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. 

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.

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.

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.

Schedule your appointment with Andreea at Optima Dermatology today!

Do Peptides Live Up to All the Hype – and Should You Use Them? 

If you feel like everyone is hyper-focused on peptides lately, it’s not in your imagination. This buzzword is showing up everywhere from skincare commercials to Instagram reels as the powerful anti-aging treatment that can smooth fine lines and improve skin health.  

This article takes a closer look at peptides, how they work, what results you can expect, and when to talk to your dermatologist so you can be skin smart about incorporating peptides into your skincare routine. 

What Are Peptides in Skincare? 

Not to be confused with the peptides that are being touted as a weight-loss supplement (both are chains of amino acids but serve different and distinct functions), peptides in skincare are short chains of the amino acids that support production of the skin’s naturally occurring proteins, collagen and elastin.  

Collagen and elastin are essential for helping the skin appear youthful, firm, and smooth; however, as we age, natural production of collagen and elastin declines, leading to fine lines, wrinkles, and sagging skin.  

The widespread desire to combat signs of aging and reclaim our younger, fresher faces has driven demand for skincare products like peptides that claim to do just that: peptides in skincare are designed to send signals to the skin that encourage collagen and elastin production.  

Different peptides may target different concerns, so whether you’re looking for greater firmness or an improved skin barrier, there is a peptide formula for you. Some of the products our providers recommend and carry at various Optima Dermatology locations include: 

• Alastin’s Restorative Skin Complex 

• Revision’s Revox Line Relaxer 

• ZO’s Daily Power Defense 

• SkinBetter’s Alto Defense Serum 

The Big Question: Do Peptides Really Work? 

Research suggests that peptides can be effective, especially when used consistently and in the right formulation. According to research published in the National Library of Medicine, peptides are promising active ingredients with unique anti-aging properties, and studies demonstrate their efficacy in products used to improve signs of aging. While this research does note the need for further research on the full potential of peptides, it’s clear enough that consumer desire for these products isn’t unfounded. 

The most marketed benefits of peptides include: 

• Enhancing skin hydration, creating a smoother and more supple appearance 

• Stimulating collagen production to improve firmness and reduce fine lines. 

• Supporting the skin barrier, which helps retain moisture and protect against irritants. 

• Reducing inflammation, which may improve overall skin tone and texture. 

Despite these compelling points, it’s important to note that peptides aren’t an instant fix – and may not produce desired results for several weeks or even months of consistent use.  

If you work with your dermatologist to identify the best peptide formula for your skin, you’ll be able to establish expectations for results and understand more about your specific treatment. 

Are Peptides Safe? 

Peptide safety is an important question for many people before they begin use. For most people, peptides are considered safe and are generally well-tolerated and non-irritating – even by individuals with sensitive skin.  

However, as with any skincare product, it’s best to introduce peptides gradually and monitor your skin’s response. 

For individuals with mild or severe allergies, who already use prescription skincare, or are undergoing treatments like chemical peels or laser therapy, we advise you to check with your dermatologist before starting a peptide product – or any new product for that matter. 

Using Peptides Correctly for Best Results 

If you’re interested in trying peptides, here are a few tips to help you maximize their benefits: 

Look for serums and creams. Peptides work best when applied as leave-on products. This way, they have plenty of time to absorb into the skin. 

Use consistently. Apply once or twice daily, as directed. Remember, it may take several weeks or months to notice changes. 

Combine wisely. Peptides pair well with ingredients like hyaluronic acid, niacinamide, and antioxidants. Avoid layering them directly with strong acids or retinoids, which can reduce their effectiveness and could cause skin irritation or dryness. 

Be realistic. Peptides can support healthier, more youthful-looking skin, but they won’t have the same impact as more advanced treatments like Botox, fillers, or laser and light therapies if you’re looking for more significant results. 

It’s easy to get swept up in the buzz around products that promise to reverse aging naturally, but like anything, it’s important to do your homework before immediately buying into the hype. 

Peptides can be a great addition to a skincare routine, but they’re also only one part of a bigger picture. Your dermatologist or provider can design a personalized skincare routine based on your skin type and your specific goals. 

At Optima Dermatology, we specialize in helping you achieve your healthiest skin with a combination of medical-grade skincare, cosmetic treatments, and professional guidance. 

Request an appointment to speak with one of our expert providers about the right peptide – or other – treatment to achieve your skin goals.

At-Home Care and When to See a Dermatologist 

Hand eczema is one of the most common types of eczema – and possibly one of the most frustrating. Think about how often we use our hands each day. If you add in the irritation, itching, redness, and sensitivity symptoms that are trademarks of eczema, regular tasks suddenly can become much more difficult.  

Plus, our hands are exposed to potential irritants like soap, shampoo, and cleaning supplies that can become triggers, worsening hand eczema symptoms or causing flare-ups.  

During Eczema Awareness Month in October, we’ve partnered with board-certified dermatologist at our Bloomington, IN location Dr. Andrew Scripture to share practical tips to help you manage hand eczema at home, along with guidance on when to seek care from a dermatologist. 

What is Hand Eczema, and What Causes It? 

Hand eczema is a type of eczema, a common, non-contagious skin condition that causes the skin to lose its ability to act as a barrier, initiating an inflammatory response.  

When eczema occurs on the hands, the barrier function that provides needed protection is weakened, leaving the skin open to irritation, dryness, or even infection. 

While hand eczema can manifest differently for different people, common symptoms include: 

• Redness, swelling, pain, or discomfort 

• Itching, especially at night 

• Dry, scaly, cracked skin, blisters, or bumpy patches 

• Bumps filled with fluid 

• Thickening of the skin or nails 

• Sensitivity to touch 

Hand eczema often develops in individuals who have a history of sensitive skin, which may have involved other parts of the body. Common areas affected by eczema are the face, arms, or legs.   

Given the symptoms, hand eczema can understandably be quite uncomfortable and interfere with everyday life. However, it is manageable with the right treatment.  

Hand Eczema Treatment: Understanding Triggers 

Because eczema is an inflammatory response to a trigger and will continue to flare up as long as the trigger is present, individuals suffering with hand eczema should try to understand what triggers might be causing symptoms. 

For many people, flare-ups are caused by everyday exposures such as: 

Frequent handwashing or hand sanitizer use: While important for hygiene, over-washing can dehydrate the skin. Try washing your hands only when necessary and using gloves while washing dishes. 

Dish soaps and laundry detergents: Harsh surfactants present in some dish soaps and detergents can strip away natural oils and worsen hand eczema symptoms. Wear gloves or swap your household products for gentler, eczema-friendly options. 

Household cleaners: Even “gentle” sprays and wipes may cause irritation when brought into direct contact with skin. It’s best to use gloves when cleaning to prevent and minimize exposure. If exposure to a household cleaning product does occur, rinse it off well with lukewarm water as quickly as possible.   

Lotions with fragrance or alcohol: Give your hand lotion collection a once-over and check for potentially irritating ingredients such as dyes, fragrances, and drying alcohols like ethanol that can inflame sensitive skin. Swap your triggering lotion for an eczema-friendly formula. An easy rule of thumb is to look for the National Eczema Association seal of approval and reach for a product that comes in a container with a twist off lid. 

Temperature changes and dry air: Low humidity in colder months often worsens symptoms by exacerbating skin dryness. Apply an eczema-friendly moisturizing cream at night and in the morning, and wear gloves to protect your hands from harsh wind and cold temperatures. 

Identifying and minimizing contact with these irritants can make a big difference in controlling hand eczema. We know there’s no way to stop washing your hands (please don’t!) or your dishes, but protecting your hands and being mindful of exposures can help bring your hand eczema under control.  

Hand Eczema Treatment: At-Home Care 

If you’re dealing with dryness, redness, itching, or cracked skin on your hands, you can take steps at home to relieve discomfort, even if you haven’t identified a specific trigger.  

1. Moisturize Frequently 

Swap your lotion for a fragrance-free, thick cream or ointment, as this type of product will better protect and help restore the skin barrier. Apply after every handwash and before bed for a more concentrated effect. 

2. Use Gentle Cleansers 

Opt for mild, fragrance-free soaps for handwashing and in the shower. Avoid antibacterial or heavily-scented products that can strip the skin of its protective barrier and contribute to dryness and cracking. 

3. Protect Your Hands 

During household chores like washing dishes, cleaning surfaces, or doing laundry, wear cotton gloves under waterproof gloves to create a barrier against direct product exposure. 

4. Keep Hands Out of Hot Water 

Hot water can exacerbate skin dryness and irritation; use lukewarm water when washing your hands or in the shower to protect the skin barrier.  

5. Watch for Product Triggers 

Check labels on lotions, soaps, and detergents. As we mentioned, products with drying alcohols, dyes, or strong fragrances are common culprits for hand eczema flare-ups. 

When to See a Dermatologist 

Fortunately, many cases of hand eczema improve with consistent at-home care; however, there are times when symptoms won’t budge or just keep getting worse.   

If you’re not seeing any improvement in your hand eczema symptoms, professional treatment is likely needed. Not sure when you should see a dermatologist? If any of the following statements are true for you, it’s time: 

• Your symptoms haven’t improved after several weeks of at-home care. 

• The itching, pain, or cracking on your hands is making it difficult to sleep or perform daily tasks. 

• You’re noticing signs of infection, such as increased redness, swelling, pus, or warmth. 

• You’re still unsure which products or exposures might be triggering your flare-ups. 

A dermatologist can provide personalized treatment, which may include prescription creams, prescription biologics, oral medications, or patch testing to identify specific allergens. Even if you end up not needing any of those more personalized options, it’s always best to get a professional opinion about your specific eczema symptoms.  

Hand eczema can be disruptive, but with the right combination of at-home care and professional support, you can reduce flare-ups and protect your skin. If you’re struggling to manage hand eczema, Optima Dermatology is here to help with personalized care tailored to your needs. 

At Optima Dermatology, our experienced providers are committed to your care and are here to help you, listen to you – and take action. Schedule an appointment with one of our providers to discuss your skin concerns.

Tips for Prevention and Skin Safety 
After months of summer sun exposure, now is the perfect time to revisit the risk factors for skin cancer and what you should know to stay proactive with prevention and early detection. 

Skin cancer is the most common form of cancer, but also one of the most preventable. Understanding your personal risk factors can help you take steps to protect your skin, spot potential warning signs early, and prioritize regular skin checks as part of your long-term skin health routine. 

Do You Have Higher Risk Factors for Skin Cancer? 

Knowing your personal risk factors for skin cancer can help you take preventative measures and prioritize regular skin checks.  

• UV Exposure 
  Frequent, unprotected exposure to UV rays from the sun or tanning beds significantly increases the risk of skin cancer. A history of severe sunburns—especially in childhood—also raises the risk. If you have a history of UV exposure, getting regular skin checks is important for early detection. 
• Skin Type & Features 
  Individuals with fair skin, light-colored eyes, freckles, and red or blonde hair can burn more easily and are more prone to sun damage. While individuals of any skin tone can develop skin cancer and sun protection is vital for everyone, these features can increase your vulnerability to skin cancer. 
• Family History 
  If a parent, sibling, or close relative has had skin cancer, your risk is higher. Genetics can influence how your skin responds to sun exposure and how well your body repairs UV damage. 
• Personal History 
  If you’ve previously had skin cancer or precancerous lesions, you are at a higher risk of recurrence. Work with your dermatologist to determine the best frequency for in-office skin checks based on your skin cancer diagnosis, and perform self-checks at home in between visits.  
• Age & Gender 
  While skin cancer is more common in older adults due to cumulative sun exposure, melanoma rates are rising in young adults, especially women. Men over 50 also have an increased risk of developing skin cancer. 
• Moles & Atypical Growths 
  Having many moles or irregularly shaped (atypical) moles increases the risk of melanoma. It’s essential to monitor changes in size, color, or shape through annual skin checks with your dermatologist and self-checks. Your dermatologist may also recommend using a mole map to track any changes to your moles over time.  
• Weakened Immune System 
  People with weakened immune systems, whether due to medical conditions or medications that suppress immunity, are more susceptible to skin cancer. 

What You Can Do to Lower Your Skin Cancer Risk 

Reducing your risk for developing skin cancer doesn’t mean avoiding the sun altogether – it means practicing smart sun habits and staying proactive about your skin’s health. 

Perform Regular Self-Checks 
Examine your skin monthly for any new or changing moles, spots, or lesions, paying attention to the following indicators of potential skin cancer, which apply to moles, birthmarks, and new or existing spots: 

• Existing moles or birthmarks that seem to have become larger,thicker, or have a change in color or texture. If this mole or birthmark becomes larger than a pencil eraser, see your dermatologist right away. 

• Any type of growth on your skin that is new or has changed in size and appearance, especially if it looks transparent or takes on a tan, brown, black, or multi-colored hue. 

• Any spot or sore that hurts, is itchy, bleeding, crusting, or scabbing over and will not heal, or temporarily heals and then returns.  

Use the ABCDE rule to identify suspicious changes:

A – Asymmetry: One half of the mole looks different from the other. 
B – Border: Irregular, jagged, or blurred edges. 
C – Color: Uneven shades of brown, black, red, or other colors. 
D – Diameter: Larger than 6mm (about the size of a pencil eraser). 
E – Evolving: Changes in size, shape, or color over time. 

Schedule Annual Skin Exams 
For individuals with no prior history of skin cancer, the American Cancer Society recommends an annual skin check with a dermatologist for individuals age 40 and over. Annual skin checks are recommended before age 40 if you have many moles, have a history of tanning bed use, or family history of skin cancer. Having an expert examine your skin is one of the best ways to detect potential skin cancer before it becomes serious. 

Apply a Daily SPF of 30 or Higher 
Apply broad-spectrum sunscreen every morning, even when it’s cloudy. Reapply every two hours outdoors. 

Wear Protective Clothing & Accessories 
Protect your skin with long sleeves, wide-brimmed hats, and UV-blocking sunglasses. Lightweight, sun-protective clothing is a great option in warm weather and many clothing companies are including sun protection in their materials to make it easier to stay safe and stylish outdoors.  

Seek Shade & Avoid Peak Sun Hours 
The sun is strongest between 10am and 4pm. If you’re outside during this time, use sunscreen, find shade, and wear sun-protective clothing.  

NEVER Use Tanning Beds 

Tanning beds significantly increase the risk of skin cancer and should be avoided. 

Take Action: Protect Your Skin & Spread Awareness 

Early detection saves lives. Make a commitment to protect your skin, schedule a professional skin check, and share these important facts with friends and family. And remember, skin cancer awareness is all year – prioritize skin safety whenever you’re outdoors. 

Schedule an appointment at Optima Dermatology for a skin check or to discuss your risk factors for skin cancer.

Dr. Shonagh Leonard, DO, Offers Medical, Surgical, and Dermatology Services for Patients of All Ages 

Optima Dermatology & Medical Aesthetics is excited to welcome Dr. Shonagh Leonard, DO, to its Manchester, NH dermatology practice. Dr. Leonard brings a passion for patient care cultivated through her experience as a licensed nursing assistant in southern New Hampshire. 

Dr. Leonard received her Doctor of Osteopathic Medicine from the University of New England and completed her residency in dermatology at Trinity Health, where she served as Academic Chief Dermatology Resident. She also completed an internship at St. Joseph Mercy Ann Arbor through the hospital transitional year program. Throughout her education, Dr. Leonard has also taken on multiple leadership roles in support of the academic success of her peers. 

Aligning with our mission of treating every patient the way we treat our family and friends, Dr. Leonard takes a patient-centered approach to care and is excited to join Optima Dermatology and Medical Aesthetics in providing industry-leading dermatology care to patients in Manchester.  

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

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

From a young age, I knew I wanted to combine my passion for people and science through a career in medicine. I was a nursing assistant throughout my undergraduate years and gained invaluable hands-on experience that guided me to pursue medical school. During my training, I found value in all clinical experiences, but the ability to create long-term relationships with patients of all ages, the art in procedural and cosmetic dermatology, and the level of critical thinking required for each case made dermatology the clear choice for me.   

What is your favorite aspect of being a dermatologist? 

I love that each day as a dermatologist is different. I am grateful that my patients and their families put their trust in me to treat their baby’s eczema, manage side effects of chemotherapy agents, perform surgeries to cure skin cancers, and help them feel like their best selves through cosmetic dermatology. Being a dermatologist is the best! 

What is your approach to treating your patients? 

My approach to dermatology is team-based. I pride myself on listening to the wants and needs of my patients and providing individualized care that allows them to be a part of the decision-making process. I continue to forge relationships with local primary care providers and specialists to provide a comprehensive dermatology experience. 

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

Keep it simple and be proactive. Sunscreen and moisturizer should be part of your everyday routine, and yearly skin checks are a must. With so much skincare information, it can be overwhelming. Utilize your local skin experts to address your specific needs.  

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

I am so grateful to be returning to New Hampshire to provide care to patients and serve the community that shaped me into the person and physician I am today.  

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

When I am not in the office, I love spending time with my growing family, trying new restaurants, enjoying fresh air on the seacoast, and reading a good book.  

What to Expect From Dermatology Care Delivered by Dr. Leonard and Her Team 

Dr. Leonard and her team at Optima Dermatology offer exceptional services, advanced training, and experience to ensure the highest quality of care.  

Dr. Leonard is accepting new patients at Optima Dermatology & Medical Aesthetics in Manchester, NH. You can request an appointment online or call (855) 277-9689.

Refresh Your Skin After the Heat of Summer 

After months of strong summer sun, your skin may be ready for a reset. Fall is an ideal time to consider laser and light treatments because reduced sun exposure helps achieve the best possible results with less risk of complications. Treatments like HALO®, BBL™, Fraxel,and VBeam® can help repair summer skin damage and refresh your look heading into the new season. 

But first, let’s talk about what laser treatments are and why you might consider one. 

What are Laser Treatments? 

Laser skin treatments target wrinkles, sun damage, and other skin conditions to improve the skin’s appearance through focused light beams. There are two types of laser treatments: ablative and non-ablative.  

Ablative laser treatments carefully remove the outer layers of skin to improve texture and encourage regeneration. Non-ablative laser treatments target deeper layers of skin, stimulating collagen production while leaving the surface intact. 

Either type of laser treatment is highly targeted to generate new skin cells and trigger a healing response, ultimately blending and fading skin pigmentation. Ideal results include: 

• Reducing the appearance of skin conditions like rosacea, sun spots, age spots, or sun damage 

• Evening out skin textures 

• Reducing unwanted hair growth and the appearance of scars  

• Smoother, tighter skin 

• Reducing the appearance of wrinkles 

• Improving skin tone and texture 

Summer sun exposure and hot temperatures can impact the effectiveness of laser treatments or even cause unwanted side effects, making fall and winter more ideal seasons for these treatments.  

Why Laser Treatments Are Best in the Fall 

1. Take Advantage of Reduced Sun Exposure 

Because laser treatments work by targeting specific pigments or structures in the skin, they can make your skin more sensitive to sunlight during the healing process. In the fall, we naturally spend less time outdoors, wear more clothing, and experience lower UV levels overall, all of which reduce the risk of post-treatment complications like hyperpigmentation. Avoiding direct sun exposure is easier and more effective this time of year, helping your skin recover faster and more effectively. 

2. Give Your Skin a Break With Cooler Weather 

Laser treatments can leave skin sensitive and dry, and cooler temperatures can make the skin feel more comfortable than in the summer heat and humidity when sun exposure and perspiration can cause irritation during recovery. 

3. Reverse Summer Sun Damage 

Increased sun exposure over the summer months can cause pigmentation issues, sunspots, redness, and broken capillaries. In the fall, treatments like HALO® Hybrid Fractional Laser, BroadBand Light (BBL™), Fraxel, or VBeam® laser are excellent options for reversing that damage from the sun, restoring a brighter, clearer complexion. 

4. End and Start the Year With Glowing Skin 

Have refreshed, glowing skin for the holiday and New Year’s celebrations. Laser treatments like HALO® hybrid fractional laser or BBL™ (BroadBand Light) offer progressive results, meaning improvements appear over several weeks. Getting these treatments done in the fall gives your skin time to heal and be rejuvenated just in time for the winter season’s celebrations. 

Ready to Refresh Your Skin This Fall? 

Whether you’re looking to reduce signs of aging, even out skin tone, or prep for next summer, fall is the ideal time to start your laser skincare journey. At Optima Dermatology, our team of providers will work with you to develop a personalized treatment plan that fits your skin goals and lifestyle. 

Request an appointment to speak with one of our expert medical aesthetics providers about the right laser treatment for your skin goals. And don’t forget to ask about this year’s Laser Season promotion!

What it Looks Like in Teens, Adults, and Older Adults.

Psoriasis is a chronic autoimmune skin condition that affects more than 7.5 million people in the U.S. alone, according to the National Psoriasis Foundation. While it can begin at any age, the way psoriasis presents and its impact on daily life can vary from adolescence to older adulthood.  

In honor of Psoriasis Awareness Month this August, we’re exploring how psoriasis can appear differently in teens, adults, and older adults, and how treatment approaches can be tailored to meet the unique needs of each age group. 

Psoriasis in Teens 

While psoriasis is less common in children and teens than in adults, it can begin during adolescence. At this stage in life, the most common form is called plaque psoriasis, and it presents as raised, red patches with silvery-white scales, typically appearing on the scalp, elbows, knees, and back. 

Key signs of psoriasis in teens: 

• Itchy or painful skin lesions 

• Flaking or scaling on the scalp (sometimes mistaken for dandruff) 

• Sudden onset of symptoms triggered by stress, infections (like strep throat), or skin injuries 

Common Challenges: Teenagers with psoriasis, especially on visible areas like the face or hands, may experience embarrassment or anxiety, emotional responses that can actually trigger psoriasis symptoms. Managing psoriasis during this stage often requires both medical treatment and emotional support. 

Psoriasis in Adults 

Most people are diagnosed with psoriasis between the ages of 15 and 35, and for many, it becomes a lifelong condition. Symptoms of psoriasis in adults may be more widespread and persistent. 

Key signs of psoriasis in adults: 

• Thickened, inflamed patches of skin that may crack or bleed 

• Psoriatic arthritis: joint stiffness, swelling, and pain 

• Nail changes: pitting, thickening, or discoloration 

Triggers include stress, alcohol use, medications, and infections 

Challenges: Adults often juggle work, family, and other responsibilities, making it difficult to keep up with consistent treatment. Psoriasis can also interfere with quality of life, including sleep, mobility, and self-esteem. In adults, psoriasis symptoms can be triggered by stress, alcohol use, medications, and infections, but can also manifest independently of these factors. 

Psoriasis in Older Adults 

Older adults with existing psoriasis may experience the same or worsening symptoms as they age, but many individuals develop psoriasis for the first time later in life.  

At older ages, psoriasis symptoms may become more difficult to manage due to other age-related conditions or sensitivities, such as thinner and more fragile skin that becomes more prone to irritation.  

Key signs of psoriasis in older adults: 

• Slower healing of lesions 

• Medication interactions that cause skin sensitivity 

Challenges: Older adults may need to modify their treatment plans due to medical conditions or reduced tolerance for certain medications. Coordinating care with other providers is essential to ensure safe and effective treatments 

Managing Psoriasis at Every Age 

No matter your age, psoriasis can be managed with the right care plan. Work with your board-certified dermatologist to create a treatment plan that works for your symptoms, lifestyle, and overall health goals. Some psoriasis treatment options may include: 

Topical therapies: Creams or ointments to reduce inflammation and scaling 

Phototherapy: Controlled exposure to UV light 

Systemic medications: Oral or injectable drugs that target the immune system 

Biologics: Advanced medications that block specific immune responses 

Your dermatologist can also help you identify and avoid possible triggers, whether they are related to stress, illness or medications, or environmental factors. 

Whether you’re a teenager or a centenarian, psoriasis looks and feels different – and treatment options are different too. It’s important to seek the right care and work with a board-certified dermatologist who is going to put you on the right treatment path to manage your symptoms and improve your quality of life.  

This Psoriasis Awareness Month, prioritize your skin health. If you’re struggling with psoriasis, request an appointment to explore your treatment options and get the support you need. 

Board-Certified Dermatologist Dr. Rachel Delost Discusses How to Maintain Youthful, Healthy Skin on New Day Cleveland

Looking to keep your skin glowing, healthy, and youthful? Board-certified dermatologist Dr. Rachel Delost from our Mentor, OH, location joined New Day Cleveland to share expert advice on maintaining radiant skin and preventing common signs of aging.

Dr. Delost emphasized that it’s never too late to start caring for your skin and that a proactive skincare routine can make a meaningful difference at any age.

Daily Sunscreen is a Must

The most important anti-aging tip Dr. Delost shared is to apply sunscreen every day, year-round, and reapply throughout the day, especially if you’re spending time outdoors. Sunscreen helps prevent fine lines, wrinkles, and sun damage, which are primary contributors to skin aging.

Medical-Grade Skincare Products Can Make a Difference

While many skincare products are available over the counter, Dr. Delost recommends medical-grade skincare products when possible. These products typically have higher concentrations of active ingredients, providing more effective results.

For a personalized approach, Dr. Delost recommends consulting with a dermatologist to tailor your skincare plan based on your skin’s needs and your goals, whether you are focused on prevention or looking to address specific concerns.

Morning and Evening Skincare Routines

Dr. Delost suggests incorporating these products into your routine:

• Morning:
  • Broad-spectrum sunscreen with SPF 30 or higher
  • Antioxidant serum, such as Vitamin C, to help protect against free radicals from sun exposure and pollution
• Evening:
  • Retinol or prescription-strength retinoid to help with skin cell turnover and reduce signs of aging
  • A good moisturizer to maintain hydration

Retinoids can sometimes cause irritation when you first begin using them, but your skin will adjust over time. Dr. Delost emphasizes sticking with it and working with your dermatologist to determine the right approach for your skin.

Acne and Oily Skin Management

For those struggling with oily skin and breakouts, Dr. Delost recommends options such as:

• Medical-grade skincare routines
• Chemical peels
• Prescription retinoids to promote skin cell turnover
• Consultation with a dermatologist to create a plan for long-term acne management

Advanced Cosmetic Treatments for Aging Skin

Dr. Delost also shared insights on advanced cosmetic procedures that can help address signs of aging, including:

• Microneedling (with or without platelet-rich plasma): Helps stimulate collagen production and improve skin texture and firmness.
• BBL Laser: Effective for treating brown spots and redness on the skin.
• Halo Laser: Stimulates collagen production, improving the appearance of fine lines and wrinkles.
• Botox and Dysport: Neuromodulators that help reduce fine lines and wrinkles by relaxing facial muscles, typically lasting 3-4 months.
• Dermal Fillers: Address deeper lines and volume loss, lasting 1-2 years depending on the type.

Why It Matters Who Performs Cosmetic Treatments

Dr. Delost emphasized the importance of having cosmetic procedures performed by a licensed, experienced professional. While these treatments are safe and effective in professional hands, they can pose risks when performed improperly, including severe complications.

Ready to Prioritize Your Skin Health?

If you’re interested in learning more about how to prevent and treat signs of aging and want a personalized skincare or cosmetic treatment plan, schedule a consultation with Dr. Rachel Delost at our Mentor, OH, location.

At Optima Dermatology, we’re committed to helping you achieve healthy, beautiful skin at every age with expert, compassionate care. Schedule your appointment today!

The Skin and Autoimmune Connection That Patients Need to Know

We’re back with another Derm Deep Dive, a series where we provide expert advice from our board-certified dermatologists about common skin conditions or treatments. This month, we sought input from our team of expert dermatologists to share information and guidance about autoimmune skin disorders – specifically what they are, how they manifest, and what you can do if you develop one.  

Being Aware of Autoimmune Skin Disorders  

As our body’s protective barrier, the skin is responsible for a lot, including raising the red flag if there is a deeper, systemic health concern we should be aware of – like autoimmune skin disorders.  

Often, we don’t know how to interpret what’s going on with our skin. It can be hard to distinguish eczema from psoriasis, or acne from rosacea, as many signs and symptoms can be similar. When we get unexplained rashes, persistent irritation, or other chronic skin issues, it can be easy to ignore it or hope it goes away, but you should pay attention and seek help as these symptoms can signal underlying autoimmune skin disorders.  

When the Immune System Takes Aim at the Skin 

Autoimmune skin disorders happen when the body’s immune system mistakenly attacks healthy skin cells, typically causing inflammation, skin damage, or other types of irritation on the skin.  

The skin is good at indicating deeper, more systemic health issues, and recognizing and responding to these signs early ensures timely intervention and better long-term outcomes.  

We’re going to explain some of the most common types of autoimmune skin disorders and the symptoms that you should look out for. 

Cutaneous Lupus 

Cutaneous lupus (CLE) specifically attacks the skin, unlike systemic or erythematosus lupus, which attacks organs and other systems in the body. While it affects the skin, cutaneous lupus can be a manifestation of systemic lupus.  

CLE symptoms, which include rashes, sores, and lesions on the skin, are often triggered by sun exposure. These systems can manifest in specific ways: 

• A butterfly-shaped rash across the cheeks and nose 

• Discoid lesions that leave scars 

• Sores in the mouth or nose 

Since sun exposure is a trigger, UV protection is essential at managing cutaneous lupus. Because CLE is an autoimmune skin disorder with no known cure, treatment is focused on managing symptoms, preventing flare ups, and minimizing long-term skin damage. Specific management plans may include a combination of lifestyle changes, topical and systemic medications, and in some cases, specialized therapies. 

Psoriasis and Psoriatic Arthritis 

Psoriasis is caused by an overactive immune system in which the growth of skin cells occurs very quickly. Normal skin cells take about a month to finish growing and to be shed from the body, while skin cells impacted by psoriasis finish growing every few days and pile up on the surface of the skin instead of shedding.  

There are different types of psoriasis, the most common being plaque psoriasis, which manifests as raised patches of skin called plaques that are typically itchy, red, inflamed, and often appear to have silvery scales or even a dark coloration, depending on skin type.  

Other types of psoriasis include: 

• Inverse psoriasis, which lacks the scaly appearance and typically manifests under the breasts, armpits, or in the genital and buttocks areas.  

• Guttate psoriasis, which typically manifests as small red spots, and is frequently found on the arms, legs, chest, stomach, or back. 

• Pustular psoriasis, which is characterized by pus-filled bumps that are painful and irritated. While it often appears on the hands and feet, it can manifest anywhere on the body. 

• Erythrodermic psoriasis, which is very rare and causes redness and such excessive shedding of skin layers that it can be life-threatening. Symptoms include itching and pain, an almost burned appearance of the skin, as well as more serious conditions such as changes in heart rate or dehydration. 

Very rarely, individuals with psoriasis can develop psoriatic arthritis, which can cause symptoms of arthritis in the joints.  

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

Broadly, symptoms of psoriasis typically include:  

• Thick, scaly patches (plaques) on the elbows, knees, scalp, and lower back 

• Nail pitting or discoloration 

• Patches or bumps that are itchy and do not heal on their own 

Treatment is focused on reducing inflammation and flare ups through the slowing of skin cell growth and scale removal. If psoriasis symptoms are more mild, it may be effectively managed with topical treatments, while more severe cases may require phototherapy or systemic medications.  

Dermatomyositis 

This rare, inflammatory disease affects the skin and muscles. It’s characterized by muscle weakness, pain, and a distinctive skin rash. The rash can appear on sun-exposed areas like the face, eyelids, knuckles, and chest.  

While the exact cause of dermatomyositis is unknown, it’s believed to involve a combination of genetic predisposition and environmental triggers, such as sun exposure or certain medications.  

Symptoms of dermatomyositis can include: 

• Violet or dusky red rash, especially on the face, eyelids, knuckles, and chest 

• Muscle weakness 

• Photosensitivity 

While there is no known treatment for dermatomyositis, management of this autoimmune skin disorder focuses on reducing inflammation and improving muscle strength and function. Your dermatologist may prescribe medications like corticosteroids, immunosuppressants, or other immunomodulatory treatments. 

Scleroderma 

Scleroderma causes hardening and tightening of the skin due to excess collagen production.  

Like other autoimmune skin disorders, there is no specific cause of scleroderma, but it has been loosely linked to genetic predisposition, environmental triggers, hormonal imbalances, or immune system dysfunction.  

Skin symptoms may include: 

• Thickened patches of skin 

• Shiny or tight skin, especially on the hands and face 

• Raynaud’s phenomenon (color changes in fingers/toes with cold exposure) 

There is no definitive cure for scleroderma, but treatments are focused on preventing deeper complications from the disorder. Treatment plans are tailored to the individual depending on severity, but can include medications, physical therapy, or lifestyle modifications.  

Cutaneous Vasculitis 

Cutaneous vasculitis is a type of vasculitis in which inflammation can damage blood vessel walls, leading to leakage of red blood cells into the surrounding skin and causing purpura (bruising). 

Other skin symptoms can include: 

• Blisters or hive-like lesions 

• Purplish spots or patches (often on the legs) 

• Ulcers or open sores 

• Bruise-like rashes that don’t fade 

Treatment for vasculitis primarily involves medications to control inflammation. More severe cases may require immunosuppressants or biologics to calm the immune system and prevent further damage to blood vessels and organs. In some cases, surgery may be necessary to repair damaged blood vessels. 

Lichen Planus 

Like the other skin conditions in this post, there is no known cause for lichen planus, an autoimmune skin disorder that causes the immune system to target the cells lining the skin, mucous membranes, and other organs, leading to inflammation and the development of characteristic lesions.  

This condition has been linked to genetic and environmental factors that may trigger an autoimmune response, and other triggers are thought to include medications, infections, or allergies. 

Symptoms of lichen planus can include:  

• Flat-topped, itchy, purple-colored bumps 

• White, lacy patches inside the mouth 

• Nail thinning or ridging 

Unlike the other skin conditions in this post, lichen planus often resolves on its own. However, treatment is focused on managing symptoms of inflammation and itchiness through the use of topical corticosteroids. More severe cases may require systemic treatments. Dermatologists also recommend good oral hygiene and reducing stress as methods for managing lichen planus.  

Pay Attention to Red Flags That May Be Signaling Something More 

While rashes, itching, and other changes to the skin are common and can vary by season or activity, certain signs may be an indicator of an autoimmune disorder. Visit your board-certified dermatologist if you notice:  

• Rashes that don’t respond to typical treatments such as corticosteroids or antifungals 

• Joint pain accompanying skin symptoms like swelling, stiffness, or decreased mobility 

• Nail changes or scalp involvement, such as pitting, ridging, hair loss, or scarring 

• Photosensitivity or systemic symptoms, including unexplained fatigue, low-grade fevers, or general malaise 

Dermatology and Rheumatology Collaborations 

While dermatologists specialize in diagnosing and treating conditions of the skin, hair, and nails, and addressing conditions affecting the mucous membranes in and around the nose, mouth, and eyelids, rheumatologists specialize in diagnosing and treating conditions that affect the musculoskeletal system, including the joints, muscles, and bones.  

Many autoimmune skin conditions require a collaborative approach between dermatologists and rheumatologists, and your dermatologist may make a referral to a rheumatologist depending on the type and severity of your autoimmune skin disorder. 

When We Refer and Why: Our dermatologists may refer you to rheumatology when skin symptoms suggest systemic involvement, such as joint pain or fatigue. Rheumatologists often refer back to dermatology for persistent or unusual rashes. 

Diagnostic Tools: Biopsies help confirm a dermatologic diagnosis by examining skin tissue under a microscope. Rheumatologic testing can identify systemic inflammation or specific autoimmune patterns. 

Coordinated Treatment Plans: Treating autoimmune skin conditions often involves long-term care and collaboration between dermatologists and rheumatologists. 

Shared Treatments: Both dermatologists and rheumatologists may prescribe biologics or immunosuppressants to control immune activity. Treatment plans are tailored based on the extent and location of symptoms. 

Managing Expectations: Many autoimmune skin diseases are chronic and relapsing, meaning symptoms may flare even with treatment. If you are suffering from an autoimmune skin disorder, you would benefit most from consistent follow-up and the open communication between your dermatologist and rheumatologist. 

Your skin may be trying to tell you something. If you’re experiencing unexplained rashes, persistent skin issues, or symptoms that suggest an autoimmune condition, don’t wait. There is a complex relationship between autoimmune disease and skin health, and early evaluation can make a significant difference in diagnosis and treatment.  

At Optima Dermatology, our experienced providers work closely with referring specialists to ensure you receive the care you need.

We’re here to help you, listen to you – and take action. Schedule an appointment with one of our providers to discuss your skin concerns.