Dr. Shawana Vali

So things like pigmentation, acne, rosacea,

eczema, psoriasis, despite it having environmental, genetic, autoimmune predisposition, there's also an inflammatory predisposition.

So I have to understand what aspect or modality am I working on?

Am I working on the sebum?

Am I working on the inflammation?

Am I working on the oiliness?

What am I working on before I can give you a treatment plan?

I think in the world we work in, I think the key things that we see is poor sleep.

So sleep hygiene, disturbed sleep, not getting into deep restorative sleep.

That's causing accelerated aging.

Exactly.

You say it all the time.

Your body repairs itself at night.

Growth hormones produced at night.

Happy hormones produced at night.

The microbiome, the gut microbiome, and the skin microbiome

is repaired at night right then we've got cortisol we've got stresses daily stresses we have more stresses now than we've ever had we've just mentioned that in the beginning so that's causing accelerated aging your free radical damage your glycanation all the fun stuff that's happening so that's causing us accelerated aging then i always say this to my patients less is more

I always say, did your grandmother have this?

Like, did she have access?

14 stage skincare routine.