Understanding Acne Triggers and Treatment Options – June is Acne Awareness Month
Dr. Gregory Delost of Optima Dermatology joins New Day Cleveland to share expert insight on acne causes, treatments, and when to see a dermatologist.
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.
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.
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.
Everyday Habits That Can Trigger Acne & How to Manage Breakouts
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 skin1-6. Whole foods rich in fiber, like vegetables, legumes, and whole grains, promote the opposite effects and have been shown to decrease acne severity1-4,7. Consider taking a probiotic, which have recently shown promising results for improving acne8-10.
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 health1-3,11-12. Consider taking an omega-3 fatty acid supplement, which has been associated with improvement in acne in several studies1,3,13
Limit dairy products: Consuming dairy products, especially milk, has been shown in some studies to be associated with acne severity through hormonal and inflammatory pathways4,14-15.
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 acne16-18.
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 Importance of Early Detection of Skin Cancer – Optima Dermatology on New Day Cleveland
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:
Basal Cell Carcinoma – Usually appears as a pearly bump with visible blood vessels.
Squamous Cell Carcinoma – Often shows up as a crusty, painful scab in sun-exposed areas.
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.”
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!
A Guide to Moles and Suspicious Spots: What to Look For and When to See a Dermatologist
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
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.
Examine your underarms, forearms, the palms of your hands, and your fingernails.
Look at the soles of your feet, your toenails, the spaces between your toes, and the backs of your feet and legs.
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.
Check your back and buttocks, also using a hand mirror.
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.
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.
What to Know About Stimulating Collagen Production Naturally and with Vitamins and Supplements.
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 Iis 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.
Optima Dermatology Featured on Inside Maine’s Best Health & Wellness
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.
Common Lip Conditions and How to Treat Them – Optima Dermatology on New Day Cleveland
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!
Hidradenitis Suppurativa – How to Treat and Manage This Often Painful Skin Disease
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.
