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

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

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

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

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

Humectants & Glycerin

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

Hyaluronic Acid:

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

Ceramides:

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

Other Ingredients:

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

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

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

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

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

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

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

Top Picks for Dry Skin Serums:

#1 Choice by Both: SkinMedica HA5 Hydra Collagen

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

Other Serums:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

6. Are there any safe skincare treatments for pregnancy?

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

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

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

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

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

Dr. Alexandra Bowles expands upon her insights from her recent feature in CNN Underscored: What is resveratrol? Derms explain the benefits of the anti-aging skin care ingredient.

What is resveratrol?

Resveratrol is a naturally occurring compound in certain plants, fruits, and vegetables. It is a type of polyphenol, a category of plant compounds with antioxidant properties. This is often used as a health supplement.

Where does resveratrol come from?

Resveratrol can come from various plants but is particularly abundant in red grapes, wine, berries, peanuts, and dark chocolate. The skins of red grapes are one of the richest sources of resveratrol. It is also found in grape seeds and, to a lesser extent, in grape leaves. Red wine, in particular, contains resveratrol because it is made with the skins of grapes. The fermentation process used in winemaking can concentrate the compound. Certain berries, including blueberries, cranberries, blueberries, dark chocolate, peanuts, and peanut products such as peanut butter, are other sources of resveratrol. 

What does resveratrol do for the skin?

Resveratrol offers several potential benefits for the skin, primarily due to its antioxidant and anti-inflammatory properties. For one, resveratrol helps neutralize free radicals, unstable molecules that can cause oxidative stress and damage skin cells. This protection can help prevent premature aging, such as fine lines and wrinkles. Resveratrol also has anti-inflammatory properties, which can help reduce redness, swelling, and irritation. This can be particularly beneficial for acne, rosacea, and eczema. Additionally, by protecting the skin from oxidative damage and supporting the skin’s natural repair processes, resveratrol can help maintain skin elasticity, improve texture, and reduce the appearance of fine lines and wrinkles. Resveratrol can also improve the skin’s barrier function, potentially enhancing moisture retention and preventing dryness.

Retinol is often considered the gold standard anti-aging ingredient. How does resveratrol compare to retinol?

Retinol and resveratrol are effective anti-aging ingredients, but they work in different ways and offer distinct benefits. Retinol is a form of vitamin A that promotes cell turnover and stimulates collagen production. It helps to exfoliate the skin, reduce the appearance of fine lines and wrinkles, and improve skin texture and tone. Retinol is highly effective at reducing the appearance of fine lines, wrinkles, and age spots by accelerating cell turnover and increasing collagen production. It can also help manage acne by preventing clogged pores and reducing excess oil production. In addition, retinol can improve skin texture and smoothness by removing dead skin cells and encouraging the growth of new skin.

Resveratrol is a potent antioxidant that helps protect the skin from oxidative stress and environmental damage. It also has anti-inflammatory properties and can help improve skin tone and brightness. Resveratrol neutralizes free radicals, helping to prevent premature aging and protect the skin from environmental damage. It can reduce redness and irritation, making it beneficial for sensitive or inflammatory skin conditions. Resveratrol can also help improve skin tone and reduce hyperpigmentation, leading to a more even complexion.

Is retinol or resveratrol gentler on skin?

Resveratrol is generally considered more gentle than retinol, especially regarding potential skin irritation and sensitivity. Retinol can be more irritating, especially when first introduced into a skincare routine. Resveratrol is typically well-tolerated by most skin types, including sensitive skin. Its primary function as an antioxidant and anti-inflammatory means it usually doesn’t cause irritation or dryness. Retinol, on the other hand, can cause redness, dryness, peeling, and increased sensitivity to sunlight. This is why it’s important to introduce retinol to the skin slowly.

Are there certain skin types that should use resveratrol over retinol and vice versa?

Depending on their specific needs and concerns, different skin types may benefit more from resveratrol or retinol. For example, resveratrol is generally more gentle and soothing, making it a good option for those with sensitive skin who may experience irritation with more potent ingredients like retinol. Resveratrol can also benefit those with inflammatory skin conditions, such as rosacea or eczema, by helping to reduce redness and irritation without exacerbating these conditions. Furthermore, resveratrol can offer antioxidant protection and mild anti-aging benefits for those in their 20s or early 30s who are looking for preventative anti-aging care without the need for solid actives. Resveratrol’s antioxidant properties can help improve skin tone and brightness if the primary concern is hyperpigmentation or dull skin.

Conversely, Retinol is highly effective for addressing signs of aging, such as fine lines, wrinkles, and loss of firmness. It promotes collagen production and increases cell turnover, making it ideal for mature skin. Retinol can also help manage acne by regulating sebum production and preventing clogged pores. It also helps fade post-acne marks and scars. Retinol can help balance oil production, making it suitable for those with oily or combination skin types. It can effectively treat sun damage, such as age spots and uneven skin texture, due to its ability to accelerate skin cell renewal.

Does resveratrol have any side effects?

Resveratrol is generally considered safe for most people, mainly when used in moderation and as part of skincare products. However, like any active ingredient, it can cause side effects in some individuals. Although rare, some people may experience mild irritation, redness, or itching when using resveratrol products, especially if they have sensitive skin or if the product has a high compound concentration. In rare cases, individuals may have an allergic reaction to resveratrol, resulting in symptoms like rash, hives, or swelling. While not a common side effect, resveratrol could make the skin more sensitive to sunlight. Therefore, it’s always advisable to use sunscreen during the day, especially when using active skincare ingredients.

What is the best way to use resveratrol?

The best way to use resveratrol largely depends on your skin type, the specific product you’re using, and your overall skincare routine. For most people, resveratrol can be used daily. It’s gentle enough to be incorporated into both morning and evening routines. Regular use helps maximize its antioxidant and anti-inflammatory benefits. If you have susceptible skin or are introducing resveratrol into your routine for the first time, you might start by using it a few times a week and gradually increase to daily use as your skin adapts. 

Applying resveratrol in the morning can help protect the skin and show many benefits from oxidative stress and environmental damage throughout the day. It pairs well with sunscreen to provide additional protection against UV damage. A simple morning routine can include a cleanser, resveratrol serum, and sunscreen. However, using resveratrol at night is also beneficial, as it can work alongside other nighttime skincare treatments, such as retinol or hydrating serums. The skin’s repair processes are active overnight, allowing resveratrol to enhance anti-aging and repair. A sample evening routine can include a cleanser, a resveratrol serum that can be used alongside other serums or treatments, and a moisturizer.

Can everyone use resveratrol? Should they?

While resveratrol has many potential benefits and is generally considered safe, it may not suit everyone. Whether or not someone should use resveratrol depends on several factors, including their skin type, specific skin concerns, medical history, and overall skincare goals. Patients who may benefit from resveratrol include those seeking antioxidant protection or addressing signs of aging, such as reducing fine lines and skin elasticity or reducing inflammation due to sensitive skin or conditions like rosacea or eczema. However, if you have a known allergy to sources of resveratrol, such as grapes and red wine, or if you have susceptible skin, it’s essential to exercise caution and consider alternatives when using resveratrol. 

Should you avoid mixing certain skincare ingredients with resveratrol? If so, what? 

While resveratrol is generally well-tolerated and can be combined with many skincare ingredients, there are a few combinations where caution might be advised to prevent potential irritation or reduced efficacy. Ingredients to use with caution include high-strength exfoliants (AHAs/BHAs) such as glycolic acid, salicylic acid, and lactic acid to avoid the risk of skin irritation. Instead, consider using exfoliants in the morning and resveratrol in the evening or alternate days. Other ingredients include retinoids, such as retinol and tretinoin, which can also cause further irritation, vitamin C, and benzoyl peroxide, which may cause skin irritation or reduce the product’s efficacy. 

Ingredients that are generally safe to use with resveratrol include hyaluronic acid to moisturize and soothe the skin. niacinamide, to offer anti-inflammatory properties,  peptides to support collagen production, and ceramides to help restore and maintain the skin barrier.

Can you experience the skin benefits of resveratrol by consuming foods that contain it?

Consuming foods rich in resveratrol can contribute to overall skin health. Still, the benefits of resveratrol may not be as direct or pronounced as those achieved through topical application of resveratrol in skincare products. Consuming resveratrol-rich foods may help reduce inflammation throughout the body, which can benefit skin conditions related to inflammation, such as acne or rosacea. Resveratrol can improve blood circulation, which may help with skin health by ensuring the skin receives adequate nutrients and oxygen. However, if you’re interested in incorporating resveratrol into your diet, consider these foods. Foods that can help include: red grapes, particularly the skin, which is high in resveratrol; red wine, which contains resveratrol but should be consumed in moderation due to alcohol content; berries, such as blueberries and raspberries, which also contain resveratrol, and dark chocolate, though moderation is critical due to sugar content.

Why do you think resveratrol has blown up on TikTok?

With the evolution of social media, there has been a growing interest in skincare and anti-aging products, particularly among younger audiences. Resveratrol, known for its antioxidant and anti-aging properties, fits well into this trend. Influencers and skincare enthusiasts often play a significant role in promoting products. When influencers with large followings share their positive experiences with resveratrol, it can quickly become a trend. Additionally, the scientific research supporting the potential benefits of resveratrol, such as its antioxidant properties and ability to protect against skin aging, gives it credibility. This scientific backing often appeals to consumers looking for effective skincare solutions.

There is also a growing preference for natural and clean beauty products. Resveratrol, a naturally occurring compound in foods like grapes and berries, aligns with this preference. It is also available in various forms, including serums, creams, and supplements, making it accessible to many consumers. Its inclusion in well-known brands’ product lines also boosts its visibility. TikTok’s format of short, engaging videos allows for quick and visually appealing demonstrations of products. Skincare routines, product reviews, and before-and-after transformations can quickly capture viewers’ attention and encourage them to try new products. TikTok users are often curious and willing to experiment with new products and trends. The platform’s community-driven nature fosters a sense of discovery and experimentation, which can drive interest in new ingredients like resveratrol.

What is your opinion on the resveratrol garnering attention as a ‘youth-preserving’ ingredient?

I think it’s wonderful that people are starting to take more ownership of their skin and really looking into the ingredients of the products they are using. Resveratrol is a great product with antioxidant properties that can help protect the skin from free radicals in the environment that we know lead to aging and thus keep you looking more youthful and refreshed. 

Dr. Alexandra Bowles expands her insights on the top Korean cleansers, shared in her recent Vogue feature: The Best Korean Cleansers for Refreshed and Hydrated Skin.

How to choose a Korean cleanser:

When choosing any cleanser, it’s important to start by understanding the ingredients. Everyone’s skin is unique and when trying new products, you want to make sure you’re making the right choice. To choose Korean cleansers, determine your specific skin concerns. If you happen to have oily skin, consider searching for a foaming or gel Korean cleansers with ingredients such as salicylic acid or tea tree oil. This will help to control excess oil. If you happen to have skin on the dryer side, focusing on a hydrating or oil-based cleaner with ingredients such as hyaluronic acid is ideal. And for those with combination skin, consider a gentle or sensitive cleanser that can target both oily and dry areas.

What Korean cleansers are best?

• To find the right cleanser for you, start by considering your unique skin concerns and needs. Here are a few top choices:

• • COSRX Advanced Snail Mucin Gel Cleanser: A budget-friendly pick perfect for dry or sensitive skin, thanks to its unique ingredient, snail mucin.
  • Glow Recipe Avocado Ceramide Moisture Barrier Cleanser: Ideal for dry skin, this cleanser boasts a rich, hydrating texture typically found in facial creams.
  • SUPEREGG Gentle Elements Cleansing Foam: A great choice for sensitive and dry skin. True to its name, this cleanser is gentle and helps support delicate skin.

What is the Korean cleansing method?

The Korean cleansing method is a two-step skincare routine. We’re usually used to one round of cleansing, so it’s an interesting method. The first round of cleansing features an oil-based cleanser. This removes makeup, sunscreen, and anything else oil-based that appears on our face throughout the day. This effectively remove these products without stripping the skin. The second round of cleansing is with a water-based cleanser. This removes any remaining products or buildup and cleanse any sweat and dirt.

Dr. Mona Foad and Dr. Alexandra Bowles were recently featured in Vogue! They are expanding upon their insights in the article, The Best Neck Creams for Hydrating Skin and Smoothing Fine Lines.

Our #1 Choice for Neck Creams

SkinMedica Neck Correct Cream – This product is one of Dr. Mona and Dr. Alexandra’s favorite products that they recommend daily! This product is easily absorbed and non-greasy. This cream features shiitake mushroom extract for skin elasticity and rice protein to strengthen the skin barrier. Additionally, it contains green microalgae extract for environmental protection and skin firmness. It also includes paracress extract, which helps to reduce the appearance of platysmal bands. It also contains hyaluronic acid to ensure hydration, improving texture and softness. These powerhouse ingredients make Neck Correct a great choice for a neck firming cream.

Dr. Mona’s Other Reccomendations

SkinCeuticals TriPeptide R Neck Repair Cream – This cream is packed with retinol to reduce fine lines and wrinkles, tripeptides to boost collagen, and a glaucine complex to firm up the skin. It’s great for the neck, tackling sagging, crepiness, and wrinkles. Plus, it has hydrating ingredients to moisturize and improve skin texture. Additionally, this neck cream touts a 27% average improvement in neck skin crepiness as well as a 16% average improvement in the appearance of horizontal neck lines. 

Alastin Restorative Neck Complex with TriHex Technology – Loaded with peptides and active ingredients, this product has a patented TriHex Technology®  which helps to  clear out damaged collagen and elastin, making way for the stimulated production of new, healthy elastin and collagen. It’s perfect for the neck, addressing fine lines, wrinkles, skin laxity, redness and discoloration. It also contains niacinamide and phytoene, which help hydrate and firm up the skin for a youthful look.

Nécessaire The Neck Serum – Formulated with high-quality ingredients like Niacinamide (Vitamin B3) to calm inflammation, peptides to support collagen production, and hyaluronic acid to provide hydration. This serum also improves skin elasticity. It is a great combo for maintaining a smooth, toned neck at a lower price point.

RoC Multi Correxion Chest, Neck & Face Cream – This multi-tasking cream targets the chest, neck, and face, addressing anti-aging concerns and simplifying your routine. It tackles discoloration, sagging, dryness, dull skin, and wrinkles. Vitamin E and glycerin hydrate and nourish the skin, while SPF 30 protects against sun damage and premature aging. Although I have not used this product and do not recommend it to my patients, it is an affordable option with a sunscreen for photoprotection. 

Dr. Alexandra’s Other Reccomendations

NeoStrata Skin Active Triple Firming Neck Cream – This cream is a great option for those patients looking for firming and improvement in neck complexion. It is packed with potent ingredients like neo glucosamine to reduce uneven pigmentation and fine lines. It also contains pro-amino acids to support collagen production. Additionally, it targets sagging, wrinkles, and uneven skin tone, firming and lifting the neck area while improving texture and clarity.

Revision Skincare Nectifirm Advanced – This innovative formula features Diglucosyl Gallic Acid to brighten the skin and enhance tone, peptides to boost collagen and improve firmness, and Red Microalgae Extract for lifting and tightening. It also contains lingonberry extract, which provides potent antioxidant protection against environmental damage.

Dr. Barbara Sturm Super Anti-Aging Neck & Décolleté Cream – This dermatologist-formulated cream contains premium ingredients like purslane, a powerful antioxidant for calming inflammation and promoting skin health; glutamine, an amino acid supporting natural repair and improving firmness and elasticity; and hyaluronic acid for deep hydration. It also includes anti-inflammatory ingredients, making it suitable for sensitive skin types.

Dr. Mona Foad expands upon the insights she shared in her recent feature in Everyday Health: The 12 Best Sunscreens for All Budgets, Skin Tones, and Skin Types.

What are the best active ingredients to look for in a sunscreen?

Some of the best active ingredients that you can find in sunscreen include Zinc Oxide and Titanium Dioxide. These ingredients provide protection into the UVA spectrum. As mineral sunscreens, they are also less likely to cause allergic reactions when applied. If you don’t want to use mineral based sunscreen but still want UVA protection, look for Avobenzone as an ingredient.  

Avobenzone is a chemical sunscreen that protects against UVA rays. It is often used in combination with other chemical sunscreens that protect against UVB rays. Zinc Oxide is my favorite because it protects against both UVA and UVB rays. Sunscreens are divided into physical blocks and chemical sunscreens. Physical sunscreens, such as zinc oxide and titanium dioxide, protect the skin against UVA and UVB rays by deflecting the sun’s rays. They also provide instant protection against sun damage to the skin and preventing sunburn and sun damage in the process. Avobenzone, a chemical sunscreen ingredient used as a UV filter, helps to protect the skin from harmful rays by absorbing the UVA rays. Octocrylene, a chemical filter, helps stabilize Avobenzone and absorb UVA rays and is often included to make a sunscreen more water resistant. 

Which sunscreen ingredients should I avoid?

The most concerning sunscreen ingredient is oxybenzone because it is easily absorbed through the skin even after sunscreen has been applied. This increases the risk of skin irritation and long-term health effects. Oxybenzone has been shown to be systemically absorbed 50-100 times higher than other sunscreens. Both Oxybenzone and octinoxate have both been banned from use in Hawaii.   

What should I look for when buying a sunscreen?

When trying to select the best sunscreen for your skin, make sure the label says “Broad Spectrum,” meaning the sunscreen can protect your skin from both UVA and UVB rays and “SPF 30 or higher” to provide better protection. You do not necessarily need a sunscreen that is higher than spf 50 because the percentage increase in protection is minimal past that.

I would choose a sunscreen that works with your skin type. If you are oily, you may want to choose a lighter weight sunscreen or one that is water based, whereas one that is more moisturizing may be better if you are more dry.  If you have sensitive skin or have rosacea, I would stay away from chemical sunscreen and use mineral sunscreens with zinc oxide or titanium dioxide. Finally, if you have melasma, I would use a tinted sunscreen because the iron oxides can protect your skin from infrared as well as the UV Rays. If you are going to be in the water or more sweaty, you may want to look for one that is more “water resistant”.   

Dr. Mona’s Top Sunscreen Recommendations:

• Best Tinted: Sunforgettable Total Protection Face Shield Flex SPF 50
  • This lightweight tinted sunscreen combines mineral sunscreens and antioxidants to protect your skin against UV rays, Infrared and Blue light with their patented EnviroScreen® Technology.  This sunscreen comes in 4 shades, fair, medium, tan and deep, and magically adapts to your skin color. This sunscreen is safe for all skin types.
• Best for Acne-Prone Skin: EltaMD UV Clear Broad-Spectrum SPF 46
  • This is a fan favorite for people who want protection but do not want to feel like they are wearing sunscreen.  If you are acne prone, you may opt for a lighter weight product such as the Elta MD UV Clear formulated with 9% zinc oxide and  5% Niacinamide (Vitamin B3) to help reduce the appearance of blemishes and discoloration on your skin. This broad spectrum sunscreen contains micronized zinc oxide to protect your skin from damaging UVA (aging) and UVB (burning) rays. It is fragrance-free, paraben-free and non-comedogenic.

Other Recommendations:

• Best Reef Safe: Stream2Sea EcoStick Sunscreen Sport SPF 35+
  • Hawaii has banned many chemical sunscreen components such as oxybenzone and octinoxate due to their deleterious effect on the coral reef.  This lightweight, water resistant stick has been formulated with EcoSafe Zinc™, a non-nano, naturally-coated, USP grade certified zinc oxide that has passed rigorous aquatic safety testing to be reef safe. It is fragrance free, great for sensitive skin and has the added benefit of having an antioxidant blend to help further protect your skin.You can use this and feel good that you are protecting your skin as well as the environment.
• Best Body and Best for Children: Love Sun Body Sheer Perfection Mineral Body Sunscreen SPF 50
  • This is a great non greasy mineral based sunscreen that uses a non nano zinc oxide and non nano titanium dioxide to protect your body and face. Approved for use 6 months and up, this lightweight sunscreen is easy to rub in and does not leave a messy white cast all over your body. I love that it is reef safe as well and is good for all skin types, including sensitive skin.
• Best Tinted: La Roche-Posay Anthelios Mineral Tinted Sunscreen for Face SPF 50
  • This mineral based sunscreen uses patented Cell-Ox technology with titanium dioxide and an antioxidant blend to protect against UV rays. Titanium dioxide is well tolerated by most skin types, including sensitive skin, and the iron oxide in titanium dioxide protects against infrared and creates a nice tint for extra coverage.

Does the form of sunscreen make a difference?

In some ways, the form of sunscreen does matter, as it can impact its effectiveness, application, and coverage. The most common forms of sunscreen are lotions and creams, which are best for full-body application. They are easy to apply, and their density ensures better skin coverage and protection.

Sprays are a more convenient option because they are quick and easy to use, especially for children. The disadvantage of spray sunscreens is the lack of even application. To ensure proper protection, spray a very generous amount of sunscreen and rub it into the skin. It would also be better to apply a spray sunscreen indoors as opposed to outside. When applying outside, the wind may disperse an aerosolized sunscreen spray.

Stick sunscreens are great for sensitive areas around the eyes, face, ears, and lips. As long as the sunscreen is chemical-free, it should not cause skin irritation. Brush on sunscreens can be a great way to touch up sunscreen during the day without disturbing makeup. Brush on sunscreens are also a favorite among golfers, because they do not leave any residue on your hands. Sticks and brush on are convenient, mess-free, and easy to apply. Ultimately, whatever your preference for sunscreen may be, you must apply sunscreen generously and consistently to ensure that your skin is protected from UV radiation. 

Is it okay to go outside without sunscreen on?

Generally speaking, if not applying any form of sunscreen, try to limit exposure to 5-15 minutes at a time, 2-3 times a week. Walking to your car from your office or getting your mail might not require you to apply sunscreen, but if you know you will be outside for more extended periods of time, especially during peak sun hours, applying sunscreen is crucial.

Also, certain medications, a history of skin cancer, or sensitive skin can increase sun sensitivity and skin reactions. It’s equally important that individuals who fit into these categories use sunscreen generously when outdoors. 

What are common mistakes people make with sunscreen?

I think one of the biggest mistakes people should avoid when applying sunscreen is using too little. Most people only apply 25-50% of the recommended amount of sunscreen. To ensure full body coverage, most adults need about one ounce of sunscreen. 

Another common mistake to avoid is applying sunscreen only in sunny weather. The sun emits harmful UV rays all year. Even on cloudy days, up to 80% of UV rays can penetrate your skin. To protect your skin and reduce the risk of skin cancer, apply sunscreen even on cloudy days. 

The effectiveness of sunscreen decreases over time and when exposed to high temperatures or sunlight. As a result, make sure you are not using an expired sunscreen. Most sunscreens expire within 1 year. For this same reason, it is also important to reapply sunscreen regularly when outdoors, in the water, or doing an outdoor activity.