It’s Not All About the Face: Neck and Chest Anti-Aging

We often focus on our face when it comes to anti-aging, but we should not forget about areas such as our neck, chest and hands. These areas show similar signs of aging as our face, but are often neglected. This summer, board-certified dermatologist Dr. Mona Foad will share how to prevent and reverse aging during a three-part series, “It’s Not All About The Face.” See the full article in Cincinnati Magazine!Dr. Mona Foad

Part I: How to Achieve Neck and Chest Anti-Aging

The skin on the neck and chest is uniquely different from the skin on our face. The neck has thinner skin, which can often be more prone to laxity or sagging. In addition, the neck and chest often receive similar amounts of daily sun exposure as the face, but can be neglected when it comes to SPF application. The natural aging process also brings reduced collagen production, loss of hydration, slower cellular turnover, and more. The good news is that there are many tools available to help slow down or reverse the aging process without surgery.

Lifestyle

Sleep: Aim for adequate sleep as your skin cells repair overnight. If you are a side sleeper, you may develop chest wrinkles. Try sleeping on your back, using an anti-wrinkle chest pillow, or applying silicone patches at night.

HydrationOur skin loses hyaluronic acid and becomes drier as we age. Boost your natural hydration by drinking plenty of water and limiting alcohol consumption.

Nutrition: Fruits and vegetables are packed with antioxidants, vitamins, and minerals that contribute to skin health. You can also support your skin’s building blocks like collagen and elastin by eating good-quality protein sources. Fish, chicken, eggs, and bone broth are rich in omega-3 fatty acids and amino acids and are great choices.

Skin Care

Protection: Everyone should apply SPF to their neck and chest daily. This is one of the most affordable and effective ways to protect against damage from the sun. Sun exposure can contribute to both skin cancer and premature aging.

Discoloration: Our neck and chest get the same sun damage as our face, and you may start seeing these effects with more uneven skin tone and discoloration. Other than sunscreen, consider incorporating products that prevent brown spots from forming, such as SkinMedica Even & Correct System. Ask your dermatologist about prescription-strength products such as Hydroquinone that you can use in short cycles.

SkinMedica Even & Correct advanced brightening treatment

Loose Skin: SkinMedica’s Neck Correct Cream is formulated specifically for the neck and chest. It is also clinically proven to lift, firm, and smooth the skin. Also, consider adding a growth factor such as TNS Advanced+ Serum, which helps the skin to “act young.” It is one of the only products on the market proven to address sagging skin.

Keep It Simple: If you do not want to invest in a product specifically formulated for neck and chest rejuvenation, consider applying the products you are using on your face to your  neck and décolleté. Common facial skincare products such as antioxidants, retinoids, and hyaluronic acid are also great choices.

Treatments

Ban the Bands: If you are noticing banding on your neck area, one of the simplest ways to reduce this is with Botox. It recently received FDA approval for this area! Did you know that the main muscle in your neck, the platysma, can pull down your face? By relaxing the muscles in this area, the jawline appears more lifted and horizontal lines (“necklace lines”) and vertical neck bands are softened.

Laxity & Sagging: If your neck is not as tight as it used to be, consider treatments to build your skin’s collagen and elastin.

  • A biostimulator such as Sculptra, is an injection that builds your skin’s collagen and elastin.
  • Ultrasound and radiofrequency treatments build collagen and tighten skin anywhere on the body. They also have the added benefit of little to no downtime!
  • EmFace is a muscle stimulation device with radiofrequency that tightens and lifts the skin under the chin.
  • Ellacor Micro-coring creates the most dramatic improvement for laxity, but has more significant downtime. By removing small cores of the skin, the remaining healthy skin comes together to heal the injury, tightening skin in the process.

Discoloration: Lasers and lights are great options for targeting stubborn brown and red pigment on the neck and chest. Intense Pulse Light (IPL) or Broadband Light (BBL) have little to no downtime and reduce overall discoloration after a series of three treatments. A deeper resurfacing laser, such as the Fraxel Dual, has a bit more downtime (5-7 days). However, offers more dramatic results and a boost in collagen to treat fine lines, wrinkles, and texture.

Intense Pulse Light (IPL) Treatment

Summer Skincare Tips for Glowing Skin

As temperatures rise, summer skincare routines need a refresh to stay effective and comfortable. From lightweight sunscreens to antioxidant-rich serums, Dr. Mona Foad shares her top anticipated trends and expert tips in Byrdie’s article.

summer skincare

What are your predictions for summer 2025 skincare tips or trends, and why are they especially relevant or popular for the season?

As we move into summer, I anticipate several skincare trends that will be particularly relevant to the season. Lightweight, hydrating sunscreens will continue to be a must-have. These offer protection without a greasy or heavy feel and are great for the warmer months. I’m also seeing a shift toward SPF-infused skincare products, such as moisturizers and foundations with built-in sun protection. This provides added convenience and ensures we’re consistently protected from harmful UV rays throughout the day.

In addition to sunscreen, cooling skincare products will be highly beneficial for hot summer days. Ingredients like aloe vera, cucumber, and even mint-based products provide instant relief after sun exposure and help calm the skin. I expect after-sun recovery products to gain popularity too. These include formulations with ingredients like chamomile, calendula, and hyaluronic acid, which provide much-needed hydration and repair to skin that has been exposed to the sun. There’s also been a rise in antioxidant-rich skincare, particularly products with Vitamin C, which helps to prevent premature aging and protect against environmental damage. I also predict that reef-safe sunscreens will continue to be a trend as consumers become more conscious of both their skin’s health and the impact of their skincare choices on the environment.

summer skincare tips for glowing skin

What should someone consider including/changing in their summer skincare routine as they shift out of their winter/spring skincare routine? 

As we transition seasons, it’s essential to adjust your skincare routine to address changes in temperature and humidity. I recommend switching to lighter, hydrating products that don’t feel heavy on the skin. Also, oil-free or gel-based sunscreens are a must, especially for those with oily or acne-prone skin.

Summer is also a great time to incorporate antioxidants such as Vitamin C or niacinamide to protect against UV and environmental damage. It’s important to reduce the use of thicker creams that may feel too heavy in warmer months. Instead, opt for gentle exfoliation with AHAs, BHAs, or physical exfoliants to help with skin turnover and enhance absorption. These small changes will help you maintain healthy, glowing skin while adapting to the summer season.

 

Salicylic Acid Body Washes | As Seen in Allure

If you struggle with body acne, rough texture, or clogged pores, salicylic acid might be the body wash ingredient your routine is missing. Learn more about this powerhouse ingredient from Dr. Alexandra Bowles in Allure’s article.

salicylic acid

Is salicylic acid a good ingredient in body washes? 

Salicylic acid is a great ingredient to have in a body wash, especially for anyone dealing with body acne or rough, bumpy skin. It works as a chemical exfoliant that clears out pores and helps smooth the surface of the skin. I like that it’s easy to incorporate into a regular shower routine and doesn’t require an extra step like a separate scrub or treatment. The rinse-off format also makes it gentler, which can be helpful for sensitive or reactive skin types.

How does salicylic acid work on the skin, particularly on the body vs. the face?

Salicylic acid is a beta hydroxy acid, so it exfoliates by breaking down the oil and dead skin that can clog pores. On the body, it’s often used in slightly higher concentrations because the skin there is thicker and can tolerate a bit more. I find it especially useful for treating areas like the back, shoulders, and chest. On the face, I usually recommend a gentler approach, lower concentrations or less frequent use, because the skin is more delicate.

What types of skin concerns does salicylic acid in a body wash help with most?

It’s best known for treating body acne, but it’s also great for keratosis pilaris and rough or bumpy skin texture. I’ve seen it help reduce clogged pores and smooth dry patches, especially on the upper arms and thighs. It can also support clearer skin by helping prevent future breakouts.

salicylic acids

Is it okay to use a salicylic acid body wash every day? 

For many people, daily use is totally fine. If the formula includes moisturizing ingredients and isn’t too strong, it can be part of a consistent routine. I often suggest starting a few times a week, especially for sensitive skin, and increasing frequency based on how your skin responds. If there’s any dryness, redness, or peeling, it’s a good idea to scale back and add a hydrating body lotion to help restore balance.

How can someone tell if their salicylic acid body wash is working? 

Most people start to see results within one to two weeks. You might notice smoother skin, fewer breakouts, or less redness. For concerns like keratosis pilaris, it can take longer, sometimes up to a month or more. I usually tell my patients to give it at least four weeks of consistent use before deciding if it’s effective. Improvements in texture and fewer new bumps or clogged pores are good signs it’s working.

Product Recommendations:

Top Pick – Cerave Acne Control Cleanser: This product can be used on the face or body. It has 2% salicylic acid, niacinamides, and hyaluronic acid to both exfoliate and hydrate the skin. I recommend this product for both facial and body acne. Extra points for being affordable and effective!

Other Recommended Products:

  • Cerave Rough and Bumpy SA Body Wash: This product is both effective and affordable. It incorporates salicylic acid to gently exfoliate the skin, niacinamide to brighten and ceramides and hyaluronic acid to keep the skin barrier hydrated. I love that it gets the job done without being too overexfoliating and doesn’t have harsh physical exfoliants. I find this product to be great for keratosis pilaris. 
  • Cetaphil Gentle Exfoliating SA Cleanser: This product uses salicylic acid, mandelic acid, and gluconolactone to chemically exfoliate the skin. Its gentle formula makes it great for even those patients with sensitive skin. 
  • Necessaire | The Body Wash: This higher end product contains mild plant-derived surfactants that work to gently cleanse the skin. It incorporates salicylic acid to exfoliate and also has luxe oils of marula, cacay and meadowfoam plus Vitamins A, B3, C and E, omega 6 and 9 to help nourish and brighten the skin. The texture is elegant and non drying and is a fan favorite! 

At-Home Laser Hair Removal Devices | As Seen in PureWow

Laser hair removal devices use targeted light to reduce hair growth over time, offering a long-term alternative to shaving or waxing. Whether used at home or in a professional setting, Dr. Alexandra Bowles explains how they work, their benefits, and potential risks in PureWow’s article.

at home laser hair removal

How do laser hair removal devices work?

Laser hair removal works by using light energy to target the pigment in your hair, which is then converted into heat that damages the hair follicle, the part of the skin that produces hair. This process helps slow or reduce future hair growth. Since the laser is attracted to pigment, it works best on darker hair. Because it only affects hairs in their active growth phase (called the anagen phase), multiple treatments are usually needed. I always remind my patients that results take time and consistency, and it’s important to work with a provider who understands your skin and hair type to ensure safe, effective treatment.

What are the benefits of at-home laser hair removal devices?

At-home laser hair removal devices can be a great option for those looking for convenience, privacy, and long-term savings. I often hear from patients who appreciate being able to treat areas on their own schedule, without the need for appointments or travel. These devices are typically compact and easy to use, making it simple to target unwanted hair in the comfort of your own home, even in more sensitive areas. While they may not be as powerful as professional treatments, consistent use can still lead to noticeable hair reduction over time. And for many, the one-time cost of a device ends up being more affordable than multiple sessions in a clinic. Just be sure to follow instructions carefully and choose a device that’s safe for your skin tone and hair type.

What are the downsides of at-home laser hair removal devices?

While at-home laser hair removal devices can offer convenience and affordability, there are some important limitations to keep in mind. These devices tend to be less powerful than professional treatments, which can result in slower and less noticeable results, especially when treating larger areas. Many at-home systems also work best on specific skin tones and hair colors. If they’re not used properly, they could lead to irritation or uneven results. These devices are also less precise, which means you might miss spots or deal with ingrown hairs. In a dermatology office, we use more advanced technology that’s tailored to your skin type, and we guide you through proper post-treatment care to help protect your skin. I would recommend reaching out to a dermatologist if you’re unsure whether an at-home device is right for you.

Is it safe to try laser hair removals at home?

At-home laser hair removal devices can be safe for many people, especially those with light skin and dark hair. These devices typically use intense pulsed light (IPL), which is gentle and generally considered safe for home use. However, they’re not as powerful as professional treatments, and those with darker skin tones might experience temporary side effects, like hyperpigmentation or burns. While these devices can be a convenient way to reduce hair growth, it’s immensely important to follow the instructions carefully. So if you are considering at-home treatments, speak with a dermatologist first to ensure it’s the right fit for you and to avoid any potential complications.

at home laser hair

Do laser hair removal devices really work?

At-home laser hair removal devices can work, but know they use lower energy than what we use in the office. You will likely need more sessions to see results. With consistent use, many people do see a reduction in hair growth, but results can vary. In the office, we’re able to use more powerful, customized lasers that tend to give quicker, more noticeable results. If you’re thinking about trying an at-home device, I would recommend consulting with a dermatologist first.

Do home laser hair removal work as well as in office treatments?

At-home laser hair removal devices can be great, but they don’t deliver the same results as in the office. Professional lasers are much more powerful and targeted. We can typically achieve over 90% hair reduction in about 7 to 9 sessions. With at-home devices, you may still see results, but it often takes more time and more sessions. The outcomes aren’t always as complete and usually only achieve around 70% reduction after a few months. 

Are there any safety precautions or best practices to consider when using a laser hair removal device?

Whether it’s at home or by a professional, this is an effective way to reduce hair. But, it’s important to take the right precautions. At-home devices usually use lower-energy IPL (intense pulsed light). This is generally considered safe for people with lighter skin and darker hair. However, if you have a deeper skin tone or lighter hair, the results may not be as effective. There’s also a greater risk for irritation, burns, or changes in pigmentation. To stay safe, always follow the device instructions carefully and avoid sun exposure before and after treatment. Be sure to take extra care when treating sensitive areas. I also recommend moisturizing the treated area and using SPF daily to protect your skin as it heals. And if you’re ever unsure about whether it’s the best option for you, don’t hesitate to check in with a board-certified dermatologist. 

What at-home laser hair removal devices do you recommend and why?

Braun IPL Hair Remover:  This FDA-approved device from Braun takes a lot of the guesswork out of at-home laser hair removal with features like automatic skin tone sensing and adjustable intensity levels to keep things comfortable. I also like that it comes with interchangeable heads. This makes it easy to safely treat everything from larger areas, to more delicate spots.

Nood The Noodist Kit: If you have sensitive skin or a low pain threshold, Nood’s Flasher 2.0 can be a good place to start. This FDA-cleared device offers seven adjustable levels for comfort and includes a built-in safety feature. This only allows it to flash when fully pressed against your skin, so it’s simple and gentle to use.

LuminoPro: This IPL device offers fast, noticeable results, with many users experiencing permanent hair reduction in as little as 8 to 12 weeks. It’s easy to use, safe, and gentle on the skin. This makes it a great cost-effective alternative to shaving and waxing for whole-body smoothness.

Swissklip LuminSmooth – IPL – Perm Hair Removal:  This IPL device is a great option if you’re looking for fast, noticeable results, with many users seeing progress in just 3 weeks. Compared to other high-end models, it’s affordable, easy to use, and delivers smooth, hair-free skin. Also, it’s safe and gentle on your skin, without the discomfort of waxing or shaving.

 

 

A Guide to Safe and Simple DIY Face Masks | As Seen in Byrdie

Homemade treatments can be a fun and affordable way to care for your skin, when done right. From nourishing face masks to natural exfoliants, DIY skincare offers a wide range of benefits using ingredients you may already have at home. Hear Dr. Alexandra Bowles’ thoughts on certain ingredients and methods in Byrdie’s article.

 

DIY face masks

What to Know Before You Try DIY Skincare: 

Try a Test Patch

Before applying any DIY treatment, I always recommend starting with a patch test. By applying a small amount of the product to an inconspicuous area (such as your jawline or wrist), you can check for any allergic reactions or irritation before applying it more broadly. This step is crucial to avoid any unexpected issues.

Be Mindful of the Ingredients You’re Using

While natural ingredients are often perceived as safe, they can still be harsh on your skin. Ingredients like lemon juice or baking soda, for example, may sound gentle but can irritate your skin, especially with regular use. From my experience, it’s essential to consider your skin’s needs and sensitivities before using any ingredient to avoid potential harm.

Don’t Overdo It

More isn’t always better when it comes to skincare. Overusing DIY treatments, particularly exfoliants or masks, can damage your skin’s protective barrier, leading to irritation and breakouts. I always suggest limiting their use to once or twice a week, depending on your skin’s condition, to avoid overloading it.

Consider Your Skin Type

Your skin type plays a huge role in determining which DIY treatments will work best. For example, if you have oily skin, clay masks can help absorb excess oil, leaving your skin feeling fresh. For dry or sensitive skin, however, hydrating masks with ingredients like honey or aloe vera are gentler and won’t strip your skin’s moisture, which is essential for maintaining a healthy glow.

Consistency Is Key

When using DIY treatments, patience is necessary. Results typically take time, so don’t be discouraged if you don’t notice immediate improvements. With consistent use of proper skincare, your skin will gradually improve. I always remind my patients that skincare is a marathon, not a sprint.

diy facemasks

DIY Doesn’t Replace Professional Care

Although DIY skincare treatments can be beneficial, they shouldn’t replace professional skincare or dermatological advice. For persistent skin issues like acne, eczema, or rosacea, I strongly advise consulting with a dermatologist for a tailored treatment plan that addresses your unique needs.

Don’t Forget Sunscreen

Even if you’re using natural ingredients, don’t forget to protect your skin with sunscreen. Some ingredients, like citrus or honey, can increase your skin’s sensitivity to the sun. For optimal protection, make sure you apply SPF 30 or higher, especially if you’re using DIY treatments regularly.

Explore the science behind common DIY skincare ingredients and methods, and learn how to use them effectively and safely!

Avocado: Avocados are packed with omega-3 fatty acids, vitamin E, and antioxidants, making them a powerhouse for skin hydration and nourishment. These nutrients help to improve skin elasticity, reduce dryness, and give your skin a healthy, plump appearance. I’ve found that avocados are especially beneficial for dry, normal, or mature skin types, providing intense moisture.

Brown Sugar: Brown sugar is a gentle, natural exfoliant that helps remove dead skin cells, revealing smoother and brighter skin. While it can improve skin texture, it may be too abrasive for those with sensitive or dry skin, so I always recommend exfoliating gently and testing first.

Turmeric and Yogurt: Turmeric is known for its anti-inflammatory and antioxidant properties, helping to soothe and calm the skin. When mixed with yogurt, it hydrates and exfoliates gently, making it an ideal choice for dry or aging skin in need of extra brightness and balance.

Milk: Milk contains lactic acid, a mild exfoliant that gently removes dead skin cells while adding moisture to the skin. It’s particularly effective for dry skin, as it helps to refresh and smooth the complexion, leaving skin soft and glowing.

Coconut Oil and Cocoa Butter: Coconut oil is deeply hydrating, while cocoa butter is rich in fatty acids and antioxidants. Together, these ingredients lock in moisture and leave the skin feeling smooth and nourished. However, I advise those with oily or acne-prone skin to be cautious, as coconut oil may clog pores, potentially leading to breakouts.

Dark Chocolate: Dark chocolate is packed with antioxidants that help protect the skin from environmental damage. Additionally, its hydrating properties make it a great option for dry skin that needs some extra nourishment. Its rich texture helps to replenish moisture, leaving the skin looking smooth and radiant.

Strawberry: Strawberries contain salicylic acid, a natural exfoliant that clears pores and smooths skin. They’re beneficial for oily or acne-prone skin, preventing breakouts while brightening the complexion due to their high vitamin C content.

Honey: Honey is a natural humectant, which means it draws moisture into the skin and helps retain hydration. It also has antibacterial properties, making it ideal for acne-prone skin. Honey works to soothe and hydrate the skin, promoting a healthy, soft texture.

Aloe Vera and Cucumber: Aloe vera is well-known for its soothing and hydrating qualities, making it perfect for sensitive or irritated skin. When combined with cucumber, these two calm the skin and reduce puffiness, making it ideal for a refreshing and cooling treatment.

Oatmeal: Oatmeal is a gentle exfoliant that helps absorb excess oil while soothing inflamed or irritated skin. It’s perfect for sensitive or acne-prone skin, as it provides a non-abrasive way to refresh and maintain a healthy complexion without irritation.

Sugar or Salt Scrubs: Salt and sugar scrubs are effective exfoliants that remove dead skin cells and enhance skin texture. Sugar is generally gentler than salt, making it a better choice for the face. However, both can be too harsh for sensitive skin, so patch testing is crucial before use.

Paraffin Wax Treatment for Hands: Paraffin wax is an excellent treatment for dry, cracked hands, providing intense moisture and leaving the skin feeling soft and supple. I recommend patients with cracked and dry skin do this three times weekly when they are flared or during winter months to create a form of seal on their hands and lock in moisture. You can do this on heels as well! 

Foot Scrub for Dry, Cracked Heels: A foot scrub is a great way to tackle dry, cracked heels. It exfoliates and softens tough skin, helping to maintain smooth, healthy-looking feet, particularly during the warmer months when feet are more exposed.

 

Meet Our Physician Assistants | As Seen in Cincinnati Magazine

Get to know the incredible Physician Assistants behind the expert care at Mona Dermatology! With years of experience, passion for patient care, and a shared love for both medical and cosmetic dermatology, Jessica Watkins, PA-C and Megan Niese, PA-C bring knowledge, compassion, and precision to every visit.

Jessica

Jessica Watkins, PA-C Jessica attended the University of Kentucky followed by the Medical University of South Carolina, and has been a certified Physician Assistant since 2009. She began her career working in emergency medicine and family practice before joining the Mona Dermatology team in 2016.

Favorite treatment: Botox and filler

Favorite product: TNS Advanced+ Serum and sunscreen

 

Megan Niese, PA-C Megan began her career as a Physician Assistant in 2010 and worked in several specialties including trauma surgery/plastic surgery. Through this, she discovered her passion for general and cosmetic dermatology and joined the Mona Dermatology team in 2019.

Favorite treatment: Filler and Fraxel laser

Favorite product: TNS Advanced+ Serum and Silymarin CF

 

What education and training is required to become a Physician Assistant?

“To become a Physician Assistant (PA), you need to earn a bachelor’s degree, typically with a focus in science. Then, followed by completing a Physician Assistant master’s degree program. PA programs usually take around 27 months to complete. This includes both classroom instruction and clinical rotations, and finally passing the PA National Certifying Examination to become licensed to practice. Most PA programs also require prior healthcare experience with direct patient care.” -Megan

Why did you choose Dermatology as compared to other specialties?

“I am an extremely visual person and love that the skin is an organ we can view almost entirely with our eyes. I can save a life by catching melanoma in its earliest stages. In the office, I perform a wide array of medical and cosmetic procedures, which appeals to a desire to both think and do. Dermatology often lends itself to long term relationships with my patients, of all ages and backgrounds. When growing up I had a hard time deciding whether I wanted to pursue science and health versus art. I have found a profession that combines the two in the best way.” -Jessica

What do you enjoy most about what you do?

“I love taking care of my patients and developing relationships with them. I enjoy the variety that comes with being a medical and cosmetic dermatology PA. Medical dermatology is important to me, especially when it comes to skin cancer screenings, as I myself have been previously diagnosed and treated for melanoma. With my surgical background, I love using my hands to perform surgeries for skin cancers and a wide range of cosmetic procedures such as Botox and filler. As a PA I enjoy autonomy and the ability to collaborate with my peers. Dermatology allows me to enjoy a fast-paced, constantly changing job that keeps me on my toes—but one that I love.” – Megan

What advice would you give to someone interested in pursuing a career as a PA or in Dermatology?

“Get immersed in health care! In many ways, it is its own language and culture. The more facets you see the better. Volunteer at hospitals or clinics. Shadow health care professionals who are willing. Read, read, read. I gained my experience as a scribe to an ER physician who was an amazing inspiration to me and gave me a front row seat into how medicine really works. Once you become a credentialed professional, take every learning and networking opportunity you can in dermatology and aesthetics. It is a highly competitive field, so be ready to roll up your sleeves!” -Jessica

 

Korean Cleansing Oils and Double Cleansing | As Seen in InStyle

Cleansing oils are a gentle yet powerful way to remove makeup, sunscreen, and daily impurities without stripping your skin’s natural moisture. Dr. Mona Foad discusses their pros and cons, how to use them effectively, and how to choose the best formula for your skin in InStyle’s article.

cleansing oils

What are the potential pros & cons of using cleansing oils?

Cleansing oils are fantastic for gently removing makeup, sunscreen, and impurities without stripping your skin’s natural moisture. I personally love how they leave the skin feeling hydrated and soft. However, for some people, they might feel greasy or heavy if not emulsified properly. That’s why it’s important to follow up with a second cleanse to ensure your skin is thoroughly clean. For those with oily or acne-prone skin, be cautious because some oil-based cleansers can feel too rich. Always choose one that suits your specific skin needs.

What is the purpose of cleansing oils and double cleansing?

The purpose is to effectively break down and remove oil-based impurities like makeup and sunscreen. The oil in the first cleanse binds with the oils on your skin, making it much easier to dissolve and remove them. Then, the second cleanse with a gentle foaming or water-based cleanser ensures all remaining residue is removed, leaving your skin thoroughly clean but not stripped of its natural barrier. Double cleansing is a gentle yet effective way to clean the skin, especially if you wear makeup or sunscreen regularly.

What are some reasons someone would use cleansing oils and double cleanse?

I recommend double cleansing because it ensures a deeper, more thorough cleanse, particularly if you wear makeup or sunscreen daily. Cleansing oils are great for breaking down these products, and the second cleanse ensures you’re removing any lingering debris. This method is gentle and can be beneficial for all skin types, but it’s important to choose the right oil cleanser for your skin. It’s a great way to maintain a healthy skin barrier while keeping your routine simple and effective.

double cleansing

What can someone expect when using cleansing oil and double cleansing?

When using cleansing oils as part of a double cleansing routine, you’ll find your skin feeling clean, fresh, and comfortable—without that tight, dry feeling that some cleansers can leave behind. If you’re new to oil-based cleansers, the experience may feel different than traditional foam cleansers, but the added hydration is a definite bonus. After double cleansing, your skin will feel well-prepped for the rest of your skincare routine, making it more receptive to serums, moisturizers, and treatments.

What ingredients are beneficial for different skin types?

For dry skin, I suggest oils like jojoba or squalane, which are deeply hydrating without being too heavy. Squalene is a neutral essential oil and is tolerated by most people without concern for allergic reaction as well. For oily skin, tea tree oil or lavender can help balance sebum production while preventing excess oil without over-drying. If you have sensitive skin, opt for fragrance-free products or soothing oils like chamomile or rosehip. Ingredients like harsh alcohols or artificial fragrances can irritate sensitive skin, so check the ingredients before using any product.

How someone should apply cleansing oil to their skin?

I recommend applying cleansing oil to dry skin to effectively break down makeup and impurities. Gently massage it in circular motions across your face, taking your time to enjoy the process—this is your first step toward giving your skin some love. Once you feel like everything has dissolved, add warm water to emulsify the oil and rinse it off. Then, follow up with a second gentle cleanse to ensure your skin is fully clean and prepped for the rest of your skincare.

How can fragrance impact certain skin types?

Fragrance can be a major issue for sensitive skin, so I personally avoid products with strong fragrances. They can cause irritation or trigger breakouts, especially if you’re prone to redness or inflammation. For sensitive skin, I recommend fragrance-free products or those with calming ingredients to minimize the risk of irritation. It’s all about finding products that work with your skin, not against it.

What is the best Korean oil cleanser and why?

Avène XeraCalm A.D Lipid-Replenishing Cleansing Oil. I like this product because it offers patients a gentle cleanser that has a slight foam without drying you out. This gentle cleansing oil can be used on the face, body and scalp, and helps to balance the skin’s microbiome while restoring the skin barrier. The oil seals in moisture and helps protect against drying effects of water. In addition, Avène is known to be a brand that specializes in sensitive skin soI feel comfortable suggesting this to all my patients. 

How do K-beauty cleansing oils differ from others on the market?

K-beauty cleansing oils tend to be lighter in texture and are known for their ability to emulsify, making them a great choice for anyone new to oil cleansing. They often feature soothing, skin-friendly ingredients like green tea or centella asiatica, which are wonderful for calming the skin while effectively cleansing. I really appreciate how K-beauty brands focus on hydration and supporting the skin’s barrier, which is a nice touch in a cleansing routine.

What ingredients or aspects do K-beauty brands use? 

K-beauty brands are well-known for using gentle, nourishing ingredients like green tea, ginseng, and centella asiatica, which are excellent for maintaining skin health. They also incorporate cutting-edge technology to ensure their products are lightweight, hydrating, and effective. K-beauty products really emphasize skin barrier support, and I think that’s a huge reason why they’re so beloved. Their attention to detail when it comes to formulations is why I personally trust their products for my patients’ skincare routines.

Do oil cleansers clog pores?

When used correctly, oil cleansers typically don’t clog pores. In fact, certain oils, like jojoba oil, can help balance your skin’s oil production. However, if you have acne-prone skin, it’s important to select a non-comedogenic oil cleanser or one specifically formulated for oily skin. Choose one that matches your skin type to avoid the risk of clogged pores.

Do oil cleansers cause acne? 

Oil cleansers don’t usually cause acne, but it really depends on your skin type and the formula you’re using. They can be helpful for acne-prone skin because they break down excess oil, makeup, and impurities without stripping the skin. However, if the oil cleanser isn’t suitable for your skin, it might leave your skin feeling too heavy. Always pick one that’s tailored for your specific skin needs.

Are oil cleansers good for aging skin? 

Oil cleansers are excellent for aging skin because they maintain moisture balance, preventing the skin from becoming dry or tight. Oils like argan and rosehip oil are great choices since they’re rich in antioxidants and help promote collagen production, which is key for maintaining youthful-looking skin. They nourish the skin without stripping it, which is ideal for mature skin.

Should I use an oil cleanser with a normal cleanser?

If you wear makeup or sunscreen daily, double cleansing with an oil cleanser followed by a gentle, non-stripping cleanser is a great routine. The oil cleanser will break down makeup and sunscreen, while the second cleanser ensures any remaining residue is removed. This method leaves your skin clean without causing any irritation.

Should I use lotion after an oil cleanser?

After using an oil cleanser, I absolutely recommend applying a moisturizer to lock in hydration. This helps to replenish any lost moisture, keeping your skin barrier strong and healthy.

Is there anything else to share about cleansing oils?

One thing I always emphasize is that cleansing oils aren’t just about removing makeup. They’re also about maintaining your skin’s natural barrier. They help keep your skin hydrated and balanced while cleansing, and I don’t think people should be afraid of oils. When used correctly, they’re a great tool to support healthy, nourished skin.

 

What is Urea? | As Seen in Women’s Health

Urea is a powerful yet gentle ingredient that plays a crucial role in skin hydration and renewal. Dr. Alexandra Bowles breaks down this ingredient and explains how to use it in Women’s Health’s article.

urea

What is urea?

It’s a naturally occurring compound found in the skin and is a key component of the skin’s natural moisturizing factor (NMF). It’s a powerful humectant, which means it attracts moisture to the skin, helping to keep it hydrated and soft. I find it especially effective in skin care because it’s not only moisturizing but also helps to maintain the skin’s overall health.

How does urea work in skincare? 

I think of it as working in two main ways in skin care: as a moisturizer and a mild exfoliator. As a moisturizer, urea draws water into the skin, helping to keep it hydrated and smooth. It also supports the skin’s barrier function, which is essential for maintaining overall skin health. Urea gently breaks down the bonds between dead skin cells, helping to slough them off and reveal smoother skin. I’ve seen it work really well for dry or rough skin, as it both hydrates and gently resurfaces. Additionally, it has soothing properties that can help with skin conditions like eczema and psoriasis.

urea article

Does concentration of urea matter? What should you look for?

Yes, the concentration does matter. Higher concentrations (around 10-20%) are typically used for more intense moisturizing and exfoliation. This is often found in treatments for very dry, rough skin or conditions like calluses or keratosis pilaris. Skincare products often include lower concentrations of urea (around 2–5%) to provide gentle hydration and support the skin barrier in everyday use. If you’re new to urea or have sensitive skin, I suggest starting with a lower concentration and gradually working your way up if needed. Always check the product’s instructions for how often and how much to use, especially if you’re trying a higher concentration.

Can urea be used with other skin care ingredients? 

Urea is generally compatible with a wide range of other skin care ingredients, such as hyaluronic acid, ceramides, and peptides.  However, I would recommend being cautious when combining with stronger exfoliants like alpha hydroxy acids (AHAs) or retinoids, as this could lead to irritation, especially for sensitive skin. If you’re using a product with a higher concentration of urea, it’s a good idea to start slowly and see how your skin responds, particularly if you’re already using other active ingredients.

Is urea safe for all skin types? 

Urea is safe for most skin types, but I find it’s particularly beneficial for people with dry, rough, or flaky skin. People often use it to treat skin conditions like eczema, psoriasis, and keratosis pilaris because it hydrates and gently exfoliates the skin. For those with oily or acne-prone skin, urea can still be helpful. I suggest choosing a product with a lower concentration to avoid potential clogging of pores. Those with very sensitive or compromised skin should use urea with caution. I recommend starting with a lower concentration or consulting with a dermatologist before incorporating it into their routine.

 

What Do Hypochlorous Acid Mists Really Do? | As Seen in The New York Times Wirecutter

Hypochlorous acid mists are gaining traction for their powerful, yet gentle benefits. Dr. Alexandra Bowles shares her opinion on these mists and their ingredients in The New York Times Wirecutter’s article.

HYPOCHLOROUS ACID

Who could benefit from adding hypochlorous acid mists to their skin care routine? 

In my experience, these can be especially helpful for those dealing with acne, rosacea, and eczema. It helps cleanse the skin while being very gentle, so it doesn’t exacerbate those conditions. For acne sufferers, it’s a great option because it targets acne-causing bacteria without drying out or irritating the skin. This can also be beneficial in other inflammatory skin conditions such as rosacea or eczema. Because of its anti-inflammatory benefits, I find that hypochlorous acid is a great multi-functional ingredient for anyone with sensitive or reactive skin.

Why does hypochlorous acid often smell like “pool water” as some reviewers report online?

The “pool water” smell comes from the chlorine-like properties of hypochlorous acid. Since hypochlorous acid is a mild form of chlorine, it gives off a scent similar to what you might notice around a pool. This isn’t something to be concerned about, it’s simply a natural characteristic of the ingredient. I’ve noticed, in my own experience and from patient feedback, that the smell usually dissipates quickly once the product is applied to the skin. So while it might be noticeable at first, it’s not something that lasts long, and the benefits far outweigh the initial scent.

Can you explain the role of the ingredients featured in these mists? 

Sodium chloride is often included in hypochlorous acid products because it helps to stabilize the formula. It’s also used to balance the pH, which is important for ensuring that the hypochlorous acid remains effective and gentle on the skin. I’ve found that sodium chloride also helps with the overall texture of the spray, making it easy to apply without being too thick or sticky. The hypochlorite ion is what provides the antimicrobial benefits. It’s the active component that helps kill harmful bacteria, which is particularly helpful for acne or for preventing infections in small cuts or wounds. These ingredients are typically included in hypochlorous acid formulas because they support both the stability of the product and its effectiveness in promoting healthier skin.

hypochlorous acid mists

 

What are the benefits of muriatic acid?

Some hypochlorous acid sprays use muriatic acid, also known as hydrochloric acid, in very small concentrations. The primary role of muriatic acid in these formulations is to help lower the pH of the product. By doing so, it helps optimize the hypochlorous acid’s effectiveness in killing bacteria and promoting healing. When used in diluted amounts, it’s generally safe for the skin and can help the overall formula penetrate better. Skincare products that balance pH levels commonly include it as an ingredient. This is crucial for maintaining the integrity of the skin barrier.

Why is it important to not use mists like this on wounds like burns and scrapes?

I would be cautious when using mists with ingredients like peptides, copper PCA, or plant extracts on open wounds. These extra ingredients are wonderful for healthy, intact skin because they help with hydration, collagen production, and overall skin health. But  when applied to broken skin, they can irritate the skin or interfere with the healing process. The skin is more vulnerable when it’s damaged, and the active ingredients in these products may be too strong for it, potentially delaying healing. For wounds, it’s always best to opt for a simple and gentle product like hypochlorous acid without added actives, unless directed otherwise by a healthcare professional.

What other ingredients should people avoid when looking for a multi-use hypochlorous acid spray that is safe to use on cuts and scrapes as well as sensitive skin? 

When you’re looking for a multi-use hypochlorous acid spray that’s safe for cuts, scrapes, and sensitive skin, avoid certain ingredients. Alcohol, fragrances, essential oils, or any harsh preservatives can cause irritation, especially when applied to broken skin. Alcohol, in particular, can be drying and may cause stinging when applied to cuts or scrapes. Fragrances and essential oils can sometimes cause allergic reactions or sensitivity, particularly on sensitive or compromised skin. I’d stick with a simple, clean formulation to keep it effective without the added irritation.

Can you overuse hypochlorous acid? 

I understand the concern about overusing hypochlorous acid, but it’s not likely to harm the skin’s microbiome when used properly. Overusing any skincare product can irritate the skin. Hypochlorous acid is much more gentle than other antibacterial agents like alcohol. It works to kill harmful bacteria while leaving skin healthy and intact. That said, if you were to overuse it, you might see some dryness or irritation. Like always, moderation is key. If you’re using hypochlorous acid, it’s good to follow up with a nourishing moisturizer to keep the skin’s balance intact.

 

Is the Tan Worth It? The Truth Behind Sun Damage

In honor of Skin Cancer Awareness Month and Melanoma Awareness Month, Dr. Mona Foad, founder and board-certified dermatologist at Mona Dermatology, shares why preventing sun damage should be a top priority for you and your family. See the full article featured in Cincinnati Magazine.

uv damage

How UV Damage Affects Our Skin

UV damage from the sun affects our skin in many different ways. There are three types of UV Rays: UVC, UVB and UVA. UVC is typically filtered out by the ozone, so we primarily focus on protecting our skin from UVA and UVB rays. UVA go deeper into the skin and can cause more aging and skin cancer risk due to the deeper damage they can cause. Specifically, these rays can contribute to the breakdown of collagen and elastin in our skin.

These key proteins decrease naturally as we age, but sun exposure can accelerate their breakdown. This leads to signs of aging such as wrinkles, loss of elasticity, and sagging. In addition, they cause free radical damage, which increases our risk of developing skin cancers. UVB, or burning rays, are responsible for your sunburn and causing your skin to develop a tan. Over time, multiple sunburns and tans lead to the formation of brown spots and precancerous lesions. If you think about it, a tan is simply your skin’s way of protecting itself from further damage from the sun’s rays and is not actually a good thing.

Preventing Sun Damage

The best way to protect against sun damage is by wearing sunscreen. Using a broad spectrum sunscreen can protect you from both UVA and UVB rays. This protection can decrease your risk of developing a sunburn in the short term, and also reduce the risk for premature aging and skin cancers in the long term. I always look for a sunscreen with zinc oxide, because this physical sunblock is a great way to protect against UVA and UVB rays. Zinc oxide is also good for people with sensitive skin who are concerned about having a reaction to sunscreen. Finally, always look for a reef safe sunscreen, and avoid sunscreens with oxybenzone.

If you want to boost your protection against environmental damage, antioxidants are also worth considering. These topical skincare products protect against free radical damage in the environment which can harm cells, causing premature aging. Good antioxidants can also help protect your skin against pollution, which also can cause free radical damange. Other options for added protection include wearing a broad-brimmed hat or UPF clothing. If you can, try avoiding the sun at peak hours, from 10 am to 2 pm.

Treating Sun Damage

First and foremost, getting an annual complete skin exam from a dermatologist is the easiest and best way to prevent skin cancers from developing. When caught early, the cure-rate for skin cancers is 99%! In this 15-minute visit, your dermatologist will look at your skin from head to toe. They will ensure you do not have any suspicious looking spots that may need to be treated. If you have visible sun damage (like brown spots) or a history of skin cancers and pre-cancers, there are several options to treat your existing damage.

Our office offers several laser and light treatments that use focused laser or light energy to target specific layers of your skin and treat the sun damage there. This can be beneficial both for the cosmetic appearance of sun damage and also preventing the formation of more serious skin cancers. Chemical peels are also a great choice for addressing existing sun damage. During a chemical peel, a provider applies a speciallyformulated solution that gently exfoliates the top layer of skin. This helps encourage the turnover of new, healthy skin cells in the treated area. Lastly, photodynamic therapy, or PDT, is another in-office option for treating sun damage. Many patients with Actinic Keratoses (also known as pre-cancers) find this in-office procedure preferable to at-home topical creams. A few treatment sessions will typically reduce or clear a large area of pre-cancers.

Get Scheduled!

Mona Dermatology is your partner in healthy, beautiful skin! From finding the perfect sunscreen, to annual skin exams and cosmetic treatments, we offer everything you need for your skin. You can schedule a visit here or by calling 513.984.4800.