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.

Best Tinted Sunscreens With Light Coverage | Featured In Vogue

Dr. Mona Foad expands upon the insights she shared in her recent Vogue feature: 19 Best Tinted Sunscreens That Combine Light Coverage With All the Benefits of SPF

Is a tinted sunscreen as good as a untinted?

Depending on the context and usage, tinted sunscreens can be just as effective or more effective than non-tinted sunscreens. The choice between them often comes down to personal preference, specific skin care needs, and any additional benefits desired. For example, some products may have protection against visible light or more elegant cosmetic coverage.

Both tinted and untinted sunscreens can provide broad-spectrum protection against UVB and UVA rays if they contain appropriate ingredients. The active ingredients in the sunscreen determine the UVA protection and efficacy. Zinc oxide, titanium dioxide, or avobenzone are examples of active ingredients in sunscreen. The tint does not impact this UVA or UVB protection. Additionally, tinted sunscreens often provide better protection against visible light (including high-energy visible light or blue light). This is due to the presence of iron oxides and pigments in the tint. Visible light can contribute to hyperpigmentation, particularly in individuals with darker skin tones.

I like to recommend to my patients Sunforgettable® Total Protection® Face Shield Classic SPF 50 | Colorescience because this is an all oil free, mineral sunscreen which is well tolerated by all skin types. It is tinted for added protection and has EnviroScreen® Technology which protects against UV Rays, Blue (HEV) light, Infrared, and pollution. Another favorite is ISDIN’s Eryfotona Ageless Tinted Sunscreen, which is an ultralight mineral sunscreen with zinc oxide peptides and DNA Repairsomes® technology which help to repair the damage caused by the sun.

Tinted sunscreens can also even skin tone and cover imperfections. For this reason, many people like to use them as a makeup base or even a foundation substitute. This dual function can be convenient and might encourage more consistent use. The tint provides a visible indication of where the sunscreen has been applied. This can help ensure more even coverage of the product and prevent missed spots.

What should you look for in a tinted sunscreen?

When choosing a tinted sunscreen, you’ll want to ensure it meets your needs while still providing effective protection. For SPF levels, choose a sunscreen with an SPF of at least 30, which blocks about 97% of UVB rays. Another good option is good option is EltaMD UV Clear Tinted Face Sunscreen, for a light weight tinted option. Furthermore, ensure the sunscreen offers broad-spectrum protection, meaning it protects against both UVA and UVB rays. This is essential for preventing skin aging and reducing the risk of skin cancer.

Additionally, consider skin types when choosing a tinted sunscreen. For oily skin, look for non-comedogenic formulas that won’t clog pores. You can look for “oil-free” or “matte finish” on labels as this often means it is a non-comedogenic formula. One product I like to recommend to my patients with oily skin is EltaMD’s UV Physical SPF 41 Post-Procedure (Tinted). For dry skin, opt for sunscreens such as Alastin’s Hydrant PRO Mineral with hydrating ingredients such as hyaluronic acid, glycerin, or ceramides. If you have sensitive skin, choose physical or mineral sunscreens such as Colorscience’s Total Protection Face Shield (FLEX) with gentle, non-irritating ingredients that contain zinc oxide or titanium dioxide. For acne-prone skin, non-comedogenic and oil-free formulas are ideal, so look for sunscreens that also contain anti-inflammatory ingredients like niacinamide.

In addition, you’ll want to consider the shade range available for a particular product. This is important when looking to find a tint that closely matches your skin tone to ensure a natural look. Some brands offer a wide range of shades, which can be particularly beneficial for people with darker skin tones. The sunscreen should blend well into your skin without leaving streaks or an uneven finish. Testing a small amount on your jawline or neck can help determine the best match. Other factors that you may want to consider:

Finish (matte, dewy, or natural)
Ingredients such as antioxidants (vitamin C, vitamin E) that can provide extra protection against environmental damage
Water-resistant formulas

Counterfeit Botox | Our Cincinnati Botox Safety & Purity Standards

Dear Patients,

You may have seen the recent news about counterfeit Botox, which has been found across the country. It has also been reported right over the river from us in Kentucky. Counterfeit Botox is sold illegally from 3rd party sellers and is not distributed by the Botox manufacturer, Allergan.

I want to assure you that here at Mona Dermatology, we only source our Botox directly from Allergan. We also follow the strictest standards for Botox safety, storage, and reconstitution to ensure your safety and the product’s quality.

For these reasons, you can always have confidence in the authenticity of your Botox treatments when being treated at Mona Dermatology. Should you choose to get your Botox treatments at another location, information is included below on what you should look out for. It is our priority to help you avoid the risk of being treated with counterfeit Botox .

Allergan’s Commitment to Safety

AbbVie and Allergan Aesthetics are the only authorized suppliers of BOTOX® (onabotulinumtoxinA) and BOTOX® Cosmetic (onabotulinumtoxinA) in the United States. In partnership with public health authorities, Allergan has confirmed the security of its supply chain. They have also confirmed the safety, quality, and efficacy of all products it manufactures and distributes.

How to Spot Counterfeit Botox

Consumers can identify authentic BOTOX® and BOTOX® Cosmetic products via a tamper evident seal on each product box carton, the established name “onabotulinumtoxinA” listed under the brand name BOTOX® or BOTOX® Cosmetic, and the hologram of the word “Allergan” on the vial label. Details on how to do this are in the graphic below and available at BotoxCosmetic.com.

How To Spot Counterfeit Botox | Mona Dermatology Cincinnati

If a price seems too good to be true, it probably is! If a treatment is discounted deeply, it is possible that the Botox could be heavily diluted or counterfeit. Paying a little more to see a well-trained provider and receive real Botox is worthwhile. Most importantly, it could also save you in the long term.

Mona Dermatology Botox Safety

At Mona Dermatology, our quality standards ensure you will never risk treatment with counterfeit Botox. Upon request, we are always happy to show you the box or vial that your Botox came in. We encourage you to adopt this practice of checking labels when visiting other offices. This will help ensure you are not receiving a counterfeit product.

Dr. Mona Foad is a national trainer for Allergan (the maker of Botox and Juvederm). She is an expert in safe storage, reconstitution, and injection practices and ensures that all Mona Dermatology providers follow the same protocols. Our providers hold advanced degrees and undergo extensive training for at least six months before seeing patients.

How To Get Rid Of Adult Acne | Featured In Woman’s World

Dr. Mona Foad expands upon the insights she shared in her recent Woman’s World feature: How To Get Rid of Adult Acne, Plus Doctors Pinpoint Why Women Over 40 Deal with Breakouts

What causes skin to be acne-prone?

A combination of genetic, hormonal, and environmental factors can cause acne-prone skin. One factor is excess sebum production by the sebaceous glands in the skin, which can clog pores. Hormonal changes, particularly androgens, can also increase sebum production. This is why acne is common during puberty, menstruation, pregnancy, and in conditions like polycystic ovary syndrome (PCOS). Another factor is clogged pores, whereby dead skin cells that do not shed properly can mix with sebum and clog hair follicles, forming comedones (whiteheads and blackheads). Bacterial growth in clogged pores and inflammation caused by this bacterium in the pores also play a crucial role in acne development, leading to redness, swelling, and pus.

Additionally, genetics can determine how much sebum your skin produces, how your skin cells shed, and your body’s inflammatory response, all of which can make you more prone to acne. Some studies also suggest that diets high in refined sugars and dairy products may exacerbate acne. Stress is another factor that can cause acne since it increases hormone levels that stimulate sebum production. Frequent touching of the face, wearing tight clothing, or using items like helmets and backpacks can cause further friction and pressure on the skin, leading to acne mechanica.

What is a good skin care regimen for someone with acne-prone skin?

A good skincare regimen for someone with acne-prone skin should focus on keeping the skin clean, reducing excess oil, and minimizing pore blockage without causing irritation. I always recommend a morning and evening skincare routine for my patients.

For a morning routine, start by using a gentle, non-comedogenic cleanser such as La Roche-Posay Effaclar Gel Facial Wash to remove excess oil and impurities. Using a toner is optional, but if you choose to do so, opt for one that is alcohol-free and contains soothing ingredients like witch hazel or glycolic acid to help exfoliate and remove any leftover impurities.

Next, apply a serum with active ingredients like salicylic acid, niacinamide, or tea tree oil to target acne. Niacinamide can also help reduce inflammation and control oil production. I like to recommend SkinCeuticals Silymarin CF to my patients. Use a lightweight, non-comedogenic moisturizer to hydrate the skin without clogging pores. Elta MD Moisture Seal is a moisturizer I typically recommend to my patients. Finally, apply a broad-spectrum sunscreen with at least SPF 30. Sunscreen is crucial to protect the skin from UV damage, which can worsen acne and cause hyperpigmentation. EltaMD UV Facial SPF 30+ Dry is a great sunscreen product I highly recommend.

For an evening routine, start with cleansing the skin to remove makeup, sunscreen, and daily grime. Next, apply targeted acne treatments that can be stronger, like retinoids, which can promote cell turnover and prevent clogged pores. Finally, make sure to use a non-comedogenic moisturizer (same as your morning routine) to keep the skin hydrated. It’s essential even for oily skin to maintain the moisture barrier.

What ingredients should they look for?

Certain ingredients can help manage and prevent breakouts for acne-prone skin while keeping the skin balanced and healthy. Some ingredients to look for include salicylic acid, a beta hydroxy acid (BHA) that penetrates pores to exfoliate and reduce sebum production, and glycolic acid, an alpha hydroxy acid (AHA) that exfoliates the skin’s surface to remove dead skin cells. For serums, look for niacinamide to reduce inflammation, retinoids to promote cell turnover, unclog pores, and reduce the appearance of acne and fine lines, and zinc to help control sebum production.

When it comes to moisturizers, look for hyaluronic acid to hydrate the skin without clogging pores, ceramides to restore and maintain the skin barrier, and aloe vera to soothe and hydrate the skin. For sunscreens, opt for non-comedogenic formulations specifically designed not to clog pores, as well as mineral sunscreens with zinc oxide and titanium dioxide that provide broad-spectrum protection with less risk of irritation. If you like to use mask treatments, look for products that include charcoal to draw out impurities and help detoxify the skin and clay, which helps to absorb excess oil and unclog pores.

What ingredients should they avoid?

Avoiding certain ingredients that can exacerbate breakouts or cause irritation is crucial for someone with acne-prone skin. Avoid comedogenic ingredients like heavy oils and butters, waxes, and silicones that clog pores and contribute to acne formation. Additionally, steer clear of irritating ingredients such as alcohol and both synthetic and natural fragrances. You’ll also want to avoid harsh exfoliants like apricot and walnut shell powder. All of these ingredients can cause inflammation, irritation, and worsen acne.

Product recommendations for acne-prone skin

For acne-prone skin, using products that help keep the skin clear without causing further irritation or breakouts is essential. The cleanser I typically recommend is the La Roche-Posay Effaclar Medicated Gel Cleanser. I like that it contains 2% salicylic acid to target acne and clear pores. For a serum, I like La Roche-Posay Effaclar Serum. For a moisturizer, CeraVe PM Facial Moisturizing Lotion is a non-comedogenic, oil-free moisturizer with niacinamide and hyaluronic acid. These ingredients will help to control oil. EltaMD UV Clear Broad-Spectrum SPF 46 is a lightweight sunscreen that protects against UVA and UVB rays. It is also formulated with niacinamide to help calm the skin. Differin Gel is an over-the-counter retinoid that helps prevent and treat acne by promoting cell turnover.

The Best Acne Light Therapy Devices | Featured In Cosmopolitan

Dr. Mona Foad expands upon the insights she shared in her recent Cosmopolitan feature: The Best Acne Light Therapy Devices Are Worth Adding to Your Routine, Stat

What is light therapy?

LED light therapy is also known as light-emitting diode therapy. This is a non-invasive skincare treatment that uses specific wavelengths of light to stimulate various cellular processes in the skin. It’s a popular treatment because it can help decrease inflammation in the skin. It can also treat a variety of skin conditions, including acne, fine lines, and eczema.

LED light therapy is a versatile treatment, with different colors of light offering a range of benefits for the skin. For instance, red light stimulates collagen production, reducing wrinkles and enhancing skin texture. It also aids in controlling inflammation and promoting wound healing. Blue light, on the other hand, targets acne-causing bacteria, effectively reducing breakouts. It’s a popular choice for mild to moderate acne treatment. Green light works to even out pigmentation and enhance skin tone while also providing a soothing effect. Lastly, yellow light promotes lymphatic flow, improving overall skin health and reducing redness and irritation.

What light kills acne bacteria?

Blue light therapy is the type of light commonly used to kill acne-causing bacteria. Specific wavelengths of blue light, typically in the range of 405 to 420 nanometers, are used to target and destroy the bacteria known as Propionibacterium acnes (P. acnes), which is a major contributor to acne.

Blue light therapy penetrates the skin and reaches the sebaceous glands where P. acnes bacteria reside. When exposed to blue light, the bacteria produce molecules called porphyrins, which then generate free radicals that ultimately destroy the bacteria. This process helps reduce inflammation and prevent new acne breakouts from forming.

Blue light therapy is often used as a non-invasive and drug-free treatment option for mild to moderate cases of acne. It can be administered on its own or in combination with other acne treatments. Depending on the severity of your acne and other individual factors, your provider may recommend other acne treatments. These can include over-the-counter skin care, prescription topical medications, oral antibiotics, birth control pills or isotretinoin.

Dr. Mona’s favorite devices

When recommending LED devices to patients, I take into consideration individual preferences, skin types, and specific needs. Belowa are some of the more notable options I like to recommend to my patients:

LightStim for Acne LED Light Therapy Device uses blue light to destroy acne-causing bacteria, and red light reduces redness to help soothe and calm the skin. LightStim has advanced NASA’s LED technology to simultaneously emit multiple wavelengths (colors) of light that work together to help clear existing breakouts and give your skin a more radiant and clear complexion. This device is great for adults and teenagers and is maintenance-free with no cartridges, LEDs or battery replacement costs.
- For an even more effective treatment, we offer the LightStim Professional LED Treatment here in our office!
The Neutrogena Light Therapy Acne Mask is an over-the-counter mask that uses blue light to target acne-causing bacteria and red light to reduce inflammation. It’s a convenient and accessible option for at-home use and is suitable for mild to moderate acne.
Foreo ESPADA is a handheld device that emits blue light and low-frequency pulsations to target acne bacteria and stimulate faster healing, thereby promoting clearer skin. It’s portable, rechargeable, and suitable for treating individual acne spots. This device uses a smart skin sensor that only turns on the blue light when it is in contact with your skin. I like this feature because it protects your eyes from any harmful LED light exposure.
Dr. Dennis Gross DRx SpectraLite FaceWare Pro is a wearable LED mask that combines red and blue light therapy. By offering both light options, this device can target acne and promote skin healing. It’s designed to be worn for just a few minutes daily and is suitable for all skin types.
The Environ Omnilux Contour FACE is also a handheld LED device that emits blue and red light therapy for acne treatment. It’s portable, easy to use, and suitable for spot treatments or larger areas of the face and body.

How to choose the best acne light therapy device for you?

Choosing the best acne light therapy device involves considering several factors to ensure it meets your specific needs and preferences.

Determine Light Type

First, determine whether you prefer blue light therapy, red light therapy, or a combination of both.

Blue light targets acne-causing bacteria
Red light reduces inflammation and promotes healing.

Some devices offer both types of light for comprehensive acne treatment. If possible, I would recommend getting a device that has both red and blue light to target both the acne and the inflammation that can cause hyperpigmentation.

Determine Design That’s Right For You

Consider the size and design of the device and whether it’s suitable for treating the areas of your skin affected by acne. Some devices are designed for spot treatments, while others cover larger areas like the entire face or back.

Next, check the intensity and wavelength of the light emitted by the device. Higher intensity and specific wavelengths are often more effective but may also increase the risk of side effects. Look for devices with adjustable settings to customize treatment intensity according to your skin’s sensitivity and the severity of your acne.

Determine Desired Features

Additionally, opt for a user-friendly and convenient device to incorporate into your skincare routine. Consider factors such as portability, ease of setup, and whether the device is rechargeable or requires disposable batteries. To guarantee its safety and effectiveness, ensure that the device is FDA-cleared or CE-marked for acne treatment. Avoid purchasing unregulated or uncertified devices, as they may not provide reliable results and could pose risks to your skin. Make sure to research customer reviews and recommendations from reputable sources to learn about the experiences of other users with the device. Look for feedback on effectiveness, ease of use, durability, and customer service. Finally, compare the prices of different devices and consider the overall value they offer in terms of features, effectiveness, and long-term benefits. While investing in a high-quality device may require a larger upfront cost, it can provide better results and durability over time.

Ensure Eye Protection

It is very important to protect your eyes while using an LED treatment. If used incorrectly, LED light therapy has been shown to damage your eyes. At-home use can be safe if you follow the appropriate guidelines. Make sure to use a high-quality, reputable device that meets all safety standards, and be sure to read and follow the instructions and guidelines included. Some devices, as mentioned, only turn on when in contact with your skin, some are made to be used around the eyes with a lower intensity of light and have built-in safety features, while others may require eye protection. Make sure to research the right device for you.

At-Home Laser Hair Removal Devices | Featured in Vogue

Dr. Alexandra Bowles shares her insights on at-home laser hair removal devices from her recent Vogue feature: The Best At-Home Laser Hair Removal Devices, According to Experts

Is laser hair removal permanent?

Laser hair removal is often marketed as a permanent solution to unwanted hair, but in reality, it generally results in long-term hair reduction rather than permanent hair removal. Many people experience significant hair reduction after a series of treatments. The treated hair may become finer, lighter and grow slower but not necessarily be completely removed. The FDA considers laser hair removal devices as providing “permanent hair reduction,” not “permanent hair removal.” This means that while treated hair follicles may not regenerate, new follicles can develop due to hormonal changes or other factors. It’s also important to keep in mind that results can vary widely among individuals. Some may experience nearly complete and long-lasting hair removal, while others may see regrowth over time.

Does laser hair removal hurt?

The sensation experienced during laser hair removal varies from person to person. However, most people describe it as uncomfortable rather than painful. Some of our patients who have undergone laser hair removal compare the sensation to a rubber band snapping against the skin or a quick, sharp sting followed by a feeling of warmth. The level of discomfort can vary based on individual pain tolerance, the area being treated, and the type of laser used.

For example, areas with thinner skin or more nerve endings, such as the upper lip and bikini line areas, tend to be more sensitive than others, like the legs and back. Hair and skin type can also affect the level of discomfort, whereby dark, coarse hair typically absorbs more laser energy, which can make treatments more intense. Oppositely, individuals with lighter hair might feel less discomfort due to the lower absorption of laser energy.

Is laser hair removal safe?

Laser hair removal is generally considered safe when performed by a trained and licensed professional. However, as with any cosmetic procedure, there are potential risks and side effects to always keep in mind.

For example, some common side effects are redness and swelling, which usually subside within a few hours, and temporary discomfort around the treated area. Less common or rare side effects include pigment changes, skin irritation, and scarring if the skin is improperly treated. Nevertheless, when undergoing laser hair removal, patients have to make sure to follow any pre and post-treatment guidelines provided by their physician to ensure the best results.

How does laser hair removal work?

Laser hair removal uses concentrated light energy to target and destroy hair follicles, inhibiting future hair growth. The laser device emits a beam of light that is absorbed by the pigment (melanin) in the hair. The absorbed light energy is then converted into heat, which damages the hair follicle, specifically the bulb and bulge responsible for hair growth. The laser inhibits or delays future hair growth by damaging these key structures within the hair follicle.

Is laser hair removal safe for all skin types?

Laser hair removal is generally safe and effective for all skin types as long as the laser and settings used are appropriate for the skin type. The effectiveness and risk of side effects however can vary based on skin tone and hair color. For this reason, it’s important for patients to always have a thorough consultation with a licensed professional who has experience treating your specific skin type. Qualified practitioners would typically administer a spot test. This will allow them to determine how your skin will react to the laser and to choose the appropriate settings.

What to look for in an at-home laser hair removal device?

When choosing an at-home laser hair removal device, it’s essential to consider several factors to ensure safety, effectiveness, and convenience. For one, look for FDA clearance, which indicates that the device has undergone testing for safety and efficacy. Check if the device is suitable for your skin tone. Some devices may not be effective or safe for darker skin tones. Verify if the device is effective for your hair color. Lighter hair colors, such as gray or blonde, may not respond well to certain devices.

Decide whether you prefer a laser or IPL device. IPL devices emit broad-spectrum light pulses, while laser devices use specific wavelengths of light. Laser devices are generally considered more effective for permanent hair reduction. Look for devices with adjustable energy levels and settings to customize treatments based on your skin sensitivity and hair thickness. I also recommend patients obtain proper eye protection if they choose to use these devices at home.

Which ones do you recommend?

Specific recommendations may vary based on individual needs and preferences. Some popular and highly-rated at-home laser hair removal devices that I have come across include:

Philips Lumea Prestige IPL Hair Removal Device
Tria Beauty Hair Removal Laser 4X
Silk’n Infinity Hair Removal Device.

These devices are popular for their effectiveness, versatility in treating a range of skin tones and hair colors, and user-friendly features such as adjustable settings and ergonomic designs. Additionally, they have received positive reviews from users, highlighting their reliability and noticeable hair reduction results over time.

Q&A with Dr. Mona on Brown Spots

As seen in the August 2022 issue of Cincinnati Magazine.

What are brown spots and how do they form?

There are different types of “brown spots” that might suddenly appear on our skin. Pigment producing cells called melanocytes create them all. UV exposure, most commonly from the sun or tanning beds, can cause our melanocytes to produce a pigment called melanin in an effort to protect our skin from the UV damage. This is what creates a tan. It’s our skin’s way of trying to shield itself. With repeated UV exposure, melanin clumps into higher concentration and produces those pesky “sun spots” that we start seeing as we get older. In addition, many people suffer from melasma, which can be aggravated by UV ray and hormonal causes.

How can we prevent brown spots?

I like to think of brown spots as icebergs that form in the ocean of our skin. Over time, the icebergs start floating to the top where we start to see them. The sun’s UV rays produce more pigment icebergs and cause them to rise to the surface more quickly.

For this reason, the easiest and best way to prevent brown spots suddenly appearing on the skin is to be “sun smart.” Use a broad-spectrum sunscreen. Avoid the middle of the day sun between 10am-2pm. Wear a broad brimmed hat, and consider wearing UPF clothing. I recommend sunscreens with zinc oxide and titanium dioxide. Some of my favorites are made by Elta MD, Colorescience, SkinMedica, and Alastin. Don’t forget to reapply every 2-3 hours!

You should also add a good topical antioxidant on a daily basis to prevent free radical damage from UV, pollution, and blue light. The Lumivive System by Skinmedica is one of my favorites. The day serum protects your skin from environmental damage, while the night serum repairs that damage. CE Ferulic, Phloretin CF and Sillymarin by SkinCeuticals are other fan-favorite antioxidants as well.

How can we treat brown spots after they form?

First, see a dermatologist to make sure that your brown spots are just normal sun damage and not something else such as skin cancer. I recommend a yearly skin exam and doing monthly self-exams using the ABCDEs as your guide. Early detection of skin cancers can result in higher cure rates.

To treat your brown spots, talk to your dermatologist about what approach is right for you. More superficial brown spots may be addressed with fading creams, skin brighteners, or a series of chemical peels. No down time treatments such as broad band light, often called BBL or IPL, can also help to even out your skin tone.

Occasionally, the “pigment icebergs” I mentioned earlier are too deep and dark, and we need to turn to different options such as Fraxel, Co2, or Picosecond lasers to break up the brown spots.

Are there any products that you recommend?

If you suffer from brown spot formation, I highly recommend a pigment brightener like Even & Correct by SkinMedica. Unlike hydroquinone (which I recommend people cycle on and off of) Even & Correct is safe to use year round and helps prevent and decrease brown spot formation.

Nail Strengthening Habits | Featuring Body Network

Dr. Alexandra Bowles expands upon her insights on nail-strengthening habits from her recent Body Network feature: Nail Strengthening Habits for Thicker, Longer Nails

When it comes to strengthening your nails, incorporating certain habits into your routine can promote stronger, thicker nails and encourage healthy nail growth over time. Dr. Bowles shares 9 nail strengthening habits to incorporate into your routine.

Maintain a Balanced Diet

For one, it’s important to maintain a balanced diet that includes essential nutrients such as protein, biotin, vitamins (particularly C and E), and minerals like iron and zinc, which are important for nail health.

Hydrate

Stay hydrated by drinking plenty of water to keep your nails hydrated and prevent them from becoming brittle.

Wear Gloves

Protect your nails by wearing gloves when doing household chores or working with harsh chemicals to prevent damage and breakage to your nails.

Avoid Acetone

Avoid harsh chemicals by limiting exposure to nail polish removers containing acetone, as it can dry out and weaken your nails. Opt for acetone-free formulas instead.

Moisturize with Hand Cream

Moisturize regularly by applying a moisturizing hand cream or nail oil to your nails and cuticles daily to keep them hydrated and prevent them from becoming dry and brittle.

File Nails Carefully

Use a gentle nail file to shape your nails, avoiding harsh filing motions that can cause damage and weaken the nails.

Take a Break From Nail Polish

Limit Nail Polish use by occasionally giving your nails a break from nail polish to allow them to breathe and recover. When using nail polish, opt for formulas free of harsh chemicals like formaldehyde, toluene, and dibutyl phthalate (DBP).

Be Gentle with Your Nails

Be gentle with your nails by avoiding using them as tools for tasks like opening packages or scratching surfaces, as this can cause them to break or become damaged.

Protect Them From Trauma

Protect your nails from trauma by being mindful of activities that can cause trauma to your nails, such as biting or picking at them or wearing acrylic tips, which can weaken and damage the nail structure.

Skin Cancer Risk Factors | How to Prevent Them

Skin Cancer: How to Prevent, Diagnose and Treat Skin Cancers

Understanding skin cancer risk factors and educating yourself about the effect of sun exposure on your skin is an essential part of protecting yourself against skin cancers. Dr. Mona shares how to stay sun safe and reduce your chances of developing skin cancer.

How does the sun affect my skin?

The sun emits ultraviolet radiation (UV Rays) that come through the atmosphere and penetrate our skin. UVC Rays are filtered out by the ozone for the most part, leaving UVB and UVA Rays. UVB Rays are what we call “Burning” rays because they can lead to a sunburn. They do not penetrate as deep into your skin as UVA Rays, which we call “Aging” Rays. UVA Rays go deeper in the skin and can cause more free radical damage. Which can lead to both increased risk of skin cancers as well as more aging effects with loss of collagen, elastin, and brown spot formation. A tan is our skin’s way of trying to protect itself from the burning effects of the sun but at the cost of increased risk of both skin cancer and aging. Sunscreens can help to decrease the effect of harmful UV Rays.

Why should you use a broad-spectrum sunscreen?

We recommend using a broad-spectrum sunscreen that protects your skin against both UVA and UVB rays since both rays can cause damage at different levels of your skin. Dr. Mona suggests choosing a mineral sunscreen that contains Zinc Oxide because it protects against the full UV spectrum. Mineral sunscreens, such as zinc oxide or titanium dioxide, are what we call physical blocks because they physically block the UV Rays and have the added benefit of being well tolerated by all skin types. If you want a broad-spectrum chemical sunscreen look for ones that include Avobenzone, since this covers into the UVA spectrum. Chemical sunscreens chemically alter UV rays once they get to the skin.

Why is SPF so important?

SPF stands for sun protection factor, which is the measurement of how well sunscreen protects your skin against UVB, NOT UVA, Rays. Using a broadband sunscreen with an SPF that is at least over 30 or 40, and reapplying it every two hours, will ensure full coverage. While products with high SPFs of 90 or 100 may seem helpful, they do not provide a significant increase in protection. SPF of 30 allows 3% of UV Rays to penetrate, therefore protecting you against 97% of the sun’s rays while an SPF of 50 allows only 2% of the sun’s rays to penetrate, giving you protection against 98% of the sun’s rays and an SPF 100 protects you against 99% of the sun’s rays before you get sunburned. Although SPF matters, having a broad spectrum sunscreen that you are willing to wear and reapply every 2 hours is more important than the SPF number.

Enhanced Skin Cancer Protection

Though sunscreen is the best way to protect yourself against the sun, there are other ways to get extra protection. Try limiting your exposure to the sun between 10 am to 2 pm, since this is when the sun is at its strongest. Wearing hats and /or protective clothing can also provide you with some protection. For example, you can try wearing a broad-brimmed hat. Visors and baseball hats protect your face front but not the sides, ears, or back of your neck. We suggest choosing a broad-brimmed hat for the best full-face protection to get fuller coverage. Antioxidants such as Vitamin C are great at helping to decrease free radical damage for the rays that penetrate your skin and get passed your sunscreen.

Are you checking your skin monthly?

First, make sure that you are scheduling your yearly skin exams. In addition to your in-office skin exams, we encourage you to get to know your skin and keep an eye out for new growths and suspicious moles. Point out new red bumps, scaling patches, and any funny-looking mole to your provider. When looking at a mole, consider the ABCDEs. This acronym is used to identify suspicious moles and potential melanomas. Remember, with early detection comes a better chance to treat and cure skin cancer.

ABCDE’s:

(A) Asymmetry: Moles should be symmetrical, not asymmetric.

(B) Border: Moles should be round or oval-shaped.

(C) Color: The color of a mole should be uniform, not darker or different colors.

(D) Diameter or Different: A mole should not be bigger than a pencil eraser or look different from your other moles.

(E) Evolving: The mole should not be evolving or changing.

SCHEDULE A SKIN EXAM

It’s not too late to schedule your yearly skin exam! To learn more, schedule an appointment online or give us a call at 513.984.4800.

The Best Menopause Skin Care + Products for Women Over 50 | As Featured In Woman’s World

Dr. Mona Foad expands upon the insights she shared in her recent Woman’s World feature: The Best Menopause Skin Care + Products for Women Over 50.

Menopause is a natural phase in a woman’s life characterized by hormonal changes, particularly a decline in estrogen levels. These hormonal shifts can significantly impact the skin, leading to various changes and potential skin issues. For example, lower estrogen levels can result in decreased production of natural oils (sebum) in the skin. This can lead to dryness and flakiness. This dryness can make the skin feel tight and more prone to irritation. Decreased estrogen levels can also lead to thinning skin, making it more susceptible to bruising and tearing.

Collagen and elastin production also decrease during menopause, causing the skin to lose its firmness and elasticity. This leads to the formation of wrinkles, fine lines, and sagging skin that become more noticeable. Additionally, hormonal fluctuations during menopause can trigger an increase in melanin production. This increased melanin can form age spots, dark patches, and uneven skin tone, particularly on sun-exposed areas. Fluctuations in hormone levels can stimulate the production of sebum, leading to clogged pores and breakouts. For this reason, some women may experience acne or worsening of existing acne during menopause. The skin can also become more sensitive during menopause, reacting more strongly to irritants, allergens, and environmental factors. This increased sensitivity can contribute to skin redness, itching, and discomfort.

During menopause, women may experience hot flashes with these hormonal shifts. Hot flashes can cause flushing, whichever tie can lead to persistent redness and rosacea. Making sure to use gentle products to avoid exacerbating this more sensitive skin is important.

There are changes to the vaginal canal as well. The vaginal epithelium becomes thinner and more atrophic with less glycogen-rich producing cells. This leads to more vaginal dryness, pain with intercourse, and an altered pH, which in turn can lead to an increased risk of UTIs.

Does the woman’s pH level of woman’s skin shift around the age of 50?

The pH level of a woman’s skin can shift around the age of 50, particularly during menopause and as a result of hormonal changes. The pH level of the skin refers to its acidity or alkalinity on a scale from 0 to 14. A pH of 7 is neutral and healthy is slightly acidic, typically around a pH of 4.5 to 5.5. This helps maintain the skin’s protective barrier function and supports the growth of beneficial bacteria while preventing the growth of harmful microbes. However, hormonal changes during menopause can disrupt the skin’s natural pH balance, leading to an increase in skin alkalinity. This shift towards a more alkaline pH can compromise the skin barrier, making it more susceptible to dryness, irritation, and increased sensitivity.

To reduce increased sensitivity and maintain skin health during menopause, women should use mild, fragrance-free cleansers, moisturizers, and other skincare products formulated for sensitive skin. Avoid products containing harsh ingredients such as alcohol, fragrance, and sulfates, which can further irritate sensitive skin. Keeping the skin hydrated and nourished by using a moisturizer helps to restore the skin barrier and prevents moisture loss. Look for products containing hydrating ingredients such as hyaluronic acid, ceramides, and glycerin. Wearing sunscreen daily is very important to protect the skin from the harmful effects of UV radiation. UV exposure can exacerbate skin sensitivity and accelerate aging. Choose a broad-spectrum sunscreen with SPF 30 or higher and reapply it every two hours, especially when outdoors.

Additionally, using hot water during bathing or washing can strip the skin of its natural oils and exacerbate dryness and sensitivity. Try to avoid doing this and instead use lukewarm water and pat the skin dry gently with a soft towel. I often suggest that my patients incorporate antioxidants to reduce sensitivity and promote overall skin health. Add in antioxidants such as vitamins A, C, and E to help protect the skin from oxidative stress and inflammation. The easiest way to do this is in the form of serums or creams in your skincare routine

Does acne occur if female hormones drop? Can it be treated the same way as teenage acne?

Fluctuations in female hormones, particularly a decrease in estrogen levels, can contribute to the development or worsening of acne in women. This is especially true during certain phases of life such as puberty, menstruation, pregnancy, and menopause. This type of acne is often referred to as hormonal acne. It typically manifests as deep, cystic lesions primarily around the chin, jawline, and lower face.

Hormonal fluctuations can stimulate the production of sebum (skin oil) and increase the proliferation of skin cells within the hair follicles, leading to clogged pores and acne breakouts.

While hormonal acne shares some similarities with teenage acne, it may require different treatment approaches. This is due to hormonal differences and potential sensitivities associated with age. Some treatments commonly used for teenage acne, such as harsh topical medications or oral antibiotics, may not be suitable or recommended for adult women, particularly those experiencing hormonal fluctuations during menopause.

Instead, treatments for hormonal acne in adult women may focus on addressing the underlying hormonal imbalances and targeting specific factors contributing to acne development. Common treatment options for hormonal acne in women include hormonal therapies where certain hormonal medications, such as oral contraceptives (birth control pills) containing estrogen and progestin, can help regulate hormone levels and improve acne in women. Other hormonal treatments, such as spironolactone, may also be prescribed to block the effects of androgens (male hormones) on the skin and reduce oil production. Topical retinoids, such as tretinoin or adapalene, can help unclog pores, reduce inflammation, and promote cell turnover, which can be beneficial for hormonal acne, but retinoid use should be balanced with any drying or irritating effect. It may be better to use a retinol as opposed to a prescription tretinoin. Although retinols may work more slowly than a retinoic acid, they are less irritating

Additionally, topical medications containing benzoyl peroxide, salicylic acid, or azelaic acid may help reduce acne lesions and prevent new breakouts but these can also be too drying in more mature skin. Make sure to add these in one at a time to avoid over-drying the skin.

What are your recommendations on skin care products as menopause sets in? What about to target increased dryness and/or more wrinkles, sagging, and age spots?

As menopause sets in and hormonal changes occur, it’s often beneficial to reassess your skin care routine and make adjustments to address specific concerns such as increased dryness, wrinkles, sagging, and age spots. For example, switch to a gentle, hydrating cleanser that effectively removes dirt, oil, and makeup without stripping the skin of its natural oils. Look for formulations with moisturizing ingredients like hyaluronic acid, glycerin, or ceramides to help maintain skin hydration. Choose a rich, emollient moisturizer formulated to provide intense hydration and nourishment to dry, mature skin with ingredients such as shea butter, squalane, and jojoba oil to replenish moisture and restore the skin’s barrier function. Incorporate anti-aging serums containing ingredients like retinoids (retinol or prescription-strength retinoids), vitamin C, peptides, and niacinamide to target wrinkles, fine lines, and age spots. These ingredients can help stimulate collagen production, improve skin texture, and reduce hyperpigmentation.

Prioritize daily sun protection by using a broad-spectrum sunscreen with SPF 30 or higher to shield the skin from harmful UV radiation. Sunscreen helps prevent further damage from occurring and minimizes the appearance of age spots and other signs of sun-induced aging. Additionally, use a hydrating and nourishing eye cream to address the delicate skin around the eyes, which is prone to dryness and wrinkles. Look for formulas containing ingredients like hyaluronic acid, peptides, and antioxidants to hydrate, firm, and brighten the eye area.

Incorporate gentle exfoliation into your skincare routine to remove dead skin cells, improve skin texture, and enhance product absorption. Opt for chemical exfoliants such as alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs), which are gentler on mature skin compared to physical scrubs. If you are more sensitive, mandelic acid, lactobionic acid, or gluconolactone may be a safer place to start with chemical exfoliants. Consider using hydrating masks, facial mists, or overnight sleeping masks to provide an extra boost of hydration and nourishment to dry dehydrated skin. Professional skincare treatments such as chemical peels, light and laser-based treatments, microneedling, and tightening procedures can also help address specific concerns like wrinkles, sagging, and age spots.

In general, what kinds of skin care ingredients might be best suited for skin during menopause?

Some key skincare ingredients that may be particularly well-suited for menopausal skin include:

Hyaluronic acid
Retinoids
Growth factors or peptides
Ceramides
Antioxidants

Hyaluronic acid is a humectant that attracts and retains moisture in the skin, helping to hydrate and plump dry, dehydrated skin. It can improve skin elasticity and smoothness, reducing the appearance of fine lines and wrinkles. Retinoids, including over-the-counter retinol and prescription-strength retinoids like tretinoin, are vitamin A derivatives. Retinoids promote collagen production, increase skin cell turnover, and improve skin texture. They can help minimize the appearance of wrinkles, fine lines, and age spots, while also enhancing skin firmness and elasticity.

Peptides and growth factors are amino acid chains that can help boost collagen production, improve skin elasticity, and reduce the appearance of wrinkles and fine lines. They support skin repair and renewal processes, promoting a smoother, firmer complexion. Ceramides are lipid molecules that help maintain the skin’s barrier function, preventing moisture loss and protecting against external irritants. They reinforce the skin’s natural barrier, improving hydration and resilience, particularly in dry, mature skin. Antioxidants like vitamin C or E , green tea extract, and resveratrol help neutralize free radicals and protect the skin from oxidative stress and premature aging. They support overall skin health, reduce inflammation, and help to protect the skin from free radical formation that can promote aging.

What skin care products are best for menopause?

I recommend the following skincare products to help target menopausal skin concerns. These common concerns include dryness, wrinkles, sagging, and age spots.

I like TNS Advanced+ by SkinMedica because it has a growth factor and peptides to prevent the skin’s internal aging. Growth factors and peptides help to promote collagen production and improve cell-to-cell communication so that the skin acts younger.

CeraVe Renewing Retinol Serum contains retinol, a form of vitamin A known for its anti-aging properties. Retinol helps reduce the appearance of fine lines, wrinkles, and age spots by promoting collagen production and increasing skin cell turnover. CeraVe’s formulation also includes ceramides, hyaluronic acid, and niacinamide. These ingredients hydrate and nourish the skin, making it suitable for menopausal skin prone to dryness and sensitivity.

SkinCeuticals Phloretin and SkinMedica’s Lumivive are potent antioxidant serums that help protect the skin from free radical damage, reducing inflammation, and brightening the complexion. Vitamin C stimulates collagen synthesis, improves skin texture, and fades hyperpigmentation, making it an excellent choice for addressing multiple signs of aging in menopausal skin. For a moisturizer, I recommend

La Roche-Posay Toleriane Double Repair Face Moisturizer, is a hydrating and soothing moisturizer suitable for sensitive, dry, and mature skin. It contains ceramides, niacinamide, and glycerin to strengthen the skin barrier, lock in moisture, and alleviate dryness and irritation. This fragrance-free formula is gentle enough for menopausal skin prone to sensitivity. It can be used both morning and night to provide long-lasting hydration and comfort.

Is there anything to avoid skin care-wise when in menopause?

During menopause, it’s important to be mindful of certain skin care practices and ingredients that may exacerbate common skin concerns or sensitivities associated with hormonal changes. Some things to avoid in your skincare routine when in menopause:

Harsh cleaners that can strip the skin of its natural oils
Over-exfoliating the skin: this can disrupt the skin barrier and lead to irritation and dryness. Limit exfoliation to 1-2 times per week using gentle exfoliants suitable for mature skin.
- Tip: Opt for gentle, hydrating cleansers that effectively remove dirt and impurities without compromising the skin barrier or causing further dryness.
Products with fragrances: can be irritating to sensitive, menopausal skin.
- Tip: Choose fragrance-free or unscented formulations to minimize the risk of skin reactions.
Alcohol-based products that can further dry mature skin.
- Tip: Avoid skincare products containing high concentrations of alcohol like toners and astringents that can disrupt the skin barrier and exacerbate dryness, leading to increased sensitivity and irritation.
Most importantly, sun protection is essential for menopausal skin, as it becomes more susceptible to sun damage and premature aging. Avoid skipping sunscreen, even on cloudy days or during indoor activities.
- Tip: Choose a broad-spectrum sunscreen with SPF 30 or higher to protect against UVA and UVB rays.

What skincare advice do you have for woman entering menopause or in menapause?

It’s important to keep in mind that hormonal fluctuations during menopause can have a significant impact on the skin. This can lead to changes in moisture levels, elasticity, and overall texture. I always encourage my patients to be proactive in adjusting their skincare routine to address these changes to help minimize the effects of hormonal imbalances on the skin.

Pay attention to lifestyle factors that can influence skin health during menopause. These include diet, hydration, stress levels, and sleep quality. Eating a balanced diet rich in antioxidants, staying hydrated, managing stress, and getting adequate sleep can all contribute to healthy, radiant skin during menopause.

Schedule regular skin checks with a dermatologist to monitor changes in your skin and address any concerns or issues promptly. Early detection and treatment of skin conditions are essential for maintaining skin health and overall well-being. Skin conditions common in these age group include skin cancer, eczema, psoriasis, and rosacea

Don’t neglect skincare for the rest of your body during menopause:

Keep your skin moisturized with body lotions or creams
Protect it from sun damage with sunscreen when exposed
Consider incorporating exfoliation and hydration treatments to maintain smooth, healthy-looking skin from head to toe.

Most importantly, learn to embrace the natural changes that occur in your skin during menopause. This is part of the natural aging process! Focus on nurturing your skin with gentle, effective skincare products and practices. Aim to cultivate self-acceptance and confidence in your appearance at every stage of life.