May is National Skin Cancer Awareness Month, and Dr. Gregory Delost of our Mentor, Ohio location sat down with David Moss of New Day Cleveland to share information on the importance of early detection, prevention, and practicing safe sun. Check out the full interview to learn more about annual full body skin exams and practicing sun safety as we head into the summer.
Skin cancer prevention should be top-of-mind year-round, but during the month of May, which is Skin Cancer Awareness Month, we put extra emphasis on the importance of prevention, early detection, and treatment.
We all may be aware of skin cancer, but it’s the preventive steps that are critical to helping minimize your chances of getting skin cancer. One of the most important prevention methods is actually quite simple – properly protecting your skin from the sun’s harmful rays.
9,500 people in the U.S. are estimated to be diagnosed with skin cancer every day. Skin cancer is the most common cancer in the U.S., and rates are only increasing, especially among women and individuals under the age of 40.
Repeated exposure to the sun’s UV rays impact the skin and its connective tissue over time, heightening the potential for skin issues like sun spots and wrinkles and lines. However, extended sun exposure can also damage the DNA within your skin cells, causing those cells to grow and divide rapidly. This growth can create a buildup of extra cells that become tumors, which can be cancerous.
3 million Americans are diagnosed each year with nonmelanoma skin cancer. This type of cancer is the most common and includes basal cell carcinoma and squamous cell carcinoma.
1 in 5 Americans will develop skin cancer during their lifetime. Anyone at any age can be diagnosed with skin cancer and should take precautions to prevent or identify skin cancer.
Early detection is key, but just as important is prevention.
If you’ve ever had a sunburn, you know the more immediate consequences of failing to properly protect your skin from the sun. But even if you don’t end up with a sunburn, the sun is still causing incremental skin damage over time. If you go out in the sun every day for 5 years, but only use sunscreen once in a while, all of those unprotected exposures can impact the skin over that time.
The reality is, you don’t have to be on a beach to need sunscreen. Our skin is exposed to the sun all year long, especially the face, and should always be protected.
Meredith Reimer, MD (Macedonia, OH) – EltaMD® sunscreens and COLORESCIENCE® Sunforgettable Brush
I love EltaMD® sunscreens and the COLORESCIENCE® Sunforgettable Brush. I tell patients the best sunscreen is one that you like (or love) and that’s easy to wear so you can wear it everyday!”
Holly Morris, MSHS, PA-C (Scarborough, ME) – Revision® Intellishade® Clear
Sunscreen is important year-round, and Revision® Intellishade® Clear has antiaging and sunscreen benefits all in one. You get the protection of a sunscreen with the feel of a medical-grade moisturizer!
Brennen Barnett, MS, MSPAS, PA-C (Macedonia, OH) – Coolibar®
I always like Coolibar® products. Their clothing items make UV protection easy during the day!
Amy Polster, MD (Macedonia, OH) – Solumbra® and Coolibar®
Sun protective clothing and hats are very helpful for sun protection. There are lots of reliable brands nowadays such as Solumbra® and Coolibar®.
Shelley Plescia (Macedonia, OH) – EltaMD® UV Glow, EltaMD® UV Restore & COLORESCIENCE® Sunforgettable Brush
I love EltaMD® UV Glow and EltaMD® UV Restore since they contain physical ingredients. COLORESCIENCE® Sunforgettable Brush is another favorite because it is mineral based, contains physical ingredients and water resistant for 80 minutes!
Our dermatologists and providers also have a few tips to help you master your sunscreen regimen and protect your skin from sun damage.
It’s never too late to start focusing on daily sun protection and skin cancer prevention, but if you have concerns about your skin from previous sun exposures, the best thing to do is meet with your local dermatologist for a skin check and to discuss any concerns you may have.
Think of Every Month As Skin Cancer Awareness Month
When it comes to skin cancer, awareness is crucial as it fosters preventive habits and early detection, enhancing the success rates for treatment. Schedule an appointment at Optima Dermatology in Macedonia, OH, or in Scarborough, ME for a skin check, to address your questions and concerns, and to embark on a healthier approach to skin care!
On April 12, 2023 our wonderful team of Dermatologists and Providers in Mentor, Ohio hosted their first Cosmetic Open House. The event offered exclusive special offers on medical aesthetic treatments, raffles, giveaways, music, food and refreshments!
Additionally, attendees had the opportunity to consult with our expert providers to learn more about the many devices and treatments offered at Optima Dermatology.
We were thrilled with such a successful turnout, and the team enjoyed having the opportunity to meet and get to know all who joined us! A special shout out to DJ Nicnac, Lashon’s Catering and Event Level Events, and all of our hard working Mentor team members for making this event such a success. We look forward to more in the future!
Warm summer days are right around the corner! If you’re looking for overall skin rejuvenation, body contouring, laser hair removal, or a solution for excessive sweating we’re here to help!
At Optima Dermatology & Medical Aesthetics, we offer a comprehensive range of the most effective treatment options designed to achieve measurable results.
We recently had the chance to talk with our expert Medical Aesthetics Provider, Amanda Holesko, MSN, FNP-C, at the Mentor, OH location, about her 4 favorite cosmetic treatments to get ‘summer ready’.
Let us take shaving off your hands. Forever Bare BBL® delivers safe doses of energy, heat, and light to target the hair follicle and cause permanent hair removal in the area(s) treated. We can treat any area of unwanted hair growth – most commonly treating the upper lip, underarms, bikini line, and legs. Depending on the color and thickness of the hair, multiple treatments may be needed for complete hair removal. Each session will lighten and thin the hair, until ultimately the hair is completely gone. Most patients describe this procedure as ‘easy’ and rate the pain about 1-2/10 on the pain scale. Pricing for this treatment depends on area(s) treated. Patients receive a 10% discount when purchasing a package of 3 treatments.
You’ve been working on your ‘summer body’ all winter but you still have a few stubborn areas of fat – now it’s time for CoolSculpting®. CoolSculpting® uses a technology called ‘Cryolipolysis’ to permanently freeze off stubborn fat in areas such as the double chin, love handles, back rolls, and stubborn abdominal fat. Other areas of treatment include the arms, inner and outer thighs, bra fat, and ‘banana roll’ underneath the buttocks.
This treatment can be done every 4 weeks and typically requires 2 treatments for good results. Pain is very minimal for this treatment as the machine cools the area of treatment to numbing.
Post-treatment soreness may occur, however, it has also been described as minimal and rated about 2/10 on the pain scale. For the month of April, we are offering a ‘Buy 4 Get 4’ special! If you purchase 4 treatments of CoolSculpting® (which could mean 2 back rolls and 2 love handles) you will receive 4 more treatments for free!
Sculptra® is one of my personal favorite products we currently have on the market. This treatment is a safe and effective alternative to surgical Brazilian Butt Lift and works as a collagen stimulator to increase volume in the area(s) treated.
Sculptra® is commonly injected into the cheeks, temples, and jawline to build collagen and restore lost volume. Just like it works in the face, it also works in the buttocks to build volume and create lift and shape. This treatment can also minimize the appearance of stretch marks and cellulite in the treated area.
Sculptra® injections are extremely safe and require NO downtime, making it an amazing alternative to surgery. Injections can be done in the office after topical numbing cream is applied. Patients will typically rate the pain about 4/10 for this procedure and report mild bruising to the treatment area after. Results can be seen as soon as 4 weeks after treatment and continue to improve over the next 6 months.
Once the volume desired is achieved, results can last up to 5 years. Pricing for this treatment depends on the size of the treatment area and the overall patient goal. Typically, 3-5 vials are used per side and patients receive discounts of up to $120 off per vial!
If you are someone who avoids t-shirts in the summer because of obvious armpit sweating, this treatment might be for you. Botox® (or Dysport®) can be injected into the underarms to block the signals that tell your body to sweat. Results are typically seen in 2 weeks and last about 6 months!
The treatment is quick, safe, and effective. We typically use about 100 units of Botox® or 300 units of Dysport® with a dilution specific to use on the body. For this treatment, patients receive a discount of $4 off per Botox® unit!
We look forward to seeing you for a consultation on these summer treatments!
Request an appointment and schedule your consultation with one of our highly trained and specialized medical aesthetic providers near you to learn more and develop your custom treatment plan for getting ready for summer! Alternatively, you can meet with Amanda Holesko, MSN, FNP-C, who serves the Greater Cleveland area.
Board-Certified Dermatologist, Todd Troxell, DO, FAOCD, joins our newest practice in Bloomington, IN to provide medical, surgical, and cosmetic dermatology services. Since 2018, Dr. Troxell has been treating patients aged one year and older for a range of skin conditions.
Dr. Troxell earned his Doctor of Osteopathic Medicine degree and completed his Fellowship in Medical Education at A.T. Still University. He then completed his dermatology residency at Northeast Regional Medical Center in Kirksville, MO, and his internship training at Beaumont Hospital in Trenton, MI. Dr. Troxell currently serves on the Board of Directors of the Kirksville Osteopathic Alumni Association.
In 2017, Dr. Troxell was awarded the Platinum TOUCH community service award, as well as the Student Doctor of the Year award. He has also peer-reviewed numerous dermatology articles and abstracts. Dr. Troxell offers a variety of medical, surgical, and cosmetic dermatology treatments for patients of all ages, including general dermatology such as skin cancer, eczema, acne, psoriasis, and others, as well as medical aesthetic services, including neurotoxin injections (such as Botox®).
Dr. Troxell not only delivers compassionate and expert patient care, but he is also committed to giving back to the community through his work.
As a medical student, Dr. Troxell founded the Still Caring Health Connection Clinic, a free clinic for the underserved run by fellow medical students.
Over the last decade, Dr. Troxell has embarked on several international medical outreach trips that brought him to Honduras, Vietnam, Nicaragua, and Haiti. A man of many talents, he also holds a first-degree black belt in Kenpo Karate and is certified in scuba diving search and rescue by the Professional Association of Diving Instructors.
We recently had the opportunity to learn more about Dr. Todd Troxell, his approach, and the path that led him to pursue becoming a board-certified dermatologist.
I completed my undergraduate degree at the University of Cincinnati. During undergrad, I headed the Forensic Psychology Lab, volunteered at Children’s Hospital, and studied abroad in Nantes, France.
Dermatology excites me because it is mainly visual (diagnosing) and hands-on (surgical). Additionally, throughout many international medical trips, I witnessed firsthand the overwhelming need for dermatology services worldwide. I saw a unique opportunity, through dermatology, to positively impact community health in underserved areas within the US and internationally.
Protect yourself from the sun and moisturize daily.
I enjoy meeting a wide variety of people and working with them to improve their health and self-esteem.
Teamwork. We make the most progress by working together. Any doctor can find sickness, but it takes the patient and doctor working together, as a team, to maximize health.
I will listen to you and treat you the same as I would my family.
I enjoy getting out in nature and being active. For me, nature is grounding and inspiring.
If you’re seeking medical or surgical dermatological care, Dr. Troxell and his team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
View a complete list of our dermatology services and give us a call at 812-226-8315 to schedule an appointment today! Dr. Troxell is accepting new patients at the Bloomington, IN location.
In 2019, roughly 10% of those seeking non-surgical aesthetic procedures were males. There is also a robust interest in male cosmetics in the millennial generation, which will only increase as they continue to age. Until recently, the rate-limiting factor was probably lack of education, but now, even males are becoming more and more educated about cosmetics. From our Mentor, OH practice, we recently spoke with Dr. Gregory Delost and Medical Aesthetics Provider, Amanda Holesko, MSN, FNP-C to learn more about cosmetic treatment options for men.
“Everyone tells me that I look tired.” One study found that men appear about one-third year older than their age, compared to females who were found to be about half a year younger. However, men typically do not pursue cosmetics to try to look younger and chase the fountain of youth. Rather, men are just happy to look their age, looking refreshed after a good night of sleep.
The top three areas that men are most concerned about are the hairline, jawline, and eyes. Specifically, men tend to care more about crow’s feet, tear troughs, double chin, and forehead lines. Compare that to women who are more concerned about cheeks, nasolabial folds, and lips.
Men tend to have a square facial shape with a prominent brow compared to females who tend to have more of a heart or triangular shape. These traditional anatomical differences can help explain why men are concerned about their eyes, hairline, and jawline whereas females are more motivated to treat their midface to maintain the heart shape.
Men are less likely to ask questions and they also hate surprises, so it is really important to spend the extra time to create realistic expectations and foster trust and comfort.
Hair loss continues to be the number one cosmetic concern for the aging male. After underlying medical conditions that can cause hair loss are ruled out, there are many treatment options including topical and oral medications, supplements, Keravive exfoliation treatments, and platelet rich plasma (PRP) injections that can improve the hairline.
We like to think of Brotox as a customized protocol of using neuromodulators (like Botox) to treat wrinkles for men. It is important to explain that neuromodulates only treat the “dynamic” wrinkles that occur with movement of the muscles of facial expression and not the “static” wrinkles present at rest.
As men start to slowly age in their early thirties, a good time to start prophylactically would be the late twenties before the static wrinkles start to form.
It is important to find a provider who is educated on the anatomical differences between men and women. It should be understood that men often require higher dose of neuromodulators and different injection patterns compared to females. Injection pattern matters because it could be the difference in creating an arched eyebrow, which is desirable in women versus a flatter, more desirable eyebrow in men. Finally, men should understand that the treatment typically lasts 3-4 months.
Aging is a multifactorial process that is seen in various different areas of the fat. Due to a decrease in skin elasticity, fat pad redistribution, and bone resorption we begin to lose the definition in our facial features. Specifically to the jawline, the mandibular angle changes due to sagging skin and loss of bone density in that area. Treatment options include dermal filler (such as Juvederm Volux or Restylane Lyft) to create jawline definition, injectable fat dissolving agents (such as Kybella) to get rid of that stubborn double chin, and cryotherapy (such as CoolSculpting) to freeze away jowls.
No! Dermal fillers when used in a gender appropriate fashion can be quite effective in treating areas that men hope to fix. Brotox is helpful with forehead and crows feet lines, but the additional of dermal fillers to places such as the tear troughs can be the final touch needed to combat the ‘tired look’. Placing filler into a male chin can give a stronger, square jawline to define the transition from chin to neck.
Cosmeceuticals are topical products that have bioactive ingredients, such as antioxidants, sunscreens, and other anti-aging molecules, that have both cosmetic and therapeutic effects. Studies show that men are open to using them and it turns out that they may need them more than women.
Earlier, we learned that men typically age worse than women. This may be due to the observation that men are more likely to smoke and less likely to wear sunscreen. Another recent study suggested that men may have a decreased antioxidant capacity. Even scarier, a more recent study indicated that men have a worse prognosis when diagnosed with melanoma compared to females.
Cosmeceuticals which can contain sunscreens and antioxidants like Vitamin C can be helpful to address these concerns. If a man isn’t willing to wear sunscreen, he is setting the treatment plan up for failure and I would be hesitant in recommending additional cosmetic treatments that could waste his money.
While we can treat and correct concern areas such as forehead lines and lack of jawline definition – these in office treatments should be viewed as the ‘work out’ and the cosmeceutical use at home can be viewed as the ‘diet’. You will not have your best results if you are only focusing on one or the other.
CoolSculpting has emerged as a popular and effective treatment to target the stubborn fat that won’t go away with healthy diet and exercise in relatively fit patients, involving the neck, abdomen, flank (‘love handles’), and back. The treatment works by cryolipolysis, which is the freezing of body fat to break down fat cells, resulting in a reduction of body fat without damage to other tissues. The procedure is well-tolerated as it is quick, non-invasive, relatively painless, and there is no down time. After you have completed your series (at least 2 sessions), the results seen are permanent – meaning the fat in the areas treated will not return.
At Optima, we have the CoolSculpting Elite machine – which uses the most recent, up to date technology and has the capability to treat two areas at one time, cutting overall treatment time in half.
Cost is probably the biggest factor for both men and women. However, men specifically are afraid of potential side effects and not looking natural. Most of the fears can be dispelled with extra time spent educating during the initial consultation.
Request an appointment to schedule your consultation with one of our highly trained and specialized medical aesthetic providers to learn more and develop your custom treatment plan. Choose from experts like Dr. Gregory Delost or Amanda Holesko, MSN, FNP-C, both of whom serve the Greater Cleveland area, and take the first step towards exceptional care by booking your appointment today.
By Jonathan Phelps Union Leader Staff Mar 11, 2023 Updated Mar 12, 2023
New Hampshire’s rates of skin cancer are well above the national average, and the co-founder of ConvenientMD urgent care hopes to increase access to the care needed to help prevent it.
Max Puyanic partnered with Ben Collins, who served as chief growth officer at ConvenientMD, to open Optima Dermatology & Medical Aesthetics, which has been in the works since both left the company in 2020 to find solutions for shortages in dermatologists. More providers are retiring than graduating from residency programs.
“You have to wait longer to see a dermatologist than any other type of specialist,” Puyanic said. And the wait times continue to worsen.
Learn more about how Optima Dermatology & Medical Aesthetics is addressing New Hampshire’s high skin cancer rates and bridging the gap in dermatological care. Visit us to understand our mission and services. Visit us at one of our New Hampshire locations if you have any concerns.
If you’ve been diagnosed with eczema, were you also told which of the types of eczema you have? Dr. Karmouta, MD, MBA, serving practices in both Salem and Stratham, NH, will provide you with comprehensive insights into the condition.
The word eczema can be used as a generic type of skin rash. There are actually multiple different types of eczema, and it’s important to know which type you have because they all have different symptoms, characteristics, and different approaches to treatment and management.
Starting With the Basics: What is Eczema?
Eczema is a very common, non-contagious skin condition that causes dry, itchy, red, and often bumpy patches on the skin. It can be quite uncomfortable but is manageable with the right treatment.
Eczema, which is a type of dermatitis, is actually the name for a group of different conditions, and each manifest differently and can require different treatments. Eczema causes the skin to lose its ability to act as a barrier, which initiates an inflammatory response. Without the barrier function, your skin is left open to irritation, dryness, or infection.
What Are the Most Common Types of Eczema?
Because all dermatologists at Optima Dermatology are board-certified and committed to your care and best course of treatment, we won’t just diagnose you with eczema; we will tell you the specific type of eczema you have. Eczema manifests in different ways, and depending on which type you have, the best treatment for eczema can vary.
Atopic Dermatitis (AD)
Atopic Dermatitis begins with itchy skin that forms a rash. It affects infants, children, and adults. In adults, AD often manifests on the hands or eyes as dry, scaly, or patchy areas. Common symptoms include itching, and raw, bleeding, or oozing skin.
Contact Dermatitis
Caused by an irritant that comes in contact with your skin and triggers an itchy, rashy reaction. In some cases, the cause is as simple as the laundry detergent you’re using, but it can also be more difficult to know what you are coming in contact with that is irritating your skin.
Dyshidrotic Eczema
Also called pompholyx, this type of eczema causes tiny, highly itchy blisters on the hands and feet and can become chronic. The most effective treatment is identifying the allergen that is triggering the blisters.
Hand Eczema
Deep, painful cracks on the hands accompanied by excessively dry or chapped skin. It can lead to painful, bleeding blisters that are uncomfortable and hard to manage, and traditional hand creams and moisturizers do little to relieve the symptoms.
Neurodermatitis
Highly common among adults and tends to affect only one or two patches on the body, as opposed to other types of eczema that affect multiple areas at once. The cause of Neurodermatitis is unknown, but treatments are highly effective.
Nummular Eczema
Typically brought on by extremely dry skin, Nummular Eczema manifests as itchy, red bumps and can look similar to Atopic Dermatitis and Ringworm. Moisturizing treatments are the most helpful for preventing Nummular Eczema.
Stasis Dermatitis
Primarily affects the lower legs and feet, causing inflammation, swelling, itchiness, scaling, and hyperpigmentation. In some cases, ulceration occurs. Stasis Dermatitis is caused by chronic edema or swelling, and treatment is highly focused on a self-care routine.
Atopic dermatitis (AD) is the most common type of eczema, affecting about 16.6 million U.S. adults, according to the National Eczema Foundation.
Contact dermatitis is also quite common, affecting about 1 in 5 people simply because it’s brought on by contact with an irritant. Think of how many potential irritants and allergens your skin comes in contact with on a daily basis. From a necklace chain to body wash, there is a high likelihood that something will cause a contact dermatitis reaction on your skin in your lifetime.
Although there are several different types of eczema, they are all treatable using a combination of medicated solutions and self-directed care, such as avoiding allergens and triggers.
Everyone is different, and eczema can affect different people in different ways, and with varying levels of severity. Only by working with your board-certified dermatologist can you identify a treatment plan that will appropriately address your specific type of eczema and symptoms.
We recommend that anyone who is suffering from symptoms that appear to be eczema should seek medical treatment from a board-certified dermatologist. Even if the condition turns out to be another, similar, skin issue such as psoriasis, a medical examination is important to diagnosis and proper treatment.
Being seen by a dermatologist is also the best way to find out which type of eczema you have and begin the most appropriate treatment and management plan.
Even if your eczema symptoms aren’t disrupting your daily life or terribly bothersome, you can prevent worsening of symptoms by treating it as soon as possible. We are here to help!
Eczema can affect everyone differently, but all types of eczema are treatable using a combination of medicated treatment and self-directed care, such as adopting a healthy skincare routine and identifying and avoiding allergens and triggers.
Your first step in treating and managing eczema should be visiting your board-certified dermatologist to identify which type of eczema you have so you can become informed about how to keep it under control.
Request an appointment to discuss the best treatment plan for your eczema.
Board-Certified nurse practitioner, Amanda Holesko, MSN, FNP-C, has joined the Optima Dermatology Mentor, OH practice, bringing more than 10 years of healthcare experience.
Amanda has been providing medical aesthetics care to patients in the Cleveland area since 2020, and is an expert injector specializing in Botox®, Dysport®, and dermal fillers, including Restylane®, Juvéderm® and Sculptra®. Additionally, she has advanced training in laser and light treatments, microneedling, PRP, CoolSculpting®, Kybella® and HydraFacial® treatments.
After earning her Bachelor of Science in Nursing at Kent State University, Amanda went on to receive her Master of Science in Nursing from the University of Cincinnati. She previously worked as a registered nurse in a level 3 trauma center before transitioning to medical aesthetics. She now also serves as a clinical instructor for nurse practitioner students at Walsh University.
Amanda is committing to building great relationships with her patients, an approach that is aligned with Optima Dermatology’s mission to treat every patient the way we would want our friends and family to be treated. Amanda takes a unique “panfacial” treatment approach with her patients in which she considers the entire face into consideration and what aging aspects are causing the specific area of concern.
We recently had the opportunity to learn more about Amanda, her approach, and the path that led her to pursue a career as a board-certified nurse practitioner.
How and when did you know you wanted to be a Nurse Practitioner? Were you always interested in aesthetics, and what was your path to get where you are now?
I began my career as a nurse with a focus in intensive care. I spent time in a cardiac/stroke step-down ICU, then moved into emergency medicine. I spent several years working in the emergency department and learned to love the process of quickly assessing, diagnosing, and treating patients of all ages. While I enjoyed my time in the emergency room, I found myself wishing for more followup with the patients I was treating. I wanted to follow them along their journey from the beginning. At that time, I decided to return to school and become a nurse practitioner with the intent to build my practice and develop a regular patient clientele that I would be able to create long lasting relationships with. It was not until after graduation that I decided to go into aesthetics. I loved the idea of a field of medicine as individualized and personal as aesthetics that allowed me to utilize both my clinical expertise as well as my creative and artistic abilities. What I’ve found after spending years in the aesthetics field is that I can build long lasting relationships with patients and watch them become more confident and empowered in their everyday lives.
What is your number one tip when it comes to taking care of your skin?
Don’t skimp on your skincare. Invest in medical-grade skincare that has studies and clinical research to support what the product is claiming to do. Consult with your provider, set up an individualized skincare regimen, and stick to it. You’ll thank me later!
What do you enjoy most about treating your aesthetic patients and what is unique about your approach?
The moment I love most about treating my patients is when I hand them the mirror to see the results of the treatment when we are finished. The immediate glow and confidence boost seen on my patients’ faces is so rewarding and gives me a great feeling of accomplishment. I have a ‘panfacial’ approach which is part of what makes me unique as a provider. I do not like to address specific lines or targeted areas on the face but take the entire face into consideration and what aging processes are causing the specific concern my patient is bringing to me. I have a goal to have my patients look as natural as possible and set up individualized plans for each and every patient I see.
For someone who is interested in, but new to medical aesthetic treatments, how do you recommend they get started?
I would recommend beginning with a full face consultation. During these consultations I like to have the patient identify three main areas of concern (ex: sun spots, forehead lines, and sagging skin) and identify treatment options that will best meet their needs.
Where are the most common areas you treat with dermal filler?
Dermal filler can be used to treat several areas on the face. The most common areas I typically place filler would be the midface, the lips, and the chin. Pairing these three areas of treatment together gives the patient a youthful, natural, refreshed look.
If there is one thing you want your patients to know about you, what would it be?
My goal and what keeps me happy in my profession is the relationships I build with my patients. I treat each and every patient like I would my own family and truly only have your best interest in mind. My consultations are ‘pressure-free’ and I will always listen to you and develop a plan that meets your needs.
What do you like to do when you are not in the office?
Outside of the office, I am a wife to an amazing husband named Ryan and a mom to a sweet baby boy named Carter. We also have a dog and two cats! We love to spend as much time as we can outside riding bikes, taking walks, or going camping! When I do have time to myself, I enjoy yoga, reading, and binge watching a good Netflix series.
If you’re seeking medical aesthetic services, Amanda and her expert team at Optima Dermatology in Mentor, OH, proudly cater to the Cleveland area and have advanced training and experience to ensure the highest quality of care.
View a complete list of our medical aesthetics services, and come in for a visit to learn more about our approach to patient care. Amanda is accepting new patients at our Mentor, OH location. Give us a call at 440-557-2005 to schedule an appointment today!
Board-Certified Dermatologist Molly C.E. Cowdrey, MD, FAAD, is joining Optima Dermatology’s newest practice in Bedford, NH to provide medical, surgical, and cosmetic dermatology services to patients in the Manchester areas.
Dr. Cowdrey has been serving patients in New England including Boston and New York City since 2018 and is committed to delivering an exceptional patient experience.
Dr. Cowdrey completed her medicine internship and dermatology residency at Dartmouth-Hitchcock Medical Center where she served as Chief Resident. Following residency, she was appointed director of the Allergic Contact Dermatitis and Patch Testing Clinic at Beth Israel-Lahey Health. During this time, she was a preceptor for dermatology residents from Harvard University-Massachusetts General Hospital and medical students from Tufts University. She completed medical school at the University at Buffalo School of Medicine in New York, and graduated summa cum laude from the University of Colorado with a double major in integrative physiology and molecular biology.
Dr. Cowdrey is a Fellow of the American Academy of Dermatology, a member of the American Contact Dermatitis Society and has been published in a variety of peer-reviewed dermatology journals including Journal of Cutaneous Pathology and Cutis.
Dr. Cowdrey’s approach to patient care reflects Optima Dermatology’s commitment to treating every patient the way we would want our friends and family to be treated. She is dedicated to providing a comprehensive and personalized experience for each patient.
Dr. Cowdrey offers a variety of medical, surgical, and cosmetic dermatology treatments for patients of all ages, including general dermatology such as skin cancer, eczema, acne, psoriasis, and others, as well as medical aesthetic services, including neurotoxin injections (such as Botox® and Dysport®), fillers, laser treatments and more.
We recently had the opportunity to learn more about Dr. Cowdrey, her approach, and the path that led her to pursue a career as a board-certified dermatologist.
Where did you go to college?
The University of Colorado at Boulder.
What made you decide to pursue a career in dermatology?
After college, I worked in New York City as a dermatology medical assistant and loved it! This was my first exposure to the field of dermatology, and it sparked my interest in medicine. Coincidentally, also during my time in New York, I developed contact allergies and underwent extended patch testing. I was grateful for the specialists who solved the mystery and significantly improved my quality of life. Collectively, these experiences inspired me to attend medical school and solidified my specific passion for dermatology.
What is your number one tip when it comes to taking care of your skin?
Always, always wear sunscreen! Rain, shine, snow, clouds, in cars, indoors, and outdoors. Pick a moisturizer with SPF 30 or higher and apply it to your face, ears, neck, and the backs of your hands EVERY DAY.
What is your favorite aspect of being a dermatologist?
I love the variety in dermatology. I interact with patients of all ages and see a range of conditions from skin cancer, and acne, to preventive care, surgery, cosmetics, and more. The days are never boring!
How would you describe your approach to treating patients?
My approach to dermatologic care involves attentively listening to patients and tailoring treatment plans to meet their individual needs and goals. I really enjoy connecting with patients on a deeper level, sharing in the joy of their successes, hearing their stories, and learning about them as a person.
What is one thing you want your patients to know about you?
I feel a deep connection to my patients because of the care I received as a dermatology patient. I understand what it’s like to have a skin condition that requires advanced diagnosis and specialized treatment. I draw upon this experience when evaluating patients and designing individualized care plans to meet their goals.
What do you like to do when you are not in the office treating patients?
I always enjoy reading a good book, antiquing, exercising, and taking in the natural beauty and ample history all around us in New Hampshire! Most recently, I have really enjoyed doing home projects and renovations with my husband, Tom.
If you’re seeking medical, surgical or cosmetic dermatological care, Dr. Cowdrey and her team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
View a complete list of our dermatology services, and come in to learn more about our approach to patient care. Dr. Cowdrey is accepting new patients at our Bedford, NH location. Give us a call at 855-277-9689 to schedule an appointment today!
Board-Certified Physician Assistant Brennen Barnett, MS, MSPAS, PA-C has joined Optima Dermatology’s Macedonia, OH practice, offering a wide range of medical dermatology services to patients of all ages.
Brennen has been serving patients in the greater Cleveland area since 2019 and is committed to delivering an exceptional patient experience.
After graduating from Bethel College in Indiana with a Bachelor of Science degree in Cell and Molecular Biology, Brennen earned a Master of Science in Medical and Experimental Pathology from Case Western Reserve University and a Master of Science in Physician Assistant Studies from the University of Mount Union.
Brennen’s approach to patient care reflects Optima Dermatology’s commitment to treating every patient the way we would want our friends and family to be treated. She is dedicated to providing a comprehensive and personalized experience for each patient.
Brennen provides expert medical dermatology services for patients of all ages, including general dermatology and skin cancer treatment.
We recently had the opportunity to learn more about Brennen, her approach, and the path that led her to pursue a career as a board-certified dermatologist.
Where did you go to college?
I attended Bethel College (now University) in Indiana for my undergraduate degrees, then went to Case Western Reserve University for my first master’s, and finally, I attended the University of Mount Union’s PA program.
What made you decide to pursue a career in dermatology? What did the path to get there look like?
In dermatology, you need to be able to play detective and investigate the problem with the patient, which I really enjoy. I also enjoy the hands-on component of dermatological procedures such as biopsies and excisions. My dermatology training after school took place at Cleveland Clinic where I worked with amazing PAs and physicians who helped me develop a deeper understanding of the specialty.
On your journey to becoming a board-certified physician assistant, what was the best advice you were given?
Going into PA school, I was pretty confident I wanted to work in dermatology, but my professors were vocal about the importance of being open to working in any specialty. Learning about many of the specialties made me realize there are a lot of crossovers between them and it’s important to know medicine outside of your own specialty to better help your patients.
What is your number one tip for taking care of your skin?
Always prioritize sun protection.
What is your favorite aspect of dermatology?
I enjoy the relationship I develop with my patients. It’s great to see someone long-term and see how they improve.
How would you describe your approach to treating patients?
I like the visit to feel like a conversation rather than a one size fits all approach. It’s important to consider things like a patient’s lifestyle and accessibility, and you can only find that information out through a conversation. I also think education is very important – I find it’s easier to continue a treatment plan if everyone is on the same page as to why it’s important.
If there is one thing you want your patients to know about you, what would it be?
I want my patients to feel like they are contributing to their health during our appointments. If you feel like something isn’t working for you, let me know and we’ll figure it out together!
What do you like to do when you are not in the office?
I enjoy spending time with my family and being outside. I also really enjoy traveling, reading, and baking.
If you’re seeking medical dermatology care, Brennen and the rest of the team at Optima Dermatology’s Macedonia practice offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
View a complete list of our dermatology services, and come in for a visit to learn more about our approach to patient care. Brennen is accepting new patients at our Macedonia, OH location. Give us a call at 330-944-3851 to schedule an appointment today!
Isotretinoin is a medication used to treat severe cases of acne, in most cases cystic or stubborn acne that has not responded to other well-known acne treatments.
This medication works by targeting the sebaceous gland itself, where it works to slow the production of sebum (the oil secreted by these glands) and to make it less sticky, reducing the chances of clogged pores and acne.
Dr. Gregory Delost, practicing at the Optima Dermatology facility in Mentor, Ohio, and catering to the Greater Cleveland area, offers comprehensive insights into the transformative potential of Isotretinoin for patients enduring the challenges of severe acne.
Patients with severe nodulocystic acne or even mild or moderate acne that hasn’t responded to conventional treatments are excellent candidates for isotretinoin. The bottom line is that any patient with acne scarring potential should be considered.
The major factors that cause acne involve the skin not being properly shed, increased sebum (oil) production, and bacteria feeding on the oil to cause inflammation.
Isotretinoin targets all three causes by shutting down the sebaceous glands and the bacteria which depend on the oil to cause inflammation. The medication also helps normalize proper skin shedding, which cuts down on comedones (blackheads and whiteheads) formation.
Dry lips and dry mucous membranes (eyes, lips, nose). Luckily, these pesky side effects are temporary, and we have ways to control them through the treatment course.
Additionally, we can see elevations in blood lipids, such as triglycerides, which are routinely monitored during treatment. The elevations are temporary and resolve at the end of the treatment course. Far less common side effects include muscle aches after strenuous exercise and headaches.
Every patient is different, but the average patient will take 20-24 weeks to reach the treatment goal. Sometimes, we can get there quicker if the patient is able to tolerate the dryness from higher daily doses.
Yes. In fact, I have personally taken the medication. As a teenager, I struggled with acne and found success with isotretinoin after trying and failing every other treatment option out there.
Seeing first-hand how skin disease can have such a profound psychosocial impact on the quality of life, especially on a teenager, and how much my confidence improved with clear skin, it motivated me to become a dermatologist and do the same for others.
If you suffer from acne, our board-certified dermatologists are here to help. Schedule an appointment to learn more about different treatment options, including isotretinoin.