How to Get Rid of Scalp Acne? | Featured In First For Women

Dr. Alexandra Bowles expands upon her insights on scalp acne from her recent First For Women feature: How to Get Rid of Scalp Acne According to Top Dermatologists.

What is scalp acne?

Scalp acne is an informal term used to describe small pimples or bumps that appear on the scalp. In some cases, this is not technically true acne. Scalp acne, also known as scalp folliculitis, is a condition characterized by small, inflamed bumps on the scalp. These bumps often look similar to acne lesions on the face and body. Folliculitis is typically caused by inflammation or infection of the hair follicles. This is due to factors such as excess oil production, bacteria, yeast, or other irritants.

Scalp acne can be relatively common in both men and women, but several factors contribute to its development in women. Hormonal fluctuations, stress, certain medications, hair care products, and underlying skin conditions can cause scalp acne in women. Additionally, women may be more prone to hormonal fluctuations due to menstrual cycles, pregnancy, or menopause. These hormonal fluctuations could potentially influence the frequency and severity of scalp acne outbreaks.

What is folliculitis?

Folliculitis is an inflammation or infection of the hair follicles. It typically appears as small red or white bumps surrounded by redness. It sometimes also forms with a central area containing purulent fluid. In more severe cases, folliculitis can lead to larger, painful lesions or cysts. While sunburn itself doesn’t typically cause folliculitis directly, sunburned skin can be more vulnerable to infection and may contribute to the development of folliculitis. Similarly, excessive sweating can create a warm, moist environment that promotes bacterial or fungal growth, increasing the risk of folliculitis in affected areas.

What exactly is dandruff?

Seborrheic dermatitis, more commonly known as “dandruff,” is a common scalp condition characterized by flaking of the skin on the scalp. It typically appears as a formation of visible white or yellowish flakes. Dandruff can be caused by Malassezia fungus. This fungus is naturally present on the scalp and feeds on the oils produced by hair follicles. An overgrowth of Malassezia can lead to irritation and inflammation of the scalp, resulting in greasy yellow or white scales. These scales are what we commonly refer to as dandruff. Dandruff is not a form of acne.

Inflammation of the hair follicles does not typically cause dandruff. Instead, scalp flaking is the primary cause. Wearing hats can potentially worsen dandruff in some cases. Tight-fitting hats or helmets can trap heat and moisture against the scalp, creating an environment that is conducive to the growth of Malassezia fungus.

What is acne mechanica?

Acne mechanica is a form of acne that is caused by friction, pressure, or heat against the skin. It typically occurs in areas where there is repeated physical contact or irritation, such as the face, shoulders, or back. Acne mechanica is not usually caused by the same factors as traditional acne (such as excess oil production and bacteria), but rather by external factors that disrupt the skin barrier and lead to inflammation. Acne mechanica can appear as small, red bumps, pustules, or papules on the skin. It may resemble traditional acne, but it arises primarily from physical irritation rather than hormonal imbalances or bacterial presence on the skin. Tight clothing, backpack straps, sports gear, and other sources of friction or pressure on the skin are typical triggers for this condition.

How common is scalp skin cancer caused by the sun?

Skin cancer of the scalp caused by sun exposure is relatively common, particularly in individuals with fair skin or a history of extensive sun exposure. The most common type of skin cancers affecting the scalp are basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). While melanoma can develop on the scalp, it’s not as prevalent as non-melanoma skin cancers such as BCC and SCC in this area. Areas exposed to the sun like the face, neck, arms and legs are commonly associated with melanoma. However, it can occur anywhere on the body, including the scalp.When melanoma develops on the scalp, it may present as an irregularly shaped mole or lesion that is asymmetrical, has uneven borders, exhibits various colors, and may change in size or appearance over time. It’s very important to protect your scalp from the sun whether that is with sunscreen or wearing hats.

How Does EmFace Work?

As seen in the October 2022 issue of Cincinnati Magazine.

Cincinnati is one of only a few cities in the country to have the newest technology in non-surgical anti-aging. In the fall of 2022, Mona Dermatology in Kenwood premiered the new “EmFace” treatment. It was one of three locations in Ohio–and the only one in Cincinnati–selected to launch this new technology.

How does EmFace work?

EmFace is the newest device from BTL, the makers of the popular body-sculpting treatment EmSculpt Neo. EmFace will use a patented technology of muscle contraction and skin tissue heating to tighten, lift and rejuvenate facial skin in a way that no other treatment has before.

Is this a new method?

Skin tissue heating has been a pillar of the aesthetics industry for years. Whether through RadioFrequency, Ultrasound, or lasers, heating the tissue in the skin creates injury and results in an increase in collagen and elastin production. Over time, this can make skin look tighter, reduce wrinkles, and give an overall more youthful appearance. Muscle contraction for the face is a new innovation, but it is rooted in equally strong science. EmFace uses High Frequency Electrical Stimulation (HIFES) technology to tighten the muscle layer as well as radiofrequency to build collagen and tighten the skin overlying the muscle.

Who can benefit from EmFace?

As we get older, we start losing the support structures of our skin, bone, muscle, fat, and collagen. Currently, we replace lost volume with fillers, tighten and lift loose skin with radiofrequency or ultrasound. We also repair sun damaged skin with lasers, lights and chemical peels. Up to this point, we have not had anything that could safely address one of our skin’s basic support structures, the muscle layer. EmFace will be a first-of-its-kind procedure to address this important component in facial aging.

“For years, non-invasive treatments that use RadioFrequency or Ultrasound technology have been some of my favorite options for patients that want to tighten skin, build collagen, and continue to look and feel their best.” shares Dr. Mona Foad. “When I first heard about this technology I knew that this would revolutionize our non-surgical treatment of the aging face. I am so excited to be bringing our patients the EmFace device because it will take this incredible technology a step further as we lift and tighten muscle and skin to reverse the signs of aging in this no downtime and painless procedure.”

Your Guide to Body Sculpting Treatments

As seen in the March 2023 issue of Cincinnati Magazine.

How much fat reduction can you expect from body sculpting treatments?

An EmSculpt Neo treatment combines radio frequency to tighten the skin and destroy fat cells, as well as high intensity focused electromagnetic (HIFEM) energy to build muscle. During the treatment, you will feel a warm sensation from the heat transmitted from the radio frequency while also feeling muscle contractions (equivalent to 20,000 crunches in one treatment). On average, 30% fat reduction and 25% muscle growth is achieved. The best part: there is no downtime with this treatment option! “Tapping” cycles within the treatment break up the lactic acid within the muscles. This is the cause of soreness after your normal gym workout.

CoolSculpting Elite treatments are ideal for those that would like to target focused areas of fat reduction. This option provides the opportunity to truly individualize the treatment plan by mapping out the specific placement of each applicator. It is also a fantastic option for targeting specific stubborn areas of fat. CoolSculpting utilizes cryolipolysis to eliminate fat through cold temperatures. On average, 20-25% reduction in fat can be expected to each area. Mild swelling, bruising, or tenderness can occur in the treatment area, resolving after 2 weeks on average.

– Brooke Stinnette, RN BSN

What is the difference between fat reduction treatments and toning treatments?

“Coolsculpting Elite is strictly a fat reduction treatment. It uses cooling technology to target trouble areas like the backs of the arms. Women specifically can struggle with these areas because of their genetics and no matter how much you might workout, they cannot achieve the results they want. CoolSculpting Elite has one main job and that is to get rid of fat and it is very targeted to the treatment area. EmSculpt Neo on the other hand does a few different jobs. It is going to treat major muscle groups such as your abdomen wall to tighten your tummy, or your glutes to plump up your booty. While it is building your muscles, EmSculpt Neo is also using radio frequency for fat loss and skin tightening. By building muscle, you will also more efficiently burn fat. Simply put, Coolsculpting helps to debulk fat and Emsculpt Neo helps you define muscles.

– Amanda Schmidt, LME

What benefits are there to doing a toning treatment?

Doing a toning and tightening procedure, such as EmSculpt Neo, includes many benefits. The procedure itself engages muscle to its full potential allowing it to strengthen, grow, and heal quicker if injured. When treating the abdomen, for example, the core muscles are strengthened. This can improve posture and diastasis recti. Patients may see some of the same benefits of strength training from doing a toning treatment, such as reduced back pain, reduced risk of injury and improved mobility.

Emsculpt Neo is a great treatment for people young and old, and not just for those who want a more toned body. As we age, our ability to build muscle declines. We lose about 3-8% of our muscle mass per decade after the age of 30, and even more after the age of 60. Emsculpt Neo is an antiaging secret that can actually help rebuild the muscle mass that we lose with age.

– Chloe Dedden, RN BSN

What do providers love about body sculpting treatments?

Amanda says, “EmSculpt Neo treatments helped to strengthen my core and almost completely resolved my back pain and diastasis recti that I experienced postpartum. I also love the skin tightening and improved appearance of stretch marks that my patients have gotten.”
Chloe says, “Working out, eating healthy, and living an overall healthy lifestyle is necessary for mental health but to have the option to do a treatment that increases results and/or boost your confidence to get you to your goal is amazing!”
Brooke says, “I love that EmSculpt Neo and CoolSculpting Elite treatments can complement each other to meet each person’s unique needs.”

Cryotherapy Skincare 101 | Featured In Good Housekeeping

Dr. Mona Foad expands upon the insights she shared in her recent Good Housekeeping feature: Your Summer Beauty Survival Guide.

What is cryotherapy skincare?

Cryotherapy skincare is a cold therapy that uses extremely cold temperatures to treat various conditions and improve skin health. There are multiple methods for cryotherapy: cryogenic chambers, cryo facials, cryo tools, or cryo masks. The cold temperature constricts blood vessels, reduces inflammation, tightens pores, and promotes collagen production, improving skin tone and texture. It’s often used for rejuvenation, reducing puffiness, and decreasing inflammation.

What are the benefits of cryotherapy skincare, and how does it work?

There are several potential benefits regarding how cryotherapy works on the skin. When the skin is cooled it causes the blood vessels to constrict. This constriction reduces blood flow to the area, which can help decrease inflammation and swelling, which is particularly beneficial for conditions like acne or rosacea. Cold temperatures also help to tighten the skin and reduce pores by contracting the skin temporarily, leading to a temporary tightening effect.

While cold temperatures initially constrict blood vessels, blood flow increases once the skin warms up again, leading to improved circulation. This can contribute to healthier, more radiant-looking skin by delivering essential nutrients and oxygen to the skin cells. The cold temperature can also stimulate blood circulation and lymphatic drainage, which may help eliminate toxins and debris from the skin, resulting in a clearer, brighter complexion.

What skin types is cryotherapy skincare best for?

Cryotherapy skincare can benefit various skin types, but its effectiveness may vary depending on skin conditions and concerns. Cryotherapy can benefit oily or acne-prone skin due to its ability to reduce inflammation, minimize pore size, and temporarily decrease oil production. Cold temperatures can help soothe acne-related inflammation and redness while providing a refreshing sensation. Cryomodulation is a newer treatment that targets disorders of inflammation such as rosacea and melasma. It downregulates inflammation by decreasing pro-inflammatory mediators and increasing anti-inflammatory mediators. Melanin transfer is impaired, and pigmentation is normalized to help even out skin tone. Individuals with sensitive skin may also find cryotherapy skincare beneficial, mainly if the treatments are gentle and tailored to their specific needs. Cryotherapy can help calm sensitive skin by reducing redness, inflammation, and discomfort.

Cryotherapy skincare can temporarily benefit combination skin, addressing various concerns such as oiliness, enlarged pores, and inflammation. However, it’s essential to customize cryotherapy treatments to target specific areas of concern without over-drying or irritating other parts of the face. Individuals with normal skin may also benefit from cryotherapy skincare, which includes improved circulation, brighter complexion, and temporary pore reduction.

Is there anyone who shouldn’t use cryotherapy skincare?

While cryotherapy skincare can offer several benefits for many individuals, certain situations and conditions may not be suitable or advisable. For example, individuals with cryoglobulinemia, a rare condition characterized by abnormal proteins in the blood that thicken in cold temperatures, should avoid cryotherapy. Exposure to cold temperatures can trigger symptoms such as skin lesions, joint pain, and numbness in these individuals. Some people may have cold urticaria or cold-induced hives, a condition characterized by an allergic reaction to cold temperatures. Cryotherapy can exacerbate symptoms in individuals with this condition, leading to itching, swelling, and hives.

People with poor circulation, particularly in the extremities, may be at risk of complications from cryotherapy due to reduced blood flow. Cold temperatures can further constrict blood vessels, potentially exacerbating circulation issues and causing discomfort or tissue damage. Individuals with

peripheral neuropathy or other nerve damage should avoid cryotherapy, as they may have decreased sensation and impaired ability to detect cold-related injuries. If you have open wounds or skin infections, you should avoid cryotherapy as the cold temperatures can slow down the healing process and increase the risk of infection. Individuals with heart conditions or who are pregnant should consult with their healthcare provider before undergoing cryotherapy.

Do you think cryotherapy skincare is effective?

The effectiveness of cryotherapy skincare can vary depending on individual factors such as skin type, concerns, and the specific treatment protocol used. While some people may experience temporary improvements in skin texture, tone, and overall appearance, others may not see significant results.

Many people report positive outcomes immediately after undergoing cryotherapy treatments, including reduced inflammation, improved skin firmness, and a brighter complexion. However, we have limited research on the efficacy of cryotherapy skincare. We will need to conduct more studies to fully understand its benefits and mechanisms of action. There is not enough evidence to support the use of whole-body cryotherapy (WBC), and the American Academy of Dermatology warns against the use of this, citing reported injuries such as frostbite, frozen limbs, and rashes. Whole-body cryotherapy has been used to decrease muscle soreness and inflammation in athletes, but there is not enough evidence to support its use in the aesthetic world at this time, and the FDA has not cleared or approved WBC as a safe or effective treatment for any medical condition.

What cryotherapy skincare products do you recommend?

When choosing cryotherapy skincare products, consider your skin type, concerns, and any specific ingredients or formulations that you prefer. I always recommend to my patients to patch test new products before using them extensively, especially if they have sensitive skin or allergies.

Some popular cryotherapy skincare products that have received positive user reviews include Cryo facial tools, Cryo Masks, Cryo Serums and Moisturizers, and Cryo Facials.

I like cryo facial tools, such as cryo rollers or cryo globes. These devices deliver the benefits of cold therapy to the skin in an at-home setting. Brands like StackedSkincare and ESARORA offer cryo facial tools that can massage the skin, reduce puffiness, and promote circulation. Results are temporary, but these can make your skin feel more refreshed.

Cryo masks are formulated with ingredients that provide a cooling effect on the skin, but they are not actually cryotherapy. Ingredients such as menthol, peppermint, or eucalyptus can feel cooling and may help to soothe and refresh the skin, but these are not actual cryotherapy treatments. Always make sure to test products on non-facial skin to make sure you do not develop an allergic reaction.

Some skincare brands offer serums and moisturizers that aim to deliver the benefits of cold therapy to the skin, but not the actual cold therapy. These products may contain ingredients like hyaluronic acid, antioxidants, and botanical extracts to hydrate, soothe, and rejuvenate the skin.

Many spas and skincare clinics also offer cryo facial treatments. During a cryo facial, a trained esthetician uses a cryo wand or cryo probe to apply cold temperatures to the skin, providing various benefits such as reduced inflammation, improved circulation, and a brighter complexion. One option that we offer at our office is Glacial Rx. Glacial Rx is a medical-grade facial treatment that uses Cryomodulation to decrease inflammation and target pigment. This can help treat rosacea, melasma. We also use cryo facials to decrease inflammation after laser treatment.

How to Pick a Provider | Botox Provider Near Me

As seen in the January 2024 issue of Cincinnati Magazine.

With the start of a new year, you may also be thinking about new ways you wish to care for yourself. If cosmetic treatments are on your list, choosing the right laser, filler, or Botox provider will be a critical first step. The board-certified team at Mona Dermatology shares their top tips for what to look for when choosing a provider, whether you are looking for a dermatologist in Cincinnati or elsewhere.

The #1 thing to remember is that cosmetic treatments are still medical procedures. Oftentimes, we perceive popular treatments as easy to perform and risk-free. Serious side effects, including infections, compromised veins or arteries, tissue damage, scars, burns, pigmentation disorders, and more can occur. These side effects are always a possibility with any cosmetic treatment, but are much more likely when consumers visit untrained, unqualified practitioners. Just as you would for any other medical procedure, we recommend choosing an experienced and qualified provider to perform your cosmetic treatments.

What To Look For in a Botox Provider, Filler Provider, or Cosmetic Provider:

Credentials

Start by looking for a credentialed provider with extensive experience and training in the cosmetic field. The office you are visiting should be led by a board-certified physician that is trained in facial anatomy, such as a dermatologist or plastic surgeon. This directing physician will ensure that proper safety protocols are being followed within the office, and even if they are not the one performing your treatment, they are on-site in the rare case that something may go wrong. At Mona Dermatology, all providers hold advanced medical degrees: Doctor of Medicine (MD), Doctor of Osteopathy (DO), Nurse Practitioner (NP), or Physician Assistant (PA). Not only do they receive months of extensive cosmetic training prior to treating patients, they also receive ongoing education in the medical aesthetics field.

Experience

Look for a provider with experience in the treatment you are seeking. How many treatments of this kind have they given? What kind of training have they received? At Mona Dermatology, our providers see over 7,000 skin exams, 4,000 botox appointments, 1,000 filler appointments and 2,000 laser/light appointments combined in any given year.

Results

As the saying goes, ‘beauty is in the eye of the beholder,’ and the same is true for cosmetic treatments. It can be helpful to select a provider who specializes in giving the type of results that you seek to achieve. Some ways to research this would include asking to see before and after photos, following the office or provider on social media, or even seeing what the staff and providers’ results look like. At Mona Dermatology, we specialize in creating natural-looking results.

Price

If the cost of a treatment seems too good to be true, it probably is! Oftentimes, heavily discounted procedures are being performed by non-medical personnel or less experienced providers. Cosmetic treatments require extensive training and experience to achieve safe and optimal results. Saving money on a treatment in the short-term could end up costing you more if a complication occurs.

Questions to Ask

Before having a procedure, it’s important to get to know your provider and ask them questions to learn more. Consider asking why you are a good candidate for this treatment, what you should expect during the treatment, what results may be, what the risks are, who will perform your treatment, and what will happen if complications arise. On the other hand, your provider should also be asking what you are hoping to achieve to make sure you are both on the same page. Don’t forget that they should also be asking you for your medical history, medications you are on, and allergies you may have.

Adapted from the American Society of Dermatologic Surgery (ASDS)

Skincare Christmas Gifts for the Women In Your Life

As seen in the December 2o23 issue of Cincinnati Magazine.

Looking for Christmas gifts for the women you love? Mona Dermatology’s provider team shares what skincare treatments and products they’re adding to their wish lists for this upcoming holiday season.

Dr. Mona S. Foad

“I would love to be gifted a tightening treatment to slow down my aging, like Sofwave, and a facial treatment to give me that immediate glow for the holiday season, such as Diamond Glow.”

Learn more about Mona

Dr. Alexandra Bowles

“If I could give someone a skin gift, it would be the gift of bright and smooth skin! Combining a good skin care regimen of sunscreen, vitamin C, and retinol with regular Botox treatments can do just that.”

Learn more about Alexandra

Taylor Wojniak, CNP

“I would love to be gifted injectable treatments like Botox and filler to get ready for the upcoming holiday season. These treatments have little downtime and help create a more balanced and refreshed look.”

Learn more about Taylor

Jessica Watkins, PA-C

“I would love to be gifted a microneedling session with Botox and skinvive! I can do it all in one day and is the perfect cure for winter blues!”

Learn more about Jessica

Brooke Stinnette, CNP

“I would love to be gifted hydrating treatments such as Skinvive and an oxygen facial to prepare my skin for the cold, dry winter that is to come!”

Learn more about Brooke

Anna Luning, CNP

“A gift I would love this holiday season would be a Skinvive treatment to keep my skin hydrated and glowing all winter long, especially for the holidays! And don’t forget about skin care stocking stuffers like HA5 or a favorite moisturizer to give an added boost.”

Learn more about Anna

Megan Niese, PA-C

“Skinvive would be my perfect gift around the holidays. It’s a new microdroplet injectable that increases hydration to improve smoothness, providing a lasting glow. Also, winter break is also a great time to do a laser treatment such as Halo, so you can allow for some downtime.”

Learn More About Megan

Vitamin C Serums for Women Over 50 | Featured In First of Women

Dr. Mona Foad and Dr. Alexandra Bowles expand upon the insights they shared in their recent feature in First of Women: 8 Best Vitamin C Serums for Women Over 50: Brighten Skin, Smooth Wrinkles + More.

What are the benefits of a vitamin C serum?

Dr. Mona Foad

Vitamin C serum has numerous benefits for the skin and is a popular choice in many skincare routines. This powerful antioxidant helps protect the skin by neutralizing free radicals caused by environmental stressors such as UV radiation and pollution. This protection can help prevent premature aging and damage to the skin. It’s also essential for collagen synthesis, a protein that provides structure and elasticity to the skin. By stimulating collagen production, vitamin C can help improve skin firmness and reduce the appearance of fine lines and wrinkles. Vitamin C can also help brighten the complexion by reducing melanin production, the pigment responsible for dark spots and hyperpigmentation. Additionally, it has been shown to help improve skin hydration by enhancing the skin’s moisture barrier. This can result in softer, smoother skin with improved texture.

Dr. Alexandra Bowles

There are plenty of benefits to using vitamin C on your skin. Not only does it help to hydrate and brighten the skin, but it also acts as an anti-inflammatory agent through its antioxidant capacity to soothe the skin and reduce puffiness. Vitamin C serums can help smooth fine lines by plumping and hydrating the under-eye area. Doing so helps to reduce the appearance of dark circles under the eyes. While not a substitute for sunscreen, vitamin C can enhance the effectiveness of sunscreens by providing additional protection against UV damage. It helps to neutralize free radicals generated by UV exposure and can reduce the risk of sunburn. Moreover, vitamin C is crucial in the skin’s natural healing process. It can help promote faster wound healing and reduce inflammation, making it beneficial for acne-prone skin and other skin conditions.

What to look for in a vitamin C serum

Dr. Mona Foad

Different forms of vitamin C are used in skincare products, each with its own benefits and stability. Some common forms include:

L-ascorbic acid (the most researched and potent form)
- L-ascorbic acid is the pure form of vitamin C. Although it can be very effective, it can also be unstable and prone to oxidation. It can also cause irritation to the skin.
Ascorbyl palmitate
- Sodium ascorbyl phosphate is a water-soluble form of vitamin C, like l-ascorbic acid. Although it is more stable and more gentle on the skin, it is not as effective as l-ascorbic acid.
Tetrahexyldecyl ascorbate
- Ascorbyl palmitate is an oil-soluble form of vitamin C that is more stable than L-ascorbic acid. It is less likely to irritate your skin.
Sodium ascorbyl phosphate
- Tetrahexyldecyl ascorbate is also a more stable, oil-soluble form of vitamin C.

Oil-soluble forms of vitamin C penetrate the skin better than L-ascorbic acid. I look for serums with stabilized forms of vitamin C such as Ascorbyl palmitate, Tetrahexyldecyl ascorbate, or encapsulated formulas to maintain potency.

Another thing to consider is the concentration level. Serum vitamin C concentration can vary, typically ranging from 5% to 20%. Higher concentrations may provide more noticeable results but can also increase the risk of irritation, especially for sensitive skin. Start with a lower concentration and gradually increase if your skin tolerates it well.

Also necessary to consider is the pH level of Vitamin C. Vitamin C is most effective at a pH level below 3.5. Look for serums with a pH between 2.5 and 3.5 to ensure optimal absorption and stability of vitamin C. Look for vitamin C serums that have ferulic acid and vitamin E which can help stabilize and increase penetration of whatever vitamin C you are using.

Dr. Alexandra Bowles

When choosing a vitamin C serum, it’s important to consider several factors to ensure its effectiveness and compatibility with your skin. Look for serums that contain other beneficial ingredients like:

Hyaluronic acid: for hydration
Niacinamide: for brightening and anti-inflammatory effects
Antioxidants (such as vitamin E or ferulic acid): can enhance the effectiveness of vitamin C
Peptides: for collagen production

Consider your skin’s specific needs and look for serums that contain complementary ingredients. Consider your skin type and preferences when selecting a serum texture. Vitamin C serums come in various consistencies, including lightweight liquids, gel-like textures, and creamy formulations. Choose a texture that feels comfortable on your skin and integrates well into your skincare routine.

Tips for using a vitamin C serum:

Dr. Mona Foad

To maximize the benefits of a vitamin C serum and ensure its effectiveness, it’s important to use it correctly in your skincare routine. I like to use both Vitamin C and antioxidants in my morning skincare routine. Start by cleansing your face with a gentle cleanser to remove dirt, oil, and impurities. Pat your skin dry with a clean towel. If you use a toner in your skincare routine, apply it after cleansing and before applying the vitamin C serum. Toners can help balance the skin’s pH levels and prepare it to absorb the serum better. Dispense a pea-sized amount of the vitamin C serum onto your fingertips. Gently massage the serum onto your face and neck, using upward and outward strokes. Avoid the eye area unless the serum is specifically formulated for use around the eyes.

Give the serum a couple of minutes to fully absorb into your skin before proceeding with the next step in your skincare routine. This allows vitamin C to penetrate the skin and exert its effects. Apply your regular serums to address other concerns and a moisturizer to lock in hydration and further nourish the skin. Choose a moisturizer suitable for your skin type. Finish off your skincare routine with a broad-spectrum sunscreen to further protect your skin. Incorporate the vitamin C serum into your skincare routine daily for optimal results. Consistency is vital to seeing improvements in your skin’s tone, texture, and overall appearance.

Dr. Alexandra Bowles

It’s generally recommended to use vitamin C serum in the morning as part of your daytime skincare routine, as it can provide antioxidant protection against environmental stressors like UV radiation and pollution. If you’re applying the vitamin C serum in your morning skincare routine, finish with a broad-spectrum sunscreen with SPF 30 or higher. Vitamin C can enhance the effectiveness of sunscreen and provide additional protection against UV damage. If you prefer to use vitamin C at night, you can still reap its benefits for collagen production and skin repair. If you’re new to using vitamin C serum or have sensitive skin, start by using it every other day and gradually increase to daily use as your skin adjusts. Monitor your skin for any signs of irritation. If you experience redness, itching, or discomfort, reduce the frequency of use or discontinue use altogether.

What are three of the best antioxidant serums?

Best Overall: SkinMedica Vitamin C+E Complex

Dr. Mona: “I recommend SkinMedica’s Vitamin C+E Complex to my patients because it uses tetrahexyldecyl ascorbate, which is a more stable, oil-soluble form of vitamin C that can penetrate the skin better than a water-soluble form and causes less skin irritation. It improves the appearance of skin tone and texture by gradually releasing vitamins C and E throughout the day to help prevent free radical damage. It also helps to enhance skin brightness for a more youthful appearance.”

Best Splurge: SkinMedica Lumvive System

Dr. Mona: “Although Vitamin C is a fantastic antioxidant, there are many other antioxidants that have significant benefits. These can include protecting the skin, preventing environmental effects on aging skin, and helping to brighten and illuminate the skin. My favorite non-vitamin C antioxidant product is SkinMedica Lumivive System which is an antioxidant system that both helps to protect your skin during the day and repair the damage that was done while you sleep. This formulation of antioxidants is the next generation of ways to protect our skin and prevent the signs of aging.”

Best Drugstore: La Roche-Posay Vitamin C Serum 10%

Dr. Mona: “For a drugstore serum, I would recommend either La Roche-Posay’s Vitamin C Serum 10% or Pure Vitamin C Face Cream. These are both budget-friendly options that don’t compromise on quality. The 10% Pure Vitamin C Serum from La Roche Posay is good for acne-prone patients. I like that it is formulated with the water-soluble form of vitamin C (ascorbic acid). It also contains some salicylic acid to help with acne and exfoliation. The Pure Vitamin C Face Cream is formulated with 5% vitamin C and hyaluronic acid. It also contains Madecassoside, a derivative of Centella Asiatica, which has healing properties.

“For a true vitamin C, I recommend Phloretin CF with Ferulic Acid. This highly potent and effective vitamin C serum combines 10% L-ascorbic acid with 2% phloretin and 0.5% ferulic acid for enhanced antioxidant protection and collagen synthesis. It helps brighten the skin, reduce fine lines and wrinkles, and protect against environmental damage. Despite being pricier, its efficacy and proven results make it a favorite among skincare enthusiasts and professionals.”

Best Vitamin C with SPF: ColoreScience Total Protection Face Shield

Dr. Alexandra:”I always advise my patients to wear sunscreen to protect their skin’s appearance and health. I often recommend ColoreScience Total Protection Face Shield (Glow) as the best vitamin C serum with SPF. This antioxidant-rich mineral protector protects against UVA/UVB, pollution, blue light, and infrared radiation. The formula is hydrating while providing a pearlescent, illuminating skin glow.”

Best Vitamin C for Dry Skin: SkinMedica Dermal Repair Cream

Dr. Alexandra: “For individuals with dry skin, I recommend SkinMedica Dermal Repair Cream as the best vitamin C product for dry skin. With an elegant cream base, this product visibly improves uneven tone, radiance, elasticity, and firmness without irritation. With vitamin C, vitamin E, and hyaluronic acid, this product brightens the skin and improves sun damage while hydrating the skin.

Best Vitamin C for Sensitive Skin: SkinCeuticals Silymarin CF

As for a vitamin C serum for sensitive skin, SkinCeuticals Silymarin CF is a patented daytime vitamin C antioxidant face serum that provides advanced environmental protection and diminishes the appearance of fine lines and discoloration.”

Summer Skin Care Tips

As seen in the July 2023 issue of Cincinnati Magazine.

The well-trained team of providers at Mona Dermatology share their favorite summer skin care tips!

Brooke Stinnette, RN

“Don’t neglect your neck; future you will thank you! Be sure to extend the application of any skincare products, SPF included, to your neck daily.”

Learn more about Brooke

Alexandra Bowles, DO

“With summer upon us, my biggest tip is to make sunscreen a part of your daily routine. Sunscreen helps prevent skin cancer, reverse signs of aging, and improve dyspigmentation.”

Learn more about Alexandra

Jessica Watkins, PA-C

For summer, go shopping for a new hat you’re excited to wear! Then, stash a small sunscreen in your typical places so that you won’t be stuck without it when you find yourself in unexpected sun exposure! Think your purses, car, gym bag, and office!

Learn more about Jessica

Anna Luning, CNP

Antioxidants are vital for your summer skin care routine to protect your skin from increased UV exposure, which is also the number one cause of aging in the skin. My favorite is Skinceuticals Silymarin!

Learn more about Anna

Mona S. Foad, MD

With summer comes more sun exposure: my go-to sunscreen for protecting against sun damage is ColoreScience Glow. I also love doing tightening treatments, like Sofwave, EmFace or Thermage, in the summer because sun exposure is not a factor.

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Taylor Ford, CNP

“During summer months, the sun and heat can dry our skin out if we don’t hydrate properly. Although you may feel more oily at times in the summer, it’s still important to keep skin hydrated with a good moisturizer and make a point to increase water intake.”

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Megan Niese, PA-C

“Limit sun exposure during the strongest time of day from 10am-4pm. When you are out, a nice option in addition to your sunscreen is to wear UPF clothing that is specifically designed to block ultraviolet rays.”

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What is Ellacor Micro-coring?

As seen in the October 2023 issue of Cincinnati Magazine.

Micro-coring technology reduces loose skin and wrinkles without surgery, but what is it? The board-certified provider team at Mona Dermatology answers all your questions about this revolutionary treatment.

Who is Ellacor a good treatment for?

Ellacor micro-coring is good for anyone with fine lines and wrinkles in the cheeks or lower face, as well as for people who have moderate lower face and neck laxity. It is also a great treatment for acne scarring because it actually removes some of the scars. This is a great alternative to traditional acne scarring treatments, such as lasers or microneedling, that typically just build collagen.

How is this different from microneedling?

Micro-coring may sound like microneedling but they are very different treatments. Microneedling uses small needles to create a small injury in the skin, whereas micro-coring uses hollow needles to actually “core” out a percentage of skin. This is an innovative and unprecedented alternative to surgery.

How is this different from a laser treatment?

Ellacor is most similar to a fractional laser resurfacing where a “fraction” of the skin is treated so that the untreated skin helps to heal the treated area faster. The difference is that Ellacor actually cores out and removes a percentage of skin without delivering heat to the treated area. Laser resurfacing is still a great option for treating sun damage, texture, pore size and general full face rejuvenation but Ellacor will deliver more compelling results for concerns such as loose skin and wrinkles.

When is someone a candidate for surgery vs. Ellacor?

Ellacor micro-coring removes anywhere from 1-8% of loose skin on the lower face and neck without the downtime of surgery. It is a great treatment for mild to moderate skin laxity, but if you have more severe loose skin, surgery may be a better option. It is always best to have a consultation to determine which option is best for you.

What is the downtime?

You will be swollen for 2-3 days and can see stamp marks from the micro-coring for anywhere from 1-3 weeks. Makeup can be applied to the treated area after a week. It is very important to avoid sun exposure and use approved skin care products during your healing process.

When will you see results?

Your skin will become firmer and tighter over the next 3-6 months as collagen builds leaving you with firmer and smoother skin. Some patients may see best results after having a series of 3 treatments.

Quick Facts:

Ellacor has been recognized in the Innovation Category for Best Non Surgical Skin-Removal Procedure by NewBeauty.
Mona Dermatology is the first office in the Tri-State area to offer Ellacor
90% of patients showed improvements in moderate to severe wrinkles

How It Works:

The internal diameter of each needle is less than 0.5mm, which is below the threshold for scarring.
The device precisely moves these needles across the treatment area, removing micro-cores of skin as it goes.
A 10mm square area can be treated in less than three seconds, which means the entire procedure is typically finished within in less than 30 minutes.
After the procedure, the body’s natural healing response goes into effect as the skin quickly realigns to close the cores, improving skin architecture in the process.

6 Best Wart Treatments | Featured In Very Well Health

Dr. Mona Foad expands upon her insights shared in her recent Very Well Health feature, The 6 Best Wart Treatments.

What are warts and why do people get them?

Warts, or verruca, are small, grainy, bump-like growths that develop on the skin. They are especially common in areas like the hands and feet. Warts are caused by strains of the human papillomavirus (HPV). There are many different types of warts, including common warts, flat warts, plantar warts, filiform warts, and genital warts. All types of warts can vary in appearance and location.

Common warts usually grow on the hands, fingers, and around the nails.
Flat warts typically develop on the face, arms, or legs and are generally smaller and smoother.
Plantar warts grow on the soles of the feet. These can be very painful while walking or standing.
Filiform warts often appear on eyelids, lips, face, or neck.
Genital warts are typically sexually transmitted and grow on and around the genital and anal areas.

Warts are transmitted through direct contact with the virus. This can occur through skin-to-skin contact with a person who has warts or by coming in contact with surfaces or objects that the virus has infected. Warts tend to be more prevalent among children and teenagers because their immune systems are still developing and, therefore, not strong enough to combat the virus. Additionally, some people are more susceptible to the virus because their genetic makeup and immune system are not as equipped to fight the virus when they come in contact with it. For example, it’s quite common to see warts on multiple siblings in the same family or children of parents who had warts as children.

Over-the-counter wart removal options

Two of the most recommended over-the-counter wart removal options include products with Salicylic Acid and Cryotherapy (freezing) products. Salicylic acid products come in a range of formulations, including liquids, gels, pads, and plasters, each designed to gradually dissolve the wart tissue. A popular OTC salicylic acid treatment that I like to recommend is either Compound W® One Step Pads or Dr. Scholl’s ClearAway Wart Remover. Both of these have salicylic acid in an easy-to-apply bandage and can be effective, non-painful ways to decrease the size and potentially remove warts.

OTC freezing products usually come in the form of a spray. By spraying the product directly onto the warts, the tissue is frozen and killed. These products commonly contain dimethyl ether or propane. These cold substances freeze the wart, causing it to turn into a blister, and ultimately fall off. For these types of products, I like to recommend Compound W Freeze Off or Dr. Scholl’s Freeze Away. Although this can be an effective way to remove smaller warts, it can be a more painful process than the salicylic acid options and generally does not work on larger warts or plantar warts, which go deeper into the skin.

In-office wart removal options

There are also in-office and prescription treatments for warts that might be more resistant or difficult to treat with OTC products. The most common treatment used by most dermatologists is cryotherapy, or freezing therapy, which involves using liquid nitrogen to freeze the wart. The liquid nitrogen used in an office setting is more effective than the OTC freezing options. Only a trained professional should use liquid nitrogen. With this treatment, the wart will blister and eventually fall off.

Another in-office procedure that we use to treat small warts is electrosurgery. We place a thin, needle-like tip on the wart that burns and kills the skin cells. Lasers can also be an effective way to treat warts. A pulse dye laser, such as a VBeam, uses a specific wavelength to target and shut off the blood supply that feeds the wart. The treated wart turns purple or black and falls off.

We can also use injections for stubborn and hard-to-treat warts. These can include 5-fluorouracil, bleomycin, and candida. Only a trained professional should perform these injections to minimize damage to the surrounding tissue. Although we can surgically cut out warts, this is not an effective treatment because they tend to recur at the edge of the excision site. Any method, no matter whether at home or in the office, may require several treatments to effectively remove the wart.

What products/ingredients are most effective at removing warts at home?

Over-the-counter (OTC) wart removal products usually include salicylic acid or freezing agents (cryotherapy) as the main ingredient. Most wart treatments focus on removing the top layers of skin where the warts reside. Warts and plantar warts are commonly treated with salicylic acid. It is slowly absorbed into the skin and causes the skin cells that contain the wart to shed and peel off. By softening the hardened skin of the wart, salicylic acid products effectively destroy the wart without causing significant damage to the surrounding skin. OTC salicylic acid products range in strength from 17% to 40% and can come in the forms of liquids, gels, and pads

Freezing agents, such as dimethyl ether, isobutane, or propane, work by quickly freezing and destroying both the wart tissue and a small area of normal skin around the wart, causing it to dry out and eventually fall off. These products can be effective in treating common warts. However, it is necessary to perform several treatments to remove the wart entirely. Plantar warts, on the other hand, go deeper into the skin of the foot and are harder to treat. For this reason, freezing agents may not be as successful on plantar warts.