Skinfluence with Dr. Dustin Portela

Dustin Portela
  • 4.9 (88)
  • MEDICINE
  • UPDATED WEEKLY

Skinfluence is a podcast dedicated to helping you understand and take control of your skin health. Hosted by board-certified dermatologist Dr. Dustin Portela and Physician Assistant Austin Lee, each episode blends expert insights with practical advice to guide you through the world of skincare. From treating common concerns like acne and eczema to exploring the latest innovations in cosmetic dermatology, Skinfluence offers trustworthy information you can use—whether you're a skincare beginner or looking to take your routine to the next level. Tune in weekly for science-backed tips, patient stories, and honest conversations about what really works. Tag: 868329

  1. Guest Episode: Estheticians vs Dermatologists and the Future of Skin Care

    5D AGO

    Guest Episode: Estheticians vs Dermatologists and the Future of Skin Care

    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 sparked by a viral social media debate surrounding mole removal and scope of practice, but quickly expands into a much bigger discussion about education, patient safety, licensing laws, and the future of the skincare industry. Letitia breaks down what it actually takes to become an esthetician, how wildly different regulations can be from state to state, and why she believes the aesthetics industry has outgrown traditional cosmetology education. Dr. Portela shares the dermatologist perspective on pathology, medical responsibility, and why proper training matters when procedures become more invasive. Together, they unpack the rise of TikTok skincare culture, the dangers of poorly trained providers, the "Wild West" nature of certain states, and why collaboration between estheticians and dermatologists ultimately leads to better outcomes for patients. But this episode is not about attacking one side or the other. It is about creating a more informed, transparent, and respectful conversation around skincare, aesthetics, and patient care. If you've ever wondered who should handle certain treatments, what "medical esthetician" actually means, or why the skincare industry feels so chaotic right now, this is a fascinating behind-the-scenes look at the realities of modern aesthetics. Guest Info Letitia Christine Owner of No Filter Aesthetics Instagram: @thescandalousesthetician Follow Us Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Skinfluence Podcast Instagram: @skinfluence_pod

    30 min
  2. Episode 46: Excessive Sweating Explained — Why It Happens and What Actually Helps

    MAY 14

    Episode 46: Excessive Sweating Explained — Why It Happens and What Actually Helps

    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 to underarms, scalp, and facial sweating, they walk through what causes it, how it impacts confidence and daily life, and why so many people silently struggle with it for years before seeking treatment. They explain the difference between primary and secondary hyperhidrosis, common triggers like stress and social situations, and why this condition often starts during adolescence. The conversation also explores the emotional side of sweating, including the embarrassment, social anxiety, and lifestyle changes many patients deal with behind the scenes. On the treatment side, Dustin and Austin go deep into what actually works. They cover over-the-counter antiperspirants, prescription-strength options like Drysol, topical medications like Qbrexza and Sofdra, oral medications such as glycopyrrolate and oxybutynin, Botox injections, iontophoresis devices, and even longer-term solutions like miraDry. They also discuss side effects, insurance frustrations, compensatory sweating, and how to think through the trade-offs between different treatment approaches. If excessive sweating has ever made you self-conscious, uncomfortable, or frustrated, this episode will help you understand that you are not alone and that there are real solutions available. Product of the Week MANTL Invisible Daily SPF A lightweight, gel-based SPF designed to protect your skin without leaving behind a white cast or greasy finish. It works especially well for active lifestyles, facial hair, and all skin tones. Special pricing currently available: 1 for $10 2 for $15 Available at: https://shop.drdustinportela.com Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinleepac

    34 min
  3. Special Episode: The Barbie Drug — The Truth About Melanotan II

    MAY 7

    Special Episode: The Barbie Drug — The Truth About Melanotan II

    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 what Melanotan II is, how it works inside the body, and why he believes the risks are being massively downplayed online. From nausea, flushing, and spontaneous erections to kidney injury, rhabdomyolysis, and published melanoma case reports, this episode takes a hard look at the real-world complications linked to the drug. Dr. Portela explains how Melanotan II interacts with multiple melanocortin receptors throughout the body, why the effects go far beyond tanning, and why sourcing these peptides online creates an entirely separate layer of danger. He also walks through multiple published medical case reports involving melanoma, eruptive moles, priapism, kidney injury, and other serious complications associated with use. This is not fear-based content. It is a grounded, evidence-driven conversation about risk, marketing, and the growing trend of people experimenting on themselves with poorly regulated compounds promoted online as wellness shortcuts. If you've seen the TikToks, heard people talking about tanning peptides, or are simply curious about what's actually happening behind the hype, this episode is essential listening. Follow Dr. Portela: TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela

    26 min
  4. Episode 45: Gym Acne Explained — Why Your Workouts Are Breaking You Out

    APR 30

    Episode 45: Gym Acne Explained — Why Your Workouts Are Breaking You Out

    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 trigger stubborn breakouts. They walk through real-world scenarios, including athletes dealing with chin strap acne, gym-goers breaking out on their back from benches, and people getting irritation from compression clothing. The conversation also dives into less obvious triggers like whey protein, testosterone and anabolic steroids, B12 injections, biotin supplements, and pre-workout formulas that can all contribute to inflammation and acne. Dustin and Austin also call out common mistakes, like over-washing with harsh gym soaps, wearing makeup during workouts, or waiting too long to shower after sweating. From there, they get practical with what actually helps: cleaning equipment, using barriers like towels, avoiding face touching, choosing the right cleansers, and building a simple post-workout routine that protects your skin. They also cover when it's time to stop guessing and see a professional, especially if acne is painful, persistent, or starting to scar. If you're putting in the work at the gym but your skin isn't keeping up, this episode will help you understand why and what to do about it. Product of the Week MANTL Skincare Set A simple, effective routine designed to cover the basics without overcomplicating your skincare. The set includes a cleanser, age-defying moisturizer, and the Invisible Daily SPF, a clear, lightweight sunscreen that won't leave a white cast or clog pores. Limited-time pricing: Sunscreen now $10 (previously $15) 2 for $15 Full set available for $30 Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinleepac

    26 min
  5. Episode 44: Celebrities and Skin Conditions — What We Can Learn From the Spotlight

    APR 23

    Episode 44: Celebrities and Skin Conditions — What We Can Learn From the Spotlight

    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 Michael Jackson's reported depigmentation, they break down what these conditions actually are, how they show up, and what treatment can look like. They also cover cases like rhinophyma in Bill Clinton, melanoma in Teddi Mellencamp, Merkel cell carcinoma in Jimmy Buffett, and discoid lupus in Seal. Along the way, they explain how these conditions develop, why some are more serious than others, and what people should actually watch for when it comes to their own skin. But this episode goes beyond just naming conditions. Dustin and Austin talk about why it matters when public figures open up about their health, how it helps normalize conversations around skin issues, and why it can encourage people to seek care earlier. They also address the downside, including the risks of trying to diagnose people online and the importance of respecting privacy. The bigger takeaway is simple. If you see something on your skin that concerns you, get it checked. Early detection matters, and reassurance is never a waste of time. Product of the Week Kill Switch A sleep support supplement that Dr. Portela uses regularly to help improve sleep quality and recovery. Better sleep plays a major role in overall health, including skin health, and this is one tool he uses to stay consistent. https://www.switchsupplements.com/DUSTIN Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinl

    26 min
  6. Episode 43: Adult Acne — Why It Happens and Why It's So Hard to Treat

    APR 16

    Episode 43: Adult Acne — Why It Happens and Why It's So Hard to Treat

    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 exposure to stress, sleep disruption, diet, and modern lifestyle habits, they explain why adult acne is becoming more common and why it often shows up differently in men and women. They also walk through the biggest mistakes people make when trying to treat acne at home, including over-scrubbing, using overly aggressive routines, microneedling over inflamed skin, and popping cystic lesions that never come to a head. These habits often make things worse, leading to more inflammation, longer healing times, and higher risk of scarring. On the treatment side, they cover what actually works. From over-the-counter options like salicylic acid, benzoyl peroxide, sulfur, and niacinamide to prescription treatments like tretinoin, clindamycin, Winlevi, spironolactone, doxycycline, and Accutane. They explain how each works, when to use them, and why there is no one-size-fits-all approach. They also dive into the mental side of acne, especially in adults, where breakouts can impact confidence, work, and daily life in a very real way. The key takeaway is consistency, patience, and working with a professional to find the right combination for your skin. If you're dealing with acne in your 20s, 30s, or beyond, this episode will help you understand what's actually going on and how to treat it the right way. Product of the Week MANTL Complete Skincare Bundle A simple, effective routine that covers the essentials without overcomplicating things. The bundle includes a cleanser, anti-aging moisturizer, and the Invisible Daily SPF, one of Dr. Portela's go-to sunscreens with a clear, matte finish that works especially well for men and anyone with facial hair. Bundle: $30 Invisible Daily SPF: $15 or 2 for $24 Cleanser: $10 Moisturizer: $12 Available at: https://shop.drdustinportela.com/collections/mantl Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinleepac

    30 min
  7. Guest Episode: The Future of Healthcare — Can AI Actually Improve Your Doctor Experience?

    APR 9

    Guest Episode: The Future of Healthcare — Can AI Actually Improve Your Doctor Experience?

    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 relationships. They dig into why modern medicine feels so fragmented, how the system turned doctors into interchangeable "providers," and why trust between patients and physicians is at an all-time low. From there, the conversation shifts to a new model of care that feels surprisingly simple. You choose your doctor, you build a relationship, and you communicate directly, just like you would with someone you trust. Dr. Syde explains how Future Clinic uses AI the right way. Not to replace medical decisions, but to streamline communication, gather information, and give doctors more time to actually think, care, and connect. The result is a system that feels more personal, more flexible, and more aligned with how people already live their lives. They also get into the real risks of AI in healthcare, where it works, where it absolutely does not, and why removing the human element is a mistake. From doctor burnout to the rise of private equity in medicine, this episode pulls back the curtain on what is actually happening behind the scenes and where things are headed next. If you have ever felt like healthcare has become rushed, impersonal, or harder to navigate, this episode will change how you think about what is possible. Product of the Week Future Clinic A new way to connect directly with a doctor you trust through chat-based care. Build a real relationship, get personalized guidance, and access care in a way that actually fits into your life. Find your doctor or learn more: https://www.futureclinic.com/ Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinleepac Dr. Usama Syde Instagram: @usamasyde

    45 min
  8. Episode 42: Pore Size Truth — Can You Actually Shrink Them?

    APR 2

    Episode 42: Pore Size Truth — Can You Actually Shrink Them?

    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 barrier function, and why they're something you need, not something to erase. The conversation digs into what really determines pore size, from genetics and hormones to oil production and aging. They also explain why pores can appear larger over time and what factors like sun damage, clogged pores, and collagen loss have to do with it. Dustin and Austin cut through the noise on popular trends like "glass skin" and pore-minimizing products, explaining what actually works versus what is just marketing. They also cover how to improve the appearance of pores the right way, including ingredients like retinoids and salicylic acid, proper cleansing, and when in-office treatments may make sense. If you've ever felt like you're chasing smaller pores and not seeing results, this episode will reset expectations and give you a smarter, more effective path forward. Product of the Week Paula's Choice Skin Perfecting 2% BHA Liquid Exfoliant A cult-favorite for a reason. This salicylic acid exfoliant helps unclog pores, reduce buildup, and smooth skin texture over time without being overly harsh when used correctly. Differin Gel (Adapalene 0.1%) A powerful over-the-counter retinoid that helps regulate cell turnover, prevent clogged pores, and improve overall skin texture with consistent use. Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinleepac

    28 min
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4.9
out of 5
88 Ratings

About

Skinfluence is a podcast dedicated to helping you understand and take control of your skin health. Hosted by board-certified dermatologist Dr. Dustin Portela and Physician Assistant Austin Lee, each episode blends expert insights with practical advice to guide you through the world of skincare. From treating common concerns like acne and eczema to exploring the latest innovations in cosmetic dermatology, Skinfluence offers trustworthy information you can use—whether you're a skincare beginner or looking to take your routine to the next level. Tune in weekly for science-backed tips, patient stories, and honest conversations about what really works. Tag: 868329

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