The Best Sunscreens for Dry Skin | As Featured in Allure
If you have dry skin, finding a great sunscreen can be a struggle. Dr. Mona Foad recently chatted with Allure to share her insights on the best sunscreens for dry skin types.
Are there key ingredients in sunscreens that people with dry skin should look for?
Dry skin is typically caused by the environment, aging, genetics, medication, and dehydration. When choosing a sunscreen for dry or sensitive skin, it’s important to find one that protects and hydrates the skin barrier. Consider ingredients such as glycerin and hyaluronic acid in your sunscreen. These ingredients draw moisture into the skin, helping to increase its water content and maintain hydration levels. Additionally, Shea butter and coconut oil are excellent for locking in moisture. They contain fatty acids, creating a barrier that prevents transepidermal water loss. Occlusives like petrolatum or dimethicone also reinforce this barrier by forming a protective layer on the skin’s surface, which helps to retain moisture.
Dry skin can also be more sensitive, so I would look for mineral-based sunscreens with zinc oxide or titanium dioxide as opposed to chemical sunscreens. Furthermore, antioxidants like vitamin C or green tea offer extra protection against environmental stressors. At the same time, soothing ingredients, such as aloe vera or chamomile, can help calm any redness or irritation. This soothing is due to anti-inflammatory properties that can help calm redness and irritation, making them ideal for sensitive skin.
Are there any common sunscreen ingredients that people with dry skin should avoid?
If you have dry skin, it’s essential to select sunscreens that not only protect against UV damage but also provide hydration to prevent further moisture loss. Avoid ingredients like denatured alcohol or isopropyl alcohol. While they are often included in lightweight formulas, they can strip the skin of its natural oils. This is because they evaporate quickly, leading to increased dryness and irritation. Fragrances may irritate and also dehydrate the skin, due to their chemical composition. They often include various synthetic and natural compounds that may cause allergic reactions or inflammation.
Additionally, while chemical sunscreen ingredients such as avobenzone, oxybenzone, and octinoxate can work for many people, they may cause irritation and allergic reactions in people with sensitive or dry skin. Opt for mineral sunscreens with zinc oxide or titanium dioxide instead. Perform a patch test to see how well your skin can tolerate these ingredients if you have not applied them before.
Which type of sunscreen is generally better for dry skin?
For dry or sensitive skin, I recommend using a cream or lotion-based sunscreen. This is due to its hydrating properties and lower risk for irritation rather than gels or sprays. These formulas typically incorporate emollients and humectants, such as glycerin and hyaluronic acid, which attract and retain moisture effectively. In addition, I would look for sunscreens with mineral filters such as zinc oxide or titanium dioxide. Mineral sunscreens work by sitting on the skin’s surface to reflect UV rays, making them gentler on sensitive skin. In contrast, gel, spray, and chemical sunscreens often contain drying agents like alcohol. These ingredients can strip the skin of its natural oils, exacerbating dryness by increasing transepidermal water loss.
What role does SPF play in maintaining healthy, hydrated skin, especially for those with dryness?
SPF, or sun protection factor, measures how much we can protect our skin against UVB rays. We call these our “Burning Rays.” Protecting against UVA rays, which go deeper into the skin and can cause more aging and skin cancer, is also important. We call them our “Aging Rays.” UV rays accelerate aging through pigment formation and collagen breakdown. Daily sunscreen use can help prevent these premature aging effects, including dryness, fine lines, and hyperpigmentation.
For those with dry skin, use a broad-spectrum sunscreen with an SPF of 30 or higher and make sure it has either zinc oxide or titanium dioxide to help protect against UVA Rays. Using a cream or lotion-based formulation with hyaluronic acid will aid in moisture retention by preventing transepidermal water loss. This will help keep your skin resilient and well-hydrated. This dual approach not only safeguards against UV damage but also supports the skin’s health.
How often should someone with dry skin reapply sunscreen, and are there special considerations for reapplication?
It is important to reapply sunscreen about every two hours since the protective effects of sunscreen diminish with time. Water-resistant sunscreens are only effective for about 80 minutes. So, if you get in the water or get very sweaty, apply your sunscreen more frequently. Using a moisturizing sunscreen can provide additional hydration. However, make sure to use a broad-spectrum one with an SPF of at least 30. This will ensure you are protected against both UVA and UVB rays. Also be sure to apply the sunscreen liberally. You’ll also want to replace your sunscreen supply at least once a year. This is because sunscreens expire and are not as effective after this expiration date.
Can using a sunscreen with added hydration replace a traditional moisturizer?
While a sunscreen with added hydration can enhance moisture levels, it generally shouldn’t fully replace a traditional moisturizer, especially for those with dry skin. Layering a moisturizer underneath your sunscreen creates a protective barrier and helps prevent moisture loss.
Top Sunscreen Picks for Dry Skin:
Top Choice: EltaMD UV Daily Broad-Spectrum SPF 40: This tinted moisturizer is perfect for those seeking a more even complexion. It’s formulated with hyaluronic acid to hydrate the skin and niacinamide to soothe and reduce redness. The added squalane restores the skin’s natural moisture and the vitamin C and E are antioxidants which help to combat skin-aging free radicalsI appreciate its lightweight feel and the fact that it doesn’t leave a white cast.
CeraVe Hydrating Sunscreen SPF 30: Enriched with three essential ceramides and niacinamide, this mineral sunscreen helps restore and maintain the skin’s natural barrier. Its hydrating formula locks in moisture, making it ideal for dry skin. Plus, it’s fragrance-free and non-irritating, perfect for sensitive skin types. It has also been awarded the National Eczema Association Seal of Acceptance and the Skin Cancer Foundation Daily Use Seal of Approval.
Colorescience Tint du Soleil™ Whipped Mineral Foundation SPF 30: This is an all-in-one foundation, anti-aging, and sun protection product. Ceramides and milk lipids replenish the skin and provide hydration while collagen-building peptides and a multivitamin complex work to improve skin health with every application. Mineral-based Zinc Oxide and Titanium Dioxide deliver SPF 30 defense to protect from sun and environmental exposure that cause skin aging.
The Dangers of DIY Skincare & Bath Salts | As Seen in Daily Mail
Meghan Markle launched a series with Netflix titled “With Love, Meghan” in which she brings viewers into her life for cooking, crafts, hosting, and beyond. In her first episode, she prepares her guest room for an out-of-town visitor by making homemade bath salts. Dr. Alexandra Bowles weighed in on the potential dangers of DIY skincare and DIY bath salts with the Daily Mail. Today, she is expanding upon her insights about this topic.
In the episode, Meghan made homemade bath salts using Epsom salt, arnica oil, lavender, and pink Himalayan sea salt, and placed the mixture inside a cute mason jar. When prepping for an out-of-town guest, Meghan’s suggestion to create ways for your guest to pamper themselves is a great idea. However, everyone is different, and what irritates one person’s skin may not irritate another’s. A DIY skincare product, such as DIY bath salts, poses a stronger risk of irritation as compared to over-the-counter products, which typically undergo testing before being available for sale.
The Dangers of Mixing Ingredients
“While I do not think this is innately dangerous, I do think that mixing so many different scents and salts can lead to irritation and sensitivities, especially for those with allergies or children with sensitive skin,” shares Dr. Bowles. The challenge with mixing ingredients is that the likelihood of an irritation increases. For example, the risk of being allergic to lavender is fairly low, with roughly only 2-4% of the population reporting a reaction. Arnica oil has a similarly low rate of irritation, with studies reporting between 1-7% of participants experiencing a reaction. However, by combining both ingredients, the percentage of the population that could potentially be allergic to your DIY mixture increases heavily as compared to each of the ingredients when used alone.
What to Do Instead
If you want to create a similar pampering experience for your overnight guests, opt for a store-bought bath salt. Or if you enjoy DIY projects and wish to make your own, consider encouraging your guest to spot test it first. Dr. Bowles explains, “I am happy to support my patients with DIY skincare as long as it is safe and well tolerated! I would just recommend doing a test spot on your skin before taking a full body bath in it!”
Angular Cheilitis Mouth Sores Explained | As Featured in Woman’s World
Have you experienced a sore in the corner of your mouth? It may be something known as angular cheilitis. Board-certified dermatologist, Dr. Mona Foad, expands upon her insights on this topic from her recent feature in Woman’s World.
What is angular cheilitis and what are the main causes?
Angular cheilitis is a condition that causes cracks or sores at the corners of the mouth, typically resulting in discomfort and irritation. The primary causes of angular cheilitis include fungal infections (especially Candida, a type of yeast) and bacterial infections, such as Streptococcus. These pathogens thrive in the moist environment around the mouth. Additionally, nutritional deficiencies—particularly in iron, zinc, and B vitamins like B2 (riboflavin) and B3 (niacin)—can contribute to the condition, as these nutrients are important for maintaining healthy skin. Moisture buildup, such as drooling during sleep, also plays a role in creating a favorable environment for these infections. While stress doesn’t directly cause angular cheilitis, it may exacerbate behaviors like lip licking or biting, which can worsen the condition. Seasonal changes, especially in colder months, can increase susceptibility due to drier skin, making it more prone to cracking.
Are there any features or preconditions that may make us more susceptible to angular cheilitis?
Certain factors may make individuals more prone to angular cheilitis. For example, those with deeper skin folds around the mouth—whether due to facial structure or age—are more likely to develop this condition. This is because the folds can trap moisture and promote infection. Individuals with a history of eczema or other conditions that compromise the skin barrier are also at higher risk. This is because their skin is already more vulnerable to irritation and infection. Those who wear dentures or experience excessive drooling during sleep may also be at increased risk.
In most cases, angular cheilitis is benign and can be treated with simple interventions like moisturizing creams. However, if the condition becomes recurrent or persistent, it may signal an underlying health issue, such as diabetes or immune system deficiencies. Consulting a healthcare provider is recommended if the condition doesn’t resolve with basic care.
Are perimenopausal or menopausal women more prone to angular cheilitis?
Perimenopausal and menopausal women may be more susceptible to angular cheilitis due to hormonal changes that lead to drier skin. As estrogen levels decline during menopause, the skin becomes thinner and less able to retain moisture. As a result, it is more prone to cracks and irritation. This is especially true in areas such as around the mouth. To manage this risk, it’s important to use hydrating skincare products. You should also ensure adequate intake of vitamins that support skin health including zinc, biotin, and B vitamins. Hormone replacement therapy (HRT) or other treatments designed to address menopause-related skin changes may also help. However, it’s always a good idea to consult with a healthcare provider for personalized recommendations.
How can you treat angular cheilitis?
Treating angular cheilitis involves addressing both the symptoms and underlying causes. Keeping the affected area moisturized is essential, and thick moisturizers, such as petroleum jelly or lanolin, work well to lock in moisture, particularly during sleep when saliva can pool in the corners of the mouth. If the condition is caused by a fungal or bacterial infection, topical antifungal or antibiotic creams may be necessary. You may need to get a prescription from your dermatologist or primary care physician. If nutritional deficiencies are contributing, increasing intake of key nutrients—like zinc, iron, and B vitamins—can help support skin healing and prevent future flare-ups. To minimize moisture buildup, consider adjusting your sleeping position or using a protective balm before bed. If the condition persists or recurs frequently, consulting a dermatologist is recommended to rule out other potential causes and to receive more targeted treatment.
Brow serums can indeed improve the appearance and fullness of eyebrows, but their effectiveness depends on several factors, including the serum’s active ingredients, genetics, age, and the cause of brow thinning. Serums that contain prostaglandin analogs are often highly effective, as they stimulate hair growth by prolonging the anagen (growth) phase of the hair cycle. Other ingredients like peptides help strengthen the hair shaft, while biotin and vitamins promote keratin production, fostering healthier growth. However, factors such as genetics, age, hormonal imbalances, or over-plucking can influence the results. If you have significant brow thinning, it may be worth consulting a dermatologist for advanced treatments like platelet-rich plasma (PRP) therapy.
How long does it typically take to see noticeable results from an eyebrow growth serum?
It typically takes between 4 to 12 weeks to notice visible results from a brow serum. The exact timeline depends on factors such as the specific product used, your individual hair growth cycle, and your consistency with application. Many people start seeing subtle improvements in thickness around 6 weeks, with more significant changes often occurring around 3 months. Brow serums stimulate hair follicles by extending the anagen phase, so new growth takes time to become visible. It’s important to be consistent with use and to have realistic expectations, as results can vary. If significant improvement isn’t seen after a few months, consulting a dermatologist might be a good next step.
Are the effects of brow serums permanent, or do they require continuous use to maintain fuller brows?
The effects of brow serums are not permanent and require continued use to maintain fuller brows. Once you stop using the serum, the hair will typically return to its natural growth cycle, and the benefits may gradually diminish. Because brow serums work by stimulating hair follicles to stay in the active growth phase, discontinuing use can result in slower hair growth or thinning. Consistent application is key to maintaining results. If you’re looking for more permanent solutions, prescription treatments or other dermatological procedures may be worth considering.
Can brow serums help regrow hair in areas with significant hair loss, such as scars or overplucked spots?
Brow serums can help improve the appearance of thinning brows and may promote regrowth in areas with mild to moderate hair loss. However, their effectiveness is limited in areas with significant hair loss, such as scars or heavily overplucked spots. This is because scarring can damage the hair follicles, preventing regrowth. While brow serums can stimulate healthy follicles, scar tissue often lacks the necessary structure for hair regeneration. For more severe hair loss, treatments like microneedling, platelet-rich plasma (PRP) therapy, or hair transplants may be more effective. A dermatologist can assess your condition and recommend the best course of action.
Do lifestyle habits, like diet or stress levels, impact the effectiveness of brow growth?
Yes, lifestyle habits like diet and stress levels can significantly impact brow growth. A well-balanced diet rich in biotin, Vitamin E, Vitamin D, zinc, iron, and protein supports healthy hair follicles and encourages better hair growth. Nutrient deficiencies can hinder the growth process, leading to weaker or slower-growing brows. Conversely, chronic stress can increase cortisol levels, disrupting the hair growth cycle and causing hair shedding, including in the brows. Managing stress through relaxation techniques, getting adequate sleep, and maintaining regular exercise can help optimize brow growth and improve the effectiveness of brow serums.
Dr. Bowles’ Top Picks for Eyebrow Growth Serums:
neuBROW® Brow Enhancing Serum – Available on Nordstrom, this serum helps to enhance brow fullness and texture. It combines peptides, biotin, and keratin to nourish and stimulate hair growth. Typically, users see results within 30 days of consistent use, and its lightweight, fast-absorbing formula ensures ease of use.
Anastasia Beverly Hills Brow Genius® Conditioning Serum – Also available at Nordstrom, this vegan, cruelty-free serum contains six active ingredients, including peptides and botanical oils. It promotes fuller, softer brows by supporting follicle health and encouraging both thickness and manageability. Its non-greasy, lightweight formula makes it perfect for use under makeup.
GrandeBROW 2-in-1 Tinted Brow Gel + Brow Enhancing Serum – This versatile option from Nordstrom combines instant brow volumizing with long-term growth benefits. The tinted gel offers immediate definition, while the serum works to nourish and thicken brows over time. It’s ideal for those seeking both short-term and lasting results.
Toasted Skin Syndrome | As Featured in PopSugar & Fox News
The phenomenon of ‘Toasted Skin Syndrome’ has recently been trending online. Board-certified dermatologist, Dr. Alexandra Bowles, is here to break down the science behind it. Her insights on this topic were recently featured by PopSugar and Fox News: Today, we’re rounding up everything you need to know to prevent and treat toasted skin syndrome.
What is toasted skin syndrome? How is it caused?
Toasted skin syndrome, or erythema ab igne, is a skin condition that develops when the skin is exposed to heat for extended periods. Common heat sources include heating pads, hot water bottles, or laptops placed directly on the skin. This exposure results in a mottled, reddish-brown discoloration that can worsen and even become permanent over time if not addressed.
Why does it happen?
This condition occurs when the skin is repeatedly exposed to heat that is high enough to dilate blood vessels but not intense enough to cause burns. While it might seem harmless at first, repeated exposure can lead to permanent damage to the skin’s deeper layers. This can result in visible discoloration. In rare cases, an increased risk of skin cancer can occur due to cellular changes caused by heat.
How can someone prevent it from happening?
To avoid toasted skin syndrome, it’s important to limit prolonged, direct contact between your skin and heat sources. For example, always place a barrier, such as a cloth, between your skin and a heating pad. Avoid placing laptops directly on your lap for extended periods. These simple precautions can help minimize the risk of long-term damage.
How can we treat toasted skin syndrome if it occurs?
If you notice discoloration or textural changes in your skin, stop exposing the area to heat immediately. In mild cases, the discoloration may fade on its own if the heat source is removed. For more persistent or severe cases, a dermatologist may recommend treatments such as topical retinoids to help improve skin texture and pigmentation. Catching and treating potential issues early can help prevent long-term skin damage.
What is Cleansing Oil?
Cleansing oil has become a trending skincare product in recent years. But is it even a good choice for your skin? Dr. Alexandra Bowles shares her thoughts on cleansing oil and tips on how to get the best results.
Cleansing Oils 101
Cleansing oil is a skincare product that removes makeup, dirt, and impurities from the skin. What is unique about cleansing oil is that it also is hydrating and nourishing. Cleansing oils are typically formulated with a combination of natural oils such as jojoba oil, coconut oil, olive oil, etc. These are emulsifiers that work to dissolve makeup, sunscreen, and excess sebum on the skin.
When using a cleansing oil, make sure to first choose the right oil for your skin type. Different oils have unique properties that may be better suited to certain skin types. For example, you may prefer lighter oils like grapeseed or jojoba oil if you have oily or acne-prone skin. If you have dry skin, you may benefit from richer oils like avocado or almond oil.
I typically recommend applying a small amount to your skin and gently massaging the oil in circular motions to emulsify the oil. This will turn it into a milky consistency that helps lift away dirt and makeup more effectively. Avoid rubbing or pulling at your skin too harshly, especially around the delicate eye area. Once the oil has emulsified, rinse it off thoroughly with lukewarm water. Follow up with your regular skincare routine, including moisturizer to lock in hydration and keep your skin soft and supple.
Where did cleansing oils come from? Why are they suddenly so popular?
The origins of cleansing oil can be traced back to traditional Japanese skincare practices. The concept of using oil to cleanse the skin dates back centuries in Japan, where geishas and kabuki actors used a mixture of oils, such as camellia oil, to remove heavy makeup and maintain clear, radiant skin.
Today, the popularity of cleansing oils has become heavily influenced by K-beauty (Korean Beauty) trends. South Korean skincare routines often emphasize thorough cleansing as the first step towards achieving healthy, glowing skin. The double cleansing method, which typically involves using a cleansing oil followed by a water-based cleanser, has become a cornerstone of K-beauty skincare routines. Korean skincare brands have developed a wide range of cleansing oils tailored to different skin types and concerns. Many incorporate ingredients like green tea extract, rice bran oil, and botanical extracts to provide additional skincare benefits beyond just makeup removal.
K-beauty, short for Korean beauty, refers to the skincare and cosmetic products, techniques, and routines that originate from South Korea. It has gained immense popularity globally for its innovative approach to skincare and its focus on achieving healthy, radiant skin through a multi-step regimen. These regimens often include exfoliating, toning, moisturizing, and applying targeted treatments like serums and essences. K-Beauty emphasizes hydration and nourishment while prioritizing gentle formulations with natural ingredients. Incorporating cutting-edge skincare technologies and customizing skincare routines and products for maximum benefit are also popular.
How do cleansing oils compare to normal face washes?
Cleansing oil differs from regular cleansers, face washes, and micellar water primarily in its formulation and mode of action. Cleansing oil is typically formulated with a blend of natural oils (such as coconut oil, jojoba oil, or olive oil) along with an emulsifier that works to dissolve makeup, sunscreen, and excess sebum on the skin. In contrast, regular cleansers and face washes often contain water-based formulas with surfactants that help to remove dirt and impurities from the skin.
Cleansing oil works on the principle of “like dissolves like” in that the oil in the cleansing oil binds to the oils and waxes in makeup and sebum on the skin, effectively breaking them down and lifting them away. When emulsified with water, the oil forms a milky texture that can be easily rinsed off, leaving the skin clean and hydrated. Cleansing oil is particularly effective at removing heavy or waterproof makeup. This is because it can break down and dissolve the oils and pigments in makeup products. Micellar water, on the other hand, uses micelles (tiny oil molecules suspended in water) to attract and remove dirt, makeup, and impurities from the skin without rinsing. While micellar water can effectively remove light makeup and cleanse the skin, it may not be as effective for heavy or waterproof makeup as cleansing oil.
Cleansing oil often provides additional hydration to the skin due to its oil-based formulation. It can help to replenish the skin’s natural oils and prevent it from feeling dry or tight after cleansing. Micellar water is also gentle and hydrating but may not provide as much moisture as cleansing oil, especially for dry or dehydrated skin.
Avene Xeracalm AD Lipid Replenishing Cleansing Oil
What to Look for in Cleansing Oil:
When choosing a cleansing oil, it’s essential to consider both the ingredients and the texture to ensure that it suits your skin type and preferences. I recommend looking for cleansing oils formulated with natural oils like jojoba oil, coconut oil, olive oil, grapeseed oil, or sunflower seed oil. These oils can effectively dissolve makeup and impurities while providing nourishment to the skin. Ingredients like vitamin E, green tea extract, or rosehip oil can provide antioxidant benefits, helping to protect the skin from environmental damage and signs of aging. Cleansing oils enriched with botanical extracts such as chamomile, lavender, or calendula can soothe and calm the skin, making them suitable for sensitive or irritated skin.
Look for cleansing oils that contain emulsifiers like polysorbate or sorbitan oleate. These ingredients help the oil to emulsify with water, allowing it to rinse off cleanly without leaving a greasy residue.
Consider Your Skin Type:
If you have sensitive skin or are prone to irritation, consider opting for fragrance-free cleansing oils to minimize the risk of allergic reactions. Some cleansing oils have a lightweight texture that feels thin and non-greasy on the skin. These are suitable for all skin types, including oily or combination skin, and are easily emulsified with water for rinsing. A product I like to recommend to my patients is Avene’s Xeracalm Cleansing Oil which has a nourishing, biodegradable formula that seals in moisture and helps balance the skin’s microbiome while restoring the skin barrier. It’s also suitable for all ages, including newborns, and can be used for cleansing the face, body, and scalp.
On the other hand, if you have dry or dehydrated skin, you may prefer a cleansing oil with a richer texture that feels more moisturizing on the skin. These oils provide extra hydration and can leave the skin feeling soft and supple after cleansing. Make sure to also look for cleansing oils labeled as non-comedogenic, meaning they are less likely to clog pores or cause breakouts. These oils are suitable for acne-prone or sensitive skin types.
Tips for Adding Cleansing Oil to Your Routine:
Cleansing oil can be used as either the first or second step in your cleansing routine, depending on your preference and skincare needs.
If you are using a cleansing oil as your first step:
Start with dry hands and a dry face and apply a small amount of cleansing oil into your palm (typically 1-2 pumps).
Gently massage it onto your skin using circular motions for about a minute or two.
Wet your hands slightly and continue massaging the oil onto your skin to emulsify the oil. This will turn it into a milky texture that will help to lift away dirt and impurities.
Rinse thoroughly with lukewarm water until all traces of oil, makeup, and impurities are removed from your skin.
Follow up with a water-based cleanser if desired as part of a double cleansing routine.
If you are using a cleansing oil as your second step:
Start with a dry face and use a water-based cleanser to cleanse your skin first. A gel cleanser or foaming cleanser works well for this.
Massage the cleanser onto your skin using gentle circular motions, then rinse thoroughly with lukewarm water.
Double cleansing with a cleansing oil as the second step helps to ensure that all traces of makeup, sunscreen, and impurities are effectively removed from the skin without stripping away too much natural moisture.
Our provider Jessica, PA-C talks more about how to double cleanse using cleansing oil in her Skincare Hacks blog post.
Who is a candidate for cleansing oils?
Cleansing oil can benefit a wide range of skin types and concerns, making it a versatile option in skincare routines. It can be particularly beneficial for those with dry skin. This is because it helps to nourish and hydrate the skin while effectively removing impurities. The oils in the cleansing oil can replenish the skin’s natural oils, leaving it feeling soft, supple, and moisturized. Many cleansing oils are formulated with gentle, natural ingredients that are suitable for sensitive skin types. These oils can help to cleanse the skin without causing irritation or stripping away its natural moisture barrier.
Cleansing oil is also suitable for normal skin types looking for a thorough yet gentle cleansing option. It effectively removes makeup, sunscreen, and impurities while leaving the skin feeling balanced and refreshed. Those with combination skin can also benefit from cleansing oil, as it can help to effectively cleanse oily areas without drying out drier areas of the skin. Opting for a lightweight cleansing oil can provide thorough cleansing without weighing down the skin. Cleaning oil can also be suitable for oily skin types. Oil-based cleansers can effectively dissolve excess sebum and impurities on the skin without stripping away too much natural oil, which can help to balance oil production and prevent the skin from becoming overly dry or tight.
Need more help choosing the right skincare products for your skin type and goals? Schedule a consultation with one of our providers to learn more!
How to Remove Age Spots | Featured In Body Network
“Age spots” are small, flat, brown patches that typically appear on areas of the body that have been exposed to a lot of sunlight over time. Common areas include the face, hands, shoulders, chest and arms. If you are wondering how to remove age spots, Dr. Mona is here to share her top tips.
Some quick remedies that you can do to make the spots less noticeable include:
Applying over-the-counter skin-lightening creams and lotions
Using physician-prescribed topical creams
Undergoing laser or light treatments
Cryotherapy
Microdermabrasion
Chemical peels
In addition, sunscreen and some skin cafes can help prevent age spots from coming up.
Skin-Lightening Creams and Lotions
There are numerous skin-brightening options available in drugstores, retail stores, and doctor’s offices that can be used to minimize the appearance of age spots.
Your first line of defense should be a good broad-spectrum sunscreen. This can help protect your skin from both UVA and UVB rays. One of my favorites is Colorscience Sunforgettable ® Total Protection ® Face Shield Flex SPF 50 a mineral-based sunscreen that magically autocorrects to your skin tone. A great 2-in-1 product that combines antioxidants with a sunscreen is SkinMedica Total Defense + Repair SPF 34.
A second line of defense should be antioxidants such as Vitamin C serums and retinoids. You could splurge for Skinceuticals Phloretin or choose a more affordable option with La Roche Posay’s 10% Pure Vitamin C Serum l La Roche Posay. Retinoids are well known for their anti-aging benefits but can also help with brown spots. RetrinAL Advanced Correcting Serum is a good over-the-counter choice because it combines retinols, niacinamide, and hyaluronic acid.
My third line of defense is to use a pigment brightener. This helps to not only lighten brown spots but also prevent brown spots from forming.
To prevent more brown spots from coming to the surface, look for creams that contain tranexamic acid, niacinamide, or kojic acid. Splurge on SKinMedica’s Even & Correct Advanced Brightening Treatment. It’s important to keep in mind that consistent use of creams for weeks or months is necessary for them to be effective on the skin.
Physician-Prescribed Medication or Remedies
If you have already tried over-the-counter products in your search for how to remove age spots, it may be time to consider prescription options. Some patients might require special formulas or creams that are stronger than drugstore options. In such cases, physicians can prescribe more effective remedies, such as hydroquinone or retinoids to treat age spots.
Hydroquinone is a bleaching cream that can be effective at treating superficial age spots, but it should not be used for more than 8-12 weeks at a time without taking a “hydroquinone holiday” for 8-12 weeks before incorporating it back into your skincare routine. It is not recommended to use anything higher than a 4% hydroquinone cream since this can actually cause more brown patches to form, a condition called ochranosis. As mentioned above, retinoids are well known for their anti-aging benefits but can also help with brown spots. Prescription Retin-A, or tretinoin, can be an effective way to treat some age spots.
Age spot procedures
If you want to get rid of dark spots quickly, opting for a procedure that eliminates layers of discolored skin may yield better results compared to using a lightening cream. These techniques include light and laser-based treatments, cryotherapy (freezing), microdermabrasion, and chemical peels. It’s important to note that procedures typically entail higher costs than creams and carry additional risks.
Laser Treatments
Laser treatment, also known as laser therapy or laser resurfacing, is a medical procedure that uses concentrated light beams to target and treat various skin issues. Narrow beams of light are used to get rid of the cells that cause age spots without damaging the rest of the skin. Treatments such as picosecond lasers have minimal to no downtime, whereas resurfacing lasers may require some preplanning. Depending on the treatment chosen and the amount of sun damage or age spots, desired results may require one to multiple sessions. Initially, laser treatments may lead to skin crusting or darkening of spots, yet these temporary side effects typically go away quickly.
Intense Pulse Light Treatments
IPL or BBL (Broadband light) is a great way to treat both brown age spots and redness from sun damage. Filters are used to isolate the correct wavelength to target either redness or brown discoloration inyour skin. You can treat the face as well as other areas of the body that have age spots. This is a very popular treatment because it has minimal downtime and is not painful. You will need multiple sessions to achieve the best results.
Chemical Peel
In a chemical peel, a solution containing acids is applied to the skin to eliminate layers where age spots are present. Peels can range from superficial glycolic or salicylic acid peels, which cause dry flaking skin for a few days, or stronger medium-depth peels, such as TCA or phenol peels, that are done by a done by a medical professional and cause more significant peeling with over a week of downtime. Fresh skin will subsequently regenerate, resulting in a more even skin tone. Achieving desired outcomes may necessitate multiple sessions. Although generally considered safe, deeper chemical peels have risks, including scarring, infection, or alterations in skin pigmentation.
Freezing (Cryotherapy)
Cryotherapy is a medical procedure that uses extreme cold temperatures to treat various skin conditions or lesions. Liquid nitrogen is applied to the skin for a few seconds to freeze the areas where the spots are. As your skin heals, it will develop a small crust revealing lighter skin underneath, but the treatment can cause irritation, swelling, blisters, or redness.
Cautery
Electrocautery can be used to treat some age spits. In this treatment, an electric current is used to create injury to the superficial layers of skin. This causes an age spot to crust and scab and fall off. This is a controlled injury using very low energy and should only be used by an experienced health professional. It can be a more effective way to treat some age spots in people of color.
Dermabrasion
For this procedure, a rapidly spinning brush is used to sand down the spotted skin area so new skin can replace it. Multiple sessions may be necessary for this procedure to be effective. Potential side effects include redness, scabbing, and swelling. Additionally, it may take an extended period for your skin to fully heal and regain its normal appearance. This is not a common way to treat most age spots.)
Microdermabrasion
Microdermabrasion uses tiny crystals to exfoliate the skin instead of a spinning brush. It’s gentler on the skin compared to dermabrasion. However, achieving the desired results for age spot reduction may require multiple treatments spread over several months. This treatment will only treat the most superficial age spots and will not go below the surface of he skin. One advantage is it will leave your skin feeling more smooth and allows your skin care products to penetrate better. Possible side effects include temporary redness or flakiness of the skin.
Microneedling
For this procedure, fine needles are used to create small, evenly distributed punctures in your skin. Your body reacts to these minor wounds by producing new collagen and elastin. These are essential components for youthful skin, to facilitate healing. Although this is a great way to rejuvenate the skin and improve overall skin texture and quality, it is not the best way to target age spots.
Age Spot Prevention
Prevention can be the most effective way to address age spots. First and foremost, avoid excess sun exposure and tanning beds from a young age. Incorporating proper skin care early can also be a great defense.
To maintain lighter age spots and prevent the formation of new ones, try to minimize sun exposure. This is particularly important during peak hours of intensity. Apply a high-quality, broad-spectrum sunscreen before heading outdoors and reapply it frequently. Using gloves, hats, or other clothing on age-spot areas can help shield them and prevent new ones from forming.
SkinMedica Neck Correct Cream – This product is one of Dr. Mona and Dr. Alexandra’s favorite products that they recommend daily! This product is easily absorbed and non-greasy. This cream features shiitake mushroom extract for skin elasticity and rice protein to strengthen the skin barrier. Additionally, it contains green microalgae extract for environmental protection and skin firmness. It also includes paracress extract, which helps to reduce the appearance of platysmal bands. It also contains hyaluronic acid to ensure hydration, improving texture and softness. These powerhouse ingredients make Neck Correct a great choice for a neck firming cream.
Dr. Mona’s Other Reccomendations
SkinCeuticals TriPeptide R Neck Repair Cream – This cream is packed with retinol to reduce fine lines and wrinkles, tripeptides to boost collagen, and a glaucine complex to firm up the skin. It’s great for the neck, tackling sagging, crepiness, and wrinkles. Plus, it has hydrating ingredients to moisturize and improve skin texture. Additionally, this neck cream touts a 27% average improvement in neck skin crepiness as well as a 16% average improvement in the appearance of horizontal neck lines.
Alastin Restorative Neck Complex with TriHex Technology– Loaded with peptides and active ingredients, this product has a patented TriHex Technology® which helps to clear out damaged collagen and elastin, making way for the stimulated production of new, healthy elastin and collagen. It’s perfect for the neck, addressing fine lines, wrinkles, skin laxity, redness and discoloration. It also contains niacinamide and phytoene, which help hydrate and firm up the skin for a youthful look.
Nécessaire The Neck Serum – Formulated with high-quality ingredients like Niacinamide (Vitamin B3) to calm inflammation, peptides to support collagen production, and hyaluronic acid to provide hydration. This serum also improves skin elasticity. It is a great combo for maintaining a smooth, toned neck at a lower price point.
RoC Multi Correxion Chest, Neck & Face Cream – This multi-tasking cream targets the chest, neck, and face, addressing anti-aging concerns and simplifying your routine. It tackles discoloration, sagging, dryness, dull skin, and wrinkles. Vitamin E and glycerin hydrate and nourish the skin, while SPF 30 protects against sun damage and premature aging. Although I have not used this product and do not recommend it to my patients, it is an affordable option with a sunscreen for photoprotection.
Dr. Alexandra’s Other Reccomendations
NeoStrata Skin Active Triple Firming Neck Cream – This cream is a great option for those patients looking for firming and improvement in neck complexion. It is packed with potent ingredients like neo glucosamine to reduce uneven pigmentation and fine lines. It also contains pro-amino acids to support collagen production. Additionally, it targets sagging, wrinkles, and uneven skin tone, firming and lifting the neck area while improving texture and clarity.
Revision Skincare Nectifirm Advanced – This innovative formula features Diglucosyl Gallic Acid to brighten the skin and enhance tone, peptides to boost collagen and improve firmness, and Red Microalgae Extract for lifting and tightening. It also contains lingonberry extract, which provides potent antioxidant protection against environmental damage.
Dr. Barbara Sturm Super Anti-Aging Neck & Décolleté Cream – This dermatologist-formulated cream contains premium ingredients like purslane, a powerful antioxidant for calming inflammation and promoting skin health; glutamine, an amino acid supporting natural repair and improving firmness and elasticity; and hyaluronic acid for deep hydration. It also includes anti-inflammatory ingredients, making it suitable for sensitive skin types.
Skincare Hacks
Skincare is more than just a routine; it’s how you practice self-care and make yourself feel good. In our busy lives, finding quick and effective skincare methods is essential. Whether you’re dealing with sun damage, skin breakouts, or early signs of aging, skincare hacks can be a game changer. Jessica, PA-C, has just the tips for you! Explore these skincare hacks and see how small changes can make a big difference in your daily routine and make things easier.
Double Cleansing 101
What is double cleansing?
You may have seen the double-cleansing trend on social media. Jessica, PA-C, shares why it’s a great habit to add to your routine. A gentle cleanser is the best choice for most skin types, but on its own, it may not be enough to remove makeup and excess dirt, pollutants, and oil that your skin may be exposed to during the day. By double cleansing, you can ensure you are removing all of these impurities while still treating your skin with gentle products.
How do I double cleanse?
Jessica, PA-C, recommends starting with an oil-based cleanser or micellar water. Your second cleanser will vary depending on your skin type. For example, if you have more oily skin, Jessica, PA-C, recommends a foaming cleanser, and if you have dryer skin, she suggests trying a cream or water-based cleanser. If you aren’t sure what skin type you are or which cleanser will be best for your skin, take our cleanser quiz! If you want a deeper dive into the right products for your skin, schedule a consultation with one of our providers.
Are you someone who dreads putting on your sunscreen? Jessica, PA-C, understands your pain and has just the tip for making daily sunscreen application more enjoyable. As we know, wearing sunscreen daily is one of the best ways to prevent premature aging. Jessica loves using a foundation brush instead of her hand to make sunscreen application easier. Her favorite sunscreen to pair with this tip is ColoreScience Glow! She puts the sunscreen on the brush and then applies it to her face for a smooth, even application. ColoreScience Glow, or any tinted facial sunscreen, is the perfect lightweight substitute for traditional foundation makeup with the added benefit of extra sun protection!
Can the way you sleep cause wrinkles? Jessica, PA-C, shares her insights on this trending topic and why the way you sleep could be causing those pesky vertical lines on your face. If you commonly sleep on your stomach or side, you may be more prone to these wrinkles. Sleeping this way squishes your face, creating vertical wrinkles over time.
How to prevent wrinkles when sleeping:
Jessica, PA-C, encourages you to sleep on your back instead of your side or stomach. She recommends this because it prevents your face from being compressed by the pillow and, in turn, helps prevent the vertical lines from appearing on your face. If you have difficulty sleeping on your back, Jessica, PA-C, suggests using a trainer pillow. These specialty pillows will help you learn how to sleep comfortably on your back over time. Another option is wearing silicone patches to sleep to help minimize creases. Jessica, PA-C’s favorite silicone patches are Frownies, Sio, and Wrinkles Schmickles.
Did you know there are other ways to protect your skin from the sun beyond sunscreen? Everyone has that fear of missing a spot when applying sunscreen. Adding Sun ISDIN as a supplement will help neutralize the free radical damage from the sun and boost your protection. However, it is essential to note that it is not a substitute for sunscreen! Sun ISDIN is a great supplement or a layer of protection in addition to still applying your daily sunscreen.
You may be someone who has had multiple skin cancers, or you may know someone who is commonly treated with skin cancers every time they visit the dermatologist. Jessica, PA-C, understands your struggles and has a safe and effective way to help reduce your risks. Consider adding a simple B vitamin into your routine, which can help. When this is taken twice a day, vitamin B3, also known as niacinamide, has been shown in multiple studies to decrease the risk of skin cancers. Check with your doctor and get approval before adding vitamin B3 to your routine. This supplement is very well tolerated for most patients with minimal to no side effects.
What are the best active ingredients to look for in a sunscreen?
Some of the best active ingredients that you can find in sunscreen include Zinc Oxide and Titanium Dioxide. These ingredients provide protection into the UVA spectrum. As mineral sunscreens, they are also less likely to cause allergic reactions when applied. If you don’t want to use mineral based sunscreen but still want UVA protection, look for Avobenzone as an ingredient.
Avobenzone is a chemical sunscreen that protects against UVA rays. It is often used in combination with other chemical sunscreens that protect against UVB rays. Zinc Oxide is my favorite because it protects against both UVA and UVB rays. Sunscreens are divided into physical blocks and chemical sunscreens. Physical sunscreens, such as zinc oxide and titanium dioxide, protect the skin against UVA and UVB rays by deflecting the sun’s rays. They also provide instant protection against sun damage to the skin and preventing sunburn and sun damage in the process. Avobenzone, a chemical sunscreen ingredient used as a UV filter, helps to protect the skin from harmful rays by absorbing the UVA rays. Octocrylene, a chemical filter, helps stabilize Avobenzone and absorb UVA rays and is often included to make a sunscreen more water resistant.
Which sunscreen ingredients should I avoid?
The most concerning sunscreen ingredient is oxybenzone because it is easily absorbed through the skin even after sunscreen has been applied. This increases the risk of skin irritation and long-term health effects. Oxybenzone has been shown to be systemically absorbed 50-100 times higher than other sunscreens. Both Oxybenzone and octinoxate have both been banned from use in Hawaii.
What should I look for when buying a sunscreen?
When trying to select the best sunscreen for your skin, make sure the label says “Broad Spectrum,” meaning the sunscreen can protect your skin from both UVA and UVB rays and “SPF 30 or higher” to provide better protection. You do not necessarily need a sunscreen that is higher than spf 50 because the percentage increase in protection is minimal past that.
I would choose a sunscreen that works with your skin type. If you are oily, you may want to choose a lighter weight sunscreen or one that is water based, whereas one that is more moisturizing may be better if you are more dry. If you have sensitive skin or have rosacea, I would stay away from chemical sunscreen and use mineral sunscreens with zinc oxide or titanium dioxide. Finally, if you have melasma, I would use a tinted sunscreen because the iron oxides can protect your skin from infrared as well as the UV Rays. If you are going to be in the water or more sweaty, you may want to look for one that is more “water resistant”.
This lightweight tinted sunscreen combines mineral sunscreens and antioxidants to protect your skin against UV rays, Infrared and Blue light with their patented EnviroScreen® Technology. This sunscreen comes in 4 shades, fair, medium, tan and deep, and magically adapts to your skin color. This sunscreen is safe for all skin types.
This is a fan favorite for people who want protection but do not want to feel like they are wearing sunscreen. If you are acne prone, you may opt for a lighter weight product such as the Elta MD UV Clear formulated with 9% zinc oxide and 5% Niacinamide (Vitamin B3) to help reduce the appearance of blemishes and discoloration on your skin. This broad spectrum sunscreen contains micronized zinc oxide to protect your skin from damaging UVA (aging) and UVB (burning) rays. It is fragrance-free, paraben-free and non-comedogenic.
Hawaii has banned many chemical sunscreen components such as oxybenzone and octinoxate due to their deleterious effect on the coral reef. This lightweight, water resistant stick has been formulated with EcoSafe Zinc™, a non-nano, naturally-coated, USP grade certified zinc oxide that has passed rigorous aquatic safety testing to be reef safe. It is fragrance free, great for sensitive skin and has the added benefit of having an antioxidant blend to help further protect your skin.You can use this and feel good that you are protecting your skin as well as the environment.
This is a great non greasy mineral based sunscreen that uses a non nano zinc oxide and non nano titanium dioxide to protect your body and face. Approved for use 6 months and up, this lightweight sunscreen is easy to rub in and does not leave a messy white cast all over your body. I love that it is reef safe as well and is good for all skin types, including sensitive skin.
This mineral based sunscreen uses patented Cell-Ox technology with titanium dioxide and an antioxidant blend to protect against UV rays. Titanium dioxide is well tolerated by most skin types, including sensitive skin, and the iron oxide in titanium dioxide protects against infrared and creates a nice tint for extra coverage.
Does the form of sunscreen make a difference?
In some ways, the form of sunscreen does matter, as it can impact its effectiveness, application, and coverage. The most common forms of sunscreen are lotions and creams, which are best for full-body application. They are easy to apply, and their density ensures better skin coverage and protection.
Sprays are a more convenient option because they are quick and easy to use, especially for children. The disadvantage of spray sunscreens is the lack of even application. To ensure proper protection, spray a very generous amount of sunscreen and rub it into the skin. It would also be better to apply a spray sunscreen indoors as opposed to outside. When applying outside, the wind may disperse an aerosolized sunscreen spray.
Stick sunscreens are great for sensitive areas around the eyes, face, ears, and lips. As long as the sunscreen is chemical-free, it should not cause skin irritation. Brush on sunscreens can be a great way to touch up sunscreen during the day without disturbing makeup. Brush on sunscreens are also a favorite among golfers, because they do not leave any residue on your hands. Sticks and brush on are convenient, mess-free, and easy to apply. Ultimately, whatever your preference for sunscreen may be, you must apply sunscreen generously and consistently to ensure that your skin is protected from UV radiation.
Is it okay to go outside without sunscreen on?
Generally speaking, if not applying any form of sunscreen, try to limit exposure to 5-15 minutes at a time, 2-3 times a week. Walking to your car from your office or getting your mail might not require you to apply sunscreen, but if you know you will be outside for more extended periods of time, especially during peak sun hours, applying sunscreen is crucial.
Also, certain medications, a history of skin cancer, or sensitive skin can increase sun sensitivity and skin reactions. It’s equally important that individuals who fit into these categories use sunscreen generously when outdoors.
What are common mistakes people make with sunscreen?
I think one of the biggest mistakes people should avoid when applying sunscreen is using too little. Most people only apply 25-50% of the recommended amount of sunscreen. To ensure full body coverage, most adults need about one ounce of sunscreen.
Another common mistake to avoid is applying sunscreen only in sunny weather. The sun emits harmful UV rays all year. Even on cloudy days, up to 80% of UV rays can penetrate your skin. To protect your skin and reduce the risk of skin cancer, apply sunscreen even on cloudy days.
The effectiveness of sunscreen decreases over time and when exposed to high temperatures or sunlight. As a result, make sure you are not using an expired sunscreen. Most sunscreens expire within 1 year. For this same reason, it is also important to reapply sunscreen regularly when outdoors, in the water, or doing an outdoor activity.
