Protecting Your Hair and Scalp This Summer at the Pool, Beach, and Under the Sun

We’re back with another Derm Deep Dive, where we provide expert advice from our board-certified dermatologists about common skin conditions or treatments.

Using sunscreen daily, especially in the summer is widespread advice for protecting the skin from UV rays. But your skin isn’t the only thing that needs protection in the summer.

The sun, chlorine, and saltwater can do a number on your hair and scalp, but we often don’t consider proper protection before or after spending time at the pool or on the beach.

To help you prepare, and to alleviate any unexpected challenges this summer, we have 4 tips for taking care of your hair and scalp that will leave you sun and fun ready.

1. The Sun & Your Scalp: Use an SPF on Your Part Line

One of the easiest places to get a sunburn is your scalp. It’s also one of the easiest places to protect by applying an SPF directly to your part line and hairline, or wearing a wide-brimmed or UPF-rated hat.

Even individuals with thick hair are susceptible to UV rays, which can carry multiple risks:

• Skin cancer from repeated UV exposure  

• Sun damage and severe sunburn 

• Drying out the scalp and causing flakiness or irritation 

Not a fan of putting sunscreen on your scalp? Consider trying a broad-spectrum powder sunscreen, scalp spray, or lightweight mist, all of which are easy to use and won’t leave the hair feeling or looking greasy. Choose an SPF 30 or higher and remember to reapply every two hours if you’re swimming or sweating heavily.

2. The Sun & Your Hair: Use a Heat Protectant Before Heading Outside

While heat protectants are helpful as styling products for blow drying, straightening, or curling hair, they can also help minimize damage from prolonged UV exposure. Some leave-in conditioners and heat protectants contain ingredients that help coat the hair shaft, lock in moisture, and prevent color fade from the sun’s rays.

Armor your hair with a lightweight leave-in conditioner or UV-protectant spray. These products can also reduce dryness, breakage, or frizziness caused by the sun.

3. Saltwater & Your Hair: Rinse With Clean Water Before Jumping In 

Wet hair absorbs less saltwater than dry hair, so if you can, rinse with clean water before dunking in the ocean. Even better – rinse again as soon as possible after swimming and use a hydrating conditioner or hair mask to restore moisture.  

If you swim in saltwater a lot and want a summer-long solution for the effects of saltwater on your hair and scalp, try these tips: 

• Use sulfate-free shampoos to cleanse hair without stripping its natural moisture 

• Apply leave-in conditioner before swimming, which creates a hydrophobic barrier around the hair shaft 

• Limit excessive heat styling right after beach days to prevent additional damage  

• Use moisturizing scalp treatments if irritation develops 

You may experience softer hair or “beachy waves” after swimming in the ocean, but saltwater can also suck moisture out of your hair, leaving strands feeling brittle or more susceptible to damage. It can also lighten color-treated hair and increase photosensitivity, which can cause breakage. 

4. Chlorine & Your Hair: Wear a Swim Cap When Possible 

Chlorine is a chemical designed to kill bacteria and keep pools safe for swimming, but when it’s absorbed by hair, it can strip away natural oils, leaving hair feeling dry, brittle, and more prone to breakage.  

Frequent chlorine exposure can also affect hair color, and blonde hair is particularly vulnerable because chlorine can react with metals like copper in pool water, sometimes causing lighter hair to develop a greenish tint. Color-treated hair may also fade faster with repeated exposure.  

The best option for protecting your hair from chlorine is to wear a swim cap, but you can also follow these tips to reduce chlorine absorption: 

• Wet your hair with fresh water before entering the pool  

• Apply a leave-in conditioner or protective hair oil before entering the pool 

• Shampoo and condition with hydrating products as soon as possible after swimming 

Clarifying shampoos are popular for removing chlorine buildup but should be used only when necessary; overuse can further dry out the hair.  

Signs of Sun Damage and the Risks of Skin Cancer  

The scalp is one of the most overlooked areas for sun protection, especially for people with thinning hair, wider parts, or hairstyles that expose the scalp. Repeated UV exposure increases the risk of developing skin cancer or sun damage.  

It’s never too late to start protecting your scalp from UV rays, but it’s also important to be aware of the signs of sun damage, as chronic sun damage can contribute to precancerous lesions and skin cancers over time.  

Watch for: 

• Scalp tenderness or redness 

• Peeling along the part line 

• Increased scalp dryness or flaking 

• Brittle or rough hair texture that doesn’t return to normal 

• Faded hair color 

• Increased breakage or split ends 

If you notice persistent rough patches, sores that don’t heal, or scalp irritation, schedule an appointment with your board-certified dermatologist for a full evaluation.  

Healthy Hair and Scalp, Happy Summer! 

You don’t have to avoid the outdoors or going for a refreshing swim in the ocean or pool. With the right protection, you can enjoy the summer while maintaining your healthy hair and scalp – and staying safe from sun damage.  

Treat your scalp with the same care you give the rest of your skin. If you experience any hair or scalp challenges during the summer, especially flaky skin or increased hair damage, get an expert opinion from your dermatologist.  

Schedule an appointment with our team if you’d like some extra help preparing for or managing your summer hair and skin health.  

FAQs About Protecting Your Hair and Scalp from Sun, Saltwater, and Chlorine 

Should I put sunscreen on my scalp? 

Yes. The scalp is highly susceptible to sunburn and UV damage, especially along the hair part, hairline, or thinning areas. Dermatologists recommend using broad-spectrum SPF 30 or higher on exposed scalp areas. 

Does chlorine permanently damage hair? 

Chlorine does not usually cause permanent damage after occasional exposure, but repeated exposure can dry out the hair shaft, weaken hair, strip natural oils, and contribute to breakage or color fading over time. 

Why does blonde hair turn green in pools? 

The green tint often comes from copper and other metals in pool water reacting with chlorine and binding to the hair shaft. Blonde and lighter-colored hair tends to show the discoloration more visibly. 

Is saltwater bad for your scalp? 

Saltwater can dry out the scalp and worsen irritation or flaking in some individuals. Rinsing with fresh water after swimming and using moisturizing scalp products can help restore hydration. 

What is the best way to protect hair from sun damage? 

The best approach combines multiple strategies: wearing hats, applying SPF to exposed scalp areas, using UV-protective or heat-protectant hair products, limiting prolonged sun exposure, and restoring moisture after swimming or sun exposure

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Patients in Macedonia, OH Will Have Access to Nearly Two Decades of Dermatology Experience for a Wide Range of Skin Conditions

Board-certified dermatologist Dr. David Crowe is joining Optima Dermatology’s Macedonia, OH practice, expanding access for patients to treat skin conditions ranging from skin cancer to psoriasis, with a special clinical interest in autoimmune conditions. 

Since 2007, David Crowe, MD, has treated patients 8 years and older for a variety of skin issues, drawing on his lengthy experience in dermatology and medicine. 

Dr. Crowe completed his dermatology residency at the University of Cincinnati Medical Center in Ohio after graduating with his Doctor of Medicine from the University of Cincinnati College of Medicine, where he was elected to the Alpha Omega Alpha Medical Honor Society. 

Since his residency, Dr. Crowe has been active in healthcare advancement and advocacy, authoring more than 15 scientific publications. He worked at MetroHealth Systems for 15 years as Department Chairman, was heavily involved in resident education, and twice received the Brian R. Davis Award for Excellence in Resident Education. 

He currently holds the rank of Associate Professor at the Case Western Reserve School of Medicine, and is a member of the American Academy of Dermatology, the Ohio Dermatological Association, and the Cleveland Dermatological Society.

Industry-Leading Dermatology Care Without Question

Dr. Crowe is excited to deliver personalized and comprehensive dermatology care to patients in the Macedonia area, especially for complex skin issues that require dedicated treatment plans and an understanding ally. 

Dr. Crowe is a perfect fit for the Optima Dermatology culture with his commitment to delivering an unparalleled patient experience and the highest quality of care.

We recently had the opportunity to learn more about Dr. Crowe, his approach, and the path that led him to become a board-certified dermatologist.

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?

Part of my interest in dermatology began in my teenage years when I suffered from severe hand

eczema, which gave me perspective into how much skin conditions can affect your life. After college and medical school I was fortunate enough to earn a dermatology residency position in Cincinnati. I moved back home to Cleveland in 2011 and have been practicing here ever since.

What is your favorite aspect of being a board-certified dermatologist?

I truly enjoy the challenge and satisfaction of solving a complex medical problem, and

dermatology is filled with unusual challenges and rare conditions. I also get to follow patients over time with yearly skin checks and get to form great relationships with them.

What is your approach to treating your patients?

I try to make a personal connection with every patient that I meet. Sometimes a first visit to a

doctor can make people nervous, especially when dealing with a skin problem. Building trust with patients will make it more likely that we can arrive at a solution to their problem and follow through on it.

What is your number one tip when it comes to taking care of your skin?

Don’t expect the world from over-the-counter products. They can be quite costly, often have

many unnecessary ingredients, and may have incorrect claims about how well they work.

What is one thing you want your patients to know about you?

My hands have always been a bit chilly. Warm heart, I promise!

What do you like to do when you are not in the office treating patients?

I spend time with my wife and two children. We love watching movies and spicy food!

What to Expect From Dr. Crowe and His Team

Patients visiting with Dr. Crowe and his team at Optima Dermatology will receive the highest quality care backed by decades of advanced training and experience.

Dr. Crowe is currently accepting new patients at our Macedonia, OH location. Request an appointment or call us at (330) 306-9844.

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Lombard is Eager to Provide Expert Medical Dermatology Services to Patients of All Ages 

Optima Dermatology is excited to welcome board-certified Physician Assistant Kieran Lombard, PA-C, to our Scarborough, ME practice. Kieran has been providing dermatology services to patients in New England since 2020 and treats a variety of skin conditions, including acne, eczema, psoriasis, and skin cancer.  

Kieran received his Bachelor of Health Sciences from Western New England University, graduating cum laude, and later received his Master of Physician Assistant Studies from Massachusetts College of Pharmacy & Health Sciences. 

After numerous years providing dermatology services to patients in New England, Kieran is excited to bring his expertise and passion to Optima’s Scarborough practice in Maine. 

Delivering the Care Patients Expect and Deserve 

Kieran is committed to helping every patient with an individualized treatment plan. His personal experiences with acne allow him to understand what patients need and expect, and meet them with a personalized and compassionate approach that mirrors Optima’s mission of treating patients the way we would treat our own family and friends.   

We recently had the opportunity to learn more about Kieran, his approach, and the path that led him to become a board-certified physician assistant. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?   

My path to dermatology started as a patient. I struggled with severe acne growing up and spent a lot of time seeing a dermatologist. One of the physician assistants I saw made a big impression on me and offered to let me shadow him in clinic, which was my first real exposure to the field. I found that I really enjoyed the mix of medicine and patient care involved in dermatology. I had already decided to pursue a career as a physician assistant, but this helped guide the direction of my journey, and I went on to graduate school to earn my PA master’s degree. While in school, I completed a rotation in dermatology, solidifying the love I had for the specialty; the medicine, the procedures, and especially the relationships you build with patients over time.  

What is your favorite aspect of being a board-certified physician assistant? 

My favorite aspect of being a board-certified physician assistant is the combination of a broad medical foundation and the autonomy I have in dermatology. PA training gave me experience across all major areas of medicine, which allows me to approach patient care with a well-rounded perspective. In dermatology, I can spend time with patients and practice in a way that aligns with my values, while still having the support of a collaborative team and supervising physicians. I truly enjoy that balance of independence and teamwork. 

What is your approach to treating your patients? 

My approach to treating patients is centered on education and shared decision-making. I aim to provide patients with clear information about their condition and the available treatment options so they can make informed choices about their care. By discussing the benefits and considerations of each option, patients can decide what matters most to them and what best fits their goals. My role is to guide them through that process and support the decision that works best for them. 

What is your number one tip when it comes to taking care of your skin? 

I think my number one tip is ‘less is more’. It’s easy to get lost in the sea of products claiming to make your skin better, but unless there is a true underlying disorder, the best thing you can do for your skin is wear a good sunscreen, use bland soaps, moisturize, and get your yearly skin check. 

What is one thing you want your patients to know about you?  

The one thing I want my patients to know about me is that I understand what it’s like to be on the other side of the exam room. Having struggled with severe acne myself, I know how frustrating and personal skin issues can feel. That experience helps me approach patients with empathy and understanding. I strive to maintain professionalism while creating a comfortable, approachable environment where patients feel heard, supported, and confident in the care they’re receiving. 

What do you like to do when you are not in the office treating patients? 

Outside the office, I try to stay active and enjoy a variety of outdoor pursuits. I play ice hockey and mountain bike whenever I can, and I love spending time outdoors or doing any kind of athletics. I also help manage a small family farm and pursue photography as a side project, which lets me combine creativity with being outside. 

What to Expect From Dermatological Care Delivered by Kieran and His Team 

Patients visiting Optima Dermatology with Kieran and his team will receive the highest-quality care, backed by decades of advanced training and experience. 

Kieran is currently accepting new patients at our Scarborough, ME location. Request an appointment online or call us at (855) 277 – 9689.

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Dr. Mancuso Brings More Than a Decade of Expert Dermatology Experience to the Nashua Area

Optima Dermatology is excited to welcome board-certified dermatologist Christopher Mancuso, DO, to its Nashua, NH practice. Dr. Mancuso has been providing dermatology services to patients for more than 10 years, specializing in medical and surgical dermatology care for a range of skin conditions, including acne, psoriasis, eczema, skin cancer, and more.

Dr. Mancuso earned his Doctor of Osteopathic Medicine at Lake Erie College of Osteopathic Medicine and completed his residency and internship training in dermatology at St. Barnabas Hospital in New York.

He is passionate about clinical research and helping every patient find relief for their unique situation with individualized, cutting-edge treatments.

Passionate Care Delivered by Passionate Experts

Dr. Mancuso is excited to deliver personalized and comprehensive care to patients in the Nashua area, especially for often complex skin issues that require dedicated treatment plans and an understanding ally.

His approach to care is aligned with Optima’s mission of treating patients the way we would treat our own family and friends. 

We recently had the opportunity to learn more about Dr. Mancuso, his approach, and the path that led him to become a board-certified dermatologist.

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?

In high school, I took a class in anatomy and physiology and realized how interesting the human body is. I happened to also be seeing a dermatologist to treat my severe acne. I was so appreciative for the confidence they were able to restore in me, and I knew that I wanted to do the same for others like me.

What is your favorite aspect of being a board-certified dermatologist?

I love that we treat so many varied medical conditions, from acne to skin cancer to rare cutaneous manifestations of internal diseases like Crohn’s disease. Being able to perform surgeries like skin cancer excisions and using devices like blue light allow me to have a more hands-on approach to care.

What is your approach to treating your patients?

I try to communicate clearly and thoroughly explain the diagnosis, treatment, and possible side effects. The best way for me to instill confidence in my patients is to explain my exact thought process.

What is your top tip for taking care of your skin?

The biggest thing is sun protection, including avoiding direct sunlight, wearing sunscreen, and covering up with clothing.

What is one thing you want your patients to know about you?

I treat all of my patients with respect, and I hope they see me as a friendly advisor and partner in their healthcare.

What do you like to do when you are not in the office treating patients?

I enjoy spending time with my wife and 3 young sons. I like outdoor activities like hiking and running, but I am a bit of a sci-fi and Lord of the Rings nerd as well.

What to Expect From Dermatological Care Delivered by Dr. Mancuso and His Team

Patients visiting with Dr. Mancuso and his team at Optima Dermatology will receive the highest quality care backed by decades of advanced training and experience.

Dr. Mancuso is currently accepting new patients at our Nashua, NH location. Request an appointment online or call us at (603) 441-3223.

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A Dermatologist’s Guide to At-Home Acne Treatments

We’re back with another Derm Deep Dive, a series that provides expert advice from our board-certified dermatologists about common skin conditions or treatments. June is Acne Awareness Month, a perfect opportunity to educate about this common skin issue and how to treat it.

Patients often ask us about at-home acne treatments and whether pimple patches and other topical treatments really work. Let’s break down the science behind popular acne solutions so you can set realistic expectations and goals for clearer skin.

Can I Treat My Acne At Home?

Acne affects people of all ages and skin types, and while genetics and hormones do play a role, your diet, stress levels, and even the type of makeup you wear can cause acne flare-ups.

When breakouts happen, there are a number of approaches you can take at your home to treat and manage your acne.

Addressing external factors like diet, stress, and makeup is a great start. Sometimes, simple lifestyle changes can have notable impacts on reducing acne flare-ups.

However, acne almost always requires more targeted treatments, and while doing so at home can provide some relief, results depend on what you use and how you use it.

If you’re unable to see your dermatologist right away, it’s important to know how to treat your acne at home for the best results.

Let’s dive into at-home treatments and what works best for acne versus other types of pimples.

Do Pimple Patches Really Work?

If you’ve ever had a pimple, you’ve probably heard of pimple patches; small, round stickers that attach to pimples and not only protect them from external irritations, but absorb excess oil and dirt from the pimple to reduce redness and inflammation.

These at-home treatments are an understandably popular option because they’re easy to use and can offer quick results.

However, if you have acne, we won’t bury the lead – pimple patches won’t work for you.

While pimple patches can help decrease inflammation, they only target the surface of the skin and are unlikely to provide results for acne, which is rooted more deeply in the skin.

Pimple patches work best for:

• Whiteheads
• Pimples that have come to a head
• Covering pimples to protect them from picking or other external irritation, which can cause scarring or infection

Pimple Patches Deliver Pimple-Fighting Power

Pimple patches are typically made with hydrocolloid, a gel-forming material used to heal wounds, and contain added ingredients that can include:

• Salicylic Acid: Helps unclog pores and remove excess oils.
• Tea Tree Oil: Effective at drying out the pimple, killing bacteria, and decreasing inflammation and redness.
• Hyaluronic Acid: Hydrates the skin, counteracting drying from salicylic acid or tea tree oil.
• Niacinamide: Helps stabilize the skin barrier and improve skin tone and texture.
• Benzoyl Peroxide: Acts as an antiseptic, killing bacteria in the pimple.

When used as targeted treatments outside of a pimple patch, these ingredients can be effective at fighting acne and are often recommended by dermatologists as part of an acne treatment plan.

We also recommend retinoids, which regulate skin cell turnover to help prevent clogged pores for longer-term acne control.

Beyond the products, at-home acne treatment requires additional diligence to ensure you’re not overdoing it.

Quick Tips for Treating Acne at Home

When we advise patients about at-home acne care, we focus on three key factors:

• Ingredients: Use products made with natural ingredients like tea tree oil, which helps reduce inflammation and kill bacteria. Avoid pore-clogging oils, irritants like alcohol, and heavy comedogenic ingredients.
• Routine: How often are you washing your face and applying products – and which products are you using? Managing acne flare-ups at home goes hand-in-hand with a gentle skincare routine that supports the skin barrier.
• Treatments: If you’re using acne-specific treatments at home, we recommend first consulting with your dermatologist to make sure you’re selecting the best options for your specific needs.

Conversely, there are three things we advise patients not to do when treating their acne at home:

• Don’t constantly switch up your products. If a product is causing skin irritation or a bad reaction, absolutely swap it out right away. Otherwise, use your product for at least 4-6 weeks (the length of a single skin cycle) to know if it’s working for you. And if it’s doing the trick, there’s no need to try something new.
• Don’t overload your skin with actives. Actives are important components in acne care as they treat at the cellular level to target the root of your issue. However, using too many actives can irritate the skin barrier and make your acne worse. We recommend 1-2 actives per routine, ideally in the morning and at night.
• Don’t expect immediate results. We know acne is a difficult skin condition to live with, and can take multiple treatments to get it under control. You might feel like nothing is working, but we’re here to remind you that it does take time, and you always have an expert dermatologist to consult if the going gets tough. 

Avoid These Common Acne Treatment Mistakes

Pimples are a nearly universally-shared experience, and pop culture and social media has put some unfortunate ideas out there about pimple treatment that as dermatologists we simply can’t abide.

Steer clear of these common acne treatment mistakes:

• Picking and popping
  • Increases inflammation
  • Introduces bacteria into the skin
  • Raises the risk of scarring
• Harsh scrubbing
  • Can damage or irritate the skin barrier
  • May worsen inflammation and redness
• Over-exfoliation
  • Strips the skin of natural oils necessary to prevent breakouts
  • Can lead to excess dryness and pimple development
• Overnight fixes
  • Acne cannot be treated overnight with a patch or topical product
  • Quick fixes rarely work and can worsen acne symptoms

When to Shift From At-Home to In-Office

At-home treatments are tempting – they don’t require any office visits. But if your at-home treatment isn’t working, don’t wait too long to see a dermatologist.

In addition to being difficult to live with, untreated acne can lead to greater consequences for your skin:

• The development of painful cystic acne
• Scars or dark spots
• Breakouts that never seem to improve or go away, even with treatment
• Frequent or severe flare-ups

Acne can impact your life, but your dermatologist can help you get it back under control.

Take Back Control of Your Acne

At Optima Dermatology, we create personalized acne treatment plans that can include prescription medications, in-office procedures, or combination therapies that go beyond what’s available over the counter.

Schedule an appointment with our team for an acne evaluation and to discuss the best path forward.

FAQs About Pimple Patches and At-Home Acne Treatments

Do pimple patches work on all types of acne?

No. Pimple patches work best on surface-level whiteheads. They are not effective for cystic acne or deep breakouts beneath the skin.

How long should I leave a pimple patch on?

Most patches should be worn for 6–12 hours or until they turn opaque, indicating they’ve absorbed fluid.

Can I use salicylic acid, benzoyl peroxide, and adapalene together?

Yes, but carefully. Using multiple active ingredients at once can irritate the skin. Start slowly and consider alternating products or consulting a dermatologist.

Why isn’t my acne improving with over-the-counter treatments?

It may take 6–8 weeks to see results. If there’s no improvement after that, your acne may require prescription-strength treatment.

Is it ever safe to pop a pimple?

Dermatologists strongly advise against it. Popping pimples can increase inflammation, delay healing, and lead to permanent scarring.

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The Pros and Cons of Starting Small Doses of Botox in Your 20s and 30s

The name for the newest trend in Botox^® – Baby Botox – may make some people do a double-take, but no, it’s not Botox for babies. Rather, it’s the practice of getting smaller, more targeted Botox injections to achieve subtle, more natural-looking results.

It has become a popular choice among individuals in their 20s and 30s because it can deliver a refreshed look without impeding natural facial expressions.

What Makes Baby Botox Different from Traditional Botox?

Like most trends today, Baby Botox gained traction on social media as part of the ever-growing dialog about preventive skincare. Coupled with greater access to aesthetic treatments and younger generations becoming invested in proactive solutions, the rise of Baby Botox took hold among individuals in their 20s and 30s.

Traditional Botox treatments, more common among individuals aged 40-60, reduce deep lines and wrinkles by relaxing the muscles, and are often associated with causing stiff or unnatural facial expressions.

Younger individuals favor Baby Botox, also known as MicroTox, as a preventive approach that delivers the benefits of Botox without that “frozen” look. Baby Botox can soften movement just enough to reduce the appearance of fine lines, achieving a more subtle look.

There is some debate over whether it’s a skin-smart move to get Baby Botox at an earlier age as a preventive strategy, so let’s take a look at how it really works and if it can lead to long-term smooth skin.

Does Starting Botox Early Make Sense?

There has been a shift in attitudes about fine lines and wrinkles; now, the focus is on prevention rather than treatment, and small, targeted Baby Botox injections are thought to delay the development of deeper, static lines over time.

The idea behind the efficacy of Baby Botox is simple: fine lines and wrinkles are caused by repeated facial movements like squinting, smiling, laughing, and frowning. Using small Botox injections starting at younger ages to slightly limit these movements can prevent deep lines from forming in the future.

But does it make sense to start Botox earlier in the hopes of longer-term wrinkle prevention?

Starting Botox in your 20s and 30s has some benefits:

• Slows the formation of wrinkles. By reducing repetitive facial movements, early treatment may delay the formation of deeper lines later in life.
• Reduces future treatments. Smaller, more consistent Botox injections may help maintain results rather than requiring increased doses later.
• Produces natural-looking results. When done properly, Baby Botox can maintain facial movement while subtly smoothing skin. Some note that younger patients may experience smoother skin for longer, particularly in areas of higher movement like the forehead or around the eyes.

However, there are some arguments against starting Botox too early:

• Your skin may not need it. If you don’t have any visible lines, Botox, even in small doses, likely won’t provide any meaningful benefit.
• Injections aren’t a one-time fix. Botox requires ongoing maintenance every 3-4 months, so the earlier you start injections, the longer you’re committing to treatment – and the cost of those treatments, which adds up quickly.
• It’s possible to overuse Botox. Poor technique or unnecessary treatment can lead to unnatural results, even with Baby Botox.

Botox is a treatment that should be tailored to your individual needs, not a blanket treatment for anyone looking to prevent wrinkles down the road.

Should I get Baby Botox?

Botox is an injection and carries risks like any treatment. Be sure it’s right for you before you start receiving injections.

You may be a good candidate for Baby Botox if:

• You’re noticing faint lines or wrinkles associated with facial movements
• You’re looking for subtle, natural results over time instead of dramatic changes all at once

You may want to wait on injections if:

• Your skin is smooth, and you’re not seeing lines or wrinkles at rest or with movement
• You’ve been drawn to Baby Botox because of the trend rather than a true need
• You’re not ready to take on ongoing maintenance treatments

If you’re unsure whether Baby Botox is a skin-smart move for you, consult your certified aesthetic provider for an honest opinion. Preventive Botox can be a smart strategy for the right person, but it is not a universal recommendation or need for anyone in their 20s and 30s.

Your provider will evaluate:

• Your facial anatomy and muscle movement
• Your skin’s condition and any early signs of aging
• Your long-term, individual skin health goals

You may learn that Baby Botox isn’t the right path for you. There are other strategies, such as daily suncare, retinoids, peptides, and hyaluronic acid, that can treat wrinkles and fine lines topically.

Find the Right Balance for Preventive Treatment

At Optima Dermatology, we create personalized treatment plans for all skin types based on your individual needs. If Baby Botox is the right solution for you, we have expert cosmetic dermatologists who can administer injections and help you reach your skincare goals.

Schedule a consultation with one of our highly trained and specialized medical aesthetic providers to learn how you can best prevent wrinkles and fine lines.

FAQs About Baby Botox

At what age should you start Botox for prevention?

There’s no “perfect” age. Some patients begin in their late 20s or early 30s if they notice early dynamic lines, but many people don’t need it until later.

Does Baby Botox last as long as regular Botox?
Not always. Typically, the duration of Botox is dependent on the dose administered. Because smaller doses are used, results may wear off slightly faster, often within 2–3 months.

Will starting Botox early prevent all wrinkles?
No. While it can help reduce muscle-related wrinkles, it doesn’t stop aging or address issues like sun damage or skin texture.

Is Baby Botox safer than traditional Botox?
It’s not necessarily “safer,” but when performed correctly, the lower doses may reduce the risk of an overdone or frozen appearance.

What are alternatives to preventive Botox?
While nothing will relax muscles the same way Botox can, daily sunscreen, retinoids, antioxidants, and professional skincare treatments can all play a major role in preventing early signs of aging.

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Do’s and Don’ts for Healthier Skin All Summer Long  

After months of covering up against the cold, the feeling of the sun on your skin can feel freeing. But if you forget proper sun protection, an early-season sunburn won’t feel good at all.   

Even if you’ve been applying sunscreen throughout the winter (and we hope you have!) increased exposure in the summer months requires more attention to not only how frequently you’re applying the proper SPF, but what kind you’re using.   

To be skin smart all summer long, use this SPF reset guide to ensure you’re choosing the right formula and applying it correctly. Good sun protection habits can be hard to restart after a long winter, but with the right information, you can roll it right into your existing skin care routine.  

DO: Choose Broad-Spectrum Sun Protection  

Not all sunscreens protect your skin in the same way, but products labeled “broad-spectrum” are designed to guard against:  

• UVA Rays: These harmful rays penetrate deep into the skin and can advance signs of premature aging, such as wrinkles, fine lines, and dark spots.   

• UVB Rays: These rays cause sunburns and are a major factor in the development of skin cancers.  

UVA rays are present year-round, and even on cloudy days can still harm the skin. Applying a broad-spectrum sunscreen with an SPF of 30 or higher before outdoor activities is a smart way to protect the skin and keep signs of aging at bay.  

DON’T: Assume Last Year’s Sunscreen is Still Effective  

Did you know sunscreens have expiration dates? The first thing you should do as the summer season starts is take a look at your sunscreen collection and toss any bottles and tubes that have passed their expiration date.   

Similarly, sunscreens that have spent time in your car or garage likely have been exposed to drastic temperature swings, which can cause degradation and clumping of active ingredients that lead to uneven spread and inadequate protection. We recommend keeping sunscreens at room temperature during the off-season, and replacing any that:  

• Smell “off”  

• Have changed in texture  

• Were not kept at room temperature over the winter, even if the expiration date hasn’t passed  

DO: Understand the Differences Between Chemical and Mineral Sunscreens  

There are two main types of sunscreen, chemical and mineral, and the type you choose to use depends on your skin type and other factors.   

What is Mineral Sunscreen?  

• Has zinc oxide and/or titanium dioxide as active ingredients. These compounds sit on top of the skin and act as a physical barrier, reflecting harmful UV rays away from the skin.   

• Offers immediate protection upon application, making it a great choice for people who need to apply and go.   

• Often recommended for sensitive or acne-prone skin types because it is less likely to cause irritation, clog pores, and trigger breakouts or allergic reactions.   

• Offered in matte or oil-free formulations that help absorb excess shine.   

• Provides immediate protection and is often water-resistant, making it a good choice for athletes or kids who move in and out of the sun and water frequently.  

What is Chemical Sunscreen?  

• Contains active ingredients such as avobenzone, oxybenzone, and octinoxate, which are each able to absorb or block UVA and UVB rays by converting them into heat and releasing that heat from the skin.    

• Typically needs 15 to 30 minutes to become effective after application.   

• Are usually lighter-weight formulas than mineral sunscreens and are easier to rub in, often making them preferable for everyday wear, especially under makeup.  

• Often comes in moisturizing formulas with added humectants or emollients that hydrate while protecting.   

• Blends more seamlessly into skin than mineral sunscreens, making chemical sunscreens an ideal choice for darker skin tones or individuals looking for a more cosmetically-pleasing option.   

Outside of these indications, the best type of sunscreen is one you’ll use consistently.   

DON’T: Apply Too Little (Or Too Infrequently)  

Common misconceptions about sunscreen are how much to apply and how long the protection lasts. Often, individuals apply too thin a layer of sunscreen, or perhaps skip certain areas of the body, or only apply sunscreen at the start of an outdoor activity and never reapply.   

Let’s clear up exactly how much, how often, and where sunscreen should be applied.   

According to the Skin Cancer Foundation, you should use two milligrams of sunscreen per square centimeter of the skin. Here’s an easy guide:  

• Face, neck, and ears: A strip of sunscreen that covers your middle and pointer fingers  

• Face alone: A nickel- or quarter-sized dollop  

• Exposed areas of the body: The equivalent of a shot glass (two tablespoons)  

If you’re using a spray sunscreen, apply enough that the skin has a sheen once it’s fully rubbed in.   

Naturally, these amounts vary based on the individual, but you should feel confident that your skin is covered and protected.   

And don’t forget easy-to-miss areas of the body, like the ears, neck, chest, hands, lips, scalp, knees, skin around the underarms, and feet. UPF-protective hats and SPF lip balms are great options for added protection.   

To remain effective, you need to reapply your sunscreen every two hours, or right after swimming, toweling off, or heavy perspiration. Even sport sunscreens need to be reapplied after a sweaty workout.   

Sunscreen wears off during activity, breaks down in sunlight, and can be wiped away, and the longer your skin is left unprotected, the more vulnerable you are to sunburn and sun damage.  

DO: Layer Your Sunscreen Properly Under Makeup  

Don’t skip sunscreen because you’re wearing makeup. The two can go hand-in-hand. Here’s the best order to layer your sunscreen properly under makeup:  

1. Facial cleanser  

2. Moisturizer  

3. Sunscreen  

4. Makeup  

Let the sunscreen absorb into the skin for 1-2 minutes before applying your makeup, and keep an SPF setting spray, powder, or tinted sunscreen on-hand for touchups throughout the day.   

DON’T: Skip SPF on Cloudy Days  

Cloudy days feel pretty “low risk” for sun exposure, but up to 80% of UV rays can penetrate clouds, meaning your skin is not safe from the sun even though you’re not in direct sunlight.   

UVA rays can also pass through windows – so if you’re sitting inside near a window or driving, the sun’s rays can do damage on both sunny and cloudy days. Daily sunscreen is a must, including throughout winter.   

DO: Consider Your Skin Type When Choosing Your Sunscreen  

Similar to choosing mineral or chemical formulas, you should consider your skin type when choosing any kind of sunscreen, as different ingredients and formulas work better for different needs:  

• Oily or acne-prone skin: Look for sunscreens labeled oil-free or non-comedogenic  

• Dry skin: Choose sunscreens that contain added moisturizers for hydration  

• Sensitive skin: Opt for mineral-based sunscreens with minimal ingredients  

Optima’s Top Sunscreen Product Recommendations  

If you’re wondering what type of sunscreen is best for you, consult your dermatologist before investing in a new product. Our team has contributed some product recommendations based on common indications:  

• Lightweight daily SPF moisturizers for easy morning routines  

• Mineral sunscreens for sensitive or more reactive skin  

• Water-resistant formulas for outdoor activities   

• Tinted sunscreens for added coverage and convenience  

Here are some of the products we love:  

• Neutrogena Ultra-Sheer Dry-Touch Sunscreen SPF 55  

• Supergoop Unseen Sunscreen SPF 50  

• EltaMD UV AOX Mist Broad-Spectrum SPF 40  

• La Roche-Posay Anthelios Melt-In Milk Sunscreen SPF 60  

• Aveeno Protect + Hydrate Lotion Sunscreen With SPF 60  

• ISDIN Eryfotona Ageless (Tinted)  

• Actinica (Untinted) Mineral Sunscreens SPF 50 

Sunscreen isn’t just for beach days. While it can be easy to forget to apply sun protection before walking the dog, going for a drive, or grabbing an outdoor table at the local cafe, it is important and can make a major difference for your long-term skin health.   

Keep sunscreen in your bag or car for easy access on busy days when you might not have time to apply at home. For added backup, keep SPF clothing like shirts and hats on hand when you don’t have sunscreen at the ready.   

By integrating sunscreen into your skincare routine, you’ll reduce your risk of sun damage while keeping your skin looking its best. 

Want help or advice for your summer skincare plan? Optima Dermatology’s board-certified dermatologists are here to help. Request an appointment to speak with one of our expert providers about the best approach to healthy, protected skin.  

FAQs: SPF and Sun Protection  

What SPF level should I use every day?  

Dermatologists recommend using a broad-spectrum SPF 30 or higher for daily protection, even if you’re mostly indoors.  

Is mineral sunscreen better than chemical sunscreen?  

Not necessarily—both are effective. Mineral sunscreen is often preferred for sensitive skin, while chemical sunscreen may feel lighter and blend more easily.  

How often should I reapply sunscreen?  

Every two hours, and immediately after swimming, sweating, or towel drying.  

Can I skip sunscreen if my makeup has SPF?  

Makeup with SPF helps, but it’s usually not enough on its own. Apply a dedicated sunscreen underneath for full protection.  

Does sunscreen really help prevent aging?  

Yes—daily SPF use is one of the most effective ways to prevent premature aging caused by UV exposure, including wrinkles and dark spots.  

The post An SPF Reset Guide for Summer Sun Protection   appeared first on Optima Dermatology.

How to Identify Skin Cancer Signs and Stay on Top of Your Skin Health

Noticing a discoloration, new mole, or “weird spot” on your skin can raise immediate alarm bells about the potential for skin cancer. While most skin spots are harmless, it is important to know how to identify skin cancer signs and when to see a dermatologist for an official examination and diagnosis.

May is Skin Cancer Awareness Month, and our team at Optima Dermatology takes this opportunity each year to remind our patients and communities about the importance of regular skin checks for skin cancer detection and prevention. In this Derm Deep Dive, we explain different types of skin spots, what to look for, and when a “weird spot” is worth getting checked.

How to Identify Skin Cancer Signs

Skin cancer is the most common form of cancer in the United States. According to the American Academy of Dermatology, five million Americans are diagnosed with skin cancer annually, and 1 in 5 Americans will develop some form of skin cancer by age 70.

Most skin cancers are highly treatable when caught early, making regular skin checks and general skin cancer awareness incredibly important. Not every new spot is a sign that you have skin cancer, but certain changes do deserve a closer look, especially if they persist or change over time.

We often refer to the ABCDE rule as a helpful guide to identifying skin cancer signs:

A – Asymmetry: One side of a single mole doesn’t match the other.

B – Border: The edges of the spot or mole appear irregular, blurry, or jagged.

C – Color: The spot is different shades of brown, black, red, or white.

D – Diameter: The mole or spot is larger than about 6 millimeters (roughly the size of a pencil eraser).

E – Evolving: The mole or spot changes in size, shape, or color.

Regular skin checks help you stay on top of the appearance of your spots and moles, and increase the likelihood that you’ll notice size, shape, or color changes over time.

What Else Should You Look For?

While the ABDCE rule is helpful, there are other ways skin cancer can manifest that are important to know.

• Ugly Duckling Spots: A mole or spot that looks different from all the other moles or spots on your body (such as one freckle on your face that doesn’t resemble the others) is worth getting checked out.
• A Spot That Won’t Heal: If you notice a scab, sore, or irritation that doesn’t heal after several weeks or continues to worsen, it’s worth getting checked, as this could be a sign of skin cancer, particularly basal cell carcinoma or squamous cell carcinoma. These skin cancers are common and arise when UV rays damage skin cells in the epidermis.
• Persistent Itchiness, Tenderness, or Pain: Harmless skin spots typically don’t cause pain or discomfort. If a mole or spot becomes itchy, tender, or painful, it may indicate inflammation or another underlying issue that should be checked to rule out skin cancer.
• Roughness or Scaly Skin: Precancerous growths such as actinic keratosis often manifest as dry or scaly patches with a rough, sandpaper-like texture. These spots most commonly appear on exposed skin – the hands, face, neck, or ears. Actinic keratosis can develop into skin cancer, so it’s important to get these types of spots checked right away.

How to Stay on Top of Skin Changes

Regular skin checks are the most important way to track skin changes. The earlier you catch skin cancer, the higher the chances for successful treatment. We recommend monthly at-home skin checks and annual full-body skin checks with a board-certified dermatologist.

Your dermatologist may recommend more frequent checks if you are at higher risk for skin cancer or have had skin cancer in the past.

When conducting your at-home skin check, we recommend looking out for the following:

• New spots
• Changes in existing moles or spots
• Sores that don’t heal
• Unusual growths or patches

For hard-to-see areas like your back, scalp, or behind your knees, use a mirror or ask a partner for help. Even if you don’t see anything concerning, you should still schedule an annual skin check with your dermatologist to get their expert analysis.

Schedule an appointment today for a full-body skin check. One of our expert dermatology physicians or providers can help you understand how to identify skin cancer signs and practice proactive detection and prevention.

Frequently Asked Questions About How to Identify Skin Cancer

1. What does an early skin cancer spot look like?

Early skin cancer can appear in many forms, including a changing mole, a rough scaly patch, a shiny bump, or a sore that won’t heal. Any new or evolving spot should be evaluated by a dermatologist.

2. When should I get a mole checked?

You should schedule a dermatology appointment if a mole changes in size, shape, or color, becomes itchy or painful, bleeds easily, or looks significantly different from your other moles.

3. Are all unusual skin spots cancerous?

No. Many skin spots—including moles, freckles, and benign growths—are harmless. However, because skin cancer can mimic these spots, it’s important to have suspicious changes evaluated by a professional.

4. How often should I perform a skin self-check?

Dermatologists recommend performing a self-skin exam about once a month to look for new or changing spots.

5. What happens during a skin cancer screening?

During a skin exam, a dermatologist carefully examines your skin from head to toe. If they notice a suspicious area, they may recommend a biopsy to determine whether the spot is cancerous.

The post When a “Weird Spot” is Worth Getting Checked appeared first on Optima Dermatology.

Get Great Results From Effective and Affordable Products

You don’t always need a specialty store or sizable price tag to get effective skincare products. Some products in your local drugstore deliver real benefits when selected with smart, skin-science-based criteria in mind.

Here, we break down how to select the best drug store skincare, highlighting our favorite and dermatologist recommended options

Why Drug Store Skincare Products Are Great Options

There are many benefits to getting skincare treatments from your dermatologist or investing in specialized formulas, especially if you have a skin condition that requires special attention.

However, if you’re looking for skincare solutions that work well but come over the counter and are budget-friendly, your local drugstore has what you need – you simply need to know what you’re looking for.

Look for ingredients proven to support hydration, protect the skin barrier, improve skin texture, and provide sun protection. These include:

• Ceramides
• Hyaluronic acid
• Niacinamide
• Retinol
• SPF protection

Where to Begin: Affordable Essentials

If you want to integrate drugstore skincare options into your routine, we recommend starting with basics like gentle cleaners, moisturizers, and daily sun protection.

Here are our top tips for selecting the best cleansers and moisturizers at your local drug store:

1. Gentle cleansers remove impurities without stripping your skin’s protective barrier, and drug stores offer many options that contain the essential ingredients to cleanse and nourish skin.
2. Moisturizers are essential for protecting the skin barrier, regulating oil production, and improving the skin’s texture. Look for ingredients like ceramides and hyaluronic acid, which provide effective hydration without the heaviness.
3. Daily sun protection is something every dermatologist will tell you is a non-negotiable part of your skincare routine, and drug stores have excellent options for everyday sunscreen. Lightweight, broad-spectrum SPF products will feel comfortable under makeup or on their own, and are easy to incorporate into your morning routine.

When perusing skincare products, we recommend you avoid:

• Harsh soaps, such as sulfates, which can strip the skin’s natural oils, causing dryness and compromising the skin barrier
• Drying alcohols, such as ethanol
• Synthetic fragrances and essential oils, which can dry or irritate the skin and are not recommended for sensitive or eczema-prone skin
• Parabens and phthalates, which can cause irritation, inflammation, or allergic reactions, and have been known to cause more severe reactions
• Petroleum-based products and mineral oils, which can clog pores and prevent skin from “breathing”
• Silicones, especially in high concentrations, which can clog pores and lead to breakouts

Our Dermatologist-Approved Top Picks

These drugstore skincare products consistently rank high among expert recommendations and are favorites at Optima Dermatology.

Hydration:

• Neutrogena Hydro Boost Water Gel: This lightweight, hyaluronic-acid-rich hydration is suitable for many skin types.
• CeraVe PM Facial Moisturizing Lotion: With ceramides and niacinamide, this lotion helps support the skin barrier overnight.

Cleansers:

• CeraVe Hydrating or Foaming Facial Cleansers: Non-stripping and accessible for all skin types.
• La Roche-Posay Toleriane Hydrating Gentle Cleanser: Ideal if dryness or sensitivity is a concern.

Serums & Actives:

• The Ordinary Niacinamide 10% + Zinc 1%: A budget-friendly serum for balancing oil and supporting tone.
• CeraVe Skin Renewing Retinol Serum: This gentle retinol option helps support texture and tone.
• CeraVe Vitamin C Serum or La Roche-Posay Vitamin C12 Serum: An antioxidant offering support in affordable formulas.

Sun Protection

• CeraVe AM Facial Moisturizing Lotion with SPF: Hydrates and protects in one step.
• La Roche-Posay Anthelios UV Daily SPF 50: Provides lightweight and broad-spectrum sun protection.

Best Practices for Selecting and Starting a Product

There are shelves of skincare options – here’s how to make sure you’re selecting the best product for what you need.

Read the Label

Don’t pick something just because of the name or the indications. Check the ingredients – prioritize label transparency and keep an eye out for any hidden chemicals.

Select “Non-Comedogenic”

This simple label indication means the product won’t clog pores. It’s a smart selection along with other recommended ingredients.

Conduct a Patch Test

If you’re nervous about starting a new product, apply a small amount to a small area first to check for any reaction.

Effective skincare isn’t defined by how much money you spend or how many products you use. With the right selections, drug store skincare products can deliver impressive results.

Get a skin consultation and recommendations for the best skincare products from our board-certified physicians and providers. Schedule an appointment today!

The post Drug Store Skincare Options That Work appeared first on Optima Dermatology.

Should You Worry About a Spring Rash? 

Symptoms of irritation, itchiness, and redness on the skin can be easily confused for dermatitis or eczema. If you’re experiencing any of these skin issues, it’s essential to determine their cause and explore effective treatment options. 

Contact dermatitis and eczema are often confused because their symptoms can be very similar. In reality, contact dermatitis and eczema are quite different skin conditions with dissimilar causes, triggers, and treatments.  

In this Derm Deep Dive, we explain how to identify contact dermatitis – specifically the seasonal type – and eczema, which can flare up for numerous reasons, including the drier winter air.  

What Is Contact Dermatitis? 

Contact dermatitis happens when the skin comes in contact with something that triggers an immune-related or allergic reaction. Contact dermatitis is not contagious, but it can be severe enough to require dermatological care to treat persistent itching and rash. 

There are two broad types of contact dermatitis: 

Irritant Contact Dermatitis: This type is caused by direct damage to the skin barrier from potential irritants like detergents or fragranced soaps. Anyone can develop this type of contact dermatitis, especially after prolonged exposure.  

Allergic Contact Dermatitis (ACD): This type of contact dermatitis is an immune reaction in which an allergen weakens the skin’s barrier – common culprits are nickel, plant oils (such as poison ivy), or harsh products – causing itchiness, redness, burning, or dryness. 

Seasonal allergic contact dermatitis can occur when specific environmental allergens or plant oils (such as poison ivy) are more prevalent, leading to flares in those who have developed sensitivity. 

What Is Eczema (Atopic Dermatitis)? 

Atopic dermatitis (AD) – the most common form of eczema – is a chronic inflammatory skin condition characterized by dry, itchy, and scaly skin. While there is no single known cause, it has been linked to immune dysregulation, genetic factors, and a compromised skin barrier. 

Unlike contact dermatitis, atopic dermatitis isn’t caused by direct contact with the skin; rather, it flares in response to aggravating internal or environmental factors. Dermatologists often rely on clinical patterns and history to diagnose contact dermatitis since its presentation can vary widely across age groups and skin types. 

Why Am I Experiencing Seasonal Skin Issues? 

The dry air, changes in humidity, or temperature extremes can all cause atopic dermatitis or eczema flare-ups by zapping moisture from the skin, weakening the skin barrier and triggering itchiness or inflammation. 

Other common eczema triggers include pollen, mold, dust mites, stress, excessive sweating, harsh skincare products, and hot showers. Because eczema causes the skin to have such a heightened sensitivity to the trigger, symptoms can occur even without direct contact with the irritant. 

Allergic contact dermatitis is often triggered by repeated exposure to certain metals like nickel; fragrances or detergents; oils from poison ivy, poison oak, or poison sumac; or other harsh products.  

Contact dermatitis can worsen during seasons like spring and summer with heightened outdoor allergens. 

When to Visit Your Dermatologist 

If you think you have eczema or contact dermatitis – whether it seems to be seasonal or not – it’s important to visit your dermatologist for an official diagnosis that can inform an effective treatment.  

Your dermatologist will ask you several questions about when you get the skin reaction and how it manifests in order to determine potential triggers. They will look for: 

• A consistent pattern of the skin irritation appearing after contact with a certain substance or during a certain activity; i.e. your hands always become red and itchy after gardening.  

• The primary symptoms of your skin irritation; i.e is it itchy, red bumps confined to a certain area or is it more spread out and inflamed? 

• The primary locations of your skin irritation. If you commonly experience a rash on your elbows or knees, that can be an indicator for atopic dermatitis, which often forms in skin folds. 

With this information, your dermatologist will likely be able to differentiate between eczema and contact dermatitis; however, symptoms can overlap, requiring additional testing.  

Patch testing is a specialized treatment used when:  

• Contact dermatitis is suspected, but the trigger isn’t obvious 

• You are suffering from chronic or recurring rashes 

• You haven’t seen a decrease in symptoms by avoiding a trigger or with standard treatments  

With patch testing, your dermatologist will apply small amounts of potential allergens to your skin for 48–96 hours. If a reaction occurs, it’s a good indication of a trigger you should avoid for the long term to prevent flare-ups and further irritation.  

Every season has potential skin irritants, whether it’s the dry winter air or poison oak in your garden in the summer. If you start noticing red, itchy, burning rashes and aren’t sure what’s causing them, visit your dermatologist to see if you could have eczema or an allergy.  

The most important next step is identifying the trigger – or triggers – and developing a skincare plan that will improve your skin comfort and skin health. 

Schedule an appointment today with a board-certified dermatologist, and enjoy the seasons without the itch! 

The post Seasonal Contact Dermatitis vs. Eczema   appeared first on Optima Dermatology.

Dr. Werchniak Brings More Than Two Decades of Experience in Medical Dermatology and Skin Cancer Treatment 

Optima Dermatology is excited to welcome board-certified dermatologist Andrew Werchniak, MD, to our Concord, NH practice. Dr. Werchniak has been providing dermatology services to patients since 2004, specializing in medical dermatology and skin cancer treatment.  

Dr. Werchniak received the Castle Connolly Top Doctors Award in 2019, 2020, and 2025. He earned these numerous recognitions through a deep commitment to skin cancer treatment and prevention, which he has made the cornerstone of his career.  

In addition to serving as Medical Director of Dana-Farber/Brigham and Women’s Cancer Center’s Skin Cancer Screening program, Dr. Werchniak founded and served as program director of the hospital’s Center for Cutaneous Oncology. This hands-on program allows fellows to work alongside dermatologists, surgeons, and oncologists to gain experience diagnosing and treating complex skin cancers, including melanoma, cutaneous lymphomas, and Merkel cell carcinoma.  

In the Harvard Combined Dermatology Residency Program, Dr. Werchniak served as Associate Director for Medicine/Dermatology Residency. He completed his residency in dermatology at the Geisel School of Medicine at Dartmouth and received his Doctor of Medicine from the University of Virginia School of Medicine in Charlottesville. 

With his deep experience and passion for serving patients in New Hampshire, Dr. Werchniak is excited to join Optima Dermatology and deliver dermatology care to individuals in the Concord area. 

We recently had the opportunity to learn more about Dr. Werchniak, his approach, and the path that led him to become a board-certified dermatologist. 

What made you decide to pursue a career in dermatology? What did the path to getting there look like for you?  

I was attracted to dermatology for several reasons. Many rare and exotic skin conditions can arise, and I found these interesting – there is often a lot of detective work involved in determining what is going on! My background is in engineering, and the problem-solving aspect of dermatology was particularly enticing. Dermatology has a nice blend of both thinking and doing (lots of procedures regularly), and the variety helps keep things fresh. Finally, most of the conditions that we encounter can be either cured outright or well-controlled with an array of techniques and medications, which differs from many other areas of medicine. 

What is your favorite aspect of being a board-certified dermatologist? 

Helping people understand what they can do to have the healthiest skin possible. 

What is your approach to treating your patients? 

I view my job as a team effort. I provide patients with the information and tools necessary to manage their condition and help them understand what to expect should they choose to follow one approach versus another. Most situations in medicine do not have a single obvious treatment path; rather, there are different reasonable options that involve trade-offs. Depending on the diagnosis, what might be a good choice for one individual may not be the optimal choice for someone else. Many factors are at play – age, life circumstances, co-morbidities, and preferences. 

What is your number one tip when it comes to taking care of your skin? 

That’s easy: wear sunscreen daily! Sunscreen will help minimize many detrimental skin changes that occur as we age. 

What is one thing you want your patients to know about you?  

I want my patients to know I want them to do well, and I will do whatever I can to help them have the healthiest skin possible! 

What do you like to do when you are not in the office treating patients? 

Anything outdoors! I enjoy hiking, kayaking, snowshoeing – you name it. Anything that gets me outside and allows me to wander around in nature. 

What to Expect From Dermatological Care Delivered by Dr. Werchniak and His Team 

Patients visiting with Dr. Werchniak and his team at Optima Dermatology will receive the highest quality care backed by decades of advanced training and experience. 

Dr. Werchniak is currently accepting new patients at our Concord, NH location. Request an appointment online or call us at (603) 609-9344. 

The post Dr. Andrew Werchniak, MD, Joins Optima Dermatology’s Concord, NH Practice appeared first on Optima Dermatology.

How to Manage Itchiness, Dryness, and Dandruff

After months of cold, harsh weather, you may be feeling the effects on your skin. Dryness, itchiness, and flakiness are all common, and while you may largely notice these symptoms on your face or hands, dry skin often also affects the scalp.

While the top of your head may not always be top of mind, the flakes from a dry scalp can become visible in your hair or on your shoulders, causing a larger issue requiring more immediate attention. Luckily, you don’t have to rely solely on an over-the-counter shampoo. Scalp health can be professionally addressed by your board-certified dermatologist for lasting results.

In this Derm Deep Dive, we’ll tell you what to do if you’re suffering from symptoms of a dry scalp, and what to expect if you visit a dermatologist to help with this common skin issue.

Why Do I Have a Dry Scalp?

Dry scalp occurs when your skin isn’t producing enough of the natural oils that keep it hydrated. While dry winter air is a common cause, dry scalp can also be caused by overwashing hair or irritating hair products, both of which can strip the scalp of its natural oils and increase dryness.

Dry Scalp – or Something More?

Dandruff and Seborrheic Dermatitis

If your symptoms persist or are severe, it may indicate dandruff, a mild form of seborrheic dermatitis. Seborrheic dermatitis is a common condition that causes a scaly rash in areas rich in oil glands like the scalp. It is an inflammatory condition that can lead to flaking, itchiness, and redness. You may also notice oily hair, which is not a common symptom of dry scalp.

Mild dandruff can usually be managed at home with an over-the-counter shampoo, but with more serious cases of seborrheic dermatitis, you may experience flare-ups or symptoms in other areas like the eyebrows or face.

What You Can Do at Home:

Use a medicated shampoo formulated for dandruff – look for shampoos with ingredients like zinc pyrithione or selenium sulfide. With any skin care plan, it’s important to be consistent as many treatments can take a few weeks to show results.

If your dandruff doesn’t improve, a dermatologist can recommend the right medicated or prescription product based on your specific case.

Itchy Scalp

If your scalp feels itchy, it may not be related to dryness or dandruff. An itchy scalp can be caused by product allergies or irritation, such as reactions to shampoo, conditioners, dyes, or styling products, or skin conditions like eczema, seborrheic dermatitis, and psoriasis.

Redness, rash, or irritation after using a hair product could be a sign of contact dermatitis, and you should see your dermatologist to help identify the trigger.

What You Can Do at Home:

• Simplify your routine – use “clean” hair cleansers and products
• Avoid products with known irritants or strong fragrances
• Rinse thoroughly after shampooing to wash away residues

A persistent itchy scalp accompanied by rash or other symptoms is an indication that it’s time to seek professional evaluation.

When to See Your Dermatologist

Many mild scalp issues can be treated at home with a gentle hair care routine and targeted products, but ongoing or worsening symptoms require expert attention. A board-certified dermatologist can provide a proper diagnosis and a customized treatment plan.

Different scalp conditions can look similar, and treating the wrong scalp issue at home can worsen or prolong the condition. A dermatologist can differentiate between dryness, seborrheic dermatitis, psoriasis, eczema, and an allergic reaction.

Your dermatologist may treat your scalp issue with a prescription shampoo, anti-inflammatory topical creams or ointments, or antifungal therapies. They may also perform patch testing to identify a product allergy.

Addressing the underlying cause of your dry scalp rather than just the symptoms, you’ll enjoy longer-lasting relief and a healthier scalp.

If you’ve tried gentle shampoos, at-home dandruff treatment, or other scalp-friendly routines and are still experiencing itchiness and discomfort, our expert, board-certified dermatologists are ready to help.

Find the right path to healthier hair and scalp at Optima Dermatology, and combat dry scalp in time for spring!

Schedule an appointment today and keep your scalp healthy and protected!

The post Scalp Health 101 appeared first on Optima Dermatology.

During the winter, spending more time indoors and covering up to go outside can make you feel a little “sun starved” – and it’s completely normal to look in the mirror and think, “Wow, I could really use some color!”

As the cold and gray days seem to drag on, many people go outside without proper sun protection or visit the tanning bed to pursue what we’re going to refer to in this article as the “base tan myth.” This persistent skin care myth causes people to believe they need a glowing, sun-kissed complexion to help protect them from increased sun exposure when spring and summer finally arrive.

This urge to get a head start on a tan has fueled tanning bed use for decades, but being skin smart means recognizing the dangers of trying to achieve a base tan – especially if you do so by visiting the tanning bed.

In this article, we provide better options for achieving a pre-spring glow that won’t damage your skin.

The “Base Tan Myth” Debunked

The idea of a “base tan” has been in popular culture since the 1920s, when Coco Chanel popularized tanning as a symbol of wealth and luxury. When tanning beds were introduced in the 1980s, the trend only gained traction.

The myth behind a base tan is that building up a light tan early in the year will provide greater sun protection from stronger UV conditions in the spring and summer. In reality, the idea that a base tan can offer greater sun protection is simply not true. In fact, it’s very much the opposite.

There’s no such thing as a safe tan. Any change in your skin’s color from UV exposure, whether from the sun or a tanning bed, is a sign your skin has been injured.

According to the American Cancer Society, a tan cannot prevent skin cancer or premature signs of aging, and it’s not a shield against sunburn. Whether you try to achieve a base tan by going outside or visiting a tanning bed, the risks are the same. No amount of tanning is safe, and pursuing a base tan can actually increase overall UV exposure throughout the year.

What’s at stake? UV rays cause damage to your skin cells, which can accelerate the signs of aging and increase the risk of skin cancers like basal cell carcinoma, squamous cell carcinoma, and melanoma.

Ultimately, that “healthy glow” is actually a sign of skin damage, and your short-term gain can cause long-term damage.

Sunless Tanning is a Skin-Smart Alternative

Skip the damaging UV exposure and opt for sunless tanning instead. Sunless tanning, including self-tanners and spray tans, won’t damage your skin cells like UV radiation and won’t accelerate the signs of aging.

These sunless tanning solutions contain a molecule called dihydroxyacetone, or DHA, that reacts with the top layer of your skin to produce a tan-like color. Sunless tanner can be applied at home, and spray tans are available from spray tan salons or medi-spas. Both are easy, safe alternatives to outdoor or tanning bed tanning.

• No UV damage: Sunless tanners don’t rely on UV light, so you don’t get the DNA damage that leads to skin aging and cancer.
• Customizable results: Choose a light glow or a deeper bronze with easily customizable choices.
• Versatile applications: Use lotions, mousses, wipes, or get a professional spray tan; there are many options for sunless tanning that fit your preference and lifestyle.

Keep in mind that sunless tanners don’t provide sun protection. After you get your gorgeous self-tanned glow, layer on a broad-spectrum sunscreen and use other measures like protective clothing and shade-seeking to keep your skin safe.

Achieve a Year-Round Glow With These Tips

Opting for sunless tanning is a great way to keep your skin healthy and protected. Here are 4 additional ways you can keep your skin glowing year-round:

1. Use sunscreen with an SPF of 30 or higher every day, even on cloudy winter days.

2. Wear sun-protective clothing and hats when you’re out in the sun.
3. Seek shade when outdoors between 10am and 4pm – peak UV hours.
4. Hydrate and moisturize daily to keep skin healthy and vibrant.

5. Implement a consistent routine with medical-grade skincare products.
6. Schedule a consultation with one of our medical aesthetics experts to develop a customized treatment plan – chemical peels, BroadBand light, and laser resurfacing all help lighten and brighten the skin!

Winter can take its toll on our mood and our skin, but don’t let that “funk” lead you into the arms of UV rays! When it comes to your skin’s long-term health, a base tan is a myth that can lead to premature signs of aging and increased skin cancer risk.

Choose safe alternatives like sunless tanning, and practice smart skin-protective habits year-round.

Optima Dermatology’s board-certified dermatologists can help you find the best sunless tanning approach for your skin type and tone. Request an appointment to speak with one of our expert providers about achieving healthy, glowing, protected skin!

The post Sunless Tanning Options for a Healthy Post-Winter Glow appeared first on Optima Dermatology.

As soon as winter rolls around, many people happily put away the sunscreen for the season. It’s true that by trading in t-shirts and shorts for snowsuits, scarves, and hats, your skin is far less exposed to UV rays than in the summer months.

However, if you’re among those who don’t see a compelling reason to use SPF in the winter, this article is for you! Your skin does still need protection during the winter months – in fact, UV rays can be just as harmful – if not more so – than in summer.

UV Radiation Doesn’t Break for the Season

Have you ever been told that it’s important to apply sunscreen even on cloudy days? The same principle is at play during the winter.

Even chilly, overcast days allow UV rays to reach your skin. These include UVA rays, which penetrate the skin more deeply and are linked to premature aging and more serious cell damage.

According to the Skin Cancer Foundation, UV rays pass through clouds 80% of the time, making sunscreen just as important on a grey day as it is on sunny ones.

The “Sneakier” Ways UV Rays Reach Your Skin in Winter

In winter, the sun can be sneaky. There are a few ways UV rays can reach your skin that you may not even realize.

• Snow and ice are reflective. There’s a reason you have to squint on a sunny day when taking in a landscape covered in fresh snow. Snow and ice are highly reflective – according to the American Academy of Dermatology, up to 80% of the sun’s UV rays are reflected by snow and ice. You’ve likely experienced the effects of the sun reflecting off the snow if you’ve spent a day skiing or sledding and wound up with a sunburn on your face.
• The sun is stronger at higher altitudes. The closer you are to the sun, the more intense the UV exposure. If you’re spending the day on a mountain or visiting a location that sits at a higher altitude, layer on the sunscreen!
• Heat and dry air strip the skin of protection. In winter, our skin is more exposed to the dry outdoor air, heated indoor air, and cold winds. These factors strip moisture from the skin, weakening its natural protective barrier. Compromising the skin’s natural barrier can make it more susceptible to irritation, inflammation, and UV damage. We recommend using a daily hydrating sunscreen to deliver moisture while protecting your skin. CeraVe’s Hydrating Mineral Sunscreen and La Roche Posay’s Anthelios 50 UV Hydra Sunscreen are two great options.

Preventing Long-Term Damage — Aging & Cancer Risk

Preventing UV exposure isn’t just about avoiding sunburns. Prolonged UV exposure can accelerate premature aging, causing fine lines, wrinkles, age spots, or uneven pigmentation.

Importantly, unprotected sun exposure is a significant risk factor for skin cancer. Skipping sunscreen in the winter contributes to your lifetime total exposure and will increase the associated risks just as much as exposure during the summer.

Best Practices for the Best Protection All Winter Long

Optima’s board-certified dermatologists recommend these SPF products to protect your skin in the winter:

• Apply a broad-spectrum daily sunscreen with an SPF of 30 or higher, which will protect you against UVA and UVB rays, two types that cause lasting damage to the skin.
• Making sunscreen part of your daily skincare routine. Even if you’re mostly indoors – or driving a lot – during the winter, UVA rays can penetrate glass, so keep your skin protected!
• Reapply your sunscreen when needed. Reach for the bottle anytime you’re heading outside, especially for an extended period.
• Consider a dual sunscreen and moisturizer to combat the combined effects of dry, damaged skin and sun exposure.

Don’t let colder temperatures and cloudy days fool you – your skin still sees the sun. Make the most of winter by giving your skin a valuable gift – protection from the sun. Adding consistent sunscreen use to your daily skincare routine will ensure your skin stays healthy all year long – and into the future.

Optima Dermatology’s board-certified dermatologists are here to evaluate your skin and make the best daily sunscreen recommendations for your skin type. Request an appointment to speak with one of our expert providers about enhancing your sun protection this winter!

The post Protecting Your Skin in the Winter appeared first on Optima Dermatology.

Combat Dry Winter Skin With These 6 Dermatologist Tips

Dry skin is common in the winter months as the low humidity outdoors and heated air indoors can zap moisture and cause red, chapped, and uncomfortable lips and skin. While skin and lip hydration matter all year long, it is especially important in colder weather when symptoms can worsen.

Lip hydration is a key component of overall healthy skin – the skin on our lips is thinner and more delicate than the rest of the body, making lips especially vulnerable to dry air, sun exposure, and other irritants.

In this article, we do a deep dive into the importance of lip hydration and skin health in the winter months. Our dermatologists share six practical tips to keep lips and skin soft, hydrated, and protected in colder weather and year-round.

Choose Lip Products That Won’t Irritate the Skin

It can be tempting to grab the colorful lip balms with fun flavors at the grocery store checkout line, but if you’re suffering from dry, chapped lips, it’s important to check the ingredients and find one that will treat your problem, not mask it or make it worse.

Certain ingredients can sting or further irritate sensitive or dry lip skin. We recommend avoiding products that contain:

• Camphor or menthol
• Eucalyptus or flavorings like cinnamon or citrus
• Fragrance
• Phenol
• Salicylic acid or propyl gallate

Instead, choose lip balms that are fragrance-free and hypoallergenic. We recommend CeraVe Healing Lip Repair Balm and Aquaphor Lip Repair Stick. Look for healing and moisturizing ingredients, such as:

• Petrolatum or white petroleum jelly
• Mineral oil
• Ceramides
• Dimethicone
• Hemp seed oil or castor seed oil
• Shea butter
• Zinc oxide or titanium dioxide for sun protection

For very dry lips, layering products can make a big difference. Applying a humectant like hyaluronic acid to draw in moisture, followed by an occlusive such as petroleum jelly or Aquaphor to seal it in, helps keep lips hydrated and protected. Practiced consistently, this simple routine can be a game changer for lip hydration.

Apply Moisturizer Often

To truly combat dry skin, be sure to apply moisturizer consistently. Use a non-irritating, fragrance-free moisturizer and lip balm or ointment in the morning, several times throughout the day – especially before outdoor activities – and before bed. CeraVe’s moisturizing cream and daily moisturizing lotion are great options.

Your body naturally loses moisture during the night, and petroleum jelly or thick ointments can seal in moisture while you sleep to repair dry, cracked, and irritated skin.

Use a Humidifier

Dry indoor air can do a number on our lips and skin, and with more time spent indoors in the winter, a humidifier can help reduce dryness and help you feel more comfortable.

We recommend running a humidifier in your home, particularly in your bedroom, to add moisture to the air while you sleep. If you live in a dry climate, a humidifier is useful all year long.

Practice Sun Protection

Don’t forget about your lips when applying your daily sunscreen! The thin and delicate skin on your lips lacks the protective melanin on the rest of your skin, making them more susceptible to sun exposure.

Apply a daily lip balm of SPF 30 or higher and use every few hours when you’re outdoors. Protecting your lips from the sun will help reduce irritation from dry skin.

Drink Plenty of Water

With so many topical ointments and creams, it’s easy to forget the best hydration tool in your arsenal – water! If your body is dehydrated, your lips and skin will also suffer.

Drinking enough water throughout the day helps maintain healthy moisture levels in your body and will keep you feeling energized and awake. Focus on drinking water throughout the day, rather than just a glass here and there.

Other Factors to Combat Dry Skin

There are some habits we all have that can worsen dry skin that we may not even realize. Here are a few habits to kick, and tips to help you practice healthier habits to prevent dry skin.

Licking your lips. When our lips feel dry, we naturally will lick them to try and apply some moisture. However, saliva evaporates quickly and leaves lips drier than before.

What to do instead: When you find yourself licking your lips to relieve discomfort, reach for a water bottle and a hydrating lip balm instead – you’ll feel the difference right away.

Biting or picking. Dry skin often cracks and peels, and it can be tempting to bite or pick these areas – we often practice these habits without realizing it. However, further aggravating dry skin disrupts healing and can cause irritation or even bleeding.

What to do instead: When you recognize the urge to bite or pick at your skin, reach for your lip balm or moisturizing lotion instead. You’ll feel the dryness disappear, leaving smooth skin behind.

Turn the shower down. Piping hot showers are tempting in the winter, but hot water can strip moisture, worsening dry skin.

What to do instead: Turn the shower temperature to warm, not scalding hot, and try to shorten the time you’re under the water. Apply a thick, fragrance-free moisturizer when your skin is still damp, which helps lock in moisture for longer-term comfort.

When to Visit Your Dermatologist

If you have applied these tips and still struggle to get dry skin under control, it’s a good idea to see a dermatologist for some extra help.

While most cases of dry skin and chapped lips will improve with consistent care in a few weeks, you should see your dermatologist if you’re experiencing continued cracking, bleeding, or irritation with no relief. You could be suffering from another skin condition that requires professional evaluation – or you may simply need some tips for switching up your skincare routine.

Get personalized advice from one of Optima Dermatology’s board-certified dermatologists and providers, and find dry skin relief before it gets worse.

Schedule an appointment today and keep your skin healthy and protected all winter long!

The post Dermatologist Tips for Hydrated Lips and Healthy Skin appeared first on Optima Dermatology.

Actinic keratosis, while highly treatable, is a common skin condition you should not ignore if you believe you may have it. Also known as solar keratosis, this skin issue is a precancerous, non-melanoma skin growth that is caused by long-term exposure to UV rays from direct sunlight, tanning beds, or sunlamps.  

Direct exposure to UV radiation over time causes damage to the keratinocytes (cells that make up the skin), which can put the cells into a precancerous state. According to the Skin Cancer Foundation, Actinic keratosis affects nearly 58 million Americans each year, and early detection and treatment are essential to prevent skin cancer from developing.  

In this post, we do a deep dive into this common skin issue, including warning signs to look out for and when you should schedule a visit with your dermatologist.  

Warning Signs of Actinic Keratosis 

Actinic keratosis typically manifests as rough, scaly patches or bumps on the skin. In the early stages, it can be difficult to see, but it will appear as an area of skin with a “gritty” texture that does not heal. It can look like other harmless skin conditions, so if you notice a persistent area of rough skin, it’s best to see your dermatologist.  

This skin condition most often affects the areas of the skin that are unprotected from the sun, such as the lips, ears, scalp, neck, forearms, or hands. When actinic keratosis forms on the lips, it is called actinic cheilitis, and it often resembles a badly chapped lip. Although it can occur anywhere on the lips, actinic cheilitis most often forms on the lower lip. 

Actinic keratosis is a slow-growing condition and is highly treatable, but because it is a precancerous skin growth, it can develop into squamous cell carcinoma if left untreated.  

Who is Affected by Actinic Keratosis? 

Anyone can develop actinic keratosis, but certain factors can increase its likelihood of forming.  

• A history of prolonged, unprotected sun exposure or sunburns 

• Fair skin that burns more easily  

• Light colored hair and eyes  

• Frequent tanning bed use 

• Age – individuals over the age of 50 are more likely to develop some type of skin cancer 

• A weakened immune system, whether from medication or a health condition 

Any level of sun exposure over time increases your chances of developing skin cancer, so even if you haven’t had a history of bad sunburns or tanning bed use, you can still be at risk.  

Warning Signs: What to Look For 

Because actinic keratosis resembles other common skin issues, it can be hard to identify as something potentially serious. We always recommend annual skin checks because your board-certified dermatologist can spot something you may overlook. 

Here are the common warning signs of actinic keratosis to help you notice any changes early: 

• Areas of the skin that feel scaly, crusty, or rough like sandpaper.  

• Pink, red, tan, brown, grey, or flesh-colored spots on the skin. 

• Sensitive spots on the skin that itch, burn, sting, or are tender when touched. 

• “Gritty”, irritated, or even bleeding areas on the skin that do not heal or go away.  

• Rough skin patches on areas that are most commonly exposed to the sun, like the face, ears, scalp, shoulders, hands, neck, and lips.  

You may notice actinic keratosis by touch rather than by sight. If you have a persistent area of rough texture, it’s best to see your dermatologist, even if there are no visual changes.  

When to Visit Your Dermatologist 

With any skin issue, it’s best to see your dermatologist to be checked and rule out anything serious. It is also important to identify a possible treatment to relieve discomfort or mitigate a worsening issue.  

If you notice any of the warning signs on your skin, especially on areas most commonly exposed to the sun, see your dermatologist. Even if the area seems small, is not bothersome, or is in an area typically protected from the sun, you should have it checked to rule out actinic keratosis or any other form of skin cancer. 

Your dermatologist can typically diagnose actinic keratosis with a visual skin exam; in some cases, they will perform a biopsy to confirm the diagnosis and rule out cancer. Your dermatologist will ask you about your history with sun exposure and any previous skin issues.  

Actinic keratosis is highly treatable when diagnosed early, and treatment options can include: 

• Cryosurgery: The application of liquid nitrogen directly to the precancerous cells to destroy them. 

• Topical Treatments: Topical creams, when applied for several weeks, are highly effective at treating precancerous cells. 

• Photodynamic Therapy (PDT): A topical medication is applied to the affected areas and activated by a wavelength of light that destroys precancerous cells. 

• Electrodessication and Curettage: A combination of scraping the lesion immediately followed by heat to destroy the precancerous cells. This technique is often reserved for larger precancerous lesions, or patients who cannot tolerate topical treatments or liquid nitrogen.  

• Laser + Light Treatments: Using intense energy in the form of light to destroy the precancerous cells. 

Actinic keratosis is common, but you can prevent its formation by practicing sun-safe habits: 

• Wearing a daily sunscreen with an SPF of 30 or higher and applying an SPF 50 or higher for prolonged time outside in the sun, such as at the beach. Remember to reapply! 

• Wear sun-protective clothing, such as SPF shirts, pants, and hats 

• Avoid tanning beds 

While actinic keratosis may start small, it is a sign of sun damage and a warning that you could develop skin cancer. Seeing a dermatologist as soon as you have concerns is the best way to prevent cancer growth and preserve healthy skin.  

At Optima Dermatology, our board-certified dermatologists can perform a skin exam and help rule out skin cancer or other skin issues. If you are diagnosed with actinic keratosis, we will work with you to establish a treatment plan. 

Schedule an appointment today for an evaluation so you can be confident in your healthy skin!

The post Spotting Actinic Keratosis Early: Warning Signs and When to See a Dermatologist appeared first on Optima Dermatology.

Maria Offers Her Expertise as a Board-Certified Nurse Practitioner to Patients of All Ages 

Board-Certified Nurse Practitioner Maria Petkova, NP-C, has joined Optima’s Salem and Bedford, NH practices, bringing industry-leading medical and dermatological experience to patients of all ages. She treats a variety of skin conditions, including acne, eczema, psoriasis, skin cancer, and more. 

Before entering the dermatology field, Maria worked as a registered nurse in oncology and pediatric intensive care. She went on to earn her Master of Science in Nursing, graduating with Summa Cum Laude honors with an emphasis on Family Medicine. She also holds a Bachelor of Science in Nutrition and Dietetics from Simmons University in Boston.  

Maria’s background and clinical interests focus on women’s and pediatric health, along with a strong foundation in oncology research. She has participated in multiple research studies at the Harvard School of Public Health and helped develop numerous cutaneous and non-cutaneous oncology clinical trials at the Novartis Institute for Biomedical Research. 

She maintains an active membership with the Society of Dermatology Nurse Practitioners, the Dermatology Nurses Association, and the American Association of Nurse Practitioners. 

With her new role at Optima Dermatology, Maria looks forward to providing industry-leading dermatology care to patients of all ages in the southern New Hampshire area. 

High Quality Care With a Personalized Approach 

Because of her diverse experience in nutrition, academic and clinical research, oncology, ICU, and pediatrics, Maria is able to deliver care in a highly personalized and compassionate way, which aligns with Optima’s mission to treat every patient as we would our family and friends.  

We recently had the opportunity to learn more about Maria, her approach, and the path that led her to become a board-certified nurse practitioner. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?    

After spending several years working in inpatient oncology and ICU, I wanted to shift into a specialty where I could build more long-term relationships with my patients and be part of their ongoing care. My path into dermatology was shaped by the incredible mentorship I received early on. I had the opportunity to train with an exceptional dermatologist whose knowledge, passion, and genuine enthusiasm for the field were contagious. He was one of the best teachers I’ve ever had, and I know I wouldn’t be where I am today without his guidance and support. That experience solidified my love for dermatology and the meaningful connections it allows me to make with patients.  

What is your favorite aspect of being a board-certified nurse practitioner?  

My favorite part of being a Nurse Practitioner is the ability to draw on my diverse clinical background to support my patients. My experience in nutrition, academic and clinical research, oncology, ICU, and pediatrics gives me a broad perspective that I use every day to create individualized care plans. I believe the compassion you gain as a nurse while being present with patients and families during some of their most difficult moments is something unique that NPs carry forward into advanced practice. It allows me to approach each patient with empathy and a commitment to improving their quality of life.  

What is your approach to treating your patients?  

My approach to patient care is to treat every individual the way I would want my own family to be treated. Having been a patient myself and having supported close family and friends through their own medical experiences, I understand how frightening, uncomfortable, and at times overwhelming healthcare can feel. Because of that, I prioritize building a trusting and respectful relationship with each patient. I want patients to feel heard, supported, and confident that we’re working together toward their best possible health.  

What is your number one tip when it comes to taking care of your skin?  

My number one tip for taking care of our skin is simple: wear sunscreen every day and get annual skin checks. Unlike many internal cancers that require invasive testing or may only be detected once symptoms appear, most skin cancers can be identified early through routine exams, and many can be prevented with consistent sun protection.  

What is one thing you want your patients to know about you?   

One thing I want my patients to know is that I genuinely care about their health and quality of life. I believe that good health is one of the most important foundations in life, and I’m committed to supporting my patients in every way I can.   

What do you like to do when you are not in the office treating patients?  

When I’m not in the office, I’m spending time with my husband and our two young boys. They keep us busy, and I love being able to focus on family time whenever I’m away from work.  

What to Expect From Dermatological Care Delivered by Maria and Her Team 

Patients visiting with Maria and her team at Optima Dermatology will receive the highest quality of care backed by advanced training and experience. 

Maria is currently accepting new patients at our Salem and Bedford, NH locations. Request an appointment online or give us a call at 855-277–9689. 

The post Optima Dermatology Welcomes Maria Petkova, NP-C appeared first on Optima Dermatology.

Maria Offers Her Expertise as a Board-Certified Nurse Practitioner to Patients of All Ages 

Board-Certified Nurse Practitioner Maria Petkova, NP-C, has joined Optima’s Salem, NH practice, bringing industry-leading medical and dermatological experience to patients of all ages. She treats a variety of skin conditions, including acne, eczema, psoriasis, skin cancer, and more. 

Before entering the dermatology field, Maria worked as a registered nurse in oncology and pediatric intensive care. She went on to earn her Master of Science in Nursing, graduating with Summa Cum Laude honors with an emphasis on Family Medicine. She also holds a Bachelor of Science in Nutrition and Dietetics from Simmons University in Boston.  

Maria’s background and clinical interests focus on women’s and pediatric health, along with a strong foundation in oncology research. She has participated in multiple research studies at the Harvard School of Public Health and helped develop numerous cutaneous and non-cutaneous oncology clinical trials at the Novartis Institute for Biomedical Research. 

She maintains an active membership with the Society of Dermatology Nurse Practitioners, the Dermatology Nurses Association, and the American Association of Nurse Practitioners. 

With her new role at Optima Dermatology’s Salem, NH practice, Maria looks forward to providing industry-leading dermatology care to patients of all ages in the southern New Hampshire area. 

High Quality Care With a Personalized Approach 

Because of her diverse experience in nutrition, academic and clinical research, oncology, ICU, and pediatrics, Maria is able to deliver care in a highly personalized and compassionate way, which aligns with Optima’s mission to treat every patient as we would our family and friends.  

We recently had the opportunity to learn more about Maria, her approach, and the path that led her to become a board-certified nurse practitioner. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?    

After spending several years working in inpatient oncology and ICU, I wanted to shift into a specialty where I could build more long-term relationships with my patients and be part of their ongoing care. My path into dermatology was shaped by the incredible mentorship I received early on. I had the opportunity to train with an exceptional dermatologist whose knowledge, passion, and genuine enthusiasm for the field were contagious. He was one of the best teachers I’ve ever had, and I know I wouldn’t be where I am today without his guidance and support. That experience solidified my love for dermatology and the meaningful connections it allows me to make with patients.  

What is your favorite aspect of being a board-certified nurse practitioner?  

My favorite part of being a Nurse Practitioner is the ability to draw on my diverse clinical background to support my patients. My experience in nutrition, academic and clinical research, oncology, ICU, and pediatrics gives me a broad perspective that I use every day to create individualized care plans. I believe the compassion you gain as a nurse while being present with patients and families during some of their most difficult moments is something unique that NPs carry forward into advanced practice. It allows me to approach each patient with empathy and a commitment to improving their quality of life.  

What is your approach to treating your patients?  

My approach to patient care is to treat every individual the way I would want my own family to be treated. Having been a patient myself and having supported close family and friends through their own medical experiences, I understand how frightening, uncomfortable, and at times overwhelming healthcare can feel. Because of that, I prioritize building a trusting and respectful relationship with each patient. I want patients to feel heard, supported, and confident that we’re working together toward their best possible health.  

What is your number one tip when it comes to taking care of your skin?  

My number one tip for taking care of our skin is simple: wear sunscreen every day and get annual skin checks. Unlike many internal cancers that require invasive testing or may only be detected once symptoms appear, most skin cancers can be identified early through routine exams, and many can be prevented with consistent sun protection.  

What is one thing you want your patients to know about you?   

One thing I want my patients to know is that I genuinely care about their health and quality of life. I believe that good health is one of the most important foundations in life, and I’m committed to supporting my patients in every way I can.   

What do you like to do when you are not in the office treating patients?  

When I’m not in the office, I’m spending time with my husband and our two young boys. They keep us busy, and I love being able to focus on family time whenever I’m away from work.  

What to Expect From Dermatological Care Delivered by Maria and Her Team 

Patients visiting with Maria and her team at Optima Dermatology will receive the highest quality of care backed by advanced training and experience. 

Maria is currently accepting new patients at our Salem, NH location. Request an appointment online or give us a call at 855-277–9689. 

The post Optima Dermatology Welcomes Maria Petkova, NP-C, to its Salem, NH Practice appeared first on Optima Dermatology.

Goals like eating healthier and hitting the gym typically dominate New Year’s resolutions, but don’t forget about your skin! The new year is a great time to reset your routine and consider what you really need for healthy skin – and what can get kicked to the curb. 

For 2026, we’re all about a minimalist, stress-free skincare routine that gives your skin just what it needs without unnecessary extras. Streamlined, purposeful skincare is easier to stick with for the long-term and reduces the risk of irritation from multiple products and inconsistent use.  

Be skin smart for 2026 and reset your routine for healthy, balanced skin. In this post, we give you top tips for simple skincare that works, whether you’re navigating skincare for the first time, combating signs of aging, or just trying to simplify your product lineup.  

Skincare Doesn’t Have to Be Complex 

The skincare industry can make us feel like we need all the products that do all the things. From products like toners, overnight treatments, serums, exfoliators, and emollients to ingredients like ceramides, peptides, hyaluronic acid, vitamin C, vitamin E, and retinol, there is a lot to consider.   

If your daily skincare routine has started feeling like more of a chore, it’s probably time to pare it down. But don’t worry – simpler doesn’t mean less effective. Like makeup, PowerPoint presentations, and your mother-in-law’s holiday snowman collection, less is more, and using fewer products that are well-formulated for your needs is often more sustainable for your skin and your routine.  

Here’s an example of a minimized skincare routine pbr: 

1. Daily Cleanser: Wash in the morning and evening with a gentle skin cleanser that works for your skin type and needs. 

2. Specialized Treatment: Use a targeted “active” treatment such as an antioxidant, retinoid, or peptide that meets specific goals like anti-aging, acne, or hyperpigmentation. 

3. Moisturizer: Keep your skin hydrated, especially during the dry winter months, with a moisturizer to reinforce the skin barrier and keep your skin feeling good. 

4. Sun Protection: A daily broad-spectrum SPF of 30 or higher goes a long way to protect your skin as you go about your day. Many moisturizers also contain an SPF, so you can simplify your product lineup even more. 

Combat the Overwhelm With a Skin Reset 

If your bathroom vanity resembles a Sephora display, you might feel a little overwhelmed by the idea of simplifying your skincare routine. We’ve broken it down for you with a step-by-step process that focuses on what you need, and what you can remove from your routine. 

Consider Your Products. Review what you have – you might be surprised at how many products have expired or simply no longer match your skincare goals. Discard anything that no longer works so you can start fresh.  

Narrow Down Only the Essentials. Using the “core four” products for a minimized skincare routine that we detailed above, identify the products that fill those buckets, and set aside the outliers.  

Introduce Your “Actives”. Active treatments like retinoids, ceramides, or antioxidants can be very effective if introduced slowly and purposefully. We recommend alternating nights for a week or so, and following use with a moisturizer to help alleviate any potential irritation. After a week of use with no irritation, introduce your active treatment into your nightly routine.  

Exfoliate Intermittently. Exfoliating is a great way to give your skin a deep clean, but over-exfoliation can compromise the skin barrier and lead to dryness, redness, or irritation. Exfoliate once each week if you have dry or sensitive skin, and two-to-three times each week if you have oily or combination skin. Like introducing new treatments, start slowly to gauge your skin’s reaction and prevent irritation.  

Stay the Course. When you order your favorite tofu pad thai from the restaurant down the street, it should taste the same every time – that’s why you love it! Your skin also craves consistency, which helps avoid irritation, dryness, or breakouts. It’s also important to remember that results don’t happen overnight, so stay the course – it often takes several weeks before you see improvements.  

Skincare for Aging Skin 

Our skin changes after the age of 40; you may notice drier skin, the appearance of fine lines or wrinkles, areas of pigmentation, and areas that feel looser or less firm.  

A common reaction is to start laying on products to cover these areas, but as board-certified dermatologists, we recommend a simpler routine tailored for maturing skin.  

Morning: 

• Wash skin with a gentle, mild cleanser. We love CeraVe Hydrating Facial Cleanser and La Roche Posay Toleriane Hydrating Gentle Facial Cleaner. 

• Apply an antioxidant serum with vitamin C or vitamin E to help brighten skin and support its structure. We love Revision Skincare’s C+ Correcting Complex 30% ®. 

• Use a gentle moisturizer with hydrating ingredients like hyaluronic acid or ceramides to strengthen the skin barrier and help skin remain supple. We love CeraVe Ultra Light Moisturizing Gel and Alastin’s HA (Hyaluronic Acid) IMMERSE Serum. 

• Protect with a daily broad-spectrum sunscreen with an SPF or 30 or higher. Aside from the obvious need to protect against skin cancer, UV exposure also contributes to aging skin. We love Alastin’s HydraTin Pro Mineral Sunscreen, Revision Skincare’s Intellishade, and any of EltaMD’s or LaRoche Posay’s face sunscreens. 

Evening: 

• Cleanse before bed with your favorite cleanser.  

• Apply an active treatment like a retinol or peptide serum to support collagen, smooth fine lines, and improve the skin’s texture. We love need retinol suggestion.  

• Use an emollient cream before bed to repair and protect the skin barrier while you sleep. We love CeraVe Skin Renewing Night Cream. 

Support Your Skin Outside of Your Products 

It’s not just skincare products that protect our skin. Our lifestyles impact our skin health, too. Consider these key influences as rethink your skincare routine for 2026: 

• Protect your skin from UV rays with sunscreen and by avoiding extended exposure to direct sunlight; wearing protective clothing like hats, sleeves, and SPF fabrics; and avoiding tanning bed use. 

• If you’re a smoker, make 2026 your year to quit. Tobacco accelerates signs of aging and quitting can make a big difference in your skin’s tone and texture – not to mention your overall health. 

• Eat for skin health. Foods like fruits, vegetables, healthy fats, and lean proteins support skin health from within and help you look and feel your best.  

• Don’t underestimate the power of sleep! Getting 7-8 hours of sleep each night is great for your energy levels but also for your skin, which repairs itself all night while you sleep. 

It’s common to want to reset and refresh in the new year, and we want to help you adopt a skincare routine that you can stick to past the first two weeks of January. Following this skincare reset arms you with a routine you can manage, a practical amount of skincare products that will care for your skin – not irritate or over-treat it – and a simple plan you can follow for the long-term for lasting results. 

Paring back to only the essentials ensures you’re giving your skin a strong foundation without unnecessary complexity. And for those of you over the age of 40, targeted adjustments like gentle cleaners, moisturizers, and retinoids – coupled with daily sun protection – can help you maintain healthy, glowing, resilient skin in 2026 and beyond. 

Optima Dermatology’s board-certified dermatologists and providers are committed to helping you find the right skincare routine that works for you.  

Request an appointment to speak with one of our expert providers about simplifying your skincare for 2026 and how to make it your year for great skin.

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Everyday Products That Can Make Dry Winter Skin Worse.

Got some gloves handy? Temperatures have already descended, and you may be feeling the effects on your skin as colder, dryer air often strips moisture from your skin. A little TLC with proper moisturizer and protection from the air (like gloves) goes a long way, but the cold isn’t the only skin irritant you should protect against this winter. There are many common household products that cause dryness and can exacerbate the impact of dry, winter air. 

Even your go-to moisturizer might be worsening skin dryness, and other common products like dish soap and laundry detergent can have similar effects. In this post, we’ll do a deep dive into the hidden skin irritants at home that can make dryness worse, and tell you how you can swap them out for more skin-friendly options.  

Everyday Cleaners: Dish and Hand Soaps 

Handwashing becomes more critical during cold and flu season, but you might notice dryer skin than usual with each wash. Many soaps, especially heavily fragranced varieties, contain strong surfactants that strip away the natural oils your skin relies on to stay hydrated.  

Dish soaps are just as damaging; and those designed to cut through grease are even more so.  

What to Swap: Look for gentle, non-foaming, fragrance-free hand soaps that specifically say on the label that they’re for sensitive skin or are moisturizing. Avoid products that contain alcohol, sulfates (check for sodium lauryl sulfate), or added dyes. 

It’s also a good idea to apply a fragrance-free hand cream or ointment immediately after doing dishes or washing your hands to help seal in moisture and help your skin heal. For extra protection, wear rubber gloves while handwashing dishes! 

Laundry Products: Detergents & Fabric Softeners 

The products you use to do laundry are often a sneaky source of skin irritation. The fragrances, preservatives, and dyes in detergents, dryer sheets, and fabric softeners can linger on your clothes, towels and bed sheets long after they come out of the dryer, irritating skin as you sleep or go about your day.  

What to Swap: There are plenty of laundry products that are formulated to be hypoallergenic or “free and clear” that don’t contain fragrances or dyes. We protect baby skin with these products – do the same for your dry winter skin! Also, consider skipping fabric softeners and dryer sheets if you’re struggling with skin dryness. Instead, you can add white vinegar to your rinse cycle, which softens fabric naturally.  

Personal Hygiene: Body Washes & Shower Habits 

It’s tempting to blast the hot water and relish in a long shower when the air gets frigid, but the heat, combined with harsh body washes or scrubs, can strip away your skin’s protective oils and worsen dryness.  

What to Swap: Turn the temp down – instead of a steam-filled, blazing hot shower, opt for a warm temperature that’s comfortable and won’t burn or irritate your skin, and limit showers to 10 minutes. Choose creamy, fragrance-free skin cleansers with moisturizing ingredients like ceramides, glycerin, or hyaluronic acid.  

After a shower, avoid rubbing skin dry – gently pat skin and apply moisturizer while your skin is still damp to lock in hydration. 

Household Products: Cleaners & Sanitizers 

If only the bathroom would clean itself – but unfortunately, it won’t. It’s always a good idea to wear gloves when using any type of household cleaners, but in the winter months, any surface cleaners, disinfectant wipes, and sanitizing sprays can be even tougher on your skin.  

Always wear gloves to protect against the harsh chemicals and alcohol in these products that can worsen dryness and even lead to contact dermatitis. 

What to Swap: Look for non-toxic cleaners that are labeled as “gentle”. If you’re using hand sanitizer frequently, choose one with added moisturizers like aloe or glycerin. 

Know Your Moisturizers 

It might be labeled as a moisturizer, but it can make dry skin worse if it contains fragrance, alcohol, essential oils, or other ingredients that can irritate sensitive skin.  

These types of moisturizers and lotions are not going to provide sufficient hydration in the winter and are not great for your skin during other times of the year either.  

What to Swap: The best hydration options are thick, fragrance-free creams or ointments that contain ceramides, shea butter, petrolatum, or hyaluronic acid. Products labeled “for sensitive skin” or “eczema-prone skin” are often formulated to be extra gentle and are great choices for dry, winter skin. 

Protect Your Skin This Winter – and All Year Long 

Your skin will always tell you when it needs a little extra care, and the winter months are no exception. If you start to notice dryness, itchiness, redness, or bleeding, take action to protect your skin before worse symptoms appear. 

Here are some easy ways to keep skin hydrated and happy this winter: 

• Switch to gentle, fragrance-free household and skincare products. 

• Moisturize often, especially after washing your hands or showering. 

• Use a humidifier indoors to add moisture to the air. 

• Wear gloves for cleaning, doing dishes, and going outside in cold weather. 

• Avoid very hot water and long baths or showers. 

Even with the best at-home habits, dry winter skin can require professional care from a board-certified dermatologist. Persistent dryness, redness, or itching may signal a deeper issue like eczema, contact dermatitis, or another skin condition that requires expert treatment. 

At Optima Dermatology, our board-certified dermatologists and providers can help identify the cause of your dry skin and create a customized treatment plan to restore your skin’s health and comfort. 

Schedule an appointment today for an evaluation of your dry skin and a treatment plan to help you get ahead of – and manage – winter skin!

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Porter Brings Years of Experience to Serve Patients in the Cleveland Area 

Board-Certified Nurse Practitioner Andy Porter, PA-C, joins Optima’s Macedonia, OH practice, bringing industry-leading dermatology experience to patients across the Cleveland area. Andy has been practicing medicine in the Cleveland region since 2016.  

Before transitioning to dermatology in 2022, Andy practiced emergency medicine at the UH Parma Medical Center Emergency Department, where he served as lead physician assistant, as well as at the Cleveland Clinic Marymont Emergency Department.   

He earned his Master of Medical Science in Physician Assistant Studies from Baldwin Wallace University. He is currently a fellow of the Society of Dermatologic Physician Assistants. 

Andy looks forward to continuing to provide industry-leading dermatology care to patients of all ages in the greater Cleveland area. 

Committed to the Highest Quality of Care 

Andy’s commitment to the highest quality of care aligns with Optima’s mission to treat every patient as we would our family and friends,  

We recently had the opportunity to learn more about Andy, his approach, and the path that led him to become a board-certified nurse practitioner. 

What made you decide to pursue a career in dermatology?  

I’ve been interested in dermatology since PA school, but as a new graduate, it can be a tough field to break into. I began my career in emergency medicine, working within both the UH and Cleveland Clinic systems, where I provided care to patients across the Cleveland area. During my time at UH Parma, I served as the lead PA, which gave me valuable leadership experience. While at Cleveland Clinic, my family was growing – our second child was on the way – and I was looking for a role that offered a bit more consistency in my schedule. Around that time, an opportunity to transition into dermatology opened up, and I jumped at it. It was a big change, but I’ve loved every minute of it. I’m excited to continue providing high-quality dermatologic care for years to come.  

What is your favorite aspect of being a Physician Assistant?  

There are so many things I love about being a PA. One of my favorite parts is having the time to really connect with patients. I also appreciate how the PA profession allows flexibility and growth – I’ve had the opportunity to treat a wide range of conditions in emergency medicine, an experience that has helped me become a better provider in dermatology.  

What is your approach to treating your patients?  

I take a teamwork-based approach to patient care. I make sure to explain the diagnosis (or possible diagnoses), expected outcomes, and treatment options in detail so that my patients feel informed and involved. Together, we make decisions that align with their goals and comfort level.  

What is your number one tip when it comes to taking care of your skin?  

Start simple! Building a consistent routine is one of the best things you can do for your skin. The skincare world can feel overwhelming, but a basic regimen that includes cleansing, daily sunscreen use, and moisturizing after bathing can make a big difference in how your skin looks and feels. If you have specific goals, I’m always happy to tailor a plan to help you meet them.  

What is one thing you want your patients to know about you?  

I’m very easy-going when it comes to discussing care plans. If you ever have questions or concerns about your treatment, I encourage you to bring them up. My goal is for us to work together to find the best path forward.  

What do you like to do when you’re not in the office?  

When I’m not in the office, I love spending time with my amazing wife, son, and daughter. We also have two energetic dogs who keep us busy! When I do get some free time, I enjoy mountain biking on the many single-track trails across Northeast Ohio, a hobby I picked up during COVID that has since taken over most of my other pastimes.  

What to Expect From Dermatological Care Delivered by Andy and His Team 

Patients visiting with Andy and his team at Optima Dermatology will receive the highest quality of care backed by advanced training and experience. 

Andy is currently accepting new patients at our Macedonia, OH location. Request an appointment online or give us a call at 855-277–9689.

The post Optima Dermatology Welcomes Andy Porter, PA-C, to its Macedonia, OH Practice appeared first on Optima Dermatology.

Additionally, attendees had the opportunity to consult with our expert providers to learn more about the many devices and treatments offered at Optima Dermatology.

We were thrilled with such a successful turnout, and the team enjoyed having the opportunity to meet and get to know all who joined us! A special shout out to DJ Nicnac, Lashon’s Catering and Event Level Events, and all of our hard working Mentor team members for making this event such a success. We look forward to more in the future!

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Optima Dermatology Welcomes Dr. Troxell’s Medical and Surgical Dermatology Expertise to Our New Bloomington, IN Practice

Board-Certified Dermatologist, Todd Troxell, DO, FAOCD, joins our newest practice in Bloomington, IN to provide medical, surgical, and cosmetic dermatology services. Since 2018, Dr. Troxell has been treating patients aged one year and older for a range of skin conditions.

Dr. Troxell earned his Doctor of Osteopathic Medicine degree and completed his Fellowship in Medical Education at A.T. Still University. He then completed his dermatology residency at Northeast Regional Medical Center in Kirksville, MO, and his internship training at Beaumont Hospital in Trenton, MI. Dr. Troxell currently serves on the Board of Directors of the Kirksville Osteopathic Alumni Association. 

In 2017, Dr. Troxell was awarded the Platinum TOUCH community service award, as well as the Student Doctor of the Year award. He has also peer-reviewed numerous dermatology articles and abstracts. Dr. Troxell offers a variety of medical, surgical, and cosmetic dermatology treatments for patients of all ages, including general dermatology such as skin cancer, eczema, acne, psoriasis, and others, as well as medical aesthetic services, including neurotoxin injections (such as Botox®).

Dedicated to a High Quality of Care 

Dr. Troxell not only delivers compassionate and expert patient care, but he is also committed to giving back to the community through his work. 

As a medical student, Dr. Troxell founded the Still Caring Health Connection Clinic, a free clinic for the underserved run by fellow medical students.

Over the last decade, Dr. Troxell has embarked on several international medical outreach trips that brought him to Honduras, Vietnam, Nicaragua, and Haiti. A man of many talents, he also holds a first-degree black belt in Kenpo Karate and is certified in scuba diving search and rescue by the Professional Association of Diving Instructors.  

We recently had the opportunity to learn more about Dr. Todd Troxell, his approach, and the path that led him to pursue becoming a board-certified dermatologist.

Where did you go to college?

I completed my undergraduate degree at the University of Cincinnati. During undergrad, I headed the Forensic Psychology Lab, volunteered at Children’s Hospital, and studied abroad in Nantes, France.

What made you decide to pursue a career in dermatology?

Dermatology excites me because it is mainly visual (diagnosing) and hands-on (surgical). Additionally, throughout many international medical trips, I witnessed firsthand the overwhelming need for dermatology services worldwide. I saw a unique opportunity, through dermatology, to positively impact community health in underserved areas within the US and internationally.

What is your number one tip when it comes to taking care of your skin?

Protect yourself from the sun and moisturize daily.

What is your favorite aspect of being a dermatologist?

I enjoy meeting a wide variety of people and working with them to improve their health and self-esteem.

How would you describe your approach to treating patients?

Teamwork. We make the most progress by working together. Any doctor can find sickness, but it takes the patient and doctor working together, as a team, to maximize health.

If there is one thing you want your patients to know about you, what would it be?

I will listen to you and treat you the same as I would my family.

What do you like to do when you are not in the office treating patients?

I enjoy getting out in nature and being active. For me, nature is grounding and inspiring.

What to Expect From Dermatological Care From Dr. Troxell and His Team

If you’re seeking medical or surgical dermatological care, Dr. Troxell and his team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care. 
View a complete list of our dermatology services and give us a call at 812-226-8315 to schedule an appointment today! Dr. Troxell is accepting new patients at the Bloomington, IN location.

The post Dr. Todd Troxell, DO, FAOCD, Joins Optima Dermatology’s Newest Indiana Practice appeared first on Optima Dermatology.

Skin cancer prevention should be top-of-mind year-round, but during the month of May, which is Skin Cancer Awareness Month, we put extra emphasis on the importance of prevention, early detection, and treatment.

The Importance of Skin Cancer Prevention 

We all may be aware of skin cancer, but it’s the preventive steps that are critical to helping minimize your chances of getting skin cancer. One of the most important prevention methods is actually quite simple – properly protecting your skin from the sun’s harmful rays.

9,500 people in the U.S. are estimated to be diagnosed with skin cancer every day. Skin cancer is the most common cancer in the U.S., and rates are only increasing, especially among women and individuals under the age of 40.

Repeated exposure to the sun’s UV rays impact the skin and its connective tissue over time, heightening the potential for skin issues like sun spots and wrinkles and lines. However, extended sun exposure can also damage the DNA within your skin cells, causing those cells to grow and divide rapidly. This growth can create a buildup of extra cells that become tumors, which can be cancerous. 

3 million Americans are diagnosed each year with nonmelanoma skin cancer. This type of cancer is the most common and includes ​​basal cell carcinoma and squamous cell carcinoma.

1 in 5 Americans will develop skin cancer during their lifetime. Anyone at any age can be diagnosed with skin cancer and should take precautions to prevent or identify skin cancer.

Early detection is key, but just as important is prevention.

Our Expert Dermatologists Provide Their Favorite Sun Protection Product Recommendations

If you’ve ever had a sunburn, you know the more immediate consequences of failing to properly protect your skin from the sun. But even if you don’t end up with a sunburn, the sun is still causing incremental skin damage over time. If you go out in the sun every day for 5 years, but only use sunscreen once in a while, all of those unprotected exposures can impact the skin over that time.

The reality is, you don’t have to be on a beach to need sunscreen. Our skin is exposed to the sun all year long, especially the face, and should always be protected.

Here are some sun protection recommendations from our expert team of dermatologists and providers:

Meredith Reimer, MD (Macedonia, OH) – EltaMD® sunscreens and COLORESCIENCE® Sunforgettable Brush

I love EltaMD® sunscreens and the COLORESCIENCE® Sunforgettable Brush. I tell patients the best sunscreen is one that you like (or love) and that’s easy to wear so you can wear it everyday!”

Holly Morris, MSHS, PA-C (Scarborough, ME) – Revision® Intellishade® Clear

Sunscreen is important year-round, and Revision® Intellishade® Clear has antiaging and sunscreen benefits all in one. You get the protection of a sunscreen with the feel of a medical-grade moisturizer!

Brennen Barnett, MS, MSPAS, PA-C (Macedonia, OH) – Coolibar®

I always like Coolibar® products. Their clothing items make UV protection easy during the day!

Amy Polster, MD (Macedonia, OH) – Solumbra® and Coolibar®

Sun protective clothing and hats are very helpful for sun protection. There are lots of reliable brands nowadays such as Solumbra® and Coolibar®.

Shelley Plescia (Macedonia, OH) – EltaMD® UV Glow, EltaMD® UV Restore & COLORESCIENCE® Sunforgettable Brush

I love EltaMD® UV Glow and EltaMD® UV Restore since they contain physical ingredients. COLORESCIENCE® Sunforgettable Brush is another favorite because it is mineral based, contains physical ingredients and water resistant for 80 minutes!

Other Tips for Sun Protection

Our dermatologists and providers also have a few tips to help you master your sunscreen regimen and protect your skin from sun damage.

• Use sunscreen with an SPF of at least 50 for extended sun exposure, and reapply every two hours.
• Wear a daily moisturizer with an SPF of at least 30. Most facial moisturizers only offer an SPF of 15, which offers some protection but not quite enough. 
• Apply a lip balm or lip moisturizer with SPF.
• Keep sunblock and an SPF moisturizer in your car/bag/purse for easy access when you need it. 
• Don’t forget about your neck, arms, hands, and legs! Depending on the season, the weather, and your activity, any exposed skin should be protected. 

It’s never too late to start focusing on daily sun protection and skin cancer prevention, but if you have concerns about your skin from previous sun exposures, the best thing to do is meet with your local dermatologist for a skin check and to discuss any concerns you may have.

Think of Every Month As Skin Cancer Awareness Month

When it comes to skin cancer, awareness is crucial as it fosters preventive habits and early detection, enhancing the success rates for treatment. Schedule an appointment at Optima Dermatology in Macedonia, OH, or in Scarborough, ME for a skin check, to address your questions and concerns, and to embark on a healthier approach to skin care!

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June is Acne Awareness month, so we’re talking with Board-Certified Dermatologist, Dr. Gregory Delost, who serves the Cleveland region, about acne scarring. Acne scarring is one of the most sensitive issues with skincare and often impacts mental health and self-esteem. Early, aggressive, and effective treatment is the best way to minimize and prevent acne scarring. We’re here to help with the understanding of scars and how to work towards healing them.

Before we jump into treatment options, let’s learn more about acne scars and how they are classified.

How are acne scars classified?

Acne scars are classified based on their appearance during an examination with your dermatologist. They can be depressed (atrophic scars) or raised (hypertrophic scars/keloids).

Atrophic scars are the most common. They are caused by the destruction of collagen, and present as indentations.

Atrophic scars can be classified into three categories: ice pick, rolling, and boxcar scars.

• Ice pick scars are wider at the top of the skin and taper as they go deeper.
• Rolling scars are shallower than ice pick scars. They have a wavy surface due to abnormal collagen attachment.
• Boxcar scars are typically round or oval shaped dimples that can either be shallow (less than 0.5mm) or deep (more than 0.5mm).

Hypertrophic scars and keloids are less common. Both are thick, raised scars. Hypertrophic scars stay within the margin of the initial wound whereas keloids spread beyond the margin of the initial wound.

How are acne scars treated?

The ideal way to treat acne scars is a three-step approach, consisting of an initial treatment phase, a collagen remodeling procedure, and finally any additional treatments to address resistant scars and to supplement results of previous procedures.

Step 1: An initial treatment phase.

The initial treatment phase is focused on treating redness, and to treat individual scars that may be resistant to collagen remodeling procedures. Treating redness is important as the redness accentuates the scar and makes it more noticeable.

To target redness, VBEAM®, Forever Young BBL and Forever Clear BBL are great treatment options available. Typically, three to four treatments spaced out every month are necessary for optimal results.

To treat individual scars that may be resistant to other treatments, typically a surgical approach is preferred. Ice pick and narrow boxcar scars respond to the chemical reconstruction of skin scars technique (CROSS technique) where a high-strength (90-100%) trichloroacetic acid (TCA) peel solution is placed at the base of scars with the goal to promote dermal remodeling. Rolling acne scars are typically treated with subcision, a procedure in which a small needle is inserted under an acne scar with the goal of releasing the fibrosis tissue that teethers the scar and causes the depression.

Finally, another option to treat difficult ice pick and boxcar scars is to surgically remove them by punch biopsy.

Step 2: A collagen remodeling procedure.

This phase of treatment consists of procedures that induce collagen growth. Examples of treatments that can induce collagen growth include the HALO® Hybrid Fractional Laser, chemical peels, and microneedling with platelet-rich plasms (PRP).

Step 3: Additional treatments to address resistant scars and to supplement results of previous procedures.

After step 2 is complete, it is important to assess treatment response and determine if any other procedure would be beneficial. Possible treatment options during this phase include all of the previously mentioned treatments, along with injectable dermal fillers.

Dermal fillers are particularly helpful for broad, rolling scars. Ice pick scars and other tethered scars typically do not respond well to fillers.

At Optima Dermatology & Medical Aesthetics, our board-certified dermatologists and expert providers will work with you to identify the right treatments and help establish lifestyle changes that can promote clearer skin. We are accepting new patients – find your nearest location and schedule an appointment today to begin a healthier approach to skincare!

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Optima Dermatology in Exeter and Optima Medical Aesthetics in Portsmouth will be coming together in the new Stratham building. Optima Dermatology’s industry-leading, board-certified dermatologists and providers treat a broad range of medical dermatology conditions and diseases, including skin cancer, eczema, acne, psoriasis, and others. In addition to general dermatology, Optima Dermatology offers a full range of medical aesthetic services, including neurotoxin injections (such as Botox® and Dysport®), fillers, microneedling, laser and light treatments, and more. Future expansion of in-house service includes the addition of Mohs surgery with a dedicated surgery suite and lab.

The exceptional team in Stratham is led by board-certified dermatologist Dr. Ryan Karmouta, MD, MBA. Dr. Ryan, who currently also sees patients out of Optima’s Salem, NH practice, specializes in dermatology and medical aesthetics services for all ages.

“I’m thrilled to be able to provide dermatological care to patients in this new, state-of-the-art facility in Stratham,” said Dr. Ryan. “This practice speaks volumes about the level and quality of care Optima Dermatology offers and is just another way that we demonstrate our commitment to treating patients the way we would want our family and friends to be treated.”

Jill Bickford, BSN, RN, medical aesthetics nurse injector, has been caring for patients since 2003. She is an expert injector specializing in neuromodulators and dermal fillers. Additionally, Jill has extensive training in laser and light treatments, microneedling, PRP, and more.

Patients who come to Optima Dermatology’s Stratham facility can expect attentive, personalized care with skincare treatments tailored to their needs. Our expert team is dedicated to making a positive impact on patients’ lives using the most appropriate approach.

Optima Dermatology looks forward to continued partnerships with the local medical community with a collaborative approach to patient care and seamless referral process. If you are a healthcare provider interested in learning more about Optima Dermatology, please contact our medical community team at MedicalCommunity@OptimaDermatology.com.

To schedule an appointment with any of our Stratham providers, please call 603-942-2171. The Patient Support Team is available Monday, Tuesday, and Thursday from 6:30 a.m. – 6:00 p.m. and Wednesday and Friday from 6:30 a.m. – 5:00 p.m.

For more information, including a full list of services, please visit https://optimadermatology.com/locations/nh/stratham-nh.  

For more information on the grand opening celebration on July 13th, please visit

https://fb.me/e/WVz7eL0d

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About Optima Dermatology

Optima Dermatology is revolutionizing skin care. Our mission centers on creating greater access to expert dermatology care and delivering an unparalleled patient experience. With a focus on excellence and innovation, our world class team is highly engaged, mission-driven, and inspired to set the new standard in dermatology. Our guiding principle is to treat each and every patient as we would want our friends and family to be treated, and we are committed to being your trusted experts in all aspects of skin care.

Media Contact:

Brianne Baker

VP of Marketing

(203) 240-5865

bbaker@optimadermatology.com

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Patients Can Begin Treatment Sooner

We’re excited to announce the launch of our in-house dermatopathology laboratory in Portsmouth, NH, which will provide a more standardized process for interpreting patient tests.

Staffed with a team of expert, board-certified dermatopathologists and histotechnologists, our new dermatopathology laboratory will deliver test results to patients within 24-48 hours, meaning necessary treatment can begin sooner.

Elevated Patient Care, Close to Home

Our dermatopathology laboratory conducts all test reading and interpretation in-house. Patients will not need to visit the lab and can continue to visit their dermatologist at their local practice.

Board-certified dermatopathologists Karen Nguyen Wu, MD, FCAP, and Ian Rosenthal, MD, PhD, will lead the dermatopathology laboratory, working with a team of histotechnologists responsible for preparing and interpreting test slides for all Optima Dermatology locations and Optima’s partner practices that include the Dermatology Center of Indiana, Advanced Dermatology & Skin Cancer Center, and the Indiana Skin Cancer Center.

Dr. Wu has been providing dermatopathology services in New Hampshire since 2013. She earned her Doctor of Medicine degree at Drexel University College of Medicine and went on to complete her residency in anatomic and clinical pathology at Thomas Jefferson University. She also completed an oncologic surgical pathology fellowship at Fox Chase Cancer Center, as well as a dermatopathology fellowship at Ackerman Academy of Dermatopathology. She holds board certifications in anatomic pathology, clinical pathology, and dermatopathology, and is a professional member of the American Academy of Dermatology, the American Society of Dermatopathology, the International Society of Dermatopathology, and the College of American Pathologists. Dr. Wu was named Castle Connolly Top Pathologist in New Hampshire magazine in 2022 and 2023, and she has authored over 10 dermatopathology publications.

Dr. Rosenthal has been practicing dermatopathology since 2015. He earned his medical degree at The Johns Hopkins University, where he also completed his residency in anatomic pathology. Dr. Rosenthal also completed a fellowship in dermatopathology at Memorial Sloan-Kettering Cancer Center and New York Presbyterian Hospital-Weill Cornell Medical College. Dr. Rosenthal received his PhD from The Johns Hopkins University and is a member of the American Society of Dermatology. He holds board certifications in anatomic pathology, as well as dermatopathology.

Dr. Wu, Dr. Rosenthal, and their team will be working directly with Optima’s dermatologists and referring physicians to accurately diagnose skin cancer. This state-of-the-art dermatopathology laboratory enables test results within 24-48 hours, so patients can proceed with their treatment plans sooner. A potential skin cancer diagnosis can be stressful, and we are proud to be able to deliver results faster and start treatment plans sooner. The in-house dermatopathology laboratory further enhances the patient’s experience and demonstrates our commitment to treating each and every patient as we would want our friends and family to be treated.

The dermatopathology laboratory officially opened in Portsmouth, NH on May 1, 2023. If you’d like to learn more about the lab or inquire about making an appointment at one of our offices, please visit optimadermatology.com.

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August is Psoriasis Awareness Month, so we’re speaking with Dr. Jennifer Stead, a Board-Certified Dermatologist at our Bedford, NH practice (Manchester area), to learn about the signs, symptoms, and treatments for this persistent skin condition. Psoriasis is a chronic disease marked by itchy, red, and sometimes burning skin. Understanding and managing it is crucial, whether you suspect you have psoriasis or have been diagnosed with it.

Understanding and Managing this Chronic Skin Condition

Psoriasis is a chronic skin disease that is primarily identified by itchy, red, burning, or stinging skin that won’t go away on its own. If you think you have psoriasis or have been diagnosed with it, it’s important to understand this condition and how to manage it. 

Signs, Causes, and Symptoms of Psoriasis

Psoriasis is most often found on the knees, elbows, or scalp, and is characterized by raised areas, or plaques, on the skin that are typically red, itchy, and can burn or sting. 

It’s important to understand that psoriasis is not contagious, and is not necessarily hereditary. While psoriasis can occur at any age, it first appears most commonly in individuals between the ages of 15 and 35.

The National Psoriasis Foundation states that psoriasis is caused by an overactive immune system in which the growth of skin cells occurs very quickly. 

Normal skin cells take about a month to finish growing and be shed from the body. However, skin cells impacted by psoriasis finish growing every few days, and instead of shedding, they pile up on the surface of the skin.

Psoriasis can flare up when the immune system reacts to a trigger, such as illness, stress, exposure to hot or cold temperatures, contact with an allergen, or even trauma to the skin, such as a burn or scrape. 

Are There Different Types of Psoriasis?

Yes! In fact, there are five types of psoriasis that can affect different parts of the body in different ways, and you can have more than one type of psoriasis.  

Here are the five types of psoriasis and their characteristics to help you understand which type you may have. 

Plaque Psoriasis: This most common type affects 80-90 percent of individuals who have psoriasis. Plaque psoriasis manifests as raised patches of skin called plaques, which are itchy, red, and inflamed, and often appear to have silvery scales or even a dark coloration, depending on skin type. 

Inverse Psoriasis: Affecting about 25% of those living with psoriasis, inverse psoriasis is most commonly identified by the lack of scales on the skin that are so common with plaque psoriasis. It is also most often found within skin folds – under arms, under the breasts, or in the genital or buttocks areas. 

Guttate Psoriasis: Slightly different in appearance from other types of psoriasis, guttate psoriasis typically manifests as small red spots, and is frequently found on the arms, legs, chest, stomach, or back. Guttate psoriasis is less common, affecting about 8 percent of those living with psoriasis. 

Pustular Psoriasis: A far smaller population of people (about 3 percent) are affected by this type of psoriasis, which is characterized by pus-filled bumps that are painful and irritated. While it is most commonly found on the hands and feet, it can also appear on any area of the body. 

Erythrodermic Psoriasis: Very rarely, individuals with psoriasis may develop erythrodermic psoriasis, which causes redness and excessive shedding of skin layers. About 2 percent of people with psoriasis suffer from erythrodermic psoriasis, and it can be severe enough to be life-threatening. Symptoms include itching and pain, an almost burned appearance of the skin, as well as more serious conditions such as changes in heart rate or dehydration. 

Psoriasis can lead to other health conditions, including – but rarely – psoriatic arthritis, which can cause symptoms of arthritis in the joints. Psoriatic arthritis affects about 30 percent of individuals with psoriasis. Psoriasis can also affect fingernails and toenails, causing pain, pitting of the nail, separation of the nail from the nail bed, or coloration changes. 

While these types of psoriasis vary widely in how they affect people and can be milder or more severe depending on the flare-up and other physical or environmental factors, you should always contact your healthcare provider or dermatologist to ensure a proper diagnosis and treatment.

How to Manage Psoriasis Flare-Ups in the Warmer Months

The symptoms of psoriasis can come and go, but the onset of symptoms, or flare-ups, can vary in severity and be triggered by different things. One common trigger is hot temperatures, such as warm weather in the summer months. Individuals with psoriasis often experience flare-ups when they’re exposed to the sun or from the friction and sweat caused by exercise or summer activities like swimming and hiking. 

But don’t worry – there’s no need to stay inside and shelter from the sun if you have psoriasis. Many individuals can take some basic precautions before engaging in summer activities to prevent or at least minimize psoriasis flares. 

Here are a few “hot tips” for managing psoriasis in the summer. 

1. Wear broad-spectrum sunscreen with an SPF of 30 or more. Sunscreen is always recommended regardless of skin conditions, but for those with psoriasis, it provides a valuable barrier between the sun and potential skin irritation. To further help prevent a psoriasis flare-up, choose a sunscreen that is fragrance-free and designated for sensitive skin. 
2. Allow your skin to “breathe” by avoiding fabrics that hold moisture. Even if you’re not doing a vigorous outdoor activity, clothing that doesn’t wick away sweat from the skin will create irritation and cause your psoriasis to flare up. Light, breathable, wicking fabrics make a big difference in any warm weather activity. 
3. Embrace a swim in the ocean or in a saltwater pool. Saltwater can help wash away dead skin and improve the look of your psoriasis. However, because salt water can also dry out the skin, it’s important to clean off and moisturize well afterward. 
4. Grab a spot in the shade, in front of a fan, or in an air-conditioned room whenever you can, as refreshing temperatures help cool down the skin and reduce the chance of flare-ups or additional irritation. 

And we know the summer is the most popular time to travel, but you don’t have to worry if you have psoriasis – you just have to be prepared. Make sure to bring appropriate clothing for the activities you’ll be doing, as well as enough medication if you’re using any prescription or over-the-counter topical or oral treatments for your psoriasis. 

Psoriasis Treatment: Managing and Reducing Symptoms 

About 7.5 million Americans, and 125 million people worldwide, are living with psoriasis. Psoriasis is a chronic skin disease with no definitive cure, so those who have it will have it for life. However, there are ways to manage symptoms with the right treatments. 

There are a few different ways to manage psoriasis, and it’s common for patients to try multiple approaches before finding one or a combination that makes a difference. 

Prescription medications that can help include corticosteroids and other topical treatments. Corticosteroid creams, ointments, or sprays can relieve the discomfort of a psoriasis flare-up by reducing inflammation and soothing irritation.

These treatments are typically prescribed by your primary care doctor or your dermatologist.There are also many other topical treatments available, including coal tar, Vitamin D analogs, or salicylic acid. 

There are also different prescription drug treatments, or biologics, that have come onto the market to help people manage their psoriasis and have been found to be effective. However, you should consult with your doctor or dermatologist before taking a biologic, as these drugs can suppress the immune system in ways that can lead to serious infections, such as tuberculosis.

Biologic treatments are often considered for individuals who are not responding to any other type of psoriasis treatment, but there are other medications available that can be used when other drugs can’t be given. Further, biologics can be administered orally in liquid or pill form, or through an injection or intravenous infusion. It is best to speak with your dermatologist about the right medication to treat your psoriasis. 

There are several non-medication treatments you can consider. 

Other non-medication treatments you can try include adjustments to diet, weight loss, or a focus on lifestyle improvements that reduce stress and anxiety. 

While there is currently no evidence pointing to diet as a trigger for psoriasis, some patients do notice a correlation between certain foods they eat and their flare-ups, which could be a result of a food allergy or the inflammatory nature of psoriasis. Eating foods that reduce inflammation, such as those high in Omega-3 fatty acids, may be helpful. 

Obesity has been shown to correlate with psoriasis, as it can cause some of the triggers that may bring on flare-ups, such as high blood pressure, high cholesterol, or other metabolic conditions. Weight management is beneficial for any individual, especially those struggling with an autoimmune disease.

Finally, starting a meditation routine, exercising regularly, or adjusting your lifestyle to reduce day-to-day stresses can help reduce psoriasis triggers as anxiety and stress are thought to contribute to psoriasis flare-ups.

Light Therapy for Psoriasis Treatment

At Optima Dermatology, we offer ultraviolet light therapy, or phototherapy, in which UVB rays are applied over a consistent period of time to penetrate the skin and help slow the growth of affected skin cells. We offer this treatment at our Mentor, Macedonia, Salem and Bloomington clinics with our Houva device, and will soon also be offering it at our Stratham, NH location. 

There are two types of UVB therapy – narrowband and broadband. The primary differences are that narrow-band UVB rays release a smaller range of ultraviolet light, may produce more effective and longer-term results, and may require fewer treatments. 

An excimer laser, which emits a high-intensity beam of UVB light, is often used to treat chronic, localized psoriasis plaques as it can target specific areas of the skin, particularly on the scalp.

Light therapy has been found to be effective in treating psoriasis, but the type and duration of this phototherapeutic treatment varies from patient to patient depending on the severity of your psoriasis. 

In many cases, there is simply not enough long-term data available to indicate for how long patients will experience reduced symptoms or overall improvements following a course of light therapy treatment. 

The Good News: There Is Help Out There for Your Psoriasis!

Psoriasis is a challenging skin disease that not only causes physical discomfort but can have an emotional impact as well. Even mild psoriasis can leave people feeling self-conscious and can even cause social and mental health issues. And because stress and anxiety are considered triggers for psoriasis, patients can often become “stuck” in a difficult cycle that can feel impossible to get out of. 

Fortunately, psoriasis awareness has grown significantly. In 1997, the National Psoriasis Foundation designated August as National Psoriasis Month, which has helped spread information about the disease and create a community for those suffering from it to feel less isolated. 

We are all now also exposed regularly to ads and commercials for psoriasis drug treatments highlighting the challenges of the disease and treatment options. While the month of August is a great time to focus on awareness around this skin disease, we offer more acceptance and hope year-round for people suffering from psoriasis than ever before.

At Optima Dermatology, we are committed to helping our patients find the right psoriasis treatment. Our goal is to give you power over your psoriasis so you can manage your flare-ups and get back to your life. 

Request an appointment today for a diagnosis and to begin conquering your psoriasis.

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Our Stratham, NH Office Welcomes Its Newest Provider, Laura Anderson, PA-C, and Her Caring Approach to Patient Care

Optima Dermatology is excited to welcome Laura Anderson, PA-C, to our Stratham, NH practice. Laura has been serving patients in the Seacoast area of New Hampshire since 2017, offering treatments for a range of skin conditions, including skin cancer screenings and skin cancer treatment, acne, psoriasis, and eczema.

Laura completed her undergraduate education at Stonehill College, earning her Bachelor of Science in Biology and Healthcare Administration. She then went on to earn a Master of Science in the Physician Assistant Program at Rutgers University. While at Rutgers, she mentored and advised students and her peers, tutoring in educational services and leadership. 

In 2015, Laura earned the Pathology Award in Excellence. She is also a member of the American Academy of Physicians Assistants and the Society of Dermatology Physician Assistants.

Putting Patients First

Laura delivers kind and considerate care to her patients, taking an understanding approach to make everyone feel comfortable. 

We recently had the opportunity to learn more about Laura, her approach, and the path that led her to pursue becoming a board-certified physician assistant.

Where did you go to college?

I went to Stonehill College in Easton Massachusetts for my undergraduate degree. I attended Rutgers University in Piscataway, New Jersey for my Master of Physician Assistant.

What made you decide to pursue a career in dermatology? What did the path to get there look like?

I love skin! It’s the largest organ within the human body and so important to take care of. I love dermatology because you get to act like a detective, finding clues to point you to the most likely diagnosis. After graduation from PA school, I started working in a dermatology office as a medical assistant (despite being board-certified as a PA). It is hard to find a job in the dermatology field, so I worked my way up to where I am now!

On your journey to become a board-certified physician assistant, what was the best advice you were given?

The best advice I was ever given on my journey to become a board-certified physician assistant is to ask for help when needed. I love being part of a team that is dedicated to taking the best care of patients and when I can’t figure out a problem, I have colleagues I can turn to and brainstorm ideas.

What is your number one tip when it comes to taking care of your skin?

By far the most important tip in taking care of your skin is sun protection!

What is your favorite aspect of dermatology?

I love being able to follow my patients and track improvement in their skin. It is very gratifying when you can actually see the treatments working.

How would you describe your approach to treating patients?

I am an upbeat bubbly provider that thrives on making my patients feel comfortable in their skin. It isn’t easy to take off all your clothes in front of a stranger so my goal is always to make sure I establish a rapport with patients so they can have the best experience possible.

What do you like to do when you are not in the office?

I spend most of my free time with my family and dog. Weekends are usually spent doing as many outdoor activities as possible. I also love hiking, yoga, water sports and skiing.

What to Expect From Dermatological Care From Laura and the Stratham Team

If you’re seeking dermatological care for common skin issues or more complex treatments, Laura and her team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care. 

Laura is currently accepting new patients at our Stratham, NH location. Book an appointment online or give us a call at 603-942-2171.

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Dr. Yu Brings Expertise in Mohs Surgery, Surgical Dermatology, and Medical Aesthetics

Optima Dermatology is excited to welcome Dr. Sherry H. Yu, MD, FAAD, FACMS, to our Macedonia, OH practice. Dr. Yu is a double board-certified dermatologist and micrographic dermatologic surgeon who specializes in performing surgical dermatology, including Mohs micrographic surgery for skin cancers, as well as medical aesthetics treatments such as neurotoxin injections, dermal fillers, and laser treatments.

Dr. Yu has been serving patients since 2017, having completed her residency in dermatology through the Harvard Combined Dermatology Residency Training Program, as well as a fellowship in Mohs micrographic surgery and dermatologic oncology at Yale University School of Medicine. 

Prior to her residency and training at Harvard and Yale, Dr. Yu received her undergraduate degree from Case Western Reserve University, graduating with the highest honors and an induction into the esteemed Phi Beta Kappa honor society. She then attended medical school at Case Western, graduating at the top of her class and again being inducted into a well-respected honor society – Alpha Omega Alpha. 

She completed an internship in internal medicine at the Cleveland Clinic Foundation, where she was named “Intern of the Month”. She went on to serve as a Mohs Surgeon at the Cleveland Clinic, as well as an Assistant Professor in Dermatology at Case Western Reserve University School of Medicine.

Dr. Yu also completed the Deland Fellowship in Healthcare and Society at Brigham and Women’s Hospital; is a member of the American College of Mohs Surgery, the American Academy of Dermatology, the American Society of Dermatologic Surgery, and the Women’s Dermatologic Society; and has authored more than 20 peer-reviewed articles. 

A Wealth of Experience and Expertise to Guide Patients Forward

Dr. Yu has developed a high level of expertise in Mohs surgery, including spending time as a member of Mohs Surgeons Leading the Future and delivering lectures for local, national, and international conferences. 

As the newest Mohs surgeon to join the Optima Dermatology family, Dr. Yu offers an exceptional perspective and skill for skin cancer patients undergoing this surgery. 

We recently had the opportunity to learn more about Dr. Yu, her approach, and the path that led her to becoming a double board-certified Mohs surgeon and dermatologist.

Where did you go to college?

Case Western Reserve University in Cleveland, Ohio.

What made you decide to pursue a career in dermatology and Mohs surgery specifically?

I have always liked the balance of medicine and surgery in dermatology and, more specifically, Mohs surgery. Additionally, much of my academic research has focused on how medical conditions affect quality of life and many chronic skin diseases have been shown to have a significant impact on patients.

What is your number one tip when it comes to taking care of your skin?

Wear sunscreen, reapply, and be consistent! It’s much better to have a simple, consistent skincare routine than a complicated one that is hard to maintain.

If there is one thing you want your patients to know about you, what would it be?

I want you to leave your visit with me thinking, “That was so much better than I expected”. That goal drives much of what I do.

What is your favorite aspect of being a micrographic dermatologic surgeon?

I love the ability to treat, and almost always, cure skin cancer while providing compassionate, high–level care to my patients. I also love the ability to see skin cancer on a patient, remove it, and see the pathology and tissue under the microscope on the same day.

What is your approach to treating your patients?

My approach is to listen, be curious, and have open, direct communication with my patients. I try to always remember that no matter the size of their skin cancer, this is often a bigger surgery or procedure for them. I also try to learn about people, their history, and their interests and have the benefit of spending several hours with patients on the day of surgery to get to know them better.

What do you enjoy doing when you are not in the office treating patients?

I enjoy antiquing, hiking, and reading a good book.

What to Expect From Dermatological Care From Dr. Yu and Her Team 

If you’re seeking dermatological care for common skin issues or more complex treatments, including skin cancers, Dr. Yu and her team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care. 

Dr. Yu is currently accepting new patients at our Macedonia, OH location. Book an appointment online or give us a call at (855) 277-9689.

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Michelle Delivers Expert Esthetics Services to Optima Dermatology’s Bedford, NH Practice

Licensed Esthetician, Michelle Nunez, has joined the Optima Dermatology Bedford, NH practice bringing more than 10 years of esthetics experience.

Michelle has been providing esthetics care to patients in the New England region since 2010, and is a certified laser technician through the National Laser Institute. Additionally, she has advanced training in BroadBand Light® (BBL), Diamond Glow®, chemical peel treatments and more.

Michelle is a Master Esthetician who graduated from the Catherine Hinds Institute of Esthetics as an Esthetician and Skin Care specialist. During her time there, she completed 1,200 hours of education and training. 

Providing the High Level of Care Patients Expect and Deserve

Michelle is committing to building great relationships with her patients, an approach that is aligned with Optima Dermatology’s mission to treat every patient the way we would want our friends and family to be treated. Michelle takes a unique “panfacial” treatment approach with her patients in which she considers the entire face into consideration and what aging aspects are causing the specific area of concern. 

We recently had the opportunity to learn more about Michelle, her approach, and the path that led her to pursue a career as a licensed esthetician.

How and when did you know you wanted to be an Esthetician? Were you always interested in the industry, and what was your path to get where you are now?

I grew up dreaming of what to be when I was older. It ranged from teaching young girls to dance ballet to working with animals. It wasn’t until I began struggling with acne, that I developed an interest in the skincare industry. Struggling with this affected my self confidence. Upon discovering Elizabeth Grady School of Esthetics, I was intrigued enough to enroll immediately. 

After graduating from Elizabeth Grady School of Esthetics, I was fascinated to learn there are so many options in the esthetic world. I decided to pursue the medical part of our industry and enrolled at Catherine Hinds School of Esthetics. I graduated from Catherine Hinds with the most esthetic training offered nationwide. My passion for medical esthetics is part of who I am. I am so happy to be a part of a growing, supportive community. 

What is your number one tip when it comes to taking care of your skin?

Many people don’t know you should be reapplying your sunblock about every 2 hours. I recommend keeping a sunblock, such as EltaMD UV stick spf 50+, with you to always be able to reapply. A stick comes in handy while on the go, walking, driving and great for the whole family to easily use. 

What do you enjoy most about treating your aesthetic patients and what is unique about your approach?

I enjoy helping others feel their best. It is an honor to have patients come in and trust in me to help with their skincare goals. My approach to aesthetics is unique because my passion and drive in the aesthetic industry continues to grow with each patient I meet. I pride myself to cultivate a trusting relationship, while skillfully tailoring a treatment to provide optimal results. 

For someone who is interested in, but new to medical aesthetic treatments, how do you recommend they get started?

If you’re not sure where to begin in medical aesthetic treatments, scheduling a consultation to get a professional assessment of your skin is a great way to get started. Having a professional assessment of your skin can help determine what skincare and treatments are best for you. There are a lot of options available now over the counter and online, it is important to know what is going to give you the result you are looking for and how to safely reach your skincare goal. We carry only high quality medical grade skin care lines, along with the most innovative devices on the market to ensure your skin care goals are satisfied. 

Which patients would you recommend a Chemical Peels treatment for? What kind of results can patients expect to see?

Chemical peels are great for brightening the skin and treating hyperpigmentation, diminishing fine lines and wrinkles, smoothing texture, acne and acne scarring.There are superficial chemical peels that have little to no downtime and can be included with a facial to give the skin a boost and help to instantly give a beautiful glow. During the fall and winter, I do treat a lot of patients with medium depth peels. These expedite your exfoliation process and slough off the upper layers of skin to reveal a healthier, brighter complexion. Oftentimes, these are recommended in a series spaced out a month apart for optimal results. 

If there is one thing you want your patients to know about you, what would it be?

I love my job! Getting to make others feel more confident in their skin, brings me so much joy. It is so rewarding to be able to help people in such a personal way. Being able to connect on such a deep level with patients is the most incredible feeling. 

What do you like to do when you are not in the office?

When I am not in the office I enjoy spending time with my husband, our two children, and pets. When our dog, cats and chickens aren’t keeping us busy, we love spending time by the ocean, lake or our pool. I also enjoy spending time with friends, reading and gardening. 

What to Expect From Dermatology Care From Michelle and Her Team

If you’re seeking esthetic services, Michelle and her team at the Optima Dermatology Bedford, NH practice offer a wide range of services and have advanced training and experience to ensure the highest quality of care. 

View a complete list of our services, and come in for a visit to learn more about our approach to patient care.Michelle is accepting new patients at our Bedford, NH, location, serving the Greater Manchester area. Give us a call at (603) 942-2003 to schedule an appointment today!

The post Michelle Nunez, LE, Joins Optima Dermatology’s Bedford, NH Practice appeared first on Optima Dermatology.

FAQs About Microneedling and the Different Types of Treatment Options

Interested to learn more about microneedling? We sat down with Jill Bickford, BSN, RN, based at our Stratham, NH location, to learn more about this treatment method, the conditions it treats, and the results patients can expect. Microneedling is a minimally-invasive skin treatment that uses ultra fine needles to reduce the appearance of fine lines and wrinkles, and to tighten and tone the skin for a younger, healthier looking appearance. 

However, like any skin treatment, it’s important to know the facts before making a decision. We always recommend speaking with your dermatologist or provider to determine the best treatment for your specific concerns, but we’ve put together some frequently asked questions about microneedling to help get you started. 

What is microneedling? 

Microneedling is a great option for common skin concerns because it is minimally invasive, and uses ultra fine needles to make microscopic holes in the top layer of the skin. Doing so stimulates a healing response in the skin, encouraging the production of collagen and elastin, which both help to keep your skin firm and smooth. 

What are the different treatment options for microneedling?

There are two treatments we offer at Optima Dermatology that are widely used and trusted: INTRAcel and SkinPen®. They are different treatment approaches, but have both been shown to be highly effective. 

INTRAcel microneedling is a safe, quick, and effective option for patients who want to rejuvenate their skin to a healthier, more radiant appearance and treat skin laxity, fine lines and wrinkles, scars, textured skin, or enlarged pores. 

Through a combination of microneedling and radiofrequency (RF) technology, INTRAcel microneedling can precisely target areas of the skin for treatment to improve skin tone, complexion, and texture, as well as other skin issues. INTRAcel microneedling is safe for all skin tones and types. 

SkinPen® is the first FDA-cleared microneedling device with little to no downtime that is made in the USA and rigorously tested for safety. The SkinPen® microneedling device uses tiny, sterilized needles to prick the skin and create micro-wounds. These micro-wounds trigger the repair mechanisms in the skin, stimulating the production of collagen and elastin, both of which contribute to skin health and luminosity. 

What specific skin concerns does microneedling treat?

Microneedling can treat common skin concerns such as fine lines, wrinkles, and skin laxity, all of which can be caused by age or skin damage. In some cases, microneedling can treat certain medical conditions.

SkinPen® microneedling are typically ideal for:

• Sunspots
• Scars
• Stretch marks
• Fine lines and wrinkles
• Reduced skin elasticity

Medical conditions that can be treated with SkinPen® microneedling include:

• Alopecia (hair loss)
• Enlarged pores
• Acne scars  

INTRAcel microneedling treatments are typically ideal for:

• Firming up and smoothing skin around the jawline, neck, and face
• Treating areas of scar tissue from acne, surgical, or other scarring
• Reducing the appearance of enlarged pores or rough, uneven skin textures
• Wrinkle reduction and skin tightening around the eyes and mouth
• Treating stretch marks 

In some cases, INTRAcel microneedling can also be used to treat skin laxity on other areas of the body such as the thighs, arms, abdomen, or knees. 

Who is a good candidate for microneedling?

While we always recommend speaking with your dermatologist to determine the best treatment option and approach, microneedling is safe and effective for anyone looking to treat common skin concerns caused by aging, injury, or a medical condition. 

However, if you have any of the following conditions, microneedling may not be recommended and you should consult with your primary care provider or dermatologist prior to pursuing this treatment:

• Acne
• Blood disorders
• Cancer
• Skin rashes or cold sores
• Chronic skin conditions like eczema or psoriasis

What can I expect from a microneedling treatment?

Because treatments are noninvasive, they’re relatively quick – a SkinPen® treatment takes between about 30 minutes, and INTRAcel microneedling takes about 30-60 minutes. 

Both treatment approaches immediately begin stimulating the body’s natural healing process to produce tighter, firmer skin in the treated area. 

If you’re receiving a SkinPen® treatment, your provider will apply a topical numbing cream to the treatment area to make the SkinPen® procedure comfortable. The SkinPen® microneedling device itself will be moved around the affected area of your skin, and tiny needles within the device will make micro-injuries on the surface of the skin. Minor bleeding from the treatment is possible.

SkinPen® microneedling has relatively minor side effects, but you may experience any of the following:

• Pain and redness: Because of the needle pricks, you may feel mild irritation and redness for a few days after the treatment. Pain at the treated site or have redness for a few days. 
• Peeling: As with any injury to the skin such as sunburn, you may have dryness or peeling while the skin is healing.

If you’re receiving an INTRAcel treatment, there is a sensation of heat, tingling, and pressure during the treatment. There is typically and patients typically report slight tingling or pressure during treatment.

What is the downtime like following a microneedling treatment?

There is virtually no downtime following a microneedling treatment, and healing from the treatment typically takes only 24 hours, but can be longer depending on the treatment. While microneedling is usually considered a ‘no downtime’ procedure, depending on the aggressiveness and condition being treated, patients may experience mild inflammation and redness for several days.

Patients can return to normal activities immediately following treatment, and patients can resume exercise 48-72 hours after treatment. 

How soon following treatment can I expect to see results?

If you’re receiving a SkinPen® microneedling treatment, you can expect 4-6 visits to see the full effects.

If you’re receiving an INTRAcel microneedling treatment, many see improvement after three treatments. you can expect to see improvements after just one  treatment. The number of treatments you will need depends on your skin type, skin condition, and the size of the area.

How do I get started?

Make an appointment at the Optima Dermatology location closest to you and come in for a free consultation to learn what microneedling treatment will work best for you. We recommend a thorough consultation before beginning treatment so you understand what to expect from microneedling before and after the treatment. 

Schedule your appointment today!

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Optima Dermatology & Medical Aesthetics welcomes Dr. Stead’s Expertise in Medical and Surgical Dermatology to Our Bedford, NH Practice

Optima Dermatology is excited to have Jennifer Stead, DO, FAAD, join our Bedford, NH practice, serving the Manchester area. Since 2011, Dr. Stead has been providing patients of all ages in the New England region with a range of medical and surgical dermatology services, as well as medical aesthetic treatments including neuromodulators and dermal fillers.

Dr. Stead earned her Doctor of Osteopathic Medicine from Philadelphia College of Osteopathic Medicine and completed her dermatology residency in Michigan at St. Joseph Mercy Hospital and served as their Chief Resident.

In her career, Dr. Stead has authored numerous clinical publications and is a beloved provider in the southern New Hampshire region. She is also a fellow of the American Academy of Dermatology.

Dr. Stead’s approach to patient care reflects Optima Dermatology’s commitment to treating every patient the way we would want our friends and family to be treated. She is dedicated to providing a comprehensive and personalized experience for each patient.

A Commitment to Industry-Leading Dermatology Services

We recently had the opportunity to learn more about Dr. Jennifer Stead, her approach, and the path that led her to pursue becoming a board-certified dermatologist.

Where did you go to college?

I went to Penn State University in State College, Pennsylvania to study Biology with a minor in Genetics.

What made you decide to pursue a career in dermatology?

The variety of patients we see – medical, surgical, cosmetic! Additionally, early on during medical school rotations, I realized that the dermatology office was a happy place. Our patients are healthy, for the most part, and they really WANT to get better and are motivated because the skin is the largest organ and is on stage for the world to see. This attitude transcends into the office environment.

Working with teenagers who have cystic acne is one of my favorite conditions given that it can be life changing and confidence building for young people at a pivotal time in life. Diagnosing and treating skin cancer at all ages can bring awareness to the population with early detection.  The opportunity to empower our patients with the option of cosmetics has always excited me, from small things like chemical peels and skin care regimens, to bigger procedures like laser resurfacing and soft tissue fillers.  

What is your number one tip when it comes to taking care of your skin?

Sunscreen, hats and UPF clothing. I wish I had adhered to this philosophy earlier in life!  Nothing else is as important as SPF and avoidance of the mid-day rays when it comes to taking care of your skin. And for this current media frenzy/marketing consumption we live in, especially for teenagers, “less is more” in terms of number of products. Invest in a few excellent, medical grade skin care products, alongside a mineral-based sunscreen (I like tinted!) And don’t overdo it.  We can help streamline the products, but I find that people are overdoing it with too many non-effective topicals.

If there is one thing you want your patients to know about you, what would it be?

I continually seek more education and knowledge in the field of dermatology.  It has exploded in so many facets with the introduction of many new psoriasis and atopic dermatitis medications, cosmetic procedures, and options for topical acne medications.  I’m constantly humbled by all the different conditions we see on a daily basis.  I gain great satisfaction out of helping resolve both acute and chronic dermatologic conditions and will do my best to make patients leave feeling beautiful in their own skin.

What is your favorite aspect of being a dermatologist?

How lucky am I to have the best job in medicine?!  My patients of 13 years have become friends, sharing their lives and families with me.  That is my favorite part – growing up with the patients and treating kids with acne, their parents for skin checks (and a little Botox!) and the grandparents with skin cancer.  Dermatology is diverse and I never know what is coming in that week.  I like the challenging rashes, the mundane warts, and then the routine skin checks…it’s what makes the day interesting.  Innovation in dermatology is all around us at whole foods and target beauty aisles, on TV advertisements and social media, and in the compounding pharmacies we send new and exciting mixtures for preparation.  The field has exploded and I’m so thrilled to be a part of it.

What is your approach to treating your patients?

My approach to treating dermatologic patients involves listening to their concerns and striving to meet achievable goals.  I enjoy helping patients understand their treatment options and navigating the risks and benefits.

What do you like to do when you are not in the office treating patients?

Spending time with my husband and three children who are 6, 8, and 11 years old.  They are very active in school and sports, and we have enjoyed the experiences and friendships in the Bedford community as a result.  We also love to travel, ski, bike, be outdoors and spend time at the beach with friends and family.  I adore a good book – a quick thank you to my devoted patients who also enjoy reading and bring me their book lists! 

What to Expect From Dermatology Care From Dr. Stead and Her Team

If you’re seeking medical, surgical or cosmetic dermatological care, Dr. Stead and her team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care. 

View a complete list of our dermatology services, and come in to learn more about our approach to patient care. Dr. Stead is accepting new patients at our Bedford, NH location. Give us a call at 855-277-9689 to schedule an appointment today!

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Sarah Delivers Expert Medical Aesthetics Services to Optima Dermatology’s Stratham, NH Practice

Medical Aesthetics Nurse Injector, Sarah Scanlon, BSN, RN, has joined the Optima Dermatology Stratham, NH practice, bringing more than 10 years of healthcare experience.

Sarah has been providing medical aesthetics care to patients in the seacoast region since 2012, and is an expert injector specializing in Botox®, Dysport®, and dermal fillers, including Restylane®, Juvéderm® and Sculptra®. Additionally, she has advanced training in laser and light treatments, microneedling, and more.

Sarah earned her Bachelor of Science in Nursing at Regis College. She is passionate about continuing regular training to remain at the forefront of the latest aesthetic procedures and technology. She has attended the National Laser Institute to receive training in neurotoxins and dermal facial fillers administration, in addition to laser treatments. She is also trained in advanced filler injection techniques with Microcannula.

Providing the High Level of Care Patients Expect and Deserve

Sarah is committing to building great relationships with her patients, an approach that is aligned with Optima Dermatology’s mission to treat every patient the way we would want our friends and family to be treated.

We recently had the opportunity to learn more about Sarah, her approach, and the path that led her to pursue a career as a medical aesthetics nurse injector.

How and when did you know you wanted to be a nurse? Were you always interested in aesthetics, and what was your path to get where you are now? 

I always had an interest in human anatomy and always admired my favorite aunt growing up who was a nurse at Mass General. In high school, I decided to pursue a career in nursing. I knew that I did not want to work in the traditional hospital setting and always had an interest in aesthetics. I had even considered being an esthetician or cosmetologist. 

Throughout nursing school, I worked as a milieu assistant at a locked in-patient psychiatric unit. I quickly became a charge nurse there after graduating nursing school with my BSN. I stayed working within the psychiatric realm for many years. I also worked as a school nurse for a short time. But I always longed for something that encompassed my passion for all things skin and beauty. I finally learned of the opportunity to work as nurse injector and immediately pursued making that happen by attending National Laser Institute to learn the administration of injectables as well as laser modalities. I have worked as a Nurse injector ever since and am so grateful to have found a career that is so rewarding and truly brings me joy.  

What is your number one tip when it comes to taking care of your skin? 

Wear SPF EVERY day… even in the winter! And reapply often! Also, Botox is magic in a bottle! 

What do you enjoy most about treating your aesthetic patients and what is unique about your approach? 

I enjoy making my patients look and feel their best! I love being able to restore or improve someone’s self-confidence.  

My approach is very patient centered. I try to advise, treat, support, and follow through with all my patients as if they were a family member or close friend. I have my patients’ best interest at heart, and I truly want to give them superior outcomes. My enthusiasm comes across when I am interacting with my patients, as I take the time to explain in detail the various treatments and options available to them. I also take the time to listen to their concerns and answer any questions they may have. This helps to create a trusting bond between us, which I believe is essential for the best possible patient care. I am focused on building long term relationships with my patients and guiding them through the aging process throughout the decades.  

For someone who is interested in, but new to medical aesthetic treatments, how do you recommend they get started? 

Come in for a consultation. It can be overwhelming if you have never done an aesthetic treatment, but we can tailor a treatment plan to your specific goals/needs. We can do as much or as little as you feel comfortable. It’s important to see an experienced and credentialed provider who can advise and guide you through the journey in order to have safe and optimal results.  

Where are the most common areas you treat with dermal filler? 

Cheeks and lips; Although Chin is the new Cheeks!! 

If there is one thing you want your patients to know about you, what would it be? 

That I love what I do! It is important to me for my patients to know how much I enjoy my work. My passion for this field extends far beyond just a job. Innovations in aesthetic technology as well as ever-changing trends in the industry continuously inspire me. I love the challenge of staying up to date with the latest treatments and techniques, and the knowledge I gain helps me to provide the best results for my patients. It’s also important to me that my patients feel comfortable and confident in me and the work I do, and that they know I’m invested in their wellbeing. 

What do you like to do when you are not in the office? 

My 3- and 4-year-old keep me VERY busy when I’m not in the office. I enjoy spending time outside and going on adventures with them and my husband. My hobbies also include interior décor.  

What to Expect From Sarah and Her Team

If you’re seeking medical aesthetic services, Sarah and her team at the Optima Dermatology Stratham, NH practice offer a wide range of services and have advanced training and experience to ensure the highest quality of care.

View a complete list of our medical aesthetics services, and come in for a visit to learn more about our approach to patient care. Sarah is accepting new patients at our Stratham, NH location. Give us a call at (603) 942-2171 to schedule an appointment today!

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“Psoriasis and eczema are very common skin conditions that cause red, itchy, and sometimes flaky patches. They can look and feel very similar so if you have any of these symptoms, see your dermatologist for proper diagnosis and treatment!“

If you have itchy, red, flaky, or burning skin that never seems to get any better, you may have eczema or psoriasis, two of the most common skin conditions.

It’s important to see your dermatologist for a clear diagnosis as eczema and psoriasis can manifest differently from one person to the next.

What is Eczema?

Eczema is a type of dermatitis that is caused by an issue with the skin’s outer layer, lead to symptoms of dryness, itch, redness, and skin texture changes.

There are 7 different types of eczema. Each type manifests differently, and depending on which type you have, the treatment plan may vary too. Here’s a quick rundown of eczema types:

Atopic Dermatitis (AD): The most common type of eczema. Most commonly appears on the hands or around the eyes as dry, patchy, or scaly skin.

Contact Dermatitis: Occurs when a skin irritant triggers an itchy reaction.

Dyshidrotic Eczema: Caused by an allergen and manifests as tiny, highly itchy blisters on the hands and feet.

Hand Eczema: Causes dry, painful cracks on the hands accompanied by extremely dry or chapped skin.

Neurodermatitis: Highly common in adults and tends to affect only one or two areas of the body with dry, itchy patches.

Nummular Eczema: Typically brought on by very dry skin, this type can look similar to atopic dermatitis or ringworm.

Stasis Dermatitis: Primarily affecting the lower legs and feet, this type is caused by chronic edema or swelling and results in inflammation, itchiness, scaling, and hyperpigmentation.

Changes in Climate

Eczema flare-ups can be brought on by exposure to an allergen, or skin irritation from sweat, sun exposure, or stress. Your dermatologist can help you identify what might be causing your eczema, and devise a treatment plan that can reduce the severity and frequency of flare-ups.

What is Psoriasis?

Psoriasis is a chronic skin disease that is most often found on the knees, elbows, or scalp. It is thought to be caused by an overactive immune system in which the growth of skin cells occurs very quickly; instead of shedding, they pile up on the skin’s surface and create irritation.

In most cases, psoriasis is characterized by raised areas called plaques on the skin that are typically red, itchy, and can burn or sting. It is a lifelong disease, but it can be managed with the right treatment plan.

There are 5 primary types of psoriasis:

Plaque Psoriasis: This most common type manifests as raised patches of skin called plaques, which are itchy, red, inflamed, and often appear to have silvery scales.

Inverse Psoriasis: Most commonly identified by the lack of scales on the skin that are so common with plaque psoriasis. It is most often found within skin folds.

Guttate Psoriasis: Typically manifests as small red spots, and is frequently found on the arms, legs, chest, stomach, or back.

Pustular Psoriasis: Characterized by pus-filled bumps that are painful and irritated. Most commonly found on the hands and feet, but can appear on any area of the body.

Erythrodermic Psoriasis: Very rarely, individuals with psoriasis may develop redness and excessive shedding of skin layers, which can become severe.

Psoriasis can cause significant discomfort but can be controlled through a skincare routine developed between you and your dermatologist.

Given the similarities between eczema and psoriasis, as well as the discomfort they each can cause, it’s best to consult your dermatologist for a diagnosis and treatment plan so you can find much-needed relief!

For more information about Optima Dermatology and Medical Aesthetics, and to schedule an appointment, visit OptimaDermatology.com.

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Jamie Brings Exceptional Skill in a Range of Medical and Surgical Dermatology

Our newest board-certified nurse practitioner, Jamie Piacentini, NP-C, APRN, DNP, is joining our Scarborough, ME practice after years of experience serving patients in southern Maine and New Hampshire. Jamie has been caring for patients since 2017 and was trained under world-renowned dermatologist Thomas P. Habif, MD. 

Jamie earned her Doctor of Nursing Practice from the University of New Hampshire and went on to complete her Master of Science in Nursing at Simmons School of Nursing Health & Health Sciences, where she graduated Summa Cum Laude. She has been named an Advanced Nurse Injector for cosmetics, as well as becoming a member of the Society of Dermatology Nurse Practitioners, the Dermatology Nurses Association, and the American Association of Nurse Practitioners. 

In Maine, as part of her final Doctor of Nursing Practice project, Jamie worked with the state’s legislature to pass a law restricting indoor tanning for minors under the age of 18. Such a law had been attempted multiple times, but following Piacentini’s involvement, it passed in 2019. 

At our Scarborough, ME practice, Jamie offers a range of medical and surgical dermatology treatments for patients of all ages, including skin cancer screenings, and treatments for skin cancer, acne, psoriasis, eczema, and more. 

Caring for Patients with an Expert, Skilled, Personalized Approach

With years of experience working with patients, Jamie is continuing her personalized and comprehensive care at our Scarborough, MA practice. She is committed to providing the best possible experience to patients, ensuring they receive the treatment that is most appropriate for their particular situation.  

We recently had the opportunity to learn more about Jamie, her approach, and the path that led her to become a board-certified nurse practitioner in dermatology.

Where did you go to college?

I received my Bachelor of Science in Nursing from the University of Southern Maine in Portland, and my Master of Science in Nursing from Simmons College in Boston, Mass. I attended the University of New Hampshire in Durham for my Doctor of Nursing Practice.

What made you decide to pursue a career in dermatology? What did the path to get there look like?

I worked as a nurse in the intensive care unit at Maine Medical Center and Central Maine Medical Center. I always had an interest in wound care and surgical procedures. While I was a master’s student at Simmons College, I obtained my Advanced Injectors Certificate from Aesthetics Medical Educators Training in New York City. I went on to be the lead injector at Maine Laser Clinic & Spa in Portland, Maine. When I graduated with my nurse practitioner license I was hired straight into a Medical/Surgical Dermatology practice in New Hampshire and trained under world-renowned dermatologist Thomas Habif, author of Clinical Dermatology: A Color Guide to Diagnosis and Therapy.

What is your favorite aspect of dermatology?

I love treating moderate-to-severe plaque psoriasis and acne. Treatment for these conditions is life changing and when you are able to clear a patient of their acne or psoriasis, you know you’ve made a difference in that patient’s life and served your purpose as a dermatological provider. I also enjoy performing surgical procedures for skin cancer and other lesions. It has brought a sense of creativity and higher acuity care into my practice. 

Working in dermatology has allowed me to build wonderful relationships with my patients, due in large part to the close follow-up that some patients require. 

On your journey to become a board-certified nurse practitioner, what was the best advice you were given?

The best advice I’ve ever been given was to trust your instincts and work comprehensively with your team to provide the highest level of care. 

What is your number one tip when it comes to taking care of your skin?

Please wear your sunblock and UPF clothing and please avoid tanning beds! Protect your skin in your youngest years to prevent skin cancer, as well as signs of aging. 

How would you describe your approach to treating patients?

I strive to deliver the best evidence-based practice while providing kind, compassionate care. 

What do you like to do when you are not in the office?

My husband and I have two young boys – 2 and 9 months old. We are very busy chasing them around and are enjoying watching them grow and learn! We love to travel, and spend much of our time on the water or near the ocean. We hope to get our oldest son on a pair of skis soon!

What to Expect From Dermatological Care From Jamie and Her Team 

If you’re seeking dermatological care for common skin issues or more complex treatments, including skin cancers, Jamie Piacentini and her team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care. 

Jamie Piacentini is currently accepting new patients at our Scarborough, ME location. Request an appointment online or give us a call at (855) 277 – 9689.

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We’re Welcoming Dr. Lori Schaen and Her Dermatological Expertise to Optima’s Milford, OH Practice 

Optima Dermatology is excited to welcome Dr. Lori Schaen, MD, to our Milford, OH practice, serving the  Clermont and Hamilton areas. Dr. Schaen has been treating patients since 2001 for a wide range of skin conditions. 

Dr. Schaen completed her residency in dermatology at Strong Memorial Hospital, where she served as Chief Resident, and she completed a pediatric internship at Children’s Hospital Medical Center. She earned her medical degree from the University of Cincinnati College of Medicine, and her Bachelor of Arts degree in psychology from Williams College. 

Throughout her education, Dr. Schaen was recognized with multiple awards, including the Women’s Dermatologic Society Mentorship Grant, American Contact Dermatitis Society James R. Nethercott Clinical Award, H.B. Weiss Award for Clinical Excellence, and the Dr. Ernst Beutner Excellence in Immunopathy Award. 

As part of her career and service to patients, Dr. Schaen is an extremely active member of many dermatological associations and organizations. She is a Fellow of the American Academy of Dermatology, and a member of the Ohio Dermatological Association, the American Society for Laser Medicine & Surgery, the American Contact Dermatitis Society, the American Acne & Rosacea Society, and the American Medical Association. 

A Patient-First Approach to Dermatological Care

Dr. Schaen delivers expert care to patients and is committed to the community she serves in the greater Cincinnati area. 

We recently had the opportunity to learn more about Dr. Schaen, her approach, and the path that led her to pursue becoming a board-certified dermatologist.

Where did you go to college? 

I went to Williams College in western Massachusetts. I was attracted to its strong academics and athletic student body. This small liberal arts college allowed me to pursue a pre-med education while playing 3 collegiate sports: soccer, squash and softball. At graduation, I was honored to be awarded the Class of ‘25 Scholar Athlete Award.

What made you decide to pursue a career in dermatology? 

I knew at a young age that I wanted to be a doctor. But during medical school, my interests were all over the board, from psychiatry, to sports medicine, to pediatrics. Then in my 4th year of medical school, during an elective, dermatology found me. I knew almost immediately that I had found my future career. Dermatology appealed directly to my visual and detailed nature and allowed me to work with my hands, which I enjoyed. 

What is your number one tip when it comes to taking care of your skin? 

PREVENTION! Preventing sun damage is much easier than repairing past damage, so wearing a daily broad-spectrum sunblock would be my number one recommendation. 

What is your favorite aspect of being a dermatologist? 

Dermatology is a really diverse specialty that offers medical, surgical, laser, and aesthetic services. I love getting to know my patients and I feel that I can really help most patients with their concerns. Happy patients and happy skin make a happy dermatologist. In the past year alone with routine skin cancer screenings, I found 55 melanomas, the most deadly form of skin cancer. Most of these melanomas were caught early so were curative with surgery alone. Prevention is key. I also look forward to bringing innovative dermatology to Cincinnati, including a future Acne Rosacea Center and the Aerolase Laser Technology, one of the most versatile, uniquely gentle lasers for medical and aesthetic conditions, that is safe on ALL skin types. 

How would you describe your approach to treating patients? 

I have always been a strong patient advocate. It is an honor taking care of patients and I always treat my patients how I would want myself, family or friends treated. I do not practice cook-book medicine. I listen to each patient’s concern and use all the tools that we have (from biopsies to skin scrapings to the most up to date treatment options) to uniquely work up each patient and come up with an individual treatment plan. 

What is one thing you want your patients to know about you? 

I worked close to 20 years in Atlanta, Georgia before having the opportunity to move back to my hometown of Cincinnati. I am so excited to be back home and able to offer my services for Cincinnati’s high demand for dermatologic care. 

What do you like to do when you are not in the office treating patients? 

Outside of my passion for dermatology, I have 3 active teenagers (and 2 not so nice cats) that keep me busy, and I try to stay active myself. I still enjoy racquet sports and love my Club Pilates!

What to Expect From Dermatological Care From Dr. Schaen and Her Team

If you’re seeking medical, surgical or laser dermatological care, Dr. Schaen and her team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care. 

Dr. Schaen is currently accepting new patients at our Milford, OH location. Book an appointment online or give us a call at 513-327-9244.

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Optima’s Licensed Esthetician Michelle Nunez Has the Intel for Rejuvenating and Caring for Your Skin

Whether you follow a tightly adhered-to skin care regimen or only employ a basic routine as an afterthought, how we treat our skin is incredibly important – it’s our body’s largest organ and everything from sun exposure to skin issues like acne or eczema to blemishes and scarring can leave us feeling, well, a bit uncomfortable in our own skin.  

November was designated as National Healthy Skin Month in 1997 by the American Academy of Dermatology to help draw more attention not just to basic skin care, but to other important skin treatments that help keep it looking and feeling as healthy as possible.

One of our licensed estheticians, Michelle Nunez, one of our esteemed licensed estheticians at the Bedford, NH practice, serving the Manchester area, has offered her take on some of the most common skin care-related issues and concerns we get at Optima Dermatology, and the role esthetic treatments can play in treatment and maintenance. 

If any of these topics resonate with you, we’d love to meet with you to discuss how we can help you achieve healthy skin this month and for years to come!

How Can I Reverse the Signs of Aging Skin?

Often, our patients visit with concerns about signs of aging on their skin. Volume loss, the appearance of fine lines and wrinkles, and sagging skin can impact our self-confidence. 

As we age, our bodies shed skin cells more slowly, which results in the skin looking duller or less radiant. Additionally, after the age of 30, we lose about 1% of our collagen, a protein in the skin that provides structure and support. 

For patients with volume loss, fine lines, wrinkles, or sagging skin, we recommend INTRAcel, a microneedling treatment delivered using a radio frequency device. It has been shown to improve skin tone and texture, diminish fine lines and wrinkles, and firm up the skin’s structure overall. Studies show that after 4 microneedling sessions over 4 months, collagen production can increase by up to 400%! INTRAcel is a safe, comfortable treatment for all skin types and can be done anywhere on the face, neck, and body with little to no downtime. 

Is There an Effective Way to Treat Acne and Minimize the Appearance of Acne Scars?

Yes! We completely understand how uncomfortable and troubling acne can be, to the point where it impacts your everyday life. We also know that many at-home acne treatments, such as face cleansers and topical ointments, don’t always work, and can leave you feeling frustrated and helpless. 

At Optima Dermatology, we use Sciton’s BBL Forever Clear, which uses a combination of blue, yellow, and infrared broad-band light to eliminate bacteria, reduce inflammation, and promote the body’s natural healing process to clear up your acne. It is effective for acne treatment and reducing the appearance of acne scars. 

Patients who undergo this treatment can expect to see optimal results in just 3 to 5 visits, which would be spaced about 2 weeks apart. 

If you’re interested in other skin care options for treating acne, we recommend some great acne-fighting medical-grade skin care products:

• Revision Skincare® Purifying Gel Cleanser, which has lactic and salicylic acids to exfoliate and purify the skin. This cleanser can be used in the morning or at night. 
• Revision Skincare® Pore Purifying Mask, which combines salicylic acid, sage, and tea tree oil to reduce acne, redness, and inflammation. Use this mask weekly on clean, dry skin. 
• Alastin® ReSURFACE Skin Polish, which gently removes the buildup of dead skin cells and other impurities without stripping away necessary oils. Use 1 to 2 times per week. 
• EltaMD® AM Restore Moisturizer, which is a lightweight, oil-free, noncomedogenic and fragrance-free moisturizer. The combination of hyaluronic acid and niacinamide will help reduce redness and smooth and brighten your skin. Despite the name, it can be used in the morning or at night. 

I Just Want to Rejuvenate My Skin’s Appearance and Maintain a Healthy Glow

The skin naturally sheds dead skin cells about every 28 days, but after the age of 30, this cycle slows, which can lead to changes in the skin’s appearance like hyperpigmentation, signs of aging, or uneven textures. But we all crave a fresh, healthy glow, and the best way to achieve one – even in the face of slowing skin cell shedding – is with a facial!

Facials are an excellent treatment to rejuvenate the skin as they provide deep exfoliation, purify your pores, and boost circulation to allow better absorption of skin care products. 

For best results, we recommend a monthly facial to maintain a healthy glow. However, there are different types of facials and the one that works best for you depends on your skin type. 

• Medical-Grade Facials. DiamondGlow® or Glo2Facial are medical-grade facials that are customized to a patient’s skin care needs. 

The DiamondGlow® wand exfoliates, extracts debris from pores, and infuses the skin with professional-grade serums delivered through the wand’s diamond tip. The serums are sulfate- , fragrance- , and paraben-free, and studies have shown this treatment to result in 100% patient satisfaction for deeply cleaned, firmer, and more radiant skin. 

Glo2Facial helps increase the body’s oxygen levels to allow for deeper absorption of the active ingredients delivered throughout the treatment. A combination of oxypods and a cooling primer gel gently exfoliate the skin, creating a CO2-rich environment on the skin’s surface. A nourishing serum is penetrated deep into the skin using a warm ultrasound and lymphatic massage that sculpts the face, reduces redness, and infuses active ingredients. This lauded product has been dubbed “the facial of the future” and has been used globally to deliver instant, glowing results. 

• Signature facials. A signature facial is a traditional facial that delivers cleansing, exfoliation, extraction, a mask, and gentle massage to help you feel relaxed and refreshed, and help your skin look healthy and rejuvenated.

It’s important you meet with a dermatologist to discuss your skin care goals and undergo a skin assessment to help determine which facial is best for you. 

How Do I Know if an Esthetic Treatment is Right for Me?

If you’re thinking about an esthetic skin treatment, the best first step is to come to Optima Dermatology for an initial consultation. During the consultation, you’ll have the opportunity to learn more about esthetic treatments and what types of treatments may be right for you based on your particular skin issue or concern. 

During the consultation, we will discuss your skin care goals and put together a personalized treatment plan, which includes in-office procedures and at-home skin care recommendations that support your overall goals. Achieving your ideal skin care routine and appearance takes a combination of in-office and at-home commitment!

You’ll leave the consultation with a scan of your skin from our VISIA® Skin Analysis System, which uses high-definition imaging to provide a comprehensive assessment of your skin, including factors like hyperpigmentation, wrinkles, pores, redness, and texture. By having the highest available standard of medical photography and skin analysis available, we provide a completely personalized treatment.

Michelle’s Skin Care Routine and Favorite Products

We wouldn’t snag an exclusive with our expert esthetician and neglect to ask about her skin care routine and product recommendations! Here’s what Michelle has to say about caring for her own skin. 

“I look forward to my morning and night skincare routine. It used to be time to myself, but now I get to share it with my pre-teen daughter and educate her on skin care from a young age. Being in my 40s, I understand how important a good skin care routine is. However, I also believe that a good multivitamin, plenty of sleep, exercise, a balanced diet, and low stress can enhance our skin tremendously. 

In the morning, I focus on protecting my skin from environmental stressors and hydration. The biggest stressor is the sun, which can dehydrate the skin, and cause unwanted signs of aging and pigmentation. I always start with a vitamin C serum (Revision Skincare® Vitamin C Lotion 30%) to brighten, lighten, and tighten my skin. It’s also important to use a hydrator, such as hyaluronic acid (Alastin® HA Immerse) followed by sunblock. There are a lot of different sunblocks to choose from; I recommend a physical sunblock with an SPF of 30 or higher that you reapply throughout the day (no matter the weather and season). 

At night, I work on repairing any damage done from the day and help my skin to recover overnight. After cleansing, I apply oil with vitamin C, bakuchiol, and melatonin (Isdin® Melatonik Serum). These ingredients help to stimulate natural antioxidant defenses and restore vitality and elasticity for radiant, healthy skin. I apply a nighttime moisturizer (Isdin® Age Contour Night Moisturizer) with hyaluronic acid for a boost of intense hydration, antioxidants such as melatonin to combat daily stressors, and carnosine to protect and strengthen my skin’s barrier function.”

Michelle Nunez, LE

As for Michelle’s favorite products, here’s the official list. We hope you find this helpful, and encourage you to schedule a consultation to explore your skin care questions and concerns further! 

Michelle’s Favorite Skin Care Products

Your first step to adopting a skin care routine that works for you is understanding your skin’s unique needs. At Optima Dermatology & Medical Aesthetics, our expert providers will work with you to develop the best approach to your skin care routine.

Request an appointment to start a routine toward healthier, more radiant skin!

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Expanding Cosmetic Services in Scarborough with Hydrafacialist Renita Ireland, MA, & Medical Aesthetics Nurse Taylor Seipel, BSN, RN, LE

Optima Dermatology is excited to have Hydrafacialist Renita Ireland, MA, and Medical Aesthetics Nurse Taylor Seipel, BSN, RN, LE as our newest cosmetic skin care specialists in Scarborough, ME, serving Greater Portland. We’re excited to be able to expand our cosmetic services for our Scarborough patients.

Let’s learn a little more about our two new skin care specialists in Maine.  

Renita Ireland is a Certified Medical Assistant who has been working with patients since 2004. She earned her professional Medical Assistant Certificate from Seacoast Career Schools and has been working closely with Dr. Daniel Cuozzo, DO, FAAD and Holly Morris, MSHS, PA-C as a medical assistant at our Scarborough practice, and will now be offering HydraFacial® treatments for patients as well. 

Taylor Siepel, BSN, RN, LE, is a Medical Aesthetics Nurse who has been working with patients since 2015, and applies her advanced training in medical dermatology and cosmetic treatments, including SkinPen® microneedling, chemical peels, and CoolSculpting®. Taylor previously worked in vascular surgery and Mohs surgery, and earned her Bachelor’s of Science in Nursing from Winona State University and her Licensed Esthetician certificate from Spa Tech Institute. Like Renita, Taylor also works closely with Dr. Cuozzo and Holly Morris as a dermatology medical assistant. 

At our Scarborough, ME practice, Renita and Taylor each offer a range of cosmetic dermatology treatments for patients of all ages to help rejuvenate and brighten skin, treat scarring or stretch marks, reduce the appearance of fine lines and wrinkles, and remove excess or sagging skin. 

Caring for Patients with an Expert and Personalized Approach

With almost 3 decades of experience between them, Renita and Taylor are each fantastic providers who approach every patient interaction with care and a personalized approach. Individuals who visit our Scarborough, ME practice can expect to get a tailored treatment based on a thorough evaluation and thoughtful approach to what makes the most sense for your particular situation.

We recently had the opportunity to learn more about Renita and Taylor, including their individual approaches to care and the paths that led them to pursue careers in cosmetic dermatology.

What to Expect From Renita, Taylor, and the Team 

If you’re seeking dermatological care for cosmetic skin issues, Renita, Taylor and the team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care. 

Both Renita and Taylor are currently accepting new patients at our Scarborough, ME location. Request an appointment online or give us a call at (855) 277 – 9689.

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What You Should Know About Rosacea and How to Best Treat It

We’re back with another Derm Deep Dive, a series where we provide expert advice from one of our board-certified dermatologists about common skin conditions or treatments. For this edition, we’re discussing rosacea treatment with Dr. Lori Schaen, MD, of our Milford, OH location, servicing the Cincinnati area. 

What is Rosacea and How Do You Know if You Have It?

I see a lot of patients who are experiencing symptoms of Rosacea but are unsure what it is or how to treat it. First and foremost, if you have any skin issue and you aren’t sure what it is, the best thing to do before any at-home treatment is to visit your dermatologist and get an official diagnosis. 

Rosacea in particular is a skin condition that requires a more specific treatment plan, so understanding what it is and how it manifests for you is most important for proper treatment. 

While some people think of Rosacea as facial redness, it is a bit more complicated than that. Rosacea is a chronic condition that can cause inflammation on the cheeks, nose, chin, forehead, or eyelids. This inflammation can also lead to redness, broken blood vessels, swelling, pimples, pustules, and sometimes ocular/ eye symptoms.

Rosacea is a fairly common condition, affecting about 16 million Americans. There is no known cause for Rosacea, and because it is a chronic condition, it can only be managed and controlled but not completely cured.  

How Can You Manage Your Rosacea?

Because there is no known cause – and no definitive cure – I work with patients to identify two important aspects of their Rosacea:

1. What triggers seem to cause Rosacea flare-ups
2. How those triggers can be managed or mitigated to reduce Rosacea flare-ups

Identifying Potential Triggers

Many individuals who have Rosacea are able to identify triggers that seem to bring on flare-ups. While these triggers vary naturally from person to person, there are some that are more common:

• Sun exposure 
• Hot or cold weather conditions, including humidity or indoor heat
• Hot baths, showers, hot tubs, or saunas
• Heavy exercise
• Alcohol consumption, especially red wine
• Harsh winds
• Emotional stressors, such as anger, anxiety, embarrassment, or general stress
• Certain foods, including spicy foods, aged cheeses, dairy products, and some chocolates
• Hot drinks, including coffee and tea

I understand this list can seem pretty daunting and limiting – or simply hard to avoid, such as hot or cold weather conditions. However, the good news is that Rosacea can typically be brought under control, even if you can’t avoid your trigger or triggers 100 percent of the time. Here are some basic tips:

• On hot, sunny days, seek out shade, wear protective clothing, and use sunscreen with an SPF of 30 or higher
• Protect your face and neck from cold weather, especially harsh winds
• Try to manage emotional stress through deep breathing exercises, meditation, or calming, relaxing activities like yoga or simply reading a book. 
• Keep showers short to avoid overheating. If exercising, recognize when it’s time to take a break and drink water, and keep cold water on hand. 
• Choose white wine instead of red if alcohol is a trigger, or try to avoid alcohol and opt for a mocktail or water. 

Products to Avoid that Can Aggravate Your Rosacea

Every individual’s skin is different, and not all skin care products work for everyone. If you have Rosacea, there are a handful of products that are best to avoid as they’ve been known to make symptoms worse or bring about flare-ups. 

• Topical steroids on the face, especially if used for more than a few days. 
• Cosmetics and hair sprays that contain alcohol, witch hazel, menthol, camphor, eucalyptus oil, propylene glycol, or fragrances. Instead of these products, I recommend L’Oreal alcohol-free hairspray.
• Soaps, astringents, and alcohol-based toners. 
• Chemical peels or acids, including glycolic acid and hydroxy acids, exfoliants, and dermabrasion. 
• Sodium lauryl sulfate, which is a common skin irritant present in many shampoos, and chemical sunscreens.  

When it comes to sunscreens, mineral blockers zinc and titanium are often best tolerated by individuals with rosacea.

Treatment Options for Rosacea

Avoiding triggers is a critical way to manage your Rosacea, but I also work with patients to identify treatment options that can help manage or mitigate flare-ups altogether. It’s important to note that there are different types of Rosacea, and treatment options differ depending on the type and severity of your Rosacea. 

Some treatment options can include:

• Antibiotics (typically Doxycycline): If Doxycycline is prescribed, be aware of common side effects and closely follow the recommendations for taking this medication.
• Oracea: Oracea is a lower dose of Doxycycline that acts as an anti-inflammatory rather than an antibiotic. This helps minimize the risks associated with the antibiotic dosing of doxycyline and is a safer long-term choice for rosacea. 
• Topical medications: I help my patients understand which topical treatment is best for their Rosacea. 
• Laser treatment: Typically, laser treatments are used in conjunction with one of the above treatment regimens and depends entirely on your specific type and severity of Rosacea.  Laser treatment for rosacea are not covered by insurance.

What Can You Do to Manage Your Rosacea at Home?

After you have seen your dermatologist and identified the best treatment plan for your Rosacea, there are other steps you can take at home to adjust your skin care routine for better Rosacea management. 

Simplify, simplify, simplify. Keep your skin care routine simple. The more products you’re using on your face, the more irritated your skin can become, which can trigger Rosacea symptoms. 

Wash your face. A gentle wash with lukewarm water and a soap-free unscented cleanser is perfect for your face. Don’t scrub or rub your skin. My favorite products include:

• CeraVe Hydrating Cleanser
• Cetaphil Gentle Cleanser
• Neutrogena Ultra Gentle Hydrating Cleanser
• Vanicream Gentle Facial Cleanser
• Avene Antirougeurs Clean 

Establish a regimen. Any prescription medications should be applied prior to any other products. 

Tackle dry skin right away. Apply thicker moisturizers to dry skin, such as CeraVe, Cetaphil, or Vanicream Moisturizing Skin Cream to mitigate dry skin before it becomes worse. 

Protect your skin! Apply a sunblock every morning with an SPF of at least 30. As I mentioned, physical sunblocks containing Zinc Oxide and/or Titanium Dioxide over chemical sunscreens are recommended for sensitive skin and are typically better tolerated by individuals with Rosacea. My favorite sunscreens include:

• La Roche-Posay Anthelios Mineral Tinted or Un-tinted SPF 50
• Cetaphil or CeraVe Mineral SPF
• Elta MD UV Elements 44 (Tinted in moisturizing base with antioxidants)

Switch up your makeup. Tinted SPF or mineral-based makeup is recommended for individuals with Rosacea as the minerals sit on the surface of the skin rather than being absorbed. You should avoid:

• Liquid makeups, which contain emulsifiers which can irritate the skin
• Mineral makeup that contains bismuth oxychloride, a common skin irritant that can cause facial redness and rash
• Oil-based and/or waterproof makeup

I recommend using makeup made by Neutrogena Mineral, Clinique Mineral, and Jane Iredale. 

When Should You Schedule a Visit With Your Dermatologist?

I recommend that you schedule a visit with your dermatologist as soon as you begin experiencing Rosacea symptoms. Because it is a chronic condition with no known cause or cure, it’s best to speak with a professional rather than try and treat it at home.

When you schedule an appointment with me, I first listen to your symptoms and concerns, perform an examination of the affected skin, and work with you to establish a treatment plan. You can expect to see improvements within the first few weeks of treatment, with ideal and more noticeable improvement occurring between eight and 12 weeks. 

I know Rosacea, like any skin condition, can be difficult to manage and frustrating to live with. However, the best way to manage it and get back to your life is to work with a dermatologist to establish the best treatment plan for your specific situation. 

I’d love to meet with you to start a conversation about treating your Rosacea. Schedule an appointment with me at Optima Dermatology’s Milford, OH practice for an initial consultation and to get started on a path to healthier, happier skin. 

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We welcome Double Board-Certified and Fellowship-Trained Mohs Surgeon Dr. Brienne Cressey to Our Stratham, NH Practice

Optima Dermatology is pleased to announce the addition of Dr. Brienne Cressey MD, MBA, FAAD, FACMS, to our Stratham, NH practice. Dr. Cressey will offer expert Mohs Micrographic Surgery and medical aesthetics treatments to the Seacoast region.

Dr. Cressey has been serving patients in the Seacoast region of New Hampshire since 2017, and has performed more than 8,000 Mohs Micrographic procedures. She has also provided medical aesthetics treatments, including VBeam ®, Fraxel®, and Halo® Hybrid Fractional Laser.

After receiving her MBA with a focus on healthcare management from Brandeis University, Dr. Cressey continued on an educational path aimed at dermatological studies. She graduated from Tufts University School of Medicine with highest honors, and completed her residency in dermatology at New York Presbyterian Weill Cornell, where she was named Chief Resident and received multiple awards, including the Derm Mentor Resident of Distinction award. 

As a Dermatologic Oncology Fellow at Dermatology Professionals in Rhode Island, Dr. Cressey worked under Dr. Nathaniel Jellinek to complete her Fellowship in Mohs Micrographic Surgery, facial reconstruction, and lasers and cosmetics. 

Dr. Cressey is currently a member of the American College of Mohs Surgery, the American Academy of Dermatology, and the American Society of Dermatologic Surgery. She has authored more than 25 peer-reviewed articles in major academic journals, including the Journal of Surgical Education and the Journal of the American Academy of Dermatology. 

A Perfect Combination of Expertise and Care

Dr. Cressey brings well-earned knowledge and expertise in Mohs Micrographic surgery and a range of dermatological services, and delivers these skills with the highest level of care and compassion. 

Her approach to patient care is perfectly aligned with Optima Dermatology’s overall mission: to treat every patient like we would our family. 

We recently had the opportunity to learn more about Dr. Cressey, her approach, and the path that led her to become a double board-certified Mohs Surgeon and Dermatologist.

Where did you go to college?

University of Maine, where I studied Biochemistry and Chemistry. I then went to Tufts University for medical school.

What made you decide to pursue a career in dermatology and Mohs surgery specifically?

I always enjoyed the complexity of dermatology and the procedural portion of the field. I’m able to combine Mohs surgery with my favorite aspects of medicine.

What can patients expect from Mohs surgery treatment? What advice would you share with a nervous patient?

Mohs surgery provides the best clearance rate for skin cancer. I aim to keep my patients informed and comfortable during the procedure. My team and I want to make it as positive of an experience as possible.

What is your number one tip when it comes to taking care of your skin?

Sunscreen and sun-protective clothing!

If there is one thing you want your patients to know about you, what would it be?

I am originally from Maine and love being able to provide Mohs surgery and reconstruction for my patients in New England. I’m happy to offer great care close to home.

What is your favorite aspect of being a micrographic dermatologic surgeon?

I love getting to know my patients and hearing their life stories. I have many repeat patients whom I’ve gotten to know well over the years and whom I love to see.

What is your approach to treating your patients?

I treat my patients how I would want my family and friends to be treated. I want all my patients to have a good experience and be happy with their care.

What do you like to do when you are not in the office treating patients?

I like to spend time with my husband and daughter. We love the New Hampshire outdoors and spend time swimming, fishing, or cross-country skiing at the lake whenever possible.

What to Expect From Medical and Surgical Care From Dr. Cressey and the Stratham Team

If you’re seeking dermatological care, no matter how routine or complex, Dr. Cressey and her team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care. 

Dr. Cressey is currently accepting new patients at our Stratham, NH practice.. For Mohs referrals, email referral@optimadirect.md or call (603) 699-9001. For all other services, you can request an appointment online or give us a call at (603) 942-2171.

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Guidelines to Follow, Products and Treatments to Use – and What to Leave Behind

We’re back with another Derm Deep Dive, a series where we provide expert advice from one of our board-certified dermatologists about a specific topic in skin care. For this edition, we’re speaking with Dr. Daniel Cuozzo, DO, FAAD, about skin care guidelines and trends to bring into 2024 – and what to leave behind in 2023.

Dr. Cuozzo, who serves patients at our Scarborough, ME practice, was recently interviewed on this topic by Maine news station WGME 13 for its Ask the Expert segment. You can watch the complete interview here!

Skin Care Guidelines You Should Follow in 2024

Although we’re talking about trends, two approaches to skin care never go out of style and should be viewed as more routine practices than trends. 

There are also two new trends that you may consider exploring in 2024. 

A Skin Care Trend to Leave Behind 

We’ve all heard the term “New Year, New You” – well, here is one trend that shouldn’t be included in your “new you” approach to skin care. 

Nasal Tanning Spray

If you haven’t heard of this trend, don’t worry – I’m not recommending it to any of my patients. The primary ingredient in nasal tanning spray, Melanotan II, is intended to help trigger a temporary darkening of the skin when this product is inhaled. However, it is a synthetic ingredient and is not FDA-approved and unregulated, so it has the potential to be dangerous to your health.

If you have concerns about your skin or want to discuss the best approach to your skincare, I’d love to meet with you. If you live in the greater Portland, Maine area, schedule an appointment with me at Optima Dermatology’s Scarborough, ME practice for an initial consultation and to get started on a path to healthier, happier skin. 

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Meet Board Certified Nurse Practitioner Trevor Lippincott

Optima Dermatology is excited to introduce Trevor Lippincott, MSN, APRN, FNP-C, who will be treating patients in Salem, NH, and Stratham, NH. Trevor offers dermatology treatments to patients of all ages for various skin conditions. 

Trevor has been serving patients around New England since 2014 and has trained under many experienced providers, including Optima’s board-certified dermatologists Dr. Ryan Karmouta, Dr. Molly Cowdrey, and Dr. Jennifer Stead.

Trevor completed his Bachelor of Science in Biomedical Science from the University of New Hampshire. After working in the research field, Trevor went on to complete his Accelerated BS in Nursing from Massachusetts College of Pharmacy and Health Sciences University (MCPHS). Trevor continued on to complete his Master of Science in Nursing from Carson-Newman University. Trevor is a member of the American Association of Nurse Practitioners, the Society of Dermatology Nurse Practitioners, and the Dermatology Nurses’ Association.

Adding to Trevor’s experience is the time he spent as a registered nurse in the emergency room, clinical site lead, and certified dermatology technician (CDT).

Blending Expertise, Compassion, and a Personalized Approach

Trevor applies his years of medical and dermatological experience to every patient interaction, delivering the highest level of care and compassion. 

His approach to patient care mirrors Optima Dermatology’s overall mission: to treat every patient like they are our family. 

We recently had the opportunity to learn more about Trevor, his approach, and the path that led him to become a board-certified nurse practitioner.

Where did you go to college?

I went to the University of New Hampshire for my undergraduate degree in Biomedical Science. After working at a dermatology practice as a scribe and medical assistant for many years, I decided to go back to school to become a registered nurse at MCPHS University. I worked in the emergency room for years and decided to advance my career and become a nurse practitioner, pursuing my Masters at Carson-Newman University.

What made you decide to pursue a career in dermatology? What did the path to get there look like?

After my undergraduate degree, I wasn’t sure what I wanted to do next. I worked in the research field as a research assistant, but I quickly missed interacting with other people. When I was working as a medical assistant and scribe, I appreciated the opportunity to work with patients and immerse myself in the medical field. It didn’t take long for me to fall in love with dermatology. I worked as a scribe and medical assistant for many years before I decided to go on to get my nursing degree.

Going into nursing school I was confident I would want to continue for my NP, but I really wanted to work at the bedside as a nurse first. I loved the fast-paced environment of the emergency department and caring for the sick, emergent critical patients on their worst days. It was a privilege to do for so many years, but it wasn’t my passion.

I have been working in dermatology in some fashion since November 2014, and over time I have deepened my understanding of dermatology through working with many experienced providers. During my time in the emergency room and through NP school, I kept working in dermatology as a nurse. I opened Optima’s Salem, New Hampshire clinic in September 2022, and I have loved watching our team grow! I’m honored to have held so many different roles within dermatology and to now be practicing as an NP.

What are your favorite aspects of dermatology?

I love being able to visualize the skin and provide care to all ages! There are several facets to dermatology, including medical, surgical, and cosmetic. There is so much to learn and a lot of skills to master. Treating chronic conditions can be frustrating for patients but going alongside them and seeing their results is an amazing process to be a part of!

On your journey to becoming a board-certified nurse practitioner, what was the best advice you were given?

Have a goal in mind and continuously remind yourself of it. The healthcare system is full of interdisciplinary members and it’s imperative to work as a team to care for patients. We all bring value and importance to caring for patients.

What is your number one tip when it comes to taking care of your skin?

Protect your skin from sun damage as early as possible! There are so many easy options to minimize sun exposure, including shade, sunscreens, and UPF clothing. Find a sunscreen product that you like, and wear it daily! Make it a part of your daily regimen. Enjoy your life and try to protect your skin along the way.

How would you describe your approach to treating patients?

I like to work alongside my patients. When I see patients in the office I like to ask, “What would make you the most comfortable?” or “What do you think?”  I can offer various treatments and other therapies but ultimately it is the patient’s decision. I want to educate and empower my patients with their options to help them feel comfortable in their skin. Whether it is a lesion that concerns them or an extensive rash, I want to come together with my patients and make them as comfortable as possible in their skin and pursue options that best fit their goals.

What do you like to do when you are not in the office?

I love working out, getting fit, and staying active! You’ll find me spending time with my family and friends. I love being at the beach (with lots of sunscreen of course) and adventuring around the fun restaurants and places in New England.

What to Expect From Dermatological Care Delivered by Trevor and His Team

If you’re seeking dermatological care, no matter how routine or complex, Trevor and his team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care. 

Trevor is currently accepting new patients at our Salem and Stratham, NH, locations. Request an appointment online or give us a call at 603-942-2020.

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Here’s What You Need to Know About Mohs Micrographic Surgery for Skin Cancer

Mohs surgery is considered to be the most effective technique for treating skin cancer and has been shown to result in cure rates of up to 99% in skin cancer patients. We’re proud to offer this surgery to our patients at two Optima Dermatology locations. If you have been diagnosed with skin cancer, Mohs surgery can be a great option. Providing Mohs surgery uniquely allows Optima Dermatology to deliver a full scope of skin cancer treatment in-house, making the treatment process easier for our patients.

Our board-certified micrographic dermatological surgeons, Dr. Brienne Cressey, who serves patients at our Stratham, NH practice, and Dr. Sherry Yu, who serves patients at our Macedonia, OH practice, have provided answers to the most frequently asked questions our patients have about Mohs surgery. Here’s what you need to know about this skin cancer treatment to help inform you of your options and how this approach can help.

Mohs Micrographic Surgery FAQs

Q: What is Mohs Micrographic Surgery and how does it work?

A: The Mohs procedure involves surgically removing skin cancer layer by layer and examining the tissue under a microscope until healthy, cancer-free tissue around the tumor is reached. This process allows the removal of all cancerous cells for the highest cure rate while sparing healthy tissue and leaving the smallest possible scar.

Mohs micrographic surgery is the gold standard for the treatment of skin cancers on cosmetically sensitive areas such as the face, areas with limited tissue mobility for wound closure like the hands/feet/scalp or shins, and for aggressive or recurrent skin cancers.

Q: When speaking to patients about Mohs surgery, how is the process explained?

In excisions, the tissue is sent to pathology, and slices are reviewed, similar to slices of bread. A larger skin margin is needed since the entire border is not evaluated.

However, Mohs surgery removes and processes skin cancer with a small healthy tissue margin. A helpful comparison is to think of it as a pie crust and pie filling. The pie filling is the tumor and the healthy tissue margin is the pie crust.

We remove a narrow healthy tissue margin around the skin cancer and examine the entire peripheral margin and deep margin (pie crust). If any skin cancer is identified, we take an additional margin of skin in that area. Once the “pie crust” is 100% clear, we know the tumor has been removed. This process provides the highest cure rate.

Q: When would a dermatologist recommend Mohs surgery over other skin cancer treatment options?

Mohs surgery is most often recommended for skin cancers on the face, neck, hands, and feet where it is most important to spare as much normal skin tissue as possible. It is also ideal for situations where tumors may be large, aggressive, or recurrent.

Q: What are the advantages of Mohs surgery for skin cancer removal?

Because the entire skin margin is evaluated, Mohs surgery conserves tissue as it requires a smaller margin of normal tissue compared to standard excisions. There is precise microscopic control of the entire tumor margin and as a result, Mohs surgery is the most highly effective approach to skin cancer treatment.

By maintaining skin tissue, Mohs surgery helps cure patients while protecting the areas of their skin that require treatment.

Q: What can patients expect from Mohs surgery?

Patients should expect to be at our office for several hours on the day of surgery. After surgery, they will go home with a large bandage and likely have some restrictions in activity for several days to several weeks.

Mohs surgery is performed using a local anesthetic to numb the area. We talk to each patient during the procedure so you are aware of what is going on. Once clear skin margins are obtained, the area is often sutured to provide the best cosmetic outcome possible.

Next, we asked each of our Mohs surgeons a little bit about their career paths and backgrounds. Exception patient care is at the core of what we do at Optima Dermatology, and our surgeons are truly experts in their field.

Q: What type of education and training is required to become a Mohs surgeon, and what led you to choose this particular career path?

Dr. Sherry Yu: I earned my medical degree from Case Western Reserve University in Cleveland, Ohio. I completed my residency in dermatology through the Harvard Combined Dermatology Residency Training Program and a fellowship in Mohs micrographic surgery and dermatologic oncology at Yale University School of Medicine.

I have always liked the balance of medicine and surgery in dermatology and, more specifically, Mohs surgery. Additionally, much of my academic research has focused on how medical conditions affect quality of life and how many chronic skin diseases have been shown to have a significant impact on patients.

Dr. Brienne Cressey: I studied Biochemistry and Chemistry at The University of Maine. I then went to Tufts University for medical school where I received my MD and MBA, followed by my internship at Memorial Sloan Kettering Cancer Center and a dermatology residency at New York Presbyterian-Weill Cornell in New York City.

I then continued to be a Dermatologic Oncology Fellow at Dermatology Professionals in Rhode Island, working under Dr. Nathaniel Jellinek to complete my Fellowship in Mohs Micrographic Surgery, facial reconstruction, and lasers and cosmetics.

I have always enjoyed the complexity of dermatology and the procedural aspect of the field. I’m able to combine Mohs surgery with my favorite aspects of medicine to deliver the most impactful and well-rounded patient care.

Q: Do you work with dermatologists outside of Optima Dermatology, and what do those relationships look like?

We do – and we are very grateful for our outside referring dermatologists and their patients. We strive to keep your dermatologist in the loop and will send them information when you have scheduled your appointment and again when you have had your surgery. After surgery, you will return to your dermatologist for regularly scheduled follow-ups.

We work with dermatologists at the VA, other dermatology practices, and primary care practices in the area. Our offices receive biopsy pathologies and referrals. Once this information is received, our team will contact you to review the Mohs procedure, discuss your expectations and concerns, answer any questions, and schedule your appointment.

Optima Dermatology offers Mohs surgery at our Stratham, NH, and Macedonia, OH locations. You can call us at (855) 277- 9689 to learn more!

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White Delivers Expert Medical Dermatology Treatments to Patients

Optima Dermatology is excited to introduce Michelle White, NP-C, who provides medical dermatology services for patients in Bedford, NH. Michelle has been serving patients in New England since 2009 and treats a wide range of skin conditions for patients of all ages.

Michelle earned her Bachelor of Science in Nursing from the Massachusetts College of Pharmacy and Health Sciences University and continued at MCPHS University to earn her Master of Science in Nursing degree as a Family Nurse Practitioner.

Throughout her education, Michelle was a member of Sigma Theta Tau International, a National Nursing Honor Society. She is also a member of the American Association of Nurse Practitioners, the Massachusetts Coalition of Nurse Practitioners, and the American Academy of Family Physicians.

A Passionate, Patient-Centered Approach

Michelle brings a passion and commitment to skin care and her patients’ skin health that aligns with Optima Dermatology’s overall mission: to treat every patient like they are our family. She understands it can be intimidating and difficult to seek help with skin issues and takes the time to listen to and understand her patients’ concerns while providing an inviting, relaxing atmosphere.

We recently had the opportunity to learn more about Michelle, her approach, and the path that led her to become a board-certified nurse practitioner.

Where did you go to college?

I originally wanted to be a veterinarian as a childhood dream. As such I first went to the University of New Hampshire and obtained a Bachelor of Science in Animal Science: Pre-Veterinary Medicine. I later realized my love for nursing and dermatology. I went back to school after 10 years for nursing and shortly thereafter for my master’s in nursing as a nurse practitioner from MCPHS University in Manchester, NH.

What made you decide to pursue a career in dermatology?

While I was working in the veterinary field, I was placed in the dermatology department. A veterinarian made a comment that she saw me as a “nurse practitioner” of the veterinary world.  Since this position didn’t exist, I started thinking seriously about becoming a nurse practitioner in the specialty I was familiar with. It was obvious during my clinical rotations that dermatology was where my heart directed me. All the while, I had been working at a dermatology practice since 2007 and throughout my education, which heightened my drive for this specialty. Having a mother who is a retired registered nurse for a dermatology practice also gives me the feeling it’s genetic.

What is your number one tip when it comes to taking care of your skin?

Sun protection. Having a fulfilling life is important and to be completely fulfilled, we need to do what is necessary to preserve the health of our skin. As skin cancer is the most commonly occurring type of cancer, protection from UV exposure is important. And sunscreen is only one type of protection. There are numerous options to protect our skin, including UPF clothing, sunglasses, umbrellas, wide-brim hats, avoiding high UV peaks – and more. Having options for how we can protect our skin gives us the ability to live life to the fullest along with ensuring a healthy glow.

If there is one thing you want your patients to know about you, what would it be?

My family is my life. Providing the best care to my patients is like welcoming them to the family.  My patients are excited when their skin conditions resolve, as am I. They are also disappointed and frustrated when their skin conditions do not improve as quickly as expected. I feel that frustration too. For these reasons, I’m committed to working together as a team with each patient to create a plan that will work best for them and that will deliver the best possible outcome. I care for them both during our time together and in the long run.

On your journey to becoming a board-certified nurse practitioner, what was the best advice you were given?

Never be afraid to lean on your colleagues and to think outside of the box. The best care comes in the form of the team approach. My goal for my patients is to provide the best care I can give as if they were family, and to do so often means leveraging other medical providers who can help find the answers to a patient’s health condition. I don’t claim to “know it all” and rely heavily on evidence-based practices from research and colleagues who may have additional experiences that have worked well for their patients. On occasion, some patients may even be referred for second opinions because, at the end of the day, it’s not always a straight line to a resolution. Getting the care my patients need is of utmost priority and is done with the patient’s best interests at heart.

What is your approach to treating your patients?

Coming to see a provider for the first time or repeat times can be uncomfortable for some, especially when they are asked to disrobe. My approach for all my patients comes with humor to lighten the tension, and honesty above all else. I provide professional care as expected but believe in humor and conversation to fill the “void” and ease discomfort. If the patient is talkative, I am a great listener. If the patient is shy, I can gauge how much conversation and humor is appropriate. Overall, not only will the patient have a very thorough exam and expert advice, but they will always leave with a good experience that was not as intimidating as they may have expected.

What do you like to do when you are not in the office treating patients?

My family is my life, and my daughter is my favorite person. Any opportunity I have to spend the days away with her along with my multiple animals (dogs, cats, fish, chickens, and ducks) are the best days. I’m a homesteader enthusiast so most days I am working on my property with the animals and landscape or indoors preserving the bounties of my harvest. Summer is my all-time favorite season and all the activities that come along with it such as going to the beach, Canobie Lake Park, water parks, Six Flags, kayaking, fishing, hiking, you name it.

What to Expect From Dermatological Care Delivered by Michelle and Her Team

If you’re seeking dermatological care, no matter how routine or complex, Michelle and her team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care.

Michelle is currently accepting new patients at our Bedford, NH location. Request an appointment online or give us a call at 603-942-2003.

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Meet Board-Certified Physician Assistant Ally Schmerge

Optima Dermatology is excited to introduce Ally Schmerge, PA-C, who provides medical, surgical, and cosmetic dermatology services for patients in Bloomington, IN. Ally offers treatments to patients of all ages for a wide range of skin conditions.

Ally has been serving patients since 2021 and has had many years of education and training in the dermatology field.

Ally earned her Doctor of Medical Science and Master of Physician Assistant Studies from Butler University, where she was a member of the Order of Omega Honor Society and an ambassador of the Physician Assistant Student Ambassadors program. She also co-authored numerous publications.

Throughout her education and training, Ally completed multiple clinical rotations, including dermatology, women’s health, family medicine, emergency medicine, and more.

Before completing her DMS and Masters, Ally graduated Cum Laude from DePauw University with a bachelor’s degree in Cellular & Molecular Biology and a minor in Chemistry.

Ally is a certified NCCPA Physician Assistant and is a member of the Indiana Academy of Physician Assistants, and the American Academy of Physician Assistants.

Ally is committed to helping patients learn about and practice skin cancer prevention, and in her Doctor of Medical Science program, she constructed a research proposal focused on the early detection of malignant melanoma in rural U.S. counties.

A Passionate, Patient-Centered Approach

With a passion for all things skin care, Ally’s approach to her patients mirrors Optima Dermatology’s overall mission: to treat every patient like they are our family. She takes the time to listen to each patient and will develop a personalized skin care plan to treat your unique needs.

We recently had the opportunity to learn more about Ally, her approach, and the path that led her to become a board-certified physician assistant.

Where did you go to college?

I completed my undergraduate degree in Cellular & Molecular Biology, with a minor in Chemistry, at DePauw University. I then attended Butler University for my Master of Physician Assistant Studies and Doctor of Medical Science.

What made you decide to pursue a career in dermatology? What did the path to get there look like?

I have been passionate about dermatology from a young age. My own acne journey allowed me to understand how much skin health can affect confidence. I kept an open mind in PA school as I completed rotations in various specialties, but my elective rotation in dermatology reinforced my enthusiasm for helping patients take care of their largest organ, the skin!

What is your favorite aspect of dermatology?

My favorite aspect of dermatology is the ability to have continuity of care and develop relationships with my patients. The years of studying are so worth it when I can contribute to my patients attaining healthier skin, boosting not only their physical well-being but also enhancing their self-confidence.

On your journey to becoming a board-certified physician assistant, what was the best advice you were given?

Even before starting PA school, I recognized that healthcare is a multidisciplinary field. During my rotations, however, the teams I worked with allowed me to develop an even deeper understanding of how this impacts patient care. Each member of the team brings unique expertise and skills to the table. I witnessed that leveraging this collective knowledge can accomplish greater outcomes for our patients than what any single individual can achieve alone. Implementing this practice ensures a comprehensive and well-rounded approach to healthcare, addressing the diverse needs of my patients.

What is your number one tip when it comes to taking care of your skin?

Skin care isn’t a “one size fits all” thing! Take the time to learn about your skin type — normal, oily, combination, dry, or sensitive — and what kinds of products are best suited for your skin type.

How would you describe your approach to treating patients?

I am an active listener. As providers, it can be tempting on busy clinic days to go into the patient room with a predetermined treatment plan. When I walk into the room, I want to hear about what has or hasn’t worked, and what my patient is willing or not willing to try. Then, together, we create a personalized treatment plan.

What do you like to do when you are not seeing patients?

When I am not in the office, I love to spend quality time with my family and friends. I also enjoy being outside, especially taking walks or hiking, traveling to new places, and reading a good book. My husband, Taylor, and I recently moved to Bloomington, so we are looking forward to exploring our new city and trying new restaurants.

What to Expect From Dermatological Care Delivered by Ally and Her Team

If you’re seeking dermatological care, no matter how routine or complex, Ally and her team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care.

Ally is currently accepting new patients at our Bloomington, IN. location. Request an appointment online or give us a call at 812-200-2458.

The post Ally Schmerge Delivers Exceptional Medical and Surgical Dermatology Treatments appeared first on Optima Dermatology.

Board-Certified Dermatologist Dr. Stead Shares the Best Products

We’re back with another Derm Deep Dive, a series where we provide expert advice from one of our board-certified dermatologists about a specific topic in skin care. For this edition, we’re speaking with Dr. Jennifer Stead, DO, FAAD, from our Bedford, NH practice, about the best products to combat dry skin and help you maintain a healthy and effective skincare routine.

It’s important to take care of your skin in the morning and again at night before you go to bed. Dr. Stead recommends the following morning and nighttime products.

Morning Skin Care

Set your skin up for success every day. A good morning skincare routine helps protect your skin from exposure to UV rays, dirt, bacteria, sweat, and other damaging factors.

Try these products to give your skin a barrier against anything your day throws your way.

Revision Gentle Foaming Cleanser

This soothing, soap-free foam cleanser gently and effectively cleanses skin with a rich, velvety foam. The combination of chamomile, aloe vera, and allantoin helps calm and moisturize skin, leaving it feeling smooth and soft.

Revision Soothing Facial Rinse

This calming, alcohol-free formula gently hydrates and refreshes skin with each cleanse. A unique blend of plant and algae extracts leaves skin feeling soft and smooth and helps keep skin at its optimum pH level.

Alastin HA

Instantly boost skin hydration with this hyaluronic acid serum that promotes long-term skin plumping, anti-aging, and hydration, while also minimizing the appearance of fine lines and wrinkles.

Nighttime Skin Care

A nighttime skincare routine is the perfect way to wind down, and it doesn’t have to be complicated! First, wash away dirt and impurities with the Revision Gentle Foaming Cleanser used in your morning routine. Your skin revitalizes itself during the night, so why not give it some help with skin care products that repair and rejuvenate the skin while you sleep?

EltaMD Skin Recovery Night Mask

This nighttime mask repairs and regenerates skin three times faster at night than during the day, making it a staple of your nighttime skin care routine. It helps strengthen the skin barrier, visibly reduces redness, improves hydration, and gives your skin a well-rested, radiant glow. Plus, it is free of dyes, fragrances, and parabens, is non-comedogenic, and is suitable for sensitive and acne-prone skin types.

Isdin Melatonik

Try this restorative nighttime serum-in-oil, which works while you sleep to help your skin recover from daily stresses. Its 3-in-1 formula contains melatonin, bakuchiol, and vitamin C, which together stimulate your skin’s natural antioxidant defenses and help restore vitality and elasticity for healthy, more radiant skin.

Sticking to a Healthy Routine

Remember that consistency is key. Try to maintain a regimen for three months for proper evaluation, and don’t give up too quickly. If you are testing too many products at once or moving on after a couple of weeks, it’s hard to know what’s working!

Are you in the Manchester area, or are you in a different state and have concerns about your skin? Do you want to discuss the best approach to your skincare? Schedule an appointment with one of our dermatologists or providers for an initial consultation and to get started on a path to healthier, happier skin.

Please note that the available skin care products vary by location.

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Cosmetic treatments are for everyone! Aesthetic services have continued to gain popularity amongst men in recent years, particularly procedures that address the top three areas men are most concerned about – the hairline, jawline, and eyes. There are a range of non-surgical treatment options to help provide a refreshed, rejuvenated, and natural look. Dr. Gregory Delost of our Mentor, OH practice recently joined Nicole Marcellino of New Day Cleveland to talk about treatment options for these top concerns. Check out the full interview to learn more!

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Rosacea Awareness Month: 4 Steps to Manage Rosacea

We’re back with another Derm Deep Dive, a series where we provide expert advice from our team of board-certified dermatologists about common skin conditions and treatment options. For Rosacea Awareness Month, we’re collaborating with Dr. Amy Polster and Dr. Meredith Reimer on how to manage this skin condition.

If You Have Rosacea, Here’s What You Should Know

Rosacea has a reputation as simply being facial redness, but it is more complicated than that. Importantly, rosacea is a chronic condition that can cause noticeable inflammation on the cheeks, nose, chin, forehead, or eyelids, which can then lead to redness, broken blood vessels, swelling, pimples, or pustules.

The National Rosacea Society reports that rosacea affects about 16 million Americans. While there is no known cause or cure for this chronic condition, it can be successfully managed and controlled with the right treatment plan.

Rosacea Awareness Month is an important time for us to remind everyone suffering from this common skin condition that you aren’t alone and there is help out there! Here are 4 simple steps to help manage your rosacea.

STEP 1: Identify Potential Triggers

The first step is to work with your dermatologist to identify what might be triggering your rosacea. Triggers can include any of the following:

• Sun exposure
• Hot or cold weather conditions, including humidity or indoor heat
• Hot baths, showers, hot tubs, or saunas
• Heavy exercise
• Alcohol consumption, especially red wine
• Harsh winds
• Emotional stressors, such as anger, anxiety, embarrassment, or general stress
• Certain foods, including spicy foods, aged cheeses, dairy products, and some chocolates
• Hot drinks, including coffee and tea

STEP 2: Create a Management Plan with Your Dermatologist

Second, your dermatologist will provide guidelines to help determine the best ways to manage your specific triggers. When it comes to triggers that exist in your everyday life, there are some best practice lifestyle changes that can help alleviate symptoms:

• On hot, sunny days, seek out shade, wear protective clothing, and use sunscreen with an SPF of 30 or higher
• Protect your face and neck from cold weather, especially harsh winds
• Try to manage emotional stress through deep breathing exercises, meditation, or calming, relaxing activities like yoga or simply reading a book.
• Keep showers short to avoid overheating. If exercising, recognize when it’s time to take a break and drink water, and keep cold water on hand.
• Choose white wine instead of red if alcohol is a trigger, or try to avoid alcohol and opt for a mocktail or water.

Rosacea may be caused by triggers that are harder to pinpoint, or it may not be responsive to lifestyle changes. In addition to lifestyle changes, there are other treatment options your dermatologist may consider, including:

• Topical medications
• Oral antibiotics
• Laser treatments to treat broken blood vessels on the face, such as VBeam®

STEP 3: Give it Time

It’s important to remember that because rosacea is a chronic condition, symptoms won’t alleviate right away. Additionally, every patient is different, and the dermatologists at Optima Dermatology recognize that what works for one of our patients may not work for another.

The right treatment plan could take time to identify. We may have to try a few different therapies before we find one that works for your specific form of rosacea. Patients should allow up to 12 weeks for a treatment plan to do its job. Time to remission may vary – and therefore, patience is key.  

STEP 4: Stay Consistent

If you’re trying to eat healthier, having a vegetable with dinner one time won’t do much for your overall health. Making any kind of lasting impact requires consistency and a dedicated effort. To truly prevent flare ups – or at least minimize their frequency and severity – you need to be consistent with your treatment and not just treat your rosacea during flare ups.

It can be frustrating to have to wait for results, especially when dealing with an issue that impacts your appearance. However, rosacea treatment takes time and commitment. Improving a skin condition is part of our overall health and wellness, just like eating more vegetables. Consistency and patience will generate better results.

Are you located in the Cleveland area and experiencing signs and symptoms of rosacea? Do you need help identifying triggers and creating a treatment plan? Request an appointment today!

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Vitiligo is am autoimmune disease that affects 70 million people worldwide. While there’s no one cure for Vitiligo, a dermatologist can offer treatment plans to help restore a person’s natural skin tone and reduce vitiligo from spreading to other areas. Board-certified dermatologist, Dr. Gregory Delost recently sat down with New Day Cleveland to discuss the commonality of Vitiligo, the different types, and newly available treatment options, including Ruxolitinib Cream with results shown in the photos to the right. If you have vitiligo, it’s important to seek treatment with a dermatologist sooner rather than later! Check out the full interview to learn more from Dr. Delost.

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Winholt and Her Team Provide Expert Medical Aesthetic and Cosmetic Dermatology Treatments

The newest addition to Optima Dermatology’s Milford, OH practice is board-certified Nurse Practitioner Sarah Winholt, FNP-C, who brings several years of expertise servicing patients in the Cincinnati and Columbus regions. 

Sarah has advanced training and extensive experience performing a range of cosmetic treatments, including neurotoxin injections – such as BOTOX® and Dysport® – dermal filler, laser treatments, microneedling, and more. 

Sarah, who is a member of the American Academy of Nurse Practitioners, earned her Bachelor of Science and Master of Science in nursing from the University of Cincinnati, and she also holds a Bachelor of Science in Health and Rehabilitative Sciences from Ohio State University. 

Before focusing her career on medical aesthetics, Sarah worked as a Family Nurse Practitioner in an urgent care clinic, where she diagnosed and treated common dermatologic conditions. She also spent several years working as a critical care Registered Nurse (RN) in a hospital. 

A Patient-Centered and Care-Focused Approach

Having always been passionate about skin care, Sarah puts every patient at the center of her care, offering a personalized and thoughtful treatment experience. 

Sarah’s approach to care reflects Optima’s mission to treat all patients the way we would want our family and friends to be treated. Sarah makes it a point to ensure her patients understand every aspect of their diagnosis and treatment and enjoys collaborating with her patients to develop a customized treatment plan. 

We recently had the opportunity to learn more about Sarah, her approach, and the path that led her to become a board-certified nurse practitioner.

How/when did you know you wanted to be a Nurse Practitioner? Were you always interested in dermatology and aesthetics and what was your path to get here? 

I always thought that I wanted to be a physical therapist. I played competitive soccer when I was younger, and I was always in and out of PT for different injuries. This gave me a lot of insight into that career. In undergrad, I started meeting nursing students and they were always so passionate about their career that it was very intriguing to me. I took a course to receive a nursing aide certification and I absolutely loved it. This is when I decided to make a career change.

I have always been passionate about skincare from a young age, so I knew that specializing in dermatology was my goal. I worked bedside as a critical care RN before graduating with my FNP. I wanted to be very experienced before I started working as a Nurse Practitioner. I have been a Nurse Practitioner for the past 5 years and I have specialized in cosmetic dermatology for the last 3 years.

What is your number one tip when it comes to taking care of your skin? 

Always protect your skin and apply SPF every day. The trick is to find a SPF that you love so you don’t mind putting it on every morning. There are so many great medical-grade SPF products out there right now. I can help you find your perfect match! 

What is your favorite aspect of being in dermatology? 

I enjoy creating customized treatment plans for my patients. It is rewarding to see the improvement of my patient’s skin and the confidence that it gives them. Additionally, I like that we are always advancing and growing as dermatology providers. The cosmetic and medical dermatology fields are rapidly changing with new technology and advancements, which makes it exciting to be continually learning the latest dermatological procedures.  

What do you enjoy most about treating your aesthetic patients and what is unique about your approach? 

I enjoy helping each patient reach their aesthetic goal. There is no better feeling than giving my patients the mirror at the end of their cosmetic procedure and seeing their faces light up when they see their results.

I believe in taking a comprehensive and personalized approach to aesthetic treatments. I take the time to understand each patient’s concerns and goals, which allows me to customize the treatment plan. I take a very natural approach to reach the best possible outcomes.

Where are some unexpected areas you treat with dermal filler that produce great results? 

An unexpected area to treat with dermal filler is in the hands. Our hands are often the first sign of our age. We can replace the lost volume in our hands with several syringes of dermal filler and it gives a very beautiful and youthful result.

What do you like to do when you are not treating patients? 

I enjoy taking Pilates classes, walking on the bike trail with my dog, and traveling on the weekends. Now that spring and summer are approaching, I spend most of my free time at the lake with family and friends. I enjoy paddle boarding and boating – but really anything on the water!

What to Expect From Dermatological Care Delivered by Sarah and Her Team

Sarah and her team at Optima Dermatology & Medical Aesthetics offer exceptional services and have the advanced training and experience to ensure the highest quality of care. 

She is currently accepting new patients at our Milford, OH location. Request an appointment online or give us a call at 513-327-9244.

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May is Skin Cancer Awareness Month, an important time to educate about skin cancer prevention and early detection. Our skin is our largest organ, which makes it more susceptible to damage. Sun damage, as we know, is dangerous for our skin as it can lead to the development of skin cancer.

Compounding the risk is the reality that individuals often don’t get their skin checked by a dermatologist or conduct regular self-exams at home. Both are important ways to identify any abnormalities on the skin that should be tested or treated to rule out skin cancer. 

Early detection of skin cancer is key to making treatment more effective, and although skin cancer is usually visible, it often goes undetected without a professional dermatologist conducting a thorough skin check.

Skin cancer is the most common type of cancer in the U.S., with nearly 10,000 people diagnosed every day. These rates are only increasing – especially among women and those under the age of 40 – making spreading awareness a critically important mission.

In this post, we collaborated with a board-certified dermatologist of our Scarborough, ME, location, Dr. Daniel Cuozzo, to discuss how to check for skin cancer and identify abnormalities. We’re also going to walk you through something called the ABCDEs of Melanoma, which provides a guide to follow in what to look for to identify Melanoma skin cancer.

How to Perform a Self-Exam for Skin Cancer

The more regularly you conduct a self-exam, the more likely it is that you will notice any new or different spots on your skin and be able to intervene early. There are elements of our skin that naturally change over time, but you should always err on the side of caution and see a board-certified dermatologist with any concerns.

Here are the American Academy of Dermatology Association’s recommendations for how to perform a self-exam for skin cancer:

1. Use a full-length mirror in a brightly lit space to examine the front, back, right, and left sides of your body. Raise your arms to view hard-to-see places.
2. Examine your underarms, forearms, the palms of your hands, and your fingernails.
3. Look at the soles of your feet, your toenails, the spaces between your toes, and the backs of your feet and legs.
4. Examine your neck and scalp using a small hand mirror, being sure to part your hair for a better look at different areas of your scalp.
5. Check your back and buttocks, also using a hand mirror.

The ABCDEs of Melanoma

Melanoma is a serious skin cancer because it can spread from the skin to other parts of the body. Once it has spread deeper into the skin or other parts of the body, it becomes more difficult to treat. However, when detected and treated early melanoma is usually curable, making a compelling argument for self-exams and annual skin checks with your dermatologist.

When conducting a self-exam, here is the ABCDE rule for identifying the warning signs of Melanoma.

A – Asymmetry: One side of the mole is not like the other.

B – Border: There is an irregular or poorly defined border around the mole.

C – Color: The mole is multiple shades of color (usually brown), but can also be pinkish or even black.

D – Diameter: A mole diagnosed with Melanoma is typically the size of an eraser head or larger, but it can be smaller.

E – Evolving: Your mole either looks very different from other moles on your body or has changed in appearance from when you first noticed it. These evolutions can include color, size, or shape.

Beyond these points, any skin abnormality, especially one that does not heal, is bleeding, itching, flaking, or changing in shape, color, or size, should be looked at by a board-certified dermatologist to rule out skin cancer and treat any other skin issue you may be suffering from.

Check at Home – and With Your Dermatologist

We’ve talked a lot about the importance of skin checks at home and at least once each year with your board-certified dermatologist. Seeing a dermatologist annually is a perfect complement to self-exams, not only for skin cancer prevention but to manage any other skin issues.

Here is what you can expect from a full body skin check visit:

• A skin check appointment is typically about 10 to 20 minutes long and begins with a conversation about your specific concerns, medical and family history, and any questions you may have.
• Depending on your medical or family history, you may be considered a higher-risk patient, in which case we pay close attention to specific areas of the body that are more susceptible to skin cancer. This information also helps us know what to monitor over time.
• We conduct a full head-to-toe exam, making note of any areas of the skin that we should monitor or test.

Keep Your Skin Cancer Awareness & Prevention Going All Year Long

We can’t stress enough that skin cancer awareness is important all year round.

Prevention goes beyond skin checks – daily sun protection is critical and includes wearing sunscreen daily with an SPF of 30 or more, especially on areas that are regularly exposed like your face, neck, chest, and hands. You should also wear sun protective clothing and seek shade when the sun’s rays are the strongest, between 10am and 2pm.

Skin cancer awareness leads to prevention, detection, and greater success rates for treatment.

If you’d like to schedule a skin check to discuss your concerns and questions about your skin health, contact us today to set up an appointment with a provider in your area.

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May is Skin Cancer Awareness Month, an important time to discuss skin cancer prevention and early detection. Sun damage, as we know, is dangerous for our skin as it can lead to the development of skin cancer. When you protect your skin from the sun’s harmful rays, you reduce your risk of developing skin cancer and premature skin aging.  Dr. Gregory Delost of our Mentor, OH practice recently joined Nicole Marcellino of New Day Cleveland to talk about the common types of skin cancer, the importance of annual skin checks, and tips for choosing and applying sunscreen!

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Understanding Vitiligo and How to Reduce Its Appearance

We’re back with another Derm Deep Dive, a series where we provide expert advice from one of our board-certified dermatologists about common skin conditions or treatments. For Vitiligo Awareness Month, we’re speaking with board-certified dermatologist at our Mentor, OH location, Dr. Gregory Delost.

The Purpose of Vitiligo Awareness Month

In 2011, June was designated Vitiligo Awareness Month to help raise awareness and spread education about this skin condition that affects 70 million people worldwide.

Recognizing skin conditions within a designated month helps support individuals with these issues and promotes additional research toward treatment options and management strategies. Suffering from a skin issue can feel isolating and have an impact on our daily lives, but speaking openly, especially about lesser-known conditions like vitiligo, helps create a supportive community and widens access to treatment.

Vitiligo Awareness Month is an important time for Optima Dermatology and our team of skin care experts to remind everyone suffering from this skin condition that you aren’t alone and there is help out there!

While many individuals are happy living with vitiligo and consider it as part of their identity, many others struggle with this condition and need greater support and information about treatment and management.

In this blog, I’ll detail the best treatment options and the most effective approach for treating vitiligo.

What is Vitiligo?

Vitiligo is an autoimmune pigmentary disorder in which the immune system attacks melanocytes, the skin cells that produce pigment, affecting the coloring of the skin. Individuals with vitiligo will experience patches and spots of lighter skin that can occur in a small area or be more widespread. The level and amount of color loss can vary depending on the type and severity of your vitiligo.

Anyone can develop vitiligo regardless of skin color or tone. It is not contagious, but existing patches of discolored skin can become wider or spread to other areas of the body. The discolored patches are typically lighter than your normal skin tone or a milky white color.

There are different types of vitiligo, which I’ll explain in more detail below, and if you develop one type of vitiligo, it is possible for it to then develop into a different type over time. The best way to intervene with progression is with treatment and management.

Vitiligo can also mimic the symptoms of another skin disorder, tinea versicolor, a fungal infection on the skin that causes discoloration, so it’s important to see a board-certified dermatologist if you’re experiencing skin discoloration to ensure a proper diagnosis and treatment.

Different Types of Vitiligo

We classify vitiligo in two ways – its stage of development and its type.

Vitiligo has three stages of development:

Localized: A small patch or patches of lighter or discolored skin on one or a few areas of the body. Vitiligo may remain in the localized stage for months or years.

Generalized: Scattered patches of color loss across different areas of the body.

Universal: A rarer stage of vitiligo in which people lose most of their skin color.

Vitiligo can move into different stages throughout your lifetime, and there is no way to predict how much color loss will ultimately occur, or how large or widespread the patches will be.

When vitiligo appears, regardless of stage, it falls into three types based on its appearance:

Non-segmental vitiligo: With this type of vitiligo, patches of lighter skin will appear on both sides of the body, often on the same appendage or in the same location. This type of vitiligo can continue to grow as time passes.

Segmental vitiligo. This type of vitiligo typically affects one area or side of the body and after a certain amount of time, the color loss stops and the vitiligo stabilizes.

Mixed type vitiligo. This type of vitiligo is rare, but individuals who have mixed type experience both non-segmental and segmental vitiligo.

Depending on your stage and type of vitiligo, your board-certified dermatologist will work with you to develop a treatment plan to manage your vitiligo, which can help minimize the spread and appearance of discoloration.

Vitiligo Treatment and Management

I’ve worked with many patients to treat and manage their vitiligo, and I recently spoke about it on New Day Cleveland and highlighted how far treatments have come in just the last few years.

Vitiligo, like many skin disorders, can affect a person’s confidence and impact daily life, but I’m encouraged by the greater acceptance and awareness around vitiligo that has helped individuals consider vitiligo as part of their identity rather than something they need to cover with makeup and hide away.

That being said, treatment and management help control vitiligo, and there are several options depending on your stage and type.

Topical Medication: There are topical creams specifically targeted to the immune cells that play a role in vitiligo. By scaring the immune cells away, the pigment can return over time. For some patients, I may prescribe a corticosteroid or a combination of a corticosteroid and another topical medication to help restore color. Ruxolitinib Cream (“Rux cream”) is the only the FDA approved RX cream to treat vitiligo, the images shown below show the results Rux cream can provide over time.

Light Therapy: Exposure to UV light for a certain amount of time can help trigger color restoration in the skin, and is most effective at treating vitiligo on the face and neck. Because light therapy works slowly, I may prescribe this treatment with a topical medication.

Oral Medications: If your vitiligo is progressing rapidly, I may prescribe an oral medication like prednisone to help slow down the spread and give us time to use an additional treatment.

Surgery: In serious cases, skin graft or cell transplant surgery are options to move healthy, pigmented skin, or cells from healthy skin, to the affected areas of the body. 

It’s important to understand going into treatment that it does take time. The skin’s pigmentation cells need time to return, so results are not immediate, but we have seen remarkable results with these treatments.

Because the skin’s pigment cells tend to congregate around hair follicles, treatment is especially effective on the face compared to the palms of the hands or soles of the feet.

One easy way to help prevent the spread of vitiligo is to practice good sun protection when outdoors. Skin with vitiligo burns easily as there is no pigment to protect it from the sun’s rays, and sunburn can worsen the condition.

Find Your Treatment Plan

Vitiligo can affect anyone at any age, but there are great treatment and management options for everyone. It’s important to visit with a dermatologist to diagnose your vitiligo and begin a treatment plan that is best for you.

I’d love to meet with you to start a conversation about treating your vitiligo. Schedule an appointment with me at Optima Dermatology’s Mentor, OH practice to establish a treatment plan that will work best for you.

The post Vitiligo Awareness Month: Causes and Treatment appeared first on Optima Dermatology.

Why You Should Skip the Tanning Bed and Try These Alternatives

Being summer-ready has historically also meant having bronzed, sun-kissed skin to show off at the beach on your vacation. There is an entire industry around getting tan, and a big player in that space is the tanning bed. But if you’re thinking of using one, you should first ask yourself: are tanning beds safe? 

The short answer is no – tanning beds aren’t safe for your skin. In this post, we’ll explain why they’re unsafe, and what you should know about them, and we’ll provide some great alternatives so you can achieve that tanned look without putting your skin in danger.

Debunking Tanning Bed Myths

There’s a lot of marketing around tanning bed use that doesn’t mention the significant health risks it poses. Here are 5 myths about tanning beds – and the truth may surprise you!

Myth 1: Tanning beds are safer than the sun. 

Tanning beds have long been billed as an easy and effective way to get tan, and have even been falsely heralded as safer than the sun. 

But tanning beds emit levels of ultraviolet (UV) radiation that are just as or more intense than the sun, making a tanning bed’s effect on the skin worse than sun exposure. UVA rays from tanning beds can be three times more intense than from natural sunlight, increasing the risk of developing skin cancer.

The American Academy of Dermatology (AAD) reports that tanning beds can increase the risk of developing squamous cell carcinoma by 58% and basal cell carcinoma by 24% – and using tanning beds before age 20 increases the risk of developing melanoma by 47%. 

Myth 2: Getting a “base tan” from a tanning bed reduces the risk of sunburn. 

One or two tanning bed sessions to get a “base tan” will not only have zero impact on whether you get a sunburn (you can still get a sunburn even with a deep tan), but it’s no safer for your skin than being exposed to natural sunlight. 

Myth 3: Tanning beds help your skin produce more Vitamin D. 

The body produces Vitamin D in response to UVB light, but tanning beds emit mostly UVA light, therefore having no impact on your levels of Vitamin D. The best way to get it is through your diet by eating foods rich in Vitamin D, which is far more effective than UV radiation exposure. 

Myth 4: You can’t become addicted to tanning. 

The Skin Cancer Foundation reports there is evidence tanning can be addicting; 20% of women who took part in a Georgetown University Medical Center study showed signs of tanning dependence. Exposure to UV light has addictive qualities as it causes the release of mood-boosting endorphins, which then fade once the tanning session is over and can lead to feelings of depression or sadness.

Myth 5: There aren’t any serious risks associated with tanning beds.

Aside from the very serious risk of developing skin cancer, tanning beds can lead to other health concerns or injuries, including burns, premature skin aging, immune suppression, and eye damage such as cataracts and ocular melanoma.

Safer Alternatives to Tanning Beds

Sunless tanning options like spray tan or self-tanner leave your skin looking tan without the dangerous UV radiation exposure. 

One reason tanning beds are popular is that people believe they can’t get an even tan any other way. However, that’s simply not true.

When applied correctly, spray tans or self tanner look even and natural and won’t leave any splotchy, streaky, orange-hued coloration.

There are also a handful of additional benefits to choosing sunless tanner over tanning beds (or tanning in natural sunlight). 

• Preserve your skin. UV radiation can cause your skin to become leathery and more wrinkled over time. 
• Prevent pre-cancerous growths. Exposure to UV radiation can also cause pre-cancerous growths called Actinic Keratosis, or AK. These growths must be tested to rule out cancer and put you at higher risk of developing skin cancer.
• Conceal stretch marks. Contrary to popular belief, sunless tanning options actually do a better job of covering up stretch marks – tanning beds can make them more noticeable.
• Save time and money. This may be a basic argument against tanning bed use, but it’s not an incorrect one. Tanning beds can be expensive and require multiple uses to achieve a tan, whereas sunless tanner can last several days before fading with just a single application. 

Tanning Bed Risks Have Caught Lawmakers’ Attention

Because of the data showing increased risks of skin cancer associated with tanning bed use, especially for youth under the age of 20, many states have banned minors from using tanning beds. 

Jamie Piacentini, a board-certified nurse practitioner at Optima Dermatology’s Scarborough, ME practice, was instrumental in the passing of legislation in 2019 that restricts minors under the age of 18 from using tanning beds in the state of Maine. Piacentini is passionate about creating awareness and taking action around the risks of tanning bed use for anyone, but especially minors.   

The U.S. House of Representatives has also become involved in advocating for more upfront and clear language around the risks of tanning bed use. 

This awareness and action comes on the heels of a legislative committee study that interviewed staff at different tanning salons. 90% of staff questioned about safety risks were not truthful, with some saying there were health benefits associated with using tanning beds and no increased risk for a fair-skinned teenager.

In fact, individuals under the age of 30 are six times more likely to develop melanoma from tanning bed use – and skin cancer becomes more likely if an individual has already sustained a sunburn in their lifetime. 

The Bottom Line: Tanning Beds Aren’t Safe

If having tan skin in the summer months or year-round is important to you, sunless tanners like spray tanning and self tanner are great alternatives to tanning beds that keep your skin safe from UV radiation. 

The risks of UV exposure are too great to take chances, especially if you’re under 20. Keep your skin healthy and glowing for longer and stay out of the sun’s harmful rays. And if you’ve already used a tanning bed, you can still protect your skin from developing skin cancer by stopping and switching to a sunless tanning option. And don’t forget to use sunscreen – spray tans and self tanner don’t provide any protection from the sun, and whether you’re tan or not, sunscreen is the only way to prevent sunburn, sun damage, and skin cancer. 

If you’d like product recommendations, have questions about your skin health, or just want a skin check, contact us today to set up an appointment with a provider in your area. 

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As we enjoy the summer activities, our skin can often react to various environmental factors, leading to uncomfortable and sometimes serious rashes such as poison ivy, poison oak, swimmer’s itch, bug bites and tick bites, tinea versicolor, and more. Dr. Delost, working at our Mentor, OH location, recently went on New Day Cleveland to discuss the causes, symptoms, tips for prevention, and treatment options of some common summer rashes. Check out the full interview below!

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A Portable Skincare Routine to Maintain Your Glow On-the-Go

It’s summertime – that wonderful season of vacations and weekend getaways. Vacation is for relaxing, shedding the stresses of everyday life, and perhaps indulging a bit more than usual. It’s refreshing to leave certain responsibilities behind, but some things should come along for the trip, like your skincare routine.

Packing up your at-home skincare routine isn’t the easiest to do – available luggage space is at a premium, and how can you possibly choose which products to bring and which to leave behind? Not to mention those pesky TSA liquid restrictions for carry-ons.

Plus, we know it can be challenging to keep up with routines when you’re on vacation, since letting loose is kind of the point, but the extra time in the sun and heightened activity only increase the need to maintain your skincare.

Luckily, our providers and estheticians have some great tips and guidance for maintaining a skincare routine while you’re on the go.

Traveling’s Toll on Your Skin

Vacationing is wonderful! But for your skin it can be quite the opposite, which is why your skincare routine shouldn’t take any time off.

There are a few ways traveling can impact your skin – even before you get to your destination – but there are ways to stay fresh, hydrated, and glowing on the go.

Flying

Our skin needs a little extra TLC while in flight, thanks to the depressurized – and therefore dry – cabin air. This low-humidity environment can leave skin dry, itchy, and even flakey, especially during lengthy flights.

Different Climates

Depending on where you’re traveling, you might be going to a completely different climate. Switching from a cold climate to a hot one, or from a humid climate to a dry one, can wreak havoc on your skin since it has little time to adjust to the change.

Different Environments

Planning to sit on a beach for several days? Maybe you’re headed into a big city. Environmental factors like sand, wind, and pollution can give skin a run for its money, especially exposed areas like the face.

Stress

Let’s face it – no matter how relaxing it is once you get where you’re going, there is always some travel stress you can’t avoid. Packing, leaving in time, catching a connecting flight, or long travel hours will cause some stress that can manifest on your skin, especially if you’re prone to stress-related breakouts.

Sun

Summer vacation and sunny days go hand-in-hand, but going from a 9-5 workday spent indoors to a 9-5 beach day under the sun is a shock to the skin and requires extra attention to prevent burns that can quickly put a damper on your trip.

Whatever factors might be at play on your vacation that can impact your skin, you can be prepared with skincare products that can take on anything your trip throws your skin’s way.

Overcoming the Challenges of Skincare While Traveling

Here are the top tips for overcoming some of the biggest challenges of maintaining your skincare routine while traveling.

Pack products to tackle your travel challenges. Whether it’s a change in climate, days in the sun, or a long flight, consider what you’ll need to care for your skin while you’re away. Here are a few recommendations for different travel situations.

• Hydration is critical for battling that dry cabin air. Pack a moisturizer you can apply before and during your flight to keep skin hydrated all flight long.
• If you’re headed to a sunny, warm destination, pack that sunscreen, moisturizer, and after-sun skin cream to protect and nourish your skin during and after time in the sun.
• If you’re prone to breakouts, make sure you’re traveling with the products you’ll need to manage it if it happens.

Decide how you can downsize your routine. Chances are you’re not going to pack up your entire skincare collection. What do you really need for the time you’ll be away? Our dermatologists recommend bringing at least these three essentials:

• Sunscreen or sunblock rich in antioxidants; make sure to reapply every 2 hours, protection is key to prevent burns, skin cancer and signs of aging! There are many SPF products out there, read on for some of our provider’s favorites.
• Cleanser to remove impurities such as dirt, oil and sunblock to keep pores clean.
• Hyaluronic Acid (HA) serum is lightweight, hydrating, plumping and gives a beautiful glow.

Invest in travel-size containers. If you can transfer some of your skincare products to smaller containers, consider purchasing some TSA-friendly sizes for your essentials.

Try new products before you leave. The last thing you want is to have a bad reaction to a new skincare product while you’re away. Try any new products ahead of time to make sure they work for your skin.

The Best Skincare Products to Bring on The Road

Some of our expert providers have weighed in with their favorite skincare products that they wouldn’t leave behind while on the road.

Board-Certified Nurse Practitioner, Sarah Winholt, NP-C, from our Milford, OH clinic, always travels with:

• Skinbetter TONESMART SPF 75 Sunscreen Lotion
• Skinbetter Alto Advanced Defense and Repair Serum

Licensed Esthetician, Michelle Nunez, from our Bedford, NH practice recommends the following products as must haves for summer on the road!

• Revision’s Gentle Foaming, or Revision’s Papaya cleanser for light exfoliation
• Revision’s C+ Correcting complex 30%  
• Alastin’s HA Immerse Serum
• SPF:
  • Isdin mineral brush – easy to reapply over makeupEltaMD sheer SPF stick for face and body – easy to pack!
  • Isdin Eryfotona, a 100% mineral SPF 50 sunscreen with an innovative blend of peptides, antioxidants and DNA Repairsomes, helping repair existing sun damage and reduce the appearance of fine lines and wrinkles
  • EltaMD Aero Spray

Finally, Medical Aesthetics Provider and Board-Certified Nurse Practitioner, Jill Bickford’s from our Stratham, NH location, three must-have products when traveling are:

• Alastin’s Gentle Cleanser
• Alastin’s Restorative Skin Complex
• Alastin’s Hydratint – Hydratint doubles as SPF and light foundation and has become a favorite amongst the team in Stratham!

You might be taking a vacation, but your skin isn’t. Pack your skincare products for your trip and treat your skin just as lavishly as you treat yourself

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As summer kicks into full gear, many of us find ourselves jet-setting off to our favorite vacation spots. While it’s refreshing to take a break from our daily responsibilities, it’s crucial to remember that our skin care routine should come along for the ride. In a recent New Day Cleveland interview on July 12th, Dr. Delost, who serves patients in Mentor, OH, shared valuable insights on maintaining your skin’s health while traveling.

From the dehydrating effects of airplane cabin air to the harsh environmental factors of new destinations, Dr. Delost covers it all. He also offers practical tips and product recommendations to keep your skin glowing on the go. Don’t let travel stress or increased sun exposure take a toll on your skin—watch the full interview below to learn how to keep your skin healthy and radiant throughout your summer adventures.

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YORK, Maine — Optima Dermatology is opening a new practice in York on August 5th.

The practice will be Optima’s second in Maine and fifth in New England, with three existing practices located throughout New Hampshire.

Optima’s York practice at 10 Market Place Drive will be led by Dr. Joan Sisto, Dr. Virginia Barton, and Jacqueline Watts, PA-C.

Sisto has been serving patients in southern Maine and the New Hampshire Seacoast since 1999. She completed her residency in dermatology at Montefiore Hospital of AECOM and was named Chief Resident during her final year. She earned her Doctor of Medicine from Albert Einstein College of Medicine and was inducted into the Alpha Omega Alpha Medical Honor Society.

“It’s wonderful to be part of Optima’s continued growth and focus on increasing access to dermatology services in New England,” said Sisto. “I value Optima’s approach to dermatology as it reflects my own mission to treat my patients like I would want my friends and family to be treated.”

The post Optima Dermatology to Open New Location in York: Here Are The Details appeared first on Optima Dermatology.

We’re back with another Derm Deep Dive, a series where we provide expert advice from our board-certified dermatologists about common skin conditions and treatments. This month, we collaborated with Dr. Gregory Delost of our Mentor, OH location. August is Hair Loss Awareness Month, and we’ve asked Dr. Delost to weigh in on the causes of hair loss in women and treatment options. 

The Unique Challenges of Female Hair Loss 

Our hair is an important part of our identities and one of the ways we can express ourselves and our personalities. When an individual experiences hair loss, whether from aging or another trigger, it can impact their self-esteem and everyday life.  

Harvard Health found that one-third of women in the U.S. will experience hair loss at some point in their lifetime, and 85% of men will lose a significant amount of hair by age 50.  

Because hair loss issues are so widespread and often leave individuals wondering what to do, Hair Loss Awareness Month is a great opportunity for dermatologists to spread the word about hair loss conditions and treatments.  

For this blog post, we will focus on female hair loss, which has several causes and can affect women at any age. Fortunately, there are treatment options to get women closer to the healthy head of hair they love.  

What Causes Hair Loss in Women? 

There are several reasons why women lose their hair. Some female hair loss is temporary, while other types are more permanent or require treatment to manage.  

Let’s start with temporary hair loss. While frustrating and even a bit scary to see hair falling out and thin or bare patches form on the scalp, temporary hair loss occurs because of a specific trigger and will regrow once that trigger is resolved.  

Here are some common causes of temporary hair loss: 

Postpartum hair loss: Losing hair after having a baby actually isn’t true hair loss – it’s hair shedding as your body adjusts to falling estrogen levels. During pregnancy, the body holds onto hair, so you aren’t experiencing normal daily hair shedding. After giving birth, all that hair falls out. It may be a bit shocking but it should taper off by four months postpartum and normal hair growth resumes at about one year postpartum. To reduce the appearance of thin or bald spots from postpartum hair loss, we recommend: 

• Avoiding heavy or intensive conditioners, as these can weigh down hair 

• Using a volumizing shampoo to make hair appear fuller 

• Only conditioning the ends of your hair to avoid weighing your hair down 

Recovery from a major illness or surgery, or weight loss of 20+ pounds: A major trauma or change to the body can cause telogen effluvium, where more hairs than normal begin shedding at the same time. Similar to postpartum hair loss, hair falls out all at once but will taper off after a few months and normal hair growth resumes.  

Cancer treatment: Chemotherapy targets rapidly-dividing cells, which include hair follicles. Hair loss during chemotherapy treatment is normal, and hair typically grows back once the treatment is complete; however it may be thinner or patchy, something you can manage with different treatment options.  

Psoriasis on the scalp: This condition can cause temporary hair loss as the skin is inflamed and irritated. Once your scalp psoriasis has been treated, normal hair growth typically resumes.  

Alopecia areata: This autoimmune condition causes your immune system to attack the hair follicles, leading to patchy hair loss or hair thinning. Alopecia areata can be triggered by stress or disease, but with management and treatment, you can expect normal hair growth to resume.  

Traction alopecia (hair damage or breakage): How we treat our hair is so important to its overall health and strength from the roots to the ends. Hairstyles that pull the hair can damage follicles over time and lead to hair loss. Shampooing your scalp and conditioning your hair keep it healthier and moisturized. Avoid excessive hair brushing and keep exposure to extreme heat, such as hair straighteners or curling irons, to a minimum. 

Scarring hair loss: Inflammatory or autoimmune disorders can lead to hair loss caused by hair follicle destruction. This type of hair loss can also be caused by skin injuries or burns. Systemic and aggressive treatment may be required, to help avoid permanent scarring and hair loss. Central centrifugal cicatricial alopecia (CCCA), is a specific type of scarring hair loss, it often begins in the center of the scalp as a small, balding, and round patch that grows over time. While more common in Black women, this type of hair loss develops in men and people of all races. If you have this type of hair loss, you want to treat it early. Starting treatment early can prevent CCCA from spreading outward and causing more permanent hair loss. 

Female Pattern Hair Loss 

Female pattern hair loss affects millions of women and typically begins in a woman’s 40s, 50s, or 60s. While it is a normal part of aging, hair loss at any point in one’s life can feel frustrating and have a significant impact on daily life.  

Female pattern hair loss is an ongoing condition that doesn’t improve with time, but unlike male pattern baldness, women do not lose all of their hair; rather, it becomes thinner and sparse in patches. 

It can be treated a number of ways depending on the severity of your hair loss and specific situation. Read on to learn about different treatment options for female hair loss.   

Find Your Hair Loss Treatment Plan 

Treatments for hair loss may help stop or slow down hair loss but will not regrow an entire head of hair. The sooner you begin treating hair loss the better, as female pattern hair loss will continue as you age.  

Here are some common treatment options for female pattern hair loss: 

• Minoxidil: Commonly known as Rogaine, this treatment can stimulate hair growth and slow down hair loss.  

• Laser: Laser caps and combs have been shown to be successful at treating hair loss and stimulating hair growth; however, not much has been studied about the overall effectiveness or side effect potential for laser treatments.  

• Microneedling: Typically used in conjunction with Minoxidil or another treatment option, microneedling has been shown to stimulate hair growth. 

• Corticosteroid injections: This procedure can help stimulate hair growth and can be especially effective for those with alopecia areata.  

• Hair transplant: An effective and permanent solution to cover an area of baldness or thinness.  

• Platelet-rich plasma: This procedure separates platelet-rich plasma from your blood, which is then injected into the area of hair loss. It has been shown effective at slowing hair loss when repeated several times.  

• Prescription medications: In some cases, prescription medications like Propecia are recommended to slow or stop hair loss. You should consult with your dermatologist to see if a prescription medication makes the most sense for you.  

We don’t recommend medicinal treatments for temporary hair loss since it will grow back with time in these situations. However, if you are struggling with your temporary hair loss, here are a few quick tips to improve your hair’s appearance: 

• Use a volumizing shampoo 

• Avoid heavy or intensive hair care products that weigh hair down 

• Keep hair away from extreme heat treatments like curling irons that can damage it and lead to greater hair loss 

• Avoid hair styles that pull or break the hair 

• Use a conditioner formulated for fine hair 

If you’d like to meet with a dermatologist to discuss hair loss concerns, schedule an appointment at any of our offices in Indiana, Ohio, New Hampshire, and Maine, and start your journey to stronger hair! 

The post Hair Loss Awareness Month: The Unique Challenges Women Face appeared first on Optima Dermatology.

Kristen Provides Excellent Cosmetic Skin Care Services 

Kristen French, LE , a licensed medical esthetician, is the newest addition to Optima Dermatology’s Stratham, NH practice. Having served patients in the Seacoast region since 2010, Kristen brings more than a decade of expertise.  

She graduated as a Licensed Medical Esthetician from the Catherine Hinds Institute of Aesthetics. She also graduated from the University of New Hampshire with a Bachelor of Science, where she completed a semester abroad at Macquarie University in Sydney, Australia. 

Kristen has more than 20 years of experience in the skincare industry and provides a wealth of knowledge on medical-grade skincare products. She provides esthetic services including dermaplaning, HydraFacial®, extractions, chemical peels, eyebrow waxing, and more. 

A Patient-Centered and Care-Focused Approach 

Kristen is dedicated to helping her patients achieve their skincare goals by creating custom treatment plans and offering best-in-class technology, devices, and products.  

Her approach to patient care mirrors Optima’s mission to treat everyone like we would our friends and family, and she looks forward to continuing to provide the Seacoast with individualized and thorough care.  

We recently had the opportunity to learn more about Kristen, her approach, and the path that led her to become a licensed medical esthetician. 

How and when did you know you wanted to be an esthetician? Were you always interested in the industry, and what was your path to get where you are now? 

When I was younger, I was always the one who waxed my friend’s eyebrows and was always interested in the latest skincare treatments. After I graduated from college, I knew I wanted to further my education in either nursing or aesthetics. After graduating from Esthetic School, I moved to Arizona and got a job in sales, selling PCA Chemical Peels and Skincare. After about 5 years in Arizona, I moved back to New Hampshire and started working in a plastic surgery office where I worked for the past 15 years. Once that office closed, I decided to make a change and join the dermatology world where I can continue to grow and use my skills and passion for skincare.  

What is your number one tip when it comes to taking care of your skin? 

Always apply sunscreen, and don’t forget your neck! 

What do you enjoy most about treating your aesthetic patients and what is unique about your approach? 

I enjoy seeing the results of the treatments. I also enjoy getting to know my patients and building relationships.  

How would you recommend someone get started if they’re interested in medical aesthetic treatments?  

I recommend they start with a consultation, where we can go over their concerns and goals for their skin. From there we can create a personalized skincare plan.  

Which patients would you recommend a HydraFacial® treatment for? What kind of results can patients expect to see? 

HydraFacial® is one of the most versatile treatments that can be done on all skin types. It provides instant results with smoother, more hydrated skin in just one session. There is no downtime, and you walk away with glowing skin.  

If there is one thing you want your patients to know about you, what would it be? 

I’d like my patients to know that I’m excited to be part of their skincare journey and love to help people feel more confident while using a personalized skincare approach.  

What do you like to do when you are not in the office? 

I enjoy spending time with my family and friends. In the summer you can find us at the beach, and in the winter, you can find us on slopes skiing.  

What to Expect From Dermatological Care Delivered by Kristen and Her Team 

Kristen and her team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care.  

She is currently accepting new patients at our Stratham, NH location. Request an appointment online or give us a call at 603-942-2171. 

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Board-Certified Dermatologist, Dr. Daniel Cuozzo sits down with ‪CBS13 News‬ to discuss common types of skin cancer and treatment options available.

Types of Skin Cancer & Treatment Options 

Skin cancer is the most common form of cancer. Early detection of skin cancer is key to making treatment more effective.  It’s important to ensure you’re in tune with your skin and able to notice any new, changing, or unusual areas. There are many different types of skin cancer. Some of the most common to be aware of include: 

Actinic Keratoses (AK) Precancerous 

• Very common precancerous skin growths that tend to appear on skin that’s been the most badly damaged by the sun 

• An actinic keratosis often appears as a reddish spot 

• If left untreated AKs can lead to squamous cell carcinoma (SCC) 

Basal Cell Carcinoma (BCC) 

• Non-melanoma skin cancer that grows slowly, and rarely spreads to another part of the body 

• A common sign is a slowly growing, non-healing spot that sometimes bleeds 

• treatment is important – over time BCC can grow wide and deep and spread deeply into the skin, wrap around nerves and blood vessels, and invade muscles and bone 

Squamous Cell Carcinoma (SCC) 

• SCC often develops on skin that’s had lots of sun exposure like the face, hands, or lips 

• SCCs can show up on the skin in many ways including: 

• Rough, reddish scaly area 

• Open sore, often with a raised boarder 

• Firm, dome shaped growth 

• Wart-like growth 

• Sore developing from an old scar 

• While this skin cancer tends to grow slowly, without treatment, it can grow deep and can also spread to other parts of the body, which can be deadly 

Melanoma 

• The most serious form of skin cancer 

• Characterized by uncontrolled growth of pigment producing cells; look for new or changing spots or moles on your skin 

• Melanoma is highly treatable when detected early, but advanced melanoma can spread to the lymph nodes and internal organs 

If you are diagnosed with skin cancer, there are multiple treatment options.  

CRYOSURGERY (For small skin cancers found in the early stages and AK) 

• Uses liquid nitrogen to freeze cancerous tissue and falls off as it thaws 

EXCISION 

• Removes the tumor along with a small perimeter of healthy skin 

MOHS SURGERY (Available in Stratham, NH) 

• Used to treat areas where skin preservation is important, such as the face or hands 

• The tumor is removed by individual skin layers until the surgeon no longer detects cancerous cells 

• Most effective skin cancer treatment, with a 99% cure rate 

Additional treatment options your dermatologist may consider include curettage & electrodesiccation, radiation therapy, and chemotherapy.

For more information, go to optimadermatology.com or call Optima in Scarborough (207) 770-5621.

The post Optima Dermatology on Common Types of Skin Cancer & Treatment Options with WGME appeared first on Optima Dermatology.

Summer Rashes 

As we enjoy the summer activities, our skin can often react to various environmental factors, leading to uncomfortable and sometimes serious rashes. Let’s discuss the causes, symptoms, tips for prevention, and treatment options of some common summer rashes. 

Board-Certified Dermatologist, Dr. Daniel Cuozzo sits down with ‪‪CBS13 News‬ to discuss the causes, symptoms, tips for prevention, and treatment options for some common summer rashes.

Poison Ivy & Poison Oak 

Cause: Contact with urushiol oil from these plants. 

Symptoms: Red, itchy rash, often in streaks or lines, blisters. 

Prevention: Avoiding areas where these plants grow, wearing protective clothing. 

Treatment: Immediately rinse your skin with warm, soapy water, and wash your clothing. To avoid getting any oil from the plant on your skin, wear gloves while touching or washing anything that may have oil on it. This includes your pet! 

You can treat the rash at home if it is a mild rash in a small area my using a calamine lotion or hydrocortisone cream and applying cool presses. If your rash is not improving after 7 to 10 days, or you think your rash may be infected, see a board-certified dermatologist. 

“Swimmer’s Itch” (cercarial dermatitis) 

Cause: Allergic reaction to parasites in contaminated water. Swimmer’s itch occurs in both freshwater and in the marine coastal environments. 

Symptoms: Itchy, patchy red pinpoint skin rash. 

Prevention: Avoiding swimming in infested waters, toweling off immediately after swimming. 

Treatment: You can apply anti-itch creams and cool compresses. Avoid scratching, scratching can cause abrasions leading to infection. If the symptoms persist for longer than 3 days, a dermatologist should be seen. 

Bug bites 

Cause: Bites from insects like mosquitoes, ticks, fleas, and spiders. 

Symptoms: Red, itchy bumps, swelling, sometimes blisters or a rash. 

Prevention: Use insect repellent, wear protective clothing, avoid areas with high insect activity, and pay attention to outbreaks in your area. 

Treatment: For painful bites, such as a bee sting, take an over-the-counter painkiller, such as acetaminophen or ibuprofen. For bites that itch, apply an ice pack or an over-the-counter anti-itch cream, such as hydrocortisone. Another option is to take an over-the-counter oral antihistamine. To reduce swelling, apply an ice pack to the bite. 

If you experience any serious symptoms after a bug bite, such as a rash, fever, or body aches, see your doctor or a board-certified dermatologist immediately. 

Tinea Versicolor 

Cause: Overgrowth of yeast on the skin. Hot, humid weather, lots of sweating, oily skin, and a weakened immune system can cause yeast to overgrow. Tinea versicolor is more common in teens as they tend to have more oily skin. 

Symptoms: Discolored patches of skin; the color of the spots can be white, pink, salmon, red, tan, or brown. 

Prevention: Keeping skin dry, avoiding excessive heat and humidity. 

Treatment: Antifungal creams, shampoos, or oral medications. 

Skin rashes typically seem easily treatable at home, however some rashes can be a sign of a more serious condition or become infected. If you have a rash that persists for more than a week or shows signs of infection visit your local dermatologist for proper diagnosis and treatment.

For more information on skin best practices, please visit optimadermatology.com.

The post Optima Dermatology on Common Summer Rashes and How to Treat Them appeared first on Optima Dermatology.

Dr. Gregory Delost Discusses How to Treat and Prevent Sunburn on New Day Cleveland

Sunburns can cause long-term skin damage, so it’s important to treat them promptly and prevent them in the future. Board-certified dermatologist Dr. Gregory Delost from our Mentor, OH, office appeared on New Day Cleveland to share his expertise on what to do if you are sunburned.

Steps to Take After a Sunburn

Even if you’re diligent with sunscreen, sometimes sunburns happen. Here’s what you can do:

1. Apply Pure Aloe Vera: Aloe is a great option for soothing sunburned skin, but make sure to use a product without additives or latex. For a more natural approach, you can use aloe straight from the plant, though be cautious of any latex it may contain if you have sensitivities.
2. Take Cool Showers: A cool shower can help alleviate discomfort, reducing the heat and inflammation caused by sunburn.
3. Stay Hydrated: Hydration is key to recovery, as sunburns can cause dehydration. Drink plenty of water to support your body’s healing process.
4. Use NSAIDs: Over-the-counter anti-inflammatory medications like ibuprofen can help reduce pain and inflammation.
5. Consider Vitamin D: Dr. Delost also discussed new research suggesting that taking a mega dose of Vitamin D within an hour of sunburn may reduce skin damage. However, consult your primary doctor before attempting this approach.

How to Prevent Future Sunburns

The best way to manage sunburn is to prevent it altogether. Dr. Delost recommends using sunscreen with at least SPF 30—though he personally suggests higher SPFs, such as 50, 70, or 90, since most people don’t apply sunscreen as thickly as they should. Look for sunscreens containing zinc or titanium, which are not only safer but also more effective.

Common areas people forget to protect include the ears, nose, scalp, hands, and feet, so be sure to apply sunscreen to these spots as well. Reapply every two hours or after swimming or sweating to ensure continuous protection.

Consult with Dr. Delost at Optima Dermatology

If you have concerns about sunburn or other skin conditions, Dr. Gregory Delost is available for consultations at our Mentor, OH, office. Protect your skin and keep it healthy by scheduling an appointment with one of our board-certified dermatologists

Request an appointment to discuss the best preventions and treatment plan for sunburns.

The post Optima Dermatology on New Day Cleveland – Prevention and Treatment of Sunburns appeared first on Optima Dermatology.

How to Identify and Treat Common Skin Pigmentation Issues

Hyperpigmentation and melasma are often confused because they present the same way, but they are not the same skin condition. Melasma is a type of hyperpigmentation, but not all hyperpigmentation is melasma. This distinction is important because causes and treatments may vary depending on whether you have melasma or another hyperpigmentation issue.  

In this blog post, we’re going to discuss what hyperpigmentation is – and how to identify it – with insights from Jill Bickford, MSN, APRN, AGNP-BC, who serves patients at our Stratham, NH location, and we’ll focus on melasma, a common and highly treatable type of hyperpigmentation with different causes.

What is Hyperpigmentation? 

Hyperpigmentation is any darkening of the skin’s pigment that is caused by an increase in melanin (melanin is the naturally occurring pigment that gives color to the skin). Hyperpigmentation occurs when the skin’s pigment-making cells, called melanocytes, are stimulated and make a surplus of pigment.  

This surplus can be triggered by sun exposure, inflammatory skin conditions like eczema or acne, medications, or hormones. In fact, hyperpigmentation is common during pregnancy because of the body’s hormonal changes. This is often called the “mask of pregnancy”. 

When hyperpigmentation occurs, it can appear as large blotches of brown spots, or as smaller spots like freckles. Types of hyperpigmentation include: 

• Sun Spots: Also known as solar lentigines, liver spots or age spots, these darkened patches often appear in sun-exposed areas of the skin like the face and on the hands and arms. While they are harmless, they can be an unwelcome sight on the body and there are treatments to reduce their appearance.  

• Freckles: These highly common small brown spots typically occur on areas of the skin with high sun exposure when the skin produces excess melanin to protect the skin from UV radiation. Sun spots are a type of freckle that develops later in life.  

• Post-Inflammatory Hyperpigmentation (PIH): Hyperpigmentation can occur as a result of a skin injury or inflammatory condition, such as eczema or acne, leaving behind brown, red, black, pink, or purple patches of skin. Skin cells involved in the healing process following injury or inflammation can produce excess melanin, resulting in darkened areas of the skin. While PIH may fade over time, it can be treated by a dermatologist.  

• Melasma: As we’ll explain in more depth below, melasma manifests as darkened patches on and around the face. It is unique in that it often appears symmetrically – if it occurs on one cheek, it usually occurs on the other cheek as well.  

How to Treat Hyperpigmentation 

Treatments for hyperpigmentation include medical-grade topical skin care products called tyrosinase inhibitors such as Vitamin C, Azelaic acid, Kojic acid, and Tranexamic acid, which can all aid in decreasing or suppressing melanin production.  

Chemical peels, lasers, and light treatments are offered at Optima Dermatology. These include Forever Young BBL (BroadBand Light), HALO® Hybrid Fractional Laser, Fraxel®, and more. Your provider can help you determine the best treatment for your hyperpigmentation issue and work with you to improve its appearance.  

All About Melasma 

Melasma is a highly common skin condition, although the exact cause is not known. Some triggers include: 

• Hormonal changes, such as during pregnancy or as a result of thyroid disorders 

• Sun exposure 

• Medications 

• Genetics 

Melasma is most often brought on by hormonal changes, and is therefore most common in pregnant women, women taking contraceptives, using hormone replacement therapy drugs (HRT), going through menopause, or experiencing other hormonal changes or imbalance.  

Progesterone and estrogen hormones cause the production of melanocytes on the skin, resulting in darkened or red spots or patches.   

While it is often noticeable, as it typically appears on sun-exposed areas like the nose, cheeks, forehead, or upper lip, it does not cause itching, pain, or burning symptoms.  

This condition most often manifests in women but can occur in anyone at any age. Many describe the appearance of melasma as ‘dirty’, or ‘muddy’. While it is treatable and not serious, the dark patchiness that appears on the face can have emotional impacts such as depression and heightened self-consciousness when out in public. For this reason, it’s important to speak with a dermatologist to understand your treatment options. Additionally, melasma should be checked to rule out cancer if discoloration appears suddenly or in an area of the skin not often exposed to sunlight.  

Identifying and Treating Melasma 

If you notice irregularly shaped, darkened areas on your skin, you may have melasma. It is commonly tan, brown, or gray-brown. It does typically manifest on sun-exposed areas and especially forehead, temples, cheeks, and upper lip, but has been known to appear on other parts of the body as well.  

Melasma is exacerbated by sun exposure or exposure to UV light, so it’s always recommended to wear a sunscreen of at least 30 SPF, wear sun-protective clothing, and avoid tanning beds and long-term direct sunlight. In addition, melasma may flare from exposure to excessive heat from hot weather, hot cars, saunas, steam rooms, hot tubs, and hot yoga) 

Melasma may go away on its own once hormones become more balanced, but is often a lifelong condition that can be managed, but not cured.  At times, changing birth control, or hormone replacement therapy may help reduce melasma.  

Depending on your melasma, your dermatologist may recommend other treatment options that can include: 

• Chemical peels 

• Topical skin lighteners or corticosteroids 

• Laser therapy 

• IPL/BBL therapy  

• Microdermabrasion 

It’s important to meet with a dermatology provider to understand your melasma and identify the best treatment option.  

If you think you have hyperpigmentation or melasma, and want to discuss treatment options, schedule an appointment with one of our board-certified dermatologists and providers. We can help you get back to feeling confident in your skin! Book a consultation today.  

The post Understanding Hyperpigmentation & Melasma appeared first on Optima Dermatology.

Board-certified dermatologist Dr. Gregory Delost from our Mentor, OH, location discusses eczema in children and what parents need to know on ‪New Day Cleveland‬. From physical discomfort, to impacting other aspects of adolescents lives, it is important for parents to understand how to improve the well-being of their child who has eczema.

5 Topics to Discuss With Your Dermatologist if Your Child Has Eczema 

Eczema in children is very common – according to the Centers for Disease Control (CDC), more than 10% of children in the U.S. have eczema.  

Any parent who has experienced eczema with their child knows it can be a challenging skin condition as it causes dry, itchy skin (which is never an easy thing to manage with a child) and can be disruptive to their daily lives depending on how severe their eczema is. More severe cases of eczema can cause food and seasonal allergies, sleep disruptions, decreased focus and performance in school, and more. To help parents better understand and manage this common condition, we’ve consulted with board-certified dermatologist, Dr. Greg Delost, to address some of the most common questions parents have. 

Children Can Develop Eczema at Any Age 

Babies are known and adored for their soft skin, and the presence of eczema can be alarming for parents, especially if it causes your baby any discomfort.  

Babies often develop atopic dermatitis around the scalp (also called cradle cap) and the face, and it can manifest at any time after birth. The American Academy of Dermatology has reported findings from studies that show eating a healthy diet while pregnant and breastfeeding in the first four months of life may reduce the likelihood that your baby will develop eczema; however, there is no proven way to prevent your baby from having eczema.  

Children can develop eczema anytime between birth and age 17, and the CDC reports that the largest percentage of children with eczema in the U.S. are between the ages of 6 and 11. 

If your child is diagnosed with eczema, also known as atopic dermatitis, you likely have a number of questions and concerns. Eczema is a chronic condition, so it can be treated but not cured. If your child develops eczema, know that it is highly common and the most important next step is to figure out a treatment plan. There are different approaches to treat it that are dependent on your child’s age and the severity of their condition.   

The following are 5 topics you should discuss with your child’s dermatologist to ensure you have a plan for managing their eczema and helping alleviate their symptoms.  

1. What Could be Causing My Child’s Eczema? 

There is no singular known cause of eczema but, there are different potential triggers that can cause it to flare up, and if you can identify a trigger, you can intervene and ideally reduce the eczema reaction. Some triggers are bodily in nature; others are environmental or lifestyle triggers: 

• Sweat 

• Saliva that repeatedly wets and then dries on the skin 

• Dry air that sucks moisture from the skin 

• Exposure to cigarette smoke or known allergens such as pollen or pet dander 

• A reaction to laundry detergent, fabric softener, bath products or skincare products such as moisturizers or sunscreens 

In each case, there are ways to mitigate or reduce the trigger to help alleviate eczema symptoms; for example, switching laundry or bath products, or keeping your baby’s face dry from saliva around the mouth.  

2. Can I Treat My Child’s Eczema at Home? 

You can easily incorporate skincare best practices into your child’s routine to help alleviate or reduce their eczema symptoms. Some recommendations for at-home healthy habits include: 

• Bathing them with lukewarm water and fragrance-free shampoos and soaps 

• Washing your child’s skin completely to remove shampoo or soap residues  

• Applying ointment or a fragrance-free moisturizing cream to your child’s skin following bathtime while the skin is still damp 

• Dressing your child in soft fabrics that are 100% cotton to reduce irritation 

• Washing your child’s clothing with fragrance-free detergent and skipping the use of dryer sheets or fabric softener 

In more severe eczema cases, your child’s dermatologist might recommend a diluted bleach bath to help remove bacteria and reduce inflammation of the skin. Be sure to consult with a dermatologist and obtain specific directions before administering a bleach bath. 

3. What if My Child Develops an Infection? 

Because of the itchy, irritating nature of eczema on the skin, children are more prone to scratch and break the skin, exposing them to bacteria, viruses, and fungi.  

Keep an eye out for reddening, crusty, pussy, or oozy skin – these symptoms are indicative of a larger issue like infection. If you notice your child’s eczema is worsening or changing in appearance, consult a dermatologist right away.  If your child’s eczema does become infected, your dermatologist will likely prescribe an antibiotic or antiviral medication.  

It is also important to be aware of the atopic triad, a term used to describe the coexistence of atopic dermatitis (i.e., eczema), asthma, and allergies, like allergic rhinitis and conjunctivitis, also known as hay fever. Individuals with one atopic condition, can increase risk of developing another. Asthma is an obstructive lung disease that can cause difficulty breathing, usually triggered by environmental irritants. Allergic rhinitis is a nasal inflammation typically caused by airborne allergens, like pollen, dust, or animal hair. Symptoms of allergic rhinitis include frequent sneezing, and a runny or itchy nose.  

If your child is experiencing additional symptoms of asthma and hay fever, consult with your dermatologist to develop a treatment plan.  

4. Will My Child’s Eczema Go Away? 

As we know, eczema can develop at any time from birth through the teenage years. Many children who develop eczema in the first years of their lives tend to outgrow their eczema by age 4, but there are those for whom the condition continues into their adult lives.  

While there is no way to know whether your child will continue to suffer from eczema symptoms as they grow up, the more you know and understand about their specific condition, the better equipped you both will be to manage it going forward. 

5. What’s the Best Treatment Plan for My Child’s Eczema? 

It’s important to work with a board-certified dermatologist to establish the best treatment plan for your child. It will be based on your child’s age, the severity of their eczema, and any other factors such as known allergens or any other health condition.  

There are a number of treatments that are highly effective at managing eczema symptoms that you should discuss with your child’s dermatologist. These include: 

• Topical steroids or corticosteroids: These prescription medicated creams and ointments can help reduce inflammation and heal irritated skin. Your child’s dermatologist will prescribe the right strength medication for their eczema, as well as a frequency for application. When prescribed by a dermatologist and used correctly, topical steroids are very safe and effective for treating eczema in children. 

• Non-steroid eczema medications: There are a number of over-the-counter creams and ointments developed to treat skin irritation caused by eczema. Consult with your child’s doctor or dermatologist before administering these products as they may not be as effective as a prescription steroid or corticosteroid at alleviating symptoms.  

• Biologic therapies: Biologics are oral medicines that target the part of the immune system that is causing eczema. Eczema is not an autoimmune disease, but it can cause the immune system to overreact, leading to itchy, red skin, and suppressing the immune system can help alleviate these symptoms. The U.S. Food & Drug Administration has approved a biologic therapy called Dupilumab for treating eczema in children ages 6 and older. Your child’s dermatologist may recommend this option for moderate to severe eczema that is not responding to other treatments.  

• Antihistamine medicines: Children are more prone to scratch their eczema, which can make it worse or lead to infection, and administering an antihistamine medication at bedtime can make your child more drowsy and reduce the likelihood that they will scratch their skin. Antihistamines will not typically reduce the itch itself, but your child’s dermatologist may recommend it to complement other treatment options. 

Eczema in children is treatable, and can be effectively managed with both medicated solutions and self-directed care, such as a healthy skincare routine and identifying and avoiding allergens and triggers. 

Your first step in treating and managing your child’s eczema should be speaking with a dermatologist about these 5 important topics. At Optima Dermatology, our expert, board-certified dermatologists specialize in skin conditions in children and know the best approach to treating and managing your child’s eczema. 

Request an appointment to discuss the best treatment plan for your eczema. 

The post Optima Dermatology on New Day Cleveland – Eczema in Children: What Parents Need to Know appeared first on Optima Dermatology.

The Relationship Between Food and Your Skin Condition 

We’re back with another Derm Deep Dive, a series where we provide expert advice from one of our board-certified dermatologists about common skin conditions or treatments. For Eczema Awareness Month this October, we collaborated with Dr. Virginia Barton about how diet can affect eczema – both positively and negatively. 

The Low-Down on Eczema 

Diet is often an area worth examining if you suffer from a health issue. The old saying “you are what you eat” isn’t too far off – there are many foods that have negative impacts on the body and can cause certain reactions in some people, just as there are foods that help us improve our health and wellness over time.  

But before you can understand whether your diet is potentially hurting or helping your eczema, you need to understand this condition – and what makes it “tick”.  

Eczema is a very common, non-contagious skin condition that causes the skin to lose its ability to act as a barrier, which initiates an inflammatory response. Without the barrier function, your skin is left open to irritation, dryness, or infection.  

Common symptoms of eczema are dry, itchy, red, and often bumpy patches on the skin, and it can be quite uncomfortable but is manageable with the right treatment. There are many types of eczema that each manifest differently on different people, and treatments can be quite varied.  

While there are a host of topical ointments and creams that can alleviate symptoms, eczema is, ultimately, an inflammatory response to a trigger and will continue to flare up as long as the trigger is present. 

Triggers can include sweat, allergens, sun exposure, and even stress, among others. It is widely discussed whether food plays a role – either in worsening flare ups or helping alleviate them.  

Determining Whether Food is Contributing to Your Eczema Flare Ups 

Allergy testing or an elimination experiment are helpful methods to determine if a diet-related trigger is causing your eczema flare ups.  

Some individuals do see a distinct pattern between food and flare ups – for example, every time you eat bread or enjoy a bowl of ice cream you immediately experience those tell-tale itchy patches. In these cases, patients may end up being diagnosed with another health condition like Celiac Disease or Lactose Intolerance that is creating larger problems for their eczema.   

However, outside of allergy-related cases, there is no proven relationship between diet and eczema, and treating eczema with dietary changes might help some individuals but have no impact for others.  

For children with eczema, parents shouldn’t begin elimination diets without consulting with a board-certified dermatologist. If your child doesn’t have a known food allergy, restricting their diet to manage eczema can do more harm than good. Children need nutrients from many different foods and food groups, and if there is no immediate health risk or other type of restriction to their diet, it’s best to continue feeding as normal.  

That being said, examining your own diet and making lifestyle changes to potentially alleviate eczema flare ups is never a bad idea. And there are certainly some foods that are harmful to our bodies in general, such as alcohol and sugar, that are always wise to cut back on.  

Treating Eczema From Within 

Because eczema is an inflammatory condition, it makes sense to eliminate or cut back on foods that cause inflammation (like sugar) and increase your intake of foods that reduce inflammation.  

Foods that cause inflammation include: 

• Dairy products 

• Fried food 

• Refined carbohydrates like rice, white bread, and pasta 

• Foods containing trans fats, such as baked goods and margarine   

• Red meat and processed meats 

• Sugar and sugar-sweetened products 

In general, eating a healthy diet will reduce inflammation in the body. Some recommended foods that have anti-inflammatory properties include: 

• Vegetables containing antioxidants, such as broccoli, kale, and brussels sprouts 

• Certain types of fish that contain omega-3 fatty acids and protein 

• Berries, which contain antioxidants and fiber 

• Yogurt or cottage cheese, which contain gut-healthy prebiotics and probiotics 

• Bananas and pineapples, which contain the anti-inflammatory enzyme, Bromelain 

• Plant-based foods, coffee, dark chocolate, and whole grains, which all contain polyphenols 

• Mushrooms, which contain antioxidants and phenols (and are low in calories!) 

Cooking with olive oil is also recommended, and it has properties that are known to reduce inflammation and even alleviate pain.   

It’s best to consult with your dermatologist about your eczema before trying an elimination diet or changing your lifestyle to alleviate eczema symptoms – especially if you’re trying these approaches and your eczema isn’t improving.  

Dietary Changes Can be a Win-Win 

If dietary changes help alleviate your eczema symptoms – great! And if they don’t, you’re still better off for it.  

Dermatology is really a whole-health practice because the skin is the largest organ and is exposed to so much in our everyday lives. Improving what you put into your body can only have long-term positive results for your overall health and your skin, even if it doesn’t provide relief from your eczema.  

Luckily, there are treatments for eczema that are highly effective, and don’t require a dietary overhaul. I’d love to meet with you to discuss your eczema and the best treatment method to help you feel better, more confident, and less itchy! 

Schedule an appointment with Dr. Virginia Barton to discuss a treatment plan that will work best for you.  

The post Eczema Awareness Month: Can Diet Improve (or Worsen) Eczema? appeared first on Optima Dermatology.

Dr. Gregory Delost Discusses Managing Skin Conditions in Youth Athletes on New Day Cleveland

As school sports ramp up, so do the concerns about various skin conditions that can affect young athletes. Dr. Gregory Delost, a board-certified dermatologist at Optima Dermatology, appeared on New Day Cleveland to discuss common skin issues in youth athletes and provide advice on prevention and treatment.

Common Skin Conditions in Youth Athletes

1. Ringworm (Tinea)
   Despite its name, ringworm is not a worm but a fungal infection. It can appear on various parts of the body, including the scalp, feet, and skin. Ringworm is especially common in athletes, as it spreads easily in communal areas like locker rooms and wrestling mats. Dr. Delost explains that the infection thrives in the top layer of the skin and is often contracted through direct contact or contaminated surfaces.
2. Herpes Simplex (Cold Sores)
   This viral infection presents as painful blisters, usually on the face. It’s highly contagious and can be triggered by stress, illness, or even sun exposure. While cold sores can be treated with oral antiviral medications, they tend to reoccur, as the virus can remain dormant in the body’s nerve cells. Dr. Delost emphasizes that stress or sunburns can trigger reactivation.
3. Impetigo
   Impetigo is a bacterial skin infection that is common among athletes, particularly wrestlers. It can manifest as yellow, crusted plaques or lesions, and it often occurs around the nose or hair follicles. The bacteria that cause impetigo can spread through minor skin injuries or contact with contaminated surfaces, making prevention crucial.
4. Molluscum Contagiosum
   This viral infection is spread through skin-to-skin contact or contaminated items like towels. It appears as dome-shaped bumps on the skin, often found in young athletes who frequent pools. Molluscum Contagiosum is highly contagious but typically resolves on its own over time.
5. Warts
   Warts are another common condition caused by the human papillomavirus (HPV). There are hundreds of HPV strains that can lead to the formation of warts, which are especially prevalent in athletes due to frequent skin-to-skin contact during sports activities.

Prevention Tips for Youth Athletes

Dr. Delost stresses the importance of good hygiene to prevent the spread of these skin infections. Here are his top tips for young athletes:

• Shower Immediately After Practice or Games: This is critical for washing away sweat, dirt, and any potential bacteria or fungi that could cause skin infections.
• Avoid Sharing Personal Items: Never share towels, water bottles, or athletic gear, as infections can spread through indirect contact.
• Keep Equipment Clean: Ensure that sporting equipment, like wrestling mats, is cleaned regularly to prevent the accumulation of harmful pathogens.
• Check for Early Signs of Skin Issues: Parents and coaches should be vigilant about noticing early signs of skin infections and seek medical advice promptly to prevent the spread of contagious conditions.

When to See a Dermatologist

If your child is experiencing any persistent skin issues, it’s important to consult a dermatologist. Dr. Gregory Delost and the team at Optima Dermatology specialize in diagnosing and treating a variety of skin conditions, ensuring that young athletes can get back in the game quickly and safely.

Request an appointment to discuss the best preventions and treatment plan for skin conditions in youth athletes.

The post Skin Conditions in Youth Athletes – Optima Dermatology on New Day Cleveland appeared first on Optima Dermatology.

Dr. Sisto Specializes in Medical, Surgical, and Cosmetic Dermatology Services

Dr. Joan Sisto, MD, FAAD, a board-certified dermatologist, is providing services at Optima Dermatology’s Stratham, NH and York, ME practices, and will be joining our newest practice in Portsmouth, NH in January. Having served patients in the Seacoast region since 1999, Dr. Sisto brings years of expertise and a passion for skin care and treatment.

Dr. Sisto provides medical, surgical, and cosmetic dermatology treatments for patients of all ages.

She earned her Bachelor of Science from the University of Utah and attended a postgraduate premedical program at Columbia University in New York City. She later earned her Doctor of Medicine from the Albert Einstein College of Medicine (AECOM), a premier academic medical center and university hospital recognized for clinical excellence, where she was inducted into the Alpha Omega Alpha Medical Honor Society.

Dr. Sisto completed her dermatology residency at Montefiore Hospital of AECOM and was named Chief Resident during her final year.

Currently, she is a fellow of the American Academy of Dermatology (AAD), and a member of the American Society of Dermatologic Surgery.

Having served as a board-certified dermatologist in the Seacoast region for more than two decades, Dr. Sisto is passionate about serving the community and has participated in numerous free skin cancer screening events. She also frequently volunteers her time at a local soup kitchen, and has completed multiple medical missions in Honduras.

When she is not treating patients, she enjoys skiing, cycling, hiking in the White Mountains, and enjoying exceptional Italian cooking by her husband Dan.

Committed to Skin Care and Patient Care

Dr. Sisto is committed to delivering the highest quality of care to her patients, and pays special attention to underlying causes of skin conditions, as well as specific details about an individual’s life and routine that can contribute to skin issues.

Her approach to patient care mirrors Optima’s mission to treat everyone like we would our friends and family, and she is looking forward to continuing her work in the Seacoast of New Hampshire and Southern Maine.

We recently had the opportunity to learn more about Dr. Sisto, her approach, and the path that led her to become a board-certified dermatologist.

What made you decide to pursue a career in dermatology? What did the path to get there look like for you? 

I was a Critical Care Nurse in Salt Lake City, Utah in my early twenties. Interest in travel provided an opportunity to work in a Cardiac Catheterization Lab in Milan, Italy for two years. This experience led to medical school in New York City. I originally was interested in emergency medicine but during my fourth year rotation in dermatology, I realized I would prefer creating more rewarding, longer-term patient relationships.

What is your favorite aspect of being a dermatologist?

I enjoy dermatology because I see such a wide age range, including pediatrics, teenagers, young adults and the elderly. I practice general medical dermatology but surgical procedures and cosmetics are also very fulfilling.

What is your approach to treating your patients?

I look at my patients as a whole person, not just their exterior. Dermatologic manifestations of internal conditions can be subtle. It is important to know my patient’s health history to better manage their treatment.

What is your number one tip when it comes to taking care of your skin?

Sun protection starts at an early age; not just sunscreen but SPF clothing, hats, and sun avoidance.

What is one thing you want your patients to know about you?

I love my job. I treat my patients as I would treat my family members. I want to know all about you and how I can help you to keep your skin and your body healthy

What do you like to do when you are not in the office treating patients?

My husband, Dan, and I love to ski, boat, bike, and eat Italian food.

Dr. Sisto and her team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care.

She is currently accepting new patients at our Stratham, NH and York, ME locations. Request an appointment online or give us a call at 855-277-9689.

The post Board-Certified Dermatologist Joan Sisto, MD, FAAD Joins Optima Dermatology’s Seacoast & Southern Maine Practices appeared first on Optima Dermatology.

Diabetes is best recognized for affecting the body’s insulin and blood sugar levels, but it can also cause several skin-related issues. Diabetic skin conditions can occur in individuals with Type 1 and Type 2 diabetes as a direct effect of the disease or a complication from medications.

In some cases, a skin issue can be an early sign of diabetes. According to the National Institute of Health, between 30% and 70% of individuals with diabetes will develop a skin condition.

Type 1 diabetes is diagnosed when the body’s immune system attacks and destroys cells that produce insulin, a hormone responsible for moving glucose from food into cells for energy. Those with Type 2 diabetes don’t produce enough insulin or their cells don’t react to insulin properly. Because diabetes affects the immune system and blood sugar levels, the skin is often impacted as well.

Why Does Diabetes Cause Skin Conditions?

There are a number of reasons individuals with Type 1 or Type 2 might develop a related skin condition.

One cause is hyperglycemia, which occurs when there is a high amount of sugar (glucose) in the blood. High glucose levels can set off a chain reaction where the body pulls fluid from other cells to produce enough urine to flush out the excess sugar. This removal of fluid can result in mild or severe dry skin that often manifests in different ways.

Diabetes can also cause changes in blood vessels, which can reduce the flow of blood to the skin. With less oxygen going to skin cells, individuals may develop areas of the skin that are discolored or different in texture.

Skin conditions can be an early sign of diabetes or develop after an individual has had diabetes for several years. While most of these skin conditions are best treated by managing your body’s blood sugar levels, there are other treatments to help alleviate the appearance of or discomfort from these skin issues.

It’s best to always see your dermatologist with any sudden changes to your skin, especially if the changes are severe and impact your daily life.

6 Types of Diabetic Skin Conditions

1. Diabetic Dermopathy

Diabetic dermopathy is one of the most common skin conditions related to diabetes. It often appears as light brown, scaly patches on the skin, and typically manifests on the shins. While this condition is considered harmless and doesn’t typically cause pain, its appearance can impact an individual’s self confidence.

How to Treat: There is no specific medical treatment for diabetic dermopathy; however, because this condition is caused by high glucose in the blood, your dermatologist may focus on managing your blood sugar levels to help prevent the development of future skin patches. Moisturizers can also manage irritation and discomfort by soothing dry, scaly skin.

2. Acanthosis Nigricans

Acanthosis nigricans is more common in individuals with Type 2 diabetes, and can be an early sign of insulin resistance. Acanthosis nigricans causes areas of the skin to become darker, thicker, and velvety in texture, and these dark patches often occur in skin folds, such as the neck, armpits, or groin.

How to Treat: This condition is best treated by addressing its root cause: insulin resistance. Individuals with acanthosis nigricans should make lifestyle changes to manage their diabetes and regulate their blood sugar to keep it within a recommended range. Additionally, your dermatologist may suggest topical retinoids or keratolytic agents to reduce the thickness of the skin and improve its appearance. In some cases, laser therapy may be employed to reduce pigmentation.

3. Necrobiosis Lipoidica

This rare condition causes raised, yellowish, or reddish patches or lesions on the skin, often on the lower legs. These areas can be itchy or painful and may even ulcerate in more severe cases. Necrobiosis lipoidica is more common in women with diabetes and often signals poor blood flow and inflammation.

How to Treat: A topical or injected corticosteroid can help reduce inflammation and prevent further skin damage. In more severe cases, your dermatologist may prescribe an oral medication like pentoxifylline (which helps improve blood flow) or an immune-suppressing agent.

4. Fungal Infections

Because diabetes can weaken the immune system, individuals become more susceptible to fungal infections, such as Candida. These infections typically occur in warm, moist areas where bacteria grows easily, like the armpits, groin, and between fingers and toes. Fungal infections can cause itchy, red rashes with small blisters or scales.

How to Treat: Prescription antifungal creams, powders, or oral medications will help clear the infection. To prevent new infections or flareups, you should maintain good hygiene and keep the affected areas dry.

5. Diabetic Blisters (Bullosis Diabeticorum)

While rare, some people with diabetes may develop blisters on their skin, which can manifest as a result of consistently high blood sugar levels, poor circulation, or damaged nerves. Diabetic blisters typically manifest on the hands, feet, legs, or forearms, can appear suddenly, and may resemble burns. Though they are usually painless, they can become infected if not properly cared for.

How to Treat: Like other diabetic skin conditions, controlling blood sugar levels is the best way to prevent and treat this skin issue. If you do develop diabetic blisters, they should be kept clean and covered to prevent infection. In most cases, they heal on their own within a few weeks. If the blisters become infected, your dermatologist may prescribe a topical antibiotic.

6. Bacterial Infections

Because diabetes can weaken the immune systems, diabetics are at an increased risk of bacterial skin infections, such as boils, styes, or carbuncles, caused by bacteria like Staphylococcus aureus. These infections can lead to painful, swollen red areas on the skin and may require medical intervention.

How to Treat: Your dermatologist may prescribe antibiotic ointments or oral antibiotics to clear the infection. In more severe cases where an abscess has formed, it may need to be drained or removed in a minor surgical procedure to clear the area of infected tissues.

Skin Conditions Caused by Diabetes Require Immediate Attention

Regardless of whether you have developed a skin issue as a result of diabetes, it’s best to visit with a board-certified dermatologist if you have diabetes to understand what to look for and any risk factors.

At Optima Dermatology, we’ll work with you to understand your diabetes, create a personalized care plan to treat any existing skin issues, and help prevent future complications.

For individuals with diabetes, early detection and treatment of a skin condition can prevent minor issues from becoming severe.

Request an appointment to discuss your diabetes, skin concerns, and develop a plan for any skin conditions caused by diabetes.

The post Diabetic Skin Conditions and Treatment appeared first on Optima Dermatology.

Optima Dermatology on New Day Cleveland Discussing Skin Conditions Related to Diabetes

November is Diabetes Awareness Month, a time to highlight not only the internal effects of diabetes but also its impact on the skin. Dr. Gregory Delost from Optima Dermatology recently appeared on New Day Cleveland to shed light on how dermatological signs can often serve as early indicators of diabetes. Here’s a recap of his discussion and the conditions he highlighted.

The Skin as a Window to Internal Health

“The skin is a window to the rest of the body,” says Dr. Delost. In many cases, dermatologists can detect early signs of diabetes before a patient is even aware of their condition. By identifying specific skin changes, dermatologists play a crucial role in early diagnosis and management.

Common Skin Conditions Linked to Diabetes

1. Diabetic Dermopathy
Diabetic dermopathy appears as reddish-brown patches, often on the shins. While its exact cause is unclear, it’s believed to be related to changes in blood vessels and nerves. Dr. Delost explains that improved glucose control can significantly improve these skin changes.

2. Acanthosis Nigricans
This condition presents as darkened, velvety patches of skin, typically in areas like the neck or underarms. It’s an early marker of insulin resistance, making it a key indicator for intervening before diabetes fully develops.

3. Necrobiosis Lipoidica
Often seen as yellowish, waxy patches on the skin, necrobiosis lipoidica can signal deeper vascular or nerve issues. Treatment may involve injections to reduce inflammation, alongside better diabetes management.

4. Diabetic Blisters
These painless blisters usually appear on the hands, feet, or legs. They are more common in patients with long-standing diabetes and can be an early warning sign of nerve damage. If untreated, such skin changes may lead to severe complications like infections or even amputations.

Fungal and Bacterial Infections

Patients with diabetes are also more susceptible to infections. Fungal infections like candidiasis and bacterial infections can arise due to compromised immunity and slower healing times.

Importance of Regular Skin Checks

Dr. Delost emphasizes the importance of diabetic patients regularly inspecting their skin, particularly their feet, where unnoticed injuries can quickly escalate. Seeking early care from a dermatologist or primary care physician can be life-saving.

Collaborative Care for Diabetic Patients

Managing diabetes-related skin conditions requires a team approach. Dermatologists, primary care providers, and endocrinologists work together to ensure comprehensive care for patients.

If you’re noticing unusual skin changes or have concerns about diabetes-related conditions, don’t hesitate to contact your healthcare provider. Early detection and management can make a significant difference.

Watch more interviews with Dr. Gregory Delost on Optima Dermatology’s YouTube channel.

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The Top 5 Dermatology Trends for 2025 

What the New Year Will Bring for Skincare and Medical Aesthetics 

Caring for our skin will never go out of style, but each year brings new trends in dermatology and skin care due to the rapidly changing advancements in cutting-edge treatments and ever-shifting consumer preferences.  

Looking ahead to 2025, there are numerous trends that will shape the dermatology landscape, including a greater focus on skin protection, rejuvenation, and striking a balance between technology and simplicity.  

Here is a roundup of the top 5 dermatology trends we’re expecting to see in the new year.  

1. SPF is our BFF 

Protecting your skin from the sun with an SPF sunscreen of at least 30 is becoming – dare we say – a cool thing to do. Cancer diagnoses and deaths affect more individuals each year, and high-profile individuals like beloved singer Jimmy Buffett who passed from Merkel Cell Carcinoma, and Khloe Kardashian, who was diagnosed with melanoma, help raise greater awareness around skin cancer and the dangers of long-term exposure to UV rays. Coupled with the known link between sun damage and premature aging, the conversation around sunscreen has drastically shifted – consumers aren’t just thinking about sunscreen as a product reserved for summer beach days, but something that should be part of their morning skincare routine for all-day sun protection, even in colder months. 

Brands are helping promote sunscreen as a year-round product with more practical options that combine UV protection with other skincare benefits, such as hydration or antioxidants, so it can be used as a daily product. And many brands have also improved the “tackiness” of their products, with more lightweight formulas to eliminate the stickiness or waxiness that can sometimes deter use. It’s easier than ever for consumers to find safe, effective products for themselves and their whole family. Some of our favorite products are Alastin’s HydraTint Pro Mineral Broad Spectrum Sunscreen and Revision Skincare’s Intellishade®.  

2. Regenerative Treatments for Deep Cellular Rejuvenation 

Advancements in regenerative medicine are making waves in anti-aging treatments that go beyond the surface of the skin to target the cells within and reverse the signs of aging. There are a handful of regenerative skincare treatments we expect to see gain more popularity in 2025: 

• Stem cell procedures: Minimally invasive injections that use a patient’s own stem cells to rejuvenate the skin.  

• Platelet-rich plasma injections: Minimally invasive treatments that inject a patient’s own blood into their skin to help heal injuries or improve tissue function.  

• Peptides: Many skincare products tout peptides as a key ingredient, as these amino acids are the building blocks of skin-rejuvenating proteins like collagen and elastin. We expect to see peptides become even more popular in the new year. 

• Exosome treatments: This relatively new, non-invasive medical treatment uses exosomes, which are tiny particles secreted by cells, to treat a variety of conditions, including the signs of aging skin. Exosomes are applied topically, typically followed by cosmetic treatments such as microneedling. 

• Growth factors: A growing number of skincare products include growth factors, proteins your skin already produces to stimulate collagen and elastin, but that decrease with age. Applying additional growth factors can support skin rejuvenation. 

3. Nutraceuticals: Vitamins for Skin and Hair Health 

Consumers are recognizing the power of nutrition in whole-body health, especially concerning complexion. Targeted supplements often include ingredients like biotin, vitamins C and E, collagen, zinc, and antioxidants, which support skin and hair health at a cellular level, and one of the trends we’re expecting to see take stronger hold in 2025 is treating the skin from the inside out.  

Companies like NUTRAFOL are offering products containing ingredients said to improve skin and hair health and specifying their formulas for by concerns at different life stages: postpartum women, women over 45, men experiencing hair loss, menopausal women, and more. We recommend consulting with your dermatologist before starting a supplement to make sure it is the right choice for your individual needs. Additionally, there are risks to taking supplements, and they should also not take the place of daily nutrition from food sources that also carry significant benefits to the skin, hair, and nails.  

4. At-Home Skincare Devices 

During the COVID-19 pandemic, we saw a surge in at-home skincare treatments, including LED facemasks, laser hair removal tools, and microcurrent devices, among others. While it made sense to be able to perform skincare from the comfort of your own home during the pandemic, the trend never dissipated, and we continue to see at-home skincare devices hitting the market.  

While convenient, there are risks to these DIY tools. Many of them promise a spa-like treatment with impressive results for minor skin concerns, but in the hands of everyday consumers, there are risks associated with improper use, such as burns or other skin irritations. Many of these products are expensive and results are not guaranteed.  

We recommend consulting with a dermatologist before using these more advanced treatments at home, especially if you have sensitive skin or a more complex condition that requires in-person consultation and treatment. We expect the debate about the convenience versus the risk of at-home skincare treatments and devices to continue in 2025 as these products are increasingly marketed to consumers.  

5. Minimalist Skincare 

As important as skincare is, many individuals simply don’t have time for an involved daily routine. Hence, the rise of streamlined skincare, also called “skin minimalism”. This approach, which we expect to gain even more popularity in the new year, is focused on simplifying skincare routines to use one or two products that serve multiple functions rather than numerous products that all serve different purposes.  

As discussed above, moisturizers now often also contain an SPF, antioxidants, and anti-aging ingredients all in one. Consumers not only want to cut back on the number of products they’re using but reduce the risk of using a product that can be irritating or ineffective. We anticipate this “maximum efficacy with minimal effort” trend to dominate skincare in 2025. 

Dermatology is always advancing and striking a balance between technology, efficacy, personalization, and simplification. Changing trends are important to pay attention to so we ensure all patients receive the best treatment for their individual needs and have access to the products that will work best for them.  

As we move closer to the new year, request an appointment and meet with a board-certified dermatologist to discuss your goals and start 2025 off on a skin-healthy note.

The post The Top 5 Dermatology Trends for 2025  appeared first on Optima Dermatology.

Dr. Rachel Delost Brings Years of Experience as a Cleveland Area Dermatologist 

Rachel L. Delost, DO, a board-certified dermatologist, will be joining Optima Dermatology’s practice in Mentor, OH. Dr. Rachel Delost has served patients in the Cleveland region since 2019, including at our partner practice, Advanced Dermatology and Skin Cancer Center, in Warren, OH. Throughout her years in dermatology, she has developed a broad expertise and a passion for skin care and treatment.  

Dr. Delost provides medical, surgical, and cosmetic dermatology treatments for a range of skin conditions for patients of all ages from newborn babies to adults. She provides medical aesthetic treatments including neurotoxin injections, such as Botox® and Dysport®, and dermal fillers. 

After graduating from Case Western Reserve University with a double major in Biology and Spanish, and a minor in Chemistry, Dr. Delost earned her Doctor of Osteopathy degree at Ohio University Heritage College of Osteopathic Medicine.  

She then completed her medicine internship and dermatology residency at Case Western Reserve University/University Hospitals, serving as Cosmetic Clinic Co-Chief and Osteopathic Chief at University Hospitals. She was also a student ambassador, president of her class, and president of the Dermatology Interest Group.  

Currently, Dr. Delost is a Fellow of both the American Osteopathic College of Dermatology and the Ohio Osteopathic Association.  

A Deep Commitment to the Highest Quality of Dermatological Care 

Dr. Delost has taken her passion for mentoring students and peers and channeled it into her work as a board-certified dermatologist, and she is looking forward to continuing to serve the greater Cleveland population.  

She is committed to delivering the highest quality of care to her patients, and her approach mirrors Optima Dermatology’s mission to treat everyone like we would our friends and family.  

We recently had the opportunity to learn more about Dr. Delost, her approach, and the path that led her to become a board-certified dermatologist. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?   

I have wanted to be a dermatologist since the age of 11. I had an amazing dermatologist growing up. She helped me with several skin conditions and improved my confidence by giving me healthy, beautiful skin – and she inspired me to do the same for others. 

What is your favorite aspect of being a dermatologist? 

Having the privilege to save lives by diagnosing and treating skin cancer. 

What is your approach to treating your patients? 

I take a holistic approach, listening carefully to their needs and concerns, and I involve my patients in their care and treatment plans.  

What is your number one tip when it comes to taking care of your skin? 

Always wear sunscreen!  

What is one thing you want your patients to know about you?  

I treat others the way I want to be treated. 

What do you like to do when you are not in the office treating patients? 

You can find me spending time with my husband, daughter, and our dogs.

Dr. Delost and her team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care.  

She is currently accepting new patients at our Mentor, OH practice. Request an appointment online or give us a call at (440) 496-6133.

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Welcome to another edition of Derm Deep Dive, where we tap into the expertise of our board-certified dermatologists to explore key topics in skincare. This time, we’re speaking with Dr. Joan Sisto, a board-certified dermatologist passionate about skin cancer prevention, to discuss the critical role of annual full-body skin checks in detecting and preventing skin cancer—and what you can expect during your appointment. 

Dr. Sisto brings her extensive expertise to our Portsmouth, Stratham, and York locations. A graduate of Albert Einstein College of Medicine and a member of the prestigious Alpha Omega Alpha Honor Society, she completed her dermatology residency at Montefiore Hospital, serving as Chief Resident in her final year. Committed to giving back, Dr. Sisto has participated in numerous free skin cancer screenings on the Seacoast of New Hampshire and southern Maine, volunteers at Portsmouth’s Families First and Salvation Army Soup Kitchen for many years. She also has participated in Medical Missions to Honduras though Cape Cares. Join us as we delve into her insights on the importance of comprehensive skin exams and how they can help protect your skin health. 

Skin Cancer Awareness Starts With Skin Checks 

Early detection of skin cancer makes a significant difference in the effectiveness of treatment. Skin cancer is usually visible but often goes undetected, especially in places on the body that are harder to see, like the back or neck. Skin cancer detection and prevention starts with skin checks.  

It can be a little daunting to go in for a skin check, so let’s dive into how it works, what to expect, and what you can do at home to practice good skin health and skin cancer awareness.  

The 4-1-1 on Skin Checks 

What to Expect From Your Dermatologist 

We understand that it can be intimidating to come in for a full-body skin check. At Optima our team strives to make the appointment as easy and stress-free as possible, and part of that comfort starts with being very upfront and clear about what to expect during the skin check.  

Here’s a simple breakdown of what happens during a routine skin full body skin check: 

• Skin checks typically take 10-20 minutes depending on your needs. Your provider will first ask if you have any specific questions or concerns, as well as for your medical and family history to understand if you’re at a higher risk for certain skin cancers.  

• For higher-risk patients, your provider will pay close attention to regions of the body that are susceptible to that type of skin cancer and will continue monitoring for that cancer over time with future scheduled appointments.  

• Your provider will conduct a head-to-toe exam, making note of any areas on your skin that we should keep an eye on or anything that may need to be tested further.  

Often, patients express concerns about moles or other birthmarks, if your dermatologist is concerned about a spot, they will take biopsies of those areas and test them to resolve any worries about skin cancer. At Optima Dermatology, we go out of our way to dispel your fears and create a comfortable environment.  

Doing a Skin Check at Home 

You can – and should – conduct skin checks at home once each month. Here’s a step-by-step guide to help you conduct effective at-home skin checks: 

1. Use a full-length mirror in a brightly lit space to examine the front, back, right, and left sides of your body. Raise your arms to view hard-to-see places. 

2. Examine your underarms, forearms, the palms of your hands, and your fingernails.  

3. Look at the soles of your feet, your toenails, the spaces between your toes, and the backs of your feet and legs.  

4. Examine your neck and scalp using a small hand mirror, being sure to part your hair for a better look at different areas of your scalp. 

5. Check your back and buttocks, also using a hand mirror. 

It’s often helpful to follow the ABCDE rule for at-home skin checks:  

A – Asymmetry: One side of the mole is not like the other.  

B – Border: There is an irregular or poorly defined border around the mole.  

C – Color: The mole is multiple shades of color (usually brown), but can also be pinkish or even black.  

D – Diameter: A mole diagnosed with Melanoma is typically the size of an eraser head or larger, but it can be smaller.  

E – Evolving: Your mole either looks very different from other moles on your body or has changed in appearance from when you first noticed it. These evolutions can include color, size, or shape.   

For more specific direction, I recommend you also keep an eye out for: 

• Moles or birthmarks that grow, thicken, or change in color or texture, especially if larger than a pencil eraser. 

• Dark spots or skin growths that are new or changing, particularly those with tan, brown, black, or multi-colored hues. 

• Sores or spots that itch, bleed, crust, scab, or fail to heal. 

Conducting at-home skin checks is an excellent habit that can help you notice new or changing areas on your skin. However, these checks should not replace your annual full-body skin exam with a dermatologist. A professional skin check is a crucial step in detecting skin cancer, the most common type of cancer in the U.S. The good news is that when caught early, skin cancer is highly treatable. Combining regular at-home checks with annual dermatologist visits is the best way to ensure early detection and timely treatment. 

As Dr. Sisto often advises her patients: “We’re living longer than ever, so it’s important to take good care of our bodies.” Just as you care for your eyes with sunglasses and regular eye exams, your teeth with brushing, flossing, and dental visits, and your cardiovascular health with exercise and social connections—your skin deserves that same level of care. Your dermatologist is here to help you protect and maintain your skin health. 

If you have concerns about your skin or are ready to schedule your annual skin check, make an appointment with Optima Dermatology today. Our team is here to answer your questions and provide expert care for your skin health.

The post Annual Full Body Skin Checks: Why You Need One & What to Expect appeared first on Optima Dermatology.

How to Protect Your Skin During the Cold Weather Months

As temperatures drop, the arrival of cold weather can cause or worsen several common skin conditions. Fortunately, with the right approach and care, you can protect your skin from the harsh effects of winter. Dr. Gregory Delost from Optima Dermatology shares his expert tips for keeping your skin healthy during the colder months.

Why Does Cold Weather Affect Your Skin?

The combination of cold temperatures, low humidity, and indoor heating can strip your skin of its natural moisture. Dr. Delost explains, “When we turn on our furnaces for the first time, the dry air begins to pull moisture from our skin. Think of your skin as a brick wall, where the fats in your skin act as the mortar holding it together. When your skin becomes dry, that mortar weakens, leading to irritation, inflammation, and even infections.”

Tips to Combat Dry Skin

To maintain a healthy skin barrier during the winter, consider these expert recommendations:

1. Avoid Hot Showers While hot showers feel comforting in the cold, they can strip your skin of its natural oils, leading to increased dryness. Instead, opt for lukewarm water and limit your shower time.
2. Choose Gentle Soaps Harsh soaps can exacerbate dryness. Dr. Delost advises avoiding soaps like Irish Spring and Dial, which can strip the skin of it’s moisture. Instead, opt for moisturizing cleansers or cream-based body washes.
3. Moisturize Immediately After Showering Lock in hydration by applying a fragrance-free moisturizer while your skin is still damp. This helps to seal in moisture and restore your skin’s natural barrier.
4. Use the Right Products Dr. Delost recommends products like CeraVe, which contain ceramides to replenish the skin’s mortar. For extremely dry skin, old-school remedies like Vaseline can be highly effective. “Use enough to slide down the hallway,” he jokes.

Common Winter Skin Conditions

Cold weather can also trigger specific skin conditions. Here are some to watch out for:

1. Rosacea

Rosacea is a common condition characterized by redness, especially on the cheeks and nose. Dr. Delost notes that triggers like hot drinks, spicy foods, alcohol, caffeine, and stress are more prevalent during the holiday season. Managing these triggers and using calming skincare products can help.

2. Raynaud’s Disease

This condition causes a red, white, and blue appearance in the fingers and toes due to overly sensitive blood vessels. For severe cases, blood pressure medications may be prescribed to improve circulation.

3. Cold Urticaria

Cold weather can also trigger hives in some individuals. This condition, known as cold urticaria, can often be managed with daily antihistamines.

4. Frostbite

Prolonged exposure to extreme cold can lead to frostbite, particularly on the fingers, toes, nose, and ears. Early symptoms include numbness and tingling. Dr. Delost advises warming the affected areas with lukewarm water and seeking medical attention if symptoms persist.

Winter Skin Care Essentials

To keep your skin healthy all winter long, Dr. Delost emphasizes the importance of daily moisturizing. “Avoid products with excess fragrances, as these can irritate dry, sensitive skin, especially if you have eczema. Keep your routine simple and focused on hydration.”

By following these tips and addressing skin concerns early, you can enjoy the winter months without compromising your skin’s health. For personalized advice, consider scheduling an appointment with a dermatologist at Optima Dermatology.

The post 5 Cold Weather Skin Conditions – Optima Dermatology on New Day Cleveland appeared first on Optima Dermatology.

Abel Jarell, MD, FAAD, is bringing years of valuable medical and surgical dermatology experience to Optima’s Portsmouth, NH practice. A double board-certified dermatologist and dermatopathologist, Dr. Jarell has been serving patients of all ages since 2009, specifically focusing on complex medical dermatology. He is also an active clinical trials investigator who has been directly involved in the development of the majority of the modern therapeutics currently used in dermatology. 

Dr. Jarell earned his Doctor of Medicine at Harvard Medical School, completing his dermatology residency in the Harvard Dermatology Residency Program where he was named Chief Resident. Dr. Jarell then completed a fellowship in dermatopathology through the dermatopathology training program at the internationally-renowned University of California in San Francisco. 

Before medical school, he attended the United States Military Academy at West Point where he earned his Bachelor of Science in chemistry and was recognized as a Distinguished Cadet (top 5% in class academically).   

As part of his military obligation, Dr. Jarell served in two combat theaters. Most of his Army medical career was spent at Walter Reed National Military Medical Center where he was on the dermatology and dermatopathology faculty. There, he co-founded the dermatopathology fellowship program, as well as the Melanoma and Pigmented Lesion Clinic at the Murtha Cancer Center. 

Caring for Patients and Their Skin 

Applying his expertise to visualize a patient’s situation and make a deeper, microscopic assessment is the most important part of Dr. Jarell’s position.  

His passion lies in listening closely to patients and combining microscopic assessment with their individual situation to recommend the best course of action. We recently had the opportunity to sit down with Dr. Jarell and ask him a little more about what led him to become a double board-certified dermatologist and dermatopathologist.  

What made you decide to pursue a career in dermatology and dermatopathology?  

As a physician, the most important aspects of my job are helping patients with their dermatological problems and gauging their progress both with my own eyes and through how they perceive their resolutions. Being a dermatopathologist allows me to not only visualize a patient’s problems, but also assess them on a microscopic level.  

What did the path to get to where you are look like?   

My path to dermatology and dermatopathology has been a most peripatetic one—high school, to West Point, to Harvard Medical School, to neurosurgery residency, to regular Army, back to Harvard for dermatology, and finally to UCSF for a fellowship in dermatopathology.   

What is your favorite aspect of being a dermatologist and dermatopathologist?   

To me, the best part about being a dermatologist and a dermatopathologist is that I can combine my expertise in the clinic with what I see under the microscope to determine the best course of action for patients.  

What is your approach to treating your patients?  

My approach to treating patients starts with actively listening to the patient and really trying to understand their purpose for coming to see me. I believe it is important for me to get a strong sense for how much a particular skin disease affects the patient. What may be devastating to one patient may be inconsequential to another (and vice versa). I find this dichotomy in perception to the same problem quite fascinating. And the most important part of my job is to determine how best to match what I have to offer the patient with how much the patient wants—whether it be an aggressive treatment option or simply reassurance from me that the issue they are presenting to me is one that cannot cause them any physical harm.    

What is your number one tip when it comes to taking care of your skin?   

Good sleep and shielding from the sun’s rays are paramount. 

What is one thing you want your patients to know about you?    

My number one goal in medicine as a physician and professional is to help patients with their dermatological problems.   

What do you like to do when you are not in the office treating patients?    

I enjoy spending time with my family and friends. But I also cherish my time alone to read and write. It is important for me to be physically active, and I strive to remain physically fit.  

Finally, I think it’s important as humans for us to not take ourselves too seriously—I very much enjoy goofing off, acting silly, and bringing a sense of humor and lightheartedness to my interactions. 

Dr. Jarell and his team at Optima Dermatology offer exceptional medical and surgical dermatology services and ensure personalized, expert, and high-quality care.  

He is currently accepting new patients at the Portsmouth, NH office at 215 Commerce Way, Suite 100. He will also begin seeing patients at our Stratham, NH office at 23 Portsmouth Ave. on July 1, 2025. Request an appointment online or give us a call at 855-277-9689.

The post Optima Welcomes Dr. Jarell’s Extensive Experience as a Double-Board Certified Dermatologist and Dermatopathologist  appeared first on Optima Dermatology.

The Accreditation Committee of the College of American Pathologists (CAP) has awarded accreditation to Optima Dermatology, Portsmouth, NH based on results of a recent on-site inspection as part of the CAP’s Accreditation Programs. Recognized for rigorous and robust standards, CAP accreditation elevates quality and mitigates risk, an important way that laboratories can contribute to improved patient outcomes. 

The facility’s director, Karen Nguyen Wu, MD, FCAP, was advised of this global recognition and congratulated for the excellence of the services being provided. Optima Dermatology’s pathology lab is one of more than 8,000 CAP-accredited facilities worldwide.  

“Our pathology laboratory team is proud and honored to be CAP-accredited. As part of Optima Dermatology & Medical Aesthetics, our mission is for the highest standard of care for our patients,” said Dr. Karen Nguyen Wu.

Max Puyanic, CEO, upon learning of the laboratory’s accreditation, said: “Optima’s dermatopathology team understands that every specimen represents a patient whose life may change based on their diagnosis. With exceptional expertise, they ensure accurate, timely results, empowering providers to deliver the best possible care and make critical treatment decisions before conditions progress. We’re proud of their dedication and commitment to excellence.”

During the CAP accreditation process, designed to ensure the highest standard of care for all laboratory patients, inspectors examine the laboratory’s records and quality control of procedures. CAP inspectors also examine laboratory staff qualifications, equipment, facilities, safety program and record, and overall management. These reviews help verify activities and reflect the most recent best practices. 

With over 23,000 laboratory participants, in addition to accreditation, the CAP offers proficiency testing/external quality assessment (PT/EQA) programs, quality improvement tools, and protocols and guidelines to ensure excellence in all areas across the laboratory. Built on a foundation of pathologist expertise, the College of American Pathologists (CAP) partners with laboratories worldwide to elevate the quality of laboratory medicine with best-in-class solutions designed to drive operational excellence, achieve diagnostic confidence, and ensure the best patient care.

About Optima Dermatology 

Optima Dermatology is revolutionizing skin care. Our mission centers on creating greater access to expert dermatology care and delivering an unparalleled patient experience. With a focus on excellence and innovation, our world class team is highly engaged, mission-driven, and inspired to set the new standard in dermatology. Our guiding principle is to treat each and every patient as we would want our friends and family to be treated, and we are committed to being your trusted experts in all aspects of skin care.

About the College of American Pathologists 

As the world’s largest organization of board-certified pathologists and leading provider of laboratory accreditation and proficiency testing programs, the College of American Pathologists (CAP) serves patients, pathologists, and the public by fostering and advocating excellence in the practice of pathology and laboratory medicine worldwide. For more information, visit the CAP Newsroom, CAP.org and yourpathologist.org to watch pathologists at work and see the stories of the patients who trust them with their care. 

CAP Contact Information: 

The CAP Communications Team 

College of American Pathologists 

325 Waukegan Road, Northfield, IL 60093 US 

media@cap.org 

cap.org | @Pathologists | Facebook | Instagram | CAP Newsroom 

The post Optima Dermatology’s Internal Pathology Lab Receives Accreditation From College of American Pathologists  appeared first on Optima Dermatology.

Exploring the Trend of Skin Detoxes to Uncover What Works, What’s Harmful, and if They’re Even Helpful  

The idea of a detox is pretty tantalizing. It feels like we can hit a “reset” button and bring ourselves back to a healthier, cleaner state. Detoxing our bodies has been a popular pursuit for some time, but a skin detox is a newer trend that’s catching on as people search for natural ways to improve their health, wellness, and appearance. 

What is a Skin Detox? 

Much like the concept of a detox for the body, a skin detox is often described as a way to remove impurities like toxins, dead skin cells, and pollutants from the skin, supposedly leading to a more radiant appearance. 

However, the truth is that a “skin detox” isn’t a scientifically backed process—our skin naturally detoxifies itself through normal functions like shedding dead skin and producing oils. There are some important things to know that we’ll be explaining: 

1. It isn’t actually possible to detox the skin. There are plenty of ways to keep your skin healthy and remove the bad stuff that can collect on your skin each day – and we’ll be telling you about those methods – but there aren’t any skin care products that can do that detoxification for you. 

2. The body is designed to clear out waste, so you’re technically always undergoing a detox. Toxins can’t exit the body through the skin, and there isn’t really a way to speed up your body’s detoxification process, despite what some creative marketing around juice cleanses may tell you. But you can influence your skin’s appearance by making smart choices about what you put into your body. We’ll also explain more about that in this article.  

3. Finally, there are some risks to be aware of with any new or different skin routine, so before embarking on a detox-driven skin care approach for the new year, be aware of the potential harms to your skin, and how to properly work a new product into your skin care routine. We’re sharing our cautions and recommendations at the end of this article, as well. 

So, let’s dive into the details. If you’re thinking of starting or changing a skin care routine for the new year, this information is a great place to start. 

The Myth of Skin Detoxification 

With sun, wind, sweat, cold temperatures, and other environmental stressors, your skin goes through a lot every day. A cleansing wash can do a lot for your skin before bed and in the morning, but you may be craving something more. Skin detoxing has become a popular trend for this reason.  

We agree it’s important to keep skin clean and healthy. So instead of talking about removing the bad stuff, let’s talk about adding good stuff – strengthening your skin’s barrier to protect it from the sun, dirt, grime, and everything else, so it remains healthy, radiant, and smooth.  

A simple reassessment of your skincare routine can help you do more for your skin if your current routine is leaving something to be desired. Here are a few ways to rejuvenate your skincare routine and better protect your skin: 

• Exfoliate once or twice each week. Exfoliation helps remove dead skin cells from the skin’s surface, and although this happens naturally every 28 days, aging and oily skin can slow the process down, so exfoliation can be a great way to brighten the skin more regularly.  

• Daily sunscreen. There is no better way to detox your skin than by keeping out the biggest “toxin” of all – UV rays. Even on cloudy days, your skin can be affected by the sun’s rays. Not only does UV exposure increase the likelihood of developing skin cancer, but it can lead to premature signs of aging like fine lines and wrinkles, and cause sunspots and sun damage. 

• Use a skincare product with antioxidants. Applying an antioxidant-rich skincare product not only helps make your sunscreen more effective, but antioxidants protect against free radicals, which break down collagen and elastin in the skin – you know, the stuff that makes our skin tighter and brighter.  

• Apply retinoids. Retinoids, which are found in many skincare products and can be applied topically, can stimulate collagen development and help the skin remain more firm. 

• Hydrate your skin. A hydrating skincare product is helpful for keeping skin soft, smooth, and looking more youthful as it maintains the skin’s natural barrier function to prevent dryness, redness, and irritation.  

• Refresh your skincare routine. You may need to surprise your skin by changing up your current skincare regimen and incorporating in office treatments with a specialized medical aesthetic provider. Dermatologic treatments can give the skin an exfoliating deep clean and address concerns like skin laxity, texture, scarring, acne, and more. Here are a few options we offer at Optima: 
  • HydraFacial^®: Using a wand that acts as a vacuum, we deeply cleanse the skin and open pores, extracting dead skin cells and other impurities, leaving skin feeling soothed and refreshed.  
  • DiamondGlow^®: This dermabrasion treatment exfoliates, extracts, and then gently infuses customized serums, leaving your skin with a lasting glow.  
  • Microneedling: Creates tiny, microscopic channels, activating your body’s natural response to heal the skin. Through the healing process, the production of collagen and elastin allows the skin to look younger, healthier, and more radiant. 
  • Laser & Light Treatments: Targeted treatments that stimulate skin cell regeneration to restore and rejuvenate your skin’s appearance. 
  • Chemical Peels: Exfoliate the skin by removing the outer layers to reveal smoother, brighter skin, improving texture, tone, and the appearance of fine lines, acne scars, and hyperpigmentation. 
  • Signature facials and extractions: We offer signature facials and skin extractions to deeply cleanse and exfoliate the skin, leaving it feeling hydrated and healthy.  

Can My Diet Impact My Skin Health? 

Yes it can! As we mentioned, toxins cannot leave the body through the skin, but reducing toxins in your body can influence your skin’s health.  

There are a few easy ways to support healthy, glowing skin with your diet.  

• Drink more water. Just like a hydrating skincare product helps protect the skin, hydration in your body also supports the skin’s natural barrier function and supports a softer, smoother, and more youthful appearance.  

• Avoid alcohol, tobacco, and other drugs. These substances are actual toxins that can hang out in your body for days – even weeks – and wreak havoc on your skin’s appearance over time. These substances can actually hinder oxygen supply to the skin, causing dryness or irritation, and can also cause wrinkles, age spots, inflammatory issues like eczema or psoriasis, and blood vessel visibility due to dilation.  

• Eat anti-inflammatory foods. There are a host of foods that cause inflammation (like – you guessed it – sugar) and while there is a lot of talk about internal inflammation, these foods can impact your skin as well. In some cases, inflammatory foods can trigger an immune or systemic response in the body that can cause redness, breakouts, dryness, swelling, or flare-ups of existing conditions like eczema or psoriasis. Some inflammatory foods to avoid include:
  • Red meat 
  • Sugary or processed foods 
  • Fried foods 
  • Excessive alcohol 
  • Trans fats 
  • White bread and refined grains 

Again, no diet will actually remove toxins from the body or the skin – your liver, kidneys, lungs, and colon already do a lot of work to remove harmful substances from the body in short order.  

But the right foods can influence your health from the inside out – having an impact on your skin that you can feel good about.  

The Best Skin Care Products and How to Introduce Them 

No skin care product can detox your skin but if you choose to start using any of the skincare products we mentioned to help support your skin’s health, there are a few things to know about introducing a product to your skin for the first time.  

Always try a little bit of the new product on a part of your skin like the neck or under your chin where it would be less intrusive if you had a bad reaction.  

Understand that you may not see results right away – it usually takes several days to a week or more for your skin to adjust to a new product and for that product to take effect.  

If you are going to use a product that makes detoxification claims, be aware that it could be irritating or make your skin drier, particularly if you have sensitive skin.  

Striking a Balance Between Trend and Truth 

The beauty and the health and wellness industries often play into fads and trends, but that doesn’t mean it’s accurate, or a good idea for everyone. A detox is certainly a compelling concept – we all want a fresh start every now and again.  

But there are many ways to achieve a healthy, glowing appearance that go beyond a temporary detox to become your lifelong skincare routine, built on the foundation of consistency and patience, which are key to seeing real, lasting results. 

If one of your New Year’s resolutions is to elevate your skincare and achieve glowing, healthy, and radiant skin, request an appointment and meet with a specialized medical aesthetic provider to discuss your goals and create a custom treatment plan.

The post Do You Need a Skin Detox? appeared first on Optima Dermatology.

We’re back with another Derm Deep Dive, a series where we provide expert advice from one of our board-certified dermatologists about common skin conditions or treatments. We’re speaking with board-certified dermatologist at our Mentor, OH location, Dr. Rachel Delost, about a condition many people have never heard of: hidradenitis suppurativa.  

Understanding Hidradenitis Suppurativa 

If you have not heard of Hidradenitis Suppurativa, or HS, you’re not alone – in fact, patients who are diagnosed with this skin disease rarely know anything about it.  

HS can run in families, and is most common in women, especially African American women and women in their 30s and 40s. HS causes lumps to form deep in the skin that are often painful and typically manifest in the armpits, inner thighs, underneath the breasts, or around the buttocks and groin where the skin rubs together.  

This skin disease has been referred to as “acne inversa” because it causes sores, pimples, and cysts that can mimic acne. Unfortunately, the similarities can result in misdiagnosis, leading patients to suffer with painful symptoms for many years.  

Symptoms will worsen over time if left untreated, and for some sufferers, the pain can become so bad that they visit an emergency room. Raising greater awareness about this skin disease will help patients obtain treatment sooner and avoid living in pain for longer than they need to. 

Symptoms of Hidradenitis Suppurativa 

In its early manifestations, HS appears as one or several lumps, bumps, or sores in pitted areas of the skin that experience more sweat, have oil glands, or where the skin rubs together.  

These lumps can resemble blackhead pimples, and if broken open, can leak a discharge.  

Over time, these lumps or bumps worsen, developing sinus tracts, which are channels or lesions that form between the abscess and the skin’s surface and can drain fluid. These lesions can cause debilitating pain, restricting movement such as raising the arms or sitting down.  

There are three stages of the disease – patients at Stage 3 have likely been living with Hidradenitis Suppurativa for a long time without treatment.  

Stage 1: A single abscess or formation of multiple abscesses without sinus tracts or scarring.  

Stage 2: Abscesses with sinus tracts and scarring that come and go.  

Stage 3: Multiple, interconnected sinus tracts and abscesses that cover the entire affected area.  

HS often comes and goes, making it difficult for patients to understand what they are dealing with. An individual may believe they are completely better, only to have the symptoms reappear.  

What Causes Hidradenitis Suppurativa, and Why Does It Come and Go? 

The exact cause of HS is unknown, but it appears to be the result of an overactive immune system, which creates inflammation beneath the skin, irritating the most sensitive areas first.  

There are several factors that have been shown to cause HS to flare up, and while these can vary by individual, they include: 

• Hormones. Because HS does manifest during puberty in some individuals, it is thought that hormones may play a role.  

• Blocked Hair Follicles. HS is common in the folds of the skin and where skin rubs together, suggesting that blocked hair follicles may be a precursor to its development. 

• Genetics. HS has been found to run in families, so if someone in your family has HS, it is likely others in the family will develop it also. 

• Lifestyle. Certain lifestyle and environmental triggers have been associated with HS, such as smoking and obesity.  

Hidradenitis Suppurativa is NOT caused by poor hygiene, a sexually-transmitted disease, or acne, and it is not contagious.  

How to Treat Hidradenitis Suppurativa 

A holistic approach to treatment is recommended. Hidradenitis Suppurativa is worsened by smoking and obesity, so certain lifestyle changes are necessary for optimal treatment results.  

Topical treatments like skin washes can be effective, and in some cases, antibiotics are prescribed to treat infection caused by the disease or to help reduce inflammation.  

In rare cases, surgical treatment can help by removing the affected tissue and reconstructing the area. There are several surgical options depending on the severity of a patient’s HS.  

A newer treatment option for patients with HS are injectable medications, and I predict there will be numerous treatment options in the next 5 to 10 years that will drastically improve the outlook for patients with HS.  

I advise patients that at-home treatments with ointments or wrappings can make Hidradenitis Suppurativa worse, so it’s important to get a proper diagnosis and discuss the most appropriate treatment plan with your board-certified dermatologist.  

Don’t Suffer in Silence – Seek Treatment 

Whether you’re aware of your Hidradenitis Suppurativa and having a flare-up or are experiencing any of the symptoms discussed and want to get a diagnosis, schedule an appointment to establish a treatment plan that will work best for you.

The post Hidradenitis Suppurativa – How to Treat and Manage This Often Painful Skin Disease appeared first on Optima Dermatology.

Today is Valentine’s Day! A day of the year where our lips are top of mind. Did you know that your lips can reveal a lot about your health? Joining us today is Dr. Gregory Delost, a board-certified dermatologist with Optima Dermatology, to discuss common lip conditions and how to treat them.

Skin Cancer (Basal Cell Carcinoma and Squamous Cell Carcinoma) 

Let’s start with something many people might not think about—skin cancer on the lips. What should we look out for? 

Dr. Delost: 

• Look for non-healing sores, rough patches, or lumps on the lips that may bleed or crust 

• Skin cancer, including basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), can develop on the lips due to prolonged sun exposure – protect your lips by using a lip balm with SPF and reapplying it often 

• If you notice any persistent changes, schedule a visit with a dermatologist right away 

Actinic Cheilitis 

Speaking of sun damage, can you explain actinic cheilitis? 

Dr. Delost: 

• Actinic cheilitis is a precancerous condition caused by chronic sun exposure 

• It often shows up as dry, scaly patches or cracks on the lower lip 

• If untreated, it can progress to squamous cell carcinoma, so early intervention is key, schedule a visit with a dermatologist right away 

Angular Cheilitis 

Another common condition people deal with is angular cheilitis. What causes it, and how can it be treated? 

Dr. Delost: 

• Angular cheilitis is an inflammation at the corners of the mouth 

• Often caused by saliva pooling in those areas, creating a moist environment for bacteria or yeast to grow 

• Treatment depends on the cause—antifungal or antibacterial creams work well, along with keeping the area clean and dry 

Contact Dermatitis (Allergic or Irritant) 

What about allergic reactions or irritation from products we use on our lips – contact dermatitis? 

Dr. Delost: 

• Contact dermatitis can occur due to allergens like fragrances, dyes in lipsticks, or even ingredients in chapstick  

• Irritant contact dermatitis can result from frequent lip licking or using harsh products  

• Symptoms include redness, dryness, and cracking 

• The best approach is to identify and avoid the trigger and use gentle, fragrance-free products to restore the skin barrier 

Perioral Dermatitis 

Another condition that sometimes affects the area around the lips is perioral dermatitis. Can you explain what it is? 

Dr. Delost: 

• Perioral dermatitis is a rash around the mouth that looks like small red bumps, often mistaken for acne 

• The exact cause of perioral dermatitis is unknown, it can be triggered by heavy creams, steroids, or even toothpaste with fluoride, it can also be triggered by hormonal changes, or problems with the immune system 

• Treatment includes stopping the triggering product and using gentle skincare 

• In some cases, prescription creams or oral antibiotics may be needed 

Venous Lake

Lastly, let’s talk about venous lakes. What are they, and are they harmful? 

Dr. Delost: 

• Venous lakes are small, dark blue or purple spots often found on the lips due to dilated blood vessels 

• They’re typically harmless, but some people choose to have them treated for cosmetic reasons with laser treatments or cryotherapy 

Closing 
Dr. Delost, thank you so much for walking us through these common lip conditions 

It’s clear that our lips are delicate and deserve attention. Protecting them from the sun, keeping them hydrated, and seeing a dermatologist for any concerns are all great steps! For more tips and to schedule a visit with Optima Dermatology, head to OptimaDermatology.com. Have a healthy and happy Valentine’s Day!

The post Common Lip Conditions and How to Treat Them – Optima Dermatology on New Day Cleveland appeared first on Optima Dermatology.

At Optima Dermatology, we are dedicated to providing expert dermatological care, prioritizing patient experience, and raising awareness about skin health. Recently, our commitment to these values was highlighted in a feature on Inside Maine’s Best: Health & Wellness, where Dr. Virginia Barton, one of our board-certified dermatologists, shared insights on the importance of skin care, skin cancer prevention, and what sets Optima apart.

Providing Expert Skin Care Across Maine and Beyond

Optima Dermatology was founded with the mission of increasing access to high-quality dermatological care while delivering an unparalleled patient experience. With locations in Scarborough and York, as well as additional practices in New Hampshire, Indiana, and Ohio, our board-certified dermatologists and experienced providers are committed to delivering personalized treatment plans for a range of skin concerns, from chronic conditions and cosmetic dermatology to life-saving skin cancer detection and treatment.

Dr. Barton emphasized our patient-centered approach during her interview, highlighting how Optima Dermatology treats every patient like family and ensures they feel welcomed and cared for from the moment they walk through our doors. We also focus on expanding access to dermatology care by offering convenient appointment times with minimal wait times.

Raising Awareness About Skin Cancer Prevention

Skin cancer is the most common type of cancer in the United States, with one in five Americans developing it by the age of 70. In Maine, skin cancer rates are even higher than the national average, making early detection and prevention critical. During her feature, Dr. Barton discussed key risk factors for skin cancer, including excessive sun exposure, a history of sunburns, and family history.

She also reinforced the importance of regular full-body skin checks and self-examinations to catch skin cancer early when it’s most treatable. At Optima Dermatology, our providers are highly trained in detecting and treating all types of skin cancers, including melanoma, and we are committed to ensuring that patients receive the expert care they need.

Essential Tips for Healthy Skin

During the interview, Dr. Barton shared practical tips to help individuals maintain healthy skin and reduce their risk of skin cancer, including:

• Daily Sunscreen Use: Apply a broad-spectrum SPF 30+ sunscreen every day, even during winter and on cloudy days.
• Regular Skin Checks: Perform monthly self-exams and schedule annual full-body skin checks with a dermatologist.
• Protective Measures: Wear wide-brimmed hats, UV-blocking sunglasses, and long-sleeved clothing when outdoors.
• Avoid Tanning Beds: These significantly increase the risk of developing melanoma.
• Stay Hydrated and Follow a Simple Skincare Routine: Use gentle cleansers and moisturizers suited to your skin type.

Expanding Access to Dermatology Care

Our feature on Inside Maine’s Best: Health & Wellness highlights how Optima Dermatology is committed to making expert dermatological care more accessible. With our team of experienced providers, state-of-the-art facilities, and a dedication to innovation, we continue to set a new standard in dermatological care.

If you’re in need of a skin cancer screening, treatment for a chronic skin condition, or are interested in cosmetic dermatology services, our team is here to provide compassionate, expert care.

To learn more about Optima Dermatology or to schedule an appointment at our Scarborough or York locations, visit OptimaDermatology.com.

The post Optima Dermatology Featured on Inside Maine’s Best Health & Wellness appeared first on Optima Dermatology.

Collagen is a protein responsible for strengthening and supporting our skin, but it decreases as we age, leading to the appearance of fine lines, wrinkles, and laxity.  

Starting in early adulthood, collagen begins to decrease by 1% each year, and according to the American Academy of Dermatology, women lose 30% of their collagen in the first five years following menopause. And because collagen makes up about 70-80% of the skin’s tissue, the effects of decreased collagen are typically very visible. 

There are ways to boost your collagen and help your skin look smoother and younger, and this article explains your options and what you should know before changing your skincare regimen.  

Boost Your Collagen Naturally 

The natural approach to boosting your collagen is all about your diet and lifestyle. While research on the direct impact of dietary changes on collagen production is still evolving, certain nutrients—such as amino acids, vitamin C, and antioxidants—are thought to support the body’s ability to produce collagen. Including collagen-rich or collagen-supporting foods in your diet may contribute to healthier-looking skin over time. 

Amino acids, which your body uses to produce collagen, are found in protein-rich foods such as poultry and beef, fish and shellfish, eggs, dairy, soy, and legumes.  

Vitamin C plays an important role as well, as it helps amino acids convert to collagen, and helps protect collagen. Leafy greens, bell peppers, citrus fruits, berries, and tomatoes are great vitamin C-rich foods.  

Antioxidants in foods like dark chocolate, tomatoes, blueberries, and spinach, can go after free radicals in the body that damage collagen.  

Zinc and copper are also involved in the body’s natural production of collagen, so eating nuts and seeds, which are rich in zinc, and chickpeas, beans, and cashews, which are rich in copper, can support collagen synthesis.  

Conversely, there are several factors that can speed up collagen decline.  

Smoking and caffeine have been shown to damage collagen in the body, and excessive alcohol use can impair the body’s ability to produce collagen.  

Exposure to the sun and environmental pollution, and a lack of sleep and exercise can all also lead to collagen decline due to overall negative impacts on the body and skin.  

It is certainly not a myth that diet and lifestyle can affect your body in major ways, and stimulating or protecting collagen is one potential outcome of eating the right foods and avoiding more harmful factors. 

However, just like losing weight or tackling a health issue, seeing results from changing your diet takes time and requires commitment. You can potentially pack more of a punch by combining your healthy diet and lifestyle with other collagen-boosting options.  

Stimulating Collagen Production with Vitamins and Supplements 

There’s a huge market for vitamins and supplements claiming to improve everything from hair growth to skin health. Being able to take a pill and pause or reverse a biological condition is certainly exciting – but it’s important to have all the facts before starting a vitamin or supplement designed for any specific result. 

Vitamins for collagen production are based on the specific nutrients in the body that are involved in collagen synthesis – zinc, vitamin C, and copper. You can also find supplements containing antioxidants and amino acids to help support collagen production.  

You should always be aware of any possible side effects or risks associated with the particular vitamin or supplement you’re taking, and it’s important to understand that vitamins or supplements alone may not generate the results you’re looking for – or any results at all.  

For collagen production, it’s recommended to combine the right vitamins and supplements with a healthy diet and lifestyle for the best outcome.  

What About Collagen Supplements? 

There are a number of different collagen supplements, and there is some evidence that collagen supplements can have a positive outcome for skin health; however, they may not be particularly effective on their own.  

Once you take a collagen supplement, it is dissolved into the body. While some of it may be used to make new collagen, it likely is used for other purposes as well, which is why you’re more likely to see improvements in skin health when you use supplements in conjunction with a healthy diet and lifestyle. 

If you do decide to take a collagen supplement, the one you choose should be based on your health goals and desired outcome.  

Collagen Type I is best for skin health – Collagen Type I is the protein that makes up the largest percentage of the body’s collagen and supports the structure and integrity of tissue in the bones, ligaments, joints, tendons, cartilage, and skin.  

You may also see supplements for Collagen Type II and Collagen Type III – these offer the collagen needed to support bones, joints, arteries, organs, and muscles, and will not have much if any impact on skin health. 

Collagen peptides are another option that are often considered most effective at improving collagen production. Unlike Collagen Type I, which is a complete protein, peptides are made by breaking down whole collagen proteins into smaller pieces, making them easier for the body to absorb. 

Like vitamins and other supplements, it’s important to read labels and fully understand what you’re taking before you take it. There are some risks and side effects associated with collagen supplements, including digestive issues, hypercalcemia, headaches, fatigue, and possible kidney stones.  

Go Natural, Take a Supplement, and See a Dermatologist

There is no single solution to stopping or reversing collagen decline, but there are numerous options that can make positive changes in your skin over time.

Even if you’re adopting a collagen-friendly diet and taking a vitamin or supplement, don’t overlook other options for achieving healthy, younger-looking skin.

Optima Dermatology offers a number of safe, non-invasive treatments that can boost collagen production and have more immediate results. These include: 

• Dermal fillers 

• Microneedling 

• Laser or light therapy 

• Chemical peels 

• Sculptra injection 

These options use different approaches to stimulate the skin’s natural collagen production, promote tissue growth, add volume, and add definition to areas of the face suffering from a collagen reduction.  

With minimal downtime and side effects, cosmetic dermatology treatments can give you the results you’re looking for and complement your other efforts toward stimulating collagen production.  

Plus, your dermatologist can also help guide you in your diet and supplement options, and answer questions you may have. 

Find the approach to increasing your collagen production that works for you. Request an appointment and meet with a board-certified dermatologist to discuss your goals and the best approach to get you there.

The post Want to Boost Your Collagen? appeared first on Optima Dermatology.

A Guide to Unlocking the Skin’s Potential With Growth Factors for Skin

With a somewhat ambiguous name, it’s no wonder growth factors for skin are often met with confusion or a lack of awareness. Despite being developed in the 50s and undergoing decades of science and study, growth factors have only recently become a sought-after ingredient for their anti-aging properties.

Whether you’ve heard of growth factors or are just delving in, it’s important to understand what you’re buying and how it can benefit your skin.

What Are Growth Factors for Skin?

Growth factors are proteins that occur naturally in the body to help with repairing damaged skin and promoting skin cell growth, and collagen and elastin production. They do a lot for our skin, with one amazing outcome: helping our skin look healthy and rejuvenated.

There are multiple types of growth factors present in the body, and they all have different jobs.

• Epidermal Growth Factors (EGF) help in healing and repairing damaged skin, these are great for post procedure healing or wound healing.
• Fibroblast Growth Factors (FGF) stimulate collagen and elastin production to support and strengthen the skin, these often play a role in anti-aging treatment.
• Platelet-Derived Growth Factors (PDGF) help repair the skin’s tissues when damaged or compromised.
• Transforming Growth Factors (TGF) help maintain collagen levels.
• Vascular Endothelial Growth Factors (VEGF) support blood flow to the skin, encouraging a healthy, radiant glow.

Like collagen and elastin, growth factors also decrease as we age, resulting in more pronounced fine lines, wrinkles, and sagging skin. People often turn to supplements and topical products to pause or reverse these signs of aging, and growth factors have gained popularity as a treatment that gets results.

How Do They Work?

Because the body already produces growth factors, taking a supplement or applying them topically to the skin is simply replenishing what may be a diminishing supply in your body.

These “artificial” growth factors are typically derived from the proteins produced by animal or human stem cells and are bioengineered specifically for skincare. Growth factors with the same skin repair and rejuvenation functions have also been developed from plant-derived ingredients.

Growth factors stimulate the production of collagen and elastin. In doing so, growth factors can help your skin more quickly and effectively recover from sun or other damage, as well as signs of aging.

Collagen and elastin are essential in keeping the skin strong, tight, smooth, and supported, so as wrinkles and fine lines emerge, growth factors can send signals to your skin to reverse course.

Topical growth factors can help your skin:

• Look brighter, healthier, and rejuvenated
• Become tighter and stronger, reducing the appearance of fine lines and wrinkles
• Recover more quickly from sun damage or cosmetic treatments such as lasers or chemical peels
• Turn over and renew skin cells more quickly and efficiently
• Better protect itself from harsh chemicals and environmental stressors by strengthening the skin barrier
• Retain more moisture, staying hydrated for longer

Working Growth Factors into Your Skincare Routine

The most important first step to using growth factors is selecting the right product for your skin type and unique needs. They are available as serums and creams and are applied topically to the skin. You should always consult with your dermatology provider before starting a new skincare product, but growth factors have been found to be safe for all skin types. Some minor side effects can include dry skin or rashes.

Anyone who is interested in reducing fine lines and wrinkles and improving their skin health is a candidate for growth factors. Most people report seeing results within 4-8 weeks of treatment, with full results within 12 weeks. Optimal results rely on continued use past the initial 12 weeks, as results can continue to be seen up to several months after starting treatment.

Some top-rated products recommended by our expert medical aesthetics providers include:

Exosomes

Exosomes are a cutting-edge regenerative treatment that contains growth factors, peptides, and lipids. Exosomes stimulate collagen production, enhance cellular communication, and accelerate healing. They are commonly used to improve skin texture, tone, and elasticity, and to support recovery after aesthetic treatments like microneedling and laser procedures.

Platelet-Rich-Plasma (PRP)

PRP is a natural treatment that utilizes the patient’s own blood to stimulate skin and hair regeneration. After drawing a small amount of blood, it is spun in a centrifuge to concentrate the platelets and growth factors. PRP is widely used for skin rejuvenation, helping to improve fine lines, texture, and overall skin health. It is also a popular treatment for hair restoration, as the growth factors in PRP can strengthen hair follicles and encourage new hair growth.

Product Recommendations

• SkinMedica TNS Advanced+ Serum
• ZO Skin Health Growth Factor Serum
• SkinBetter Science Techno Neck Perfecting Cream
• Nutrafol Hair Serum

There have been a lot of studies and research over the years that indicate growth factors can visibly reduce wrinkles and fine lines and improve overall skin health. However, it’s always best to speak with a specialized provider to discuss your specific concerns and understand the best product and skincare regimen for you.

Our expert dermatologists and medical aesthetic providers are well-versed in skin care, cosmetic dermatology, and anti-aging approaches, and we encourage you to schedule a consultation to discuss your specific concerns and better understand if growth factors are for you! Book an appointment today.

The post Growth Factors for Skin: What They Are and Why We Need Them appeared first on Optima Dermatology.

We’re excited to welcome Kendra Lyons, PA-C, to Optima Dermatology! With a deep passion for both medical and cosmetic dermatology, Kendra is dedicated to helping patients achieve their healthiest skin through expert care and personalized treatment plans. Since beginning her dermatology career in 2019, she has focused on building strong patient relationships and delivering natural-looking, confidence-boosting results. Whether providing medical dermatology treatments or guiding patients through aesthetic procedures, Kendra is committed to a patient-first approach that prioritizes education, trust, and individualized care. We recently had the opportunity to sit down with Kendra to learn more about her journey, philosophy, and top skincare tips.

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?   

I have always been passionate about both medicine and aesthetics, and dermatology offers the perfect blend of the two. My journey began with a summer spent shadowing a dermatologist before attending physician assistant school. During my training, I chose dermatology as one of my elective rotations, which further solidified my interest in the field. After graduating in 2019, I began practicing in dermatology and have been dedicated to it ever since. 

What is your favorite aspect of being a board-certified physician assistant? 

My favorite aspect of being a board-certified physician assistant is building relationships with patients and helping them achieve their skin goals. Seeing my patients gain confidence as they achieve healthier, more radiant skin is incredibly rewarding. 

What is your approach to treating your patients? 

My approach to patient care is highly personalized, recognizing that each individual has unique concerns, goals, and lifestyles. I take the time to listen and understand their needs before creating a custom treatment plan. In cosmetic treatments, my focus is on achieving natural-looking results that enhance each patient’s features rather than altering their appearance. 

What is your number one tip when it comes to taking care of your skin? 

Sunscreen! Daily sunscreen use is the most important step in maintaining healthy skin. It provides protection against skin cancer while also preventing premature signs of aging. 

What is one thing you want your patients to know about you?  

I want my patients to know that I am dedicated to helping them achieve their goals and guiding them to make informed decisions about their health. If there is anything they’re concerned about or would like to discuss, I encourage them to be open and honest so that I can provide the highest level of care. 

What do you like to do when you are not in the office treating patients? 

Outside of work, I enjoy spending time with my family and friends, staying active through exercise, cooking, and reading.

Providing Personalized Care for Every Patient

Kendra is passionate about empowering her patients with the knowledge and treatments they need to look and feel their best. Whether addressing medical dermatology concerns or enhancing natural beauty through cosmetic procedures, her goal is to create tailored treatment plans that align with each patient’s unique needs and goals.

Now accepting new patients! Schedule an appointment with Kendra Lyons, PA-C, at Optima Dermatology by calling (603) 441-1076 or requesting an appointment online.

The post Optima Dermatology Welcomes Kendra Lyons, Board-Certified Physician Assistant appeared first on Optima Dermatology.

We’re back with another Derm Deep Dive, a series where we provide expert advice from one of our board-certified dermatologists about a specific topic in skin care. For this edition, we collaborated with board-certified and fellowship-trained Mohs surgeon, Dr. Sherry Yu to offer a guide to moles and spots on skin, detailing what to look for, what they might be, and when to see a dermatologist. 

The Importance of Monitoring Moles and Spots 

Most people have moles, and while they are typically harmless, it’s important to monitor them for any changes in size, shape, or color, as these can sometimes be signs of skin cancer. 

Keeping an eye on your moles and other spots on your skin is an important part of maintaining skin health. For example, if you know you have a small brown mole behind your knee and notice that it changes—perhaps becoming irregular in shape or developing a darker border—it’s a good idea to see a dermatologist. One helpful guideline is the “ugly duckling” rule: if most of your moles are similar in size, shape, and color, and one stands out as different, that’s a sign it should be checked out. 

When it comes to skin cancer, early detection and treatment are critical. The Skin Cancer Foundation recommends getting a full body skin check at least once a year. It’s also important to do skin checks more regularly at home (at least once a month). At-home skin checks ensure that you’re familiar with your own skin and therefore able to notice any changes right away. Knowing what to look for is key, so let’s go over the moles and spots that should catch your attention. 

Moles, Birthmarks, and Spots: Characteristics and Differences 

There are some important but somewhat subtle differences among moles, birthmarks, and spots on the skin.  

Moles:  

Moles are extremely common and are typically noncancerous. They are caused by a group of pigment-producing skin cells, called melanocytes. Moles can vary widely in size, shape, and color. They may be flat or raised, round or oval, and range in color from flesh-toned to dark brown or black, some may even appear multicolored. People typically have a variety of moles on their skin, and while moles are generally harmless, if you notice a mole undergoing a change in its size, shape, or pigmentation, you should have it looked at by a dermatologist to rule out skin cancer.  

Birthmarks:  

Birthmarks are colored areas on the skin that appear shortly after birth and are very similar to moles in how they are formed and how they behave. Common birthmarks fall into two categories. Red or vascular birthmarks such as hemangiomas, congenital dermal melanocytosis spots, and port wine stains. And pigmented birthmarks such as cafe-au-lait spots, salmon patches. 

Like moles, while most birthmarks are harmless, they could carry a small risk of developing into skin cancer. Monitor birth marks in your monthly at-home skin checks and schedule an appointment with your dermatologist if you notice any changes. 

Spots: 

Finally, when we talk about spots, these would be any spots that are not moles or birthmarks, such as sunspots, scars, a newly formed area of discoloration or texture, or a lesion that continuously returns or is not healing. 

Our skin naturally changes over time, but if you notice something new, it’s always wise to get it checked. In many cases, your dermatologist can determine if an area is concerning just by examining it and will perform a biopsy if needed. 

What Makes a Mole or Spot Suspicious? 

Having a lot of moles or birthmarks increases your risk of developing skin cancer, although the risk depends on the size and type of mole or birthmark. Individuals with more than 50 moles, or moles that are unusual in size or shape, are at higher risk of developing melanoma, the most serious type of skin cancer.  

Pay attention to the following indicators of potential skin cancer, which apply to moles, birthmarks, and new or existing spots: 

• Moles or birthmarks that seem to have become larger or thicker or have changed in color or texture. If this mole or birthmark becomes larger than a pencil eraser, see your dermatologist right away. 

• A dark spot on your skin that is either new or has changed in size or appearance, similar to what you should look for with a mole or birthmark. 

• Any type of growth on your skin that is new or has changed in size and appearance, especially if it looks transparent or takes on a tan, brown, black, or multi-colored hue. 

• Any spot or sore that hurts, is itchy, bleeding, crusting, or scabbing over and will not heal, or temporarily heals and then returns.  

Sun exposure, family history, and having fair skin, blue eyes, red hair, or freckles also increase the potential of developing melanoma. 

Along with always wearing sunscreen and avoiding tanning beds, at home skin checks and full body skin checks are essential ways to detect skin cancer early.  

Conducting an Effective At-Home Skin Check 

1. Use a full-length mirror in a brightly lit space to examine the front, back, right, and left sides of your body. Raise your arms to view hard-to-see places. 

2. Examine your underarms, forearms, the palms of your hands, and your fingernails.  

3. Look at the soles of your feet, your toenails, the spaces between your toes, and the backs of your feet and legs.  

4. Examine your neck and scalp using a small hand mirror, being sure to part your hair for a better look at different areas of your scalp. 

5. Check your back and buttocks, also using a hand mirror. 

6. Take photos of any spots that are concerning to you so you can show your dermatologist or accurately monitor at home.  

Keep an eye on those moles, birthmarks, and spots! Skin cancer rates are rising each year, and early detection saves lives. Schedule your full-body skin check today with Optima Dermatology by calling (855) 277-9689.

The post A Guide to Moles and Suspicious Spots: What to Look For and When to See a Dermatologist  appeared first on Optima Dermatology.

Products and Treatments to Add, Swap, or Skip in the Spring Season

Your skincare routine should change throughout the year – in the colder months, you’re exposed to harsh winds and dry air, while in the spring and summer, you’re exposed to more direct sunlight and increased humidity.  

Seasonally appropriate products can keep your skin feeling rejuvenated, balanced, and glowing, and ensure it stays protected and healthy whether you’re on a beach or a ski slope.  

These spring skincare tips for products to add, swap, or skip will help you freshen up your skin after the long, cold winter, and prepare it for the warmer weather ahead.  

What to Add to Your Skincare Routine in the Spring 

Antioxidant Serums (Like Vitamin C): Warmer weather gets everyone outside more, and with increased sun exposure, spring is the perfect time to add an antioxidant serum like Vitamin C to your skincare routine. Antioxidants help protect the skin from environmental damage, brighten your complexion, and support collagen production for healthier skin. 

Tinted SPF with Broad-Spectrum Protection: If you’ve been using a heavier foundation in the winter, it can take a back seat in the spring; opt for a tinted SPF with broad-spectrum coverage instead! This multitasking product evens skin tone hydrates the skin and protects against UVA/UVB rays in one easy step. Plus, using only one makeup product helps prevent clogged pores and keeps your skin feeling lighter. A few favorites you can typically find at Optima Dermatology are Alastin’s HydraTint Pro Mineral Sunscreen and Revision Skincare’s Intellishade. 

Lightweight Moisturizers: As humidity levels rise, your skin craves lighter hydration. Swap out heavy occlusive moisturizers for a gel-based or oil-free moisturizer that keeps skin hydrated without feeling greasy. Alastin’s HA (Hyaluronic Acid) IMMERSE Serum is a favorite amongst our team. 

Make a Product Swap: Try These Trending Spring Skincare Options 

Niacinamide: A must-have for calming redness and improving skin texture. Perfect for post-winter sensitivity and seasonal breakouts. 

Peptides: Peptides pack powerful support for the skin barrier, boost hydration, and promote collagen production for a smoother, plumper complexion. 

Mineral Sunscreens: If you have sensitive skin, opt for mineral-based sunscreens with zinc oxide or titanium dioxide. These products provide broad-spectrum protection without irritation. 

Skincare Products to Skip This Spring 

Harsh Exfoliants: Your skin is already adjusting to the change in weather, so ease up on chemical peels or gritty scrubs. Over-exfoliating can lead to redness, irritation, and increased skin sensitivity. Instead, gentle exfoliation once or twice weekly will keep your skin fresh. 

Heavy Moisturizing Creams: Lathering on thick moisturizing creams in the winter is a must to combat that dry air but come spring you can toss those to the side and grab a lighter product that works better with higher humidity levels. 

Creamy, Thick Cleansers: If you use a cream-based cleanser in winter, spring is a great time to switch to a foaming or gel-based cleanser that removes excess oil and sweat without stripping your skin of necessary oils. 

Spring Clean Your Skincare Products 

Spring cleaning is a great way to shake off the winter chill and start the new season fresher and cleaner. You can spring clean your skincare products like you would clean your home.  

Here are a few tips for refreshing your products, and unlike scrubbing your baseboards, it only takes a few minutes: 

• Check expiration dates. Expired products lose effectiveness and can even irritate the skin. Toss anything that’s past its prime! 

• Streamline your routine Stick to a few essential products that work best for your skin and part ways with all those half-empty bottles. 

• Sanitize your applicators and tools. Clean your makeup brushes, beauty sponges, and facial rollers to prevent breakouts and bacteria buildup. 

These spring skincare tips are meant to help you swap your heavier winter products for lighter, seasonal essentials, and declutter your shelf to make room for the essentials.  

As we head into spring, consider meeting with one of our board-certified dermatologists to identify your unique skincare needs and help freshen up your routine for spring. Request an appointment at one of our many locations in Maine, New Hampshire, Indiana, and Ohio! 

The post Spring Skincare Tips to Clean Your Routine  appeared first on Optima Dermatology.

May is Skin Cancer Awareness Month, and there’s no better time to highlight the importance of early detection and prevention. Dr. Gregory Delost, a board-certified dermatologist at Optima Dermatology, recently appeared on New Day Cleveland to discuss key facts about skin cancer—what to look for, who’s at risk, and how to protect your skin.

Why Early Detection Matters

Dr. Delost shared a powerful story from his previous appearance on the show when he discussed skin cancer; “We showed some images on air, and the following Monday, I had three patients come in because they recognized symptoms on themselves. All three were diagnosed with treatable skin cancer.”

That kind of impact underscores how important awareness is—especially since skin cancer is the most common form of cancer in the U.S.

Who Is Most at Risk?

Dr. Delost emphasized that 1 in 5 Americans will be diagnosed with skin cancer at some point. Risk factors include:

• Fair or light skin tones
• Light-colored hair and eyes
• A history of sunburns, especially during childhood
• Tanning bed use
• A family history of skin cancer
• Suppressed immune systems (e.g., organ transplant recipients)

Types of Skin Cancer

The three most common types of skin cancer include:

1. Basal Cell Carcinoma – Usually appears as a pearly bump with visible blood vessels.
2. Squamous Cell Carcinoma – Often shows up as a crusty, painful scab in sun-exposed areas.
3. Melanoma – The most dangerous form, capable of spreading to other parts of the body. It’s less common but far more deadly if not caught early.

The ABCDEs of Melanoma – What to Watch For

If you notice a mole or spot on your skin that seems suspicious, remember the ABCDEs:

• Asymmetry – One half doesn’t match the other.
• Border – Irregular, jagged, or blurred edges.
• Color – More than one color or an uneven distribution.
• Diameter – Larger than 6mm (about the size of a pencil eraser).
• Evolving – Any change in shape, size, or color over time.

Dr. Delost notes that evolution is often the most important warning sign.

“If something is changing, it’s worth having a dermatologist take a look.”

Parents: Trust Your Instincts

Dr. Delost also addressed concerns from parents who notice changes in their child’s moles or birthmarks.

“If you’re ever unsure, get it checked. You’re never wasting our time.”

Preventive Measures: How to Protect Your Skin

As summer approaches, it’s crucial to take steps to protect your skin. Dr. Delost recommends:

• Avoid tanning beds – They dramatically increase your risk.
• Use a broad-spectrum sunscreen with SPF 30 or higher.
• Look for active ingredients like zinc oxide or titanium dioxide.
• Reapply sunscreen every two hours, especially after swimming or sweating.
• Seek shade and wear protective clothing during peak sun hours (10 AM – 4 PM).

Visit Dr. Delost in Mentor, OH

If you have any concerns about a spot on your skin or simply want a preventive screening, Dr. Delost welcomes patients at Optima Dermatology in Mentor, OH.

“No news is good news. But the only way to know for sure is to come in.”

Schedule a Skin Check Today
Early detection saves lives. Don’t wait—book an appointment with Dr. Delost at Optima Dermatology in Mentor, OH today.

The post The Importance of Early Detection of Skin Cancer – Optima Dermatology on New Day Cleveland appeared first on Optima Dermatology.

Small Changes Can Help You Manage Your Acne 

Learn the Everyday Habits That Could Be Causing Breakouts 

Acne can affect people of all ages and skin types. While genetics and hormones do play a role, everyday habits that may go unnoticed can contribute to acne. The good news? Small changes in your routine can lead to clearer, healthier skin. 

Let’s dive into some common acne triggers and what you can do to prevent breakouts. 

Diet & Breakouts:

Your diet has a direct impact on your skin. What you eat, and importantly what you avoid eating, can lead to meaningful changes in your skin health and acne severity. 

How to reduce acne flareups: 

• Drink plenty of water: Hydration helps maintain a strong skin barrier and improve overall skin health. 

• Eat a minimally processed, nutrient-rich diet: Processed foods, especially high glycemic index foods like white bread, pastries, and sugary snacks, trigger acne by spiking blood sugar levels and disrupting the gut microbiome, which in turn lead to increased oil production and inflammation in the skin^1-6. Whole foods rich in fiber, like vegetables, legumes, and whole grains, promote the opposite effects and have been shown to decrease acne severity^1-4,7. Consider taking a probiotic, which have recently shown promising results for improving acne^8-10. 

• Eat anti-inflammatory foods: Foods that prevent inflammation like leafy greens, fatty fish such as salmon and tuna, and antioxidant-rich green tea and berries can help balance your skin and improve skin health^1-3,11-12. Consider taking an omega-3 fatty acid supplement, which has been associated with improvement in acne in several studies^1,3,13 

• Limit dairy products: Consuming dairy products, especially milk, has been shown in some studies to be associated with acne severity through hormonal and inflammatory pathways^4,14-15.  

Stress & Skin: Why It Matters  

Have you ever noticed that your skin breaks out right before a big event? Stress increases cortisol levels, triggering excess oil production and inflammation – a perfect storm for acne^16-18. 

Here are some great tips for managing stress to prevent breakouts: 

• Practice mindfulness and meditation to reduce stress 

• Get enough sleep – your skin repairs itself overnight! 

• Exercise regularly to help regulate hormones and improve circulation 

We all experience stress, but practicing stress-management techniques can help you feel more relaxed and reduce the likelihood of a breakout.  

Makeup Mistakes That May Be Clogging Your Pores 

Makeup helps to enhance your look, but certain habits can trap bacteria, oil, and dirt leading to clogged pores and breakouts. 

Common Makeup Mistakes: 

• Using comedogenic or pore-clogging products that trap oil and bacteria. 

• Not removing makeup properly before bed.  

• Using dirty brushes or beauty sponges, which can hold bacteria. 

What to Do Instead: 

• Look for non-comedogenic, oil-free, and mineral-based makeup products. 

• Double-cleanse at night to remove makeup and buildup. 

• Wash makeup brushes and sponges weekly to prevent bacteria buildup. 

Examine Your Skincare Routine for These Common Pitfalls 

A good skincare routine is key, but some products and habits can do more harm than good. 

What to Avoid: 

• Harsh scrubs & over-exfoliating. Scrubbing and exfoliating too frequently can strip your skin of its natural oils, causing it to produce even more oil. 

• Heavy creams & certain oils. Thick moisturizers can clog pores, especially if you have acne-prone skin. 

• Unprotected sun exposure. UV rays can darken acne scars and cause lasting harm if skin isn’t properly shielded. 

What to Do Instead: 

• Stick to a gentle, consistent skincare routine. 

• Wash your face twice a day with a mild facial cleanser¹⁹. 

• Use a lightweight, non-comedogenic moisturizer daily to keep skin hydrated without clogging pores. 

• Apply SPF every day – even on cloudy days! 

Small, Daily Skincare Habits That Can Make a Big Difference 

• Avoid touching your face to prevent bacterial transfer. 

• Clean your phone screen regularly to remove oil and bacteria that can transfer to your skin when in use²⁰. 

Breaking out? Don’t panic! By making simple changes to your diet, skincare routine, and daily habits, you can reduce breakouts and support long-term skin health. 

If your acne persists or worsens despite following these management tips, schedule an appointment with a board-certified dermatologist for personalized treatment options.

The post Everyday Habits That Can Trigger Acne & How to Manage Breakouts appeared first on Optima Dermatology.

Alyssa Hauff, MSN, FNP-BC Will Serve Patients at Optima’s Independence and Macedonia, Ohio Practices 

Optima Dermatology is excited to welcome Alyssa Hauff, MSN, FNP-BC, to our Ohio practices in Macedonia and Independence. Alyssa is a board-certified nurse practitioner who has provided medical dermatology care to patients ages 15 and older in the greater Cleveland region since 2022. 

After receiving her Bachelor of Science in Nursing and graduating with Honors from Chamberlain College of Nursing, Alyssa earned her Master of Science in nursing from Allen College. During her 12 years of nursing experience across the ICU, emergency room, and other critical care settings, Alyssa found skin care to be one of her top priorities for her patients.  

Alyssa is an active member of the Department of Dermatology and the American Academy of Nurse Practitioners (AANP). She is committed to staying at the forefront of advancements in dermatology, regularly participating in training and medical education.  

In keeping with Optima Dermatology’s patient-centered approach to care, Alyssa is committed to collaborating with her patients and developing personalized treatment plans based on their unique needs. Alyssa looks forward to delivering expert dermatology care to patients in the Cleveland region out of Optima’s Macedonia and Independence practices.  

We recently had the opportunity to learn more about Alyssa, her approach, and the path that led her to become a board-certified nurse practitioner. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?   

Growing up I always thought I wanted to be a teacher, but after starting college I realized that although I enjoyed working with people, teaching was no longer my path. I went into nursing and never looked back. Within my nursing journey, skin care has always been a priority in several different settings, and I have been blessed to have the opportunity to work in the dermatology field after graduating with my nurse practitioner degree. I truly enjoy the multi-facets to this field. 

What is your favorite aspect of being a board-certified nurse practitioner? 

I enjoy working with patients. The diversity of diseases I am able to treat keeps my workday challenging and rewarding. My favorite thing is seeing patients at follow-up appointments feeling excited that things are working for them or that they feel comfortable enough to trust the process and try something new.   

What is your approach to treating your patients? 

I work to meet the unique and individual needs of each patient. I enjoy getting to know patients and relating to them to help construct individualized treatment plans. Knowing every patient is different and has different goals plays a part in how to customize care. 

What is your number one tip when it comes to taking care of your skin? 

My tips for taking care of your skin are to keep it simple and never forget your sunscreen. 

What is one thing you want your patients to know about you?  

I want patients to know that caring for them is my top priority. I try to understand people and what is best for them. I listen to address concerns during appointments and appreciate patients being open, vulnerable, and honest as we discuss how to achieve the best outcomes for them.  

What do you like to do when you are not in the office treating patients? 

When I am not in the office, I like to spend my time with family and friends. I have two daughters who are active, which keeps me busy. If there is any spare time, I enjoy staying active with cooking, reading, and exercising. 

What to Expect From Dermatological Care Delivered by Alyssa and Her Team 

Alyssa and her team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care.  

She is currently accepting new patients at our Macedonia, OH location, and will be accepting new patients at our Independence, OH practice upon its opening on July 14, 2025. You can request an appointment in Macedonia online, or call (330) 306-9844. Schedule an appointment in advance in Independence online or call (216) 282-0369.

The post Optima Dermatology Welcomes Our Newest Board-Certified Nurse Practitioner appeared first on Optima Dermatology.

Looking for a fresh approach to your skin care as we move into warmer months? Consider implementing a skin cycling routine.  

Skin cycling is a method many dermatologists, including the American Academy of Dermatology, promote as a healthier skin care approach. In this post, we’ll explain what skin cycling is, the benefits of this method, and how to implement it into your skin care regimen. We’re laying out all the information so you can decide if a skin cycling routine is right for you.  

What is Skin Cycling? 

More isn’t always better for skin care. All these serums, balms, toners, exfoliators, moisturizers, and specialized treatments can overwhelm any skin care routine – and your skin. Skin cycling entered the picture to simplify skin care. 

Skin cycling is a dermatologist-approved rotating skin care routine designed to balance active ingredients with recovery time, so you can get the most out of your skin care products while minimizing irritation.  

Rather than using powerful products like exfoliants and retinoids every day, which can stress your skin over time, skin cycling typically follows a four-night cycle that gives your skin time to rest and repair between active treatments. 

A four-night skin cycling routine looks something like this: 

Night 1 – Exfoliation: Use a chemical exfoliant (like an AHA or BHA) to remove dead skin cells and prep your skin for better product absorption. 

Night 2 – Retinoid: Apply a retinoid or retinol to stimulate cell turnover and support collagen production. This product can be over-the-counter or prescription, depending on your needs. 

Nights 3 & 4 – Recovery: Focus on hydration and barrier repair with gentle moisturizers, ceramides, and calming ingredients. Apply to damp skin to better seal in hydration. 

Once the 4-night cycle ends, it repeats. The idea behind skin cycling is to vary your regimen so you’re adequately spacing out exfoliation and moisturization, resulting in a healthier approach to your skin care. You shouldn’t be exfoliating every night, but when balanced with other skin care practices, it is an effective treatment that helps promote healthy, glowing skin.  

Who Should Try Skin Cycling? 

Skin cycling is a great option for anyone looking to reset, simplify, or streamline their skin care routine. However, it is an especially good option for: 

• Beginners who want a structured, manageable skin care routine. 

• People with sensitive skin who experience irritation from daily active use. 

• Those using retinoids or exfoliants who want better results without overdoing it. 

If you have skin conditions like rosacea, eczema, or acne, check in with your dermatologist to ensure a skin cycling routine can support your skin’s needs. 

Benefits of Implementing a Skin Cycling Routine 

Skin cycling has gained popularity for good reason – it has numerous benefits that have earned the support of dermatologists. 

• Reduces irritation: Alternating active ingredients with rest days helps protect the skin barrier and prevents over-exfoliation. 

• Simplifies your routine: No more guessing what to use each night—skin cycling provides a clear plan – and eliminates the need to pack your bathroom full of products. 

• Maximizes results: By using exfoliants and retinoids on specific nights, your skin gets the full benefit of these products without being overwhelmed or stressed, which can reduce results over time. 

• Allows for customization: Your skin cycling routine can be adjusted based on your skin’s needs – whether you’re targeting acne, signs of aging, or texture issues, you can cycle through the products that work best for your skin. 

How to Layer Skin Care Products the Right Way 

Layering your skin care products properly is important for skin cycling – but it also applies if you’re not following a skin cycling routine. Here’s a basic layering guide: 

At Night: 

1. Cleanser – Remove makeup, dirt, and oil. 

2. Exfoliant or Retinoid – On the appropriate night of your cycle, apply your active product to clean, dry skin. 

3. Moisturizer – Always follow with a moisturizer to hydrate and protect your skin barrier. 

On Recovery Nights: 

Skip products with active ingredients in favor of gentler treatments: 

1. A gentle cleanser 

2. A hydrating serum or essence (optional) 

3. A barrier-repairing moisturizer 

In the Morning: 

1. A gentle cleanser, which is optional in the morning if you don’t have oily skin.  

2. An antioxidant serum like vitamin C to brighten and protect the skin. 

3. A lightweight and hydrating moisturizer. 

4. Sunscreen! A broad-spectrum sunscreen with an SPF of 30 or higher is always recommended for protection throughout your day. 

5 Easy Tips for Starting a Skin Cycling Routine  

If you’re ready to give skin cycling a try, here are a few simple steps to help you get started: 

1. Choose your active-ingredient products carefully. For example, look for exfoliating products with alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs). AHAs are recommended for dry or normal skin types, while BHAs are a good option for more oily or acne-prone skin. For retinoids, start with an over-the-counter retinol before progressing to stronger formulations. 

2. Keep your recovery nights simple. Stick with fragrance-free, hydrating products that support your skin’s barrier. 

3. Be patient. Visible improvements take time – typically 4 to 8 weeks. Avoid rushing or adding products; skin cycling works best as a four-night regimen with only the necessary products. 

4. Listen to your skin. If you notice increased dryness, redness, or sensitivity, add more recovery nights or adjust your products containing active ingredients. If problems persist, contact your dermatologist to discuss potential issues with product ingredients or your routine.  

5. Consult with a dermatologist or medical aesthetic provider. A skin care professional can help customize your skin cycle and recommend the best products for your skin type and unique needs. 

Skin cycling isn’t just a trend – many dermatologists, including at Optima Dermatology, agree that it can help you get the most out of your skin care with less irritation and more consistency. Whether you’re just starting a skin care routine or looking to simplify an existing one, skin cycling offers a balanced approach that supports long-term skin health. 

Schedule an appointment with one of our providers to discuss a skin care routine that will work best for you. 

The post Is a Skin Cycling Routine Right for You?  appeared first on Optima Dermatology.

Dr. Deborah Paul Brings Mohs Surgery Expertise to Optima’s Macedonia, OH Practice 

Optima Dermatology is excited to welcome Dr. Deborah Paul, MD, FAAD, to our Macedonia, OH, practice, where she will deliver expert skin cancer care and treatment. Dr. Paul is a board-certified Mohs surgeon whose expertise includes Mohs for skin cancers and cutaneous oncology.  

After receiving her Doctor of Medicine from the University of Rochester School of Medicine in New York, Dr. Paul completed an internship in internal medicine at St. Vincent Hospital in Worcester, MA. She then went on to complete her residency in dermatology at the University of Rochester and her Fellowship in Mohs Micrographic Surgery and Cutaneous Oncology at the Mayo Clinic in Minnesota.  

Dr. Paul has been recognized throughout her career, receiving multiple awards and honors and authoring more than 15 medical publications. Additionally, Dr. Paul is a member of the American College of Mohs Surgery, the American Academy of Dermatology, and the American Society for Dermatologic Surgery.  

Her approach to care is aligned with Optima Dermatology’s patient-centered mission, in which we treat every patient the way we treat our family and friends. Dr. Paul is passionate about treating skin cancer and helping patients through difficult diagnoses with individualized and compassionate care.  

We recently had the opportunity to learn more about Dr. Paul, her approach, and the path that led her to become a board-certified nurse practitioner. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?   

Dermatology represents everything that I love about medicine. We are diagnosticians, pathologists, and surgeons. We follow a patient through all the steps of care – examining a possible skin cancer, biopsying it, removing it, and repairing it! 

To get here, I followed a fairly linear path to medicine. I always wanted to be a physician because it represents the unique intersection of art, service, and science. After college at UMASS Lowell in Lowell, Massachusetts, I attended medical school and completed my residency in Dermatology at the University of Rochester in Rochester, NY. I then completed a Mohs Micrographic Surgery and Cutaneous Oncology Fellowship at the Mayo Clinic in Rochester, Minnesota. 

What is your favorite aspect of being a dermatologist?  

Mohs surgery patients are often in the office for a couple of hours at a time, during which I learn so much about their lives and build connections with them. The experience with each patient reminds me of the humanity in what we are privileged to do in medicine.  

What is your approach to treating your patients?   

I strongly believe that each patient’s experience is unique. I try to model the biopsychosocial model to treat patients holistically. I especially want patients to leave feeling cared for and heard. 

What is your number one tip when it comes to taking care of your skin?    

Sun protection! It is never too late to start. It remains our best defense against skin cancer and skin aging. 

What is one thing you want your patients to know about you?     

I understand and empathize deeply with the skin conditions our patients face. Skin conditions can be the most devastating because they are visible to the world and often out of our control.  

What do you like to do when you are not in the office treating patients?      

I am a professional sports enthusiast; I love basketball, football, track and field, and gymnastics. When I am not following my favorite New England teams, I enjoy traveling internationally. 

What to Expect From Mohs Surgery and Skin Cancer Care Delivered by Dr. Paul and Her Team 

Dr. Paul and her team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care.

The post Board-Certified & Fellowship-Trained Mohs Surgeon Joins Optima Dermatology  appeared first on Optima Dermatology.

Dr. Lipner Joins Optima’s Manchester, NH Dermatology Practice 

Optima Dermatology is excited to welcome Dr. Matthew Lipner to its Manchester, NH dermatology practice. Dr. Lipner treats patients of all ages for a variety of skin conditions, including skin cancer, acne, eczema, and psoriasis. 

Dr. Lipner received his Doctor of Medicine from the University of North Carolina at Chapel Hill (UNC) School of Medicine where he was inducted into the Alpha Omega Medical Honor Society. He also earned his Doctor of Philosophy in Pharmacology at the Lineberger Cancer Center at UNC. While earning his MD and PhD, Dr. Lipner served as Vice President and later President of the Program Student Council. 

He then completed his dermatology residency at UNC, during which he served as Cosmetics Curriculum Chair. He also completed a transitional year residency program at Grand Strand Medical Center.  

In keeping with Optima Dermatology’s patient-centered approach to care, Dr. Lipner is committed to delivering an unparalleled patient experience and providing the highest quality of care to his patients.  

We recently had the opportunity to learn more about Dr. Lipner, his approach, and the path that led him to become a dermatologist. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?    

Throughout medical school and while completing my PhD, I was immersed in cancer care and research. As soon as I began my rotation in the dermatology clinic, I knew that I had found the perfect field to combine all my interests. Dermatology features exciting new treatments that drew me to oncology while also embracing a thrilling diversity of patients, complex medical cases, surgeries, and procedures. 

What is your favorite aspect of being a dermatologist? 

That’s easy – there is never a dull moment in dermatology! I am so grateful that my work is constantly challenging, fosters lifelong learning about new medical and aesthetic therapies, and leads to fulfilling long-term relationships with patients and colleagues of all ages and backgrounds. 

What is your approach to treating your patients? 

My approach really depends on a patient’s focus for their visit, but generally a physical examination – detecting subtle differences in the appearance, shapes, and textures of rashes and lesions – is my most powerful tool as a dermatologist. After this, the detective work begins as my patients and I integrate exam findings with the timeline, potential exposures, and symptoms to arrive at a diagnosis and management plan together. This process repeats, and our partnership strengthens over time as we work together to optimize skin health in the short- and long-term. 

What is your number one tip when it comes to taking care of your skin? 

Protect your skin every day from the sun with a broad-spectrum sunscreen and sun-protective clothing. This tip is no secret, but all other topicals, supplements, and procedures will have limited benefits until strong sun protection becomes part of your daily routine. 

What is one thing you want your patients to know about you? 

Your skin health is my top priority. 

What do you like to do when you are not in the office treating patients? 

When I’m not working, my wife and I are hustling to keep up with our two young daughters and dog – and I wouldn’t want it any other way!  We love exploring the outdoors, trying our hand at recipes from around the world, and watching football in the fall. 

What to Expect From Dermatological Care Delivered by Dr. Lipner and His Team 

Dr. Lipner and his team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care.  

He is currently accepting new patients at our Manchester, NH location. Request an appointment online or give us a call at 855-277-9689.

The post Optima Dermatology Welcomes Dr. Matthew Lipner appeared first on Optima Dermatology.

June is Acne Awareness Month, and millions of people of all ages continue to deal with this common yet frustrating skin condition. Dr. Gregory Delost, board-certified dermatologist with Optima Dermatology, joined New Day Cleveland to discuss acne triggers, treatment options, and the importance of early care.

“Almost everyone has experienced acne at some point,” says Dr. Delost. “There are a lot of reasons it happens, and the good news is—we can help.”

Why Dr. Delost Became a Dermatologist

Dr. Delost’s journey to dermatology is deeply personal.

“Growing up, I had a lot of acne. I tried almost every treatment out there before finally finding something that worked. It changed my life, and that’s what motivated me to help others.”

His firsthand experience allows him to understand the emotional and physical toll acne can take—and to treat patients with compassion and understanding.

Common Acne Triggers

Acne has multiple causes, but Dr. Delost outlines several key triggers that are common among his patients:

1. Diet

Recent studies show that high-glycemic foods (which spike blood sugar and insulin levels) can contribute to acne. These include:

• White bread
• Sugary snacks and drinks
• Processed foods

Instead, Dr. Delost recommends a Mediterranean-based diet, rich in fruits, vegetables, whole grains, and lean proteins.

“They say you are what you eat—it’s true when it comes to your skin.”

2. Makeup & Skincare Products

Contrary to popular belief, makeup itself isn’t always the culprit—it’s the type of makeup that matters.

Look for products labeled non-comedogenic, meaning they’re formulated to not clog pores.

“Also, don’t forget to clean your brushes and sponges regularly—and always remove your makeup before bed.”

3. Stress

Stress can elevate your cortisol levels, leading to increased oil production and breakouts.

“Simple lifestyle changes like getting enough sleep, staying hydrated, and regular exercise can have a huge impact.”

4. Overcomplicating Your Skincare Routine

Too many products or changing routines too often can irritate your skin.

“Stick to a simple, consistent routine with one or two effective products. More isn’t always better.”

Should You See a Dermatologist for Acne?

If acne keeps coming back or starts affecting your confidence, it’s time to consult a dermatologist.

“Acne can lead to scarring if left untreated. I always tell patients—come see us sooner rather than later.”

Even if your breakouts aren’t on your face, Dr. Delost says body acne is also common, especially among athletes or those with active lifestyles. Proper hygiene and targeted topical treatments can help.

Acne Is Complex—But Treatable

Acne is a multifactorial condition, meaning it’s caused by a combination of:

• Bacteria
• Inflammation
• Skin cell turnover issues
• Oil production

Dr. Delost works with each patient to build a personalized treatment plan—whether it involves lifestyle changes, prescription medications, or advanced dermatologic care.

Ready to Take Control of Your Skin?
If you’re struggling with acne—on your face or body—schedule an appointment with Dr. Delost and the team at Optima Dermatology. Early treatment can make all the difference.

Book your appointment today

The post Understanding Acne Triggers and Treatment Options – June is Acne Awareness Month appeared first on Optima Dermatology.

Mackenzie Thompson, PA-C, Offers Medical Dermatology Services for Patients of All Ages 

Optima Dermatology & Medical Aesthetics is excited to welcome Mackenzie Thompson, PA-C, to its Bloomington, IN dermatology practice. Mackenzie received her Master of Physician Assistant Studies at Indiana State University, and worked as an EMT and EKG technician before becoming a physician assistant specializing in dermatology care. She is a member of the American Academy of Physician Assistants and the Society of Dermatology Physician Assistants.  

Aligning with our mission of treating every patient the way we treat our family and friends, Mackenzie takes a patient-centered approach and is excited to join Optima Dermatology in providing industry-leading dermatology care to patients in Bloomington.  

We recently had the opportunity to learn more about Mackenzie, her approach, and the path that led her to become a board-certified physician assistant. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?   

I chose dermatology because I enjoy the variety it offers. No two days are the same! Whether performing skin checks, procedures like biopsies or mole removals, or addressing cosmetic concerns, I love the balance of medical care and hands-on work. The diverse range of cases keeps me constantly learning, making dermatology a perfect fit. 

What is your favorite aspect of being a board-certified physician assistant? 

My favorite part of being a PA is building relationships with patients and helping them feel confident in their skin. Dermatology lets me combine medical care with precision and compassion, making my work incredibly rewarding. 

What is your approach to treating your patients?  

My approach is always patient-centered first. I enjoy taking the time to truly listen and get to know my patients, understand their concerns, and see the full picture before creating a treatment plan. Building trust and making patients feel heard is just as important as the care itself. 

What is your number one tip when it comes to taking care of your skin?   

SPF! Sunscreen is my #1 recommended product, not only for protection from skin cancer, but also for anti-aging! 

What is one thing you want your patients to know about you?    

I want my patients to know that my goal is to create a comfortable, judgment-free space where they can feel heard, respected, and confident in my care. I value inclusivity and want to make everyone feel welcome. 

What do you like to do when you are not in the office treating patients?     

When I’m not in the office, I love going on walks with my husband, exploring local coffee shops, and spending time with our three cats. On quieter days, I’m often reading or baking – especially when it’s cold out. 

What to Expect From Dermatology Care Delivered by Mackenzie and Her Team 

Mackenzie and her team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care.  

She is accepting new patients at in Bloomington, IN. You can request an appointment online, or call (812) 200-2458.

The post Optima Dermatology & Medical Aesthetics Welcomes New Physician Assistant to its Bloomington, IN Practice appeared first on Optima Dermatology.

Is Mineral Sunscreen Better for Your Skin Than Chemical Sunscreen? 

Summer is here, and while we advocate for applying sun protection year-round, the increased time outside, greater skin exposure, and longer days make sunscreen a critical component of your daily routine. There are so many sunscreen options out there, but the two main types are mineral and chemical. So – is mineral sunscreen better for your skin than chemical sunscreen? How are they different? Which type should you use? 

This post will explain everything you need to know to help you choose the right sunscreen for your skin this summer and be skin smart for every outside activity. 

Understanding the Two Main Types of Sunscreen 

Mineral Sunscreen 

Mineral sunscreens use zinc oxide and/or titanium dioxide as active ingredients. These compounds sit on top of the skin and act as a physical barrier, reflecting harmful UV rays away from the skin. 

Mineral sunscreen offers immediate protection upon application, making it a great choice for people who need to apply and go. It’s often recommended for sensitive skin types because it is less likely to cause irritation or allergic reactions. 

Chemical Sunscreen 

Chemical sunscreens contain active ingredients such as avobenzone, oxybenzone, and octinoxate. We know – that’s a lot of alphabet soup. In short, these chemicals are each able to absorb or block UVA and UVB rays by converting them into heat and releasing that heat from the skin.  

Chemical sunscreen typically needs 15 to 30 minutes to become effective after application. These formulas are usually more lightweight and easier to rub in, often making them preferable for everyday wear, especially under makeup. 

Which Sunscreen Type Is Best for Your Skin Type? 

Choosing between mineral and chemical sunscreen depends on your skin’s specific needs and how you plan to use your sunscreen each day. Here are some factors that may help you decide whether to use a mineral or chemical sunscreen: 

• Sensitive or Acne-Prone Skin: Mineral sunscreens are generally the better choice for sensitive or acne-prone skin. They are less likely to cause irritation, clog pores, or trigger breakouts. 

• Oily Skin: Many mineral sunscreens now come in matte or oil-free formulations that help absorb excess shine. However, some lightweight chemical sunscreens may also work well, especially non-comedogenic options. 

• Dry Skin: Chemical sunscreens often come in moisturizing formulas that hydrate while protecting. Look for products with added humectants or emollients. 

• Darker Skin Tones: Chemical sunscreens tend to blend more seamlessly into the skin without leaving a white residue. Some newer mineral formulas are tinted to help address this issue, but chemical sunscreens generally remain the more cosmetically elegant option. 

• Active Lifestyles: Mineral sunscreens offer immediate protection, making them a good choice for athletes or kids who move in and out of the sun often. Many are also water-resistant. 

Make Sunscreen a Daily Habit 

The best sunscreen is the one you’ll wear every day. You may want to use a chemical sunscreen for daily activities but a mineral sunscreen at the beach. It’s up to you! The only key is consistency – regular sunscreen application is critical to protecting your skin from UV damage.  

Choose your sunscreen based on your skin type, known skin sensitivities, how it feels and looks on your skin, and when and how often you’ll be applying it.  

If you’re still unsure which sunscreen is best for your skin type or have questions about ingredients, our team at Optima Dermatology is here to help. Request an appointment and meet with a board-certified dermatologist to discuss sun protection products that align with your skin’s needs and your summer routine. Stay sun-safe and enjoy the season with confidence! 

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The Skin and Autoimmune Connection That Patients Need to Know

We’re back with another Derm Deep Dive, a series where we provide expert advice from our board-certified dermatologists about common skin conditions or treatments. This month, we sought input from our team of expert dermatologists to share information and guidance about autoimmune skin disorders – specifically what they are, how they manifest, and what you can do if you develop one.  

Being Aware of Autoimmune Skin Disorders  

As our body’s protective barrier, the skin is responsible for a lot, including raising the red flag if there is a deeper, systemic health concern we should be aware of – like autoimmune skin disorders.  

Often, we don’t know how to interpret what’s going on with our skin. It can be hard to distinguish eczema from psoriasis, or acne from rosacea, as many signs and symptoms can be similar. When we get unexplained rashes, persistent irritation, or other chronic skin issues, it can be easy to ignore it or hope it goes away, but you should pay attention and seek help as these symptoms can signal underlying autoimmune skin disorders.  

When the Immune System Takes Aim at the Skin 

Autoimmune skin disorders happen when the body’s immune system mistakenly attacks healthy skin cells, typically causing inflammation, skin damage, or other types of irritation on the skin.  

The skin is good at indicating deeper, more systemic health issues, and recognizing and responding to these signs early ensures timely intervention and better long-term outcomes.  

We’re going to explain some of the most common types of autoimmune skin disorders and the symptoms that you should look out for. 

Cutaneous Lupus 

Cutaneous lupus (CLE) specifically attacks the skin, unlike systemic or erythematosus lupus, which attacks organs and other systems in the body. While it affects the skin, cutaneous lupus can be a manifestation of systemic lupus.  

CLE symptoms, which include rashes, sores, and lesions on the skin, are often triggered by sun exposure. These systems can manifest in specific ways: 

• A butterfly-shaped rash across the cheeks and nose 

• Discoid lesions that leave scars 

• Sores in the mouth or nose 

Since sun exposure is a trigger, UV protection is essential at managing cutaneous lupus. Because CLE is an autoimmune skin disorder with no known cure, treatment is focused on managing symptoms, preventing flare ups, and minimizing long-term skin damage. Specific management plans may include a combination of lifestyle changes, topical and systemic medications, and in some cases, specialized therapies. 

Psoriasis and Psoriatic Arthritis 

Psoriasis is caused by an overactive immune system in which the growth of skin cells occurs very quickly. Normal skin cells take about a month to finish growing and to be shed from the body, while skin cells impacted by psoriasis finish growing every few days and pile up on the surface of the skin instead of shedding.  

There are different types of psoriasis, the most common being plaque psoriasis, which manifests as raised patches of skin called plaques that are typically itchy, red, inflamed, and often appear to have silvery scales or even a dark coloration, depending on skin type.  

Other types of psoriasis include: 

• Inverse psoriasis, which lacks the scaly appearance and typically manifests under the breasts, armpits, or in the genital and buttocks areas.  

• Guttate psoriasis, which typically manifests as small red spots, and is frequently found on the arms, legs, chest, stomach, or back. 

• Pustular psoriasis, which is characterized by pus-filled bumps that are painful and irritated. While it often appears on the hands and feet, it can manifest anywhere on the body. 

• Erythrodermic psoriasis, which is very rare and causes redness and such excessive shedding of skin layers that it can be life-threatening. Symptoms include itching and pain, an almost burned appearance of the skin, as well as more serious conditions such as changes in heart rate or dehydration. 

Very rarely, individuals with psoriasis can develop psoriatic arthritis, which can cause symptoms of arthritis in the joints.  

Psoriasis can flare up when the immune system reacts to a trigger, such as illness, stress, exposure to hot or cold temperatures, contact with an allergen, or even trauma to the skin, such as a burn or scrape.  

Broadly, symptoms of psoriasis typically include:  

• Thick, scaly patches (plaques) on the elbows, knees, scalp, and lower back 

• Nail pitting or discoloration 

• Patches or bumps that are itchy and do not heal on their own 

Treatment is focused on reducing inflammation and flare ups through the slowing of skin cell growth and scale removal. If psoriasis symptoms are more mild, it may be effectively managed with topical treatments, while more severe cases may require phototherapy or systemic medications.  

Dermatomyositis 

This rare, inflammatory disease affects the skin and muscles. It’s characterized by muscle weakness, pain, and a distinctive skin rash. The rash can appear on sun-exposed areas like the face, eyelids, knuckles, and chest.  

While the exact cause of dermatomyositis is unknown, it’s believed to involve a combination of genetic predisposition and environmental triggers, such as sun exposure or certain medications.  

Symptoms of dermatomyositis can include: 

• Violet or dusky red rash, especially on the face, eyelids, knuckles, and chest 

• Muscle weakness 

• Photosensitivity 

While there is no known treatment for dermatomyositis, management of this autoimmune skin disorder focuses on reducing inflammation and improving muscle strength and function. Your dermatologist may prescribe medications like corticosteroids, immunosuppressants, or other immunomodulatory treatments. 

Scleroderma 

Scleroderma causes hardening and tightening of the skin due to excess collagen production.  

Like other autoimmune skin disorders, there is no specific cause of scleroderma, but it has been loosely linked to genetic predisposition, environmental triggers, hormonal imbalances, or immune system dysfunction.  

Skin symptoms may include: 

• Thickened patches of skin 

• Shiny or tight skin, especially on the hands and face 

• Raynaud’s phenomenon (color changes in fingers/toes with cold exposure) 

There is no definitive cure for scleroderma, but treatments are focused on preventing deeper complications from the disorder. Treatment plans are tailored to the individual depending on severity, but can include medications, physical therapy, or lifestyle modifications.  

Cutaneous Vasculitis 

Cutaneous vasculitis is a type of vasculitis in which inflammation can damage blood vessel walls, leading to leakage of red blood cells into the surrounding skin and causing purpura (bruising). 

Other skin symptoms can include: 

• Blisters or hive-like lesions 

• Purplish spots or patches (often on the legs) 

• Ulcers or open sores 

• Bruise-like rashes that don’t fade 

Treatment for vasculitis primarily involves medications to control inflammation. More severe cases may require immunosuppressants or biologics to calm the immune system and prevent further damage to blood vessels and organs. In some cases, surgery may be necessary to repair damaged blood vessels. 

Lichen Planus 

Like the other skin conditions in this post, there is no known cause for lichen planus, an autoimmune skin disorder that causes the immune system to target the cells lining the skin, mucous membranes, and other organs, leading to inflammation and the development of characteristic lesions.  

This condition has been linked to genetic and environmental factors that may trigger an autoimmune response, and other triggers are thought to include medications, infections, or allergies. 

Symptoms of lichen planus can include:  

• Flat-topped, itchy, purple-colored bumps 

• White, lacy patches inside the mouth 

• Nail thinning or ridging 

Unlike the other skin conditions in this post, lichen planus often resolves on its own. However, treatment is focused on managing symptoms of inflammation and itchiness through the use of topical corticosteroids. More severe cases may require systemic treatments. Dermatologists also recommend good oral hygiene and reducing stress as methods for managing lichen planus.  

Pay Attention to Red Flags That May Be Signaling Something More 

While rashes, itching, and other changes to the skin are common and can vary by season or activity, certain signs may be an indicator of an autoimmune disorder. Visit your board-certified dermatologist if you notice:  

• Rashes that don’t respond to typical treatments such as corticosteroids or antifungals 

• Joint pain accompanying skin symptoms like swelling, stiffness, or decreased mobility 

• Nail changes or scalp involvement, such as pitting, ridging, hair loss, or scarring 

• Photosensitivity or systemic symptoms, including unexplained fatigue, low-grade fevers, or general malaise 

Dermatology and Rheumatology Collaborations 

While dermatologists specialize in diagnosing and treating conditions of the skin, hair, and nails, and addressing conditions affecting the mucous membranes in and around the nose, mouth, and eyelids, rheumatologists specialize in diagnosing and treating conditions that affect the musculoskeletal system, including the joints, muscles, and bones.  

Many autoimmune skin conditions require a collaborative approach between dermatologists and rheumatologists, and your dermatologist may make a referral to a rheumatologist depending on the type and severity of your autoimmune skin disorder. 

When We Refer and Why: Our dermatologists may refer you to rheumatology when skin symptoms suggest systemic involvement, such as joint pain or fatigue. Rheumatologists often refer back to dermatology for persistent or unusual rashes. 

Diagnostic Tools: Biopsies help confirm a dermatologic diagnosis by examining skin tissue under a microscope. Rheumatologic testing can identify systemic inflammation or specific autoimmune patterns. 

Coordinated Treatment Plans: Treating autoimmune skin conditions often involves long-term care and collaboration between dermatologists and rheumatologists. 

Shared Treatments: Both dermatologists and rheumatologists may prescribe biologics or immunosuppressants to control immune activity. Treatment plans are tailored based on the extent and location of symptoms. 

Managing Expectations: Many autoimmune skin diseases are chronic and relapsing, meaning symptoms may flare even with treatment. If you are suffering from an autoimmune skin disorder, you would benefit most from consistent follow-up and the open communication between your dermatologist and rheumatologist. 

Your skin may be trying to tell you something. If you’re experiencing unexplained rashes, persistent skin issues, or symptoms that suggest an autoimmune condition, don’t wait. There is a complex relationship between autoimmune disease and skin health, and early evaluation can make a significant difference in diagnosis and treatment.  

At Optima Dermatology, our experienced providers work closely with referring specialists to ensure you receive the care you need.

We’re here to help you, listen to you – and take action. Schedule an appointment with one of our providers to discuss your skin concerns.

The post Understanding Autoimmune Skin Disorders appeared first on Optima Dermatology.

Board-Certified Dermatologist Dr. Rachel Delost Discusses How to Maintain Youthful, Healthy Skin on New Day Cleveland

Looking to keep your skin glowing, healthy, and youthful? Board-certified dermatologist Dr. Rachel Delost from our Mentor, OH, location joined New Day Cleveland to share expert advice on maintaining radiant skin and preventing common signs of aging.

Dr. Delost emphasized that it’s never too late to start caring for your skin and that a proactive skincare routine can make a meaningful difference at any age.

Daily Sunscreen is a Must

The most important anti-aging tip Dr. Delost shared is to apply sunscreen every day, year-round, and reapply throughout the day, especially if you’re spending time outdoors. Sunscreen helps prevent fine lines, wrinkles, and sun damage, which are primary contributors to skin aging.

Medical-Grade Skincare Products Can Make a Difference

While many skincare products are available over the counter, Dr. Delost recommends medical-grade skincare products when possible. These products typically have higher concentrations of active ingredients, providing more effective results.

For a personalized approach, Dr. Delost recommends consulting with a dermatologist to tailor your skincare plan based on your skin’s needs and your goals, whether you are focused on prevention or looking to address specific concerns.

Morning and Evening Skincare Routines

Dr. Delost suggests incorporating these products into your routine:

• Morning:
  • Broad-spectrum sunscreen with SPF 30 or higher
  • Antioxidant serum, such as Vitamin C, to help protect against free radicals from sun exposure and pollution
• Evening:
  • Retinol or prescription-strength retinoid to help with skin cell turnover and reduce signs of aging
  • A good moisturizer to maintain hydration

Retinoids can sometimes cause irritation when you first begin using them, but your skin will adjust over time. Dr. Delost emphasizes sticking with it and working with your dermatologist to determine the right approach for your skin.

Acne and Oily Skin Management

For those struggling with oily skin and breakouts, Dr. Delost recommends options such as:

• Medical-grade skincare routines
• Chemical peels
• Prescription retinoids to promote skin cell turnover
• Consultation with a dermatologist to create a plan for long-term acne management

Advanced Cosmetic Treatments for Aging Skin

Dr. Delost also shared insights on advanced cosmetic procedures that can help address signs of aging, including:

• Microneedling (with or without platelet-rich plasma): Helps stimulate collagen production and improve skin texture and firmness.
• BBL Laser: Effective for treating brown spots and redness on the skin.
• Halo Laser: Stimulates collagen production, improving the appearance of fine lines and wrinkles.
• Botox and Dysport: Neuromodulators that help reduce fine lines and wrinkles by relaxing facial muscles, typically lasting 3-4 months.
• Dermal Fillers: Address deeper lines and volume loss, lasting 1-2 years depending on the type.

Why It Matters Who Performs Cosmetic Treatments

Dr. Delost emphasized the importance of having cosmetic procedures performed by a licensed, experienced professional. While these treatments are safe and effective in professional hands, they can pose risks when performed improperly, including severe complications.

Ready to Prioritize Your Skin Health?

If you’re interested in learning more about how to prevent and treat signs of aging and want a personalized skincare or cosmetic treatment plan, schedule a consultation with Dr. Rachel Delost at our Mentor, OH, location.

At Optima Dermatology, we’re committed to helping you achieve healthy, beautiful skin at every age with expert, compassionate care. Schedule your appointment today!

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Psoriasis is a chronic autoimmune skin condition that affects more than 7.5 million people in the U.S. alone, according to the National Psoriasis Foundation. While it can begin at any age, the way psoriasis presents and its impact on daily life can vary from adolescence to older adulthood.  

In honor of Psoriasis Awareness Month this August, we’re exploring how psoriasis can appear differently in teens, adults, and older adults, and how treatment approaches can be tailored to meet the unique needs of each age group. 

Psoriasis in Teens 

While psoriasis is less common in children and teens than in adults, it can begin during adolescence. At this stage in life, the most common form is called plaque psoriasis, and it presents as raised, red patches with silvery-white scales, typically appearing on the scalp, elbows, knees, and back. 

Key signs of psoriasis in teens: 

• Itchy or painful skin lesions 

• Flaking or scaling on the scalp (sometimes mistaken for dandruff) 

• Sudden onset of symptoms triggered by stress, infections (like strep throat), or skin injuries 

Common Challenges: Teenagers with psoriasis, especially on visible areas like the face or hands, may experience embarrassment or anxiety, emotional responses that can actually trigger psoriasis symptoms. Managing psoriasis during this stage often requires both medical treatment and emotional support. 

Psoriasis in Adults 

Most people are diagnosed with psoriasis between the ages of 15 and 35, and for many, it becomes a lifelong condition. Symptoms of psoriasis in adults may be more widespread and persistent. 

Key signs of psoriasis in adults: 

• Thickened, inflamed patches of skin that may crack or bleed 

• Psoriatic arthritis: joint stiffness, swelling, and pain 

• Nail changes: pitting, thickening, or discoloration 

Triggers include stress, alcohol use, medications, and infections 

Challenges: Adults often juggle work, family, and other responsibilities, making it difficult to keep up with consistent treatment. Psoriasis can also interfere with quality of life, including sleep, mobility, and self-esteem. In adults, psoriasis symptoms can be triggered by stress, alcohol use, medications, and infections, but can also manifest independently of these factors. 

Psoriasis in Older Adults 

Older adults with existing psoriasis may experience the same or worsening symptoms as they age, but many individuals develop psoriasis for the first time later in life.  

At older ages, psoriasis symptoms may become more difficult to manage due to other age-related conditions or sensitivities, such as thinner and more fragile skin that becomes more prone to irritation.  

Key signs of psoriasis in older adults: 

• Slower healing of lesions 

• Medication interactions that cause skin sensitivity 

Challenges: Older adults may need to modify their treatment plans due to medical conditions or reduced tolerance for certain medications. Coordinating care with other providers is essential to ensure safe and effective treatments 

Managing Psoriasis at Every Age 

No matter your age, psoriasis can be managed with the right care plan. Work with your board-certified dermatologist to create a treatment plan that works for your symptoms, lifestyle, and overall health goals. Some psoriasis treatment options may include: 

Topical therapies: Creams or ointments to reduce inflammation and scaling 

Phototherapy: Controlled exposure to UV light 

Systemic medications: Oral or injectable drugs that target the immune system 

Biologics: Advanced medications that block specific immune responses 

Your dermatologist can also help you identify and avoid possible triggers, whether they are related to stress, illness or medications, or environmental factors. 

Whether you’re a teenager or a centenarian, psoriasis looks and feels different – and treatment options are different too. It’s important to seek the right care and work with a board-certified dermatologist who is going to put you on the right treatment path to manage your symptoms and improve your quality of life.  

This Psoriasis Awareness Month, prioritize your skin health. If you’re struggling with psoriasis, request an appointment to explore your treatment options and get the support you need. 

The post Psoriasis Symptoms by Age   appeared first on Optima Dermatology.

Refresh Your Skin After the Heat of Summer 

After months of strong summer sun, your skin may be ready for a reset. Fall is an ideal time to consider laser and light treatments because reduced sun exposure helps achieve the best possible results with less risk of complications. Treatments like HALO®, BBL, Fraxel,and VBeam® can help repair summer skin damage and refresh your look heading into the new season. 

But first, let’s talk about what laser treatments are and why you might consider one. 

What are Laser Treatments? 

Laser skin treatments target wrinkles, sun damage, and other skin conditions to improve the skin’s appearance through focused light beams. There are two types of laser treatments: ablative and non-ablative.  

Ablative laser treatments carefully remove the outer layers of skin to improve texture and encourage regeneration. Non-ablative laser treatments target deeper layers of skin, stimulating collagen production while leaving the surface intact. 

Either type of laser treatment is highly targeted to generate new skin cells and trigger a healing response, ultimately blending and fading skin pigmentation. Ideal results include: 

• Reducing the appearance of skin conditions like rosacea, sun spots, age spots, or sun damage 

• Evening out skin textures 

• Reducing unwanted hair growth and the appearance of scars  

• Smoother, tighter skin 

• Reducing the appearance of wrinkles 

• Improving skin tone and texture 

Summer sun exposure and hot temperatures can impact the effectiveness of laser treatments or even cause unwanted side effects, making fall and winter more ideal seasons for these treatments.  

Why Laser Treatments Are Best in the Fall 

1. Take Advantage of Reduced Sun Exposure 

Because laser treatments work by targeting specific pigments or structures in the skin, they can make your skin more sensitive to sunlight during the healing process. In the fall, we naturally spend less time outdoors, wear more clothing, and experience lower UV levels overall, all of which reduce the risk of post-treatment complications like hyperpigmentation. Avoiding direct sun exposure is easier and more effective this time of year, helping your skin recover faster and more effectively. 

2. Give Your Skin a Break With Cooler Weather 

Laser treatments can leave skin sensitive and dry, and cooler temperatures can make the skin feel more comfortable than in the summer heat and humidity when sun exposure and perspiration can cause irritation during recovery. 

3. Reverse Summer Sun Damage 

Increased sun exposure over the summer months can cause pigmentation issues, sunspots, redness, and broken capillaries. In the fall, treatments like HALO® Hybrid Fractional Laser, BroadBand Light (BBL), Fraxel, or VBeam® laser are excellent options for reversing that damage from the sun, restoring a brighter, clearer complexion. 

4. End and Start the Year With Glowing Skin 

Have refreshed, glowing skin for the holiday and New Year’s celebrations. Laser treatments like HALO® hybrid fractional laser or BBL (BroadBand Light) offer progressive results, meaning improvements appear over several weeks. Getting these treatments done in the fall gives your skin time to heal and be rejuvenated just in time for the winter season’s celebrations. 

Ready to Refresh Your Skin This Fall? 

Whether you’re looking to reduce signs of aging, even out skin tone, or prep for next summer, fall is the ideal time to start your laser skincare journey. At Optima Dermatology, our team of providers will work with you to develop a personalized treatment plan that fits your skin goals and lifestyle. 

Request an appointment to speak with one of our expert medical aesthetics providers about the right laser treatment for your skin goals. And don’t forget to ask about this year’s Laser Season promotion!

The post Why the Fall Season Is the Best Time for Laser Treatments  appeared first on Optima Dermatology.

Dr. Shonagh Leonard, DO, Offers Medical, Surgical, and Dermatology Services for Patients of All Ages 

Optima Dermatology & Medical Aesthetics is excited to welcome Dr. Shonagh Leonard, DO, to its Manchester, NH dermatology practice. Dr. Leonard brings a passion for patient care cultivated through her experience as a licensed nursing assistant in southern New Hampshire. 

Dr. Leonard received her Doctor of Osteopathic Medicine from the University of New England and completed her residency in dermatology at Trinity Health, where she served as Academic Chief Dermatology Resident. She also completed an internship at St. Joseph Mercy Ann Arbor through the hospital transitional year program. Throughout her education, Dr. Leonard has also taken on multiple leadership roles in support of the academic success of her peers. 

Aligning with our mission of treating every patient the way we treat our family and friends, Dr. Leonard takes a patient-centered approach to care and is excited to join Optima Dermatology and Medical Aesthetics in providing industry-leading dermatology care to patients in Manchester.  

We recently had the opportunity to learn more about Dr. Leonard, her approach, and the path that led her to become a board-certified dermatologist. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you? 

From a young age, I knew I wanted to combine my passion for people and science through a career in medicine. I was a nursing assistant throughout my undergraduate years and gained invaluable hands-on experience that guided me to pursue medical school. During my training, I found value in all clinical experiences, but the ability to create long-term relationships with patients of all ages, the art in procedural and cosmetic dermatology, and the level of critical thinking required for each case made dermatology the clear choice for me.   

What is your favorite aspect of being a dermatologist? 

I love that each day as a dermatologist is different. I am grateful that my patients and their families put their trust in me to treat their baby’s eczema, manage side effects of chemotherapy agents, perform surgeries to cure skin cancers, and help them feel like their best selves through cosmetic dermatology. Being a dermatologist is the best! 

What is your approach to treating your patients? 

My approach to dermatology is team-based. I pride myself on listening to the wants and needs of my patients and providing individualized care that allows them to be a part of the decision-making process. I continue to forge relationships with local primary care providers and specialists to provide a comprehensive dermatology experience. 

What is your number one tip when it comes to taking care of your skin? 

Keep it simple and be proactive. Sunscreen and moisturizer should be part of your everyday routine, and yearly skin checks are a must. With so much skincare information, it can be overwhelming. Utilize your local skin experts to address your specific needs.  

What is one thing you want your patients to know about you?  

I am so grateful to be returning to New Hampshire to provide care to patients and serve the community that shaped me into the person and physician I am today.  

What do you like to do when you are not in the office treating patients? 

When I am not in the office, I love spending time with my growing family, trying new restaurants, enjoying fresh air on the seacoast, and reading a good book.  

What to Expect From Dermatology Care Delivered by Dr. Leonard and Her Team 

Dr. Leonard and her team at Optima Dermatology offer exceptional services, advanced training, and experience to ensure the highest quality of care.  

Dr. Leonard is accepting new patients at Optima Dermatology & Medical Aesthetics in Manchester, NH. You can request an appointment online or call (855) 277-9689.

The post Optima Dermatology & Medical Aesthetics Welcomes Dr. Shonagh Leonard to its Manchester, NH Practice appeared first on Optima Dermatology.

Tips for Prevention and Skin Safety 
After months of summer sun exposure, now is the perfect time to revisit the risk factors for skin cancer and what you should know to stay proactive with prevention and early detection. 

Skin cancer is the most common form of cancer, but also one of the most preventable. Understanding your personal risk factors can help you take steps to protect your skin, spot potential warning signs early, and prioritize regular skin checks as part of your long-term skin health routine. 

Do You Have Higher Risk Factors for Skin Cancer? 

Knowing your personal risk factors for skin cancer can help you take preventative measures and prioritize regular skin checks.  

• UV Exposure 
  Frequent, unprotected exposure to UV rays from the sun or tanning beds significantly increases the risk of skin cancer. A history of severe sunburns—especially in childhood—also raises the risk. If you have a history of UV exposure, getting regular skin checks is important for early detection. 
• Skin Type & Features 
  Individuals with fair skin, light-colored eyes, freckles, and red or blonde hair can burn more easily and are more prone to sun damage. While individuals of any skin tone can develop skin cancer and sun protection is vital for everyone, these features can increase your vulnerability to skin cancer. 
• Family History 
  If a parent, sibling, or close relative has had skin cancer, your risk is higher. Genetics can influence how your skin responds to sun exposure and how well your body repairs UV damage. 
• Personal History 
  If you’ve previously had skin cancer or precancerous lesions, you are at a higher risk of recurrence. Work with your dermatologist to determine the best frequency for in-office skin checks based on your skin cancer diagnosis, and perform self-checks at home in between visits.  
• Age & Gender 
  While skin cancer is more common in older adults due to cumulative sun exposure, melanoma rates are rising in young adults, especially women. Men over 50 also have an increased risk of developing skin cancer. 
• Moles & Atypical Growths 
  Having many moles or irregularly shaped (atypical) moles increases the risk of melanoma. It’s essential to monitor changes in size, color, or shape through annual skin checks with your dermatologist and self-checks. Your dermatologist may also recommend using a mole map to track any changes to your moles over time.  
• Weakened Immune System 
  People with weakened immune systems, whether due to medical conditions or medications that suppress immunity, are more susceptible to skin cancer. 

What You Can Do to Lower Your Skin Cancer Risk 

Reducing your risk for developing skin cancer doesn’t mean avoiding the sun altogether – it means practicing smart sun habits and staying proactive about your skin’s health. 

Perform Regular Self-Checks 
Examine your skin monthly for any new or changing moles, spots, or lesions, paying attention to the following indicators of potential skin cancer, which apply to moles, birthmarks, and new or existing spots: 

• Existing moles or birthmarks that seem to have become larger,thicker, or have a change in color or texture. If this mole or birthmark becomes larger than a pencil eraser, see your dermatologist right away. 

• Any type of growth on your skin that is new or has changed in size and appearance, especially if it looks transparent or takes on a tan, brown, black, or multi-colored hue. 

• Any spot or sore that hurts, is itchy, bleeding, crusting, or scabbing over and will not heal, or temporarily heals and then returns.  

Use the ABCDE rule to identify suspicious changes:

A – Asymmetry: One half of the mole looks different from the other. 
B – Border: Irregular, jagged, or blurred edges. 
C – Color: Uneven shades of brown, black, red, or other colors. 
D – Diameter: Larger than 6mm (about the size of a pencil eraser). 
E – Evolving: Changes in size, shape, or color over time. 

Schedule Annual Skin Exams 
For individuals with no prior history of skin cancer, the American Cancer Society recommends an annual skin check with a dermatologist for individuals age 40 and over. Annual skin checks are recommended before age 40 if you have many moles, have a history of tanning bed use, or family history of skin cancer. Having an expert examine your skin is one of the best ways to detect potential skin cancer before it becomes serious. 

Apply a Daily SPF of 30 or Higher 
Apply broad-spectrum sunscreen every morning, even when it’s cloudy. Reapply every two hours outdoors. 

Wear Protective Clothing & Accessories 
Protect your skin with long sleeves, wide-brimmed hats, and UV-blocking sunglasses. Lightweight, sun-protective clothing is a great option in warm weather and many clothing companies are including sun protection in their materials to make it easier to stay safe and stylish outdoors.  

Seek Shade & Avoid Peak Sun Hours 
The sun is strongest between 10am and 4pm. If you’re outside during this time, use sunscreen, find shade, and wear sun-protective clothing.  

NEVER Use Tanning Beds 

Tanning beds significantly increase the risk of skin cancer and should be avoided. 

Take Action: Protect Your Skin & Spread Awareness 

Early detection saves lives. Make a commitment to protect your skin, schedule a professional skin check, and share these important facts with friends and family. And remember, skin cancer awareness is all year – prioritize skin safety whenever you’re outdoors. 

Schedule an appointment at Optima Dermatology for a skin check or to discuss your risk factors for skin cancer.

The post Know Your Risk Factors for Skin Cancer appeared first on Optima Dermatology.

At-Home Care and When to See a Dermatologist 

Hand eczema is one of the most common types of eczema – and possibly one of the most frustrating. Think about how often we use our hands each day. If you add in the irritation, itching, redness, and sensitivity symptoms that are trademarks of eczema, regular tasks suddenly can become much more difficult.  

Plus, our hands are exposed to potential irritants like soap, shampoo, and cleaning supplies that can become triggers, worsening hand eczema symptoms or causing flare-ups.  

During Eczema Awareness Month in October, we’ve partnered with board-certified dermatologist at our Bloomington, IN location Dr. Andrew Scripture to share practical tips to help you manage hand eczema at home, along with guidance on when to seek care from a dermatologist. 

What is Hand Eczema, and What Causes It? 

Hand eczema is a type of eczema, a common, non-contagious skin condition that causes the skin to lose its ability to act as a barrier, initiating an inflammatory response.  

When eczema occurs on the hands, the barrier function that provides needed protection is weakened, leaving the skin open to irritation, dryness, or even infection. 

While hand eczema can manifest differently for different people, common symptoms include: 

• Redness, swelling, pain, or discomfort 

• Itching, especially at night 

• Dry, scaly, cracked skin, blisters, or bumpy patches 

• Bumps filled with fluid 

• Thickening of the skin or nails 

• Sensitivity to touch 

Hand eczema often develops in individuals who have a history of sensitive skin, which may have involved other parts of the body. Common areas affected by eczema are the face, arms, or legs.   

Given the symptoms, hand eczema can understandably be quite uncomfortable and interfere with everyday life. However, it is manageable with the right treatment.  

Hand Eczema Treatment: Understanding Triggers 

Because eczema is an inflammatory response to a trigger and will continue to flare up as long as the trigger is present, individuals suffering with hand eczema should try to understand what triggers might be causing symptoms. 

For many people, flare-ups are caused by everyday exposures such as: 

Frequent handwashing or hand sanitizer use: While important for hygiene, over-washing can dehydrate the skin. Try washing your hands only when necessary and using gloves while washing dishes. 

Dish soaps and laundry detergents: Harsh surfactants present in some dish soaps and detergents can strip away natural oils and worsen hand eczema symptoms. Wear gloves or swap your household products for gentler, eczema-friendly options. 

Household cleaners: Even “gentle” sprays and wipes may cause irritation when brought into direct contact with skin. It’s best to use gloves when cleaning to prevent and minimize exposure. If exposure to a household cleaning product does occur, rinse it off well with lukewarm water as quickly as possible.   

Lotions with fragrance or alcohol: Give your hand lotion collection a once-over and check for potentially irritating ingredients such as dyes, fragrances, and drying alcohols like ethanol that can inflame sensitive skin. Swap your triggering lotion for an eczema-friendly formula. An easy rule of thumb is to look for the National Eczema Association seal of approval and reach for a product that comes in a container with a twist off lid. 

Temperature changes and dry air: Low humidity in colder months often worsens symptoms by exacerbating skin dryness. Apply an eczema-friendly moisturizing cream at night and in the morning, and wear gloves to protect your hands from harsh wind and cold temperatures. 

Identifying and minimizing contact with these irritants can make a big difference in controlling hand eczema. We know there’s no way to stop washing your hands (please don’t!) or your dishes, but protecting your hands and being mindful of exposures can help bring your hand eczema under control.  

Hand Eczema Treatment: At-Home Care 

If you’re dealing with dryness, redness, itching, or cracked skin on your hands, you can take steps at home to relieve discomfort, even if you haven’t identified a specific trigger.  

1. Moisturize Frequently 

Swap your lotion for a fragrance-free, thick cream or ointment, as this type of product will better protect and help restore the skin barrier. Apply after every handwash and before bed for a more concentrated effect. 

2. Use Gentle Cleansers 

Opt for mild, fragrance-free soaps for handwashing and in the shower. Avoid antibacterial or heavily-scented products that can strip the skin of its protective barrier and contribute to dryness and cracking. 

3. Protect Your Hands 

During household chores like washing dishes, cleaning surfaces, or doing laundry, wear cotton gloves under waterproof gloves to create a barrier against direct product exposure. 

4. Keep Hands Out of Hot Water 

Hot water can exacerbate skin dryness and irritation; use lukewarm water when washing your hands or in the shower to protect the skin barrier.  

5. Watch for Product Triggers 

Check labels on lotions, soaps, and detergents. As we mentioned, products with drying alcohols, dyes, or strong fragrances are common culprits for hand eczema flare-ups. 

When to See a Dermatologist 

Fortunately, many cases of hand eczema improve with consistent at-home care; however, there are times when symptoms won’t budge or just keep getting worse.   

If you’re not seeing any improvement in your hand eczema symptoms, professional treatment is likely needed. Not sure when you should see a dermatologist? If any of the following statements are true for you, it’s time: 

• Your symptoms haven’t improved after several weeks of at-home care. 

• The itching, pain, or cracking on your hands is making it difficult to sleep or perform daily tasks. 

• You’re noticing signs of infection, such as increased redness, swelling, pus, or warmth. 

• You’re still unsure which products or exposures might be triggering your flare-ups. 

A dermatologist can provide personalized treatment, which may include prescription creams, prescription biologics, oral medications, or patch testing to identify specific allergens. Even if you end up not needing any of those more personalized options, it’s always best to get a professional opinion about your specific eczema symptoms.  

Hand eczema can be disruptive, but with the right combination of at-home care and professional support, you can reduce flare-ups and protect your skin. If you’re struggling to manage hand eczema, Optima Dermatology is here to help with personalized care tailored to your needs. 

At Optima Dermatology, our experienced providers are committed to your care and are here to help you, listen to you – and take action. Schedule an appointment with one of our providers to discuss your skin concerns.

The post Hand Eczema Treatment for Prevention and Management appeared first on Optima Dermatology.

Do Peptides Live Up to All the Hype – and Should You Use Them? 

If you feel like everyone is hyper-focused on peptides lately, it’s not in your imagination. This buzzword is showing up everywhere from skincare commercials to Instagram reels as the powerful anti-aging treatment that can smooth fine lines and improve skin health.  

This article takes a closer look at peptides, how they work, what results you can expect, and when to talk to your dermatologist so you can be skin smart about incorporating peptides into your skincare routine. 

What Are Peptides in Skincare? 

Not to be confused with the peptides that are being touted as a weight-loss supplement (both are chains of amino acids but serve different and distinct functions), peptides in skincare are short chains of the amino acids that support production of the skin’s naturally occurring proteins, collagen and elastin.  

Collagen and elastin are essential for helping the skin appear youthful, firm, and smooth; however, as we age, natural production of collagen and elastin declines, leading to fine lines, wrinkles, and sagging skin.  

The widespread desire to combat signs of aging and reclaim our younger, fresher faces has driven demand for skincare products like peptides that claim to do just that: peptides in skincare are designed to send signals to the skin that encourage collagen and elastin production.  

Different peptides may target different concerns, so whether you’re looking for greater firmness or an improved skin barrier, there is a peptide formula for you. Some of the products our providers recommend and carry at various Optima Dermatology locations include: 

• Alastin’s Restorative Skin Complex 

• Revision’s Revox Line Relaxer 

• ZO’s Daily Power Defense 

• SkinBetter’s Alto Defense Serum 

The Big Question: Do Peptides Really Work? 

Research suggests that peptides can be effective, especially when used consistently and in the right formulation. According to research published in the National Library of Medicine, peptides are promising active ingredients with unique anti-aging properties, and studies demonstrate their efficacy in products used to improve signs of aging. While this research does note the need for further research on the full potential of peptides, it’s clear enough that consumer desire for these products isn’t unfounded. 

The most marketed benefits of peptides include: 

• Enhancing skin hydration, creating a smoother and more supple appearance 

• Stimulating collagen production to improve firmness and reduce fine lines. 

• Supporting the skin barrier, which helps retain moisture and protect against irritants. 

• Reducing inflammation, which may improve overall skin tone and texture. 

Despite these compelling points, it’s important to note that peptides aren’t an instant fix – and may not produce desired results for several weeks or even months of consistent use.  

If you work with your dermatologist to identify the best peptide formula for your skin, you’ll be able to establish expectations for results and understand more about your specific treatment. 

Are Peptides Safe? 

Peptide safety is an important question for many people before they begin use. For most people, peptides are considered safe and are generally well-tolerated and non-irritating – even by individuals with sensitive skin.  

However, as with any skincare product, it’s best to introduce peptides gradually and monitor your skin’s response. 

For individuals with mild or severe allergies, who already use prescription skincare, or are undergoing treatments like chemical peels or laser therapy, we advise you to check with your dermatologist before starting a peptide product – or any new product for that matter. 

Using Peptides Correctly for Best Results 

If you’re interested in trying peptides, here are a few tips to help you maximize their benefits: 

Look for serums and creams. Peptides work best when applied as leave-on products. This way, they have plenty of time to absorb into the skin. 

Use consistently. Apply once or twice daily, as directed. Remember, it may take several weeks or months to notice changes. 

Combine wisely. Peptides pair well with ingredients like hyaluronic acid, niacinamide, and antioxidants. Avoid layering them directly with strong acids or retinoids, which can reduce their effectiveness and could cause skin irritation or dryness. 

Be realistic. Peptides can support healthier, more youthful-looking skin, but they won’t have the same impact as more advanced treatments like Botox, fillers, or laser and light therapies if you’re looking for more significant results. 

It’s easy to get swept up in the buzz around products that promise to reverse aging naturally, but like anything, it’s important to do your homework before immediately buying into the hype. 

Peptides can be a great addition to a skincare routine, but they’re also only one part of a bigger picture. Your dermatologist or provider can design a personalized skincare routine based on your skin type and your specific goals. 

At Optima Dermatology, we specialize in helping you achieve your healthiest skin with a combination of medical-grade skincare, cosmetic treatments, and professional guidance. 

Request an appointment to speak with one of our expert providers about the right peptide – or other – treatment to achieve your skin goals.

The post The Truth About Peptides in Skincare  appeared first on Optima Dermatology.

We’re excited to welcome our newest board-certified nurse practitioner, Andreea Socaciu, FNP-BC, DCNP to our Milford, OH dermatology practice. Andreea brings more than a decade of healthcare experience, having started her nursing career in 2009.   

Andreea received her Master of Science in Nursing Practice from Georgia Southern University, graduating Summa Cum Laude. She began her career as a dermatology nurse in 2022, and currently serves as a member of the National Academy of Dermatology.  

She has had extensive training in medical aesthetics, including neurotoxin injections, dermal fillers, PRP, and more. Andreea provides medical, surgical, and cosmetic dermatology to patients of all ages, and treats a range of skin conditions, including skin cancer, acne, psoriasis, and eczema.  

As Optima Dermatology is committed to our mission of treating every patient the way we would a family member or friend, Andreea reflects that mission with her passion for learning and growth in her career. She actively participates in clinical research to improve the diagnosis and treatment of skin conditions, including contributing to evidence-based advancements that can improve patient care and deepen our understanding of dermatological conditions through innovative research.  

And her passion for expanding skin health awareness and care extends beyond her job – Andreea has served in a number of volunteer roles for community health organizations and initiatives throughout her career. She is looking forward to being part of Optima’s leading dermatological care in Milford! 

We recently had the opportunity to learn more about Andreea, her approach, and the path that led her to become a board-certified nurse practitioner. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?   

It all started with the influence of my grandfather, who was a dermatologist. From a young age, I was inspired by his deep commitment to his patients, his passion for understanding and researching the science of the skin, and the way he helped people not only heal but also regain their confidence. He instilled in me an early love for dermatology – not just as a medical specialty, but as a field that blends science, art, and human connection. As I began my own career in healthcare, I carried that inspiration with me. For more than a decade, I have had the privilege of working in diverse specialties including operating rooms, aesthetics, and pediatrics. Each of these roles has deepened my appreciation for the complexities of skin health. In the OR, I saw firsthand the impact of surgical interventions on skin and tissue integrity. In aesthetics, I developed a strong understanding of cosmetic dermatology, skin aging, and the psychosocial importance of appearance in patient wellbeing. In pediatrics, I cared for children with a variety of dermatological conditions, from atopic dermatitis to rare skin disorders – further reinforcing my desire to pursue dermatology as a long- term specialty.  

All of these experiences have shaped my clinical judgement, patient-centered care approach, and technical skills. They have also shown me how vital skin health is to overall health, self-esteem, and quality of life.  

What is your favorite aspect of being a board-certified nurse practitioner? 

As I transitioned to becoming a dermatology nurse practitioner, I felt that this path was a natural progression of everything I have learned and loved in my nursing career. It allows me to build long term relationships with my patients, stay at the forefront of evidence-based care, and address skin concerns both medical and aesthetic. 

What is your approach to treating your patients?  

My approach to patient care goes far beyond diagnosing skin conditions – it is about truly listening, educating, and building trust. I believe that every patient’s skin tells a story, and I see my role as both a medical provider and a partner in that journey. Throughout my nursing journey, I have learned that great care starts with compassion. I take time to understand each patient’s concerns, lifestyle, and goals- whether they are battling chronic acne, seeking cosmetic treatments, or managing complex conditions.  

What is your number one tip when it comes to taking care of your skin?   

Sunscreen. Every. Single. Day. Rain or shine, it’s the best antiaging and skin-protecting step that you can take. Depending on the issue, my job isn’t just to treat what is visible on the surface but to get to the root of the problem and empower my patients with the knowledge and tools they need to care for their skin long-term.  

What is one thing you want your patients to know about you?  

I love dermatology so much that in the little spare time I have, you can find me in a coffee shop reading the latest dermatology journals or listening to a dermatology podcast.

Schedule your appointment with Andreea at Optima Dermatology today!

The post Optima’s Milford, OH Dermatology Practice Welcomes New Board-Certified Nurse Practitioner appeared first on Optima Dermatology.

Optima Dermatology is excited to bring Board-Certified Physician Assistant Kendra Mariacher to its Mentor, OH practice. Kendra has been providing dermatology services since 2020, treating a wide range of skin conditions, including acne, eczema, psoriasis, and providing comprehensive skin cancer screenings and treatment. 

She is also certified in BOTOX^® and offers neurotoxin injections, dermal fillers, SkinPen^® microneedling, and laser treatments to help patients achieve their aesthetic goals. 

Kendra graduated magnum cum laude from Slippery Rock University, earning her Master of Science in Physician Assistant Studies, and later became a member of the Society of Dermatology Physician Associates. 

Committed to the Highest Quality of Care 

Aligned with Optima’s mission to treat every patient as we would our family and friends, Kendra delivers a personalized approach to every patient. She is committed to providing a welcoming and attentive environment, and ensuring patients receive an individualized treatment plan that’s best for them.   

We recently had the opportunity to learn more about Kendra, her approach, and the path that led her to become a board-certified physician assistant. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?    

I decided to pursue a career in dermatology after a personal journal of struggling with acne and eczema as a child and teenager, paired with the strong interest I had learning about dermatology during my didactic year in PA school. As a second-year PA student, I had the opportunity to complete two dermatology clinical rotations at Independence Health System in Butler, PA and was fortunate enough to join their office right after graduation from my PA program. I graduated in May 2020, amid the pandemic, and started my career in dermatology as a medical assistant in June of 2020. I worked in the medical assistant role for about 5 months before transitioning into a medical and surgical dermatology physician assistant role for 3 years. After moving to Ohio in 2023, I continued to work in the medical dermatology setting before joining the Optima Dermatology team in Mentor, where I have been continuing my career in medical, aesthetic, and surgical dermatology.   

What is your favorite aspect of being a board-certified physician assistant?  

My favorite aspect of being a board-certified physician assistant is establishing lasting relationships with my patients. Along with making patients feel better about their skin and managing dermatological conditions, I really enjoy getting to know my patients and establishing genuine relationships with them.   

What is your approach to treating your patients?   

My approach to care is patient-centered – I focus on educating patients on their diagnosis, possible treatment options and involving the patient in their plan of care.   

What is your number one tip when it comes to taking care of your skin?    

Wear your sunscreen!   

What is one thing you want your patients to know about you?     

I strive to create a safe space for patients, creating an environment where they feel comfortable at the dermatology office.   

What do you like to do when you are not in the office treating patients?      

When I am not in the office treating patients, I enjoy pilates, running, spending time with my boyfriend, Jake, and visiting with family and friends.   

What to Expect From Dermatological Care Delivered by Kendra and Her Team 

Patients visiting with Kendra and her team at Optima Dermatology will receive the highest quality of care backed by advanced training and experience. 

Kendra is currently accepting new patients at our Mentor, OH location. Request an appointment online or give us a call at 440-496-6133.

The post Kendra Mariacher, PA-C, Joins Optima Dermatology’s Mentor, OH Practice  appeared first on Optima Dermatology.

Rebecca has been providing medical dermatology services to patients of all ages since 2021. 

Rebecca earned her Bachelor of Science in Nursing from Massachusetts College of Pharmacy and Health Sciences (MCPHS), where she graduated Summa Cum Laude, and her Bachelor of Science in Biobehavioral Health with a minor in Neuroscience from Penn State University. She then went on to earn her Master of Science in Nursing from Simmons University.  

Before transitioning to dermatology, Rebecca gained experience in urgent care and emergency medicine, working primarily in the emergency department at Addison Gilbert Hospital and Beverly Hospital, which are both part of the Beth Israel Lahey Health system. She also delivered care at Dana-Farber Cancer Institute in Massachusetts. 

Rebecca looks forward to providing expert dermatology care in Scarborough and the surrounding towns of the greater Portland region and southern Maine. She is committed to delivering an unparalleled patient experience and providing the highest quality of care. 

We recently had the opportunity to learn more about Rebecca, her approach, and the path that led her to become a board-certified nurse practitioner. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?    

In my previous career as an ER nurse, I had a special interest in patients who came to the ER with skin-related concerns. I went back to school at Simmons University and pursued a master’s in nursing to continue my education. 

I ultimately chose dermatology because of the ability to treat a variety of acute and chronic conditions, prioritize skin cancer detection and prevention, and have the opportunity to learn both medical and aesthetic aspects of care.  

What is your favorite aspect of being a nurse practitioner?  

My favorite aspect of being a nurse practitioner is collaborating with my patients to find a treatment plan that works for them and helping them see it through. I love helping my patients feel better in their skin. I also value working in a field where I am constantly being challenged and learning.  

What is your approach to treating your patients?  

I like to treat my patients as if they were friends or family. I believe in shared decision-making and make an effort to educate and include my patients in decisions about their care.  

What is your number one tip when it comes to taking care of your skin?  

When it comes to taking care of your skin, my number one tip is to use sun protection! Regular use of sunscreen and sun protective clothing will reduce the risk of skin cancer and premature aging of your skin. I always tell my patients that their future selves will be grateful.  

What is one thing you want your patients to know about you?   

Outside of work, the most important part of my life is my family. My husband and I have two small children as well as a golden retriever named Augie. We’re busy in this season of life, but we are loving every minute!    

What do you like to do when you are not in the office treating patients?  

When I’m not in the office treating patients, I enjoy spending time outside in nature. My family spends as many weekends at Lake Winnipesaukee as we can, and we love boating and being on the water.      

What to Expect From Dermatological Care Delivered by Rebecca and Her Team 

Patients visiting with Rebecca and her team at Optima Dermatology will receive the highest quality of care backed by advanced training and experience. 

Rebecca is currently accepting new patients at our Scarborough, ME location. Request an appointment online or give us a call at 855-277-9689.

The post Rebecca Houlihan, MSN, APRN, FNP-BC, Joins Optima Dermatology’s Scarborough, ME Practice  appeared first on Optima Dermatology.

Optima is Excited to Welcome a Board-Certified Nurse Practitioner, Michael Costanzo, to the Milford Team!

Michael has been providing dermatology services since 2021, treating a wide range of skin conditions, including acne, psoriasis, eczema, and more, as well as offering skin cancer screenings and treatment. 

Michael graduated from Seton Hall University, earning his Master of Science in Nursing and Bachelor of Science in Nursing, and later became a member of the American Academy of Nurse Practitioners. Before transitioning to dermatology, Michael was an emergency department registered nurse for six years. 

Delivering the Highest Quality of Care 

Mirroring Optima Dermatology’s mission to treat every patient as we would our family and friends, Michael believes in a patient-centered approach, ensuring everyone he sees feels comfortable and receives a personalized treatment plan. He is committed to providing the highest quality of care to every patient, promoting an environment that is welcoming and attentive.   

We recently had the opportunity to learn more about Michael, his approach, and the path that led him to become a board-certified physician assistant. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?    

I thoroughly enjoyed my time working in the emergency department, but I realized I wanted to specialize in an area of medicine that interested me – and that area of interest was dermatology.  

What is your favorite aspect of being an advanced practice nurse?  

My favorite aspect of being an advanced practice nurse is cultivating meaningful relationships within the community and guiding patients through their skin health journey. Skin concerns can affect a person’s peace of mind, comfort, and quality of life. I love being in a position where I can provide both expert care and emotional support.  

What is your approach to treating your patients?   

My approach to patient care is being patient-centered with compassion and collaboration. I ensure every treatment plan is tailored to fit the individual needs of each patient.   

What is your number one tip when it comes to taking care of your skin?    

Wear sunscreen every day. It prevents premature aging and reduces the risk of cancer.  

What is one thing you want your patients to know about you?    

I sincerely care about your skin health and will work with you to achieve the best outcome.  

What do you like to do when you are not in the office treating patients?   

When I am not helping patients with their skin care, I love being a dad, spending time with my children, going to baseball games, hiking, and camping.     

What to Expect From Dermatological Care Delivered by Michael and His Team 

Patients visiting with Michael and his team at Optima Dermatology will receive the highest quality of care backed by advanced training and experience. 

Michael is currently accepting new patients at our Milford, OH location. Request an appointment online or give us a call at 513-327-9244. 

The post Michael Costanzo, APN, Joins Optima Dermatology’s Milford, OH Practice appeared first on Optima Dermatology.

Weekly Planning to Get Your Skin Ready for the Holiday Season
It’s hard to believe we’re so close to the holiday season after the long, hot summer, but it’s officially time to start skincare treatments that will get you ready for the holidays.  

Family gatherings, company parties, and festivities with friends will have you putting in face time and posing for photo ops – and since some treatments work best over time, plan ahead to achieve a healthy, radiant holiday glow. 

Here is your step-by-step guide to planning a skin care routine that will have you looking your best and feeling your most confident in time for the holidays. 

Step 1: 6-8 Weeks Before the Holidays 

6-8 weeks before the holiday season and start of the new year is the ideal time to begin cosmetic treatments that require more downtime, multiple treatments, or that gradually improve your skin’s appearance.  

If you’re looking for more dramatic changes to your skin, here are some treatments to begin as soon as possible to be ready for the holidays: 

Laser and Light Treatments:
These treatments can effectively diminish skin discoloration and reduce the appearance of rosacea, redness, brown spots, and sun damage. Some of Optima’s more advanced lasers can even out uneven skin textures, fine lines, wrinkles, and help with scarring. There are several types of laser and light treatments for specific outcomes. Here’s what you need to know about timelines and downtime for laser and light treatments to help prepare for holiday events and celebrations: 

• BroadBand (BBL) is a form of light intense pulsed light (IPL) therapy sends light energy into the skin to correct color and even out skin tone. It has virtually no downtime and results in healthier, more vibrant skin. BBL therapy is ideal for treating conditions like brown spots, sun damage, and redness. While visible results are seen 2 weeks after a single BBL treatment, a series of three treatments spaced 4-6 weeks apart is recommended for optimal results. The most common feedback from patients after this treatment is that they feel like there is less cover up on the skin. It is a good idea to get these treatments started as soon as possible for “makeup optional” skin this holiday season. 

• A HALO^® laser uses different wavelengths to target both the surface of skin, and deeper tissue to stimulate collagen. This therapy is ideal for treating more severe sun damage, brown spots, fine lines, wrinkles, and acne scarring. Often, improvements will be achieved with a single treatment, however your provider may recommend more depending on your specific skin care goals. Expect downtime of at least 5 days, with a visible improvement to skin, and peak results setting in 3 months post treatment. 

• Fraxel is a laser treatment designed to improve skin tone and texture by targeting brown spots, fine lines, wrinkles, and scarring, while also stimulating collagen production over time. It shares some similarities with the HALO^® laser, as both treatments resurface the skin and promote rejuvenation, but they differ in their specific technology and depth of treatment. Your provider can help you decide which treatment is best for you. 

• VBeam® is a pulsed dye laser (PDL) treatment that targets redness in the skin and is ideal for addressing conditions such as rosacea, spider veins, and port-wine stains. A series of sessions is often recommended depending on the condition being treated and your skincare goals, so starting early helps ensure your skin looks its best for the holidays. Visible improvements typically appear within 1 to 2 weeks after treatment. Depending on the treatment area and the severity of redness, mild swelling may occur for a few days, so it’s best to plan accordingly. 

Microneedling with PRP or Exosomes: This treatment combines microneedling with either platelet-rich plasma (PRP) or exosome-derived growth factors to rejuvenate skin at a cellular level. The treatment works by stimulating collagen and elastin production to improve skin texture, minimize fine lines, and promote a smoother, more radiant complexion. 

You may notice an immediate healthy glow following a single session; however, true collagen remodeling and skin tightening develop gradually over time as your body’s natural healing response takes effect. A series of three treatments, spaced about four weeks apart, typically provides the most significant and long-lasting results. For best results, it is recommended to begin your microneedling series at least four weeks before a special event or the busy holiday season. 

Chemical Peels:
From light peels to deeper resurfacing options, chemical peels can brighten skin, minimize fine lines, and reduce uneven pigmentation.  

Because peeling and redness can last for days or weeks depending on the intensity of the chemical peel, scheduling 4-6 weeks out is best to be ready for the holidays. 

Step 2: 3-4 Weeks Before the Holidays 

With the holidays approaching, 3-4 weeks beforehand is the right time for treatments that deliver results relatively quickly but still need a window of time to settle. 

Botox^® / Dysport^®:
 Neuromodulators like Botox^®, Dysport^®, Xeomin^® and Daxxify^® work by gently relaxing the muscles that cause expression lines—softening the appearance of forehead lines, crow’s feet, and frown lines for a smoother, refreshed look. 

You will start to notice results within just a few days, with your full results appearing around the two-week mark. The effects typically last for three to four months (and sometimes longer, depending on the product and your individual response), helping you maintain a natural, rested appearance without looking “frozen.” 

Dermal Fillers: Dermal fillers are a safe and effective way to restore volume, enhance facial contours, and smooth deeper lines and folds for a naturally refreshed appearance. Over time, our skin gradually loses collagen and elasticity, leading to hollow areas or deeper wrinkles. Fillers work to gently replenish that lost volume, helping you look like yourself—just more rejuvenated and well-rested. 

Results are visible immediately after treatment, though it’s common to have some mild swelling or occasional bruising that typically resolves within a few days. To ensure your skin looks its best, it’s a good idea to plan your filler appointment 3-4 weeks before any big event or holiday celebration, so your results have time to fully settle. 

Sculptra^®: Different from dermal fillers, Sculptra^® is a unique, collagen-stimulating injectable designed to gradually restore volume and firmness to the skin for results that look natural and last. Unlike traditional fillers that add instant volume, Sculptra^® works by stimulating your skin’s own collagen production—helping to rebuild the underlying structure and improve overall elasticity and smoothness over time. 

Most patients begin to see subtle improvements a few months after treatment, with continued enhancement as new collagen forms. For optimal, long-lasting results, a series of treatments spaced several weeks apart is typically recommended. Because Sculptra^® works progressively, it’s best to plan ahead if you’d like to see your full results in time for a special event or upcoming season. 

Step 3: 1-2 Weeks Before the Holidays 

In the final weeks as holiday events are approaching, keep it simple with skin-refreshing treatments that deliver an instant glow with minimal downtime. 

HydraFacial^® and DiamondGlow^®: These advanced facials deeply cleanse, exfoliate, and hydrate the skin, leaving it radiant and refreshed. They are perfect for a pre-party boost and can be customized to accommodate your skin’s needs. 

Dermaplaning:
This treatment gently removes dead skin cells and fine facial hair, making it easier to apply makeup and helping skincare products absorb more effectively. The result is brighter, smoother skin – and a great holiday glow. 

At-Home Skincare That Lasts All Holiday Season 

Your skin can get a major boost from professional treatments, but it is also important to maintain a consistent at-home routine to extend treatment results and keep your skin healthy and glowing all season long.  

• Gently cleanse your skin twice daily to remove dirt, makeup, and excess oil.  

• Apply a hydrating moisturizing cream to keep skin soft and protected from cold, dry air.  

• Wear a daily sunscreen with an SPF of 30 or higher – the sun can still damage skin on cloudy days and in the winter. 

• Use products that contain retinoids, vitamin C, or hyaluronic acid to support brighter, healthier skin. Ask your provider for guidance on the right products for your skin.  

Glow Into the Holidays With Optima Dermatology 

See one of our expert, board-certified providers to get a skincare plan that’s designed around your unique needs and timeline.  

Whether you’re looking for long-lasting results or a last-minute refresh, we’ll have you feeling radiant and confident for the season ahead.  

Book your treatments now to ensure you can glow confidently into the holidays!

The post Your Holiday Glow Guide  appeared first on Optima Dermatology.

Dr. Stewart Offers Mohs Micrographic Surgery at Optima’s Manchester, NH Practice  

Optima Dermatology is excited to bring on Board-Certified and Fellowship Trained Mohs Surgeon Dr. Daniel Stewart, MD, PhD, to its Manchester, NH practice.  

Dr. Stewart has been treating patients since 2007, providing dermatology expertise he developed over years of education and practice.  

Dr. Stewart earned his Doctor of Medicine and Doctor of Philosophy in Cancer Biology from Stanford University School of Medicine and went on to complete a transitional internship before training at Santa Clara Valley Medical Center. He completed his residency in dermatology at Stanford Hospital and Clinics, earning an American Society for Dermatologic Surgery Resident Scholarship Award, and then completed his Fellowship in Procedural Dermatology and Mohs Surgery at the University of Wisconsin.  

During his lengthy career, Dr. Stewart has authored more than 20 scientific and medical publications and has been named a Top Doctor from 2022 to 2025 by Castle Connolly, an official source of top doctors that covers all 50 states and all major specialties. He is a fellow of the American Academy of Dermatology, the American College of Mohs Surgery, and the American Society for Dermatologic Surgery. 

Dr. Stewart is passionate about treating skin cancer and is looking forward to providing thorough and individualized care to patients in the southern New Hampshire region.  

Dedicated to the Highest Quality of Care 

Aligned with Optima Dermatology’s mission to treat every patient the way we would our family and friends, He delivers empathy, education, and precision, helping every patient understand their diagnosis and treatment plan. His patient-centered and caring approach helps make patients feel comfortable and listened to.  

We recently had the opportunity to learn more about Dr. Stewart, his approach, and the path that led him to become a board-certified and fellowship trained Mohs surgeon. 

What made you decide to pursue a career in dermatology? What did the path to get there look like for you?     

My journey to dermatology began with a deep interest in cancer biology and a desire to make a tangible difference in patients’ lives. Before starting medical school, I entered a PhD program in cancer biology, focusing on the molecular mechanisms that drive tumor growth and resistance through the regulation of cell-to-cell adhesion. Two years into the PhD program, I began medical school and continued both tracks concurrently for several years, completing my PhD just before my final years of clinical rotations in medical school.  

During my dermatology residency, I was introduced to Mohs micrographic surgery, a field that perfectly combined my passion for oncology, surgical precision, and patient-centered care. Following residency, I completed a fellowship in Mohs surgery and cutaneous oncology.  

What is your favorite aspect of being a Mohs surgeon?     

The most fulfilling part of my work is helping patients heal from skin cancer while achieving the best possible cosmetic and functional outcome. Each case requires a balance of precision, problem-solving, and artistry. I also value the ongoing relationships I build with my patients—seeing them through treatment and following them for years after.  

What is your approach to treating your patients?    

My approach is grounded in empathy, education, and precision. I want every patient to understand their diagnosis, their treatment plan, and what to expect at each step. I know how important it is for patients to feel informed and reassured, and I take time to answer questions, explain pathology findings, and ensure each patient feels heard and supported from consultation through recovery.  

What is your number one tip when it comes to taking care of your skin?    

Sun protection cannot be overstated. I recommend daily use of a broad-spectrum sunscreen with SPF 30 or higher, protective clothing, and avoiding peak sun hours when possible. Just as important is early detection: perform regular self-skin checks and schedule annual professional skin exams. The earlier we catch skin cancers, the easier they are to treat successfully.   

What is one thing you want your patients to know about you?    

I approach every surgery and every patient with the same care and attention I would give my own family. Behind every biopsy or surgical site is a person who deserves compassion and clarity. I take pride in providing meticulous, evidence-based care and in helping my patients feel confident and comfortable throughout their treatment.  

What do you like to do when you are not in the office treating patients?    

When not in clinic, I enjoy spending time with my family, hiking in the White Mountains, running, and mountain biking – all with appropriate sun protection, of course!   

What to Expect From Dermatological Care Delivered by Dr. Stewart and His Team 

Dr. Stewart and his team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care.  

He is currently accepting new patients at our Manchester, NH location. Request an appointment online or give us a call at 855-277–9689.

The post Board-Certified & Fellowship Trained Mohs Surgeon Daniel Stewart, MD, PhD, Joins Optima Dermatology appeared first on Optima Dermatology.

Every year brings new trends – from fashion to food to fitness – and skincare trends are certainly always high on the list. As we look toward 2026, we expect to see a continued emphasis on skin health and age-defying care, as well as treatments and products that deliver longer-term results rather than quick, temporary fixes.  

We want to help you be skin smart in 2026. In this post, we review the top skincare trends we expect to see in the new year and give you all the info so you know what might be the best option for you.  

1. Prevention and Skin Health: Early Intervention 

Addressing signs of aging has long been a cornerstone of the skincare industry, and while it’ll continue to take center stage in 2026, it’s looking a little different. If you’re in your 20s or 30s, you’ll want to pay attention. 

Instead of a more “reactionary” approach (reducing wrinkles, diminishing age spots, or using fillers to smooth and plum skin) the anti-aging trend for 2026 is focused on early intervention. Individuals in their 20s and 30s are increasingly choosing treatments and skincare products designed to maintain healthy, youthful skin before signs of aging appear; also indicating skin health awareness is growing among younger generations.  

Jump on this trend: These popular preventive treatments include: 

• Neurotoxins (like Botox^®) for subtle wrinkle prevention. 

• Microneedling to stimulate collagen and reduce early fine lines. 

• BroadBand Light (BBL) and HALO^® hybrid fractional laser for improving skin tone and texture. 

• At-home red light LED masks, our providers specifically recommend OmniLuxe, available for purchase at select Optima Dermatology locations! 

2. Prevention and Skin Health: Skin Cancer 

Gradually, people are abandoning long-held trends toward having sun-kissed and tan summer skin year-round. Tanning bed use is in decline, according to the National Cancer Institute, and greater skin cancer awareness has increased daily sunscreen use and overall prevention habits. 

In 2026, we expect to see more emphasis on skin cancer prevention, with a growing popularity for daily face and body moisturizers with an SPF of 30 or higher, a continued decline in tanning bed use, and increased emphasis on receiving annual skin checks. These habits can also help prevent signs of aging – a win-win along with our first trend of early intervention! 

Jump on this trend: If you’re a tanning bed user, now’s the time to make the switch. Skip the harmful UV rays and opt for a self-tanner or spray tan instead. Add a daily moisturizer with SPF to your routine – trusted brands like Cerave and Laroche Posay make light, SPF 50 facial moisturizers that offer all-day protection, and should be used even when it’s cold and cloudy! In the sun, wear a hat or UPF clothing to ramp up protection, and seek shade whenever possible.  

3. Stem Cell, Exosome, and Peptide Technology 

We’ve been seeing a shift toward restorative, regenerative skincare driven by developments in skincare science that utilize bioactive ingredients to target skin repair at the cellular level.  

In 2026, we expect to see more products and in-office treatments designed to work with the skin’s natural healing processes.  

Jump on this trend: Here are two restorative, regenerative treatments to consider: 

• Stem cell and exosome treatments: These are getting attention for their ability to promote regeneration, improve elasticity, and enhance hydration. Stem cell and exosome therapies deliver powerful growth factors and signaling molecules that help restore the skin’s natural function and appearance. As a standalone treatment, exosomes can be applied topically or delivered through non-invasive methods to calm inflammation, enhance skin tone and texture, and promote a more radiant, balanced complexion. When paired with microneedling, exosomes can be even more effective. Microneedling creates microchannels in the skin that enhance the absorption and penetration of exosomes, allowing their growth factors to reach deeper layers. This combination can accelerate healing, amplify collagen production, reduce downtime, and deliver more dramatic improvements in firmness, brightness, and overall skin quality. 

• Peptides: Already a favorite among dermatologists, peptides continue to rise in popularity for their ability to boost collagen and improve firmness and texture, especially when combined with microneedling or laser treatments. 

4. Scalp and Hair Health 

You may not have realized, but healthy hair is also part of skincare because it’s dependent on a healthy scalp. In 2026, we expect to see scalp care getting the same attention as general skincare with people looking to combat thinning or damaged hair. 

Jump on this trend: Support hair growth and scalp wellness using: 

• Prescription and over-the-counter topicals to strengthen hair and stimulate follicles. 

• Nutritional supplements that support hair from the inside out. We recommend consulting your dermatologist about the right supplement to ensure you select a high-quality option that is more likely to produce the best results. 

• PRP (platelet-rich plasma) treatments that use your body’s own growth factors to encourage new growth. 

• Scalp exfoliation and microneedling to improve circulation and absorption of active ingredients. 

Ongoing research has linked scalp health to improved hair density and strength, and more people are turning to dermatologist-recommended solutions for fuller, healthier hair. 

5. Using Technology to Boost Under-Eye Care 

Addressing under-eye darkness, thinning, or sagging, is a popular topic and while the under-eye area has historically been one of the harder areas to treat, new tech-infused approaches are making a big difference.  

Jump on this trend: Dermatologists are using treatments like: 

• Hyaluronic acid (HA) fillers for hollow or tired-looking eyes. 

• PRP injections to brighten and firm delicate skin naturally. 

The demand for effective under-eye creams also continues to grow. Patients are looking for dermatologist-approved formulas with ingredients like caffeine, niacinamide, peptides, and retinol so they can address puffiness, dark circles, and fine lines from home during their regular skincare routine. 

6. Strengthening the Skin Barrier 

Over the last few years, the “skin barrier” has gotten a lot of attention with advice for enhanced protection, strengthening, and rejuvenation. We’re going to see the same focus continue in 2026, but with a slightly refined approach.  

Jump on this trend: After the viral rise of “slugging” that dictates a thick application of ointment at night to lock-in moisture, in 2026 we expect instead to see a focus on skin barrier repair using ceramide- and lipid-rich formulas that restore balance and prevent irritation. 

At Optima Dermatology, we’re also encouraging patients to simplify their skincare routines to focus more on hydration, and to use products designed that strengthen the barrier rather than over-exfoliate or sensitize the skin. 

7. Dermatologist-Branded Skincare Takes Center Stage 

With good reason, consumers are becoming increasingly skeptical of influencer-endorsed skincare lines with questionable verification and turning instead toward dermatologist-developed brands they can trust. 

Jump on this trend: Brands like CeraVe, La Roche-Posay, Alastin, and EltaMD have seen continued growth thanks to their science-backed formulas and dermatologist recommendations. Patients appreciate knowing their skincare is developed with real clinical research – not just marketing claims or viral Instagram shares. 

Optima’s expert providers are able to recommend personalized, dermatologist-approved routines that match your specific skin type and goals, so you can trust that your products and plan fit your unique needs. 

8. Microneedling Remains a Go-To Treatment 

Microneedling continues to be one of the most in-demand cosmetic treatments because of its effectiveness in triggering natural collagen and elastin production.  Microneedling often delivers a healthy glow after just one session, while longer-lasting improvements in collagen and firmness develop gradually with multiple treatments as your skin activates its natural regenerative process. 

Jump on this trend: In 2026, we expect to see newer techniques like radiofrequency microneedling and microneedling with PRP grow in use because of the ease and effectiveness of results they can produce. These treatments help smooth, tighten, and rejuvenate skin with minimal downtime, making them an ideal choice for patients looking for noticeable improvements without surgery. 

Get Ready! Healthy, Preventive, and Personalized Skincare 

Overall in the new year, the trend will be practicing healthy, preventive, and personalized skincare.  

Whether you’re interested in early prevention, advanced rejuvenation, or expert guidance on the latest treatments, our board-certified dermatologists can help you create a customized plan that’s right for your skin now, for 2026, and for the years ahead.  

Request an appointment to speak with one of our expert providers about how to pursue your skincare goals in the new year and beyond.

The post Be in the Know: 8 Skincare Trends to Watch in 2026 appeared first on Optima Dermatology.