Can we maybe just start with the basics? What exactly is psoriasis? What does it look like? And as you say there, how common is it?

So it's, it's really common, um, Katie.

Two to 3% of the population have it.

Um, what it usually looks like is red, scaly patches, typically in the scalp, elbows, knees, but it can be anywhere.

You know, some patients will have up to 90% of their body surface affected by it.

It can be very, very severe.

The big thing is it's not just a skin condition.

So how do I square those two things?"

The sun is scorching.

There's never a time like this type of time in Ireland that for people getting burnt, people get burnt in Ireland far more than they ever get burnt on their holidays.

I truly believe it.

But yeah, I think that on sunscreen, if we could address this, it would be a huge win for us.

I don't ever consider sunscreen a cosmetic product.

It's one of our most important tools for preventing skin cancer.

And that has been shown over and over again.

But is there a historic thing about it being a luxury item that, you know, you wear sunscreen because you don't have to, you're choosing it?

beer make you more attractive to a mosquito?

It's just because of what you put out in your, you know, what you emit through your sweat.

So they can detect sweat as well.

And mosquitoes are great at finding people through their sweating.

So if someone sweats a lot or if they're exercising, so during or after exercise, they're more able to detect you.

Now, they do see more highly visible colours too, so wearing paler colours is helpful.

There's lots of little things that we, that they, ways that they can find you.

What about natural remedies? Is there anything that you can do that isn't DEET that has any impact other than staying off the booze?

[laughs]

So, um, I'm a consultant dermatologist.

Um, I actually did my training first in Ireland and then went to, um, Dallas, Texas.

I was meant to go for a year.

I was doing translational research looking at systemic inflammation, and decided to stay, so retrained over there.

The model of dermatology's very different over there.

Um, you know, in private practice, people work together all under one roof, so you have medical c- um, dermatology, cosmetic dermatology, surgical dermatology, and then everything skin care.

And she hasn't, she's not even q- she hasn't even done her intern year yet.

What exactly is a PFA, Catriona?

So these are called forever chemicals and they're types of chemicals that you see in makeup products to make them more durable, often to make things water resistant or long lasting, but they don't break down easily and they can persist in the environment and in the body.

The reason there's a lot of concern about these is this group of chemicals has been associated with increased cancer risk in humans in the past, especially things like kidney cancer, testicular cancer.

It can affect your endocrine system, which is your hormone system and your immune system.

But that's typically, Anton, when these chemicals were in contaminated water.

So when people were consuming them for a long time, over time, and contributed to cancer risk.

So we don't actually know the risk when they're in makeup, you know, that's just going onto the skin.

Yeah, it seems a fairly logical inference that if there's evidence that ingestion is a bad thing, smearing them on a daily basis on your mucous membranes and possibly ingesting them through either eyeballs or mouth, there has to be some impact, no?

Do we understand what it is? Like do we as patients or as members of the public, do we know enough about skin cancer?

You know, I think there is great growing awareness about it.

But despite this, I don't think our sun safe practice has improved enough.

I think one of the things we've gotten better at as a country is recognising the more dangerous type of skin cancer, which is called melanoma.

So I think people know at this point, and hopefully they know, to look out for changes in their moles.

So changes in size, shape, colour.

We call it the ABCDE of melanoma and a is for asymmetry b is for borders c is for color so if there's different shades of color within the same mole d is for diameter if you have any mold that's bigger than six millimeters especially a new new mole just get a check by your gp and e is evolving so any changes So we have gotten much better, our patients have gotten much better at catching these earlier.

Absolutely.

these unregulated, unqualified people giving kids as young as 16 injections?

Yeah, it's terrifying, Ciara.

And we really don't know how prevalent this is.

It's really alarming for two reasons.

First, you know, what's happening is completely illegal and who is doing it and how do we stop them? And then the second issue is, you know, why are these 16-year-olds wanting to do it? We have huge issues with social media pressures and You know, this sort of viral culture of women trying to, or young girls actually, trying to look like this.

And for me, that's actually probably even more worrying.

It's illegal to administer fillers to an under 18 year old.

But what are the risks of using fillers in an unregulated fashion?

Do young, do kids this age, do they need to find ways to take care of themselves and to take care of their skin like this, Katrina?

Absolutely not.

And this is something I feel very strongly about.

And this isn't, none of this problem, I agree with everyone who's just spoken, the problem isn't skincare here, it's the beauty narrative.

It is, you know, these masks are being aimed at children from three and above.

Like absolutely terrifying that that's even brought in this focus on beauty and beauty focus messaging at such a formative age.

Like such young kids have such long term psychological impact, you know, self-esteem, body image satisfaction, all of this sort of thing.

And what damage could be caused or what could happen for young children? Like if you say a three year old, going around today with a face mask on their skin.