Why you need to change your skincare routine when you are pregnant or nursing

Patty: Hi this is Patty. Welcome to our latest Instagram where Amanda Lloyd Dr Lloyd is going to be our guest speaker. The subject of today’s Instagram is why you must change your skin care routine, when you are pregnant or nursing. So Dr. Lloyd is an expert at this because she has not just had one but 2 babies and she recently gave birth to her 2nd child – a daughter named Madeline who hopefully we will see in this Instagram live. And I thought that it would be fun to have Dr. Lloyd acutely come on and give us her perspective. She should be joining us in a few minutes and she is messenger-ing but I think this should be a very fun Instagram Live. So I actually met Dr. Lloyd when she just graduated from her fellowship so as most of you know the path to becoming a derm is quite arduous. You have to go to medical school, you then have to compete to get a few spots for a derm residency, and then if you want to be in aesthetics, you need to actually do what is called a fellowship and I met Dr. Lloyd when she was finishing up her fellowship. Sorry, hang on one second – sorry about that I have not seen Dr Lloyd’s view request. Here she goes. So I met Dr. Lloyd when she was finishing the fellowship and it was very cute she was like I am opening my own practice I would love to carry your line, I don’t think I am going to sell a lot of it – and I said it is okay Dr. Lloyd it is an honor having you. So Dr. Lloyd has been with the Restorecy family for the last 4 years – so it has been great to have her be part of the family. Her husband is Dr. Pete who is a Rheumatologist. They have a beautiful boy and now they have a beautiful girl. I am not exactly sure why Dr. Lloyd can’t connect – so I am going to just, I actually asked her to go live. Here we go! Hi Dr. Lloyd how are you?

Dr. Lloyd: Yay! Hi I am good. How are you?

Patty: I am good!

Dr. Lloyd: I am trying to get Maddy in

Patty: Hi Maddy! Oh my God so your whole baby picture that you sent me was so cute but it didn’t show her face or outfit.

Dr. Lloyd: I know the back of her was so cute but now we got her face. Hey Madeline!

Patty: And how is Andy and Dr. Pete?

Dr. Lloyd: They are both wonderful. They are trying to fry a turkey right now we are practicing for thanksgiving.

Patty: Ooh!

Dr. Lloyd: Should be exciting.

Patty: Yeah so I was actually telling the group before you joined about how we met and how you just got out of your fellowship and we met at Boot Camp and it was so – how long we know each other and how you Dr. Pete and I had been friends before Andy

Dr. Lloyd: I know I can’t believe how long it has been it's crazy time flies!

Patty: Yes! So Dr. Lloyds thank you so much for doing this

Dr. Lloyd: Thank you for having me –

Patty: I thought that it would be really great so I get at least 10 questions a day because you know me I handle all the customer service. I receive at least 10 questions a day from people asking Patty is this product safe, for pregnant and nursing women and I thought that given that not only do you have 1 but 2 kids you could actually be the expert to talk about this so talk to me about why your skin care regimen changes when you are pregnant or nursing.

Dr. Lloyd: That is an excellent question Patty. So when you become pregnant that is super exciting a lot of people try a long time and or people get pregnant right away but it is a happy time which is wonderful but then you whole life kind of changes because you re now growing a human inside of you so you have to be really careful with what you do with your body so the topicals and things that you use on your skin if you put it on more than 10 percent of your body’s surface area it can be absorbed. Your face is about 4 percent, your neck is also about 4 percent and your chest is about 5 – 8 percent so it depends on your definition of chest you know that is smaller than when you do your whole chest down to the top of your cleavage. So if you are on any oral medications for acne or any other skin things you need to make sure once you get pregnant you need to make sure you are talking with your doctor to make sure that you are safe in pregnancy because the baby and you share the same blood supply so with all those brand new baby cells developing you want to keep them as safe as possible and that includes these little kind of outside things, that could possibly harm those baby cells you know minimize those as much as possible there is not a lot of data on them, ok because you don’t experiment on pregnant women

Patty: Right right

Dr. Lloyd: But less is more when you are pregnant – so you are super restrictive when you are pregnant and then when you are breastfeeding your world kind of opens up because then the things that go on your skin have to go into your bloodstream and through your body to end up into the milk and then the baby drinks them and then thought the baby’s GI and then it has to go through a lot more pathways so you can increase the number of things that you use on your skin and you can be a little less paranoid once you are done being pregnant or are Breastfeeding or if you are not breastfeeding and doing only formula you can go back to doing whatever you want.

Patty: So what – So why can’t you use Botox when you become pregnant?

Dr. Lloyd: A neuromodulator – there are 4 out there. Botox, Jeuveau, Xeomin and Dysport they all work by binding to our receptors which causes the muscle to relax, or not contract and so they have not been able to do any studies on pregnant women getting Botox and I know people are out there that have had you know either didn’t know they were pregnant or they are willing to take the risk and get Botox or any of the neuromodulators but generally because it is a foreign thing that is being injected into the body it is going into the muscles yes but it could theoretically go into the bloodstream and then therefore into the baby through the umbilical cord, and you want as few things as possible to go to the baby.

Patty: So you know because you and I are friends I know that you did not do Botox or filler during your pregnancy but you did do a laser so talk to me about a laser that you did, and why you did the laser and why it is safe for you know while you were pregnant.

Dr. Lloyd: So everybody’s threshold for safety is different. So for me personally as the longest time without Botox and filler which was very hard – but I survived but the lasers there is nothing actually injected into the skin, some lasers people will put topicals on top to have it go down the channels than in so I didn’t do any of that but with the lasers I did 2. I did the ExcelV which targets redness and my chest was just getting so red and I was like I needed to treat it and I was I don’t think I even knew I was pregnant maybe I was like 10 weeks – super early in the pregnancy, and so I did my chest now that being said in hindsight, pregnancy can cause redness of the face and chest in spider Angiomas and those things and so I didn’t get much with Andrew my first pregnancy but with Madeline my 2nd one she really did a number on my chest so that was maybe a waste because I have to do it again I got so many more after I was more further along with her.

Patty: Why did-

Dr. Lloyd: It did help me, sorry I didn’t hear you.

Patty: What does that mean when you said she did a number on your chest what exactly was going on and why?

Dr. Lloyd: so from the pregnancy hormones it can cause the capillaries to break and you can get these things called spider Angiomas and hem-Angiomas so they are like little red dots everywhere and brown blood vessels everywhere.

Patty: So I have those and I have never been pregnant!

Dr. Lloyd: Well you can get them from the sun and genetics also so there is multiple reasons which is why I was treating mine from the sun and from genetics, and then with this pregnancy, I think the hormones – maybe because she was a girl and Andy was a boy we don’t know exactly why – something to do with the estrogen. It made my- the capillaries on my chest just become much more pronounced and so I need to do another treatment again – the other treatment that I did which I love is the clear and brilliant which I know you love too!

Patty: Yes –

Dr. Lloyd: So you can’t go wrong with a clear and brilliant

Patty: You can use that safely during pregnancy? That is so awesome!

Dr. Lloyd: Yeah so I did – I mean I did everyone have a different threshold but I felt comfortable. It is just energy and it is one wave length of light and it is going maybe a few millimeters into the skin the clear and brilliant is not a very deeply penetrating laser. I wouldn’t do the after effects probably you know C02 that is going to go super deep but clear and brilliant just to kind of give yourself that pick me up that we all need when you know you are pregnant or you just need a pick me up.

Patty: Could you explain to our audience what a clear and brilliant because I know you know but just explain to everybody what it is and why it is kind of so great! And how it kinds of – the Fraxel and other kinds of laser –

Dr. Lloyd: Right so a lot of lasers, all lasers work by using one wave length of light to enter the skin to create a change and they target water to improve collagen and build collagen or clean out our pores, help with kind of tone and texture of the skin – tighten the skin and if they target heme or the redness in the blood cells that is where the redness – so the Excel V that I did for my chest – or they can target Melanin which is for the pigment for like brown spots and stuff – so the clear and brilliant is great because it targets water and it is non-ablative which mean it doesn’t vaporize or poke any real holes in your skin it just heats these channels in your skin and kind of cleans out your pores, and the heating contracts the dermis which is the 2nd layer of the skin which creates some tightening and it stimulates the heat also stimulates the fiber blasts in your skin to build more collagen which helps to improve those fine lines and wrinkle that we don’t want, and so you feel a sandpapery feel afterwards and then you kind of have this healthy glow to your skin and smoothness and you know your pores are cleaned out and your skin just feels so much nicer because it is kind of removing that top layer of skin but not in a harsher difficult way there’s no downtime you know you are pink for like 30 minutes after that is one of the best things about the clear and brilliant there is no downtime what so ever.

Patty: Now I have a question for you regarding technique. Dr. Lloyd do you just do the recommended passes or do you run out the card?

Dr. Lloyd: I use the whole card

Patty: Yes the recommended passes is like 4 I think

Dr. Lloyd: Yeah

Patty: Oops sorry we can’t hear you we lost you

Dr. Lloyd: The card is going to run out anyways because they put a time limit on it and so it is kind of silly anyway and so the face can handle it – because the recommended amount is like 4 percent – 4 to 9 percent actually of the whole face and so you know if it’s double that is 18 percent so that is still not a ton but you get a much bigger results whereas the Fraxel is like 30 to 50 percent so it is still significantly less than a Fraxel so you are not going to increase the downtime but you are going to increase the benefit because you are treating more areas of the skin. Now in a darker skin type you know you are dark but you are light still and someone may be a little darker than you, you want to be a little bit more cautious so you don’t get the post-inflammatory hyper pigmentation or the brown spots afterwards because if you do introduce too much heat at once, that can cause the cells that make the pigment to kind of get excited and drop out their pigment. But even at 20 percent of the skin that is unlikely to happen because the clear and brilliant is so gentle.

Patty: So I am going to just stop and reiterate so everybody who is looking for a baby laser treatment and I have not invested in the Clear and Brilliant but I stand behind it. It has helped me reduce my brown spots but what – the reason why asked Dr. Lloyd about the technique is that, I had no idea that you had a better result by running out the card, and

Dr. Lloyd: Then people don’t tell you that they are using the whole card and if you go to like lasers are us or like you know whatever lasers place down the street who knows what they are going to give you so make sure you see a board certified dermatologist and someone trained and cosmetics and knows the ins and outs of the lasers so you can get the most benefit out of the laser that you are getting.

Patty: Well you know me, Dr. Lloyds – my father was an intellectual snob and he always valued the person who had the initials M and D after their name, so ok! We talk about – so basically Botox fillers not necessarily great during pregnancy because they could go through the bloodstream, lasers are ok because they don’t enter into the body – so talk to me about your skincare regimen and how that changed.

Dr. Lloyd: So my skincare regimen changed because there can be some systematic absorption so basically I stopped everything that I was doing once I found out that I was remnant, even when I was trying to get pregnant I wasn’t using my retinoid, because retinoid are known intra-allergens so that is like retinae or Taseract or Altrino or Adapoline different, all of those different retinoid.

Patty: What do they do? Sorry I mean what do they do?

Dr. Lloyd: They interfere with the signaling of retinoid acids because they help to develop the fetus and so retinoic acid is in all kinds of places.

Patty: Ok so it could affect the development of the fetus we don’t know so that is why you stopped using it – and that is when you started the 10X serum

Dr. Lloyd: You got it that is when I started using the 10X – I always use the rebalancing lotion and I love that it reacts all day every day lotion and so that didn’t change and I also used the foaming face wash so that also didn’t change occasionally I use glytone if I feel like I need a little glycolic peel

Patty: Uh huh

Dr. Lloyd: But usually I use the foaming cleanser and so I took out my retinoid I added in the 10X and I actually use the 10X in the morning and at night. I took out the retinoid at night and I just use the 10X in the morning, and then I also continued the eye cream.

Patty: Tell me why you felt comfortable using Restorsea products because as you know I don’t test on pregnant or nursing women and for obvious reasons. So why is it that your mentors in fellowship and all of that recommend Restorecy and you not only recommend but you actually put your money where your mouth is

Dr. Lloyd: Right

Patty: Not just during Madeline’s but Andy’s and Andy is like a healthy and beautiful 2 and a half year old

Dr. Lloyd: He is!

Patty: And you know so I am like good – it didn’t interfere. But the timing is so okay with that –

Dr. Lloyd: So Restorsea active ingredient is Aqua beautine Excel which comes from salmon roe and the salmon babies are bathed in the enzymes and they come out normal so you know, knowing that all these salmons – thousand and thousand I don’t know maybe millions – all of them I don’t know how many! So many at a time

Patty: So you are absolutely right.

Dr. Lloyd: So since they are all ok I felt comfortable using it. I did make sure to put it – I don’t just put it on my face and neck I wasn’t putting it anywhere eon my chest and so even with that – less that 8 percent – I was on about 8 percent of body’s surface area not 10 and so that made me feel a little bit reassured even though I am not necessarily worried about the products but you know because you never know if something is going to get absorbed and never put it on broken skin or anything but I stayed under that 10 percent number.

Patty: Yeah you never know – it is so what I always say to people who write to me is that I ask them to review the ingredients with their OBGYN

Dr. Lloyd: Yeah

Patty: And it is kind of crazy because I have had a number of OBGYNs contact me and as you know my line is really sold to what is called the Core and so it is defined for dermatologists and surgeons, so it’s kind of an exclusive little set.

Dr. Lloyd: Yeah

Patty: But it has worked out very well so the transition from pregnancy to nursing right because Madeline is there 10 minutes

Dr. Lloyd: She’s just getting ready and she is wiggling!

Patty: How is pregnancy different from nursing and how did your regimen change if it changed at all?

Dr. Lloyd: So when after the baby was born like I said earlier – your world opens up a little bit more and so I started adding a few things back in and I still have not started using my retinoid back in yet because there is some data to suggest that you shouldn’t have touched the baby’s skin because it could be absorbed because they absorb things a little bit more readily through their skin and so once you sleep in through the night then I will start. She is not sleeping through the night yet so I get up in the middle of the night and breast feed and my face is you know is just a little bit too stressful to make sure my face doesn’t touch her when I picked her up to feed her or whatever and so I usually tell patients you know you can start whenever you feel comfortable it has to go through all these different pathways to get into them, don’t put it directly on the baby don’t put it on your nipples I don’t know why you would but don’t do that and personally I wait until they are sleeping through the night because then I put it on after she has gone to bed in the morning I wake up and then wash my face and then I go get her. Then I don’t have to worry about anything touching her and I get the benefits of the retinoid.

Patty: I mean you are like amazingly coherent so just for the benefit of our audience, Dr. Lloyd is emailing me at basically 4 am her time and I am like okay! So it is kind of incredible – have you been sleeping during this whole thing?

Dr. Lloyd: Laughs – well I get up usually around 3.30 with her and 2nights ago she did a 1 o clock – she has mostly dropped those. Originally it was every 2 hours so you know 9 11 1 3 5 we have dropped the 1 for the most part but you kind of sleep when you can and it is just like training so back to no sleep!

Patty: So when you actually, well you are going to be nursing for a while so can you colour your hair –

Dr. Lloyd: Yeah I don’t colour my hair but you can you know I wouldn’t rub it all over the baby but

Patty: Ok

Dr. Lloyd: No you go to the salon usually although people come to your house now and that is all changed with the world we are in at the moment, but you go the salon have your hair done and come out you know – some will say you can pump and dump so say your feeding is due you can pump that milk out and get rid of it if you are really worried but I am not sure how long it takes for hair dye to kind of get out but imagine it is ok but there is a great app called Lacto Med which can look up any drug – I don’t know if hair dye is in there but Tylenol or Ibuprofen or anything that you wool want to take – any medication you can look at this app that is free for everybody, see if it is safe for breast feeding. There are a lot of consultants out there which some are so great but some are really helpful and really knowledgeable and I have used 2 with both pregnancies with Andy I had one – she doesn’t go to houses so I have another lady she comes to the houses she helps to kind of trouble shoot all the fun quartiers of breastfeeding.

Patty: So Dr. Lloyd – Sean04 asks if there is Retinol in Restorecy products. I am going to throw that to you because you understand my product.

Dr. Lloyd: No, there is no retinol or retinoid. So a retinol is an over the counter variety of a retinoid, they are all in the category of retinoid acids. A retinol is 10 times less potent than a potent so you and remember it by retinoid ends with a d – you do need a prescription to get that but retinol you don’t – that is in the over the counter product. If there is any product that says anti-ageing or wrinkles or whatever, that will have a retinol in it but that is not as strong and you are not going to get as much benefit in your skin by using a prescription medication. Now there is a small caveat – there is Adapoline which is a retinoid and it is now the .1 percent I think or maybe it is a .03 percent – that is over the counter however it is in my opinion, very irritating and doesn’t work as well as some of the other ones that you are prescribing so that is the one strange one that doesn’t fit into the – if you do need a prescription.

Patty: So we have about 5 more minutes left and I am going to encourage everyone to take advantage of Dr. Lloyd and her expertise and ask any kinds of questions she is probably one of the leading so full disclosure I am in a 135 offices everybody calls it a key opinion leader – Dr. Lloyds mentors were actually the first to take Restorecy so I focused on the KOLs because I always say about doctors and I say this with love – doctors are kind of mean, sort of snobby and very competitive. They are like we are!

Dr. Lloyd: Especially in the aesthetic realm – dermatology, Ophthalmology, facial plastics yeah –

Patty: so when you are with the best they attract eh best and Dr. Lloyd’s I am very proud to say when I met her 4 years ago she was one of my up and coming doctors and now she is really blossoming,

Dr. Lloyd: Awww

Patty: And I am very proud!

Dr. Lloyd: Aww thank you patty

Patty: And I’m going to pat myself on the back because I am so good at picking good talent but you know it is kind of interesting because this has been a very quiet crowd.

Dr. Lloyd: Mhmm

Patty: I am a little surprised because everybody is so concerned right about this whole topic so what I want to do in the last couple of minutes we have Dr. Lloyd is for you to actually kind of give the audience and this will be recorded as well – so people can go back and watch it – what you need to do is still look good – have your skin look good and healthy while you are pregnant and nursing.

Dr. Lloyd: Yeah so most impotent thing while you are pregnant and nursing is to get sunscreen on – you know other sun does so much bad and harm to our skin and you really have to get sunscreen on when you are pregnant you want to make sure it is a mineral sunscreen you know the chemical sunscreen is you know just in case something did get absorbed they are a little bit less known I suppose than the mineral ones so they contain titanium dioxide which are great sunscreen – make sure you pick a sunscreen that has that in it – so it is definitely the most important thing, and then probably secondly don’t freak out over very little bump you are going to get – because you are going to get a lot of weird bumps and brown spots and all kids of fun things from being pregnant and all of it they go away and if they don’t there is a laser so don’t worry! You can always treat it after.

Patty: Ok so Clair858 said what is you can’t live without Restorecy product?

Dr. Lloyd: Ooo that is a tough one because i like so many - well now I would say since I am not sleeping the eye serum because it has caffeine in it and that helps to get rid of the puffiness and dark circles under the eyes, but in the moment I do love the lip magic also because that helps to make my lips so supple and beautiful and then the rebalancing lotion I really love and though it might be getting replaced by the all-day every day.

Patty: Yeah they are awfully good

Dr. Lloyd: Yeah that is pretty good- you can layer it with the 10X product. So anything for hyperpigmentation for pregnancy. A laser yeah because you can’t use any of the other or it is not recommend due to use hydroquinone or any of the other bleaching agents you know the botanical like vitamin c and iron and a couple other botanicals there is just not – it is your baby that we are talking about your baby don’t want to harm them.

Patty: And Jodie says great information: we switched all for our pregnant and or breast feeding clients with a 100 percent success and everyone is staying on it because they have such great results!

Dr. Lloyd: Yay! Love that!

Patty: Yeah so I don’t want to keep Madeline from her dinner! And I want to all conclude by really thanking you for your time. Really, please give my regards to Dr. Pete and hope to see you when we can travel!

Dr. Lloyd: I know! Me too.

Patty: And see your new house!

Dr. Lloyd: You can get a bit of the view – you can see Jupiter behind my head. That is Jupiter

Patty: I know I actually thought it was a fake wall and I realized it is from your house!

Dr. Lloyd: I am standing on my balcony! Please come visit!

Patty: Thanks for the review! Thank you! Bye!

Dr. Lloyd: Bye!