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

    5D AGO

    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
  2. 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
  3. 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
  4. 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
  5. 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
  6. Episode 41: Rosacea Explained — Triggers, Treatments, and What Actually Works

    MAR 26

    Episode 41: Rosacea Explained — Triggers, Treatments, and What Actually Works

    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 different types and how to recognize them. They dive into what is actually happening beneath the skin, including inflammation, blood vessel changes, and even the role of Demodex mites. The conversation also covers one of the most important parts of managing rosacea: identifying triggers. From sun exposure and heat to alcohol, caffeine, spicy foods, and exercise, they explain why flare-ups happen and how to better control them without over-restricting your lifestyle. Dustin and Austin also clear up one of the biggest mistakes patients make: treating rosacea like acne. They explain why harsh scrubs, over-exfoliation, and aggressive skincare routines often make things worse, and how focusing on barrier repair, gentle products, and consistency can make a major difference. On the treatment side, they walk through everything from over-the-counter options like niacinamide and azelaic acid to prescription topicals, oral medications, and when more advanced options like lasers or low-dose Accutane come into play. They also explain why rosacea is a chronic condition, what realistic expectations should look like, and how to maintain long-term control. If you struggle with redness, flushing, or breakouts that never quite respond to typical acne treatments, this episode will help you understand what is really going on and how to manage it effectively. Products of the Week Paula's Choice 10% Azelaic Acid Booster A great starting point for rosacea-prone skin, especially if you're dealing with redness and acne-like bumps. Azelaic acid helps calm inflammation, improve tone, and is one of the most versatile ingredients for rosacea. EltaMD UV Skin Recovery A green-tinted sunscreen that not only protects against UV exposure but also helps neutralize visible redness. It is lightweight, hydrating, and designed specifically for sensitive, rosacea-prone skin. Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinleepac

    35 min
  7. Episode 40: Medicine's Biggest Misses: The Skin Treatments We Got Wrong

    MAR 19

    Episode 40: Medicine's Biggest Misses: The Skin Treatments We Got Wrong

    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 were once accepted, what doctors and patients believed at the time, and how better evidence eventually revealed the risks. Along the way, they also touch on acne myths, outdated assumptions about hygiene and diet, the dangers of unregulated skin-lightening creams, and why some modern at-home beauty devices may become the next blind spot we look back on with regret. But this episode is not just about the past. It is also about how good medicine actually works. Dustin and Austin talk about why evidence-based care matters, how science keeps evolving, and why the best providers stay humble, keep learning, and listen closely to their patients. They also explore how technology, research tools, ingredient transparency, and personalized skincare are helping modern dermatology move in a smarter and safer direction. If you have ever wondered how medicine changes over time, why old advice falls apart, or what current trends may not age well, this episode is equal parts eye-opening, thoughtful, and incredibly relevant. Product of the Week: AlphaRet from Skinbetter Science AlphaRet is one of Dr. Portela and Austin's favorite retinoid products because it combines real results with a level of gentleness that is hard to find. It features retinoic acid along with lactic acid and glycolic acid to improve skin tone, texture, and signs of aging while staying more tolerable than many traditional retinoids. It is one of the most popular products in their office and a longtime Skinbetter Science standout. Follow Us: Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube Reactions: @208SkinDoc YouTube Educational: @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinleepac

    38 min
  8. Episode 39: Skin Biopsies Explained — What Happens and Why You Might Need One

    MAR 12

    Episode 39: Skin Biopsies Explained — What Happens and Why You Might Need One

    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 through the different types of biopsies dermatologists perform, including shave biopsies, punch biopsies, and excisional biopsies. They also explain what the procedure actually feels like, how long it takes, and what patients can expect during and after the appointment. Dr. Portela and Austin also take listeners behind the scenes of what happens after a biopsy is performed. They discuss how samples are processed in pathology labs, how dermatopathologists analyze tissue under the microscope, and why your dermatologist's relationship with a skilled pathologist is so important for accurate diagnoses. They also cover healing timelines, scar prevention, when to worry about infection, and how biopsy results are delivered to patients. If you've ever delayed a dermatology appointment because you were worried about needing a biopsy, this episode will help demystify the entire process. Product of the Week Silicone Scar Gel Flawless SunShield Scar Gel with SPF BUNDLE DEAL After a biopsy or procedure, proper scar care can make a big difference in healing and cosmetic outcomes. Silicone scar gel helps support healthy healing while minimizing the appearance of scars. For areas exposed to sunlight, the Flawless SunShield adds SPF protection to help prevent post-inflammatory pigmentation and discoloration. Follow Us Dr. Portela TikTok: @drdustinportela Instagram: @drdustinportela YouTube (Reactions): @208SkinDoc YouTube (Educational): @drdustinportela Pinterest: @DrDustinPortela Austin Lee TikTok: @austinleepac Instagram: @austinleepac

    37 min
See All (59)

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

Information

You Might Also Like