future of Healthcare — Can AI Actually Improve Your Doctor Experience? 09.04.2026 45min

  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 relationships. They dig into why modern medicine feels so fragmented, how the system turned doctors into interchangeable "providers," and why trust between patients and physicians is at an all-time low. From there, the conversation shifts to a new model of care that feels surprisingly simple. You choose your doctor, you build a relationship, and you communicate directly, just like you would with someone you trust. Dr. Syde explains how Future Clinic uses AI the right way. Not to replace medical decisions, but to streamline communication, gather information, and give doctors more time to actually think, care, and connect. The result is a system that feels more personal, more flexible, and more aligned with how people already live their lives. They also get into the real risks of AI in healthcare, where it works, where it absolutely does not, and why removing the human element is a mistake. From doctor burnout to the rise of private equity in medicine, this episode pulls back the curtain on what is actually happening behind the scenes and where things are headed next. If you have ever felt like healthcare has become rushed, impersonal, or harder to navigate, this episode will change how you think about what is possible. Product of the Week Future Clinic A new way to connect directly with a doctor you trust through chat-based care. Build a real relationship, get personalized guidance, and access care in a way that actually fits into your life. Find your doctor or learn more: https://www.futureclinic.com/ Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinleepac Dr. Usama Syde Instagram: @usamasyde
• 
  Episode 42: Pore Size Truth — Can You Actually Shrink Them? 02.04.2026 28min

  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 barrier function, and why they're something you need, not something to erase. The conversation digs into what really determines pore size, from genetics and hormones to oil production and aging. They also explain why pores can appear larger over time and what factors like sun damage, clogged pores, and collagen loss have to do with it. Dustin and Austin cut through the noise on popular trends like "glass skin" and pore-minimizing products, explaining what actually works versus what is just marketing. They also cover how to improve the appearance of pores the right way, including ingredients like retinoids and salicylic acid, proper cleansing, and when in-office treatments may make sense. If you've ever felt like you're chasing smaller pores and not seeing results, this episode will reset expectations and give you a smarter, more effective path forward. Product of the Week Paula's Choice Skin Perfecting 2% BHA Liquid Exfoliant A cult-favorite for a reason. This salicylic acid exfoliant helps unclog pores, reduce buildup, and smooth skin texture over time without being overly harsh when used correctly. Differin Gel (Adapalene 0.1%) A powerful over-the-counter retinoid that helps regulate cell turnover, prevent clogged pores, and improve overall skin texture with consistent use. Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinleepac