Optima aims at solutions for dermatology wait times
By Jonathan Phelps Union Leader Staff Mar 11, 2023 Updated Mar 12, 2023
New Hampshire’s rates of skin cancer are well above the national average, and the co-founder of ConvenientMD urgent care hopes to increase access to the care needed to help prevent it.
Max Puyanic partnered with Ben Collins, who served as chief growth officer at ConvenientMD, to open Optima Dermatology & Medical Aesthetics, which has been in the works since both left the company in 2020 to find solutions for shortages in dermatologists. More providers are retiring than graduating from residency programs.
“You have to wait longer to see a dermatologist than any other type of specialist,” Puyanic said. And the wait times continue to worsen.
Understanding Which Type of Eczema You Have, and How to Treat It
If you’ve been diagnosed with eczema, were you also told which of the types of eczema you have?
The word eczema can be used as a generic type of skin rash. There are actually multiple different types of eczema, and it’s important to know which type you have because they all have different symptoms, characteristics, and different approaches to treatment and management.
Starting With the Basics: What is Eczema?
Eczema is a very common, non-contagious skin condition that causes dry, itchy, red, and often bumpy patches on the skin. It can be quite uncomfortable but is manageable with the right treatment.
Eczema, which is a type of dermatitis, is actually the name for a group of different conditions, and each manifest differently and can require different treatments. Eczema causes the skin to lose its ability to act as a barrier, which initiates an inflammatory response. Without the barrier function, your skin is left open to irritation, dryness, or infection.
What Are the Most Common Types of Eczema?
Because all dermatologists at Optima Dermatology are board-certified and committed to your care and best course of treatment, we won’t just diagnose you with eczema; we will tell you the specific type of eczema you have. Eczema manifests in different ways, and depending on which type you have, the best treatment for eczema can vary.
Here Are 7 Types of Eczema:
Atopic Dermatitis (AD)
Atopic Dermatitis begins with itchy skin that forms a rash. It affects infants, children, and adults. In adults, AD often manifests on the hands or eyes as dry, scaly, or patchy areas. Common symptoms include itching, and raw, bleeding, or oozing skin.
Contact Dermatitis
Caused by an irritant that comes in contact with your skin and triggers an itchy, rashy reaction. In some cases, the cause is as simple as the laundry detergent you’re using, but it can also be more difficult to know what you are coming in contact with that is irritating your skin.
Dyshidrotic Eczema
Also called pompholyx, this type of eczema causes tiny, highly itchy blisters on the hands and feet and can become chronic. The most effective treatment is identifying the allergen that is triggering the blisters.
Hand Eczema
Deep, painful cracks on the hands accompanied by excessively dry or chapped skin. It can lead to painful, bleeding blisters that are uncomfortable and hard to manage, and traditional hand creams and moisturizers do little to relieve the symptoms.
Neurodermatitis
Highly common among adults and tends to affect only one or two patches on the body, as opposed to other types of eczema that affect multiple areas at once. The cause of Neurodermatitis is unknown, but treatments are highly effective.
Nummular Eczema
Typically brought on by extremely dry skin, Nummular Eczema manifests as itchy, red bumps and can look similar to Atopic Dermatitis and Ringworm. Moisturizing treatments are the most helpful for preventing Nummular Eczema.
Stasis Dermatitis
Primarily affects the lower legs and feet, causing inflammation, swelling, itchiness, scaling, and hyperpigmentation. In some cases, ulceration occurs. Stasis Dermatitis is caused by chronic edema or swelling, and treatment is highly focused on a self-care routine.
Which Types of Eczema are Most Common?
Atopic dermatitis (AD) is the most common type of eczema, affecting about 16.6 million U.S. adults, according to the National Eczema Foundation.
Contact dermatitis is also quite common, affecting about 1 in 5 people simply because it’s brought on by contact with an irritant. Think of how many potential irritants and allergens your skin comes in contact with on a daily basis. From a necklace chain to body wash, there is a high likelihood that something will cause a contact dermatitis reaction on your skin in your lifetime.
What Are the Different Treatment Options for Each Type of Eczema?
Although there are several different types of eczema, they are all treatable using a combination of medicated solutions and self-directed care, such as avoiding allergens and triggers.
Everyone is different, and eczema can affect different people in different ways, and with varying levels of severity. Only by working with your board-certified dermatologist can you identify a treatment plan that will appropriately address your specific type of eczema and symptoms.
I Think I Have Eczema – When Should I Seek Medical Treatment?
We recommend that anyone who is suffering from symptoms that appear to be eczema should seek medical treatment from a board-certified dermatologist. Even if the condition turns out to be another, similar, skin issue such as psoriasis, a medical examination is important to diagnosis and proper treatment.
Being seen by a dermatologist is also the best way to find out which type of eczema you have and begin the most appropriate treatment and management plan.
Even if your eczema symptoms aren’t disrupting your daily life or terribly bothersome, you can prevent worsening of symptoms by treating it as soon as possible. We are here to help!
Taking the First Steps
Eczema can affect everyone differently, but all types of eczema are treatable using a combination of medicated treatment and self-directed care, such as adopting a healthy skincare routine and identifying and avoiding allergens and triggers.
Your first step in treating and managing eczema should be visiting your board-certified dermatologist to identify which type of eczema you have so you can become informed about how to keep it under control.
Amanda Delivers Expert Medical Aesthetics Services to Optima Dermatology’s Mentor, OH Practice
Board-Certified nurse practitioner, Amanda Holesko, MSN, FNP-C, has joined the Optima Dermatology Mentor, OH practice, bringing more than 10 years of healthcare experience.
Amanda has been providing medical aesthetics care to patients in the Cleveland area since 2020, and is an expert injector specializing in Botox®, Dysport®, and dermal fillers, including Restylane®, Juvéderm® and Sculptra®. Additionally, she has advanced training in laser and light treatments, microneedling, PRP, CoolSculpting®, Kybella® and HydraFacial® treatments.
After earning her Bachelor of Science in Nursing at Kent State University, Amanda went on to receive her Master of Science in Nursing from the University of Cincinnati. She previously worked as a registered nurse in a level 3 trauma center before transitioning to medical aesthetics. She now also serves as a clinical instructor for nurse practitioner students at Walsh University.
Providing the High Level of Care Patients Expect and Deserve
Amanda is committing to building great relationships with her patients, an approach that is aligned with Optima Dermatology’s mission to treat every patient the way we would want our friends and family to be treated. Amanda takes a unique “panfacial” treatment approach with her patients in which she considers the entire face into consideration and what aging aspects are causing the specific area of concern.
We recently had the opportunity to learn more about Amanda, her approach, and the path that led her to pursue a career as a board-certified nurse practitioner.
How and when did you know you wanted to be a Nurse Practitioner? Were you always interested in aesthetics, and what was your path to get where you are now?
I began my career as a nurse with a focus in intensive care. I spent time in a cardiac/stroke step-down ICU, then moved into emergency medicine. I spent several years working in the emergency department and learned to love the process of quickly assessing, diagnosing, and treating patients of all ages. While I enjoyed my time in the emergency room, I found myself wishing for more followup with the patients I was treating. I wanted to follow them along their journey from the beginning. At that time, I decided to return to school and become a nurse practitioner with the intent to build my practice and develop a regular patient clientele that I would be able to create long lasting relationships with. It was not until after graduation that I decided to go into aesthetics. I loved the idea of a field of medicine as individualized and personal as aesthetics that allowed me to utilize both my clinical expertise as well as my creative and artistic abilities. What I’ve found after spending years in the aesthetics field is that I can build long lasting relationships with patients and watch them become more confident and empowered in their everyday lives.
What is your number one tip when it comes to taking care of your skin?
Don’t skimp on your skincare. Invest in medical-grade skincare that has studies and clinical research to support what the product is claiming to do. Consult with your provider, set up an individualized skincare regimen, and stick to it. You’ll thank me later!
What do you enjoy most about treating your aesthetic patients and what is unique about your approach?
The moment I love most about treating my patients is when I hand them the mirror to see the results of the treatment when we are finished. The immediate glow and confidence boost seen on my patients’ faces is so rewarding and gives me a great feeling of accomplishment. I have a ‘panfacial’ approach which is part of what makes me unique as a provider. I do not like to address specific lines or targeted areas on the face but take the entire face into consideration and what aging processes are causing the specific concern my patient is bringing to me. I have a goal to have my patients look as natural as possible and set up individualized plans for each and every patient I see.
For someone who is interested in, but new to medical aesthetic treatments, how do you recommend they get started?
I would recommend beginning with a full face consultation. During these consultations I like to have the patient identify three main areas of concern (ex: sun spots, forehead lines, and sagging skin) and identify treatment options that will best meet their needs.
Where are the most common areas you treat with dermal filler?
Dermal filler can be used to treat several areas on the face. The most common areas I typically place filler would be the midface, the lips, and the chin. Pairing these three areas of treatment together gives the patient a youthful, natural, refreshed look.
If there is one thing you want your patients to know about you, what would it be?
My goal and what keeps me happy in my profession is the relationships I build with my patients. I treat each and every patient like I would my own family and truly only have your best interest in mind. My consultations are ‘pressure-free’ and I will always listen to you and develop a plan that meets your needs.
What do you like to do when you are not in the office?
Outside of the office, I am a wife to an amazing husband named Ryan and a mom to a sweet baby boy named Carter. We also have a dog and two cats! We love to spend as much time as we can outside riding bikes, taking walks, or going camping! When I do have time to myself, I enjoy yoga, reading, and binge watching a good Netflix series.
What to Expect From Amanda and Her Team
If you’re seeking medical aesthetic services, Amanda and her team at the Optima Dermatology Mentor, OH practice offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
View a complete list of our medical aesthetics services, and come in for a visit to learn more about our approach to patient care. Amanda is accepting new patients at our Mentor, OH location. Give us a call at 440-557-2005 to schedule an appointment today!
Dr. Molly C.E. Cowdrey, Board-Certified Dermatologist, Joins Optima Dermatology
Optima Dermatology & Medical Aesthetics Welcomes Dr. Cowdrey’s Expertise in Medical and Surgical Dermatology to Our Bedford, NH Practice
Board-Certified Dermatologist Molly C.E. Cowdrey, MD, FAAD, is joining Optima Dermatology’s newest practice in Bedford, NH to provide medical, surgical, and cosmetic dermatology services.
Dr. Cowdrey has been serving patients in New England including Boston and New York City since 2018 and is committed to delivering an exceptional patient experience.
Dr. Cowdrey completed her medicine internship and dermatology residency at Dartmouth-Hitchcock Medical Center where she served as Chief Resident. Following residency, she was appointed director of the Allergic Contact Dermatitis and Patch Testing Clinic at Beth Israel-Lahey Health. During this time, she was a preceptor for dermatology residents from Harvard University-Massachusetts General Hospital and medical students from Tufts University. She completed medical school at the University at Buffalo School of Medicine in New York, and graduated summa cum laude from the University of Colorado with a double major in integrative physiology and molecular biology.
Dr. Cowdrey is a Fellow of the American Academy of Dermatology, a member of the American Contact Dermatitis Society and has been published in a variety of peer-reviewed dermatology journals including Journal of Cutaneous Pathology and Cutis.
A Commitment to Industry-Leading Dermatology Services
Dr. Cowdrey’s approach to patient care reflects Optima Dermatology’s commitment to treating every patient the way we would want our friends and family to be treated. She is dedicated to providing a comprehensive and personalized experience for each patient.
Dr. Cowdrey offers a variety of medical, surgical, and cosmetic dermatology treatments for patients of all ages, including general dermatology such as skin cancer, eczema, acne, psoriasis, and others, as well as medical aesthetic services, including neurotoxin injections (such as Botox® and Dysport®), fillers, laser treatments and more.
We recently had the opportunity to learn more about Dr. Cowdrey, her approach, and the path that led her to pursue a career as a board-certified dermatologist.
Where did you go to college?
The University of Colorado at Boulder.
What made you decide to pursue a career in dermatology?
After college, I worked in New York City as a dermatology medical assistant and loved it! This was my first exposure to the field of dermatology, and it sparked my interest in medicine. Coincidentally, also during my time in New York, I developed contact allergies and underwent extended patch testing. I was grateful for the specialists who solved the mystery and significantly improved my quality of life. Collectively, these experiences inspired me to attend medical school and solidified my specific passion for dermatology.
What is your number one tip when it comes to taking care of your skin?
Always, always wear sunscreen! Rain, shine, snow, clouds, in cars, indoors, and outdoors. Pick a moisturizer with SPF 30 or higher and apply it to your face, ears, neck, and the backs of your hands EVERY DAY.
What is your favorite aspect of being a dermatologist?
I love the variety in dermatology. I interact with patients of all ages and see a range of conditions from skin cancer, and acne, to preventive care, surgery, cosmetics, and more. The days are never boring!
How would you describe your approach to treating patients?
My approach to dermatologic care involves attentively listening to patients and tailoring treatment plans to meet their individual needs and goals. I really enjoy connecting with patients on a deeper level, sharing in the joy of their successes, hearing their stories, and learning about them as a person.
What is one thing you want your patients to know about you?
I feel a deep connection to my patients because of the care I received as a dermatology patient. I understand what it’s like to have a skin condition that requires advanced diagnosis and specialized treatment. I draw upon this experience when evaluating patients and designing individualized care plans to meet their goals.
What do you like to do when you are not in the office treating patients?
I always enjoy reading a good book, antiquing, exercising, and taking in the natural beauty and ample history all around us in New Hampshire! Most recently, I have really enjoyed doing home projects and renovations with my husband, Tom.
What to Expect From Dermatology Care From Dr. Cowdrey and Her Team
If you’re seeking medical, surgical or cosmetic dermatological care, Dr. Cowdrey and her team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
View a complete list of our dermatology services, and come in to learn more about our approach to patient care. Dr. Cowdrey is accepting new patients at our Bedford, NH location. Give us a call at 855-277-9689 to schedule an appointment today!
Brennen Barnett Joins Optima Dermatology as a Board-Certified Physician Assistant
Board-Certified Physician Assistant Brennen Barnett, MS, MSPAS, PA-C has joined Optima Dermatology’s Macedonia, OH practice, offering a wide range of medical dermatology services to patients of all ages.
Brennen has been serving patients in the greater Cleveland area since 2019 and is committed to delivering an exceptional patient experience.
After graduating from Bethel College in Indiana with a Bachelor of Science degree in Cell and Molecular Biology, Brennen earned a Master of Science in Medical and Experimental Pathology from Case Western Reserve University and a Master of Science in Physician Assistant Studies from the University of Mount Union.
Providing the High Level of Care Patients Expect and Deserve
Brennen’s approach to patient care reflects Optima Dermatology’s commitment to treating every patient the way we would want our friends and family to be treated. She is dedicated to providing a comprehensive and personalized experience for each patient.
Brennen provides expert medical dermatology services for patients of all ages, including general dermatology and skin cancer treatment.
We recently had the opportunity to learn more about Brennen, her approach, and the path that led her to pursue a career as a board-certified dermatologist.
Where did you go to college?
I attended Bethel College (now University) in Indiana for my undergraduate degrees, then went to Case Western Reserve University for my first master’s, and finally, I attended the University of Mount Union’s PA program.
What made you decide to pursue a career in dermatology? What did the path to get there look like?
In dermatology, you need to be able to play detective and investigate the problem with the patient, which I really enjoy. I also enjoy the hands-on component of dermatological procedures such as biopsies and excisions. My dermatology training after school took place at Cleveland Clinic where I worked with amazing PAs and physicians who helped me develop a deeper understanding of the specialty.
On your journey to becoming a board-certified physician assistant, what was the best advice you were given?
Going into PA school, I was pretty confident I wanted to work in dermatology, but my professors were vocal about the importance of being open to working in any specialty. Learning about many of the specialties made me realize there are a lot of crossovers between them and it’s important to know medicine outside of your own specialty to better help your patients.
What is your number one tip for taking care of your skin?
Always prioritize sun protection.
What is your favorite aspect of dermatology?
I enjoy the relationship I develop with my patients. It’s great to see someone long-term and see how they improve.
How would you describe your approach to treating patients?
I like the visit to feel like a conversation rather than a one size fits all approach. It’s important to consider things like a patient’s lifestyle and accessibility, and you can only find that information out through a conversation. I also think education is very important – I find it’s easier to continue a treatment plan if everyone is on the same page as to why it’s important.
If there is one thing you want your patients to know about you, what would it be?
I want my patients to feel like they are contributing to their health during our appointments. If you feel like something isn’t working for you, let me know and we’ll figure it out together!
What do you like to do when you are not in the office?
I enjoy spending time with my family and being outside. I also really enjoy traveling, reading, and baking.
What to Expect From Dermatology Care From Brennen and Her Team
If you’re seeking medical dermatology care, Brennen and the rest of the team at Optima Dermatology’s Macedonia practice offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
View a complete list of our dermatology services, and come in for a visit to learn more about our approach to patient care. Brennen is accepting new patients at our Macedonia, OH location. Give us a call at 330-944-3851 to schedule an appointment today!
Isotretinoin is a medication used to treat severe cases of acne, in most cases cystic or stubborn acne that has not responded to other well-known acne treatments.
This medication works by targeting the sebaceous gland itself, where it works to slow the production of sebum (the oil secreted by these glands) and to make it less sticky, reducing the chances of clogged pores and acne.
Who is a Candidate for Isotretinoin Therapy?
Patients with severe nodulocystic acne or even mild or moderate acne that hasn’t responded to conventional treatments are excellent candidates for isotretinoin. The bottom line is that any patient with acne scarring potential should be considered.
How Does Isotretinoin Work to Stop Acne?
The major factors that cause acne involve the skin not being properly shed, increased sebum (oil) production, and bacteria feeding on the oil to cause inflammation.
Isotretinoin targets all three causes by shutting down the sebaceous glands and the bacteria which depend on the oil to cause inflammation. The medication also helps normalize proper skin shedding, which cuts down on comedones (blackheads and whiteheads) formation.
What Side Effects Should I Expect When Starting Isotretinoin?
Dry lips and dry mucous membranes (eyes, lips, nose). Luckily, these pesky side effects are temporary, and we have ways to control them through the treatment course.
Additionally, we can see elevations in blood lipids, such as triglycerides, which are routinely monitored during treatment. The elevations are temporary and resolve at the end of the treatment course. Far less common side effects include muscle aches after strenuous exercise and headaches.
How Long is a Patient Typically on Accutane?
Every patient is different, but the average patient will take 20-24 weeks to reach the treatment goal. Sometimes, we can get there quicker if the patient is able to tolerate the dryness from higher daily doses.
Would you prescribe isotretinoin to your own family members?
Yes. In fact, I have personally taken the medication. As a teenager, I struggled with acne and found success with isotretinoin after trying and failing every other treatment option out there.
Seeing first-hand how skin disease can have such a profound psychosocial impact on the quality of life, especially on a teenager, and how much my confidence improved with clear skin, it motivated me to become a dermatologist and do the same for others.
If you suffer from acne, our board-certified dermatologists are here to help. Schedule an appointment to learn more about different treatment options, including isotretinoin.
Best Skin Care Products for the Cold Winter Months
Recommendations from Optima Dermatology’s Expert Providers
Many people suffer from dry or chapped skin in the cold winter months, and it can be hard to know which skin care products to use for the best skin protection and treatment.
Proper skin care is important all year round, but in the winter, the skin is exposed to cold, dry air and the elements, which can lead to dry, rough, and even red or raw skin that needs a little extra attention. Hot showers or blasting the heat in your car can also wreak havoc on your skin, stripping it of its natural protective oils and drying it out. We asked our expert dermatologists and providers to weigh in on the skin care products they love, trust, and tell their patients to use, so you can get dermatologist-recommended products and be confident in your winter skin care routine.
Skin Care Product Recommendation from Board Certified Physician Assistant Holly Morris, MSHS, PA-C
Intellishade Clear by Revision
Intellishare Clear has antiaging and sunscreen benefits all in one, and provides the important protection of a sunscreen with the feel of a medical-grade moisturizer! It offers hyaluronic acid to moisturize the skin, and a broad-spectrum SPF 50 to keep your skin protected on any sunny winter day.
This soothing cleanser provides a dual-action formulation that cleanses the skin while hydrating it to minimize dryness and soothe irritation in sensitized skin. This cleanser includes multiple humectants (sodium hyaluronate, panthenol, glycerin, sodium PCA and urea) to retain and replenish hydration to support the skin barrier. It is the optimal cleanser for those with dry, sensitive skin types and is a winter skin care essential!
ZO’s Exfoliating Polish
Exfoliation is a skin care essential year-round but it is of utmost importance during the winter months due to the cold air outside and dry indoor heating. During the winter, skin cells dehydrate and die out faster, which causes the skin to appear dull, uneven, and dry. ZO’s exfoliating polish provides gentle exfoliation via ultra-fine magnesium oxide crystals to buff away dead skin cells and reveal a softer, more even tone. Exfoliating is recommended 2-3 times/week to help replenish the skin, decongest pores, and improve the effectiveness of other products including moisturizers.
ZO’s Daily Power Defense
Daily Power Defense is a light-weight serum that supports the skin’s health and function. It is often touted as a multivitamin for the skin due to its powerful antioxidant-rich properties. Daily Power Defense helps maintain hydration in the skin by protecting the skin’s barrier against environmental factors like free radicals. This product also boosts collagen and hyaluronic acid production to improve fine lines, wrinkles, and dullness.
Skin Care Product Recommendations from Board Certified Dermatologist Dr. Amy Polster
CeraVe Lotion
CeraVe lotion is a lightweight, oil-free daily lotion that provides exceptional moisturization for healing dry skin on any part of the body. It contains hyaluronic acid and ceramides, which help restore and maintain the skin’s protective barrier. It uniquely combines 3 essential ceramides that slow-release over time, providing 24-hour hydration so your skin feels smooth and comfortable all day long.
CeraVe Healing Ointment
CeraVe healing ointment is a specially-designed product to heal chafed and severely dry, irritated skin, especially on the hands and feet. Formulated with petrolatum, hyaluronic acid, and three essential ceramides, it provides extra hydration and restores the skin’s protective barrier. It is lightweight, non-comedogenic, and suitable for all skin types. It is also free from fragrance, dyes, and lanolin, minimizing the risk of irritation.
Skin care is important all year round, especially during harsh winters! Keep your skin hydrated, protected, and happy all winter long with skin care products recommended by expert Optima dermatologists.
Optima Dermatology & Medical Aesthetics is accepting new patients across all locations! Schedule a consultation today with one of our expert Medical Aesthetic Providers to come up with a customized skin care plan.
Dr. Gregory Delost, Board-Certified Dermatologist, Joins Optima Dermatology
Optima Dermatology & Medical Aesthetics Welcomes Dr. Delost’s Expertise in Medical and Surgical Dermatology to Our Mentor, OH Practice
Optima Dermatology is excited to have Gregory Delost, DO, FAAD, join our Mentor, OH practice. Since 2019, Dr. Delost has been providing patients of all ages in the Cleveland region with a range of medical and surgical dermatology services, as well as medical aesthetic treatments including neuromodulators and dermal fillers.
Dr. Delost earned his Doctor of Osteopathic Medicine degree from Lake Erie of Osteopathic Medicine in 2015 and completed his internship and residency training in dermatology at University Hospitals/Case Western University, where he was recognized nationally as Outstanding Dermatology Resident of the Year.
In his career, Dr. Delost has continued receiving recognition for his exceptional performance. He was named a Best Doctor by Cleveland Magazine in 2022, has authored more than 50 peer-reviewed dermatology articles, and is an industry consultant for a pharmaceutical company responsible for developing psoriasis treatments. Dr. Delost also continues to work as a clinical professor at his former medical school.
Dedicated to a High Quality of Care
Dr. Delost not only delivers compassionate and expert patient care, but he is also committed to giving back to the community through his work.
Dr. Delost has volunteered his medical services to nonprofit organizations, and co-founded Run for Caitlin in 2014, a 5K run dedicated to the memory of a local girl. During his free time, he enjoys supporting the Cleveland pro sports teams and participating in events with his therapy dogs.
We recently had the opportunity to learn more about Dr. Gregory Delost, his approach, and the path that led him to pursue becoming a board-certified dermatologist.
Where did you go to college?
When I was in high school in Youngstown, OH, I knew I wanted to be the first physician in my family. I had the great opportunity to get into a dual acceptance program at Gannon University and Lake Erie College of Osteopathic Medicine. Other than all of the snow, it was a great educational experience.
What made you decide to pursue a career in dermatology?
When I was in high school I had really bad skin and acne; I tried and failed just about everything. When I was treated with Accutane, it was life-changing for me and probably the reason I am working as a dermatologist today. I went from always staring at the ground to making eye contact with others. Now I want to help my patients gain confidence through healthy, beautiful skin.
What is your number one tip when it comes to taking care of your skin?
I’ll give you my top three tips that have the most science to back them up:
Don’t smoke!
Avoid as many sunburns as possible
Nightly retinol/Vitamin A cream
If there is one thing you want your patients to know about you, what would it be?
There is a huge psychosocial burden of skin diseases. Some of the diseases we deal with may not be life-threatening, but they severely affect quality of life. My goal is to make patients happier, more productive members of society.
What is your favorite aspect of being a dermatologist?
Every day is totally different. In one day, I see the whole continuum of life ranging from babies to patients more than 100 years old. I see a combination of medical dermatology – treating acne, psoriasis, eczema, rosacea, autoimmune blistering conditions, hair loss, rashes, and other complex skin disorders; surgical dermatology – treating skin cancer, cysts, and other skin growths; and aesthetics – helping patients to simply love their skin more through neuromodulators, fillers, and other cosmetic procedures. I truly never get bored and I learn something new every day.
What is your approach to treating your patients?
The original translation of the word “physician” is “teacher,” so first and foremost I want to be a teacher to my patients and share insight and knowledge about different skin conditions. Gone are the days when doctors talked to their patients in a more paternalistic way, as now medicine is more of a collaboration between physician and patient. Nowadays, patients are more educated than ever, so it’s my job to navigate them through all the information and misinformation. Most importantly, it is my mission to treat my patients as if they are my own loved ones.
What do you like to do when you are not in the office treating patients?
I love to spend time with my wife, Rachel, and our dogs, Hugo and Fitzpatrick. We love to work out, golf, cook/bake, and support our Cleveland teams. Additionally, I am a huge watch nerd.
What to Expect From Dermatological Care From Dr. Delost and His Team
If you’re seeking medical, surgical, or aesthetic dermatological care, Dr. Delost and his team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
View a complete list of our dermatology services, and give us a call at 440-530-9580 to schedule an appointment today!Dr. Delost is accepting new patients at our Mentor, OH location.
Optima Dermatology & Medical Aesthetics Welcomes Certified CoolSculpting® Master Lisa Gage, MA
Lisa Gage Provides Expert Medical Aesthetic and CoolSculpting® Services to Patients in the New Hampshire Seacoast
Lisa Gage, MA, a Certified CoolSculpting® Master and Medical Assistant, has joined Optima Dermatology to provide CoolSculpting® and medical aesthetics services to patients in the Seacoast, NH area.
After receiving her Associates in Medical Assisting at McIntosh College, Lisa has practiced as a Medical Assistant for 27 years. She has more than 7 years of experience in medical aesthetics, and more than 6 years of experience in CoolSculpting®, having received advanced training at CoolSculpting University and earning the title of Certified CoolSculpting® Master.
Lisa Gage was then selected to train at the Allergan Medical Institute, where she went on to become an Allergan faculty member and CoolSculpting® trainer. Her extensive experience in medical aesthetics and CoolSculpting® services enables her to deliver exceptional care to Optima Dermatology patients.
A Commitment to High-Quality Care
Lisa Gage’s approach to patient care reflects Optima Dermatology & Medical Aesthetics commitment to treating every patient the way we want our friends and family to be treated. She is committed to delivering the highest quality of care to her patients and going above and beyond to ensure each of her patients has the best experience and outcomes possible.
Patients who seek services from Lisa Gage will receive industry-leading CoolSculpting® and medical aesthetic services that meet patients’ needs through a personalized treatment plan. She offers CoolSculpting® Elite treatments, the latest technology available which has proven to produce faster and improved results than previous models.
We recently had the opportunity to learn more about Lisa Gage, her approach, and the path that led her to pursue becoming a CoolSculpting® Master.
How and when did you know you wanted to be in medical aesthetics? Were you always interested in aesthetic services, and what was your path to working in aesthetics?
For 20 years I worked as a Medical Assistant in a primary care setting. As rewarding as my job duties were during those years, as well as the rapport I built with patients, I found myself longing for a change. I knew I still wanted to make a positive impact in patients’ lives and found aesthetics to be an intriguing avenue to pursue. In 2015, I started my first position in an aesthetic setting. I fell in love with having a part in making women and men of all ages feel good about how they look and feel about themselves. This path has been so different, but just as rewarding. Every day I am grateful for the opportunities I have been given, while utilizing the latest techniques with the most innovative technology.
What do you enjoy most about treating your patients and what is unique about your approach?
My goal with all patients is for them to feel like they are being heard, alleviate any uneasiness, and help them achieve the best outcome and experience possible! By using this approach, I can make them feel comfortable and at ease during the assessment process.
What is new and improved with CoolSculpting® Elite treatments?
Having worked with both the CoolSculpting® Legacy and state-of-the-art CoolSculpting® Elite machines, I have personally seen and experienced faster and improved results with the Elite. The Legacy served us well for many years, but the Elite is by far superior.
With the CoolSculpting® Elite, you are getting the most advanced non invasive fat reduction technology. It is FDA-cleared to eliminate fat in 9 different areas of the body. The new system features revamped applicators that are shaped to fit a patient’s natural curves. The applicators have up to an 18% larger cooling area than the Legacy. The best feature, in my opinion, is that I can use 2 applicators simultaneously, freezing twice the fat in half the time, with essentially no downtime.
Which patients would you recommend a CoolSculpting® Elite treatment for? What kind of results can patients expect to see?
The ideal CoolSculpting® Elite candidate varies depending on the patient’s goals. I have successfully treated patients that:
are already following a healthy lifestyle, but have a stubborn area(s) that they cannot get rid of with diet and exercise
feel that making the investment in the procedure will jumpstart them into a healthier lifestyle
want to feel better in their clothes and are simply looking for some devolumizing
have asymmetry due to surgeries, genetics, etc.
Each patient responds differently to the procedure; some can start to see results as early as 4 weeks post-treatment, with a gradual reduction through the following 8 weeks.
What are some common treatment areas for CoolSculpting® Elite, and what have you seen to be most effective?
CoolSculpting® Elite treats most areas from the chin to the knees. For women, the abdomen is the most common, and for men, the flanks (aka love handles), but I have seen amazing results on ALL areas indicated for CoolSculpting® on both men and women. Most patients return for additional areas because they are so pleased with their results.
What can patients expect from a CoolSculpting® Elite treatment with you?
By the end of a consultation, where I have gone into detail about what to expect during and after the treatment, my goal is that patients feel that they can trust me, trust the process, and have a realistic expectation of their optimal outcome. On their treatment day, they can look forward to sitting back, relaxing, watching Netflix (or working as many do), and being well taken care of.
What do you like to do when you are not in the office?
When I am not in the office, I enjoy spending time with my family and long-time friends kayaking, hiking, gardening, socializing, and just enjoying life.
Answer this question: If you know me you would know…
If you know me you would know…I am organized to a fault. I like symmetry, things to match and be in their place. It’s a great asset in the workplace, but not so much at home, it drives my husband and son crazy!
What to Expect From Medical Aesthetics Care From Lisa Gage, MA
Discover what CoolSculpting® Elite or medical aesthetics services can do for you through consultation with Lisa Gage at Optima Dermatology & Medical Aesthetics. We offer a wide range of services and have advanced trained and experienced providers to ensure the highest quality of care.
View a complete list of our medical aesthetics services, and come in to learn more about our approach to patient care. Lisa Gage is accepting new patients at our Portsmouth, NH practice. To schedule a consultation, give us a call at 603-932-4813 today!
What You Need to Know About the HALO® Hybrid Fractional Laser and BroadBand Light Treatments
Want to experience clearer, more youthful-looking skin? Laser and light treatments for skin rejuvenation are medical aesthetic services that invigorate the skin for noticeable results.
Optima Dermatology offers both laser and light treatment options, including the HALO® Hybrid Fractional laser and Forever Young BroadBand Light (BBL™). Each treatment option has a specific purpose, and your expert medical aesthetics provider will work with you to determine the best treatment for your skin issue.
Here’s what you need to know about these popular laser and light treatments for skin rejuvenation.
How Does the HALO® Hybrid Fractional Laser Work and What Does it Treat?
A HALO® laser applies different wavelengths of energy to the skin to target both the top layer and deeper tissues underneath. This fractional laser simply breaks down the energy into many smaller beams, allowing for highly targeted treatment that leaves surrounding skin unaffected.
This type of targeted laser therapy means fewer treatments and faster recovery.
HALO® laser therapy is ideal for treating:
Sun damage and hyperpigmentation to skin
Skin texture issues
Visible discoloration on the face and neck/neckline, arms, hands, or legs
Enlarged pores
Fine lines and wrinkles
How Does BroadBand Light Therapy Work and What Does it Treat?
BroadBand (BBL™) light is an intense pulsed light (IPL) therapy that sends light energy into the skin to trigger a wound-healing response, which prompts the skin to produce new skin cells and collagen.
A BBL™ treatment can be performed anywhere on the body with virtually no downtime and results in healthier, more vibrant skin. BBL™ therapy is ideal for treating:
Active acne
Age spots
Sun damage
Freckles
Redness, Rosacea, or flushing
Small facial vessels
Skin laxity
Unwanted hair
How Fast is Recovery After a Laser or Light Skin Treatment?
For the most common laser and light treatments, downtime is about 24-48 hours, during which most patients experience minimal redness and a sunburn sensation at the treatment site.
More aggressive (but impressive!) treatments may cause redness or slight skin peeling for up to 7 days. In all cases following treatment, your board-certified dermatologist will ensure you understand how to care for your skin during the healing process.
Most patients can return to normal activities immediately following treatment, including the application of makeup. However, your amount of downtime depends entirely on the type of laser or light treatment you received, so be sure to follow your provider’s guidance.
Am I a Good Candidate for Laser and Light Treatments for Skin Rejuvenation?
If you have a skin condition such as sun damage, rosacea, skin texture issues, or unwanted hair, laser and light treatments are likely a good option to minimize or eliminate these issues.
However, laser and light treatments are not always the solution, or the first treatment to try. It’s best to schedule an appointment with a provider to learn more about what laser and light therapies can do for you.
Meet Board-Certified Nurse Practitioner Chelsea McCraine, MSN, APRN, FNP-BC
Chelsea Delivers Expert Medical Aesthetics Services to Optima Dermatology’s Salem, NH Practice
Optima Dermatology is excited to welcome Chelsea McCraine, MSN, APRN, FNP-BC, to our practice in Salem, NH. Along with her extensive experience in medical aesthetic treatments, Chelsea brings an exceptional approach to patient care.
Chelsea graduated from Simmons College with a Bachelor of Science in Nursing, and went on to receive her Masters of Science in Nursing in 2015. Since that time, Chelsea worked as a registered nurse and nurse practitioner for Lahey Hospital and Medical Center, as well as a medical aesthetics provider in Nashua before joining Optima Dermatology.
Some of the medical aesthetics treatments Chelsea offers include neurotoxin injections such as Botox®, dermal fillers, microneedling, BroadBand Light (BBL™), HALO® Hybrid Fractional Laser, CoolSculpting®, Kybella®, HydraFacial®, and more.
A Commitment to Patient-Centric Care
Throughout her entire career, Chelsea has approached patient care by providing a comfortable, informative, personalized environment, and is committed to building long-term relationships with her clients.
Patients can expect customized aesthetic treatment plans developed through one-on-one consultations where Chelsea is able to understand your unique skin care needs.
We recently had the opportunity to learn more about Chelsea, her approach, and the path that led her to pursue a career in medical aesthetics.
How and when did you know you wanted to be a Nurse Practitioner? Were you always interested in aesthetics, and what was your path to get here?
I was one of those kids whose dreams were all over the place. One week I would want to be a Disney princess and the next an astronaut. It wasn’t until I started to look at colleges in high school that I realized I wanted my life’s work to embrace my strengths of compassion and hard work with the desire to make lasting changes in the world. I have always had an innate desire to help people become the best version of themselves and pursuing a career as a nurse practitioner was the perfect way to do just that.
I spent the first five years working in Gastroenterology (GI) at Beth Israel Lahey Health, where I helped heal various GI ailments; mainly focusing on using food and exercise as medicine.
The ability to assist patients on their journey to better their own health, sense of self, and overall well-being from the inside out was incredibly fulfilling. Naturally, I was inspired to pursue a career in aesthetics and I was elated to find a career path that combined my lifelong desire to help others in a medical setting that inspires positivity and artistry. I firmly believe that aesthetic medicine epitomizes the “art of nursing” because it enables me to fulfill my creative side while still using my clinical judgment.
What is your number one tip when it comes to taking care of your skin?
Without a doubt, sunscreen! Wearing sunscreen is one of the best and easiest ways to protect your skin’s appearance and health at any age. When used regularly and consistently, sunscreen helps prevent sunburns, premature aging, and most importantly skin cancer.
What do you enjoy most about treating your aesthetic patients and what is unique about your approach?
There is nothing more gratifying than comparing before and after pictures with a patient. Photos are truly the foundation for communicating results because images and visuals often describe far more than words alone can. The result is rarely as impressive as the journey toward the result—before and after photos convey that journey perfectly. My approach to aesthetic medicine is unique because I pride myself on having the ability to interpret patient goals and skillfully tailor a treatment approach to provide an optimal aesthetic outcome, and in the process, cultivate a trusting clinician-patient relationship.
For someone who is interested in, but new to new to medical aesthetic treatments, how do you recommend they get started?
I would strongly encourage them to simply book a consultation. Our skin is the biggest organ we have and it deserves some pampering! The aesthetic world can be intimidating and consultations facilitate an open and honest conversation about specific concerns, budget, treatment options, and expectations. Consultations are the key to developing a customized treatment plan that will deliver measurable results!
Where are the most common areas you treat with dermal filler?
One of the most common areas I treat with dermal filler is the cheeks. It is also one of my favorite areas to treat because it is an effective and conservative way to correct aging. Loss of volume is a hallmark sign of aging, which starts in the mid-face—specifically, the cheeks. Midface volume rejuvenation with dermal filler directly improves the appearance and contour of the cheeks but also has beneficial effects on neighboring areas of concern including the undereye, nasolabial folds, lines around the mouth, and marionette lines. Facial contouring with cheek filler is truly the key to restoring the triangle of youth!
For microneedling, which patients would you recommend this treatment for, and what should patients expect?
From reducing the appearance of wrinkles to improving the appearance of acne scars, pigmentation, skin texture, and large pores—microneedling is a versatile and effective treatment that can fulfill a diversity of needs. Microneedling, also known as collagen induction therapy, is a process involving repeated puncturing of the skin with tiny, sterilized needles. Carrying out precise, controlled “micro-injuries” leads to skin rejuvenation and the treatment of fine lines, skin laxity, scarring, pigmentation, cell turnover, and increased collagen production through the process of dermal remodeling.
Patients can expect mild short-term swelling, redness, and skin flaking, which can last a few days post-procedure. Most people can return to wearing regular makeup within a day of treatment. A series of three to five monthly treatments are generally recommended to achieve desired results.
What do you like to do when you are not treating patients?
When I am not in the office treating patients, I love to spend time with my husband and our two dogs. Being born and raised in New England, we love to be outside no matter what the season! You can always find us outdoors—at the beach, hiking the White Mountains, or simply relaxing in the backyard.
Answer this question: If you knew me you would know…
If you knew me you would know that I give one hundred percent to my patients each and every day. When you put your heart and soul into your work, you cannot help but make something beautiful.
What to Expect From Dermatological Care From Chelsea and Her Team
If you’re seeking medical aesthetic treatment or want to know more about your options, Chelsea offers a wide range of services and has advanced training and experience to ensure the highest quality of care.
View a complete list of our medical aesthetics services, and come in for a free consultation to learn more about our approach to patient care. Chelsea is accepting new patients at our Salem, NH location. Give us a call at 844-756-0898 to schedule your consultation today!
Holly Morris, MSHS, PA-C, Joins Optima Dermatology & Medical Aesthetics in Scarborough, ME
Optima Dermatology is excited to welcome board-certified physician assistant Holly Morris, MSHS, PA-C, to our practice in Scarborough, ME. Holly brings 12 years of experience in dermatology and medical aesthetics to our practice and is committed to delivering an exceptional patient experience.
Holly earned her Master of Science degree in Physician Assistant studies at Cornell University Graduate School of Medical Sciences, during which time she had hands-on training at teaching facilities including New York Presbyterian Hospital, Memorial Sloan Kettering Cancer Center, and Columbia University. Holly also served as a Research Assistant at Johns Hopkins University.
Prior to joining Optima Dermatology, Holly provided dermatological care to patients of all ages in New York, treating a range of conditions both medical and cosmetic.
Dedicated to Excellent Patient Care
Holly’s approach to patient care reflects Optima Dermatology’s commitment to treating every patient the way we would want our friends and family to be treated. Holly is dedicated to providing a comprehensive and personalized experience for each patient.
Drawing on her years of research and training, and a passion for continued education into the latest aesthetic procedures and technology, Holly brings a wealth of knowledge to each patient. Holly regularly participates in trainings with industry leaders and has advanced training and experience performing a variety of medical aesthetic treatments; including BOTOX®, Dysport®, dermal fillers like Restylane®, microneedling, and more.
We recently had the opportunity to learn more about Holly, her approach, and the path that led her to pursue dermatology care as a physician assistant.
How/when did you know you wanted to be a Physician Assistant? Were you always interested in dermatology and aesthetics, and what was your path to get here?
At the start of my career in medicine, I was initially interested in research. I served as a Research Assistant at Johns Hopkins University. During my time in research, I quickly learned that my favorite days were clinic days. This is when I realized that I wanted to be patient-facing and interact with patients rather than research. I became interested specifically in dermatology when completing my rotation with dermatologists in New York City. I had the opportunity to participate in medical dermatology, surgical dermatology, and cosmetic dermatology. I loved being able to address an array of issues across each of these service lines. The skin is our largest organ, it is what the world sees. I am driven to help patients address their skin concerns, feel healthy in their skin, and be confident in putting their best face forward.
What is your number one tip when it comes to taking care of your skin?
Without hesitation, sunscreen! Practicing sun protection throughout the entire year, no matter the season, is my number one skin care tip.
What do you enjoy most about treating your aesthetic patients and what is unique about your approach?
I love that one day is never the same. Each patient has their own aesthetic goals or skincare concerns, and I enjoy having the opportunity to positively impact how my patients feel about themselves. My approach to treatment is to collaborate and work closely with my patients and develop custom treatment plans to meet their goals.
Where are some unexpected areas you treat with filler that produce great results?
My personal favorite area to treat with dermal filler, is the mid-face. Patients do not always come in asking for this area specifically because they do not realize that correcting this area can help to improve other areas lower down in the face. The mid-face acts as the framework of the whole face. Addressing this area with dermal filler often helps indirectly improve other areas that may be of concern for patients. It really is the building block of addressing volume loss in the face.
For which patients would you recommend a microneedling treatment, and what should patients expect?
Microneedling is great for all patients, it rejuvenates the skin, can improve overall skin tone and texture, and address fine lines and wrinkles. INTRAcel RF Microneedling is specifically great for patients who experience acne scarring. It helps stimulate collagen to repair scarring on the skin, addressing scarring in a way that other treatments cannot. Patients can expect a quick and noninvasive treatment with minimal downtime!
What do you like to do when you are not treating patients?
After years in New York, I am happy to be back on the coast of Maine where I grew up! Outside of treating patients, I love to spend time with my family. You can find us outdoors and on the water with any free time that we have.
What to Expect From Dermatology Care From Holly and Her Team
If you’re seeking medical dermatological care, Holly and her team at Optima Dermatology & Medical Aesthetics offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
View a complete list of our dermatology services, and come in for a free consultation to learn more about our approach to patient care. Holly is accepting new patients at our Scarborough, ME location. Give us a call at 855-277-9689 to schedule your consultation today!
