After months of cold, harsh weather, you may be feeling the effects on your skin. Dryness, itchiness, and flakiness are all common, and while you may largely notice these symptoms on your face or hands, dry skin often also affects the scalp.
While the top of your head may not always be top of mind, the flakes from a dry scalp can become visible in your hair or on your shoulders, causing a larger issue requiring more immediate attention. Luckily, you don’t have to rely solely on an over-the-counter shampoo. Scalp health can be professionally addressed by your board-certified dermatologist for lasting results.
In this Derm Deep Dive, we’ll tell you what to do if you’re suffering from symptoms of a dry scalp, and what to expect if you visit a dermatologist to help with this common skin issue.
Why Do I Have a Dry Scalp?
Dry scalp occurs when your skin isn’t producing enough of the natural oils that keep it hydrated. While dry winter air is a common cause, dry scalp can also be caused by overwashing hair or irritating hair products, both of which can strip the scalp of its natural oils and increase dryness.
Dry Scalp – or Something More?
Dandruff and Seborrheic Dermatitis
If your symptoms persist or are severe, it may indicate dandruff, a mild form of seborrheic dermatitis. Seborrheic dermatitis is a common condition that causes a scaly rash in areas rich in oil glands like the scalp. It is an inflammatory condition that can lead to flaking, itchiness, and redness. You may also notice oily hair, which is not a common symptom of dry scalp.
Mild dandruff can usually be managed at home with an over-the-counter shampoo, but with more serious cases of seborrheic dermatitis, you may experience flare-ups or symptoms in other areas like the eyebrows or face.
What You Can Do at Home:
Use a medicated shampoo formulated for dandruff – look for shampoos with ingredients like zinc pyrithione or selenium sulfide. With any skin care plan, it’s important to be consistent as many treatments can take a few weeks to show results.
If your dandruff doesn’t improve, a dermatologist can recommend the right medicated or prescription product based on your specific case.
Itchy Scalp
If your scalp feels itchy, it may not be related to dryness or dandruff. An itchy scalp can be caused by product allergies or irritation, such as reactions to shampoo, conditioners, dyes, or styling products, or skin conditions like eczema, seborrheic dermatitis, and psoriasis.
Redness, rash, or irritation after using a hair product could be a sign of contact dermatitis, and you should see your dermatologist to help identify the trigger.
What You Can Do at Home:
Simplify your routine – use “clean” hair cleansers and products
Avoid products with known irritants or strong fragrances
Rinse thoroughly after shampooing to wash away residues
A persistent itchy scalp accompanied by rash or other symptoms is an indication that it’s time to seek professional evaluation.
When to See Your Dermatologist
Many mild scalp issues can be treated at home with a gentle hair care routine and targeted products, but ongoing or worsening symptoms require expert attention. A board-certified dermatologist can provide a proper diagnosis and a customized treatment plan.
Different scalp conditions can look similar, and treating the wrong scalp issue at home can worsen or prolong the condition. A dermatologist can differentiate between dryness, seborrheic dermatitis, psoriasis, eczema, and an allergic reaction.
Your dermatologist may treat your scalp issue with a prescription shampoo, anti-inflammatory topical creams or ointments, or antifungal therapies. They may also perform patch testing to identify a product allergy.
Addressing the underlying cause of your dry scalp rather than just the symptoms, you’ll enjoy longer-lasting relief and a healthier scalp.
If you’ve tried gentle shampoos, at-home dandruff treatment, or other scalp-friendly routines and are still experiencing itchiness and discomfort, our expert, board-certified dermatologists are ready to help.
Find the right path to healthier hair and scalp at Optima Dermatology, and combat dry scalp in time for spring!
Sunless Tanning Options for a Healthy Post-Winter Glow
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:
Use sunscreen with an SPF of 30 or higher every day, even on cloudy winter days.
Wear sun-protective clothing and hats when you’re out in the sun.
Seek shade when outdoors between 10am and 4pm – peak UV hours.
Hydrate and moisturize daily to keep skin healthy and vibrant.
Implement a consistent routine with medical-grade skincare products.
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!
Spotting Actinic Keratosis Early: Warning Signs and When to See a Dermatologist
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!
Maria Offers Her Expertise as a Board-Certified Nurse Practitioner to Patients of All Ages.
Board-Certified Nurse Practitioner Maria Petkova, NP-C, has joined Optima’s Salem and Bedford, NH practices, bringing industry-leading medical and dermatological experience to patients of all ages. She treats a variety of skin conditions, including acne, eczema, psoriasis, skin cancer, and more.
Before entering the dermatology field, Maria worked as a registered nurse in oncology and pediatric intensive care. She went on to earn her Master of Science in Nursing, graduating with Summa Cum Laude honors with an emphasis on Family Medicine. She also holds a Bachelor of Science in Nutrition and Dietetics from Simmons University in Boston.
Maria’s background and clinical interests focus on women’s and pediatric health, along with a strong foundation in oncology research. She has participated in multiple research studies at the Harvard School of Public Health and helped develop numerous cutaneous and non-cutaneous oncology clinical trials at the Novartis Institute for Biomedical Research.
She maintains an active membership with the Society of Dermatology Nurse Practitioners, the Dermatology Nurses Association, and the American Association of Nurse Practitioners.
With her new role at Optima Dermatology, Maria looks forward to providing industry-leading dermatology care to patients of all ages in the southern New Hampshire area.
High Quality Care With a Personalized Approach
Because of her diverse experience in nutrition, academic and clinical research, oncology, ICU, and pediatrics, Maria is able to deliver care in a highly personalized and compassionate way, which aligns with Optima’s mission to treat every patient as we would our family and friends.
We recently had the opportunity to learn more about Maria, her approach, and the path that led her to become a board-certified nurse practitioner.
What made you decide to pursue a career in dermatology? What did the path to get there look like for you?
After spending several years working in inpatient oncology and ICU, I wanted to shift into a specialty where I could build more long-term relationships with my patients and be part of their ongoing care. My path into dermatology was shaped by the incredible mentorship I received early on. I had the opportunity to train with an exceptional dermatologist whose knowledge, passion, and genuine enthusiasm for the field were contagious. He was one of the best teachers I’ve ever had, and I know I wouldn’t be where I am today without his guidance and support. That experience solidified my love for dermatology and the meaningful connections it allows me to make with patients.
What is your favorite aspect of being a board-certified nurse practitioner?
My favorite part of being a Nurse Practitioner is the ability to draw on my diverse clinical background to support my patients. My experience in nutrition, academic and clinical research, oncology, ICU, and pediatrics gives me a broad perspective that I use every day to create individualized care plans. I believe the compassion you gain as a nurse while being present with patients and families during some of their most difficult moments is something unique that NPs carry forward into advanced practice. It allows me to approach each patient with empathy and a commitment to improving their quality of life.
What is your approach to treating your patients?
My approach to patient care is to treat every individual the way I would want my own family to be treated. Having been a patient myself and having supported close family and friends through their own medical experiences, I understand how frightening, uncomfortable, and at times overwhelming healthcare can feel. Because of that, I prioritize building a trusting and respectful relationship with each patient. I want patients to feel heard, supported, and confident that we’re working together toward their best possible health.
What is your number one tip when it comes to taking care of your skin?
My number one tip for taking care of our skin is simple: wear sunscreen every day and get annual skin checks. Unlike many internal cancers that require invasive testing or may only be detected once symptoms appear, most skin cancers can be identified early through routine exams, and many can be prevented with consistent sun protection.
What is one thing you want your patients to know about you?
One thing I want my patients to know is that I genuinely care about their health and quality of life. I believe that good health is one of the most important foundations in life, and I’m committed to supporting my patients in every way I can.
What do you like to do when you are not in the office treating patients?
When I’m not in the office, I’m spending time with my husband and our two young boys. They keep us busy, and I love being able to focus on family time whenever I’m away from work.
What to Expect From Dermatological Care Delivered by Maria and Her Team
Patients visiting with Maria and her team at Optima Dermatology will receive the highest quality of care backed by advanced training and experience.
Maria is currently accepting new patients at our Salem and Bedford, NH locations. Request an appointment online or give us a call at 855-277–9689.
Everyday Products That Can Make Dry Winter Skin Worse
Got some gloves handy? Temperatures have already descended, and you may be feeling the effects on your skin as colder, dryer air often strips moisture from your skin. A little TLC with proper moisturizer and protection from the air (like gloves) goes a long way, but the cold isn’t the only skin irritant you should protect against this winter. There are many common household products that cause dryness and can exacerbate the impact of dry, winter air.
Even your go-to moisturizer might be worsening skin dryness, and other common products like dish soap and laundry detergent can have similar effects. In this post, we’ll do a deep dive into the hidden skin irritants at home that can make dryness worse, and tell you how you can swap them out for more skin-friendly options.
Everyday Cleaners: Dish and Hand Soaps
Handwashing becomes more critical during cold and flu season, but you might notice dryer skin than usual with each wash. Many soaps, especially heavily fragranced varieties, contain strong surfactants that strip away the natural oils your skin relies on to stay hydrated.
Dish soaps are just as damaging; and those designed to cut through grease are even more so.
What to Swap: Look for gentle, non-foaming, fragrance-free hand soaps that specifically say on the label that they’re for sensitive skin or are moisturizing. Avoid products that contain alcohol, sulfates (check for sodium lauryl sulfate), or added dyes.
It’s also a good idea to apply a fragrance-free hand cream or ointment immediately after doing dishes or washing your hands to help seal in moisture and help your skin heal. For extra protection, wear rubber gloves while handwashing dishes!
Laundry Products: Detergents & Fabric Softeners
The products you use to do laundry are often a sneaky source of skin irritation. The fragrances, preservatives, and dyes in detergents, dryer sheets, and fabric softeners can linger on your clothes, towels and bed sheets long after they come out of the dryer, irritating skin as you sleep or go about your day.
What to Swap: There are plenty of laundry products that are formulated to be hypoallergenic or “free and clear” that don’t contain fragrances or dyes. We protect baby skin with these products – do the same for your dry winter skin! Also, consider skipping fabric softeners and dryer sheets if you’re struggling with skin dryness. Instead, you can add white vinegar to your rinse cycle, which softens fabric naturally.
Personal Hygiene: Body Washes & Shower Habits
It’s tempting to blast the hot water and relish in a long shower when the air gets frigid, but the heat, combined with harsh body washes or scrubs, can strip away your skin’s protective oils and worsen dryness.
What to Swap: Turn the temp down – instead of a steam-filled, blazing hot shower, opt for a warm temperature that’s comfortable and won’t burn or irritate your skin, and limit showers to 10 minutes. Choose creamy, fragrance-free skin cleansers with moisturizing ingredients like ceramides, glycerin, or hyaluronic acid.
After a shower, avoid rubbing skin dry – gently pat skin and apply moisturizer while your skin is still damp to lock in hydration.
Household Products: Cleaners & Sanitizers
If only the bathroom would clean itself – but unfortunately, it won’t. It’s always a good idea to wear gloves when using any type of household cleaners, but in the winter months, any surface cleaners, disinfectant wipes, and sanitizing sprays can be even tougher on your skin.
Always wear gloves to protect against the harsh chemicals and alcohol in these products that can worsen dryness and even lead to contact dermatitis.
What to Swap: Look for non-toxic cleaners that are labeled as “gentle”. If you’re using hand sanitizer frequently, choose one with added moisturizers like aloe or glycerin.
Know Your Moisturizers
It might be labeled as a moisturizer, but it can make dry skin worse if it contains fragrance, alcohol, essential oils, or other ingredients that can irritate sensitive skin.
These types of moisturizers and lotions are not going to provide sufficient hydration in the winter and are not great for your skin during other times of the year either.
What to Swap: The best hydration options are thick, fragrance-free creams or ointments that contain ceramides, shea butter, petrolatum, or hyaluronic acid. Products labeled “for sensitive skin” or “eczema-prone skin” are often formulated to be extra gentle and are great choices for dry, winter skin.
Protect Your Skin This Winter – and All Year Long
Your skin will always tell you when it needs a little extra care, and the winter months are no exception. If you start to notice dryness, itchiness, redness, or bleeding, take action to protect your skin before worse symptoms appear.
Here are some easy ways to keep skin hydrated and happy this winter:
Switch to gentle, fragrance-free household and skincare products.
Moisturize often, especially after washing your hands or showering.
Use a humidifier indoors to add moisture to the air.
Wear gloves for cleaning, doing dishes, and going outside in cold weather.
Avoid very hot water and long baths or showers.
Even with the best at-home habits, dry winter skin can require professional care from a board-certified dermatologist. Persistent dryness, redness, or itching may signal a deeper issue like eczema, contact dermatitis, or another skin condition that requires expert treatment.
At Optima Dermatology, our board-certified dermatologists and providers can help identify the cause of your dry skin and create a customized treatment plan to restore your skin’s health and comfort.
Schedule an appointment today for an evaluation of your dry skin and a treatment plan to help you get ahead of – and manage – winter skin!
Optima Dermatology Welcomes Andy Porter, PA-C, to its Macedonia, OH Practice
Porter Brings Years of Experience to Serve Patients in the Cleveland Area
Board-Certified Physician Assistant Andy Porter, PA-C, joins Optima’s Macedonia, OH practice, bringing industry-leading dermatology experience to patients across the Cleveland area. Andy has been practicing medicine in the Cleveland region since 2016.
Before transitioning to dermatology in 2022, Andy practiced emergency medicine at the UH Parma Medical Center Emergency Department, where he served as lead physician assistant, as well as at the Cleveland Clinic Marymont Emergency Department.
He earned his Master of Medical Science in Physician Assistant Studies from Baldwin Wallace University. He is currently a fellow of the Society of Dermatologic Physician Assistants.
Andy looks forward to continuing to provide industry-leading dermatology care to patients of all ages in the greater Cleveland area.
Committed to the Highest Quality of Care
Andy’s commitment to the highest quality of care aligns with Optima’s mission to treat every patient as we would our family and friends,
We recently had the opportunity to learn more about Andy, his approach, and the path that led him to become a board-certified physician assistant.
What made you decide to pursue a career in dermatology?
I’ve been interested in dermatology since PA school, but as a new graduate, it can be a tough field to break into. I began my career in emergency medicine, working within both the UH and Cleveland Clinic systems, where I provided care to patients across the Cleveland area. During my time at UH Parma, I served as the lead PA, which gave me valuable leadership experience. While at Cleveland Clinic, my family was growing – our second child was on the way – and I was looking for a role that offered a bit more consistency in my schedule. Around that time, an opportunity to transition into dermatology opened up, and I jumped at it. It was a big change, but I’ve loved every minute of it. I’m excited to continue providing high-quality dermatologic care for years to come.
What is your favorite aspect of being a Physician Assistant?
There are so many things I love about being a PA. One of my favorite parts is having the time to really connect with patients. I also appreciate how the PA profession allows flexibility and growth – I’ve had the opportunity to treat a wide range of conditions in emergency medicine, an experience that has helped me become a better provider in dermatology.
What is your approach to treating your patients?
I take a teamwork-based approach to patient care. I make sure to explain the diagnosis (or possible diagnoses), expected outcomes, and treatment options in detail so that my patients feel informed and involved. Together, we make decisions that align with their goals and comfort level.
What is your number one tip when it comes to taking care of your skin?
Start simple! Building a consistent routine is one of the best things you can do for your skin. The skincare world can feel overwhelming, but a basic regimen that includes cleansing, daily sunscreen use, and moisturizing after bathing can make a big difference in how your skin looks and feels. If you have specific goals, I’m always happy to tailor a plan to help you meet them.
What is one thing you want your patients to know about you?
I’m very easy-going when it comes to discussing care plans. If you ever have questions or concerns about your treatment, I encourage you to bring them up. My goal is for us to work together to find the best path forward.
What do you like to do when you’re not in the office?
When I’m not in the office, I love spending time with my amazing wife, son, and daughter. We also have two energetic dogs who keep us busy! When I do get some free time, I enjoy mountain biking on the many single-track trails across Northeast Ohio, a hobby I picked up during COVID that has since taken over most of my other pastimes.
What to Expect From Dermatological Care Delivered by Andy and His Team
Patients visiting with Andy and his team at Optima Dermatology will receive the highest quality of care backed by advanced training and experience.
Andy is currently accepting new patients at our Macedonia, OH location. Request an appointment online or give us a call at 855-277–9689.
Dr. Stewart Offers Mohs Micrographic Surgery at Optima’s Manchester, NH Practice
Optima Dermatology is excited to bring on Board-Certified and Fellowship Trained Mohs Surgeon Dr. Daniel Stewart, MD, PhD, to its Manchester, NH practice.
Dr. Stewart has been treating patients since 2007, providing dermatology expertise he developed over years of education and practice.
Dr. Stewart earned his Doctor of Medicine and Doctor of Philosophy in Cancer Biology from Stanford University School of Medicine and went on to complete a transitional internship before training at Santa Clara Valley Medical Center. He completed his residency in dermatology at Stanford Hospital and Clinics, earning an American Society for Dermatologic Surgery Resident Scholarship Award, and then completed his Fellowship in Procedural Dermatology and Mohs Surgery at the University of Wisconsin.
During his lengthy career, Dr. Stewart has authored more than 20 scientific and medical publications and has been named a Top Doctor from 2022 to 2025 by Castle Connolly, an official source of top doctors that covers all 50 states and all major specialties. He is a fellow of the American Academy of Dermatology, the American College of Mohs Surgery, and the American Society for Dermatologic Surgery.
Dr. Stewart is passionate about treating skin cancer and is looking forward to providing thorough and individualized care to patients in the southern New Hampshire region.
Dedicated to the Highest Quality of Care
Aligned with Optima Dermatology’s mission to treat every patient the way we would our family and friends, He delivers empathy, education, and precision, helping every patient understand their diagnosis and treatment plan. His patient-centered and caring approach helps make patients feel comfortable and listened to.
We recently had the opportunity to learn more about Dr. Stewart, his approach, and the path that led him to become a board-certified and fellowship trained Mohs surgeon.
What made you decide to pursue a career in dermatology? What did the path to get there look like for you?
My journey to dermatology began with a deep interest in cancer biology and a desire to make a tangible difference in patients’ lives. Before starting medical school, I entered a PhD program in cancer biology, focusing on the molecular mechanisms that drive tumor growth and resistance through the regulation of cell-to-cell adhesion. Two years into the PhD program, I began medical school and continued both tracks concurrently for several years, completing my PhD just before my final years of clinical rotations in medical school.
During my dermatology residency, I was introduced to Mohs micrographic surgery, a field that perfectly combined my passion for oncology, surgical precision, and patient-centered care. Following residency, I completed a fellowship in Mohs surgery and cutaneous oncology.
What is your favorite aspect of being a Mohs surgeon?
The most fulfilling part of my work is helping patients heal from skin cancer while achieving the best possible cosmetic and functional outcome. Each case requires a balance of precision, problem-solving, and artistry. I also value the ongoing relationships I build with my patients—seeing them through treatment and following them for years after.
What is your approach to treating your patients?
My approach is grounded in empathy, education, and precision. I want every patient to understand their diagnosis, their treatment plan, and what to expect at each step. I know how important it is for patients to feel informed and reassured, and I take time to answer questions, explain pathology findings, and ensure each patient feels heard and supported from consultation through recovery.
What is your number one tip when it comes to taking care of your skin?
Sun protection cannot be overstated. I recommend daily use of a broad-spectrum sunscreen with SPF 30 or higher, protective clothing, and avoiding peak sun hours when possible. Just as important is early detection: perform regular self-skin checks and schedule annual professional skin exams. The earlier we catch skin cancers, the easier they are to treat successfully.
What is one thing you want your patients to know about you?
I approach every surgery and every patient with the same care and attention I would give my own family. Behind every biopsy or surgical site is a person who deserves compassion and clarity. I take pride in providing meticulous, evidence-based care and in helping my patients feel confident and comfortable throughout their treatment.
What do you like to do when you are not in the office treating patients?
When not in clinic, I enjoy spending time with my family, hiking in the White Mountains, running, and mountain biking – all with appropriate sun protection, of course!
What to Expect From Dermatological Care Delivered by Dr. Stewart and His Team
Dr. Stewart and his team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care.
He is currently accepting new patients at our Manchester, NH location. Request an appointment online or give us a call at 855-277–9689.
Weekly Planning to Get Your Skin Ready for the Holiday Season It’s hard to believe we’re so close to the holiday season after the long, hot summer, but it’s officially time to start skincare treatments that will get you ready for the holidays.
Family gatherings, company parties, and festivities with friends will have you putting in face time and posing for photo ops – and since some treatments work best over time, plan ahead to achieve a healthy, radiant holiday glow.
Here is your step-by-step guide to planning a skin care routine that will have you looking your best and feeling your most confident in time for the holidays.
Step 1: 6-8 Weeks Before the Holidays
6-8 weeks before the holiday season and start of the new year is the ideal time to begin cosmetic treatments that require more downtime, multiple treatments, or that gradually improve your skin’s appearance.
If you’re looking for more dramatic changes to your skin, here are some treatments to begin as soon as possible to be ready for the holidays:
Laser and Light Treatments: These treatments can effectively diminish skin discoloration and reduce the appearance of rosacea, redness, brown spots, and sun damage. Some of Optima’s more advanced lasers can even out uneven skin textures, fine lines, wrinkles, and help with scarring. There are several types of laser and light treatments for specific outcomes. Here’s what you need to know about timelines and downtime for laser and light treatments to help prepare for holiday events and celebrations:
BroadBand (BBL™) is a form of light intense pulsed light (IPL) therapy sends light energy into the skin to correct color and even out skin tone. It has virtually no downtime and results in healthier, more vibrant skin. BBL™ therapy is ideal for treating conditions like brown spots, sun damage, and redness. While visible results are seen 2 weeks after a single BBL treatment, a series of three treatments spaced 4-6 weeks apart is recommended for optimal results. The most common feedback from patients after this treatment is that they feel like there is less cover up on the skin. It is a good idea to get these treatments started as soon as possible for “makeup optional” skin this holiday season.
A HALO® laser uses different wavelengths to target both the surface of skin, and deeper tissue to stimulate collagen. This therapy is ideal for treating more severe sun damage, brown spots, fine lines, wrinkles, and acne scarring. Often, improvements will be achieved with a single treatment, however your provider may recommend more depending on your specific skin care goals. Expect downtime of at least 5 days, with a visible improvement to skin, and peak results setting in 3 months post treatment.
Fraxel is a laser treatment designed to improve skin tone and texture by targeting brown spots, fine lines, wrinkles, and scarring, while also stimulating collagen production over time. It shares some similarities with the HALO® laser, as both treatments resurface the skin and promote rejuvenation, but they differ in their specific technology and depth of treatment. Your provider can help you decide which treatment is best for you.
VBeam® is a pulsed dye laser (PDL) treatment that targets redness in the skin and is ideal for addressing conditions such as rosacea, spider veins, and port-wine stains. A series of sessions is often recommended depending on the condition being treated and your skincare goals, so starting early helps ensure your skin looks its best for the holidays. Visible improvements typically appear within 1 to 2 weeks after treatment. Depending on the treatment area and the severity of redness, mild swelling may occur for a few days, so it’s best to plan accordingly.
Microneedling with PRP or Exosomes: This treatment combines microneedling with either platelet-rich plasma (PRP) or exosome-derived growth factors to rejuvenate skin at a cellular level. The treatment works by stimulating collagen and elastin production to improve skin texture, minimize fine lines, and promote a smoother, more radiant complexion.
You may notice an immediate healthy glow following a single session; however, true collagen remodeling and skin tightening develop gradually over time as your body’s natural healing response takes effect. A series of three treatments, spaced about four weeks apart, typically provides the most significant and long-lasting results. For best results, it is recommended to begin your microneedling series at least four weeks before a special event or the busy holiday season.
Chemical Peels: From light peels to deeper resurfacing options, chemical peels can brighten skin, minimize fine lines, and reduce uneven pigmentation.
Because peeling and redness can last for days or weeks depending on the intensity of the chemical peel, scheduling 4-6 weeks out is best to be ready for the holidays.
Step 2: 3-4 Weeks Before the Holidays
With the holidays approaching, 3-4 weeks beforehand is the right time for treatments that deliver results relatively quickly but still need a window of time to settle.
Botox® / Dysport®: Neuromodulators like Botox®, Dysport®, Xeomin® and Daxxify® work by gently relaxing the muscles that cause expression lines—softening the appearance of forehead lines, crow’s feet, and frown lines for a smoother, refreshed look.
You will start to notice results within just a few days, with your full results appearing around the two-week mark. The effects typically last for three to four months (and sometimes longer, depending on the product and your individual response), helping you maintain a natural, rested appearance without looking “frozen.”
Dermal Fillers: Dermal fillers are a safe and effective way to restore volume, enhance facial contours, and smooth deeper lines and folds for a naturally refreshed appearance. Over time, our skin gradually loses collagen and elasticity, leading to hollow areas or deeper wrinkles. Fillers work to gently replenish that lost volume, helping you look like yourself—just more rejuvenated and well-rested.
Results are visible immediately after treatment, though it’s common to have some mild swelling or occasional bruising that typically resolves within a few days. To ensure your skin looks its best, it’s a good idea to plan your filler appointment 3-4 weeks before any big event or holiday celebration, so your results have time to fully settle.
Sculptra®: Different from dermal fillers, Sculptra® is a unique, collagen-stimulating injectable designed to gradually restore volume and firmness to the skin for results that look natural and last. Unlike traditional fillers that add instant volume, Sculptra® works by stimulating your skin’s own collagen production—helping to rebuild the underlying structure and improve overall elasticity and smoothness over time.
Most patients begin to see subtle improvements a few months after treatment, with continued enhancement as new collagen forms. For optimal, long-lasting results, a series of treatments spaced several weeks apart is typically recommended. Because Sculptra® works progressively, it’s best to plan ahead if you’d like to see your full results in time for a special event or upcoming season.
Step 3: 1-2 Weeks Before the Holidays
In the final weeks as holiday events are approaching, keep it simple with skin-refreshing treatments that deliver an instant glow with minimal downtime.
HydraFacial® and DiamondGlow®: These advanced facials deeply cleanse, exfoliate, and hydrate the skin, leaving it radiant and refreshed. They are perfect for a pre-party boost and can be customized to accommodate your skin’s needs.
Dermaplaning: This treatment gently removes dead skin cells and fine facial hair, making it easier to apply makeup and helping skincare products absorb more effectively. The result is brighter, smoother skin – and a great holiday glow.
At-Home Skincare That Lasts All Holiday Season
Your skin can get a major boost from professional treatments, but it is also important to maintain a consistent at-home routine to extend treatment results and keep your skin healthy and glowing all season long.
Gently cleanse your skin twice daily to remove dirt, makeup, and excess oil.
Apply a hydrating moisturizing cream to keep skin soft and protected from cold, dry air.
Wear a daily sunscreen with an SPF of 30 or higher – the sun can still damage skin on cloudy days and in the winter.
Use products that contain retinoids, vitamin C, or hyaluronic acid to support brighter, healthier skin. Ask your provider for guidance on the right products for your skin.
Glow Into the Holidays With Optima Dermatology
See one of our expert, board-certified providers to get a skincare plan that’s designed around your unique needs and timeline.
Whether you’re looking for long-lasting results or a last-minute refresh, we’ll have you feeling radiant and confident for the season ahead.
Michael Costanzo, APN, Joins Optima Dermatology’s Milford, OH Practice
Optima is Excited to Welcome a Board-Certified Nurse Practitioner, Michael Costanzo, to the Milford Team!
Michael has been providing dermatology services since 2021, treating a wide range of skin conditions, including acne, psoriasis, eczema, and more, as well as offering skin cancer screenings and treatment.
Michael graduated from Seton Hall University, earning his Master of Science in Nursing and Bachelor of Science in Nursing, and later became a member of the American Academy of Nurse Practitioners. Before transitioning to dermatology, Michael was an emergency department registered nurse for six years.
Delivering the Highest Quality of Care
Mirroring Optima Dermatology’s mission to treat every patient as we would our family and friends, Michael believes in a patient-centered approach, ensuring everyone he sees feels comfortable and receives a personalized treatment plan. He is committed to providing the highest quality of care to every patient, promoting an environment that is welcoming and attentive.
We recently had the opportunity to learn more about Michael, his approach, and the path that led him to become a board-certified physician assistant.
What made you decide to pursue a career in dermatology? What did the path to get there look like for you?
I thoroughly enjoyed my time working in the emergency department, but I realized I wanted to specialize in an area of medicine that interested me – and that area of interest was dermatology.
What is your favorite aspect of being an advanced practice nurse?
My favorite aspect of being an advanced practice nurse is cultivating meaningful relationships within the community and guiding patients through their skin health journey. Skin concerns can affect a person’s peace of mind, comfort, and quality of life. I love being in a position where I can provide both expert care and emotional support.
What is your approach to treating your patients?
My approach to patient care is being patient-centered with compassion and collaboration. I ensure every treatment plan is tailored to fit the individual needs of each patient.
What is your number one tip when it comes to taking care of your skin?
Wear sunscreen every day. It prevents premature aging and reduces the risk of cancer.
What is one thing you want your patients to know about you?
I sincerely care about your skin health and will work with you to achieve the best outcome.
What do you like to do when you are not in the office treating patients?
When I am not helping patients with their skin care, I love being a dad, spending time with my children, going to baseball games, hiking, and camping.
What to Expect From Dermatological Care Delivered by Michael and His Team
Patients visiting with Michael and his team at Optima Dermatology will receive the highest quality of care backed by advanced training and experience.
Michael is currently accepting new patients at our Milford, OH location. Request an appointment online or give us a call at 513-327-9244.
Rebecca Houlihan, MSN, APRN, FNP-BC, Joins Optima Dermatology’s Scarborough, ME Practice
Optima is Excited to Welcome a Board-Certified Physician Assistant,Rebecca Houlihan to the Scarborough Team
Rebecca has been providing medical dermatology services to patients of all ages since 2021.
Rebecca earned her Bachelor of Science in Nursing from Massachusetts College of Pharmacy and Health Sciences (MCPHS), where she graduated Summa Cum Laude, and her Bachelor of Science in Biobehavioral Health with a minor in Neuroscience from Penn State University. She then went on to earn her Master of Science in Nursing from Simmons University.
Before transitioning to dermatology, Rebecca gained experience in urgent care and emergency medicine, working primarily in the emergency department at Addison Gilbert Hospital and Beverly Hospital, which are both part of the Beth Israel Lahey Health system. She also delivered care at Dana-Farber Cancer Institute in Massachusetts.
Rebecca looks forward to providing expert dermatology care in Scarborough and the surrounding towns of the greater Portland region and southern Maine. She is committed to delivering an unparalleled patient experience and providing the highest quality of care.
We recently had the opportunity to learn more about Rebecca, her approach, and the path that led her to become a board-certified nurse practitioner.
What made you decide to pursue a career in dermatology? What did the path to get there look like for you?
In my previous career as an ER nurse, I had a special interest in patients who came to the ER with skin-related concerns. I went back to school at Simmons University and pursued a master’s in nursing to continue my education.
I ultimately chose dermatology because of the ability to treat a variety of acute and chronic conditions, prioritize skin cancer detection and prevention, and have the opportunity to learn both medical and aesthetic aspects of care.
What is your favorite aspect of being a nurse practitioner?
My favorite aspect of being a nurse practitioner is collaborating with my patients to find a treatment plan that works for them and helping them see it through. I love helping my patients feel better in their skin. I also value working in a field where I am constantly being challenged and learning.
What is your approach to treating your patients?
I like to treat my patients as if they were friends or family. I believe in shared decision-making and make an effort to educate and include my patients in decisions about their care.
What is your number one tip when it comes to taking care of your skin?
When it comes to taking care of your skin, my number one tip is to use sun protection! Regular use of sunscreen and sun protective clothing will reduce the risk of skin cancer and premature aging of your skin. I always tell my patients that their future selves will be grateful.
What is one thing you want your patients to know about you?
Outside of work, the most important part of my life is my family. My husband and I have two small children as well as a golden retriever named Augie. We’re busy in this season of life, but we are loving every minute!
What do you like to do when you are not in the office treating patients?
When I’m not in the office treating patients, I enjoy spending time outside in nature. My family spends as many weekends at Lake Winnipesaukee as we can, and we love boating and being on the water.
What to Expect From Dermatological Care Delivered by Rebecca and Her Team
Patients visiting with Rebecca and her team at Optima Dermatology will receive the highest quality of care backed by advanced training and experience.
Rebecca is currently accepting new patients at our Scarborough, ME location. Request an appointment online or give us a call at 855-277-9689.
Kendra Mariacher, PA-C, Joins Optima Dermatology’s Mentor, OH Practice
Optima Welcome’s a New Board Certified Physician Assistant to the Mentor Team
Optima Dermatology is excited to bring Board-Certified Physician Assistant Kendra Mariacher to its Mentor, OH practice. Kendra has been providing dermatology services since 2020, treating a wide range of skin conditions, including acne, eczema, psoriasis, and providing comprehensive skin cancer screenings and treatment.
She is also certified in BOTOX® and offers neurotoxin injections, dermal fillers, SkinPen® microneedling, and laser treatments to help patients achieve their aesthetic goals.
Kendra graduated magnum cum laude from Slippery Rock University, earning her Master of Science in Physician Assistant Studies, and later became a member of the Society of Dermatology Physician Associates.
Committed to the Highest Quality of Care
Aligned with Optima’s mission to treat every patient as we would our family and friends, Kendra delivers a personalized approach to every patient. She is committed to providing a welcoming and attentive environment, and ensuring patients receive an individualized treatment plan that’s best for them.
We recently had the opportunity to learn more about Kendra, her approach, and the path that led her to become a board-certified physician assistant.
What made you decide to pursue a career in dermatology? What did the path to get there look like for you?
I decided to pursue a career in dermatology after a personal journal of struggling with acne and eczema as a child and teenager, paired with the strong interest I had learning about dermatology during my didactic year in PA school. As a second-year PA student, I had the opportunity to complete two dermatology clinical rotations at Independence Health System in Butler, PA and was fortunate enough to join their office right after graduation from my PA program. I graduated in May 2020, amid the pandemic, and started my career in dermatology as a medical assistant in June of 2020. I worked in the medical assistant role for about 5 months before transitioning into a medical and surgical dermatology physician assistant role for 3 years. After moving to Ohio in 2023, I continued to work in the medical dermatology setting before joining the Optima Dermatology team in Mentor, where I have been continuing my career in medical, aesthetic, and surgical dermatology.
What is your favorite aspect of being a board-certified physician assistant?
My favorite aspect of being a board-certified physician assistant is establishing lasting relationships with my patients. Along with making patients feel better about their skin and managing dermatological conditions, I really enjoy getting to know my patients and establishing genuine relationships with them.
What is your approach to treating your patients?
My approach to care is patient-centered – I focus on educating patients on their diagnosis, possible treatment options and involving the patient in their plan of care.
What is your number one tip when it comes to taking care of your skin?
Wear your sunscreen!
What is one thing you want your patients to know about you?
I strive to create a safe space for patients, creating an environment where they feel comfortable at the dermatology office.
What do you like to do when you are not in the office treating patients?
When I am not in the office treating patients, I enjoy pilates, running, spending time with my boyfriend, Jake, and visiting with family and friends.
What to Expect From Dermatological Care Delivered by Kendra and Her Team
Patients visiting with Kendra and her team at Optima Dermatology will receive the highest quality of care backed by advanced training and experience.
Kendra is currently accepting new patients at our Mentor, OH location. Request an appointment online or give us a call at 440-496-6133.
Optima’s Milford, OH Dermatology Practice Welcomes New Board-Certified Nurse Practitioner
Andreea Socaciu, FNP-BC, DCNP Offers Comprehensive Medical, Surgical, and Cosmetic Dermatology to Patients of All Ages
We’re excited to welcome our newest board-certified nurse practitioner, Andreea Socaciu, FNP-BC, DCNP to our Milford, OH dermatology practice. Andreea brings more than a decade of healthcare experience, having started her nursing career in 2009.
Andreea received her Master of Science in Nursing Practice from Georgia Southern University, graduating Summa Cum Laude. She began her career as a dermatology nurse in 2022, and currently serves as a member of the National Academy of Dermatology.
She has had extensive training in medical aesthetics, including neurotoxin injections, dermal fillers, PRP, and more. Andreea provides medical, surgical, and cosmetic dermatology to patients of all ages, and treats a range of skin conditions, including skin cancer, acne, psoriasis, and eczema.
As Optima Dermatology is committed to our mission of treating every patient the way we would a family member or friend, Andreea reflects that mission with her passion for learning and growth in her career. She actively participates in clinical research to improve the diagnosis and treatment of skin conditions, including contributing to evidence-based advancements that can improve patient care and deepen our understanding of dermatological conditions through innovative research.
And her passion for expanding skin health awareness and care extends beyond her job – Andreea has served in a number of volunteer roles for community health organizations and initiatives throughout her career. She is looking forward to being part of Optima’s leading dermatological care in Milford!
We recently had the opportunity to learn more about Andreea, her approach, and the path that led her to become a board-certified nurse practitioner.
What made you decide to pursue a career in dermatology? What did the path to get there look like for you?
It all started with the influence of my grandfather, who was a dermatologist. From a young age, I was inspired by his deep commitment to his patients, his passion for understanding and researching the science of the skin, and the way he helped people not only heal but also regain their confidence. He instilled in me an early love for dermatology – not just as a medical specialty, but as a field that blends science, art, and human connection. As I began my own career in healthcare, I carried that inspiration with me. For more than a decade, I have had the privilege of working in diverse specialties including operating rooms, aesthetics, and pediatrics. Each of these roles has deepened my appreciation for the complexities of skin health. In the OR, I saw firsthand the impact of surgical interventions on skin and tissue integrity. In aesthetics, I developed a strong understanding of cosmetic dermatology, skin aging, and the psychosocial importance of appearance in patient wellbeing. In pediatrics, I cared for children with a variety of dermatological conditions, from atopic dermatitis to rare skin disorders – further reinforcing my desire to pursue dermatology as a long- term specialty.
All of these experiences have shaped my clinical judgement, patient-centered care approach, and technical skills. They have also shown me how vital skin health is to overall health, self-esteem, and quality of life.
What is your favorite aspect of being a board-certified nurse practitioner?
As I transitioned to becoming a dermatology nurse practitioner, I felt that this path was a natural progression of everything I have learned and loved in my nursing career. It allows me to build long term relationships with my patients, stay at the forefront of evidence-based care, and address skin concerns both medical and aesthetic.
What is your approach to treating your patients?
My approach to patient care goes far beyond diagnosing skin conditions – it is about truly listening, educating, and building trust. I believe that every patient’s skin tells a story, and I see my role as both a medical provider and a partner in that journey. Throughout my nursing journey, I have learned that great care starts with compassion. I take time to understand each patient’s concerns, lifestyle, and goals- whether they are battling chronic acne, seeking cosmetic treatments, or managing complex conditions.
What is your number one tip when it comes to taking care of your skin?
Sunscreen. Every. Single. Day. Rain or shine, it’s the best antiaging and skin-protecting step that you can take. Depending on the issue, my job isn’t just to treat what is visible on the surface but to get to the root of the problem and empower my patients with the knowledge and tools they need to care for their skin long-term.
What is one thing you want your patients to know about you?
I love dermatology so much that in the little spare time I have, you can find me in a coffee shop reading the latest dermatology journals or listening to a dermatology podcast.
