shutterstock 1083859292

Let’s be real: Acne is the great equalizer. Like it or not, most of us have — at some point or another — dealt with it. Whether it’s cystic, adolescence-related, or the hormonal acne that can affect us well into our twenties, thirties, and forties, just about everyone has a relationship with acne that ranges from casual to decades-long. 

Fortunately, there is much that can be done to heal and even prevent active breakouts, so long as you know what kind of acne you are treating. Here, a guide to the different types of acne that can crop up on the face and body alongside direct-from-the-dermatologist tips on how to address it from an ingredient, product, and prescription perspective. 

## **1. Comedones**
While ‘comedone’ is the technical term, you most likely know this type of non-inflammatory acne as ‘blackheads’ and ‘whiteheads.’ As such, there are two types of comedones:
 
1. **Closed Comedones** (a.k.a. whiteheads): Non-inflammatory lesions that form when the pore closes on top of a buildup of sebum and dead skin cells, resulting in a small — usually white — bump.
2. **Open Comedones** (a.k.a. blackheads): Non-inflammatory lesions that occur when the pore remains open despite being clogged with excess oil and dead skin cells, causing a dark-colored spot on the surface of the skin.

“They are variations of congested pores filled with compacted dead skin cells, primarily keratin proteins and sebum,” says [Jessica Weiser, MD](https://www.weiserskin.com/), a board certified dermatologist and founder of Weiser Skin in New York City. “Open comedones are true blackheads — clogged pores with dilated openings at the skin surface — whereas closed comedones have the same compacted keratin plug, but a thin layer of skin typically obstructs the follicle opening.”

As Connecticut-based board certified dermatologist [Mona Gohara, MD](https://dermatologyofct.com/about/our-providers/mona-gohara-m-d/), explains, comedonal acne often affects teenagers due to increased oil production. “This is typical around puberty,” she says. But adults can deal with blackheads and whiteheads, too. “They can also form from skincare that is too occlusive, hair products, and friction from clothing that is too tight,” Dr. Gohara adds. 

### **Recommended Treatments for Comedones** 

- Vitamin A derivatives (think: retinol and retinoids)
- Alpha Hydroxy Acids (i.e. glycolic acid)
- Beta Hydroxy Acids (read: salicylic acid)
- Azelaic Acid
- Benzoyl Peroxide

One thing all our experts agree on? Comedonal acne is best treated with topical [vitamin A derivatives](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare), like prescription retinoids and over-the-counter retinols. “I think of [topical retinoids] as pipe cleaners for your skin,” says [Joshua Zeichner, MD](http://www.zeichnerdermatology.com/), a board certified dermatologist and director of cosmetic and clinical research in dermatology at Mount Sinai Hospital in New York City. “At the same time, they help reduce inflammation.” 

Dr. Gohara, for one, is a fan of over-the-counter [Differin](https://www.target.com/p/differin-adapalene-gel-0-1-acne-treatment-15g/-/A-51346324) and prescription Retin-A and Tazorac. [Altreno](https://www.altreno.com/) is another prescription-strength option that is specifically formulated for sensitive skin. While many vitamin A derivatives can be irritating, Altreno “contains hydrating ingredients that reduce potential irritation,” Dr. Zeichner says. On the OTC retinol front, Dr. Weiser recommends [Skin Better AlphaRet Overnight Cream](https://skinbetter.com/products/rejuvenate-alpharet-overnight-cream/), [Allies of Skin 1A Retinal + Peptides Overnight Mask](https://www.dermstore.com/product_1A+Retinal+Peptides+Overnight+Mask_73733.htm), and [SkinCeuticals Retinol 1.0](https://www.dermstore.com/product_Retinol+10+Maximum+Strength+Refining+Night+Cream_4505.htm). 

If retinoids and retinol are not for you, most exfoliating ingredients should do the trick. Since this type of acne is primarily due to blockage of the follicle, New York City-based board certified dermatologist [Sejal Shah, MD](https://aedit.com/provider/sejal-shah-md-17984), generally recommends using products featuring ingredients that increase cell turnover like hydroxy acids and azelaic acid. She likes [La Roche Posay Effaclar Medicated Gel Face Cleanser](https://www.target.com/p/la-roche-posay-effaclar-medicated-gel-face-cleanser-for-acne-prone-skin-6-76-fl-oz/-/A-16452472) and [Nip + Fab Salicylic Fix Pads](https://www.nipandfab.com/us/skincare/range/teen-skin-fix-salicylic-acid/teen-skin-salicylic-acid-day-pads). Benzoyl peroxide is another good option, says Dr. Gohara, adding that non-comedogenic products are a must for those prone to comedonal acne. “It should say that on the label,” she shares. 
 
If you’re looking for [cleaner formulas](https://aedit.com/aedition/what-clean-green-natural-mean-for-beauty-makeup-skincare-products) that are just as effective at eradicating non-inflammatory acne, try the [Orveda Cleansing Bamboo & Enzymatic Water](https://orveda.com/us/cleansing-bamboo-enzymatic-water) to remove makeup. The [Susanne Kaufmann Tonic Clarifying](https://skinbiologique.com/products/susanne-kaufmann-tonic-clarifying), meanwhile, is a great pick to refresh the complexion and reduce inflammation. To finish off this clean routine, apply the [African Botanics Neroli Infused Marula Oil](https://credobeauty.com/products/african-botanics-neroli-infused-marula-oil) morning and night to balance oily skin. 
 
## **2. Hormonal Acne**
Not just for teenagers, hormonal acne can stay with women well into their late thirties and forties, Dr. Gohara says. Unlike the superficial nature of non-inflammatory comedones, Dr. Weiser explains that hormonal acne is often “deep, painful cystic papules or nodules” that appear on the jaw, chin, and neck. “Hormonal breakouts are triggered by internal hormones levels including androgens (testosterone) and cortisol (stress hormone) levels,” she notes, which means oral contraceptives can both cause *and* treat it.

### **Recommended Treatments for Hormonal Acne**

- Oral medications like Sprionolactone and Accutane
- Oral Contraceptives
- Blue Light Therapy
- Chemical Peels
- Laser Treatments

There isn’t all that much that can be done at home to treat hormonal acne because the lesions occur deep beneath the surface of the skin and very rarely ever come to the surface, Dr. Weiser says. “Warm compresses can be helpful at reducing swelling,” she explains. “But these lesions are more likely to rupture under the skin surface, further worsening the inflammation and swelling and risking a larger and more serious skin infection.”
 
While OTC products tend to not work for this type of acne, there are prescription oral medications that offer some relief. “Prescription treatments that internally control hormones — such as [spironolactone](https://aedit.com/procedure/spironolactone-for-acne-treatment) and certain types of oral contraceptives — are generally the most effective ways to control this hormonally-driven acne,” Dr. Weisner says. Isotretinoin (a.k.a. [Accutane](https://aedit.com/procedure/spironolactone-for-acne-treatment)) is another option.

When it comes to in-office procedures, [blue light therapy](https://aedit.com/aedition/everything-you-need-to-know-about-the-benefits-of-light-therapy), [chemical peels, and laser treatments](https://aedit.com/aedition/chemical-peel-vs-laser-treatment-what-is-best-for-your-skin) can all be effective in treating hormonal acne.
 
## **3. Body Acne**
Typically caused by friction (often from athletic gear) and not changing out of clothing after working out, Dr. Gohara says that body acne is most common on the chest, shoulders, and back. Appearing in the form of non-inflammatory comedones and inflammatory pustules and papules, body breakouts can impact men and women of all ages. “While body acne is quite common in puberty and teens, it can also afflict adult men and women, especially those who naturally sweat excessively or exercise intensely,” Dr. Weiser says. She adds that it’s important to cleanse skin immediately after sweating to prevent sebum, bacteria, and debris from sitting on the surface of the skin for prolonged periods.

### **Recommended Treatments for Body Acne**

- Topical Salicylic Acid and Benzoyl Peroxide 
- Oral medications

The treatments that body acne responds to depends on the type of lesions, Dr. Shah notes. “If mild or mild-moderate, it may respond to topical treatments,” she says. “But more moderate to severe body acne may require oral medication.”
 
To treat mild to moderate body acne, Dr. Gohara recommends body washes formulated with benzoyl peroxide or salicylic acid body washes, like the [CeraVe SA Body Wash](https://www.amazon.com/CeraVe-Salicylic-Ounce-Fragrance-Exfoliate/dp/B077TWXCQV). In addition to BHA-spiked washes, Dr. Weiser says to look for a combination of products that contain antimicrobial ingredients and retinol to control oil glands. She likes [Murad Acne Control Body Wash](https://www.murad.com/product/acne-body-wash/) and [ZO Skin Health Oil Control Acne Pads](https://zoskinhealth.com/products/getting-skin-ready/acne-treatment-pads).
 
## **4. Nodules or Cystic Acne**
Cysts refer to swollen, red pimples that manifest as both small pustules (a pus-filled whitehead) at the skin surface and deeper lesions beneath the skin. Inflammatory acne occurs as a result of bacteria (usually Propionibacterium acnes, known as P. acnes) in the lesions that triggers the body to form an immune reaction. “These lesions often still begin as clogged pores due to excess oil production that become secondarily infected with bacteria,” Dr. Weiser says. Those who deal with cystic acne and nodules are typically predisposed to it. Dr. Gohara says that this type of acne is hormonal and “often this is a genetic factor.”

### **Recommended Treatments for Cystic Acne**

- Topical products with Benzoyl Peroxide, Retinoids, Sulfur, and Hydroxy Acids
- Oral medications like Sprionolactone and Accutane 
- Steroid Injections

Due to the severity of this acne, cysts and nodules generally require combination therapy, as medications and topical treatments alone are usually not effective. “It may be helpful to use topical benzoyl peroxide products, such as [PanOxyl Acne Foaming Wash](https://www.target.com/p/panoxyl-acne-foaming-wash-with-10-benzoyl-peroxide-5-5oz/-/A-14984165), retinoids, or hydroxy acids,” Dr. Shah says. “But often this type of acne responds better to oral medications — spironolactone in women and isotretinoin.”

Dr. Weiser notes that treatment of inflammatory acne involves antimicrobial therapy to address the bacterial component and treatment of the underlying oil production and congestion. “Look for products that contain antibacterial sulfur and probiotics, in addition to prescription-strength antibacterial topical medications,” she says. Her picks include [111Skin 3 Phase Anti Blemish Booster](https://www.spacenk.com/us/en_US/skincare/treatment/blemish-acne-treatment/3-phase-anti-blemish-booster-MUK300051736.html) and [Eminence Clear Skin Probiotic Mask](https://eminenceorganics.com/us/product/clear-skin-probiotic-masque). 
 
For acutely inflamed lesions, Dr. Shah says that steroid injections can also be helpful.

## **The Takeaway**
Whether you are dealing with acne on the face or body, there is much that can be done to speed up the healing process and — with regular maintenance — prevent it from recurring. Topical retinoids, hydroxy acids, and benzoyl peroxide can be used to effectively treat non-inflammatory comedonal acne (think: blackheads and whiteheads). When it comes to treating inflammatory hormonal, body, and cystic acne, a combination of topical skincare (OTC and prescription), oral medication, and professional procedures may be needed. Consulting with a board certified dermatologist will ensure you receive the best treatment regimen for your acne.


AEDITION minimalists-min

Wellness Collection | The AEDITION

Wellness

A guide to the different types of acne that can crop up on the face and body — and direct-from-the-dermatologist tips on how to treat and prevent it.

How To Treat Hormonal Acne, Body Acne, Cystic Acne, Whiteheads, Blackheads

How To Treat The Most Common Types Of Face And Body Acne

shutterstock 1087180529

At this point, you probably know you need to be wearing sunscreen, right? You may buy a bottle of it at the beginning of the summer (i.e. now) and plan to diligently apply it every time you’re at the beach or the pool. You may even be one of those people who wears sunscreen every day (kudos to you!) no matter if you’re heading to the shore or just going for a walk in your neighborhood. 

But for many people, knowing you should wear sunscreen and actually wearing it are two different things. In fact, a [recent study by the American Academy of Dermatology (AAD) found](https://www.aad.org/news/2020-04-28-sun-protection-important-survey) that while 76 percent of Americans understood the importance of sunscreen, only 40 percent actually wear it on a regular basis. Furthermore, nearly 40 percent of respondents in a recent survey by Neutrogena admitted that they’ve been more focused on health-related acts like handwashing during the COVID-19 pandemic than sunscreen application. As a result, 20 percent said they are applying sunscreen less often than usual.

Putting on sunscreen at all is the first step, but how and where you apply it are the next. In a [2017 study published in the Journal of the American Academy of Dermatology](https://www.jaad.org/article/S0190-96221601506-1/abstract), only one third of people applied sunscreen on *all* exposed skin. Despite the AAD’s insistence that sunscreen only works when applied properly, there is ongoing confusion among most people about how to do it. 

If you’ve ever had a gnarly sunburn on the back of your knees or a strip of blistering red on your scalp, you know that a cursory rub of sunblock is not going to cut it. There are plenty of places even the most diligent sunscreen users often forget, and leaving those spots exposed increases the risk of [sun damage](https://aedit.com/aedition/cosmetic-procedures-treatments-to-correct-sun-damage) even if you think you’re covered. We spoke to top dermatologists to find out what these places are, how to avoid missing them, and the best way to apply sunscreen from head to toe.

## **The Most Common Places People Forget To Apply Sunscreen**
Sun damage can happen any place there is exposed skin that’s not protected by sunscreen or some other form of sun protection. In fact, “the most common places for non-melanoma skin cancers are the face, chest, and arms — places where the sun exposure is the highest,” says [Adriana Lombardi, MD](https://aedit.com/provider/adriana-lombardi-md-12670), a board certified dermatologist and founder of Advanced Laser and Skin Cancer Center in New Jersey. When applying sunscreen, most people look to those places first for the same reason (i.e. they’re exposed). But there are plenty of other places people tend to forget, including:

### **1. Ears**
Even when applying sunscreen to the face, it’s common to forget to apply it on your ears, too. When hair is cut short or pulled back or if you’re wearing a baseball cap, the ears are especially exposed and at high-risk for sunburn if they're not protected.

### **2. Lips**
The lips are a common place to find skin cancer because even if “you put sunscreen on your face, you rarely put it on your lips,” says [Morgan Rabach, MD](https://aedit.com/provider/morgan-rabach-md-17913), a board certified dermatologist and co-founder of LM Medical in New York City. “It’s an easy place to miss.” Using a lip balm with SPF (the [Colorescience Sunforgettable Total Protection Color Balm SPF 50](https://www.colorescience.com/products/sunforgettable-total-protection-color-balm-spf-50) has a subtle tint, while the [Burt's Bees All-Weather SPF 15 Moisturizing Lip Balm](https://www.burtsbees.com/product/all-weather-spf-15-moisturizing-lip-balm/VM-792850900103.html) is a good sheer option) regularly can help protect the sensitive lip area from burning. Added bonus? It will help reduce the chance of visible signs of aging (think: fine lines), too.

### **3. Scalp**
Both Dr. Lombardi and Dr. Rabach say they regularly see sunburns on the scalp — especially along the part or in patients with thinning hair. To apply sunscreen to your scalp without messing up your ‘do, Dr. Rabach suggests using a mineral sunscreen with a brush applicator (we’re fans of the [Supergoop Poof Part Powder](https://supergoop.com/products/poof-part-powder)) to cover any exposed skin. “If you have thinning hair or a large part, use regular sunscreen,” she adds. Another option is to wear a hat with UPF protection (more on that below!).

### **4. Tops of Hands and Feet**
During sandal season, feet are exposed to sun much more regularly, but people still forget to apply sunscreen to them, Dr. Rabach says. The same goes for hands, which are regularly exposed to sun without protection. Hand creams with SPF — like the [Deborah Lippmann Rich Girl Broad Spectrum SPF 25 Hand Cream](https://www.sephora.com/product/rich-girl-broad-spectrum-spf-25-h-cream-P381213) — tend to be great, non-greasy options.

### **5. Back**
In men, the most common place to find melanoma is on the back, Dr. Lombardi shares. Not only is your back hard to reach on your own, but it’s “more difficult to see to monitor for changing moles,” she says. That means not only is asking someone else to apply sunscreen on your back important, but getting regular [skin checks both at home](https://aedit.com/aedition/how-to-conduct-at-home-self-examination-skin-cancer-screenings) and [with your dermatologist](https://aedit.com/aedition/dermatologist-skin-cancer-screenings-mole-checks) is as well.

<RelatedContent
  title={Everything You Need To Know About Skin Cancer Screenings}
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/>

### **6. Back of the Legs**
Dr. Lombardi notes that the back of the legs is the most common place to see melanoma in women. Exposed legs — especially in sunny months like summer — means that applying sunscreen on both the front and back of legs daily is essential.

### **7. Around Waistbands and Under Straps**
“Sometimes you’ll have sunscreen on your chest or back, but there will be a line around the band where you haven’t applied it,” Dr. Rabach warns. The same goes for straps of any kind, which tend to move around as you move throughout the day. She recommends tucking your fingers at least an inch below waistbands and straps when applying sunscreen for maximum protection.
 
## **How to Apply Sunscreen Properly**
As you can probably tell by now, correctly applying sunscreen can go a long way towards properly covering these tricky areas to prevent potential sun damage or skin cancer. [According to AAD guidelines](https://www.aad.org/public/everyday-care/sun-protection/sunscreen/how-to-apply-sunscreen), you should always use a sunscreen with a minimum of SPF 30 and reapply it every two hours (rain or shine!). But there is more you can do to make sure you’re protected.
 
### **Put It On Inside**
“When going to the beach or engaging in activities that have higher than usual exposure to the sun, I recommend applying sunscreen all over before leaving the house,” Dr. Lombardi says. Putting it on inside ensures that you get more complete coverage and that you can also tell more easily if you’ve missed a spot.
 
“Putting on sunscreen in front of a mirror is really helpful,” Dr. Rabach adds, as it allows you to make sure you’re covering hard-to-reach places. Make sure you’re applying sunscreen underneath all elastic bands or straps — or, better yet, apply it to your body *before* putting on your swimsuit. “Have a system,” she says. “Go top to bottom or bottom to top and have someone help you with your back.”
 
### **What Kind of Sunscreen You Use Matters**
While all dermatologists agree that sunscreen is essential, they differ on what kind is best. “I always recommend mineral-based sunscreens, as they physically block the skin from the sun,” Dr. Lombardi says. Dr. Rabach, however, says that usually people prefer chemical sunscreens for their bodies because they’re often easier to apply to large areas. Be sure to keep in mind, however, that “chemical sunscreens are going to take 20 to 30 minutes before they even start working,” she says, which is all the more reason to apply them before you go out. “If you’re applying [chemical] sunscreen outside at the beach or the pool, you basically have 30 minutes of exposure before it starts working,” Dr. Rabach says.
 
<RelatedContent
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### **Spray vs. Lotion**
“Spray sunscreens are easier to apply on the body and on children,” says [Samer Jaber, MD](https://aedit.com/provider/samer-jaber-md-3882), a board certified dermatologist and founder of Washington Square Dermatology in New York City. “But people often underapply them or miss spots.” He says that if you’re going to use a spray sunscreen, make sure to go over the same spot multiple times to make sure you applied enough. And, even if you’re using a spray sunscreen, you should still rub it into your skin to ensure adequate coverage.
 
However, spray sunscreens may pose more risk than just inadequate coverage. “There is a lot of data that shows [spray sunscreens] are really bad when you breathe them in,” Dr. Rabach says. “As soon as you smell the sunscreen, you’re breathing it in.” If you’re using a spray sunscreen, don’t do it in an enclosed area and never put it on your face. “Instead spray it on your hands first and then rub it on your face,” Dr. Jaber suggests. 

### **Try Sun-Protective Clothing**
If you’re especially worried about missing spots, consider wearing specially designed sun protective clothing when outside. “It’s much easier to wear clothing than to remember to reapply sunscreen every two ours when you’re out and about,” Dr. Jaber says. Not only does it remove the need to reapply, but it also could offer better protection than sunscreen in general. “There is a common misconception that, by applying sunscreen, you’re blocking 100 percent of UV rays, but even with the highest SPF that’s not true,” he says. Using physical protection like hats, sunglasses, clothing, and even umbrellas with an ultraviolet protection factor (UPF) is more effective.
 
<RelatedContent
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### **Boost With Supplements**
“Although not a substitute for sunscreen, some supplements protect skin from the inside out,” Dr. Lombardi says. “In patients that are more at risk of skin cancer or that may have extensive sun damage, I recommend using [Heliocare](https://www.heliocare.com/?utm_source=google&utm_medium=cpc&utm_campaign=intent&gclid=CjwKCAjwh472BRAGEiwAvHVfGvRCU6C3WoZRLqAxpHtArwDOUwbFadhMt5AQY_tJYbq0usBmmL9UmhoCttEQAvD_BwE) in addition to sunblock to give them extra photo protection.” She also recommends [Sunisdin Softgel Capsules](https://www.isdin.com/us/softgel-capsules-SunIsdin_capsules.html?cgid=all-products) — antioxidant supplements that can make the skin more resilient against the sun. But remember: These supplements do not replace sunscreen, so you still need to apply and reapply sunblock.
 
## **The Takeaway**
Wearing sunscreen regularly is the first step in fighting against sun damage and skin cancer, but you also need to apply it properly. Every time you apply sunscreen, remember these commonly missed areas and make sure to cover them effectively. Whether you change the type of sunscreen you’re using or opt for sun protective clothing, making sure you’re completely covered can make all the difference. 

From the most common spots people miss to how to stay adequately protected from head to toe, The AEDITION spoke to board certified dermatologists about the best way to apply sunscreen.

How To Apply Sunscreen And Not Miss A Spot

A Definitive Guide To Applying Sunscreen

roberto-delgado-webb-washV-MnHRA-unsplash

Skin cancer is the most commonly diagnosed form of cancer in the United States — but even the sobering statistics don’t tell the full story. [According to the American Cancer Society](https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2020/cancer-facts-and-figures-2020.pdf), the actual number of the two most common types of skin cancer (i.e. non-melanoma basal cell and squamous cell) are difficult to estimate because cases are not required to be reported to cancer registries. 

Invasive melanoma, meanwhile, accounts for just about one percent of skin cancer cases, but it is responsible for the majority of skin cancer deaths. Melanoma most often affects non-Hispanic whites, but skin cancer does not discriminate. The [Skin Cancer Foundation reports](https://www.skincancer.org/skin-cancer-information/skin-cancer-facts/) that one in five Americans will develop skin cancer by the age of 70.

Even so, there is so much that can be done to combat the disease. Early detection is key, and the [American Cancer Society says](https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2020/cancer-facts-and-figures-2020.pdf) that many of the more than five million skin cancer cases diagnosed each year could be prevented with safe sun habits and regular screenings. That’s why we’re here to help. You may have already seen our [guide to professional skin cancer screenings with a dermatologist](https://aedit.com/aedition/dermatologist-skin-cancer-screenings-mole-checks), and at-home skin checks are an equally important part of the skin cancer prevention process.

So, how often should you be checking for changes to your skin and what is the most efficient way to do so? The AEDITION asks the experts.

## **How Often You Should Conduct At-Home Skin Cancer Screenings**
A [study published in the May 2018 issue of JAMA Dermatology](https://jamanetwork.com/journals/jamadermatology/fullarticle/2678687) found that patients who routinely perform self skin examinations — coupled with regular whole-body physician skin checks — are more likely to be diagnosed with thinner (read: less dangerous) melanoma. Additionally, those patients have a better prognosis and survival rate. 

It should come as no surprise then that the [Skin Cancer Foundation recommends](https://www.skincancer.org/early-detection/self-exams/) monthly at-home skin checks. “I recommend patients examine themselves at home once a month, so that they can get to know their body,” says [Samer Jaber, MD](https://aedit.com/provider/samer-jaber-md-3882), a board certified dermatologist and founder of [Washington Square Dermatology](http://www.washingtonsqderm.com/) in New York City. “It helps them catch something quickly if it changes.” 

## **What to Look For During At-Home Skin Cancer Screenings**
In order to know what to look for during a self-exam, you need to understand the characteristics of skin cancer. “There are three most common forms of skin cancer,” says [Julie Russak, MD](https://aedit.com/provider/julie-russak-md-4645), a board certified dermatologist and founder of [Russak Dermatology Clinic](http://www.russakdermatology.com/) in New York City. “Ane it’s important to know the early signs for all of them.” Here’s what to be on the lookout for:

- **Basal Cell Carcinoma (BCC)**: The most common form of skin cancer, BCC can present as a non-healing pimple that is often pearly in appearance. “If you notice a sore that is not healing for longer than usual — up to three weeks — pay attention to it,” Dr. Russak says.
- **Squamous Cell Carcinoma (SCC)**: The second most common form of skin cancer, SCC often presents as a red, dry patch. Dr. Russak refers to it as an “eczema-like” effect on “sun damaged skin” and adds that it can also have a scab and bleed on its own.
- **Melanoma**: As mentioned above, melanoma is the deadliest form of skin cancer due to its ability to spread, and it typically presents as an irregular mole or birthmark.

In the case of melanoma, the [ABCDE rule of skin cancer](https://www.skincancer.org/skin-cancer-information/melanoma/melanoma-warning-signs-and-images/) should be considered during skin checks (both professional and at-home). “A mole that is growing asymmetrically, has border irregularities, or is changing in size or color, can indicate the development of skin cancer,” Dr. Russak says. The ABCDEs include: 

- **A – Asymmetry**: Growth is asymmetrical
- **B – Border**: Rough or jagged edges
- **C – Color**: Various shades of brown, tan, black, red, white, or blue
- **D – Diameter**: Larger than six millimeters (think: a pencil eraser)
- **E – Evolving**: Changing, growing, bleeding, etc.

At the end of the day, self-exams are all about monitoring the body for changes — whether it’s the evolution of an existing spot or the advent of a new one. “Patients should look for anything that has changed, grown larger, become darker, or doesn’t heal,” says [Cheryl Karcher, MD](https://aedit.com/provider/cheryl-karcher-md-4323), a board certified dermatologist and co-founder of [Center Aesthetic & Dermatology](https://www.centeraesthetic.com/) in New York City. 

Dr. Jaber agrees, encouraging patients to keep an eye out for the so-called [ugly duckling](https://www.skincancer.org/skin-cancer-information/melanoma/melanoma-warning-signs-and-images/). “The most important thing to look out for is if a spot on the body is changing, itching, burning, bleeding, or looks different from the others,” he says. “This is called the ‘ugly duckling’ sign.”
 
## **How to Conduct At-Home Skin Cancer Screenings**
Now that you know what to look for, it’s time to learn how to conduct a self-examination. While you’ll ultimately need to find a process that works best for you, our experts have a few tips ensuring your check is both simple and effective.

“I like to do it systematically — starting at the head and ending with the toes,” Dr. Karcher shares. Needless to say, a mirror (or two!) will be required, and it might also be useful to have a hair dryer on hand. Dr. Russak suggests setting up in a well-lit room with a hair dryer, full-length mirror, and hand-held mirror. From there, she examines the skin in six distinct sections:

1. **Face & Neck**: “Start with examining the front of your face and sides of the face and neck in the mirror,” she says. 
2. **Scalp**: Next, she recommends using a hair dryer (on the ‘cool’ setting) to blow strands out of the way and reveal the scalp.
3. **Arms & Hands**: From there, “examine your arms and hands — looking in between each finger and paying attention to the nails,” she explains. It is best to do this with bare (read: not polished) fingernails. 
4. **Front Body**: “Examine the front of the body, lifting each breast to see underneath them, too,” Dr. Russak explains.  
5. **Back Body**: Using the hand-held mirror, inspect the back of your neck, shoulders,  and upper back. Reposition the mirror to see your lower back and buttocks.
6. **Legs & Feet**: Last but not least, “make sure to inspect the back of the legs and look at the soles of the feet, in between the toes, and at the toenails,” she notes. 

Since self-examining certain parts of the body can be challenging, Dr. Jaber recommends calling in reinforcements as needed. “Looking at your back, neck, and scalp can be difficult, but it can be done by having a loved one take a look,” he says. When it comes to the scalp, don’t be shy about asking your hairstylist for help. “Anybody who goes to the hairdresser on a regular basis should always ask them if they see anything new,” Dr. Karcher says.

### **Don’t Forget To Check These Body Parts**
While following Dr. Russak’s head-to-toe technique covers a lot of ground, there are certain body parts that are often overlooked. The fingers and toes (including under the nails) can be hiding places for skin cancer, as are the bottoms of the feet. The scalp is also easy to forget, and people are encouraged to examine the genital area as well. “Make sure to be thorough when you do a self skin exam,” Dr. Jaber emphasizes.

## **What to Do If You Find a Suspicious Spot**
If you find a spot that you feel is suspicious, the directive is simple: call your dermatologist ASAP. “I always tell my patients that I would rather see them and tell them that it's nothing, instead of them waiting and letting it turn into something,” Dr. Russak shares. While at-home checks are an essential part of early detection, nothing beats an exam with a well-trained eye. “If you see a spot that looks different, has changed, stands out, isn’t healing, or is itching, burning, or bleeding, see a dermatologist,” Dr. Jaber says. “They can evaluate it in person.”

## **The Takeaway**
Performed at-home and in dermatologist offices, skin cancer screenings — quite literally — save lives, but skin cancer prevention involves a lot more than examining the skin. Practicing safe sun habits (like the ones below) is the first-line of defense:

- Use an [SPF of at least 30](https://aedit.com/aedition/what-you-need-to-know-about-sunscreen) with UVA/UVB protection daily (yes, even if it’s cloudy!)
- Reapply SPF every two hours and immediately after swimming
- Stay in the shade between 10am and 4pm
- Wear a wide-brim hat to shade your face and polarized sunglasses to protect your eyes
- Avoid indoor tanning

No matter your age or [skin tone](https://aedit.com/aedition/guide-to-fitzpatrick-skin-types), it is important to remember that it is never too late to protect yourself from the sun and take a more proactive approach to your health and safety.

Self-exams are an important part of the skin cancer prevention process. So, how often should you be checking for changes to your skin and what is the most efficient way to do so? The AEDITION asked the experts.

How To Conduct At-Home Self Examination Skin Cancer Screenings

How To Conduct An At-Home Skin Cancer Screening

shutterstock 1568859367

Do you know your Fitzpatrick skin type? While you may not be familiar with the term, chances are you’re pretty in tune with the concept of the Fitzpatrick Skin Phototype. The scale classifies a person’s skin tone based on how likely they are to burn. With [Skin Cancer Awareness Month](https://www.skincancer.org/get-involved/skin-cancer-awareness-month/) upon us and summertime just around the corner, it’s time to learn how you measure up and how dermatologists use a patient’s score to help determine everything from skincare regimens to sun-prevention methods. 
 
## **What Is the Fitzpatrick Skin Phototype?**
In 1975, Thomas B. Fitzpatrick, MD, a dermatologist and chairman of the department of dermatology at Harvard Medical School, was experimenting with a treatment for psoriasis that involved exposing test subjects to UVA rays. Dr. Fitzpatrick (a.k.a. the “father of modern academic dermatology”) initially used hair and eye color to determine the recommended amount of UVA exposure to give participants (all of whom were white). But when dark-haired, brown-eyed patients ended up sunburned, Dr. Fitzpatrick realized that he needed to base his treatment on more than just hair or eye color. Instead, he needed to consider how the subjects’ skin responded to the sun.

He began asking patients to describe what happened to their skin after sun exposure when they didn’t have any sun protection. Based on their answers, he created four categories to classify patients’ tendencies to burn (erythema) versus tan (induce pigmentation) — providing an estimation of the amount of melanin present in skin cells. It didn’t take long for the phototype to be widely adopted for clinical use as a useful predictor of skin cancer. A decade later, two more categories were added to encompass a larger spectrum of skin tones.
 
## **How to Determine Your Fitzpatrick Skin Type**
Consulting a [board certified dermatologist](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology) is the most effective and accurate way to determine your Fitzpatrick skin type, especially for those with darker skin tones. While a sunburn may show up as redness on pale skin, it may manifest as tenderness on darker skin. Similarly, those with paler skin tend to associate ‘tanning’ with skin darkening, but those with darker skin don’t necessarily think of it the same way.

Whether it is you or a dermatologist attempting to determine your classification, below are the characteristics associated with each Fitzpatrick skin type (and a few celebs that fit the bill):
 
### **Type I**: 
- Light (pale white) skin 
- Light blue or green eyes 
- Red or blonde hair
- Always burns, never tans 
- e.g. Emma Stone and Prince Harry

### **Type II**: 
- White (fair) skin 
- Blue or green eyes 
- Blonde hair
- Burns easily, tans poorly 
- e.g. Gwyneth Paltrow and Justin Timberlake

### **Type III**: 
- Medium (white to olive) skin 
- Hazel or light brown eyes
- Dark blonde or light brown hair
- Burns mildly, tan gradually 
- e.g. Kendall Jenner and Nick Jonas

### **Type IV**: 
- Olive (moderate brown) skin
- Dark brown eyes
- Dark brown hair
- Burns minimally, tans easily 
- e.g. Sofia Vergara and Mario Lopez

### **Type V**: 
- Brown (dark brown) skin
- Dark brown to black eyes
- Dark brown to black hair
- Tans easily, rarely burns 
- e.g. Beyonce and John Legend

### **Type VI**: 
- Black (very dark brown to black) skin
- Brown/black eyes
- Black hair
- Never burns, tans easily 
- e.g. Lupita Nyong’o and Daniel Kaluuya

## **How Dermatologists Use the Fitzpatrick Scale**
“It is very much an inherent part of the dermatologic physical exam,” says [Nikhil Dhingra, MD](https://aedit.com/provider/nikhil-dhingra-md-17376), a board certified dermatologist at Spring Street Dermatology in New York City, of the Fitzpatrick scale. As such, dermatologists use the diagnostic tool in several ways:  

1. **To Assess Skin Cancer Risk**: “Type I skin, for example, is the fairest and at the highest risk for most skin cancers, while a type IV or VI might come in with a rare subtype of melanoma in locations like under the foot,” Dr. Dhingra explains.
2. **To Determine In-Office Procedures**: “Many laser treatments are totally inappropriate and unsafe once you enter the territory of skin types III to VI,” he says. “This dichotomy highlights the imbalance in the technologies available on the market when it comes to treating a diverse patient base.”
3. **To Evaluate Medical Conditions**: “Understanding skin types and what a rash or medical condition can look like when shaded with pigment is another critical use of the Fitzpatrick system for most dermatologists,” Dr. Dhingra shares. As he explains it, a rash that looks one way on a type VI patient could look very different than it would on a type I. 

More than just a collection of color swatches, the Fitzpatrick scale helps to inform proper patient  care. “It’s important to recognize these differences, so your patients get the correct diagnosis and treatment,” Dr. Dhingra says.
 
## **The Relationship Between Fitzpatrick Types and Skincare**
It’s important to see the Fitzpatrick scale as a spectrum that can inform how the skin generally behaves. “The fairest of skin types is going to be high-risk for skin cancers and  prone to sunburns, freckling, and conditions like rosacea,” Dr. Dhingra says. “Type VI skin patients, on the other hand, are going to be more prone to issues of pigmentation, while patients in the middle groups will have varying features of each extreme.” With that in mind, here’s how the phototype can inform your professional and at-home skincare routines: 

### **At-Home Skincare**
[Morgan Rabach, MD](https://aedit.com/provider/morgan-rabach-md-17913), a board certified dermatologist and co-founder of LM Medical in Manhattan, says she considers a patient's skin concern (think: aging or oiliness) and Fitzpatrick score when making product recommendations. “Types I to III often have red tones to their skin and may benefit more from ingredients like sulfur or niacinamide to reduce redness,” she says. “Type III to VI have more chances of hyperpigmentation, so certain [alpha and beta hydroxy acids](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare) and bleaching agents like hydroquinone may be helpful.” 

There are, however, a few active ingredients that almost all her patients can benefit from. She is a fan of antioxidants and sunscreen in the morning and [retinol](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare) and more nourishing moisturizers at night. Dr. Dhingra agrees that antioxidants like [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare) have a universal appeal. “My recommendations include the [Isdin Isdinceuticals Flavo-C Serum](https://www.isdin.com/us/anti-oxidant-serum-isdinceutics_flavo_c.html?cgid=ampules-and-serums) and [La Roche Posay Redermic C Vitamin C Lotion](https://www.laroche-posay.us/face-and-body-skin-care/face-products/face-moisturizer/redermic-c-vitamin-c-lotion-3337872413704.html),” he says.
 
### **In-office Treatments**
Your Fitzpatrick score is critical when considering any professional cosmetic treatment or procedure. “It’s important for patients to seek out a board certified dermatologist for proper treatment, especially if you belong to a Fitzpatrick III to VI category,” Dr. Dhingra says. “You have a higher risk of burning and pigmentary issues, if an inappropriate treatment is done in the wrong hands.”

While it is important to consult with a board certified dermatologist before undergoing any cosmetic procedure, there are few rules that tend to hold true. “Fitzpatrick skin types I to III are the ideal skin types for [laser hair removal](https://aedit.com/procedure/laser-hair-removal),” Dr. Rabach shares. “The higher melanin content in skin types above a III creates a risk of the laser changing the skin color and causing blistering.” Similarly, she recommends skin types IV and above stay away from [microdermabrasion](https://aedit.com/procedure/crystal-microdermabrasion) and [chemical peels](https://aedit.com/procedure/tca-peel). “They are more likely to cause hyperpigmentation,” she says.
 
### **Sun Protection**
People with less melanin (types I, II, and III) are more susceptible to the aging effects of UV rays —  though sun damage affects the entire scale to some extent. Dr. Dhingra recommends all patients use a daily moisturizer with an SPF of 30 to 45 (yes, that’s even meant to be used on days you are working from home or cooped up inside!). He likes the [EltaMD UV Clear Tinted Broad Spectrum SPF 46](https://eltamd.com/product/eltamd-uv-clear-tinted-broad-spectrum-spf-46/) for types III to VI skin, and the non-tinted [EltaMD UV Daily Broad-Spectrum SPF 40](https://eltamd.com/product/uv-daily-broad-spectrum-spf-40/) for types I and II. 

Generally speaking, those on the fairer end of the spectrum need to be extra cautious when venturing out into the sun: “Think UV clothing, hats, and umbrellas,” he suggests, adding that those on the darker end of the spectrum — namely, types IV to VI skin — should be mindful of sunlight exacerbating preexisting pigmentary concerns (i.e. melasma and hyperpigmentation from acne).
 
### **Skin Cancer Risk**
Research has shown that the lower your Fitzpatrick score, the higher your risk of skin cancer. But that doesn’t mean types IV through VI are in the clear. “All skin types can get skin cancer,” Dr. Rabach warns. “Therefore, all skin types should see a board certified dermatologist for skin checks.”
 
## **The Takeaway**
While analyzing your Fitzpatrick skin score online can be useful and fun (think: Am I a Sofia or a Beyoncé?), nothing beats the advice of a board certified dermatologist — particularly if you fall into categories III and above, as more than half the United States population does. 

“Having trained in New York City — and as a type IV skin type myself — I’m particularly comfortable having preselected a list of products and treatments for our skin of color community,” Dr. Dhingra says. “This can mean recommending a certain acne cream that I also find helpful for also combatting the resultant hyperpigmentation. Lighter skin types, conversely, are often betrayed by their fairer skin when it comes to things like rosiness of the cheeks, so I may err for a milder routine as not to flare up the redness.”

Needless to say, there is a lot of nuance to the skin that goes far beyond the Fitzpatrick scale. Before you start surfing celebrity social media accounts in search of your next skincare routine, make an appointment for your yearly skin cancer screening and, while you’re there, ask your dermatologist to determine your Fitzpatrick score.

AEDITION for men-min

Expert Opinion Collection | The AEDITION

Expert Opinion

It’s time to learn where you fall on the scale and understand how dermatologists use a patient’s score to help determine everything from skincare regimens to sun-prevention methods.

A Guide To The Fitzpatrick Skin Type Scale In Dermatology, Sun Cancer, And Skincare

Do You Know Your Fitzpatrick Skin Type?

consultations

Setting up a consultation or appointment with a medical professional used to involve a phone call and a calendar check. Conducting the consultation or appointment, meanwhile, required an in-person trip to the provider’s office. But, with the advent of modern technology, the scheduling of and participation in consultations and check ups now have a virtual twist. Doctors and patients are increasingly conversing from the comfort of their own homes when time is of the essence or circumstances prevent them from meeting face to face. The concept of telemedicine is nothing new, but, in the wake of the [COVID-19 pandemic](https://aedit.com/aedition/message-from-aedit-founder-regarding-covid-19-coronavirus-pandemic), it's more important and useful than ever. 

With elective surgeries cancelled in many states and private practices closed due to coronavirus, video chats have become an integral part of healthcare and aesthetic medicine. For cosmetic dentists, dermatologists, and plastic surgeons, telemedicine is a way to connect with patients from the very first consultation to ongoing post-op care. 

If you’re interested in setting up a virtual appointment with a provider but don’t know where to start, we’re here to help. To break down the logistics of what telemedicine can and cannot address, how patients need to prep for appointments, and what happens after the call, The AEDITION spoke to [board certified](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology) dermatologists, plastic surgeons, and dentists to understand the ins and outs of virtual consultations. 

## **Virtual Consultations in Aesthetic Medicine**
In aesthetic medicine, virtual consultations have long been a way for providers to connect with and assess out-of-town patients. “The purpose of a virtual consultation is to identify the patient's chief complaint and determine what additional information is needed to address the problem,” says [Alina Lane, DDS](https://aedit.com/provider/alina-lane-7794), a cosmetic dentist and director of All Smiles Dentistry in New York City. 

While there are certainly some screen-induced limitations, virtual consultations generally offer both patients and providers an opportunity to get to know one another and discuss areas of concern, aesthetic goals, and possible solutions. Many doctors find that they’re able to treat their patients with the same care despite the lack of proximity. 

Generally speaking, here’s how telemedicine works for aesthetic specialities:  

### **Virtual Consultations With a Dermatologist**
Whether you’re worried about a rash or need a refill on your [Retin-A](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare) prescription, dermatologists can address both medical and cosmetic concerns during a telemedicine appointment. Technology doesn’t yet allow for virtual injections (sorry, [Botox®](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time) fans!), but a dermatologist can assess your skin and prescribe a treatment plan to address unexpected flare-ups (think: acne, eczema, psoriasis), soften fine lines and wrinkles, or maintain a youthful glow between in-office appointments. 

For those worried about a troubled mole or a sudden rash, virtual consultations still serve a purpose — though they may just be a first line of defense. “Yes, we can make a diagnosis and evaluate basic skin conditions,” says [Morgan Rabach, MD](https://aedit.com/provider/morgan-rabach-md-17913), a board certified dermatologist and co-founder of LM Medical in New York City. “[But for] something like a melanoma, which is life-threatening has to be treated immediately, the patient would be seen in person because it is medically essential.”

### **Virtual Consultations With a Dentist**
“By its nature, dentistry is a very interactive medicine,” says Dr. Lane, who [offers virtual consults](https://www.allsmilesnyc.com/). “Many dental diseases require in-office procedures to treat.” While regular dental check ups are needed at least once a year, unexpected issues can arise that require immediate attention. “Dental pain, facial swelling, abscesses, and broken teeth are all major indicators that an in-office appointment is needed,” she notes. “However, during this time of shelter-in-place, the urgency of these matters can be evaluated first by a virtual consultation.”

Those dealing with dental emergencies will first be evaluated virtually to confirm if immediate care is needed. “If there is a dental emergency, we will determine whether we can manage it remotely or if an in-office visit is required,” she explains. “During a time when hospitals are being strained due to the COVID-19 outbreak, our goal as dentists is to [minimize all emergency room visits](https://aedit.com/aedition/how-to-treat-plastic-surgery-emergencies-lacerations-during-covid-19) due to dental problems, which will help to reduce strain on the medical system and minimize patient exposure to infected persons.” As such, many dental offices have remained open to treat emergencies.

### **Virtual Consultations With a Plastic Surgeon**
While a telemedicine appointment might not allow quite the same level of interactivity as an in-person consultation, they still provide a meaningful way for providers and potential patients to get to know one another. “Virtual consults are a good first step for someone to see if they are interested and also get a chance to know me and what we can offer,” says [Jaime Schwartz, MD](https://aedit.com/provider/jaime-schwartz-md-19201), a Beverly Hills-based board certified plastic and reconstructive surgeon who also has a [practice in Dubai](https://drjaimeschwartz.com/).

During this time of social distancing, the virtual meeting is also a good chance for providers to interact with the caregiver who will be tending to the patient once he or she heads home to [recover](https://aedit.com/aedition/how-long-does-it-takes-to-recover-from-cosmetic-surgery-procedures) post-op. “It can help to have a family member or spouse available for the consultation as well, so that they can be informed on what to expect after the procedure if the consultation is for a surgery,” says [Craig Baldenhofer, MD](https://aedit.com/provider/craig-baldenhofer-md-20), a New York City-based board certified plastic and reconstructive surgeon. 

## **Setting Up a Virtual Consultation**
Ready to book? Here are six things to keep in mind ahead of your appointment:

### **1. Prepare For Paperwork & Pictures**
“Prior to the consult, patients fill out the standard office intake forms; are emailed copies of the procedure consents, pre-operative and post-operative instructions to review; and are given instructions on how to provide photographs for me to review prior to the telemedicine visit,” Dr. Baldenhofer explains. The dermatologists we spoke to follow a similar protocol, so be ready to take lots of pictures. “We have a photo guide that explains how to take pictures of the face and body that is sent to our concierge team who evaluate the images,” says [Jason Emer, MD](https://aedit.com/provider/jason-emer-md-722), a board certified cosmetic dermatologist in West Hollywood, who frequently travels to New York to treat his East Coast patients. “If they’re not good quality, they’re sent back. There’s different positioning and different lighting that’s needed.”

Precisely shot photographs will likely be necessary for any and all consultations, but they are especially vital when patients are looking to consult about concerns below the neck. For breast and body procuedres and surgeries, providers can review photos submitted ahead of time, rather than examining the area during the video chat.

### **2. Consider Your Safety First**
When it comes to virtual consultations, patient privacy and safety are the top priority. “We have always had the capability and use Skype or FaceTime for consults for out-of-town patients,” says [Lesley Rabach, MD](https://aedit.com/provider/lesley-rabach-md-17912), a double board certified facial plastic and reconstructive surgeon and co-founder of [LM Medical](https://lmmedicalnyc.com/). “However, now we are using [Doxy.me](https://doxy.me/), which is a better-secured platform for physicians to do our telemedicine consults.”

In fact, the [Health Insurance Portability and Accountability Act (HIPAA)](https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html)-compliant platform is quite popular due to its security *and* convenience. “It can be used with any computer or smartphone with a camera,” Dr. Baldenhofer says. “Patients are emailed or texted a link to a virtual waiting room and told to be available at the prearranged time. Once they are in the waiting room, I am alerted and can start the consult.” If you have any questions or concerns about the security of your virtual consultation, ask your provider what platform they use and the protocols they have in place to protect your privacy.

### **3. Be Mindful Of Your Set Up**
Treat the call as if you were going into the provider’s office. You’d want the environment to be quiet and serene — without interruption — so try to do the same with your home surroundings. “I have had patients try to have a virtual consult while driving their car and that was not ideal,” Dr. Baldenhofer shares. While the photos provided ahead of time will play the biggest role in your consultation, there are some things you want to keep in mind when considering where you are going to sit for your appointment. In addition to being in a well-lit location, place the screen at a comfortable height and distance to avoid the so-called ‘selfie’ effect that can distort the appearance of certain facial features. 

### **4. Know Who You’re Speaking To**
Though a patient might set up their video consultation through a web portal or by calling the doctor's office, the consultation will likely be with the doctor. “I perform all of my consultations — virtual and in real life,” explains New York City-based board certified plastic and reconstructive surgeon [Melissa Doft, MD](https://aedit.com/provider/melissa-doft-md-63). “I enjoy meeting with patients beforehand to understand their aesthetic goals.” With that said, some practices may have a nurse or patient coordinator kick off or join the call, so feel free to ask about who you will be meeting with when you schedule the appointment.

### **5. Come Prepared**
As with any consultation, be prepared with questions, a clear vision, and an open mind. “By the time the telemedicine visit starts, I have already had the opportunity to review the patient’s medical history and photographs,” Dr. Baldenhofer says of [his pre-consultation protocol](https://www.craigbaldenhofermd.com/). “Therefore, It’s more of a conversation to go over any questions and discuss the risks and benefits of the procedure.”

<RelatedContent
  title={15 Questions To Ask Your Doctor During A Consultation}
  slug={questions-to-ask-your-doctor-during-plastic-surgery-consultation}
/>

Similar to a regular visit, any concern can be discussed during a telemedicine visit, but assessing can be tricky. “Any aging face consults are very easy to do during a virtual call – especially if the patient can send in photos of themselves in certain positions prior,” Dr. Lesley says. “For [rhinoplasty](https://aedit.com/aedition/difference-between-cosmetic-rhinoplasty-vs-functional-rhinoplasty) cases, I cannot examine the inside of the nose, however, I can still see the external nose and make assessments.” In the case of medical dermatology inquiries (think: a concerning mole),  the provider can discuss the area of the concern, but will not be able to diagnose without a biopsy. “[Melanoma] are impossible [to diagnose] by visual sight,” Dr. Emer says. “If you have a problem spot, I will recommend you to a [Mohs surgeon](https://aedit.com/aedition/all-about-mohs-surgery-for-skin-cancer).”

### **6. Ask About Consultation Fees** 
The cost of a consultation — virtual or otherwise — depends on the doctor. Some do not charge for the initial meeting, while others do. In the latter case, the fee usually goes a long way. “We charge the same cost for a virtual consultation as an in-office consultation,” Dr. Doft shares, adding that the fee ([$350 in her case](https://doftplasticsurgery.com/coronavirus-update/)) is applied to the cost of the procedure. The consultation fee usually helps to confirm a patient’s seriousness and likeness to to follow through with the procedure. At Dr. Emer’s practice, a virtual consultation with one of his aestheticians, skincare specialists, or physician assistants results in a personalized product regimen and [credit to shop](https://emeragecosmetics.com/products/virtual-consultation). “They pay $150 per consultation, but that goes towards the credit of the product,” he says. “They’re getting recommendations for products that will treat almost any concern and help them treat it from home.”  

## **What Happens After a Virtual Consultation**
After a virtual consultation, the best thing to do is to follow doctors orders. For those whose concerns are skin-related, dermatologists will outline the necessary steps that can be undertaken and [products that can be used at home](https://aedit.com/aedition/aestheticians-dermatologists-share-at-home-skincare-tips) before they can come in for an in-office treatment. “We offer skincare solutions, such as peels, that can be applied during a virtual consultation with an esthetician,” Dr. Emer says. “At-home peels prime and prepare patients for laser treatments and it will significantly improve their skin in one treatment.”

Patients looking to go under the knife, meanwhile, should note that further consultations will be needed. “I will never operate on anyone until I see them in person and we review our plans and make sure we are both 100 percent on the same page,” Dr. Schwartz says. The follow-up appointments will also allow surgeons to assess if any pre-op testing is needed. “Sometimes, depending on the age, medical history, and other factors, the patient will need pre-operative testing prior to the surgery,” Dr. Lesley explains, adding that, in some cases, patients will ask for additional face-to-face meetings prior to scheduling a surgery.

As in-person consultations and surgeries are off the table at the moment, surgeons are cognizant of their patients’ desires, budgets, and safety. “We plan to have follow-up in-person consultations once the crisis is over, but the virtual consultation allows us to start communicating with patients, sending in packages to insurance companies for approval, and making the fall schedule,” Dr. Doft says. “Once elective surgeries can occur again, there will be a major rush for operating room space, and we want to make sure our patients do not have to endure long wait times.” 

## **The Takeaway**
Whether you’re near or far, a virtual consultation is a viable option for anyone looking to explore their options or get to know a provider. While not every procedure or concern can be addressed virtually, telemedicine allows patients and doctors to communicate their goals, desires, and potential treatment plans. At the end of the day, a video call cannot fully replace an in-person appointment, but Dr. Lesley and Dr. Morgan maintain that there is no reason to not try it. “They are easy and fun,” they say. “It is an amazing way to be productive during this time when we all have to physically be home.”

AEDITION trendsetters-min

Now Trending Collection | The AEDITION

Now Trending

Virtual consultations (or telemedicine) are nothing new for many plastic surgeons, dermatologists, and cosmetic dentists, and The AEDITION is answering all your questions about how they work and what they can treat.

A Guide To Virtual Consultations And Telemedicine In Plastic Surgeon, Dermatology, And Cosmetic Dentistry

Here’s What You Need To Know About Virtual Consultations

shutterstock 595882181 (1)

In my life as a beauty and grooming journalist, I’ll try anything once. I’ve lost track of how many doctor’s offices I’ve visited, how many treatments I’ve received, and how many times different doctors have explained procedures to me (often the same way, sometimes not). But when it came to my own cosmetic surgery last year, I was faced with a new dilemma. For all the non-invasive cosmetic procedures I’ve done, I’d never gone under the knife. This was a whole new ballgame and something I did not want to take lightly. And most important to that whole decision was who I chose to actually do it.

## **So Long, SIMON**
I am just one of an [increasing number of men](https://aedit.com/aedition/what-you-need-to-know-about-male-plastic-surgery-trends) seeking out cosmetic procedures, both surgical and non-surgical. As more men crowd the offices of dermatologists and plastic surgeons around the country, the way providers interact with these men is changing. “Twenty years ago there was a term [for the typical male plastic surgery patient] called SIMON, which stood for ‘Single, Immature, Male that is Overly Expectant and Narcissistic,’” says Manhattan-based board certified plastic surgeon [Philip Miller, MD](https://aedit.com/provider/philip-miller-md-71). SIMON patients were difficult to satisfy because of their high expectations, which isn’t necessarily a male characteristic but seemed to be common among the kinds of men seeking out aesthetic treatments a few decades ago. This reputation turned every male patient that came into a provider’s office into an immediate red flag.

<PullQuote attributedTo={Philip Miller, MD}>
  “Twenty years ago there was a term [for the typical male plastic surgery patient] called SIMON, which stood for ‘Single, Immature, Male that is Overly Expectant and Narcissistic.’”
</PullQuote>

According to Dr. Miller, who I ultimately chose to perform my surgery, times have changed. “The notion of a male patient automatically being a SIMON is an old perspective. There are more people seeking out [aesthetic surgery] who have reasonable expectations, are a delight to work with, and are very happy with their results,” he says. It’s mostly because knowledge around plastic surgery and cosmetic procedures is much more common, particularly among men. Increased knowledge not only allows more men to feel comfortable seeking out aesthetic treatments, but also puts the power in their hands when selecting a provider. 

## **Male Patients vs. Female Patients**
Still, the way men approach medical aesthetics and cosmetic surgery is sometimes different from women. Women tend to be a bit more exploratory, whereas men “tend to be more direct and come in with something they want to work on specifically,” says board certified dermatologist [Morgan Rabach, MD](https://aedit.com/provider/morgan-rabach-md-17913), of LM Medical in New York City. Typically, men will have noticed something they want to change — like crow’s feet or jowls — and seek out a provider to attack that specific issue. It’s less typical, according to Dr. Morgan, for a man to ask a general question like, “what do I need?”

Part of that could be due to how men usually find their providers: through referrals. “Most of my male surgical patients come from trusted sources like other patients,” says [Lesley Rabach, MD](https://aedit.com/provider/lesley-rabach-md-17912), a double board certified facial plastic and reconstructive surgeon and co-founder of LM Medical. “They say, ‘I’m not going anywhere else because you’re the best person for this.’ They already have an idea of what they want and they don’t question it.” In many cases, she says, her male patients seem to have done lots of research before they even walk through her door because they ask specific questions about a certain procedure they want. “Even if they haven’t done any [research], they approach it like they have,” she says.

Specifics will always help when choosing a provider, but that doesn’t mean it’s easy. According to Dr. Lesley, some men are so eager to get on with the procedure they ask if they can do it the same day (or worse, attempt to forgo the consultation completely). 

## **How to Find a Provider**
Regardless of gender, anyone approaching aesthetic surgery or non-invasive treatments should not take the decision lightly. And for men who may be getting their first procedure — like I was — it’s essential to have a plan of action before committing. These are the most important things to consider when choosing a provider, according to the experts.

### **Get Multiple Consultations (From Different Providers)**
Most doctors who work on both male and female patients say that women tend to shop around more than men before making a decision. Knowing what you want is one thing, but, when it comes to going under the knife or laser, it’s better to be completely sure you’re working with the right person. “I tell patients to go see three people,” says Beverly Hills board certified plastic surgeon [Babak Dadvand, MD](https://aedit.com/provider/babak-dadvand-md-438). “If you see two people and they say different things, it leaves you more confused. If you see three people, chances are either two or all three of them will agree on the same technique.”

<RelatedContent
  title={15 Questions To Ask Your Provider During A Consultation}
  slug={questions-to-ask-your-doctor-during-plastic-surgery-consultation}
/>

### **Choose Based On Specialty**
Think of it this way: if you drive a Ferrari, you don’t take it to just any mechanic for a tune up; you take it to someone who specializes in Ferraris. The same goes for any time you’re considering a cosmetic procedure; you want to work with someone who does similar procedures all day, every day. Do research before you reach out for a consultation. If you can’t tell from their website, don’t be shy to ask in an email or call their office. “It always surprises me when someone comes in and asks for a body procedure,” says Dr. Morgan, who specializes in facial dermatology. “If you want body work, go to a body person. You only have one face.”

### **Always Look At Before and After Pictures**
According to Dr. Lesley, some of her male patients are so determined before they walk through her door that they don’t even want to look at before and after pictures. This, however, is never good. Looking at pictures of a provider’s work isn’t a marketing gimmick, it’s a way to ensure they can deliver the results you’re looking for. “The most important thing is to make sure their aesthetic is what you want,” she says. Ask to look at photos of the specific procedure you’re considering, and, if possible, focus on the photos of male patients. “You want to make sure you walk out looking better than you did walking in,” she says, so if you don’t like how the patients look in their photos, that’s a good indication they’re not the right provider for you.

### **Their Gender Doesn’t Matter, But Their Work Does**
When you book a massage, you’re typically asked if you prefer a male or female therapist. That’s because some people are simply more comfortable around someone of the same or opposite gender. There’s no shame in that, and the same applies when you’re choosing a provider for a cosmetic procedure. “I’m sure it does help [sometimes] that I’m a male,” says [Dhaval Bhanusali, MD](http://www.bhanusalimd.com/), a New York City-based board certified dermatologist. “When you’re comfortable with someone, you’ll talk to them.”

Dr. Lesley, meanwhile, sees the other side. “Some men feel more comfortable opening up about skincare and plastic surgery to a woman,” she says. A provider’s gender may get you in the door, but it should never be the deciding factor in working with them. What matters is your gender and how often they work with male patients. “You want to go with someone who has a lot of experience dealing with and operating on men to give them a masculine and not a feminine appearance and understands that there is a difference,” Dr. Miller says. A good way to tell if a doctor is experienced with men is the before and after pictures on their website, but, as Dr. Miller notes, their ability to post pictures depends on patient approval — and many men don’t give it. If you don’t see many photos of men, email the provider or call their office and ask up front.

### **Communicate Clearly**
Communicating with a potential provider doesn’t depend on knowing a bunch of medical terms or even exactly what you want to do. Instead, being able to articulate what’s bothering you and what results you want to see is important. “There are certain words patients may want to use, which lend themselves immediately to miscommunication,” says Dr. Miller. “Things like ‘I want to look softer’ or ‘I don’t want to look weak.’ These are emotional terms, not descriptive terms, and we’re going to do a descriptive procedure.” If you’re not articulating yourself, it’s ultimately up to the provider to ask questions and discern what you’re asking for. Especially for surgical procedures, the provider may use computer software to show you renderings of post-surgical results. Be prepared to give specific feedback on whether or not you like what they show you and why. The more specific you get in the consultation, the happier you’ll be with the results.

### **Be Honest**
Dr. Bhanusali notes that sometimes it takes a while for his male patients to really open up to him. They may come into his office asking about one thing — a rash, for instance — but after a while let him know they’re actually there because they’re concerned about [hair loss](https://aedit.com/aedition/what-its-like-to-get-prp-injections-for-male-hair-loss). “In a world of bravado, we sometimes forget that it’s okay to be vulnerable,” he says. Remember that a provider’s goal is to help address something you’re concerned about and give you the results you are looking for. Be honest with them about what’s bothering you and what concerns you have about a procedure. It doesn’t do you, or them, any good if you keep concerns to yourself.

<PullQuote attributedTo={Babak Dadvand, MD}>
  “I always prefer when patients come in with a list of questions because it guides the conversation.”
</PullQuote>

### **Ask The Right Questions**
The consultation is the time to ask any question you can possibly think of. If a provider seems to rush you through or doesn’t want to spend time answering them, that’s a red flag they’re not the right person for you. “I always prefer when patients come in with a list of questions because it guides the conversation,” says Dr. Dadvand. And while our experts noted that men do tend to ask questions regarding [how soon they can start working out again](https://aedit.com/aedition/how-long-does-it-takes-to-recover-from-cosmetic-surgery-procedures) and if the results will look natural, there are some others they tend to overlook, but shouldn’t. Those include:

__1. How Many of These Procedures Do You Do?__
Getting an idea of how often a provider performs the procedure you’re looking for will give you a good idea of how experienced they are with it. “Men are very into numbers,” says Dr. Miller, and knowing how often someone performs a certain procedure can give you an idea of how good your results will be.

__2. What Certifications Do You Have?__
“It’s really important that you know the qualifications of a surgeon,” says Dr. Dadvand. “Not all surgeons are created equal. I don’t often get asked whether I’m board certified.” Always ask about a provider’s education and training, as well as what certifications they have. Then do your own research on what those certifications mean. Some certifications are paid and others, like being certified by the [American Society of Plastic Surgeons (ASPS)](https://www.plasticsurgery.org/), is merit based. 

<RelatedContent
  title={What Board Certification Really Means}
  slug={medical-board-certification-in-plastic-surgery-cosmetic-dermatology}
/>

__3. What Are The Possible Risks and How Do You Address Them?__
In a consultation, it can be easy to focus so much on the results that talking about possible side effects or complications can get overlooked. This should always be one of the first things you ask, but if you don’t, your provider should go through them all with you. If they don’t, ask for another consultation to discuss before booking the procedure.

__4. What Is The Post-Procedure Plan Like?__
Providers typically go through post-procedure plans during the consultation phase (and multiple times before a surgery), but it doesn’t just apply to recovery. Ask about whether you should change your lifestyle or skincare routine moving forward. And always ask who you will be seeing for post-operative care appointments. “I never get asked whether a patient will be seeing me or an assistant in the post-operative appointments,” says Dr. Dadvand. “In my practice, I do all the post-operative visits, but in others that is not the case. It’s fine, but patients should be aware of that going in.”

### **Don’t Make Price The Deciding Factor**
When you’re making a large investment like a cosmetic procedure, it’s easy to get caught up in the expense. Price should play a factor (you don’t want to go into debt), but should never be the deciding factor in who you decide to go with. “There are a lot of reasons for differences in price,” says Dr. Dadvand. Everything from the surgeon’s experience to their geography and associated cost of living expenses can factor into how much they charge. Ask about pricing up front, but consider that as a factor in the overall consultation, not the be-all-end-all. “If you’re talking about a price difference between someone you’re really comfortable with and someone you may not be, extrapolate that difference over the next 40 years of your life. How much is that difference really? You don’t want to bargain shop your body,” he says.

## **The Most Important Consideration Is Comfort**
Out of everything that goes on in a consultation, you should walk out of it feeling comfortable with the provider; if you don’t, then they’re not the right one for you. “Even if they are the most skilled plastic surgeon, you still have to feel comfortable with them; you still have to trust them,” says Dr. Miller. “You have to feel 100 percent confident that you have been heard by the surgeon.” 

<PullQuote attributedTo={Dhaval Bhanusali, MD}>
  “When you have a trustworthy relationship with your physician, the long term results are always going to be better.”
</PullQuote>

Dr. Lesley recommends not rushing through a consultation because you’re excited to get the procedure. “Spend some time with them to establish a rapport,” she says. If you feel nervous around them, you’ll be nervous before the procedure and that could make the recovery more difficult. That goes for all providers, not just surgeons. “If you’re comfortable with your doctor, you’ll be more compliant, you’ll get better quicker, and you’ll get a better end result,” says Dr. Bhanusali. “When you have a trustworthy relationship with your physician, the long term results are always going to be better.”

Yes, some aesthetic providers work primarily with men or women — and determining whether or not a dermatologist or plastic surgeon specializes in what you are looking for is key to ensuring the best possible result.

How To Find A Plastic Surgeon Who Specializes In Cosmetic Procedures For Men

How To Find A Plastic Surgeon Or Dermatologist Who Specializes In Men

bill-full-crop

*In light of the [COVID-19 pandemic](https://www.cdc.gov/coronavirus/2019-ncov/index.html), AEDIT founder and CEO, [William A. Kennedy III, MD](https://aedit.com/author/william-a-kennedy-iii-md-1) (above right), explains our approach to content and how we are supporting our users and providers during this unprecedented time.*

Dear AEDIT Community, 

Responding and helping those in need has always been at the forefront of my life. As a doctor, we are trained to put the needs of others before ours and are committed to the purpose of medicine: to save lives. Being in service during the COVID-19 pandemic has brought a whole new meaning to this purpose. Together, across the globe, we are dealing with one of the most challenging occurrences we have ever faced and are still trying to find a solution. The negative impacts caused by the virus are too many to list, and the emotions we are all feeling are endless. 

Now, more than ever, it is important to be there for one another and support each other as best we can — and I want you to know **we are here for you.** 

AEDIT was founded on the same principles that drove me to become a doctor: to help others. While this time has caused us to uproot and reconfigure the ways we are used to working, we have also been granted the time to truly reflect on what we are building and why. How can we be at your service and provide the support you need? As a team, we are doing what we can to use this unfortunate circumstance as a fortunate time to create a product that truly serves and empowers you. 

While the pandemic has caused us to press pause on the launch of some of our new features, right now we are able to respond by publishing more content covering topics we hope you will enjoy during this time. **If there is anything you would like to see or hear from us, please let us know. We are listening.** 

To our AEDIT community, we will get through this. And to my fellow doctors and medical staff, your dedication cannot be matched; thank you for the risk you are taking and your commitment to the health and wellbeing of others. I am hopeful there are brighter times ahead. 

Stay well, 

![BillSignature](//images.ctfassets.net/zw35sfestf1t/6NmK5fRFEfGASVS75dHNyo/bab408091e02ba319e6aa7241911a7bf/BillSignature.png)

William A. Kennedy III, MD, Founder & CEO 

In light of the coronavirus outbreak, AEDIT founder and CEO, William A. Kennedy III, MD, explains our approach to content and how we are supporting our users and providers during this time.

A Message From AEDIT's Founder Regarding COVID-19

A Message From Our Founder Regarding The COVID-19 Pandemic

shutterstock 35658316 (1)

Whether you’ve adopted the habit of singing “Happy Birthday” twice or have chosen a different song a la the memes that have overtaken social media, cold and flu season, coupled with the outbreak of coronavirus disease 2019 (COVID-19), has put handwashing and personal hygiene in the spotlight. And, when you consider the fact that a [2018 United States Department of Agriculture (USDA) study](https://www.usda.gov/media/press-releases/2018/06/28/study-shows-most-people-are-spreading-dangerous-bacteria-around) found that people fail to wash their hands “properly” 97 percent of the time, we're all in need of a refresher course.

## **How To Wash Your Hands**
So, what is the proper way to wash your hands? Good ol’ fashion soap and water is the best way to kill germs and prevent the spread of bacteria. Below are five steps required for an effective cleanse:

1. Wet your hands with clean, running water 
2. Apply soap and lather 
3. Rub your hands together vigorously for 20 seconds — remembering to scrub the fronts and backs of the hands, in between the fingers, and under the fingernails
4. Rinse thoroughly in clean, running water 
5. Dry with a clean towel or shake dry

While it is not a substitute for washing with soap and water, alcohol-based hand sanitizers can get the job done in a pinch. Be sure the formula contains at least 60 percent alcohol and apply the product to the palm of one hand (check the label for proper dosage). For best results, rub hands together — covering all the surface area you would while washing your hands — until they are dry. 

## **When to Wash Your Hands**
Now that you know how to wash, how often should you be sudsing up? At a minimum, the [Centers for Disease Control and Prevention (CDC) recommends](https://www.cdc.gov/handwashing/when-how-handwashing.html) washing your hands in the following situations: 

- Before, during, and after preparing food
- Before and after eating 
- Before and after caring for someone who is sick 
- Before and after treating a cut or wound
- After using the bathroom or changing a diaper
- After blowing your nose, coughing, or sneezing
- After touching an animal, animal feed, or animal waste
- After touching garbage

Additionally, it doesn’t hurt to wash your hands any time you enter or exit a space, use public transportation, or get home from commuting. Wash your hands frequently throughout the work day, and, upon arriving home, you should always wash up and, if possible, change into clean clothes. 

Unless you have just finished a proper hand wash, **DO NOT** touch your eyes, nose, or mouth. When in doubt, follow the golden rule of dermatology and refrain from touching any part of your face. It’ll keep you from getting sick and will likely save you a pimple, too. 

## **How to Care For Over-Washed Hands**
If your daily handwashing quota has reached the dozens, you’re likely dealing with dry, irritated skin. Dry skin on your hands is not unlike dry skin on any other part of your body — it becomes scaly, red, tight, itchy, and dehydrated when the stratum corneum (i.e. the outer layer of the skin) is damaged. Washing your hands regularly with bacteria-fighting soaps and alcohol-based hand sanitizers draws moisture out of the skin and breaks down that protective barrier. 

But, all is not lost. There are some simple steps you can take to soften up the [hands, fingernails, and cuticles](https://aedit.com/aedition/how-to-treat-damaged-dry-brittle-finger-nails-cuticles) that have dried out from over washing.

### **1. Wash With Lukewarm Water**
Much like Goldilocks, the water you use to wash your hands should not be too hot or too cold. Cool or lukewarm water will still kill germs and bacteria, while not being as harsh on the skin.

### **2. Use Gentle Soaps**
There is a reason the [CDC is advocating for increased handwashing](https://www.cdc.gov/coronavirus/2019-ncov/about/prevention.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fabout%2Fprevention-treatment.html) to help prevent illness and avoid the spread of coronavirus — it works. Washing your hands does not, however, require abrasive soaps. In September 2016, the [U.S. Food and Drug Administration (FDA) ruled](https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html) that 19 ingredients found in so-called “antibacterial” soaps were no more effective than their non-antibacterial counterparts, which means there is no reason to not reach for a milder alternative. 

Our favorites? Gentle formulas like the [EO Hand Soap](https://www.eoproducts.com/collections/liquid-hand-soap), [Follain Refillable Everything Soap](https://follain.com/products/follain-refillable-hand-body-soap-pre-filled), [Jergens Extra Moisturizing Liquid Hand Wash](https://www.walgreens.com/store/c/jergens-extra-moisturizing-hand-wash-refill-cherry-almond/ID=prod6152706-product), and [Method Gel Hand Wash](https://methodhome.com/product-category/hand/).

### **3. Pat Dry**
While you should be scrubbing your soapy hands together during the washing process, you don’t need to rub them dry. Allow your hands to air dry or lightly pat them with a clean towel to avoid further damage to the skin. Another tip: skip hand dryers, as the hot air can have a similarly irritating effect. 

### **4. Moisturize Immediately After Washing**
You’ve probably seen personal care brands selling ‘wet skin’ lotions, but it’s more than just a marketing tactic. Applying hydrating oils and creams to damp skin will help prevent additional water loss and lock in moisture, and the same is true of creaming your hands after washing. 

But for those who would rather deal with reptilian skin than greasy digits, there are hand creams that deliver all the hydrating benefits you need without rendering them useless oil slicks. Our favorites for everyday use include: 

- [Aveda Hand Relief](https://www.aveda.com/product/17759/16410/body/hand-care/hand-relief-moisturizing-creme#/shade/4.2_fl_oz%2F125_ml): The botanical-infused formula feels rich by absorbs instantly for smoother, softer skin.
- [Deborah Lippmann Rich Girl Hand Cream](https://www.sephora.com/product/rich-girl-broad-spectrum-spf-25-h-cream-P381213): In addition to enjoying the skin-smoothing benefits of shea butter, avocado, and jojoba oil, this lightweight formula boasts a broad-spectrum SPF 25.
- [Fountain of Truth Youth In Hand Cream](https://fountainoftruthbeauty.com/products/youth-in-hand-cream): The brand's triple emulsion technology allows the cream's emollient-rich blend of shea butter, honey, jojoba, and coconut and macadamia oils to repair the skin barrier without sticky or greasy residue.
- [Supergoop Handscreen SPF 40](https://supergoop.com/products/forever-young-hand-cream-with-sea-buckthorn-sunscreen): Sea buckthorn fruit extract, meadowfoam seed oil, and argan oil are just a few of the hydrating ingredients in this fast-absorbing lotion that includes a reef-safe, broad-spectrum SPF 40.

### **5. Layer Up At Night**
It’s understandable that you don’t want to deal with greasy hands during the day, but all bets are off after hours. Skin naturally regenerates overnight, and slathering your hands (and body!) with nourishing ingredients can help to repair some of the damage inflicted by overwashing during the day. Our go-tos include creams with rich textures and multi-purpose balms that yield smoother skin by morning:

- [Ahava Mineral Hand Cream](https://www.ulta.com/mineral-hand-cream?productId=xlsImpprod3230239): Aloe vera soothes, while allantoin and witch hazel smooth and heal dry, cracked skin in this creamy formula.
- [Egyptian Magic All Purpose Skin Cream](https://www.amazon.com/Egyptian-Magic-Purpose-Stretch-Ingredients/dp/B01LRMM39U?th=1): As the name implies, the natural balm (packed with olive oil, honey, beeswax, and more) is a multitasking wonder that treats chapped cuticles, dry patches, and irritated skin with gentle ease. We like to layer it on top of our hand cream for added hydration.
- [Kiehl's Ultimate Strength Hand Salve](https://www.kiehls.com/body/hand-creams-and-treatments/ultimate-strength-hand-salve/522.html): This thick, emollient formula repairs and conditions hands thanks to nourishing avocado oil, softening sesame seed oil, and moisturizing olive oil wax.
- [Skinfix Eczema Hand Repair Cream](https://skinfix.com/collections/eczema/products/hand-repair-cream): Formulated specifically for eczema-prone skin, soothing colloidal oatmeal, beeswax, and shea butter restore the damaged skin barrier and reduce redness, itching, and stinging. 
- [Weleda Skin Food Original Ultra-Rich Cream](https://www.ulta.com/skin-food-original-ultra-rich-cream?productId=pimprod2005673): A favorite for dry, rough skin on the face, elbows, hands, and feet, this cult-favorite features calendula, chamomile, beeswax, lanolin, and more for smoother, hydrated skin.

## **The Takeaway**
If you take one thing from this article, let it be this: you should be washing your hands all throughout the day, everyday with soap and water to help prevent the spread of germs. But the practice doesn’t have to wreak havoc on your skin. Washing with gentle formulas in lukewarm water and patting (not rubbing!) dry will help to protect your skin barrier, while applying nourishing hand creams can restore moisture to your dry, dull digits.

If your daily handwashing quota has reached the dozens, you’re likely dealing with dry, irritated hands. Here are five ways to soften your skin without sacrificing safety.

How To Wash Your Hands And Moisturizers For Dry, Irritated Skin

5 Ways To Care For Over-Washed Hands

shutterstock 586363181 (1)

Here’s a sobering statistic: [The National Institute on Drug Abuse reports](https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis#:~:text=What%20do%20we%20know%20about,for%20chronic%20pain%20misuse%20them.&text=Between%208%20and%2012%20percent%20develop%20an%20opioid%20use%20disorder.&text=An%20estimated%204%20to%206,prescription%20opioids%20transition%20to%20heroin.) that roughly 21 to 29 percent of patients prescribed opioids for chronic pain misuse them. Between 8 and 12 percent of those patients go on to develop an opioid-use disorder. From there, an estimated 4 to 6 percent of people who misuse prescription opioids transition to heroin. 

It goes without saying that pain management is part of the post-procedure recovery process in aesthetic medicine, but many plastic surgery practices have been taking precautions and adjusting their approach to recovery in recent years as the opioid epidemic grows in the United States. “It's a cunning, baffling, powerful disease and it can happen to anyone,” says New York City-based dermatologist [Cheryl Karcher, MD](https://aedit.com/provider/cheryl-karcher-md-4323), who is [open about her own battle with addiction](https://www.nytimes.com/2016/07/24/fashion/cheryl-karcher-comeback-pill-popping-dermatologist.html) several years ago. “I am much more on the lookout now.”

Because it can be difficult to identify who will become addicted and who won’t, providers — especially those in the already scrutinized fields of cosmetic and plastic surgery — have  learned to take special care. 

“Plastic surgery has never been more prevalent, more revered, and, at the same time, more scrutinized,” says board certified plastic surgeon, [Ryan Neinstein, MD](https://neinsteinplasticsurgery.com/), of Neinstein Plastic Surgery in Manhattan. There are countless media stories of poor plastic surgery outcomes, he explains, and these are typically instances of procedures being performed by unqualified physicians in substandard facilities. “However, day in day out, plastic surgeons around the country are making surgery safer, faster, and more predictable,” he says. 

Here, three experts share the precautions they’ve taken against opioid abuse in their own practices and how they’ve adjusted their approaches to the plastic surgery recovery process in recent years. 

## **The Importance of Preoperative Counseling**
Dr. Karcher says that she now asks a lot more questions about personal and family history of addiction when she meets with her patients. She routinely recommends Tylenol (acetaminophen) or Tylenol with ibuprofen (like Advil) for pain. New York City-based board certified facial plastic surgeon [Jennifer Levine, MD](https://drjenniferlevine.com/), agrees that preoperative counseling is vital and lets her patients know that they may be uncomfortable, but the surgery is not especially painful. “Pain medication is available if they need it, but most patients do not require it,” she says. “Opiates are rarely necessary in my practice.”

## **Prescribing in Smaller Quantities**
Dr. Karcher says that if the aforementioned Tylenol is not enough or if she knows a patient will really need pain medication to get to the point where they can recover properly, a few pain pills will be prescribed. That said, the tight leash on these dangerous drugs can lead to those who need pain management not getting the medication they need. “I do, unfortunately, see patients that have needed opiates for other medical or surgical issues and were not given them,” she says. “I do think opiates have a place in very short-term pain management.” 

## **Responsible Discarding**
For Dr. Levine, most of her procedures are above the neck and, as such, most of her patients do not require opioids. “I use a local anesthetic during the surgery and some longer-acting local anesthetics for longer procedures such as facelifts,” she says. The majority of her patients only take acetaminophen after the surgery. “I do give all my patients a small supply of a pain medication such as Vicodin (hydrocodone/acetaminophen),” she says, adding that she “rarely” prescribes anything stronger. “Many of my patients come in after the surgery with the bottle of unused pain medication and ask me to discard it for them.”

## **The Next Generation of Pain Management**
One of the advances Dr. Neinstein has made to his practice is the use of a medication borrowed from the trauma world called tranexamic acid. The clotting promoter is used to treat heavy menstrual periods in women, and this low-cost drug can be added to the intravenous liquid given to a patient during surgery to aid the post-op recovery process. “This medication has quickly shown to safely contribute to minimizing blood loss,” he says. “Even in plastic surgery — where there is minimal blood loss — by reducing it even more we can further minimize the downtime and physiological change to our patients’ bodies.”

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