Dr. Dray Rebuffs Luxury Skincare in Favor of Drugstore Tretinoin

Do You Really Need Expensive Anti-Aging Skincare? Dermatologist Q&A — Dr Dray

Dr Dray

Rigorous sun protection and basic topical retinoids deliver stronger clinical anti-aging results than costly cosmetic lines or sculpting gadgets that rely on marketing over medical evidence.

AI-assisted summary of Do You Really Need Expensive Anti-Aging Skincare? Dermatologist Q&A — original source. Check the original for full context.

Source published:

Key ideas

  • Effective anti-aging regimens rely primarily on photoprotection and topical retinoids or alpha hydroxy acids, demonstrating that costly luxury skincare lines and complex multi-step routines are clinically unnecessary. (0:20)
  • Vehicle chemistry heavily dictates skin penetration, allowing a 15% azelaic acid gel to release active medication more efficiently and achieve comparable or superior potency to a 20% cream. (6:10)
  • Routine hand hygiene in healthcare settings is best accomplished with standard, non-medicated soap and water rather than antibacterial cleansers, protecting the skin barrier while avoiding antimicrobial resistance. (3:01)
  • Microscopic inflammation occurs even within subclinical, non-inflammatory comedones, which is sufficient to trigger long-lasting post-inflammatory hyperpigmentation, particularly in deeper skin tones. (10:08)

Detailed notes

## Background Published on YouTube by board-certified dermatologist Dr Dray on September 27, 2026, this Q&A video addresses viewer questions regarding evidence-based skincare. The program covers building affordable anti-aging routines, hand hygiene in healthcare settings, drug delivery mechanics, ingredient compatibility, and viral skincare tools and trends.

## TL;DR Dr. Dray emphasizes that an effective anti-aging routine does not require luxury products or complex schedules, highlighting sun protection, topical retinoids, and consistent basics over costly marketing gimmicks. She clarifies that plain Dove soap suffices for routine care while 15% azelaic acid gel can outperform a 20% cream due to vehicle penetration efficiency, and notes that laser hair removal treats oral minoxidil-induced facial hair only if the follicles contain sufficient pigment. She also debunks perceived incompatibilities between vitamin C and copper peptides, explains how microscopic inflammation causes post-inflammatory hyperpigmentation, and dismisses claims that Gua Sha or artisan goat milk soaps provide structural anti-aging or clinical benefits.

## Atmosphere & style The session has a practical, no-nonsense, and gently wry tone, feeling like a candid one-on-one consultation with a pragmatic clinician. Dr. Dray delivers clinical explanations with relaxed authority, interspersing evidence-backed critique with relatable humor about overcomplicated regimens and marketing hype. Her grounded, reassuring delivery cuts cleanly through aesthetic industry trends to emphasize barrier health, consistency, and realistic expectations.

## Bulletin - [00:20](https://www.youtube.com/watch?v=j8LDR9OivSs&t=20s) Effective anti-aging regimens rely primarily on photoprotection and topical retinoids or alpha hydroxy acids, demonstrating that costly luxury skincare lines and complex multi-step routines are clinically unnecessary. - [06:10](https://www.youtube.com/watch?v=j8LDR9OivSs&t=370s) Vehicle chemistry heavily dictates skin penetration, allowing a 15% azelaic acid gel to release active medication more efficiently and achieve comparable or superior potency to a 20% cream. - [03:01](https://www.youtube.com/watch?v=j8LDR9OivSs&t=181s) Routine hand hygiene in healthcare settings is best accomplished with standard, non-medicated soap and water rather than antibacterial cleansers, protecting the skin barrier while avoiding antimicrobial resistance. - [10:08](https://www.youtube.com/watch?v=j8LDR9OivSs&t=608s) Microscopic inflammation occurs even within subclinical, non-inflammatory comedones, which is sufficient to trigger long-lasting post-inflammatory hyperpigmentation, particularly in deeper skin tones.

## Key takeaways - [00:20](https://www.youtube.com/watch?v=j8LDR9OivSs&t=20s) Aggressive skincare marketing leads consumers to overspend, even though sun protection and topical retinoids possess the strongest clinical evidence for reversing and preventing skin aging. - [02:20](https://www.youtube.com/watch?v=j8LDR9OivSs&t=140s) Daily lifestyle choices—including adequate exercise, a balanced diet, and avoiding smoking—influence skin health and aging far more than luxury cosmetic products. - [03:01](https://www.youtube.com/watch?v=j8LDR9OivSs&t=181s) The CDC recommends plain, non-antibacterial soap over antibacterial washes for routine hygiene because it effectively cleanses without degrading the skin barrier or promoting bacterial resistance. - [03:45](https://www.youtube.com/watch?v=j8LDR9OivSs&t=225s) Alcohol-based sanitizers fail against pathogens such as Clostridium difficile, norovirus, and Cryptosporidium, requiring mechanical handwashing with soap and water to physically rinse spores away. - [05:39](https://www.youtube.com/watch?v=j8LDR9OivSs&t=339s) Laser hair removal can manage facial hair growth stimulated by oral minoxidil, but it is only effective on pigmented terminal hairs and cannot target blonde or fine vellus hair. - [06:10](https://www.youtube.com/watch?v=j8LDR9OivSs&t=370s) Active ingredient percentage alone does not determine product strength; gel formulations generally enable deeper drug penetration than heavier cream bases. - [08:05](https://www.youtube.com/watch?v=j8LDR9OivSs&t=485s) The belief that copper peptides deactivate ascorbic acid is an ungrounded myth in modern cosmetics, as stabilized formulations and chelating agents prevent oxidative breakdown. - [08:59](https://www.youtube.com/watch?v=j8LDR9OivSs&t=539s) Copper peptides lack robust clinical evidence, and attempting to cycle multiple unproven actives risks overcomplicating routines and eroding long-term adherence. - [10:08](https://www.youtube.com/watch?v=j8LDR9OivSs&t=608s) Histological studies demonstrate that comedones harbor subclinical inflammation, which can stimulate melanogenesis and cause persistent hyperpigmentation in patients with skin of color. - [11:00](https://www.youtube.com/watch?v=j8LDR9OivSs&t=660s) Acne regimens for deeper complexions should prioritize early pigment prevention and low-irritation formulations, as post-inflammatory marks persist far longer than active breakouts. - [12:08](https://www.youtube.com/watch?v=j8LDR9OivSs&t=728s) Gua Sha stones and lymphatic drainage brushes do not alter facial anatomy; any visible depuffing is temporary fluid drainage that gravity naturally accomplishes over the course of the day. - [12:35](https://www.youtube.com/watch?v=j8LDR9OivSs&t=755s) Overly aggressive Gua Sha use risks petechiae and capillary bruising, while textured lymphatic brushes can disrupt the superficial skin barrier through friction. - [12:54](https://www.youtube.com/watch?v=j8LDR9OivSs&t=774s) Artisan goat milk soaps produced via traditional lye cold-process methods carry an alkaline pH that strips skin lipids, making standardized, pH-balanced syndet bars a far safer choice.

## Detailed walkthrough ### [00:00](https://www.youtube.com/watch?v=j8LDR9OivSs&t=0s) Building an Effective Anti-Aging Routine: Drugstore Skincare vs. Expensive Treatments

Dr. Dray opens the weekend Q&A session by welcoming viewers back and noting that all questions are timestamped and organized in her dedicated skincare Q&A playlist for easy browsing. The first question tackles a fundamental industry debate: can a solid anti-aging routine be built strictly using drugstore products and prescription tretinoin, or are expensive luxury products and specialized in-office procedures truly necessary? Dr. Dray laments that the very existence of this question proves how remarkably effective skincare marketing is at convincing consumers they must invest heavily in endless product tiers. In reality, the most impactful interventions for skin aging are accessible and affordable.

First and foremost is sun protection, which Dr. Dray emphasizes goes far beyond just applying sunscreen. While sunscreen is vital, overall sun-protective behaviors matter just as much; putting on sunscreen only to lie out in a bikini for hours still results in a massive dose of ultraviolet radiation. Ranking just alongside photoprotection in terms of rigorous clinical evidence are topical retinoids. Prescription tretinoin and over-the-counter cosmetic retinols carry the strongest backing in scientific literature for treating signs of aging. Other drugstore options can provide measurable benefits, such as topical alpha hydroxy acids (AHAs) like buffered ammonium lactate (found in brands like AmLactin), which have been demonstrated to improve both epidermal and dermal thickness.

Regarding topical antioxidants like ascorbic acid (pure vitamin C), Dr. Dray notes that while well-formulated serums can help address wrinkles and age spots, formulation stability is notoriously difficult. Even the famous patented formulation used in SkinCeuticals C E Ferulic—long heralded as the pinnacle of evidence-based vitamin C—does not possess an overwhelming amount of clinical research when compared to prescription drugs like topical retinoids. Vitamin C simply has not met the threshold of an FDA-approved drug for treating intrinsic and extrinsic aging.

When addressing tools beyond topicals, Dr. Dray explains that while at-home devices can provide modest improvements, the market is flooded with gimmicky gadgets. Red and near-infrared light therapy devices have valid evidence showing modest improvements in collagen synthesis, skin texture, and fine lines when used with strict consistency. In-office procedures can also make a noticeable difference for surface textural concerns, but she cautions viewers to question their personal goals: cosmetic interventions are not medical necessities. Ultimately, spending a lot of money is not required to achieve meaningful results, and keeping a routine stripped down—sunscreen, a topical retinoid, and perhaps an AHA—will serve most people best. She reminds viewers that daily lifestyle choices, such as regular exercise, a balanced diet, and avoiding smoking, move the needle far more than any luxury cosmetic jar.

[03:01](https://www.youtube.com/watch?v=j8LDR9OivSs&t=181s) Dove Hand Wash vs. Antibacterial Soaps and Sanitizers in Healthcare Settings

A viewer who provides full-time care for their elderly mother asks whether Dr. Dray's frequently recommended Dove body wash and hand wash products are strong enough for a healthcare environment. The viewer had tested Hibiclens (chlorhexidine gluconate), knowing it is used as a pre-surgical antiseptic, but found it severely drying and unpleasant in fragrance, prompting them to look for an antibacterial soap that smells pleasant while offering high antimicrobial protection.

Dr. Dray reassures the viewer that regular, non-medicated hand soaps like Dove are more than adequate for routine patient care and are explicitly recommended by the Centers for Disease Control and Prevention (CDC) over antibacterial soaps. Standard soaps clean just as effectively while causing significantly less irritation and barrier disruption. Furthermore, antibacterial washes offer no clinical advantage in non-surgical home or clinical settings and actively contribute to antimicrobial resistance. While healthcare staff in hospitals and nursing homes frequently rely on 70% ethanol-based hand sanitizers for convenience and rapid room-to-room compliance, sanitizers have critical blind spots. Hand sanitizers fail against pathogens like *Clostridium difficile* (*C. diff*), norovirus, and *Cryptosporidium*. In those specific instances, mechanical hand washing with soap and water is non-negotiable because the physical friction of soapy lather and water rinsing is required to physically remove bacterial spores and viral particles from the skin.

- **Routine handwashing:** Plain soap and water are preferred over antibacterial soaps to protect skin barrier integrity and prevent antimicrobial resistance. - **Surgical prep vs. daily care:** Cleansers like Hibiclens are designed for pre-operative surgical scrubbing where skin incisions are planned, not for repetitive daily hand hygiene. - **Proper technique:** To achieve complete hygiene, wash every surface—palms, the backs of hands, webbing between fingers, all sides of each digit, and around and under the fingernails—for the duration it takes to sing the alphabet.

[05:39](https://www.youtube.com/watch?v=j8LDR9OivSs&t=339s) Laser Hair Removal for Facial Hair Caused by Oral Minoxidil

A viewer taking oral minoxidil for scalp hair loss reports excellent results on their head but is distressed by unwanted facial hair growth resembling a beard, asking if laser hair removal can eliminate this medication-induced facial hair without requiring them to quit oral minoxidil. Dr. Dray confirms that laser hair removal can indeed work for this indication, though its success depends entirely on hair color and pigment.

Traditional laser hair removal targets pigment in the follicle, performing best on dark terminal hair against lighter skin tones, though modern laser platforms—including picosecond lasers and longer-wavelength systems—have made the procedure safe and effective for deeper complexions. The critical caveat is that minoxidil can sometimes stimulate fine, unpigmented vellus hair ("peach fuzz") or light blonde hair. If the facial growth consists of fine blonde peach fuzz rather than coarse, dark hairs, laser hair removal will not be effective, as there is insufficient melanin in the follicle to absorb the laser energy.

[06:10](https://www.youtube.com/watch?v=j8LDR9OivSs&t=370s) Azelaic Acid 15% Gel vs. 20% Cream: The Truth About Vehicle and Penetration

A viewer dealing with both rosacea and melasma asks whether it is a myth or fact that prescription 15% azelaic acid gel delivers more active drug into the skin than the higher-percentage 20% azelaic acid cream due to differences in formulation. Dr. Dray confirms that this is true: gel vehicles generally facilitate superior drug delivery and ingredient penetration compared to thick creams.

This formulation dynamic illustrates why consumers should not fixate solely on ingredient percentages when judging efficacy. Because the 15% gel vehicle releases azelaic acid more efficiently into the tissue, a lower overall concentration achieves the exact same—or greater—clinical potency as the 20% cream formulation. Dr. Dray points to a similar misconception in over-the-counter body care: patients frequently wonder if they must upgrade from 12% to 15% AmLactin (ammonium lactate) for skin-thickening benefits. In her view, the minor percentage increase usually just reflects vehicle adjustments rather than a meaningful increase in potency. Furthermore, ingredient penetration is influenced by several factors: - **Vehicle chemistry:** Gels typically penetrate more readily than heavier cream bases. - **Penetration enhancers:** Humectants such as hyaluronic acid within a formula can enhance the uptake of other active ingredients. - **Formulation pH:** The acid-base balance of the overall product heavily dictates stability and skin bioavailability. - **Mechanism of action:** Not all actives require deep dermal absorption; azelaic acid primarily exerts its anti-inflammatory and antimicrobial properties right at the epidermal surface without needing to bind to deep cellular receptors.

[08:05](https://www.youtube.com/watch?v=j8LDR9OivSs&t=485s) Combining Vitamin C and Copper Peptides in a Morning Routine

The discussion turns to ingredient compatibility when a viewer asks about alternating mornings between a vitamin C serum and copper peptides, wondering if cycling them every other day prevents either active from delivering visible anti-aging results. Dr. Dray acknowledges that staggered routines (using products every second or third day) rarely have dedicated clinical research behind them, making definitive clinical claims difficult.

Addressing the root concern, Dr. Dray debunks the common online skincare myth that copper peptides and ascorbic acid should never be used together. The theoretical fear originated from bench chemistry, where copper ions can catalyze the oxidative degradation of ascorbic acid. However, cosmetic chemists have repeatedly clarified that modern vitamin C formulations—stabilized by precise pH levels and chelating agents—do not undergo this rapid breakdown when layered with peptide products on the skin. While Dr. Dray admits she does not specialize in the intricate formulation chemistry, cosmetic formulators maintain that the incompatibility claim is unfounded and consumers can safely use both.

[08:59](https://www.youtube.com/watch?v=j8LDR9OivSs&t=539s) Copper Peptides, Routine Complexity, and Consistency

Dr. Dray continues evaluating copper peptides, expressing skepticism that they deliver anywhere near the level of results people expect. While they might offer some perks, they simply lack robust, high-quality clinical research. Having personally tested numerous copper peptide formulations over the years, Dr. Dray notes that results vary wildly: while some felt beneficial, others either irritated her skin or left her wondering where the hype came from. Because of this inconsistency, copper peptides are not an ingredient she actively urges patients to prioritize if they want specific, measurable outcomes. They fall into the "nice to have" category, but if incorporating them complicates an existing routine, they are best left out.

Her straightforward guidance is to prioritize daily ascorbic acid (vitamin C) above all else. Users can either pair copper peptides alongside vitamin C if their skin tolerates it or test an alternating day schedule, though Dr. Dray points out that nobody has formally researched how alternating compares to daily use. More broadly, she warns against building routines that are overly rigid and convoluted, humorously remarking that hyper-scheduled regimens are far too complex for her "tiny brain" to follow. She jokes about wondering whether viewers maintain dedicated whiteboards in their bathrooms just to track which active ingredient belongs to which day of the week. In dermatology, overcomplicated scheduling is counterproductive: the more complex a regimen becomes, the less likely someone is to remain consistent with it over the long haul, in which case "nothing works."

- **Clinical standing:** Copper peptides are far less researched than gold-standard actives like ascorbic acid and tretinoin. - **Formulation variability:** User experiences range from mild soothing to active irritation depending on formulation and individual barrier tolerance. - **Adherence over complexity:** Sticking consistently to a simple daily routine of proven actives yields far better long-term results than rotating multiple niche products across an intricate calendar.

---

[10:08](https://www.youtube.com/watch?v=j8LDR9OivSs&t=608s) Post-Inflammatory Hyperpigmentation from Scratches, Bites, and Acne

Addressing a viewer's question about why even very pale skin can develop persistent dark spots after insect bites, animal scratches, cuts, or wounds, Dr. Dray identifies the culprit as post-inflammatory hyperpigmentation (PIH). Whenever the skin experiences trauma or inflammatory insult, melanocytes can be triggered to deposit excess pigment at the site of repair. While this can happen in fair complexions, it is an especially pronounced and stubborn challenge for individuals with deeper skin tones. For patients with skin of color, even the tiniest minor breakout can leave behind prominent, long-lasting dark marks.

Dr. Dray reflects on how dermatology has evolved in its understanding of acne pathophysiology. Acne lesions were historically divided into distinct categories of non-inflammatory lesions (such as comedones) versus inflammatory lesions (papules and pustules). Modern histological evaluations have demonstrated that even classically "non-inflammatory" comedones harbor microscopic inflammation beneath the skin's surface. In deeper skin tones, that low-grade microinflammation is more than enough to "tip the balance over" and activate melanogenesis, driving stubborn pigmentation even when the surface acne looks relatively mild. Consequently, treating acne in patients with skin of color requires an early, proactive strategy focused on stopping dark marks before they start. Pimples typically resolve quickly, but PIH lingers for months or years. Dr. Dray emphasizes that any skincare product causing friction or irritation can worsen this pathway, reminding viewers that actives should only ever be used if individual tolerance is solid.

```mermaid flowchart TD accTitle: Path to Post-Inflammatory Hyperpigmentation accDescr: Diagram illustrating how mechanical injury or microinflammation drives persistent dark marks on the skin.

subgraph Triggers ["Skin Insults"] A["Physical Trauma<br/>(Bites, Scratches, Cuts)"] B["Subclinical Acne<br/>(Microscopic Comedonal Inflammation)"] end

subgraph Mechanism ["Inflammatory Cascade"] C["Dermal & Epidermal Inflammation"] D["Melanocyte Overactivation"] end

subgraph Outcome ["Clinical Result"] E["Post-Inflammatory Hyperpigmentation (PIH)<br/>(Long-Lasting Dark Marks)"] end

A --> C B --> C C --> D D --> E ```

- **Histology of comedones:** Microscopic inflammation exists beneath the surface even in non-erythematous blackheads and whiteheads. - **Treatment priority:** In deeper skin tones, preventing PIH takes priority because pigment clearance takes exponentially longer than acne lesion resolution. - **Product tolerability:** Irritating topicals introduce secondary inflammation, inadvertently worsening pigmentation concerns.

---

[12:08](https://www.youtube.com/watch?v=j8LDR9OivSs&t=728s) Gua Sha vs. Lymphatic Face Brushes

Evaluating the viral trend of facial sculpting tools, Dr. Dray addresses whether Gua Sha stones offer a better alternative to lymphatic drainage brushes. In her assessment, neither modality produces meaningful or lasting structural changes to facial anatomy. The most either technique can achieve is a mild, fleeting reduction in morning puffiness or fluid retention—a shift that would happen naturally anyway once someone gets out of bed, remains upright, and lets gravity assist normal venous and lymphatic drainage away from the face.

Comparing the two tools, Dr. Dray notes that a smooth Gua Sha stone is generally less abrasive than dragging textured brush bristles across facial skin, reducing the risk of superficial barrier disruption. However, Gua Sha carries its own risks if people press down too aggressively, which can lead to capillary rupture and bruising. While she has no objection to people using Gua Sha as a relaxing, enjoyable self-care ritual as long as it causes no trauma, she firmly rejects the exaggerated social media claims that manual stone manipulation will sculpt facial bones or make someone look "20 years younger."

- **Mechanism:** Transient depuffing occurs via fluid mobilization, which natural gravity accomplishes throughout the day without tools. - **Risk profile:** Brushes pose a greater risk of superficial friction and irritation; heavy-handed Gua Sha use carries a risk of tissue bruising and broken capillaries. - **Efficacy limits:** Neither tool changes facial architecture, firms structural elastin, or alters biological aging.

---

[12:54](https://www.youtube.com/watch?v=j8LDR9OivSs&t=774s) The Reality of Goat Milk Soap and DIY Formulations

In response to a question regarding the supposed skin benefits of goat milk soap, Dr. Dray discusses the massive surge in consumer popularity surrounding goat milk over the past decade. She acknowledges the theoretical rationale behind the ingredient: goat milk naturally contains fats, proteins, and anti-inflammatory compounds that could plausibly benefit sensitive or eczema-prone barriers by helping moisturize the skin. However, theoretical nutritional profiles do not equate to proven topical superiority, as there are no rigorous clinical trials showing that goat milk soap outperforms standard cleansers for managing specific dermatological disorders.

Dr. Dray questions whether goat milk bars provide any tangible clinical advantage over a standard drugstore syndet (synthetic detergent) beauty bar, such as a Dove or Cetaphil cleansing bar, which are specifically engineered to deposit moisture onto the skin barrier without disrupting its acid mantle. She also raises a strong cautionary note about buying artisan or farmers market goat milk soaps during festival season. Small-batch hobbyist makers often use traditional, harsh lye-based cold-process saponification methods ("you don't know what they're cooking up in the back"). These traditional formulations yield high alkaline pH soaps that are notoriously stripping and irritating to delicate skin, making commercially standardized, pH-balanced cleansing bars the safer, more dependable choice.

- **Theoretical benefits:** Goat milk contains natural lipids, proteins, and soothing components that could support barrier hydration on paper. - **Lack of clinical trials:** No robust, comparative evidence proves goat milk soap outcleanses or outhydrates mainstream syndet bars. - **Artisan formulation risk:** Small-batch festival soaps often rely on traditional lye saponification, yielding an alkaline pH that damages the skin barrier.

---

[14:11](https://www.youtube.com/watch?v=j8LDR9OivSs&t=851s) Outro

Dr. Dray closes out the weekend Q&A by thanking her community for submitting thoughtful, clinically relevant skincare questions. She invites viewers to hit the thumbs-up button and share the video with friends before wrapping up with her signature closing reminder: "don't forget sunscreen and subscribe." She lets everyone know she will be back with another video tomorrow before signing off.

## Notable quotes > [05:39](https://www.youtube.com/watch?v=j8LDR9OivSs&t=339s) peach fuzz — Dr. Dray

> [08:59](https://www.youtube.com/watch?v=j8LDR9OivSs&t=539s) nice to have — Dr. Dray

> [08:59](https://www.youtube.com/watch?v=j8LDR9OivSs&t=539s) tiny brain — Dr. Dray

> [08:59](https://www.youtube.com/watch?v=j8LDR9OivSs&t=539s) nothing works — Dr. Dray

> [10:08](https://www.youtube.com/watch?v=j8LDR9OivSs&t=608s) non-inflammatory — Dr. Dray

> [10:08](https://www.youtube.com/watch?v=j8LDR9OivSs&t=608s) tip the balance over — Dr. Dray

> [12:08](https://www.youtube.com/watch?v=j8LDR9OivSs&t=728s) 20 years younger — Dr. Dray

> [12:54](https://www.youtube.com/watch?v=j8LDR9OivSs&t=774s) you don't know what they're cooking up in the back — Dr. Dray

> [14:11](https://www.youtube.com/watch?v=j8LDR9OivSs&t=851s) don't forget sunscreen and subscribe. — Dr. Dray

## Mentioned AmLactin, Azelaic acid, Centers for Disease Control and Prevention (CDC), Cetaphil, Chlorhexidine gluconate, Clostridium difficile, Copper peptides, Cryptosporidium, Dove, Dr. Dray, Food and Drug Administration (FDA), Gua Sha, Hibiclens, Minoxidil, Norovirus, SkinCeuticals C E Ferulic, Tretinoin, Vitamin C (Ascorbic acid)

## Video description In this skincare Q&A, dermatologist Dr. Dray answers questions from viewers about building an effective anti-aging skincare routine, drugstore skincare, tretinoin, hand washing, laser hair removal, azelaic acid, vitamin C, copper peptides, hyperpigmentation, Gua Sha, and goat milk soap.

Dr. Dray explains which skincare ingredients and treatments have the strongest evidence for improving signs of skin aging and whether an effective anti-aging routine really requires expensive products or in-office treatments. She also discusses how drugstore skincare products can provide many of the same evidence-based benefits.

Other questions covered include whether Dove hand wash is appropriate for routine hand washing in healthcare settings, whether laser hair removal can help facial hair caused by oral minoxidil, and whether 15% azelaic acid gel penetrates the skin better than 20% azelaic acid cream.

Dr. Dray also discusses using vitamin C and copper peptides together, what causes dark marks after insect bites, animal scratches, and wounds, whether Gua Sha or lymphatic facial brushes can actually sculpt the face, and whether goat milk soap offers meaningful benefits for the skin.

TIMESTAMPS:

0:00 Intro 0:20 Can You Build an Anti-Aging Routine With Drugstore Products and Tretinoin? 3:01 Is Dove Hand Wash Effective Enough for Healthcare Settings? 5:39 Can Laser Hair Removal Treat Facial Hair From Oral Minoxidil? 6:10 15% Azelaic Acid Gel vs. 20% Cream: Which Penetrates Better? 8:05 Can You Use Vitamin C and Copper Peptides Together? 10:08 Why Do Insect Bites, Scratches, and Wounds Leave Dark Marks? 12:08 Gua Sha vs. Lymphatic Face Brushes: Do They Really Sculpt Your Face? 12:54 Does Goat Milk Soap Have Special Benefits for Skin? 14:11 Outro

This video covers anti-aging skincare, tretinoin, drugstore skincare, azelaic acid, rosacea, melasma, hyperpigmentation, post-inflammatory hyperpigmentation, vitamin C, copper peptides, oral minoxidil, laser hair removal, Gua Sha, facial massage, goat milk soap, hand washing, and dermatologist skincare advice.

#SkincareQandA #Dermatologist #DrDray #Skincare #AntiAgingSkincare #Tretinoin #AzelaicAcid #Rosacea #Melasma #Hyperpigmentation #VitaminC #CopperPeptides #GuaSha #drugstoreskincare

FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links.

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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

[Source](https://www.youtube.com/watch?v=j8LDR9OivSs)

中文简报

Dr Dray更推荐开架类维A酸而非昂贵抗衰精华 昂贵护肤方案与小众手工产品相比廉价防晒及外用维A酸并无经证实的优势,决定皮肤状态的是成分促渗与长期坚持,而非价格标签。 Dr Dray澄清指出,有效的抗衰护肤方案无需奢华配方或院线项目,日常防晒、外用维A酸以及健康的生活习惯才是皮肤健康的真正驱动力。她针对具体临床和护肤问题进行了解答,解释称15%壬二酸凝胶比20%乳霜具有更好的渗透性,Dove等普通的非抗菌香皂已完全足以满足常规护理需求,而激光脱毛可有效解决米诺地尔引起的局部多毛。此外,她破除了网络流行的护肤风潮,指出刮痧板只能提供暂时的淋巴引流而无法重塑面部轮廓,而手工山羊奶皂缺乏临床依据,且相较于标准化的美容皂块更容易刺激皮肤屏障。在整个分享中,她强调应简化护肤流程,并指出微小的痤疮炎症和产品引起的刺激极易引发炎症后色素沉着。 全面的防晒和外用维A酸仍然是经过最充分科学验证的抗衰老手段,其效果远超昂贵的奢华外用产品或复杂的护肤方案。 (0:00) 配方载体比标注浓度更重要;15%壬二酸凝胶通常比20%乳霜配方能向皮肤输送更多的有效活性成分。 (6:10) 日常护理不需要刺激性的氯己定或抗菌肥皂;CDC推荐的无药物添加清洁产品(如Dove)更安全、更不易引起干燥,且完全有效。 (3:01) 刮痧板和淋巴刷等机械面部工具不能重塑面部解剖结构,仅能提供短暂的水肿引流,而直立姿势和重力本就可以自然解决这些水肿。 (12:08)

Reading summary

Dr. Dray argues that an effective anti-aging and skincare routine relies on accessible, evidence-backed fundamentals—namely broad sun protection, topical retinoids, and gentle cleansing—rather than costly luxury products, complex schedules, or viral gadgets. Skincare marketing frequently exaggerates the necessity of high ingredient percentages, artisan soaps, and elaborate multi-step regimens that lack rigorous clinical support. Evidence-Based Anti-Aging and Regimen Simplicity (0:00) The most clinically proven anti-aging interventions remain affordable drugstore products and prescription medications. Rigorous clinical literature identifies comprehensive sun protection—encompassing sun-protective behaviors alongside sunscreen—and topical retinoids (such as tretinoin and over-the-counter retinol) as the primary drivers of meaningful skin improvement. Alpha hydroxy acids, such as buffered ammonium lactate, also offer documented benefits for epidermal and dermal thickness. Conversely, highly marketed alternatives like pure ascorbic acid (vitamin C) face formulation stability obstacles and have not attained FDA-approved drug status for aging, while copper peptides lack high-quality clinical trials demonstrating significant efficacy. Overly complex regimens often hinder long-term consistency. Dr. Dray cautions against rotating niche products across intricate daily calendars, noting that adherence to a straightforward daily routine of proven actives is far more impactful. Similarly, popular mechanical tools like Gua Sha stones and facial brushes do not alter facial anatomy, structural collagen, or biological aging. At most, they offer fleeting fluid mobilization that natural upright posture and gravity achieve throughout the day, while improper use can cause capillary rupture or barrier friction. Formulation Delivery Over Raw Ingredient Percentages (6:10) Clinical efficacy is dictated by vehicle chemistry and bioavailability rather than raw active percentages. For example, prescription 15% azelaic acid gel delivers equivalent or superior active drug penetration compared to a 20% cream because gel vehicles release the active into the tissue more efficiently. A similar dynamic applies to over-the-counter body treatments, where shifting from 12% to 15% ammonium lactate reflects vehicle adjustments rather than a marked increase in clinical potency. Absorption is governed by overall vehicle chemistry, formulation pH, and penetration enhancers like hyaluronic acid, while surface-acting agents such as azelaic acid do not require deep cellular penetration to exert anti-inflammatory and antimicrobial effects. Formulation science also refutes widespread concerns regarding active ingredient conflicts. Although theoretical bench chemistry suggests that copper ions induce the oxidative breakdown of ascorbic acid, cosmetic chemists clarify that modern, stabilized vitamin C formulations utilize precise pH levels and chelating agents to prevent this degradation. Consequently, patients can safely combine or layer both ingredients if their individual skin barrier tolerates the regimen. Cleansing Science: Syndet Bars Versus Specialty Soaps (3:01) For everyday hygiene and home patient care, standard non-medicated cleansers like Dove beauty bars are clinically preferable to antibacterial soaps. The Centers for Disease Control and Prevention explicitly recommends plain soap and water over antibacterial washes for routine hygiene, as standard cleansers protect the skin barrier while avoiding the risks of contact irritation and antimicrobial resistance. Specialized surgical scrubs such as chlorhexidine gluconate (Hibiclens) are intended for pre-operative prep, not daily handwashing. Furthermore, while 70% ethanol hand sanitizers are standard in healthcare environments, they fail against pathogens such as Clostridium difficile, norovirus, and Cryptosporidium, which strictly require mechanical washing with soap and water to rinse away spores and viral particles. Specialty artisan cleansers also carry underappreciated risks. While goat milk soap is popularized for its theoretical content of soothing fats and proteins, no robust clinical trials demonstrate that it outperforms standard drugstore synthetic detergent (syndet) bars. In addition, small-batch soaps sold at craft markets frequently rely on traditional lye-based saponification, resulting in high alkaline pH profiles that strip lipids and irritate sensitive or eczema-prone skin. Hyperpigmentation Pathophysiology and Treatment Limits (10:08) Post-inflammatory hyperpigmentation (PIH) develops when mechanical injury, insect bites, or acne lesions trigger melanocytes to deposit excess pigment during tissue repair. Histological research demonstrates that even subclinical, non-inflammatory comedones (blackheads and whiteheads) harbor microscopic underlying inflammation. In deeper complexions, this low-grade microinflammation is sufficient to induce melanogenesis, leaving persistent dark marks long after mild breakouts resolve. As a result, dermatological care for skin of color must focus on early, proactive inflammation prevention and gentle formulations, since irritating topicals only amplify secondary pigmentation. Procedural interventions also encounter distinct biological limitations. While laser hair removal can treat medication-induced facial hair caused by oral minoxidil, its efficacy depends strictly on follicular pigment. Contemporary long-wavelength and picosecond lasers safely treat dark terminal hair across diverse skin tones, but the technology cannot treat unpigmented vellus hair (peach fuzz) or light blonde growth, as there is insufficient melanin to absorb the laser energy. Dr. Dray concludes that sustainable skincare outcomes stem from basic lifestyle factors, rigorous photoprotection, and consistent adherence to proven topicals rather than complex product rotations or artisan trends. A persistent limitation in consumer dermatology is the lack of head-to-head clinical trials evaluating popular alternating active schedules and niche peptide formulations against standardized gold-standard regimens.

Source quotes

[5:39] Dr. Dray: peach fuzz [8:59] Dr. Dray: nice to have [8:59] Dr. Dray: tiny brain [8:59] Dr. Dray: nothing works [10:08] Dr. Dray: non-inflammatory [10:08] Dr. Dray: tip the balance over [12:08] Dr. Dray: 20 years younger [12:54] Dr. Dray: you don't know what they're cooking up in the back [14:11] Dr. Dray: don't forget sunscreen and subscribe.

Original transcript

[0:00] Well, hey guys. Welcome back to the [0:02] weekend Q&A. Picking up where we left [0:04] off in yesterday's video. I'm going to [0:06] be answering more of your great skincare [0:08] questions. These are all saved in the [0:10] skincare Q&A playlist. If you've missed [0:12] recent videos and you want to go back [0:13] and check them, they are all [0:14] timestamped, so you can find what [0:16] questions I answered and just skip to [0:18] that part of the video if you don't have [0:19] time to watch the whole video. Can you [0:21] create a solid anti-aging skincare [0:23] routine using just drugstore products [0:25] and tininoan or do you need to include [0:27] treatments and more expensive products? [0:30] Honestly, the fact that this even gets [0:32] brought up as a question just [0:34] underscores the fact that skincare [0:35] marketing is pretty effective at [0:37] convincing people that they have to [0:39] invest in all of the stuff that there's [0:40] truly a need for. When in reality, as [0:43] far as the tiers of things that you can [0:45] be doing yourself at home, um that move [0:47] the dial, sun protection is still number [0:49] one. It's not just sunscreen. It's the [0:52] other sunprotective behaviors. Like you [0:54] could do be a sunscreen user, but you [0:56] can still get a lot of UV exposure, you [0:59] know, through if you go out and lay out [1:01] in the sun with sunscreen on, but like [1:03] in a bikini, that's still a lot of sun. [1:05] And then topical retinoids, right? [1:06] That's really where like the most [1:07] research is. As far as um other things, [1:10] the cosmetic retinols um also can be [1:13] helpful. uh the cosmetics that have [1:15] ascorbic acid depending on if it's [1:18] formulated right can um be helpful as [1:20] well for wrinkles, age spots, but [1:23] formulation with that is challenging. [1:24] Topical alpha hydroxy acids like [1:26] buffered ammonium lactate can improve [1:28] dermal thickness and epidermal [1:30] thickness. So there there's something [1:32] that's a drugstore product. These are [1:33] all products you can get in the [1:35] drugstore. We'll say the ascorbic acid, [1:37] you know, the patented one for many [1:39] years was the one that CE furuic uses [1:42] and so that was always thought to be [1:43] like the most evidence-based one, but [1:46] okay, it's not like there's a ton of [1:47] research on that either. Okay, let's be [1:49] honest. It's not like making its way as [1:51] a prescription drug or anything to treat [1:54] aging like topical retinoid is. Topical [1:56] retinoid is, vitamin C is not. And then [1:58] you also have, you know, the at home [2:00] devices can move the dial if you're [2:02] consistent. And by at home devices, you [2:04] got to be careful there because there [2:05] are a lot of gimmicky devices out there [2:07] that aren't going to do anything. The [2:08] red and near infrared devices can [2:10] modestly improve collagen production, [2:12] smooth the skin, help diminish wrinkles, [2:15] and um also in office procedures, yeah, [2:18] they can also move the dial as far as [2:21] surface stuff. Do you need all of that? [2:23] I mean, it's cosmetic. You don't need it [2:25] to live. What are you trying to [2:26] accomplish? Um this idea that you've got [2:29] to spend a lot of money is really just [2:31] marketing. You don't need a lot of money [2:33] to have an effective skincare routine. [2:35] And I think people would be better [2:36] served by just keeping the routine real [2:38] simple, focused on just sun protection, [2:40] maybe a topical retinoid if that's what [2:42] you tolerate, maybe an AHA, maybe. Okay, [2:46] it's not like you must have these [2:47] things. It's really not a huge [2:49] difference. Where the difference pays [2:51] off is in your lifestyle, like your [2:53] diet, the exercise, don't smoke. I mean, [2:56] that's really that's really what moves [2:58] the dial the most is the lifestyle [3:00] habits over time. You recommend Dove [3:02] body wash and hand wash products. Is the [3:04] hand wash strong enough for a health [3:05] care setting? I wash my hands a lot and [3:07] caring full-time for my elderly mom and [3:09] would like to find a hand soap with a [3:11] high antibacterial effectiveness along [3:13] with a pleasant aroma. Tried Hiba [3:15] Cleanse since it's used as a [3:16] pre-surgical cleanser, but it was too [3:18] drying and it did not have a nice aroma. [3:21] Regular non-medicated hand soaps are [3:24] more than adequate for the health care [3:25] setting and recommended by the CDC over [3:28] antibacterial hand wash because they are [3:31] just effect as effective but tend to be [3:34] less drying and irritating. Not only do [3:36] you not need the antibiotic, not only [3:37] does the antibiotic or antibacterial not [3:40] offer any advantages even in the [3:41] healthcare setting, it increases the [3:43] likelihood of antimicrobial resistance. [3:45] So Dove handwash is actually a great [3:47] option in the healthcare setting, caring [3:49] for a parent or whatever. Now, if you go [3:50] into the hospital or into a long-term [3:52] care facility, nursing home, or [3:54] whatever, you're going to see most [3:56] people using hand sanitizer because hand [3:58] sanitizer is a lot more convenient. And [4:01] when we're going in and out of different [4:02] rooms, it's going to be easier, more [4:05] likely that they comply with being able [4:07] to with using the hand sanitizer that [4:09] they just do this and rub their hands [4:11] together while they're moving and [4:12] talking than to stop and physically wash [4:14] your hands. And hand sanitizer cuts it. [4:17] Don't need a fancy one. the ethanol [4:19] based 70% ethanol hand sanitizer. [4:22] However, there is an exception where [4:24] hand sanitizer is no good and that is [4:26] hand sanitizer is not good if you are [4:29] caring for someone who has neuroirus who [4:32] has uh something known as claustrdium [4:34] difficil or cediff or someone who has [4:38] cryptosperidium there. It's good [4:40] old-fashioned good hand washing because [4:43] you need to physically be rubbing your [4:46] hands together with the soapy lather and [4:48] rinsing and all of that to remove like [4:50] the spores and certain viral particles [4:52] that the hand sanitizer does not [4:54] actually remove. So, in those [4:56] situations, Dove hand soap is going to [4:58] be preferable, superior, much better [5:01] than a hand sanitizer. The key with good [5:03] hand hygiene is you want to make sure [5:04] you're washing all surfaces including [5:06] between the fingers, both sides of the [5:08] palms, all sides of the fingers, around [5:10] the nails, under the nails. You really [5:12] want to do it for a good amount of time [5:14] and general estimate is the amount of [5:15] time it takes you to sing the alphabet. [5:17] Um, that's a good amount of time and [5:19] that works really, really well. You [5:21] know, you will see different protocols [5:23] that surgeons use in the operating room [5:26] for surgical prep with hippocones and [5:29] stuff like that. When we're talking [5:30] about cutting into somebody, that's a [5:32] whole different can of worms. But for [5:34] routine care, hand washing, hand [5:36] washing, hand washing is what you want. [5:38] Okay, that that's what you want. Will [5:39] laser hair removal work for facial hair [5:41] growth from oral minoxidil? I don't want [5:43] to stop the medicine because the hair on [5:45] my head is looking so good, but I don't [5:46] want a beard. Yes. Okay, so laser hair [5:49] removal works best on dark hair, lighter [5:52] skin, but like I mentioned um either in [5:55] this video or earlier, we have newer [5:57] time frame of things. They're not that [5:59] new. Lasers that um for deeper skin [6:02] tones actually work quite well like the [6:03] pico laser and things of that sort. But [6:05] if you have like little blonde peach [6:06] fuzz hairs that are coming in, those are [6:08] not likely to respond to laser hair [6:10] removal. I have rosacea and melasma. [6:12] Finally asked my doctor for 15% azelleic [6:14] acid gel. I heard the 15% azelleic acid [6:17] gel actually gets more of the azelleic [6:19] acid into the skin than the 20% cream [6:21] due to the formulation. Is that a myth [6:23] or a truth? So gels do allow oftent [6:25] times not 100% but do allow for um [6:28] usually better penetration of [6:29] ingredients. So that's why I always [6:31] underscore the importance of not just [6:34] laser focusing on the percentage of an [6:36] ingredient cuz if you just focus on the [6:38] percentage of an ingredient, you'll come [6:40] away with false conclusions about its [6:41] likely efficacy. So you might think 20% [6:44] aelic acid is higher than 15%. So surely [6:48] it's going to be better. No, I mean it's [6:50] 15% cuz you don't need as much because [6:53] it's in a gel vehicle versus a cream. [6:55] So, it gets in better. So, you can get [6:57] away with less drug, same outcome. It [6:59] makes the drug more potent and that you [7:01] need less drug to achieve the same [7:03] effect. That's why I always point out [7:04] when people are like, should I get the [7:06] 15% amlactin since you said 12% ammonium [7:10] lactate and higher is good for dermal [7:12] thickness. I honestly don't believe I I [7:14] don't have any objective information to [7:17] back this up, but I don't believe that [7:19] the 12% versus the 15% is really that [7:22] different. I think it's another [7:24] situation where formulation tweaks in [7:26] the 15% formulation required them to [7:29] have more ammonium [clears throat] [7:31] lactate in there than 12, you know, a [7:32] little bit more. Um, so yeah, you can't [7:35] just go off of percentages cuz vehicles [7:37] do impact things. The presence of [7:38] certain ingredients impact stuff. For [7:40] example, hyaluronic acid can enhance [7:42] penetration of certain ingredients in [7:44] formulas, too. And um the overall pH. I [7:47] mean, there's a lot of stuff that goes [7:48] into ingredient penetration into the [7:50] skin. And not all ingredients need to [7:52] really penetrate into the skin either. [7:54] Like acelic acid isn't something that [7:56] gets in and binds to receptors, per se. [7:59] It's mostly working at the surface of [8:00] the skin as an anti-inflammatory, [8:02] antimicrobial. And so, you know, there [8:04] it's a little bit different, too. What [8:06] do you think about alternating between [8:07] vitamin C and copper peptides in the [8:09] morning? Am I not getting enough of [8:11] either product to see benefits doing it [8:13] that way? You know, it's really hard to [8:15] say with regards to these kind of every [8:17] other day, every third day routines with [8:20] different cosmetic ingredients cuz [8:21] that's generally not something that is [8:23] researched at all. People are concerned [8:25] about using copper peptides alongside [8:28] ascorbic acid, vitamin C, because copper [8:31] in theory can accelerate the degradation [8:33] of ascorbic acid. But that doesn't seem [8:35] likely. Um the cosmetic chemists and [8:38] formulators, they say that doesn't [8:40] happen. It's not something that you [8:41] should concern yourself with due to the [8:43] way that the ascorbic acid in these [8:45] serums is being formulated with the pH [8:47] and everything like that. I I honestly [8:49] don't know a whole lot about the [8:51] chemistry that dictates that, but they [8:54] say I don't know where this myth came [8:55] from, but you can use them together. I [8:58] don't honestly think that copper [8:59] peptides necessarily offer as much as [9:03] people think they do. I mean, they [9:04] might, but it's just they're just not [9:06] that well researched. I've used quite a [9:08] few copper peptide products over the [9:10] years. Some of them have been great for [9:12] me. I've really found to be beneficial. [9:14] others irritated my skin or I was just [9:16] like I don't really see the hype here. [9:18] So, it's not something that I tell [9:20] people, oh, this is something to really [9:22] prioritize if you want X, Y, and Z [9:24] result. It's like nice to have in there, [9:26] but it's complicating your routine. I [9:28] would just say stick to using the [9:29] ascorbic acid daily. Either be okay with [9:32] using the copper peptide serum along [9:34] with it. You could do this every other [9:36] day thing, but I honestly don't know how [9:38] that compares cuz no one looks. And my [9:40] concern too with this, people get these [9:42] routines that sound a little bit too [9:44] complicated for my tiny brain to keep up [9:47] with because it's like I use this on [9:48] this day and I'm like, do you guys have [9:50] some like whiteboard going on in the [9:51] bathroom with like a do this on that day [9:53] because I don't know how you keep up [9:55] with all that. But I mean, maybe yours [9:57] is a lot more straightforward than some [9:59] of them can get. But yeah, I I find that [10:01] the more complicated and schedule [10:03] oriented the routine gets, the less [10:05] likely people are to stay consistent [10:07] with it over time, which case nothing [10:08] works. What causes very pale skin to go [10:10] dark on the side of an animal scratch or [10:12] insect bite mark as well as a cutter [10:15] wound? That is post-inflammatory [10:16] hyperpigmentation. So, skin injury, [10:19] inflammation can um leave behind a dark [10:21] mark, especially if you have a deeper [10:23] skin tone. It's called post-inflammatory [10:24] hyperpigmentation. It's a big issue for [10:27] people with deeper skin tones who have [10:28] acne. Say the slightest little pimple [10:30] and it's like boom, it's hyperpigmented. [10:33] We used to kind of think about acne as [10:35] like non-inflammatory inflammatory [10:36] lesions and we have since kind of [10:39] learned through more of a hisystologic [10:41] evaluation that a lot of the classically [10:43] non-inflammatory lesions of acne [10:45] comedyones microscopically there's [10:48] there's inflammation there even though [10:49] there's no evidence of inflammation at [10:51] the surface of the skin microscopically [10:52] there is and so that has repercussions [10:55] for patients who have deeper skin tones [10:57] because that microscopic inflammation is [10:59] tipping the balance over for [11:01] pigmentation because their acne may not [11:02] be necessarily particularly [11:04] inflammatory, but there's still that [11:06] microinflammation there that drives the [11:07] pigment. And so really thinking about [11:09] that when you approach treating their [11:11] acne is important because that's a big [11:14] thing that you're trying to prevent for [11:15] them because I found over the years that [11:17] patients with deeper skin tones, yeah, I [11:19] mean just like everyone, they're [11:20] bothered by having acne, but they're [11:22] also like thinking ahead like I don't [11:23] want this to make a dark mark or it [11:25] already has. And that's the thing that [11:26] lasts, you know, pimples go away [11:28] usually. I mean, yes, they get I mean [11:30] they're a whole other bag, right? But [11:32] then you got to deal with that. And so [11:33] that's also in their mind too, you know, [11:35] it's like how do I stay on top of this? [11:36] I don't want this to happen. How do I [11:38] stop it? How do I get rid of it? I don't [11:39] want to wait forever cuz it takes a long [11:41] time. Yeah. I mean, so this is a whole [11:43] other thing where if you are inclined to [11:45] that, you know, that's a big thing and [11:46] that's why I always warn people when it [11:48] comes to any skin care product, you [11:49] know, people will say, can I use this [11:51] with that? Can I use that with this? [11:52] It's like provided you tolerate it, you [11:54] know, because if you do have a skin [11:55] condition or you do have a deeper skin [11:57] tone and products are for whatever [11:59] reason unique to you irritating, well, [12:02] that irritation can bring about unwanted [12:04] pigmentation, can worsen skin [12:06] conditions, and so that's just something [12:07] to be aware of for sure. How do you feel [12:09] about gouacha as an alternative to [12:11] lymphatic face brushes? So, I don't [12:13] believe that either of these techniques [12:14] does much aside from perhaps temporarily [12:17] aid in the reduction of temporary [12:19] swelling that would go away on its own [12:21] with just being on your feet and the [12:23] blood draining out of your face. But, [12:24] um, in comparison to the brushes, it [12:26] seems less likely to irritate the [12:28] surface of the skin, right? Because [12:30] you're not dragging a brush across the [12:32] skin, just a smooth stone. But, some [12:34] people press very hard with those [12:35] things. So, I don't know. You could [12:36] still get potentially some bruising. So, [12:39] it all depends on your technique, I [12:40] suppose. But I I don't think either of [12:42] those does much. But uh you know, some [12:45] people are really all about that. And [12:46] you know, if you enjoy it, it's not [12:47] causing any harm, by all means. But I'm [12:49] not going to be like, "Yeah, squash your [12:51] face and it's going to, you know, look [12:53] 20 years younger like some people [12:54] claim." Okay. Are there any benefits to [12:56] using goat milk soap? You know, there's [12:58] been a huge increase in interest over [13:00] the past 10 years or so of people [13:02] wanting to do goat milk soap. hype [13:04] around goat milk. It's interesting [13:05] because goat milk does have a variety of [13:07] properties that could potentially be [13:08] very helpful for the skin, especially [13:10] for people who have eczema, like [13:11] moisturizing properties, [13:12] anti-inflammatory compounds, [13:14] moisturizing properties with some of the [13:16] proteins and things like that. But we [13:18] really don't have studies on like goat [13:20] milk soap for any skin condition or [13:22] particular skin concern to kind of back [13:24] up or or like put an evidence-based [13:26] stamp of approval on any kind of claim [13:28] about them. In other words, it's like, [13:29] okay, but is goat milk soap truly [13:32] superior to like any basic sundown [13:34] beauty bar like Dove or the Cetaphil bar [13:36] soap or insert your favorite beauty bar [13:39] that is moisturizing, you know, [13:41] formulated with moisturizer to deposit [13:43] on the skin like beauty bars tend to be. [13:45] It's like I don't know about that. So, [13:47] yeah. I mean, if you like it, you use [13:48] it, doesn't cause irritation, but you [13:50] know, there's a lot of variation out [13:51] there cuz you mentioned festival season. [13:53] I mean, sometimes you go to these fairs [13:55] and people are making their own skin [13:57] care and, you know, you kind of got to [13:58] be a little bit more suspicious then [14:00] because you don't know what they're [14:02] cooking up in the back, okay? And so, [14:04] they could be using older soap making [14:06] methodologies that are notoriously [14:08] irritating to the skin. So, it all [14:09] depends on what they're cooking back [14:10] there, and that's hard to say. All [14:12] right, guys. That about wraps up this [14:14] weekend Q&A. Thank you so much for all [14:17] of your fantastic questions, and I [14:19] really hope you enjoyed this. If so, [14:21] give it a thumbs up, share it with your [14:22] friends, and as always, don't forget [14:24] sunscreen and subscribe. I'll talk to [14:26] you guys tomorrow. Bye. [14:29] [music] [14:42] [music]