EPISODE 4 - ACNE PART 1

In this episode, we talk about acne from a very personal perspective and share both of our journeys through acne, dermatologists, estheticians, skincare products, and medication. We talk about how acne ultimately led both of us into the skincare industry and how our experiences shaped the way we treat and educate our clients today.

We discuss the emotional side of acne, the desperation that often comes with trying to fix your skin, and the difference between breaking out at a young age versus adult acne later in life. We also talk about the Accutane journey, transitioning from the corporate world into skincare, and the big question everyone asks. Is acne internal or external?

We also explain what estheticians go through in school, the safety and sanitation protocols that are heavily taught and why they matter so much, and we talk about our mentors and the knowledge they passed down to us that we now pass on to our clients so they can better manage their skin at home.

Follow our podcast Instagram at - https://www.instagram.com/poredecisions_pod
Follow Gabriella on Instagram at - https://www.instagram.com/purefectionla
Follow Natalie on Instagram at - https://www.instagram.com/theskinclinic_la/
Website coming soon - www.pore-decisions.com

Transcript

SPEAKER_00 0:10

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Seriously. Okay, we're back. Here we are. Yeah, we are back. We're so excited. Today we guys we've like we've talked about, we had so many topics that we wanted to discuss. And then the most obvious one, which we're like, why didn't we?

SPEAKER_00 1:15

Daddy of the topics. Yeah.

SPEAKER_01 1:17

The thing that we eat, breathe, drink, and ship and cannot stop thinking about acne. We're so cute. Oh my god. So, you know, we've talked about microneedling, we've talked about acids, we've talked about like what brought us together. But I think a huge part of what makes us us. Our why. Our why is it's acne. So we want to kind of talk a little bit about what resonates with us, what brought us into this field, how we relate to acne, what we think about it, what it is, how we help treat it, all right.

SPEAKER_00 1:48

How it affects us.

SPEAKER_01 1:49

And this is gonna be a three-parter, I think. I think there's no way we can keep this under. Even if you put our speed to like times 10, I don't even think we could finish this in 30 minutes.

SPEAKER_00 1:57

Yeah, I think we're gonna first go through our experience with acne personally, cool, and then go into what acne actually is.

SPEAKER_01 2:04

Yeah.

SPEAKER_00 2:05

And then how we treat it. Yeah.

SPEAKER_01 2:07

And you're not alone. Acne fucking sucks, that's for sure.

SPEAKER_00 2:10

It totally does. And it is no fun and it's different for everyone. And so there's no one size fits all. It's true.

SPEAKER_01 2:17

There's no like, yes, we all have protocols, but it's not like, oh, you have this, then we do X, Y, and Z because we have internal issues, we have external issues, we have environmental factors. So many things that are contributing to acne that to be honest with you, sometimes a pill doesn't fix it all. And um, my newborn baby might be in the background. So, what up to Mr. Love? Our first guest appearance. Yeah.

SPEAKER_00 2:41

He's our supporting factor here.

SPEAKER_01 2:44

Okay, so Gabby, like talk to me about what does acne mean to you? No, what's your acne journey? What's your story?

SPEAKER_00 2:50

So acne started for me. I actually I would get normal breakouts in high school, but nothing too crazy. I always say that I grew into acne. I started getting it more aggressively around 18 and in college.

SPEAKER_01 3:02

So not in high school, really?

SPEAKER_00 3:03

Not so much in high school, like the normal breakouts, but not what I started to get, which was like cystic, painful, inflamed breakouts. It lasted for months, created holes in my skin, and were very, very painful and swollen. I could feel the tingle of them coming off. Oh, that tingle is the worst. No, and you're like, no, how do I stop this? But a lot of times there's just no way to stop it, at least if you don't have the right tools. And they were triggered by something, you know, it wasn't like everyone else's acne, and that's why they almost looked like sores. They were coming from the internal factors, and I was just having the hardest time with it. And I was so embarrassed, and I would wear so much makeup. And now I look back and I was like, I can't even do makeup now. And I'm like, how did I wear makeup every single day? But it becomes part of your lifestyle when you're going through that. What did you try? Like when you started like breaking out, what did you do? I would go to the germ. Okay. I tried a couple, I didn't love it. That stuff didn't work. It burned my skin. I felt like it got worse. They weren't really listening to me. I tried a couple aestheticians. I was really unhappy. They were doing a lot of massage, a lot of painful extractions that I would look crazy after, but it would get worse after. They weren't getting everything. No, I feel like I would break out even more. And they were selling me like expensive products that didn't treat acne, like they just seemed like expensive creams and stuff. And I didn't feel like anything was actually for what I was looking for. And it was very frustrating to me. So that's when I started deep diving into it and became completely obsessed with the world of skincare.

SPEAKER_01 4:32

Okay, what were you doing before you were an esthetician?

SPEAKER_00 4:34

I worked in travel and yeah, what? I was there 11 years. Like I was like a travel agent? Management. No, I helped run the office and kind of the back-end stuff. Uh-huh. And why she loves Excel sheets, by the way. Yeah, I love it. I worked in accounting. I did like all the HR, I did payroll, like lots of different stuff for the company to help them expand and grow. And so I was more management and I just did it because I was good at it, but not because it was my passion. It was just a job. And I never had a passion. Like I went to college and got my degree in psychology. I was gonna be a therapist and I had this job and I was getting paid pretty well. So I just kind of stuck with it, but it wasn't my passion. And I felt that every day going to work. So I would work these stressful, horribly long days. I was like on call basically, and I would come home and I would just like have a glass of wine and just read white papers and research and studies and all these things that I could get my hands on, reviews, ingredients, like anything about skincare. Got it. And Peter one day was like, What is wrong with you? He's like, You are obsessed with skincare. And I'm like, Oh, shut up. He's like, No, you're weird. You work a lot, and then you come home and you read research papers and stuff and studies, and that's a passion, right there. Yeah, he was like, You should work in skincare. I'm like, that's fucking weird. And he does that. I was like, that's not a thing. He's like, absolutely, we're an LA girl. It absolutely is. Go, Peter. And he was right. And a week later, I was enrolled in school, and it was like the best thing I ever did. I finally found something that was my passion. But I don't even think I would have realized being an esthetician was a career for me unless he pointed out. I didn't think of it that way. I was just obsessed with my goal. I wasn't looking at it as like a career path.

SPEAKER_01 6:11

And were you able to help your skin? Like your skin.

SPEAKER_00 6:14

I was. I totally dove into the understanding of it. When I went to school, I was very serious about going clinical. I found an office that was more clinical acne cases and not a spa. Uh-huh. And I was very dedicated to getting a job there. I drove them crazy until they hired me. And they did after a year of trying. Amazing. But I was very, very insistent on doing something that I felt no one else was doing, at least not that I was finding. No one was clinically treating acne. I didn't want a massage. I didn't want candles. I didn't want a spa. I wanted someone to look at me and listen to what I had tried and go from there. I didn't want to feel good in that moment. Educate me. Yes. Yes. I want to feel good because my skin is getting better. I don't want to feel good while I'm at my appointment. Do whatever you need to do to get me to my goal and educate me about it. Like explain to me why I'm doing something and why that's going to work for me. And then I'll be happy to invest in it, spend the time doing it, all the things. I was doing facials on myself every week at home. I was, you know, I was doing the most, I was doing facial on friends before I even decided to go to school. I was just like so obsessed that everyone would ask me about their skincare. And it was just, it just, this is how I got here. And I think that's why I do so well with it because it really comes from something I'm obsessed with and that I give a shit about.

SPEAKER_01 7:25

And you have personal experience.

SPEAKER_00 7:26

And I completely empathize with my clients. I can't tell you how many times I've cried with them and like had moments with them, and I get equally as frustrated with them when they have a breakout or are hitting a wall or things aren't working out. Like I am even more determined to get them to where they want to go.

SPEAKER_01 7:40

I love it. Yeah. I feel like we have similar stories, but not. It's like paralleled, but because I think the education part is the biggest thing. Once someone explained to me what was going on in my skin, I was like, oh, Hawaii has no dermatologist, no other esthetician, no other skincare expert said anything to make me understand what's going on. It's once I heard it, it clicked and I was like, yes, old. Now I understand. Let's fix this.

SPEAKER_00 8:03

I had to learn for myself in a book. Like I had to literally figure out what the follicle was. Like, no, it took a lot of reading and research and like note-taking and like comparing things to finally figure out like, oh, this is what's happening in the follicle and why you have acne. Why does everybody go on antibiotics? Why does everybody do all these things then? Like it just was it was an epiphany, but it was upsetting at the same time. Because you're like, wait, this is not you read it in a book.

SPEAKER_01 8:31

Like this book is available to everybody. Why is nobody doing this? Why are we gatekeeping? Or why are they gatekeeping? I have no idea. So we won't anymore. No, exactly. That's what poor decisions is all about. Yeah, no gatekeeping. But yeah, I don't know. Acne, acne is a bitch, but in my mind, like it's a he. Like he's a he, but he's a bitch who's a he.

SPEAKER_00 8:49

Yeah, definitely.

SPEAKER_01 8:51

So tell me, what about you? Like, when did it start for you? So I never really had acne. I never had to worry about my skin either. Like, I think I used Neutrogena, that like oil-free cleanser, that orange one for a very long time. And then it wasn't until college that I started breaking out. So it was like 20s basically. I tried everything. I went to Derms. I was given, you know, clindamycin, putting on benzyl peroxide, retin A also, benzyl peroxide. I even tried, you know, proactive. I did everything. And I was at a point where, like, if you tell me to hop on one foot and like pat my head in circular emotions every morning at 6 a.m., I would I would do whatever somebody told me to do. I would take the supplements, do it all. And nothing was helping my acne. So I went on Accutane. Because that's the like I didn't know about estheticians, to be honest with you. I think I went to one facialist like at my mom's like hair salon that like she waxed my underarms. You know what I mean? Like I didn't, whatever. So went on Accutane. It worked for a little bit. And then about maybe two years later, my acne got really bad. It broke out again. Da da da. Tried all the things. I went to a derm who charged me like $800 to buy all of her products, yada yada, yada. I ended up having a reaction to those products, did not do well. So I went to another derm, one like top Beverly Hills dermatologist. He had his people like extracting me. I remember they went to, I remember like their face. I sat in the chair and they looked at me like salvating. Like it was like four or five of them at a time, like going in and just like glancing and then squeezing my face.

SPEAKER_00 10:16

Oh my god, how traumatic.

SPEAKER_01 10:17

It was I have a picture of myself like after the fact, it looked insane. He put me on Accutane. So I went on Accutane second time. And it worked again for like maybe a year or so. And then I started working a very stressful job in advertising. I worked as a fine art, not fine art. That was another job. I worked as a production manager for a finishing company for like the studios. And I was working like 9 a.m. to 2 a.m. Very stressful, you know, industry kind of like client is always right situation. And my skin got really bad, like really bad. I had the cystic purpley. A big part of it I know was because of I was using the cell phone and phone like up on my face. It was really before like anyone used. I don't think AirPods even existed yet. It was just the head connectors, whatever. So a lot of it was like me contaminating it. I know it was stressed, my forehead was broken out, my cheeks. I literally the infection was so virulent that it like tunneled on my cheeks. It was bad. So I went on Accutane a third time. Believe it or not. And actually, the craziest thing is at the agency that I worked at, this woman, the CFO of the agency, she had been going to an esthetician for like 30 years. And her teenage daughter also was going to that same esthetician. So I kind of think that they were like, you have to leave once a month to get a blood test. And you know, it takes about two hours out of your day. Like, you should go see my esthetician. So they referred me to go to somebody, and that's when you're so helpless. Like you feel like I will try, I'm desperate. Like I will try fucking anything at this point, too. Like I've already done Accutane three times. Like, let me figure something else out. This is the thing that's supposed to heal, right? Or fix it. So I went to this other esthetician and it was that moment of like that light bulb moment. She educated me what was going on in the pore, what I needed to do. It was extremely painful. Like there is this sack, there's this thing that's going on, it's it's congested, and it's gonna constantly keep on coming up if it doesn't get taken out. I need to be put on the right products, I need this and this and this. And so I drank the Kool-Aid. I was very much of like, whatever she says, I will do. It took about a year and a half for my skin to clear. I was going in religiously once a week for extractions, which is insane. I know, but my skin was that bad. I didn't finish that third round of Accutane. I stopped it actually while I was with her because I felt like this is what is actually gonna work because I've already tried it twice and it clearly didn't work. So that's how I basically decided like I want to do this. Like I I want to help people. I I I don't have that normal story of like I was a teenager and I have like I mean, okay, we gonna put the John Frieda frizzies too in our hair too, and then that should maybe break out also. But you know, like at 20 I broke out, and so I I just became so obsessed with skincare too, not necessarily like understanding products and like wanting to like go into the aesthetic part of it. It was really the clinical part too. I think that's why we relate so well. I want I want to get down and dirty, I want results, I want it to be painful and I want there to be true lasting results. And so basically I decided to quit my job in advertising to become an aesthetician so that way I could help people the way that I was helped and make them not feel defeated or lost or you know, just helpless, helpless, helpless, all the things. And then yeah, I went to school and then the woman basically she wanted me to get some experience before hiring me, and eventually she gave me that call where she was like, the time has come. I was like, okay. And so I trained with her for about nine months before I was able to see clients and I learned her technique, and because of her, that's what made me, you know, open up my own clinic, the skin clinic. And now I provide the same treatment, a little bit different now because so many years have gone by by, you know, that you've you adjust and you adapt and you new things have come out. So yeah, it's I basically because of her and her educating me is what made me realize how I can help and treat acne. That's my story with acne. That's awesome.

SPEAKER_00 14:10

Yeah, I feel that it still took me like getting into school and getting access to more information because you can only learn so much on the web. There it really is conflicting data, conflicting information. Before Chat GBT, yeah, we didn't have all the the access to all the stuff we have now. Yeah, it was very minimal, like we would just see the white papers and stuff. But to become licensed, you get access to a little bit more, like protocols, you get to talk to more brands, more professionals that will listen. You know, you get a little bit more access to stuff. And that's where I got to dig further to figure out what was going on with my skin. So I was still trial and error and still trying to learn. I understood the follicle and understand what was happening and why we use exfoliants and benzols and all these things to help balance out what the follicle is doing, but I was still having reactions, in my opinion. That's what it was. And I feel like at this point I can tell the difference between the type of acne that people have and where it's coming from. There's internal and external factors, and it is a follicular issue, but it stems from something going on, whether it's internal or external. Mine is definitely internal, and I have a lot of allergies I've learned over the years that trigger acne that once I understand them, I can keep it under control. Right. But it doesn't mean I'm not gonna flare.

SPEAKER_01 15:26

And I think like I had the mentor that kind of handheld me to like kind of teach me, and then you had to kind of learn it on your own. So that's really impressive. But I agree, like when I went to school to esthetician school, I remember my my mentor was like, don't listen to anything you learn at school, basically. Like just go get your license. Like the test to get your license is such bullshit. Like I remember, so it includes for as an esthetician, it's like 600 hours only in California, which is insane because cosmetologists have like 1600 hours.

SPEAKER_00 15:52

Well, now they have a thousand.

SPEAKER_01 15:53

Oh, now it's a thousand?

SPEAKER_00 15:54

Oh, it's bad, yeah.

SPEAKER_01 15:54

Oh, okay, never mind.

SPEAKER_00 15:55

And there's no practicals anymore. Oh, shut up. So I would be very afraid to see an esthetician or a cosmetologist at this point. Because the practical was it was very essential to our success. No, I was gonna say the practical stupid. The practical was stupid, but I think it really made you try harder. Well, let me like if you could just pass a uh multiple choice test, who cares?

SPEAKER_01 16:14

But let's just explain to the people what the practical was.

SPEAKER_00 16:17

The practical was gnarly.

SPEAKER_01 16:18

No, well my god, okay. I think we have way too I think we have two different experiences. I don't know. The practical you had you had to rent a doll head.

SPEAKER_00 16:25

Okay, you had to rent this kit and this doll.

SPEAKER_01 16:27

As an aesthetician, you do makeup, you do waxing, and you do facials. Like that was part of the exam. So, like the written exam was talking about like, you know, what is the top layer of skin? It was very easy.

SPEAKER_00 16:36

I finished it in five minutes.

SPEAKER_01 16:38

I was really confused. Uh it was like too easy.

SPEAKER_00 16:40

You did the opposite. It was too easy. I stood up and everyone was like, You are not done. I was like, I'll sit back down.

SPEAKER_01 16:46

So then you had to come back the next day and you had to have this doll head that you, a mannequin that you rented.

SPEAKER_00 16:51

While someone watches feverishly over your shoulder while you do everything.

SPEAKER_01 16:55

It was just to be like aseptic to make picture.

SPEAKER_00 16:57

You did not care if you sucked and waxed the whole brow off. They did not care if you got eyeliner all over the face. They just wanted to make sure that if you touch something, you threw it away. Threw it away, or if you touched something, you threw it away and sanitized your hands, and then before you touch something else. Double dipping. No double dipping. So they beat that into you, which I think is extremely important.

SPEAKER_01 17:16

Okay, but hold on. So then, like when you did the makeup, first of all, what's saying the waxing the eyebrows, you guys? It was it was a mannequin.

SPEAKER_00 17:22

So you're not waxing an eyebrow, but they don't really care where you're putting wax. I think it was fake. It wasn't even wax. I think we used something else.

SPEAKER_01 17:29

And then like what I remember for the makeup part, like we had to do uh mascara. You guys, the mannequin doesn't have eyelashes.

SPEAKER_00 17:36

Apply eyelashes. You have to apply a striplash. I didn't have to do that. It was just weird, and so it's very unnatural. But it's all about just making sure that we don't cross-contaminate anything.

SPEAKER_01 17:50

Which, okay, it is important, but but there's no skill in it other than anything.

SPEAKER_00 17:54

Yeah, we don't learn anything other than that.

SPEAKER_01 17:56

So then where I went to go to learn from this, my mentor, basically, like I learned everything from her. She imparted all of her knowledge, which I am forever grateful for from that. I didn't really go into like deep diving into books and learning on my own until I kind of went out on my own, which is so not like me, which is so weird.

SPEAKER_00 18:13

But yeah. So I started my own little business on the side from the get-go, but I spent a lot of my time researching and I really wanted to work somewhere and not just be on my own because I think it's extremely essential that you work somewhere and learn from that environment. Because school business doesn't teach you. It can teach you anything business-wise and professional-wise, like service-wise. It's all like so. I did learn a lot. I I really respect my mentor as well. I I didn't get as much direction, but I did get to learn from her, and I did appreciate her willingness to use acids, like most do not. Yeah. And that taught me tons, and she did spend a lot of time teaching me outside of hours, like after work and stuff. And so I learned so much from her, and and that was great. But I do feel like I have curated my own methods, and so I kind of took what she gave me and built a lot on it with my education.

SPEAKER_01 19:04

But I think that that's what I mean, we all have that same story that acne plagued me, and we all are trying to figure out how to fix it. But I think what okay difference is the age and what caused it and what the culprit was. But at the same time, too, it's we both had somebody that educated us, like, or that that sparked that educational like curiosity, let's say, or that knowledge, that thirst for knowledge. And then that's what we give to our clients. I feel like every single one of my clients now is an expert in skincare. Like when someone else, like they're seeing somebody else use something, they're like, What why would you why would you do that? Or like, why are you putting that over that? No, no, no, this needs to go first. Like, we we give them, we we have so much knowledge so that way they feel confident and understand what we're doing, trust us. And then because of that, then they understand the process.

SPEAKER_00 19:48

I always say to clients, like, especially new clients, like, I'm gonna talk a lot, I'm gonna educate you a lot. And I don't expect you to absorb everything in the first appointment, but I'm gonna continuously repeat myself to kind of beat it into you so you start to understand what we're doing and why and what ingredients you're using and what the goal is with that ingredient, so that when you're at home, hopefully we can move you into maintenance so I can see other patients. Because if I'm seeing the same people forever, it's I don't get to treat other people. Uh-huh. And also so that they are like, oh, I'm peeling. I need to use this, or I need to stop this, or I need to incorporate this. Like how to think for themselves. Know how to think for themselves and understand what their skin is telling them because that's the hardest part. Whenever someone says, Oh, I was flaking, so I stopped all my product. I want to slap them in the fucking face. Like that is the most obnoxious thing. And so I try to train all my clients not to do that. But when I have people that do that, I'm like, why would you do that? I put you on something on purpose. I would have told you to stop if something happened. Like you should have communicated that talk back to us. Always. Where we're here. Like this is people text us all the time. And this is a practice, not for like for any reason, really. But like those kind of questions, like, I want you to text me. And I try and tell people that all the time. So I really try to prevent them from not, but it's always the most difficult clients that try to think for themselves. And I'm like, well, if you want to do this yourself, that's totally okay. Call me when you're ready for assistance. You know, like I can't work with that.

SPEAKER_01 21:05

But so yeah, exactly. We want to educate you, we want you to understand what's going on. And then if we've done our job correctly, we don't have to hand hold and you're able to then think for yourself and kind of troubleshoot also. But at the end of the day, we're in this together with your journey. So it's like, no, text me. Don't try to go rogue.

SPEAKER_00 21:23

Much rather you ask me all the questions than to not.

SPEAKER_01 21:25

Exactly. But so this was just the beginning of this acne conversation. Because I definitely want to go into this was a little bit more of like a tell us who you are, you know, about acne and what kind of sparked our interest in becoming aestheticians and our journeys. And that was a very abridged version of both of our journeys. But basically, she had allergies, she had things going on, she figured it out for herself. Her husband made her realize, like, holy shit, why aren't you doing this as a profession? And then going to school, and then basically finding someone to help, you know, not handhold, but figure out like what she wanted to do with the clinical part of aesthetics and skincare. And then she just is a bookworm and and del dove deep and and now has a thriving, successful business. And then for myself, I was a fine art printer and went worked in advertising and broke out in cystic acne and went on Accutane three times because that's what the dermatologists tell you to do because nothing else worked. And then, luckily, because of certain turn of events, like found somebody also who dealt with skincare in a very clinical manner, and I decided to basically quit my job making your life, make it my life, and now I get to help others. And it's like it sounds so bullshitty, and like I feel like I'm like, I'm such a superhero, but like I love it.

SPEAKER_00 22:38

I really love it when we're obsessed with it. We love it, and thank God I had acne. I'm so happy that people will pay me to be obsessed with this because I salvate with you guys. Yeah, yeah. We really, we really give a shit. And I think that that's an important factor in any provider.

SPEAKER_01 22:53

Yeah.

SPEAKER_00 22:53

I call you an Acutane survivor.

SPEAKER_01 22:56

I'm probably like AA anonymous.

SPEAKER_00 22:59

Yeah, exactly.

SPEAKER_01 23:00

So yeah, that is basically our journeys with acne.

SPEAKER_00 23:03

And I think Acne is very individual to each person, and and it took us a rough road to figure our way to salvation, but we found it and we now are doing that to help others. And I think that it's important to work with someone so that they can help you on your journey because everyone is individual.

SPEAKER_01 23:21

Exactly. And like, like you said, when you like knew yours were like allergy related, like that comes from experience, like us having dealt with skin for so long, like over a decade, like and treating it and healing it, and like there's something that happens also. It's a it's a gut gutter related intuition as well as like experience that helps you figure out what this individual person needs. And that's why when every single time for you and I, when someone comes into our office, it's a customized treatment. There's no black and white, like that's why the whole like skin fluencer of like this is what worked for me, like da-da-da-da-da. Like what works for one doesn't work for everybody. And that is why I think just having the experience personal and then also professional makes us good at what we do, and that is why acne is such a fickle beast, because again, benzyl peroxide's not fixing your acne. Like acutane did not fix my acne. Retin A, tretinone doesn't fake your acne. So it's a matter of figuring out what is best for you. And then I think that's why Gabby's so special, why I'm so special, is because we then know that you are a unique individual and we need to figure out what what you know, your Cinderella shoe, which one fits.

SPEAKER_00 24:23

Exactly.

SPEAKER_01 24:24

And trying to do that way. Yeah. Okay, so that is our little get to know us about acne and our journeys.

SPEAKER_00 24:31

I hope you feel like you relate it a little bit to what we've been through or understand it, and that helps you understand kind of where we're coming from.

SPEAKER_01 24:38

Because we get it. We totally do, and we hope you we see that too.

SPEAKER_00 24:41

All right, you guys. Thanks for listening. All right, next time we'll get deeper into acne and why.

SPEAKER_01 24:46

Okay, and that is on poor decisions. We really want to hear from you guys. So after you listen to the episode today, let us know your comments, questions, concerns.

SPEAKER_00 25:08

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