Choosing A Facial Cleansing Brush | Featured in Allure

Mona S. Foad, M.D., MHS FAAD and Dr. Alexandra Bowles expand upon their insights on how to find the best facial cleansing brush, from their recent Allure feature. From recommendations to tips and tricks, read more about how you can clear every pore on your skin!

What are facial cleansing brushes and how do they work?

“Facial cleansing brushes are a great way to get a deeper clean than just using your hands or a washcloth,” shares Dr. Bowles. There are a few different types of facial cleaning brushes depending on what you’re looking for. The doctors share their thoughts on each kind below.

Silicone brushes:

Dr. Mona: Silicone brushes are very gentle, with soft bristles to clean your skin. Great for sensitive skin, but they’re usually a bit more expensive. The nice things about silicone brushes are they are easier to clean than regular brushes and are less likely to harbor bacteria or mold.
Dr. Alexandra: Silicone brushes use soft bristles to cleanse, making them the perfect choice for sensitive skin. They are also really easy to keep clean.

Manual brushes:

Dr. Mona: Manual brushes are a more affordable option, but they are not as deep-cleaning and can even feel a little rough if you have sensitive skin.
Dr. Alexandra: Manual brushes are a more affordable option that you use by hand, but they might not be as effective as the rotating or vibrating brushes. Depending on how you use them they can be great options but can sometimes feel a bit rough if used improperly.

Rotating brushes:

Dr. Mona: Rotating brushes provide a deep clean but if you are not careful these brushes can actually harm your skin. You will also need to replace the heads often and I would not use these if you have sensitive skin.
Dr. Alexandra: Rotating brushes have heads that spin to exfoliate, so they’re great for oily or combo skin, though they can be a little harsh for sensitive skin and require regular brush replacements. They also can be too harsh and easily overused.

Vibrating brushes:

Dr. Mona: Vibrating brushes use quick vibrations to access your pores and improve circulation. Great for a thorough but gentle cleanse, but they are definitely on the pricier side. These are less damaging than a rotating brush and can also give you a deep clean. Again make sure that you are using a head that is suitable for your skin type and don’t forget to replace the heads regularly.
Dr. Alexandra: Vibrating (sonic) brushes use quick vibrations to help lift dirt and oil without rotating, so they’re gentler on the skin but tend to be a bit pricier.

Are they good for your skin?

Dr. Mona: Facial cleansing brushes can definitely be beneficial for your skin, but it does depend on your skin type and how you use them. The majority of the time, these brushes are very helpful and allow us to get a deeper clean by removing any dirt, oil, or makeup that may have built up throughout the day. These brushes also help to exfoliate the skin in a gentle way. Silicone brushes are the safest to use but may not give you as deep of a clean as a vibrating brush. Make sure you use the kind of brush best suited for your skin type and do not over do it.
Dr. Alexandra: Absolutely! When used properly, facial cleansing brushes can be great for your skin! Many find that these brushes really help to clear away dirt, makeup, and dead skin cells more effectively than just using their hands.

What are the benefits of using a facial cleansing brush? How does it compare to a cleansing done by hand?

Dr. Mona: These brushes are designed to clean your skin more deeply than if you were to clean using just your hands. The bristles in combination with movement or vibration can help to remove dirt and oil and clear from your pores more thoroughly while still being gentle enough to avoid irritation. While cleansing with your hands still allows you to reap the benefits of the topical cleanser that you are using, adding in a brush allows you to add a physical cleansing method in addition to just the benefits of the product.
Dr. Alexandra: Facial brushes add an extra level of exfoliation to help cleanse your pores and remove dirt, oil, and makeup that you build up over time. Plus, the gentle massage helps to boost circulation and gives your skin a healthy glow. Hand washing for your face washing routine is very typical and is ok, but a brush gives you consistent results and can save you some time.

Are there certain skin types that should avoid cleansing brushes? Who benefits most from a cleansing brush.

Dr. Mona: If your skin is very sensitive, a brush might be too harsh and could further irritate your skin leading to additional breakouts or rashes. For those with sensitive skin, it may be better to use a gentler cleansing brush or only use it occasionally. For those with oily skin or acne-prone skin, a facial brush may be a helpful addition to your skincare routine, as it can cleanse more thoroughly and tackle skin concerns that may be caused from dirt or oil, such as breakouts or enlarged pores.
Dr. Alexandra: Yes, some skin types should be more careful when it comes to cleansing brushes. For more sensitive skin, rosacea, or acne-prone skin, a facial brush can be too harsh and reactive. That being said, those with oily skin and acne can really benefit from cleansing brushes because they can help remove excess oil and debris.

Are they safe for sensitive skin?

Dr. Mona: Some people use these brushes without any issues, while others find the bristles way too intense and rough, which can be irritating and cause breakouts. If you have sensitive skin and you want to start using a silicone brush or a facial brush, grab one with really soft bristles and start slowly. Try it twice a week with a gentle cleanser and then increase as your skin tolerates it. Remember that stripping your skin and over-exfoliating is not necessarily a good thing.
Dr. Alexandra: While some people with sensitive skin might find these brushes helpful for getting that gentle cleanse in, others can end up feeling more irritation. If you have sensitive skin, it’s best to look for a brush specifically designed for sensitive skin, as they typically have softer bristles.

How often should you use one?

Dr. Mona: How often you use a facial brush really depends on your skin type and how your skin reacts. I recommend starting to use it once or twice a week and pay attention to how your skin looks and feels. Then increase as tolerated. Also start with a gentle cleanser so that if you do get irritated you can decipher that it is from the brush rather than the cleanser.
Dr. Alexandra: 2 to 3 times a week is a good starting point to see how your skin reacts. If you have oily or acne-prone skin, your skin might be able to handle using it more often. But if your skin is sensitive or dry, sticking to using it once or twice a week is usually a better idea to avoid irritation or overexfoliation.

How do you clean and maintain your facial cleansing brush?

Dr. Mona: After each use, just rinse the brush under warmer water to get rid of any leftover cleanser and gunk. Let it air dry completely before you stash it away to avoid any bacteria buildup.
Dr. Alexandra: Make sure to clean your brush after every use by rinsing out the bristles under warm water to get rid of any leftover product. You can also soak the brush in a mixture of warm water and vinegar once a week for a deeper clean. Make sure to let it air dry completely before using.

What facial cleansing brushes do you recommend?

Dr. Mona’s Cleansing Brush Picks:

FOREO LUNA™ 4 | Smart Facial Cleansing Device: This silicone facial brush touts a customized experience with 3 brush types for balanced, sensitive or combination skin. In addition, there are gentle, regular & deep cleanse modes for different areas of the face & neck with 16 adjustable T-Sonic pulsation intensities. It also claims to be 35x more hygienic than brushes with nylon bristles because of the silicone technology.
Michael Todd Beauty: Soniclear Elite Patented Antimicrobial Face & Body Sonic Cleansing Brush: The sonic technology allows the brush to oscillate 18,000 micro-movements per minute with 6 speed settings. The 20,000 brush bristles have rounded tips to prevent scratching and irritation, making for a gentle yet effective daily cleansing and exfoliation system for all skin types
Naturopathica Facial Cleansing Brush: This brush has ultra soft nylon bristles for a more affordable facial brush for those who want to reap the added benefits of using a cleansing tool without all the bells and whistles of an electric facial brush.

Dr. Alexandra’s Cleansing Brush Picks:

PMD Clean Silicone Brush: This product combines ultra-hygienic silicone with SonicGlow Technology that generates 7,000 vibrations per minute to deeply cleanse pores. It also has four customizable modes, allowing gentler cleaning for sensitive skin types or more intense cleaning.
Sisley Paris Gentle Brush: This is a gentle manual brush option great for all skin types. It is used by apply cleanser first then performing gentle circular motions on the face, neck, and decollete for a deeper clean.
FOREO LUNA™ 4 | Smart Facial Cleansing Device: This silicone facial brush touts a customized experience with 3 brush types for balanced, sensitive or combination skin. In addition, there are gentle, regular & deep cleanse modes for different areas of the face & neck with 16 adjustable T-Sonic pulsation intensities. It also claims to be 35x more hygienic than brushes with nylon bristles because of the silicone technology.

Cheek Filler Placement: How-To Guide

Some of us are born with sunken cheeks, while others notice facial drooping during the aging process. No matter your reasoning for seeking out a cheek filler treatment, it can lift and rejuvenate your profile to make you look and feel your best. However, every person is different. Our providers at Mona Dermatology are extensively trained in the latest filler injection techniques, allowing them to customize treatments to each patient’s unique facial structure. They are experts at facial analysis and proper placement to give you a great outcome.

Here are a few of their favorite places to use filler:

Cheekbone Filler: Rejuvenating

The cheekbones, or zygomatic bones, are one of the most well-known structures when it comes to defining the contours of your face. With age, this area suffers fat pad loss, which leads to a flat, hollow appearance. Placing fillers in the soft tissue around your cheekbones can replace lost volume and produce a rounder and more youthful appearance. For patients who have not experienced volume loss yet, cheek filler treatment can also be a great way to enhance existing facial features. By defining the profile of your cheeks, younger patients can reveal a more contoured and slender facial shape.

Before | After

Temple Filler: Lifting

Drooping cheeks create deep frown lines and the appearance of loose skin around the mouth, making your face appear more square-shaped than it is. Injecting fillers above the cheekbone can lift that drooping skin upwards to restore facial balance. Additionally, our providers may recommend pairing this lifting treatment with filler around the actual nasolabial folds, or tired lines around the nose and mouth, depending on your unique facial anatomy.

1 syringe of Juvederm Voluma XC to temples & piriform (2 additional syringes were used elsewhere on her face): Before | After

Midcheek Filler: Rounding

The midcheek area is the place to target if you’re hoping for apple cheeks, since filler in this area has a rounding and plumping effect and helps restore your face to a youthful triangle shape. Your provider may choose a filler with a higher G prime that allows your provider to achieve maximum lifting results. Alongside increasing facial volume, midcheek filler can help reduce the appearance of eye bags and dark circles, making it perfect for adult patients of all ages.

1 Syringe of Juvederm Vollure: Before | After

Lateral Cheek Filler: Defining

Who doesn’t love the appearance of a sharp and well-defined bone structure? Filler around the jawline — one of the most popular locations — can dramatically improve your profile, sharpening flat features for a more sculpted look. By combining Juvederm Volux XC, the only FDA-approved filler for the jawline, under the chin with sturdy Voluma XC to build structure in the lateral face, our expert providers pronounce your natural jawline and create an elegant facial structure.

cheek filler placement volux jawline filler before and after

4 Syringes of Juvederm Volux Treatment: Before | After

Not sure what filler treatment is best for you? Schedule a consultation with one of our providers to learn more!

Best Serums for Dry Skin | Featured in Allure

Mona S. Foad, M.D., MHS FAAD, and Dr. Alexandra Bowles were recently featured in Allure, where they share their tips on the best serums for dry skin and all-day hydration. Read more about how to implement this into your skincare routine to gain long-lasting hydration.

What causes dry skin? What’s the difference between dry and dehydrated skin?

Dr. Mona: Dry and dehydrated skin are not the same. Dry skin is a specific skin type in which your skin does not produce enough oil. This can be due to several factors, including genetics or age. Dry skin tends to feel rough, tight, or flaky and you need to be careful with the types of products you use on your skin. Dehydrated skin on the other hand happens when your skin cells do not have enough water content. Water makes up a significant part of our body and our skin cells actually need that water to stay hydrated. Your skin can become dehydrated if you have not consumed enough water or if you are using dehydrating agents on your skin. Dehydrated skin can happen even if you have oily skin.

Dr. Alexandra: Dry skin and dehydrated skin have different underlying causes. Dry skin occurs when the skin doesn’t produce enough natural oils. This can simply be genetic, or when you’re in colder weather, or even from washing your face too much. Dehydrated skin is a temporary condition that is caused when your body loses more water than it is taking in. Believe it or not, even oily skin can become dehydrated. Dehydration can also be caused by colder weather or overuse of certain skincare products.

What ingredients should you look for in a serum for dry skin?

Humectants & Glycerin

“Using a humectant is a great way to hold onto water in your skin. These agents are what we call “water grabbers” and they attract and hold onto water. Glycerin is another humectant that also helps attract water but can also be used as an occlusive to trap the moisture in your skin. It is commonly used in moisturizers for this reason.” – Dr. Mona
“Urea is a humectant that attracts moisture and helps soften rough, dry patches.” – Dr. Alexandra

Hyaluronic Acid:

“Hyaluronic acid is a great choice because it can hold up to 1,000 times its weight in water, easily giving you the hydration that you need. Hyaluronic acid is naturally occurring in our skin but as we get older these levels decrease, making it an even more important ingredient to incorporate into our skincare routine.” – Dr. Mona
“Hyaluronic acid is something that is naturally found in our bodies. It is a great hydrator as it works as a humectant and pulls water into the skin. I recommend that everyone use an HA product!” – Dr. Alexandra

Ceramides:

“Ceramides are also naturally occurring fatty acids that help to strengthen your skin’s barrier and lock in hydration as well. Maintaining a healthy skin barrier is important to establishing healthy skin.” – Dr. Mona
“Ceramides are another great component of our natural skin and play a large role in moisture retention. Ceramide-rich products are a staple in skin hydration.” – Dr. Alexandra

Other Ingredients:

“Aloe vera is a soothing option that not only hydrates but also helps calm irritation. Shea butter holds fatty acids and works to lock in moisture and repair the skin’s natural barrier. Peptides can also be great for boosting the skin’s strength and elasticity, helping to reduce dryness over time. Licorice root extract helps soothe and brighten the skin, which is perfect for sensitive, dry areas.” – Dr. Alexandra
“If you are concerned about preventing environmental damage from UV rays or pollution, adding an antioxidant into your skincare routine is vital. Antioxidants such as vitamins C and E and many others can help to protect your skin from that damage. If you are on the dry side, look for ones that have a more emollient or oil base.” – Dr. Mona

What are the specific benefits of serums when you have dry skin? How do serums differ from other skincare products for dry skin?

Dr. Mona: Serums pack a lot of active ingredients that go deeper than regular moisturizers or oils, making them a staple in a routine for dry skin. They even have smaller molecules, so they can penetrate the skin and hydrate from within, rather than just sitting on the surface. Serums with hyaluronic acid and peptides can boost hydration in dry skin rather than just using moisturizers or oils that sit on top of your skin.

Dr. Alexandra: Serums offer great benefits for dry skin because they’re designed with ingredients that hydrate and repair the skin. Unlike moisturizers, which focus more on creating a protective layer on the surface, serums can get deeper into the skin. This prevents dryness at the source. Serums absorb quickly without leaving residue. This makes them a great first step before applying your favorite moisturizer or oil to lock everything in.

How does serum fit into your routine and how often? Can serums be used with other skincare products?

Dr. Mona: Apply serums after cleansing but before your moisturizer. They soak into the skin quickly and activate all the ingredients into the skin. You can use serums up to twice a day, in the morning and at night. In the morning, you should apply it before SPF, and at night, before any heavier creams. Serums work well with other products—just remember to layer using thinner products before thicker ones. Think thin to thick.

Dr. Alexandra: Serums are best applied right after cleansing and toning, before your moisturizer. Since they’re lightweight and designed to absorb quickly, putting them on before heavier products helps them soak deeper into your skin. You can use a serum a few times a day and they layer really well with other products.

Top Picks for Dry Skin Serums:

#1 Choice by Both: SkinMedica HA5 Hydra Collagen

Dr. Mona: This serum combines five forms of hyaluronic acid to not only increase hydration but also help your skin build more of its own hyaluronic acid. This newer formulation provides instant hydration and smoothness that lasts up to 48 hours, plus the Advanced VITISENSCE® Technology helps to replenish natural humectants, including HA, and helps restore the skin’s hydration reservoir. This is good for all skin types.
Dr. Alexandra: Skinmedica’s HA product features five forms of hyaluronic acid plus a hydra collagen complex for immediate and long-lasting hydration. It is a lightweight cream-to-water serum that helps restore the skin’s natural hyaluronic acid. This is my own personal go-to HA product!

Other Serums:

La Roche-Posay Hyalu B5 Hyaluronic Acid Serum – “This serum is gentle enough for sensitive skin and helps to repair the skin’s barrier. It combines concentrated pure hyaluronic acid to build hydration, madecassoside to repair the skin barrier, and vitamin B5 to help soothe and moisturize the skin.” – Dr. Alexandra
CeraVe Hydrating Hyaluronic Acid Serum – “This serum is a great economical option because it combines hyaluronic acid with ceramides, making it a perfect serum to hydrate and restore your skin’s moisture barrier. Although this serum will not build your own hyaluronic acid, it is great daily option” – Dr. Mona.
- Dr. Alexandra agrees with this pick and adds: “Packed with both hyaluronic acid and ceramides, this affordable CeraVe product helps to refresh and bind moisture to the skin and keep it hydrated all day.”

The Ordinary Hyaluronic Acid 2% + B5 – “This is definitely a more affordable option that gives good results at a lower price point. It helps to hydrate your skin without feeling too heavy. This helps to boost immediate daily hyaluronic acid and is good for all skin types” – Dr. Mona
SkinCeuticals Hydrating B5 Gel – “This serum is a bit higher in price, but it’s worth it for an oil-free lightweight, refreshing feel and is a good option for acne-prone patients.” – Dr. Mona
Neutrogena Hydro Boost Water Gel – “This serum-gel hybrid is a great option for dry skin. It’s super refreshing and absorbs quickly because of its high concentration of hyaluronic acid.” – Dr. Alexandra

Skincare During Pregnancy | As Seen in Women’s Health

Pregnancy skin care is a hot topic and while Dr. Bowles shares general recommendations in this article, most things have never been tested in pregnancy therefore we don’t definitively know their effects on a baby. We recommend consulting your dermatologist or obstetrician (OB) before using any products in pregnancy.

Read along while Dr. Alexandra Bowles shares her insights from her Women’s Health feature on how your skin can be affected during pregnancy.

1. How exactly does a woman’s skin change during pregnancy? What are some things to keep an eye on or conditions that can occur? I know everyone is different, but generally, is pregnant skin more susceptible to anything in particular or in need of anything extra to stay healthy?

During pregnancy, a woman’s skin goes through more changes than you think. This is due to several factors, including, hormonal changes, an increase in blood volume, and other physiological factors. Lots of women experience oilier skin, leading to acne, while others may notice melasma or a dark line down the abdomen called linea nigra. Stretch marks also may develop as the belly grows, and some women may see an increase in spider veins or experience dry, itchy skin. Medical conditions like PUPPP, a rash characterized by itchy bumps, or cholestasis, a serious condition that causes intense itching, can also occur and warrants an immediate trip to the OBGYN.

To keep skin healthy, staying hydrated, using fragrance-free moisturizers, applying sunscreen, and practicing gentle cleansing are key. A balanced diet rich in vitamins and antioxidants can also support skin health. It’s essential for pregnant women to consult with a dermatologist if they experience severe skin changes and to be mindful of avoiding certain ingredients, like retinoids, during this time.

I know certain skincare products and active ingredients can be unsafe during pregnancy. For each of the following, can you explain why each is not recommended for use during pregnancy? Retinol/Tazorac/Accutane, Salicylic acid, Chemical sunscreen, Benzoyl peroxide, Hydroquinone, Essential oils.

Consider steering clear of the following products if you are pregnant or planning to become pregnant. Pregnancy skin care is a hot topic and while we have recommendations, most things have never been tested in pregnancy therefore we don’t definitively know their effects on a baby. Retinol and retinoids, a form of vitamin A, can lead to catastrophic birth defects, especially in the early months. Both Tazorac (a topical retinoid) and Accutane/isotretinoin (oral retinoid) are very powerful acne treatments that can lead to serious birth defects, so these are absolutely medications to avoid!

Salicylic acid can affect fetal development, so it’s best to avoid strong formulas like this. Even some chemical sunscreens could disrupt hormone levels and have reproductive toxicity concerns. Benzoyl peroxide might irritate your skin and do more harm than good. We really don’t even know enough about its effects during pregnancy, so it’s better to be safe. Hydroquinone, an ingredient known to lighten the skin, can get absorbed into the bloodstream and may harm your baby. Many essential oils can also cause unwanted reactions or even stimulate contractions. Again, these ingredients have not been studied in pregnancy, so if there is ever a question it is best to consult your dermatologist before using new products in pregnancy.

3. I’ve also heard that hair dye can be bad during pregnancy. Do you have any watch outs or recommendations here? Are any products in this category appropriate to use?

Hair dye could cause some potential concerns during pregnancy, though it’s usually pretty safe if you take some precautions and do your research. A lot of women actually wait until the second trimester to dye their hair since that’s when the baby’s major organs are developing. If you want to be extra cautious, consider using a semi-permanent or ammonia-free dye. When it comes to hair techniques, highlights or balayage are a great option since no dye is actually touching your scalp. If you decide to go see a stylist, you can even ask for gentle and chemical-free products.

4. Is there anything else product or ingredient-wise not listed above that should be avoided?

Certain oral medications should not be used in pregnancy. An example would be someone taking oral spironolactone for acne before conception. This should be stopped when you are expecting. Truly, the list of pregnancy-safe ingredients is short and the ‘do not use’ list is vast. Make sure you are checking with your OBGYN when questioning any particular skincare/medication/foods.

5. During pregnancy, what treatments and procedures should be avoided and why (ex. Botox, fillers, chemical peels, lasers, etc.)?

Botox and fillers contain toxins that could possibly affect the fetus, so I recommend avoiding them altogether. Chemical peels are also unsafe, as they use strong acids that can really irritate the skin and eventually may get absorbed into your system. Laser treatments can lead to an increase in pigmentation and skin sensitivity, and there’s not enough research on this to determine if it’s safe during pregnancy, therefore we typically do not recommend this. Plus, steer clear of tanning beds since they expose you to harmful UV rays and can lead to overheating as well as increase skin cancer risks later in life.

Some essential oils can also trigger contractions or allergic reactions, so it’s best to avoid those unless you’ve checked with your healthcare provider. Lastly, electrolysis and laser hair removal might not be recommended because pregnancy hormones can disrupt your skin and hair growth. Always check with your doctor before trying any cosmetic treatments during pregnancy to make sure everything’s safe!

6. Are there any safe skincare treatments for pregnancy?

There are actually a lot of safe skincare treatments you can enjoy during pregnancy. Keeping your skin hydrated is the first step. Make sure you are using a gentle and fragrance-free moisturizer to avoid any irritation. Also, gentle and mild cleansers are a great option, and definitely don’t forget a mineral sunscreen. To focus on hydration, choose a face mask with ingredients like aloe vera or honey–these can help rejuvenate your skin. Natural oils like coconut or jojoba oil are great for moisturizing. Lots of spas offer pregnancy-safe facials, so be sure to let your esthetician know you’re expecting!

7. Generally speaking, I’ve read the following skincare ingredients are safe for use during pregnancy. Glycolic acid and bakuchiol, azelaic acid, vitamin c/niacinamide, and mineral sunscreen. Does your research corroborate this, and if so, do you have any specific product recommendations in each category below that you like or would advise patients it’s safe to use?

This is correct! Glycolic acid, azelaic acid, vitamin C, niacinamide, and mineral sunscreen are generally considered to be safe to use during pregnancy. Bakuchiol is commonly used as an alternative to retinol, however, there have been no studies on bakuchiol and pregnancy, so it is best to avoid it. Prescription azelaic acid is also typically considered safe to use. Lastly, for expecting mothers who want a vitamin C in their routine, Phloretin and CE Ferulic are great options noted as pregnancy-safe by Skinceuticals.

8. Is there anything else you recommend to pregnant women in your practice? If so, where would they use it, and what benefits does it offer?

I recommend gentle skincare, focusing on hydration and mineral sunscreen. After, add in a few fun treatments to make you feel refreshed and bright! Three options my pregnant patients love are diamond glow facials, oxygen facials, and dermaplaning. Each of these are safe and effective treatments to make your skin shine!

Teen Skincare Secrets & Teen Acne Tips

Is your teen skincare obsessed? Local board-certified dermatologist Dr. Mona S. Foad shares her top tips for teens, including what products they should (and shouldn’t) be using, the science behind acne breakouts (including teen acne tips), and when it may be time to seek help from a professional.

Teen Skincare Simplified

Back to Basics

If your teen wants to begin a skincare routine, it’s best to start simple with a cleanser, moisturizer, sunscreen, antioxidant, and potentially a retinol if needed. These products are the foundation for a great skincare routine. Specialty products can be added in, as needed or desired, from there.

Use Caution with Actives

Ingredients like benzoyl peroxide, salicylic acid, glycolic acid, or retinol can be helpful in moderation (especially for acne-prone skin). However, using too many active ingredients in combination can damage the skin barrier and cause dryness and irritation. Keep an eye on the products your teen is buying, and educate them on the importance of using only one or two products with active ingredients at a time. If your teen experiences burns, irritation, rashes, or dryness, consult a professional, such as a dermatologist. It could be that they are having an allergic reaction to the products or they are using too many products that are drying out their skin and disturbing the natural microbiome of a healthy skin barrier.

Limit Variety

While popular skincare products can look cute and be fun to try out, they could also cause more harm than good. When trying out multiple new products at once, it can be hard to pinpoint if one of them is causing breakouts or irritation. It is especially important to use caution if your skin is sensitive or acne-prone. If you enjoy adding variety to your skincare routine, try to stick to switching out products such as gentle cleansers, lightweight moisturizers, or mineral-based sunscreens. While there is always a risk of irritation when introducing a new product, these are generally tolerated by most skin types.

Teen Acne Tips: CAUSES

Hair Follicles

At all ages, acne breakouts begin when small pores in our skin, known as hair follicles, become blocked or inflamed. We also have sebaceous glands attached to these hair follicles, which produce oil.

Clogged Pores

Sweat, makeup, dirt, oil, or dead skin cells can build up and clog the hair follicle over time. At the same time, bacteria can create inflammation in the hair follicles. These factors can contribute to the formation of breakouts.In addition to these typical causes of acne, changes in our hormones and oil glands during puberty can make acne more severe.

Oil Glands

When teens go through puberty, hormones cause existing oil glands within the hair follicles to enlarge. This causes an increase in oil production within the cells of the hair follicle canal. This increase in oil often causes whiteheads or blackheads to form.

Bacteria

During puberty, there is also an increase in the production of acne-causing bacteria. This can cause whiteheads or blackheads to become more inflamed. If this inflamed material cannot be released, it can break down into the skin and cause deeper cystic lesions to form.Your teen’s acne could be rooted in any of these causes (or more likely, a combination of them). For this reason, patients often require a few different treatment strategies used together to achieve the best results.

Teen Acne Tips: Treatments

Treat the Bacteria

Using benzoyl peroxide, topical antibiotics, or oral antibiotics can all help to treat the bacterial component of acne. By reducing the acne-causing bacteria, inflammation within the hair follicle can improve.

Increase Cell Turnover

Consider using a topical over-the-counter retinol or prescription retinoids such as Retin-A, Differin, or Tazorac. These will help increase cellular turnover and normalize the top layer of skin. This helps to prevent blackheads and whiteheads from forming.

Unclog Pores

If you sweat or wear makeup, make sure you are washing your face to prevent buildup from accumulating within the hair follicle. Adding a topical acid, such as salicylic acid or glycolic acid, will help exfoliate your skin further.

Normalize Hormones

Birth control pills or spironolactone (for women) are two ways to help target the hormonal component of acne.

Accutane

Accutane is a vitamin A derivative that can be used if necessary to help shrink the oil gland within the hair follicle. This medication should only be prescribed by a trained professional and requires lab monitoring.

In-Office Treatments

At Mona Dermatology, we have several treatment options that can treat the causes of acne, such as normalizing the skin or killing bacteria. Our favorites include the BBL Hero “Forever Clear” acne treatment, chemical peels, and the Diamond Glow facial.

CONSULT AN EXPERT

Constantly trying out new skincare products or combing the wrong ones can be a recipe for a skin disaster. It’s important to make sure your teen is caring for their skin properly, but it can be challenging to know what they are using.

At Mona Dermatology, we offer teen skincare consultations that are the perfect place to start! Your teen will be treated to a 45-minute visit, including VISIA Skin Imaging, an in-depth education on the basics of a good skincare regimen, and a complimentary skincare travel bag. They will leave with a basic understanding of what products are harmless to experiment with and which they should avoid combining, so they can have fun with skincare safely. Schedule a teen skincare consult by calling 513.984.4800.

CBD Beauty Products | As Seen in Huffington Post

Dr. Alexandra was recently featured in Huffington Post! Today, she’s expanding upon her insights about CBD-infused skin care, as seen in Does CBD-Infused Skin Care Actually Do Anything For Your Skin?

What are the benefits, if any, of using CBD skin care?

CBD (cannabidiol) has gained popularity in the beauty industry for its potential benefits. It is known for its anti-inflammatory effects, which can help reduce redness and irritation. CBD is rich in antioxidants, which can help combat free radicals and reduce the signs of aging, such as wrinkles and fine lines. Additionally, CBD-infused beauty products often contain hemp seed oil, which is known for its moisturizing properties that can help hydrate the skin without clogging pores, making it suitable for both dry and oily skin types. There are multiple clinical studies showing that CBD oil has the potential to improve various skin conditions. The soothing properties of CBD can potentially help calm the skin and reduce stress-related skin issues, especially for people with sensitive skin.

CBD can also help regulate sebum production, which benefits those with oily or acne-prone skin. By balancing oil levels, it can prevent clogged pores and breakouts. It helps strengthen the skin barrier, protecting it from environmental stressors like pollution and UV radiation and enhancing overall skin health. CBD’s analgesic properties can also relieve pain and discomfort, making it useful in products aimed at reducing muscle soreness and inflammation.

Will CBD skin care get you high? Make you feel relaxed?

CBD products, including those used in beauty and skincare, do not get you high for several reasons. Firstly, CBD is non-psychoactive, meaning it does not produce the “high” associated with THC (tetrahydrocannabinol), the psychoactive compound found in cannabis. Therefore, using CBD beauty products will not result in any mind-altering effects. Most CBD beauty products are applied topically to the skin and are designed to act on the skin’s surface and surrounding layers. The CBD in these products does not enter the bloodstream in significant amounts, so it does not affect the brain or nervous system in a way that would cause a high.

While topical CBD products do not produce systemic relaxation (affecting the whole body), they can offer localized relief. For instance, CBD creams and balms might reduce inflammation and muscle tension in the area they are applied, leading to a sense of localized relaxation and comfort. The calming and soothing effects on the skin might contribute to overall well-being. For example, if a CBD skincare product alleviates skin irritation or discomfort, you may feel more relaxed and at ease.

Can CBD skin care cause any adverse reactions?

While CBD beauty products are generally considered safe for most people, they can cause adverse reactions in some cases. For one, some individuals may experience skin irritation, redness, or rash from CBD products, particularly if they have sensitive skin or allergies to other ingredients in the product.

Although rare, allergic reactions to CBD or other components in the product, such as fragrances, preservatives, or carrier oils, can occur. Symptoms might include itching, swelling, or hives. Additionally, the purity and quality of CBD products can vary widely. Some products may contain contaminants, such as pesticides, heavy metals, or residual solvents, which can cause adverse reactions. Like with any product, the overuse of any topical product can lead to issues like clogged pores or imbalanced skin, so it is essential to follow the product’s usage instructions and not apply excessive amounts.

To minimize the risk of adverse reactions, start by performing a patch test by applying a small amount to a discrete area of your skin and waiting 24 hours to see if any reaction occurs. Make sure to read the ingredient list carefully to ensure there are no known allergens or irritants for your skin. It’s always recommended to consult with a dermatologist before trying new skincare products, especially if you have sensitive skin. Opt for products from reputable companies that provide transparency about their sourcing, extraction methods, and third-party lab testing.

Do you need to avoid mixing CBD skin care with other CBD or THC products?

Mixing CBD beauty products with other CBD or THC products generally does not pose significant risks. There are a few considerations to keep in mind.

Monitor Total CBD or THC Used

For example, while using multiple CBD products, be aware of the total amount of CBD you consume. The risk of overconsumption is low for topical products since they are not significantly absorbed into the bloodstream. However, if you are also taking oral CBD (like tinctures or edibles), keep track of your overall CBD intake to avoid potential side effects such as drowsiness, dry mouth, or changes in appetite.

Additionally, combining multiple topical CBD products may increase the risk of skin irritation or sensitivity, especially if the products contain other active ingredients like retinoids, acids, or essential oils. Always patch-test new products. It’s important to be mindful of how your skin responds. While CBD itself is unlikely to interact negatively with other CBD products, the other ingredients in these products might. Be cautious when layering products with potentially irritating ingredients and consider using them at different times of the day.

On the other hand, THC is psychoactive, unlike CBD, which means that using products that contain THC, especially in conjunction with other THC or CBD products, could enhance the psychoactive effects, which might not be desirable in a beauty routine. Be cautious with the dosages and monitor how your body responds. In addition, CBD can potentially modulate the effects of THC, making it either more tolerable or, in some cases, enhancing certain effects. If using both, start with lower doses to understand how they interact in your body. If you choose to combine CBD and THC products, make sure to start slow and with lower doses to gauge your body’s response. Pay close attention to how your skin and body react to the combination of products. If you notice any adverse effects, discontinue use and consult a healthcare provider.

What is the difference between CBD and THC?

CBD and THC are two of the most well-known compounds found in the cannabis plant. Despite their similar chemical structures, they have distinct differences in their effects and uses. CBD is non-psychoactive in that it does not produce a “high” or any mind-altering effects. It is often used for its potential therapeutic benefits without impacting mental clarity or function. THC, however, is the primary psychoactive compound in cannabis that causes the “high” associated with marijuana use. It affects the brain by binding to cannabinoid receptors, particularly the CB1 receptors in the brain.

Legal Differences

From a legal perspective, CBD is legal in many places. Especially when derived from hemp (a variety of cannabis with less than 0.3% THC). However, regulations vary by country and state, so it’s important to check local laws. THC, on the other hand, is still illegal under federal law in many countries and states, although some regions have legalized it for medicinal or recreational use. The legality of THC is more restricted compared to CBD.

Medical Differences

Medically, CBD is widely used for its potential therapeutic effects, including reducing anxiety, relieving pain, reducing inflammation, and improving sleep. It is also being studied for its potential in treating epilepsy, PTSD, and other conditions. THC is used for its pain-relieving properties. THC has the ability to reduce many things. This includes, nausea and stimulate appetite, particularly in patients undergoing chemotherapy or those with conditions like AIDS. It is also used for its muscle relaxant properties.

Some side effects that people might experience when using CBD are dry mouth, diarrhea, reduced appetite, or fatigue. Generally, CBD can be well tolerated. THC, however, can cause various side effects. This includes euphoria, altered sensory perception, increased heart rate, dry mouth, red eyes, and impaired memory or coordination. It can also cause anxiety or paranoia in some individuals

What is Cleansing Oil?

Cleansing oil has become a trending skincare product in recent years. But is it even a good choice for your skin? Dr. Alexandra Bowles shares her thoughts on cleansing oil and tips on how to get the best results.

Cleansing Oils 101

Cleansing oil is a skincare product that removes makeup, dirt, and impurities from the skin. What is unique about cleansing oil is that it also is hydrating and nourishing. Cleansing oils are typically formulated with a combination of natural oils such as jojoba oil, coconut oil, olive oil, etc. These are emulsifiers that work to dissolve makeup, sunscreen, and excess sebum on the skin.

When using a cleansing oil, make sure to first choose the right oil for your skin type. Different oils have unique properties that may be better suited to certain skin types. For example, you may prefer lighter oils like grapeseed or jojoba oil if you have oily or acne-prone skin. If you have dry skin, you may benefit from richer oils like avocado or almond oil.

I typically recommend applying a small amount to your skin and gently massaging the oil in circular motions to emulsify the oil. This will turn it into a milky consistency that helps lift away dirt and makeup more effectively. Avoid rubbing or pulling at your skin too harshly, especially around the delicate eye area. Once the oil has emulsified, rinse it off thoroughly with lukewarm water. Follow up with your regular skincare routine, including moisturizer to lock in hydration and keep your skin soft and supple.

Where did cleansing oils come from? Why are they suddenly so popular?

The origins of cleansing oil can be traced back to traditional Japanese skincare practices. The concept of using oil to cleanse the skin dates back centuries in Japan, where geishas and kabuki actors used a mixture of oils, such as camellia oil, to remove heavy makeup and maintain clear, radiant skin.

Today, the popularity of cleansing oils has become heavily influenced by K-beauty (Korean Beauty) trends. South Korean skincare routines often emphasize thorough cleansing as the first step towards achieving healthy, glowing skin. The double cleansing method, which typically involves using a cleansing oil followed by a water-based cleanser, has become a cornerstone of K-beauty skincare routines. Korean skincare brands have developed a wide range of cleansing oils tailored to different skin types and concerns. Many incorporate ingredients like green tea extract, rice bran oil, and botanical extracts to provide additional skincare benefits beyond just makeup removal.

K-beauty, short for Korean beauty, refers to the skincare and cosmetic products, techniques, and routines that originate from South Korea. It has gained immense popularity globally for its innovative approach to skincare and its focus on achieving healthy, radiant skin through a multi-step regimen. These regimens often include exfoliating, toning, moisturizing, and applying targeted treatments like serums and essences. K-Beauty emphasizes hydration and nourishment while prioritizing gentle formulations with natural ingredients. Incorporating cutting-edge skincare technologies and customizing skincare routines and products for maximum benefit are also popular.

How do cleansing oils compare to normal face washes?

Cleansing oil differs from regular cleansers, face washes, and micellar water primarily in its formulation and mode of action. Cleansing oil is typically formulated with a blend of natural oils (such as coconut oil, jojoba oil, or olive oil) along with an emulsifier that works to dissolve makeup, sunscreen, and excess sebum on the skin. In contrast, regular cleansers and face washes often contain water-based formulas with surfactants that help to remove dirt and impurities from the skin.

Cleansing oil works on the principle of “like dissolves like” in that the oil in the cleansing oil binds to the oils and waxes in makeup and sebum on the skin, effectively breaking them down and lifting them away. When emulsified with water, the oil forms a milky texture that can be easily rinsed off, leaving the skin clean and hydrated. Cleansing oil is particularly effective at removing heavy or waterproof makeup. This is because it can break down and dissolve the oils and pigments in makeup products. Micellar water, on the other hand, uses micelles (tiny oil molecules suspended in water) to attract and remove dirt, makeup, and impurities from the skin without rinsing. While micellar water can effectively remove light makeup and cleanse the skin, it may not be as effective for heavy or waterproof makeup as cleansing oil.

Cleansing oil often provides additional hydration to the skin due to its oil-based formulation. It can help to replenish the skin’s natural oils and prevent it from feeling dry or tight after cleansing. Micellar water is also gentle and hydrating but may not provide as much moisture as cleansing oil, especially for dry or dehydrated skin.

Avene Xeracalm AD Lipid Replenishing Cleansing Oil

What to Look for in Cleansing Oil:

When choosing a cleansing oil, it’s essential to consider both the ingredients and the texture to ensure that it suits your skin type and preferences. I recommend looking for cleansing oils formulated with natural oils like jojoba oil, coconut oil, olive oil, grapeseed oil, or sunflower seed oil. These oils can effectively dissolve makeup and impurities while providing nourishment to the skin. Ingredients like vitamin E, green tea extract, or rosehip oil can provide antioxidant benefits, helping to protect the skin from environmental damage and signs of aging. Cleansing oils enriched with botanical extracts such as chamomile, lavender, or calendula can soothe and calm the skin, making them suitable for sensitive or irritated skin.

Look for cleansing oils that contain emulsifiers like polysorbate or sorbitan oleate. These ingredients help the oil to emulsify with water, allowing it to rinse off cleanly without leaving a greasy residue.

Consider Your Skin Type:

If you have sensitive skin or are prone to irritation, consider opting for fragrance-free cleansing oils to minimize the risk of allergic reactions. Some cleansing oils have a lightweight texture that feels thin and non-greasy on the skin. These are suitable for all skin types, including oily or combination skin, and are easily emulsified with water for rinsing. A product I like to recommend to my patients is Avene’s Xeracalm Cleansing Oil which has a nourishing, biodegradable formula that seals in moisture and helps balance the skin’s microbiome while restoring the skin barrier. It’s also suitable for all ages, including newborns, and can be used for cleansing the face, body, and scalp.

On the other hand, if you have dry or dehydrated skin, you may prefer a cleansing oil with a richer texture that feels more moisturizing on the skin. These oils provide extra hydration and can leave the skin feeling soft and supple after cleansing. Make sure to also look for cleansing oils labeled as non-comedogenic, meaning they are less likely to clog pores or cause breakouts. These oils are suitable for acne-prone or sensitive skin types.

Tips for Adding Cleansing Oil to Your Routine:

Cleansing oil can be used as either the first or second step in your cleansing routine, depending on your preference and skincare needs.

If you are using a cleansing oil as your first step:

Start with dry hands and a dry face and apply a small amount of cleansing oil into your palm (typically 1-2 pumps).
Gently massage it onto your skin using circular motions for about a minute or two.
Wet your hands slightly and continue massaging the oil onto your skin to emulsify the oil. This will turn it into a milky texture that will help to lift away dirt and impurities.
Rinse thoroughly with lukewarm water until all traces of oil, makeup, and impurities are removed from your skin.
Follow up with a water-based cleanser if desired as part of a double cleansing routine.

If you are using a cleansing oil as your second step:

Start with a dry face and use a water-based cleanser to cleanse your skin first. A gel cleanser or foaming cleanser works well for this.
Massage the cleanser onto your skin using gentle circular motions, then rinse thoroughly with lukewarm water.

Double cleansing with a cleansing oil as the second step helps to ensure that all traces of makeup, sunscreen, and impurities are effectively removed from the skin without stripping away too much natural moisture.

Our provider Jessica, PA-C talks more about how to double cleanse using cleansing oil in her Skincare Hacks blog post.

Who is a candidate for cleansing oils?

Cleansing oil can benefit a wide range of skin types and concerns, making it a versatile option in skincare routines. It can be particularly beneficial for those with dry skin. This is because it helps to nourish and hydrate the skin while effectively removing impurities. The oils in the cleansing oil can replenish the skin’s natural oils, leaving it feeling soft, supple, and moisturized. Many cleansing oils are formulated with gentle, natural ingredients that are suitable for sensitive skin types. These oils can help to cleanse the skin without causing irritation or stripping away its natural moisture barrier.

Cleansing oil is also suitable for normal skin types looking for a thorough yet gentle cleansing option. It effectively removes makeup, sunscreen, and impurities while leaving the skin feeling balanced and refreshed. Those with combination skin can also benefit from cleansing oil, as it can help to effectively cleanse oily areas without drying out drier areas of the skin. Opting for a lightweight cleansing oil can provide thorough cleansing without weighing down the skin. Cleaning oil can also be suitable for oily skin types. Oil-based cleansers can effectively dissolve excess sebum and impurities on the skin without stripping away too much natural oil, which can help to balance oil production and prevent the skin from becoming overly dry or tight.

Need more help choosing the right skincare products for your skin type and goals? Schedule a consultation with one of our providers to learn more!