00:00:15
for large pores how to quote unquote
00:00:19
shrink your pores so pores seem to be
00:00:22
like Public Enemy Number One people are
00:00:25
very frustrated with these I actually
00:00:27
think the mirrors are to blame they Zoom
00:00:30
in further than they should but it
00:00:31
doesn't matter today with this video
00:00:32
we're going to talk about what are pores
00:00:35
can you shrink them how to shrink them
00:00:37
and we'll walk you through a step and
00:00:38
create a routine for you to do so this
00:00:40
is not our first video on pores we've
00:00:42
done one before and still to this day is
00:00:44
one of my favorite videos that we've
00:00:46
ever created because we went into heavy
00:00:48
detail on what causes pores and I
00:00:50
actually drew them out in like Ms paint
00:00:53
probably the worst graphic that's ever
00:00:55
seen hopefully in this video we can give
00:00:56
you some updated graphics on what you
00:00:58
can do to minimize the appearance of
00:01:01
your pores now in that video you
00:01:02
probably noticed that as they extracted
00:01:04
those sebaceous filaments from the skin
00:01:07
that the pores looked very large
00:01:08
underneath and this is something I want
00:01:10
you to think about as we talk about the
00:01:11
different treatments so all things
00:01:13
related to minimizing the appearance of
00:01:15
your pores here we go here we
00:01:20
go so let's get a little bit back into
00:01:23
that video so what you saw there was
00:01:25
some type of peel off mask similar to
00:01:28
what you see with a pore strip you see
00:01:30
all this Gunk being lifted out of the
00:01:32
pores and that Gunk is sebaceous
00:01:34
filaments that's oil and dead skin cells
00:01:37
that fill up your pores now this happens
00:01:39
to all of us but in some people it's
00:01:41
much more extreme than other people now
00:01:43
this is a normal thing but as that
00:01:45
sebaceous filament as that oil as those
00:01:48
dead skin cells continue to fill up your
00:01:50
pores your pores start to look larger
00:01:51
and larger and then when you extract
00:01:53
them you can actually see open holes
00:01:56
inside your skin so let's talk about
00:01:58
what causes your pores to look large cuz
00:02:00
if we understand what causes your pores
00:02:02
to look large we can know what
00:02:03
ingredients to look for and what
00:02:04
procedures to do in order to minimize
00:02:06
their appearance so what is a pore a
00:02:08
pore is built out of three units this is
00:02:10
just my way of simplifying this for you
00:02:12
so in the center is the opening to the
00:02:14
skin that is a circle that you see that
00:02:16
is the orifice now inside of this
00:02:18
towards the base you see all of these
00:02:19
oil glands this is part of the pyos
00:02:21
sebaceous unit it is structural and
00:02:24
functional system but surrounding all of
00:02:26
this is the third part and that is the
00:02:28
stroma or the collagen and the structure
00:02:30
that creates this whole thing we know as
00:02:32
a pore now let's talk about what
00:02:34
actually makes your pores look larger
00:02:36
now I I always think about things of
00:02:38
like what's happening on that molecular
00:02:40
level so if you look at that pyos
00:02:41
sebaceous unit that Poe it's surrounded
00:02:44
by dense collagen right the collagen is
00:02:46
hugging it's holding on to it right so
00:02:48
when you're younger and you have more
00:02:50
collagen and your collagen is much
00:02:52
denser it's actually squeezing your pore
00:02:54
to make it look smaller but as we get
00:02:56
older sun damage damages that collagen
00:02:58
and elastic support structures your
00:03:00
collagen becomes looser it becomes less
00:03:02
dense and your pores actually start to
00:03:04
dilate and open up so as as you lose
00:03:06
that hug as the hug gets looser on your
00:03:09
pore your pore starts to open up so if
00:03:11
you think about it and we talk about
00:03:13
treatment we're going to want to build
00:03:15
up that collagen in order to minimize
00:03:16
the appearance of pores the second thing
00:03:18
that happens is that you have these
00:03:20
sebaceous glands that Dr Maxfield
00:03:22
described and they're dumping oil into
00:03:24
that pore they're just dumping oil in
00:03:26
there and then you have that epidermal
00:03:28
layer which is turning over new skin
00:03:30
cells and slopping dead skin cells into
00:03:32
your pore so from the top you have
00:03:34
epidermal skin cells slopping into your
00:03:36
pore and from the bottom you have oil
00:03:37
just dumping into the pore and that's
00:03:39
creating debris inside of your pore that
00:03:42
as it fills up can make your pores look
00:03:44
larger and another thing that's nuanced
00:03:46
is that with rosacea in particular the
00:03:48
oil glands actually take over like you
00:03:49
get more and more and more of these oil
00:03:51
glands which leads to more and more and
00:03:52
more oil production like the oil glands
00:03:55
actually outnumber like the skin cells
00:03:57
microscopically it's crazy how many oil
00:03:59
glands you get so that's something we'll
00:04:01
have to address too right and I can even
00:04:03
show you a video we pop it up here of
00:04:04
how if someone pushes on their nose they
00:04:06
can actually push out all that oil
00:04:08
that's even if it's not visible to you
00:04:10
it has built up in your pores so now
00:04:12
again kind of foreshadowing to treatment
00:04:14
we're going to want to control oil
00:04:16
production remove oil once it's
00:04:18
deposited and remove dead skin cells
00:04:20
that have now deposited in your pore so
00:04:22
just thinking ahead here and then the
00:04:24
last thing is if that epidermal layer
00:04:26
gets thicker it starts to make your pore
00:04:29
look larger larger which means that if
00:04:30
your skin is more dull it's more flaky
00:04:32
that stratum corneum is getting thicker
00:04:34
it will make your pores look larger and
00:04:36
so exfoliating and removing that top
00:04:38
layer of skin or thinning out that very
00:04:40
very top layer of skin called the
00:04:41
stratum corium can also make your pores
00:04:44
look smaller so you have noticed you
00:04:46
have pores and you've decided you want
00:04:48
to address this that's fine like again
00:04:50
set your goals your skin care is your
00:04:52
own now I always approach this with like
00:04:56
the cleaning first so first we're going
00:04:57
to remove the oil from skin to give us a
00:05:00
clean slate right you need almost like a
00:05:03
factory reset right you've had all this
00:05:05
stuff build up over time right and so
00:05:07
doing the things that are more
00:05:08
maintenance aren't going to put a dent
00:05:10
in what's already built out there so how
00:05:12
do we start over one of the first things
00:05:14
that you can do is actually get a facial
00:05:16
this is where facials become very
00:05:17
helpful it's you get a facial and then
00:05:19
you maintain it with skinc care and so
00:05:21
some of these water-based suction
00:05:23
facials they really suck out all the
00:05:25
gunk that's built up in your pores now I
00:05:26
don't recommend that you do this at home
00:05:28
I've said this a million times because I
00:05:29
do think Poe vacuums cause a lot of
00:05:31
bruising when you do it by yourself but
00:05:33
an esthetician who's skilled can
00:05:34
definitely do this and it will factory
00:05:36
reset your pores you can also use a por
00:05:39
strip as a sort of one time once a month
00:05:43
once every two months to really sort of
00:05:45
factory reset the pores now you don't
00:05:47
want to do this all the time because
00:05:48
it's really quite irritating especially
00:05:50
if you're using a retinol you could pull
00:05:51
off your skin with it so this is really
00:05:53
to be used sparingly and then the last
00:05:56
thing that you could do is use a
00:05:57
cleanser that can help to remove some of
00:05:58
the gunk that's buil bu up in your pores
00:06:00
that's a salicylic acid based cleanser
00:06:02
because salicylic acid is the only
00:06:04
exfoliant that's actually oil soluble
00:06:06
that can get into those sebaceous
00:06:08
filaments and remove them out and
00:06:10
something that's become popular on
00:06:11
social media which is an oil-based
00:06:12
cleanser like dissolves like so an
00:06:15
oilbased cleanser is able to get into
00:06:16
your pores and help to push this out if
00:06:18
you massage it onto the nose so again
00:06:20
you have your deep clean and then your
00:06:22
regular maintenance cleansing to keep
00:06:24
those oil glands empty now the
00:06:27
functional part is once they're empty
00:06:29
they're going to refill and that's where
00:06:30
a lot of the daily work comes in we need
00:06:32
to decrease oil production so how do you
00:06:34
actually control oil production now this
00:06:36
is actually something that's really
00:06:38
challenging so in our old video we said
00:06:40
there wasn't evidence that retinoids
00:06:42
could actually control oil production
00:06:43
now there's good evidence that there is
00:06:45
so we always say we're willing to go
00:06:46
back and debunk ourselves there is
00:06:48
evidence that retinoids can help control
00:06:50
oil so the ingredients to look for would
00:06:51
be retinol niacinamide there's study
00:06:54
that show that niacinamide can help
00:06:55
control oil production green tea and
00:06:57
lcarnitine can all help control oil
00:07:00
production yeah and ither AIC acid as a
00:07:02
third tier so stratifying this I have it
00:07:04
like in tiers like so retinoids and then
00:07:06
green tea and nide both of those
00:07:08
especially nicomide actually has a good
00:07:10
amount of data and then we have third
00:07:12
tier I'd say AIC acid has a study I know
00:07:14
of and then I guess lcarnitine too I
00:07:16
didn't know about that one so that's
00:07:17
news to me but we have these ingredients
00:07:20
that can be foundational for your skin
00:07:22
so we talked about how to remove oil
00:07:23
then we talked about how to control oil
00:07:25
and then the last category of
00:07:26
ingredients to look for would be oil
00:07:28
absorbing ingredients so that's
00:07:29
something like perlite or silica and you
00:07:32
find these ingredients a lot in oily
00:07:34
skin moisturizers and they actually have
00:07:36
ingredients that absorb oil as it's
00:07:38
produced by the skin now this can help
00:07:40
as any oil is building up especially for
00:07:42
people with oily skin this makes a big
00:07:44
difference I'll tell you anecdotally it
00:07:45
it sounds very counterintuitive that you
00:07:47
would want to moisturize your face with
00:07:49
oily skin but a lot of people and we see
00:07:51
this from the comments have oily
00:07:53
sensitive skin and it's an extremely
00:07:56
difficult combination to work with so
00:07:57
these moisturizing ingredients these
00:07:58
moisturizer for oily skin can be awesome
00:08:00
because they can actually help provide
00:08:02
your skin with a nourishment and
00:08:03
protection a moisturizer does and at the
00:08:05
same time make your skin feel and be
00:08:08
less oily than it was to start with it's
00:08:09
a weird dynamic but these are great
00:08:11
functional ingredients probably
00:08:13
underrated now let's talk about turning
00:08:15
over some of those dead skin cells that
00:08:16
have built up in your pores and the best
00:08:18
ingredients to do that is going to be
00:08:20
retinoids in general so we've already
00:08:22
mentioned it is controlling oil now
00:08:23
we're mentioning it as kind of helping
00:08:25
to turn over those new skin cells thin
00:08:27
out that epidermal layer of the skin to
00:08:28
make your pores look less obvious and
00:08:30
then salicylic acid which we mentioned
00:08:31
earlier as removing oil is also able to
00:08:34
remove some of the dead skin cells that
00:08:35
build up in your pores and then the last
00:08:37
category is that hug how do we
00:08:39
strengthen the hug on your pore to make
00:08:42
your pores look smaller by squeezing
00:08:45
them from the outside in and that's
00:08:47
going to be things that can build up
00:08:49
your collagen structures right so
00:08:51
addressing the structural component of a
00:08:53
pore this is the most
00:08:55
misunderstood part of a pore and I think
00:08:58
a large part of it is is because some of
00:09:00
the most effective things are in office
00:09:01
procedures and so people just aren't
00:09:03
familiar with it but this is like where
00:09:05
I think everyone falls short they've
00:09:06
used the topical ingredients they've
00:09:08
cleaned out their pores they're getting
00:09:09
the facials probably on a regular basis
00:09:11
and they're like nothing is changing my
00:09:12
pores are still large but that's cuz all
00:09:14
of what we've talked about so far
00:09:15
addresses the oil production or the oil
00:09:17
gland and not the structure which
00:09:19
actually is the ring creating the pore
00:09:21
that you see so here we can have
00:09:23
ingredients the retinoids once again
00:09:25
doing lifting creating collagen
00:09:27
increasing the hug tightening it up nice
00:09:29
and
00:09:29
as they say and then Additionally you
00:09:31
can use your exfoliants that also thin
00:09:33
the stratum corium like glycolic acid
00:09:35
that increase collagen production once
00:09:37
again increasing that supportive
00:09:38
structure to make it tight and then at
00:09:41
this point I would say probably moving
00:09:43
into procedures is where you're going to
00:09:45
see a multifaceted benefit for the
00:09:47
structural part if you notice when we
00:09:49
talked about skin care retinoids hit all
00:09:52
three categories they contribute to the
00:09:54
appearance of pores so and it's not
00:09:56
going to just do that it's going to do
00:09:57
anti-aging rank
00:09:59
Fine Lines acne so you always hear we
00:10:02
say retinol we say it all the time it's
00:10:04
our favorite ingredient it's because it
00:10:06
does so much for so many different skin
00:10:08
conditions that even if you had pores
00:10:10
and texture retinoid could take care of
00:10:11
that if you had acne and pores you could
00:10:14
take care of that if you had dark spots
00:10:15
and pores retinoids are going to do that
00:10:17
and it has so many functions and that's
00:10:19
why it's really going to be a Hallmark
00:10:21
of a lot of people's different skincare
00:10:23
routines now jumping on to procedures if
00:10:25
you think about it anything that causes
00:10:27
trauma to the skin is going to activate
00:10:29
those wound healing mechanisms and wound
00:10:31
healing triggers fiber blast to produce
00:10:33
more collagen and so that's why a lot of
00:10:35
our in office procedures that do
00:10:36
minimize the appearance of pores are
00:10:38
things that cause microt trauma to the
00:10:40
skin or trauma to the Skin So micro
00:10:42
needling in general is going to boost
00:10:44
that collagen it's going to tighten and
00:10:45
minimize the appearance of pores laser
00:10:48
resurfacing lasers whether it's herum or
00:10:50
CO2 or fraxel anything like this is
00:10:53
going to actually boost that collagen
00:10:55
and minimize the appearance of your
00:10:57
pores these procedures do double duty
00:11:00
not only do they increase the collagen
00:11:01
but they very directly restructure the
00:11:04
structure of your skin especially like
00:11:06
fractional CO2 or even Micron needle
00:11:08
where it directly creates thousands of
00:11:09
little holes in the skin in my opinion
00:11:11
very anecdotally like just I think about
00:11:13
it and I'm just like this just breaks up
00:11:15
that stroma under the skin that like
00:11:18
network of collagen that's creating this
00:11:20
pore and it's kind of resetting it it
00:11:22
like breaks it up starts new collagen
00:11:24
growth and I think this is the most
00:11:27
impactful way for pores to be minimized
00:11:30
like if you're looking for a result that
00:11:32
is noticeable dramatic to where you look
00:11:34
in the mirror and you're feeling like
00:11:35
you got your money's worth even though
00:11:36
it can be a big investment I do think
00:11:38
these procedures the more aggressive
00:11:40
ones in particular are really where
00:11:41
you're going to get the most benefit
00:11:43
there is an in-office prescription or
00:11:44
oral treatment that has been shown to be
00:11:46
effective it's like very specific so
00:11:48
isotretinoin or acutane as it's known is
00:11:52
one of the few one of the extremely few
00:11:56
ingredients that's been shown to slow
00:11:58
the progression of this oil gland growth
00:12:01
which leads to these larger pores on the
00:12:02
nose so rinofima which is enlargement of
00:12:05
oil glands especially on the nose one of
00:12:07
the first signs of this is enlarged
00:12:10
pores that's the earliest detectable
00:12:11
sign of rhinophymatous change and again
00:12:14
there are studies showing that isotron
00:12:16
can be helpful for this like is this the
00:12:18
appropriate and a correct treatment for
00:12:20
you it may or may not be that's a
00:12:22
discussion between you and your
00:12:23
dermatologist that's a discussion
00:12:25
between their comfort level and your
00:12:26
comfort level and all of the Nuance with
00:12:28
this but that oral in office treatment
00:12:30
is one of the few things that can be
00:12:32
effective at slowing the progression of
00:12:33
this too so when we talk about
00:12:35
isotretinoin also known as Accutane it
00:12:37
was created for acne um is incredibly
00:12:39
effective acne treatment but a lot of
00:12:42
people will notice minimizing of their
00:12:44
pores while they're on this and even a
00:12:46
lot of videos going viral on Tik Tok
00:12:47
saying that it actually Shrunk the
00:12:49
volume of their nose because they were
00:12:51
on it and it's actually probably true
00:12:53
whether it's temporary or not it does
00:12:55
shrink your oil glands it does minimize
00:12:57
the appearance of your pores like Dr
00:12:59
Maxfield said it does come with a slew
00:13:01
of potential side effects um and so you
00:13:04
have to weigh the risk benefit ratio
00:13:06
when you take any medication so that's
00:13:07
something you definitely want to discuss
00:13:09
with your dermatologist now of course if
00:13:11
we're talking about collagen and
00:13:12
procedures that build up your collagen
00:13:14
we want to make sure that we're
00:13:14
protecting your collagen as well so
00:13:16
wearing sunscreen is critical to any of
00:13:18
these routines because if you're getting
00:13:20
damaging UV rays that are just
00:13:21
destroying your collagen it's not going
00:13:23
to help any of these poor treatments now
00:13:25
let's jump into a super simple routine
00:13:28
to minimize the appearance of your pores
00:13:30
now like we said getting these in-office
00:13:32
treatments is a place where you're going
00:13:33
to see a lot of big results but let's
00:13:35
talk about an over-the-counter option
00:13:37
that you can go with so again it starts
00:13:39
with the cleanse clean out your pores I
00:13:40
think a super simple thing is your
00:13:42
salicylic acid cleansers uh it doesn't
00:13:45
have to be fancy you have your large
00:13:47
volume medicated cleanser from L RO with
00:13:50
salicylic acid you have your sah VSA
00:13:52
cleanser both are fine options once or
00:13:54
twice daily as your skin tolerates so
00:13:57
that's your cleanser you're going to go
00:13:58
with the salicylic acid cleanser even
00:14:00
twice a day if your skin can tolerate it
00:14:02
and then treatment morning and night I
00:14:04
think you can start off with a green tea
00:14:06
toner in this space we've talked about
00:14:08
toners before we won't go into too many
00:14:10
details right now but toners with
00:14:12
actives in them can be very effective so
00:14:14
you have isant tree and you have in is
00:14:17
free the same brand confusing things
00:14:20
yeah I love these green tea toners I I
00:14:22
really do recommend these in the office
00:14:23
to patients too love the green tea toner
00:14:25
to start off your routine if you have
00:14:27
oily skin which you very well likely do
00:14:29
because you're looking at a Poe video um
00:14:31
these feel good they're functional
00:14:33
they're great perfect now you can
00:14:34
actually incorporate Nia cinnamide into
00:14:36
your routine now you can either choose
00:14:38
to use this morning and night or you
00:14:40
could just use it one time a day there's
00:14:41
a slew of Ni camide products that are
00:14:43
out there a lot of them at higher
00:14:45
concentrations than you need we've said
00:14:47
this in the past niacinamide has been
00:14:48
shown to be effective at concentrations
00:14:50
5% and less and there haven't been any
00:14:52
studies on concentrations higher than 5%
00:14:54
even though you'll see 20 30 40%
00:14:57
nicomide products out there there's no
00:14:59
no need for a concentration that high in
00:15:01
your skincare routine like I do like
00:15:03
some of the other ones like the L'Oreal
00:15:04
bright and reveal but functionally I
00:15:06
like the ordinary Nite 10 with zinc or
00:15:08
you mentioned another video I think the
00:15:09
Polish Choice had an NI cinnamide at 5%
00:15:12
perfectly functional for your skin now
00:15:14
you can use that morning and night again
00:15:16
but then at night only you would want to
00:15:18
incorporate a retinol into your skincare
00:15:20
routine now this can be prescription
00:15:22
treone that you get from your
00:15:23
dermatologist or this could be a simple
00:15:25
over-the-counter retinol something like
00:15:27
the cave resurfacing retinol something
00:15:29
like the rock retinol they pioneered
00:15:31
retinol so they are the ogs in that
00:15:33
category but using a retinol is going to
00:15:35
do a lot of the work that we described
00:15:36
and so I do think it's foundational to
00:15:38
your nighttime skincare routine if
00:15:40
you're trying to minimize the appearance
00:15:41
of the pores now I don't know when this
00:15:42
video is going to air but of course I'm
00:15:44
super proud of the brand that I've been
00:15:46
working on for the past and you guys may
00:15:48
have seen the announcement of the brand
00:15:50
coming out but one of our products is
00:15:52
remedy for por size which is something
00:15:53
to minimize the appearance of your pores
00:15:56
and this product has retinol it has
00:15:59
salicylic acid it has niacinamide it has
00:16:03
green tea it has perlite it has kinan
00:16:06
which has actually been shown with NI
00:16:08
camide to minimize the appearance of
00:16:09
your pores so it has all of these
00:16:11
ingredients in one overnight formula
00:16:13
that you can use once a day at night to
00:16:15
minimize the appearance of your boes now
00:16:17
I will say of all the testers that we
00:16:19
had in our study which was a bunch of
00:16:21
people that tried it and saw amazing
00:16:22
results you do have to ease into this if
00:16:24
you've never used a retinol before
00:16:25
because it is a higher strength retinol
00:16:27
so this is something you're going to use
00:16:28
use every other night or every third
00:16:30
night until your skin gets used to it
00:16:32
because it is that powerful but that's
00:16:33
how you're going to see the results so I
00:16:35
don't know if it's going to be available
00:16:36
by the time this airs if it isn't we'll
00:16:38
put a weit list uh link below if it is
00:16:41
available then you'll be able to shop it
00:16:42
at that time or you could do what we
00:16:44
said earlier and look at the products
00:16:45
and mix and match to build your routine
00:16:47
right and if you haven't caught this
00:16:48
theme with Dr Shaw's skare it's like he
00:16:50
he's like pushing the boundary of like
00:16:51
what's the best result you can get so
00:16:53
like it may not be starter friendly it
00:16:55
may not be the thing for the the
00:16:56
beginner but like this is probably going
00:16:59
to be like the best result you can get
00:17:01
so that's totally fair they're allinone
00:17:02
treatments to simplify people's routines
00:17:04
I think most people just want simple
00:17:06
routines and results and they don't want
00:17:08
to have to layer for maybe there are
00:17:09
people who want to layer multiple things
00:17:11
and kind of mix and match and kind of
00:17:12
build your own salad type of situation
00:17:14
but a lot of people just want all the
00:17:16
products in one and so that's our
00:17:17
challenge we stabilize all these in one
00:17:19
formula to make them super effective so
00:17:21
super proud of that obviously hopefully
00:17:23
you all love it and find it to be as
00:17:24
effective as the people did in our
00:17:26
studies so last I would say at you want
00:17:29
to use a moisturizer something that's
00:17:30
going to be a little bit more gel-like
00:17:32
something a little bit more absorbing L
00:17:34
Ro P Taran double repair Ultra matte
00:17:37
moisturizer I had a patient tell me that
00:17:39
this was like peeling on their skin so
00:17:41
this is something maybe we need to like
00:17:42
revisit as a sort of top recommendation
00:17:44
but something that's a little bit more
00:17:45
targeted a little bit more nice
00:17:47
cinnamide based moisturizer is going to
00:17:49
be helpful for you at night and in the
00:17:50
morning using a sunscreen with again
00:17:53
niacinamide to help support the collagen
00:17:55
so your pores don't actually get larger
00:17:57
with time from that collagen damage and
00:18:00
it sounds complicated but it's actually
00:18:01
pretty simple everything can be twice a
00:18:03
day depending on your skin sensitivity
00:18:05
except for the retinoid which is at
00:18:07
night and the sunscreen which of course
00:18:08
is in the morning and that's it that is
00:18:10
a complete routine for what you can use
00:18:12
over the counter to help minimize your
00:18:14
pores we always put the routine for
00:18:16
download below so if you want to look at
00:18:18
the routine that we built and everything
00:18:20
that you can use to minimize at home and
00:18:22
then go look for office procedures after
00:18:24
that after you see results Dr Maxfield
00:18:26
has a really good diagram that he's put
00:18:27
out where essentially when you start
00:18:29
doing skincare you'll actually see a lot
00:18:31
of results with skincare you can't start
00:18:32
with procedures first you really should
00:18:34
start with skincare first get to that
00:18:36
Plateau where you're not seeing any
00:18:37
breakthrough with your skincare anymore
00:18:39
and your your pores are the best that
00:18:40
they can be on skincare alone and that's
00:18:43
when you kind of ramp up into either
00:18:45
prescription skincare or into procedures
00:18:47
inside your Dermatology office and that
00:18:49
will help you break through to that next
00:18:51
plateau and that's where procedures are
00:18:53
going to get you so get to the plateau
00:18:55
with skincare and then go to the next
00:18:57
level with in office procedures so that
00:18:59
is it we appreciate you thank you for
00:19:01
being here with us please like comment
00:19:03
and subscribe and we'll see you in the
00:19:04
next video see you next time
