How Sodium May Be Impacting Your Skin | As Seen in Parade

Salt is a staple in almost every meal, but many people don’t realize how closely sodium intake is tied to skin health. From waking up with puffy under-eyes to noticing dryness, redness, or a dull complexion, what’s on your plate, especially at dinner, can show up on your skin the very next day. A high-sodium diet doesn’t just affect overall health; it can influence hydration, inflammation, and even how quickly visible signs of aging appear. Learn more with with Dr. Alexandra Bowles as she dives deeper into this topic, featured in Parade.

How does a high-sodium diet impact the skin?

A high-sodium diet can contribute to skin that looks dry, puffy, or both. When we consume excess salt, the body works to maintain balance by pulling water into the bloodstream, which can lead to fluid retention, especially around the eyes and face, where the skin is thinner and more delicate. At the same time, too much sodium can actually dehydrate the skin by drawing moisture away from the surface, leaving it feeling tight, flaky, or dull. This combination, internal water retention and surface dehydration, is why someone might wake up with puffy under eyes but still feel that their skin looks dry.

People with sensitive skin or underlying conditions like eczema may notice these changes even more quickly. I always remind my patients that staying well-hydrated, choosing whole foods when possible, and being mindful of packaged or restaurant meals can make a noticeable difference in their skin’s overall appearance. It’s a simple lifestyle adjustment that often pays off in a healthier, more balanced complexion.

A high-sodium diet can cause inflammation. How can this impact skin?

A high-sodium diet can contribute to inflammation in the body, and the skin often reflects that internal imbalance. When inflammation rises, it can worsen conditions like acne, rosacea, and eczema, making flare-ups more frequent or more intense. Excess sodium can also disrupt the skin barrier, which is essential for keeping moisture in and irritants out, so skin may become more sensitive, dry, or reactive. Some patients notice increased redness, puffiness, or a dull tone when their salt intake is consistently high. Over time, chronic inflammation can even interfere with collagen production, which affects the skin’s firmness and long-term health. I often tell my patients that while we can’t control every source of inflammation, limiting excess sodium and prioritizing whole, fresh foods can support both overall wellness and clearer, calmer skin. Small dietary shifts can truly make a visible difference.

Can a high-sodium diet accelerate signs of aging? If so, how?

Yes, a consistently high-sodium diet can contribute to the acceleration of visible aging, although it’s often more subtle and indirect than people expect. Excess sodium can dehydrate the skin, weakening the moisture barrier and making fine lines and wrinkles appear more pronounced. It can also promote low-grade chronic inflammation, which, over time, may interfere with collagen and elastin, the proteins that keep skin firm, smooth, and resilient. Inflammation and dehydration together can lead to a duller complexion, increased redness, and more noticeable under-eye puffiness, all of which can make the skin look older than it is. For patients already managing conditions like rosacea or eczema, high sodium can amplify symptoms and stress the skin even further. I always encourage focusing on hydration, balanced nutrition, and consistent skincare to counteract these effects.

If someone is going to have food with a lot of salt, are there ways they can minimize the impact the salty meal will have on their skin?

If you’re going to enjoy a salty meal, there are definitely ways to soften its impact on your skin. First, hydrate well before and after. Water helps balance sodium levels and reduces the likelihood of next-day puffiness or dryness. Pairing salty foods with potassium-rich choices like bananas, avocado, or leafy greens can also help counteract water retention. I often recommend avoiding alcohol with a high-sodium meal, since the combination can be especially dehydrating for the skin. A gentle, hydrating skincare routine that evening, think a soothing cleanser and a barrier-supporting moisturizer, can also help keep the skin calm. If puffiness tends to be an issue, a cool compress or chilled jade roller around the eyes the next morning can be very helpful. And most importantly, enjoy these meals in moderation; small lifestyle tweaks can go a long way in keeping your skin balanced and healthy.

Is consuming salt always bad?

One thing I always like to remind patients is that skin health is a reflection of overall balance. What we eat, how we hydrate, how we sleep, and how we care for our skin all work together. Salt isn’t “bad,” but being mindful of how much we consume and how our body responds can make a noticeable difference in puffiness, dryness, and inflammation. If you’re seeing recurring changes in your skin, it’s worth paying attention to patterns in your diet and daily habits. And as always, if something feels persistent or out of the ordinary, checking in with a dermatologist can provide clarity and peace of mind.

The Best Sulfate-Free Shampoos | As Seen in Glamour

Sulfate-free shampoos are gentle cleansers that protect your hair and scalp while maintaining moisture and balance. From reducing frizz to preserving color, switching to a sulfate-free formula can improve hair health across all textures and types. Find out Dr. Mona Foad’s top picks, featured in Glamour.

What are sulfate-free shampoos?

Sulfate-free shampoos are gentle cleansers that omit harsh foaming agents, such as sodium lauryl sulfate (SLS) and sodium laureth sulfate (SLES). These ingredients are commonly used to create lather and remove buildup. Still, they can also strip the scalp and hair of their natural oils, especially in those with dryness, sensitivity, or color-treated hair. Sulfate-free formulas use milder surfactants to cleanse effectively while keeping the scalp barrier balanced and the hair hydrated. Many of my patients notice that their hair feels softer and less frizzy after switching. Plus, their scalp tends to be calmer and less irritated. Because these shampoos don’t foam as much, they may feel different at first, but that’s a sign they’re preserving the scalp’s natural moisture. Overall, they’re an excellent choice for maintaining healthy, resilient hair without over-drying or disrupting the scalp’s balance.

What are the benefits of switching to a sulfate-free shampoo?

Switching to a sulfate-free shampoo can have a meaningful impact on both the health of your scalp and the quality of your hair. Because these formulas don’t use harsh detergents like sodium lauryl or laureth sulfate, they cleanse more gently, helping to preserve the scalp’s natural oils and microbiome. This not only keeps the skin barrier balanced but also leaves hair feeling softer, smoother, and more hydrated over time. Sulfate-free shampoos are especially beneficial for color-treated or chemically processed hair, as they minimize fading and dryness while maintaining shine. They’re also a great option for those with sensitive, dry, or eczema-prone scalps because they reduce irritation and flaking. Many of my patients notice their hair feels healthier and easier to manage within just a few washes, proof that gentler cleansing truly supports stronger, more resilient strands.

Which hair types and textures can benefit from switching to a sulfate-free shampoo?

Nearly every hair type can benefit from using a sulfate-free shampoo, but it’s especially helpful for those with dry, textured, or color-treated hair. Traditional sulfates can strip the scalp’s natural oils, which are essential for keeping curls, coils, and processed hair soft and elastic. By contrast, sulfate-free formulas help maintain that natural moisture, so hair stays smooth, manageable, and vibrant. Patients with sensitive or eczema-prone scalps often notice less irritation and flaking after making the switch to gentler formulas. Even those with fine or oily hair can use sulfate-free shampoos successfully. Choosing a lightweight version ensures an effective cleanse without residue or buildup. Overall, these formulations tend to promote a balanced scalp environment and healthier-looking strands across nearly all hair textures.

Is sulfate-free shampoo good for your hair?

Yes, sulfate-free shampoos can be very beneficial for most people, particularly if you’re aiming to maintain hydration and reduce irritation. Traditional shampoos with sulfates can be overly harsh, stripping away the scalp’s natural oils and leaving hair dry, frizzy, or brittle. Sulfate-free options cleanse more gently, helping preserve both the hair’s protective barrier and its moisture balance. They’re especially effective for color-treated, curly, or chemically processed hair. Patients with sensitive skin or scalp conditions, such as eczema or psoriasis, also tend to tolerate these formulas better because they’re less likely to cause burning or itching. Over time, switching to a sulfate-free shampoo often leads to softer, smoother, and stronger hair, a clear reflection of a healthier scalp and improved overall hair resilience.

What happens when you start using a sulfate-free shampoo?

When you first transition to a sulfate-free shampoo, your scalp and hair might feel a little different, which is completely normal. These formulas don’t produce the same thick lather as traditional shampoos, which can make them seem less effective, but they’re actually doing a gentler, more balanced cleanse. During the first week or two, your scalp may rebalance its natural oil production, so your hair might feel heavier or less “squeaky clean” at first. Once your scalp adjusts, you’ll likely notice that your hair becomes softer, shinier, and easier to manage, as it retains more of its natural oils.

Those with color-treated or textured hair often find that their strands feel more hydrated and less frizzy, while individuals with sensitive scalps appreciate the reduction in dryness and irritation. In the long run, sulfate-free shampoos help support a healthier scalp environment, one that keeps your hair strong, smooth, and more resilient over time.

Is sulfate-free shampoo good for sensitive scalps?

Yes, sulfate-free shampoos are an excellent option for people with sensitive scalps. Traditional sulfates, like sodium lauryl sulfate or sodium laureth sulfate, can sometimes be too harsh, stripping away natural oils and disrupting the scalp’s barrier. This often leads to dryness, tightness, redness, or itching, especially if you’re already prone to conditions like eczema or irritation. Sulfate-free formulas cleanse more gently, allowing the scalp to retain its natural moisture and remain balanced. Many of these shampoos are also enriched with soothing ingredients, such as aloe vera, oat extract, or glycerin, which help calm the skin and add hydration. Over time, most patients notice reduced flaking and sensitivity, along with an overall improvement in scalp comfort. It’s a simple switch, but one that can make a meaningful difference for scalp health and hair resilience.

Do dermatologists recommend sulfate-free shampoos?

Many dermatologists recommend sulfate-free shampoos, particularly for patients experiencing scalp sensitivity, dryness, or color-treated hair. Traditional sulfates can be very effective cleansers, but they can also strip the scalp of its natural oil, which may lead to irritation, flaking, or a feeling of tightness over time. Sulfate-free formulas are much gentler. They clean effectively while maintaining the scalp’s moisture balance and supporting a healthy skin barrier. For patients with eczema, psoriasis, or seborrheic dermatitis, sulfate-free options are often better tolerated and less likely to trigger inflammation. These formulas also tend to preserve color and hydration in processed or curly hair. While not everyone needs to avoid sulfates entirely, most people find that switching to a sulfate-free shampoo leaves their scalp calmer and their hair softer and stronger. It’s a simple adjustment that often leads to healthier and more comfortable results in the long term.

What are the signs of sulfate damage in hair?

When your hair has been exposed to harsh sulfates for a long time, there are a few clear signs that your shampoo may be too stripping. The first is dryness. Your hair may feel rough, brittle, or “squeaky” after washing, rather than smooth and hydrated. You may also notice more frizz, tangles, or split ends because sulfates can weaken the cuticle. For those with color-treated hair, you may notice your color fading or looking dull more quickly, as sulfates can wash away pigment molecules.

Scalp irritation is another red flag. If your scalp feels tight, itchy, or flaky after shampooing, your cleanser could be too harsh for your skin barrier. Over time, that combination of dryness and irritation can make hair more prone to breakage or even increased shedding. If you’re seeing any of these changes, switching to a sulfate-free shampoo can help restore moisture, calm the scalp, and bring your hair back to a healthier balance.

Here are Dr. Mona’s top picks:

Best Overall:

Olaplax No. 4 Bond Maintenance Shampoo

The richly lathering formula gently yet thoroughly cleanses every hair type without stripping or drying to maintain hydrated hair and scalp, and has been shown to have better than 90% detangling and conditioning as well as 49% reduction in breakage.

Redken All: Soft Shampoo

This is one of my go-to, all-around recommendations because it provides rich conditioning while keeping the scalp balanced. It softens, smooths, and restores manageability without weighing hair down, making it a great everyday choice for most hair types.

Best for Dry Hair:

Pureology Hydrate Shampoo

If your hair feels brittle, dehydrated, or over-processed, this formula is a standout choice. It deeply replenishes moisture while remaining color-safe, so you’re nourishing your hair without dulling your color. The result is soft, hydrated hair that looks and feels healthier.

Best for Oily Hair:

L’Oréal Paris Elvive Hyaluron Pure Shampoo

For oily scalps, this shampoo strikes the perfect balance. It uses salicylic and hyaluronic acid to cleanse away excess oil while keeping the lengths hydrated. It’s ideal if your roots get greasy but your ends still need moisture.

Best for Fine Hair:

OUAI Fine Hair Shampoo

Fine hair benefits from volume and strength without heaviness, and this shampoo delivers both. With biotin and keratin, it helps strengthen strands and build body, leaving hair feeling fuller and more resilient without buildup.

Best for Curly Hair:

Curlsmith Curl Reset Detox Shampoo – Curly textures can accumulate buildup from styling products and oils, which dulls curl definition. This detox shampoo gently clarifies without stripping moisture, helping curls stay soft, defined, and healthy.

Best for Damaged Hair:

Sulfate Free Shampoo for Hair I Aveda

Restore hair and fight back against damage. This gentle shampoo is the first step for stronger, healthier looking hair. With a powerful blend of ingredients, including quinoa protein, helps repair and strengthen damaged hair. Gently wash away pollutants thanks to a babassu oil-derived surfactant blend, improving both texture and shine.

Best for Keratin-Treated Hair:

Ion Keratin Smoothing Shampoo

After a keratin treatment, your hair needs a sulfate-free formula that maintains smoothness while replenishing protein. This shampoo helps extend the life of your treatment, keeping your hair sleek, soft, and frizz-free.

Best for Color-Treated Hair:

Redken Color Extend Magnetics Shampoo

Color-treated hair benefits from gentle, protective cleansing, and this formula does exactly that. It fortifies the hair fiber, helps maintain vibrancy, and reduces color fade, which is ideal for anyone who wants to keep their tone looking fresh and glossy.

IPL vs. BBL: Which is Right For Me?

IPL vs BBL: Which Light-Based Treatment Is Right for Your Skin?

If you’ve been exploring options for clearer, more even-toned skin, you’ve likely come across IPL and BBL. While these light-based treatments are often mentioned in the same breath, they’re not interchangeable, and understanding the difference can help you make the best choice for your skin concerns.

What Is IPL?

IPL, or Intense Pulse Light, uses broad-spectrum light energy to target common skin issues like sun damage, brown spots, redness, and uneven tone. It’s a versatile treatment that’s been around for years and has helped countless patients achieve more radiant skin.

IPL is particularly well-suited for patients dealing with mild to moderate discoloration who are looking for gradual improvement over time.

What Is BBL?

BBL, or BroadBand Light, takes light therapy to the next level. This advanced technology delivers energy more precisely and consistently than traditional IPL, allowing it to address more stubborn or deep-seated concerns.

BBL can effectively treat deeper sun damage, persistent redness, broken capillaries, and even improve overall skin texture and quality. Beyond correction, BBL is also recognized for its rejuvenating and anti-aging benefits by stimulating collagen production and supporting long-term skin health, making it a favorite among patients focused on prevention and maintenance. There is also a customization specifically to target acne. The BBL acne protocol can reduce acne-causing bacteria, calm inflammation, and improve overall skin clarity.

So Which Treatment Is Right for You?

Choosing between IPL and BBL really comes down to your specific skin goals and concerns.

IPL may be ideal if you:

Are new to laser or light-based treatments
Have mild sun spots or redness
Prefer subtle, progressive results
Are looking for ongoing maintenance treatments

BBL may be the better choice if you:

Have more significant sun damage or redness
Want faster, more noticeable results
Are focused on anti-aging and improving overall skin quality
Are committed to long-term corrective treatments

The Bottom Line

Both IPL and BBL are proven, effective treatments, there’s no one-size-fits-all answer. The right choice depends on your unique skin type, concerns, and aesthetic goals. That’s why a personalized consultation is so important. During your visit, we can assess your skin, discuss your expectations, and recommend the treatment that will deliver the best, safest results for you.

Dandruff Explained: Causes, Treatments, and Products | As Seen in HuffPost

Dandruff is common and often caused by a combination of factors like scalp yeast overgrowth, oil imbalance, and dry skin. Using the right ingredients and consistent care can help control flaking, itching, and irritation. If you struggle with this, discover some shampoos to add into your routine recommended by Dr. Alexandra Bowles, featured in HuffPost’s article.

What are some of the main causes of dandruff?

Dandruff is incredibly common, and it often stems from a combination of factors rather than one single cause. One of the biggest contributors is an overgrowth of Malassezia, a yeast that naturally lives on the scalp but can become irritating when it multiplies. This irritation leads to flaking, itching, and inflammation. Dry skin, especially in colder months, can also make dandruff worse, as can excess oil production, which creates an environment where yeast thrives. Some hair products may trigger sensitivity or buildup, leading to even more irritation. Stress and changes in hormones can also play a role, which is why dandruff can flare during busy or stressful periods. Overall, dandruff is rarely about “poor hygiene.” It’s usually about how your scalp responds to oils, yeast, and environmental factors.

Are there key ingredients that people should look for when trying to treat their dandruff?

Several ingredients do a wonderful job at calming dandruff and restoring balance to the scalp. Pyrithione zinc and selenium sulfide help reduce scalp yeast, which is often the root cause of flaking and itching. Ketoconazole is another powerful antifungal option, especially for more stubborn cases. If inflammation is a big issue, salicylic acid can gently exfoliate flakes while helping other active ingredients penetrate better. And for people with sensitive skin, formulas containing tea tree oil can offer natural antimicrobial and soothing benefits. The key is choosing a shampoo that directly addresses your type of dandruff and using it consistently to keep symptoms under control.

What are some shampoos you recommend to help control symptoms?

Nizoral A-D (1% ketoconazole): This is one of my top recommendations for more persistent dandruff because ketoconazole is a strong antifungal ingredient that helps control yeast on the scalp. You have to let it sit on the scalp for it to work!

Head & Shoulders Clinical Strength: A great option for moderate to severe flaking, and it also helps calm itching and redness while restoring moisture balance.

Neutrogena T/Sal: Perfect for people with thicker scale or buildup because the salicylic acid breaks up flakes without being too harsh.

Selsun Blue: Another reliable choice that reduces inflammation and helps regulate oil production, which is especially helpful for oily or irritated scalps.

What daily habits and tips can help effectively manage dandruff and support overall scalp health?

Consistency is key when treating dandruff. Most people see the best results when they use their medicated shampoo several times a week and allow it to sit on the scalp for five minutes before rinsing. Avoiding heavy styling products can also help, since buildup can worsen flaking and irritation. If your scalp feels dry, pairing your dandruff shampoo with a gentle, hydrating conditioner on the ends of your hair, not the scalp, can keep hair soft without disrupting treatment. Managing stress, getting adequate sleep, and maintaining a healthy diet can also support overall scalp health. And if your flaking doesn’t improve after a few weeks, or if you notice redness, pain, or hair shedding, it’s a good idea to see a dermatologist to rule out another condition. My biggest message is that dandruff is very treatable. You just need the right approach and a little patience.

A Guide to Retinoid Types | From Weakest to Strongest

Between “retinol,” “retinal,” and “retinoid”, it’s easy to get confused. Let’s break down the four main categories of retinoids so you can finally understand which one is right for your skin.

There are four main types of retinoids available:

Retinol: Over-the-counter, needs to convert twice in your skin
Retinal: Over-the-counter, needs to convert once in your skin
Over-The-Counter Prescription Strength: Like Differin, no conversion needed
Prescription Only: Like Tretinoin, the strongest option

The key difference between these four categories is how many steps it takes for them to become active in your skin. Fewer conversion steps means faster and stronger results, but also more potential for irritation.

Category 1: Retinol

Retinol, spelled with an “o”, is what you’ll find at drugstores, Sephora, and most skincare counters. It’s the most common and beginner-friendly option for good reason.

How Retinol Works: Your skin has to convert retinol twice before it becomes retinoic acid, the active form that actually improves your skin. This double conversion makes it slower-acting but also much gentler on your skin.

Available Strengths:

0.1% to 0.3% – Beginner strength
0.5% – Intermediate strength
1% – Maximum over-the-counter strength

Best For:

Complete beginners to retinoids
Sensitive or dry skin types
Anti-aging prevention
Anyone wanting a gentle introduction

Results Timeline: Expect to wait 12-16 weeks before seeing noticeable results.

Example Products: SkinMedica’s Retinol Complex, La Roche-Posay Retinol B3, The Ordinary Retinol, CeraVe Resurfacing Retinol Serum, RoC Retinol Correxion

Category 2: Retinal/Retinaldehyde

Retinal, spelled with an “a” and also called retinaldehyde, is newer but quickly becoming a favorite among skincare enthusiasts.

How RetinAL Works: Retinal only needs to convert once in your skin before becoming active retinoic acid. This single conversion means it works much faster than retinol. Studies suggest it can be up to 11 times more effective than retinol at the same concentration.

Available Strengths: 0.05% to 0.1%

Best For:

People who’ve already used retinol successfully
Anyone wanting faster results without a prescription
The middle ground between over-the-counter retinol and prescription strength

Results Timeline: You might see improvements in 6-8 weeks instead of 12-16.

Example Products: Avène Retrinal Intensive Multi-Corrective Cream, Avène Retrinal Advanced Correcting Serum, Geek & Gorgeous A-Game, Medik8 Crystal Retinal ,

Category 3: Over-The-Counter Prescription Strength

These retinoids used to require a prescription but are now available over-the-counter. The most common is Adapalene, sold under the brand name Differin.

How OTC Retinoids Work: Adapalene is already in its active form, no conversion needed. Your skin can use it immediately, which is why it works faster than retinol.

Available Strength: 0.1% over-the-counter (0.3% requires prescription)

Best For:

Acne and clogged pores specifically
People who want retinoid strength without seeing a doctor
Anyone who wants to level-up the results they’re seeing from their current retinol or retrinal

Results Timeline: Expect to see improvements in 8-12 weeks, particularly for acne.

Key Difference: This is technically a retinoid, not a retinol. It’s chemically different and works differently in your skin. Adapalene is particularly effective at unclogging pores and reducing inflammation, making it especially popular for acne treatment.

Example Products: Differin Gel, La Roche-Posay Effaclar Adapalene Gel

Category 4: Prescription Only Retinoids

Prescription retinoids are the strongest options available and require a doctor’s prescription for good reason.

Main Types

Tretinoin (Retin-A):

Available in 0.025%, 0.05%, 0.1%
Pure retinoic acid that works immediately
Most studied and proven effective

Adapalene 0.3% (Prescription-strength Differin):

Three times stronger than OTC version
Used for moderate to severe acne

Tazarotene

Available in 0.05% and 0.1%
Incredibly effective but can cause the most irritation

How Prescription Retinoids Work: These are pure retinoic acid or active retinoids. No conversion needed, they get to work immediately in your skin.

Best For:

Stubborn acne that hasn’t responded to OTC treatments
Significant sun damage or deep wrinkles
When over-the-counter options haven’t worked after 3-4 months
Anyone wanting the fastest, most dramatic results

Results Timeline: You may see improvements in as little as 4-8 weeks.

Key Differences:

Much more potent than anything over-the-counter
Can cause more irritation initially (dryness, redness, peeling)
Shows results faster
Requires monitoring by a dermatologist
Often more affordable with insurance

The Key Differences at a Glance

Type	Conversions Needed	Speed	Strength	Availability
Retinol	2 conversions	Slowest	Gentlest	Drugstore/Online
Retinal	1 conversion	Faster	Moderate	Drugstore/Online
OTC Retinoids	0 conversions	Fast	Strong	Drugstore/Online
Prescription	0 conversions	Fastest	Strongest	Doctor required

The fewer conversion steps required, the faster and stronger the results, but also the higher the potential for irritation.

Which One is Right for You?

Try Retinol if:

You’re brand new to retinoids
You have sensitive, dry, or reactive skin
You want gentle anti-aging prevention
You’re nervous about irritation
You prefer starting slow and building up

Choose Retinal if:

You’ve successfully used retinol before
You want faster results without seeing a doctor
You’re looking for a middle-ground option
You’re impatient with retinol’s slow timeline
You want to try something newer and more advanced

Try Over-the-Counter Retinoids if:

You’re primarily dealing with acne
You want stronger results without a prescription
Retinol hasn’t worked well for you after several months
You need something that targets clogged pores
You want proven acne treatment without the doctor visit

Choose Prescription Retinoids if:

You have severe acne or significant sun damage
OTC options haven’t worked after 3-4 months of consistent use
You want the fastest, most dramatic results
You’re willing to deal with more initial irritation
You have access to a dermatologist
You want the most researched and proven option

Important Tips for All Retinoid Users

Regardless of which category you choose, follow these essential guidelines:

Start Low and Slow: Begin with the lowest strength available in your chosen category. Use it 2-3 times per week initially, then gradually increase frequency as your skin adjusts.
Be Patient: Don’t expect overnight results. Even prescription retinoids take several weeks to show improvements. OTC retinol can take 12-16 weeks. Stick with it.
Always Wear Sunscreen: All retinoids increase sun sensitivity. Daily SPF 30 or higher is non-negotiable.
Expect Some Adjustment: Mild dryness, flaking, or redness in the first few weeks is normal with any retinoid. This is often called the “retinization” period. It usually improves after 2-4 weeks.
Don’t Use If Pregnant: Retinoids are not safe during pregnancy or breastfeeding. Talk to your doctor about safe alternatives.
Apply to Dry Skin: Wait a few minutes after cleansing before applying your retinoid. This minimizes irritation.
Less Is More: A pea-sized amount is enough for your entire face. More product doesn’t mean better results.

The “best” retinoid isn’t necessarily the strongest one – it’s the one you’ll actually use consistently without excessive irritation. A gentler retinoid you use every night is infinitely better than a strong prescription retinoid that sits unused in your cabinet because it irritates your skin too much. Don’t obsess over finding the “perfect” retinoid. Just start somewhere appropriate for your experience level and stick with it. Consistency beats strength every single time. Your skin will thank you for taking the gentle, patient approach, even if it takes a little longer to see results.

Platysma Botox: New Non-Surgical Neck Rejuvenation

In a new advancement for aesthetic medicine, the FDA has approved Botox for the vertical bands connecting the jaw and neck. This area is more commonly known as the platysma bands. Announced in October 2024, this is Botox’s first approved use beyond the face, expanding its application to the neck area.

The platysma is a thin, superficial muscle that extends from the chest up to the lower face. Over time, repetitive muscle activity and aging can cause this muscle to become more prominent. This can lead to visible vertical bands on the neck and a less defined jawline.

This breakthrough allows providers to offer a non-surgical, injectable option for patients concerned about neck aging and looking for a treatment to fight the signs. “With the neck being in the top 3 areas that age you most, this is a great tool in our toolbox to continue to help with a natural, graceful aging approach,” adds Anna Lunning, CNP.

The treatment involves precise injections to the vertical bands on the neck. This temporarily relaxes the underlying muscles to reduce their appearance. Depending on the patient, the amount of units ranges from 8-16, which equates to around 4 units per band. Patients typically see improvements within two weeks, with results lasting approximately three months.

This development provides patients with more comprehensive options for addressing signs of aging. It also extends the benefits of Botox treatments beyond the face to include the neck and jawline.

If you’re ready to explore this exciting new treatment and achieve a smoother, more youthful neckline, schedule your appointment today! We’re here to help you age gracefully, from face to neck.

Dry Scalp Solutions: Hydration Tips That Work | As Seen in Glamour

A dry scalp isn’t just uncomfortable, it’s often your skin’s way of asking for help. Whether it’s due to your environment, hair care routine, or skin barrier health, learning how to properly keep your scalp hydrated can make a world of difference in both comfort and hair health. Learn more from Dr. Alexandra Bowles in Glamour’s article.

How can you hydrate your scalp?

A dry scalp is often a sign that your skin barrier needs a little extra support. Luckily, there are several simple steps that can make a big difference. I usually recommend starting with a gentle, hydrating shampoo. Look for one with calming ingredients like aloe, glycerin, or oat extract to help soothe irritation while moisturizing the scalp. Avoid washing with hot water, as it can strip your scalp of its natural oils. Instead, opt for lukewarm water to cleanse effectively without over-drying.

Scalp exfoliation is another great step. Massaging with your fingertips or using a soft brush once or twice a week can help remove dead skin so hydrating treatments can absorb more deeply. I also love scalp masks or serums with nourishing oils like jojoba or squalane. They provide targeted moisture right where it’s needed most. And don’t forget internal hydration: drinking plenty of water and eating water-rich foods like cucumbers and watermelon can also help support scalp health from the inside out.

How do you get rid of dry scalp?

Getting rid of a dry scalp begins with taking a closer look at your hair care routine. I always tell my patients to pay attention to how their scalp feels between washes. If you’re washing too often or not often enough, it can throw off the scalp’s natural balance. Using a hydrating scalp treatment a few times a week can make a big difference, especially when it includes ingredients like hyaluronic acid for moisture and niacinamide to help restore a healthy skin barrier. Be sure to choose shampoos that are sulfate-free and gentle, so they cleanse without stripping the scalp of its natural oils. And while hot showers may feel comforting, washing with lukewarm water helps prevent further dryness or irritation.

It’s also important to consider your environment and overall wellness, such as protecting your scalp from cold, dry air with a breathable hat and supporting hydration from within by drinking plenty of water and incorporating skin-friendly nutrients like omega-3s and vitamins A, B, and C into your diet.

Does conditioner moisturize your scalp?

Conditioner is primarily designed to hydrate and soften the hair shaft, not the scalp itself. That said, some conditioners with nourishing ingredients like glycerin, panthenol, or aloe can provide light moisture to the scalp. However, it’s important to choose formulas that are non-comedogenic and free of heavy silicones or fragrances, especially if you’re prone to scalp buildup or sensitivity. I usually recommend focusing conditioner on the mid-lengths and ends of the hair. If the scalp is feeling particularly dry, a light, scalp-safe conditioner can offer temporary relief. Just be sure to rinse thoroughly and follow with a targeted scalp treatment if deeper hydration is needed.

How do dermatologists moisturize their scalps?

As dermatologists, we look for evidence-based solutions that address both the cause and the symptoms of dryness. Depending on what’s going on, we may recommend treatments like medicated shampoos, topical corticosteroids, or hydrating serums. This may depend on whether it’s seasonal dryness, eczema, or product-related irritation. For more routine dryness, I often suggest lightweight scalp oils or leave-in treatments that restore moisture without clogging follicles. We also focus on preserving the scalp’s barrier by avoiding harsh products and encouraging regular, gentle exfoliation. Every scalp is different, so our approach is always tailored to the patient’s specific needs and skin type.

How can you moisturize the scalp naturally?

There are several gentle, natural ways to support scalp moisture that I often recommend to patients who prefer a more holistic approach. Natural oils, such as jojoba, coconut, or argan, can be massaged into the scalp to help lock in hydration. Just make sure to patch-test first and wash thoroughly to avoid buildup. Aloe vera is another great option, especially for soothing dry, irritated areas. Staying well-hydrated and eating a diet rich in omega-3 fatty acids, zinc, and vitamins A and E can also support scalp health from the inside out. And don’t forget: consistency is key. Natural remedies work best when used regularly and paired with a gentle, non-stripping haircare routine.

What causes a dry or irritated scalp?

A dry or irritated scalp can come from a number of different sources, and often, it’s a mix of factors working together. Things like over-washing, product buildup, or using shampoos that are too harsh can strip away the scalp’s natural oils and throw off its balance. Cold weather, indoor heating, or excessive sun exposure can also cause moisture loss from the scalp, leaving it dry and uncomfortable. I also remind my patients that hydration and nutrition play a role. When your body’s dehydrated or missing key nutrients, your scalp can be one of the first places it shows. Some people are simply more prone to dryness due to genetic factors or underlying conditions such as eczema or psoriasis. If the dryness persists or becomes uncomfortable, it’s a good idea to see a board-certified dermatologist who can help pinpoint the cause and guide you toward the right treatment.

Does hair texture and type impact scalp dryness?

Yes, your hair texture and type can absolutely influence how dry your scalp feels. For example, curly and coily hair types tend to be drier overall because natural oils from the scalp have a harder time traveling down the hair shaft. People with finer or straighter hair may notice dryness more quickly if they’re over-washing or using products that strip the scalp. I always remind patients that their hair and scalp require a routine tailored to their unique biology. There’s no one-size-fits-all approach. Paying attention to how your scalp feels between washes is a helpful first step.

Do certain products impact scalp dryness?

Yes, and sometimes it’s the products we use every day that quietly contribute to scalp issues. Harsh shampoos with sulfates, heavy dry shampoos, or alcohol-based styling products can strip the scalp of its natural oils, leading to dryness and irritation. Even using the wrong shampoo for your hair type can throw off your scalp’s balance. I encourage patients to read labels and look for words like “hydrating,” “soothing,” or “moisture-replenishing.” A gentle, balanced product can make a big difference in how your scalp feels.

What products do you recommend for helping with hydration?

There are several products I often recommend for hydrating the scalp. Look for serums or treatments that contain ingredients like hyaluronic acid, aloe vera, or niacinamide. These support both moisture and a healthy scalp barrier. Brands like Nécessaire ($45), Philip Kingsley Density Preserving Serum ($67), and Living Proof Dry Scalp Treatment ($38) all offer well-formulated scalp treatments that are gentle yet effective. If you’re experiencing ongoing dryness, a scalp-specific mask like Yobee Restorative Scalp Mask ($42) or SheaMoisture Pre-Wash Masque ($10), used once a week, can also help rebalance things. And as always, choosing a moisturizing shampoo without sulfates is a great foundation for healthy scalp care.

How Braids Can Affect Hair and Scalp Health | As Seen in Byrdie

While braids can be a great protective styling option, it’s important to understand how they can impact the health of your hair and scalp. Learn how to take extra precautions to avoid any damage to your scalp or hair with Dr. Alexandra Bowles in Byrdie’s article.

Watch out for flaking or itching:

While some mild flaking can be expected, persistent itching or visible flakes under your braids might be a sign of scalp irritation or even contact dermatitis. If you notice these signs, don’t ignore them. I recommend using a gentle, alcohol-free shampoo or even a medicated shampoo in a diluted form to spot-treat the area. Listening to your scalp early on helps prevent things from progressing into full-blown inflammation or infection. Speak to your dermatologist to see if this is the right treatment for you!

Don’t skip nighttime scalp protection:

We often focus on protecting the braids themselves at night, but your scalp needs love, too. Cotton pillowcases can pull moisture from your scalp and even cause friction that irritates already-stressed areas. I suggest wearing a silk or satin scarf or bonnet and, if possible, using a silk pillowcase for extra protection. If your scalp feels dry before bed, a quick mist of a lightweight, hydrating scalp tonic can work wonders overnight.

Be gentle during takedown:

How you remove your braids matters just as much as how you install them. Too many people rush the takedown process, which can lead to unnecessary breakage and even scalp irritation. I always advise patients to detangle gently as they go, using a detangling spray or conditioner to soften buildup, and never force out a tangle. Taking your time during removal gives your hair and scalp a much-needed reset and prevents long-term damage.

Keep an eye on the nape of your neck:

The nape area is often overlooked, but it’s actually one of the most sensitive spots on your scalp. Braids that are too heavy or too tight in this area can lead to breakage. Over time, this could even result in small bald patches. If you’re getting longer braids or twists, I recommend asking your stylist to use less tension. Especially on the nape, make sure to avoid loading with extra weight. Protecting this zone can make a big difference in the overall health of your hair.

Give your scalp a break:

Wearing tight braids or other hairstyles that are tightly pulled back for long periods of time can actually damage the hair follicles and lead to a condition known as traction alopecia. I counsel patients to try to stick to loose braid styles or at least taking a break in-between braid hairstyles to give your scalp time to recover. If you notice your hairline thinning or receding, this could be from the braids pulling on scalp and can cause permanent hair loss.

All About Polyhydroxy Acids | As Seen in Byrdie

If you’re looking for a gentle way to exfoliate, hydrate, and strengthen your skin, polyhydroxy acids (PHAs) might be what your skincare routine is missing! Learn all about them with Dr. Alexandra Bowles in Byrdie’s recent article.

What is PHA?

Polyhydroxy acids, or PHAs, are often described as the “entry-level” chemical exfoliant, and for good reason. Their larger molecular size means they sit closer to the surface of the skin. This allows them to gently loosen dead skin cells without penetrating too deeply or causing irritation. What’s exciting about PHAs is that they’re not just exfoliators. They also act as antioxidants and hydrators, making them a triple win for anyone looking to brighten and smooth their skin without the sting. If you’ve struggled with AHAs or BHAs in the past, PHAs might be the ideal way to experience the benefits of chemical exfoliation more comfortably.

What are some benefits of PHA?

One of the more underrated benefits of PHAs is their ability to support the skin’s natural barrier. While some acids can leave skin feeling stripped or overly tight, PHAs help maintain hydration levels and actually promote a stronger, healthier skin barrier over time. They also work well alongside calming ingredients, which makes them a fantastic option for those managing redness, rosacea, or even eczema. And because they exfoliate without increasing sun sensitivity as much as AHAs, PHAs can be more forgiving for year-round use, though sunscreen is still a must!

What’s the difference between AHA, BHA, and PHA?

AHAs, like glycolic and lactic acid, exfoliate the skin’s surface and are great for dullness and uneven tone, but can be irritating. BHAs, such as salicylic acid, penetrate deeper into pores, making them ideal for oily or acne-prone skin. PHAs are larger in molecular size, so they stay on the surface and work more gently. This makes them perfect for sensitive skin or those new to acids. PHAs also have added moisturizing and antioxidant benefits, which AHAs and BHAs don’t typically offer. Overall, PHAs are more forgiving. They hydrate as they exfoliate and pair well with calming or hydrating ingredients, making them an easy choice for layered routines.

Are there any side effects?

The beauty of PHAs is that they’re designed to minimize irritation. While other acids might cause redness or tingling, PHAs are usually well-tolerated, even by those with rosacea or eczema. That said, every skin type is unique, so I always recommend introducing them slowly and watching for any signs of sensitivity. Even though PHAs are gentle, more isn’t always better. Using them too frequently, especially alongside other exfoliants, can lead to a compromised skin barrier. If your skin starts to feel tight or begins to peel, take a break and focus on hydration and barrier repair.

One lesser-known point: even gentle acids like PHAs can interact with other actives. Using them right before or after retinoids or vitamin C may increase your chances of irritation. If you’re combining powerful ingredients, it’s best to alternate nights or seek advice from your dermatologist.

Is it right for my skin?

PHAs are one of the most skin-friendly exfoliants out there, especially for those with sensitive or compromised skin. Their gentle nature makes them a great choice for people dealing with conditions like rosacea, eczema, or post-procedure recovery. Still, I always advise patch testing first and avoiding use on areas with broken or inflamed skin. If you’re acne-prone, PHAs may not clear clogged pores as effectively as BHAs. But, they can still help improve skin texture and tone without the risk of irritation. The key is to start slow and monitor how your skin feels over time.

How do I use this in my routine?

One of the best things about PHAs is how simple they are to incorporate into your routine. I often recommend starting with a leave-on product, like a serum or hydrating toner, used two to three times a week. Because PHAs are so gentle, many people can gradually increase usage based on how their skin responds. They also layer beautifully with most skincare ingredients, including hyaluronic acid, ceramides, and even some retinoids. If you’re using a physical exfoliant or other active ingredients, though, try to space them out to avoid over-exfoliating.

Tips to Prevent Ingrown Hairs After Waxing | As Seen in Byrdie

Even after waxing, do you struggle with pesky ingrown hairs? Dr. Alexandra Bowles shares tips on how to prevent them in a recent Byrdie article.

Avoid hot showers for 24 hours after waxing:

Heat can dilate your pores and disrupt the skin’s barrier, making it easier for bacteria to enter and increasing the risk of irritation or ingrown hairs. I usually recommend sticking to lukewarm water and avoiding saunas, steam rooms, or intense workouts for at least a day. Keeping the area cool and calm really supports proper healing and helps reduce the chance of bumps or redness.

Be mindful of your hormonal cycle:

Hormonal shifts can influence how your skin responds to waxing. I’ve seen that clients who wax around their period often experience more sensitivity, inflammation, and even a higher chance of ingrown hairs. If you can, try to schedule appointments during the middle of your cycle when hormones are more balanced. It usually makes for a smoother and more comfortable experience.

Apply a cold compress right after waxing:

A cold compress can be a simple but effective way to soothe the skin, reduce inflammation, and gently shrink pores to help prevent ingrown hairs. I like to use a clean cloth with ice wrapped inside or a cold gel pack and apply it in short intervals. It really helps calm any stinging or redness right after waxing and supports a faster recovery.

Add Niacinamide to your post-wax routine:

Niacinamide, or vitamin B3, is one of my go-to ingredients for calming and strengthening the skin. It regulates oil, minimizes redness, and keeps pores clear. I often recommend lightweight formulas like The Ordinary’s Niacinamide 10% + Zinc 1% or CeraVe PM Facial Moisturizing Lotion. Both are great for sensitive skin and help the area recover without clogging pores or causing irritation.