Episode 22: Under the Surface — Understanding Skin Texture & Large Pores

Episode 22: Under the Surface — Understanding Skin Texture & Large Pores

We all want smooth, even skin—but texture and pores are a universal struggle. In this episode, Dr. Dustin Portela and PA Austin Lee break down what "skin texture" really means, why pore size is mostly genetic, and the common bumps that throw people off track—from milia and sebaceous hyperplasia to keratosis pilaris and blackheads.

They also explain why you can't actually "shrink" your pores, but you can improve how they look with smart skincare and treatments. From exfoliation with AHAs and BHAs to retinol, hydration, microneedling, dermaplaning, and chemical peels, Dustin and Austin share the best options for smoothing things out—plus the ones to avoid. Along the way, you'll get a crash course in why over-exfoliation backfires, how social media filters skew reality, and why confidence matters more than "glass skin."

This week's "Did You Know?" reveals just how many pores you really have on your face (hint: it's more than you think) and how often your skin actually renews itself.

Follow Us:
Dr. Portela
TikTok: @drdustinportela
Instagram: @drdustinportela
YouTube (Reactions): @208SkinDoc
YouTube (Educational): @drdustinportela
Pinterest: @DrDustinPortela

Austin Lee
TikTok: @austinleepac
Instagram: @austinleepac

Product of the Week — Dean Skincare Clear Choice Acne Pads
Formulated with 5% glycolic acid and 2% salicylic acid, these dual-action exfoliating pads help clear debris, reduce oil buildup, and smooth skin texture. A go-to for teens and adults alike, and perfect for keeping in your gym bag for quick post-workout clean-ups.

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Avsnitt(78)

EP 55: Derm Confessions — The Weirdest Things We've Seen in Practice — Part 1

EP 55: Derm Confessions — The Weirdest Things We've Seen in Practice — Part 1

Every dermatologist has stories they can't tell at dinner. This is that episode. Dr. Dustin Portela and Austin Lee set aside the science and spend an episode doing something different: sharing the cas...

10 Sep 27min

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

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

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

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

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

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

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 Juli 38min

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

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 Juli 42min

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