SKIN DEEP

If your career is your oxygen, how do you balance international manufacturing, teenage kids, and the tears that flow behind the Instagram-perfect moments?  Join Dr. Anna Chacon, board-certified dermatologist and host of Skin Deep, as she welcomes Ximena Kavalekas, the Ecuadorian-born fashion designer and creative force behind her eponymous luxury handbag brand. Known for blending Italian artistry with Miami sophistication, Kavalekas has built a successful fashion label specializing in exotic python and crocodile accessories crafted in Florence's most exclusive factories. But what does it really cost to breathe life into a dream? "This business is my oxygen," Kavalekas confesses. "I wouldn't be able to be without what I do." From studying at Polimoda in Florence to becoming the only Latin American designer with a flagship store in Miami's prestigious Design District—surrounded by Hermès, Dior, and billion-dollar brands—she shares the unfiltered reality behind the runway glamour.  This conversation goes beneath the surface of Instagram-perfect moments to reveal the tears, resilience, and courage required in fashion entrepreneurship. Kavalekas opens up about her failed first business during the 2011 recession, navigating complex customs regulations for exotic skins, and the dream every designer harbors: to one day sell to a major corporation like LVMH. How do you survive as a small luxury brand among corporate giants? What does it take to work with Italian factories that are "easier to get into Harvard than to get into"? From collaborating with Margherita Missoni to custom-designing crocodile doctor bags with 16 hand-matched skins, Kavalekas embodies the passion, mentorship, and hard-earned experience that defines lasting success in fashion.  In This Episode:  (00:00) Kavalekas reveals what it really takes to survive in luxury fashion  (04:45) Failed business, economic recession, and the courage to start over in 2015  (09:27) Navigating exotic skin customs regulations and Fish and Wildlife compliance  (12:32) Getting into Italy's exclusive factories: "easier to study at Harvard"  (18:37) Balancing international business, teenage kids, and family sacrifices  Share with a dermatology pro you know, like and subscribe to hear all of our future episodes!  About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.  About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated communities. Dr. Chacon holds medical licenses in all 50 states, DC, Guam, and the U.S. Virgin Islands, providing both in-person and teledermatology services.  Resources:  Website: https:... Chapters (00:00:00) - It takes a lot of courage to start a business(00:00:16) - Meet Jimena Cavalecas(00:03:16) - Ximena Cavalecas on Starting a Fashion Business(00:09:10) - Exotics handbags: customs regulations in Italy(00:11:09) - The Secret to Starting a Luxury Factory(00:13:28) - The Dr. Crocodile Bag(00:18:18) - How Do You Balance Your Business and Family?(00:20:01) - Miami doctor and Missoni collaborator

What's the one mindset shift that separates successful entrepreneurs from everyone else?  Dr. Anna Chacon hosts young entrepreneur Sean Frimpong on Skin Deep, exploring his remarkable journey from Baltimore struggles to millionaire status by age 19. Frimpong, a Ghanaian-Lebanese immigrant who became a father at 17, transformed financial hardship into success through e-commerce mastery and strategic thinking. His core philosophy centers on entrepreneurial mindset over traditional employment: "I wanna make money on my own terms when I want to, how I want to." As author of bestselling books "The Million Dollar Mindset" and "10 Keys to Financial Freedom," Frimpong advocates that financial freedom is accessible to anyone willing to adopt wealthy thinking patterns.  The conversation delves into Frimpong's evolution from vending machine broker to seven-figure e-commerce entrepreneur, revealing practical strategies for online business success. How do traditional retail's declining revenues compare to e-commerce's exponential growth potential? Frimpong shares compelling statistics: his online stores attract 30 million visitors monthly—what would take brick-and-mortar stores five decades to achieve. The discussion covers sophisticated wealth preservation techniques, tax optimization strategies, and the psychological barriers preventing most people from financial success. "Majority of people can't see it all the way through. They give up too soon," Frimpong observes, emphasizing persistence as entrepreneurship's cornerstone.  In This Episode:  (00:00) Sean reveals why traditional retail is dying and e-commerce dominates  (01:38) From Baltimore struggles to becoming a teen father at 17  (02:46) Building wealth through vending machines and car flipping strategies  (04:31) How he made his first million by age 19 through e-commerce  (06:11) The entrepreneurial mindset that separates winners from quitters  (10:22) Why brick-and-mortar stores can't compete with online platforms  (14:21) Advanced tax strategies and wealth preservation techniques  (19:52) Defining true financial freedom as generational wealth  (21:38) Why Miami became the perfect base for young entrepreneurs  Share with a dermatology pro you know, like and subscribe to hear all of our future episodes!  About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.  About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated communities. Dr. Chacon holds medical licenses in all 50 states, DC, Guam, and the U.S. Virgin Islands, providing both in-person and teledermatology services.  Resources:  Inst... Chapters (00:00:00) - Skin Brief(00:00:36) - Phimpang on How He Resell Cars To Provide For His(00:04:58) - On The Million-Dollar Mindset(00:08:28) - "My Dad's an Immigrant"(00:09:23) - How My Brother's Business Is Involved With My Own(00:10:03) - Mixed Thoughts on E-Commerce and Traditional Retail(00:14:10) - How to Protect Your Wealth From Taxes(00:19:44) - What is Financial Freedom?(00:22:16) - A Taste of Sean's

"You can get help even if you don't have insurance. There's help and resources." - Patient Janet Viera  Dr. Anna Chacon, MD FAAD, hosts a powerful conversation with Janet Viera, a patient courageously sharing her three-year battle with hidradenitis suppurativa. Janet's journey began in 2021 when severe, draining nodules forced her to quit her job and seek specialized care. After finding Dr. Chacon through Sesame Care, Janet discovered effective treatment combining Accutane, Humira, and targeted steroid injections. Her story demonstrates the importance of finding the right dermatologist and maintaining hope. What makes this episode particularly compelling is Janet's experience with the rare follicular tetrad syndrome.  This episode explores the comprehensive treatment approach for moderate to severe hidradenitis suppurativa, including the challenges of accessing expensive biologics like Humira through patient assistance programs. How does family support impact recovery? What role do workplace accommodations play in managing chronic conditions? Dr. Chacon discusses the follicular occlusion tetrad, injection techniques for acute flares, and the intersection of multiple related conditions. Janet shares practical insights about managing daily life, relationships, and the emotional toll while emphasizing the critical importance of seeking proper medical care.  In This Episode:  (00:00) Janet shares the life-changing moment she found relief within 24 hours  (05:06) The devastating moment when hidradenitis forced Janet to leave her job  (12:35) Dr. Chacon explains why Accutane works for draining types of hidradenitis  (16:39) Breaking down the rare follicular tetrad syndrome affecting multiple body systems  (19:39) Getting Humira for free through patient assistance programs despite $7,300 monthly cost  (34:26) Why patients shouldn't give up hope finding the right dermatologist  Share with a dermatology pro you know, like and subscribe to hear all of our future episodes!  About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.  About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated communities. Dr. Chacon holds medical licenses in all 50 states, DC, Guam, and the U.S. Virgin Islands, providing both in-person and teledermatology services.  Resources:  Sesame Care Platform  Website: https://sesamecare.com  Dr. Anna Chacon's profile: https://sesamecare.com/doctor/an... Chapters (00:00:00) - How to manage a chronic backache without surgery(00:00:39) - Janet Vera on her dermatologist(00:02:05) - Acne for Women: How debilitating is it?(00:06:20) - The Best Couple's Stories(00:06:49) - Diabetes patient's journey to a dermatologist(00:08:49) - "I didn't like my doctor"(00:09:54) - Symptoms of Hydradinitis after one month on Accut(00:12:04) - Accutane(00:16:49) - Hydradinitis patient on Humira, injections(00:18:01) - High cost of dermatology medications(00:19:05) - Helping with hydranitis with injections(00:22:46) - Has hydradinitis affected your personal life?(00:24:15) - Hydranitis patient on social media(00:28:24) - One Survivor's message about her chronic throat disease(00:33:18) - Tamara on speaking out about her cancer(00:38:41) - Don't Give Up on Crohn's!

How did a car accident lead to a successful HR partnership?  Dr. Anna Chacon interviews Elizabeth Garcia and Vanessa Garcia, of Specialty HR Consulting, a three-year-old firm specializing in customizable HR services for small to medium-sized businesses. Elizabeth, with over 15 years of HR experience, and Vanessa, director of operations with 8 years in HR, emphasize their unique approach: "We don't just put the human in HR, we put the heart in human." Their professional partnership began unexpectedly after a 2019 car accident, leading them to grow their previous employer from 50 to 300 employees before launching their own successful consultancy.  The discussion covers critical HR challenges including worst-case hiring scenarios, the importance of legal counsel in employment decisions, and navigating complex contract negotiations. What makes an ideal employee versus an effective leader? How can businesses avoid costly lawsuits from disgruntled workers? The Garcia sisters share insights on non-compete agreements, COVID furloughs, employee buyouts, and documentation strategies. Their empathetic approach to human resources has helped them avoid employer-employee conflicts throughout their careers while building successful teams.  In This Episode:  (00:00) Founders share how a car accident led to their HR partnership  (05:06) Worst hiring experience - candidate relocating only to have offer rescinded  (08:36) Working with employment attorneys to avoid costly HR mistakes  (09:22) Treating employees humanely - the key to avoiding workplace conflicts  (12:02) Qualities that make ideal employees versus effective leaders  (14:42) Non-compete agreements and why they're often unfair to professionals  (18:16) COVID furloughs and navigating restrictive employment contracts  (22:08) Dealing with malicious employees and protecting against lawsuits  Share with a dermatology pro you know, like and subscribe to hear all of our future episodes!  About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.  About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated communities. Dr. Chacon holds medical licenses in all 50 states, DC, Guam, and the U.S. Virgin Islands, providing both in-person and teledermatology services.  Resources:  Website: www.specialtyhrconsulting.com Phone/Text: (305) 792-8009 Email: support@specialtyhr1.com LinkedIn: Chapters (00:00:00) - Skin Deep: Specialty HR Consulting(00:03:59) - "We Met Working at Behavioral Family Solutions"(00:04:31) - The Worst Things In HR(00:05:36) - Dermatologist on Employee Conflict(00:08:24) - What Feedback Would You Give to Starting a Business?(00:11:05) - Independent Contractor vs. Employer(00:18:14) - Covid HR: Furlough and Liability(00:22:26) - Employees given severance or buyout

Why did an orthopedic surgeon choose Google Workspace over a $1M Epic EMR system?Dr. Anna Chacon hosts orthopedic surgeon Dr. Daniel Paull, founder of Easy Orthopedics, who transformed his career after quitting fellowship to create an innovative mobile, insurance-free practice. Inspired by his own recovery from a devastating skiing accident at 14, Dr. Paull advocates for sustainable healthcare models that prioritize patient relationships over insurance bureaucracy. His practice operates with minimal overhead, using Google Workspace instead of expensive EMRs, proving that ethical, accessible care doesn't require wealthy patients. How can physicians escape the insurance trap while maintaining quality care? The conversation explores critical challenges facing independent physicians: closed insurance panels forcing cash-pay models, the surprising legitimacy that one-star reviews can provide, and the dangerous Medicare fraud schemes targeting vulnerable doctors. Dr. Paull shares near-misses with telehealth scams and wound care schemes, while Dr. Chacon discusses her 53 medical licenses and the reality of practicing in saturated markets like South Florida. "I'd rather sit home and do nothing than let someone bill on my behalf," Dr. Paull declares, emphasizing the importance of maintaining control over one's medical license. In This Episode: (00:00) Dr. Paull reveals how a skiing accident at 14 inspired his orthopedic career (05:36) The birth of Easy Orthopedics: quitting fellowship and moving to in-laws' basement (11:06) Why Google Workspace beats expensive EMRs for insurance-free practices (18:52) The shocking truth about one-star reviews legitimizing your practice (24:21) Medicare fraud schemes targeting physicians: a cautionary tale (31:53) Future of Easy Orthopedics: growing while maintaining ethical principles (33:04) Temptation and red flags: why Dr. Chacon turned down Super Bowl tickets (35:50) Contact information and resources for insurance-free practice course Share with a dermatology pro you know, like and subscribe to hear all of our future episodes! About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field. About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated communities. Dr. Chacon holds medical licenses in all 50 states, DC, Guam, and the U.S. Virgin Islands, providing both in-person and tel... Chapters (00:00:00) - "One-Star Reviews"(00:00:24) - Skin Deep(00:01:11) - Meet Little Daniel: Orthopedic Surgery(00:02:51) - Easy Orthopedics: No Insurances, Just Self-Pay(00:06:44) - EMRs and independence for small practices: Dr. Mate's(00:09:13) - Epilepsy EMRs: Is It HIPAA compliant?(00:12:28) - How to work with a family member in private practice(00:14:47) - Small Business Overview(00:21:09) - Were You Surprised by the United Healthcare Incident?(00:23:16) - How to Protect Yourself From Medicare Frauds(00:26:27) - dermatologists on becoming licensed in Puerto Rico(00:30:52) - Osteomyelitis doctor on avoiding scams and frauds(00:34:12) - Dr. Paul on Medicare Advantage Abuse

Did you know that $1,400 laser treatment actually costs the owner half a million dollars in equipment?  Dr. Anna Chacon, a board-certified dermatologist and host of Skin Deep, sits down with Angela Baldasare, an experienced entrepreneur who successfully built and sold her med spa practice twice over 25 years. Baldasare brings unique insights from her journey starting with holistic medicine and organically expanding into aesthetics in central Florida. Her expertise in navigating two private equity exits provides invaluable perspective on the financial realities and business complexities of med spa ownership. What makes her story particularly compelling is her honest assessment that aspiring med spa owners should prioritize business passion over aesthetic passion.   This episode explores the harsh financial realities of med spa ownership, including the staggering $2-2.5 million startup costs and ongoing operational complexities. How do you know if you're ready for such a massive investment? Baldasare breaks down everything from laser equipment costs to employee management challenges, the competitive landscape changes, and the intricate sale process. She shares essential advice about maintaining meticulous financial records, understanding EBITDA valuations, and preparing for lengthy sale timelines. The conversation reveals why many aesthetic professionals should consider working for established practices rather than opening their own.  In This Episode:  (00:00) Why Angela's answer to "should I start a med spa" surprises most people  (06:23) Breaking down the $2-2.5 million investment needed to open a med spa properly  (12:25) The gut-wrenching decision to sell after 25 years and calling it her "fourth child"  (15:52) How private equity groups evaluate med spas and what they're really buying  (19:45) Essential advice for med spa owners: begin with the end in mind from day one  Share with a dermatology pro you know, like and subscribe to hear all of our future episodes!  About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.  About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated communities. Dr. Chacon holds medical licenses in all 50 states, DC, Guam, and the U.S. Virgin Islands, providing both in-person and teledermatology services.  Resources:   https://www.linkedin.com/in/angela-baldasare-1013466/ Website: www.drannachacon.com  Facebook: https://www.facebook.com/miamiderm  LinkedIn: https://www.linkedi... Chapters (00:00:00) - Should I Start a Med Spa?(00:05:53) - How to start a Med Spa?(00:09:18) - How to start a med spa business with a business background(00:10:16) - How to Sell Your Med Spa(00:12:19) - Are Botox Med Spots Everywhere?(00:13:31) - The Private Equity Group That Sold My Home(00:14:29) - How to Sell Your Company for the Right Price(00:15:40) - When Did Private Equity Buy Your Business?(00:17:40) - What kind of issues did you have with employees(00:19:28) - 5 Essential Tips for Starting and Selling a Med Spa

Why does this doctor think physicians are "born entrepreneurs" with natural grit?   Dr. Anna Chacon hosts emergency medicine physician and serial entrepreneur Dr. John Shufeldt, who has built an extraordinary career spanning clinical practice, business ventures, and education. Board-certified in emergency medicine with an MBA and JD, Dr. Shufeldt founded NextCare (expanding to 60 locations across seven states), established MeMD (a telemedicine company sold to Walmart in 2021), and currently leads Tribal Health, staffing over 50 Native American facilities. He also manages Xcellerant Ventures and partners with VivaMed Biopharma. His philosophy? Physicians are "born entrepreneurs."  The conversation explores Dr. Shufeldt's journey from starting NextCare with three mortgages on his house to scaling across seven states. Topics include navigating medical board complaints, the evolving role of advanced practice providers, and strategic urgent care location selection. What drives someone to pursue law school while practicing emergency medicine? How did early telemedicine pioneers convince skeptical patients and insurers? Dr. Shufeldt shares hard-won insights about failure, resilience, and finding your entrepreneurial "and."  In This Episode:  (00:00) Building NextCare from startup to 60 locations across seven states  (07:40) The importance of finding your entrepreneurial "and" to prevent burnout  (16:07) Pivoting from urgent care to MeMD telemedicine before it was mainstream  (19:52) Launching Xcellerant Ventures to invest in physician entrepreneurs  (20:48) Addressing healthcare disparities in Native American communities  Share with a dermatology pro you know, like and subscribe to hear all of our future episodes!  About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.  About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated communities. Dr. Chacon holds medical licenses in all 50 states, DC, Guam, and the U.S. Virgin Islands, providing both in-person and teledermatology services.  Resources:  Xcellerant Ventures: https://www.xcellerantventures.com Tribal Health: https://tribalhealth.com Dr. John Shufeldt's email: john@johnshufeldtmd.com Dr. John Shufeldt LinkedIn: https://www.linkedin.com/in/john-shufeldt/ Dr. John Shufeldt Instagram: @johnshufeldtmd  Chapters (00:00:00) - Skin Deep: Exploring Epiglottitis(00:01:06) - This entrepreneur built a telemedicine company from scratch(00:03:54) - Post-Bacc MS, JD in Business(00:05:12) - George Clooney on Medical Board Complaints(00:09:49) - Expert on the Importance of Urgent Care(00:14:20) - Flying Around the World in a Helicopter(00:16:26) - How Walmart Went From Telehealth to Inpatient Care(00:20:07) - Focus on Tribal Health and Venture Capital(00:23:24) - Accelerant Ventures: How Do We Pitch Companies?(00:24:08) - Have We Reached Virtual Care?(00:24:55) - Dermatologist in Tribal Health

"Opening up our own private practice together has been such an incredible experience. It's so meaningful that we're able to help so many people and make a difference in so many lives." - Marly Gaitan  Dr. Anna Chacon interviews Dr. Sergio Gaitan and his wife Marly, the dynamic duo behind Certified Cosmetics, a Miami-based cosmetic dermatology practice. Dr. Gaitan brings a unique engineering background to dermatology, focusing on data-driven treatment selection and cutting-edge laser technology. Their innovative self-pay, patient-centric model emphasizes efficiency and minimal downtime treatments while building a nationwide clientele through robust social media marketing strategies. With advanced laser technology and streamlined appointment booking systems, they've revolutionized the traditional dermatology experience in West Kendall.  The interview explores their biggest challenges: educating patients about the self-pay model and maintaining work-life balance as a couple running a business together. Their successes include positive patient feedback, strong reputation building, and attracting clients nationwide through platforms like YouTube, Facebook, TikTok, Instagram, and Google My Business. They discuss measuring patient satisfaction through direct feedback and before-and-after photos, which serve as crucial screening tools. Future goals include service expansion, continued community engagement including Nicaraguan community outreach, and maintaining personalized care with transparent pricing.  In This Episode:  (00:00) Why insurance companies prevent doctors from being experts  (02:17) From preschool sweethearts to dermatology power couple  (05:22) Choosing Miami and cosmetic dermatology as their artistic calling  (07:49) Data-driven approach over trends: selecting the best laser technology  (10:22) The main challenge of educating patients about self-pay dermatology  (13:54) Working as a married couple: boundaries and balance advice  (17:36) Transparent pricing and eliminating surprise medical bills  (21:47) The red flag that makes them turn away cosmetic patients  (25:15) Community engagement and serving the Nicaraguan population  (28:07) Biggest startup expenses and the cost of cutting-edge equipment  (30:02) Social media strategy across all platforms for nationwide reach  Share with a dermatology pro you know, like and subscribe to hear all of our future episodes!  About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.  About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated... Chapters (00:00:00) - Taking insurance off my patients' hands(00:00:31) - Meet Dr. Sergio Gaetan(00:03:14) - Married Dermatologists: How to Work Together as a Cou(00:05:11) - What motivated you to start a cosmetic dermatology practice in Miami?(00:06:15) - How to care for hyperpigmentation with a laser(00:09:11) - What are the biggest challenges facing your practice?(00:12:05) - How has cosmetic dermatology changed recently?(00:13:48) - Brian and Sergio: Going into Business Together(00:15:20) - What are the differences between private dermatologists and hospitals?(00:16:45) - Beyond the Dentist: Future Goals(00:17:28) - dermatologist: No surprise bills under Medicare or Medicaid(00:21:24) - How to get the best result from your cosmetic dermatology patients?(00:24:25) - How to Get Botox(00:25:04) - Dermatologist and Nicaraguan doctor volunteer in Miami(00:27:52) - Start a New Practice(00:31:20) - A Taste of Private Practice

Could one injection treat your rare skin condition, severe asthma, AND eczema all at once?  Dr. Anna Chacon, board-certified dermatologist and host of Skin Deep, welcomes Jacob Edwards, a 35-year-old patient from the West Coast who has been courageously battling Kimura's disease for over a decade. Jacob was among the first Caucasians diagnosed with this rare condition in the United States, making his journey particularly unique in the dermatological landscape. His experience with innovative off-label Dupixent treatment offers hope for others facing this challenging diagnosis.  The discussion explores Jacob's decade-long journey from misdiagnosis to finding effective treatment through Dupixent. How did a patient-driven research approach lead to breakthrough results? The conversation covers the intense itching that accompanies Kimura's disease, the psychological impact of visible facial lesions, and the remarkable improvement achieved through biologic therapy. Jacob shares candid insights about living with a rare condition that affects quality of life, relationships, and self-esteem in ways most people never consider.  In This Episode:  (00:00) Patient reveals shocking misdiagnosis that changed everything  (01:46) From baseball-sized lump to surgical surprise: Jacob's diagnostic journey  (05:49) Mother's research leads to breakthrough Dupixent discovery  (07:37) Dupixent success story: treating three conditions with one medication  (14:01) Finding the right doctor and managing the psychological impact  Share with a dermatology pro you know, like and subscribe to hear all of our future episodes!  About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.  About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated communities. Dr. Chacon holds medical licenses in all 50 states, DC, Guam, and the U.S. Virgin Islands, providing both in-person and teledermatology services.  Resources:   Dupixent Information:  Official prescribing information: https://www.dupixent.com/  Healthcare provider resources: https://www.dupixenthcp.com/  FDA prescribing information: https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/761055s064lbl.pdf  Kimura's Disease Research:  Frontiers in Immunology case study: Chapters (00:00:00) - What is Kimura's Disease?(00:03:50) - Dupixent for cystic dysentery(00:05:34) - Duplumab as a treatment for facial cancer(00:07:27) - What's Your Experience With Dupixent?(00:10:15) - Chimera's disease on dupixent(00:13:30) - Kimura's disease patient on his treatment(00:16:41) - One of the patients on the Dupixent podcast speaks out about

Why do successful dermatologists say owning real estate is more important than patient volume?  Dr. Anna Chacon hosts Dr. Kristin Haushaulter, a board-certified dermatologist and entrepreneur who has built successful practices across multiple states before establishing her current partnership in Miami. Dr. Haushaulter brings unique insights into private practice management, having navigated the challenges of frequent relocations while maintaining work-life balance as a mother. How does she maintain a four-day work week while running multiple businesses? Her expertise extends beyond clinical dermatology into fashion entrepreneurship with her sun-protective clothing line, BelaSol, and clinical research partnerships.  The conversation explores critical business strategies for dermatologists in South Florida's challenging market. They discuss the advantages of MSOs versus independent practice, the importance of owning real estate, and effective delegation strategies. Dr. Haushaulter shares candid insights about insurance network challenges, particularly with Medicare Advantage plans, and offers practical advice for managing overhead while maintaining quality patient care. The episode also covers her entrepreneurial journey creating sun-protective fashion and sustainable sunscreen products.  In This Episode:  (00:00) Dr. Haushaulter reveals the number one thing dermatologists must own to succeed financially  (03:04) The reality of practice management being harder than patient care and achieving work-life balance  (08:20) Why MSOs offer better insurance contracts but come with trade-offs in South Florida  (11:23) Creating BelaSol: fashionable sun protection for Miami lifestyle and developing sustainable sunscreen  (18:22) Essential strategies for profitable medical dermatology including real estate and delegation  (24:56) Navigating clinical research partnerships and avoiding fraud in South Florida  Share with a dermatology pro you know, like and subscribe to hear all of our future episodes!  About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.  About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated communities. Dr. Chacon holds medical licenses in all 50 states, DC, Guam, and the U.S. Virgin Islands, providing both in-person and teledermatology services.  Resources:  Dr. H LinkedIn: https://www.linkedin.com/in/kristin-haushalter-m-d-66089121b/ BelaSol Clothing: https://www.belasolclothing.com/ Website: www.drannachacon.com Chapters (00:00:00) - How to make a living in medicine(00:00:35) - Skin Deep Miami(00:01:44) - Post-Residency doctor starts her own practice(00:03:49) - Working without a doctor's license in Miami(00:08:13) - Do MSOs Work for Dermatologists?(00:11:15) - Miami-based dermatologist creates sun protective swimsuits(00:16:04) - How a doctor and his dermatologist wife started a skincare(00:17:48) - Dermatology Practice Manager on Working in South Florida(00:22:21) - dermatologists on the need to own their own practice(00:27:46) - A Minute With Dr. Ranjee

How does someone turn personal struggles into a mission of cultural preservation and community support?  Dr. Anna Chacon, MD FAAD, welcomes world-renowned Alaskan Native ivory carver Leon Misuk Kinneeveauk from Point Hope, Alaska. Leon runs the Alaska Art Alliance nonprofit, providing space and resources for Alaskan Native artists facing challenges like homelessness and reentry from incarceration. Learning walrus ivory carving at age seven from his uncle, Leon comes from a distinguished family of carvers and has won numerous accolades at international art festivals.  This fascinating interview explores the complex world of Alaskan Native carving communities, from federal regulations that protect walrus ivory carving rights exclusively for Alaska Natives to the economic challenges threatening traditional arts. Leon discusses the declining youth participation in carving, unique regional styles across different Alaskan Native communities, and his own journey through incarceration to sobriety and community leadership. From the spiritual significance of hunting amulets to the upcoming Kivgiq festival in Barrow, Leon reveals how traditional art serves as both cultural expression and economic survival in modern Alaska.  In This Episode:  (00:00) Leon reveals the magnetic pull of walrus ivory carving  (00:42) Meet Leon Misuk Kinneeveauk: world-renowned carver and Alaska Art Alliance founder  (03:19) Federal regulations: exclusive walrus ivory rights for Alaska Natives  (06:14) Declining youth participation in traditional Alaskan Native carving  (11:01) Leon's personal journey: incarceration to community leadership  (14:42) Alaska Art Alliance: supporting artists facing homelessness and reentry  (17:52) International recognition and awards at art festivals  (21:45) Regional carving styles across different Alaskan Native communities  Share with a dermatology pro you know, like and subscribe to hear all of our future episodes!  About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.  About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated communities. Dr. Chacon holds medical licenses in all 50 states, DC, Guam, and the U.S. Virgin Islands, providing both in-person and teledermatology services.  Resources:  Alaska Art Alliance: https://www.facebook.com/p/Alaska-art-alliance-100068050321346/  Misuk Inupiaq Art: https://www.facebook.com/p/Misak-inupiaq-art-100077567029373/  Chapters (00:00:00) - Alaskan Carvers(00:05:04) - Is walrus ivory mostly an Inupac thing?(00:10:07) - Carving classes for Alaska Natives(00:14:42) - Anchor Carving(00:20:26) - Carving by First cousins(00:22:31) - Carvers on 4th Avenue(00:24:28) - Alaskan Native Carvers Tell Their Story

"What happens when healthcare stops rewarding volume and starts rewarding value?" Dr. Anna Chacon, board-certified dermatologist and host of Skin Deep, welcomes Jonathan Gruner, CEO of Salud Healthcare. With over 15 years of healthcare experience, Gruner leads a premier Managed Service Organization supporting independent primary care physicians transitioning from fee-for-service to value-based care. This father of four married at 21 and built a 75-person company while staying true to his Orthodox Jewish values. "We are all created in God's image," Gruner explains. Gruner breaks down fee-for-service medicine's problems and presents compelling alternatives. The conversation explores Medicare Advantage mechanics, capitation rates, and risk-sharing arrangements. How can independent physicians survive the mandated 2030 transition to value-based care? Gruner offers practical solutions, explaining how his company serves as "the backbone for primary care practices." As he puts it: "The future of healthcare must be within a value-based care setting." Jonathan Gruner is CEO of Salud Healthcare, revolutionizing how independent primary care physicians transition to value-based care. Originally from Far Rockaway, New York, this Orthodox Jewish entrepreneur leads a 75-person team while raising four children in Miami. His leadership philosophy centers on treating all people equally, bringing both innovation and values-driven leadership to healthcare transformation. In This Episode: (00:00) Introduction - the young generation, value-based care (01:08) Growing up in Far Rockaway and journey to Miami healthcare (05:13) Value-based care versus fee-for-service healthcare models (08:42) Understanding Medicare Advantage and Government Insurance (12:31) How doctors and capitation rates work in value-based care (17:15) Jonathan's entry into healthcare transformation (19:37) Orthodox Jewish values in business leadership About Skin Deep: A podcast for dermatology professionals. Host Dr. Anna Chacon shares insights on dermatology's future, telemedicine, and serving underserved communities. About Dr. Chacon: Board-certified dermatologist, founder of Indigenous Dermatology, specializing in remote/rural communities. First dermatologist serving Alaska's Bush region, licensed in all 50 states. Resources: LinkedIn: linkedin.com/in/jonathan-gruner Salud Healthcare: saludhealthcare.com Dr. Chacon: drannachacon.com Social: @miamiderm (Instagram, Facebook, Twitter, TikTok) Chapters (00:00:00) - Skin Deep: Value-(00:00:58) - How Married People Balance Their Lives(00:05:13) - What is Value-Based Care in Healthcare?(00:07:50) - Medicare Advantage vs. Straight Medicare(00:15:27) - Health Insurance Companies' Capitations(00:17:11) - How Microsoft is helping primary care doctors navigate the value-based care(00:18:37) - How big is your team at your company?(00:19:37) - Importance of treating everyone equally in the workplace

How did a young man from a Cuban immigrant family in Miami navigate his way to becoming a successful medical entrepreneur in the Florida Keys? Welcome to another episode of Skin Deep with Dr. Anna Chacon. Today we’re joined by Dr. Miguel Diaz, M.D. a Board-Certified Family Medicine Physician. Today’s discussion is focused on medical practice management. Dr. Diaz shares his remarkable journey from humble beginnings as a Cuban-American in Miami to becoming a successful multi-practice owner and family medicine residency program director. His path was anything but conventional – starting as a 16-year-old orderly in the ER, serving in the Navy, completing nursing school, and eventually attending medical school in the Dominican Republic where he met his wife. Dr. Diaz's story emphasizes the importance of having backup plans and being willing to take calculated risks, illustrated by his transition from ER medicine to private practice ownership in the Florida Keys. You’ll hear valuable insights into the business aspects of medical practice, particularly regarding SBA loans, practice acquisition, and scaling operations. Dr. Diaz details how he grew from a small 1,000-square-foot office to managing four clinics, emphasizing the importance of keeping overhead low and reinvesting in the business. He shares candid advice about the advantages of private practice ownership over hospital employment, including greater autonomy, better work-life balance, and more financial opportunities through real estate and business expansion. The episode concludes with his perspectives on exit strategies and the importance of balancing business success with family time, offering practical wisdom for physicians considering private practice ownership. Dr. Miguel Diaz, M.D., is a board-certified Family Medicine physician with over 11 years of experience and a passion for both healthcare and practice management. Born in Miami to Cuban parents, his early exposure to the mechanics of business and structure shaped his career. Dr. Diaz's journey into medicine began at 16, and after serving in the Navy and completing nursing school, he earned his medical degree in 2011. As an entrepreneur, he grew his practice in the Florida Keys from one to four clinics. Dr. Diaz is also the Director of the Larkin Residence Program and a strong advocate for physician-owned practices.   In This Episode:    (00:00) Introduction of guest Dr. Miguel Diaz, his life growing up in Miami with Cuban parents who immigrated in 1962, including influence of grandfather - who participated in the Cuban Revolution (04:57) Dr. Diaz’ path to medicine, working in an ER at age 16, joining the Navy, attending nursing school, family pressures  (08:06) Medical school in Dominican Republic, meeting his wife in medical school, having five children, attempting adoption, and balancing family with medical career (14:35) Buying & building a practice in the Florida Keys, sharing expenses with previous owner, growing the business (31:30) The ease of obtaining SBA loans, starting an LLC, expanding to new buildings, scaling up patient capacity, journey from teaching medical students to becoming a family medicine residency program director (37:00) Becoming a teacher after residency, selling a practice, growing fro...

Great skin doesn’t stop at the face—your scalp and hair deserve just as much attention. In this episode of Skin Deep, Dr. Anna Chacón sits down with Todd Da Silva, an elite L6 stylist and the Senior Technical Trainer for Bellus Academy in San Diego, CA, to talk all things scalp health, haircare science, and how dermatology and hairstyling go hand in hand. From preventing scalp conditions to maintaining luscious, healthy locks, Todd shares expert insights on the connection between skincare and haircare, the biggest myths in the industry, and pro tips for keeping your scalp and strands at their best.

Skincare isn’t just for adults—building healthy habits starts young! In this episode of Skin Deep, Dr. Anna Chacón sits down with Courtney Hyman to discuss everyday skincare essentials and how to teach kids the importance of skin health from an early age. From simple routines to age-appropriate products, Courtney shares expert insights on protecting young skin, avoiding common mistakes, and making skincare fun and approachable for the whole family.

With so much noise in the skincare industry, how do you separate fact from fiction? In this episode of Skin Deep, Dr. Anna Chacón sits down with Benjamin Fuchs, R.Ph., a pharmacist, skincare formulator, and the founder of Truth Treatment to uncover the science behind truly effective skincare. With decades of experience in pharmaceutical skincare, Benjamin shares how ingredients work at the cellular level, the biggest myths in the beauty industry, and what consumers should look for when choosing skincare products that actually deliver results.

In this episode of SKIN DEEP, Dr. Anna Chacon welcomes actress Erika Medina, known for her work with Disney, to discuss the demands of the beauty industry and the essential role of a trusted dermatologist in keeping your skin healthy and glowing. Erika shares her on-set beauty secrets, her personal skincare must-haves, and some dos and don’ts she’s learned from years in front of the camera. With Dr. Chacon’s expert guidance, they’ll explore how to navigate the high-pressure world of beauty while maintaining radiant, resilient skin. Whether you’re a beauty enthusiast or simply curious about life behind the scenes, this episode offers an enchanting mix of insider tips and expert advice.

From Hollywood’s biggest red carpets to magazine covers, Oscar, celebrity hair and makeup artist, knows how to create flawless beauty moments. In this episode of Skin Deep, Dr. Anna Chacón sits down with Oscar to dive into the secrets behind long-lasting glam, skincare for makeup lovers, and pro techniques to achieve that camera-ready glow. Whether you’re prepping for a major event or just want to elevate your daily beauty routine, Oscar shares expert tips, must-have products, and insider tricks from working with A-list clients.

In this episode of SKIN DEEP, Dr. Anna Chacon is joined by Lana Kerr, founder of the revolutionary CO2 Carboxy Mask, to dive into the science behind this game-changing skincare innovation. Lana shares how this unique treatment boosts skin health, minimizes signs of aging, and helps achieve that sought-after celebrity glow. Together, they discuss the benefits of investing in your skin, the importance of science-backed products, and the growing buzz around this luxurious mask (hint: some of Hollywood’s finest may be in on the secret). Whether you’re looking for a radiant boost or curious about what makes this mask a must-have, this episode will leave you inspired to treat your skin like royalty.

In this episode of SKIN DEEP, Dr. Anna Chacon is joined by Jamila Powell, founder of Naturally Drenched, to discuss a critical yet often overlooked aspect of skincare—scalp care! Jamila dives into why the scalp deserves just as much attention as the rest of your skin and how improper care not only impacts your skin health but also shows in the condition of your hair. Together, they share best practices for scalp and hair care, highlight common mistakes, and explore how Naturally Drenched is redefining hair and scalp health, becoming the talk of the town in the beauty industry. Whether you’re a haircare fanatic or just curious about the skin-hair connection, this episode will leave you inspired to level up your self-care routine.