Dustin Portela, DO, reviews skincare products and addresses circulating skin hacks and misinformation across his channels, bringing a practicing dermatologist's eye to both everyday routines and the claims that tend to travel furthest online. His willingness to engage with popular products rather than speak in general terms is what makes his takes useful to watch.
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Board-certified dermatologic surgeon certified through the American Board of Dermatology.
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"Epiduo was just approved by the FDA for over-the-counter use. This has been prescription only for a long time. It is adapalene, which was also prescription, and then went over the counter. Adapalene or Differin is the brand name. They also make one called Epiduo, and it has benzoyl peroxide with the adapalene. So, a really good acne treatment just went over the counter."
"This patient's a candidate for Accutane. They've got a lot of acne and they're at risk of scarring. They really need a treatment plan to go ahead and prevent future scarring from really bad acne. Accutane can be a great option in those circumstances."
"This patient's a candidate for Accutane. They've got a lot of acne and they're at risk of scarring. They really need a treatment plan to go ahead and prevent future scarring from really bad acne. Accutane can be a great option in those circumstances."
Crazy Skin Treatment Reactions by Dermatologist!
"I might actually just put a patient on Accutane and really try to dry up those oil glands so that they're not getting this recurrently because topical medications like retinol are although effective can only go so far if you have this many forming on the skin you might need to treat it from the inside and Accutane can be a really good option and because there's not a ton of inflammation it's not inflammatory cystic acne a course of Accutane is probably going to take a little longer but ultimately it would give you a really good result."
"They're using a plasma pen. Now this is not my favorite way to remove a mole. Hopefully this person is numb. This can be done. Cosmetic results probably going to be pretty good. I just hope that they're sending that off for pathology because it's never a good idea to remove something and then throw it in the garbage."
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All 2 takes on Plasma pen
Doctor Reacts to Skin Tag Removals, Pimple Pops, and Extractions
"The plasma pen does coagulate as you cut through the skin it just takes a lot of passes to get there but there's no bleeding. This is not my favorite way to remove moles."
Reacting to Viral Laser Skincare – What’s Actually Safe?
"They're using a plasma pen. Now this is not my favorite way to remove a mole. Hopefully this person is numb. This can be done. Cosmetic results probably going to be pretty good. I just hope that they're sending that off for pathology because it's never a good idea to remove something and then throw it in the garbage."
"The best thing that I would recommend is to pick up some Head and Shoulder shampoo or some [ketoconazole] [Nizoral] shampoo which you can get over the counter"
"When you're putting an adhesive on the skin every day it does overtime increase your risk for a contact allergy to the adhesive. When you're buying them every day the price does add up over time and I'm not sure how much money you're saving over just doing Botox in that area. But some people don't like needles and that's okay, so you can use Frownies if you want, but it's not my choice for reducing wrinkles on my forehead."
"We've got a Biore Pore Strip on a mostly willing participant here, but pay attention as it comes off, because these are not just normal sebaceous filaments. They look like tiny hairs, and this could be a condition known as trichostasis spinulosa, where vellus hairs grow on the nose. It's harmless, but fascinating."
"If you guys want to be able to do extractions safely at home, the device that I recommend is the Shark Beauty FacialPro Glow. This can actually do it safely, just like a home hydrafacial experience at home."
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All 6 takes on FacialPro Glow
What Causes Blackheads & Milia? A Dermatologist's Professional Breakdown
"If you guys want to be able to do extractions safely at home, the device that I recommend is the Shark Beauty FacialPro Glow. This can actually do it safely, just like a home hydrafacial experience at home."
Why Acne Picking Can Lead to Scarring (Dermatologist Explains)
"The Shark Facial Pro Glow is a home hydroacial style device. You prep the skin and then this actually has suction. You put water in here and it sucks the gunk out of your pores. It has a second step where you put in a hyaluronic acid peptide mix that infuses hydration into your skin and sucks gunk out once more. You can actually see all of the stuff that comes out of your pores in that tank. I've tried this myself several times. I like it. If you want something to safely remove gunk from your pores at home rather than using dirty fingernails, this is a good option."
Dermatologist Breaks Down Professional Pimple Popping Techniques - TikTok Reaction & Safety Tips
"I think would be a good candidate for the Shark Beauty Facial Pro Glow. I've tried it myself and even though I don't have a lot of acne, I don't feel like I have prominent sebaceous filaments, I still saw stuff in that tank that it pulled out of my skin. I was impressed."
Dermatologist Reacts to TikTok's Most INSANE Pimple Pops (Don't Try This at Home)
"I recommend the Shark Beauty FacialPro Glow. I have done a collaboration with Shark in the past, but this is not sponsored to put it in the video. I genuinely just like this device. It's easy to use at home to give yourself a hydroacial-like experience at home, but this actually sucks the gunk out of your pores. And you can see it in this tank at the end. You can see what comes out of your face. I do like this device quite a bit and it's fairly easy to use."
Dermatologist Reacts to the Most INSANE TikTok Pimple Pops (Don't Try This at Home)
"If you guys want a solution to help do extractions at home safely, I recommend the Shark Beauty FacialPro Glow. This is an at-home hydrafacial device and you can get it and do your own hydrafacials. It sucks stuff out of your pores. If you guys want a safe way to do this kind of stuff at home, I recommend the Shark Beauty FacialPro Glow."
Dermatologist Tests Shark Beauty's FacialPro Glow - You Won't Believe What Came Out of My Pores
"This is incredibly easy to use. It only takes about 10 minutes, and the extraction results speak for themselves. This satisfies that same urge that we get while watching pimple popping videos, but it's actually good for your skin. The hydration boost from the products is real, and the deep puffy attachment, I think, is genuinely innovative. This device costs $399. However, it pays for itself after just three uses because professional facials in the dermatology office can cost $150 or more. And unlike those monthly appointments, this is available whenever your skin needs it. That said, if you have very sensitive skin, active rosacea, or other skin conditions, or if you're using strong retinoids, I would recommend consulting with your dermatologist before using this device."
"The Shark Beauty Depuffy attachment, I think, is genuinely innovative. This device is incredibly easy to use. It only takes about 10 minutes, and the extraction results speak for themselves. This satisfies that same urge that we get while watching pimple popping videos, but it's actually good for your skin. The hydration boost from the products is real. At $399, it pays for itself after just three uses because professional facials in the dermatology office can cost $150 or more. And unlike those monthly appointments, this is available whenever your skin needs it."
"Nivea is a good brand. I don't have anything to knock against that. But the reality is that moisturizing the skin, having a healthy skin barrier can help with acne. But there's nothing miraculous about this product specifically for acne."
"It looks really hydrated, nice, plump, juicy skin. Ten minutes later, she's red, inflamed, irritated. Some of these masks have exfoliating ingredients like AHAs or BHAs, or you could just be allergic to the product. So if you're putting something on that's an exfoliator, your skin's probably going to get red afterward, or if you happen to be allergic, you could get some irritation."
"This person had the VI Peel and they're removing the dead skin as it comes off with scissors rather than peeling it off. If you peel it off you're going to be removing the skin that isn't ready to come off yet, so just trim carefully."
"This is a very popular product. It hydrates very well. Definitely has a little bit thicker texture to it, but even with that thicker texture, I'm not seeing a lot of it gunk up in the beard. I do like this product."
"Skin Better Science is an amazing company with my favorite retinol, the one that I use every night called AlphaRet. This is a retinoic acid, very similar to prescription tretinoin, but it's combined with lactic acid and even glycolic acid to give you a little extra exfoliation. That sounds like it could be drying, but it's so gentle. I use it most nights without even using a moisturizer, and I don't get any dryness or irritation. It is a little bit more expensive than your typical over-the-counter retinol, but it will last you 5 months because one pump is all you need every night, and there's 150 treatments in that bottle. If you're looking for a very good retinol that is not irritating, check out SkinBetter Science AlphaRet Overnight Cream."
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All 2 takes on AlphaRet Overnight Cream
TikTok’s Most Unsafe Pimple Pops: Dermatologist Reacts to Wild Cysts & Scalp Mysteries
"Skin Better Science is an amazing company with my favorite retinol, the one that I use every night called AlphaRet. This is a retinoic acid, very similar to prescription tretinoin, but it's combined with lactic acid and even glycolic acid to give you a little extra exfoliation. That sounds like it could be drying, but it's so gentle. I use it most nights without even using a moisturizer, and I don't get any dryness or irritation. It is a little bit more expensive than your typical over-the-counter retinol, but it will last you 5 months because one pump is all you need every night, and there's 150 treatments in that bottle. If you're looking for a very good retinol that is not irritating, check out SkinBetter Science AlphaRet Overnight Cream."
TikTok Pimple Pops: Dr. Dustin Breaks Down What’s Really Happening
"If you want my favorite retinol, it is from SkinBetter Science. It's called AlphaRet. It's equivalent to 0.025% tretinoin."
"The Neutrogena Hydroboost Water Gel is a very lightweight product, but provides great hydration to the skin. It has a much lighter texture. I generally like the Hydro Boost even though my skin is a little more normal to dry, but with facial hair, this works really well. It doesn't clump up."
"One of the stronger exfoliants I used was mandelic acid. This is an alpha hydroxy acid, it is a little more gentle than some of the other AHAs you can use, but it's a good way to help turn the skin over and help sort out the scars. It's important to wear SPF when you're doing any type of exfoliation whether you're using mandelic acid or glycolic acid."
"I've been using this for the past several weeks and my skin is genuinely improved. As someone who spent years telling patients to skip the gadgets, that kind of surprised me. I can't overstate the comfort of this mask. The eye pads on this mask actually lift the mask off your skin for a way more comfortable fit. The reflective technology on the inside means as much of the light as possible reaches your skin. The battery pack that it comes with means that I'm not tethered to a wall. LED therapy is one of those things where consistency is everything and for me, this one fits easily into my routine. The Ulike ReGlow mask is FDA cleared and has 272 LEDs, which is double what most other competing masks have. More LEDs mean more coverage, more intensity, and faster results. It has four different treatment modes: glow mode with red, infrared, and yellow light for pigmentation and skin tone; firm mode with red and infrared for collagen stimulation; rejuvenate mode with yellow and infrared to boost skin barrier; and clear mode with blue, red, and infrared for acne-fighting. In a 28-day study there was a 20% reduction in fine lines and wrinkles around the eyes, a 20% improvement in skin texture, and a 61% improvement in acne. In the first 1 to 2 weeks you'll notice your skin feels a little smoother. By weeks 3 and 4, texture improvements become more obvious and tone starts to even out. After 6 to 8 weeks there's firmer skin, reduced fine lines, and noticeably better overall skin quality. I recommend using it three to six times a week for 10 minutes. At-home LED therapy lives in the middle between basic skincare and professional treatments. It is a genuinely effective way to maintain and improve your skin and it's something you can do consistently at home without booking an appointment. For at-home skin maintenance, the Ulike ReGlow, in my opinion, is that thing. It is cheaper than professional treatments over time and is a one-time purchase with no subscription, no refills, and no ongoing payments. However, you have to use it consistently, results take weeks not days, and if you're not the kind of person who's going to use it consistently, you shouldn't buy it. It's not for use during pregnancy or if you're on certain photosensitive medications. This is not technically a medical device, it's an FDA cleared over-the-counter device. Individual results will vary."
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All 2 takes on ReGlow LED Mask
Do LED Face Masks Really Work? Dermatologist Explains (Ulike ReGlow Review)
"As a dermatologist, I've seen more LED devices than a DJ at a nightclub. Most of the ones that have been sent to me have ended up as a white elephant gift, but this one actually made me raise my eyebrows in a good way. First up is the 360° mirror reflection technology. This is actually patented by Ulike. It's not just fancy marketing speak. It has a mirror on the inside that boosts the radiance of the LEDs by 77.4%. It's kind of like the difference between a flashlight and a laser pointer. You're definitely getting a bigger boost of light when you use the Reglow from Ulike. Another reason that I actually like the Ulike Reglow LED mask is it has four different treatment modes. And each treatment mode doesn't just use one of the LED types. It actually mixes and matches depending on what you're trying to accomplish for your skin. The glow mode uses red plus infrared plus yellow light to actually help reduce pigmentation in your skin. I've been using the Reglow LED at home between procedures for brown spots. The firm mode uses the red plus the infrared light for when gravity is winning the war against your jawline. This is going to help stimulate collagen production and give your skin a more firm appearance and reduce fine lines."
A Dermatologist's Honest Confession About LED Masks... | Red Light Therapy Mask at Home
"I've been using this for the past several weeks and my skin is genuinely improved. As someone who spent years telling patients to skip the gadgets, that kind of surprised me. I can't overstate the comfort of this mask. The eye pads on this mask actually lift the mask off your skin for a way more comfortable fit. The reflective technology on the inside means as much of the light as possible reaches your skin. The battery pack that it comes with means that I'm not tethered to a wall. LED therapy is one of those things where consistency is everything and for me, this one fits easily into my routine. The Ulike ReGlow mask is FDA cleared and has 272 LEDs, which is double what most other competing masks have. More LEDs mean more coverage, more intensity, and faster results. It has four different treatment modes: glow mode with red, infrared, and yellow light for pigmentation and skin tone; firm mode with red and infrared for collagen stimulation; rejuvenate mode with yellow and infrared to boost skin barrier; and clear mode with blue, red, and infrared for acne-fighting. In a 28-day study there was a 20% reduction in fine lines and wrinkles around the eyes, a 20% improvement in skin texture, and a 61% improvement in acne. In the first 1 to 2 weeks you'll notice your skin feels a little smoother. By weeks 3 and 4, texture improvements become more obvious and tone starts to even out. After 6 to 8 weeks there's firmer skin, reduced fine lines, and noticeably better overall skin quality. I recommend using it three to six times a week for 10 minutes. At-home LED therapy lives in the middle between basic skincare and professional treatments. It is a genuinely effective way to maintain and improve your skin and it's something you can do consistently at home without booking an appointment. For at-home skin maintenance, the Ulike ReGlow, in my opinion, is that thing. It is cheaper than professional treatments over time and is a one-time purchase with no subscription, no refills, and no ongoing payments. However, you have to use it consistently, results take weeks not days, and if you're not the kind of person who's going to use it consistently, you shouldn't buy it. It's not for use during pregnancy or if you're on certain photosensitive medications. This is not technically a medical device, it's an FDA cleared over-the-counter device. Individual results will vary."
"The Ulike Air10 IPL is absolutely one of the better at home IPL devices that I've tested, primarily because of the safety features and the ice cooling technology. The price point of $399 puts it in the premium category for at home devices, but when you compare it to the cost of professional treatments, it's reasonable if you're committed to using it. It's not going to replace professional treatments, but it is a solid option for hair reduction if you are the right candidate. You will need to use it consistently for 8 to 12 weeks to really start to see the best results because of the hair growth cycles you're going to need to treat over time."
"I often recommend to my patients to start with a gentle cleanser. This is just one example that we're using for this video, the CeraVe Hydrating Cleanser. One of my favorites because it really leaves my skin feeling soft and well cared for, not overdrying, not stripping. It actually has some properties that help to hydrate the skin with essential ceramides and hyaluronic acid. This one doesn't foam up a ton, and that's okay. It doesn't need to foam to be effective."
"This patient's going to need some salicylic acid or some retinol. Over-the-counter, starting with something like Differin gel, is great and would be helpful for acne like this."
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All 3 takes on Adapalene Gel 0.1%
Dermatologist's $20 Acne Routine That Prevents 80% of Breakouts (Over-the-Counter Only)
"Differin gel is your magic product. That's going to be the biggest heavy lifter in your skincare routine if you have acne. Now, the complaint is that retinols can sometimes lead to some drying on the skin. And you don't want to trade acne or oily skin for super dry, flaky skin. So, what we're going to do is give this a couple of minutes to kind of soak into the skin. Once your face feels dry, we're coming in with a moisturizer."
"The product I want to feature today is Differin Gel. This used to be a prescription and it is a full-on retinol, not a retinol derivative that has to be converted in the body. This used to be a prescription only retinol. You can now get it over the counter. If you're going to use retinol in your skincare routine, wash your face at night with a gentle cleanser. And then once your skin is dry, pat dry, air dry for a few extra minutes, take a pea-sized amount, and that's all you need to cover your whole face. Dot your forehead, chin, cheeks, and nose, and then rub that in. After a few minutes, go ahead and apply a moisturizer so you don't get the dryness and irritation. Using a retinol, I recommend starting out just two to three times a week, and then slowly you can build up to daily use."
Dermatologist Reviews the Best (and Worst) Extractions This Week
"This patient's going to need some salicylic acid or some retinol. Over-the-counter, starting with something like Differin gel, is great and would be helpful for acne like this."
"The one that I've been using recently and really liking is Byoma. Byoma is an inexpensive line of skin care. This is an SPF 30 broad spectrum UVA, UVB, and it's an ultra light face fluid. You can see it's pretty lightweight, and that is definitely enough sunscreen."
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84%Guru Score
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