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.
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!
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!
Fall for Chemical Peels: Chemical Peel Benefits
If achieving flawless, glowing, and healthy skin is on your fall to-do list: Chemical peels may be for you! These medical-grade facial treatments have minimal downtime and are safe for all skin types. They are the perfect choice for skin maintenance or even addressing skin concerns. This includes: acne, acne scarring, brown spots, pores, or texture. Mona Dermatology aesthetic providers, Kylee Finn, RN and Amanda Schmidt, LME, break down the science behind chemical peel treatments and answer your top questions about chemical peel benefits.
How do chemical peels work?
Kylee, RN: Chemical peels use the applications of various chemicals, such as alpha-hydroxy acid or salicylic acid. This causes the top layers of your skin to shed over a short period of time. During the appointment, your provider will apply multiple layers of the chemical peel solution onto your skin. These solutions consist of retinol, and different types of acids to raise the acidity of the skin. When you change the acidity of the skin it causes the skin to start to exfoliate, causing your peeling. The peeling of the skin promotes rejuvenation of healthy skin cells. This allows new, fresh skin to be revealed after the peeling.
Will I “peel”?
Amanda, LME: There are different levels of chemical peels such as superficial, medium depth or deeper peels that cause more layers of skin to peel. Your provider will help choose the best peel for you. This depends on the severity of your skin condition, what type of skin condition you want to treat, and how sensitive your skin is. Chemical peels can range from gentler treatments that will refresh your skin and cause no peeling at all to deeper peels that can improve more advanced concerns.
What can a chemical peel treat?
Chemical peels treat many different skin conditions such as sun damage, hyperpigmentation, melasma, acne, acne scarring, and other concerns. There are many benefits to a chemical peel making it versatile.
Sun Damage:
Chemical peels can address the visible signs of aging caused by sun damage. This can be done by, increasing the turnover of skin cells and promoting collagen production. Common concerns include superficial lines and wrinkles, uneven skin tone, brown spots, and more. In addition to addressing these cosmetic concerns, some chemical peels can also help to exfoliate actinic keratosis. These precancerous lesions develop in the epidermis of your skin as a result of sun exposure. Overtime, this has the potential to develop into skin cancer.
Hyperpigmentation:
A chemical peel helps exfoliate the skin, which reveals fresh and youthful skin underneath. In addition to boosting your collagen production, a chemical peel can also help exfoliate sun-induced brown spots as well as hyperpigmentation from various conditions such as acne scarring and melasma. By addressing these key causes of hyperpigmentation, chemical peels help even out and benefit your skin tone over time.
Melasma
Melasma is often triggered by hormone changes in the body which cause an overproduction of pigment in the superficial layers of the skin. A chemical peel can help increase your skin cell turnover, and exfoliate brown patches without causing heat-induced inflammation that can actually trigger melasma. Therefore, chemical peels are a great way to decrease the visible signs of Melasma.
Acne & Acne Scarring:
By promoting the shedding of skin and reproduction of skin cells, chemical peels can help heal acne breakouts quicker and prevent them from becoming inflamed. It can also help fade the leftover red pigment caused by acne, called post-inflammatory hyperpigmentation, and some types of acne scarring. In addition, salicylic acid peels are a great way to help treat active acne as well as acne scarring.
Fine Lines & Wrinkles:
if you’re seeking a no-needles way to soften superficial wrinkles and fine lines, a chemical peel may be a great option. By increasing cell turnover and boosting collagen production, a series of chemical peel treatments can help lessen the appearance of wrinkles over time. For deeper wrinkles, other treatments such as Botox or lasers may be a better choice.
Rosacea
Some lighter chemical peels contain mandelic acid, which can help calm inflammation. As a result, this can decrease the redness in your skin from rosacea. Chemical peels may not be the best choice for all patients experiencing rosacea. Your provider will help you choose what products and treatments are right for you.
Click the video below to read more about this customizable treatment!
Filler Myths: Fact or Fiction
Filler is a popular injectable cosmetic treatment for adding or restoring volume in the lips, cheeks, under eyes, jawline, and more. Board-certified dermatologists, Dr. Mona Foad and Dr. Alexandra Bowles, share the truth behind what you may have heard about filler myths and whether or not it’s fact or fiction.
“One syringe of filler will be enough to treat multiple areas on the face”: Fiction
Dr. Mona: Believe it or not, a syringe of filler usually only con-tains 1 ml of product. In comparison, a ketchup packet contains over 8 ml. For this reason, one syringe of filler does not go that far, especially when trying to restore lost volume in multiple areas of the face such as the cheeks, temples, lips, and more. How many syringes do most people get? That depends on how many areas you want to treat and how much volume loss you may have. If you are nervous and only want to do one syringe, I recommend choosing one area on your face, like your lips for example, to get the best result.
“Fillers replace lost volume that happens as we age”: Fact
Dr. Mona: We naturally lose volume in the face as we age. We lose bone, muscle, and collagen at the same time as our fat pads flatten and shift downward, all of which can cause jowling and a more sunken or hollow look. Fillers can be a great way to immediately treat areas where volume has diminished and to restore a more youthful version of ourselves.
“Most fillers are made up of products that are naturally occurring in your skin”: Fact
Dr. Mona: Hyaluronic acid is produced by our bodies and can be found in areas such as our eyes, joints, and skin. Most dermal fillers are made up of hyal-uronic acid, such as Juvederm Collection, RHA Collection, Restylane, and Belatero. Hyaluronic acid fillers are a great option because they have a very low risk of allergic reactions, due to their natural occurrence in the body. The other benefit of hyaluronic acid fillers is that they are dissolvable, so the treatment can be reversed if necessary. Radiesse, another popular filler, is made of calcium hydroxyapatite, another naturally occurring substance in our skin.
“Filler is unsafe or risky”: It depends
Dr. Mona: Although most filler treatments are safe, with few side effects, complications are possible with any medical procedure, and filler is no different. There are many blood vessels and arteries in the face. If the filler is injected into these areas, serious complications can arise. However, choosing the right provider is the best and most important step you can take to reduce this risk and ensure you have a safe and effective treatment. Ensure that the office you are visiting has a physician on staff who is board-certified in a related field, such as a Dermatologist or Plastic Surgeon.
You also want to ensure that the individual provider who you are seeing has extensive experience and training in not just the treatment, but also on how to handle any complication. At Mona Dermatology, all of our providers hold advanced degrees (such as MDs, DOs, PAs, NPs). They also train for a minimum of six months prior to seeing patients. It is important to ask your provider about these potential risks at your first visit and understand how they will handle a complication in the unlikely event that it does occur.
Dr. Alexandra Bowles
“Lip filler will look unnatural”: Fiction
Dr. Alexandra: Filler injections are highly customizable. Results can vary depending on the provider’s technique as well as the patient’s natural lips. Often, individuals you may see with obvious over-filled lips have had multiple syringes placed in the same area over a short period of time. A well-trained provider who is skilled at giving natural-looking results can enhance the shape of your lips in a way that still fits your facial anatomy. We discuss patient expectations and proportions before each procedure to ensure that both myself and the patient are on the same page with regards to shape, volume, and overall look. Additionally, as we age, we begin to lose volume in our face such as the mid face and lips. Filler treatments is a great way to maintain the youthful volume in these areas and continue to age gracefully.
“Filler can correct facial imbalances”: Fact
Dr. Alexandra: Dermal filler treatments are a great way to correct asymmetry and balance facial features. Popular treatment areas for balancing the facial pro-portions include temples, cheeks, chin, jawline, and lips. It is very important to see a provider who can do a full facial assessment. They are able to provide you with a treatment plan that addresses all areas of your facial anatomy. It is always beneficial to see before and after photos of past full-face treatments your provider has given. Providing volume in proper areas can result in a beautiful refreshed result that still looks very natural.
“Filler goes away quickly or stays for a long time”: It depends
Dr. Alexandra: Hyaluronic acid–based dermal fillers, such as Juvederm or RHA, last 6–18 months. Filler is metabolized in the body varies between patients and depends on the area treated and type of filler used. This determines the speed it metabolizes at. For example, filler around the mouth may not last as long as filler in the cheeks. This is due to the properties of the filler and constant movement of the mouth. As a result, it is possible some people may notice their filler results disappearing quicker or lasting longer.
“Filler will make me look frozen”: Fiction
Dr. Alexandra: A common misconception! Fillers add volume to treatment areas, such as the lips, cheeks, or undereye. A filler treatment will not give the ap-pearance of looking “frozen.” Botox on the other hand, is a neurotoxin which temporarily paralyzes or softens muscle movements to relax wrinkles over time. It is possible that someone could get too much Botox. By stopping their muscle movement entirely, which can lead to this frozen look. A well-trained provider utilizes techniques that ensure your muscle movement is appropriately reduced while still maintaining a natural look.
“It’s expensive”: It depends
Dr. Alexandra: Depending on the office where you are being treated, a sy-ringe of filler can range from $600 to $1,000. If you are treating one area, such as your lips, it is possible to only need one syringe. This will leave your final cost of treatment under $1,000. You may need a larger number of syringes when treating multiple areas. Large amount of volume loss you wish to replace may also require a larger number of syringes. If you are considering a filler treatment and are curious about the cost, it is best to have a consultation. At your consultation, your provider can provide you with a personalized treatment plan and estimate costs before beginning.
Take a look at this patient’s results after a lip filler treatment:
Make Your Jawline Filler Last
You just arrived home from your first jawline filler appointment. You can’t stop admiring your side profile in the mirror and are eager to show your new look to the world. Not so fast! If you want to enjoy the maximum benefits of the procedure and maintain your new look, Mona Dermatology recommends some important aftercare steps.
Be Cautious For 24 Hours After Jawline Filler
Our experienced providers will be meticulous while placing your filler to ensure you receive the safest treatment and best possible results. Everyone’s facial structure is different, so precision is key when it comes to building the jawline of your dreams. However, applying pressure to the treated area during the healing process may cause the filler to migrate to other areas around the neck and jaw. Be aware of habits, like resting your chin in your hands or sleeping on your side, for the first 24 hours as this may put too much pressure on the treated area.
Stay Hydrated
Hyaluronic acid-based dermal fillers work by attracting water molecules from nearby tissues to create a plumping effect in the desired area. Drinking plenty of water after your appointment will maximize the results of your filler, ensuring you get the most out of your treatment. Additionally, the topical numbing applied to the skin during the procedure may cause dryness, so it is important to hydrate your skin with your favorite moisturizer during the recovery period.
Avoid Excess Salt and Alcohol
Alcohol products and food high in sodium increase water retention and cause systemic swelling — think of the dreaded bloating and facial swelling the morning after dinner and drinks with friends. While fluctuation in water retention is normal, higher-than-average swelling is not ideal after a filler appointment. Your jawline will already be sore and irritated from the treatment, so it’s best to avoid the extra puffiness until the area heals. Instead, drink plenty of water to flush out the excess salt.
Use UV Protection & Avoid Excess Heat
Although you should be applying sunscreen to your face daily, UV protection is especially important post-filler, since excess UV rays can affect the longevity of your dermal fillers. The damage and inflammation caused by overexposure to the sun stimulates your skin’s healing process. As you shed dead skin cells, the molecules in the filler can be broken down, too. Make sure to wear a topical sunscreen and consider adding a wide-brimmed hat to your daily wardrobe, as well as staying indoors during peak UV hours. You’ll also want to be cautious to avoid extensive heat exposure for 72 hours after your treatment, as it could negatively impact your results or cause excessive swelling.
Schedule a Combination Treatment
It’s good practice to schedule a follow-up appointment for two weeks after your initial treatment. That way, your provider can evaluate how the filler is settling into your face, even out any asymmetry, or add more product if needed. Many clients also choose to pair filler with other anti-aging treatments — like Botox, microneedling, or chemical peels — to boost their results.
How to Remove Age Spots | Featured In Body Network
“Age spots” are small, flat, brown patches that typically appear on areas of the body that have been exposed to a lot of sunlight over time. Common areas include the face, hands, shoulders, chest and arms. If you are wondering how to remove age spots, Dr. Mona is here to share her top tips.
Some quick remedies that you can do to make the spots less noticeable include:
Applying over-the-counter skin-lightening creams and lotions
Using physician-prescribed topical creams
Undergoing laser or light treatments
Cryotherapy
Microdermabrasion
Chemical peels
In addition, sunscreen and some skin cafes can help prevent age spots from coming up.
Skin-Lightening Creams and Lotions
There are numerous skin-brightening options available in drugstores, retail stores, and doctor’s offices that can be used to minimize the appearance of age spots.
Your first line of defense should be a good broad-spectrum sunscreen. This can help protect your skin from both UVA and UVB rays. One of my favorites is Colorscience Sunforgettable ® Total Protection ® Face Shield Flex SPF 50 a mineral-based sunscreen that magically autocorrects to your skin tone. A great 2-in-1 product that combines antioxidants with a sunscreen is SkinMedica Total Defense + Repair SPF 34.
A second line of defense should be antioxidants such as Vitamin C serums and retinoids. You could splurge for Skinceuticals Phloretin or choose a more affordable option with La Roche Posay’s 10% Pure Vitamin C Serum l La Roche Posay. Retinoids are well known for their anti-aging benefits but can also help with brown spots. RetrinAL Advanced Correcting Serum is a good over-the-counter choice because it combines retinols, niacinamide, and hyaluronic acid.
My third line of defense is to use a pigment brightener. This helps to not only lighten brown spots but also prevent brown spots from forming.
To prevent more brown spots from coming to the surface, look for creams that contain tranexamic acid, niacinamide, or kojic acid. Splurge on SKinMedica’s Even & Correct Advanced Brightening Treatment. It’s important to keep in mind that consistent use of creams for weeks or months is necessary for them to be effective on the skin.
Physician-Prescribed Medication or Remedies
If you have already tried over-the-counter products in your search for how to remove age spots, it may be time to consider prescription options. Some patients might require special formulas or creams that are stronger than drugstore options. In such cases, physicians can prescribe more effective remedies, such as hydroquinone or retinoids to treat age spots.
Hydroquinone is a bleaching cream that can be effective at treating superficial age spots, but it should not be used for more than 8-12 weeks at a time without taking a “hydroquinone holiday” for 8-12 weeks before incorporating it back into your skincare routine. It is not recommended to use anything higher than a 4% hydroquinone cream since this can actually cause more brown patches to form, a condition called ochranosis. As mentioned above, retinoids are well known for their anti-aging benefits but can also help with brown spots. Prescription Retin-A, or tretinoin, can be an effective way to treat some age spots.
Age spot procedures
If you want to get rid of dark spots quickly, opting for a procedure that eliminates layers of discolored skin may yield better results compared to using a lightening cream. These techniques include light and laser-based treatments, cryotherapy (freezing), microdermabrasion, and chemical peels. It’s important to note that procedures typically entail higher costs than creams and carry additional risks.
Laser Treatments
Laser treatment, also known as laser therapy or laser resurfacing, is a medical procedure that uses concentrated light beams to target and treat various skin issues. Narrow beams of light are used to get rid of the cells that cause age spots without damaging the rest of the skin. Treatments such as picosecond lasers have minimal to no downtime, whereas resurfacing lasers may require some preplanning. Depending on the treatment chosen and the amount of sun damage or age spots, desired results may require one to multiple sessions. Initially, laser treatments may lead to skin crusting or darkening of spots, yet these temporary side effects typically go away quickly.
Intense Pulse Light Treatments
IPL or BBL (Broadband light) is a great way to treat both brown age spots and redness from sun damage. Filters are used to isolate the correct wavelength to target either redness or brown discoloration inyour skin. You can treat the face as well as other areas of the body that have age spots. This is a very popular treatment because it has minimal downtime and is not painful. You will need multiple sessions to achieve the best results.
Chemical Peel
In a chemical peel, a solution containing acids is applied to the skin to eliminate layers where age spots are present. Peels can range from superficial glycolic or salicylic acid peels, which cause dry flaking skin for a few days, or stronger medium-depth peels, such as TCA or phenol peels, that are done by a done by a medical professional and cause more significant peeling with over a week of downtime. Fresh skin will subsequently regenerate, resulting in a more even skin tone. Achieving desired outcomes may necessitate multiple sessions. Although generally considered safe, deeper chemical peels have risks, including scarring, infection, or alterations in skin pigmentation.
Freezing (Cryotherapy)
Cryotherapy is a medical procedure that uses extreme cold temperatures to treat various skin conditions or lesions. Liquid nitrogen is applied to the skin for a few seconds to freeze the areas where the spots are. As your skin heals, it will develop a small crust revealing lighter skin underneath, but the treatment can cause irritation, swelling, blisters, or redness.
Cautery
Electrocautery can be used to treat some age spits. In this treatment, an electric current is used to create injury to the superficial layers of skin. This causes an age spot to crust and scab and fall off. This is a controlled injury using very low energy and should only be used by an experienced health professional. It can be a more effective way to treat some age spots in people of color.
Dermabrasion
For this procedure, a rapidly spinning brush is used to sand down the spotted skin area so new skin can replace it. Multiple sessions may be necessary for this procedure to be effective. Potential side effects include redness, scabbing, and swelling. Additionally, it may take an extended period for your skin to fully heal and regain its normal appearance. This is not a common way to treat most age spots.)
Microdermabrasion
Microdermabrasion uses tiny crystals to exfoliate the skin instead of a spinning brush. It’s gentler on the skin compared to dermabrasion. However, achieving the desired results for age spot reduction may require multiple treatments spread over several months. This treatment will only treat the most superficial age spots and will not go below the surface of he skin. One advantage is it will leave your skin feeling more smooth and allows your skin care products to penetrate better. Possible side effects include temporary redness or flakiness of the skin.
Microneedling
For this procedure, fine needles are used to create small, evenly distributed punctures in your skin. Your body reacts to these minor wounds by producing new collagen and elastin. These are essential components for youthful skin, to facilitate healing. Although this is a great way to rejuvenate the skin and improve overall skin texture and quality, it is not the best way to target age spots.
Age Spot Prevention
Prevention can be the most effective way to address age spots. First and foremost, avoid excess sun exposure and tanning beds from a young age. Incorporating proper skin care early can also be a great defense.
To maintain lighter age spots and prevent the formation of new ones, try to minimize sun exposure. This is particularly important during peak hours of intensity. Apply a high-quality, broad-spectrum sunscreen before heading outdoors and reapply it frequently. Using gloves, hats, or other clothing on age-spot areas can help shield them and prevent new ones from forming.
Skincare Hacks
Skincare is more than just a routine; it’s how you practice self-care and make yourself feel good. In our busy lives, finding quick and effective skincare methods is essential. Whether you’re dealing with sun damage, skin breakouts, or early signs of aging, skincare hacks can be a game changer. Jessica, PA-C, has just the tips for you! Explore these skincare hacks and see how small changes can make a big difference in your daily routine and make things easier.
Double Cleansing 101
What is double cleansing?
You may have seen the double-cleansing trend on social media. Jessica, PA-C, shares why it’s a great habit to add to your routine. A gentle cleanser is the best choice for most skin types, but on its own, it may not be enough to remove makeup and excess dirt, pollutants, and oil that your skin may be exposed to during the day. By double cleansing, you can ensure you are removing all of these impurities while still treating your skin with gentle products.
How do I double cleanse?
Jessica, PA-C, recommends starting with an oil-based cleanser or micellar water. Your second cleanser will vary depending on your skin type. For example, if you have more oily skin, Jessica, PA-C, recommends a foaming cleanser, and if you have dryer skin, she suggests trying a cream or water-based cleanser. If you aren’t sure what skin type you are or which cleanser will be best for your skin, take our cleanser quiz! If you want a deeper dive into the right products for your skin, schedule a consultation with one of our providers.
Are you someone who dreads putting on your sunscreen? Jessica, PA-C, understands your pain and has just the tip for making daily sunscreen application more enjoyable. As we know, wearing sunscreen daily is one of the best ways to prevent premature aging. Jessica loves using a foundation brush instead of her hand to make sunscreen application easier. Her favorite sunscreen to pair with this tip is ColoreScience Glow! She puts the sunscreen on the brush and then applies it to her face for a smooth, even application. ColoreScience Glow, or any tinted facial sunscreen, is the perfect lightweight substitute for traditional foundation makeup with the added benefit of extra sun protection!
Can the way you sleep cause wrinkles? Jessica, PA-C, shares her insights on this trending topic and why the way you sleep could be causing those pesky vertical lines on your face. If you commonly sleep on your stomach or side, you may be more prone to these wrinkles. Sleeping this way squishes your face, creating vertical wrinkles over time.
How to prevent wrinkles when sleeping:
Jessica, PA-C, encourages you to sleep on your back instead of your side or stomach. She recommends this because it prevents your face from being compressed by the pillow and, in turn, helps prevent the vertical lines from appearing on your face. If you have difficulty sleeping on your back, Jessica, PA-C, suggests using a trainer pillow. These specialty pillows will help you learn how to sleep comfortably on your back over time. Another option is wearing silicone patches to sleep to help minimize creases. Jessica, PA-C’s favorite silicone patches are Frownies, Sio, and Wrinkles Schmickles.
Did you know there are other ways to protect your skin from the sun beyond sunscreen? Everyone has that fear of missing a spot when applying sunscreen. Adding Sun ISDIN as a supplement will help neutralize the free radical damage from the sun and boost your protection. However, it is essential to note that it is not a substitute for sunscreen! Sun ISDIN is a great supplement or a layer of protection in addition to still applying your daily sunscreen.
You may be someone who has had multiple skin cancers, or you may know someone who is commonly treated with skin cancers every time they visit the dermatologist. Jessica, PA-C, understands your struggles and has a safe and effective way to help reduce your risks. Consider adding a simple B vitamin into your routine, which can help. When this is taken twice a day, vitamin B3, also known as niacinamide, has been shown in multiple studies to decrease the risk of skin cancers. Check with your doctor and get approval before adding vitamin B3 to your routine. This supplement is very well tolerated for most patients with minimal to no side effects.
What is the difference between lip filler and a lip flip?
Lip filler is a hyaluronic acid injectable that adds hydration or volume to your lips. It is a fantastic enhancement treatment that will leave you with noticeable results. A lip flip, on the other hand, involves a Botox injection into your upper or bottom lip, or both. Botox is used to help relax the muscles, allowing the lips to ‘flip’ outward and appear fuller. While lip fillers add physical volume to the lips, a lip flip enhances the shape by relaxing the muscles around the lips, creating a subtle outward curl.
How do you know which treatment is better for you?
Megan, PA-C, suggests that if you are unsure about getting a lip filler treatment, begin with a lip flip. A lip flip creates shorter-term and more subtle results. For these reasons, a lip flip could be a good place to start if you aren’t sure if lip enhancements are right for you. If you wish to add hydration or volume to your lips, Megan PA-C suggests getting lip filler because it provides both these enhancements with longer-lasting results. Additionally, lip fillers can be more versatile in achieving different looks, from subtle enhancement to more enhanced volume, depending on your preferences and goals.
How long do the results last?
Our providers typically utilize hyaluronic acid-based fillers, such as Juvederm or RHA, for lip enhancement procedures. These fillers generally last between 8 and 18 months; however, it is important to note that everyone metabolizes filler at different rates, causing variations in the duration of results. Lip filler touch-ups may be necessary after approximately one year. Alternatively, some fillers, like Bellafill, can last significantly longer (2-5 years). However, these types of fillers are not dissolvable and are used less commonly for lip filler treatments.
A lip flip treatment, on the other hand, typically lasts for about 3-4 months. Since Botox is used to relax the muscles around the lips, the results are temporary and will gradually diminish as muscle movement returns to the area. Some patients may notice their results lessening sooner, as it is a high-movement area with strong muscles.
What do the results look like?
Lip filler results can vary from subtle to dramatic based on the amount of filler used and the patient’s specific goals. Generally, patients can expect plumper, more hydrated lips with enhanced shape and definition. The results are immediately visible, though there might be some initial swelling that subsides within a few days.
A lip flip results in a more subtle enhancement compared to fillers. The lips will appear slightly fuller and more defined due to the relaxed muscles, but without the added volume that fillers provide. The effect is often described as a gentle, natural-looking enhancement. For this reason, it is perfect for those seeking a less invasive option or a trial before committing to fillers.
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Lip filler
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The Best Moisturizers for Glowing Skin | Featured In Glamour
What moisturizer do you most recommend for glowing skin?
Dr. Mona Foad
When looking for a moisturizer, I first start by asking what type of skin someone has. Are they oily, normal, sensitive, or dry? For someone who is oily, I tend to suggest lightweight humectant-rich gel or lotion moisturizers. These are helpful because they are not going to block their pores and cause them to break out. If someone is more dry, I look for more humectant-rich creams or oils to help seal in their moisture. Moisturizers help to lock in moisture and keep your skin barrier in tip-top shape. Without the right one for you, you can develop breakouts or your skin may get irritated.
However, moisturizers are only part of the answer to more “glowy skin.”. You should evaluate why your skin is not glowing. Possible reasons may include:
Your skin is more dry: You may need to add in a topical hyaluronic acid to build hydration.
You are getting older: Your cellular turnover has slowed down, leading to a more dull appearance.
Environmental damage: Factors such as sun exposure and pollution that have caused you to lose that youthful glow.
A moisturizer is very important to lock in and seal your own hydration. To truly achieve more glowing skin, I recommend adding in skin care products that target changes in your skin. These include hyaluronic acid, exfoliants, antioxidants, retinol, and sunscreen.
Dr. Alexandra Bowles
When I hear patients requesting glowy skin, I like to educate them that it’s not just about what you’re putting on top of the skin, but also how well you’re taking care of your skin holistically. My top tips for caring for your skin include:
Stay hydrated
Use sunscreen to avoid UV damage
Use proper active ingredients such as antioxidants and retinoids when appropriate
Seal all of those healthy skin cells in with a moisturizer that helps bring out that hydrated, glowy look
First and foremost, I always recommend a hyaluronic acid-based serum. Skinmedica’s HA5 Rejuvenating Hydrator has 5 types of hyaluronic acid, each working with your skin to help draw moisture into the skin and lock it in. I like this serum specifically because I think it does a great job of providing that glowy look with an elegant finish that looks great alone or layers well under makeup. For a more affordable option, Vichy Mineral 89 Serum is also a HA-based serum that I love, especially as a base for my more dry patients, such as those taking isotretinoin.
To seal these serums in, I recommend a cream-based moisturizer. My favorite is the Skinmedica Dermal Repair Cream. It has a light finish and leaves the skin glowing. For a drugstore option, CeraVe Facial Moisturizer is a great option. They have both an AM and PM version, one with SPF and one without.
What other products should we use to promote glowing skin?
Dr. Mona Foad
Hyaluronic acid (HA) acts as a “water grabber” and is important for building your skin’s hydration, or water content. Without enough HA, your skin will be drier and therefore look less glowing. As we get older, we lose our ability to make HA. For this reason, adding it to your skincare routine becomes even more important. My favorite is SkinMedica’s HA5 which has 5 cross-linked hyaluronic acids. This helps your skin build its own hyaluronic acid rather than just adding it topically.
Our skin has a natural shedding process. As we get older, this slows down and can lead to dull, dry, and rough skin. Using exfoliants appropriate for your skin type is a great way to gently shed the top layer of dead skin. This gentle exfoliation can help unclog pores, smooth skin, and reveal healthier glowing skin below. They also help other products penetrate the skin better so they can be more effective. There are many options ranging from alpha, beta, and polyhydroxy acids.
I always encourage a topical antioxidant to help fight environmental damage such as UV rays, pollution, and blue light. These environmental aggressors can make your skin look more dull and cause your skin to age. Vitamin C is the most well-known and common antioxidant. It helps to brighten your skin, protect against UV damage, and help build collagen.
Retinols or a prescription Retin-A can help to stimulate cellular turnover and have the added anti-aging benefit of helping with collagen production. Both of these processes help with overall skin health and appearance.
I would be remiss if I did not mention sunscreen! Make sure that you wear sunscreen daily to protect your skin from the most common cause of photodamage, the sun.
What is the best moisturizer for dry skin?
Dr. Mona Foad
Moisturizers are made up of humectants, emollients, and occlusives. If you have more dry skin, you will want to consider humectant-rich creams over lotions and add oils to your routine when needed, such as squalene oil. You may also want to consider occlusives, such as Vaseline or Aquaphor, to aid areas that are especially dry or flaking. I tend to suggest fragrance-free products to avoid any potential irritation. I like Avene Tolerance Control Soothing Recovery Balm as a more affordable option for sensitive skin. Additionally, SkinMedica’s TNS Ceramide Treatment Cream is a heavier cream that is great for very dry skin thanks to its added ceramides.
Dr. Alexandra Bowles
For dry skin, I recommend a cream-based moisturizer. I really like Cerave Cream Moisturizer for the body because it has a thick cream vehicle full of ceramides and hyaluronic acid to help improve the hydration of the skin and keep the skin barrier happy and healthy. It comes in a big tub that makes application a breeze. It is also a great option for sensitive skin as it was designed by dermatologists and is accepted by the National Eczema Association.
One thing I think a lot of patients miss is that you want to prevent dry skin, not just treat it after it happens. To help lock in moisture and prevent dry skin, I recommend moisturizing daily, preferably immediately following showering. By preventing dry skin, you’re also improving the integrity of the skin barrier and preventing micro-cracks and tears that can lead to chapped skin or flare-ups of other issues such as eczema.
For dry or cracked hands, I recommend the Norwegian Formula Hand Cream from Neutrogena. For dry lips, I recommend Vaseline or Aquaphor. I prefer these as they are very gentle and provide an occlusive-like moisturization without dyes or perfumes that can irritate the lips.
