5 Things Dermatologists Hate and Why

There are many things that I see and hear about every day as a dermatologist that I wish my patients knew. Below I have listed some of the top things that I come across every day and why they cause pause for many dermatologists.

1. Neosporin or triple antibiotic ointment. If you're similar to me, you likely used Neosporin or triple antibiotic ointment on your minor cuts and scrapes when you were younger. However, recent studies indicate that Neosporin is no more effective than standard petrolatum jelly-based products like Vaseline or Aquaphor. In addition to the risk of antibiotic resistance, prophylactic antibiotic ointments may even slow down wound healing as they can inhibit some of bacteria that is needed for proper wound healing. Moreover, although the majority of individuals do not experience any response, the primary components of triple antibiotic ointment (Neomycin, Polysporin, and Bacitracin) may carry the potential for causing an allergic reaction. In fact, both Neomycin and Bacitracin have been named "Allergen of the Year" in 2010 and 2003, respectively by the American Contact Dermatitis Society. Neosporin is not produced in Canada because of the potential for dermatitis. Although many individuals can use Neosporin without any problems, past tolerance does not guarantee immunity from future reactions. If you're considering using Neosporin, you might want to opt for Vaseline or Aquaphor instead.

   
   

2. Strongly fragranced soaps and body washes such as Irish Spring, Zest, and Dial.Nearly every day, I see patients who are bothered by a general feeling of itchiness. When I inquire about their soap preference, they often mention using heavily fragranced brands with pride. Despite having used these products for a long time, it is important to note that past tolerance to a product does not guarantee immunity from potential future reactions. Additionally, similar to the components of Neosporin, fragrance mix was also named "Allergen of the Year" in 2007. Check out my blog on gentle skincare recommendations to see some of the products I recommend instead.

   
   

3. Loofahs, sponges, and washcloths. Once again, I also grew up using washcloths for bathing, however, this is another thing I'd recommend ditching. These personal care items can pose as a reservoir for the transmission of harmful bacteria to the skin and have even been linked to serious infections. While acting as a means of spreading infection, loofahs, sponges, and washcloths can also lead to minor skin damage, which can provide an entry point for the bacteria mentioned earlier. Not everyone needs to exfoliate, as it may do more harm than good for certain individuals. Personally, I prefer applying soap directly to my skin with my hands and then washing my hands after showering. If you have a preference for using loofahs, sponges, and washcloths and generally don't encounter any issues with them, it's advisable to regularly replace or sanitize them whenever possible.

   
   

4. MediSpas. This perspective may stir up some debate. I acknowledge that not all MediSpas are necessarily negative, as they can offer valuable dermatological treatments and services to individuals who may not have access to them otherwise, when managed correctly. However, I cannot overlook the numerous unsettling accounts I encounter in my profession. Instances of burns, scarring, hyperpigmentation, and facial asymmetry are among the adverse effects that can result from inadequate training, improper procedures, and insufficient oversight. I recently went to a MediSpa myself to get microdermabrasion and while I enjoyed the experience I was immediately turned off by the pushiness post-treatment to offer me lasers and chemical peels that as a dermatologist I know are not safe for my skin tone. If I was less informed and received these treatments I could be faced with irreparable scars and skin damage. Check out this article by Henry Ford Health, which provides even more reasons why you should proceed with caution with MediSpas.

   
   

5. Not sun-protecting. Many people hope for a quick solution to skin aging, but the truth is that once wrinkles and sun damage appear, the treatment options become more limited and costly. Cosmetic dermatology offers various techniques like chemical peels, neurotoxin injections (such as Botox or Dysport), and fillers to address different signs of aging. However, these methods are often reactive rather than preventive, and they carry certain risks, especially when administered at a MediSpa. These procedures need regular maintenance and their benefits can be compromised by repetitive sun exposure. To prevent skin cancer, discoloration, and aging, it is advisable to use sunscreen daily and employ additional sun protection measures like wearing protective clothing and avoiding the sun during peak hours from 10am to 2pm.