Sourced directly from Dr. Michele Koo's social posts and replies.
When can I use retinol after professional skin treatments?
Dr. Koo's Private Practice Retinol is safe to use immediately after Botox, Microneedling, or Laser Hair Removal. However, after more intensive treatments like laser, microplaning, or chemical peels, a two-week healing period is required before reintroducing retinol. Retinol is recommended to enhance the results of these procedures.
How does humidity affect skin and what skincare is recommended to combat it?
Humidity is detrimental to your skin as it opens pores, making them susceptible to dirt and pollutants, which can lead to acne and irritation. Dr. Koo recommends using an antioxidant vitamin serum to create a protective barrier and hyaluronic acid to strengthen the skin's barrier. Her hyaluronic hydration mist can be spritzed throughout the day for continuous hydration and protection.
Can I use retinol during the summer, and what are its benefits?
Yes, Dr. Koo recommends continuing your retinol routine all summer long, provided you use SPF during the day and retinol at night. Retinol keeps cell turnover high, decongests and clears pores, and minimizes their appearance.
What are the unique properties of Dr. Koo Private Practice Retinol?
Dr. Koo Private Practice Retinol is formulated for deeper penetration and better absorption, which helps prevent irritation on the skin's top layers. It works in deeper layers to improve overall skin health. The practice also highlights a 'vegan retinol' option and offers a custom skin quiz to help patients find the best retinol for their skin type.
What skincare recommendations does Dr. Koo have for preventing 'turkey neck' and improving neck elasticity?
Dr. Koo emphasizes the importance of using moisturizer for the neck to prevent crepey and saggy skin, suggesting 'slugging' every night with a heavy moisturizer. She also stresses not to forget retinol, as it can significantly improve skin elasticity when used correctly, potentially preventing the need for plastic surgery for neck concerns.
What should I expect during and after a Kybella treatment for submental fat?
Kybella, an FDA-approved deoxycholic acid, is excellent for stubborn under-chin fat. It's injected in a grid pattern tailored to your fat distribution. While results appear in four to six weeks, expect significant neck swelling during this period, which can be 'scary' and may vary with each session. Dr. Koo advises wearing a turtleneck to manage the initial appearance, but assures the swelling will resolve.
When is Kybella recommended versus surgery for neck concerns?
Kybella (deoxycholic acid) is recommended if your primary concern is fat and fullness in the neck. However, if your neck problem is mostly skin laxity, then surgery such as a lower facelift or mini facelift is needed.
What are potential complications of Botox, and how does Dr. Koo minimize them?
Botox can lead to heavy brows or lids if injected too low, too near the brow, or too wide, and can even result in a 'scary joker look.' Dr. Koo minimizes these risks by taking a conservative approach, starting with a small amount, and observing how each patient's unique facial muscles respond. A follow-up appointment around two weeks allows for any necessary touch-ups to achieve optimal, natural results.
What are the benefits of Gua Sha, and how should it be practiced safely?
Gua Sha can naturally enhance skin texture and tone by stimulating collagen and elastin synthesis, improving microcirculation, and facilitating lymphatic drainage. To prevent irritation and stretching, it's essential to use gentle, controlled movements and a suitable lubricant like facial oil or lotion for smooth tool glide and to mitigate friction.
What are Dr. Koo's top sunscreen recommendations and her philosophy on sunscreen ingredients?
Dr. Koo emphasizes using sunscreen daily and avoids products with oxybenzone, a known hormone disruptor. Her top recommendations include Neutrogena Ultra Sheer (a drugstore find that's smooth, dry-touch, non-greasy, and great under makeup), Supergoop Glow Screen (for a beautiful glow, also oxybenzone-free), and her absolute favorite, Chanel CC Cream. Chanel CC Cream contains physical blockers (titanium and zinc oxide), offers complete coverage with a hint of color, and can replace foundation. She sometimes layers Supergoop Glow Screen over Chanel CC Cream for extra glow.