Daniel Sugai, MD, FAAD

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Daniel Sugai, MD, FAAD Harvard-trained, Board-certified Dermatologist: Top Doc 🏆Founder of The Sugai Academy, IG, TikTok, on YouTube

10/14/2026

Hey Leo… your tretinoin routine might need a few adjustments 😂 👉A pea-sized amount for the entire face. Apply to dry skin. Moisturize. Start a few nights a week and increase as tolerated. 👉And yes, you can use the retinoid sandwich: moisturizer → tretinoin → moisturizer. 👉Consistency matters, but you don’t need to push through painful burning or raw, peeling skin. Back off and let your skin recover. Life is busy but I still make time for sunscreen and my retinoid 😎🤙

10/14/2026

Rating hair loss ingredients as a board-certified dermatologist 🧑🏻‍⚕️📊 I’m looking at the evidence—not the hype or how expensive the bottle is. The cause of your hair loss matters too. Save this before buying another scalp serum, and tell me which ingredient I should rate next 👇

10/12/2026

Does this hack really work? Breaking down in less than 90 sec on why Cicaplast Balm makes skin glow overnight (and who should skip slugging). stitch @ SaraJane Warner 👏🤩

10/10/2026

It frustrates me when insurance companies deny coverage for alopecia areata treatment because they consider it “cosmetic.” Alopecia areata is an autoimmune condition. The hair loss, uncertainty, and emotional burden deserve to be taken seriously—not dismissed. Treatment is a personal choice. But patients who want treatment deserve a fair opportunity to access it. I won’t stop saying this until we see change. stitch @ khynconnell

10/08/2026

Teen skincare does not need ten steps—or a luxury price tag 👀 Start with a gentle cleanser, moisturizer and daily sunscreen. Then add an acne treatment if you need one. 🫧 Everyday cleanser: CeraVe Foaming Facial Cleanser☀️ Morning moisture + SPF: Vanicream Facial Moisturizer SPF 30🧴 For clogged pores: La Roche-Posay Effaclar Medicated Acne Face Wash—alternate with your gentle cleanser as tolerated🌙 For mild acne: Differin Gel🔴 For red pimples + clogged pores: Differin Epiduo, which combines adapalene and benzoyl peroxide💧 Nighttime moisturizer: Bubble Level Up Choose Differin OR Epiduo—you don’t need both. Keep the rest of your routine gentle, and give acne treatment time to work. Save this for your teen—or send it to a parent building their first skincare routine.

10/07/2026

A discount doesn’t automatically make skincare worth buying. 👀 Here are my Amazon picks—and three I’d pass on. You don’t need everything on this list. Buy what fills a gap in your routine—not just what’s on sale. Prices change. Save this for your next skincare restock. 🛒

10/06/2026

Minoxidil (Rogaine) can poison cats and dogs, and cats are especially sensitive. 💔 To the creator @ notjustinsutherland who shared this: I'm so sorry for your loss. Thank you for turning something this painful into a warning that could save another pet. ‼️ What every minoxidil user should know: 🐾 Pets don't need to get into the bottle. Licking your scalp, sleeping on your pillow, or grooming residue off their fur can be enough. 🐾 Both solution AND foam can be dangerous to pets. 🐾 Signs can include lethargy, weakness, trouble breathing, or collapse. How to protect them: ✅ Wash your hands right after applying ✅ Keep pets off your pillow and bedding ✅ Clean spills right away and store bottles and used applicators securely Seek help right away after exposure. Don't wait for symptoms. Share this with anyone who uses minoxidil and has pets. 🐱🐶

10/06/2026

POGs started with a Japanese game called menko that came to Hawaiʻi with immigrant families. It took on a life of its own here, using milk caps from passion-orange-guava juice. By the '90s every kid on the North Shore was playing in the hallways, and then it spread to the mainland. My story runs about the same way. Japanese roots, raised in Waialua in the '90s, then off to the mainland for training and a career. So I brought a canister of POGs back to Haleʻiwa Elementary to talk with the 5th and 6th graders. A lot of them were kids of people I grew up with. Then they sang our alma mater in the same library where we used to sing it, and that got me. Chicken skin moment for sure 🙏❤️🤙

10/05/2026

@ Farrah thank you for sharing your journey! Minoxidil takes patience: early changes may show up around 3–6 months, and I usually assess the response at 6–12 months. Take monthly photos with the same part, lighting, and angle. I prefer foam for tolerability and easier application. Apply it to your SCALP, keep it off your forehead, and keep it away from pets—especially cats. 🐈⚠️ Early shedding can happen, but it doesn’t prove it’s working. Severe or persistent shedding? Check with your dermatologist. Avoid during pregnancy or breastfeeding. If it helps, continued use is needed to maintain the benefit.

10/04/2026

Cold sores often start with burning or tingling before clustered blisters appear.

Sun exposure, stress and illness can trigger a flare—so don’t forget broad-spectrum SPF 30+ on your lips ☀️ (I like EltaMD and aquaphor lip spf 30)

🛑 If you have a cold sore—or feel one coming on—don’t kiss babies. Wash your hands and avoid sharing lip products.
✋ Be especially careful around children with eczema: HSV can cause eczema herpeticum, a serious infection that can spread across the face and body. Rapidly spreading painful blisters, fever or involvement near the eyes need urgent medical attention.

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