Episode 06: Cold Sores — Causes, Myths, and How to Take Control
Skinfluence with Dr. Dustin Portela
Release Date: 05/08/2025
Skinfluence with Dr. Dustin Portela
From fine lines to freckles to full resurfacing, lasers can do a lot—but not all lasers are created equal. In this episode, Dr. Dustin Portela and PA Austin Lee break down the most common types of lasers used in dermatology and aesthetics. They explain how lasers actually work, which concerns they’re best suited to treat, and what you need to know about prep, downtime, and results. They also talk about the difference between ablative and non-ablative lasers, fractional technology, pigment and vascular targets, hair and tattoo removal, and the unique considerations for darker skin tones....
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In this guest episode of Skinfluence, Dr. Dustin Portela sits down with renowned facial plastic surgeon Dr. Gary Linkov for an open and personal conversation about hair loss, self-image, and the evolving landscape of hair restoration. Dr. Linkov shares his powerful journey with alopecia areata—including how losing his own hair changed the way he connects with patients—and why embracing baldness or seeking treatment are both valid choices. Together, they unpack hair transplant myths, the state of black market clinics, and how to spot ethical, high-quality providers. Plus, Dr. Linkov gets...
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Retinoids are one of the most powerful tools in skincare—but they’re also one of the most misunderstood. In this episode, Dr. Dustin Portela and PA Austin Lee break down everything you need to know: the science behind how retinoids work, the real difference between retinol and tretinoin, how to build tolerance, and why consistent use matters more than strength. They also dive into side effects (like dryness and “the purge”), debunk myths around skin thinning, and explain who shouldn’t use retinoids (hint: rosacea and pregnancy need special care). Plus, they introduce a new...
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Whether you’re rocking a lumberjack beard, keeping things trimmed and tidy, or struggling to grow more than stubble, this episode has you covered. Dr. Dustin Portela and PA Austin Lee dive into all things beard care—from how to clean the skin underneath to preventing common problems like ingrown hairs, irritation, and beard dandruff. They explain conditions like pseudofolliculitis barbae (shaving bumps), seborrheic dermatitis under facial hair, and why those multi-blade razors might be causing more harm than good. Plus, they share practical tips on oils, balms, trimming techniques, and why...
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Not all rashes are created equal. In this episode, Dr. Dustin Portela and PA Austin Lee break down the most common types of rashes, from allergic contact dermatitis to eczema, psoriasis, and the mysterious world of hives. They explain why “just switching your detergent” rarely solves the problem, when a rash might be more than skin deep, and how stress plays a surprising role in flare-ups. You’ll learn why taking photos of your rash could save your dermatologist a headache (and you a biopsy), the science behind itching and inflammation, and modern treatment options—from...
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In this special bonus episode, Dr. Dustin Portela welcomes his very first guest to Skinfluence: functional biomimetic dentist Dr. Craig Clayton. Together, they dive into the surprising links between your oral health and your whole-body health—unpacking how inflammation, cavities, mouth breathing, and even tongue posture affect everything from acne and gut health to cardiovascular disease. Whether you’ve had dental work, deal with chronic skin issues, or just want to better understand your body's systems, this conversation offers a fresh, holistic take that goes way beyond brushing and...
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Ready for smoother, brighter skin? Dr. Dustin Portela and PA Austin Lee dive deep into the world of chemical peels in this episode of Skinfluence. They break down how peels work, who’s a good candidate, and the difference between in-office treatments and at-home exfoliation. From glycolic and salicylic acids to powerhouse TCA and even intense phenol peels, they discuss the benefits, risks, and myths surrounding this classic skin treatment. They also share tips on avoiding common peel mistakes, how to prep and protect your skin, and why sometimes less is more when it comes to...
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In this episode, Dr. Dustin Portela and PA Austin Lee break down everything you think you know about sunscreen—and then go deeper. From SPF ratings and reapplication rules to chemical vs. mineral formulas, they unpack the science behind how sunscreen actually works, what your SPF number really means, and why daily use is crucial (yes, even indoors). You'll learn about ingredients to look for, myths to ignore, and what products work best for different lifestyles and skin tones. They even tackle hot topics like benzene fears, reef-safe claims, and supplements like Heliocare and Inner Glow that...
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Dr. Portela drops in with a special update: he’s officially taken over one of his favorite men’s skincare brands—MANTL. In this mini-episode, he shares why their Invisible Daily SPF 30 has been his top pick for years (no white cast, no greasy finish, and facial-hair friendly), and how the new bundle lineup makes quality skincare easier and more affordable than ever. Whether you're dialing in a minimalist routine or just looking for better sun protection, this episode’s got you covered. Shop the full lineup: Invisible Daily SPF – Buy 2, save an additional $6. Award-winning,...
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Thinking about getting a tattoo—or already have one? This episode dives into the dermatology behind the ink. Dr. Dustin Portela and PA Austin Lee break down what happens to your skin during tattooing, how placement affects longevity, and why some tattoos age better than others. They share best practices for healing, how to avoid allergic reactions and infections, and the truth about sun exposure, red ink, and yes—tattoo regret. You’ll hear personal stories, including Dr. Portela’s real vs. temporary tattoo experiments, patient tattoo horror stories, and how your immune system plays a...
info_outlineCold sores can be painful, stressful, and—let’s be honest—embarrassing. But they’re also incredibly common. In this episode, Dr. Dustin Portela and PA Austin Lee break down everything you need to know about cold sores: what causes them, why they come back, and how you can prevent outbreaks. They dive into over-the-counter and prescription treatments, debunk common myths, and even share how historical dermatologists documented cold sores centuries ago (including a surprising museum story!). Whether you're managing occasional outbreaks or struggling with frequent flare-ups, you'll find practical tips and reassurance in this conversation.
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