KONSULTASI ILMU DERMATOLOGI BERSAMA Dr. dr. WINDY KEUMALA BUDIANTI, SpDVE, Subsp.DAI, FINSDV, FAADV.

Then there is my relative, Dr. Erlain, right? But I asked, I was shocked because I was next to Nikita Willy, right? I was confused, I wanted to be a boss. Is there a difference if we say

exercise outside between people whose skin is healthy with sensitive skin if for girls who often like they are in the story then said I'm breaking out then this is the mouth so the forehead is this is the chin it can be like that, I ask for a fact, this is a netizen, the moisturizer is only used when the skin feels dry spdve subspecialist dai subspecialist dai is like what is discussed

Okay, so about Dermato-allergo-immunology subspecialists. Okay, friends, everyone. Assalamualaikum warahmatullahi wabarakatuh. Good morning, afternoon, evening, and evening wherever you are. This time we will interview

I usually do my interview on campus YouTube. But finally, for the first time, we invite an extraordinary figure. If he is a lecturer on campus, I will usually meet him at the CoAS Method, Doctor, or Residency. We welcome Dr. Windy, a.k.a. Dr. S.P.D.V.E. A.k.a. Sub-Specialist D.A.I. Hello, Doc.

Doctor, excuse me, maybe there are many viewers here, but on average, Jushya is productive from 22 to 35 years. Before we ask about skin, I can ask about your career journey. Although I have read the CV, it is very long. May I know, Doctor, when did you enter the doctorate?

I entered in 1991, my first year at FKUI, then my first year at SP, then subspecialist, there was no prodi yet, so I was given from the Collegium based on the evaluation from the peer, then my third year at FKUI. Then where did you get your fellowship?

There are several courses, because I teach and organize, I don't have enough time to be a long-term fellow, so there are many courses, especially in the field of alergies.

This is interesting, if you have noticed, you already know about Dermatovenerologist Aesthetics, but not many people know about DIA. Can you tell us what DIA subspecialist is like?

Okay, so about Dermato-Allergo-Immunology subspecialists, so this is indeed an introduction of the competencies that are owned by the SPDVA, so especially for allergic diseases and maybe autoimmune diseases in the field of dermatology, so if we know that we are currently encountering more and more allergic diseases with

various conditions, autoimmune diseases are also increasing, so it really requires additional competencies to be able to diagnose those diseases and provide appropriate procedures for specialization in Indonesia, it's already there, it's only been in the UI, it's only been a year, yes, then also in the UGM, it's just this semester, I know, yes, it's only been in two places, yes, this is

My lecturer friend is a doctor, but I am with a doctor in the UGM YouTube channel, so this is a bit nervous too. I'm wrong in the two campuses today. This is what I want to ask before going here, it's more about the health mythos that I collected from the netizens, right? What are the differences in allergies in the current 2020 and above?

Same as the previous one, Doc, for the skin. Okay, maybe we know that there are various types of allergies. Most of them are food allergies or ingestion, and inhalation, which can be inhaled. Maybe from the past to the present, it's the same. But now it's easier for us to identify what the allergen is, because we have a lot of diagnostic tools. It can be from the blood, it can be from pre-tests.

But there are also allergy that patch test, usually metal allergy, rubber allergy But now after we have many cosmetic products, where there are many new methods or new technologies to find or make new types of cosmetics, whether it's from active ingredients, the vehicleum

Sometimes it can also cause allergies. So sometimes we need to be more intense to find out what the cause is. In the past, there were not so many changes in substances, but now there are various. Or for example, no need for cosmetics, just shoes.

- Oh yeah? - In the past, sports were just normal. Shoes, shoes, and socks. Now there are technologies that use foam, and what. And the technology to make it turns out that there are many substances that are used. Well, it turns out that it also needs knowledge to find out what allergy it is. But the most challenging way is about cosmetics. Because it keeps changing.

The average question from netizens I collected is whether changing makeup will trigger allergic reactions if it is done continuously.

In fact, allergies are already in every individual. He is allergic to this substance, this substance, this substance. It's up to when he gets infected. If he is not allergic, it's okay. But if it's irritation, it may still be possible. The difference? Irritation is all individuals with the same condition.

The environment is the same, the dosage is the same, they will experience the same thing. That's the irritation. But if you have an allergy, it's just that individual who will experience it. For the procedure, there is a gold standard, right? Wow, in general, so that you know if I have an allergy reaction, the level of triacin,

When do I have to go to the vascular clinic or when can I go to the hospital? If it's light but uncomfortable, you should seek help and be treated. Don't go on. But if it's heavy, you should go to a better doctor to overcome the condition. The important thing is to distinguish between irritation and allergy. Because it's similar.

So, most people say, "I'm allergic to drugs." But actually, it's just irritation. This is interesting, because my hobby is sports. And my friends, especially boys, are also athletes. There are two similarities.

Some of my friends on YouTube have some questions that I can't answer, so I throw them away. But I didn't have time to ask the first doctor, because he wanted to focus on makeup. He was in the UGM. So, this is what I asked. Why do men who suddenly go to the gym, and then they drink whey protein supplement intake, suddenly have a pimple on their back? The question is, is it because of hygiene?

Or because of allergic reactions or is there a connection with the whey protein? In some cases, not all of them, there is whey protein, depending on the content, it turns out to be able to stimulate the excretion of the sweat to become vapor.

because it contains high protein, but it is not always considered allergic. Because of the excretion. Okay, but because of hygiene? If it's hygiene, we know that if it's just papules, it's normal, it can be because of milk. But if it's hygiene, it's usually associated with folliculitis. It's similar, like papule acne, but usually if it's hygiene or papule, because folliculitis is usually bacteria.

Oh, so it's because people rarely take care of their cleanliness, they are moisturized because of sweat, then they get bacteria and mycorrhizae, so they become polycolytic. Yes, polycolytic. But it's similar, there are common germs, there are polycolytics, there may be because of milk excretion, so there are various things.

Okay, is there any connection with skin barrier? Is there any connection if people with weak skin barrier or skin barrier, the body's resistance to the skin is not good, it will trigger back acne? Yes, that's right. So we know that skin barrier is almost in all skin conditions.

But some of them started from the damaged skin barrier first, then there was a damage, but there were also those who were damaged first, the skin barrier was disturbed. So we know that the skin barrier is like our protection, our front guard against various germs, against allergens, irritants. Once it's damaged, it's easy for bacteria to penetrate into the skin barrier.

skin, especially through the follicle, so it will be very easy. Usually it's not the bad bacteria that used to be the normal bacteria in our body, but it's normal if it's on the surface of the body, but when it's penetrated, there's an injury or something, it becomes a pathogen, so it's not right, okay, even though it's actually normal in the body,

Well, the difference is that in children there is something called a fever. The difference is the adult back ulcer that appears because of the genital or allergic reaction with a fever when a child is young. If you have a fever, it can be in children, adults can also, because of the source of the fever, the name is miliaria. Usually when it's windy, you don't wear tight clothes anymore, it usually heals quickly.

But if it's acne, usually acne is people's way to the comedo. If the comedo is usually also a problem, but in the oil cleanse, in the sebum cleanse, there is an occlusion. So it can usually be because the clothes are too tight, then the oil production is also a lot, accompanied by sweat, moisture, it benefits the bacteria that are there.

So, it's a common disease, or a common disease, in the original language. And is there any medicine for it? Yes, there is. Is there any difference between, for example, me and my friend who has back ulcer, and my child who has a common disease? Is there any difference in the way of therapy? Or can you explain it?

But for those of you who don't buy your own medicine, is there a difference or do you need to give antibiotics? So if the acne is acne, it's basically the same as on the face. So there are four mechanisms. One is hormonal interference, so there is excessive oil production.

Secondly, there is a scar or occlusion. Thirdly, there are bacteria. Fourthly, there is a scar. So all four mechanisms must be overcome. Only if it is to overcome bacteria and inflammation, it must be taken by a doctor. But to eliminate the scar, occlusion, it can be treated daily at home. To lift the occlusion of the scar.

Okay, now if what I heard about yesterday, there are already a lot of skin care or skin care that has the letter AHA, okay, that's actually

Because in general, doctors don't learn that, right? If asked by women or people, I sometimes skip it. Well, if the actual way to explain AH and its function to overcome that, or is there a connection? What is the function for the body if AH? Yes, AH is alpha hydroxy acid. So actually it is a collection of various substances that actually have acid properties.

We know that acid is used in our skin for exfoliation. So, we know that our skin keeps growing. So, at one time, it's like it's growing. So, this helps to exfoliate. If our skin is moist, the acid or pH of our skin is maintained. But if our skin is dry, our skin is close to

neutral pH or even a little wet, which makes the proliferation not good. So that's why there is need for acid, AHA, for the purpose of exfoliation. So if the dead skin is removed, the new skin will grow better. Does the exfoliation happen automatically? Actually, everyone should be like that automatically. But some people are slow with the increase in age or environmental factors, they can be slow.

So, it needs help to exfoliate. This is interesting. I have a lot of odor activity. If I get a dry skin, it will be painful. Then, melasma appears. After that, I check the skin's moisture in Skin Analyze. My skin's moisture is only 26%. Is there any question if we have an odor activity for too long with skin moisture or damage the skin barrier?

Okay, so actually there are many factors to skin, but the sunlight, especially radiation, makes the skin more saturated. But it's not as easy as if the skin barrier is good or optimal. If you're already sweating, you're already in pain, everyone has a sweat, right?

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It's like a squirt. It's a sign of dry skin. Does that mean the exfoliation is excessive or not? Maybe it's going on, but the exfoliation is still there, but the skin barrier condition is not good. Especially if you wear clothes that cover your sweat, the sweat irritates too.

Oh, that's why people run around wearing tank tops and tank tops. Yes, so that the wind can blow. Are the skin spoliation done at night or every day for 24 hours? Actually, it is said that humans need time from 21 to 24 days. From the slowest cells, they go up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up, up

But there are some conditions like psoriasis, it takes 4-7 days. 4-7 days? Yes, so because he has enough time, 21-24 days, the exfoliation is not visible, but it continues to happen. Okay, if it is related to the back ulcer or dry skin, can I be given an ingredient or supplement or cream for the exfoliator agent?

Yes, it can be given. For example, I have a back wound like this. What is the benefit if I am given AHD in a place where there is a back wound? Of course, the purpose is to remove dead skin that covers the oil clots. Oh, as a barrier. The oil barrier came out. That's obstructive. So, after that, if I summed it up yesterday,

Yesterday I met Barathinadika in episode 10. And there is also my counterpart, Dr. Erlain. But I asked, I was confused because I was on Nikita Willy's side. I was confused. I wanted to be a boss. On the contrary, because I was paranoid about dry skin, I gave a lot of moisturizer.

What is the limit that I have to use a moisturizer? Or every day? Or maybe when it's dry? Because our body language is also different, every day is also changing, it is recommended for us in Indonesia to still use a moisturizer

So usually in the morning, because we want to have activities during the day, pollution, why in the afternoon? Because we want to sleep. Usually we sleep with AC, long-term. So it must be protected too, so use a blanket. So the skin can dry in the AC? It's solid.

The AC draws water from the environment. If this is finished, where does it come from? From the body, which has enough water. The human body has 70-80% water. So when you wake up, your lips are dry. So the AC is as much as possible when it is not used, it is turned off. What is the difference between ceramics and isenamide? Because I am a doctor, not a pharmacist.

There are several creams nowadays, Niacinamide, AHA, Ceramide. Now, what is the difference between Niacinamide and Ceramide? This is often asked because there are many trends in ceramides. Ceramide is actually a group of substances. It is not a molecule. It is a group of substances that contains acid and fat.

but it has the characteristics of a wax doll. And there are 12 types of humans.

There are 1 to 12, but the essential for us are only a few, especially in the skin. The 3, 6, 9 are the main ones. This works not by itself, they are synergistic. However, in our skin there are other fatty acids that will help ceramide work more optimally.

our skin is also very complex because it is not only the layer that covers our body towards the outside world but also the components of the cells, then there is the fat acid, there is the water, then it enters the dermis, there is the blood vessel, the spines, then it enters the

the lipids are all in one compartment that is compact to make us survive the outside world. So ceramides themselves have a very large function because they are like cement that binds all the cells in our skin.

Okay, what about niacinamide? Niacinamide is B3, it is usually used to reduce pigmentation, but it turns out that it has the ability to hydrate as well.

But there is a claim that niacinamide brightens the skin. Is it true? Yes, it brightens the skin. Why is that? Because it has the ability to reduce the pigment content in the corneal stratum.

And is there a side effect? If I want to be white, my friend can do it. For example, this is a photo of my friend running in black. I think I'm going to take a shower here, so I can be white. With the right amount, usually 2-4%, it's usually safe to use. Because this is actually B3, so it's not dangerous. So the side effect is minimal? Yes, minimal. Even niacinamide is often used as an anti-inflammatory.

- What is the difference between salicylic acid and salicylic acid? - Salicylic acid is actually included in the exfoliator group as well. It also has antibacterial effects with various concentrations. It also has the ability to penetrate the ingredients. So it depends on the concentration. - Okay. This is for all of you who are at home and watching.

If you consult him, the price is already not cheap. So it's okay, just listen to it while podcasting. So in front of me, there are two, already heard. If this red one, this Proderma Vaseline contains niacinamide. And I've heard the explanation from the teacher earlier. I call her teacher because she is my teacher. This is what works to brighten. And in addition to the side,

he has AH and where AH is very functional and helps as an exfoliator agent and this is the complex ceramide where ceramide is also a function to improve skin barrier so based on his education I conclude that the first part is friends if you want the skin to be true, it means that the function as a skin barrier must be improved. Well, this is what

Sometimes we are not atomic, we want our skin to be healthy, but we forget that the skin barrier is not well repaired and the skin is quickly added with other chemical substances. Especially friends who have a lot of outdoor activities, for example swimming, especially triathlon, running, cycling, riding a motorcycle, or walking outside. This can be given before or after the activity of the exercise or even at night. And this is used not on the face.

Because yesterday, the PIC brand was working on me. I know I don't understand this. So, I understand now. Because this green is for exfoliator. For example, on my feet, my back, on the back of my knees, it's very dry. Because he kept rubbing it. Because it's for running long distances. Well, you can use this. Meanwhile, for my friend named Raffi Pace,

It runs too long, it is black and stiff, it is really dark. As Buddha said, you can use Proderma that has niacinamide. Because in addition to being able to moisturize and improve skin barrier, it also has the function of brightening. It's okay if it's dark, but it's bright. The function is different.

"I'm just playing with my hands, just mix it up, it's okay, maybe right, left, so it will be fine, so the right one will be bright, the left one is healthy, it's okay, black and white, bro, that's if I'm okay, Doc, I'm like that, I'm from me, I'm not using it for my face, for my legs, okay, once again, not for my face, my body, I'm annoyed, I was worked on yesterday, now

This is what I ask the second part, if it was normal skin, normal skin exfoliation, what happens if the skin is sensitive? Well, sensitive skin, for example, if it gets a little dust, urticaria, what is urticaria? It's a pillow. Now, can people who are sensitive to cold suddenly get a pillow?

As long as it doesn't go to the cold place. That's funny. How do you deal with cold and blistering allergies? We have to find the threshold. How much is the swelling?

So there is a measuring instrument called a time test. We measure how much temperature it can't be measured. Usually, the device will show the temperature at what threshold. That's what we have in poly-DVE sub-DAI, right? Yes. Number two, the question is, if some people have food allergies, their mouths can swell. But there are also those who are immediately shocked by anaphylaxis.

For those who have an allergy to food until swollen, usually the doctor's appointment is to go to the IGD first, to anesthesia, or directly to the DIA? Usually it should be immediately to the IGD, to the emergency, especially if the angio-udeme has swollen eyes, lips, and itch, until it is swollen, it must be immediately to the IGD. Oh, navel axis. Yes, but in the IGD it can be handled by a general doctor first, there is a skin care doctor, of course, there is also a doctor.

There is an emergency specialist now. Oh, there is an emergency specialist now. If he has sensitive skin and he is willing to wear makeup. Okay, that's often the case. About sensitive skin, the terminology is now, maybe the last 10 years, where he was self-diagnosed initially. Oh really? So usually it's not the doctor who says he's sensitive.

but the patient himself. So the patient himself who is diagnosed, I have sensitive skin, I can't use anything. Well, that has to be confirmed by the doctor, whether he is really sensitive. First, of course, we see whether the skin is dry or not. That's one. Because the point is, if it's sensitive, it's a skin barrier again. The second, is he sensitive to what other people don't have?

Is she sensitive? The others are actually normal. Yes, normal. For example, weather changes, heat, vacation, going to a hot place, then immediately red, eating red spicy food, that's super sensitive, the skin. So that too. Third, is there a product that can irritate, maybe because you use it too much. For example, makeup, or perfume, or maybe an incorrect moisturizer, which turns out to be allergic.

This is a viral question, but it's okay if the doctor doesn't answer it If perfume is sprayed on the neck, it is excessive, on sensitive skin, it causes cancer Cancer.. Or there is a doctor, there is a prescription, what is the limit of perfume? Perfume is actually mostly alcohol, alcohol is not allergic, but it is irritable

Oh, okay, okay, okay, it's irritating. But because of the skin, the blood is constantly there, it's always irritating, which is cumulative. Finally, it's a bit itchy, it's a wound. Infection of the udder, right? Yes, the wound is sometimes chronic, it can be. Now, chronic wounds can have a tendency to cause cancer, but not all of them.

So basically what causes it is because of irritation, it has been done continuously, it has been known to be irritation, it is still done, then it is rubbed, it is rubbed, it is a secondary infection, it continues to become abnormal from the skin. Well, if for example I run and often get blisters, so yesterday I ran on my feet, all blisters.

- Is there a way to prevent it? - It's because of the mechanics. Usually, they rub it continuously. Usually, the skin barrier is again. - Oh, again? - Yes, so moisturizer is needed. Is there a connection with sensitive skin? The more sensitive the skin is, the faster the blister will be after diagnosis? If the skin is sensitive, it will be more sensitive. But even normal skin, if it happens continuously, it can also be.

This is meat, boss. Is there a difference if we

exercise outside between people whose skin is healthy and sensitive skin there is a difference in protocol, for example, if you have sensitive skin, is there a doctor's patient who consults his skin is very hypersensitive then he wants to exercise, there is a prevention, maybe if he is very sensitive, it's easy to flare, of course, if it's flare, don't exercise first, or look for an indoor one that may not be too much

Expirations, excessive sweat, because sweat can irritate the throat, right? So maybe it has to be protected too, it has to be used as a moisturizer, then also, well, sometimes people like to let it go, so let it dry on the body, so when the sweat comes out, the oil produces a lot,

So you have to change your clothes immediately, don't let it get wet, that's also very important. And it's best to take a shower immediately, then use the wet clothes again. For girls who often say, they often say in the story, "I'm breaking up."

Then the acne is swollen, so the forehead, the chin, why can it be like that? Usually the breakout is in acne, in acne, usually during treatment, because of the exfoliation, the face and back are the same. So during the treatment, the skin is lifted up and dead, while the comedones are raised.

When the comedones rise, it's food for bacteria. The worms are attacked. Finally, the germ that was the only one, the comedones, became rotten because there was a bacterium element.

How to overcome this, Doc? Yes, it is treated. The phyto-medicine must be overcome, then the bacteria must be used. We usually use antibiotics. Wow, if my friend is a guy, he is in the toilet. Is that allowed? I'm afraid it will become a scar if you are in the toilet. Oh, it's a slap. Yes, slap. Slap. Slap. Slap. You are the one who is talking the right way. Now we will discuss the myths and facts about the moisturizer, Doc.

Myth or fact? This is a question from the netizen. Moisturizer only needs to be used when the skin feels dry. Oh, of course it's a myth. Oh, myth? Yes, if it's dry, it's an accident. Oh yes, the fact is? The fact is that it should be used daily, especially in Indonesia, the temperature is hot, and sometimes it rains, the condition of our skin can change. Yes, the AC is always happy. So, before there is a disturbance, it must be prevented.

Oh, and it's better to do it twice a day after taking a bath? Normally twice, but if there is skin disturbance such as eczema, psoriasis, it's on demand. So it's up to his needs. If he needs it three times, three times. If he needs it four times, four times.

the difference between facial and body moisturization? So usually if the face is also dependent on the type of skin, if for example the skin is very dry, maybe it needs some moisturizing ingredients that are therapeutic, but if the skin is normal, maybe it's just a little bit different from the skin, because the skin may not be visible, the second is

The process of oiling is also a bit different, both on the face and on the skin. And we will also apply a lot of seborrheic oil here. Then the oiling of the sweat is also different. Myth or fact, oily or sweaty skin does not need to be moisturized because it is already wet. Myth.

Because oily skin can also be dry. So oil is oil. Dry is water. So oil comes out of the oil clump. Water is in the layer of the skin. So it can be oily, but the other skin is dry. So there is a combination.

And number three, myth or fact, the moisturizer is only used when we are on an ex-sync. That's a myth.

- It was preventive. - Oh yes. If it's eczema, it means it's already happened. And if it's eczema, the treatment is different. - Yes, it's better to use it more often. There must be a problem with the skin barrier, so it must be used. - Is eczema also related to autoimmune? - If eczema, the other names are dermatitis. It's not autoimmune. - Oh yes, it means specialized, right? - Yes. - It means it's not autoimmune, right? - No.

And this is the last myth of the last time, thick and thick moisture, thick is also thick, it's thick and thick, right?

thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick, thick,

But the light one, the one that is more comfortable to use, usually contains humectants, ceramides, it's more comfortable.

Let's break first, it's okay, I counted the total, I already asked 39 questions, that's it, if you call us, I'm already angry, I'm not breaking, so for all of you who have sensitive skin, if I have my skin diagnosed, not self-diagnosed, it's already diagnosed with SPDV and it's because of

melasma appeared, then when it was scanned, it was 30%. Then it turns out that if I get sunburned, it's fast sunburn. Then the water becomes dry. Well, it turns out that the skin barrier must be improved using moisturizer or moisturizer. Well, by chance, from the product in front of this, if this is what it was,

for normal skin. The one here is a mask for friends whose skin is actually sensitive. But even if the skin is normal, it doesn't matter. And this is called Vaseline Proderma Moisturizing Cream. It contains proceramide complex to help the skin produce its own ceramide plus to improve skin barrier so that it will be like a salt on the skin. So it's not too big. What is this Indonesian language? Big. From earlier, it's like toothpaste. It's thick, it's thick.

to oil, wow, it's cool, it's a cross, imagine a cross, but it's all over the body, it's too thick, so this shape is like this, it's difficult to describe, well, if it's bad, it's crazy, who's finger is this? Hey, it's like this, it's like this, it's not a string for a chain, it's similar, it's for the body, usually the trick is the trick, this is the trick,

Prodermaya Moisturizer Vaseline, which is a 5% proceramide complex, is usually used by runners and cyclists. Rubbed on areas with a lot of scratches. This is a hack. So, if we want to do a marathon, the scratches are on the back and the scratches are on the

the foot, the footwear and the tip of the foot are broken, it's usually rubbed first because it turns out to protect the skin barrier and can moisturize, so when we run, it's a sweat and a scratch, it will reduce the risk of blisters as mentioned earlier

by Dr. Windy. But it's also good if you have been doing activities for a long time. For example, running a 9-hour trail run, a 7-hour motorcycle run, then you go to the KRL. This is suitable to be applied after a shower, it's usually really dry. So the skin is pulled, if it's dry. It must be applied by a moisturizer like this. And this is not an over-claim, this is a suggestion. If you want to use it, if you don't want to buy it, please do.

Buy it, please. If you buy it, it will make me richer. This is a moisturizer cream that has a pro-ceramic complex. The texture is not like a silk, but more like an ice cream. Vanilla ice cream, Magdy. Like that, it's like your skin. Now this question is more to the conclusion. This is the last phase.

I just apologize, friends, if the source is a lecturer, it must be like a moderator, remember not to be stubborn, keep it, the first one is my question, Doc, sensitive skin is related to weak skin barrier so that it is easier to react to the trigger, I often hear that the paraben is often considered

What is it? The trigger for patients who have sensitive skin. Actually, what is paraben? Paraben is a group of preservatives. Oh, preservatives? Yes, preservatives. So, to become skincare, there must be a phase of water and a phase of oil. If you remember the study of the past. Yes, that's right. To unite it, it also needs emulsion. Because there are things, especially water, we know that bacteria and fungi like water.

So to avoid contamination with bacteria, we add preservatives, such as parabens. There are many types of parabens, such as butylparaben, methylparaben, etc. So that the ingredients can be combined, there are many ingredients, right? So we also need various types of preservatives. It is indeed an allergen, Doc. So it can make an allergen. Not a irritation? No, it's an allergen.

What are the consequences of having a paraben allergy? Usually there is contact dermatitis

dermatitis, contact, allergies and started to move friends, doctors, started to criticize this paraben for a long time because it means if it is discussed, it means that there were many people who used it, right? Because it includes cheap preservatives, so it used to be used 20 years ago, but now it has started to be avoided a lot, so we can see that there is a product that is paraben-free, right? He uses other preservatives that are more hypoallergenic

So there are fewer people who are allergic, but those who are allergic are still people who are allergic to other preservatives. Okay, what are the effects if we use skin care products that contain parabens in the long run? As long as he doesn't have allergies, it's okay. But there are many people who are allergic to parabens.

Secondly, when we see skincare products, many of them contain fragrance, especially lavender. As far as I know, lavender, strawberry, and cherry. Is there an effect if we use a cream that smells like strawberry or a strawberry lotion? My friend, Andika, even uses durian lotion. Really?

if you smell like trash, you smell like badok, sorry, I'm kidding, okay, so if the fragrance is usually also an essence, the essence is derived from various chemicals, too, yes, it also has many allergen-like properties, so if we are in the allergy check panel, there is a name for fragrance Mix 1 fragrance Mix 2, there is a floral fragrance, yes, to the flowers, the ones mentioned earlier,

There are lavender, rose, and other scents. But there are also scents that are more like spices.

so like ugenol, cengkeh, which smells manly, there is also an allergic reaction. There is a smell like that, right? It smells like spices. It smells like spices cooked in Laos. Wood spice, right? Men usually like that. No, I don't like it. It looks like Daniel, right? He's got a cengkeh on his face. There is also an allergic reaction.

it also stimulates can cause allergies so as good as cream or face care supplements or face care cream actually minimizes the fragrance actually the less the better but if he is not allergic, there is no problem, the problem is that he doesn't know what allergy he has, right? So the doctor's advice for young people, for example, 25 years old, male and female, is it recommended to check?

Well, for me, because I often find conditions like that, I definitely recommend looking for less fragrance or zero fragrance. But if there are people who are indeed symptoms that we suspect because of either the bodyguard or the bodyguard, it should be tested, proven, otherwise we don't know. The test means to the dermatologist, not the internal doctor. Yes, to the dermatologist.

Yesterday, many people asked about the trend, "Hello, friends, what is the solution for this allergy?" According to doctors, it is not recommended to ask social media. If there is an allergy, what is the actual treatment recommended by doctors? If there is an allergy or have been in bed, what should be done? Number one, avoid allergies.

The problem is we don't know what to avoid because all symptoms are similar. So the next step is identification. We look for what kind of allergy it is. Sometimes we can't do it alone because many of the allergens are from the ones we contact every day.

So you have to do a blood test. You can do a blood test to test for a type of fast allergy like angioedema, but for contact, you have to do a test. After knowing the ingredients, we have to observe again in our lives. Where is this contact? It must be avoided. If you want to take medicine, you just have to overcome the symptoms. The allergy will not disappear if it is not avoided.

So it's best not to ask in the meds, especially AI. My friend was allergic to the doctor yesterday, he was dizzy, he even asked about the cloud. You can't, doc. Later, I'm afraid the interpretation will be various. Still, it's just a doctor. This question is a bit tricky. Is it possible for two dermatologists to diagnose one symptom differently? It's possible.

Oh, it's possible, because it's true, right? This answers the question, why go to doctor A and doctor B, doctor C, the diagnosis of the skin is different. There are different doctors, right? Some people may see it from the bad erythema, some people may see it from the papules or something, so the diagnosis can be different. That's why there is a diagnosis. Therefore, the patient's right to present a second opinion. And how much he trusts the explanation of the doctor.

Friends, for the conclusion, the first is that from this education, the barrier is a key. So if you want your skin to be healthy, then you have to fix your skin as a bandage properly. And secondly, whether you are outdoor or indoor activities, you still have to pay attention to the moisture of the skin.

So don't be like, "My skin is dry!" "My skin is wet!" Like Dr. Windy said, even oily skin can cause skin inflammation. And in a tropical country like this, in a tropical country like this, near the equator, you need moisturizer. You can use it twice a day after taking a shower, but you can also use it if you have

events or more sensitive due to physical activity. For friends who have a lot of physical activity and cause back ulcers, exfoliation is the key. That friends can add creams that have an exfoliator agent. If in front of me here, it's best for everyone here to choose

skin care agents with minimal fragrance, minimal alcohol and minimal parabens because it can avoid irritants and allergens. Once again, if you want to brighten it up, you can use body lotion Proderma, which

There is niacinamide, while if the one here is hyacinth, it is used as an agent for its exfoliator. While if the skin is sensitive and needs moisturizer or moisturizing, it can be used like this, like a rubber, I say, this is for the body and face. There is a face writing, not like this. I'm not being fooled, there is a face writing.

Face, so this can be made, if the face can be made into a face, so it's suitable if I run so that the blister can be replaced with this one That's all from me, I hope netizen friends, if there is a further question, you can ask in the comments column Maybe we can meet again with the next doctors, greetings, I am Dr. Tirta, Dr. Windy, see you next time