Optima Dermatology on New Day Cleveland – Which Online Trends to Include and Which to Skip
When it comes to your skincare routine, it’s important to consult with your dermatologist to understand the right products for your needs. With so much misinformation available online, consulting with an expert will save you time, money and potential skin and health issues. Dr. Gregory Delost of our Mentor, OH location recently sat down with David Moss of New Day Cleveland to talk about which skincare trends we should incorporate into our routine to maintain healthy skin, and which to skip.
Mohs Surgery: A Highly Effective Skin Cancer Treatment
Here’s What You Need to Know About Mohs Micrographic Surgery for Skin Cancer
Mohs surgery is considered to be the most effective technique for treating skin cancer and has been shown to result in cure rates of up to 99% in skin cancer patients. We’re proud to offer this surgery to our patients at two Optima Dermatology locations. If you have been diagnosed with skin cancer, Mohs surgery can be a great option. Providing Mohs surgery uniquely allows Optima Dermatology to deliver a full scope of skin cancer treatment in-house, making the treatment process easier for our patients.
Our board-certified micrographic dermatological surgeons, Dr. Brienne Cressey, who serves patients at our Stratham, NH practice, and Dr. Sherry Yu, who serves patients at our Macedonia, OH practice, have provided answers to the most frequently asked questions our patients have about Mohs surgery. Here’s what you need to know about this skin cancer treatment to help inform you of your options and how this approach can help.
Mohs Micrographic Surgery FAQs
Q: What is Mohs Micrographic Surgery and how does it work?
A: The Mohs procedure involves surgically removing skin cancer layer by layer and examining the tissue under a microscope until healthy, cancer-free tissue around the tumor is reached. This process allows the removal of all cancerous cells for the highest cure rate while sparing healthy tissue and leaving the smallest possible scar.
Mohs micrographic surgery is the gold standard for the treatment of skin cancers on cosmetically sensitive areas such as the face, areas with limited tissue mobility for wound closure like the hands/feet/scalp or shins, and for aggressive or recurrent skin cancers.
Q: When speaking to patients about Mohs surgery, how is the process explained?
In excisions, the tissue is sent to pathology, and slices are reviewed, similar to slices of bread. A larger skin margin is needed since the entire border is not evaluated.
However, Mohs surgery removes and processes skin cancer with a small healthy tissue margin. A helpful comparison is to think of it as a pie crust and pie filling. The pie filling is the tumor and the healthy tissue margin is the pie crust.
We remove a narrow healthy tissue margin around the skin cancer and examine the entire peripheral margin and deep margin (pie crust). If any skin cancer is identified, we take an additional margin of skin in that area. Once the “pie crust” is 100% clear, we know the tumor has been removed. This process provides the highest cure rate.
Q: When would a dermatologist recommend Mohs surgery over other skin cancer treatment options?
Mohs surgery is most often recommended for skin cancers on the face, neck, hands, and feet where it is most important to spare as much normal skin tissue as possible. It is also ideal for situations where tumors may be large, aggressive, or recurrent.
Q: What are the advantages of Mohs surgery for skin cancer removal?
Because the entire skin margin is evaluated, Mohs surgery conserves tissue as it requires a smaller margin of normal tissue compared to standard excisions. There is precise microscopic control of the entire tumor margin and as a result, Mohs surgery is the most highly effective approach to skin cancer treatment.
By maintaining skin tissue, Mohs surgery helps cure patients while protecting the areas of their skin that require treatment.
Q: What can patients expect from Mohs surgery?
Patients should expect to be at our office for several hours on the day of surgery. After surgery, they will go home with a large bandage and likely have some restrictions in activity for several days to several weeks.
Mohs surgery is performed using a local anesthetic to numb the area. We talk to each patient during the procedure so you are aware of what is going on. Once clear skin margins are obtained, the area is often sutured to provide the best cosmetic outcome possible.
Next, we asked each of our Mohs surgeons a little bit about their career paths and backgrounds. Exception patient care is at the core of what we do at Optima Dermatology, and our surgeons are truly experts in their field.
Q: What type of education and training is required to become a Mohs surgeon, and what led you to choose this particular career path?
Dr. Sherry Yu: I earned my medical degree from Case Western Reserve University in Cleveland, Ohio. I completed my residency in dermatology through the Harvard Combined Dermatology Residency Training Program and a fellowship in Mohs micrographic surgery and dermatologic oncology at Yale University School of Medicine.
I have always liked the balance of medicine and surgery in dermatology and, more specifically, Mohs surgery. Additionally, much of my academic research has focused on how medical conditions affect quality of life and how many chronic skin diseases have been shown to have a significant impact on patients.
Dr. Brienne Cressey: I studied Biochemistry and Chemistry at The University of Maine. I then went to Tufts University for medical school where I received my MD and MBA, followed by my internship at Memorial Sloan Kettering Cancer Center and a dermatology residency at New York Presbyterian-Weill Cornell in New York City.
I then continued to be a Dermatologic Oncology Fellow at Dermatology Professionals in Rhode Island, working under Dr. Nathaniel Jellinek to complete my Fellowship in Mohs Micrographic Surgery, facial reconstruction, and lasers and cosmetics.
I have always enjoyed the complexity of dermatology and the procedural aspect of the field. I’m able to combine Mohs surgery with my favorite aspects of medicine to deliver the most impactful and well-rounded patient care.
Q: Do you work with dermatologists outside of Optima Dermatology, and what do those relationships look like?
We do – and we are very grateful for our outside referring dermatologists and their patients. We strive to keep your dermatologist in the loop and will send them information when you have scheduled your appointment and again when you have had your surgery. After surgery, you will return to your dermatologist for regularly scheduled follow-ups.
We work with dermatologists at the VA, other dermatology practices, and primary care practices in the area. Our offices receive biopsy pathologies and referrals. Once this information is received, our team will contact you to review the Mohs procedure, discuss your expectations and concerns, answer any questions, and schedule your appointment.
Optima Dermatology offers Mohs surgery at our Stratham, NH, and Macedonia, OH locations. You can call us at (855) 277- 9689 to learn more!
Optima Dermatology is excited to introduce Trevor Lippincott, MSN, APRN, FNP-C, who will be treating patients in Salem, NH, and Stratham, NH. Trevor offers dermatology treatments to patients of all ages for various skin conditions.
Trevor has been serving patients around New England since 2014 and has trained under many experienced providers, including Optima’s board-certified dermatologists Dr. Ryan Karmouta, Dr. Molly Cowdrey, and Dr. Jennifer Stead.
Trevor completed his Bachelor of Science in Biomedical Science from the University of New Hampshire. After working in the research field, Trevor went on to complete his Accelerated BS in Nursing from Massachusetts College of Pharmacy and Health Sciences University (MCPHS). Trevor continued on to complete his Master of Science in Nursing from Carson-Newman University. Trevor is a member of the American Association of Nurse Practitioners, the Society of Dermatology Nurse Practitioners, and the Dermatology Nurses’ Association.
Adding to Trevor’s experience is the time he spent as a registered nurse in the emergency room, clinical site lead, and certified dermatology technician (CDT).
Blending Expertise, Compassion, and a Personalized Approach
Trevor applies his years of medical and dermatological experience to every patient interaction, delivering the highest level of care and compassion.
His approach to patient care mirrors Optima Dermatology’s overall mission: to treat every patient like they are our family.
We recently had the opportunity to learn more about Trevor, his approach, and the path that led him to become a board-certified nurse practitioner.
Where did you go to college?
I went to the University of New Hampshire for my undergraduate degree in Biomedical Science. After working at a dermatology practice as a scribe and medical assistant for many years, I decided to go back to school to become a registered nurse at MCPHS University. I worked in the emergency room for years and decided to advance my career and become a nurse practitioner, pursuing my Masters at Carson-Newman University.
What made you decide to pursue a career in dermatology? What did the path to get there look like?
After my undergraduate degree, I wasn’t sure what I wanted to do next. I worked in the research field as a research assistant, but I quickly missed interacting with other people. When I was working as a medical assistant and scribe, I appreciated the opportunity to work with patients and immerse myself in the medical field. It didn’t take long for me to fall in love with dermatology. I worked as a scribe and medical assistant for many years before I decided to go on to get my nursing degree.
Going into nursing school I was confident I would want to continue for my NP, but I really wanted to work at the bedside as a nurse first. I loved the fast-paced environment of the emergency department and caring for the sick, emergent critical patients on their worst days. It was a privilege to do for so many years, but it wasn’t my passion.
I have been working in dermatology in some fashion since November 2014, and over time I have deepened my understanding of dermatology through working with many experienced providers. During my time in the emergency room and through NP school, I kept working in dermatology as a nurse. I opened Optima’s Salem, New Hampshire clinic in September 2022, and I have loved watching our team grow! I’m honored to have held so many different roles within dermatology and to now be practicing as an NP.
What are your favorite aspects of dermatology?
I love being able to visualize the skin and provide care to all ages! There are several facets to dermatology, including medical, surgical, and cosmetic. There is so much to learn and a lot of skills to master. Treating chronic conditions can be frustrating for patients but going alongside them and seeing their results is an amazing process to be a part of!
On your journey to becoming a board-certified nurse practitioner, what was the best advice you were given?
Have a goal in mind and continuously remind yourself of it. The healthcare system is full of interdisciplinary members and it’s imperative to work as a team to care for patients. We all bring value and importance to caring for patients.
What is your number one tip when it comes to taking care of your skin?
Protect your skin from sun damage as early as possible! There are so many easy options to minimize sun exposure, including shade, sunscreens, and UPF clothing. Find a sunscreen product that you like, and wear it daily! Make it a part of your daily regimen. Enjoy your life and try to protect your skin along the way.
How would you describe your approach to treating patients?
I like to work alongside my patients. When I see patients in the office I like to ask, “What would make you the most comfortable?” or “What do you think?” I can offer various treatments and other therapies but ultimately it is the patient’s decision. I want to educate and empower my patients with their options to help them feel comfortable in their skin. Whether it is a lesion that concerns them or an extensive rash, I want to come together with my patients and make them as comfortable as possible in their skin and pursue options that best fit their goals.
What do you like to do when you are not in the office?
I love working out, getting fit, and staying active! You’ll find me spending time with my family and friends. I love being at the beach (with lots of sunscreen of course) and adventuring around the fun restaurants and places in New England.
What to Expect From Dermatological Care Delivered by Trevor and His Team
If you’re seeking dermatological care, no matter how routine or complex, Trevor and his team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care.
Optima Dermatology on New Day Cleveland – Hidradenitis Suppurativa
On January 12th, Dr. Gregory Delost from Optima Dermatology’s Mentor location, sat down with New Day Cleveland to discuss the signs, symptoms, and when to seek treatment for hidradenitis suppurativa (HS). Many people have never heard of hidradenitis suppurativa (HS) and end up living with it for years before being properly diagnosed. HS is a skin condition that causes painful lumps deep in your skin and can occur at different levels of severity. Our team at Optima Dermatology is here to help, and our providers will create a treatment plan tailored to your needs!
Derm Deep Dive: Skin Care Trends and Guidelines for 2024
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.
Skin Checks
The most important is to conduct skin checks on yourself once each month to make sure you’re aware of any new or changing areas on your skin. I tell patients to follow the “ABCDs” for a skin check:
Asymmetry: Spots on the skin should appear symmetrical (i.e. even on both sides) rather than asymmetrical (i.e. uneven on one side).
Borders: The borders around any spots or areas on your skin should be smooth as opposed to jagged or uneven.
Changing:Have any areas of your skin changed over time or since you last conducted a skin check?
Different:Are any areas of your skin different in appearance, i.e. new spots, discoloration, or lesions? Lesions can be an indication of skin cancer, so it’s especially important to see a dermatologist if you notice pigmented, brown, red, crusting or non-healing lesions.
While it’s excellent to conduct monthly self-exams on your skin to be aware of any abnormalities that fit into the above ABCD categories, I also recommend getting an annual skin check by a board-certified dermatologist. Skin cancer rates are rising in Maine at a higher level than in other parts of the country, and the best prevention is awareness and early diagnosis.
Sun Protection
Here at Optima Dermatology, we can’t say this enough – sun protection is a must, even on overcast days and during the winter months. Sunscreen and other skin protection measures will never go out of style, and is something you should follow daily.
I recommend using a daily moisturizer with an SPF of at least 30, and using a sunscreen with an SPF of 50 or higher when you’re going to be outside for any extended period. And don’t forget to reapply!
Maine has so many wonderful ways to spend time outdoors, whether on the beaches or in the mountains, and I encourage my patients to enjoy being outside as much as possible but to always remember to protect their skin from the sun at the same time.
Moisturizing
Maine (and the rest of New England) is known for its cold and sometimes harsh winters, so regularly moisturizing your skin in the winter months is incredibly important to combat dry skin and protect it from the elements.
I recommend moisturizing all year long, as hot weather can also cause dry skin and our skin naturally reacts to a lack of moisture by producing oil. A regular, light moisturizer can make the difference between dry, itchy, red, or flaky skin and healthy, soft skin that can handle the elements, whatever they might be.
There are also two new trends that you may consider exploring in 2024.
Slugging
Named with the slimy insect in mind, the practice of slugging is covering your skin in Vaseline or petroleum jelly before bed to help moisturize your skin while you sleep.
I recommend using a thin layer if you choose to follow this trend, and I also recommend skipping your other skin care regimens on nights you are slugging because petroleum jelly on the skin can make those products more potent and can lead to irritation.
Skin Cycling
This trend is something a lot of dermatologists promote, including the American Academy of Dermatology. Skin cycling is when you turn your skin care regimen into a four-night cycle that looks something like this:
Night 1: Exfoliation
Night 2: Apply a retinoid, either over-the-counter or prescription
Night 3: Moisturize
Night 4: Moisturize
The idea behind skin cycling is to vary your regimen so you’re adequately spacing out exfoliation and moisturization to result in a healthier approach to your skin care. You shouldn’t be exfoliating every night, but when balanced with other skin care practices, it is an effective treatment that helps promote healthy, glowing skin.
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.
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.
Brienne Cressey Brings Mohs Micrographic Surgery Expertise to Optima Dermatology
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.
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.
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.
Optima Dermatology on New Day Cleveland – Skin Cancer
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:
What triggers seem to cause Rosacea flare-ups
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.
Meet Optima Dermatology’s Newest Skin Care Specialists in Maine
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.
Here is what we learned about Renita:
How and when did you know you wanted to work in dermatology and skin care? Were you always interested? What was your path to get where you are now?
Before accepting my position at Optima Dermatology, I had a conversation with my daughter Shannon in which I said that I would love to work in a cosmetic clinic. Within a year of that conversation, Optima reached out to me through LinkedIn and I knew it was a sign that I should be here!
What is your number one tip when it comes to taking care of your skin?
Use sunscreen with moisturizer.
What do you enjoy most about treating your patients and how would you describe your approach as a provider?
Depending on what the patient is looking for, it’s nice to see an instant transformation and how excited and happy they get!
Who is a good fit for a HydraFacial® treatment? What would you tell your patients to expect?
Anyone is a good candidate! The HydraFacial® is wonderful for a deep clean and to hydrate the skin. When the treatment is done your face will have a beautiful glow!
If there is one thing you want your patients to know about you, what would it be?
I’m a great listener! Tell me where your trouble areas are and what you’re expecting from the treatment.
What do you like to do when you are not in the office?
I enjoy spending time with my family and friends.
Here is what we learned about Taylor:
How and when did you know you wanted to work in dermatology and skin care? Were you always interested? What was your path to get where you are now?
I knew that I wanted to work in Dermatology for at least the past five years. I’ve always empathized with patients struggling with acne, as I personally have struggled with acne in my teens and twenties. In 2020, I decided to go back to school and become an Esthetician so that I could provide treatment to patients with both medical and cosmetic skin care needs.
What is your number one tip when it comes to taking care of your skin?
Out of all the many products out there in the market, my number one tip is ALWAYS WEAR SUNSCREEN. Which sunscreens are the best ones? The ones that you will wear; I have sunscreen in my daily moisturizer and in my makeup. I also love sun-protective clothing and wide-brim hats as well, especially if I’m going to the beach or on a hike.
What do you enjoy most about treating your patients and how would you describe your approach as a provider?
The part that I enjoy most about treating patients is to really listen to what is bothersome to them and to help them reach their treatment goal, whatever the case may be.
Who is a good fit for SkinPen® microneedling? What would you tell your patients to expect from the treatment?
SkinPen® is a great treatment for patients who have acne scarring, fine lines, and even some hyperpigmentation. I would tell patients to expect their skin to be quite red and inflamed for the first 24-48 hours post-treatment. We highly encourage patients to avoid the sun and to wear sunscreen for the first week after treatment. It takes about a week to fully heal, but patients will continue to see the results of the collagen and elastic production for weeks after the treatment!
What do you like to do when you are not in the office?
When I’m not in the office I enjoy spending quality time with my husband and our two cats; Bandit and Dot. I also enjoy exploring all the great outdoor places that Maine has to offer!
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.
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.
During Healthy Skin Month, Learn Skin Care Tips for the Whole Year
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.”
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!
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.
