Mackenzie Thompson, PA-C, Offers Medical Dermatology Services for Patients of All Ages 

Optima Dermatology & Medical Aesthetics is excited to welcome Mackenzie Thompson, PA-C, to its Bloomington, IN dermatology practice. Mackenzie received her Master of Physician Assistant Studies at Indiana State University, and worked as an EMT and EKG technician before becoming a physician assistant specializing in dermatology care. She is a member of the American Academy of Physician Assistants and the Society of Dermatology Physician Assistants.  

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

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

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

I chose dermatology because I enjoy the variety it offers. No two days are the same! Whether performing skin checks, procedures like biopsies or mole removals, or addressing cosmetic concerns, I love the balance of medical care and hands-on work. The diverse range of cases keeps me constantly learning, making dermatology a perfect fit. 

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

My favorite part of being a PA is building relationships with patients and helping them feel confident in their skin. Dermatology lets me combine medical care with precision and compassion, making my work incredibly rewarding. 

What is your approach to treating your patients?  

My approach is always patient-centered first. I enjoy taking the time to truly listen and get to know my patients, understand their concerns, and see the full picture before creating a treatment plan. Building trust and making patients feel heard is just as important as the care itself. 

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

SPF! Sunscreen is my #1 recommended product, not only for protection from skin cancer, but also for anti-aging! 

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

I want my patients to know that my goal is to create a comfortable, judgment-free space where they can feel heard, respected, and confident in my care. I value inclusivity and want to make everyone feel welcome. 

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

When I’m not in the office, I love going on walks with my husband, exploring local coffee shops, and spending time with our three cats. On quieter days, I’m often reading or baking – especially when it’s cold out. 

What to Expect From Dermatology Care Delivered by Mackenzie and Her Team 

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

She is accepting new patients at in Bloomington, IN. You can request an appointment online, or call (812) 200-2458.

Dr. Gregory Delost of Optima Dermatology joins New Day Cleveland to share expert insight on acne causes, treatments, and when to see a dermatologist.

June is Acne Awareness Month, and millions of people of all ages continue to deal with this common yet frustrating skin condition. Dr. Gregory Delost, board-certified dermatologist with Optima Dermatology, joined New Day Cleveland to discuss acne triggers, treatment options, and the importance of early care.

“Almost everyone has experienced acne at some point,” says Dr. Delost. “There are a lot of reasons it happens, and the good news is—we can help.”

Why Dr. Delost Became a Dermatologist

Dr. Delost’s journey to dermatology is deeply personal.

“Growing up, I had a lot of acne. I tried almost every treatment out there before finally finding something that worked. It changed my life, and that’s what motivated me to help others.”

His firsthand experience allows him to understand the emotional and physical toll acne can take—and to treat patients with compassion and understanding.

Common Acne Triggers

Acne has multiple causes, but Dr. Delost outlines several key triggers that are common among his patients:

1. Diet

Recent studies show that high-glycemic foods (which spike blood sugar and insulin levels) can contribute to acne. These include:

• White bread
• Sugary snacks and drinks
• Processed foods

Instead, Dr. Delost recommends a Mediterranean-based diet, rich in fruits, vegetables, whole grains, and lean proteins.

“They say you are what you eat—it’s true when it comes to your skin.”

2. Makeup & Skincare Products

Contrary to popular belief, makeup itself isn’t always the culprit—it’s the type of makeup that matters.

Look for products labeled non-comedogenic, meaning they’re formulated to not clog pores.

“Also, don’t forget to clean your brushes and sponges regularly—and always remove your makeup before bed.”

3. Stress

Stress can elevate your cortisol levels, leading to increased oil production and breakouts.

“Simple lifestyle changes like getting enough sleep, staying hydrated, and regular exercise can have a huge impact.”

4. Overcomplicating Your Skincare Routine

Too many products or changing routines too often can irritate your skin.

“Stick to a simple, consistent routine with one or two effective products. More isn’t always better.”

Should You See a Dermatologist for Acne?

If acne keeps coming back or starts affecting your confidence, it’s time to consult a dermatologist.

“Acne can lead to scarring if left untreated. I always tell patients—come see us sooner rather than later.”

Even if your breakouts aren’t on your face, Dr. Delost says body acne is also common, especially among athletes or those with active lifestyles. Proper hygiene and targeted topical treatments can help.

Acne Is Complex—But Treatable

Acne is a multifactorial condition, meaning it’s caused by a combination of:

• Bacteria
• Inflammation
• Skin cell turnover issues
• Oil production

Dr. Delost works with each patient to build a personalized treatment plan—whether it involves lifestyle changes, prescription medications, or advanced dermatologic care.

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Ready to Take Control of Your Skin?
If you’re struggling with acne—on your face or body—schedule an appointment with Dr. Delost and the team at Optima Dermatology. Early treatment can make all the difference.

Book your appointment today

Dr. Lipner Joins Optima’s Manchester, NH Dermatology Practice 

Optima Dermatology is excited to welcome Dr. Matthew Lipner to its Manchester, NH dermatology practice. Dr. Lipner treats patients of all ages for a variety of skin conditions, including skin cancer, acne, eczema, and psoriasis. 

Dr. Lipner received his Doctor of Medicine from the University of North Carolina at Chapel Hill (UNC) School of Medicine where he was inducted into the Alpha Omega Medical Honor Society. He also earned his Doctor of Philosophy in Pharmacology at the Lineberger Cancer Center at UNC. While earning his MD and PhD, Dr. Lipner served as Vice President and later President of the Program Student Council. 

He then completed his dermatology residency at UNC, during which he served as Cosmetics Curriculum Chair. He also completed a transitional year residency program at Grand Strand Medical Center.  

In keeping with Optima Dermatology’s patient-centered approach to care, Dr. Lipner is committed to delivering an unparalleled patient experience and providing the highest quality of care to his patients.  

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

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

Throughout medical school and while completing my PhD, I was immersed in cancer care and research. As soon as I began my rotation in the dermatology clinic, I knew that I had found the perfect field to combine all my interests. Dermatology features exciting new treatments that drew me to oncology while also embracing a thrilling diversity of patients, complex medical cases, surgeries, and procedures. 

What is your favorite aspect of being a dermatologist? 

That’s easy – there is never a dull moment in dermatology! I am so grateful that my work is constantly challenging, fosters lifelong learning about new medical and aesthetic therapies, and leads to fulfilling long-term relationships with patients and colleagues of all ages and backgrounds. 

What is your approach to treating your patients? 

My approach really depends on a patient’s focus for their visit, but generally a physical examination – detecting subtle differences in the appearance, shapes, and textures of rashes and lesions – is my most powerful tool as a dermatologist. After this, the detective work begins as my patients and I integrate exam findings with the timeline, potential exposures, and symptoms to arrive at a diagnosis and management plan together. This process repeats, and our partnership strengthens over time as we work together to optimize skin health in the short- and long-term. 

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

Protect your skin every day from the sun with a broad-spectrum sunscreen and sun-protective clothing. This tip is no secret, but all other topicals, supplements, and procedures will have limited benefits until strong sun protection becomes part of your daily routine. 

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

Your skin health is my top priority. 

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

When I’m not working, my wife and I are hustling to keep up with our two young daughters and dog – and I wouldn’t want it any other way!  We love exploring the outdoors, trying our hand at recipes from around the world, and watching football in the fall. 

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

Dr. Lipner and his team at Optima Dermatology offer exceptional services and have the advanced training and experience to ensure the highest quality of care.  

He is currently accepting new patients at our Manchester, NH location. Request an appointment online or give us a call at 855-277-9689.

Dr. Deborah Paul Brings Mohs Surgery Expertise to Optima’s Macedonia, OH Practice 

Optima Dermatology is excited to welcome Dr. Deborah Paul, MD, FAAD, to our Macedonia, OH, practice, where she will deliver expert skin cancer care and treatment. Dr. Paul is a board-certified Mohs surgeon whose expertise includes Mohs for skin cancers and cutaneous oncology.  

After receiving her Doctor of Medicine from the University of Rochester School of Medicine in New York, Dr. Paul completed an internship in internal medicine at St. Vincent Hospital in Worcester, MA. She then went on to complete her residency in dermatology at the University of Rochester and her Fellowship in Mohs Micrographic Surgery and Cutaneous Oncology at the Mayo Clinic in Minnesota.  

Dr. Paul has been recognized throughout her career, receiving multiple awards and honors and authoring more than 15 medical publications. Additionally, Dr. Paul is a member of the American College of Mohs Surgery, the American Academy of Dermatology, and the American Society for Dermatologic Surgery.  

Her approach to care is aligned with Optima Dermatology’s patient-centered mission, in which we treat every patient the way we treat our family and friends. Dr. Paul is passionate about treating skin cancer and helping patients through difficult diagnoses with individualized and compassionate care.  

We recently had the opportunity to learn more about Dr. Paul, 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?   

Dermatology represents everything that I love about medicine. We are diagnosticians, pathologists, and surgeons. We follow a patient through all the steps of care – examining a possible skin cancer, biopsying it, removing it, and repairing it! 

To get here, I followed a fairly linear path to medicine. I always wanted to be a physician because it represents the unique intersection of art, service, and science. After college at UMASS Lowell in Lowell, Massachusetts, I attended medical school and completed my residency in Dermatology at the University of Rochester in Rochester, NY. I then completed a Mohs Micrographic Surgery and Cutaneous Oncology Fellowship at the Mayo Clinic in Rochester, Minnesota. 

What is your favorite aspect of being a dermatologist?  

Mohs surgery patients are often in the office for a couple of hours at a time, during which I learn so much about their lives and build connections with them. The experience with each patient reminds me of the humanity in what we are privileged to do in medicine.  

What is your approach to treating your patients?   

I strongly believe that each patient’s experience is unique. I try to model the biopsychosocial model to treat patients holistically. I especially want patients to leave feeling cared for and heard. 

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

Sun protection! It is never too late to start. It remains our best defense against skin cancer and skin aging. 

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

I understand and empathize deeply with the skin conditions our patients face. Skin conditions can be the most devastating because they are visible to the world and often out of our control.  

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

I am a professional sports enthusiast; I love basketball, football, track and field, and gymnastics. When I am not following my favorite New England teams, I enjoy traveling internationally. 

What to Expect From Mohs Surgery and Skin Cancer Care Delivered by Dr. Paul and Her Team 

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

What to Know About This Dermatologist-Approved Skin Care Method Before You Try It

Looking for a fresh approach to your skin care as we move into warmer months? Consider implementing a skin cycling routine.  

Skin cycling is a method many dermatologists, including the American Academy of Dermatology, promote as a healthier skin care approach. In this post, we’ll explain what skin cycling is, the benefits of this method, and how to implement it into your skin care regimen. We’re laying out all the information so you can decide if a skin cycling routine is right for you.  

What is Skin Cycling? 

More isn’t always better for skin care. All these serums, balms, toners, exfoliators, moisturizers, and specialized treatments can overwhelm any skin care routine – and your skin. Skin cycling entered the picture to simplify skin care. 

Skin cycling is a dermatologist-approved rotating skin care routine designed to balance active ingredients with recovery time, so you can get the most out of your skin care products while minimizing irritation.  

Rather than using powerful products like exfoliants and retinoids every day, which can stress your skin over time, skin cycling typically follows a four-night cycle that gives your skin time to rest and repair between active treatments. 

A four-night skin cycling routine looks something like this: 

Night 1 – Exfoliation: Use a chemical exfoliant (like an AHA or BHA) to remove dead skin cells and prep your skin for better product absorption. 

Night 2 – Retinoid: Apply a retinoid or retinol to stimulate cell turnover and support collagen production. This product can be over-the-counter or prescription, depending on your needs. 

Nights 3 & 4 – Recovery: Focus on hydration and barrier repair with gentle moisturizers, ceramides, and calming ingredients. Apply to damp skin to better seal in hydration. 

Once the 4-night cycle ends, it repeats. The idea behind skin cycling is to vary your regimen so you’re adequately spacing out exfoliation and moisturization, resulting in a healthier approach to your skin care. You shouldn’t be exfoliating every night, but when balanced with other skin care practices, it is an effective treatment that helps promote healthy, glowing skin.  

Who Should Try Skin Cycling? 

Skin cycling is a great option for anyone looking to reset, simplify, or streamline their skin care routine. However, it is an especially good option for: 

• Beginners who want a structured, manageable skin care routine. 

• People with sensitive skin who experience irritation from daily active use. 

• Those using retinoids or exfoliants who want better results without overdoing it. 

If you have skin conditions like rosacea, eczema, or acne, check in with your dermatologist to ensure a skin cycling routine can support your skin’s needs. 

Benefits of Implementing a Skin Cycling Routine 

Skin cycling has gained popularity for good reason – it has numerous benefits that have earned the support of dermatologists. 

• Reduces irritation: Alternating active ingredients with rest days helps protect the skin barrier and prevents over-exfoliation. 

• Simplifies your routine: No more guessing what to use each night—skin cycling provides a clear plan – and eliminates the need to pack your bathroom full of products. 

• Maximizes results: By using exfoliants and retinoids on specific nights, your skin gets the full benefit of these products without being overwhelmed or stressed, which can reduce results over time. 

• Allows for customization: Your skin cycling routine can be adjusted based on your skin’s needs – whether you’re targeting acne, signs of aging, or texture issues, you can cycle through the products that work best for your skin. 

How to Layer Skin Care Products the Right Way 

Layering your skin care products properly is important for skin cycling – but it also applies if you’re not following a skin cycling routine. Here’s a basic layering guide: 

At Night: 

1. Cleanser – Remove makeup, dirt, and oil. 

2. Exfoliant or Retinoid – On the appropriate night of your cycle, apply your active product to clean, dry skin. 

3. Moisturizer – Always follow with a moisturizer to hydrate and protect your skin barrier. 

On Recovery Nights: 

Skip products with active ingredients in favor of gentler treatments: 

1. A gentle cleanser 

2. A hydrating serum or essence (optional) 

3. A barrier-repairing moisturizer 

In the Morning: 

1. A gentle cleanser, which is optional in the morning if you don’t have oily skin.  

2. An antioxidant serum like vitamin C to brighten and protect the skin. 

3. A lightweight and hydrating moisturizer. 

4. Sunscreen! A broad-spectrum sunscreen with an SPF of 30 or higher is always recommended for protection throughout your day. 

5 Easy Tips for Starting a Skin Cycling Routine  

If you’re ready to give skin cycling a try, here are a few simple steps to help you get started: 

1. Choose your active-ingredient products carefully. For example, look for exfoliating products with alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs). AHAs are recommended for dry or normal skin types, while BHAs are a good option for more oily or acne-prone skin. For retinoids, start with an over-the-counter retinol before progressing to stronger formulations. 

2. Keep your recovery nights simple. Stick with fragrance-free, hydrating products that support your skin’s barrier. 

3. Be patient. Visible improvements take time – typically 4 to 8 weeks. Avoid rushing or adding products; skin cycling works best as a four-night regimen with only the necessary products. 

4. Listen to your skin. If you notice increased dryness, redness, or sensitivity, add more recovery nights or adjust your products containing active ingredients. If problems persist, contact your dermatologist to discuss potential issues with product ingredients or your routine.  

5. Consult with a dermatologist or medical aesthetic provider. A skin care professional can help customize your skin cycle and recommend the best products for your skin type and unique needs. 

Skin cycling isn’t just a trend – many dermatologists, including at Optima Dermatology, agree that it can help you get the most out of your skin care with less irritation and more consistency. Whether you’re just starting a skin care routine or looking to simplify an existing one, skin cycling offers a balanced approach that supports long-term skin health. 

Schedule an appointment with one of our providers to discuss a skin care routine that will work best for you. 

Alyssa Hauff, MSN, FNP-BC Will Serve Patients at Optima’s Independence and Macedonia, Ohio Practices 

Optima Dermatology is excited to welcome Alyssa Hauff, MSN, FNP-BC, to our Ohio practices in Macedonia and Independence. Alyssa is a board-certified nurse practitioner who has provided medical dermatology care to patients ages 15 and older in the greater Cleveland region since 2022. 

After receiving her Bachelor of Science in Nursing and graduating with Honors from Chamberlain College of Nursing, Alyssa earned her Master of Science in nursing from Allen College. During her 12 years of nursing experience across the ICU, emergency room, and other critical care settings, Alyssa found skin care to be one of her top priorities for her patients.  

Alyssa is an active member of the Department of Dermatology and the American Academy of Nurse Practitioners (AANP). She is committed to staying at the forefront of advancements in dermatology, regularly participating in training and medical education.  

In keeping with Optima Dermatology’s patient-centered approach to care, Alyssa is committed to collaborating with her patients and developing personalized treatment plans based on their unique needs. Alyssa looks forward to delivering expert dermatology care to patients in the Cleveland region out of Optima’s Macedonia and Independence practices.  

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

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

Growing up I always thought I wanted to be a teacher, but after starting college I realized that although I enjoyed working with people, teaching was no longer my path. I went into nursing and never looked back. Within my nursing journey, skin care has always been a priority in several different settings, and I have been blessed to have the opportunity to work in the dermatology field after graduating with my nurse practitioner degree. I truly enjoy the multi-facets to this field. 

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

I enjoy working with patients. The diversity of diseases I am able to treat keeps my workday challenging and rewarding. My favorite thing is seeing patients at follow-up appointments feeling excited that things are working for them or that they feel comfortable enough to trust the process and try something new.   

What is your approach to treating your patients? 

I work to meet the unique and individual needs of each patient. I enjoy getting to know patients and relating to them to help construct individualized treatment plans. Knowing every patient is different and has different goals plays a part in how to customize care. 

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

My tips for taking care of your skin are to keep it simple and never forget your sunscreen. 

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

I want patients to know that caring for them is my top priority. I try to understand people and what is best for them. I listen to address concerns during appointments and appreciate patients being open, vulnerable, and honest as we discuss how to achieve the best outcomes for them.  

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

When I am not in the office, I like to spend my time with family and friends. I have two daughters who are active, which keeps me busy. If there is any spare time, I enjoy staying active with cooking, reading, and exercising. 

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

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

She is currently accepting new patients at our Macedonia, OH location, and will be accepting new patients at our Independence, OH practice upon its opening on July 14, 2025. You can request an appointment in Macedonia online, or call (330) 306-9844. Schedule an appointment in advance in Independence online or call (216) 282-0369.

Small Changes Can Help You Manage Your Acne 

Learn the Everyday Habits That Could Be Causing Breakouts 

Acne can affect people of all ages and skin types. While genetics and hormones do play a role, everyday habits that may go unnoticed can contribute to acne. The good news? Small changes in your routine can lead to clearer, healthier skin. 

Let’s dive into some common acne triggers and what you can do to prevent breakouts. 

Diet & Breakouts:

Your diet has a direct impact on your skin. What you eat, and importantly what you avoid eating, can lead to meaningful changes in your skin health and acne severity. 

How to reduce acne flareups: 

• Drink plenty of water: Hydration helps maintain a strong skin barrier and improve overall skin health. 

• Eat a minimally processed, nutrient-rich diet: Processed foods, especially high glycemic index foods like white bread, pastries, and sugary snacks, trigger acne by spiking blood sugar levels and disrupting the gut microbiome, which in turn lead to increased oil production and inflammation in the skin^1-6. Whole foods rich in fiber, like vegetables, legumes, and whole grains, promote the opposite effects and have been shown to decrease acne severity^1-4,7. Consider taking a probiotic, which have recently shown promising results for improving acne^8-10. 

• Eat anti-inflammatory foods: Foods that prevent inflammation like leafy greens, fatty fish such as salmon and tuna, and antioxidant-rich green tea and berries can help balance your skin and improve skin health^1-3,11-12. Consider taking an omega-3 fatty acid supplement, which has been associated with improvement in acne in several studies^1,3,13 

• Limit dairy products: Consuming dairy products, especially milk, has been shown in some studies to be associated with acne severity through hormonal and inflammatory pathways^4,14-15.  

Stress & Skin: Why It Matters  

Have you ever noticed that your skin breaks out right before a big event? Stress increases cortisol levels, triggering excess oil production and inflammation – a perfect storm for acne^16-18. 

Here are some great tips for managing stress to prevent breakouts: 

• Practice mindfulness and meditation to reduce stress 

• Get enough sleep – your skin repairs itself overnight! 

• Exercise regularly to help regulate hormones and improve circulation 

We all experience stress, but practicing stress-management techniques can help you feel more relaxed and reduce the likelihood of a breakout.  

Makeup Mistakes That May Be Clogging Your Pores 

Makeup helps to enhance your look, but certain habits can trap bacteria, oil, and dirt leading to clogged pores and breakouts. 

Common Makeup Mistakes: 

• Using comedogenic or pore-clogging products that trap oil and bacteria. 

• Not removing makeup properly before bed.  

• Using dirty brushes or beauty sponges, which can hold bacteria. 

What to Do Instead: 

• Look for non-comedogenic, oil-free, and mineral-based makeup products. 

• Double-cleanse at night to remove makeup and buildup. 

• Wash makeup brushes and sponges weekly to prevent bacteria buildup. 

Examine Your Skincare Routine for These Common Pitfalls 

A good skincare routine is key, but some products and habits can do more harm than good. 

What to Avoid: 

• Harsh scrubs & over-exfoliating. Scrubbing and exfoliating too frequently can strip your skin of its natural oils, causing it to produce even more oil. 

• Heavy creams & certain oils. Thick moisturizers can clog pores, especially if you have acne-prone skin. 

• Unprotected sun exposure. UV rays can darken acne scars and cause lasting harm if skin isn’t properly shielded. 

What to Do Instead: 

• Stick to a gentle, consistent skincare routine. 

• Wash your face twice a day with a mild facial cleanser¹⁹. 

• Use a lightweight, non-comedogenic moisturizer daily to keep skin hydrated without clogging pores. 

• Apply SPF every day – even on cloudy days! 

Small, Daily Skincare Habits That Can Make a Big Difference 

• Avoid touching your face to prevent bacterial transfer. 

• Clean your phone screen regularly to remove oil and bacteria that can transfer to your skin when in use²⁰. 

Breaking out? Don’t panic! By making simple changes to your diet, skincare routine, and daily habits, you can reduce breakouts and support long-term skin health. 

If your acne persists or worsens despite following these management tips, schedule an appointment with a board-certified dermatologist for personalized treatment options.

May is Skin Cancer Awareness Month, and there’s no better time to highlight the importance of early detection and prevention. Dr. Gregory Delost, a board-certified dermatologist at Optima Dermatology, recently appeared on New Day Cleveland to discuss key facts about skin cancer—what to look for, who’s at risk, and how to protect your skin.

Why Early Detection Matters

Dr. Delost shared a powerful story from his previous appearance on the show when he discussed skin cancer; “We showed some images on air, and the following Monday, I had three patients come in because they recognized symptoms on themselves. All three were diagnosed with treatable skin cancer.”

That kind of impact underscores how important awareness is—especially since skin cancer is the most common form of cancer in the U.S.

Who Is Most at Risk?

Dr. Delost emphasized that 1 in 5 Americans will be diagnosed with skin cancer at some point. Risk factors include:

• Fair or light skin tones
• Light-colored hair and eyes
• A history of sunburns, especially during childhood
• Tanning bed use
• A family history of skin cancer
• Suppressed immune systems (e.g., organ transplant recipients)

Types of Skin Cancer

The three most common types of skin cancer include:

1. Basal Cell Carcinoma – Usually appears as a pearly bump with visible blood vessels.
2. Squamous Cell Carcinoma – Often shows up as a crusty, painful scab in sun-exposed areas.
3. Melanoma – The most dangerous form, capable of spreading to other parts of the body. It’s less common but far more deadly if not caught early.

The ABCDEs of Melanoma – What to Watch For

If you notice a mole or spot on your skin that seems suspicious, remember the ABCDEs:

• Asymmetry – One half doesn’t match the other.
• Border – Irregular, jagged, or blurred edges.
• Color – More than one color or an uneven distribution.
• Diameter – Larger than 6mm (about the size of a pencil eraser).
• Evolving – Any change in shape, size, or color over time.

Dr. Delost notes that evolution is often the most important warning sign.

“If something is changing, it’s worth having a dermatologist take a look.”

Parents: Trust Your Instincts

Dr. Delost also addressed concerns from parents who notice changes in their child’s moles or birthmarks.

“If you’re ever unsure, get it checked. You’re never wasting our time.”

Preventive Measures: How to Protect Your Skin

As summer approaches, it’s crucial to take steps to protect your skin. Dr. Delost recommends:

• Avoid tanning beds – They dramatically increase your risk.
• Use a broad-spectrum sunscreen with SPF 30 or higher.
• Look for active ingredients like zinc oxide or titanium dioxide.
• Reapply sunscreen every two hours, especially after swimming or sweating.
• Seek shade and wear protective clothing during peak sun hours (10 AM – 4 PM).

Visit Dr. Delost in Mentor, OH

If you have any concerns about a spot on your skin or simply want a preventive screening, Dr. Delost welcomes patients at Optima Dermatology in Mentor, OH.

“No news is good news. But the only way to know for sure is to come in.”

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Schedule a Skin Check Today
Early detection saves lives. Don’t wait—book an appointment with Dr. Delost at Optima Dermatology in Mentor, OH today.

Products and Treatments to Add, Swap, or Skip in the Spring Season

Your skincare routine should change throughout the year – in the colder months, you’re exposed to harsh winds and dry air, while in the spring and summer, you’re exposed to more direct sunlight and increased humidity.  

Seasonally appropriate products can keep your skin feeling rejuvenated, balanced, and glowing, and ensure it stays protected and healthy whether you’re on a beach or a ski slope.  

These spring skincare tips for products to add, swap, or skip will help you freshen up your skin after the long, cold winter, and prepare it for the warmer weather ahead.  

What to Add to Your Skincare Routine in the Spring 

Antioxidant Serums (Like Vitamin C): Warmer weather gets everyone outside more, and with increased sun exposure, spring is the perfect time to add an antioxidant serum like Vitamin C to your skincare routine. Antioxidants help protect the skin from environmental damage, brighten your complexion, and support collagen production for healthier skin. 

Tinted SPF with Broad-Spectrum Protection: If you’ve been using a heavier foundation in the winter, it can take a back seat in the spring; opt for a tinted SPF with broad-spectrum coverage instead! This multitasking product evens skin tone hydrates the skin and protects against UVA/UVB rays in one easy step. Plus, using only one makeup product helps prevent clogged pores and keeps your skin feeling lighter. A few favorites you can typically find at Optima Dermatology are Alastin’s HydraTint Pro Mineral Sunscreen and Revision Skincare’s Intellishade. 

Lightweight Moisturizers: As humidity levels rise, your skin craves lighter hydration. Swap out heavy occlusive moisturizers for a gel-based or oil-free moisturizer that keeps skin hydrated without feeling greasy. Alastin’s HA (Hyaluronic Acid) IMMERSE Serum™ is a favorite amongst our team. 

Make a Product Swap: Try These Trending Spring Skincare Options 

Niacinamide: A must-have for calming redness and improving skin texture. Perfect for post-winter sensitivity and seasonal breakouts. 

Peptides: Peptides pack powerful support for the skin barrier, boost hydration, and promote collagen production for a smoother, plumper complexion. 

Mineral Sunscreens: If you have sensitive skin, opt for mineral-based sunscreens with zinc oxide or titanium dioxide. These products provide broad-spectrum protection without irritation. 

Skincare Products to Skip This Spring 

Harsh Exfoliants: Your skin is already adjusting to the change in weather, so ease up on chemical peels or gritty scrubs. Over-exfoliating can lead to redness, irritation, and increased skin sensitivity. Instead, gentle exfoliation once or twice weekly will keep your skin fresh. 

Heavy Moisturizing Creams: Lathering on thick moisturizing creams in the winter is a must to combat that dry air but come spring you can toss those to the side and grab a lighter product that works better with higher humidity levels. 

Creamy, Thick Cleansers: If you use a cream-based cleanser in winter, spring is a great time to switch to a foaming or gel-based cleanser that removes excess oil and sweat without stripping your skin of necessary oils. 

Spring Clean Your Skincare Products 

Spring cleaning is a great way to shake off the winter chill and start the new season fresher and cleaner. You can spring clean your skincare products like you would clean your home.  

Here are a few tips for refreshing your products, and unlike scrubbing your baseboards, it only takes a few minutes: 

• Check expiration dates. Expired products lose effectiveness and can even irritate the skin. Toss anything that’s past its prime! 

• Streamline your routine Stick to a few essential products that work best for your skin and part ways with all those half-empty bottles. 

• Sanitize your applicators and tools. Clean your makeup brushes, beauty sponges, and facial rollers to prevent breakouts and bacteria buildup. 

These spring skincare tips are meant to help you swap your heavier winter products for lighter, seasonal essentials, and declutter your shelf to make room for the essentials.  

As we head into spring, consider meeting with one of our board-certified dermatologists to identify your unique skincare needs and help freshen up your routine for spring. Request an appointment at one of our many locations in Maine, New Hampshire, Indiana, and Ohio! 

We’re back with another Derm Deep Dive, a series where we provide expert advice from one of our board-certified dermatologists about a specific topic in skin care. For this edition, we collaborated with board-certified and fellowship-trained Mohs surgeon, Dr. Sherry Yu to offer a guide to moles and spots on skin, detailing what to look for, what they might be, and when to see a dermatologist. 

The Importance of Monitoring Moles and Spots 

Most people have moles, and while they are typically harmless, it’s important to monitor them for any changes in size, shape, or color, as these can sometimes be signs of skin cancer. 

Keeping an eye on your moles and other spots on your skin is an important part of maintaining skin health. For example, if you know you have a small brown mole behind your knee and notice that it changes—perhaps becoming irregular in shape or developing a darker border—it’s a good idea to see a dermatologist. One helpful guideline is the “ugly duckling” rule: if most of your moles are similar in size, shape, and color, and one stands out as different, that’s a sign it should be checked out. 

When it comes to skin cancer, early detection and treatment are critical. The Skin Cancer Foundation recommends getting a full body skin check at least once a year. It’s also important to do skin checks more regularly at home (at least once a month). At-home skin checks ensure that you’re familiar with your own skin and therefore able to notice any changes right away. Knowing what to look for is key, so let’s go over the moles and spots that should catch your attention. 

Moles, Birthmarks, and Spots: Characteristics and Differences 

There are some important but somewhat subtle differences among moles, birthmarks, and spots on the skin.  

Moles:  

Moles are extremely common and are typically noncancerous. They are caused by a group of pigment-producing skin cells, called melanocytes. Moles can vary widely in size, shape, and color. They may be flat or raised, round or oval, and range in color from flesh-toned to dark brown or black, some may even appear multicolored. People typically have a variety of moles on their skin, and while moles are generally harmless, if you notice a mole undergoing a change in its size, shape, or pigmentation, you should have it looked at by a dermatologist to rule out skin cancer.  

Birthmarks:  

Birthmarks are colored areas on the skin that appear shortly after birth and are very similar to moles in how they are formed and how they behave. Common birthmarks fall into two categories. Red or vascular birthmarks such as hemangiomas, congenital dermal melanocytosis spots, and port wine stains. And pigmented birthmarks such as cafe-au-lait spots, salmon patches. 

Like moles, while most birthmarks are harmless, they could carry a small risk of developing into skin cancer. Monitor birth marks in your monthly at-home skin checks and schedule an appointment with your dermatologist if you notice any changes. 

Spots: 

Finally, when we talk about spots, these would be any spots that are not moles or birthmarks, such as sunspots, scars, a newly formed area of discoloration or texture, or a lesion that continuously returns or is not healing. 

Our skin naturally changes over time, but if you notice something new, it’s always wise to get it checked. In many cases, your dermatologist can determine if an area is concerning just by examining it and will perform a biopsy if needed. 

What Makes a Mole or Spot Suspicious? 

Having a lot of moles or birthmarks increases your risk of developing skin cancer, although the risk depends on the size and type of mole or birthmark. Individuals with more than 50 moles, or moles that are unusual in size or shape, are at higher risk of developing melanoma, the most serious type of skin cancer.  

Pay attention to the following indicators of potential skin cancer, which apply to moles, birthmarks, and new or existing spots: 

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

• A dark spot on your skin that is either new or has changed in size or appearance, similar to what you should look for with a mole or birthmark. 

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

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

Sun exposure, family history, and having fair skin, blue eyes, red hair, or freckles also increase the potential of developing melanoma. 

Along with always wearing sunscreen and avoiding tanning beds, at home skin checks and full body skin checks are essential ways to detect skin cancer early.  

Conducting an Effective At-Home Skin Check 

1. Use a full-length mirror in a brightly lit space to examine the front, back, right, and left sides of your body. Raise your arms to view hard-to-see places. 

2. Examine your underarms, forearms, the palms of your hands, and your fingernails.  

3. Look at the soles of your feet, your toenails, the spaces between your toes, and the backs of your feet and legs.  

4. Examine your neck and scalp using a small hand mirror, being sure to part your hair for a better look at different areas of your scalp. 

5. Check your back and buttocks, also using a hand mirror. 

6. Take photos of any spots that are concerning to you so you can show your dermatologist or accurately monitor at home.  

Keep an eye on those moles, birthmarks, and spots! Skin cancer rates are rising each year, and early detection saves lives. Schedule your full-body skin check today with Optima Dermatology by calling (855) 277-9689.

A Guide to Unlocking the Skin’s Potential With Growth Factors for Skin

With a somewhat ambiguous name, it’s no wonder growth factors for skin are often met with confusion or a lack of awareness. Despite being developed in the 50s and undergoing decades of science and study, growth factors have only recently become a sought-after ingredient for their anti-aging properties.

Whether you’ve heard of growth factors or are just delving in, it’s important to understand what you’re buying and how it can benefit your skin.

What Are Growth Factors for Skin?

Growth factors are proteins that occur naturally in the body to help with repairing damaged skin and promoting skin cell growth, and collagen and elastin production. They do a lot for our skin, with one amazing outcome: helping our skin look healthy and rejuvenated.

There are multiple types of growth factors present in the body, and they all have different jobs.

• Epidermal Growth Factors (EGF) help in healing and repairing damaged skin, these are great for post procedure healing or wound healing.
• Fibroblast Growth Factors (FGF) stimulate collagen and elastin production to support and strengthen the skin, these often play a role in anti-aging treatment.
• Platelet-Derived Growth Factors (PDGF) help repair the skin’s tissues when damaged or compromised.
• Transforming Growth Factors (TGF) help maintain collagen levels.
• Vascular Endothelial Growth Factors (VEGF) support blood flow to the skin, encouraging a healthy, radiant glow.

Like collagen and elastin, growth factors also decrease as we age, resulting in more pronounced fine lines, wrinkles, and sagging skin. People often turn to supplements and topical products to pause or reverse these signs of aging, and growth factors have gained popularity as a treatment that gets results.

How Do They Work?

Because the body already produces growth factors, taking a supplement or applying them topically to the skin is simply replenishing what may be a diminishing supply in your body.

These “artificial” growth factors are typically derived from the proteins produced by animal or human stem cells and are bioengineered specifically for skincare. Growth factors with the same skin repair and rejuvenation functions have also been developed from plant-derived ingredients.

Growth factors stimulate the production of collagen and elastin. In doing so, growth factors can help your skin more quickly and effectively recover from sun or other damage, as well as signs of aging.

Collagen and elastin are essential in keeping the skin strong, tight, smooth, and supported, so as wrinkles and fine lines emerge, growth factors can send signals to your skin to reverse course.

Topical growth factors can help your skin:

• Look brighter, healthier, and rejuvenated
• Become tighter and stronger, reducing the appearance of fine lines and wrinkles
• Recover more quickly from sun damage or cosmetic treatments such as lasers or chemical peels
• Turn over and renew skin cells more quickly and efficiently
• Better protect itself from harsh chemicals and environmental stressors by strengthening the skin barrier
• Retain more moisture, staying hydrated for longer

Working Growth Factors into Your Skincare Routine

The most important first step to using growth factors is selecting the right product for your skin type and unique needs. They are available as serums and creams and are applied topically to the skin. You should always consult with your dermatology provider before starting a new skincare product, but growth factors have been found to be safe for all skin types. Some minor side effects can include dry skin or rashes.

Anyone who is interested in reducing fine lines and wrinkles and improving their skin health is a candidate for growth factors. Most people report seeing results within 4-8 weeks of treatment, with full results within 12 weeks. Optimal results rely on continued use past the initial 12 weeks, as results can continue to be seen up to several months after starting treatment.

Some top-rated products recommended by our expert medical aesthetics providers include:

Exosomes

Exosomes are a cutting-edge regenerative treatment that contains growth factors, peptides, and lipids. Exosomes stimulate collagen production, enhance cellular communication, and accelerate healing. They are commonly used to improve skin texture, tone, and elasticity, and to support recovery after aesthetic treatments like microneedling and laser procedures.

Platelet-Rich-Plasma (PRP)

PRP is a natural treatment that utilizes the patient’s own blood to stimulate skin and hair regeneration. After drawing a small amount of blood, it is spun in a centrifuge to concentrate the platelets and growth factors. PRP is widely used for skin rejuvenation, helping to improve fine lines, texture, and overall skin health. It is also a popular treatment for hair restoration, as the growth factors in PRP can strengthen hair follicles and encourage new hair growth.

Product Recommendations

• SkinMedica TNS Advanced+ Serum
• ZO Skin Health Growth Factor Serum
• SkinBetter Science Techno Neck Perfecting Cream
• Nutrafol Hair Serum

There have been a lot of studies and research over the years that indicate growth factors can visibly reduce wrinkles and fine lines and improve overall skin health. However, it’s always best to speak with a specialized provider to discuss your specific concerns and understand the best product and skincare regimen for you.

Our expert dermatologists and medical aesthetic providers are well-versed in skin care, cosmetic dermatology, and anti-aging approaches, and we encourage you to schedule a consultation to discuss your specific concerns and better understand if growth factors are for you! Book an appointment today.

We’re excited to welcome Kendra Lyons, PA-C, to Optima Dermatology! With a deep passion for both medical and cosmetic dermatology, Kendra is dedicated to helping patients achieve their healthiest skin through expert care and personalized treatment plans. Since beginning her dermatology career in 2019, she has focused on building strong patient relationships and delivering natural-looking, confidence-boosting results. Whether providing medical dermatology treatments or guiding patients through aesthetic procedures, Kendra is committed to a patient-first approach that prioritizes education, trust, and individualized care. We recently had the opportunity to sit down with Kendra to learn more about her journey, philosophy, and top skincare tips.

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

I have always been passionate about both medicine and aesthetics, and dermatology offers the perfect blend of the two. My journey began with a summer spent shadowing a dermatologist before attending physician assistant school. During my training, I chose dermatology as one of my elective rotations, which further solidified my interest in the field. After graduating in 2019, I began practicing in dermatology and have been dedicated to it ever since. 

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

My favorite aspect of being a board-certified physician assistant is building relationships with patients and helping them achieve their skin goals. Seeing my patients gain confidence as they achieve healthier, more radiant skin is incredibly rewarding. 

What is your approach to treating your patients? 

My approach to patient care is highly personalized, recognizing that each individual has unique concerns, goals, and lifestyles. I take the time to listen and understand their needs before creating a custom treatment plan. In cosmetic treatments, my focus is on achieving natural-looking results that enhance each patient’s features rather than altering their appearance. 

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

Sunscreen! Daily sunscreen use is the most important step in maintaining healthy skin. It provides protection against skin cancer while also preventing premature signs of aging. 

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

I want my patients to know that I am dedicated to helping them achieve their goals and guiding them to make informed decisions about their health. If there is anything they’re concerned about or would like to discuss, I encourage them to be open and honest so that I can provide the highest level of care. 

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

Outside of work, I enjoy spending time with my family and friends, staying active through exercise, cooking, and reading.

Providing Personalized Care for Every Patient

Kendra is passionate about empowering her patients with the knowledge and treatments they need to look and feel their best. Whether addressing medical dermatology concerns or enhancing natural beauty through cosmetic procedures, her goal is to create tailored treatment plans that align with each patient’s unique needs and goals.

Now accepting new patients! Schedule an appointment with Kendra Lyons, PA-C, at Optima Dermatology by calling (603) 441-1076 or requesting an appointment online.