The Evolution of Botox: Science, Safety, and Staying Power | As Seen in Cincinnati Magazine

Jessica Watkins, PA-C, shares how the world’s most popular cosmetic treatment, Botox, was discovered by accident, and why it has continued to be a provider and patient favorite over two decades later, featured in Cincinnati Magazine.

How was it discovered?

The history is quite interesting. The effects of botulinum were first noted in the late 1800s by a German scientist after a small outbreak of foodborne illness. While noting that the poison in high enough doses can prove fatal via its weakening actions on the nervous system, Dr. Justinus Kerner also recognized its paradox. Perhaps there exists a therapeutic potential for treating muscle hyperactivity. Over the years, scientists eventually isolated the causative bacterial strains, Clostridium botulinum. They learned to purify the toxin produced by the bacteria so that it could be more closely studied. By the 1970s, the toxin was first used in humans during experimental treatments for eye muscle disorders.

The results were amazing. Using just a tiny amount, the target muscle was affected with good duration and no adverse side effects. By 1989, the FDA possessed enough data from 240 investigators to approve Botox for blepharospasm (eye twitching) and strabismus (crossed eyes).

How did it become a cosmetic treatment?

Dr. Jean Carruthers, an ophthalmologist using Botox on her blepharospasm patients in the early 1990s, noticed the cosmetic potential of the treatment. Her patients had (gasp!) decreased frown lines! She worked with her late husband, dermatologist Alistair Carruthers, to research the cosmetic use of Botox. By 2002, the world’s most popular cosmetic treatment was born. It is now used by over 2.5 million people per year and has remained the top non-surgical treatment for over two decades.

What can Botox treat?

Botox Cosmetic has four FDA-approved treatment areas: Glabellar (frown) lines, crow’s feet, forehead lines, and the latest indication, jawline and neck lines. There are also 12 medical FDA-approved indications that help people every day for debilitating conditions. This includes chronic migraines, excessive sweating, severe muscle spasms, and urinary incontinence. Now that we have robust clinical research, data, safety, and clinical experience in the real world, health care professionals across many cosmetic and medical specialties use Botox for a myriad of other “off-label” uses. I regularly treat the chin, D.A.O., bunny lines, masseter, lips, and gummy smile.

What trends do you anticipate in the future?

As a cosmetic dermatology PA who has been treating patients with Botox for 10+ years, I can say without a doubt that Botox is here to stay. Researchers have described Botox Cosmetic in more than 792 peer-reviewed articles in scientific and medical journals. This puts it in a league of its own, especially compared to other cosmetic treatments. With Botox paving the way, we have also seen an expansion of the toxin market. Other competing brands include Dysport, Daxxify, Xeomin, and more.

A typical appointment by an expert injector takes less than 10 minutes, has no downtime, and produces rapid, natural-looking results. It’s no wonder that neurotoxin patients are repeat customers regardless of age demographic. Pairing that with ever-expanding medical uses, the Botox demand will certainly continue on its meteoric rise! A new fast-acting Botox is even on the horizon and will hopefully make its appearance in late 2026. Jawline and neck Botox has boomed since its 2024 FDA approval and will only continue to grow in popularity. Botox is also increasingly being used as part of other treatments. For example, mixing with hyaluronic acid serums in AquaGold facials. Using concentrated Botox injected into post-surgical scars has interesting utility. I think we will be seeing more of this in the future.

Can You Actually Shrink Your Pores? | As Seen in E! News

While you can’t permanently shrink your pores, you can make them appear smaller with the right approach. Understanding what causes enlarged and clogged pores is key to achieving smoother, more refined-looking skin. Learn the best way to do so with Dr. Mona Foad in E! News’ article.

Can you actually shrink your pores?

This is one of the most common questions I get, and the honest answer is that you can’t actually “shrink” your pores permanently. Pore size is largely determined by genetics, skin type, and the amount of oil your skin produces. However, pores can look bigger when they’re clogged or when the skin around them loses collagen and elasticity over time. So while we can’t change their actual size, we can absolutely make them look smaller and more refined with the right skincare. It’s really about building collagen and improving overall skin health and texture rather than trying to eliminate pores altogether.

What does it mean if you have enlarged pores?

Enlarged pores usually mean your skin is producing more oil, which is very common in oily or combination skin types. They can also become more noticeable as we age, because collagen loss makes the skin less firm and with less volume there is less support around and under the pores so they look larger. Sometimes, repeated congestion or buildup can stretch the pore over time as well, making it appear larger. Sun damage is another big factor, since it breaks down the skin’s structure and can exaggerate pore visibility. So it’s typically not just one cause, but a combination of oil, aging, and environmental factors.

You might not be able to shrink your pores, but are there ways to minimize the appearance of them?

Yes, and this is where consistent skincare really makes a difference. Keeping pores clear is one of the most important steps, because buildup is what makes them look more noticeable. I usually recommend incorporating gentle exfoliation to help remove dead skin cells and prevent congestion. Ingredients that support collagen, like retinoids, can also help improve the appearance of pores over time by strengthening the surrounding skin. And of course, daily sunscreen is key, since chronic UV damage can make pores look larger. With consistency, most people do see smoother, more refined-looking skin.

Are there any ingredients that can improve the appearance of pores?

There are a few standout ingredients that I often recommend. Salicylic acid is great because it works inside the pore to dissolve oil and debris, and is great for acne prone patients and people with more oily or combination skin. It can be a little irritating for people with dry or sensitive skin. Retinoids are another favorite, since they help with cell turnover and improve overall skin texture over time. Prescription retinoic acid is great for those who can tolerate it, but if you are more sensitive turn towards a retinol which is less drying. Niacinamide helps balance oil production and calm the skin, which can make pores look less prominent. I also like gentle alpha hydroxy acids, like glycolic acid or lactic acid to smooth the skin’s surface. The key is choosing ingredients that support both clarity and skin barrier health.

What causes clogged pores?

Clogged pores happen when oil, dead skin cells, and sometimes environmental debris get trapped inside the follicle. For many people, this is tied to excess oil production, which can be influenced by hormones or genetics. If the skin isn’t shedding properly, those dead cells can mix with oil, creating a blockage. Certain skincare or makeup products can also contribute, especially if they’re too heavy or not suited for your skin type. Over time, this buildup can lead to blackheads, whiteheads, or breakouts.

What is the best method for clearing clogged pores?

The best approach is a simple, consistent routine that focuses on keeping the pores clear without irritating the skin. A gentle cleanser is a good starting point to remove excess oil and buildup. Make sure to wash your face at night as well as the morning to get rid of the day’s build up and the effects of pollution which can silently sit on your skin. From there, adding in a chemical exfoliant like salicylic acid, glycolic or lactic acid, depending on your skin type, can help clear pores more effectively than physical scrubs. If you want to have some mechanical as well as chemical exfoliation, consider a product with jojoba beads. Retinoids can also be very helpful in the long term by improving cell turnover and preventing future clogs. For some patients, in-office treatments like extractions or light chemical peels can provide an extra boost. Ultimately, it’s about finding a routine that your skin tolerates well and sticking with it consistently.

The Best Moisturizers for Dry Skin, Dermatologist Approved | As Seen in Byrdie

If you have dry skin, a good moisturizer isn’t optional. It’s the foundation of a healthy skincare routine. Dr. Alexandra Bowles, board-certified dermatologist, as featured in Byrdie, explains why daily moisturizing is non-negotiable for dry skin, what ingredients to prioritize, and how to get the most out of every application. Whether you’re dealing with flaking, tightness, or chronic irritation, the right moisturizer can make all the difference.

Why is using a moisturizer daily so important, but especially if you have dry skin?

Daily moisturizing is essential because it helps maintain the skin’s barrier, which is responsible for keeping moisture in and irritants out. When you have dry skin, that barrier is often compromised, making the skin more prone to flaking, tightness, irritation, and inflammation. Using a moisturizer consistently helps replenish lost hydration and supports the skin’s natural repair process. Without daily moisture, dry skin can become more sensitive and reactive over time. Moisturizers also help reduce transepidermal water loss, which is one of the main drivers of chronic dryness. Think of moisturizer as a foundational step that keeps skin functioning properly, not just a cosmetic add-on.

What kinds of things should you look for when choosing a moisturizer for dry skin?

When selecting a moisturizer for dry skin, look for ingredients that hydrate, repair, and protect the skin barrier. Humectants like glycerin and hyaluronic acid help draw water into the skin, while emollients such as ceramides and squalane smooth and soften rough texture. Occlusive ingredients like petrolatum or shea butter help seal that moisture in and prevent further water loss. Fragrance-free formulas are often better tolerated, especially if the skin is sensitive or irritated. I also recommend avoiding alcohol-heavy formulas, which can worsen dryness over time. A well-formulated moisturizer should make skin feel comfortable and supported, not greasy or tight.

How often should you use a moisturizer if you have dry skin?

Moisturizing at least twice daily is ideal, once in the morning and once at night. Applying moisturizer after cleansing helps replace moisture that can be lost during washing. Many people also benefit from reapplying to particularly dry areas, such as hands or legs, throughout the day. Consistency matters more than quantity; regular use helps keep the skin barrier stable. Skipping days can allow dryness and irritation to return quickly. Making moisturizing part of your daily routine is one of the simplest ways to improve overall skin health.

Suggested tips and tricks for applying moisturizer if you have dry skin:

One of the most effective tips is to apply moisturizer to slightly damp skin, such as right after showering or washing your face. This helps lock in hydration and improves absorption. Using gentle, upward motions rather than aggressive rubbing can also reduce irritation. For very dry skin, layering can be helpful, starting with a hydrating serum, followed by a richer cream to seal everything in. At night, using a thicker moisturizer can support overnight repair when the skin naturally regenerates. Paying attention to how your skin feels throughout the day can help you determine when additional moisture is needed.

What is the difference between lotions vs. creams?

The main difference between lotions and creams comes down to their water and oil content. Lotions are lighter, contain more water, and absorb quickly, making them suitable for normal to mildly dry skin or daytime use. Creams are thicker, richer, and contain more oil, which makes them better suited for dry or compromised skin. Because creams provide more occlusion, they’re often more effective at preventing moisture loss. People with dry skin typically benefit more from creams than lotions, especially in colder or drier climates. Choosing between the two depends on your skin’s needs, your environment, and your personal comfort preferences.

Is Filler In or Out for 2026? | As Seen in Cincinnati Magazine

It’s no secret that there’s a lot of negative coverage of cosmetic filler treatments in the media. Dr. Alexandra Bowles, shares her perspective in Cincinnati Magazine, on the growing concerns around dermal fillers and what to consider if you’re thinking about getting treated.

If you’ve been scrolling through social media lately, you’ve probably noticed a shift in how people talk about fillers. What was once celebrated as the go-to anti-aging treatment now comes with a side of skepticism. That being said, it’s still one of the most popular cosmetic treatments. One that I perform and recommend to my patients daily! These are some of the most common concerns my patients bring up, and the advice I share so that they can make an informed decision.

Overfilled Features:

Looking overly plump or overfilled is a natural and common fear, and, to be fair, it’s probably the number one reason my patients are second-guessing getting filler altogether. However, it is important to note that when this happens, an inexperienced injector has usually placed the product in the wrong area or used the wrong technique. The goal of filler should never be to change your face. Rather, it’s a helpful tool to enhance your natural features and restore volume that you’ve lost over time.

Looking Unnatural:

Some of my patients come in concerned that they won’t look like themselves. I understand this, especially if they’ve had a friend or family member with this experience. But not all injectors are created equal. Filler requires an in-depth understanding of facial anatomy, an artistic eye, and years of experience to get it right. It is important to listen to your patient and consider their individual characteristics and not use a “one size fits all” approach.

Migration:

One of the hottest topics right now is filler migration. The idea that filler can move from where it was originally placed and end up somewhere else. While migration can happen, skilled injectors rarely see it when they perform the procedure correctly. Migration typically occurs when an injector uses too much product, places it in the wrong plane, or selects the wrong type of filler for a specific area. The right technique and appropriate product selection keep your filler exactly where it’s supposed to stay.

Your Guide to Filler Success

Find a Qualified, Experienced Injector:

This is a non-negotiable. Your injector should be a board-certified dermatologist, plastic surgeon, or highly trained medical professional with extensive experience in facial aesthetics. Don’t be swayed by cheap deals or convenience. Your face deserves an expert. Ask about their training, how long they’ve been injecting, and request before-and-after photos of their work. Look for results that appear natural and balanced, not overfilled or dramatic.

Ask For a Full-Face Assessment:

Cookie-cutter approaches don’t work when it comes to your face. A great injector will take time to understand your concerns, assess your facial structure, and create a personalized plan that enhances your unique features.

It’s OK To Start Small:

If you’re concerned, ask to start with less. I always start conservatively, because it’s much easier to add more filler later than to correct an overfilled result. I’d rather see you back in a few weeks for a touch-up than have you leave with too much product. That being said, a treatment may require multiple syringes of product. This may depend on the area we are treating.

Communicate Your Goals:

Be honest with your injector about what you want—and what you don’t want. I love when my patients share photos with me and are honest about their goals as well as concerns.

Trust the Process (and the Timeline):

Great results don’t always happen in one session. Building volume gradually over time often leads to the most natural-looking outcomes. Be patient with the process. Trust your provider’s expertise on how to best use filler to give you the most natural results.

Other Options:

If you are still wary of filler treatments, consider PRF Ez Gel, which uses your own platelet-rich plasma as an alternative to traditional filler. Although results may be more subtle and won’t last as long, it’s a nice option as well.

The Bottom Line

Concerns around filler are real, but that doesn’t mean filler is the problem. It’s how it’s being used and who is injecting it. When placed thoughtfully by a skilled injector who understands facial anatomy and prioritizes natural results, dermal fillers can be an incredible tool for looking like the best version of yourself. My goal is always for my patients to feel confident and beautiful in their own skin! Filler should enhance who you are, not change you into someone else.

To learn more about filler or book a cosmetic consultation.

A Guide to Final Touches After Taking a Weight Loss Medication | As Seen in Cincinnati Magazine

There are many people in the United States and overseas who have recently experienced significant weight loss. If you are using one of these medications, you may experience unexpected changes to your face and body as the pounds come off. Board-certified dermatologist and anti-aging expert Dr. Mona S. Foad shares how to address and prevent some of the most common skin and body concerns that people face while on these medications, and how to feel more confident in your new body.

Restoring Facial Volume

People don’t expect to lose fat in their face when they start losing weight. While seeing that number on the scale go down is exciting, facial volume loss can actually make you look older. Sometimes, up to five years older than you are. When fat or muscle disappears from your face, you might notice new lines and wrinkles, a hollowed-out look around your cheeks or temples. Also, skin can appear looser than before. The good news? There are several ways to restore that youthful fullness.

Dr. Mona’s Recommendations:

Hyaluronic acid fillers: Help restore lost volume from fat loss with immediate results that can last up to 12-18 months.
Biostimulators: Such as Sculptra, help to build your own collagen within the skin gradually, with best results seen 3-6 months after treatment.
Platelet Rich Plasma (PRP): Harness your body’s ability to build collagen using the growth factors in your blood’s platelet-rich plasma.

Building Muscle Strength & Tone

Did you know that up to 40% of the weight you lose might actually come from muscle, not just fat? While many of us focus on the muscle loss that can occur on the body, our face can actually lose that same muscle mass, creating premature signs of aging. Muscle, in addition to fat, is an important support structure for the skin. The first line of defense? Healthy lifestyle changes like eating more lean protein and incorporating strength training into your routine. But if you’re experiencing weakened muscle function or want an extra boost, electromagnetic stimulation treatments can help restore lost muscle on both the face and body.

Dr. Mona’s Recommendations:

EmFace: Consider muscle stimulation for the face. EmFace uses HIFES (high-frequency electrical stimulation) technology paired with radiofrequency energy to tighten skin and noninvasively improve muscle tone on the forehead, eyes, cheek, and submentum to build back that lost support with no downtime.
EmSculpt Neo: While EmFace focuses on the face, EmSculpt Neo targets muscle on the body to build back lost muscle and burn fat on the abdomen, flanks, buttocks, thighs, biceps, triceps, and calves with no downtime.

Improving Skin Quality

Significant weight loss can change how your skin looks and feels. That’s because losing weight doesn’t just affect fat—it also impacts the essential building blocks that keep skin looking youthful, like elastin, collagen, and other key nutrients. You might notice your skin looking saggy, dull, or less firm than it used to. The good news is that there are plenty of options to visibly tighten, smooth, and enhance your skin’s appearance.

Dr. Mona’s Recommendations:

Skincare: Growth Factors and peptides (such as TNS Advanced+ Serum) help the skin “act young” again and slow down aging. Adding a retinoid, such as Retin-A (tretinoin), or a retinol for more sensitive skin, can improve cellular turnover and increase skin radiance. Consider skin care for the neck and body. Our favorites are SkinMedica’s Firm and Tone for the body and Neck Correct for the neck.
Tightening: Ultrasound and radiofrequency are great, no-downtime ways to tighten skin on and off the face. We love Sofwave ultrasound tightening, Thermage radiofrequency, and Radiofrequency microneedling.
Lasers and Lights: If you have some downtime, a laser can help improve overall skin quality and help address fine lines. We love Fraxel Dual, Halo, Erbium, and CO2 for skin resurfacing.

Tackling Stubborn Fat

You’ve done the hard work and lost the weight—but you might still notice stubborn pockets of fat that won’t budge, no matter what you do. Stubborn fat is that layer beneath your skin that’s resistant to diet and exercise. If you’re at or near your ideal weight but are still bothered by specific areas, noninvasive body contouring treatments could be the final touch you need.

Dr. Mona’s Recommendations:

Kybella: Deoxycholic acid, a substance produced by the gallbladder to break down fat, can be injected to target unwanted fullness under the chin or along the jowls. It can also be used in small pockets of stubborn fat on the body, such as bra fat.
CoolSculpting Elite: This treatment uses freezing technology, also known as cryolypolisis, to permanently destroy fat cells. CoolSculpting is a great option for targeting a focused area of stubborn fat, such as on the abdomen, thighs, bra fat, or arms.

Not sure what’s right for you? Book online or call 513.984.4800 to schedule a consultation at Mona Dermatology to discuss which products and treatments are right for you

Face Oils for Aging Skin: Can They Reduce Wrinkles and Fine Lines? | As Seen in Allure

While face oils won’t replace targeted anti-aging treatments like retinoids, but they can visibly soften fine lines, restore lipid balance, and strengthen a compromised skin barrier. Here’s what Dr. Mona Foad wants you to know about choosing and using face oils for aging skin, as seen in Allure.

Can face oils actually reduce the appearance of wrinkles and fine lines?

Face oils don’t directly stimulate collagen the way retinoids or antioxidants do, but they can absolutely help soften the appearance of fine lines and wrinkles. By improving hydration and supporting the skin barrier, oils help plump the skin, which makes lines look less pronounced. Many oils also contain fatty acids and antioxidants that support overall skin health and reduce dryness-related crepiness. Well-moisturized, protected skin simply looks smoother and more resilient. I often think of face oils as supportive players rather than corrective treatments. They work best when layered with evidence-based serums.

What ingredients should I look for in a face oil for mature skin?

For mature skin, I recommend face oils that are rich in barrier-supportive fatty acids and antioxidants. Ingredients like squalane, jojoba oil, rosehip seed oil, and evening primrose oil help replenish lipids that naturally decline with age. Antioxidant-rich oils, such as those containing vitamin E or botanical extracts, can help protect against environmental stressors. I also look for oils that absorb well and don’t feel heavy or greasy on the skin. Simple, well-formulated blends tend to be better tolerated than overly fragranced oils.

Will face oil clog pores or cause breakouts on mature skin?

Face oils don’t automatically clog pores, even on mature skin, as long as the oil is well chosen and applied correctly. Many oils, such as squalane and jojoba oil, are non-comedogenic and closely mimic the skin’s natural lipids. In fact, mature skin is often drier and benefits from the added lipid support oils provide. Problems tend to arise when very heavy or fragranced oils are overused or layered improperly. I usually recommend applying oil as the final step to seal in hydration rather than using large amounts.

Is face oil better than moisturizer for aging skin?

Face oils and moisturizers serve different purposes, so one isn’t necessarily better than the other. Moisturizers contain both water and oil components, along with humectants and barrier-supportive ingredients, making them essential for daily hydration. Use face oils as a supplement to moisturizers. They seal in moisture and improve skin comfort. For aging skin, I often recommend applying moisturizer first, then layering a few drops of oil on top when additional nourishment is needed. Used together, they can be very complementary.

Dr. Mona’s Recommendations:

Biossance 100% Squalane Oil – I like this oil because squalane closely mimics the skin’s natural oils and is very well tolerated, even by sensitive or thinning skin. It helps restore moisture, improve elasticity, and reduce dryness without clogging pores. The texture is lightweight, absorbs quickly, and works well layered over serums or moisturizers.
Pai Rosehip BioRegenerate Oil – This oil is rich in essential fatty acids and antioxidants, making it especially helpful for mature skin dealing with dryness and uneven texture. Rosehip oil can support skin regeneration and improve the appearance of fine lines caused by dehydration. It’s lightweight and is often well tolerated by sensitive skin.
Sunday Riley Luna Sleeping Night Oil – Luna is an oil-based retinol treatment that combines gentle retinoid activity with hydrating oils to minimize irritation. It helps improve fine lines, texture, and overall skin clarity while still providing nourishment. I like it for patients who want the benefits of retinol but prefer the comfort of an oil-based formula, especially at night.

The Truth About In-Flight Skincare | As Seen in Fodor’s Travel

Traveling can be tough on your skin. But as glamorous as mid-flight serums and sheet masks look on social media, airplanes are surprisingly unhygienic environments. Between low cabin humidity, high-touch surfaces, and unsterile lavatory water, applying multiple products in the air can trap bacteria, clog pores, and worsen dryness or irritation. Dr. Alexandra Bowles explores why elaborate in-flight skincare is risky and shares safer, simpler strategies featured in Fodor’s Travel.

Why are elaborate in-flight skincare routines actually a bad idea?

Elaborate in-flight skincare routines may look glamorous on social media, but they’re rarely a good idea for your skin. Airplanes are full of high-touch surfaces, and even if you wash your hands, the water available in the lavatory isn’t sterile. So applying multiple products mid-flight can unintentionally transfer bacteria to your face. When you layer serums or creams in that environment, you may actually trap dirt and microbes against your skin, increasing the risk of clogged pores, breakouts, or rashes.

The extremely low humidity in the cabin also means your products evaporate more quickly, which can leave your skin feeling even drier than before. In-flight routines often involve touching your face repeatedly. This is one of the fastest ways to trigger irritation, acne, or dermatitis. Turbulence, cramped seats, and inconsistent lighting can also make skincare difficult. Overall, keeping your in-air routine simple protects your skin barrier and helps you avoid unnecessary irritation.

What are smarter, safer alternatives to in-flight skincare routines?

Instead of an elaborate routine, the best in-flight skincare is one that’s simple, clean, and barrier-focused. The safest approach is to prep your skin before boarding with a nourishing moisturizer or a gentle occlusive layer to help seal in hydration during the flight. If your skin tends to get very dry, a hydrating sheet mask used at home before heading to the airport or after you land is much more hygienic than applying one mid-flight.

If you want something you can safely use in the cabin, a hypochlorous acid spray is a great option. It’s calming, antibacterial, and can refresh the skin without requiring you to touch your face. A fragrance-free lip balm and a hand cream are also easy, low-risk ways to stay comfortable. Once you land, doing your regular skincare routine with clean hands and clean water will restore moisture and rebalance your barrier far more effectively than anything applied in the air. The goal is to keep your skin protected, not overwhelmed, so that travel stress doesn’t show up on your complexion.

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.

Microneedling vs Chemical Peels | As Seen in Women’s Health

Microneedling and chemical peels have become go-to treatments for patients seeking healthier, more radiant skin without the downtime of invasive procedures. Board-certified dermatologist Dr. Mona Foad explains that these treatments work by stimulating collagen production and encouraging skin cell renewal, helping improve texture, tone, and overall glow. Be sure to check out the full article in Women’s Health!

Why are treatments like microneedling and chemical peels so popular right now?

These treatments are popular because they deliver visible results with minimal downtime compared to more invasive procedures. Both microneedling and chemical peels improve skin texture, tone, and overall radiance by stimulating cell renewal and collagen production. Patients love that they can target multiple concerns such as fine lines, acne scars, pigmentation, and dullness in a natural way that helps the skin rejuvenate itself. In an age where people want healthy, glowing skin without drastic interventions, these treatments strike the perfect balance between effectiveness and recovery.

What is microneedling and how does it work? What are its main benefits?

Microneedling, also known as collagen induction therapy, uses fine sterile needles to create controlled micro-injuries in the skin. This process triggers the body’s natural healing response, which stimulates new collagen and elastin production. The result is smoother, firmer, and more youthful-looking skin. Microneedling can improve fine lines, acne scars, enlarged pores, and overall texture without significantly disrupting the surface of the skin. It is highly customizable and can be adjusted for different skin types and concerns, making it a versatile and effective treatment.

What is a chemical peel, and how does it work? What are its main benefits?

A chemical peel uses a carefully selected acid solution such as glycolic, lactic, salicylic or trichloroacetic acid to exfoliate the outer layers of the skin. The depth of the peel can vary from light to deep depending on the product used, the concentration and desired result. By removing dull or damaged skin cells, chemical peels reveal smoother, brighter, and more even-toned skin beneath. They can help fade sun damage, help acne and acne scarring, and help with unwanted superficial pigmentation while promoting healthy cell turnover. With consistent use, chemical peels can dramatically improve skin clarity and texture over time.

What are the similarities and differences between microneedling and chemical peels?

Both treatments rejuvenate the skin by encouraging new cell growth and collagen production. They target similar concerns such as fine lines, uneven tone, acne scars, and dullness. The main difference lies in their approach and how they work. Microneedling stimulates the skin from within by triggering a healing response, while chemical peels resurface the skin from the outside by removing the top layer of skin cells. Microneedling is often better for deeper textural issues, while chemical peels are ideal for surface brightness and tone. Chemical peels are better for treating brown spots and can be better at treating acne and superficial acne scarring, whereas microneedling would be better for slightly deeper scars and for overall skin rejuvenation and collagen stimulation.

What add-ons often accompany microneedling, and what benefits do these offer?

Microneedling can be enhanced with add-ons like platelet-rich plasma, exosome therapy, or targeted serums that contain growth factors or peptides. These add-ons take advantage of the microchannels created during treatment, allowing active ingredients to penetrate more deeply. Platelet-rich plasma uses the body’s own growth factors to accelerate healing and boost collagen, while exosomes and peptides can enhance cell repair and radiance. These combinations maximize results and often shorten recovery time, leaving the skin smoother and more luminous. But it is important to only add approved products and not just add anything. Certain products can cause irritation or can cause foreign body reactions under the skin.

What add-ons often accompany a chemical peel, and what benefits do these offer?

Popular add-ons for chemical peels include brightening boosters, hydrating serums, and soothing post-peel recovery masks. Some practitioners also incorporate LED light therapy to calm the skin and speed up healing. These additions help replenish moisture, reduce irritation, and enhance the peel’s brightening effects. They also make the overall experience more comfortable and help patients maintain hydration and glow as the skin renews.

Why does skin type and skin tone matter when deciding between a peel and microneedling?

Skin type and tone are key factors when deciding which treatment is most appropriate. For patients with sensitive or darker skin tones, deeper chemical peels can sometimes cause irritation or post-inflammatory hyperpigmentation.For darker skin types, consider a salicylic acid peel which may be safer than a glycolic or a TCA peels and always let patients know to avoid sun exposure and retinoid use before and right after a peel. In those cases, microneedling is often a safer choice because it does not rely on acids to achieve results. On the other hand, lighter skin types with sun damage or uneven tone may benefit more from a series of light chemical peels. The best treatment depends on the individual’s goals, skin history, and level of sensitivity.

Since both treatments increase collagen, how do they work, and how much growth can patients usually see?

Microneedling increases collagen by triggering the body’s natural wound-healing process. As the skin repairs itself, fibroblast activity increases, which leads to new collagen and elastin production. Chemical peels stimulate collagen by removing damaged surface layers and prompting the skin to regenerate. The amount of collagen production varies for each person, but studies suggest microneedling can increase collagen by up to several hundred percent over a series of treatments. Chemical peels typically provide gradual collagen stimulation that builds with consistent use. Both treatments strengthen and rejuvenate the skin over time, although microneedling will stimulate more collagen growth.

Is microneedling or a chemical peel better for skin cell renewal? Why?

Both treatments encourage cell turnover but in different ways. Chemical peels directly accelerate exfoliation by removing dead surface cells, leading to faster visible renewal. Microneedling works deeper within the skin, stimulating new cell growth over several weeks as collagen remodels. If the goal is instant brightness and smoother texture, a chemical peel provides quicker results. For more structural and long-term renewal, microneedling offers deeper benefits. Many patients use both treatments in rotation for comprehensive rejuvenation.

Is microneedling or a chemical peel better for improved texture and tone? Why?

Microneedling is excellent for improving texture because it remodels the skin from within, helping to smooth scarring, fine lines, and enlarged pores. Chemical peels are ideal for improving tone, texture, pore size, brightness, and pigmentation on the surface. The best treatment depends on whether the main concern is texture or discoloration. Combining both in a customized treatment plan often provides the most balanced results for smoother, more even skin.

How does the pain of a chemical peel compare to microneedling?

Both treatments are well tolerated, though they feel different. Microneedling typically causes a mild prickling or pressure sensation such as a strong cat’s tongue. A numbing cream is applied beforehand to minimize discomfort. Chemical peels may create a temporary tingling or stinging sensation as the acid interacts with the skin, but this usually subsides quickly. Most patients find both treatments comfortable and manageable, and any mild discomfort is short-lived compared to the long-term improvement in skin quality.

What is the downtime and recovery of microneedling vs. a chemical peel?

Recovery time depends on the intensity of the treatment. After microneedling, patients usually experience mild redness and sensitivity for one to two days, similar to a light sunburn, but can have a couple more days of redness if the depth of the microneedles is increased. Makeup can typically be applied after 48 hours. With a chemical peel, downtime varies more widely. A light peel may cause minor flaking for a few days, while a deeper peel can require about a week of recovery with visible peeling. Both treatments benefit from diligent sun protection and gentle skincare afterward to maintain results and support healing.

How are the results of both treatments maintained?

Results from both treatments last longer when paired with a consistent skincare routine and sun protection. Using daily SPF, antioxidants, and gentle exfoliating or collagen-boosting products helps extend results. Most patients start with a series of treatments and then move to maintenance sessions every few months. Hydration, a balanced diet, and regular skincare all play important roles in preserving the glow and firmness that follow either treatment.

How do you help patients decide if a peel or microneedling is right for them?

I start by assessing each patient’s skin type, main concerns, and comfort level with downtime. For patients looking to refine brightness, tone, and superficial pigmentation, a chemical peel is often the best choice. For those focused on texture, acne scars, or fine lines, microneedling tends to deliver better results. Many patients benefit from a combination of both, used at different times for complementary effects. The right choice always depends on the individual’s goals, skin condition, and how their skin responds over time.

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

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

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

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

Can kids use gentle sheet masks designed for adults?

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

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

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

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

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