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.   

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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. 

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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.

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.

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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.

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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.

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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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.

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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.

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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

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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.

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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. 

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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

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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.

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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.

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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.

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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.

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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.

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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.

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.  

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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  

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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.   

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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.  

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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.   

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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.   

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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.  

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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.  

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How often should I reapply sunscreen?  

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

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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.  

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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.  

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.

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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.

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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.

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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.

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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.

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! 

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!

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. 

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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. 

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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. 

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?

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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.

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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!

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!

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!