With so many anti-aging options available today, it can be hard to know what really works. In a recent episode of the Wellthy Healthy Life Podcast by Nicole Johnson, our own Dr. Alexandra Bowles shares her expert perspective on treatments that can make the biggest impact, why combination therapy matters, and how patients can start building a long-term plan for healthy, youthful skin. Be sure to check out the full podcast episode!

 

 

What are some of the most effective anti-aging treatments?

The treatments I reach for most often are Botox, retinoids, platelet-rich plasma (PRP), and laser resurfacing.

• Botox softens lines caused by repeated facial movements. By relaxing those muscles, it prevents deeper wrinkles from forming over time.

• Retinoids are one of the most well-studied topical anti-aging options in dermatology. They improve cell turnover, boost collagen, and help smooth the skin gradually with consistent use.

• PRP (platelet-rich plasma) is an exciting treatment because it uses your own natural growth factors to stimulate collagen and elastin. This makes it a great option for patients who want something regenerative.

• Lasers are powerful for resurfacing — they not only smooth fine lines but also brighten skin tone and improve overall texture.

Each of these treatments works in a different way, but when you use them together, the results are much more impactful.

Why is combination therapy so effective?

No single treatment can address all of the changes we see with aging. For example, Botox is incredible for softening expression lines, but it won’t improve sun damage or skin texture. Lasers are excellent for resurfacing, but they don’t restore lost volume. Retinoids are foundational, but they take time and consistency. That’s why I often recommend layering treatments. Using Botox for movement lines, pairing it with a laser to refresh texture, and keeping retinoids in your daily routine creates a more natural, balanced outcome. It’s not about looking “different” — it’s about maintaining healthy, youthful skin over time.

How do lasers fit into anti-aging care?

Lasers are one of my favorite tools because of how versatile they are. They stimulate collagen remodeling, so the benefits continue long after the procedure. With resurfacing, we can smooth fine lines, even out texture, and brighten overall tone. One of the most popular treatments we offer is the BBL (BroadBand Light). Patients love it because it targets discoloration and sun damage while also giving the skin an overall refreshed, even look. It’s a go-to option for many people who want visible results without a lot of downtime. What makes lasers and light treatments so powerful is that patients often see improvement right away, and the results continue to build as new collagen forms. That’s what makes them such an effective long-term investment in skin health.

When should patients start thinking about anti-aging treatments?

It’s never too early to think about prevention. In your 20s, starting with something as simple as a retinoid and daily sunscreen can set the stage for healthier skin later. As you move into your 30s and 40s, I may recommend adding Botox to soften early expression lines or lasers and PRP for texture and collagen support. Everyone ages differently, so it’s really about tailoring treatments to your specific skin, your lifestyle, and your goals.

How can someone get started?

The best first step is a consultation. I work with patients to create personalized plans — whether that means beginning with skincare basics or layering in more advanced treatments. My approach is always about enhancing natural features, not changing them, so results feel subtle, effective, and confidence-boosting.

Get started on your anti-aging journey by scheduling a consultation today!

 

Like many other beauty and wellness trends, ice water facials have become increasingly popular via social media platforms. But is dunking your face in a bowl of ice water actually effective? Listen to all the logistics and tips provided by Dr. Alexandra Bowles before you dive into this trend. Be sure to check out the full article in Glamour!

 

Is it safe to dunk your face in ice water?

Dunking your face in ice water can feel refreshing and invigorating, but it’s important to consider your skin type and exposure time. Sensitive or dry skin may react with redness, irritation, or temporary dryness, and prolonged exposure can be harmful. Short dips of 10–30 seconds, a few times a week, are usually enough to enjoy the experience safely. Following up with gentle hydration and sunscreen afterward helps protect your skin from environmental stressors. Keep in mind, though, that listening to your skin is key. If it feels uncomfortable, it’s best to skip it. Done thoughtfully, this practice can be a fun, refreshing addition to your self-care routine.

What are the benefits of ice water facials?

Dipping your face in ice water can energize both skin and mind. The cold helps firm the skin, tighten pores, and improve tone, leaving your complexion looking fresh and smooth. It also stimulates lymphatic flow, supporting the body’s natural detoxification processes and promoting overall skin health. On a systemic level, the brief cold exposure can increase alertness and provide a gentle stress-lowering effect by activating endorphin release. Many people find it a refreshing ritual that leaves them feeling invigorated and ready for the day.

What are the disadvantages of ice water facials?

While ice water facials can feel refreshing, they aren’t without drawbacks. For some people, the cold can strip the skin of natural oils, leading to dryness or irritation, especially in already dry or sensitive skin. Direct contact with ice, particularly for prolonged periods, can even cause frostbite, ice burns, or broken capillaries. In certain cases, extreme cold may trigger increased oil production in acne-prone skin, potentially leading to breakouts. The visible effects, like tightened pores or reduced puffiness, are also temporary and don’t replace consistent skincare practices. Individuals with conditions like rosacea, eczema, or other inflammatory skin issues may find that ice worsens their symptoms rather than improving them.

How long should you dunk your face in the ice water?

When it comes to ice water facials, shorter is better. Usually, 10 to 30 seconds is enough to get the refreshing benefits without stressing the skin. Staying in longer can increase the risk of dryness, irritation, or even frostbite, especially for sensitive skin. It’s always best to listen to your skin and stop if it feels uncomfortable.

Is there anyone who shouldn’t participate in the ice water facial trend?

Certain people should skip ice water facials altogether. Individuals with fragile capillaries or a history of broken blood vessels may notice increased redness or visible damage from the cold. Those prone to skin inflammation or flare-ups, such as in rosacea or eczema, may experience worsening symptoms. Even people with extremely sensitive skin might find the sudden temperature shift uncomfortable or stressful to the skin barrier. For anyone in these categories, it’s safer to explore gentler ways to refresh the skin rather than using ice water directly on the face. Some options can be splashing the face with cool water, using a chilled facial mist, applying a cold compress wrapped in a soft cloth, or storing hydrating gels and sheet masks in the fridge for a soothing effect. These methods provide a refreshing sensation without stressing the skin barrier or triggering inflammation.

When do you start seeing the benefits of ice water facials?

The benefits of ice water facials are usually noticeable almost immediately, though they are mostly temporary. Many people see a quick reduction in puffiness, slight tightening of the skin, and a refreshed feeling right after the first session. Over time, with occasional and consistent use, some may notice a more energized appearance or improved skin tone, but these effects aren’t long-lasting on their own. It’s important to view ice water facials as a short-term pick-me-up rather than a replacement for regular skincare. Combining them with hydration and gentle skincare routines will help maintain healthier-looking skin overall.

Here at Mona Dermatology, we offer microneedling treatments that help stimulate collagen and elastin in the skin and reduce fine lines, wrinkles, and scarring. For those who may prefer an at-home option to maintain and boost your results, liquid microneedling could be a great option. It’s important to note, though, that at-home treatments will not create the same results as professional in-office procedures. Listen to board-certified Dr. Alexandra Bowles explain how these products work and give some helpful recommendations. Be sure to check out the full article in Byrdie!

 

What is liquid microneedling?

Liquid microneedling is a non-invasive skin treatment that uses microscopic, naturally derived “needles” suspended in a serum or cream to gently exfoliate and stimulate the skin. These tiny needles, often called spicules, are small enough to be applied topically but still create a mild, temporary sensation that triggers the skin’s natural repair process.

What’s the difference between liquid microneedling products and professional microneedling treatments?

Liquid microneedling products use spicules or similar microscopic structures to create very small, superficial channels in the skin. When massaged in, the spicules prompt cell turnover, boost circulation, and improve absorption of active ingredients. Professional microneedling treatments use a device with fine needles to penetrate deeper into the skin, stimulating more collagen and elastin production. In my experience, at-home liquid versions are gentler, offer more subtle results, and can be used regularly without downtime.

How do the results of these two microneedling methods differ?

Both encourage renewal and collagen production, but traditional microneedling generally produces more dramatic and longer-lasting results because it reaches deeper layers of the skin. Liquid microneedling is less intense, making it safer for at-home use and easier to incorporate into a regular routine. While you may not see the same degree of wrinkle softening or scar improvement, you can still achieve smoother texture, brighter tone, and a refreshed look with consistent use.

Who are liquid microneedling products for? Is there anyone who should avoid them?

Liquid microneedling can be a good choice for people who want to brighten a dull complexion, smooth rough patches, or boost radiance without visiting a clinic. However, it is not suitable for those with very sensitive skin, eczema, rosacea, active acne, or open wounds, as it can cause irritation. I always recommend that anyone who is pregnant, breastfeeding, or being treated for a skin condition check with their dermatologist before trying these products.

What are some of the key ingredients in liquid microneedling products?

The main ingredient is the spicules themselves, which are microscopic needle-like structures often derived from freshwater sponges or marine plants. Many formulas also include brightening agents like vitamin C or niacinamide, and hydrating ingredients like hyaluronic acid. Soothing botanicals like aloe or centella asiatica to help balance stimulation with skin-calming benefits.

How do the spicules work?

Spicules are the microscopic structures that give liquid microneedling its name and effect. They act as both a mechanical exfoliant and a delivery system for active ingredients. When massaged into the skin, they create a mild prickling sensation and lodge temporarily in the upper layers. This prompts gentle exfoliation and encourages better absorption of active ingredients. They are typically derived from freshwater sponges or marine plants and can remain in the skin for 24 to 72 hours before naturally shedding. While they can be very effective, overuse may cause redness or dryness. It’s important to follow product directions and avoid combining with other strong exfoliants on the same day.

Any other recommendations regarding liquid microneedling?

Liquid microneedling can be a valuable addition to a skincare routine, but results are gradual and build over time. For best outcomes, use the product consistently and avoid pairing it with other strong exfoliants on the same day. Be sure to protect your skin daily with sunscreen, as exfoliated skin can be more sensitive to UV exposure. It works best as part of an overall healthy skin regimen that also includes hydration, balanced nutrition, and sun protection.

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

How do laser hair removal devices work?

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

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

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

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

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

Is it safe to try laser hair removals at home?

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

Do laser hair removal devices really work?

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

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

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

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

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

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

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

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

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

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