Skinfluence with Dr. Dustin Portela

Not everything trending on your feed deserves a place in your routine. This week, we're sharing a conversation Dr. Portela had on the Derm It Trotter podcast, hosted by board-certified dermatologist Dr. Shannon Trotter, where the two broke down some of the biggest skincare trends circulating online right now and separated what's worth your attention from what isn't. The conversation covers a lot o...

Most people who want to become a dermatologist know it's competitive. Few understand what it actually takes to get there when nothing is handed to you. Dr. Wallace Nozile is a board-certified dermatologist, social media educator, and someone who came very close to choosing a career in R&B over medicine. In this conversation recorded in studio, he and Dr. Dustin Portela trace the full arc of what i...

Your skin at 37 is not the same organ it was at 22. Collagen is breaking down faster than it's being replaced. Fat pads are shifting. Cell turnover is slowing. And one morning you wake up and wonder where your face went. Dr. Dustin Portela and Austin Lee break down the biology of aging skin in a way that's actually useful, covering the collagen and elastin loss that starts in your 30s, why the der...

What if getting expert acne treatment didn't require months of waiting, multiple office visits, and endless trial-and-error with products that never seem to work? In this guest episode, Dr. Dustin Portela is joined by Michael Chang, founder and CEO of Clear Health, and board-certified dermatologist Dr. Aaron Farberg to discuss how telehealth is changing the way patients access acne treatment. Mich...

Shaving, waxing, laser hair removal, sugaring, electrolysis... with so many options available, what's actually the best way to get rid of unwanted hair? This week, Dr. Dustin Portela and Austin Lee break down the most common hair removal methods, who they're best for, and the biggest mistakes people make that can lead to irritation, ingrown hairs, burns, and long-term skin damage. They discuss the...

What if the best plastic surgery advice is how to avoid plastic surgery in the first place? In this guest episode, Dr. Dustin Portela sits down with board-certified plastic surgeon Dr. Tony Youn, known to millions online as "America's Holistic Plastic Surgeon." Together, they explore a different approach to aesthetics, one that prioritizes lifestyle, nutrition, skincare, and overall health before...

What if one of the biggest causes of aging isn't just getting older, but chronic inflammation happening inside the body every single day? This week, Dr. Dustin Portela and Austin Lee break down the growing conversation around "inflammaging" and how inflammation may be impacting everything from wrinkles and rosacea to fatigue, joint pain, hair loss, and long-term health. The conversation explores t...

Who should you trust with your skin: a dermatologist, an esthetician, or both? In this guest episode, Dr. Dustin Portela sits down with licensed esthetician and skincare clinic owner Letitia Christine for a candid conversation about the evolving world of aesthetics, skincare treatments, medical oversight, and the growing tension between dermatology and esthetics online. The conversation was sparke...

Sweating is normal. Sweating through your shirt while sitting still in class, shaking hands with drenched palms, or avoiding certain colors because of pit stains? That's something different. In this episode, Dr. Dustin Portela and PA Austin Lee break down hyperhidrosis, the medical term for excessive sweating, and explain why it affects far more people than most realize. From sweaty palms and feet...

A peptide that promises a darker tan, appetite suppression, and increased libido all at the same time has exploded across social media. It's called Melanotan II, better known online as "the Barbie drug," and people are injecting it into themselves based on advice from TikTok, forums, and influencers. In this special solo episode, board-certified dermatologist Dr. Dustin Portela breaks down exactly...

Working out is great for your body… but it might be wrecking your skin. In this episode, Dr. Dustin Portela and PA Austin Lee break down a common but overlooked issue they see in clinic every day: acne caused by workouts, also known as acne mechanica. From sweat, friction, and tight clothing to gym equipment, supplements, and even hygiene habits, they explain why healthy routines can sometimes tri...

Celebrities might live in the spotlight, but when it comes to skin conditions, they're dealing with many of the same challenges as everyone else. In this episode, Dr. Dustin Portela and PA Austin Lee walk through real examples of well-known public figures who have dealt with skin conditions, and what their stories can teach us. From Kim Kardashian's psoriasis and Winnie Harlow's vitiligo to Michae...

Acne isn't just a teenage problem. In fact, more adults than ever are dealing with breakouts, and they often behave very differently than what you experienced growing up. In this episode, Dr. Dustin Portela and PA Austin Lee break down the unique causes of adult acne and why it tends to be more stubborn, more inflammatory, and more frustrating to treat. From hormonal shifts and testosterone exposu...

What if your doctor was always just a message away… and actually knew you? In this guest episode, Dr. Dustin Portela sits down with Dr. Usama Syde, founder of Future Clinic, to break down how technology, AI, and chat-based care are reshaping the way patients and doctors connect. But this is not about replacing doctors. It is about bringing back something healthcare has quietly lost: real relations...

Pores are one of the most talked-about topics in skincare, and one of the most misunderstood. In this episode, Dr. Dustin Portela and PA Austin Lee break down what pores actually are, why they exist, and why the idea of "shrinking" them isn't as straightforward as social media makes it seem. They walk through the biology behind pores, including their role in oil production, skin health, and barrie...

Rosacea is one of the most common conditions seen in dermatology, and one of the most misunderstood. In this episode, Dr. Dustin Portela and PA Austin Lee break down exactly what rosacea is, why it shows up, and why it can look completely different from one person to another. From persistent redness and flushing to acne-like breakouts and even thickened skin on the nose, they walk through the diff...

Dermatology has come a long way, but not every treatment from the past deserves a comeback. In this episode, Dr. Dustin Portela and PA Austin Lee take a fascinating look at some of the biggest blind spots in skin health and beauty, from mercury and arsenic in cosmetics to x-ray treatments for acne, sun lamps, coal tar therapies, and aggressive phenol peels. They break down why these treatments wer...

Hearing the word "biopsy" can make a lot of people nervous. In this episode, board-certified dermatologist Dr. Dustin Portela and physician assistant Austin Lee break down one of the most common procedures performed in dermatology: the skin biopsy. They explain why biopsies are done, when they're necessary, and why having one does not automatically mean you have skin cancer. The conversation walks...

What if the biggest change you could make in your life isn't a tactic, a productivity hack, or a new routine, but a shift in identity? In this guest episode, Dr. Dustin Portela sits down with educator and Apogee Strong founder Matt Beaudreau to talk about leadership, fatherhood, discipline, health, and the power of becoming the kind of person who naturally lives the habits you want to build. Matt...

Toothpaste on pimples. Lemon juice for dark spots. Egg whites for tightening. Butter on burns. We've all heard them. In this episode, Dr. Dustin Portela and PA Austin break down the most common old-school skincare remedies passed down from grandmas, TikTok, and well-meaning family members and explain what actually works, what's harmless, and what can seriously damage your skin. They cover toothpas...

Mental health does not need to be complicated, soft, or filled with buzzwords. In this guest episode, Dr. Dustin Portela sits down with licensed therapist and author Trey Tucker to talk about what he calls "therapy without the fluff." Trey shares his straightforward approach to anxiety, purpose, relationships, and the challenges facing young men today. The conversation explores the mind-body conne...

Psoriasis is more than just a rash. In this episode, Dr. Dustin Portela and PA Austin Lee break down what psoriasis really is, why it happens, and how treatment has completely changed over the past decade. They explain the difference between autoimmune and autoinflammatory disease, why psoriasis is driven by inflammatory signaling pathways like TNF alpha, IL-17, and IL-23, and how that inflammatio...

Skincare marketing is loud, confusing, and often misleading. In this episode, Dr. Dustin Portela and PA Austin Lee break down the most common skincare buzzwords and claims so you can stop falling for hype and start making smarter decisions. They unpack terms like clinically tested, dermatologist recommended, hypoallergenic, fragrance free versus unscented, medical grade, non comedogenic, clean bea...

Sleep is one of the most important pillars of health, but the thing you sleep on is often the most overlooked. In this guest episode, Dr. Dustin Portela sits down with mattress expert Derek Hales, Founder and Editor in Chief of NapLab, to break down how your mattress directly affects sleep quality, recovery, and overall health. Derek has tested over 500 mattresses using objective, data-driven meth...

Stress does not cause every skin condition, but it can make almost all of them worse. In this episode, Dr. Dustin Portela and PA Austin Lee dive into the powerful connection between your mental health and your skin, an area known as psychodermatology. They explain how stress hormones like cortisol disrupt the skin barrier, trigger flares of eczema, psoriasis, acne, and hidradenitis, and fuel cycle...