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#video #dr pimple popper breaking out Episode 3 Engsub #drama2026 #movie2026 #hotmovie
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00:00The following program contains medical procedures and treatments involving dermatology. Viewer
00:04discretion is advised. I'm Dr. Sandra Lee aka Dr. Pimple Popper. Pretty sure that was the coolest
00:10thing I've ever seen. Come break out with me and all my new patients. Plus I'll share my expertise
00:16with some amazing young dermatologists. Pimple popping is not taught in residency. We'll see
00:22how they break out, seeing things they have never seen, and of course seeing how they pop.
00:29I can't believe it's not butter. On Dr. Pimple Popper Breaking Out.
00:37Tonight on Dr. Pimple Popper Breaking Out. People watch me and stare at me being like,
00:43oh my god, what's on our ears? I've been living with the pain for 32 years. I'm a transgender man.
00:50I was born female. The bumps are the last part of my transition. I don't want to be disappointed.
00:57not get any answers. Oh hi! I just graduated from residency. Let's go see the patient.
01:05Be careful. It means that...
01:10What the heck is going on here? Working alongside Dr. Lee is humbling.
01:26I thought I'd tell you guys a story. Why did this shadowy, mysterious figure stay by me? And I
01:32cocked my head to the side. I'm like, he just stole my phone. My name is Tierra. I'm 22 years
01:37old. I'm from
01:37Milwaukee and I have extreme ear keloids. The keloid on my left ear is about the size of a bean.
01:44It's squishy. And sometimes I get pain in that area. The keloid on my right ear is definitely the
01:50one that's the worst. It wraps around and my regular ear will be right here. It feels like if you
01:55put flour
01:55in a balloon, it's very hard and very dense. My keloids are itchy all the time. They feel really
02:01uncomfortable. When I was 13 in middle school, I started piercing my ears more. And after that,
02:07I got a bunch of keloids. I used to get bullied for my ears a lot because people would treat
02:12me like
02:12I was contagious and wouldn't even try to talk to me. It crushed my self-esteem 100%.
02:18Yes, we got the phone back. Moral of the story is, don't try to take people's stuff.
02:23I try to be as positive as I can be, but I think the positivity is like toxic positivity. Like,
02:29I have to stay positive because if I'm not, then it's like an abyss and depression. I have to present
02:35myself every day. I really always felt like I needed a way to escape, which is why I really
02:49fell in love with music. I sing and I rap and my artist name is Tiny. Music for me kind
02:55of brings
02:55in this brightness. It just fills me up with joy. I don't perform as much as I used to. I
03:02feel very
03:02self-conscious on stage. Going into 12th grade, I got my keloids removed. It felt amazing. I felt free
03:11from feeling embarrassed about my keloids. But then over the course of three years, they slowly started
03:16to grow and they just came right back 10 times worse. I really feel like sad and depressed that
03:23like my keloids make me detached from other people. I'm a very social, outgoing person, but I do feel like
03:31I quiet my energy because I'm scared of what people will think because of my keloids.
03:40I'm so excited to go to this restaurant. I've really never been here before. In the club, yes.
03:45I need a drink. You should get some tequila. I'm gonna tempt you. Oh, no. It's very chilly, Burr.
04:05Girl, we don't have a social life. You need to get boo. It's kind of hard because it's like,
04:09I want to see you happy. You know what I'm saying? I want to see myself happy too, but like,
04:13I don't know,
04:14kind of stuck kind of feeling because of my keloids and stuff like that. Really? Yeah.
04:18Tiara is sweet, funny, goofy. We became friends about seven years ago. She's become like a sister
04:26to me at this point. I feel really bad about her keloids. It's affecting her life a lot. It messes
04:32up her self-esteem. She's been struggling for a while to find a person, especially someone that
04:37would treat her well. Any guy should give Tiara the moon. You know, they should go up into space and
04:42give her the moon because that's what she deserves. You're a cocoon right now, you know,
04:48and you're waiting to blossom. You know the butterflies that we release? Yeah.
04:52You're about to be released, bro. I feel like once I feel I'm able to like,
04:56get out of my shell, then I'll be able to do that. You know what I mean?
04:59I'm really excited to get my keloids removed, but I'm really, really,
05:03really scared that they're going to come back. And I'm stuck. Like, I can't see ahead.
05:22The kids were just home during spring break. It was so nice to see them, but it also reminded me
05:27how hard it is to be in your 20s, really, and live. You know, you're just trying to figure out
05:32your
05:32way in the world and it's, you're very self-conscious about things and people can be really critical.
05:37I think a lot of the feelings of comfort and feelings of success is really having control
05:42over your own life. You know, that's what I'm here for too. If I can help people in a way
05:46feel
05:47more control over their lives, then I'm all for it.
06:07Hello. Hello. You look so cute. Thank you. What are you here for?
06:12Today, I'm here about my keloid. Oh, I see it now. My goodness. That has taken over your ear.
06:19Yeah, it's literally. They're very large. I can feel how heavy that is.
06:24Absolutely. And it's like mostly itchy. Okay. And then do you have it on? Okay. Well,
06:28this is much easier to deal with and it's soft too. Yeah. Keloids don't happen to everyone.
06:33Some people are sort of more susceptible to getting keloids. It's really just a hyperactive
06:39scar. It's triggered by trauma. It can happen from something as insignificant as a bug bite
06:45or a pimple. How long have you had them? Well, when I was in middle school, I had piercings and
06:51I started to see them keloids. So I put them out. Okay. And then I got my keloids removed. It
06:56came
06:56back from like the scar. Have you had any treated in any other way? No, I haven't. Okay. So you
07:02understand
07:03a little bit that trauma causes it like an ear piercing, for example, but also surgery
07:09is like a form of trauma. It's like also injuring the tissue. And the trouble with that is that
07:14when you remove a keloid, you have to take out more tissue and make the scar longer. And then that
07:18makes a potentially bigger keloid. Yeah. The problem with keloids is the treatment option can oftentimes
07:27lead to a worse result. This has already happened, Tierra. So to really get rid of this, I got to
07:33come up with a good plan. You can see that because of its distortion, it's pulled your earlobe up. So
07:38it's like an L shape. I know we want this L gone because like L is for losers. I'm going
07:44to try to keep
07:45the scar as small as possible because the smaller the scar, the less potential that a keloid has to grow
07:50back. So I think what I will do is start on this ear actually. Okay, that works. Okay. I'll see
07:56you in a
07:56little bit. Okay? Okay, cool. It was really great meeting Dr. Lee. She's very cool. She's very funny,
08:02but I'm really nervous for this because last time I went to the doctor and it grew back even bigger.
08:18All righty. This is just a little baby pinch, okay? Baby pinch here. My plan is to keep the top
08:24layer
08:24that's over this keloid. I want to remove that scar tissue that's underneath, which is the keloidal tissue,
08:31and then use that top skin to really create a covering. This is going to be different from three
08:36years ago when Tiara had this keloid removed. And in this case, I'm trying not to alter any normal
08:43skin, as little normal skin as possible. You make sure of nothing hurting you, but you're going to
08:47hear me. I'm like a little mouse over here, okay? Scratching away. This one's nice and soft and pliable.
08:58You can hear it though in your head. I know because it's in your ear. Sounds freaky.
09:03I'm able to save a lot of the normal skin that overlies the keloid, but this one is really kind
09:08of amateur hour. The big keloid on the right ear is going to be much more difficult to tackle.
09:14All right, we are finished on this side. That was the easy side though, okay? The second keloid is
09:20certainly a bigger challenge. It's very difficult to discern the difference between your regular
09:25cartilage and where this keloid begins. I need to leave enough skin that was atop this keloid to
09:33place back in the area. Make sure we're just taking off keloid. Let me take off this here first.
09:42You okay? Yeah, I'm fine. I don't really feel anything. Good, good. That's what we want.
09:47You know what this is like? Have you ever gotten that block of cement? You gotta like,
09:52get the fake dinosaur bones in them. Oh my god. I think I did that once.
09:57I feel like it's kind of like that you're like excavating.
10:02Just gotta figure out where this tissue is gonna come from that I'm gonna keep.
10:06That's the hard part. Now that is not her ear, right? Let's feel it overall and see. What the heck
10:13is going on here? This keloid is very complicated because I could distort the shape of Tierra's ear if I
10:20took off too little tissue or too much tissue. What do I need to do here to take that off?
10:38What the heck is going on here?
10:43I'm here with Tierra and I'm removing this really massive keloid on the back of her right ear. And
10:49it's really hard to discern where the keloid tissue stops and where the cartilage starts. They look very
10:56similar. They feel very similar. I gotta use all my skills to keep this ear intact.
11:01All right, let's take this lower part off. I think that'll help us to see.
11:07We're almost what we call debolt. Where we're taking off most of the weight of it, there's still
11:13you know a little bit of it left but it's not so easy to see everything. This definitely is a
11:19challenge.
11:23I feel that was really relieving to me too, taking that off. There's a lot of keloid here.
11:28Yeah, right? That's gonna be good. I have removed as much of the keloid as I safely can and maintain
11:36that skin that's overlying it and so I'm gonna be able to flap that back and close it. I tried
11:41to keep
11:42the scar in the area of where the existing keloid is to minimize traumatizing new unaltered skin.
11:51It looks pretty darn good. Do you want to see?
11:56Oh, that looks so good. It's gonna look really good. See, it wants to be puffy a little bit because
12:02it's swelling. I put numbing underneath it so it's fuller still but that should smoosh down because
12:07we're gonna smash it. Yes, my profile is about to eat. I'm about to look so good.
12:12Tiara unleashed. Tiara unleashed. No longer. Oh my god. Oh no, we unleashed the real.
12:20Yes. We just unleashed her. It's been a really long time since I felt myself energy. That is so cute.
12:28Oh my god. So I'm really happy right now but I'm also like a little bit anxious and nervous because
12:33I
12:33don't know what she's gonna do to like ensure that it doesn't come back. You did awesome. I know that
12:39wasn't easy but we're going to do uh another procedure to ensure this doesn't grow back.
12:45Okay. What we're gonna do is superficial radiation therapy there and irradiate those cells so that
12:50they don't overgrow again and turn into another keloid. Will I feel anything like during radiation?
12:55You should not feel anything. It only penetrates like I think just a couple millimeters. Okay?
13:00Okay, that works. Okay. When I hear the word radiation, I really think of like something
13:04cancerous or something really, really bad, you know. But Dr. Lise explained it everything to me and
13:10she was like it's not that bad and they'll protect me against everything. But I'm really nervous.
13:15Hello. Hi. How are you? I'm doing great. How are you? Good. You are Tiara. Yes, I am.
13:20One of my best tools for helping to prevent keloids from coming back is superficial radiation treatment.
13:27And I'm bringing in Dr. Rebush who is another dermatologist that works with me. He also happens
13:33to be my husband and he's the one specifically trained in doing superficial radiation treatment.
13:39We are going to be putting a lot of lead kind of on your face around your ear. We're going
13:44to have tape
13:44on your face. Okay. Do you have any questions for me? Um, I don't think I have any questions, no.
13:49Okay. Well, let's let's get after it then. Okay.
13:52SRT is going to help inhibit quickly growing scar tissue cells from growing back. There's a lot of
14:00protection you have to have going on. Radiation can damage any of your cells in your body. We're
14:05trying to focus it just on those cells that we don't want to have grow back. We'll be back.
14:26Okay, you made it. Okay, great. Thank you. You're welcome. At first, I was kind of nervous because
14:32I didn't know what to expect, but I'm really, really happy I did it. I'm leaving today with so much
14:37more
14:38hopefulness that my key leads won't come back. Positivity and this amazing life-changing experience.
14:43They ask me how I shine like this. Oh, we're so good. It's miraculous.
14:49Now that I don't have them anymore, I know that my love life is going to change. My career is
14:53going to
14:53change. My music is going to change. My confidence is going to change. And I'm ready to live my best
14:5822-year-old life and turn up. And I'm so excited to do that.
15:04New chapter, new beginning. New chapters, new beginnings.
15:13Bye!
15:31My name's Ryan. I'm 33 years old. I live in New Orleans. And according to my mom, I've got a
15:37couple
15:37of gargoyle horns on my head. Sorry I called them that. You know.
15:45The bumps that are on my head, they're firm like hard rubber, but just maybe a tiny bit of give
15:51to it.
15:52I've had these bumps for at least 20 years now, and they've just been holding me back from the future
15:59I want.
16:04I'm a transgender man, meaning that I was born female and raised as a daughter for quite a long
16:13time. But then when I was around 25, I realized who I was meant to be and went on that
16:21journey.
16:22And now I'm the Ryan we are today. My baby boy.
16:34In sixth grade, when I first noticed the bumps, it was already a time in my life when I was
16:40starting
16:41to go through puberty and things were happening to my body that I did not like. Compared to everything
16:47else, the bumps seemed so insignificant. But then they started growing during what a lot of people
16:55call second puberty. When I started hormone replacement therapy, I feel like the bumps are
17:00like the last little piece of the physical transition into who I am.
17:06I don't know, after this, it's like, pull me up from here, you know?
17:14Ryan?
17:15It's been a long journey to try to feel good about myself. I spent so much time putting myself in
17:21the
17:21shadows, keeping people from seeing me. And it's time for Ryan to come out of the shadows.
17:29One step closer.
17:38My name is Dr. Zoe Indigo. I moved here to Los Angeles to do my dermatology residency at UCLA.
17:45I now have my own practice in Beverly Hills. I first met Dr. Lee when I was a medical student.
17:53And I recently reached out and I asked her, can I learn from you as I'm exploring this whole new
17:58world? I know that working with Dr. Lee is going to expose me to like some really, really cool cases
18:04that I could only dream of. Dr. Lee.
18:08Oh, hi. How are you?
18:10I'm so nice to see you.
18:12So good to see you again.
18:12Thank you for coming. Welcome to my office.
18:14Thanks for having me.
18:16Dr. Zoe and I met at a dermatology conference. You learn so much faster when you're actually
18:21doing something than when you just have the knowledge from the textbooks. I think this is
18:24a perfect case for her to start with because he has multiple bumps. And so it's going to give us
18:29multiple opportunities to see the art of popping.
18:33So we have an interesting case today.
18:36Okay.
18:36He's got multiple pylarsis and I think, yeah, I actually haven't met him yet,
18:41but I saw a picture of him.
18:42All right.
18:42So I think he's got multiple ones. And you know, your residency, did you,
18:45you guys remove pylarsis before and things like that?
18:48We'd remove one.
18:49Yes.
18:49Yeah.
18:49I want to work with Dr. Lee because she has really put dermatology on the map.
18:55Many of the cases that Dr. Lee does, most dermatologists would refer out to general
19:00surgery or plastics or head and neck surgeons, and she's doing them every day. So that's the
19:06one I could learn from. Let's do it.
19:08Let's do it.
19:08All right.
19:11Hello.
19:12Hi.
19:13Hi, Ryan.
19:14Yes.
19:14Hi, how are you?
19:15Hi.
19:16I'm Dr. Lee.
19:16What is your name?
19:17Mom.
19:18Mom.
19:18Okay. Hi, mom.
19:19If you don't mind, Dr. Zoe is a fellow dermatologist.
19:22She's just newer in her practice. I just thought it would be nice to show her around.
19:26Great to meet you.
19:27Nice to meet you.
19:27Do you know what these are? Has anyone ever told you what they are?
19:30I mean, all I've been told is subcutaneous cysts.
19:34Yeah, it's a generic kind of term. Yes. Let's take a good look here.
19:37We're both going to have our hands on you here.
19:40Yes, these are pilar cysts. So what happens, which is really interesting, is that hair,
19:45it actually changed the texture of them. You'll see the hair coming out like with a little curl
19:49to it, which is also part of the reassurance to me that it's a pilar cyst.
19:55We're both learning today.
19:56And yes, so I hope because I like this kind of size to remove, hopefully we can even pop them
20:02out just very simply.
20:03Be awesome.
20:05I'll see you in a little bit.
20:06All righty.
20:09I am nervous.
20:10I'm really hoping it doesn't hurt very much because I'm kind of sensitive. There's no turning back now.
20:26Okay, so I'm going to put just like a little numbing here. Okay, just a baby pinch.
20:32You okay?
20:33Oh yeah.
20:33It's going nice and slow.
20:35The pain happens with the pressure that you put on the plunger. So if you inject very quickly,
20:41it hurts more.
20:42I know that Dr. Zoe, like all dermatology residents have had some experience with pilar cysts,
20:47but they don't know the little specificities that will make this procedure easier.
20:55These are like the perfect balance of a little juicy, but not too scary. And so hopefully they'll
21:00be the perfect kind of pop.
21:01All right. So let me start with this one right here. Okay. There was a little bit of a
21:05thinning of your skin right there where I was trying to poke out a little on your skin.
21:08So I'm just going to do it really lightly because it might spit at us.
21:13Make sure I'm not hurting you. Okay.
21:15Just move around here a little bit.
21:25Nice.
21:27Did you feel that release?
21:29No, I mean, yeah.
21:30Kind of, huh?
21:32That's number one. I'm going to lay it down right here. It's like a cute little nipple.
21:40Now that I've removed the pilar cyst intact and Zoe has watched me, I'm going to see how she does
21:45here.
21:46Ideally, it's great to take out a pilar cyst hole because then you're not going to contaminate the
21:51wound with any skin cells, but also you're pretty sure that you got the whole thing.
21:56I'm going to make it wide enough so that you could potentially squeeze it, but then I'm going to
21:59stand back because I don't know you well enough, so it might squirt on us, okay?
22:03Okay.
22:04Okay, are you ready?
22:16Okay, are you ready?
22:21I'm here with Ryan who has pilar cysts on his head and I'm here with Dr. Zoe, pimple popper in
22:28training. We're going to try to remove them whole. I really want Dr. Zoe to learn this technique.
22:34One side and ease it out first. If you push on both, it might pop on you. So guard your
22:39eyes.
22:41She's not coming. Let me see. I know, it's hard. Push down and get your nail like under there and
22:48then you push the other side. Okay, let me try that.
22:53There she goes. Good. Oh yeah, a little pop. Wait, let that go so it doesn't get all messy on
22:59there.
23:00It takes some practice to really remove one of these pilar cysts eggs and not break them.
23:05I'm going to show Zoe my technique for smaller pilar cysts now.
23:09Sometimes these ones that are smaller are actually harder to squeeze out.
23:17There we go. There's that one.
23:21This one. I'm going to pass that to you.
23:27It's so tiny. Can you press on the side so we can get double pressure on both eyes?
23:36The pimple popping technique is not taught in residency. This is an art.
23:46Be careful. We don't want to break it apart.
23:50Now you got to make sure you got it all. And there's hair in the way and all that kind
23:54of stuff, so.
23:56Ah, yes. It's not as easy as it looks. And so I think it's time for me to step in
24:01and see if I can grab it.
24:03Oh, there he goes.
24:06They're finally gone. After having this going on for 20 years, I see me, see myself the way I've always
24:16wanted to see myself before the bumps got in the way. I just feel like I can finally breathe easy.
24:25Julie, thank you so much. It was good to meet you.
24:28Really a pleasure. Take care. Bye, mama. Take care of him.
24:31Thank you. Thank you so much.
24:33I can't believe it's finally over. Now the next thing I can't wait for is to take all of this
24:39off
24:40and see the real Ryan.
24:46And love him.
24:58Girl, strip starts now.
25:02This would look nice on you.
25:04This would be nice on me.
25:06My name is Anne. I'm 33 years old and I have a lamellar ichthyosis skin condition.
25:12And my best friend here is Molly.
25:19I was born with lamellar ichthyosis wherein the third layer of my skin did not develop
25:25when I was inside of my mom. It's all over my body from head to toe.
25:32And there's no cure for it.
25:35My dad has a specific gene and also my mom has a specific gene.
25:40And when you combine them together, that, like, turns into, like, add it all into me.
25:50Where are we going to go?
25:53Hi.
25:54Welcome to the bar.
25:56The bar.
25:58Yes.
25:59I'm getting a drink.
26:00I like this.
26:01I know. It's so fancy.
26:03It's not good in here.
26:04It is. It's hot in here.
26:05It is.
26:06And it's unusual for this time of the year, though.
26:09But, like, in the Philippines, it's the same thing.
26:12I was born in the Philippines and most of the kids there picked on me.
26:18I ended up thinking, why am I different to everybody?
26:21I used to cry all the time, but then I realized that I cannot be living like that.
26:28So, me laughing is kind of, like, a defensive mechanism for me not to cry or show the true
26:38feelings that I have because I look different than anybody.
26:44I'm so curious what's in that bag.
26:47It's, like...
26:47What?
26:48I brought a lot of things with me, okay?
26:50Let's see.
26:50Wow.
26:51Oh, look at that.
26:52Look at the magazine.
26:53Oh, my God.
26:54I usually tend to overheat and I do not sweat like a regular person.
26:59If my skin gets sweaty, you see, like, lumps or bubbles.
27:04My skin is always rough and dry.
27:07My eyes are red and puffy and all my eyelids are going up instead of, like, going in.
27:14So, it's just uncomfortable.
27:16All right.
27:17Let's do a cheese.
27:19No.
27:19Girl strip.
27:20Girl strip.
27:22Oh, my hands are shaking still.
27:26Is it because you're nervous or...?
27:28Oh, no.
27:30Just half a bit.
27:32It's just that, like, it feels weird.
27:33You see right here?
27:35There's, like, fissure right here now.
27:37Ooh.
27:38It's hurting me.
27:39It's tough to be living with it because my skin tends to just, like, crack and then bleeds.
27:45It is painful and it's quite gross.
27:50Sometimes I'm not able to walk or to handle things with my hands.
27:54But you know what?
27:56I'm still living!
27:57What?!
28:00I've got some fissures right now and it's so hard to walk around.
28:04When I was younger, I was, like, kneeling myself onto the floor like this, going all the way to the
28:11washroom.
28:12No way.
28:13Yeah.
28:13How do I do this?
28:16First time I met Anne, it was her bubbly personality that just attracted me to her.
28:21We've been friends for six years now and we work together.
28:25I find that she's more upbeat and going in positive than myself.
28:30And honestly, the personality that she holds with her condition, she's a very strong woman.
28:36I know you've lived with this for so long.
28:38And even, like, imagine my dermatologist.
28:41So frustrating that she can't even give me a specific answer.
28:45So now it's been five years that I haven't seen her and even bothered seeing her.
28:50So when I was 16, we moved to Canada and I found another dermatologist.
28:57I saw my dermatologist from 16 to 27.
29:02She's been giving me creams left and right that's over the counter and nothing has been working that much.
29:08She told me that I'm able to just, like, see you once a year.
29:13Every single time I try to call, it always goes to the voicemail.
29:18I can't even reach my own dermatologist.
29:20And I got tired of it.
29:22I'm really hoping that Dr. Lee has answered for me.
29:26Just keep positive.
29:36I've been living with the pain for 32 years.
29:40I'm so sick of, like, hitting dead end after dead end.
29:44I know there's no cure, but I came all this way.
29:48And because Dr. Lee is on top of her field and I want answers.
29:54What can I do to make my life better?
29:57I don't want to be disappointed and not get any answers.
30:10Hi!
30:11How are you?
30:12I'm good.
30:13Very nice to meet you, Dr. Lee.
30:15Where are you from?
30:16I am from Oro, Ontario.
30:19Oro, Medonte, Ontario, Canada.
30:20Okay, from another country then.
30:22Well, welcome.
30:24So I think I know why you're here in general.
30:26You have a skin condition, right, that you're probably born with.
30:30Which is lamellar ichthyosis.
30:32Yes, yes.
30:33Lamellar ichthyosis has to do with a mutation in your genes.
30:37This is not a common condition.
30:39This is probably one of the first cases of lamellar ichthyosis that I've seen in person.
30:44But we know what they are because we study about them.
30:46Yeah, so you have this condition where you have trouble creating your skin.
30:52Yeah, it's always like a dead skin.
30:55Right, epidermal hyperkeratosis, like almost moving too fast.
30:59Yes.
30:59And there's nobody else in your family that has this, as far as you know.
31:03No, we got like family members who have extra fingers and some behavioral issues.
31:09But none of them, none of them has like a skin condition like me.
31:16It is, it's pretty rare, which is hard for you to seek treatment.
31:19Because the rarer something is, the less that drug companies or people are trying to cater to them, right?
31:27Yeah, exactly.
31:27You have to sort of find things on your own or so.
31:30Lamellar ichthyosis is a very difficult thing to live with.
31:34And skin is drying up and hardening and cracking open.
31:38It's really painful, it's really uncomfortable.
31:40It's a hard thing to have a condition like this where you know you look different and people may stare.
31:47I hope that I can use my experience to help her in some way.
31:51I mean, she has such beautiful light and such great energy.
31:54I've been living with this for so long and finding like answers for it.
32:01You want to find the right answers.
32:02Yeah, exactly.
32:03It's like dead end after dead end.
32:06I want something that I could be using to better my skin off.
32:10So what are the areas that bother you or what are the trouble, the trouble things that you have?
32:14And then what are you using?
32:16Mainly just recently, I have like a fissure right here onto my feet.
32:20Oh yeah, it looks like it's really painful and it's definitely been bleeding.
32:23Yeah, look at the plates and scale that you have, you know?
32:26Yeah, even when I was at the airport, I had to ask for a wheelchair because like my feet are
32:32would crack when you're walking.
32:34Crack and also inflamed during that time.
32:36Right, right.
32:37I can imagine.
32:38How about your eyes too?
32:39Yeah, with my eyes, it bothers me.
32:42Very sensitive.
32:43So sensitive.
32:44Do you feel like you get cracks too on your eyes itself?
32:47Yeah, because sometimes they do bleed inside here.
32:51Are there other main issues that you have?
32:53My hair has been starting to fall out, like even now, like as you see.
33:00Yes.
33:02But I mean, I think that this is going to be a part of-
33:03Will they grow again or something though?
33:05Or is that going to be like forever though?
33:08Yeah, it's tough because I think with your condition, you can get what's called cicatricial
33:14alopecia.
33:15Alopecia being hair loss, but cicatricial meaning a scarring type of hair loss.
33:20Okay.
33:20So what I see here, what we call little doll's hair, where you don't have the hair all
33:26consistently coming out, but like kind of coming out in clumps, you know, like the old baby
33:30dolls.
33:31We kind of can see that maybe with some scarring hair loss.
33:34And with scarring hair loss, you're less likely to have the hair grow back because there's scar tissue there.
33:40Is there no like oil or cream or medication that I can use?
33:46It's not necessarily with scarring alopecia.
33:51I feel nervous right now because I don't know what-
33:56If Dr. Li is able to help me, I don't know, I'm just like anxious.
34:09Scarring hair loss, you're less likely to have the hair grow back because there's scar tissue there.
34:14But I don't want you to lose hope because somebody who is a real specialist at this,
34:18they know a lot more people that have been going through this.
34:21I'm here with Anne who has lamellar ichthyosis.
34:23It's not something that you can easily hide and it's not something that you can cure.
34:29Despite all this, she's so upbeat and happy and positive.
34:32I really hope that I can do something to make her life more easy and more comfortable.
34:38There's actually an amazing dermatologist in your area.
34:41His name is Dr. Scott Walsh.
34:43He's like the expert in your area.
34:45Okay.
34:45I'm more of an expert at pimples than I am at like genodermatosis.
34:49Yes.
34:49But I'm so fortunate that I can at least get that for you.
34:52Yeah.
34:52You know what I mean?
34:53Because he can really help you with that.
34:55Okay.
34:55So the main areas of discomfort are the fissures on your body
34:58and in your eyes, right?
34:59Yeah.
35:00So I think I have some solutions for that.
35:02I'm going to give you a little duoderm.
35:04We use it mainly for slow healing ulcers on people.
35:07But what it does is it covers and protects that area and it gives you padding.
35:12And you can keep that on for a week on out of town areas if it doesn't fall off.
35:15And that can help you be more comfortable to walk.
35:18You can see if you feel it, feel that like there.
35:20See how it's like soft, that's cushioned.
35:22Duoderm or hydrocolloid dressing is going to help to protect that area
35:26and encourage it to heal.
35:28It's also going to give her a little extra padding so she can walk around comfortably.
35:32The next thing I want to try to do is put a little glue seal on your toe or liquid
35:39band.
35:39Yes, yes.
35:41Super glue helps to seal.
35:44It's like it becomes a liquid bandage.
35:46Super glue is actually widely used in dermatology and skin surgeries in general.
35:50It protects it from outside bacteria and it helps it to heal faster.
35:56So I just really take it and paint it over that area to help it to stay sealed.
36:00It's like a second skin almost, right?
36:02You're trying to put it on there.
36:04Just trying to see if we can do little things here and there to make things more comfortable
36:08for you because these things are annoying and you have to sort of
36:11bear them without people even realizing you're going through them, you know?
36:15So the other thing I think I can help with are your eyes.
36:17There is a eye drop that is called timolol.
36:21It's a beta blocker.
36:23It's used to slow down our heart rate but not in your eyes.
36:27Your eyes here can actually help with the little fissures and things like that.
36:30So Anne has ectropion which is when the skin around your eyelid exposes the inside of your eyes.
36:38In her case, it's probably from all the tightness of her tissue and the scarring that it's pulling her eyes
36:44open.
36:45But we can use topical beta blockers to increase the efficiency of your skin cell turnover.
36:51And don't ask me how somebody figured that out, but it works.
36:55And the last thing that I think would be helpful for you is a medication by mouth.
36:59Isotretinoin or acetretin, it can help to regulate the high turnover of your skin.
37:06Yeah.
37:06But I think that that would be something.
37:08So I think I got a bunch of things for you.
37:09So we have potential answers for all the main issues you had.
37:14We went over eye medication.
37:15I started her on some hydrocolloid dressings.
37:18We're using super glue as sort of a sealant and a protectant.
37:22And oral medication that can help to improve the healing of her skin in general.
37:27So hopefully all those things teamed with setting her up with an excellent congenital ichthyosis specialist
37:34will help her to manage this condition well long term.
37:38So it's really nice to be able to treat somebody who loves life and to help them feel more comfortable
37:44so that they can enjoy their life.
37:45But I love your outlook.
37:47Aw, thank you.
37:47Like you just have the most positive outlook and I do think that it's going to be good, you know,
37:52good news for you.
37:53And you're beautiful.
37:54Aw, thank you so much.
37:55Very nice to know you.
37:58Dr. Lee has done more for me in one visit than my dermatologist back home.
38:07Thank you so much.
38:08Okay, thank you for being a part of my life.
38:10Like that makes me feel very special.
38:11Dr. Lee did see me for who I am and also actually like touched my skin.
38:18Not every doctor will do that.
38:20Have a safe trip home, but we'll be in touch.
38:22This is not goodbye.
38:23I'm very happy with that.
38:24The answers that she was searching for, she finally felt me.
38:27She pushes through everything and then she never gives up.
38:30I'm living Dr. Lee's office feeling amazing.
38:47Sweet Anne came to me three months ago and since then she has found some tremendous relief.
38:53Thank you Dr. Lee for everything. I'm seeing big progress.
38:59Anne's feet don't hurt as much using those hydrocolloid pads.
39:02She's been super gluing her dry fissures for less pain.
39:06And most of all, the eye medication is really helping her eyes hurt a lot less.
39:10It is such a joy to see Anne so happy.
39:14You are a light to all of us, Anne.
39:16I actually feel so good that I took my kids to the water park.
39:21Meeting Dr. Lee, it was such a big help and it actually boosted up my self-esteem.
39:29It's been three months since I saw sweet Ryan and his many cysts.
39:34I've just been so much more confident and I've been letting the real me shine through.
39:40His head has healed up beautifully without those extra little friends
39:43and it's so lovely to see him living his best life.
39:46Thank you so, so much for changing my life.
39:50Thank you from the bottom of my heart.
39:52Looking good, Ryan.
40:03It's been two and a half months since my procedure with Dr. Lee and my ears look amazing.
40:12Those giant keloids are gone for good.
40:15Dr. Lee was like an artist.
40:17My ears don't itch and they're very soft to the touch.
40:21And I think because of the radiation, I'm hoping that it will never happen again.
40:25So I'm really excited to see for the future.
40:27My confidence has changed 100%.
40:30I just feel like the real me.
40:35I've been going out a lot more and Ambrose is super happy for me.
40:40We can hang out with our friends.
40:41Cheers to Tiny.
40:43Oh, it's so good.
40:44You are glowing too.
40:45Now I've started dating again because I have my self-esteem back and it feels so good.
40:50Please welcome Tiny.
40:54Now I'm so excited to start performing again.
40:58Let's make this moment last.
41:01I was really insecure about my keloids, but now I feel at home on the stage.
41:09Dr. Lee has really changed my life.
41:11I can't thank her enough.
41:13Winner, winner, chicken dinner.
41:15Yes.
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