Anna, CNP’s Guide to Pregnancy & Postpartum Skin | As Seen in Cincinnati Magazine

For many women, the journey to motherhood is equal parts empowering and humbling. Your body is doing something extraordinary, and with those incredible changes often come changes to your skin. Anna Luning, a Certified Nurse Practitioner with nearly a decade of experience in dermatology and aesthetic medicine, along with her own experience of being a mom of two, understands the science behind these changes. As seen in Cincinnati Magazine, Anna shares the best guide to looking and feeling your best no matter where you are in your journey of motherhood.

Skincare and treatments during pregnancy

One of the biggest challenges is that pregnant women are generally excluded from clinical trials, meaning many skincare ingredients and cosmetic treatments simply don’t have enough safety data. To make the conversation easier to navigate, I’ve organized common skincare ingredients and aesthetic treatments into a traffic light guide based on the available evidence and current expert recommendations.

RED | These treatments or products are generally not recommended during pregnancy because there is evidence of harm, a safety concern, or insufficient safety data. The potential risk would outweigh the benefit.
YELLOW | Use caution. These ingredients and treatments may be appropriate in select situations, but they should only be considered after discussing them with your OB-GYN and dermatologist. Recommendations may vary depending on the stage of pregnancy, concentration, and individual circumstances.
GREEN | Generally considered safe. These products and treatments are typically viewed as safe during pregnancy based on current evidence or strong safety data. Even so, it’s always a good idea to discuss any skincare routine or treatment plan with both your OB-GYN and dermatologist.

Skincare for acne and breakouts

GREEN | Niacinamide and azelaic acid
YELLOW | Cleansers containing benzoyl peroxide, glycolic acid, and salicylic acid (used conservatively)

Depending on the individual medication, prescription-strength acne treatments can fall into either category, so it’s best to talk with your dermatologist.

Skincare for dark spots and pigment

GREEN | Mineral sunscreen (daily use is one of the best ways to help prevent pregnancy-related pigmentation), antioxidants (such as SkinMedica’s Lumivive System or Skinceuticals Phloretin or CE Ferulic ), niacinamide, azelaic acid, and pregnancy-safe skin brighteners (such as SkinMedica Even & Correct Serum)
YELLOW | Glycolic acid, chemical sunscreens, and prescription-strength skin brighteners

Skincare for anti-aging

GREEN | Antioxidants (such as SkinMedica’s Lumivive System or Skinceuticals Phloretin or CE Ferulic), hyaluronic acid, niacinamide, and mineral sunscreen
YELLOW | Chemical sunscreens, growth factors and peptides (such as SkinMedica TNS Advanced+, Plated Intense Serum, or Re-Q)

Skincare for dry skin

GREEN | Hyaluronic acid and gentle moisturizers with ceramides

Treatments

GREEN | Medical-grade facials (such as Oxygen Facials or DiamondGlow), superficial chemical peels (without retinoids), and waxing or threading. If you choose to get a facial or peel, let your esthetician know you are expecting to ensure they avoid any ingredients of concern.
YELLOW | Dermal fillers, microneedling, light-based treatments (such as IPL/BBL), fractional or ablative laser treatments, platelet-rich plasma (PRP), and skin tightening treatments using ultrasound or radiofrequency (such as Sofwave, Ultherapy, or Thermage)

Things to avoid entirely during pregnancy

RED | Skincare: Retinoids (including over-the-counter or medical grade retinol serums), hydroquinone
RED | Treatments: Oral isotretinoin (Accutane), botox, deep chemical peels

More than a mom: My postpartum reset

After welcoming your little one into the world, it’s natural to want to reconnect with yourself—not just as a mom, but as you. During pregnancy, many cosmetic treatments and skincare ingredients are put on hold. Postpartum can be an opportunity to thoughtfully reintroduce some of those things, depending on your goals and where you are in your journey. If you’re breastfeeding, keep in mind that some treatments and ingredients may not be recommended or may require extra consideration. Always discuss your options with your OB-GYN and dermatologist to determine what’s appropriate for you and your baby.

Chemical peels

One of the first things I added back into my routine was a series of chemical peels to help improve skin texture and fade some of the pigmentation that appeared during pregnancy. They were a great way to refresh my complexion after months of keeping my routine very simple.

Botox

People always asked me what I missed most during pregnancy. Was it a glass of wine? A margarita? Honestly…no. It was botox! For me, getting back to my regular maintenance routine wasn’t about looking different–it was about feeling like myself again.

Filler

I also refreshed my chin and jawline filler. Pregnancy and the postpartum period can bring so many changes, and this subtle enhancement helped restore some of the facial balance I was used to seeing in the mirror.

Skincare

Throughout pregnancy, I kept my skincare routine simple and consistent: a gentle cleanser, moisturizer, antioxidants, growth factors, and diligent daily use of a mineral sunscreen. (A tinted mineral SPF was a lifesaver for helping camouflage melasma—I highly recommend it to my fellow melasma girls!)

After delivery, and once it was appropriate for me, I gradually reintroduced retinol and started a compounded topical for pigmentation containing azelaic acid, niacinamide, and tranexamic acid. Combined with consistent sun protection, it made a noticeable difference in my melasma over time.

Body Contouring

Getting back to my pre-baby body has been a marathon, not a sprint. I incorporated CoolSculpting and Emsculpt as part of that journey, but they were never a substitute for healthy habits. For me, these treatments complemented consistent exercise, balanced nutrition, and giving my body the grace and time it needed to recover.

Motherhood changed me in the best ways, but it also reminded me that taking care of myself matters, too. There is no “right” timeline for feeling like yourself again. Whether your version of self-care is skincare, aesthetic treatments, or a workout, just know that taking care of yourself isn’t selfish. Looking in the mirror and recognizing myself again wasn’t about chasing perfection—it was about honoring who I was before motherhood while embracing who I’ve become. Every postpartum journey looks different, and whatever helps you feel confident and cared for is worth celebrating.

Aquagold Benefits, Your Customized Botox For Breakouts | Seen in Women’s Health

Few things damage confidence quite like acne does. But the opposite holds just as true: clear, healthy skin can give your confidence a real boost. The AquaGold facial treatment is a customizable and painless microchannel injection, that can deliver the neurotoxin in botox directly where it’s needed. Learn in depth from Dr. Bowles, as seen in Women’s Health, how AquaGold benefits in keeping your skin clear with its customized botox blend.

What is the AquaGold facial treatment?

AquaGold is a microinfusion treatment that uses a device with extremely fine, gold-plated needles to create tiny channels in the superficial layers of the skin. During this process, it’s simultaneously delivering customized ingredients directly where they’re needed. Unlike traditional microneedling, which focuses on stimulating collagen through controlled injury, AquaGold is designed to infuse targeted treatments into the skin with minimal downtime. In addition to specific ingredient benefits, patients often notice improved skin texture, hydration, and overall radiance.

What ingredients can be used outside of botox?

One of the biggest advantages of AquaGold is that the treatment can be customized. In addition to diluted neurotoxins like Botox, Dysport, Xeomin, or Daxxify, providers may incorporate hyaluronic acid for hydration, vitamins, antioxidants, peptides, platelet-rich plasma (PRP), and other physician-selected ingredients depending on the patient’s concerns. For acne-prone skin, neurotoxins are often the star ingredient because of their ability to decrease oil production. Some providers also incorporate brightening agents or growth factors to address post-inflammatory pigmentation and improve overall skin quality.

Can these ingredients be mixed together?

Many ingredients can safely be combined into a customized treatment, but compatibility depends on the products being used and the patient’s skin concerns. There isn’t a one-size-fits-all formula. The best cocktail is individualized after evaluating the patient’s skin, medical history, and treatment goals.

Was this treatment originally designed for breakout prevention?

AquaGold benefits were not originally designed to act as acne therapy, but breakout prevention is a secondary benefit of this treatment. It’s best viewed as a skin-quality treatment that happens to improve oil production in appropriately selected patients. I also emphasize that acne is multifactorial. Hormones, genetics, inflammation, bacteria, and skincare habits all play a role, so while microinfused neurotoxin can be an excellent adjunct for oily skin, it shouldn’t replace a comprehensive acne treatment plan when one is needed.

Understand how a neurotoxin like botox can improve acne:

How does the neurotoxin help lessen breakouts?

One of the major drivers of acne is excess sebum production. Sebaceous glands are influenced by cholinergic signaling, and neurotoxins block the release of acetylcholine, which appears to decrease gland activity. Less oil means pores are less likely to become clogged, creating an environment that’s less favorable for acne formation. Patients who struggle with oily skin often notice they become less shiny, and many experience fewer inflammatory breakouts as a result.

What does the neurotoxin deliver during microinfusion?

When a neurotoxin is delivered superficially through microinfusion, we’re not trying to relax deeper facial muscles the way we do with traditional Botox injections. Instead, the medication acts on structures within the superficial skin, including the tiny muscles associated with pores and, importantly, the sebaceous glands. This can reduce oil production, minimize the appearance of pores, decrease shine, and create a smoother skin texture. While there are subtle differences among available neurotoxins, they all work through the same fundamental mechanism. No single product has been definitively shown to be superior for this particular application.

Are there studies done that prove these acne-focused benefits?

Several small clinical studies have demonstrated reductions in facial oiliness following intradermal botulinum toxin treatment, with some also reporting improvements in acne severity. While the data is promising, it’s important to recognize that this remains an off-label use, and larger randomized studies are still needed. In clinical practice, however, many dermatologists and aesthetic physicians have observed meaningful improvements in carefully selected patients.

How AquaGold benefits compare to traditional botox:

Does AquaGold have wrinkle-smoothing benefits like traditional botox?

Microinfused neurotoxin can improve skin quality and soften very fine, superficial lines, but it is not a replacement for traditional neurotoxin injections if the goal is to treat dynamic wrinkles such as forehead lines or crow’s feet. Those deeper muscles require targeted injections. Think of AquaGold as improving the skin itself, while traditional Botox treats muscle movement underneath. Patients who receive neurotoxin for wrinkle reduction should continue their regular injection schedule if they want to maintain those results.

Do regular botox injections help prevent breakouts in the same way?

Not to the same extent. Traditional Botox injections are placed deeper into facial muscles and are designed to reduce muscle movement. While some patients may notice subtle changes in nearby oil production, the consistent improvements in oiliness and acne are primarily associated with superficial, intradermal delivery. These are performed with AquaGold or similar microinfusion techniques.

How to know if you are the right candidate:

Who is a good candidate for AquaGold in terms of breakouts?

The ideal candidate is someone with oily skin, enlarged pores, and mild to moderate acne or frequent inflammatory breakouts. Patients whose acne is largely driven by excess oil often respond particularly well. This is generally not my first-line treatment for severe cystic or nodulocystic acne. Meaning that inflammation occurs much deeper in the skin and often requires prescription medications, hormonal management, or isotretinoin. AquaGold works best as part of a comprehensive treatment plan rather than as a standalone solution.

How often should that candidate be treated for acne?

Most patients benefit from treatments every three to four months. Some patients with very oily skin may notice improvement begins to diminish sooner, and choose maintenance treatments more frequently. Treatment intervals should ultimately be individualized based on how quickly symptoms return and the patient’s overall skin goals.

How long will it take to see AquaGold benefits?

Most patients begin noticing less oil production within several days. This is then followed by continued improvement over one to two weeks as the neurotoxin takes full effect. Improvements in skin texture and radiance are often visible even sooner because of the microinfusion process itself.

Are there any candidates that should avoid this treatment for breakouts?

Patients with active skin infections, inflammatory cystic acne flares, or open wounds should avoid using AquaGold as acne therapy. Furthermore, certain chronic skin conditions affecting the treatment area, or those who are pregnant or breastfeeding, should generally postpone treatment. Anyone with unrealistic expectations, or looking for a cure to severe acne, should have a thorough consultation to discuss whether another treatment would be more appropriate.

Are there any at-home alternatives?

There really isn’t an at-home treatment that replicates microinfusion of neurotoxins. Devices like Qure and other at-home microneedling systems may improve acne scars or enhance skincare absorption. However, they do not deliver prescription neurotoxins into the skin. For patients struggling with breakouts, consistent use of evidence-based skincare ingredients like retinoids, benzoyl peroxide, salicylic acid, or azelaic acid remains the foundation of treatment.

Click to schedule your consult here if you are looking to address breakouts or other benefits.

Uncovering Hair Loss: What Causes It & What Can Actually Help | As Seen in Cincinnati Magazine

It usually starts small: a little more hair in the shower drain or a part that looks slightly wider than it used to. Whether hair loss is progressing quickly due to medical treatments such as chemotherapy or more gradually due to age and hormone shifts, these changes to your appearance can significantly impact your confidence. In honor of Hair Loss Awareness Month, board-certified dermatologist Dr. Mona Foad is sharing the science behind what’s actually causing your hair loss and what you can do to help support healthy growth, as seen in Cincinnati Magazine.

Types & Causes of Hair Loss

Female & Male Pattern Hair Loss (Androgenic Alopecia)

This is the most common type of hair loss and is primarily caused by the hormone DHT, which binds to the hair follicles, causing them to shrink and eventually stop producing hair over time. In men, it tends to show up as a receding hairline or thinning at the crown. In women, it could show up as a widening part, overall thinning across the top of the scalp, or simply less density over time. This type of hair loss is genetic and tends to progress slowly.

Stress-Induced Hair Loss (Telogen Effluvium)

1. Short Term: When the body goes through a major physical or emotional stressor, such as pregnancy, illness, rapid weight loss, or a prolonged period of stress, it can push a large number of hair follicles into a resting phase all at once. About two to four months later, those hairs shed. The good news is that this is typically temporary: Once the triggering event resolves, hair usually regrows on its own.

2. Long Term: If the trigger is ongoing, the shedding can continue and require an intervention to support healthy hair growth. Common examples include chronic stress, an unresolved nutritional deficiency (often low ferritin or iron), certain medications (GLP1s, hormonal contraceptives), or an underlying health issue (like thyroid dysfunction or anemia).

Diseased or Damaged Scalps

The health of your scalp directly affects the health of your hair. Conditions like dandruff (seborrheic dermatitis), scalp psoriasis, and scarring alopecias (such as lichen planopilaris or frontal fibrosing alopecia) can all interfere with normal hair growth. Traction from tight hairstyles or hats worn repeatedly over time (traction alopecia), excessive heat, and chemical damage can also disturb hair follicles and cause hair loss.

Treatment Options

Oral Medications & Supplements

1. Oral Minoxidil: Low-dose oral minoxidil has quickly become a go-to treatment for both pattern hair loss and telogen effluvium. Originally a blood pressure medication, minoxidil was found to promote hair growth as a side effect. At very low doses, the hair benefits are real, although you should still use caution if you have low blood pressure.

2. Finasteride & Spironolactone: Finasteride is an FDA-approved medication for men that works by blocking the conversion of testosterone to DHT. For women, spironolactone offers a similar effect and is particularly helpful for hormonal hair loss related to perimenopause or PCOS. Both of these are medications that should be taken under the direct supervision of a qualified health care provider.

3. Nutrafol: For those looking for a supplement-based approach, Nutrafol is backed by clinical data and formulated to address multiple root causes of hair thinning, including stress, hormones, nutrition, and inflammation. It comes in formulations for men, women, and postpartum patients, and works well as a complement to other treatments or as a starting point for milder concerns. Viviscal is another oral supplement option that is available. For either, plan on at least 6–12 months of consistent use before evaluating results.

4. Collagen Powders: Hydrolyzed short-chain collagen can be found in many over-the-counter powder formulations and is easy to add to water, coffee, or your favorite beverage. Studies show that consistent use of 10–20 grams of collagen powder daily can help to promote keratin in the hair and support hair strength, thickness, and shine.

Topical Treatments

1. Topical Minoxidil: Available over-the-counter as Rogaine and generic topical Minoxidil, this treatment works by prolonging the hair growth phase and improving blood flow to the follicles. Consistent use is key for results: It needs to be applied to a dry scalp daily and left on. Give it at least 4–6 months before evaluating results. You may notice some initial shedding in the first few weeks, which is actually a sign that the treatment is working.

2. Hair Growth Serums: A number of topical serums can support scalp health and complement medical treatment. Nutrafol offers a hair growth serum that can be used alone or in combination with their supplements, and several other brands offer similar products to support the scalp. These serums shouldn’t be used as a replacement for medical treatment in cases of significant hair loss, but they can be a helpful complement to your hair growth routine, particularly for maintaining results over time.

In-Office Treatments

1. LED Light Therapy: Low-level LED light therapy uses specific wavelengths of light to stimulate follicle activity and extend the hair growth cycle. It’s non-invasive, painless, and requires no downtime. It works best as a complement to other treatments, especially for early-stage pattern hair loss or maintaining density over time.

2. PRP (Platelet-Rich Plasma): After drawing a small amount of your own blood, it is spun in a centrifuge to concentrate the growth factors found in your platelets. This is then injected into the scalp to help stimulate follicle activity and improve blood supply to the area. A series of 3-6 treatments, each spaced one month apart, is recommended.

3. Hair Transplant: For patients with more advanced hair loss, a transplant is the most permanent solution available. Modern techniques are minimally invasive, leave minimal to no scarring, and can produce very natural-looking results in experienced hands. That said, it is still a surgical procedure that requires significant financial investment and downtime, which may not be the right fit for some patients. Hair transplant may also not be an option if you have hormonal or medical reasons for hair loss and are continuing to lose hair. Make sure to have a consultation with a surgeon or medical professional who specializes in hair transplantation.

Hair loss may be common, but that doesn’t mean you have to accept it as an inevitable part of life. The best results for fostering healthy regrowth often come from addressing it early with a combination of treatments. If you’re concerned about hair loss or hair thinning, start by scheduling an appointment with a board-certified dermatologist to get to the bottom of what’s causing your hair loss and create a plan that’s best for you. You can schedule with the team at Mona Dermatology by visiting here or by calling 513.984.4800.

The Man’s Guide: Tips and Treatments for Anti-Aging | Seen in Cincinnati Magazine

Cosmetic treatments are rising in popularity for men nationwide—and are expected to more than double by 2032. The greatest increase in demand: “stealth” treatments that stop the clock on aging while being nearly undetectable. Below we provide a modern man’s guide to treatments and strategies, as seen in Cincinnati Magazine, from our very own male patient favorites.

Look and feel refreshed

Whether you’re burning the midnight oil at work or up early with young kids, tired eyes can make you look older than you feel. Botox around the eyes–often called “BroTox” for male patients–smooths wrinkle lines and can even lift the brow slightly for a more alert appearance. For the avid golfer, skier, runner, or any man who spends significant time outdoors, sun damage will often show up with age. This can be found in forms of brown spots, redness, or uneven tone. BBL, or Broadband Light, is fantastic for reversing years of sun exposure with zero downtime: you can get treated over lunch and be back to meetings without a trace.

For an internal boost, IV therapy offers a direct infusion of vitamins, minerals, and hydration for immediate absorption. Whether you’re recovering from intense athletic training, fighting off illness, or simply feeling run down from travel and stress, IV therapy can provide the reset your body needs.

Chisel and contour

If you’ve always wanted a more angular jawline–or have noticed yours softening with age, these treatments can help. For starters, the most popular jawline treatment for men by far is dermal filler: interest has grown by over 70% since the early 2000s. Filler treatment takes less than 30 minutes, has little to no downtime, and creates immediate results. Tightening treatments like EmFace or Sofwave are also great options if your jawline has softened due to aging. These treatments boost your body’s own healing power to chisel the lower face over time.

Hold the “Hair” Line

For many men, a receding hairline can feel like an unwelcome reminder that time is marching on. That being said, hair transplant surgery is considered the gold standard, but it’s not the only option. For men who aren’t ready for surgery or want to explore less invasive alternatives first, PRP and Nutrafol offer effective solutions towards a modern man’s guide.

PRP, or platelet-rich plasma, uses your own blood to stimulate hair follicles. To explain, blood is drawn to concentrate the growth factors, and then inject them into areas of thinning. Nutrafol is a supplement that addresses hair loss from the inside out by targeting stress, inflammation, and hormones–all factors that contribute to male pattern baldness.

Skip the Shaving

For the man who wants a clean look with less time and maintenance, laser hair removal is the answer. Popular treatment areas include:

Facial hair – For those who want to save time in the morning or who have sensitive skin that’s irritated by daily shaving
Back of the neck – Eliminates the issue of regrowth between haircuts
Back, chest, and shoulders – Say goodbye to unwanted hair on the torso without constant shaving or waxing

Don’t forget the body

EmSculpt Neo is a game-changer for men who workout but want to accelerate their results. It combines radio frequency to reduce fat by 30% with high-intensity electromagnetic energy to build muscle by 25% in areas like the biceps, abs, and calves.

For targeted fat reduction, CoolSculpting Elite is a proven way to treat fat in areas such as: love handles, lower abdomen, and under the chin. The fat cells are frozen and naturally eliminated by your body over the following weeks.

Minimum Investment, Maximum Return

This routine takes less time than your morning coffee and will keep your skin healthy for decades. It’s the best investment-to-return ratio in skincare.

Sunscreen – DailySPF is a non-negotiable for preventing wrinkles, sun damage, and skin cancer. Modern facial sunscreens are nothing like the greasy formulas you remember. There are plenty of options that blend in easily and are undetectable.
Retinol – The workhorse the prevents fine lines, improves texture, and keeps pores clear.
Antioxidant – Your defense against environmental damage: pollution, UV, and stress.

Three-Minute Routine

Morning – Cleanser → Antioxidant → Moisturizer → Sunscreen
Night – Cleanser → Retinol → Moisturizer

Creating a routine for yourself is the perfect start in a man’s guide towards elevating your skin’s long-term health. Start looking and feeling your best after scheduling an appointment to build a routine for your lifestyle needs and goals.

Red Light Therapy, Prevent Aging on the Hands | Featured by Women’s Health

Dark spots, scarring, wrinkles, collagen loss — red light therapy seems to tackle it all. It’s no wonder this technology keeps growing in popularity. These tools are most commonly used for the face, but now have started becoming popular for other uses, such as your hands. Dr. Mona Foad, as featured in Women’s Health, shares the ins and outs of red light therapy for your skin and whether it effectively addresses signs of aging on the hands.

What is red light?

Red light therapy is a form of low-level light therapy that uses specific wavelengths of red and near-infrared light to support cellular function in the skin. Unlike ultraviolet light, red light does not damage the skin or create DNA injury. Instead, it works at a cellular level to help stimulate repair processes and reduce inflammation.

What benefits does red light have for the skin/how does it work?

Red light therapy works by delivering specific wavelengths of red and near-infrared light into the skin. It then gets absorbed by the mitochondria, the energy-producing structures within cells. This helps increase ATP production, which is essentially the energy source cells use to carry out repair and regeneration processes. As cellular energy increases, the skin is better able to support collagen and elastin production, improve circulation, and reduce inflammation. From a skin health perspective, this can help improve concerns such as fine lines, texture changes, mild skin laxity, and overall skin quality over time.

Furthermore, red light therapy may also help calm redness and support healing. This is one reason it is sometimes used after procedures or on patients with sensitive or inflamed skin conditions. Patients are more drawn to red light therapy in comparison to aggressive, resurfacing treatments. This is often because red light is non-invasive and generally well tolerated. That said, it is important to understand that results tend to be gradual and cumulative. They likely won’t yield the same results as a resurfacing laser. Lastly, it is most effective when used consistently as a long-term skin health and collagen-support strategy rather than a quick fix.

Can red light therapy effectively benefit hands?

Red light therapy can be a helpful option for the hands because it supports collagen production. It also may help improve skin quality over time without damaging the skin surface. Since the hands tend to develop thinning skin and textural changes with age, treatments can be beneficial when they support collagen and reduce inflammation.

As I mentioned earlier, improvements tend to be subtle and gradual rather than dramatic. That being said, patients should have realistic expectations implying red light most useful for long-term skin health. I would also like to note that as the hands age, veins and tendons can become more prominent. These may be better addressed with filler versus red light therapy which will not increase fat or volume in that area.

When do signs of aging show on the hands?

Signs of aging on the hands often develop gradually over time and may include thinning skin, dryness, crepiness, brown spots, uneven pigmentation, and more prominent veins or tendons. These changes are largely driven by a combination of collagen loss, cumulative sun exposure, and natural age-related volume loss. For many patients, these changes become more noticeable in their 40s and 50s. Please also note that significant sun exposure can accelerate the process earlier.

What makes the skin on the hands differ from elsewhere?

The skin on the hands is unique because it is exposed to significant environmental stress over time. Examples can include, ultraviolet radiation, frequent washing, and friction. The backs of the hands also have thinner skin and less underlying fat compared to other areas. This results in volume loss, visible veins, and textural changes more noticeable with age. Unlike the face, many people are diligent about applying skincare and sunscreen to the face, but often neglect the hands. As a result, the hands are frequently one of the first areas to show cumulative signs of aging.

Would you recommend any other treatment for the hands?

I do think red light can play a supportive role for the hands, but it is not necessarily the most effective stand-alone treatment for more advanced signs of aging. For concerns such as significant sun damage, brown spots, Intense Pulse light (IPL) therapy and lasers would be better options.

Volume loss or prominent veins, are better served with fillers or collagen-stimulating treatments. The best treatment really depends on the specific concern being addressed. While it may help improve overall skin quality, it is generally not going to replace more targeted treatments when structural changes are more advanced.

What can you do at home to slow down the aging process on their hands?

One of the most important things to remember is that prevention plays a major role in hand aging. Daily sunscreen use on the hands is one of the simplest and most effective ways to help prevent pigmentation changes and collagen breakdown over time. I also encourage patients to think about the hands as an extension of their skincare routine. Applying moisturizer, antioxidants, and sun protection consistently to the hands can make a meaningful difference in maintaining skin quality long term.

How can I incorporate red light therapy as a treatment?

At-home red light devices can be a reasonable option for patients who understand that results take time. Consistency is very important with red light therapy, since benefits are generally cumulative and develop gradually over weeks to months. For patients looking for more noticeable improvement in pigmentation, texture, or volume loss on the hands, in-office treatments such as lasers, chemical peels, fillers, or biostimulatory treatments may still provide more significant results. In many cases, combining approaches tends to be the most effective strategy.

Best Skincare Approved by Dermatologists | Featured in Parade

Your skin deserves the best care possible, so it’s important to build a routine full of high quality products. Understanding which products are dermatologist-approved and why, leaves confident and effective results based on education. As featured in Parade, Dr. Mona Foad and Dr. Alexandra Bowles, share their most recommended products for each step of your routine.

Best skincare products for your face

Barrier Creams

Avène XeraCalm A.D Lipid-Replenishing Cream is a barrier cream Dr. Bowles often recommends for patients with very dry, sensitive, or eczema-prone skin because it’s designed to both soothe irritation and restore the skin barrier. It contains lipid-replenishing ingredients that help lock in moisture and support the skin’s natural defenses, especially important when the barrier is compromised. Dr. Bowles says a simple routine can make meaningful differences in dryness and improving overall skin comfort. She likes this formula for its gentle, fragrance-free formula that works well on all skin types, including more reactive.

Dr. Foad also suggests SkinMedica Dermal Repair Cream. This is a great product for barrier support because it provides deep hydration while also reinforcing the skin’s natural protective barrier. It contains antioxidants like vitamins C and E. Along with that, the hydrating ingredients help improve skin smoothness and reduce moisture loss over time. “In my experience, this type of richer, well-formulated moisturizer can be especially helpful for patients dealing with dryness, sensitivity, or a compromised skin barrier, particularly when used consistently as part of a simple, supportive routine,” says Dr. Foad.

Moisturizing Sunscreens

Dr. Bowles recommends, EltaMD UV Clear Broad-Spectrum SPF 46. It’s lightweight, well-tolerated, and provides both sun protection and skin-soothing benefits. It contains ingredients like niacinamide, which can help calm irritation while supporting the skin barrier. For many patients, especially those with sensitive or acne-prone skin, it strikes a good balance between protection and daily wearability.

Another great SPF supporting overall skin health and resilience is the EltaMD UV Skin Recovery SPF 50. Dr. Foad defines this product as a mineral sunscreen that provides broad-spectrum protection while also supporting the skin barrier and helping to calm redness. It’s one she feels very comfortable recommending, particularly for patients with sensitive or reactive skin.

Retinoids & Spot-Treatment

SkinMedica Retinol Complex 0.5 is a mid-strength retinol that helps improve skin texture, tone, and the appearance of fine lines through a gradual-release system. Dr. Bowles suggests this product stating, “it’s effective while still being designed with tolerability in mind, making it a good option for many skin types. With retinol, I always recommend starting slowly and using it consistently.” She further adds that pairing it with a daily sunscreen will reduce irritation, resulting the best results overtime.

In addition, Dr. Mona also likes Avène Retrinal Intensive Multi-Corrective Cream as a retinoid-based skincare treatment that helps support renewal. Furthermore, it gradually works to improve tone and texture. These treatments work by encouraging healthy cell turnover, which can help fade discoloration over time in a more consistent and controlled way. When used regularly and paired with daily sunscreen, they can be a very effective part of a long-term approach to managing uneven pigmentation.

If you are looking to target isolated dark spots with using hydroquinone, Dr. Foad recommends SkinMedica Even & Correct Dark Spot Cream. It uses tranexamic acid (a brightening agent that reduces the appearance of dark spots), niacinamide, glycolic Acid, retinol (0.25%), and a kojic acid derivative. All of these products help to support skin renewal and collagen levels, helps to lighten visible sun damage, and exfoliate to help reduce the appearance of fine lines and wrinkles.

Anti-Aging Cream

Dr. Foad suggests, Avène Retrinal Intensive Multi-Corrective Cream. What makes this product particularly effective is its use of retinaldehyde, a vitamin A derivative that supports collagen production and accelerates skin renewal. It helps improve fine lines, uneven texture, and overall skin tone, and is often better tolerated than traditional retinol. For patients who are more sensitive but still want meaningful results, this is a very well-balanced option.

Best skincare products for your eyes

Eye Cream for Dark Circles

SkinMedica Instant Bright Eye Cream offers immediate brightening while also supporting longer-term improvements in skin quality. With consistent use, it can help the under-eye area appear smoother, more even, and less fatigued. The under-eye area being complex, Dr. Foad explains that she often looks for products addressing multiple factors, including pigmentation, skin thinning, and light reflection.

Hydrating Eye Gel

Colorescience Total Eye 3-in-1 Treatment SPF 35, although not necessarily an eye gel, is a great product that combines hydration, and sun protection. These traits are essential but often overlooked in the eye area. Dr. Foad shares that UV exposure plays a significant role in both pigmentation and collagen breakdown, so protecting this area is just as important as treating it. It is also tinted, giving the benefits of a concealer for dark circles. Products that integrate protection with daily care tend to be the most effective long-term.

Best skincare products for your neck

Dr. Foad likes SkinMedica’s Neck Correct Neck and Décolleté Cream. This product is specifically formulated for the neck and décolletage, areas where the skin tends to be thinner and more prone to early changes. It also contains peptides that help build dermal thickness and elasticity. This supports the appearance of firmer, smoother skin. In addition, it contains the Paracress Extract. This ingredient helps decrease the appearance of platysmal bands, which age the appearance of the neck at a muscular level. Dr. Foad goes on to share that this product works best when used consistently and combined with daily SPF, maintaining health and appearance over time.

Best skincare products as treatments and tools

Lip Treatment

If you’re looking to improve overall lip quality and hydration for a fuller and smoother appearance, Dr. Foad recommends SkinMedica HA5 Smooth & Plump Lip System. Rather than creating a temporary plumping effect, it works by supporting moisture retention and improving surface texture over time. “I tend to favor this approach because it focuses on long-term lip health rather than short-term stimulation,” explains Dr. Foad.

Foot Care Treatment

When you’re battling dry cracked feet, Dr. Foad looks for product that has urea between 20 and 40 percent. This helps chemically exfoliate the skin cells, leaving your feet softer. She often recommends, Avène Cicalfate Restorative Skin Cream. This product is good for areas like the feet, where the skin barrier is frequently compromised by dryness, friction, and environmental exposure. It helps support barrier repair while creating a protective environment that allows the skin to heal more effectively. For patients dealing with cracking or persistent dryness, consistent use can significantly improve both comfort and overall skin integrity.

Depuffing Tool

Wildling Empress Platinum Facial Gua Gua Stone is a well-designed option for depuffing, particularly because of its stainless steel construction. The material naturally stays cool, which can help reduce puffiness by gently constricting blood vessels and supporting lymphatic drainage. Dr. Foad also adds that it is non-porous and easy to clean, which is important for skin health and hygiene.

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

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

How was it discovered?

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

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

How did it become a cosmetic treatment?

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

What can Botox treat?

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

What trends do you anticipate in the future?

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

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

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

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

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

Overfilled Features:

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

Looking Unnatural:

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

Migration:

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

Your Guide to Filler Success

Find a Qualified, Experienced Injector:

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

Ask For a Full-Face Assessment:

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

It’s OK To Start Small:

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

Communicate Your Goals:

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

Trust the Process (and the Timeline):

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

Other Options:

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

The Bottom Line

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

To learn more about filler or book a cosmetic consultation.

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

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

Restoring Facial Volume

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

Dr. Mona’s Recommendations:

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

Building Muscle Strength & Tone

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

Dr. Mona’s Recommendations:

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

Improving Skin Quality

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

Dr. Mona’s Recommendations:

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

Tackling Stubborn Fat

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

Dr. Mona’s Recommendations:

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

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