Top Laser Specialist Says You Should Start Treating Your Skin at 25. Not 40.

So most of you are chasing the next miracle cream or trends, but I don't think a lot of you know that much about lasers. Well, I definitely did not and that's where I came across Rebecca Truston, the queen of laser. So I came across her because my cousin has the most incredible beautiful skin. She's one of the hardest people to get an appointment with, but I was really lucky the beauty gods shined down upon me and I got my appointment and I can tell you guys my results were incredible. Lasers will stimulate the short and sort of firm the capsule. They'll firm your skin. If you even just doing three treatments a year, in five years your skin will be better than the day you started. So I said I have to bring Rebecca on and debunk all the [ __ ] you hear online about lasers thinning your skin or what not to combine or if you do have melasma you cannot do lasers. I have melasma, I treated myself and I've had incredible results. So I'm excited for you guys to listen to this episode and by the way, when we're referencing BBL, that's not a Brazilian butt lift we're talking about, it is a specific laser that we are referring to. And please guys, like, comment and subscribe and share our show. I appreciate you all so much. Please get my show out to your community. We're building this together. And as I always say, curiosity kills. — Rebecca, I am so excited to have gotten my own laser treatments done. That was such an experience. My pleasure. So I didn't know anybody else except for these videos I see in Korea that women can layer so many lasers on at the same time. So can you walk me through the treatment that I had with you? So the treatment that we did for you was to address texture, some pores, some pigmentation. Um, you mentioned age and stimulating collagen. So the purpose behind layering lasers is to address the different planes of the skin, chromophores in the skin and to create what I would call a true rejuvenation, — Mhm. which is to stimulate function and structure of the skin. Um so I used a combination of a nano pico laser, which is an acoustic laser. So that was a first pass and that would break down some of the deeper pigmentation, but also clean the surface of the skin. It would bleach the little fine hairs, just remove a little layer of the pigment, so it allows the other lasers to penetrate deeper. Um then we did the Fotona, which is an Nd: YAG laser. We used a short pulse so that we could work on the microvascular because a lot of the vessels are dilated, especially when you're treating melasma. Um so we worked on the microvascular system and at the same time we stimulated the fibroblasts to create more collagen and to sculpt the face. And then we used a bit of BBL, just that's really surface. Again, it heats up the water in the skin. We didn't use too much heat. It was more in a very low power. And that stimulates water. It gives the skin a really glassy effect cuz it works on that superficial pigment and um and just correcting the skin. And then we did a light fractional laser. So the light fractional laser was literally 100 microns just in order to um penetrate the surface and then we can use the in pigment in here, which is on top. So when you talk about the glassy skin because that is one of the effects that I had and I loved it. — Yeah. How long does that effect last cuz I'm obsessed? — Yeah, so base I mean obviously we try not to you know, chase these trends because if you over exfoliate your skin, it's not good. But when you do about two or three of these sessions and then you maintain with your Meladee or your exfoliator, it will keep the skin nice and bright. So it depends where people are in their journey. For someone like you that looks after their skin, a couple of treatments and that will be long-lasting. Amazing. And then you're known for the method, which is this layering that you meet a client, you do their intake, you review where the skin is, like you've said, and then you come up with these combinations of lasers. — Yeah. How did you come up with that? So, basically lasers are single wavelengths. So, that single wavelength is absorbed by a certain chromophore in the skin. So, most people present with a number of things going on. You know, they they've got redness, they've got pigmentation, they may have some acne, texture, pores. You can't use a single wavelength or a single laser to address all of that. So, I mean, I've been working with lasers for more than 20 years. So, you know, we had single devices, you know, and then you know, as you know, you get better, you can start practicing and putting more things together. So, that's I mean, it wasn't any major It's straight It's literally just trying to treat the skin as a whole and having the confidence to do that, knowing how much energy the skin can tolerate. And knowing essentially what each patient's outcomes will be, right? Because given

your ethnicity, I would say how much sun exposure you have, how your body naturally would heal, it makes a massive difference to the outcome. — It does. Um but again, you know, sort of it does make a difference, but lasers have improved so much. The technology has improved so much. So, most people can tolerate lasers. It's just how often they should have them. Maybe they should be having that with something else. Um like skin boosters and peptides and things like that. So, I mean, most people can tolerate lasers. — Yeah. What is a laser that you don't love though and don't believe in? Like an Aerolase or So, I'm Yeah, I'm not as keen on Aerolase. Um but I think Aerolase came in a bit later and I already have short pulse lasers, you know, and I think you see there's a lot of marketing a lot of everything going on. So, you don't you know, once you understand the physics behind the laser and how it works — how it works and you can just skip through it. — Yeah. Who do you which laser do you think is the most overhyped that people tend to do and you're like that is super unnecessary or the results are not what they sell it to be? And you would be like I don't want to touch that. Mhm. Gosh. [clears throat] Um you know, there probably isn't one simply because all energy based devices do something. So long as you're the right candidate for it and so I mean I try and stay away from the HIFUs. Okay, when I say HIFU there's things like Ulthera that they do work well, but you have to understand the consequences of doing them or overdoing them. So, Ulthera is the one that's extremely painful, correct? — Yeah, Ulthera is painful. It's an ultrasound device. So, it uses focal points of energy at certain depths of the skin. So, you know, if you're going down towards the SMAS — Mhm. Okay, and you keep use you keep doing it, you're going to create scar tissue on the SMAS. Okay, so that's basically how that will work. And if you want to do a facelift, you know, you've sort of damaged that fascia. So, you know, you won't get a good pull and things like that. So, um there's but there's a place for all of them. You just got to know how to use them. So, I don't think there's particularly one device that comes into place. It's you know, for instance like Morpheus gets a big you know, um issue, but again it's a great device. If you want to melt fat it it's great, you know, it's got the energy. It's just in the wrong hands. It can be an issue. Yeah. I would think most women as we age, we don't want to lose our volume because that's essentially what gives us this youthful complexion. If anything, I had to get a fat transfer cuz I'm like really skinny and I had to get a fat transfer, I think last year I got it. I think it's 15 months ago, 13 months ago. And I love it. So, I'm really protective about my fat. I'm like anything that could even remotely touch my fat, I'm like do not go there. So, it goes volume as we age anyways. — Yeah, and so that's why I mean if there's generic treatments that are built into the lasers that I already have. For instance, like 4D. Fotona 4D. So, that one of the wavelengths is a really long pulse ND: YAG, which no other device has. But, when you use that long pulse over time, you're going to start to melt the fat. So, for instance, everything and you mentioned that to me during our consultation. So, everything I used on you was a short pulse. So, the heat doesn't have time to melt fat. Spring cleaning looks a little different in my house these days. It's not just about organizing my closets, it's about what I'm actually bringing into my space, especially as someone who cares deeply about my metabolic health and lowering overall toxin burden load. I've been using Branch Basics for almost 5 years, and it's just one of those swaps that totally makes sense to me. I used to have a whole cabinet of different cleaners, all with ingredients I couldn't even pronounce. And the more I learned about hormonal health and environmental toxins, the more that started to bother me. So, I switched. What I love is that everything is built around one powerful concentrate. I dilute it to clean my kitchen, bathrooms, laundry, floors, even produce and makeup brushes. It's plant-based and mineral-based, fragrance-free, and Made Safe certified, which means it's screened against known and suspected harmful chemicals that we do not want in our homes or in our bodies. It feels aligned with how I live. I'm not extreme about everything, but I am intentional. And this is one of those small shifts that adds up day in and day out. If you're doing a reset in your home, I really encourage you to look at what's under your sink too. Branch Basics is available at target. com, Target in store, Amazon, and of course branchbasics. com. You can get 20% off at branchbasics. com with code biohackit20, which is b i o h e c k i t 20

And what do you do for patients cuz obviously you're based in Dubai, right? I live between Dubai and Miami. So we're living in parts of the world that people tend to have a lot of sun exposure. So are there certain parts of the year that you're doing more lasers on people than others? And then for your clients that are traveling over the summer, what is your protocol to make sure they don't get melasma or hyperpigmentation? So that's really the only time I tend to really slow down is I've a lot of patients with melasma and you know, people want to go on holiday and in this part of the world, they go away for maybe one to two months at a time. So you can't end up treating them and then them going to a sunny climate and if they want that then they know it's going to come back and quickly. Everyone with melasma is going to you know, it's going to be activated if they're outside because in Dubai most people are inside. You know, we work. We're not out in the sun a lot so we can manage it most of the time. It's just some holidays. But then you've got patients that will go back to Australia or South Africa where it's winter so you just have to be mindful of where they're going back to. So where these multiple laser treatments got when viral is Korea. You see all these influencers going Kim Kardashian's going down and you're like, wait, what's going on in Korea? So when I saw you for the first time I asked you I was like, Rebecca, what is the deal with Korea and why is everybody rushing there and why were they the first to launch all these multiple lasers? You're like, no, I've been doing this for 20 years. Yeah, I've been doing it for a long time. So they yeah, I mean there's a massive trend and you know, to me when I hear about people going to do it, there doesn't seem to be a lot of strategy in it. They just seem to dump it on. — All on. Oh, just keep going. And it just doesn't make much sense to me. But, if people want to experience it, you know, they So, a lot of my patients have been just because they wanted to. And are they doing anything else when they're going to Korea? They're like getting the lasers, and are they doing the skin boosters? By the way, what is your take on salmon DNA? Look, I think it's good. I don't know necessarily on its own. I think, you know, so with lasers, you're nudging the skin, right? You're asking the skin to start producing collagen. So, by putting in the salmon DNA or the amino acids that support that, it's going to help — Right. — you build. So, I mean, they're good together. On their own, probably not as much. — And when it comes to skin care in our 30s versus 40s, what are some of the dos and don'ts for women? So, I mean, look, from I mean, across the board, sunblock is the most important thing from early on. 30s, you can just start introducing some actives. You know, you need to be a bit more proactive. 40, you tend to start maybe restoring a little bit more. But, I think if you keep it simple and effective. I mean, again, I'm not one for like 20-step skin care routines. — some antioxidants in the morning. You want some exfoliator at night. You want a good moisturizer, you know, and a good cleanser. And that's it. And sunblock. And what do you do for like people who like myself who have hyperpigmentation and melasma in terms of product recommendations? So, of course, like obviously, you like hydroquinone and the tre and the um the steroid combination is one of the sort of gold standards. But, for most of my patients, we just put them on a glycolic blend, okay, that just lightens the skin. For people that become a bit resistant to that, then they can cycle with the hydroquinone. What does the glycolic blend include? So, we've got um all types of acid. We've got azelaic acid, glycolic acid, um lactic acid, kojic acid, yeah, kojic acid. It's a blend of all of them. And is it like applied like a toner? No, it's a cream. It's the one that you have in your bag. Oh, that's the one. That's the one that I'm just about to start. Yeah. Okay, so I'm going to make sure I report back on how it is. So, Dubai is also the capital when it comes to all things fillers and Botox. So, we know that fillers not Botox, but when let's talk about fillers for a second. Fillers are not good because it essentially block the lymphatic flow in your face, right? So, I remember getting I broken my nose and I had to get a nose job about 3 years ago cuz I had a really bad fall. And when I got my nose job, I had Rebecca the worst bruising in God's planet Earth under my eyes. — Yeah. And then when I went in, my surgeon was like, "Your bruising is so bad back in the day. " He's like He's like, "Have you ever done under eye filler? " And I said, "Yes, I had done under eye filler. " He's like, "Well, that's what's caused it because it's the blood flow and the oxygen isn't right over there. So, I'm not a fan personally of fillers at all um for anywhere on the face except for my lips maybe. But, I wanted to ask you, do you think lasers are good alternative for some of these treatments? So, lasers will stimulate for sure and sort of firm the capsule. They'll firm your skin. But, once you've lost volume, I had a similar situation. I had the Tyndall effect from filler under my eyes. And a doctor used the hyaluronic days, but put so much in one side of my face literally collapsed. And I hadn't done much filler. So

even though they say it doesn't melt your own, it definitely created my face on one side. Um which was yeah, really upsetting. So, I needed volume. I also did a fat transfer. Unfortunately, it didn't last as much, but now we've got all these new sort of growth factors. Yeah. So, I think we're definitely coming away from fillers and trying to you know, use natural — Yeah. So, Renova is an incredible product that I love and I use it and the guy who did my fat transfer Dr. Miguel Mascara who's one of the best plastic surgeons in all of the East Coast. He uses Renova a lot and that's like a really good top up. But you see more and more even with the way he's doing Renova pulling it out, doing the nano fat under the eyes, the way he's taking care of the fat. It's to you know, maintain results longer because it takes about two to three fat transfers for it to really retain and hold. I think when you do a fat transfer only about 40% if I'm not mistaken actually stays and the rest obviously it's your own fat, right? It doesn't necessarily stay the way you know, if you put on weight or lose weight it doesn't stay in one way at one setting. Yeah. I mean look for me like I don't like fillers. Most people don't like fillers. I think when you're younger and you don't particularly need them they look okay. And then as you start to lose that elasticity and then you're trying to chase that you know, lines and everything right? You just change the shape of your face. You just don't look good and especially if you're someone that swells and it's not really pleasant look. Most people don't like it. Do you think when your patient walks into your office, how do you know for the first thing like with me you were great. How did you know how I would recover? So we did the four lasers and I was really red that day but the next day I started clearing up really fast versus Mariam, my cousin was like Mariam actually stayed red a lot longer than you did. So how do you know with patients who walk through the door? So look you don't you you've got a general idea. You know, some people are faster healers than others. Some are slightly more sensitive than others. But generally you know how the you know, you know from how you're treating it, what you're using, what energies you're using. You know, if you're going to go like really harsh and deep you're going to have a longer down time. But what even though we layered the lasers it was it wasn't a harsh treatment at all. Right. I was going to say and why do you think nobody in America is doing multiple lasers at the same time? I really don't know. I think they are because I've I have listened to a couple of podcasts and I think, you know, they sort of do a cocktail. I think those in the know are doing it. — are doing it. I haven't come across one person like you. Oh, really? Not one. That's so strange. — So, nobody in America I know is I think And I want the audience to tell me. By the way, guys, if you find somebody in America who's doing multiple lasers at the same time and is good at it and is getting good results, please send me a DM because I would love to know. Yeah, no. I mean, it just I nowadays some of the laser machines are coming as, you know, platforms where they've got multiple built in together. They've got the BBL, which is a broadband light. Then they've got the Moxi, which is a light non-ablative resurfacing. It's got an ND YAG. So, now you know, by default, they probably are combining it. But, I guess as well, maybe America is a bit of a suing culture and Oh, yeah. And so, they have to be even more cautious. — And what are some So, let's talk about melasma for a second and then hyperpigmentation. So, when it comes to melasma, are there any lasers that you tell women I cannot touch you with this one at all? So, I would say in the 20 something years I've been practicing I treat a lot of melasma patients. You have to prep the skin. Okay? So, you want to make sure the pigment cells are settled. So, you go on your prep, hydroquinone, you go on some sort of inhibitors before. Um But, honestly, I probably name on one hand the patients that don't do well. But, you tend to get a feel for that during a consultation. — Right. Um you know, how they react even to the hydroquinone cream. If people actually get worse after using a hydroquinone cream because Then you know it's And they got dark, just don't go with that with heat because any inflammation — is going to build do it. Sometimes it's because they've not been careful with the sun and sun protection, but most of the time in this day and age with people with melasma, they are very cautious. So, some people just don't react at all to any type of inflammation, not necessarily lasers. And also, you don't use such thermal lasers on melasma. We know that heat can excite it, so we stick to the acoustic lasers and the lasers — what the ones that I have, yeah. And when it comes to hyperpigmentation, which are is it the same, you know, theory or is it different? — the one that can react to anything, so you'll be pretty cautious of that. Other types of pigmentation, you can go a little bit more — go stronger. You can use like more thermal energies, higher settings of BBL, pico, where you isolate the spots, and of course, your

resurfacing devices. Or had somebody who's had a really bad reaction and they didn't weren't didn't disclose something when they had a consult with you and you're like, "Why didn't you tell me that? " You know, because sometimes some people can't not disclose everything in a medical consult even. I tell Again, the way that I do lasers is sort of a more, you know, I don't come in with the big guns and just like obliterate everything, you know, so not really. I haven't had really I think back maybe 20 years ago with hair removal, some lady absolutely because in this region, you're either tanned or you may be just, you know, darker skin tone, so that matters. And, you know, promise, promise you hadn't been in the sun and then got some — Yeah. And it was, she had been in the sun. I want to talk to you about Lindsay Lohan's glow up. — Okay. Okay? So, she that girl went from one to another. I mean, her glow up was serious. She went from being like maybe a five to being a full-on 10. — Yeah, yeah. So, what do you think she's had done? She looks beautiful, by the way. — she's definitely done the lasers. Her skin quality is amazing. If she does, she looks reflective, she looks beautiful. In my opinion, she's definitely had surgery and she's had refinement, she's had her nose done, she's probably done a facelift, you know, and she's had that refinement cuz she just yeah, she looks great. And I was going to say from a from I definitely think she's had a fat transfer, um which I've so I'm all here for it. I've had a nose job, so I definitely think she's you know, I'm not here to judge anybody, but I think she looks great. But in terms of like she's very fair and she has all those freckles. So I would have thought somebody like her given her skin is sensitive might not be able to do as many of the lasers. — probably would have done sort of knowing the clinical so that she was doing it at and sort of knowing the devices they have, it was probably very much the BBLs, the Clear and Brilliant, the light laser. She wouldn't need anything too aggressive. — Anything. And um I want to also talk about how lasers, when we're talking about zombie cells, which are the senescent cells, so lasers, there's some research to suggest that it can take out the zombie cells from your skin. Is that fully true or not really? I'm not really sure about that, honestly. I don't I always wonder if that's true, you know, because I know there are also these you know, that's the thing with marketing. — It's marketing, I think, you know? That's the same thing with products. So you take all these products from the market. I've tried some and they're like, well, this clears out 70% or 80% of the zombie cells out of your system and gets you to detox them and stuff. And I'm like, where is the research on this stuff? Like have they done real clinical studies where they've watched people dump out these zombie cells out of their system? — Doubt it, very much. It's just refreshing your skin, right? — marketing. That's it. I mean, obviously all of these treatments will just get rid, you know, if you think like the BBL when you get that little dark [clears throat] crust in, that's your pigment being burned and then it will — [snorts] — shed away. But again, you know, if you go back to the sun, you'll excite those pigment cells and it will reappear. Yeah. Yeah, because I always say your skin is your biggest organ. So, you know, it can get really damaged if you take extra care of it, but I don't know where the science is really there to be like these treatments or protocols or the this and the that will really clear out those dead skin cells from you. I mean I Yeah, I think a lot of it is probably marketing. I mean there was one one study done in Stanford with the BBL about the gene expression, how it would reverse the gene. So there is a study. — What is that a study? I think it's it was Dr. Patrick Bitter who is the Godfather of BBL back in the States. In Stanford University? — done the study. On BBL the laser that it can reverse skin expression gene expression. — literally reverses the gene expression. Almost switches off the old and switches on the new. Okay, so that's essentially like — And I see it. So like if I can if my patients can tolerate BBL in all my treatments I do, I can see and especially in older women that have either going through or post menopause where they've got thin skin, you can see it thicken up. And if you start, if you even just doing three treatments a year, in five years your skin will be better than the day you started. — amazing to know that there's such strong scientific evidence for this laser. I think I mean now we can see it, right? We — Yeah, you see it visibly treating patients. You're seeing them change their skin, their complexion, all of that stuff. — And I'm seeing such better results now that people are combining it with peptides and you know, supporting it with the skin boosters. — Or exosomes. So I got an exosome IV right after. So this is a fun thing that I discovered because I interviewed somebody who is a research scientist, part of a really big lab. And so all of this stuff that they say don't microneedle on peptides or stem cells because they don't actually survive. The glow up that you're getting is actually from the microneedling, it's not from the exosomes or the stem cells surviving. They're like the only way to take in the exosomes or stem cells is through IV or injection Okay. — at the actual site. So they're like a lot of people who just have a glow up and they're just saying, "Oh, it's just the exosomes. " It's actually the microneedling. Yeah, I can be mean I have to be honest I don't use exosomes. — Yeah. I just rely on the skin to heal.

Um again, the peptides they can do injectable but I don't put them on top. On top of everything. — I don't see the difference. — And you So on what I did is because I was doing it for longevity reasons, I did uh 100 billion exosomes IV. Okay. — help with my recovery because of my sleep quality and all that. — Do you I feel I really good sleep quality improved, good energy, um the laser obviously give me a glow to my skin so I can't say it was exosomes this time. If next time it's you know comes up then I'll say oh maybe it's the exosomes. Um but I feel hydrated, I feel really boosted. Uh brain fog is less even though I tend to have my brain fog has improved a lot and really where I see it is measuring my sleep quality. Yeah. — Right? My REM sleep, my deep sleep, how much that has increased, how many times I'm waking up during the night. Do I wake up in the morning actually rested or groggy? Okay. And then it works for a few weeks, right? So you kind of see the difference over time but those things I think make a difference especially when we live in these high impact cities, we're on the go, we're traveling so much, we get all this radiation from our flights, we're inflamed, we're tired, we're I'm working across time zones. All of these little things added together make a difference. — They do. So they kind of deposit into my bank of wellness and they every time give me a little bit more push and a little bit more. So it's a combination of things, right? It's not one thing is not going to solve your problem. — No, exactly and that's the same with any treatment. You can't rely on just one thing, right? — It's a product, it's a you know, it's doing the lasers and taking care of yourself, it's properly cleaning your face at night before you go to sleep. And sleep, you cannot replace any sort of treatments, anything at all in the world with sleep. — How many hours of sleep do you get a night? — So I do need my sleep. I usually go to bed about 9:00. Really? — Yeah, I'm going to yeah. And what time do you wake up in the morning? — Okay, that makes sense but 9:00 on the dot. So what time you having dinner? — I you sorry? I'm sorry, 6:00. 6:37. Yeah, really? That's a really good habit. So you're just like you're your food before a few hours before you go to bed and that's it. — It's amazing. And then why 5:00 a. m. wake up? Wired like that, school run, want to have the money to yourself? — to get to the gym in the morning. I start early in the clinic, so Yeah. And what made you get into this space? You're like you like the science of skin care, you're like I like how you know, treating people and seeing the results. I sort of studied to be an aesthetician and I literally almost fell into it. The place I worked at it was you know, that back in the late '90s, so microdermabrasions were just coming out and the company that I worked for they had a clinic in London, but also had a manufacturer. So, we had aesthetic devices and we started building some of the first commercial lasers. So, I've just sort of been involved from the beginning and I always loved the lasers. It's just my passion. Is there anything you know, research-wise or something that they're trying out that you're really excited about for them to release? I don't think there's anything particularly new that's coming. It's more just the I think how they're blending all the machines together. Yeah, so that's sort of a new thing which for practitioners because obviously to do what I do, you've got to be able to afford all of those devices, you know, so it's not necessarily that people aren't doing it. They might not have the practice that allows them to do it. And so like now with the new technology then it's obviously making that much easier. So, hopefully then more people can get some good treatment with it. Is there ever a case that there's over-treatment or there's an addiction to it and people are coming too much? If you let them, always, yeah. I mean, yeah. I see that a lot in this country for sure. — like, "Rebecca, I look so good. Can I come? Can I come? " And you're like, "No. " Well, luckily cuz I'm so busy they don't have the opportunity. So, but I just generally it's once a month for 3 months and then you go to maintenance unless you've got some sort of chronic condition, maybe like acne or rosacea, where you might need a few more. But it's not about just keep hitting and — Hitting and the skin needs time to recover as well. — yeah. What do you do for acne or rosacea? I should ask because just because I don't have it doesn't mean other people don't suffer from it. So, for acne and rosacea, it's an inflammatory disorder and there's usually a lot of redness and so I use ND: YAG lasers because they can go deeper to the sebaceous gland and use energy to shrink calm the inflammation. And BBL is really great. We've also got a new laser called AviClear, which is specifically designed for acne. Um it will treat the sebaceous gland. So, like the same way Accutane would go in and shrink the sebaceous gland, but it's systemic and it's a medication. Which is not even good for you. — Yeah. So, the laser is literally absorbed by the sebum in the gland. So, if you've got more sebum and more inflammation, it will be more absorbed by that particular gland and it will break it down. And that laser's called

what's the name again? This one's called AviClear. So, more people should be turning to AviClear than Accutane because Accutane does not have good health impacts at all, especially for a lot of these people that started young. — Yeah. Yeah, I mean it's definitely an alternative now. Yeah. And you have it at your clinic. And how young are the patients that are able to see you when if they have acne? So They come in around sort of 12, 13. Oh, wow, that young. — Yeah, and it's a you know, it's not a pleasant treatment. It's you know, you can Yeah, it's painful. And the problem is you can't put any topical anesthesia on because it will get absorbed by the skin into the gland. So, that's a no-go. So, they are the perfect candidate because they're young and you don't want them to go on medication. — Correct. But, you know, tolerating it at a young age is a bit difficult. I was going to tell you, you spoke about peptides for a minute. Are there any peptides that you love mixing into your protocols or patients are telling you about? — I mean, I don't I will send them to the functional medicine doctor, and then they they'll do the workup. Um but the glow mixture is a good one. Um but yeah, but I have definitely seen with the patients that go on the peptides, the difference is on night and day. Right. You know, and these patients I've been seeing for many years. And when they've been on the peptides, it's it Yeah, it really does. So, one of the things that I learned when I interviewed Miguel Mascaro, cuz I've done two recordings with him, is the patients that come in 35 plus who are sleeping properly, hydrating properly, on proper supplementations, and are if they're 40 plus, are doing HRT, they have much better results and outcomes than women who are not. — Yeah. And he's like, I see it night and day in their recovery, their inflammation, and their skin texture. — Yeah. When you have healthy, you know, your hormones, everything works better. Absolutely, for sure. So, I think anybody listening, if you really want to get into this, and I also say, peptides for me at least, and I say this, aren't is not the place to start. It's about the core foundational habits, which is hydration, nutrition, sleep. That's where you should be starting. Then reducing inflammation through correct diagnostic, you know, supplementation, and then adding and then layering in the peptides. The peptide is like step number three, whereas the step number one is absolutely free. Yeah, again, I suppose you know, this part of the world, people are so much more invested in their health. So, we have like a big demographic. So, usually, people are already at that stage. — Yeah. And one of the things I'm seeing down here in the Middle East is people are just really keen to learn more and absorb, and are really willing to invest the money on their health. Whereas in America, they're like, maybe this, maybe not that. But the only thing I am getting annoyed about here, everyone just wants to talk about peptides and not talk about all the other stuff that comes before that. — Yeah. And they just want to do the really expensive things like infrares and I'm like guys, before you even do an infrares, I think you should like stabilize your detox pathways before. — Fix your cell membrane and then get on to something like that. — Yeah. I suppose I mean it comes down to education, right? So and unfortunately, this is you need to sell a product. Right. You also talk about inflamaging. How do I say inflamaging? Inflamaging. What's wrong with me today? Inflamaging, guys. So you're saying when people are aging, inflammation represents itself first. And do you see signs of inflammation on the skin? — Yeah. So inflammation would present maybe a bit puffy, acne, pigment. All of these are a response that something is off in the skin, you know, like and I think with skin rejuvenation, for instance, that's what I specialize in. It is about improving the function and structure and so rather than patients just running in for a treatment, it's is about restoring the function and structure, which means a healthy skin and a healthy skin would be free of pigmentation, it any type of medical disease, it would have a healthy skin barrier, it would it wouldn't have irritation, it would be functioning. So any all inflammation will lead to that. — Yeah. Also, the number one cause of aging in the body is inflammation on a cellular level. So when your cells are actually inflamed. So a few years ago, I was doing a lot of fasting and I would do fasting for 2 weeks at a time. What do you mean? Every like long Yeah. So it would be like every 72 hours we would have a refeed. Yeah, so it was You were fasting for seven That must have caused so much stress on your body, Rebecca. — Well, it was but it was I think it was for the short term it's good, you know. It was 72 hours refeed, but honestly that first time I did it, the I looked like I had a facelift. In 2 weeks, I probably lost 8 9 kilos and my skin was so tight all the inflammation had gone, you know, your body goes into autophagy. You don't want to do that all the time. — And I did. You overdid it. You were extreme with It feels and looks so good, guys. — do but then you can then you start

seeing that you know, that it's not beneficial. And were you being guided for the 72 hour fast? You It's a water fast you were doing. I did electrolytes. Okay. — Yeah. Electrolytes and not any lemon or any of those — So, in I think it was a mixture we did. It had bicarb, lemon, little bit of Himalayan salt. And yeah. And at what point in the 72 hours did you start feeling hungry or you didn't? — So, no you do feel hungry. Um especially if you're not fasting fit cuz I've done several of these journeys. Um but at the beginning, yeah. It must feel really hungry. — Yeah, but you just I mean in those times of fasting you tend to just take it a little bit more easy. You walk, you don't train, you go to bed early, you have magnetic you know, it's very much the person that I did this journey with, it was guided. You know, we had certain rituals to do and so it was just a time of rest. And so the first time you did it, you said you like looked like you literally had a facelift. — it for weight loss. I was shocked how But was it just water weight that came off or was it real body fat? — have been a bit of both for sure because obviously for almost 2 weeks without eating they would you definitely — And you were meant to do it for 2 weeks? — Yeah. I wonder how much muscle mass you might have lost. I don't know. But I mean I've got good muscle mass anyway and again it's for a short amount of time, but I mean I was probably one of the smaller people in the group, but there was a lot of sort of um very overweight. I mean they were losing 40 50 pounds in 2 weeks. I'm not joking. — But is that even you think they were Did they put the weight back on? Have you followed some of these people's journeys? — Yeah, but then you'd repeat it. And I suppose for people that have that amount of fat, their bodies can do it because they've got the energy. You know, for me it was I didn't have much, so I was probably going into muscles and everything else, so but for the people that need it is it was a great tool. Yeah. And they do, they get to where they need to be. I mean, look, this was before all the GLP-1s were coming out, so I'm not sure people would still do the 2 weeks. But I bet you this 2 weeks doing it like this is healthier than the GLP-1s because there's a lot of side effects. So when it comes to GLP-1s, and I know in the region they're all like everyone's taking them like cotton candy. It's like everyone's on a GLP-1. So one, I think you should only be doing a GLP-1 if you're extremely overweight, right? And you're like, this is my last resort, can't do anything else, this is what I have to do. Two, people are microdosing GLP-1s, but then again, it's for a specific treatment or protocol. So people dealing with PCOS, endometriosis because those are metabolic disorders and they want to regulate themselves, going through IVF treatments, it's having success over there. But beyond that, I don't think people should be taking this stuff because there's no magic pill. Yeah. Everything has a side effect. — So I think a lot of say menopausal women for instance, — Yeah, perimenopausal symptoms is another one. — they all becoming insulin resistant. I mean, our diets, you know, even those that are healthy, all the processed foods put the body out of whack. So a lot of doctors are just prescribing them with microdosing. It seems to be a thing to regulate the blood sugar without the high dose it. But I think there's so many other things that they can do because there's ways to regulate our blood sugar. Like sodium butyrate is a great product. So butyrate levels naturally go down in our body, and sodium butyrate essentially is a short-chain fatty acid, and you produce butyrate in your body anyways, and it's a postbiotic, and one of the things it does is regulate your blood sugar. So you take it after every single meal. Quick, it doesn't sometimes smell the best, but it's two tablets or three tablets. Take it, you see the difference right away. So, you're not having these crashes. So, I think we've gone so far as a society to constantly be looking for that magic pill that we're not looking at alternatives knowing that they are there. — down to education, right? Because people don't know, they don't have an alternative. — Mhm. And pharmaceutical companies, cuz they have massive budgets and can market the [ __ ] out of their products, push, push these products. And because practitioners can make more money from this versus being like, "Here, here, take these pills instead. " They're like, "No, I can sell you a $1,500, a $2,000, $800 product. " Um I think that's where the education really comes down to and being like, "Why are we having these glucose spikes as we get it older, right? And can you stabilize, in especially the case of women, when we're becoming perimenopausal, menopausal, can we stabilize those spikes with hormones? " And do other things. — in the with AI and all these trackers, I mean, we can be we can know more, right? So, we we've got that sort of real-time feedback. So, I mean, well, I'm sure everything is heading that way. Right. Do you think there's certain hormones that when women get on them, they can make certain skin conditions worse as they get into perimenopause and menopause? — I mean, for sure once the hormone I mean, obviously during pregnancy, you see that surge with the melasma. So, that's And again, at menopause, it can happen as well. So, definitely, hormones affect the skin. And people who are getting put on progesterone, estrogen, or testosterone, like or estradiol, what are some of the things you're seeing on their skin and then how are you treating them differently? — So, I mean, look, most of the time people need to be on their hormone replacement therapy.

— to function and be normal and not kill somebody. — Exactly. So, you just have to work with them, educate them, so they know what's causing it. You just have to do certain things to mitigate it. — you know, like testosterone, for instance, if there's too much, you tend to break out with acne. They can get more hair and things like that and that would suggest it was maybe imbalanced for them. That's it. So, they can estrogen can cause more pigmentation. I mean, estrogen I mean, when we're got none of that, we're just We're drying up. We're creeping away. Yeah, dried-up flower. — Yeah. Um one of the things is that how can you diagnose if something is actual melasma versus uh hyperpigmentation? Cuz I used to say my thing is hyperpigmentation and then I was like, "No, you I mean, it's melasma. " — is a pattern. Okay. There's a pattern Melasma usually has a pattern where it's like larger patches. Yeah, above the brows, the cheeks, um above the lip. But also can present like sun damage. So, you can So, basically I with anybody, I treat them as if they were melasma. If there's any shadow of a doubt, you just treat them because either way we can remove it. We just do it in a way that Yeah. — What I loved was so, my cousin Mariam has the most beautiful skin. And so, I'm like, "Mariam, you have such the most gorgeous skin ever and you live in Dubai and you're not getting the hyperpigmentation melasma. " And she's like, "Girl, I literally see this woman called Rebecca Treston. " And I was like, "Who is Rebecca? " So, I started following you on Instagram. I was like, "Mariam, please get me an appointment with Rebecca. I beg you for me to go see Rebecca. " And now that I saw my results, it's the first time I saw you and I got my own lasers done. The results in a week have been so amazing that I'm excited to see where else my skin goes given that I also take care of myself. — Yeah, for sure. I mean, that the layering allows us to do that, right? So, we are addressing several things at once. And so, rather than doing say one harsh resurfacing which you end up having downtime and then you still may see redness, so this, so that. So, definitely the way of layering it, people see results. I mean, that again, that's why people come and they're happy to come. Right. — results quickly but without all that downtime. I mean, I think you were still able I was peeling a little bit so you could it looked like I'd done fractional laser on my face over here. — severe, — right? — No, not at all. My inflammation was about but I take peptides. Yeah, yeah. So, I'm doing the peptides. I'm I put and I put a topical peptides on as well. — recovery. Everything we do. I um looked like I was super hydrated. My skin felt super soft like a baby's bottom. That's how I would describe it. I was like, "This looks great. " I was like, "If I was in a relationship, my man would be lucky. " I was like, "I look great over here. " So, I'm like, "Wait, Rebecca, can you make my whole body feel like that? " — Absolutely. I'm going to book in for a full body treatment next time. — Honestly, I didn't used to do body treatments because it was to so time-consuming and who's got I mean, some people have time for it, but — Yeah. you know, you're talking hours and you have to keep coming back. But now, with again, technology has changed, AI, the the frequency, you can really knock out a body treatment in a couple of hours. So, for people want beautiful glowing legs for the summer, what do you recommend it? Yeah, so I mean, look, definitely BBL. Okay. BBL's brilliant, but you can do some light resurfacing with Moxie. I mean, you've got to be careful with legs, but yeah, I mean, we can it depends on the patient what they need. Yeah. But yeah, we can combine a lot of things for body as well. So, what helps in terms of So, when we think about body and aging in women, the first thing that sags is you get crepiness on your legs, no matter how much you work out, protein it's the legs. And then, um you get the banana roll is where you kind of see it in women at the back of their arms, right? And so, all that is a loss of collagen and elasticity, right? And then, some discoloration from us traveling, being in the sun, all that stuff. And I always think to myself, we spend so much money, time, and effort on our the everything neck up. Why do we just think, "Oh, we just go to the gym and eat and that's enough for our body"? Or maybe like, "Okay, you dry brush a little bit. " But that's not enough. It's the same It's an organ. — And once the face and the neck and the decolletage looking great, people are now coming for the rest of their body. — Right? Because it it's a big difference. — Creates a difference. And so you're saying BBL is one of the best ones? BBL is great because again, when you come away from the face every area that face, the recovery is much longer. Really? — Yeah. So for instance, legs you have because it's away from the heart and the sebaceous glands and things that support the skin, but legs you can't be aggressive on the legs because they won't heal properly. So you have to be careful, but things like BBL is a non-ablative treatment. You're just stimulating you're heating up that water. The water stimulates the fibroblast. So you're just by going over the skin that's it will start to smooth the skin and it's within a session. And then of course, you've got the different filters that will work on the dyschromias. You can mix that with a bit of pico if the pigment is deeper. So you can just again, all about the layering. You've got things like Fotona where you can actually go deep because obviously

on certain areas we've got more depth. You've got things like Morpheus which can go deep. So I mean, there's lots of ways to combine the crepey skin. You could do a little bit Morpheus, you could do Thermage, you could do a Moxie on top. So there's ways of addressing your skin damage. I didn't even know that you could actually now do full-fledged body treatments. And then by injecting again, the skin boosters in that area, the collagen stimulators. And again, would you use the same collagen stimulators for the body? I don't do injectables, but yeah, they would. Do you — now they've got sort of Sculptra and Yeah. all these for body. So I don't know if it was I read it somewhere I saw it somewhere recently that salmon DNA, you know how this whole thing came out that Sculptra is actually causing damage for people on a deeper layer and then so when they're going to get a facelift or something like that, there's a lot of scar tissue that it's creating Sculptra in particular. So that's what's come out with Sculptra. I've seen it, but I usually I think I mean again, some people that have had Sculptra done well, think it's the way they mix it and if they inject it poorly, then it just starts clumping together. Right. And again, it is stimulating collagen and it can create that fibrous tissue. So, again, for plastic surgeons They don't like it. — No, cuz it makes their work harder. — Job harder. But I've heard the same thing about salmon sperm DNA, which is a thing that people are like going off the rails about injecting, and it's having the same issues as Sculptra is creating that fibrosis, which is causing the scar tissue. So, when people are trying to go in to do facelift, even a mini lift, it's causing issues. — Okay. I haven't sort of heard as much about that. Um again, I guess it can. All of these things I think everything you know it's all about — dosing, isn't it? It's about the correct dose with anything. You can't keep punching at it, punching at it. — it time. You've got to let your body respond. I also wanted to ask you a lot of dermatologists argue that micro injuries with lasers lead to long-term thinning of the skin or crepiness. No. Right? — I've been doing it that long, I would know. That's what I'm saying that uh I see the skin thicken. It thickens. That's what Because yeah, there a lot of these dermatologists are like, "Oh, if you do too many lasers, you're going to like wear down your skin. " — It technology changes. There's so many lasers. You're talking about resurfacing and constantly taking your skin off. Then it's going to cause an issue. — You're going to thin the barrier. You're going to have really reactive skin. So, you wouldn't do that. But again, things like ND the non-ablative lasers that are just stimulating collagen production, they're not going to thin your skin. I wish to God somebody would come up with a laser that would grow more of your fat. I know. That would be my dream laser. Is there anybody listening in this universe? If there was a laser that could stimulate fat production, that would be my dream laser. I think well, we've got the stem cells now, haven't we? We've got the growth factors that are stimulating fat. Yeah. But even then, it's not the same as a fat transfer. No. You know? So, I'm like, I really want somebody to come up with a laser that helps create the volume in your face again. — be able to do that. You don't think so? — that's going to be possible. And it goes in and like encourages the fat to kind of plump out again. — we already have I mean, anything that encourages the function, right? So, we're doing all of that. Mhm. We just don't want to overdo it. We stimulate them, you know, but so, I don't know. We might be waiting a while. I hope one day they come up with it. Are there any supplements that you recommend that are incredible for skin health that you love, that you see a res- that you see results with? — a good omega oils, and I think just a some zinc and things like that. — Magnesium, healthy fats. Omega-3 or omega-6. So, for anybody listening as well, 90% of the fish oils on the market, unfortunately, are rancid. That's a huge issue that by the time they hit the shelves, by the way they manufacture and they're putting on the shelves, they're rancid. So, there's some very, very few brands that are good with, you know, fish oils. And fish oils give you an incredible glow. The best source for fish oil for omega-3 or omega-6 is caviar. Okay. So. — most of my patients say. I mean, they say about collagen supplements, just get your bone broth. Just get it through food as much as you can. — Wherever you can, and that's the best way to do it. So, bone broth is incredible. Magnesium, zinc for supplementation is incredible. Taking enough healthy fats. There's also a product called Balance Oil. It's by a company that I love called Body Bio. And that gives you that healthy like linoleic acid that you actually need, which your body actually requires, and the right balance of omega-3 and omega-6. So, I love that product. Caviar's obviously amazing. They also have a product called Resolve, in which they make from fish caviar that's like their fish oil, that's incredible. Um but those are the things that I've seen that impact the skin. Yeah. minerals, electrolytes are all things that have helped me and then having like clean skin care. I can't go completely clean but skin care that has

actives in it, peptides, you know, things like that have helped me a lot. — Yeah, I mean we've got a company here called Joanna Skin which is a really clean clean product. — What's it called? Joanna. And it's got CBD oil in it but it's amazing. Amazing for how many products do they have and what are the different products that they Well, they have a cleanser, they have two moisturizers, they've got this beautiful body butter that I use. And it's local. Yeah, locally made. Well, about locally made but essentially yeah. But it's it really is amazing and I obviously I see a lot of inflamed skin calm down from it. I do, I have rosacea, I have irritated skin so I mean it's been amazing for me, it's beautiful. Is there any other local brands cuz I'm always so curious to learn more about what's coming out of the region that you love? — to keep up with all the brands so it's the ones that I like that suit my skin and I'm quite sensitive so um I mean I do like SkinCeuticals, I like phyto-c, they're good. They're not necessarily local brands. Joanna Skin is the local one here that I use so Have you heard of like One Skin? — I have. — I really like I love them. I swear by them. — I don't think we have that here. Oh, is it having an Amazon storefront now? It's a What's the other one? Better Skin or something like that? — Better Skin I haven't tried. The One Skin has an Amazon storefront that I love. There's also a brand called they just have one product, it's called Regenerate and it's like 23 to 27 different peptides all compounded according to what you need. So you go online, you take a quiz, it tells you okay, this is what you need and I really like it. I've been using the serum actually after my treatments cuz it's really hydrating. But these are brands that I love and I'm like, you know, they're not 100 well, Regenerate is but the other brand's not 100% clean but it's pretty non-toxic. — Yeah, yeah. You know, to some extent. I don't think good skin care can completely be non-toxic. As long as it's clean of phthalates and BPAs, the rest is what it is, essentially. — Rebecca, I loved having you on the show. My skin looks so amazing. I'm excited to now come back and do my legs with you. — Absolutely. — Book you in right after the show. Is there any tip, one tip if you had to give to the listeners um as we're coming to the end of the show, if they want to start their skin care journey, what should it be? As in with treatments? Treatments or diagnostics or where should they be starting? If they're looking at themselves and being like, I love listening to this episode, she's a wealth of knowledge. Rebecca, I'm thinking twice about my skin, what should I do? I think one of the biggest things is that now it's a bit of a trend word, but the collagen banking. So, you know, years and years ago I, you know, I wouldn't be doing energy-based devices on younger skins. But again, the right dose, not don't over treat, but treat younger because you'll preserve good quality collagen. Don't wait until you get older. — Yeah, don't wait. How young should somebody start? Look, I think taking care of your skin starts from, you know, as early as possible with sun protection. But I mean, in your twenty Look, when you're teenager and twenties, you might have too much oil, so you'll treat that. And then, I would say in your mid-twenties, just be aware of what you're doing. Not necessarily mean laser in all the time, but you could do a couple of treatments towards the late twenties. When you start to see I mean, your skin starts losing collagen from the age of 21. So, and you can double that if you're a bit of a sun worshiper. So, from that age, you know, strategic, intelligent treatments to stimulate good healthy quality collagen rather than waiting till you see everything happening, and it's much harder to restore. If you look at any of the celeb celebrities out there in the world, whose skin do you love and you're like, "Damn, she looks great. That's beautiful work she's had. " Besides Lindsay Lohan? Huh? — J. Lo. She just She hasn't aged. — She looks incredible. Actually, I mean, Victoria Beckham, you see she's had work done, but she does look good. — Yeah. She does look good as well, but J. Lo is like on another level. It's all those Hispanic genes that they have. The genetics do play a role as well. — And how you recover, how your skin feels after, how much you're able to push someone's skin. — Yeah. So, you see the love of us South Asians. I'm a South Asian. We tend to preserve ourselves like neck up. We don't get as many wrinkles and I think, you know, facelifts can be pushed off to later. So, I think that's a good trait, I will say. — Irish. Well, you have beautiful eyes and other things that make you so beautiful. So, it's a trade-off, you know. So, thank you, Rebecca, so much for coming on the show and I'm excited for my community to learn about you and all the incredible treatments that you do. — you, Pammy.