Dr. Ross Kopelman, a hair transplant surgeon with offices in NYC and Palm Beach, gives a modern take on hair restoration, debunking myths and explaining what makes someone a good candidate. He stresses that medical therapy—not surgery—should be the first step in treating hair loss, with transplants as a supportive option once hair loss is stabilized.

Surprisingly, about 50% of his transplant patients are women, many seeking treatment for widening parts rather than receding hairlines. Techniques like FUT, which don’t require shaving large areas, often work well for them.

Dr. Kopelman also explains why young men with aggressive hair loss patterns may not be ideal candidates and breaks down the differences between FUE and FUT methods. The transplant process itself is a detailed, team-driven effort lasting 5–7 hours, focused on achieving natural-looking results.

His key message: successful hair restoration is about the right timing, the right method, and a commitment to long-term hair health.

Dermatologists have long warned about the dangers of sun exposure, but what if our relationship with the sun doesn't have to be one of constant fear? In this eye-opening conversation, Dr. Shannon Trotter welcomes Dr. Katie Varman, a board-certified dermatologist specializing in photoimmunology and functional medicine, to explore the surprising health benefits of moderate sun exposure.

Dr. Varman challenges conventional thinking by presenting compelling evidence that sunlight offers significant health benefits beyond vitamin D production. She reveals how UV exposure impacts cardiovascular health by triggering nitric oxide release from the skin, resulting in improved circulation and reduced heart disease risk. The discussion ventures into fascinating territory as Dr. Varman explains how sunlight exposure actively shapes both our skin and gut microbiomes, decreasing harmful bacteria while promoting beneficial ones that may even help protect against skin cancer.

Perhaps most revolutionary is the explanation of how moderate UV exposure creates immune tolerance through the production of regulatory T-cells and B-cells—a mechanism that explains why phototherapy effectively treats inflammatory conditions like psoriasis and eczema. This balanced perspective gives listeners a new framework for understanding sun exposure: not as an enemy to be avoided at all costs, but as a natural element requiring a thoughtful, personalized approach.

By the end of our conversation, Dr. Varman provides practical guidelines for optimal sun exposure (5-30 minutes of midday sun, three times weekly) while hinting at additional protective strategies through nutrition and supplements. This episode represents a significant shift in how we think about sun health, empowering listeners to make informed decisions that balance protection with the undeniable benefits of sunshine.

Stay tuned for our next episode with Dr. Varman, where we'll discuss how diet and nutraceuticals can further support healthy sun exposure while minimizing risks.

Dr. Michael Payette discusses innovative approaches to treating hidradenitis suppurativa (HS), with special focus on how GLP-1s are revolutionizing treatment by targeting inflammation. The conversation explores comprehensive management strategies for this challenging inflammatory skin condition that has historically been difficult to treat effectively.

• Board-certified dermatologist Dr. Michael Payette specializes in hidradenitis suppurativa treatment
• HS is a challenging inflammatory skin condition often misdiagnosed for years
• GLP-1 inhibitors (like Ozempic, Wegovy) reduce inflammation by decreasing metabolically active fat cells that produce inflammatory cytokines
• Treatment approach includes four components: topical antibacterials, oral medications, injectable biologics, and GLP-1 inhibitors
• Insurance coverage for GLP-1s remains challenging but workarounds exist
• Mental health benefits include both direct improvement from disease control and potential anti-inflammatory effects in the brain
• Patient resources include HS Foundation website, online support groups, and specialized clinics
• Multiple new treatments are in clinical trials, offering hope for better options in the near future

If you're dealing with painful, recurring boils or nodules, especially in the armpits, groin, or under breasts, don't be afraid to ask your dermatologist about HS. Visit the HS Foundation website to find specialized providers in your area.