Postpartum hair changes are incredibly common. But when shedding continues far beyond the first year, it can leave many people feeling confused, discouraged, and unsure of what’s “normal.” Board-certified dermatologist Dr. Alexandra Bowles shares insight with Parents about why long-term shedding occurs and how to help support hair recovery.

How should someone address postpartum hair loss that persists for several years?

When hair loss lasts several years beyond childbirth, it is usually a sign that something other than postpartum shedding is contributing. At that point, I encourage patients to step back and look at the whole picture so we can understand what the hair is trying to communicate. Long-term shedding can also be linked to thyroid imbalance, low iron stores, or vitamin D deficiency. The chronic stress of caring for young children can also be a contributor. These factors can quietly disrupt the hair growth cycle long after hormones have stabilized. A thorough evaluation helps identify what is keeping the follicles from moving back into a healthy growth phase. Once we have that clarity, simple steps like correcting nutritional gaps can help restore hair health. Topical treatments such as minoxidil are often effective in promoting regrowth. Additionally, creating a gentle scalp care routine supports overall hair recovery and long-term follicle health. I also remind patients to be kind to themselves during this process. Hair takes time to recover, but with support and the right plan, most people see improvement and feel more in control again.

Does the postpartum period ever truly end, or can its effects last a lifetime?

The postpartum period is not a lifelong state. However, it can feel that way when the body is still adjusting months or even years later. Hormones usually settle within the first year. But shifts in metabolism, sleep, and stress can continue to affect how someone feels well beyond that timeline.When symptoms linger—such as ongoing hair shedding, dry skin, or fatigue—it often means another factor is contributing. The most important thing is to give yourself permission to seek support if something feels off. But your body will eventually find a new balance. Addressing underlying issues allows you to move forward with confidence instead of assuming these changes will last forever.

If you’re struggling with long-term hair loss, schedule a consultation with a dermatologist to get more personalized treatment options.

Fire ant bites can be painful, itchy, and alarming if you’re not sure what to expect. In this USA Today feature, board-certified dermatologist Dr. Alexandra Bowles explains how to recognize, treat, and prevent these pesky bites.

What do fire ant bites look like?

Fire ant bites usually appear as small, red bumps that quickly turn into raised, pus-filled blisters. They often appear in clusters since fire ants bite multiple times in the same area. These blisters can feel very itchy or tender and generally look more inflamed than a typical insect bite.

What are the symptoms or potential issues that could arise with fire ant bites?

Most people experience redness, swelling, and itching for several days. In some cases, allergic reactions can develop, including hives, dizziness, or difficulty breathing, which requires immediate medical attention. Scratching the blisters can also lead to infection, so keeping the area clean is important.

How do you treat fire ant bites, and when should you seek professional help?

Simple at-home care often helps. Wash the area gently with soap and water, apply a cool compress, and use hydrocortisone cream or an oral antihistamine to reduce itching and swelling. Avoid scratching, which can increase the risk of infection. Seek medical attention if redness spreads, purulent drainage develops, or if any systemic symptoms such as swelling of the lips or difficulty breathing occur.

Do you have any other advice for people who may be dealing with or trying to prevent these bites?

Prevention is key to avoiding fire ant bites. Wearing protective clothing, using insect repellent, and checking your skin after spending time outdoors can lower your risk. Most bites are uncomfortable but not dangerous and improve with simple care. If a bite looks unusual, worsens instead of healing, or comes with systemic symptoms, contact a healthcare professional. 

If you’re concerned you may be experiencing symptoms of fire ant bites, book an appointment today to receive expert care and relief from our providers!

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.

Tick bites are common during outdoor seasons and can sometimes lead to infections if not handled properly. Board-certified dermatologist Dr. Alexandra Bowles shares her expert advice on what to look for, how to remove ticks safely, and when to seek care. Be sure to check out the full article in USA Today!

What do tick bites look like?

Tick bites often appear as small red bumps, sometimes with a darker center where the tick was attached. They can look like mosquito bites but are usually firmer. Some bites may develop a larger red area or a rash, including the bull’s-eye pattern associated with Lyme disease, though not every tick bite causes this rash.

What are the symptoms or potential issues that could arise with tick bites?

Tick bites can cause mild redness, swelling, or itching. The bigger concern is that ticks can transmit infections such as Lyme disease or Rocky Mountain spotted fever. Warning signs include an expanding rash, fever, fatigue, or body aches in the days or weeks following a bite.

What should someone do if they think they have a tick bite?

If you find a tick attached to your skin, remove it as soon as possible using fine-tipped tweezers, pulling straight up without twisting. You may also seek care with a dermatologist for the removal if possible. Clean the area with soap and water afterward. Keep the tick if possible, as it may help with identification. Monitor for symptoms over the next several weeks, and seek medical attention if a rash develops, fever occurs, or flu-like symptoms appear.

Do you have any other advice for people who may be dealing with or trying to prevent these bites?

Prevention is key when it comes to avoiding tick bites. Wearing protective clothing, using insect repellent, and checking your skin after spending time outdoors can lower your risk. Most bites are uncomfortable but not dangerous and improve with simple care. If a bite looks unusual, worsens instead of healing, or comes with systemic symptoms, contact a healthcare professional.