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.

Dr. Diego Ruiz da Silva returns to dive deep into effective treatments for chronic itching, explaining why antihistamines often fall short and highlighting more successful approaches. His expertise from running a dedicated itching clinic offers practical solutions for one of dermatology's most frustrating and persistent problems.

• Antihistamines only effectively treat specific types of itch like hives, despite being widely recommended
• Moisturizing is crucial for all itching conditions as it repairs the skin barrier that protects against irritants
• Thick, bland moisturizers applied right after bathing are most effective for locking in moisture
• Natural supplements like omega-3 fatty acids and oral ceramides can help manage itch from within
• Off-label neurological medications like gabapentin can interrupt the itch-anxiety cycle
• Phototherapy using narrow-band UVB light effectively reduces inflammation
• Home phototherapy units are becoming more accessible and may be covered by insurance
• Neuropathic itching may respond to medications borrowed from pain management

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Dr. Shannon Trotter and Dr. Elizabeth Muennich dive into the sensitive topic of vaginal skincare to separate fact from fiction and offer practical advice for women. They discuss the differences between external and internal vaginal skin, proper care techniques, and treatment options for common concerns.

• Vaginal skin consists of two types: regular skin on the outside and more sensitive mucosal tissue on the inside
• The vagina is self-cleaning and requires minimal intervention - aggressive cleaning disrupts natural bacteria balance
• "Vagacials" and specialized vaginal products are generally unnecessary and can potentially cause irritation
• Simple moisturizers like petroleum jelly work best for external dryness, while internal dryness may indicate a medical condition
• Breathable cotton underwear and fragrance-free laundry products help prevent irritation
• Quality lubrication from reputable brands is important for preventing friction during sexual activity
• Non-surgical options like radiofrequency treatments can address vaginal atrophy, laxity, and stress incontinence

Visit dermittrotter.com for more skincare information.

Medicare is nearing a breaking point that threatens healthcare access for everyone—not just seniors. In this eye-opening conversation with dermatologists Dr. Andrew Weinstein and Dr. Brad Glick, we uncover how decades of Medicare cuts have created an unsustainable situation for medical practices across America.

"Medicare reimbursement is lower now than it was in 1998," Dr. Weinstein reveals, highlighting a troubling reality that most patients don't realize. While inflation continues to drive up the cost of running a medical practice—from staff wages to supplies—Medicare payments have been steadily declining. This isn't just about physician compensation; it's about the ability to keep practices open and accessible to patients who need care.

We explore the structural differences between Medicare and Medicaid, break down Medicare's alphabet soup (Parts A, B, C, and D), and discuss why the current physician fee schedule is fundamentally flawed. Most critically, we examine why this matters to everyone—not just current Medicare beneficiaries. Dr. Glick explains, "If a doctor decides not to take Medicare, those doors are closed to patients needing specialized care.

The conversation takes an urgent turn as we discuss potential solutions and what patients can do to help preserve Medicare for current and future generations. Physicians aren't asking for excessive profits; they're fighting to maintain a system where they can afford to keep serving their communities without sacrificing the quality of care.

Whether you're currently on Medicare, paying into it through your paycheck, or simply concerned about healthcare access in America, this discussion offers essential insights into a crisis that demands immediate attention. Subscribe now to join our ongoing exploration of healthcare challenges and solutions that affect us all.

Join Dr. Trotter and Dr. Iris Rubin this week to dive further into the world of hair! But it's not hair loss this week, it's hair care. Listen to learn how our skin and hair are connected, and how to care for them both!

In this episode, we go across the pond to Ireland to hear from Dermatologist Caitroina Ryan, from the Institute of Dermatologists in Dublin. Ever wonder if those over-the-counter skin and hair supplements in your cabinet are truly safe? Dr. Ryan challenges common assumptions about their efficacy and risk. Learn why blindly trusting marketing claims can be hazardous to your skin health and how her team uses social media to inspire informed consumer choices. This conversation intends to equip you with the knowledge you need to navigate the booming world of nutraceuticals confidently.

Topics touch on:

• Discussion on the rapid growth of the supplements market
• Evaluation of the actual safety and efficacy of over-the-counter supplements
• Insights on collagen and its impact on skin elasticity and hydration
• Importance of omega-3s for overall well-being and skin health
• Role of antioxidants in preventing skin aging and enhancing skin quality
• Discussion of vital vitamins and minerals necessary for healthy skin
• Importance of maintaining a balanced diet alongside supplement use
• Closing thoughts on prudent supplementation paired with professional guidance

You'll find actionable insights here whether you're grappling with aging or perimenopause.