Skinfluence with Dr. Dustin Portela19 Mar

Episode 40: Medicine's Biggest Misses: The Skin Treatments We Got Wrong

Dermatology has come a long way, but not every treatment from the past deserves a comeback. In this episode, Dr. Dustin Portela and PA Austin Lee take a fascinating look at some of the biggest blind spots in skin health and beauty, from mercury and arsenic in cosmetics to x-ray treatments for acne, sun lamps, coal tar therapies, and aggressive phenol peels.

They break down why these treatments were once accepted, what doctors and patients believed at the time, and how better evidence eventually revealed the risks. Along the way, they also touch on acne myths, outdated assumptions about hygiene and diet, the dangers of unregulated skin-lightening creams, and why some modern at-home beauty devices may become the next blind spot we look back on with regret.

But this episode is not just about the past. It is also about how good medicine actually works. Dustin and Austin talk about why evidence-based care matters, how science keeps evolving, and why the best providers stay humble, keep learning, and listen closely to their patients. They also explore how technology, research tools, ingredient transparency, and personalized skincare are helping modern dermatology move in a smarter and safer direction.

If you have ever wondered how medicine changes over time, why old advice falls apart, or what current trends may not age well, this episode is equal parts eye-opening, thoughtful, and incredibly relevant.

Product of the Week: AlphaRet from Skinbetter Science

AlphaRet is one of Dr. Portela and Austin's favorite retinoid products because it combines real results with a level of gentleness that is hard to find. It features retinoic acid along with lactic acid and glycolic acid to improve skin tone, texture, and signs of aging while staying more tolerable than many traditional retinoids.

It is one of the most popular products in their office and a longtime Skinbetter Science standout.

Follow Us:

Dr. Portela
TikTok: @drdustinportela
Instagram: @drdustinportela
YouTube Reactions: @208SkinDoc
YouTube Educational: @drdustinportela
Pinterest: @DrDustinPortela

Austin Lee
TikTok: @austinleepac
Instagram: @austinleepac

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Episoder(77)

EP 54: Ozempic Face — What GLP-1 Drugs Do to Your Skin, Hair and Appearance

The weight is coming off. But something else is changing too, and nobody warned you about it. GLP-1 medications like Ozempic, Mounjaro, and Wegovy have reshaped the conversation around weight loss in ...

3 Sep 29min

EP 53: Derm Myth Court: Tanning for Vitamin D? Oily Skin Doesn't Need Moisturizer? — Part 2

Some skincare myths are easy to knock down. The ones in this episode are trickier, because the prosecution actually has a case. Round two of Derm Myth Court brings three myths that feel more defensibl...

27 Aug 32min

EP 52: Derm Myth Court: Does Sunscreen Cause Cancer? Beef Tallow? Lemon Juice for Acne? — Part 1

Some skincare myths are easy to dismiss. Others are built on just enough real science to sound credible, and those are the ones that spread. For the first episode of Derm Myth Court, Dr. Dustin Portel...

20 Aug 28min

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

Most people don't follow healthcare policy. But this one is worth your attention, and the window to do something about it closes September 14th. A new CMS proposal, if passed, would cut reimbursement ...

12 Aug 18min

Guest Episode: Dr. Mary Alice Mina on Perimenopause, Collagen Loss and What Women in Midlife Actually Need

At 40, Dr. Mary Alice Mina noticed her neck for the first time. She was a dermatologist, she knew the science, and it still caught her off guard. That moment of recognition is exactly what she now bui...

6 Aug 30min

EP 51: Sunburn, Sweat Acne and Summer Skin Damage — What Dermatologists See Every July

Summer has a way of reminding people that their skin has limits. Every July, the same things land in Dr. Dustin Portela and Austin Lee's clinic: sunburns that crossed a line, back acne that appeared o...

30 Jul 38min

EP 50: When Your Skin Is Trying to Tell You Something Is Wrong Inside

Your skin is not just your largest organ. It is also, occasionally, a window into something going wrong much deeper than the surface. Autoimmune disease has a reputation for being mysterious, slow to ...

23 Jul 42min

Guest Episode: Johanna Young of Solbari on Sun Protective Clothing, Skin Cancer Prevention, and What Australia Gets Right

Two in three Australians will be diagnosed with skin cancer by the age of 70. That statistic is the backdrop for everything Johanna Young does. Johanna is the founder of Solbari, an Australian sun pr...

16 Jul 30min