When it comes to kids’ skin, parents have questions... and Valley-based concierge dermatology expert Hope Pack, MBA, FNP, has answers. From eczema and acne to molluscum contagiosum, she treats a wide range of pediatric concerns with science-backed solutions, real-life remedies, and no-nonsense advice.
Go-To Remedies for Common Skin Issues
When it comes to dryness, irritation, and mild rashes, Hope urges a back-to-basics approach: plain Vaseline for barrier repair, fragrance-free detergents, and gentle cleansers like Cetaphil. Coconut oil can help, but may cause allergies. Stick to lukewarm baths and moisturize right after for best results.
Dry Skin vs. Eczema: How to Tell the Difference
Dry skin is typically flaky, rough, and mildly itchy, while eczema appears as red, inflamed patches- often in skin creases- and causes intense itching. “It’s a chronic disease process,” she says, “and needs more targeted treatment than just moisturizing.”
Starting a Skincare Routine
She recommends beginning a basic skincare routine between ages 9 and 11:
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Gentle cleanser
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Moisturizer
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Daily sunscreen
“No fancy products or TikTok trends,” she adds. “Just simple, consistent care.”
Molluscum Contagiosum: When to Worry
While many cases resolve on their own within two years, this contagious viral condition can spread to others.
“When needed, I offer in-home treatments... removal, topical prescriptions, or Y-canth.”
If molluscum is accompanied by a rash or discomfort, it’s time to seek care.
Rashes: When to Call a Pro
Call your provider if a rash is:
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Spreading quickly
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Painful or blistering
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Not improving after basic care
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Accompanied by a fever or other symptoms
Do Food Allergies Show Up on Skin?
They can... especially in babies and toddlers. Hives or eczema flares after eating certain foods are common indicators. However, in kids already diagnosed with eczema, flare-ups are rarely food-driven.
For the Chronic Scratchers and Pickers
For kids who pick or scratch at their skin, she offers a multi-step approach:
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Evening bath + heavy moisturizer (cream and/or Vaseline)
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Short nails
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Cotton gloves overnight
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Long sleeves
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Antihistamines in certain cases
“It’s about controlling the itch and setting up routines that reduce skin trauma.”
Teen Acne: When to Get Help
Start with Adapalene, the strongest over-the-counter treatment. If there’s no improvement in 6–8 weeks- or if breakouts are painful or scarring- seek prescription care.
Hormonal Acne 101
Typically appears on the jawline, cheeks, and lower third of the face, often flaring around the menstrual cycle in girls.
TikTok Trends... Proceed with Caution
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Beef tallow: Comedogenic (clogs pores).
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DIY sunscreen: Dangerous... hard no.
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Hypochlorous acid spray: “Yes!” Especially after workouts.
Makeup for Kids? Occasionally, Sure
Non-comedogenic, gently removed makeup used occasionally is fine. Problems arise with daily use and obsession with appearance.
Pool Chlorine, Sports Sweat, and Skin
Both can trigger rashes and breakouts:
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Rinse off after swimming
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Moisturize to protect the barrier
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Use hypochlorous spray post-sports if no shower is available
Why Skin Flares Up During the School Year
“I see an uptick in almost everything after school starts... viral skin conditions like warts, molluscum, bacterial infections like impetigo, and of course, acne and fungal issues in older kids. It’s heat, stress, gear, and germs.”
Best Product Swaps for Sensitive Skin
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Lotion → Creams or Vaseline
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Soap → CeraVe, Cetaphil, Vanicream
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Laundry detergent → Fragrance-free, dye-free options like 7th Generation or Dapple
Contact Dermatitis: The Process of Elimination
Hope helps families track symptoms, simplify routines, and slowly reintroduce products to identify culprits. In persistent cases, patch testing may be used.
One Myth Hope Wishes Parents Would Drop
“That wounds should dry out and scab. They actually heal best when kept moisturized with Vaseline and protected.”
Meet Hope
Hope Pack, MBA, FNP, is a board-certified nurse practitioner and founder of Truly Dermatology, a mobile concierge practice offering in-home care across the Valley. With expertise in cosmetic, pediatric, and medical dermatology, she provides personalized treatment with convenience, compassion, and clinical excellence, eliminating wait times and prioritizing real connection with families.