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Seasonal Contact Dermatitis vs. Eczema  

Should You Worry About a Spring Rash? 

Symptoms of irritation, itchiness, and redness on the skin can be easily confused for dermatitis or eczema. If you’re experiencing any of these skin issues, it’s essential to determine their cause and explore effective treatment options. 

Contact dermatitis and eczema are often confused because their symptoms can be very similar. In reality, contact dermatitis and eczema are quite different skin conditions with dissimilar causes, triggers, and treatments.  

In this Derm Deep Dive, we explain how to identify contact dermatitis – specifically the seasonal type – and eczema, which can flare up for numerous reasons, including the drier winter air.  

What Is Contact Dermatitis? 

Contact dermatitis happens when the skin comes in contact with something that triggers an immune-related or allergic reaction. Contact dermatitis is not contagious, but it can be severe enough to require dermatological care to treat persistent itching and rash. 

There are two broad types of contact dermatitis: 

Irritant Contact Dermatitis: This type is caused by direct damage to the skin barrier from potential irritants like detergents or fragranced soaps. Anyone can develop this type of contact dermatitis, especially after prolonged exposure.  

Allergic Contact Dermatitis (ACD): This type of contact dermatitis is an immune reaction in which an allergen weakens the skin’s barrier – common culprits are nickel, plant oils (such as poison ivy), or harsh products – causing itchiness, redness, burning, or dryness. 

Seasonal allergic contact dermatitis can occur when specific environmental allergens or plant oils (such as poison ivy) are more prevalent, leading to flares in those who have developed sensitivity. 

What Is Eczema (Atopic Dermatitis)? 

Atopic dermatitis (AD) – the most common form of eczema – is a chronic inflammatory skin condition characterized by dry, itchy, and scaly skin. While there is no single known cause, it has been linked to immune dysregulation, genetic factors, and a compromised skin barrier. 

Unlike contact dermatitis, atopic dermatitis isn’t caused by direct contact with the skin; rather, it flares in response to aggravating internal or environmental factors. Dermatologists often rely on clinical patterns and history to diagnose contact dermatitis since its presentation can vary widely across age groups and skin types. 

Why Am I Experiencing Seasonal Skin Issues? 

The dry air, changes in humidity, or temperature extremes can all cause atopic dermatitis or eczema flare-ups by zapping moisture from the skin, weakening the skin barrier and triggering itchiness or inflammation. 

Other common eczema triggers include pollen, mold, dust mites, stress, excessive sweating, harsh skincare products, and hot showers. Because eczema causes the skin to have such a heightened sensitivity to the trigger, symptoms can occur even without direct contact with the irritant. 

Allergic contact dermatitis is often triggered by repeated exposure to certain metals like nickel; fragrances or detergents; oils from poison ivy, poison oak, or poison sumac; or other harsh products.  

Contact dermatitis can worsen during seasons like spring and summer with heightened outdoor allergens. 

When to Visit Your Dermatologist 

If you think you have eczema or contact dermatitis – whether it seems to be seasonal or not – it’s important to visit your dermatologist for an official diagnosis that can inform an effective treatment.  

Your dermatologist will ask you several questions about when you get the skin reaction and how it manifests in order to determine potential triggers. They will look for: 

With this information, your dermatologist will likely be able to differentiate between eczema and contact dermatitis; however, symptoms can overlap, requiring additional testing.  

Patch testing is a specialized treatment used when:  

With patch testing, your dermatologist will apply small amounts of potential allergens to your skin for 48–96 hours. If a reaction occurs, it’s a good indication of a trigger you should avoid for the long term to prevent flare-ups and further irritation.  

Every season has potential skin irritants, whether it’s the dry winter air or poison oak in your garden in the summer. If you start noticing red, itchy, burning rashes and aren’t sure what’s causing them, visit your dermatologist to see if you could have eczema or an allergy.  

The most important next step is identifying the trigger – or triggers – and developing a skincare plan that will improve your skin comfort and skin health. 

Schedule an appointment today with a board-certified dermatologist, and enjoy the seasons without the itch! 

(855) 277–9689

Drug Store Skincare Options That Work

Get Great Results From Effective and Affordable Products

You don’t always need a specialty store or sizable price tag to get effective skincare products. Some products in your local drugstore deliver real benefits when selected with smart, skin-science-based criteria in mind.

Here, we break down how to select the best drug store skincare, highlighting our favorite and dermatologist recommended options

Why Drug Store Skincare Products Are Great Options

There are many benefits to getting skincare treatments from your dermatologist or investing in specialized formulas, especially if you have a skin condition that requires special attention.

However, if you’re looking for skincare solutions that work well but come over the counter and are budget-friendly, your local drugstore has what you need – you simply need to know what you’re looking for.

Look for ingredients proven to support hydration, protect the skin barrier, improve skin texture, and provide sun protection. These include:

Where to Begin: Affordable Essentials

If you want to integrate drugstore skincare options into your routine, we recommend starting with basics like gentle cleaners, moisturizers, and daily sun protection.

Here are our top tips for selecting the best cleansers and moisturizers at your local drug store:

  1. Gentle cleansers remove impurities without stripping your skin’s protective barrier, and drug stores offer many options that contain the essential ingredients to cleanse and nourish skin.
  2. Moisturizers are essential for protecting the skin barrier, regulating oil production, and improving the skin’s texture. Look for ingredients like ceramides and hyaluronic acid, which provide effective hydration without the heaviness.
  3. Daily sun protection is something every dermatologist will tell you is a non-negotiable part of your skincare routine, and drug stores have excellent options for everyday sunscreen. Lightweight, broad-spectrum SPF products will feel comfortable under makeup or on their own, and are easy to incorporate into your morning routine.

When perusing skincare products, we recommend you avoid:

Our Dermatologist-Approved Top Picks

These drugstore skincare products consistently rank high among expert recommendations and are favorites at Optima Dermatology.

Hydration:

Cleansers:

Serums & Actives:

Sun Protection

Best Practices for Selecting and Starting a Product

There are shelves of skincare options – here’s how to make sure you’re selecting the best product for what you need.

Read the Label

Don’t pick something just because of the name or the indications. Check the ingredients – prioritize label transparency and keep an eye out for any hidden chemicals.

Select “Non-Comedogenic”

This simple label indication means the product won’t clog pores. It’s a smart selection along with other recommended ingredients.

Conduct a Patch Test

If you’re nervous about starting a new product, apply a small amount to a small area first to check for any reaction.

Effective skincare isn’t defined by how much money you spend or how many products you use. With the right selections, drug store skincare products can deliver impressive results.

Get a skin consultation and recommendations for the best skincare products from our board-certified physicians and providers. Schedule an appointment today!

(855) 277–9689

Dr. Andrew Werchniak, MD, Joins Optima Dermatology’s Concord, NH Practice

Dr. Werchniak Brings More Than Two Decades of Experience in Medical Dermatology and Skin Cancer Treatment 

Optima Dermatology is excited to welcome board-certified dermatologist Andrew Werchniak, MD, to our Concord, NH practice. Dr. Werchniak has been providing dermatology services to patients since 2004, specializing in medical dermatology and skin cancer treatment.  

Dr. Werchniak received the Castle Connolly Top Doctors Award in 2019, 2020, and 2025. He earned these numerous recognitions through a deep commitment to skin cancer treatment and prevention, which he has made the cornerstone of his career.  

In addition to serving as Medical Director of Dana-Farber/Brigham and Women’s Cancer Center’s Skin Cancer Screening program, Dr. Werchniak founded and served as program director of the hospital’s Center for Cutaneous Oncology. This hands-on program allows fellows to work alongside dermatologists, surgeons, and oncologists to gain experience diagnosing and treating complex skin cancers, including melanoma, cutaneous lymphomas, and Merkel cell carcinoma.  

In the Harvard Combined Dermatology Residency Program, Dr. Werchniak served as Associate Director for Medicine/Dermatology Residency. He completed his residency in dermatology at the Geisel School of Medicine at Dartmouth and received his Doctor of Medicine from the University of Virginia School of Medicine in Charlottesville. 

With his deep experience and passion for serving patients in New Hampshire, Dr. Werchniak is excited to join Optima Dermatology and deliver dermatology care to individuals in the Concord area. 

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


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

I was attracted to dermatology for several reasons. Many rare and exotic skin conditions can arise, and I found these interesting – there is often a lot of detective work involved in determining what is going on! My background is in engineering, and the problem-solving aspect of dermatology was particularly enticing. Dermatology has a nice blend of both thinking and doing (lots of procedures regularly), and the variety helps keep things fresh. Finally, most of the conditions that we encounter can be either cured outright or well-controlled with an array of techniques and medications, which differs from many other areas of medicine. 

What is your favorite aspect of being a board-certified dermatologist? 

Helping people understand what they can do to have the healthiest skin possible. 

What is your approach to treating your patients? 

I view my job as a team effort. I provide patients with the information and tools necessary to manage their condition and help them understand what to expect should they choose to follow one approach versus another. Most situations in medicine do not have a single obvious treatment path; rather, there are different reasonable options that involve trade-offs. Depending on the diagnosis, what might be a good choice for one individual may not be the optimal choice for someone else. Many factors are at play – age, life circumstances, co-morbidities, and preferences. 

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

That’s easy: wear sunscreen daily! Sunscreen will help minimize many detrimental skin changes that occur as we age. 

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

I want my patients to know I want them to do well, and I will do whatever I can to help them have the healthiest skin possible! 

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

Anything outdoors! I enjoy hiking, kayaking, snowshoeing – you name it. Anything that gets me outside and allows me to wander around in nature. 


What to Expect From Dermatological Care Delivered by Dr. Werchniak and His Team 

Patients visiting with Dr. Werchniak and his team at Optima Dermatology will receive the highest quality care backed by decades of advanced training and experience. 

Dr. Werchniak is currently accepting new patients at our Concord, NH location. Request an appointment online or call us at (603) 609-9344. 

(855) 277–9689

Scalp Health 101

How to Manage Itchiness, Dryness, and Dandruff

After months of cold, harsh weather, you may be feeling the effects on your skin. Dryness, itchiness, and flakiness are all common, and while you may largely notice these symptoms on your face or hands, dry skin often also affects the scalp.

While the top of your head may not always be top of mind, the flakes from a dry scalp can become visible in your hair or on your shoulders, causing a larger issue requiring more immediate attention. Luckily, you don’t have to rely solely on an over-the-counter shampoo. Scalp health can be professionally addressed by your board-certified dermatologist for lasting results.

In this Derm Deep Dive, we’ll tell you what to do if you’re suffering from symptoms of a dry scalp, and what to expect if you visit a dermatologist to help with this common skin issue.

Why Do I Have a Dry Scalp?

Dry scalp occurs when your skin isn’t producing enough of the natural oils that keep it hydrated. While dry winter air is a common cause, dry scalp can also be caused by overwashing hair or irritating hair products, both of which can strip the scalp of its natural oils and increase dryness.

Dry Scalp – or Something More?


Dandruff and Seborrheic Dermatitis

If your symptoms persist or are severe, it may indicate dandruff, a mild form of seborrheic dermatitis. Seborrheic dermatitis is a common condition that causes a scaly rash in areas rich in oil glands like the scalp. It is an inflammatory condition that can lead to flaking, itchiness, and redness. You may also notice oily hair, which is not a common symptom of dry scalp.

Mild dandruff can usually be managed at home with an over-the-counter shampoo, but with more serious cases of seborrheic dermatitis, you may experience flare-ups or symptoms in other areas like the eyebrows or face.

What You Can Do at Home:

Use a medicated shampoo formulated for dandruff – look for shampoos with ingredients like zinc pyrithione or selenium sulfide. With any skin care plan, it’s important to be consistent as many treatments can take a few weeks to show results.

If your dandruff doesn’t improve, a dermatologist can recommend the right medicated or prescription product based on your specific case.


Itchy Scalp

If your scalp feels itchy, it may not be related to dryness or dandruff. An itchy scalp can be caused by product allergies or irritation, such as reactions to shampoo, conditioners, dyes, or styling products, or skin conditions like eczema, seborrheic dermatitis, and psoriasis.

Redness, rash, or irritation after using a hair product could be a sign of contact dermatitis, and you should see your dermatologist to help identify the trigger.

What You Can Do at Home:

A persistent itchy scalp accompanied by rash or other symptoms is an indication that it’s time to seek professional evaluation.

When to See Your Dermatologist

Many mild scalp issues can be treated at home with a gentle hair care routine and targeted products, but ongoing or worsening symptoms require expert attention. A board-certified dermatologist can provide a proper diagnosis and a customized treatment plan.

Different scalp conditions can look similar, and treating the wrong scalp issue at home can worsen or prolong the condition. A dermatologist can differentiate between dryness, seborrheic dermatitis, psoriasis, eczema, and an allergic reaction.

Your dermatologist may treat your scalp issue with a prescription shampoo, anti-inflammatory topical creams or ointments, or antifungal therapies. They may also perform patch testing to identify a product allergy.

Addressing the underlying cause of your dry scalp rather than just the symptoms, you’ll enjoy longer-lasting relief and a healthier scalp.

If you’ve tried gentle shampoos, at-home dandruff treatment, or other scalp-friendly routines and are still experiencing itchiness and discomfort, our expert, board-certified dermatologists are ready to help.

Find the right path to healthier hair and scalp at Optima Dermatology, and combat dry scalp in time for spring!

Schedule an appointment today and keep your scalp healthy and protected!

(855) 277–9689

Sunless Tanning Options for a Healthy Post-Winter Glow

During the winter, spending more time indoors and covering up to go outside can make you feel a little “sun starved” – and it’s completely normal to look in the mirror and think, “Wow, I could really use some color!”

As the cold and gray days seem to drag on, many people go outside without proper sun protection or visit the tanning bed to pursue what we’re going to refer to in this article as the “base tan myth.” This persistent skin care myth causes people to believe they need a glowing, sun-kissed complexion to help protect them from increased sun exposure when spring and summer finally arrive.

This urge to get a head start on a tan has fueled tanning bed use for decades, but being skin smart means recognizing the dangers of trying to achieve a base tan – especially if you do so by visiting the tanning bed.

In this article, we provide better options for achieving a pre-spring glow that won’t damage your skin.

The “Base Tan Myth” Debunked

The idea of a “base tan” has been in popular culture since the 1920s, when Coco Chanel popularized tanning as a symbol of wealth and luxury. When tanning beds were introduced in the 1980s, the trend only gained traction.

The myth behind a base tan is that building up a light tan early in the year will provide greater sun protection from stronger UV conditions in the spring and summer. In reality, the idea that a base tan can offer greater sun protection is simply not true. In fact, it’s very much the opposite.

There’s no such thing as a safe tan. Any change in your skin’s color from UV exposure, whether from the sun or a tanning bed, is a sign your skin has been injured.

According to the American Cancer Society, a tan cannot prevent skin cancer or premature signs of aging, and it’s not a shield against sunburn. Whether you try to achieve a base tan by going outside or visiting a tanning bed, the risks are the same. No amount of tanning is safe, and pursuing a base tan can actually increase overall UV exposure throughout the year.

What’s at stake? UV rays cause damage to your skin cells, which can accelerate the signs of aging and increase the risk of skin cancers like basal cell carcinoma, squamous cell carcinoma, and melanoma.

Ultimately, that “healthy glow” is actually a sign of skin damage, and your short-term gain can cause long-term damage.

Sunless Tanning is a Skin-Smart Alternative

Skip the damaging UV exposure and opt for sunless tanning instead. Sunless tanning, including self-tanners and spray tans, won’t damage your skin cells like UV radiation and won’t accelerate the signs of aging.

These sunless tanning solutions contain a molecule called dihydroxyacetone, or DHA, that reacts with the top layer of your skin to produce a tan-like color. Sunless tanner can be applied at home, and spray tans are available from spray tan salons or medi-spas. Both are easy, safe alternatives to outdoor or tanning bed tanning.

Keep in mind that sunless tanners don’t provide sun protection. After you get your gorgeous self-tanned glow, layer on a broad-spectrum sunscreen and use other measures like protective clothing and shade-seeking to keep your skin safe.

Achieve a Year-Round Glow With These Tips

Opting for sunless tanning is a great way to keep your skin healthy and protected. Here are 4 additional ways you can keep your skin glowing year-round:

  1. Use sunscreen with an SPF of 30 or higher every day, even on cloudy winter days.

  2. Wear sun-protective clothing and hats when you’re out in the sun.
  3. Seek shade when outdoors between 10am and 4pm – peak UV hours.
  4. Hydrate and moisturize daily to keep skin healthy and vibrant.

  5. Implement a consistent routine with medical-grade skincare products.
  6. Schedule a consultation with one of our medical aesthetics experts to develop a customized treatment plan – chemical peels, BroadBand™ light, and laser resurfacing all help lighten and brighten the skin!

Winter can take its toll on our mood and our skin, but don’t let that “funk” lead you into the arms of UV rays! When it comes to your skin’s long-term health, a base tan is a myth that can lead to premature signs of aging and increased skin cancer risk.

Choose safe alternatives like sunless tanning, and practice smart skin-protective habits year-round.

Optima Dermatology’s board-certified dermatologists can help you find the best sunless tanning approach for your skin type and tone. Request an appointment to speak with one of our expert providers about achieving healthy, glowing, protected skin!

(855) 277–9689

Protecting Your Skin in the Winter

Why You Shouldn’t Skip Sunscreen — Even on Cold Days.

As soon as winter rolls around, many people happily put away the sunscreen for the season. It’s true that by trading in t-shirts and shorts for snowsuits, scarves, and hats, your skin is far less exposed to UV rays than in the summer months.

However, if you’re among those who don’t see a compelling reason to use SPF in the winter, this article is for you! Your skin does still need protection during the winter months – in fact, UV rays can be just as harmful – if not more so – than in summer.

UV Radiation Doesn’t Break for the Season

Have you ever been told that it’s important to apply sunscreen even on cloudy days? The same principle is at play during the winter.

Even chilly, overcast days allow UV rays to reach your skin. These include UVA rays, which penetrate the skin more deeply and are linked to premature aging and more serious cell damage.

According to the Skin Cancer Foundation, UV rays pass through clouds 80% of the time, making sunscreen just as important on a grey day as it is on sunny ones.

The “Sneakier” Ways UV Rays Reach Your Skin in Winter

In winter, the sun can be sneaky. There are a few ways UV rays can reach your skin that you may not even realize.

Preventing Long-Term Damage — Aging & Cancer Risk

Preventing UV exposure isn’t just about avoiding sunburns. Prolonged UV exposure can accelerate premature aging, causing fine lines, wrinkles, age spots, or uneven pigmentation.

Importantly, unprotected sun exposure is a significant risk factor for skin cancer. Skipping sunscreen in the winter contributes to your lifetime total exposure and will increase the associated risks just as much as exposure during the summer.

Best Practices for the Best Protection All Winter Long

Optima’s board-certified dermatologists recommend these SPF products to protect your skin in the winter:

Don’t let colder temperatures and cloudy days fool you – your skin still sees the sun. Make the most of winter by giving your skin a valuable gift – protection from the sun. Adding consistent sunscreen use to your daily skincare routine will ensure your skin stays healthy all year long – and into the future.

Optima Dermatology’s board-certified dermatologists are here to evaluate your skin and make the best daily sunscreen recommendations for your skin type. Request an appointment to speak with one of our expert providers about enhancing your sun protection this winter!

(855) 277–9689

Dermatologist Tips for Hydrated Lips and Healthy Skin

Combat Dry Winter Skin With These 6 Dermatologist Tips.

Dry skin is common in the winter months as the low humidity outdoors and heated air indoors can zap moisture and cause red, chapped, and uncomfortable lips and skin. While skin and lip hydration matter all year long, it is especially important in colder weather when symptoms can worsen.

Lip hydration is a key component of overall healthy skin – the skin on our lips is thinner and more delicate than the rest of the body, making lips especially vulnerable to dry air, sun exposure, and other irritants.

In this article, we do a deep dive into the importance of lip hydration and skin health in the winter months. Our dermatologists share six practical tips to keep lips and skin soft, hydrated, and protected in colder weather and year-round.

Choose Lip Products That Won’t Irritate the Skin

It can be tempting to grab the colorful lip balms with fun flavors at the grocery store checkout line, but if you’re suffering from dry, chapped lips, it’s important to check the ingredients and find one that will treat your problem, not mask it or make it worse.

Certain ingredients can sting or further irritate sensitive or dry lip skin. We recommend avoiding products that contain:

Instead, choose lip balms that are fragrance-free and hypoallergenic. We recommend CeraVe Healing Lip Repair Balm and Aquaphor Lip Repair Stick. Look for healing and moisturizing ingredients, such as:

For very dry lips, layering products can make a big difference. Applying a humectant like hyaluronic acid to draw in moisture, followed by an occlusive such as petroleum jelly or Aquaphor to seal it in, helps keep lips hydrated and protected. Practiced consistently, this simple routine can be a game changer for lip hydration.

Apply Moisturizer Often

To truly combat dry skin, be sure to apply moisturizer consistently. Use a non-irritating, fragrance-free moisturizer and lip balm or ointment in the morning, several times throughout the day – especially before outdoor activities – and before bed. CeraVe’s moisturizing cream and daily moisturizing lotion are great options.

Your body naturally loses moisture during the night, and petroleum jelly or thick ointments can seal in moisture while you sleep to repair dry, cracked, and irritated skin.

Use a Humidifier

Dry indoor air can do a number on our lips and skin, and with more time spent indoors in the winter, a humidifier can help reduce dryness and help you feel more comfortable.

We recommend running a humidifier in your home, particularly in your bedroom, to add moisture to the air while you sleep. If you live in a dry climate, a humidifier is useful all year long.

Practice Sun Protection

Don’t forget about your lips when applying your daily sunscreen! The thin and delicate skin on your lips lacks the protective melanin on the rest of your skin, making them more susceptible to sun exposure.

Apply a daily lip balm of SPF 30 or higher and use every few hours when you’re outdoors. Protecting your lips from the sun will help reduce irritation from dry skin.

Drink Plenty of Water

With so many topical ointments and creams, it’s easy to forget the best hydration tool in your arsenal – water! If your body is dehydrated, your lips and skin will also suffer.

Drinking enough water throughout the day helps maintain healthy moisture levels in your body and will keep you feeling energized and awake. Focus on drinking water throughout the day, rather than just a glass here and there.

Other Factors to Combat Dry Skin

There are some habits we all have that can worsen dry skin that we may not even realize. Here are a few habits to kick, and tips to help you practice healthier habits to prevent dry skin.


Licking your lips. When our lips feel dry, we naturally will lick them to try and apply some moisture. However, saliva evaporates quickly and leaves lips drier than before.

What to do instead: When you find yourself licking your lips to relieve discomfort, reach for a water bottle and a hydrating lip balm instead – you’ll feel the difference right away.


Biting or picking. Dry skin often cracks and peels, and it can be tempting to bite or pick these areas – we often practice these habits without realizing it. However, further aggravating dry skin disrupts healing and can cause irritation or even bleeding.

What to do instead: When you recognize the urge to bite or pick at your skin, reach for your lip balm or moisturizing lotion instead. You’ll feel the dryness disappear, leaving smooth skin behind.


Turn the shower down. Piping hot showers are tempting in the winter, but hot water can strip moisture, worsening dry skin.

What to do instead: Turn the shower temperature to warm, not scalding hot, and try to shorten the time you’re under the water. Apply a thick, fragrance-free moisturizer when your skin is still damp, which helps lock in moisture for longer-term comfort.


When to Visit Your Dermatologist

If you have applied these tips and still struggle to get dry skin under control, it’s a good idea to see a dermatologist for some extra help.

While most cases of dry skin and chapped lips will improve with consistent care in a few weeks, you should see your dermatologist if you’re experiencing continued cracking, bleeding, or irritation with no relief. You could be suffering from another skin condition that requires professional evaluation – or you may simply need some tips for switching up your skincare routine.

Get personalized advice from one of Optima Dermatology’s board-certified dermatologists and providers, and find dry skin relief before it gets worse.

Schedule an appointment today and keep your skin healthy and protected all winter long!

(855) 277–9689

Spotting Actinic Keratosis Early: Warning Signs and When to See a Dermatologist

Actinic keratosis, while highly treatable, is a common skin condition you should not ignore if you believe you may have it. Also known as solar keratosis, this skin issue is a precancerous, non-melanoma skin growth that is caused by long-term exposure to UV rays from direct sunlight, tanning beds, or sunlamps.  

Direct exposure to UV radiation over time causes damage to the keratinocytes (cells that make up the skin), which can put the cells into a precancerous state. According to the Skin Cancer Foundation, Actinic keratosis affects nearly 58 million Americans each year, and early detection and treatment are essential to prevent skin cancer from developing.  

In this post, we do a deep dive into this common skin issue, including warning signs to look out for and when you should schedule a visit with your dermatologist.  

Warning Signs of Actinic Keratosis 

Actinic keratosis typically manifests as rough, scaly patches or bumps on the skin. In the early stages, it can be difficult to see, but it will appear as an area of skin with a “gritty” texture that does not heal. It can look like other harmless skin conditions, so if you notice a persistent area of rough skin, it’s best to see your dermatologist.  

This skin condition most often affects the areas of the skin that are unprotected from the sun, such as the lips, ears, scalp, neck, forearms, or hands. When actinic keratosis forms on the lips, it is called actinic cheilitis, and it often resembles a badly chapped lip. Although it can occur anywhere on the lips, actinic cheilitis most often forms on the lower lip. 

Actinic keratosis is a slow-growing condition and is highly treatable, but because it is a precancerous skin growth, it can develop into squamous cell carcinoma if left untreated.  

Who is Affected by Actinic Keratosis? 

Anyone can develop actinic keratosis, but certain factors can increase its likelihood of forming.  

Any level of sun exposure over time increases your chances of developing skin cancer, so even if you haven’t had a history of bad sunburns or tanning bed use, you can still be at risk.  

Warning Signs: What to Look For 

Because actinic keratosis resembles other common skin issues, it can be hard to identify as something potentially serious. We always recommend annual skin checks because your board-certified dermatologist can spot something you may overlook. 

Here are the common warning signs of actinic keratosis to help you notice any changes early: 

You may notice actinic keratosis by touch rather than by sight. If you have a persistent area of rough texture, it’s best to see your dermatologist, even if there are no visual changes.  

When to Visit Your Dermatologist 

With any skin issue, it’s best to see your dermatologist to be checked and rule out anything serious. It is also important to identify a possible treatment to relieve discomfort or mitigate a worsening issue.  

If you notice any of the warning signs on your skin, especially on areas most commonly exposed to the sun, see your dermatologist. Even if the area seems small, is not bothersome, or is in an area typically protected from the sun, you should have it checked to rule out actinic keratosis or any other form of skin cancer. 

Your dermatologist can typically diagnose actinic keratosis with a visual skin exam; in some cases, they will perform a biopsy to confirm the diagnosis and rule out cancer. Your dermatologist will ask you about your history with sun exposure and any previous skin issues.  

Actinic keratosis is highly treatable when diagnosed early, and treatment options can include: 

Actinic keratosis is common, but you can prevent its formation by practicing sun-safe habits: 

While actinic keratosis may start small, it is a sign of sun damage and a warning that you could develop skin cancer. Seeing a dermatologist as soon as you have concerns is the best way to prevent cancer growth and preserve healthy skin.  

At Optima Dermatology, our board-certified dermatologists can perform a skin exam and help rule out skin cancer or other skin issues. If you are diagnosed with actinic keratosis, we will work with you to establish a treatment plan. 

Schedule an appointment today for an evaluation so you can be confident in your healthy skin!

(855) 277–9689

Optima Dermatology Welcomes Maria Petkova, NP-C

Maria Petkova, NP-C

Maria Offers Her Expertise as a Board-Certified Nurse Practitioner to Patients of All Ages.

Board-Certified Nurse Practitioner Maria Petkova, NP-C, has joined Optima’s Salem and Bedford, NH practices, bringing industry-leading medical and dermatological experience to patients of all ages. She treats a variety of skin conditions, including acne, eczema, psoriasis, skin cancer, and more. 

Before entering the dermatology field, Maria worked as a registered nurse in oncology and pediatric intensive care. She went on to earn her Master of Science in Nursing, graduating with Summa Cum Laude honors with an emphasis on Family Medicine. She also holds a Bachelor of Science in Nutrition and Dietetics from Simmons University in Boston.  

Maria’s background and clinical interests focus on women’s and pediatric health, along with a strong foundation in oncology research. She has participated in multiple research studies at the Harvard School of Public Health and helped develop numerous cutaneous and non-cutaneous oncology clinical trials at the Novartis Institute for Biomedical Research. 

She maintains an active membership with the Society of Dermatology Nurse Practitioners, the Dermatology Nurses Association, and the American Association of Nurse Practitioners. 

With her new role at Optima Dermatology, Maria looks forward to providing industry-leading dermatology care to patients of all ages in the southern New Hampshire area. 

High Quality Care With a Personalized Approach 

Because of her diverse experience in nutrition, academic and clinical research, oncology, ICU, and pediatrics, Maria is able to deliver care in a highly personalized and compassionate way, which aligns with Optima’s mission to treat every patient as we would our family and friends.  

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

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

After spending several years working in inpatient oncology and ICU, I wanted to shift into a specialty where I could build more long-term relationships with my patients and be part of their ongoing care. My path into dermatology was shaped by the incredible mentorship I received early on. I had the opportunity to train with an exceptional dermatologist whose knowledge, passion, and genuine enthusiasm for the field were contagious. He was one of the best teachers I’ve ever had, and I know I wouldn’t be where I am today without his guidance and support. That experience solidified my love for dermatology and the meaningful connections it allows me to make with patients.  

What is your favorite aspect of being a board-certified nurse practitioner?  

My favorite part of being a Nurse Practitioner is the ability to draw on my diverse clinical background to support my patients. My experience in nutrition, academic and clinical research, oncology, ICU, and pediatrics gives me a broad perspective that I use every day to create individualized care plans. I believe the compassion you gain as a nurse while being present with patients and families during some of their most difficult moments is something unique that NPs carry forward into advanced practice. It allows me to approach each patient with empathy and a commitment to improving their quality of life.  

What is your approach to treating your patients?  

My approach to patient care is to treat every individual the way I would want my own family to be treated. Having been a patient myself and having supported close family and friends through their own medical experiences, I understand how frightening, uncomfortable, and at times overwhelming healthcare can feel. Because of that, I prioritize building a trusting and respectful relationship with each patient. I want patients to feel heard, supported, and confident that we’re working together toward their best possible health.  

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

My number one tip for taking care of our skin is simple: wear sunscreen every day and get annual skin checks. Unlike many internal cancers that require invasive testing or may only be detected once symptoms appear, most skin cancers can be identified early through routine exams, and many can be prevented with consistent sun protection.  

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

One thing I want my patients to know is that I genuinely care about their health and quality of life. I believe that good health is one of the most important foundations in life, and I’m committed to supporting my patients in every way I can.   

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

When I’m not in the office, I’m spending time with my husband and our two young boys. They keep us busy, and I love being able to focus on family time whenever I’m away from work.  

What to Expect From Dermatological Care Delivered by Maria and Her Team 

Patients visiting with Maria and her team at Optima Dermatology will receive the highest quality of care backed by advanced training and experience. 

Maria is currently accepting new patients at our Salem and Bedford, NH locations. Request an appointment online or give us a call at 855-277–9689. 

(855) 277–9689

Reset Your Routine: Simple Skincare for the New Year

Goals like eating healthier and hitting the gym typically dominate New Year’s resolutions, but don’t forget about your skin! The new year is a great time to reset your routine and consider what you really need for healthy skin – and what can get kicked to the curb.

For 2026, we’re all about a minimalist, stress-free skincare routine that gives your skin just what it needs without unnecessary extras. Streamlined, purposeful skincare is easier to stick with for the long-term and reduces the risk of irritation from multiple products and inconsistent use.

Be skin smart for 2026 and reset your routine for healthy, balanced skin. In this post, we give you top tips for simple skincare that works, whether you’re navigating skincare for the first time, combating signs of aging, or just trying to simplify your product lineup.

Skincare Doesn’t Have to Be Complex

The skincare industry can make us feel like we need all the products that do all the things. From products like toners, overnight treatments, serums, exfoliators, and emollients to ingredients like ceramides, peptides, hyaluronic acid, vitamin C, vitamin E, and retinol, there is a lot to consider. 

If your daily skincare routine has started feeling like more of a chore, it’s probably time to pare it down. But don’t worry – simpler doesn’t mean less effective. Like makeup, PowerPoint presentations, and your mother-in-law’s holiday snowman collection, less is more, and using fewer products that are well-formulated for your needs is often more sustainable for your skin and your routine.

Here’s an example of a minimized skincare routine:

  1. Daily Cleanser: Wash in the morning and evening with a gentle skin cleanser that works for your skin type and needs. Bonus if you double cleanse at night to ensure that you are getting rid of makeup and sunscreen with the first wash, and then deeper into the pores with the second wash!
  2. Specialized Treatment: Use a targeted “active” treatment such as an antioxidant, retinoid, or peptide that meets specific goals like anti-aging, acne, or hyperpigmentation.  Ideally vitamin C during the day, and retinol at night if your skin tolerates it. There are many different brands and products available for all skin types.
  3. Moisturizer: Keep your skin hydrated, especially during the dry winter months, with a moisturizer to reinforce the skin barrier and keep your skin feeling good.
  4. Sun Protection: A daily broad-spectrum SPF of 30 or higher goes a long way to protect your skin as you go about your day. Many moisturizers also contain an SPF, so you can simplify your product lineup even more.

Combat the Overwhelm With a Skin Reset

If your bathroom vanity resembles a Sephora display, you might feel a little overwhelmed by the idea of simplifying your skincare routine. We’ve broken it down for you with a step-by-step process that focuses on what you need, and what you can remove from your routine.

Consider Your Products. Review what you have – you might be surprised at how many products have expired or simply no longer match your skincare goals. Discard anything that no longer works so you can start fresh.

Narrow Down Only the Essentials. Using the “core four” products for a minimized skincare routine that we detailed above, identify the products that fill those buckets, and set aside the outliers.

Introduce Your “Actives”. Active treatments like retinoids, ceramides, or antioxidants can be very effective if introduced slowly and purposefully. We recommend alternating nights for a week or so, and following use with a moisturizer to help alleviate any potential irritation. After a week of use with no irritation, introduce your active treatment into your nightly routine.

Exfoliate Intermittently. Exfoliating is a great way to give your skin a deep clean, but over-exfoliation can compromise the skin barrier and lead to dryness, redness, or irritation. Exfoliate once each week if you have dry or sensitive skin, and two-to-three times each week if you have oily or combination skin. Like introducing new treatments, start slowly to gauge your skin’s reaction and prevent irritation.

Stay the Course. When you order your favorite tofu pad thai from the restaurant down the street, it should taste the same every time – that’s why you love it! Your skin also craves consistency, which helps avoid irritation, dryness, or breakouts. It’s also important to remember that results don’t happen overnight, so stay the course – it often takes several weeks before you see improvements.

Skincare for Aging Skin

Our skin changes after the age of 40; you may notice drier skin, the appearance of fine lines or wrinkles, areas of pigmentation, and areas that feel looser or less firm.

A common reaction is to start laying on products to cover these areas, but as board-certified dermatologists, we recommend a simpler routine tailored for maturing skin.

Morning:

Evening:

Support Your Skin Outside of Your Products

It’s not just skincare products that protect our skin. Our lifestyles impact our skin health, too. Consider these key influences as rethink your skincare routine for 2026:

It’s common to want to reset and refresh in the new year, and we want to help you adopt a skincare routine that you can stick to past the first two weeks of January. Following this skincare reset arms you with a routine you can manage, a practical amount of skincare products that will care for your skin – not irritate or over-treat it – and a simple plan you can follow for the long-term for lasting results.

Paring back to only the essentials ensures you’re giving your skin a strong foundation without unnecessary complexity. And for those of you over the age of 40, targeted adjustments like gentle cleaners, moisturizers, and retinoids – coupled with daily sun protection – can help you maintain healthy, glowing, resilient skin in 2026 and beyond.

Optima Dermatology’s board-certified dermatologists and providers are committed to helping you find the right skincare routine that works for you.

Request an appointment to speak with one of our expert providers about simplifying your skincare for 2026 and how to make it your year for great skin.

(855) 277–9689

Hidden Skin Irritants at Home 

Everyday Products That Can Make Dry Winter Skin Worse

Got some gloves handy? Temperatures have already descended, and you may be feeling the effects on your skin as colder, dryer air often strips moisture from your skin. A little TLC with proper moisturizer and protection from the air (like gloves) goes a long way, but the cold isn’t the only skin irritant you should protect against this winter. There are many common household products that cause dryness and can exacerbate the impact of dry, winter air. 

Even your go-to moisturizer might be worsening skin dryness, and other common products like dish soap and laundry detergent can have similar effects. In this post, we’ll do a deep dive into the hidden skin irritants at home that can make dryness worse, and tell you how you can swap them out for more skin-friendly options.  

Everyday Cleaners: Dish and Hand Soaps 

Handwashing becomes more critical during cold and flu season, but you might notice dryer skin than usual with each wash. Many soaps, especially heavily fragranced varieties, contain strong surfactants that strip away the natural oils your skin relies on to stay hydrated.  

Dish soaps are just as damaging; and those designed to cut through grease are even more so.  

What to Swap: Look for gentle, non-foaming, fragrance-free hand soaps that specifically say on the label that they’re for sensitive skin or are moisturizing. Avoid products that contain alcohol, sulfates (check for sodium lauryl sulfate), or added dyes. 

It’s also a good idea to apply a fragrance-free hand cream or ointment immediately after doing dishes or washing your hands to help seal in moisture and help your skin heal. For extra protection, wear rubber gloves while handwashing dishes! 

Laundry Products: Detergents & Fabric Softeners 

The products you use to do laundry are often a sneaky source of skin irritation. The fragrances, preservatives, and dyes in detergents, dryer sheets, and fabric softeners can linger on your clothes, towels and bed sheets long after they come out of the dryer, irritating skin as you sleep or go about your day.  

What to Swap: There are plenty of laundry products that are formulated to be hypoallergenic or “free and clear” that don’t contain fragrances or dyes. We protect baby skin with these products – do the same for your dry winter skin! Also, consider skipping fabric softeners and dryer sheets if you’re struggling with skin dryness. Instead, you can add white vinegar to your rinse cycle, which softens fabric naturally.  

Personal Hygiene: Body Washes & Shower Habits 

It’s tempting to blast the hot water and relish in a long shower when the air gets frigid, but the heat, combined with harsh body washes or scrubs, can strip away your skin’s protective oils and worsen dryness.  

What to Swap: Turn the temp down – instead of a steam-filled, blazing hot shower, opt for a warm temperature that’s comfortable and won’t burn or irritate your skin, and limit showers to 10 minutes. Choose creamy, fragrance-free skin cleansers with moisturizing ingredients like ceramides, glycerin, or hyaluronic acid.  

After a shower, avoid rubbing skin dry – gently pat skin and apply moisturizer while your skin is still damp to lock in hydration. 

Household Products: Cleaners & Sanitizers 

If only the bathroom would clean itself – but unfortunately, it won’t. It’s always a good idea to wear gloves when using any type of household cleaners, but in the winter months, any surface cleaners, disinfectant wipes, and sanitizing sprays can be even tougher on your skin.  

Always wear gloves to protect against the harsh chemicals and alcohol in these products that can worsen dryness and even lead to contact dermatitis. 

What to Swap: Look for non-toxic cleaners that are labeled as “gentle”. If you’re using hand sanitizer frequently, choose one with added moisturizers like aloe or glycerin. 

Know Your Moisturizers 

It might be labeled as a moisturizer, but it can make dry skin worse if it contains fragrance, alcohol, essential oils, or other ingredients that can irritate sensitive skin.  

These types of moisturizers and lotions are not going to provide sufficient hydration in the winter and are not great for your skin during other times of the year either.  

What to Swap: The best hydration options are thick, fragrance-free creams or ointments that contain ceramides, shea butter, petrolatum, or hyaluronic acid. Products labeled “for sensitive skin” or “eczema-prone skin” are often formulated to be extra gentle and are great choices for dry, winter skin. 

Protect Your Skin This Winter – and All Year Long 

Your skin will always tell you when it needs a little extra care, and the winter months are no exception. If you start to notice dryness, itchiness, redness, or bleeding, take action to protect your skin before worse symptoms appear. 

Here are some easy ways to keep skin hydrated and happy this winter: 

Even with the best at-home habits, dry winter skin can require professional care from a board-certified dermatologist. Persistent dryness, redness, or itching may signal a deeper issue like eczema, contact dermatitis, or another skin condition that requires expert treatment. 

At Optima Dermatology, our board-certified dermatologists and providers can help identify the cause of your dry skin and create a customized treatment plan to restore your skin’s health and comfort. 

Schedule an appointment today for an evaluation of your dry skin and a treatment plan to help you get ahead of – and manage – winter skin!

(855) 277–9689

Optima Dermatology Welcomes Andy Porter, PA-C, to its Macedonia, OH Practice

Porter Brings Years of Experience to Serve Patients in the Cleveland Area 

Board-Certified Physician Assistant Andy Porter, PA-C, joins Optima’s Macedonia, OH practice, bringing industry-leading dermatology experience to patients across the Cleveland area. Andy has been practicing medicine in the Cleveland region since 2016.  

Before transitioning to dermatology in 2022, Andy practiced emergency medicine at the UH Parma Medical Center Emergency Department, where he served as lead physician assistant, as well as at the Cleveland Clinic Marymont Emergency Department.   

He earned his Master of Medical Science in Physician Assistant Studies from Baldwin Wallace University. He is currently a fellow of the Society of Dermatologic Physician Assistants. 

Andy looks forward to continuing to provide industry-leading dermatology care to patients of all ages in the greater Cleveland area. 

Committed to the Highest Quality of Care 

Andy’s commitment to the highest quality of care aligns with Optima’s mission to treat every patient as we would our family and friends,  

We recently had the opportunity to learn more about Andy, his approach, and the path that led him to become a board-certified physician assistant. 

What made you decide to pursue a career in dermatology?  

I’ve been interested in dermatology since PA school, but as a new graduate, it can be a tough field to break into. I began my career in emergency medicine, working within both the UH and Cleveland Clinic systems, where I provided care to patients across the Cleveland area. During my time at UH Parma, I served as the lead PA, which gave me valuable leadership experience. While at Cleveland Clinic, my family was growing – our second child was on the way – and I was looking for a role that offered a bit more consistency in my schedule. Around that time, an opportunity to transition into dermatology opened up, and I jumped at it. It was a big change, but I’ve loved every minute of it. I’m excited to continue providing high-quality dermatologic care for years to come.  

What is your favorite aspect of being a Physician Assistant?  

There are so many things I love about being a PA. One of my favorite parts is having the time to really connect with patients. I also appreciate how the PA profession allows flexibility and growth – I’ve had the opportunity to treat a wide range of conditions in emergency medicine, an experience that has helped me become a better provider in dermatology.  

What is your approach to treating your patients?  

I take a teamwork-based approach to patient care. I make sure to explain the diagnosis (or possible diagnoses), expected outcomes, and treatment options in detail so that my patients feel informed and involved. Together, we make decisions that align with their goals and comfort level.  

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

Start simple! Building a consistent routine is one of the best things you can do for your skin. The skincare world can feel overwhelming, but a basic regimen that includes cleansing, daily sunscreen use, and moisturizing after bathing can make a big difference in how your skin looks and feels. If you have specific goals, I’m always happy to tailor a plan to help you meet them.  

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

I’m very easy-going when it comes to discussing care plans. If you ever have questions or concerns about your treatment, I encourage you to bring them up. My goal is for us to work together to find the best path forward.  

What do you like to do when you’re not in the office?  

When I’m not in the office, I love spending time with my amazing wife, son, and daughter. We also have two energetic dogs who keep us busy! When I do get some free time, I enjoy mountain biking on the many single-track trails across Northeast Ohio, a hobby I picked up during COVID that has since taken over most of my other pastimes.  

What to Expect From Dermatological Care Delivered by Andy and His Team 

Patients visiting with Andy and his team at Optima Dermatology will receive the highest quality of care backed by advanced training and experience. 

Andy is currently accepting new patients at our Macedonia, OH location. Request an appointment online or give us a call at 855-277–9689.