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06/12/2026

The patient thought it was dry skin. It wasn’t.

The image is a parasite under the microscope. But this Reel is not really about parasites.

It’s about what skin can reveal when someone is trained to look.

I found this on a patient whose only complaint was itchy patches.

More seriously, I’ve diagnosed leukemia, brain tumors, and systemic toxicities from what I saw on the skin.

Yes, I do lasers and injectables.

But dermatologists study medicine first.
Then we spend years studying skin, hair, and nails.

A persistent rash or itch may be dry skin. But it may not be.

If something on your skin doesn’t go away or doesn’t look right, don’t crowdsource it.

See a dermatologist: the physician expert in skin health.

06/12/2026

The patient thought it was dry skin. It wasn’t.

The image is a parasite under the microscope. But this Reel is not really about parasites.

It’s about what skin can reveal when someone is trained to look.

I found this on a patient whose only complaint was itchy patches.

More seriously, I’ve diagnosed leukemia, brain tumors, and systemic toxicities from what I saw on the skin.

Yes, I do lasers and injectables.

But dermatologists study medicine first. Then we spend years studying skin, hair, and nails.

A persistent rash or itch may be dry skin. But it may not be.

If something on your skin doesn’t go away or doesn’t look right, don’t crowdsource it.

See a dermatologist: the physician expert in skin health.

06/02/2026

I injected GHK-Cu after breaking three ribs.
 
I was in pain and willing to consider anything that might help.
 
I spoke to trusted clinicians and compared notes with others who had recovered from injuries.

I tried the usual modalities. Then I read the data.
 
GHK-Cu (“copper peptide”) has effects on bone and tissue repair, collagen, wound healing, and tissue remodeling. (As well as neurologic and anti-cancer effects, among others.) 
 
But for cosmetic use, the strongest data is on topical use: texture, fine lines, and repair over time, with some data on microneedling.
 
For my fellow nerds: PMID 26236730, 29986520, 22666519, 39963574, 25690343.
 
So no, this is not “do as I say, not as I do.”
 
It’s the difference between a personal, medically informed decision after an acute injury and a broad recommendation for skin optimization.
 
Would you try copper peptide?

05/29/2026

Long before a treatment becomes trendy in the U.S., I’ve usually seen it already in Asia: in clinics, pharmacies, and conversations with dermatology and plastic surgery colleagues.

That head start matters.

Because being early isn’t about jumping on everything first. It’s about knowing what’s worth bringing home, and what deserves to stay as hype.

Sometimes I say yes.  Other times I quietly pass while everyone else catches up.

I’m a dermatologist, Harvard-trained and 25 years in. My job is not to chase trends. It’s to vet what’s real, protect my patients from what isn’t, and stay ahead of the curve before the curve becomes content.

So yes, Asia beauty may be having a moment.  But for me, it’s never been new.

What’s one trendy skincare treatment you’re curious about, but not sure you trust yet? Drop it below and I’ll tell you what I think.

05/20/2026

My first keynote. The night before, I was wrangling PowerPoint slides at 2AM.

By noon, I was in a sharp suit, my highest heels, and running on fumes.

My speech for the Los Angeles County Medical Association Business of Medicine meeting was called Reclaiming Leadership in Medicine.

I wanted to give the physicians in that room something useful and honest. That acknowledged how hard medicine is right now, while reminding us that we are not powerless.

What I didn’t expect was how moved I would feel afterward.

So many doctors came up to me and shared that the talk gave them hope.

This was one of those moments where I didn’t feel perfectly ready; but I cared deeply and gave it everything I had.

If you’ve ever had to show up running on fumes for something that mattered, you know.

05/05/2026

SPF makeup counts. With a catch.

Tinted moisturizer & makeup with SPF can protect your skin, but only if you use enough.

Most people use tinted moisturizer in a thinner layer than sunscreen, and don’t reapply. This matters even more if you have melasma, sun damage, or hyperpigmentation because visible light can worsen discoloration. Tinted formulas with iron oxides can help.

Here are some patient favorites:
Sunforgettable Face Shield SPF 50
I carry this in my office. It’s mineral, water-resistant, and blurs imperfections. Be careful around light collars or towels because it can transfer.

Mineral Tinted Crème SPF 30
A lightweight mineral tinted sunscreen with a soft finish.

Tinted Moisturizer SPF 30
Lightweight with 20+ shades.

Bottom line: SPF makeup protects adequately only when you use enough and reapply when you’re outdoors.

Save this before your next sunscreen restock.

Real skin information. Practical patient education. Dermatology guidance from 25 years of treating faces, not trends.

05/01/2026

At 21, these stairs led to my fourth-floor walkup.
This week, they led me back to Harvard Medical School to help shape how we train young doctors.

I was on scholarship, from an immigrant family, and a pre-dawn commute by train to the hospital.

I still think about the students who are brilliant and hardworking, but quietly wondering whether they belong because they don’t come from wealth, legacy, or a ready-made path.

Some of us do not inherit a path.�We build one. And then we widen it for others.
If you’re building your own path too, keep going.

04/28/2026

I went to , a women’s health and longevity summit, and came back with three takeways I’m bringing back to my patients:

1. Creatine and strength training support brain energy and metabolism, not just muscle.

2. For women, heart risk is not just cholesterol, blood pressure, and LDL. Inflammation matters too. Ask your doctor about checking your hsCRP, a marker of inflammation.

3. For women, a cool plunge (55-60 degree) is better than an ice bath. Women have a harder time controlling their body temperature (one of the reasns for hot flashes).

The science on women’s health is moving fast, and my patients deserve a physician who stays ahead of it.

A number of comments on my last video asked the same question:“Are you promoting Sofwave because you have it?”Here’s wha...
04/16/2026

A number of comments on my last video asked the same question:
“Are you promoting Sofwave because you have it?”

Here’s what doesn’t fit into a 40-second Reel.

I evaluate devices over time, often years, before bringing them into my practice.

With Sofwave, I followed the published data closely and watched how it performed as more clinical evidence emerged. It now has multiple FDA clearances for aesthetic indications, including lifting and tightening.

With XeRF, I evaluated it before it was available in the U.S. I traveled to Asia, observed treatments, used the device, and spoke with physicians about their patient outcomes.

When it later became available in the U.S., I chose not to bring it into my practice.

That decision is based on both the available evidence and what I’ve seen firsthand.

Other physicians may make different choices. Patients may as well.

My role isn’t to follow trends. It’s to filter them.

03/31/2026

Not everything new belongs in my office.

Before I offer a new device, I study the data, speak with the engineers and scientists who built it, and look closely at safety and reproducibility.

I also do the treatment on myself, family, and friends before I decide to bring it in.

I don’t have every laser or machine, and I refer patients to other physicians if something else is a better fit.

But I won’t recommend something just because it’s new.

Here’s how I think about Sofwave vs XeRF:

Sofwave
– Focused ultrasound �– FDA-cleared for 7 aesthetic indications (including face, neck, arm looseness; wrinkles)�– Multiple peer-reviewed studies showing collagen and elastin remodelling�
XERF�– Radiofrequency�– FDA-cleared for electrocoagulation and hemostasis (stops bleeding)�– Less published data on lifting, collagen, elastin remodelling so far

There’s a lot of buzz about newer devices.

And adoption often moves faster than evidence.

If you’ve had this done: did anyone explain the mechanism?

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Beverly Hills, CA
90209–90213

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