Benefits of PRP and Microneedling Combined | As Featured in MedEsthetic
PRP, or Platelet-Rich Plasma, is a concentration of healing platelets derived from your own blood. It’s commonly used in both medical and cosmetic treatments to promote skin regeneration, and has been found to have even better results when combined with procedures like microneedling. Hear Dr. Alexandra Bowles’opinion on this dual treatment in MedEsthetics’ article on Women’s Health.
What is PRP?
PRP stands for Platelet-Rich Plasma. It’s a concentration of platelets derived from your own blood and used in various medical and cosmetic treatments.
How does PRP help improve skin conditions like acne scars or aging skin when combined with microneedling?
Platelets are rich in growth factors, which are proteins that play an important role in skin repair and regeneration. When injected into the skin, PRP stimulates the body’s response to injury and promotes healing thereby promoting collagen production and improving skin texture and tone. PRP also stimulates fibroblasts which are also responsible for collagen production. Improving collagen production helps with overall skin texture and tone.
Are there any new ways to use PRP with microneedling in dermatology?
I like to apply PRP evenly throughout the procedure so the PRP gets micro needled into the skin. Then I save a little behind to cover the entire face afterwards. This helps with improving downtime as well!
Can you share a case of great results with PRP and microneedling being used together?
I have many patients who are thrilled with their PRP results. Recently, I had a 44 year old woman who came to address skin texture and tone. After two microneedling with PRP sessions including injectable PRP under the eyes, her skin was softened and smoothed dramatically!
Vaginal Skin Health and Rejuvenation | As Seen in MedEsthetics
As women age, the skin and vaginal tissue undergo similar changes—slower collagen production, hormonal shifts, and reduced natural lubrication. Discover new and innovative treatments offering relief for common issues such as vaginal dryness and painful intercourse. Dr. Alexandra Bowles adds her thoughts in MedEsthetics’ article about women’s health.
How does vaginal rejuvenation relate to skin health?
Vaginal rejuvenation is similar to overall skin health as they undergo similar changes. As we age, we begin to have slower collagen production, hormonal changes contribute to lack of lubrication, or incontinence.
What are the newest dermatological advancements in vaginal rejuvenation?
Dermatology plays a role by providing laser treatments and vaginal PRP therapy. Vaginal CO2 therapy, (also known as Femtouch), is a wonderful way to provide vaginal rejuvenation. CO2 lasers work by targeting water and vaporizing the tissue which stimulates the body’s natural healing response and triggers production of collagen. It also targets the mucosal cells and improves lubrication.
Intra-vaginal PRP can also stimulate collagen production and improve vaginal health. This is a medical treatment that involves injecting or applying platelet-rich plasma derived from a patient’s own blood into the vaginal tissue. It can stimulate tissue regeneration, improve blood flow, and promote collagen production, which may help with a range of gynecological or sexual health concerns.
Are there specific skin concerns that vaginal rejuvenation can help with?
I find that CO2 helps the most with lubrication issues, specifically those that suffer from painful intercourse due to vaginal dryness. It can also help with incontinence and vaginal itching due to dryness.
Neurotoxins in Medical Dermatology | As Featured in MedEsthetics
Learn more about neurotoxins in MedEsthetics‘ article and hear how Dr. Alexandra Bowlesincorporates them into her her practice of medical dermatology.
Besides cosmetic use, how are neurotoxins being used in dermatology for skin conditions?
They are being used to treat various skin conditions. For example, they can be used to manage hyperhidrosis, commonly known as excessive sweating. In cases of rosacea, microbotox has been shown to reduce redness in some patients. Additionally, neurotoxins can help alleviate tension headaches and teeth grinding by targeting and relaxing the overactive muscles that contribute to these issues.
What’s your approach to using neurotoxins safely and effectively for skin treatments?
My approach is to treat each patient individually! No two patients receive the same treatment, everyone requires different amounts and that botox can be placed precisely based on each patient’s concerns. I am always someone that also starts low and increases based on the patient’s wishes. Botox done properly is very safe and effective. It is important that your injector is well versed in the mechanism of botox and the anatomy of the patient.
Are there any new uses of neurotoxins in dermatology that you find exciting?
Microbotox for rosacea is really exciting to me! Rosacea is a difficult chronic condition to treat. Studies have shown promising results when treating rosacea and I would love for it to become a more well-known option.
The Best Sunscreens for Dry Skin | As Featured in Allure
If you have dry skin, finding a great sunscreen can be a struggle. Dr. Mona Foad recently chatted with Allure to share her insights on the best sunscreens for dry skin types.
Are there key ingredients in sunscreens that people with dry skin should look for?
Dry skin is typically caused by the environment, aging, genetics, medication, and dehydration. When choosing a sunscreen for dry or sensitive skin, it’s important to find one that protects and hydrates the skin barrier. Consider ingredients such as glycerin and hyaluronic acid in your sunscreen. These ingredients draw moisture into the skin, helping to increase its water content and maintain hydration levels. Additionally, Shea butter and coconut oil are excellent for locking in moisture. They contain fatty acids, creating a barrier that prevents transepidermal water loss. Occlusives like petrolatum or dimethicone also reinforce this barrier by forming a protective layer on the skin’s surface, which helps to retain moisture.
Dry skin can also be more sensitive, so I would look for mineral-based sunscreens with zinc oxide or titanium dioxide as opposed to chemical sunscreens. Furthermore, antioxidants like vitamin C or green tea offer extra protection against environmental stressors. At the same time, soothing ingredients, such as aloe vera or chamomile, can help calm any redness or irritation. This soothing is due to anti-inflammatory properties that can help calm redness and irritation, making them ideal for sensitive skin.
Are there any common sunscreen ingredients that people with dry skin should avoid?
If you have dry skin, it’s essential to select sunscreens that not only protect against UV damage but also provide hydration to prevent further moisture loss. Avoid ingredients like denatured alcohol or isopropyl alcohol. While they are often included in lightweight formulas, they can strip the skin of its natural oils. This is because they evaporate quickly, leading to increased dryness and irritation. Fragrances may irritate and also dehydrate the skin, due to their chemical composition. They often include various synthetic and natural compounds that may cause allergic reactions or inflammation.
Additionally, while chemical sunscreen ingredients such as avobenzone, oxybenzone, and octinoxate can work for many people, they may cause irritation and allergic reactions in people with sensitive or dry skin. Opt for mineral sunscreens with zinc oxide or titanium dioxide instead. Perform a patch test to see how well your skin can tolerate these ingredients if you have not applied them before.
Which type of sunscreen is generally better for dry skin?
For dry or sensitive skin, I recommend using a cream or lotion-based sunscreen. This is due to its hydrating properties and lower risk for irritation rather than gels or sprays. These formulas typically incorporate emollients and humectants, such as glycerin and hyaluronic acid, which attract and retain moisture effectively. In addition, I would look for sunscreens with mineral filters such as zinc oxide or titanium dioxide. Mineral sunscreens work by sitting on the skin’s surface to reflect UV rays, making them gentler on sensitive skin. In contrast, gel, spray, and chemical sunscreens often contain drying agents like alcohol. These ingredients can strip the skin of its natural oils, exacerbating dryness by increasing transepidermal water loss.
What role does SPF play in maintaining healthy, hydrated skin, especially for those with dryness?
SPF, or sun protection factor, measures how much we can protect our skin against UVB rays. We call these our “Burning Rays.” Protecting against UVA rays, which go deeper into the skin and can cause more aging and skin cancer, is also important. We call them our “Aging Rays.” UV rays accelerate aging through pigment formation and collagen breakdown. Daily sunscreen use can help prevent these premature aging effects, including dryness, fine lines, and hyperpigmentation.
For those with dry skin, use a broad-spectrum sunscreen with an SPF of 30 or higher and make sure it has either zinc oxide or titanium dioxide to help protect against UVA Rays. Using a cream or lotion-based formulation with hyaluronic acid will aid in moisture retention by preventing transepidermal water loss. This will help keep your skin resilient and well-hydrated. This dual approach not only safeguards against UV damage but also supports the skin’s health.
How often should someone with dry skin reapply sunscreen, and are there special considerations for reapplication?
It is important to reapply sunscreen about every two hours since the protective effects of sunscreen diminish with time. Water-resistant sunscreens are only effective for about 80 minutes. So, if you get in the water or get very sweaty, apply your sunscreen more frequently. Using a moisturizing sunscreen can provide additional hydration. However, make sure to use a broad-spectrum one with an SPF of at least 30. This will ensure you are protected against both UVA and UVB rays. Also be sure to apply the sunscreen liberally. You’ll also want to replace your sunscreen supply at least once a year. This is because sunscreens expire and are not as effective after this expiration date.
Can using a sunscreen with added hydration replace a traditional moisturizer?
While a sunscreen with added hydration can enhance moisture levels, it generally shouldn’t fully replace a traditional moisturizer, especially for those with dry skin. Layering a moisturizer underneath your sunscreen creates a protective barrier and helps prevent moisture loss.
Top Sunscreen Picks for Dry Skin:
Top Choice: EltaMD UV Daily Broad-Spectrum SPF 40: This tinted moisturizer is perfect for those seeking a more even complexion. It’s formulated with hyaluronic acid to hydrate the skin and niacinamide to soothe and reduce redness. The added squalane restores the skin’s natural moisture and the vitamin C and E are antioxidants which help to combat skin-aging free radicalsI appreciate its lightweight feel and the fact that it doesn’t leave a white cast.
CeraVe Hydrating Sunscreen SPF 30: Enriched with three essential ceramides and niacinamide, this mineral sunscreen helps restore and maintain the skin’s natural barrier. Its hydrating formula locks in moisture, making it ideal for dry skin. Plus, it’s fragrance-free and non-irritating, perfect for sensitive skin types. It has also been awarded the National Eczema Association Seal of Acceptance and the Skin Cancer Foundation Daily Use Seal of Approval.
Colorescience Tint du Soleil™ Whipped Mineral Foundation SPF 30: This is an all-in-one foundation, anti-aging, and sun protection product. Ceramides and milk lipids replenish the skin and provide hydration while collagen-building peptides and a multivitamin complex work to improve skin health with every application. Mineral-based Zinc Oxide and Titanium Dioxide deliver SPF 30 defense to protect from sun and environmental exposure that cause skin aging.
What to Know About Benzoyl Peroxide | As Seen in Good Housekeeping
Benzoyl peroxide is a widely used ingredient in cosmetic products, especially for treating acne, thanks to its ability to kill bacteria, reduce inflammation, and keep pores clear. While highly effective, it’s important to understand both its benefits and potential risks and Dr. Mona Foad weighs in on how to carefully incorporate into your routine. Recently, some products containing this ingredient have been recalled, but Good Housekeeping’s article breaks down all the details.
What is benzoyl peroxide used for in cosmetic products?
It’s a popular ingredient for fighting acne. It works by killing acne-causing bacteria, reducing inflammation, and keeping pores clear. You’ll find it in everything from face washes to spot treatments. It’s powerful but can be a little drying, so pairing it with a good moisturizer can help keep your skin balanced.
What is the connection between benzoyl peroxide and benzene?
They might sound similar, but benzoyl peroxide and benzene are not the same. However, there have been concerns about benzoyl peroxide potentially breaking down into benzene. This could happen under certain conditions, like exposure to heat or improper storage. Since benzene is a known carcinogen, it’s important to choose products from reputable brands that test for safety and store them as directed. Make sure to store in a darker cool place and do not use past the expiration date.
Should customers be wary of any products containing benzoyl peroxide?
Benzoyl peroxide is a great acne-fighting ingredient, but it’s not for everyone. If you have sensitive or dry skin, benzoyl peroxide can cause irritation, redness, or peeling. You also have to be careful when applying it and make sure to wash your hands because it can bleach towels and pillowcases. Be sure to wash your hands, or if you apply it at night, use a white pillow case and sheets and do your whites together. Start with a lower strength and use it every other day to see how your skin reacts before going all in.
If you want to choose another product that acts similarly to benzoyl peroxide, what should you look for?
If benzoyl peroxide is too harsh for you, there are some great alternatives. Salicylic acid is another great choice for fighting acne and exfoliating the top layer of skin. If you’re on the more sensitive side, you may opt for products with lactic, mandelic or lactobionic acids instead. Azelaic acid is another option that can help with acne, redness and melasma. Sulfur is an unsung hero that can also fight bacteria but is gentler on the skin. If you want something really mild, niacinamide helps control oil and calm inflammation without causing irritation. It’s all about finding what works best for your skin type.
Can I get benzoyl peroxide over the counter or do I need a prescription?
Oftentimes, doctors combine it with prescription topical antibiotics like clindamycin or erythromycin. Using a combination product has the double benefit of decreasing the bacterial resistance to topical antibiotics. It then also treats the bacteria that can cause acne. There are different formulations with varying strengths, so work with your dermatologist to find the right combination product for your skin type. Also, make sure you discard any unused product after 3 months because they tend to lose their effectiveness.
Can Dermarolling Actually Stimulate Hair Growth? | As Seen in NBC Select
Dermarolling, or microneedling, is a popular skincare treatment that boosts collagen production and enhances product absorption. While it’s commonly used on the face, some people are now using it on their scalps to encourage hair growth. Learn more in NBC Select’s article and hear Dr. Alexandra Bowles’ opinion on the technique.
What is the process of dermarolling?
Dermarolling involves using a small handheld device covered with tiny needles. The roller is gently rolled over the skin to create controlled micro-injuries. This process stimulates the skin’s natural healing response, encouraging collagen production and cell turnover. Depending on the needle length, you can use dermarolling on the face, scalp, or body to address various skin concerns.
How does dermarolling benefit your face?
I don’t recommend dermarolling the face at home. I prefer to recommend that a trained medical professional perform microneedling. People can do more harm than good with overused or dirty dermarolling devices on the face. My biggest concern is scarring or infection so while I think it is great for improving scalp circulation, I would hold off on the face!
Why might someone want to use a dermaroller on their scalp?
Using a dermaroller on the scalp can help promote hair growth. The micro-injuries created by the roller stimulate the scalp and increase blood circulation to hair follicles, encouraging them to stay healthy and active. It can also help with conditions like thinning hair or hair loss, as it encourages the absorption of hair-growth serums or oils, improving their effectiveness.
If you want to dermaroll your scalp, how should you do it?
If you’re considering dermarolling your scalp, start by choosing the right needle length—usually, a 0.25mm to 0.5mm needle is best for the scalp. Before you begin, make sure your scalp is clean, and the dermaroller is sanitized to avoid any infection. Gently roll the dermaroller across the scalp in different directions—vertical, horizontal, and diagonal—to target all areas. Afterward, you can apply a hair growth serum or oil to nourish the scalp. Always be gentle and avoid pressing too hard, as this can cause damage to your skin.
Are there any risks of dermarolling your scalp?
The primary risk of dermarolling the scalp comes from infection, which can occur if you don’t properly sanitize the roller or if you damage the skin. Overdoing it or applying too much pressure can also cause irritation or damage to the scalp, leading to hair breakage. It’s important to be gentle and follow the correct steps, and if you have any concerns, it’s always a good idea to check with your dermatologist before starting.
Is there anyone who should avoid dermarolling your scalp?
Those with active scalp conditions, such as psoriasis, eczema, or an open scalp wound, should definitely avoid dermarolling. It can increase irritation and lead to further complications. If you’re dealing with hair loss from a medical condition, it’s important to speak with your doctor before using a dermaroller to ensure it’s appropriate for your situation.
What are some other ways to encourage hair growth?
In addition to dermarolling, there are several other methods you can try to encourage hair growth. Using topical treatments like minoxidil, a well-known hair growth serum, can be effective. Eating a balanced diet rich in vitamins and minerals, particularly biotin, vitamin D, and iron, can also support healthy hair growth. Regular scalp massages to increase circulation, as well as minimizing stress, can also help maintain healthy hair.
The Dangers of DIY Skincare & Bath Salts | As Seen in Daily Mail
Meghan Markle launched a series with Netflix titled “With Love, Meghan” in which she brings viewers into her life for cooking, crafts, hosting, and beyond. In her first episode, she prepares her guest room for an out-of-town visitor by making homemade bath salts. Dr. Alexandra Bowles weighed in on the potential dangers of DIY skincare and DIY bath salts with the Daily Mail. Today, she is expanding upon her insights about this topic.
In the episode, Meghan made homemade bath salts using Epsom salt, arnica oil, lavender, and pink Himalayan sea salt, and placed the mixture inside a cute mason jar. When prepping for an out-of-town guest, Meghan’s suggestion to create ways for your guest to pamper themselves is a great idea. However, everyone is different, and what irritates one person’s skin may not irritate another’s. A DIY skincare product, such as DIY bath salts, poses a stronger risk of irritation as compared to over-the-counter products, which typically undergo testing before being available for sale.
The Dangers of Mixing Ingredients
“While I do not think this is innately dangerous, I do think that mixing so many different scents and salts can lead to irritation and sensitivities, especially for those with allergies or children with sensitive skin,” shares Dr. Bowles. The challenge with mixing ingredients is that the likelihood of an irritation increases. For example, the risk of being allergic to lavender is fairly low, with roughly only 2-4% of the population reporting a reaction. Arnica oil has a similarly low rate of irritation, with studies reporting between 1-7% of participants experiencing a reaction. However, by combining both ingredients, the percentage of the population that could potentially be allergic to your DIY mixture increases heavily as compared to each of the ingredients when used alone.
What to Do Instead
If you want to create a similar pampering experience for your overnight guests, opt for a store-bought bath salt. Or if you enjoy DIY projects and wish to make your own, consider encouraging your guest to spot test it first. Dr. Bowles explains, “I am happy to support my patients with DIY skincare as long as it is safe and well tolerated! I would just recommend doing a test spot on your skin before taking a full body bath in it!”
Beef Tallow as Moisturizer: Genius or Gross? | As Seen in NBC Select
What would you do for glowing skin? The latest skincare trend has people slathering beef tallow—rendered cow fat—on their faces. Hear what Dr. Alexandra Bowles has to say about this in NBC Select’s article exploring this new trend.
What is beef tallow?
It’s simply the fat that comes from cows. People have used it for centuries in many cultures, both for cooking and as a skincare ingredient. Essentially, they heat fat to remove impurities, leaving behind a smooth and nourishing substance. It contains fatty acids and vitamins, like A, D, E, and K.
Why might applying beef tallow to your face/skin help?
People believe that beef tallow can be beneficial because it contains the same fatty acids that your skin naturally has. These fatty acids, like oleic acid, help lock moisture into your skin, keeping it hydrated. It also contains vitamins A and E, which can potentially help with skin regeneration, reducing scarring, and soothing irritated skin. That being said, similar ingredients can be found in other moisturizers or skincare products that are not animal-derived or oily. For this reason, I would recommend other moisturizer formulas over those that contain beef tallow.
Is there any reason you should not apply beef tallow to your skin?
Beef tallow may work well for some people, but it isn’t suitable for all skin types. If you have sensitive or acne-prone skin, it might not be the best choice. Because it’s a heavier moisturizer, it can clog pores for people with oily skin, potentially causing breakouts. Also, if you have any allergies to beef or animal products, it’s best to avoid it. I always recommend patch-testing on a small area first to see how your skin reacts.
If you want to try using beef tallow on your skin, how should you do it?
If you’re really interested in trying it, start slowly. Warm a small amount in your hands, then gently apply it to clean, slightly damp skin. You can use it as an overnight treatment, especially for dry or irritated areas. If you’re worried it’s too heavy, mix it with a lighter moisturizer to balance the texture. I would also recommend choosing a brand or source that conducts thorough testing on their products to reduce the risk of contamination, as it is an animal-derived product.
Is there any skin type that should avoid using beef tallow on the skin?
Those with oily or acne-prone skin should be careful with beef tallow, as it could clog pores and lead to breakouts. If you have sensitive skin, it’s also a good idea to proceed with caution, as some people may react to animal-based products. If you’re unsure, it’s always a good idea to check in with your dermatologist before introducing a new product.
Mona Dermatology Celebrates Women’s History Month
Mona Dermatology celebrates Women’s History Month and International Women’s Day! During the month of March, our team reflects on the contributions women have made both in history and today. In March’s edition of Cincinnati Magazine, we asked a few members of our team to share a woman in their life who inspires them and why.
Dr. Mona Foad, Owner & Founder
“My mother inspires me. She was one of three women in her medical school class in Cairo, Egypt. My mom always believed in herself and never gave up on what she wanted. She started as a pathologist and then after she had me and my two brothers, she did a second residency in internal medicine to switch specialties. Even with the demands of being a doctor, she was still there as a mother every day, and also found a way to take care of my family including my quadriplegic uncle who lived with us, my grandparents, and all our extended family.”
Lauren Kirby, RN, Nursing Team
“The woman who inspires me the most is my best friend, Alyssa. Alyssa and I met during our freshman year of college after joining the same sorority. From the beginning, I was struck by her kindness and her fearlessness when it comes to trying new things or even failing. She’s always striving to become the best version of herself and encourages those around her to do the same. Her friendship has truly made me a a better person, and I can’t thank her enough for inspiring me every day to strive for more.”
Kiley Steiner, Patient Care Coordinator
“A woman who inspires me is my grandma Diane. Ever since I was a little kid, I’ve looked up to her. She was always so strong and confident, so sure of herself. I never once saw her back down from any challenges she faced, and she was so unapologetically herself. I aspire to be that strong and confident in my own life, and whenever I need guidance, I think of her.”
Shannon Clark, Billing Manager
“The woman who inspires me is my Nana, Lucile S. Costello. In 1967, she founded Cincinnati Area Senior Services (CASS) and was the executive director for 21 years. Her mission was to support older adults so they could live independently and maintain their dignity. She dedicated her life to helping the elderly and was recognized locally and nationally for her accomplishments. She was awarded a YWCA Career Woman of Achievement Award and December 21, 1987, was declared Lucile S. Costello Day in Cincinnati.”
Dr. Alexandra Bowles, Medical & Cosmetic Provider
“My sister, Ariana, constantly inspires me with her unwavering dedication to both her career and her compassion for others. As a chief juvenile prosecutor, she tirelessly fights for the justice and protection of children while maintaining a deep empathy for those she serves. She is someone I have looked up to my entire life and inspires those around her to be better. What truly sets her apart is her unwavering support and the way she always shows up for me, no matter what.”
Casey Burleigh, Director of Marketing
“I am inspired by each and every one of the woman on our team. Across our group of 45 smart, strong, and beautiful ladies there are so many stories of resilience and ambition. Women who are working moms, single moms, working towards another degree, pursuing passion projects, volunteering, and so much more. It is an honor to work alongside them and know their stories.”
How Do Wrinkle Patches Actually Work? | As Seen in Allure
Wrinkle patches offer more than just surface-level care. Or at least the right ones do. Dr. Alexandra Bowles is here to share what these patches can do for your skin and recommend a few of her favorites. If you’re looking for more recommendations, read Allure’s full article.
Are wrinkle patches a good alternative for someone hesitant about Botox or fillers?
Wrinkle patches can be a great option if you’re not ready for Botox or fillers, but they work differently. They help smooth fine lines temporarily by keeping the skin in place and locking in moisture, which can make wrinkles look softer. Some even have ingredients like peptides or hyaluronic acid to plump the skin. But unlike Botox, which relaxes the muscles that cause wrinkles, patches don’t prevent deeper lines from forming. They’re more of a short-term fix rather than a long-term solution.
Can using wrinkle patches too often actually weaken the skin’s elasticity over time?
Wrinkle patches won’t necessarily weaken the skin’s elasticity over time, but it depends on how you use them. If they have a strong adhesive and you’re pulling them off too aggressively, that could irritate the skin or cause unnecessary stress. Skin elasticity is mostly influenced by collagen and hydration, so using gentle, hydrating skincare alongside patches is important. As long as you’re not overdoing it or tugging at your skin too much, patches shouldn’t cause any major issues.
What are your all-time favorite wrinkle patches and why?
As a dermatologist, I get asked about wrinkle patches three to four times a week! I think they’re great and can definitely be beneficial for some patients. While wrinkle patches are not a substitute for Botox, they can help smooth facial lines, particularly sleep lines. Sleep lines form when the skin folds over itself due to certain sleeping positions, often appearing on the forehead and cheeks of side or stomach sleepers. While Botox can help, it’s just as important to prevent the skin from folding in the first place.
Personally, my favorite is the Serum Patch from Frownies. They contain ingredients like aloe, collagen, vitamin E, caffeine, and more. Together, they can help temporarily tighten, smooth, and plump the skin. They do contain Chamomile Flower Extract and Macadamia Nut Oil, though, which may cause irritation for some patients with more sensitive or reactive skin.
I would also recommend the brand ROC. They infuse their deep wrinkle patches with retinol, peptides, and hyaluronic acid.I like the addition of retinol for patients who don’t have super sensitive skin!
Lauren Kirby, RN, Nursing Team
