How to Properly Use Powder Sunscreen | Seen in WSJ

One of the most important skincare products in your routine is sunscreen. Dermatologists recommend using SPF daily, in order to protect your skin from ultraviolet radiation. As powder sunscreen has become one of the easiest options for midday reapplication, Dr. Mona Foad, featured in WSJ, shares her best tips and products for proper application.

Powder sunscreen application tips for best results

Powder sunscreen can be a great tool for reapplication, but it’s important to remember that it’s typically not the best option for your primary sunscreen application of the day. I recommend starting with a traditional sunscreen lotion or cream in the morning to ensure you’re getting adequate coverage and protection.

One of the biggest mistakes I see, is people applying a light dusting of powder and assuming they’re fully protected. To get the SPF listed on the package, you need to apply enough product, distributing it evenly across all exposed areas. I also encourage patients to pay attention to commonly missed areas like the hairline, ears, and sides of the face, and back of the neck.

Is powder sunscreen a good option for the scalp?

Powder sunscreen can be a very good option for the scalp, particularly along the part line or in areas where the hair is thinning and the skin is more exposed to the sun. One of the reasons I like powder formulations is that they’re often easier to apply to the scalp than traditional lotions or creams, which can leave the hair looking greasy.

How should it be applied to the scalp?

For patients who are bald or have significant hair loss, powder sunscreen can be used across the entire scalp. If that’s the case, it’s important to apply enough product to achieve even coverage. I typically recommend using a traditional sunscreen lotion as the primary form of protection when possible. Powder sunscreens serve best as a convenient option for touch-ups and reapplication throughout the day. And don’t forget to wear a hat, preferably one with a broad brim.

Dr. Foad’s recommended powder sunscreen

Colorescience Powder Sunscreen Brush-On Shield SPF 50 — Colorescience Brush-On Shield SPF 50

I recommend the Colorescience Brush-On Shield for its simple, convenient sunscreen reapplication. The portable, brush-on format, and mineral-based formula, can be applied over makeup without disrupting the finish. This is a great touch-up sunscreen throughout the day to help maintain consistent UV protection.

Overall, what I like about powder sunscreens is that they make reapplication much more convenient. Especially over makeup, you can keep them in the car for a quick sunscreen touch up. If a product is easier to use, people are more likely to use it consistently. Remember, consistency is one of the most important factors when it comes to smarter sun protection.

Schedule a routine skin exam with your dermatologist today.

Is Sweating Actually Good For You? | As Seen in USA Today

Sweating is a normal and important function of the body. While people often associate sweating with “detoxing,” its primary purpose is to help regulate body temperature and prevent overheating. Dr. Mona Foad, featured in USA Today, answers the most common questions surrounding the purposes of sweat.

Sweat is not a measure of effectiveness

The benefit of activities that make you sweat is multifold. Sweating can cool down the body and help eliminate trace amounts of heavy metals from the skin. But the main benefit is not the sweating itself, but rather what is causing the sweating. For example, exercise has many well-established health benefits for the cardiovascular system, muscles, and overall well-being, and sweating is a byproduct of that process. Similarly, saunas and heated exercise classes may help some people feel relaxed or improve circulation, but sweating itself should not be viewed as a measure of how healthy or effective a workout is.

How does sweating serve the body?

Sweat is the body’s natural cooling system. When it evaporates from the skin, it helps release heat and prevents the body’s core temperature from rising too high. This is especially important during exercise, hot weather, or any situation where the body generates excess heat. If you cannot sweat, you overheat, which if too prolonged can cause heat stroke and is more dangerous in people with heart disease.

How often should someone sweat?

There isn’t a specific amount of sweating that someone should aim for. How much a person sweats depends on many factors, including genetics, fitness level, environment, medications, and overall health. Some people sweat very little while others sweat quite a bit, and both can be completely normal. What’s more important is whether your sweating pattern is typical for you and whether it changes significantly over time.

What does it mean to sweat significantly more than others?

Hyperhidrosis is a condition when people sweat more than normal and can be emotionally taxing. This can lead to embarrassment in work and social situations. Fortunately, there are medical grade anti-perspirants as well as treatments that can help. If you are struggling with hyperhidrosis, schedule a consult with your dermatologist to learn more.

Do antiperspirants prevent a sweating system from doing its job?

This is a common concern I hear from patients, but for most people, antiperspirants do not interfere with the body’s ability to regulate temperature. Antiperspirants work by temporarily reducing sweat production in the areas where they are applied, most commonly the underarms. The body has millions of sweat glands distributed throughout the skin, so blocking sweat in one small area doesn’t prevent the body from cooling itself effectively. For patients who experience excessive sweating, antiperspirants can significantly improve comfort and quality of life without compromising the body’s natural cooling mechanisms. It would not be wise to use antiperspirants over the entire body in an attempt to decrease sweating. Schedule an appointment with your dermatologist to explore other options.

Tick Bites: Dermatologist Advice to Identify, Treat, and Prevent

Tick bites can occur unexpectedly, leaving serious health risks if left untreated. The most alarming side effects including, Lyme Disease or Rocky Mountain spotted fever. Dr. Alexandra Bowles answers questions on identification, treatment if found attached to the skin, and how to prevent them in the future.

Tick Bite Identification

What do tick bites look like?

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

Ring formation indicating Lyme disease from tick bite — Bull’s Eye Rash Indicating Lyme disease

What are symptoms and risks that could arise with tick bites?

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

Tick Bite Treatment

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

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

Tick Bite Prevention

Easy, Everyday Tips

Wear protective clothing
Use insect repellent
Check your skin after being outdoors

Most bites are uncomfortable but not dangerous and improve with simple care. If a bite looks unusual, worsens instead of healing, or comes with systemic symptoms, contact a healthcare professional.

Meet Our Nurse Practitioners | As Seen in Cincinnati Magazine

Get to know our wonderful Nurse Practitioners behind the expert care at Mona Dermatology, also featured in an article with Cincinnati Magazine. With a strong compassion for both medical and cosmetic dermatology, Anna Luning, CNP, Taylor Wojniak, CNP, Brooke Stinnette, CNP, and Emi Dougherty, CNP, bring their years of knowledge and dedication to each patient experience.

Anna Luning, CNP, joined the team in 2017. She holds a Bachelor of Science in Human Nutrition and Exercise Science from The Ohio State University, a Bachelor of Science in Nursing and a Master of Science in Nursing from the University of Cincinnati.

Favorite treatment: Botox

Favorite product: SkinMedica TNS Advanced+ Serum

Taylor Wojniak, CNP, joined the team in 2021. She holds a Bachelor of Science in Nursing from the University of Kentucky and a Master of Science in Nursing from Northern Kentucky University.

Favorite treatment: Fraser Dual Laser

Favorite product: SkinMedica TNS Advanced+ Serum

Brooke Stinnette, CNP, joined the team as a Registered Nurse in 2019. She has since advanced to a Certified Nurse Practitioner and joined our provider team in 2023. She holds a Bachelor of Science in Nursing and a Master of Science in Nursing from the University of Cincinnati.

Favorite treatment: HALO Laser

Favorite product: Alastin HA Immerse Serum

Emi Dougherty, CNP, joined the team as a Registered Nurse in 2021. She has since advanced to Certified Nurse Practitioner and joined our provider team in 2024. She holds a Bachelor of Science in Nursing from Kettering College and a Master of Science in Nursing from Northern Kentucky University.

Favorite treatment: BBL Hero

Favorite product: SkinMedica Pore Purifying Acne Treatment

Why did you choose Dermatology as compared to other specialties?

“I chose dermatology because it offers a unique balance of medicine, patient connection, and visible results. Skin conditions can affect so much more than appearance—they often impact confidence, self-esteem, and overall quality of life. I was drawn to a specialty where I could help patients feel better both physically and emotionally by improving and maintaining healthy skin. What I love most about dermatology is the diversity within the field. Every day is different, from diagnosing complex skin conditions to educating patients on prevention and skincare. It’s also a specialty that is constantly evolving, which has kept me passionate and motivated throughout my nine years as a dermatology nurse practitioner.” -Anna

What education and training are needed to become a Nurse Practitioner?

“The typical path to becoming a nurse practitioner begins with obtaining a four-year Bachelor of Science in Nursing (BSN) degree. After completing a BSN, many registered nurses (RNs) gain valuable clinical experience by working in hospital or outpatient settings and providing direct patient care.

There are two graduate-level educational pathways to becoming a nurse practitioner. The first is earning a Master of Science in Nursing (MSN) degree, which typically requires an additional two to three years of schooling. The second is completing a Doctor of Nursing Practice (DNP) degree, which generally takes three to four years. Following graduate school, candidates must pass a national certification exam and obtain state licensure before beginning practice as a nurse practitioner.

Nurse Practitioner (NP) training is dependent on the specialty and clinical setting in which you work. Personally, after completing my MSN and becoming a board-certified nurse practitioner, I began on-the-job training with Dr. Mona. For six months, I worked alongside Dr. Mona, caring for medical, cosmetic, and surgical patients. Following that training period, I transitioned into independently seeing and managing my own patients.” -Taylor

What do you enjoy most about what you do?

“The field of dermatology is particularly unique in the sense that patient outcomes can be measured visually. Since the majority of the patients we serve are under our long-term care, we are able to track results and witness the impact that we make in people’s lives. The emotional benefits of restoring lost confidence by treating acne, psoriasis, and other skin conditions are incredibly rewarding. Helping individuals meet their aesthetic goals through cosmetic treatments is equally gratifying.

This speciality requires consistent problem-solving, thoroughness, and critical thinking on a day-to-day basis. I enjoy the challenge of identifying and managing a peculiar rash, but nothing brings greater joy than finding a skin cancer in its earliest stage. I am also passionate about sharing my knowledge and educating the public on proper skin care and skin cancer prevention.” -Brooke

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

“First, build a strong clinical foundation. Gaining solid nursing experience early on helps develop confidence, critical thinking skills, and a broader understanding of patient care and the medical profession as a whole. I would also encourage them to get as much exposure to dermatology as possible through shadowing opportunities, clinical experiences, or working as a nurse within the specialty. Hands-on experience can provide valuable insight into the field and help confirm whether dermatology is the right fit for them professionally and personally.” -Emi

Megan’s Skin Cancer Story | As Seen in Cincinnati Magazine

In honor of skin cancer awareness month, Megan Niese, PA-C, shares her own skin cancer story, as seen in Cincinnati Magazine, along with how it led her to becoming a dermatology Physician Assistant.

How it All Started

“I’m a redhead with fair skin, and I loved the sun like the best of them. Before I turned 25, I had collected a lifetime of sun exposure: childhood afternoons playing sports, long days as a lifeguard, chasing a tan to match my friends, and more trips to the tanning bed in college than I’m proud to admit.

In many ways, I did everything I now tell my patients not to do. Reaching my mid‑20s, while living in Asheville, North Carolina, I began noticing more and more moles appearing. I went to see a dermatologist, who went on to recommend several biopsies.”

Receiving the News

“I will never forget the phone call: melanoma. Fortunately, it was caught early enough to be treated with surgical excision. Still, that diagnosis was the start of a long series of interventions. Over the next few years, I had 15-plus moles biopsied, many of which were precancerous, requiring surgery.

Unfortunately, those biopsies included two more melanomas, one of which had a bit more depth to it, requiring a bigger surgery. Luckily, none of them had spread beyond the skin. Being diagnosed with three melanomas before 30 was a wake‑up call. I changed how I lived: daily sunscreen, wide‑brim hats, UPF clothing, and vigilance about sun exposure. I became fanatical about skin checks and about teaching others what I learned the hard way.”

From a Patient to a Provider

“That experience also changed the course of my career. At the time, I was working as a Physician Assistant in trauma surgery, but the impact of my own diagnoses sparked a passion for dermatology and preventive skin care.

In 2019, my husband and I moved back to our native state of Ohio, and I was fortunate to join Mona Dermatology. Today I’m proud to provide skin checks and skin cancer surgery, and to counsel patients about sun safety.”

Prevention Really Does Matter

“Routine skin exams, sunscreen, protective clothing, and avoiding tanning beds can make a real difference. Surgery is often lifesaving, and the cosmetic tools we have—lasers, scar revision techniques—can significantly improve outcomes after treatment. I enjoy both the medical and cosmetic sides of dermatology and the chance to help patients through diagnosis, treatment, and recovery.”

Your Personal Skin Cancer Prevention Checklist:

Get a complete skin exam with your dermatologist yearly
Do your own skin checks regularly
Wear a broad-spectrum sunscreen
Avoid mid-day sun (10am-2pm)
Wear a broad-brimmed hat
Consider wearing UPF clothing for added protection

“If my story helps even one person think twice about a sunburn, a tanning bed session, or a suspicious mole, then sharing it was worth it. We can always do better for our future selves—and for our children. I’m grateful to work in a practice where I can turn a difficult personal experience into care, prevention, and hope for others.”

Guide to a Healthy Scalp and the Best Serums to Help | Featured in Parade

While we spend so much time focusing on the rest of our skin, our scalps can often be forgotten. However, your scalp, just like your skin, requires attention and care to prevent damage and buildup affecting hair growth. Dr. Alexandra Bowles, featured in Parade, breaks down common scalp issues alongside her best recommended serums for treatment.

What do people need to know about their scalps?

People are often surprised to learn that the scalp is skin, needing consistent care like the rest of the body. A healthy scalp sets the stage for healthy hair growth. Issues such as flaking, inflammation, or excess oil can interfere with the hair growth cycle over time. The scalp also has its own microbiome, which means that harsh products or over-cleansing can disrupt its natural balance. This can then lead to irritation or discomfort. Paying attention to changes like increased shedding, dryness, or itchiness can offer early clues that the scalp needs a different approach. Treating the scalp thoughtfully can make a noticeable difference in the overall health and appearance of the hair.

What are common scalp issues and how can serums help?

Many people deal with dryness, flaking, itchiness, excess oil, and inflammation, and these issues can significantly affect how healthy the hair looks and feels. Scalp serums are helpful because they deliver targeted ingredients directly to the start of the problem. A hydrating serum can restore the skin barrier and calm dryness, while clarifying formulas reduce buildup and excess oil. There are also serums designed to soothe inflammation or support the hair growth cycle. I encourage patients to think of scalp serums the same way they think about skincare for the face. Consistent, targeted care helps create the healthiest foundation for hair to grow.

How do you apply a scalp serum?

When applying a scalp serum, it is important to place the product directly on the scalp rather than on the hair itself. Most serums come with a dropper or nozzle. This allows you to part the hair in sections and apply the product right at the root. After that, gently massaging with your fingertips for 30 to 60 seconds helps increase absorption and stimulates circulation. Some formulas work best on a damp scalp after washing, while others are designed for use on a dry scalp, so reading the instructions is always helpful. As with most treatments, consistency is what delivers the best long-term results.

What are some of the best scalp serums?

There are several effective scalp serums that I often recommend, and the right choice depends on a person’s specific concern. Nutrafol Women’s Hair Serum is a lightweight option that helps support stronger, healthier-looking hair. Divi Scalp Serum is a popular formula that combines amino acids, caffeine, and rosemary oil to nourish the scalp and improve the look of thinning hair. HAIRtamin Scalp Serum is another reliable option for people who want to soothe dryness while supporting thicker hair growth. For those dealing with dryness or flaking, Pacifica Scalp Love Rosemary Mint Serum offers gentle soothing ingredients that calm irritation. Odele Rejuvenating Scalp Serum, made with rosemary and vitamin E, is a simple and fragrance-free option that helps maintain a balanced, healthy scalp environment. Each of these works well when used consistently and chosen based on the individual’s main scalp concern.

What do scalp serums treat?

Scalp serums can help with many different concerns, including dryness, itching, flaking, excess oil, and product buildup. Some formulas focus on hydrating and soothing the scalp, while others gently exfoliate dead skin cells or support a healthier hair growth cycle. There are also serums created specifically to improve the appearance of thinning hair by nourishing the follicles and promoting a balanced environment for growth. While no single serum can fix every issue, choosing one that targets your main concern and using it consistently can help restore scalp health. This results in an ideal foundation for stronger, more comfortable hair growth.

Your Product Guide to Perioral Dermatitis | As Seen in E! News

Perioral dermatitis commonly shows up through frustrating flare-ups, often resembling acne or rosacea. Dr. Mona Foad, as seen in E! News, further identifies the triggers, treatments, and specific product recommendations when struggling with perioral dermatitis.

What is perioral dermatitis?

Perioral dermatitis is a common inflammatory skin condition that typically appears as small red bumps or patches around the mouth, nose, or eyes. It often looks like acne or a rash, but the causes are different. While the exact reason it develops isn’t always clear, it is often a variant of rosacea and can be treated in the same ways. Sometimes, it can be linked to a disrupted skin barrier and inflammation triggered by factors such as topical steroid use, fluoride toothpaste, certain cosmetics, or harsh skincare products. Hormonal changes, stress, and even overuse of heavy creams or moisturizers can also contribute. Anytime your skin’s protective barrier becomes compromised, it can open the door for irritation and inflammation to take hold.

Are there over-the-counter treatment options?

While prescription treatments are sometimes necessary, several over-the-counter options can help calm the skin and reduce inflammation. Look for soothing, fragrance-free products with ingredients like niacinamide and ceramides or squalene oil. These support the barrier and reduce redness without irritation. Azelaic acid is a product that has been shown to help rosacea so this may be another option. A mild 1% hydrocortisone cream can temporarily reduce inflammation, but it should be used sparingly and under your dermatologist’s guidance, as topical steroids can sometimes worsen perioral dermatitis if overused. Switching to a fluoride-free toothpaste can also help minimize irritation in some individuals.

What are safe cleansers and moisturizers to use with perioral dermatitis?

When dealing with perioral dermatitis, simplicity is key. Choose a non-foaming, fragrance-free, creamy cleanser such as Avène Xeracalm Oil Cleanser, CeraVe Hydrating Cleanser or Vanicream Gentle Facial Cleanser, all of which cleanse without stripping the skin. For moisturizers, look for lightweight, non-comedogenic, and barrier-supporting formulas like Avène Tolerance for drier skin, Avène Cleanance Hydra for a lighter moisturizer or La Roche-Posay Toleriane Double Repair Face Moisturizer. These hydrate and calm inflammation without occluding the pores or triggering flare-ups. Avoid heavy ointments or thick creams during active breakouts, as they can clog your pores.

What ingredients could help prevent flare-ups and strengthen the skin?

To prevent perioral dermatitis flare-ups, stick to products that are free of fragrance or alcohol, which can irritate already-sensitive skin. Avoid topical steroids, heavy occlusive moisturizers like petrolatum and coconut oil, and fluorinated toothpaste if you’ve noticed a connection with your breakouts.

On the other hand, ingredients that help strengthen and soothe the skin, such as ceramides, hyaluronic acid, glycerin, squalane, and niacinamide, can be very beneficial. Keeping your routine minimal with just a gentle cleanser, moisturizer, and mineral sunscreen helps the skin reset and heal naturally.

Are there any makeup-safe drugstore products for redness?

If you prefer to wear makeup, choose products labeled non-comedogenic, fragrance-free, and for sensitive skin. Mineral-based foundations such as Neutrogena Mineral Sheers, bareMinerals Original Foundation, or Physicians Formula Mineral Wear Talc-Free Powder are good choices. They allow the skin to breathe while providing natural coverage. Avoid heavy liquid foundations, primers, or products with silicones and alcohol, which can trap bacteria and worsen inflammation. Always remove makeup thoroughly with a gentle cleanser at the end of the day to get rid of the day’s pollution and prevent further irritation.

Are there any post flare-up product reccomendations to maintain the skin barrier?

Maintaining a healthy skin barrier is an important step in preventing perioral dermatitis from returning. Incorporate a gentle sulfate-free cleanser and a daily fragrance free moisturizer suitable for your skin such as those mentioned above. Use a mineral sunscreen like EltaMD UV Clear Broad-Spectrum SPF 46, which also contains niacinamide to soothe inflammation. Keeping your skincare routine simple, avoiding over-exfoliation, and minimizing product switching. Making an appointment with your dermatologist can be very helpful, especially if you need more direction on your skin care or you just can’t get things under control.

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.

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.

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.