Treatment-Resistant Alopecia Areata | As Seen in Everyday Health

Navigating alopecia areata can be challenging on its own, but when the condition stops responding to standard therapies, it adds an entirely new layer of frustration and uncertainty. Board-certified dermatologist Dr. Alexandra Bowles breaks down what “treatment-resistant” really means, how patients can prepare for a productive appointment, and the steps that help ensure a clear, supportive path forward. Be sure to check out the full article in Everyday Health!

How would you define “treatment-resistant” alopecia areata?

When we describe alopecia areata as “treatment-resistant,” we’re talking about cases where the hair loss doesn’t respond to the first line evidence-based therapies. That might mean a patient has tried topical or injected corticosteroids without meaningful regrowth, or even newer options like JAK inhibitors with limited results. JAK inhibitors, short for Janus kinase inhibitors, are targeted medications that help calm the overactive immune response responsible for attacking the hair follicles. When those treatments don’t work, it doesn’t mean there’s no hope. It just means the condition is a bit more stubborn and may require a different approach. Every case of alopecia areata is unique, and so it’s important to look at the whole picture to create a plan that gives each patient the best possible chance for regrowth and confidence again.

What should someone do to prepare for an appointment with a dermatologist to discuss next steps? Would bringing a list of meds tried previously and results be helpful?

Yes. Bringing a list of treatments or medications you’ve tried, including how long you used them and what kind of response you noticed, is incredibly helpful. It gives your dermatologist a clear picture of your treatment history and helps avoid repeating things that didn’t work or caused side effects.

How can patients go about voicing their concerns with a dermatologist?

It’s important to let your dermatologist know what matters most to you. You might say something like, “My biggest concern is the patch on my scalp that’s getting larger,” or “I’m really struggling with how unpredictable the shedding has been.” Being specific helps us prioritize what to focus on during the visit, whether that’s regrowth, scalp comfort, or emotional support.

Should patients explain how alopecia areata affects their daily life—and can this information help with insurance approval?

Sharing how alopecia areata affects your confidence, social life, or daily activities gives your dermatologist a better sense of the whole picture. It is never just about your hair. It’s about how the condition affects your quality of life. This information can also be helpful for insurance documentation if we need to justify coverage for advanced therapies like JAK inhibitors. For example, someone who has lost their eyelashes may have a smaller amount of hair loss involved, but that can be detrimental to your eye health.

Is it appropriate for patients to ask about treatments they’ve heard or read about? Do many of your patients do this?

Absolutely. Most patients have already done some research before coming in, and I welcome those questions. It opens up a great dialogue about what’s new, what’s evidence-based, and which treatments are the best fit for your particular situation.

When is it appropriate for patients to ask about participating in a clinical trial?

It’s always appropriate to ask, especially if your alopecia areata has been resistant to standard therapies. Clinical trials can offer access to promising new treatments and contribute to the growing understanding of this condition. I love it when patients take an active role in exploring every possible option.

Appointments like this can be emotional—how can patients make sure they remember the key discussion points and next steps?

I know these appointments can be emotional because alopecia areata affects so much more than just the hair. I always encourage patients to take notes or bring someone they trust to help remember key points. It’s also completely okay to pause and ask for clarification; I want my patients to leave feeling informed and supported, not overwhelmed. Summarizing what you’ve heard before you leave, like confirming the next steps or follow-up plan, can also help make sure we’re on the same page.

How can patients be sure they understand the next steps in their treatment plan?

It’s so important to leave your appointment knowing precisely what the next steps are. Before you go, take a moment to review the plan out loud with your dermatologist, something like, “So we’re starting this medication and following up in six weeks, right?” That simple recap helps confirm everyone’s on the same page. If anything feels unclear, don’t hesitate to ask for written instructions or a summary through the patient portal. I also recommend noting when to expect follow-up results or labs so you’re not left wondering. Clear communication makes the process smoother and helps you feel confident about what comes next in your treatment journey.

What other advice can you give for people dealing with treatment-resistance alopecia areata?

The most important thing I’d want patients to know is that they’re not alone. Treatment-resistant alopecia areata can be incredibly frustrating, but there are always options and new therapies emerging. Dermatology is advancing quickly in this area, and what didn’t work in the past doesn’t mean there isn’t something that will help in the future. Open, honest communication with your dermatologist is key; the more we understand your experience, your goals, and how this condition impacts your life, the better we can tailor a plan that feels right for you. Don’t be afraid to ask questions, explore new possibilities, or share how you’re feeling along the way. Managing alopecia areata is truly a partnership, and we’re here to help you every step of the way.

Skincare for Kids: Fun Self-Care or An Unnecessary Trend? | As Seen in Harper’s Bazaar

Skincare isn’t just for adults anymore—kids are becoming curious about face masks, serums, and playful routines designed just for them. Shay Mitchell’s new kids’ skincare brand, Rini, has stirred controversy for marketing sheet masks to children as young as three, with critics warning it could introduce unrealistic beauty standards too early. So, is this simply harmless fun, or are we complicating childhood with adult-focused beauty trends? Board-certified dermatologist Dr. Mona Foad breaks down the controversy and explains how parents can navigate this trend thoughtfully. Check out the full article in Harper’s Bazaar!

Do you think the criticisms here are deserved? Is it so preposterous that kids would want gentle sheet masks with fun designs?

I can absolutely understand why this topic may spark conversation. The idea of very young children using sheet masks can feel unnecessary or overly commercialized. At the same time, it’s not unreasonable that kids might want gentle, playful products that make skincare feel fun. We’re seeing a cultural shift where skincare is viewed less as beauty and more as self-care. For some families, these routines can even become bonding moments. The key question isn’t whether kids should or shouldn’t use them, but how it’s done. When formulas are genuinely gentle, the messaging focuses on care rather than appearance, and the activity is supervised, it can be a harmless way to introduce good skin habits. Some of the criticism is justified when products are marketed with adult beauty claims, but when executed thoughtfully, there’s room for kids to enjoy skincare safely and playfully.

Can kids use gentle sheet masks designed for adults?

I’m cautious about children using sheet masks made for adults because the formulations are often stronger and contain active ingredients such as acids, retinoids, or high concentrations of botanical extracts. These can be too harsh for a child’s thinner, more sensitive skin. However, when masks are specifically created for young users, the approach can be different. The most important thing is to choose formulas that are hypoallergenic, fragrance-free, and designed for delicate skin. In those cases, and with parental supervision, a gentle mask can be a fun, occasional part of self-care. But if it’s an adult mask, it’s best to read the ingredient list carefully and err on the side of caution.

Should children be using sheet masks? Are there any risks?

From a dermatologic standpoint, children don’t need sheet masks in the same way adults do. Their skin naturally stays hydrated and hasn’t yet developed the environmental or aging concerns these products are meant to treat. The main risks come from added fragrance, harsh preservatives, or potent actives that can irritate or inflame the skin. If a child is curious about trying a sheet mask, choose one with gentle, fragrance-free ingredients and use it sparingly. Parents should always supervise and ensure that it’s not part of a daily routine. When used thoughtfully, the risk is low, but unnecessary exposure to stronger ingredients can do more harm than good. On the flip side, some children may have dry skin or are more eczema prone. In these case a sheet mask specifically formulated with these conditions in mind can help their skin become more hydrated and less inflamed.

Where do you stand on this continuing debate of skincare designed for kids?

I think we’re in an interesting transitional moment. There’s growing curiosity among kids about skincare, which isn’t inherently negative—it can help build healthy habits early. However, the concern is when children start adopting adult routines or products meant for mature skin, which can lead to both irritation and unrealistic beauty expectations. I support the idea of gentle, age-appropriate products that focus on basic care like cleansing, moisturizing, and sun protection, rather than correction or anti-aging. If the messaging stays focused on education, fun, and self-care, skincare can be positive for kids. But it’s essential to keep it simple, safe, and free from the pressures of beauty culture.

The Ultimate Nighttime Skincare Routine | As Seen in Women’s Health

You may have heard the term “beauty sleep,” but there’s real science behind it. While you rest, your skin goes into recovery mode—repairing daytime damage, boosting collagen, and renewing itself overnight. That’s why your evening routine is one of the most important steps in maintaining healthy, radiant skin. Be sure to check out the article in Women’s Health where board-certified dermatologist Dr. Mona Foad shares her insights on how to build the ideal nighttime skincare routine and make the most of your skin’s natural renewal process.

Why is nighttime so important for skin repair?

At night, your skin shifts from protection to repair. During the day, it’s busy defending against UV rays, pollution, and other environmental stressors. Once you fall asleep, your circadian rhythm signals your skin to start healing. Cell turnover increases, collagen production rises, and blood flow improves—all of which help your skin recover and restore its natural glow. The skin barrier also becomes more permeable while you sleep. That means it can lose moisture, but it also absorbs skincare ingredients more effectively. This is the perfect time to apply treatments like retinol, peptides, or hydrating serums that support repair and renewal. Even hormones like melatonin and growth hormone play a role by helping neutralize free radicals and supporting tissue regeneration.

What should my first step be before bed?

I always tell my patients to start with a clean slate. Cleansing is essential because it removes the impurities, oil, and makeup that build up during the day. I recommend double cleansing—first with an oil-based cleanser to break down makeup and sunscreen, then following with a gentle, pH-balanced face wash to remove any residue. Double cleansing helps eliminate pollution particles that can lead to free radical damage and premature aging. It also ensures that your skin is clear and ready to absorb the active ingredients that come next in your routine.

How often should I exfoliate at night?

Exfoliation helps reveal fresh, smooth skin by clearing away dead surface cells. I typically recommend exfoliating two to three times a week, depending on your skin type. Using a gentle chemical exfoliant—such as glycolic, lactic, or salicylic acid—can improve dullness, uneven texture, and clogged pores. Because your skin is already in repair mode at night, exfoliating allows your serums and moisturizers to penetrate more effectively. Just avoid exfoliating on the same night you use retinol or other strong actives to prevent irritation. The key is consistency, not overdoing it.

What treatments or serums are best to use at night?

Nighttime is when your skin can truly benefit from targeted treatments. Since your barrier is more permeable, it’s the ideal time to apply products that address specific concerns like fine lines, pigmentation, or dehydration.

Some of my favorite ingredients to include are:

Retinol, which increases cell turnover and boosts collagen
Peptides and growth factors, which help improve elasticity and firmness
Niacinamide, which calms inflammation and supports the skin barrier
Hyaluronic acid, which draws in and locks moisture
Vitamin C, which brightens and helps protect against oxidative damage

Serums with these ingredients work synergistically overnight to support the skin’s natural renewal cycle and help you wake up with smoother, more balanced skin.

How should I moisturize before bed?

Nighttime moisturization is one of the most important steps in your routine. As you sleep, your skin naturally loses water through a process called transepidermal water loss, so applying a nourishing moisturizer helps lock in hydration and supports barrier repair. I recommend using a richer cream at night with ingredients like ceramides, squalane, or hyaluronic acid. If your skin feels extra dry or dull, you can layer on a facial oil or even an overnight mask a couple of times a week to boost hydration. Think of it as giving your skin a nightly care package—it will thank you in the morning.

What’s the overall goal of a nighttime skincare routine?

Your nighttime routine is more than a beauty ritual—it’s an investment in your skin’s long-term health. My philosophy is simple: cleanse, treat, and deeply hydrate. With consistent care, you’ll wake up with skin that looks refreshed, balanced, and radiant. At Mona Dermatology, my team and I help patients customize routines that fit their needs, lifestyle, and skin goals. By supporting your skin’s natural nighttime repair process, you can achieve healthier, more resilient skin over time—one restful night at a time. If you’re ready to elevate your skincare routine, schedule an appointment with us today and let our experts help you achieve glowing, healthy skin.

The Best Korean Cleansers | As Seen in Vogue

Korean cleansers have become skincare staples thanks to their innovative formulas, gentle ingredients, and emphasis on maintaining the skin’s natural barrier. Board-certified dermatologist Dr. Alexandra Bowles shared her favorite Korean cleansers with Vogue, highlighting products that balance effective cleansing with hydration, soothing botanicals, and barrier support. Below, she breaks down her top recommendations and what makes each one stand out.

Which Korean cleansers do you recommend?

Innisfree Sulfate-Free Green Tea Amino Acid Cleansing Foam

This cleanser contains green tea water, which helps with skin hydration, while its amino acid complexes cleanse the skin gently. It’s a great option for those who want a refreshing clean without feeling stripped or tight afterward. The green tea extract is rich in antioxidants that soothe inflammation and protect the skin from environmental stressors.

CosRx Advanced Snail Mucin Gel Cleanser

I like to recommend this one for daily use because it balances effective cleansing with hydration and barrier support. The snail mucin helps to calm, smooth, and strengthen the skin, making it ideal for all skin types — especially if you’re prone to dryness or irritation. It also includes allantoin and hyaluronic acid, which help lock in moisture and promote healing.

Dr. Jart+ Cicapair Foaming Face Wash Cleanser

This cleanser helps promote hydration without drying the skin out. Formulated with centella asiatica (or “cica”), it’s particularly soothing for those with sensitive or redness-prone skin. The addition of herbs like mugwort and houttuynia cordata helps to calm inflammation and strengthen the skin’s protective barrier.

The Face Shop Rice Foaming Facial Cleanser

Rice water is rich in vitamins, amino acids, and other nutrients that contribute to brighter, cleaner skin. I often recommend this for patients looking to boost radiance and achieve a smoother, more even complexion. The rice bran extract in the formula gently exfoliates while adding nourishment, giving skin a healthy glow.

Peach & Lily Power Calm Hydrating Gel Cleanser

This gel cleanser can be particularly beneficial for sensitive or dehydrated skin. It uses calming ingredients that help support the skin barrier while providing a thorough, non-stripping cleanse. Key ingredients like chamomile and camellia extract work to soothe irritation, while hyaluronic acid provides lasting hydration.

Erborian Centella Cleansing Gel

I like this lightweight gel because it removes the last traces of dirt and makeup while keeping the skin smooth and hydrated. It’s a great choice for anyone who prefers a gentle but effective second cleanse. Its formula includes licorice root and centella asiatica extracts, which brighten and calm the skin at the same time.

Ma:nyo Pure Cleansing Oil

This nourishing oil cleanser uses plant oils that leave the skin soft while maintaining barrier health. I recommend it for anyone who wears heavier makeup or sunscreen — it’s a perfect first step in a double-cleansing routine. It contains a blend of olive, jojoba, and argan oils that dissolve impurities while adding moisture and essential fatty acids back into the skin.

Etude SoonJung pH 6.5 Whip Facial Cleanser

It cleans gently without irritation, making it ideal for sensitive or reactive skin. I often suggest it to patients who want a mild, calming cleanser that protects the skin’s natural barrier. With panthenol to restore hydration and madecassoside to calm redness, it’s one of my go-to choices for anyone with compromised skin.

Dr. Althea Pure Grinding Cleansing Balm

I like this cleansing balm for patients who need deep cleansing without dryness or irritation. It melts away buildup while leaving skin soft, hydrated, and refreshed. The balm is infused with ceramides and soothing botanical oils that replenish the skin barrier while thoroughly removing impurities.

Anua Rice Enzyme Brightening Cleansing Powder

This powder cleanser is great for adding radiance and smoothness without irritation. You can adjust the intensity by changing how much water you add, which makes it suitable for both normal and sensitive skin types. The rice enzymes provide gentle exfoliation, while niacinamide helps brighten dull areas and improve overall tone.