Episodios

  • Under-Eye Bags, Dark Circles & Puffiness: What Actually Works, According to a Dermatologist
    Apr 4 2026
    Think you know what's causing your under-eye bags? You might be wrong — and that's exactly why nothing you've tried has worked. In this solo episode, Dr. Mary Alice Mina breaks down the four distinct types of under-eye concerns: puffiness, fat pad herniation, volume loss/hollowing, and dark circles from pigment or vascularity. She explains how to identify which type you're dealing with, because the biggest mistake most people make is treating the wrong problem. Dr. Mina walks through exactly what works for each type — from caffeine eye products and cold therapy for puffiness, to lower blepharoplasty for true fat pad herniation, to tear trough filler and biostimulants for hollowing, to vascular lasers and hydroquinone for dark circles. She also covers what to avoid, including why Botox around the eyes can backfire for puffiness sufferers and why filler can make fat pad herniation worse. Whether you've been pouring money into eye creams that aren't doing anything or you're considering an in-office procedure, this episode gives you the clear, evidence-based roadmap you've been looking for. In this episode: 0:00 — Why You're Wasting Money on Eye Creams 1:00 — The Biggest Mistake People Make with Under-Eye Concerns 2:10 — Type 1: Puffiness 4:00 — Type 2: Fat Pad Herniation 6:15 — Type 3: Hollowing and Volume Loss 8:10 — Type 4: Dark Circles 9:45 — How to Treat Puffiness at Home 11:15 — Lifestyle Modifications and Allergy Tips for Puffy Eyes 12:30 — In-Office Treatments for Puffiness and Botox Warning 13:45 — The Truth About Fat Pad Herniation 15:30 — Fillers and Fat Pad Herniation 16:45 — Treating Under-Eye Hollowing 18:30 — When Filler Goes Wrong 19:45 — PRP, PRF and Fat Transfer for Volume Loss 20:50 — How to Treat Dark Circles 22:00 — Final Thoughts Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out! 🔔 Follow for weekly evidence-based skin advice from a dermatologist you can actually trust. 📩 Find a board-certified dermatologist near you: https://www.aad.org 🛍️ Shop Dr. Mina's recommended skincare on Regimen Pro: https://regimenpro.com/pages/practice-homepage/19cad6bd-63ea-4c6d-b2ec-64c06c3f7a6b 🌐 More skin info: https://www.theskinreal.com Dr. Mina is a board-certified dermatologist on a mission to cut through the noise and help women feel amazing in their skin again. After decades in clinic, she has taken her expertise online to offer trusted, no-fluff education and skin strategies that actually work. No filters. No fear tactics. Just science, simplicity, and a little fun! Follow Dr. Mina here: Instagram: https://instagram.com/drminaskin Facebook: https://www.facebook.com/drminaskin YouTube: https://www.youtube.com/@drminaskin LinkedIn: https://www.linkedin.com/in/drminaskin/ Visit The Skin Real Serenbe: https://theskinrealserenbe.com/ Book your Meet and Greet here Thanks for tuning in. And remember, real skin care is real simple when you know who to trust. Disclaimer: This podcast is for entertainment, educational, and informational purposes only and does not constitute medical advice.
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    23 m
  • NAD⁺ Skincare Is Trending— Is It The Real Deal or Just Hype?
    Mar 28 2026
    ***Apple audio issue fixed! NAD is having a major moment — from IV drips and supplements to wellness clinics and now skincare. But is the science real, or is it just the next CBD? In this episode, Dr. Mary Alice Mina sits down with Melisse Shaban, CEO of Aramore and veteran beauty executive (Revlon, Aveda, The Beauty Shop), to break down exactly what NAD is, why your skin cells need it, and whether the new wave of NAD skincare products is worth your money. They dig into the cellular biology of aging skin, why most moisturizers are just sitting on the surface, and what it actually takes for an ingredient to penetrate to the basal layer where the real work happens. Melisse also shares how Harvard and MIT research led to Aramore's formulation, how to spot faux players in the NAD skincare space, and why she believes NAD precursors, retinol, and sunscreen are the only three non-negotiables in any skincare routine. The conversation takes a fascinating turn into the future of beauty — from pharma's growing role in skincare to GLP-1s, inflammation management, and what's really next for aging women. Plus: a candid, unexpected conversation about death, dignity, and the industry no one is building yet. In This Episode: 0:00 – NAD Is Everywhere: Real Science or Clever Marketing? 1:06 – Meet Melisse Shaban: From Revlon to the New Frontier of Skin Health 2:57 – Aging Starts Earlier Than You Think: Collagen Loss in Your 20s 4:00 – What Is NAD? A Plain-English Breakdown 5:36 – Why Your Skin Cells Can't Use Sugar or Protein (But Love Fat) 6:15 – The 8 Layers of Skin & What Happens as They Age 8:06 – Harvard Research That Changed How We Think About Skin Aging 10:17 – Why Most Skincare Just Sits on the Surface 11:52 – Your Skin Shows It First: What Dermatologists See Before Doctors Do 13:26 – Why You Won't See Results Overnight — And Why That's Okay 15:48 – NAD vs. Retinol: Are They Competing or Complementary? 17:41 – Does NAD Stimulate Collagen? (The Fibroblast Connection) 18:22 – How to Spot Fake NAD Products (And What to Actually Look For) 20:49 – "Clean Beauty" Is Table Stakes Now — Here's What Matters More 22:33 – Real Science vs. Marketing: Why R&D Is Finally Coming to Skincare 24:29 – The Longevity World's Reputation Problem (And NAD's Connection to It) 26:13 – Supplement vs. Topical: Do You Need Both? 28:54 – Sublingual, Drips & Future Delivery Systems 30:00 – When Should You Start Using NAD? (Earlier Than You'd Guess) 31:30 – Turning 40 & Waking Up: Steering the Ship Before It's Too Late 33:10 – Where Beauty Is Headed in the Next 5–10 Years 36:01 – The Next Big Industry Nobody Is Talking About: Death 38:25 – Where to Find Aramore + The Kennedy Family Connection 39:54 – Wrap-Up & Final Thoughts Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out! About the Guest: Melisse Shaban is a seasoned entrepreneur and brand builder with extensive leadership experience across the health, wellness, and beauty sectors. She is the Founder of Virtue Labs, where she transformed breakthrough wound-healing technology into a $50M+ premium hair care brand honored with more than 60 industry awards and recognized by Fast Company as one of the World’s Most Innovative Companies of 2022. Today, she serves as CEO of Aramore, a longevity science company pioneering innovations in cellular health to advance healthy aging through skincare and supplements. Earlier in her career, she led the acquisitions, growth, and sale of Frederic Fekkai and Pout Cosmetics, as well as the acquisitions of NIA-24 and StriVectin, and held executive roles at Aveda and The Body Shop. She currently serves on the boards of Salon Lofts, Willow Innovations/Elvie, and several nonprofits, including Duke Raleigh Hospital, Ravenscroft School, and Point Foundation. In 2021, she was named to Forbes’ inaugural “50 Over 50” list. Connect with Melisse Shaban: Website: https://aramoreskincare.com/THESKINREAL Instagram: https://www.instagram.com/melisseshaban Dr. Mina is a board-certified dermatologist on a mission to cut through the noise and help women feel amazing in their skin again. After decades in clinic, she has taken her expertise online to offer trusted, no-fluff education and skin strategies that actually work. No filters. No fear tactics. Just science, simplicity, and a little fun! Follow Dr. Mina here: Instagram: https://instagram.com/drminaskin Facebook: https://www.facebook.com/drminaskin YouTube: https://www.youtube.com/@drminaskin LinkedIn: https://www.linkedin.com/in/drminaskin/ Visit The Skin Real Serenbe: https://theskinrealserenbe.com/ Book your Meet and Greet here Thanks for tuning in. And remember, real skin care is real simple when you know who to trust. Disclaimer: This podcast is for entertainment, educational, and informational purposes only and does not ...
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    42 m
  • GLP-1 Side Effects No One Talks About. Hair Loss, Skin Changes, and What To Do
    Mar 21 2026

    If you are using a GLP-1 medication and noticing hair shedding, brittle nails, or dull, dry skin, your body is signaling a nutrient gap. In this episode, Dr. Mary Alice Mina breaks down what is really happening beneath the surface and why these changes often appear before lab results do. She explains how appetite suppression can lead to low protein, vitamin deficiencies, and dehydration, all of which directly impact your skin, hair, and nails.

    You will learn the key deficiencies to watch for, including B12, iron, folate, and vitamin D, and the exact signs your body shows when levels drop. Dr. Mina also explains why protein intake, fiber, and hydration are critical while on GLP-1 medications, especially for preventing hair loss, muscle loss, and skin laxity.

    This episode gives you a clear, practical framework to protect your results, support your body, and avoid the most common mistakes people make while using GLP-1s.

    📲 Download The Skin Real app for science backed routines, dermatologist guidance, and product recommendations you can trust. https://linktr.ee/theskinreal

    In this episode:

    0:00 The Warning Signs You Should Not Ignore 1:10 Why GLP-1 Medications Affect Skin, Hair, and Nails 2:45 The Real Problem. Nutrient Deficiency 4:20 Early Signs Your Body Is Lacking Nutrients 6:00 Vitamin B12 Deficiency and Skin Changes 8:00 Iron Deficiency. Hair Loss and Nail Changes 10:10 Folate Deficiency and Cell Turnover 11:45 Vitamin D. The Overlooked Factor 13:40 Protein Intake and Muscle Loss Risks 15:50 Fiber and Gut Health Connection 17:20 Hydration and Why It Matters More Than You Think 18:50 What Labs To Check and When 20:10 How To Protect Your Skin, Hair, and Results 21:00 Final Takeaways and Next Steps

    Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out!

    Alzheimer’s Association 2026 Dancing Stars of Atlanta Donate to Vote: https://act.alz.org/site/TR/Gala/GA-Georgia?pg=personal&px=25632271&fr_id=19246

    Dr. Mina is a board-certified dermatologist on a mission to cut through the noise and help women feel amazing in their skin again. After decades in clinic, she has taken her expertise online to offer trusted, no-fluff education and skin strategies that actually work. No filters. No fear tactics. Just science, simplicity, and a little fun!

    Follow Dr. Mina here: Instagram: https://instagram.com/drminaskin Facebook: https://www.facebook.com/drminaskin YouTube: https://www.youtube.com/@drminaskin LinkedIn: https://www.linkedin.com/in/drminaskin/

    Visit The Skin Real Serenbe: https://theskinrealserenbe.com/

    Book your Meet and Greet here

    Thanks for tuning in. And remember, real skin care is real simple when you know who to trust.

    Disclaimer: This podcast is for entertainment, educational, and informational purposes only and does not constitute medical advice.

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    22 m
  • Slugging Explained By A Dermatologist. The Skincare Trend Most People Get Wrong
    Mar 14 2026

    📲 Download The Skin Real app for science backed routines, dermatologist guidance, and product recommendations you can trust. https://linktr.ee/theskinreal

    TikTok and Instagram may have made Slugging famous, but dermatologists have relied on this technique for decades. In this episode, board certified dermatologist Dr. Mary Alice Mina breaks down what slugging really is, how it works, and why most people do it wrong.

    Slugging uses a simple occlusive layer such as petrolatum to seal the skin barrier and reduce transepidermal water loss. The result is stronger hydration and improved barrier repair. While social media frames it as a trendy skincare hack, dermatologists often recommend it for eczema, psoriasis, post procedure healing, and severely dry skin.

    Dr. Mina explains why the order of your skincare routine matters, which products work best under a slugging layer, and why applying petrolatum over actives like retinoids or vitamin C often leads to irritation. She also shares when slugging helps, when it hurts your skin, and who should skip it completely.

    You will learn the dermatologist approved step by step method for slugging, the difference between traditional slugging and reverse slugging, and the simple products that work best. No expensive creams required.

    If you want a practical way to repair a damaged skin barrier and wake up with calmer, hydrated skin, this episode explains exactly how to do it safely.

    In this episode:

    00:00 Intro 00:42 What Slugging Actually Is 02:10 Why Dermatologists Have Used Slugging For Decades 03:45 How Slugging Protects The Skin Barrier 05:00 The Biggest Slugging Mistake With Active Ingredients 06:35 The Right Way To Layer Products Before Slugging 08:05 Who Should Be Slugging 09:30 Who Should Avoid Slugging 11:05 Dermatologist Step By Step Slugging Routine 13:05 Best Products For Slugging 15:05 What Is Reverse Slugging 16:20 Slugging Myths And Common Mistakes 17:05 Final Takeaways And Skin Real App

    Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out!

    Dr. Mina is a board-certified dermatologist on a mission to cut through the noise and help women feel amazing in their skin again. After decades in clinic, she has taken her expertise online to offer trusted, no-fluff education and skin strategies that actually work. No filters. No fear tactics. Just science, simplicity, and a little fun!

    Follow Dr. Mina here: Instagram: https://instagram.com/drminaskin Facebook: https://www.facebook.com/drminaskin YouTube: https://www.youtube.com/@drminaskin LinkedIn: https://www.linkedin.com/in/drminaskin/

    Visit The Skin Real Serenbe: https://theskinrealserenbe.com/

    Book your Meet and Greet here

    Alzheimer’s Association 2026 Dancing Stars of Atlanta Donate to Vote: https://act.alz.org/site/TR/Gala/GA-Georgia?pg=personal&px=25632271&fr_id=19246

    Thanks for tuning in. And remember, real skin care is real simple when you know who to trust.

    Disclaimer: This podcast is for entertainment, educational, and informational purposes only and does not constitute medical advice.

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    18 m
  • Surprising New Ways to Use Botox | Treatment Areas Dermatologists Love
    Mar 7 2026

    📲 Download The Skin Real app for science backed routines, dermatologist guidance, and product recommendations you can trust. https://linktr.ee/theskinreal

    Botox is one of the most misunderstood tools in aesthetics. In this episode, Dr. Mary Alice Mina breaks down what Botox really is, how it works, and why so many people confuse it with filler. She explains the difference between basic injection patterns and advanced Botox placement, then walks through the lesser-known ways neuromodulators can be used for facial balance, symmetry, prevention, and subtle refinement.

    You will hear how Botox can be used far beyond the forehead and crow’s feet, including the brows, under eyes, bunny lines, gummy smile, lip flip, chin, jawline, neck bands, and more. Dr. Mina also shares why lower face treatment becomes more important in midlife, where Botox works best, where she is more cautious, and why injector expertise matters so much.

    This episode is a practical guide for anyone who wants a clearer, more realistic understanding of Botox, including what it can do well, what it cannot do, and how to approach it in a safe, natural-looking way.

    In this episode:

    0:00 Intro and Skin Real app 0:38 Why Botox is so misunderstood 2:03 Botox vs filler and common misconceptions 4:10 Why injector skill matters more than people think 6:25 How Botox actually works 8:25 Important Botox safety warnings 9:35 Forehead and 11 lines 12:06 Brow lift, crow’s feet, and under eyes 14:38 Bunny lines and nose flare 16:08 Gummy smile, nose tip, and lip flip 18:34 Botox around the mouth and lower face 21:03 Chin asymmetry and dimpled chin 22:22 Masseter Botox for jaw tension and face slimming 24:05 Neck bands and the Nefertiti neck lift 26:42 Botox trends Dr. Mina does not love 28:08 Final thoughts and viewer questions

    Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out!

    Dr. Mina is a board-certified dermatologist on a mission to cut through the noise and help women feel amazing in their skin again. After decades in clinic, she has taken her expertise online to offer trusted, no-fluff education and skin strategies that actually work. No filters. No fear tactics. Just science, simplicity, and a little fun!

    Follow Dr. Mina here: Instagram: https://instagram.com/drminaskin Facebook: https://www.facebook.com/drminaskin YouTube: https://www.youtube.com/@drminaskin LinkedIn: https://www.linkedin.com/in/drminaskin/

    Visit The Skin Real Serenbe: https://theskinrealserenbe.com/

    Book your Meet and Greet here

    Alzheimer’s Association 2026 Dancing Stars of Atlanta Donate to Vote: https://act.alz.org/site/TR/Gala/GA-Georgia?pg=personal&px=25632271&fr_id=19246

    Thanks for tuning in. And remember, real skin care is real simple when you know who to trust.

    Disclaimer: This podcast is for entertainment, educational, and informational purposes only and does not constitute medical advice.

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    30 m
  • Tretinoin, Peels & Lasers: Skin Cancer Prevention You Did Not Expect with Dr. Dara Spearman
    Feb 28 2026
    📲 Download The Skin Real app for science backed routines, dermatologist guidance, and product recommendations you can trust. https://linktr.ee/theskinreal If you use Tretinoin, get chemical peels, or are planning on a laser treatment, you are already doing skin cancer prevention. In this episode of The Skin Real, Dr. Mary Alice Mina sits down with board-certified dermatologist Dr. Dara Spearman, founder of Radiant Dermatology Associates in Fort Wayne, Indiana. She treats high volumes of skin cancer and precancers, plus cosmetic and procedural patients, so she brings a grounded view of what keeps skin healthy for decades. Together, they break down the false split between “medical” and “cosmetic” dermatology and why insurance rules confuse patients. Then they map the overlap. Skin barrier health drives both prevention and appearance. Tretinoin supports acne, pigment, sun damage, and collagen over time. Medium-depth TCA peels pull double duty for field treatment and texture, with real downtime and real safety considerations across skin tones. They also cover CO2 and ablative lasers, why fractionated technology heals faster, and how to pick the right patient and timing. You will leave with a clear treatment ladder. Start with sunscreen and barrier basics. Add tretinoin with the right dosing. Step up to peels or lasers when protection and aftercare stay consistent. They also cover supplements with data, including nicotinamide and Polypodium leucotomos, plus vitamin D. In this episode: 0:00 You are already doing skin cancer prevention 0:22 Show intro and what this podcast is about 1:38 Quick disclaimer and how to find a board certified dermatologist 2:18 Meet Dr. Dara Spearman and why her patient mix matters 3:55 The medical vs cosmetic divide and why it confuses everyone 6:10 Healthy skin is prevention and longevity medicine 8:05 Skin barrier basics and why it changes everything 10:05 Skin as a diagnostic window into whole body health 12:00 Treatments that pull double duty, retinoids, peels, lasers 13:55 Why tretinoin is still the gold standard 19:40 How to use tretinoin without wrecking your skin 22:05 TCA peels, field treatment, downtime, and what to expect 26:25 Skin tone safety, hyperpigmentation risk, and why DIY peels go wrong 29:55 Fundraiser message 31:05 CO2 and ablative lasers for actinic damage and prevention 33:05 What fractionated lasers do and why healing is faster 34:55 The smart treatment ladder, start with sunscreen and barrier 35:55 Supplements with data, nicotinamide, Polypodium leucotomos, vitamin D 36:45 Where to follow Dr. Spearman plus final takeaways and outro Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out! About the Guest: Dr. Spearman is a board-certified dermatologist and the founder of Radiant Dermatology Associates in Fort Wayne, Indiana, established in 2023. Her clinical expertise includes the diagnosis and treatment of skin cancer, dermatologic care for skin of color, and cosmetic dermatology, with a focus on laser treatments, chemical peels, and injectables. She is a frequent expert contributor to the media on topics related to skin health. Dr. Spearman is actively engaged in her community, serving on the boards of Canterbury School, the Allen County Public Library, and the League for the Blind and the Disabled, and as a trustee of Hope College in Holland, Michigan. She is married and the mother of three sons. Connect with Dr. Dara Spearman: Website: https://radiantderm.org Instagram: https://www.instagram.com/dermdocds https://www.instagram.com/radiantdermatologyfw/ Dr. Mina is a board-certified dermatologist on a mission to cut through the noise and help women feel amazing in their skin again. After decades in clinic, she has taken her expertise online to offer trusted, no-fluff education and skin strategies that actually work. No filters. No fear tactics. Just science, simplicity, and a little fun! Follow Dr. Mina here: Instagram: https://instagram.com/drminaskin Facebook: https://www.facebook.com/drminaskin YouTube: https://www.youtube.com/@drminaskin LinkedIn: https://www.linkedin.com/in/drminaskin/ Visit The Skin Real Serenbe: https://theskinrealserenbe.com Alzheimer’s Association 2026 Dancing Stars of Atlanta Donate to Vote: https://act.alz.org/site/TR/Gala/GA-Georgia?pg=personal&px=25632271&fr_id=19246 Thanks for tuning in. And remember, real skin care is real simple when you know who to trust. Disclaimer: This podcast is for entertainment, educational, and informational purposes only and does not constitute medical advice.
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    37 m
  • Do Radio Frequency Treatments Really Work To Tighten Skin?
    Feb 21 2026

    📲 Download The Skin Real app for science backed routines, dermatologist guidance, and product recommendations you can trust. https://linktr.ee/theskinreal

    Radio frequency treatments are everywhere. Med spas, dermatology offices, social feeds. But do they work and are they worth your money?

    In this episode, Dr. Mary Alice Mina breaks down exactly how radio frequency works at the cellular level. She explains how electrical energy heats the dermis to stimulate collagen induction, what makes it different from lasers and ultrasound, and why precision matters more than intensity.

    She also addresses the real risks. Including fat atrophy, burns, pigment changes, and why operator experience is critical. Dr. Mina shares who benefits most from radio frequency, when results are disappointing, and why midlife skin is the ideal time to start.

    If you are noticing early jowling, neck laxity, or skin thinning, this episode gives you the clarity you need before booking a treatment.

    In this episode:

    00:00 Skin Reel app announcement and download info 00:33 Back to the episode. The RF question 00:55 Show intro. What to expect from this podcast 02:05 Disclaimer and finding a board certified dermatologist 02:42 Why radio frequency is everywhere right now 03:38 Who RF helps most. Skin laxity and surgical alternatives 04:28 What radio frequency is and how it differs from lasers and ultrasound 05:55 What RF does in the dermis. Heat, injury, collagen induction 07:20 Timing expectations. Why results take weeks to months 08:10 FDA warning context and RF microneedling injuries 09:55 RF without microneedling. What it is designed to do 10:35 Temperature and time. Precision over intensity 11:55 Fat loss risk. Why it happens and where it matters 13:15 Settings are not one size fits all. Passes, tips, and targeting 14:10 Cooling, FDA cleared devices, and why expertise matters 15:05 Choosing the right provider and what to do if complications happen 16:50 Why I use RF in my office and who gets the best outcomes 18:20 Best areas to treat. Neck and brow support 19:35 GLP-1 weight loss and when RF fits in 20:30 What it feels like. Redness, warmth, and the “sneak peek” effect 21:35 At home vs in office RF. Power and spacing sessions 22:20 Lifestyle factors that protect collagen and improve results 22:55 Who should do RF, who should skip it, and final Q and A prompt

    👀Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out!

    ✨If you are in the Serenbe area and you are ready for a strategic, long term plan instead of chasing treatments one by one, the Founder’s Experience was created for you. Apply through the link in bio to join this limited, intentional group and start your guided dermatology journey. Book here: https://theskinreal.janeapp.com/

    Dr. Mina is a board-certified dermatologist on a mission to cut through the noise and help women feel amazing in their skin again. After decades in clinic, she has taken her expertise online to offer trusted, no-fluff education and skin strategies that actually work. No filters. No fear tactics. Just science, simplicity, and a little fun!

    Follow Dr. Mina here: Instagram: https://instagram.com/drminaskin Facebook: https://www.facebook.com/drminaskin YouTube: https://www.youtube.com/@drminaskin LinkedIn: https://www.linkedin.com/in/drminaskin/

    Visit The Skin Real Serenbe: https://theskinrealserenbe.com/

    Book your Meet and Greet here

    Thanks for tuning in. And remember, real skin care is real simple when you know who to trust.

    Disclaimer: This podcast is for entertainment, educational, and informational purposes only and does not constitute medical advice.

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    23 m
  • How to Fix Lip Lines | What Really Works and What Doesn’t
    Feb 14 2026

    Lip lines. Barcode lines. Smoker’s lines.

    They frustrate patients more than almost any other wrinkle because they can age the face fast and they are not simple to fix.

    In this episode of The Skin Real, Dr. Mary Alice Mina breaks down why upper lip lines form, why they are harder to treat than frown lines, and why there is no single magic solution. She explains the role of the orbicularis oris muscle, repetitive motion, collagen loss, menopause, bone resorption, and sun damage in accelerating these vertical lines.

    Dr. Mina walks through what actually works. A combination strategy that includes prevention, lifestyle changes, smart topical use, and in-office procedures tailored to your anatomy and stage of aging. She covers:

    • Why Botox must be used carefully around the mouth • When filler helps and when it makes things worse • Why a surgical lip lift may be more appropriate than more volume • The role of microneedling, RF microneedling, CO2 laser, and even phenol peels • How smoking, straws, and unconscious lip movements accelerate lines • Why sunscreen on the lips is harder than you think

    If you are struggling with lip lines or want to prevent them before they etch in, this episode gives you a realistic, evidence-based roadmap.

    There is no one and done fix. But there is a smarter plan.

    In this episode:

    00:00 Why Lip Lines Age You Faster 00:23 No Magic Fix. The Combination Approach 01:06 Why Upper Lip Lines Form 03:05 Why We Can’t Fully Paralyze This Muscle 03:37 The Realistic Goal. Soften, Not Erase 04:19 Why Women Notice This More After Menopause 05:34 Why Filler Is Not Always the Answer 06:14 Not a One and Done Fix 07:13 Prevention Before Lines Etch In 07:51 Lifestyle Habits That Make Lip Lines Worse 10:59 Teeth, Bone Loss, and Structural Support 11:50 Sun Damage and Lip Protection 14:02 Topicals That Help. Retinoids and Moisturizers 16:07 Red Light and At Home Devices 17:12 In Office Treatments. Where to Start 17:44 Botox and the Lip Flip Explained 19:30 Filler. When It Helps and When It Backfires 21:43 Laser, Microneedling, and Advanced Procedures 24:30 Phenol Peels, Aggressive Resurfacing, and Expectations 25:43 Final Takeaways

    Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out!

    💗 The Radiant Reset at The Skin Real is a zero-downtime experience designed to support your skin with intention. Two days only! February 12 & 14! Book your reset: https://theskinreal.janeapp.com/#staff_member/1

    Dr. Mina is a board-certified dermatologist on a mission to cut through the noise and help women feel amazing in their skin again. After decades in clinic, she has taken her expertise online to offer trusted, no-fluff education and skin strategies that actually work. No filters. No fear tactics. Just science, simplicity, and a little fun!

    Follow Dr. Mina here: Instagram: https://instagram.com/drminaskin Facebook: https://www.facebook.com/drminaskin YouTube: https://www.youtube.com/@drminaskin LinkedIn: https://www.linkedin.com/in/drminaskin/

    Visit The Skin Real Serenbe:

    Website: https://theskinrealserenbe.com/

    Book your Meet and Greet here

    Thanks for tuning in. And remember, real skin care is real simple when you know who to trust.

    Disclaimer: This podcast is for entertainment, educational, and informational purposes only and does not constitute medical advice.

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    26 m