Guidelines to Follow, Products and Treatments to Use – and What to Leave Behind

We’re back with another Derm Deep Dive, a series where we provide expert advice from one of our board-certified dermatologists about a specific topic in skin care. For this edition, we’re speaking with Dr. Daniel Cuozzo, DO, FAAD, about skin care guidelines and trends to bring into 2024 – and what to leave behind in 2023.

Dr. Cuozzo, who serves patients at our Scarborough, ME practice, was recently interviewed on this topic by Maine news station WGME 13 for its Ask the Expert segment. You can watch the complete interview here!

Skin Care Guidelines You Should Follow in 2024

Although we’re talking about trends, two approaches to skin care never go out of style and should be viewed as more routine practices than trends. 

There are also two new trends that you may consider exploring in 2024. 

A Skin Care Trend to Leave Behind 

We’ve all heard the term “New Year, New You” – well, here is one trend that shouldn’t be included in your “new you” approach to skin care. 

Nasal Tanning Spray

If you haven’t heard of this trend, don’t worry – I’m not recommending it to any of my patients. The primary ingredient in nasal tanning spray, Melanotan II, is intended to help trigger a temporary darkening of the skin when this product is inhaled. However, it is a synthetic ingredient and is not FDA-approved and unregulated, so it has the potential to be dangerous to your health.

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If you have concerns about your skin or want to discuss the best approach to your skincare, I’d love to meet with you. If you live in the greater Portland, Maine area, schedule an appointment with me at Optima Dermatology’s Scarborough, ME practice for an initial consultation and to get started on a path to healthier, happier skin. 

We welcome Double Board-Certified and Fellowship-Trained Mohs Surgeon Dr. Brienne Cressey to Our Stratham, NH Practice

Optima Dermatology is pleased to announce the addition of Dr. Brienne Cressey MD, MBA, FAAD, FACMS, to our Stratham, NH practice. Dr. Cressey will offer expert Mohs Micrographic Surgery and medical aesthetics treatments to the Seacoast region.

Dr. Cressey has been serving patients in the Seacoast region of New Hampshire since 2017, and has performed more than 8,000 Mohs Micrographic procedures. She has also provided medical aesthetics treatments, including VBeam ®, Fraxel®, and Halo® Hybrid Fractional Laser.

After receiving her MBA with a focus on healthcare management from Brandeis University, Dr. Cressey continued on an educational path aimed at dermatological studies. She graduated from Tufts University School of Medicine with highest honors, and completed her residency in dermatology at New York Presbyterian Weill Cornell, where she was named Chief Resident and received multiple awards, including the Derm Mentor Resident of Distinction award. 

As a Dermatologic Oncology Fellow at Dermatology Professionals in Rhode Island, Dr. Cressey worked under Dr. Nathaniel Jellinek to complete her Fellowship in Mohs Micrographic Surgery, facial reconstruction, and lasers and cosmetics. 

Dr. Cressey is currently a member of the American College of Mohs Surgery, the American Academy of Dermatology, and the American Society of Dermatologic Surgery. She has authored more than 25 peer-reviewed articles in major academic journals, including the Journal of Surgical Education and the Journal of the American Academy of Dermatology. 

A Perfect Combination of Expertise and Care

Dr. Cressey brings well-earned knowledge and expertise in Mohs Micrographic surgery and a range of dermatological services, and delivers these skills with the highest level of care and compassion. 

Her approach to patient care is perfectly aligned with Optima Dermatology’s overall mission: to treat every patient like we would our family. 

We recently had the opportunity to learn more about Dr. Cressey, her approach, and the path that led her to become a double board-certified Mohs Surgeon and Dermatologist.

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Where did you go to college?

University of Maine, where I studied Biochemistry and Chemistry. I then went to Tufts University for medical school.

What made you decide to pursue a career in dermatology and Mohs surgery specifically?

I always enjoyed the complexity of dermatology and the procedural portion of the field. I’m able to combine Mohs surgery with my favorite aspects of medicine.

What can patients expect from Mohs surgery treatment? What advice would you share with a nervous patient?

Mohs surgery provides the best clearance rate for skin cancer. I aim to keep my patients informed and comfortable during the procedure. My team and I want to make it as positive of an experience as possible.

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

Sunscreen and sun-protective clothing!

If there is one thing you want your patients to know about you, what would it be?

I am originally from Maine and love being able to provide Mohs surgery and reconstruction for my patients in New England. I’m happy to offer great care close to home.

What is your favorite aspect of being a micrographic dermatologic surgeon?

I love getting to know my patients and hearing their life stories. I have many repeat patients whom I’ve gotten to know well over the years and whom I love to see.

What is your approach to treating your patients?

I treat my patients how I would want my family and friends to be treated. I want all my patients to have a good experience and be happy with their care.

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

I like to spend time with my husband and daughter. We love the New Hampshire outdoors and spend time swimming, fishing, or cross-country skiing at the lake whenever possible.

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What to Expect From Medical and Surgical Care From Dr. Cressey and the Stratham Team

If you’re seeking dermatological care, no matter how routine or complex, Dr. Cressey and her team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care. 

Dr. Cressey is currently accepting new patients at our Stratham, NH practice.. For Mohs referrals, email referral@optimadirect.md or call (603) 699-9001. For all other services, you can request an appointment online or give us a call at (603) 942-2171.

On December 8th, Dr. Gregory Delost from Optima Dermatology’s Mentor location, sat down with New Day Cleveland to discuss skin cancer. While skin cancer is usually visible, it often goes undetected, leading to annual increases in skin cancer diagnoses. Early detection of skin cancer is key to making treatment more effective, and Optima Dermatology is here to help!

Board-certified Dermatologist Dr. Daniel Cuozzo, joined Katie Sampson on Good Day Maine to discuss the importance of yearly skin exams, and break down current skin care trends. Check out this interview to learn more about nasal tanning spray, slugging, and skin cycling. Dr. Cuozzo provides guidance on which trends you should avoid, and which you should try!

What You Should Know About Rosacea and How to Best Treat It

We’re back with another Derm Deep Dive, a series where we provide expert advice from one of our board-certified dermatologists about common skin conditions or treatments. For this edition, we’re discussing rosacea treatment with Dr. Lori Schaen, MD, of our Milford, OH location, servicing the Cincinnati area. 

What is Rosacea and How Do You Know if You Have It?

I see a lot of patients who are experiencing symptoms of Rosacea but are unsure what it is or how to treat it. First and foremost, if you have any skin issue and you aren’t sure what it is, the best thing to do before any at-home treatment is to visit your dermatologist and get an official diagnosis. 

Rosacea in particular is a skin condition that requires a more specific treatment plan, so understanding what it is and how it manifests for you is most important for proper treatment. 

While some people think of Rosacea as facial redness, it is a bit more complicated than that. Rosacea is a chronic condition that can cause inflammation on the cheeks, nose, chin, forehead, or eyelids. This inflammation can also lead to redness, broken blood vessels, swelling, pimples, pustules, and sometimes ocular/ eye symptoms.

Rosacea is a fairly common condition, affecting about 16 million Americans. There is no known cause for Rosacea, and because it is a chronic condition, it can only be managed and controlled but not completely cured.  

How Can You Manage Your Rosacea?

Because there is no known cause – and no definitive cure – I work with patients to identify two important aspects of their Rosacea:

1. What triggers seem to cause Rosacea flare-ups
2. How those triggers can be managed or mitigated to reduce Rosacea flare-ups

Identifying Potential Triggers

Many individuals who have Rosacea are able to identify triggers that seem to bring on flare-ups. While these triggers vary naturally from person to person, there are some that are more common:

• Sun exposure 
• Hot or cold weather conditions, including humidity or indoor heat
• Hot baths, showers, hot tubs, or saunas
• Heavy exercise
• Alcohol consumption, especially red wine
• Harsh winds
• Emotional stressors, such as anger, anxiety, embarrassment, or general stress
• Certain foods, including spicy foods, aged cheeses, dairy products, and some chocolates
• Hot drinks, including coffee and tea

I understand this list can seem pretty daunting and limiting – or simply hard to avoid, such as hot or cold weather conditions. However, the good news is that Rosacea can typically be brought under control, even if you can’t avoid your trigger or triggers 100 percent of the time. Here are some basic tips:

• On hot, sunny days, seek out shade, wear protective clothing, and use sunscreen with an SPF of 30 or higher
• Protect your face and neck from cold weather, especially harsh winds
• Try to manage emotional stress through deep breathing exercises, meditation, or calming, relaxing activities like yoga or simply reading a book. 
• Keep showers short to avoid overheating. If exercising, recognize when it’s time to take a break and drink water, and keep cold water on hand. 
• Choose white wine instead of red if alcohol is a trigger, or try to avoid alcohol and opt for a mocktail or water. 

Products to Avoid that Can Aggravate Your Rosacea

Every individual’s skin is different, and not all skin care products work for everyone. If you have Rosacea, there are a handful of products that are best to avoid as they’ve been known to make symptoms worse or bring about flare-ups. 

• Topical steroids on the face, especially if used for more than a few days. 
• Cosmetics and hair sprays that contain alcohol, witch hazel, menthol, camphor, eucalyptus oil, propylene glycol, or fragrances. Instead of these products, I recommend L’Oreal alcohol-free hairspray.
• Soaps, astringents, and alcohol-based toners. 
• Chemical peels or acids, including glycolic acid and hydroxy acids, exfoliants, and dermabrasion. 
• Sodium lauryl sulfate, which is a common skin irritant present in many shampoos, and chemical sunscreens.  

When it comes to sunscreens, mineral blockers zinc and titanium are often best tolerated by individuals with rosacea.

Treatment Options for Rosacea

Avoiding triggers is a critical way to manage your Rosacea, but I also work with patients to identify treatment options that can help manage or mitigate flare-ups altogether. It’s important to note that there are different types of Rosacea, and treatment options differ depending on the type and severity of your Rosacea. 

Some treatment options can include:

• Antibiotics (typically Doxycycline): If Doxycycline is prescribed, be aware of common side effects and closely follow the recommendations for taking this medication.
• Oracea: Oracea is a lower dose of Doxycycline that acts as an anti-inflammatory rather than an antibiotic. This helps minimize the risks associated with the antibiotic dosing of doxycyline and is a safer long-term choice for rosacea. 
• Topical medications: I help my patients understand which topical treatment is best for their Rosacea. 
• Laser treatment: Typically, laser treatments are used in conjunction with one of the above treatment regimens and depends entirely on your specific type and severity of Rosacea.  Laser treatment for rosacea are not covered by insurance.

What Can You Do to Manage Your Rosacea at Home?

After you have seen your dermatologist and identified the best treatment plan for your Rosacea, there are other steps you can take at home to adjust your skin care routine for better Rosacea management. 

Simplify, simplify, simplify. Keep your skin care routine simple. The more products you’re using on your face, the more irritated your skin can become, which can trigger Rosacea symptoms. 

Wash your face. A gentle wash with lukewarm water and a soap-free unscented cleanser is perfect for your face. Don’t scrub or rub your skin. My favorite products include:

• CeraVe Hydrating Cleanser
• Cetaphil Gentle Cleanser
• Neutrogena Ultra Gentle Hydrating Cleanser
• Vanicream Gentle Facial Cleanser
• Avene Antirougeurs Clean 

Establish a regimen. Any prescription medications should be applied prior to any other products. 

Tackle dry skin right away. Apply thicker moisturizers to dry skin, such as CeraVe, Cetaphil, or Vanicream Moisturizing Skin Cream to mitigate dry skin before it becomes worse. 

Protect your skin! Apply a sunblock every morning with an SPF of at least 30. As I mentioned, physical sunblocks containing Zinc Oxide and/or Titanium Dioxide over chemical sunscreens are recommended for sensitive skin and are typically better tolerated by individuals with Rosacea. My favorite sunscreens include:

• La Roche-Posay Anthelios Mineral Tinted or Un-tinted SPF 50
• Cetaphil or CeraVe Mineral SPF
• Elta MD UV Elements 44 (Tinted in moisturizing base with antioxidants)

Switch up your makeup. Tinted SPF or mineral-based makeup is recommended for individuals with Rosacea as the minerals sit on the surface of the skin rather than being absorbed. You should avoid:

• Liquid makeups, which contain emulsifiers which can irritate the skin
• Mineral makeup that contains bismuth oxychloride, a common skin irritant that can cause facial redness and rash
• Oil-based and/or waterproof makeup

I recommend using makeup made by Neutrogena Mineral, Clinique Mineral, and Jane Iredale. 

When Should You Schedule a Visit With Your Dermatologist?

I recommend that you schedule a visit with your dermatologist as soon as you begin experiencing Rosacea symptoms. Because it is a chronic condition with no known cause or cure, it’s best to speak with a professional rather than try and treat it at home.

When you schedule an appointment with me, I first listen to your symptoms and concerns, perform an examination of the affected skin, and work with you to establish a treatment plan. You can expect to see improvements within the first few weeks of treatment, with ideal and more noticeable improvement occurring between eight and 12 weeks. 

I know Rosacea, like any skin condition, can be difficult to manage and frustrating to live with. However, the best way to manage it and get back to your life is to work with a dermatologist to establish the best treatment plan for your specific situation. 

I’d love to meet with you to start a conversation about treating your Rosacea. Schedule an appointment with me at Optima Dermatology’s Milford, OH practice for an initial consultation and to get started on a path to healthier, happier skin. 

Expanding Cosmetic Services in Scarborough with Hydrafacialist Renita Ireland, MA, & Medical Aesthetics Nurse Taylor Seipel, BSN, RN, LE

Optima Dermatology is excited to have Hydrafacialist Renita Ireland, MA, and Medical Aesthetics Nurse Taylor Seipel, BSN, RN, LE as our newest cosmetic skin care specialists in Scarborough, ME, serving Greater Portland. We’re excited to be able to expand our cosmetic services for our Scarborough patients.

Let’s learn a little more about our two new skin care specialists in Maine.  

Renita Ireland is a Certified Medical Assistant who has been working with patients since 2004. She earned her professional Medical Assistant Certificate from Seacoast Career Schools and has been working closely with Dr. Daniel Cuozzo, DO, FAAD and Holly Morris, MSHS, PA-C as a medical assistant at our Scarborough practice, and will now be offering HydraFacial® treatments for patients as well. 

Taylor Siepel, BSN, RN, LE, is a Medical Aesthetics Nurse who has been working with patients since 2015, and applies her advanced training in medical dermatology and cosmetic treatments, including SkinPen® microneedling, chemical peels, and CoolSculpting®. Taylor previously worked in vascular surgery and Mohs surgery, and earned her Bachelor’s of Science in Nursing from Winona State University and her Licensed Esthetician certificate from Spa Tech Institute. Like Renita, Taylor also works closely with Dr. Cuozzo and Holly Morris as a dermatology medical assistant. 

At our Scarborough, ME practice, Renita and Taylor each offer a range of cosmetic dermatology treatments for patients of all ages to help rejuvenate and brighten skin, treat scarring or stretch marks, reduce the appearance of fine lines and wrinkles, and remove excess or sagging skin. 

Caring for Patients with an Expert and Personalized Approach

With almost 3 decades of experience between them, Renita and Taylor are each fantastic providers who approach every patient interaction with care and a personalized approach. Individuals who visit our Scarborough, ME practice can expect to get a tailored treatment based on a thorough evaluation and thoughtful approach to what makes the most sense for your particular situation.

We recently had the opportunity to learn more about Renita and Taylor, including their individual approaches to care and the paths that led them to pursue careers in cosmetic dermatology.

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What to Expect From Renita, Taylor, and the Team 

If you’re seeking dermatological care for cosmetic skin issues, Renita, Taylor and the team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care. 

Both Renita and Taylor are currently accepting new patients at our Scarborough, ME location. Request an appointment online or give us a call at (855) 277 – 9689.

Dr. Gregory Delost from Optima Dermatology’s Mentor location, sat down with New Day Cleveland to discuss rosacea. Rosacea is a chronic inflammatory skin condition that typically flares in the winter due to cold weather. Check out this segment learn more about how your dermatologist can help you to understand and manage rosacea flareups, even when you can’t avoid triggers all the time. 

Optima’s Licensed Esthetician Michelle Nunez Has the Intel for Rejuvenating and Caring for Your Skin

Whether you follow a tightly adhered-to skin care regimen or only employ a basic routine as an afterthought, how we treat our skin is incredibly important – it’s our body’s largest organ and everything from sun exposure to skin issues like acne or eczema to blemishes and scarring can leave us feeling, well, a bit uncomfortable in our own skin.  

November was designated as National Healthy Skin Month in 1997 by the American Academy of Dermatology to help draw more attention not just to basic skin care, but to other important skin treatments that help keep it looking and feeling as healthy as possible.

One of our licensed estheticians, Michelle Nunez, one of our esteemed licensed estheticians at the Bedford, NH practice, serving the Manchester area, has offered her take on some of the most common skin care-related issues and concerns we get at Optima Dermatology, and the role esthetic treatments can play in treatment and maintenance. 

If any of these topics resonate with you, we’d love to meet with you to discuss how we can help you achieve healthy skin this month and for years to come!

How Can I Reverse the Signs of Aging Skin?

Often, our patients visit with concerns about signs of aging on their skin. Volume loss, the appearance of fine lines and wrinkles, and sagging skin can impact our self-confidence. 

As we age, our bodies shed skin cells more slowly, which results in the skin looking duller or less radiant. Additionally, after the age of 30, we lose about 1% of our collagen, a protein in the skin that provides structure and support. 

For patients with volume loss, fine lines, wrinkles, or sagging skin, we recommend INTRAcel™, a microneedling treatment delivered using a radio frequency device. It has been shown to improve skin tone and texture, diminish fine lines and wrinkles, and firm up the skin’s structure overall. Studies show that after 4 microneedling sessions over 4 months, collagen production can increase by up to 400%! INTRAcel™ is a safe, comfortable treatment for all skin types and can be done anywhere on the face, neck, and body with little to no downtime. 

Is There an Effective Way to Treat Acne and Minimize the Appearance of Acne Scars?

Yes! We completely understand how uncomfortable and troubling acne can be, to the point where it impacts your everyday life. We also know that many at-home acne treatments, such as face cleansers and topical ointments, don’t always work, and can leave you feeling frustrated and helpless. 

At Optima Dermatology, we use Sciton’s BBL™ Forever Clear, which uses a combination of blue, yellow, and infrared broad-band light to eliminate bacteria, reduce inflammation, and promote the body’s natural healing process to clear up your acne. It is effective for acne treatment and reducing the appearance of acne scars. 

Patients who undergo this treatment can expect to see optimal results in just 3 to 5 visits, which would be spaced about 2 weeks apart. 

If you’re interested in other skin care options for treating acne, we recommend some great acne-fighting medical-grade skin care products:

• Revision Skincare® Purifying Gel Cleanser, which has lactic and salicylic acids to exfoliate and purify the skin. This cleanser can be used in the morning or at night. 
• Revision Skincare® Pore Purifying Mask, which combines salicylic acid, sage, and tea tree oil to reduce acne, redness, and inflammation. Use this mask weekly on clean, dry skin. 
• Alastin® ReSURFACE Skin Polish, which gently removes the buildup of dead skin cells and other impurities without stripping away necessary oils. Use 1 to 2 times per week. 
• EltaMD® AM Restore Moisturizer, which is a lightweight, oil-free, noncomedogenic and fragrance-free moisturizer. The combination of hyaluronic acid and niacinamide will help reduce redness and smooth and brighten your skin. Despite the name, it can be used in the morning or at night. 

I Just Want to Rejuvenate My Skin’s Appearance and Maintain a Healthy Glow

The skin naturally sheds dead skin cells about every 28 days, but after the age of 30, this cycle slows, which can lead to changes in the skin’s appearance like hyperpigmentation, signs of aging, or uneven textures. But we all crave a fresh, healthy glow, and the best way to achieve one – even in the face of slowing skin cell shedding – is with a facial!

Facials are an excellent treatment to rejuvenate the skin as they provide deep exfoliation, purify your pores, and boost circulation to allow better absorption of skin care products. 

For best results, we recommend a monthly facial to maintain a healthy glow. However, there are different types of facials and the one that works best for you depends on your skin type. 

• Medical-Grade Facials. DiamondGlow® or Glo2Facial are medical-grade facials that are customized to a patient’s skin care needs. 

The DiamondGlow® wand exfoliates, extracts debris from pores, and infuses the skin with professional-grade serums delivered through the wand’s diamond tip. The serums are sulfate- , fragrance- , and paraben-free, and studies have shown this treatment to result in 100% patient satisfaction for deeply cleaned, firmer, and more radiant skin. 

Glo2Facial helps increase the body’s oxygen levels to allow for deeper absorption of the active ingredients delivered throughout the treatment. A combination of oxypods and a cooling primer gel gently exfoliate the skin, creating a CO2-rich environment on the skin’s surface. A nourishing serum is penetrated deep into the skin using a warm ultrasound and lymphatic massage that sculpts the face, reduces redness, and infuses active ingredients. This lauded product has been dubbed “the facial of the future” and has been used globally to deliver instant, glowing results. 

• Signature facials. A signature facial is a traditional facial that delivers cleansing, exfoliation, extraction, a mask, and gentle massage to help you feel relaxed and refreshed, and help your skin look healthy and rejuvenated.

It’s important you meet with a dermatologist to discuss your skin care goals and undergo a skin assessment to help determine which facial is best for you. 

How Do I Know if an Esthetic Treatment is Right for Me?

If you’re thinking about an esthetic skin treatment, the best first step is to come to Optima Dermatology for an initial consultation. During the consultation, you’ll have the opportunity to learn more about esthetic treatments and what types of treatments may be right for you based on your particular skin issue or concern. 

During the consultation, we will discuss your skin care goals and put together a personalized treatment plan, which includes in-office procedures and at-home skin care recommendations that support your overall goals. Achieving your ideal skin care routine and appearance takes a combination of in-office and at-home commitment!

You’ll leave the consultation with a scan of your skin from our VISIA® Skin Analysis System, which uses high-definition imaging to provide a comprehensive assessment of your skin, including factors like hyperpigmentation, wrinkles, pores, redness, and texture. By having the highest available standard of medical photography and skin analysis available, we provide a completely personalized treatment.

Michelle’s Skin Care Routine and Favorite Products

We wouldn’t snag an exclusive with our expert esthetician and neglect to ask about her skin care routine and product recommendations! Here’s what Michelle has to say about caring for her own skin. 

“I look forward to my morning and night skincare routine. It used to be time to myself, but now I get to share it with my pre-teen daughter and educate her on skin care from a young age. Being in my 40s, I understand how important a good skin care routine is. However, I also believe that a good multivitamin, plenty of sleep, exercise, a balanced diet, and low stress can enhance our skin tremendously. 

In the morning, I focus on protecting my skin from environmental stressors and hydration. The biggest stressor is the sun, which can dehydrate the skin, and cause unwanted signs of aging and pigmentation. I always start with a vitamin C serum (Revision Skincare® Vitamin C Lotion 30%) to brighten, lighten, and tighten my skin. It’s also important to use a hydrator, such as hyaluronic acid (Alastin® HA Immerse) followed by sunblock. There are a lot of different sunblocks to choose from; I recommend a physical sunblock with an SPF of 30 or higher that you reapply throughout the day (no matter the weather and season). 

At night, I work on repairing any damage done from the day and help my skin to recover overnight. After cleansing, I apply oil with vitamin C, bakuchiol, and melatonin (Isdin® Melatonik Serum). These ingredients help to stimulate natural antioxidant defenses and restore vitality and elasticity for radiant, healthy skin. I apply a nighttime moisturizer (Isdin® Age Contour Night Moisturizer) with hyaluronic acid for a boost of intense hydration, antioxidants such as melatonin to combat daily stressors, and carnosine to protect and strengthen my skin’s barrier function.”

Michelle Nunez, LE

As for Michelle’s favorite products, here’s the official list. We hope you find this helpful, and encourage you to schedule a consultation to explore your skin care questions and concerns further! 

Michelle’s Favorite Skin Care Products

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Your first step to adopting a skin care routine that works for you is understanding your skin’s unique needs. At Optima Dermatology & Medical Aesthetics, our expert providers will work with you to develop the best approach to your skin care routine.

Request an appointment to start a routine toward healthier, more radiant skin!

We’re Welcoming Dr. Lori Schaen and Her Dermatological Expertise to Optima’s Milford, OH Practice 

Optima Dermatology is excited to welcome Dr. Lori Schaen, MD, to our Milford, OH practice, serving the  Clermont and Hamilton areas. Dr. Schaen has been treating patients since 2001 for a wide range of skin conditions. 

Dr. Schaen completed her residency in dermatology at Strong Memorial Hospital, where she served as Chief Resident, and she completed a pediatric internship at Children’s Hospital Medical Center. She earned her medical degree from the University of Cincinnati College of Medicine, and her Bachelor of Arts degree in psychology from Williams College. 

Throughout her education, Dr. Schaen was recognized with multiple awards, including the Women’s Dermatologic Society Mentorship Grant, American Contact Dermatitis Society James R. Nethercott Clinical Award, H.B. Weiss Award for Clinical Excellence, and the Dr. Ernst Beutner Excellence in Immunopathy Award. 

As part of her career and service to patients, Dr. Schaen is an extremely active member of many dermatological associations and organizations. She is a Fellow of the American Academy of Dermatology, and a member of the Ohio Dermatological Association, the American Society for Laser Medicine & Surgery, the American Contact Dermatitis Society, the American Acne & Rosacea Society, and the American Medical Association. 

A Patient-First Approach to Dermatological Care

Dr. Schaen delivers expert care to patients and is committed to the community she serves in the greater Cincinnati area. 

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

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Where did you go to college? 

I went to Williams College in western Massachusetts. I was attracted to its strong academics and athletic student body. This small liberal arts college allowed me to pursue a pre-med education while playing 3 collegiate sports: soccer, squash and softball. At graduation, I was honored to be awarded the Class of ‘25 Scholar Athlete Award.

What made you decide to pursue a career in dermatology? 

I knew at a young age that I wanted to be a doctor. But during medical school, my interests were all over the board, from psychiatry, to sports medicine, to pediatrics. Then in my 4th year of medical school, during an elective, dermatology found me. I knew almost immediately that I had found my future career. Dermatology appealed directly to my visual and detailed nature and allowed me to work with my hands, which I enjoyed. 

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

PREVENTION! Preventing sun damage is much easier than repairing past damage, so wearing a daily broad-spectrum sunblock would be my number one recommendation. 

What is your favorite aspect of being a dermatologist? 

Dermatology is a really diverse specialty that offers medical, surgical, laser, and aesthetic services. I love getting to know my patients and I feel that I can really help most patients with their concerns. Happy patients and happy skin make a happy dermatologist. In the past year alone with routine skin cancer screenings, I found 55 melanomas, the most deadly form of skin cancer. Most of these melanomas were caught early so were curative with surgery alone. Prevention is key. I also look forward to bringing innovative dermatology to Cincinnati, including a future Acne Rosacea Center and the Aerolase Laser Technology, one of the most versatile, uniquely gentle lasers for medical and aesthetic conditions, that is safe on ALL skin types. 

How would you describe your approach to treating patients? 

I have always been a strong patient advocate. It is an honor taking care of patients and I always treat my patients how I would want myself, family or friends treated. I do not practice cook-book medicine. I listen to each patient’s concern and use all the tools that we have (from biopsies to skin scrapings to the most up to date treatment options) to uniquely work up each patient and come up with an individual treatment plan. 

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

I worked close to 20 years in Atlanta, Georgia before having the opportunity to move back to my hometown of Cincinnati. I am so excited to be back home and able to offer my services for Cincinnati’s high demand for dermatologic care. 

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

Outside of my passion for dermatology, I have 3 active teenagers (and 2 not so nice cats) that keep me busy, and I try to stay active myself. I still enjoy racquet sports and love my Club Pilates!

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What to Expect From Dermatological Care From Dr. Schaen and Her Team

If you’re seeking medical, surgical or laser dermatological care, Dr. Schaen 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. 

Dr. Schaen is currently accepting new patients at our Milford, OH location. Book an appointment online or give us a call at 513-327-9244.

Dealing with hair loss is extremely common. Effective treatment for hair loss begins with finding the cause. Dermatologists have in-depth knowledge about the many causes of hair loss and how to treat it. Dr. Gregory Delost sat down with Natalie Herbick of New Day Cleveland to discuss scarring versus non scarring hair loss, and what treatment options look like. Check out this interview to learn more!

Jamie Brings Exceptional Skill in a Range of Medical and Surgical Dermatology

Our newest board-certified nurse practitioner, Jamie Piacentini, NP-C, APRN, DNP, is joining our Scarborough, ME practice after years of experience serving patients in southern Maine and New Hampshire. Jamie has been caring for patients since 2017 and was trained under world-renowned dermatologist Thomas P. Habif, MD. 

Jamie earned her Doctor of Nursing Practice from the University of New Hampshire and went on to complete her Master of Science in Nursing at Simmons School of Nursing Health & Health Sciences, where she graduated Summa Cum Laude. She has been named an Advanced Nurse Injector for cosmetics, as well as becoming a member of the Society of Dermatology Nurse Practitioners, the Dermatology Nurses Association, and the American Association of Nurse Practitioners. 

In Maine, as part of her final Doctor of Nursing Practice project, Jamie worked with the state’s legislature to pass a law restricting indoor tanning for minors under the age of 18. Such a law had been attempted multiple times, but following Piacentini’s involvement, it passed in 2019. 

At our Scarborough, ME practice, Jamie offers a range of medical and surgical dermatology treatments for patients of all ages, including skin cancer screenings, and treatments for skin cancer, acne, psoriasis, eczema, and more. 

Caring for Patients with an Expert, Skilled, Personalized Approach

With years of experience working with patients, Jamie is continuing her personalized and comprehensive care at our Scarborough, MA practice. She is committed to providing the best possible experience to patients, ensuring they receive the treatment that is most appropriate for their particular situation.  

We recently had the opportunity to learn more about Jamie, her approach, and the path that led her to become a board-certified nurse practitioner in dermatology.

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Where did you go to college?

I received my Bachelor of Science in Nursing from the University of Southern Maine in Portland, and my Master of Science in Nursing from Simmons College in Boston, Mass. I attended the University of New Hampshire in Durham for my Doctor of Nursing Practice.

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

I worked as a nurse in the intensive care unit at Maine Medical Center and Central Maine Medical Center. I always had an interest in wound care and surgical procedures. While I was a master’s student at Simmons College, I obtained my Advanced Injectors Certificate from Aesthetics Medical Educators Training in New York City. I went on to be the lead injector at Maine Laser Clinic & Spa in Portland, Maine. When I graduated with my nurse practitioner license I was hired straight into a Medical/Surgical Dermatology practice in New Hampshire and trained under world-renowned dermatologist Thomas Habif, author of Clinical Dermatology: A Color Guide to Diagnosis and Therapy.

What is your favorite aspect of dermatology?

I love treating moderate-to-severe plaque psoriasis and acne. Treatment for these conditions is life changing and when you are able to clear a patient of their acne or psoriasis, you know you’ve made a difference in that patient’s life and served your purpose as a dermatological provider. I also enjoy performing surgical procedures for skin cancer and other lesions. It has brought a sense of creativity and higher acuity care into my practice. 

Working in dermatology has allowed me to build wonderful relationships with my patients, due in large part to the close follow-up that some patients require. 

On your journey to become a board-certified nurse practitioner, what was the best advice you were given?

The best advice I’ve ever been given was to trust your instincts and work comprehensively with your team to provide the highest level of care. 

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

Please wear your sunblock and UPF clothing and please avoid tanning beds! Protect your skin in your youngest years to prevent skin cancer, as well as signs of aging. 

How would you describe your approach to treating patients?

I strive to deliver the best evidence-based practice while providing kind, compassionate care. 

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

My husband and I have two young boys – 2 and 9 months old. We are very busy chasing them around and are enjoying watching them grow and learn! We love to travel, and spend much of our time on the water or near the ocean. We hope to get our oldest son on a pair of skis soon!

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What to Expect From Dermatological Care From Jamie and Her Team 

If you’re seeking dermatological care for common skin issues or more complex treatments, including skin cancers, Jamie Piacentini 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. 

Jamie Piacentini is currently accepting new patients at our Scarborough, ME location. Request an appointment online or give us a call at (855) 277 – 9689.

“Psoriasis and eczema are very common skin conditions that cause red, itchy, and sometimes flaky patches. They can look and feel very similar so if you have any of these symptoms, see your dermatologist for proper diagnosis and treatment!“

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If you have itchy, red, flaky, or burning skin that never seems to get any better, you may have eczema or psoriasis, two of the most common skin conditions.

It’s important to see your dermatologist for a clear diagnosis as eczema and psoriasis can manifest differently from one person to the next.

What is Eczema?

Eczema is a type of dermatitis that is caused by an issue with the skin’s outer layer, lead to symptoms of dryness, itch, redness, and skin texture changes.

There are 7 different types of eczema. Each type manifests differently, and depending on which type you have, the treatment plan may vary too. Here’s a quick rundown of eczema types:

Atopic Dermatitis (AD): The most common type of eczema. Most commonly appears on the hands or around the eyes as dry, patchy, or scaly skin.

Contact Dermatitis: Occurs when a skin irritant triggers an itchy reaction.

Dyshidrotic Eczema: Caused by an allergen and manifests as tiny, highly itchy blisters on the hands and feet.

Hand Eczema: Causes dry, painful cracks on the hands accompanied by extremely dry or chapped skin.

Neurodermatitis: Highly common in adults and tends to affect only one or two areas of the body with dry, itchy patches.

Nummular Eczema: Typically brought on by very dry skin, this type can look similar to atopic dermatitis or ringworm.

Stasis Dermatitis: Primarily affecting the lower legs and feet, this type is caused by chronic edema or swelling and results in inflammation, itchiness, scaling, and hyperpigmentation.

Changes in Climate

Eczema flare-ups can be brought on by exposure to an allergen, or skin irritation from sweat, sun exposure, or stress. Your dermatologist can help you identify what might be causing your eczema, and devise a treatment plan that can reduce the severity and frequency of flare-ups.

What is Psoriasis?

Psoriasis is a chronic skin disease that is most often found on the knees, elbows, or scalp. It is thought to be caused by an overactive immune system in which the growth of skin cells occurs very quickly; instead of shedding, they pile up on the skin’s surface and create irritation.

In most cases, psoriasis is characterized by raised areas called plaques on the skin that are typically red, itchy, and can burn or sting. It is a lifelong disease, but it can be managed with the right treatment plan.

There are 5 primary types of psoriasis:

Plaque Psoriasis: This most common type manifests as raised patches of skin called plaques, which are itchy, red, inflamed, and often appear to have silvery scales.

Inverse Psoriasis: Most commonly identified by the lack of scales on the skin that are so common with plaque psoriasis. It is most often found within skin folds.

Guttate Psoriasis: Typically manifests as small red spots, and is frequently found on the arms, legs, chest, stomach, or back.

Pustular Psoriasis: Characterized by pus-filled bumps that are painful and irritated. Most commonly found on the hands and feet, but can appear on any area of the body.

Erythrodermic Psoriasis: Very rarely, individuals with psoriasis may develop redness and excessive shedding of skin layers, which can become severe.

Psoriasis can cause significant discomfort but can be controlled through a skincare routine developed between you and your dermatologist.

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Given the similarities between eczema and psoriasis, as well as the discomfort they each can cause, it’s best to consult your dermatologist for a diagnosis and treatment plan so you can find much-needed relief!

For more information about Optima Dermatology and Medical Aesthetics, and to schedule an appointment, visit OptimaDermatology.com.