Long-term Shingles: Prevent and Treat | As Seen in Glamour

Shingles can leave long-term effects on your skin, ranging from changes in the overall texture to hyperpigmentation. Using the right products and treatment practices, can decrease the amount of discoloration and patches. Dr. Alexandra Bowles thoroughly provides the best tips and tricks, as well as product recommendation to protect your skin throughout its natural healing process, featured in Glamour.

What is the typical timeline and progression of a shingles rash?

Shingles typically follows a fairly predictable progression, although it can vary somewhat from person to person. It often starts with a tingling, burning, or sensitive feeling in a specific area of the skin, usually on one side of the body. Within a few days, a red rash begins to appear, followed by clusters of small, fluid-filled blisters. These blisters can become painful and may continue to develop over several days before they eventually begin to dry out and form scabs. Over time, the scabs heal, although the skin may still appear discolored or sensitive for a period afterward. I usually think of it as moving from nerve-related symptoms to visible skin changes and then into a healing phase.

While progression is often similar, it doesn’t look exactly the same for everyone. Some people may have a milder rash, while others experience more extensive blistering or discomfort. Catching shingles early is important because starting antiviral treatment can help reduce inflammation and limit how severe the rash becomes. From a skin perspective, this can lower the risk of prolonged discoloration, scarring, and ongoing sensitivity. I usually emphasize that earlier treatment tends to lead to better overall outcomes, both for the skin and for symptom control.

What are the possible short and long-term risks from an episode of shingles?

In the short term, shingles can cause significant inflammation, redness, and discomfort in the affected area. As the skin heals, some patients may experience post-inflammatory hyperpigmentation or changes in skin tone. This is particularly seen if the rash was more severe. In some cases, there can also be textural changes or mild scarring, especially if the blisters were disrupted. One of the more well-known long-term complications is postherpetic neuralgia, which involves lingering nerve pain even after the skin has healed. I also see patients who notice ongoing sensitivity or dryness in the affected area. The degree of these changes can vary depending on how early the condition is treated and how the skin is cared for during the healing process.

Furthermore, if an individual were to get a secondary bacterial infection from a shingles rash, it could increase the risk of both scarring and long-term discoloration. When the skin barrier becomes more disrupted and inflamed, there is a greater chance of deeper skin injury. As a result, it can make post-inflammatory hyperpigmentation, hypopigmentation, or textural scarring more noticeable and difficult to treat. From a medical standpoint, bacterial infections are important because they can worsen pain, delay healing, and occasionally require antibiotics. That’s one reason why I emphasize avoiding picking or scratching the area and keeping the skin clean during healing.

What are the best practices for maintaining the health of your skin during each phase?

During the early tingling phase, the most important step is seeking medical evaluation, as antiviral treatment can help reduce the severity and duration of the outbreak. Once the rash appears, I usually recommend keeping the area clean, avoiding friction, and using gentle, non-irritating skincare. During the blister phase, it’s important not to pick or pop the lesions, as this can increase the risk of infection and scarring. As the skin begins to scab and heal, keeping the area lightly moisturized can help support the skin barrier. Sun protection is also very important once the rash has healed, since the skin can be more prone to discoloration at that stage. Overall, gentle care and avoiding unnecessary irritation are key throughout the process.

What are common, but avoidable mistakes people make dealing with long-term shingles?

One of the most common mistakes is picking or scratching the affected area, which can increase the risk of infection and scarring. I also see patients use overly harsh products or try to “treat” the rash with strong active ingredients, which can further irritate already inflamed skin. Another issue is not keeping the area clean and protected, especially if blisters are present. It’s also important to avoid excessive sun exposure during healing, as this can worsen discoloration. In general, I recommend keeping the routine simple and focused on supporting the skin rather than aggressively treating it.

Are there specific products, ingredients, or items recommended during a shingles outbreak?

I usually recommend focusing on gentle, soothing products that support the skin barrier during an outbreak. A simple, fragrance-free moisturizer can be very helpful, especially as the skin begins to dry out or scab. For example, I often suggest something like CeraVe Moisturizing Cream because it contains ceramides and hydrating ingredients that help maintain the skin barrier without adding unnecessary irritation. For cleansing, I recommend using a very gentle, non-stripping cleanser that won’t disrupt the skin while it’s healing. A product like Vanicream Gentle Facial Cleanser is a good option because it effectively removes debris on sensitive or inflamed skin. Adding on, it can be used on both the face and body due to its mild and non-irritating composition. For larger body areas, I recommend gentle fragrance-free body washes such as Dove Sensitive Skin Body Wash or Vanicream Body Wash.

In addition to basic skincare, cool compresses can help relieve discomfort during more active stages of the rash. I also recommend avoiding strong active ingredients such as exfoliants or retinoids until the skin has fully recovered. The goal is to keep the routine simple and supportive while the skin heals. The recommendations to avoid harsh active ingredients such as retinoids, exfoliating acids, or scrubs apply specifically to the area affected by shingles. If someone has shingles on their back, for example, there is generally no reason they cannot continue using their normal skincare routine on unaffected areas like the face, assuming the skin there is otherwise healthy and tolerating those products well.

What advice is there for individuals with more melanated or fair skin?

While shingles is often described as causing a “red” rash, the appearance can vary significantly depending on skin tone. In lighter skin tones, the rash may appear bright red or pink, while in deeper skin tones it can look more violaceous, grayish, dark brown, or subtly inflamed rather than obviously red. That variation is important because shingles can sometimes be more difficult to recognize early in more melanated skin if people are only expecting a classic bright red appearance.

For individuals with more melanated skin, I pay particular attention to the risk of post-inflammatory hyperpigmentation, which can persist after the rash has healed. I usually emphasize strict sun protection and gentle skincare to help minimize long-term discoloration. For those with very fair skin, redness and irritation may be more visible, and the skin can be more prone to sensitivity during healing. In both cases, avoiding picking, minimizing irritation, and supporting the skin barrier are key. I also remind patients that healing can take time, and gradual improvement is expected. Tailoring care to the individual’s skin type can help improve overall outcomes.

How do you deal specifically with the hyper- and hypo- pigmentation from long-term shingles?

Hypopigmentation after shingles is often related to inflammation disrupting normal pigment production during healing. In many cases, some repigmentation can gradually occur over time, although it may take several months. I usually recommend focusing on gentle skincare, avoiding additional irritation, and maintaining good sun protection while the skin recovers. If pigment changes are persistent, it’s reasonable to see a dermatologist. There you can discuss whether treatments such as topical anti-inflammatory medications, light-based therapies, or other targeted approaches may be appropriate.

Additionally, SPF is especially important to minimize and prevent worsening of post-inflammatory hyperpigmentation. It can also be helpful towards the overall healing process. UV exposure can make uneven pigmentation more noticeable in general. While sunscreen will not directly “fix” hypopigmentation, reduced sun exposure can help decrease contrast between lighter and surrounding skin of long-term shingles.

What type of scarring appears during healing, and how do you treat them?

The most common changes I see after shingles are post-inflammatory pigmentation changes and mild textural irregularities.. Some patients can develop shallow atrophic scarring if the inflammation was deeper, the lesions were picked at, or became secondarily infected. In certain cases, especially with prolonged inflammation, there can also be persistent discoloration or areas of altered skin texture.

Many of the same recommendations mentioned above are important for minimizing scarring. More specifically, avoiding picking, minimizing friction, gentle moisturizers, and protecting the area from sun exposure. Sunscreen is especially helpful for reducing worsening pigmentation changes associated with scars and helping scars heal with less noticeable discoloration. It is particularly important for post-inflammatory hyperpigmentation, although it will not necessarily change scar texture itself. Preventing additional inflammation during healing is one of the biggest factors in reducing more noticeable scarring overall.

What are in-office treatments for stubborn discoloration and scars?

Treatment really depends on whether the primary issue is pigmentation, redness, or textural scarring, as well as the patient’s skin tone and sensitivity. For persistent hyperpigmentation, I may consider topical lightening agents, chemical peels, or certain lasers. However, caution is important in more melanated skin tones because aggressive treatments can worsen pigmentation. For redness, vascular lasers may sometimes help. For textural scarring, treatments such as microneedling, fractional laser resurfacing, or radiofrequency-based procedures can sometimes improve skin texture over time. I usually recommend a personalized approach because the safest and most effective treatment can vary significantly. This depends on the patient’s skin type, healing pattern, and the severity of the residual changes.

What are signals that the skin barrier is healed?

In general, I consider the skin barrier more fully healed once there are no longer any open lesions, crusting, active blisters, or significant tenderness in the area. The skin should feel more intact and less reactive overall. If the area is still stinging easily, irritated with simple products, or showing active inflammation, I usually recommend continuing a gentle, barrier-focused approach.

The Best Affordable and Dermatologist-Approved Retinol Products | As Seen in Real Simple

Dr. Mona Foad shares favorite, yet affordable, retinol products. Learn why each is recommended specifically for anti-aging and discover which type is best suited to your skin. Read more in Real Simple’s article, all about retinoids.

What are your top recommended retinols for someone on a budget?

Avène Retrinal Intensive Multi-Corrective Cream (Retinaldehyde 0.1%)

This is a great 3 in 1 product for anyone with sensitive skin who wants to start using a retinol. The ingredients include bakuchiol, a more gentle plant based alternative that helps with fine lines and skin firmness. It also contains niacinamide that helps to calm inflammation, and hyaluronic acid that builds hydration and radiance in your skin. This is also a great starter that allows your skin to adjust before jumping into a stronger, more irritating product.

SkinMedica Retinol 0.25 Complex

This is another great product for someone who wants to start using retinols and is concerned about dryness and irritation. This will help to decrease fine lines, smooth texture and even skin tone. Once you can tolerate daily, you can increase the strength and go to the retinol 0.5. This product uses retinol as well as antioxidants to improve overall skin health.

RoC Retinol Correxion Wrinkle Filler with Hyaluronic Acid & Retinol

This is a more approachable option that combines a lower-strength retinol with hydrating ingredients like hyaluronic acid, which can help soften the appearance of fine lines while also supporting the skin barrier. It works over time to stimulate collagen and improve skin texture, while hyaluronic acid provides more immediate plumping, so you’re getting both short- and long-term benefits. I often recommend formulas like this for patients who are newer to retinol or looking for something they can use more consistently with less irritation. It can be incorporated into a simple nighttime routine, ideally starting a few nights per week and increasing as tolerated. As with any retinol, daily sunscreen is important to protect the skin and maintain results.

Neutrogena Rapid Tone Repair Retinol + Vitamin C Moisturizer

This is a well-balanced option that combines retinol with vitamin C, which allows you to address both fine lines and uneven skin tone at the same time. Retinol works to stimulate collagen and improve texture, while vitamin C helps brighten the skin and reduce the appearance of dark spots, so it’s a good choice for patients focused on overall tone correction. The addition of hydrating ingredients helps make it more tolerable for regular use compared to stronger, standalone products. I often recommend this type of formula for patients who want a more streamlined routine without layering multiple active products. As with any others, it’s important to introduce it gradually and use sunscreen daily to protect the skin and maintain results.

Why Your Scalp Gets So Oily & How to Help | As Seen in HuffPost

An oily scalp can feel frustrating, especially when your hair looks greasy just hours after washing. Dr. Mona Foad, featured in HuffPost, explains what actually drives excess oil production on the scalp, which ingredients and products help rebalance it, and the simple habit changes that can make a real difference. Whether you’re dealing with genetics, hormones, or the wrong hair care routine, here’s what to do about it.

Are there certain factors that cause an excessively oily scalp or make someone more prone to oily hair?

The scalp naturally produces oil, known as sebum. This oil is essential for maintaining healthy, hydrated hair and protecting the skin’s barrier. A balanced amount keeps the scalp comfortable and adds shine and flexibility to the hair.

However, when oil production becomes excessive, it can cause problems. Greasy, flat hair shortly after washing is a common sign. Some people also experience scalp irritation or breakouts around the hairline.

Genetics plays a major role. Some people naturally have more active oil glands. Hormonal fluctuations during puberty, pregnancy, or periods of stress can further increase oil output. Conditions like dandruff, eczema, or psoriasis may also contribute. Overwashing or using harsh hair products can strip the scalp, causing it to produce even more oil to compensate.

What are some products you recommend for an oily scalp?

An oily scalp that feels greasy even after washing can benefit from rebalancing products. The key is finding something that controls oil without over-drying the skin.

Look for shampoos that contain salicylic acid, zinc pyrithione, selenium sulfide, or ketoconazole. These ingredients help exfoliate the scalp, reduce buildup, and calm inflammation linked to excess sebum.

The Neutrogena Healthy Scalp Clarify & Shine Shampoo is a great option. It uses gentle exfoliants to lift away residue and balance oil while keeping hair lightweight and shiny. The Living Proof Clarifying Detox Shampoo is another excellent choice. It removes excess oil and product buildup without stripping the scalp’s natural moisture barrier.

In between washes, reach for a dry shampoo with rice starch or kaolin clay. These ingredients absorb surface oil and keep hair feeling fresh. The goal isn’t to eliminate all oil — it’s to maintain a clean, balanced scalp that supports healthy hair.

For those with seborrheic dermatitis or psoriasis, a tar shampoo like TGel or a prescription ketoconazole shampoo may be worth considering.

Are there other things someone can be doing to prevent an overly oily scalp?

Yes. Simple adjustments to your hair care habits can make a big difference.

Start with washing frequency. Some people do well shampooing daily with a gentle, pH-balanced cleanser. Others may need to wash less often to avoid overstimulating oil production. It varies from person to person.

When you do wash, focus on the scalp rather than the length of the hair. Use your fingertips — not your nails — to avoid irritation. Apply conditioner only to the mid-lengths and ends. Putting it near the scalp can weigh hair down and make it look greasier.

Product choice matters too. Look for lightweight, silicone-free formulas designed for oily scalps. Ingredients like salicylic acid, tea tree oil, and green tea extract help balance oil and calm inflammation.

Heat styling can contribute to oil buildup over time. Air-drying when possible is a good habit. Keeping brushes and styling tools clean also helps maintain a fresher, healthier scalp.

How to Remove Makeup the Right Way | As Seen in Today

Removing your makeup at the end of the day is one of the simplest things you can do for your skin, but most people aren’t doing it quite right. Dr. Mona Foad, featured in Today, shares her top makeup remover picks, the double cleanse method she recommends to patients, and what to look for in a formula that cleans thoroughly without stripping the skin. Whether you wear light everyday makeup or full-coverage long-wear formulas, here’s how to do it properly.

How does makeup remover work?

Makeup removers are designed to dissolve and lift away the ingredients in makeup, which often include oils, pigments, and waxes. Oil-based products are particularly effective because they bind to those components and break them down gently. Micellar waters work a bit differently, using cleansing molecules that attract and lift debris from the skin. When used correctly, these products allow you to remove makeup without disrupting the skin’s natural barrier, which is key for maintaining healthy skin.

What are the main types of makeup remover?

There are several options, including micellar waters, cleansing oils, balms, and wipes. I tend to favor cleansing oils or balms because they are very effective at removing makeup while still being gentle on the skin. Micellar water can be a great option for lighter makeup or as a first step in a double cleanse. I generally advise against relying too heavily on wipes, as they can be more irritating over time. The best approach is one that removes makeup thoroughly while still supporting the skin’s natural balance.

What steps do you recommend for proper makeup removal?

When it comes to makeup removal, I always encourage a gentle but thorough approach. I like the double cleanse approach which uses to start with a product that breaks down makeup, such as an oil based cleanser, cleansing balm or micellar water, followed with a second water based cleanser to fully remove any residue. This helps ensure the skin is truly clean without needing to scrub or over-exfoliate. I also remind patients to be especially gentle around the eye area, where the skin is more delicate. Taking that extra time in the evening really helps support the skin’s overall health and can make a noticeable difference over time.

What are the best ingredients to look for in a makeup remover?

I like to focus on ingredients that are both effective and supportive of the skin. Hydrating ingredients like glycerin and soothing components like ceramides can help maintain the skin barrier during cleansing. I also recommend looking for fragrance-free formulations, particularly for patients with sensitive skin. In general, makeup removal should feel like a gentle extension of your skincare routine, not something harsh or stripping.

What’s the best type of product to remove waterproof makeup?

For waterproof makeup, I usually recommend a cleansing balm or a bi-phase oil-based remover. These formulas are designed to gently dissolve long-wearing products without requiring excessive rubbing. Around the eyes, I suggest pressing the product onto the area for a few seconds before wiping it away. That small step can help minimize irritation and protect the delicate skin around the eyes.

What are some make-up removers that you recommend?

I often recommend La Roche-Posay Toleriane Dermo-Cleanser, especially for patients with sensitive or reactive skin. It’s very gentle and does a beautiful job of removing makeup while still supporting the skin barrier, which is something I always prioritize. It’s also a great option for people who want a simple, soothing product that doesn’t overwhelm the skin. For those who wear heavier or long-wear makeup, I also like Clinique Take The Day Off Cleansing Balm. It melts into the skin and breaks down makeup very effectively, even waterproof formulas, without leaving the skin feeling stripped. I find it’s especially helpful for patients who want something that feels both effective and nourishing. In addition, for sensitive skin, For people who like to double cleanse, I like Avene’s Xeracalm Cleansing Oil which is an effective and gentle oil based cleanser followed by Cerave Hydrating Cream to Foam cleanser.

What Causes Adult Acne and How to Actually Get Rid of It | As Seen in The Cut

Adult acne is more common than most people realize. And, it’s often more stubborn and complex than the breakouts you dealt with as a teenager. Dr. Mona Foad, featured in The Cut, breaks down exactly what drives adult acne, from hormonal fluctuations and stress. She shares the most effective treatments, ingredients, and lifestyle changes to clear it for good.

What causes adult acne?

Various factors can cause adult acne, often different from those that cause acne in teenagers. One factor is hormone fluctuations, which can increase oil production in the skin, leading to clogged pores and acne. Additionally, high stress levels can trigger the production of cortisol, a hormone that can increase oil production and exacerbate acne. Using skin care products that are too heavy, greasy, or unsuitable for your skin type can clog pores and lead to acne. Using certain medications, such as corticosteroids, anabolic steroids, and lithium, can also cause acne as a side effect.

Furthermore, underlying health conditions can cause hormonal imbalances that lead to acne. Environmental factors like pollution and exposure to oily or greasy substances can also contribute to acne development. Genetics is another factor that can increase the likelihood of developing adult acne.

In addition, frequently touching your face or letting hair (especially if oily or with hair products) come into contact with your face can transfer oils and bacteria, causing acne. Poor skincare habits like not cleansing the skin properly, over-exfoliating, or not removing makeup before bed can also lead to clogged pores and acne.

How is it different from other types of acne?

Adult acne differs from other acne in multiple ways, from causes to affected areas and treatment approaches. Teenage acne typically begins during puberty due to hormonal changes that increase oil production. In contrast, adult acne can occur in individuals over 25, often due to hormonal changes, stress, and other factors. Teenage acne is strongly influenced by the surge of androgens (male hormones) during puberty, whereas adult acne is often linked to hormonal fluctuations related to menstrual cycles, pregnancy, menopause, and conditions like polycystic ovary syndrome (PCOS).

Teenage acne frequently appears on the forehead, nose, and chin (the T-zone). Adult acne, on the other hand, more commonly affects the lower half of the face, including the jawline, chin, and neck. When we see this distribution of acne along the jawline, we usually know that there is a hormonal component involved.

The type of lesions also differs between teenage and adult acne. Teenage acne includes a variety of lesions such as blackheads, whiteheads, pimples, cysts, and nodules. Adult acne, in contrast, often presents as inflammatory lesions like papules, pustules, and cysts and is less likely to include non-inflammatory lesions like blackheads and whiteheads. Teenage skin is generally more resilient and recovers faster from acne lesions, though it can still develop scarring depending on severity. Adult skin is typically more sensitive, slower to heal, and more prone to post-inflammatory hyperpigmentation.

Treatment approaches also differ. Teenage acne is often treated with over-the-counter topical treatments. And in severe cases, prescription retinoids, topical and oral antibiotics, or hormonal treatments. Teenagers may be prescribed Accutane more frequently than adults due to the severity of the acne and to reduce long-term scarring.

Adult acne may require a gentler approach due to more sensitive skin. Topical options like benzoyl peroxide and salicylic acid may be used at lower, less irritating percentages. Instead of a prescription retinoid such as tretinoin, an over-the-counter retinol may be a better fit. Hormonal therapies such as oral contraceptives or anti-androgens may also play a bigger role. Although not as common, Accutane may still be used in resistant cases.

What is the best way to get rid of adult acne?

Getting rid of adult acne often requires a comprehensive approach that includes proper skincare, lifestyle adjustments, and sometimes medical treatments.

For skincare, start with a gentle, non-comedogenic cleanser like SkinMedica’s Pore Purifying Gel Cleanser twice daily to remove dirt, oil, and makeup. Chemical exfoliants like SkinMedica’s AHA BHA Exfoliating Cleanser can help unclog pores and promote cell turnover. Depending on your skin type, this can be used once a week or once daily.

Topical treatments also play an important role. Benzoyl peroxide helps reduce bacteria and clear pores. Retinoids encourage cell turnover and prevent clogged pores. Salicylic acid penetrates pores to exfoliate and reduce inflammation. Keep in mind that you may only be able to introduce one exfoliating product at a time to avoid drying out the skin. Niacinamide is a wonderful addition to help reduce inflammation and regulate oil production.

A lightweight, non-comedogenic moisturizer helps hydrate the skin without clogging pores. I recommend CleananceHYDRA Soothing Cream or SkinMedica’s Ultra Sheer Moisturizer. Daily broad-spectrum, non-comedogenic sunscreen is also essential to protect the skin and prevent hyperpigmentation from acne.

Lifestyle adjustments matter too. Incorporate a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, and reduce refined sugars. Drink plenty of water to keep the skin hydrated and support overall health. Practice stress-reducing activities such as yoga, meditation, or regular exercise. Prioritizing sleep and consistent movement can also improve circulation and reduce stress-related breakouts.

For more persistent cases, medical treatments are available. Options include prescription topical retinoids, oral antibiotics, and hormonal therapies. Accutane remains an option for more severe cases. In-office treatments such as chemical peels, facials, laser and light therapy, and corticosteroid injections can also be helpful adjuncts to a at-home routine.

What kinds of ingredients should you look for in products that treat adult acne and why?

When selecting products to treat adult acne, look for ingredients that target different aspects of acne formation. Salicylic acid, or beta hydroxy acid (BHA), can be found in cleansers and wipes. This is a great ingredient to look for because it can penetrate deep into the pores to exfoliate and clear out excess oil and dead skin cells, thereby preventing the formation of new acne lesions and reducing inflammation. Another ingredient is Benzoyl Peroxide, found in cleansers, creams and serums, which helps to kill acne-causing bacteria (Propionibacterium acnes) on the skin’s surface and within the pores. It also helps to reduce excess oil and inflammation.

Retinoids help promote cell turnover, prevent clogged pores, and reduce inflammation. They also help to improve skin texture and tone, which can be beneficial for preventing and treating comedones and post-acne hyperpigmentation. Niacinamide is another ingredient that helps to reduce inflammation and redness, regulates oil production, and improves skin barrier function. It also has brightening properties to help with post-inflammatory hyperpigmentation and can be found in moisturizers, serums, and creams. Another ingredient is Alpha Hydroxy Acids (AHAs) like Glycolic Acid and Lactic Acid, which are present in toners and peels that exfoliate the skin’s surface to remove dead skin cells and improve skin texture. AHAs also stimulate collagen production and can help fade acne scars. All exfoliating products, although helpful, should be used with caution so as not to over dry the skin, which can lead to more break outs.

What kinds should you avoid and why?

Avoiding certain ingredients and product types that can exacerbate the condition when treating adult acne is essential. Some key ingredients to avoid include heavy oils and butters, which can clog pores and lead to more breakouts. Avoid alcohol and fragrance-based products because they can strip the skin of natural oils. This can increase oil production and potential irritation and dryness, worsening acne. Avoid harsh physical exfoliants such as apricot kernel scrubs or walnut shell powders as they can cause microtears in the skin, leading to irritation, inflammation, and worsening of acne. Additionally, high-glycemic index (GI) Ingredients can spike insulin levels, which may increase oil production and inflammation, leading to acne. Using excessively rich or heavy creams such as night or anti-aging products can also clog pores and lead to breakouts.

What are some of your favorite products for adult acne?

I recommend La Roche-Posay’s Effaclar Gel Facial Wash as a cleanser because it effectively removes excess oil and helps clear and prevent breakouts without overly drying the skin. It’s gentle enough for daily use and helps to keep pores unclogged. SkinMedica’s AHA BHA Exfoliating Cleanser with alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs) is an excellent exfoliating cleanser that I like because it gently scrubs away dead skin while improving the appearance of skin tone texture and smoothness. SkinMedica’s Retinol Complex is encapsulated with PhytoShield Complex, an antioxidant complex that helps to enhance the skin texture and minimize irritation. EltaMD’s Moisture Seal is a lightweight, waterless, preservative-free moisturizer that locks in moisture for 24 hours. It applies easily and gently to avoid disturbing tender, irritated skin.

SkinMedica’s Acne Clarifying Treatment Serum is a revolutionary product for fighting acne, reducing post-acne marks, and reinforcing the skin barrier for clear, healthy-looking skin. For best results, I usually pair this product with SkinMedica’s Pore Purifying Gel Cleanser, a non-irritating gel cleanser with clinically proven ingredients that gently dissolve makeup, oil, impurities, and dirt to cleanse and purify pores while supporting the skin’s barrier and improving the appearance of skin texture.

Oil-free UV Clear SPF, 46 from EltaMD, is another product I recommend to my patients with sensitive skin types prone to discoloration and breakouts associated with acne and rosacea to help calm and protect their skin. It contains niacinamide (vitamin B3), hyaluronic acid, and lactic acid, which help promote healthy-looking skin.

SPF Head to Toe: A Dermatologist’s Guide to Body Sunscreen | As Seen in InStyle

Most of us have mastered the face SPF routine, but the neck, chest, hands, and arms are just as vulnerable to sun damage and skin cancer as the face. Dr. Mona Foad, featured in InStyle, shares her expert guidance on daily body sunscreen, including how much SPF you actually need, the most common application mistakes people make, and which body sunscreens are worth your money. Whether you’re looking for an everyday formula or something built for a full day in the sun, here’s what to know before you buy.

Should we wear body sunscreen every day?

Yes, if parts of the body are exposed daily, sunscreen there matters too. People tend to be consistent about applying sunscreen to the face, which is great. But, areas like the neck, chest, ears, hands, and arms are often exposed to UV rays on a regular basis. For the average person, I would say daily body sunscreen is most important on the areas that are routinely uncovered. You don’t need to apply body sunscreen every single day if most of your body is covered by clothing. But, any exposed skin deserves the same attention we give the face. In that sense, it is absolutely an important part of a daily routine, not only for preventing premature aging, but also for helping reduce the risk of skin cancer.

How much SPF and what PA rating would you recommend for daily wear?

For daily wear, I generally recommend using a broad-spectrum sunscreen with at least SPF 30. That level provides good everyday protection for most people when applied properly. If you are spending extended time outdoors, such as at the beach, a music festival, or any event where you are in direct sunlight for hours, I would suggest SPF 50 or higher, and more importantly, make sure to reapply every 2-3 hours since the protective effect wears off over that time.

When it comes to PA rating, which reflects UVA protection, I recommend choosing PA+++ or higher. Especially for people concerned about hyperpigmentation, melasma, or photoaging. UVA rays contribute significantly to long-term skin damage and can pass through clouds and windows, including your car window. The most important thing is not just the number on the label, but also making sure the sunscreen is broad-spectrum and water-resistant when needed. I always prefer to have a sunscreen with zinc oxide as an ingredient because zinc oxide is the best at covering both UVB and UVA rays. Also, always remember, UVB rays are what we call Burning rays, while UVA are what we call Aging rays because they go deeper in the skin and can cause more long term damage.

Do you have any tips for sunscreen application?

One of the biggest issues I see is that people don’t apply enough sunscreen and don’t re-appply. For the face alone, a helpful guideline is about two finger lengths of product, and for the body, most adults need about one ounce, roughly a shot-glass amount, to fully cover exposed skin. It is also important to apply sunscreen before sun exposure rather than after you are already outside, and to remember commonly missed areas like the ears, neck, chest, scalp part, tops of the feet, and backs of the hands.

If you are spending time outdoors, sunscreen should be reapplied every two hours, and sooner if you are swimming or sweating. I also remind patients that sunscreen works best as part of a broader sun-protection strategy. Hats, sunglasses, protective clothing, and seeking shade when possible all add meaningful protection. Sunscreen is essential, but it should not be the only measure you rely on.

What are some of your recommendations?

Supergoop Unseen Sunscreen Body – This stands out for its lightweight, invisible finish, which can make daily body sunscreen feel more wearable, especially for people who dislike heavier or greasy formulas.

La Roche Posay Anthelios Melt-In Milk Sunscreen – This is a sunscreen I generally view very favorably. La Roche-Posay tends to do an excellent job with formulations for sensitive skin. This one offers broad-spectrum protection and has a moisturizing feel. It is a good choice for daily wear, especially for those with drier or more reactive skin.

Elta MD UV Sport Sunscreen Lotion – EltaMD is a brand many dermatologists trust. This is a solid choice for people who are active or outdoors for long periods. It offers higher SPF protection and is designed to hold up well with sweat and activity. It is practical, dependable, and well-suited for sports or long outdoor days.

Cerave Hydrating Mineral Sunscreen SPF 50 – This can be a good choice for someone who prefers a mineral sunscreen, especially if they have sensitive skin. CeraVe products often include ingredients that support the skin barrier. That can be helpful for skin that is easily irritated. The downside is that mineral formulas can sometimes feel heavier and may leave a visible cast, depending on skin tone.

Blue Lizard Sensitive Mineral SPF 50 Sunscreen Lotion – This is a good option for sensitive skin, especially for people who prefer mineral sunscreens. It is straightforward, gentle, and less likely to irritate reactive skin. Like many mineral formulas, though, it can feel thicker and may leave a white cast on some skin tones. It is a strong choice for skin sensitivity, but the finish may not appeal to everyone.

A Dermatologist’s Guide to Safe Skincare During Pregnancy | As Seen in Goop

Navigating skincare during pregnancy can feel overwhelming, especially when so many popular ingredients suddenly land on the “avoid” list. Dr. Mona Foad, breaks down exactly which ingredients and devices to skip during pregnancy, what safe alternatives actually work, and how to simplify your routine without sacrificing results, featured in Goop. From retinoid replacements to sunscreen swaps, here’s everything you need to know to keep your skin healthy and protected while pregnant.

How does pregnancy change the way skin behaves — and how does it affect the way your skin absorbs topical ingredients?

Pregnancy can change the way the skin behaves in several ways because of hormonal shifts. Many patients notice increased oil production, changes in pigmentation, or heightened skin sensitivity during this time. The skin barrier can also become more reactive, which means products that were previously well tolerated may suddenly feel irritating. While the skin still functions as an effective barrier, dermatologists tend to be more cautious with certain ingredients during pregnancy. Even though systemic absorption from topical products is usually minimal, we try to minimize exposure to ingredients that may carry theoretical risks. For that reason, I typically recommend simplifying skincare routines and focusing on gentle, well-studied ingredients during pregnancy.

Why are vitamin A derivatives (retinoids) generally discouraged?

Dermatologists typically advise against retinoids during pregnancy largely because of what we know about oral isotretinoin, which causes birth defects when taken systemically. Because topical retinoids are also vitamin A derivatives, there has historically been concern about the possibility of systemic absorption, even though the amount absorbed through the skin is generally very small. Out of an abundance of caution, most dermatologists recommend discontinuing topical retinoids such as retinol, tretinoin, and adapalene during pregnancy. The safety data in pregnant patients is limited, so we prefer to err on the side of safety. Fortunately, there are several alternative ingredients that can help address common concerns like acne or uneven tone during this time.

Which alternative ingredient(s) do you recommend in place of retinoids, and why?

There are several ingredients that can serve as helpful alternatives to retinoids during pregnancy. One that I frequently recommend is azelaic acid, which can help address both acne and pigmentation while also calming inflammation. It’s generally well tolerated and has a strong safety profile. Niacinamide is another excellent option because it supports the skin barrier, helps regulate oil production, and can reduce redness. Some patients may also benefit from gentle exfoliating acids, such as lactic acid, but I would stay under 10%.. During pregnancy, I usually encourage patients to focus on maintaining a healthy skin barrier rather than aggressively targeting multiple concerns at once. A simplified routine that supports hydration and skin balance can often go a long way.

What ingredients are safe and effective for managing breakouts during pregnancy?

Hormonal fluctuations during pregnancy often lead to increased oil production, which can contribute to breakouts. Topical prescription Erythromycin and metronidazole are category B in pregnancy. They are considered safe to use if needed for break outs in pregnancy. Azelaic acid is also a preferred ingredient in these cases because it helps reduce inflammation, unclog pores, and improve post-acne discoloration. Gentle exfoliating acids, such as glycolic acid or lactic acid, can also help prevent pore congestion and improve overall skin texture. Niacinamide can be very beneficial, since it helps balance oil production while calming redness and supporting the skin barrier. Overall, the goal during pregnancy is to use consistent but gentle treatments that support the skin’s natural balance rather than relying on stronger acne medications.

During pregnancy, should you switch to a mineral sunscreen?

During pregnancy, many dermatologists recommend mineral sunscreens that contain zinc oxide or titanium dioxide. These ingredients sit on the surface of the skin and physically reflect UV rays rather than absorbing into it. While chemical sunscreens carry a strong safety record, many patients prefer mineral formulas during pregnancy because they offer an extra level of reassurance and sensitive skin tends to tolerate them better. Mineral sunscreens also offer excellent broad-spectrum protection against both UVA and UVB rays. Daily sun protection is particularly important during pregnancy because hormonal changes can increase the risk of hyperpigmentation.

What Shingles Does to Your Skin and How to Minimize Lasting Damage | As Seen in Glamour

Shingles is more than just a painful rash. Without the right care, it can leave behind lasting skin damage including scarring, hyperpigmentation, and chronic sensitivity. Dr. Alexandra Bowles, walks through the full progression of a shingles outbreak, what it means for your skin at each stage, and exactly how to care for it to reduce the risk of long-term damage. Whether you’re in the early tingling phase or deep in recovery, learn more in Glamour’s full article.

What does the typical timeline and progression of a shingles rash look like?

Shingles typically follows a fairly predictable progression, although it can vary somewhat from person to person. It often starts with a tingling, burning, or sensitive feeling. Within a few days, a red rash begins to appear, followed by clusters of small, fluid-filled blisters. These blisters can become painful and may continue to develop over several days before they eventually begin to dry out and form scabs. Over time, the scabs heal, although the skin may still appear discolored or sensitive for a period afterward. I usually think of it as moving from nerve-related symptoms to visible skin changes and then into a healing phase.

What are some of the risks or things that can happen to your skin from an episode of shingles?

In the short term, shingles can cause significant inflammation, redness, and discomfort in the affected area. As the skin heals, some patients may experience post-inflammatory hyperpigmentation or changes in skin tone, particularly if the rash was more severe. In some cases, there can also be textural changes or mild scarring, especially if the blisters were disrupted. One of the more well-known long-term complications is postherpetic neuralgia, which involves lingering nerve pain even after the skin has healed. I also see patients who notice ongoing sensitivity or dryness in the affected area. The degree of these changes can vary depending on how early the condition is treated and how the skin is cared for during the healing process.

What are best practices for maintaining the health of your skin, lessening symptoms, and reducing the risk of skin damage?

Does the progression always look the same?

The progression is often similar, but it doesn’t look exactly the same for everyone. Some people may have a milder rash, while others experience more extensive blistering or discomfort. Catching shingles early is important because starting antiviral treatment can help reduce inflammation and limit how severe the rash becomes. From a skin perspective, this can lower the risk of prolonged discoloration, scarring, and ongoing sensitivity. I usually emphasize that earlier treatment tends to lead to better overall outcomes, both for the skin and for symptom control.

What are some skin mistakes people can make when they have shingles, and why are these important to avoid?

What products are recommended for a shingles outbreak?

I usually recommend focusing on gentle, soothing products that support the skin barrier during a shingles outbreak. A simple, fragrance-free moisturizer can be very helpful, especially as the skin begins to dry out or scab. For example, I often suggest something like CeraVe Moisturizing Cream because it contains ceramides and hydrating ingredients that help maintain the skin barrier without adding unnecessary irritation. For cleansing, I recommend using a very gentle, non-stripping cleanser that won’t disrupt the skin while it’s healing. A product like Vanicream Gentle Facial Cleanser is a good option because it effectively removes debris while still being well-tolerated by sensitive or inflamed skin. In addition to basic skincare, cool compresses can help relieve discomfort during more active stages of the rash. I also recommend avoiding strong active ingredients such as exfoliants or retinoids until the skin has fully recovered. Overall, the goal is to keep the routine simple and supportive while the skin heals.

The Connection Between Atopic Dermatitis and Mental Health | As Seen in Everyday Health

Atopic dermatitis is far more than a skin condition. Its effects on the nervous system, sleep, and emotional well-being run deep. Dr. Mona Foad, as featured in Everyday Health, explains the science behind why chronic skin inflammation can fuel anxiety, depression, and emotional fatigue, and why treating the whole patient matters just as much as treating the skin. If you or someone you know lives with atopic dermatitis, understanding this mind-skin connection could change the way you approach care.

What’s the possible link between chronic inflammation with atopic dermatitis, the nervous system, and emotional distress?

Atopic dermatitis is not just a skin condition. It is a chronic inflammatory disease that affects the nervous system and emotional well-being as well. The skin and nervous system are closely connected, sharing many of the same inflammatory pathways. Ongoing skin inflammation can stimulate nerve endings, leading to persistent itch, discomfort, and sleep disruption. This places continuous stress on the body. Over time, this chronic inflammatory state can increase levels of stress hormones and inflammatory cytokines that also influence mood and emotional regulation. This helps explain why patients with moderate to severe atopic dermatitis have higher rates of anxiety, depression, and emotional fatigue. When the skin is constantly inflamed, the body never fully gets a chance to reset, and that ongoing signal can affect both physical and emotional health.

Why does stress tend to trigger flares?

Stress activates the body’s stress-response system that can disrupt the skin barrier and immune balance. In patients with atopic dermatitis, this stress response can worsen inflammation, impair barrier repair, and increase itch sensitivity. Stress also lowers the threshold for itch perception, meaning patients may scratch more, which further damages the skin and perpetuates the itch-scratch cycle. Additionally, stress can alter immune signaling in a way that favors inflammation rather than healing. This creates a feedback loop where stress worsens the skin, and worsening skin increases stress, making flares more likely and often more severe.

What are some signs that a patient’s emotional health may be affected by atopic dermatitis?

Emotional distress related to atopic dermatitis can show up in subtle but meaningful ways. Patients may report poor sleep due to itching, increased irritability, or difficulty concentrating during the day. Others may withdraw socially, avoid activities, or feel embarrassed about visible rashes. Feelings of frustration, helplessness, or anxiety around flare unpredictability are also common. In some cases, patients may minimize their emotional symptoms unless directly asked, which is why it’s important for dermatologists to check in about quality of life, not just what the skin looks like on exam.

What role does treatment play?

Treatment plays a critical role not only in controlling skin inflammation, but also in improving overall quality of life. When atopic dermatitis is inadequately controlled, the ongoing itch, sleep disruption, and emotional burden can significantly affect mental health. For patients whose disease is impacting daily functioning, mood, or sleep, this absolutely becomes part of the conversation when considering escalation to systemic therapies. The goal of treatment is not just clearer skin, but restoring comfort, sleep, and emotional balance. When used appropriately, newer systemic therapies can reduce inflammation at its source, break the itch-scratch cycle, and provide meaningful relief that extends beyond the skin. Addressing both physical symptoms and emotional well-being is essential to truly treating atopic dermatitis.

When and Why You Should Replace Your Hairbrush | As Seen in HuffPost

A worn or dirty hairbrush can contribute to breakage, scalp irritation, and dull-looking hair. Regularly cleaning and replacing your brush can help keep both hair and scalp healthy! Learn more about how this can affect your hair and scalp health with Dr. Alexandra Bowles, featured in HuffPost’s article.

How often should you replace your hairbrush?

In many cases, replacing a hairbrush every six to twelve months is a good general guideline. It can vary depending on how often the brush is used and how well it is maintained. Over time, the bristles can become worn, bent, or damaged, which can make the brush less effective and potentially rougher on the hair and scalp. If the brush begins to accumulate buildup that is difficult to clean or if the bristles lose their shape, it’s usually a good sign that it’s time for a replacement. Regularly replacing or maintaining your hairbrush helps ensure it continues to detangle and style the hair without causing unnecessary stress to the strands.

Why is it important to replace your hairbrush often enough?

Hairbrushes collect quite a bit over time, including shed hair, natural oils from the scalp, dust, and residue from styling products. If a brush is not cleaned or replaced periodically, that buildup can be redistributed back onto the hair and scalp during brushing. Worn bristles may also tug on the hair more than they should, which can contribute to breakage or unnecessary tension on the strands. Replacing a brush when it becomes worn helps maintain both scalp hygiene and overall hair health.

How could an old hairbrush with the ball tips worn off mess up your hair or scalp?

Many brushes have small, rounded tips at the end of the bristles that are designed to help protect the scalp and glide through the hair more gently. When those tips wear off, the exposed bristles can become sharper or rougher against the scalp. This may lead to increased friction, minor scalp irritation, or unnecessary pulling on the hair. Over time, that extra tension can contribute to breakage, especially in individuals with fragile or chemically treated hair. A brush that no longer has intact tips may not distribute pressure evenly across the scalp.

How could an old hairbrush that’s dirty mess up your hair or scalp?

If you don’t clean your hairbrush regularly, it collects oils, dead skin cells, styling products, and environmental debris. Every time you use the brush, it transfers that buildup back onto your hair and scalp. In some cases, this may contribute to scalp irritation, itching, or a greasy appearance even after washing. Dirty brushes can also make the hair feel heavier or dull because of the residue being redistributed. Keeping brushes clean helps maintain a healthier scalp environment.

Should you be cleaning your hairbrushes? If so, how?

Yes, hairbrushes should be cleaned regularly. I typically recommend removing trapped hair after each use or at least every few days. Every one to two weeks, the brush can be washed with warm water and a gentle shampoo to remove oils and product buildup. Using a small brush or toothbrush can help clean between the bristles if necessary. After washing, it’s best to allow the brush to air dry completely before using it again. This simple routine can help extend the lifespan of the brush and keep it more hygienic.

Do you have a hairbrush you recommend?

One brush that I often recommend is the Wet Brush Original Detangler. It’s designed with flexible bristles that help detangle hair with less pulling or tension on the strands. I find it helpful for those with fragile, fine, or easily tangled hair because it glides through the hair gently. It can also be used on both wet and dry hair, which makes it a versatile option for daily use.

How can it affect your overall scalp health?

Many people often overlook hairbrushes when thinking about hair and scalp care, but they play an important role in keeping hair healthy. Cleaning and maintaining your brush helps reduce unnecessary tension and breakage and prevents buildup from spreading back onto your scalp. In general, I recommend choosing brushes that are gentle on the hair and replacing them when they show signs of wear. Small habits like cleaning and maintaining your brush can make a noticeable difference in overall hair health over time.