What's Really Aging Your Skin (And the Diagnosis Doctors Miss) | Dr. Mamina Turegano

Dr. Anna sits down with triple board-certified dermatologist, internist, and dermatopathologist Dr. Mamina Turegano for a deep dive into skin health from the inside out. They cover the real drivers of collagen breakdown, which anti-aging ingredients and procedures actually hold up to decades of evidence, and how to build a sunscreen routine you don't have to second-guess.  The conversation then turns to two of the toughest conditions in women's health, rosacea and vulvar lichen sclerosus, with practical, root-cause-informed guidance for both. This is the episode to bookmark if you've ever wondered what's worth your money on the skincare shelf and what's just noise. **Timestamps** 00:00 – Intro, today's topics 02:23 – Welcome, Dr. Mamina's path into dermatology 03:03 – Blending integrative medicine with medical derm 08:04 – Why we lose collagen, and what accelerates the breakdown 10:29 – Sun protection, the case for and against sunscreen fear 15:00 – Chemical vs. mineral sunscreens, the benzene scare explained 19:51 – Retinoids, how often to use them and why 23:36 – Vitamin C, peptides, and topical hormones for the skin 25:50 – Why topical estrogen can sometimes deepen lines 29:06 – In-office procedures, IPL for dark spots and redness 30:18 – Morpheus and RF microneedling, who it's right for 32:53 – Chemical peels for pigmentation and melasma 33:51 – Red light therapy, what to look for in an at-home mask 34:55 – Rosacea, the gut connection and genetic factors 41:44 – Vulvar lichen sclerosus, why it's so often missed 45:34 – Treatment approach, topical steroids to LDN 50:41 – Where JAK inhibitors and biologics may be headed 51:39 – Where to find Dr. Mamina online 52:22 – Rapid fire round 57:50 – Closing thoughts and where to learn more **Memorable Quotes** "Your skin is a window of what's going on internally, and when you're addressing your internal health, that can manifest so much on the skin." – Dr. Anna Cabeca "Healthy digestion for a glowing complexion." – Dr. Anna Cabeca "I use the phrase, the cells start to poop out, and we get brown spots." – Dr. Mamina Turegano "Getting a good night's sleep is like aging in reverse." – Dr. Anna Cabeca "When you have lichen sclerosus, it's like double-barreled shotguns. We're going to get rid of this, and we want you to be comfortable and at home in your body." – Dr. Mamina Turegano "Aging beautifully is feeling comfortable in your skin, literally and metaphorically. It's confidence, and I think that can radiate out as beauty." – Dr. Mamina Turegano **Connect with Dr. Mamina Turegano** Prescription topicals - dermclick.com Consultations - https://app.futureclinic.com/clinics/drturegano/profile Instagram - instagram.com/dr.mamina TikTok - https://www.tiktok.com/@dr.mamina YouTube - https://www.youtube.com/drmamina Co-Author, Holistic Psoriasis Management and Nutrition Guide - https://amzn.to/42tRkaQ **Connect With Dr. Anna:** Website: Dranna.com Instagram: https://www.instagram.com/thegirlfrienddoctor/  YouTube: https://www.youtube.com/@thegirlfrienddoctor  TikTok: https://www.tiktok.com/@drannacabeca Facebook: https://www.facebook.com/thegirlfrienddoctor