Sweetwater Dermatology

01/16/2026

Nail Disease

Your nails can reveal more than just your manicure—they can indicate underlying health issues. 💅

Steps to improve:

Keep nails clean and dry.
Avoid harsh chemicals or trauma.
Follow treatment for fungal infections or psoriasis-related nail changes.

What to watch for:

Discoloration, thickening, or separation from the nail bed.
Pain, bleeding, or sudden changes in multiple nails.
Ask your dermatologist:
What type of nail condition is this?
Are systemic treatments needed?
Could this indicate another health issue?
Dr. Likhari provides comprehensive nail care and guidance.

📍 Sweetwater Dermatology | Sugar Land, TX
👩‍⚕️ Medical | Surgical | Cosmetic Dermatologyhttps://www.sweetwaterdermatology.com/

01/14/2026

Hives that come and go for weeks or months?
This may be chronic spontaneous urticaria (CSU) 🌿
CSU is a condition where itchy, red, raised welts appear without a clear trigger and last for 6 weeks or longer. The hives can move around the body, flare suddenly, and fade within hours only to return again.
✨ The good news: CSU is very treatable.
🔹 Antihistamines are the first-line treatment. Many patients need higher or daily dosing to control symptoms safely under medical guidance.
🔹 If antihistamines aren’t enough, biologic therapy (such as injectable medications that target the immune pathway causing hives) can dramatically reduce or even eliminate symptoms for many patients.
🔹 Identifying and managing triggers like stress, infections, or heat can also help, even when hives seem “random.”
If chronic hives are disrupting your sleep, comfort, or quality of life, you don’t have to just live with it. A personalized treatment plan can make a real difference.
Healthy skin is possible—even with chronic hives 💙

📍 Sweetwater Dermatology | Sugar Land, TX
👩‍⚕️ Medical | Surgical | Cosmetic Dermatologyhttps://www.sweetwaterdermatology.com/

01/12/2026

🌿 Meet Epionce — Where Dermatology Meets Botanical Science 🌿

Clean ingredients. Clinical results. Dr. Likhari approved.

If you’ve been searching for a skincare line that blends the power of nature with dermatologist-developed science, Epionce is the perfect addition to your routine. This brand has earned its loyal following for a reason—every formula is designed to strengthen the skin barrier, calm inflammation, and deliver visible, healthy changes to your complexion.

✨ Why Patients Love Epionce

✔️ Powered by natural botanical ingredients
✔️ Free of parabens, sulfates, fragrance, and gluten
✔️ Supports the skin barrier while reducing irritation
✔️ Ideal for sensitive, acne-prone, or compromised skin
✔️ Clinically proven to improve clarity, smoothness, and hydration
💧 Spotlight Product: Lytic Gel Cleanser
An office favorite and a cult classic. This refreshing gel cleanser sweeps away oil, dirt, and impurities without stripping your skin. It helps reduce surface shine, minimize breakouts, and leaves your complexion feeling clean, balanced, and comfortable.
If your skin craves gentle but effective care, this is the routine upgrade you’ll wonder how you lived without.

🌟 Shop Epionce at Dr. Likhari’s Sweetwater Store and discover the botanical difference your skin has been missing. Send us a message for personalized recommendations!

📍 Sweetwater Dermatology | Sugar Land, TX
👩‍⚕️ Medical | Surgical | Cosmetic Dermatologyhttps://www.sweetwaterdermatology.com/

01/09/2026

"Outstanding practice! Dr. Likari is very professional and knowledgeable." says Therrel on Google

★★★★★ Outstanding practice! Dr. Likari is very professional and knowledgeable.

01/09/2026

Moles
Most moles are harmless, but some can indicate skin cancer. 🧐

Steps to improve:

Regularly monitor your moles for changes.

Protect skin from sun damage with SPF daily.

What to watch for:

New moles, rapid growth, bleeding, itching, or irregular shapes.
Ask your dermatologist:
Should this mole be biopsied or removed?
How often should I have skin checks?
What warning signs should I watch for at home?
Dr. Likhari can provide expert evaluation and peace of mind.

📍 Sweetwater Dermatology | Sugar Land, TX
👩‍⚕️ Medical | Surgical | Cosmetic Dermatologyhttps://www.sweetwaterdermatology.com/

01/08/2026

"Great doctor! Great place! Great job! Highly recommended!" says Shane on Google

★★★★★ Great doctor! Great place! Great job! Highly recommended!

01/05/2026

What does it actually mean when your dermatologist says to use a “pea-sized amount” of tretinoin for your entireface? 👀✨
I’m Dr. Sunaina Likhari, board-certified dermatologist, and here’s exactly how I apply my nighttime tretinoin routine.
🌙 Why I use tretinoin:
Anti-aging • Fine lines + wrinkles • Dark spots • Overall brightening

My Nighttime Tretinoin Routine
1️⃣ Cleanse
I wash with one of my favorites — EltaMD Foaming Face Wash.
You can absolutely use any gentle OTC cleanser you love (Cetaphil, CeraVe, etc.).
2️⃣ DRY. COMPLETELY.
This is not like applying moisturizers or steroid creams on damp skin (which I often recommend for eczema!).
With tretinoin, damp skin = more absorption = more irritation.
So pat dry fully before moving on.
3️⃣ The Pea-Sized Trick
I squeeze a pea- to dime-sized amount onto my hand and spread it evenly over my whole face — avoiding the eyes, corners of the mouth, and creases of the nose (major irritation zones!).
4️⃣ Moisturize
Within a minute or two, I lock it in with a moisturizer:
💙 Very dry / sensitive: Nivea Cream
🤍 Oily: EltaMD Light Moisturizer
💧 Combination: ISDIN Hyaluronic Moisturizer, Neutrogena Hydro Boost Gel, or CeraVe / Cetaphil

How often should you use it?
Start 2–3 nights/week for a few weeks.
Then slowly increase to nightly as your skin adjusts.
This helps minimize irritation and purging.
📍 Serving Sugar Land, TX and the surrounding areas. Book your appointment today at Sweetwater Dermatology! https://www.sweetwaterdermatology.com/

01/02/2026

One of my favorite treatments for hair restoration? PRP injections. 💉✨
Hair thinning does not mean you’re out of options — let’s talk about it.
PRP = Platelet-Rich Plasma
Here’s what that means:
🔹 We draw a small sample of your blood
🔹 Spin it in a centrifuge
🔹 Extract the platelet-rich layer — packed with growth factors
These growth factors help wake up dormant hair follicles, improving thickness and slowing shedding.
Who is PRP good for?
✨ Early hair thinning
✨ Male or female pattern hair loss
✨ Postpartum hair shedding
✨ Stress-induced hair loss
It’s safe, natural, and effective — no drugs, no chemicals, just your own plasma stimulating new growth.
Treatment plan:
🗓️ 3 sessions, one month apart
🗓️ Maintenance every 6–12 months
Most patients start seeing improvement around 3 months, with the best results at 6–12 months.
If you’re noticing more scalp than you used to, PRP might be a great option for you. 💛
Drop a comment or send a DM if you want to learn more!
📍 Serving Sugar Land, TX and the surrounding areas. Book your appointment today at Sweetwater Dermatology! https://www.sweetwaterdermatology.com/

01/01/2026

In 2025 we cared for over 5,000 patients.
We focused on improving the patient experience by streamlining some of our processes and prioritizing customer service.

We supported several local PTAs through sponsorship and donated to Fort Bend Hope, Child Advocates of Fort Bend, National Public Radio, and the Houston Food Bank.

In 2026, we have some exciting new offerings including platelet rich fibrin (EZ Gel) and Pronox (laughing gas) to improve comfort during procedures!

More to come on that soon!!

Wishing you all a happy new year and we look forward to caring for you in 2026!

Sunaina Likhari, MD

12/31/2025

✨ Before & After — Alopecia Areata ✨
Check out these incredible results!
This patient presented with patchy hair loss due to alopecia areata — an autoimmune condition where the immune system targets hair follicles.
After evaluation, we started treatment with a topical prescription JAK inhibitor, which helps calm inflammation at the follicle level so hair can regrow.
📈 Results: Notice the visible filling-in of previously bare patches and healthier, thicker regrowth over time.
Alopecia areata can be unpredictable, but with accurate diagnosis and targeted therapy, improvement is possible.
If you or someone you know is experiencing sudden hair loss, we’re here to help. Early dermatologic care makes a difference! 💙
📍 Serving Sugar Land, TX and the surrounding areas. Book your appointment today at Sweetwater Dermatology! https://www.sweetwaterdermatology.com/

12/29/2025

More Eczema Triggers You May Not Have Heard About 🧴🌿😬
If you or your child struggle with eczema, you probably know the common triggers… but there are a few less obviousones that I talk about with my patients all the time. Here are some you might not realize could be contributing to flare-ups 👇
🧺 1. Fragranced Laundry Products
Laundry detergents, fabric softeners, and dryer sheets—especially fragranced ones—are a big source of irritation.
I often have my eczema patients stop dryer sheets and fabric softeners altogether because they can leave residue on clothing that irritates sensitive skin.
🍃 2. Seasonal Allergens
Even though eczema is a skin condition, airborne allergens can still trigger it.
Things like:
• oak
• grasses
• pollen
• ragweed
I tend to see more flare-ups in the spring and fall, especially on air-exposed areas like the eyelids, face, and neck.
😣 3. Stress
Stress is a big driver behind many skin conditions, and eczema is no exception.
A stressful season—emotionally or physically—can absolutely lead to a flare.
🦠 4. Skin Infections
People with eczema naturally have more staph bacteria living on their skin, but when it becomes too much, it can worsen inflammation.
To help reduce that bacterial burden, I sometimes recommend:
• dilute bleach baths, or
• an occasional hypochlorous acid body wash
These can be gentle and helpful tools for keeping skin calm.

📍 Book your consultation at Sweetwater Dermatology in Sugar Land. https://www.sweetwaterdermatology.com/

12/26/2025

✨ Before & After: Alopecia Areata + Traction Alopecia ✨
Check out this amazing transformation!
This patient came to Sweetwater Dermatology with two overlapping causes of hair loss:
🔹 Alopecia areata – an autoimmune condition causing patchy loss
🔹 Traction alopecia – thinning from prolonged pulling/tension on the hair
By diagnosing both correctly, we were able to target treatment effectively.
Treatment Plan:
💉 Intralesional steroid injections
🧴 Minoxidil 5% foam for consistent stimulation and regrowth
We’re seeing healthier, denser hair and continued improvement with ongoing therapy.👏🏼✨
Hair loss can feel overwhelming — but with the right evaluation and tailored treatment, progress is possible.
📍 Serving Sugar Land, TX and the surrounding areas. Book your appointment today at Sweetwater Dermatology! https://www.sweetwaterdermatology.com/