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Diabetic Skin Conditions and Treatment

Diabetes is best recognized for affecting the body’s insulin and blood sugar levels, but it can also cause several skin-related issues. Diabetic skin conditions can occur in individuals with Type 1 and Type 2 diabetes as a direct effect of the disease or a complication from medications.

In some cases, a skin issue can be an early sign of diabetes. According to the National Institute of Health, between 30% and 70% of individuals with diabetes will develop a skin condition.

Type 1 diabetes is diagnosed when the body’s immune system attacks and destroys cells that produce insulin, a hormone responsible for moving glucose from food into cells for energy. Those with Type 2 diabetes don’t produce enough insulin or their cells don’t react to insulin properly. Because diabetes affects the immune system and blood sugar levels, the skin is often impacted as well.

Why Does Diabetes Cause Skin Conditions?

There are a number of reasons individuals with Type 1 or Type 2 might develop a related skin condition.

One cause is hyperglycemia, which occurs when there is a high amount of sugar (glucose) in the blood. High glucose levels can set off a chain reaction where the body pulls fluid from other cells to produce enough urine to flush out the excess sugar. This removal of fluid can result in mild or severe dry skin that often manifests in different ways.

Diabetes can also cause changes in blood vessels, which can reduce the flow of blood to the skin. With less oxygen going to skin cells, individuals may develop areas of the skin that are discolored or different in texture.

Skin conditions can be an early sign of diabetes or develop after an individual has had diabetes for several years. While most of these skin conditions are best treated by managing your body’s blood sugar levels, there are other treatments to help alleviate the appearance of or discomfort from these skin issues.

It’s best to always see your dermatologist with any sudden changes to your skin, especially if the changes are severe and impact your daily life.

6 Types of Diabetic Skin Conditions

1. Diabetic Dermopathy

Diabetic dermopathy is one of the most common skin conditions related to diabetes. It often appears as light brown, scaly patches on the skin, and typically manifests on the shins. While this condition is considered harmless and doesn’t typically cause pain, its appearance can impact an individual’s self confidence.

How to Treat: There is no specific medical treatment for diabetic dermopathy; however, because this condition is caused by high glucose in the blood, your dermatologist may focus on managing your blood sugar levels to help prevent the development of future skin patches. Moisturizers can also manage irritation and discomfort by soothing dry, scaly skin.

2. Acanthosis Nigricans

Acanthosis nigricans is more common in individuals with Type 2 diabetes, and can be an early sign of insulin resistance. Acanthosis nigricans causes areas of the skin to become darker, thicker, and velvety in texture, and these dark patches often occur in skin folds, such as the neck, armpits, or groin.

How to Treat: This condition is best treated by addressing its root cause: insulin resistance. Individuals with acanthosis nigricans should make lifestyle changes to manage their diabetes and regulate their blood sugar to keep it within a recommended range. Additionally, your dermatologist may suggest topical retinoids or keratolytic agents to reduce the thickness of the skin and improve its appearance. In some cases, laser therapy may be employed to reduce pigmentation.

3. Necrobiosis Lipoidica

This rare condition causes raised, yellowish, or reddish patches or lesions on the skin, often on the lower legs. These areas can be itchy or painful and may even ulcerate in more severe cases. Necrobiosis lipoidica is more common in women with diabetes and often signals poor blood flow and inflammation.

How to Treat: A topical or injected corticosteroid can help reduce inflammation and prevent further skin damage. In more severe cases, your dermatologist may prescribe an oral medication like pentoxifylline (which helps improve blood flow) or an immune-suppressing agent.

4. Fungal Infections

Because diabetes can weaken the immune system, individuals become more susceptible to fungal infections, such as Candida. These infections typically occur in warm, moist areas where bacteria grows easily, like the armpits, groin, and between fingers and toes. Fungal infections can cause itchy, red rashes with small blisters or scales.

How to Treat: Prescription antifungal creams, powders, or oral medications will help clear the infection. To prevent new infections or flareups, you should maintain good hygiene and keep the affected areas dry.

5. Diabetic Blisters (Bullosis Diabeticorum)

While rare, some people with diabetes may develop blisters on their skin, which can manifest as a result of consistently high blood sugar levels, poor circulation, or damaged nerves. Diabetic blisters typically manifest on the hands, feet, legs, or forearms, can appear suddenly, and may resemble burns. Though they are usually painless, they can become infected if not properly cared for.

How to Treat: Like other diabetic skin conditions, controlling blood sugar levels is the best way to prevent and treat this skin issue. If you do develop diabetic blisters, they should be kept clean and covered to prevent infection. In most cases, they heal on their own within a few weeks. If the blisters become infected, your dermatologist may prescribe a topical antibiotic.

6. Bacterial Infections

Because diabetes can weaken the immune systems, diabetics are at an increased risk of bacterial skin infections, such as boils, styes, or carbuncles, caused by bacteria like Staphylococcus aureus. These infections can lead to painful, swollen red areas on the skin and may require medical intervention.

How to Treat: Your dermatologist may prescribe antibiotic ointments or oral antibiotics to clear the infection. In more severe cases where an abscess has formed, it may need to be drained or removed in a minor surgical procedure to clear the area of infected tissues.

Skin Conditions Caused by Diabetes Require Immediate Attention

Regardless of whether you have developed a skin issue as a result of diabetes, it’s best to visit with a board-certified dermatologist if you have diabetes to understand what to look for and any risk factors.

At Optima Dermatology, we’ll work with you to understand your diabetes, create a personalized care plan to treat any existing skin issues, and help prevent future complications.

For individuals with diabetes, early detection and treatment of a skin condition can prevent minor issues from becoming severe.

Request an appointment to discuss your diabetes, skin concerns, and develop a plan for any skin conditions caused by diabetes.

(855) 277–9689

Board-Certified Dermatologist Joan Sisto, MD, FAAD Joins Optima Dermatology’s Seacoast & Southern Maine Practices

Dr. Sisto Specializes in Medical, Surgical, and Cosmetic Dermatology Services

Dr. Joan Sisto, MD, FAAD, a board-certified dermatologist, is providing services at Optima Dermatology’s Stratham, NH and York, ME practices, and will be joining our newest practice in Portsmouth, NH in January. Having served patients in the Seacoast region since 1999, Dr. Sisto brings years of expertise and a passion for skin care and treatment.

Dr. Sisto provides medical, surgical, and cosmetic dermatology treatments for patients of all ages.

She earned her Bachelor of Science from the University of Utah and attended a postgraduate premedical program at Columbia University in New York City. She later earned her Doctor of Medicine from the Albert Einstein College of Medicine (AECOM), a premier academic medical center and university hospital recognized for clinical excellence, where she was inducted into the Alpha Omega Alpha Medical Honor Society.

Dr. Sisto completed her dermatology residency at Montefiore Hospital of AECOM and was named Chief Resident during her final year.

Currently, she is a fellow of the American Academy of Dermatology (AAD), and a member of the American Society of Dermatologic Surgery.

Having served as a board-certified dermatologist in the Seacoast region for more than two decades, Dr. Sisto is passionate about serving the community and has participated in numerous free skin cancer screening events. She also frequently volunteers her time at a local soup kitchen, and has completed multiple medical missions in Honduras.

When she is not treating patients, she enjoys skiing, cycling, hiking in the White Mountains, and enjoying exceptional Italian cooking by her husband Dan.

Committed to Skin Care and Patient Care

Dr. Sisto is committed to delivering the highest quality of care to her patients, and pays special attention to underlying causes of skin conditions, as well as specific details about an individual’s life and routine that can contribute to skin issues.

Her approach to patient care mirrors Optima’s mission to treat everyone like we would our friends and family, and she is looking forward to continuing her work in the Seacoast of New Hampshire and Southern Maine.

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

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

I was a Critical Care Nurse in Salt Lake City, Utah in my early twenties. Interest in travel provided an opportunity to work in a Cardiac Catheterization Lab in Milan, Italy for two years. This experience led to medical school in New York City. I originally was interested in emergency medicine but during my fourth year rotation in dermatology, I realized I would prefer creating more rewarding, longer-term patient relationships.

What is your favorite aspect of being a dermatologist?

I enjoy dermatology because I see such a wide age range, including pediatrics, teenagers, young adults and the elderly. I practice general medical dermatology but surgical procedures and cosmetics are also very fulfilling.

What is your approach to treating your patients?

I look at my patients as a whole person, not just their exterior. Dermatologic manifestations of internal conditions can be subtle. It is important to know my patient’s health history to better manage their treatment.

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

Sun protection starts at an early age; not just sunscreen but SPF clothing, hats, and sun avoidance.

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

I love my job. I treat my patients as I would treat my family members. I want to know all about you and how I can help you to keep your skin and your body healthy

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

My husband, Dan, and I love to ski, boat, bike, and eat Italian food.

Dr. Sisto 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 Stratham, NH and York, ME locations. Request an appointment online or give us a call at 855-277-9689.

(855) 277–9689

Skin Conditions in Youth Athletes – Optima Dermatology on New Day Cleveland

Dr. Gregory Delost Discusses Managing Skin Conditions in Youth Athletes on New Day Cleveland

As school sports ramp up, so do the concerns about various skin conditions that can affect young athletes. Dr. Gregory Delost, a board-certified dermatologist at Optima Dermatology, appeared on New Day Cleveland to discuss common skin issues in youth athletes and provide advice on prevention and treatment.

Common Skin Conditions in Youth Athletes

  1. Ringworm (Tinea)
    Despite its name, ringworm is not a worm but a fungal infection. It can appear on various parts of the body, including the scalp, feet, and skin. Ringworm is especially common in athletes, as it spreads easily in communal areas like locker rooms and wrestling mats. Dr. Delost explains that the infection thrives in the top layer of the skin and is often contracted through direct contact or contaminated surfaces.
  2. Herpes Simplex (Cold Sores)
    This viral infection presents as painful blisters, usually on the face. It’s highly contagious and can be triggered by stress, illness, or even sun exposure. While cold sores can be treated with oral antiviral medications, they tend to reoccur, as the virus can remain dormant in the body’s nerve cells. Dr. Delost emphasizes that stress or sunburns can trigger reactivation.
  3. Impetigo
    Impetigo is a bacterial skin infection that is common among athletes, particularly wrestlers. It can manifest as yellow, crusted plaques or lesions, and it often occurs around the nose or hair follicles. The bacteria that cause impetigo can spread through minor skin injuries or contact with contaminated surfaces, making prevention crucial.
  4. Molluscum Contagiosum
    This viral infection is spread through skin-to-skin contact or contaminated items like towels. It appears as dome-shaped bumps on the skin, often found in young athletes who frequent pools. Molluscum Contagiosum is highly contagious but typically resolves on its own over time.
  5. Warts
    Warts are another common condition caused by the human papillomavirus (HPV). There are hundreds of HPV strains that can lead to the formation of warts, which are especially prevalent in athletes due to frequent skin-to-skin contact during sports activities.

Prevention Tips for Youth Athletes

Dr. Delost stresses the importance of good hygiene to prevent the spread of these skin infections. Here are his top tips for young athletes:

When to See a Dermatologist

If your child is experiencing any persistent skin issues, it’s important to consult a dermatologist. Dr. Gregory Delost and the team at Optima Dermatology specialize in diagnosing and treating a variety of skin conditions, ensuring that young athletes can get back in the game quickly and safely.

Request an appointment to discuss the best preventions and treatment plan for skin conditions in youth athletes.

(855) 277–9689

Eczema Awareness Month: Can Diet Improve (or Worsen) Eczema?

The Relationship Between Food and Your Skin Condition 

We’re back with another Derm Deep Dive, a series where we provide expert advice from one of our board-certified dermatologists about common skin conditions or treatments. For Eczema Awareness Month this October, we collaborated with Dr. Virginia Barton about how diet can affect eczema – both positively and negatively. 

The Low-Down on Eczema 

Diet is often an area worth examining if you suffer from a health issue. The old saying “you are what you eat” isn’t too far off – there are many foods that have negative impacts on the body and can cause certain reactions in some people, just as there are foods that help us improve our health and wellness over time.  

But before you can understand whether your diet is potentially hurting or helping your eczema, you need to understand this condition – and what makes it “tick”.  

Eczema is a very common, non-contagious skin condition that causes the skin to lose its ability to act as a barrier, which initiates an inflammatory response. Without the barrier function, your skin is left open to irritation, dryness, or infection.  

Common symptoms of eczema are dry, itchy, red, and often bumpy patches on the skin, and it can be quite uncomfortable but is manageable with the right treatment. There are many types of eczema that each manifest differently on different people, and treatments can be quite varied.  

While there are a host of topical ointments and creams that can alleviate symptoms, eczema is, ultimately, an inflammatory response to a trigger and will continue to flare up as long as the trigger is present. 

Triggers can include sweat, allergens, sun exposure, and even stress, among others. It is widely discussed whether food plays a role – either in worsening flare ups or helping alleviate them.  

Determining Whether Food is Contributing to Your Eczema Flare Ups 

Allergy testing or an elimination experiment are helpful methods to determine if a diet-related trigger is causing your eczema flare ups.  

Some individuals do see a distinct pattern between food and flare ups – for example, every time you eat bread or enjoy a bowl of ice cream you immediately experience those tell-tale itchy patches. In these cases, patients may end up being diagnosed with another health condition like Celiac Disease or Lactose Intolerance that is creating larger problems for their eczema.   

However, outside of allergy-related cases, there is no proven relationship between diet and eczema, and treating eczema with dietary changes might help some individuals but have no impact for others.  

For children with eczema, parents shouldn’t begin elimination diets without consulting with a board-certified dermatologist. If your child doesn’t have a known food allergy, restricting their diet to manage eczema can do more harm than good. Children need nutrients from many different foods and food groups, and if there is no immediate health risk or other type of restriction to their diet, it’s best to continue feeding as normal.  

That being said, examining your own diet and making lifestyle changes to potentially alleviate eczema flare ups is never a bad idea. And there are certainly some foods that are harmful to our bodies in general, such as alcohol and sugar, that are always wise to cut back on.  

Treating Eczema From Within 

Because eczema is an inflammatory condition, it makes sense to eliminate or cut back on foods that cause inflammation (like sugar) and increase your intake of foods that reduce inflammation.  

Foods that cause inflammation include: 

In general, eating a healthy diet will reduce inflammation in the body. Some recommended foods that have anti-inflammatory properties include: 

Cooking with olive oil is also recommended, and it has properties that are known to reduce inflammation and even alleviate pain.   

It’s best to consult with your dermatologist about your eczema before trying an elimination diet or changing your lifestyle to alleviate eczema symptoms – especially if you’re trying these approaches and your eczema isn’t improving.  

Dietary Changes Can be a Win-Win 

If dietary changes help alleviate your eczema symptoms – great! And if they don’t, you’re still better off for it.  

Dermatology is really a whole-health practice because the skin is the largest organ and is exposed to so much in our everyday lives. Improving what you put into your body can only have long-term positive results for your overall health and your skin, even if it doesn’t provide relief from your eczema.  

Luckily, there are treatments for eczema that are highly effective, and don’t require a dietary overhaul. I’d love to meet with you to discuss your eczema and the best treatment method to help you feel better, more confident, and less itchy! 

Schedule an appointment with Dr. Virginia Barton to discuss a treatment plan that will work best for you.  

(855) 277–9689

Optima Dermatology on New Day Cleveland – Eczema in Children: What Parents Need to Know

Board-certified dermatologist Dr. Gregory Delost from our Mentor, OH, location discusses eczema in children and what parents need to know on ‪New Day Cleveland‬. From physical discomfort, to impacting other aspects of adolescents lives, it is important for parents to understand how to improve the well-being of their child who has eczema.

5 Topics to Discuss With Your Dermatologist if Your Child Has Eczema 

Eczema in children is very common – according to the Centers for Disease Control (CDC), more than 10% of children in the U.S. have eczema.  

Any parent who has experienced eczema with their child knows it can be a challenging skin condition as it causes dry, itchy skin (which is never an easy thing to manage with a child) and can be disruptive to their daily lives depending on how severe their eczema is. More severe cases of eczema can cause food and seasonal allergies, sleep disruptions, decreased focus and performance in school, and more. To help parents better understand and manage this common condition, we’ve consulted with board-certified dermatologist, Dr. Greg Delost, to address some of the most common questions parents have. 

Children Can Develop Eczema at Any Age 

Babies are known and adored for their soft skin, and the presence of eczema can be alarming for parents, especially if it causes your baby any discomfort.  

Babies often develop atopic dermatitis around the scalp (also called cradle cap) and the face, and it can manifest at any time after birth. The American Academy of Dermatology has reported findings from studies that show eating a healthy diet while pregnant and breastfeeding in the first four months of life may reduce the likelihood that your baby will develop eczema; however, there is no proven way to prevent your baby from having eczema.  

Children can develop eczema anytime between birth and age 17, and the CDC reports that the largest percentage of children with eczema in the U.S. are between the ages of 6 and 11. 

If your child is diagnosed with eczema, also known as atopic dermatitis, you likely have a number of questions and concerns. Eczema is a chronic condition, so it can be treated but not cured. If your child develops eczema, know that it is highly common and the most important next step is to figure out a treatment plan. There are different approaches to treat it that are dependent on your child’s age and the severity of their condition.   

The following are 5 topics you should discuss with your child’s dermatologist to ensure you have a plan for managing their eczema and helping alleviate their symptoms.  

  1. What Could be Causing My Child’s Eczema? 

There is no singular known cause of eczema but, there are different potential triggers that can cause it to flare up, and if you can identify a trigger, you can intervene and ideally reduce the eczema reaction. Some triggers are bodily in nature; others are environmental or lifestyle triggers: 

In each case, there are ways to mitigate or reduce the trigger to help alleviate eczema symptoms; for example, switching laundry or bath products, or keeping your baby’s face dry from saliva around the mouth.  

  1. Can I Treat My Child’s Eczema at Home? 

You can easily incorporate skincare best practices into your child’s routine to help alleviate or reduce their eczema symptoms. Some recommendations for at-home healthy habits include: 

In more severe eczema cases, your child’s dermatologist might recommend a diluted bleach bath to help remove bacteria and reduce inflammation of the skin. Be sure to consult with a dermatologist and obtain specific directions before administering a bleach bath. 

  1. What if My Child Develops an Infection? 

Because of the itchy, irritating nature of eczema on the skin, children are more prone to scratch and break the skin, exposing them to bacteria, viruses, and fungi.  

Keep an eye out for reddening, crusty, pussy, or oozy skin – these symptoms are indicative of a larger issue like infection. If you notice your child’s eczema is worsening or changing in appearance, consult a dermatologist right away.  If your child’s eczema does become infected, your dermatologist will likely prescribe an antibiotic or antiviral medication.  

It is also important to be aware of the atopic triad, a term used to describe the coexistence of atopic dermatitis (i.e., eczema), asthma, and allergies, like allergic rhinitis and conjunctivitis, also known as hay fever. Individuals with one atopic condition, can increase risk of developing another. Asthma is an obstructive lung disease that can cause difficulty breathing, usually triggered by environmental irritants. Allergic rhinitis is a nasal inflammation typically caused by airborne allergens, like pollen, dust, or animal hair. Symptoms of allergic rhinitis include frequent sneezing, and a runny or itchy nose.  

If your child is experiencing additional symptoms of asthma and hay fever, consult with your dermatologist to develop a treatment plan.  

  1. Will My Child’s Eczema Go Away? 

As we know, eczema can develop at any time from birth through the teenage years. Many children who develop eczema in the first years of their lives tend to outgrow their eczema by age 4, but there are those for whom the condition continues into their adult lives.  

While there is no way to know whether your child will continue to suffer from eczema symptoms as they grow up, the more you know and understand about their specific condition, the better equipped you both will be to manage it going forward. 

  1. What’s the Best Treatment Plan for My Child’s Eczema? 

It’s important to work with a board-certified dermatologist to establish the best treatment plan for your child. It will be based on your child’s age, the severity of their eczema, and any other factors such as known allergens or any other health condition.  

There are a number of treatments that are highly effective at managing eczema symptoms that you should discuss with your child’s dermatologist. These include: 

Eczema in children is treatable, and can be effectively managed with both medicated solutions and self-directed care, such as a healthy skincare routine and identifying and avoiding allergens and triggers. 

Your first step in treating and managing your child’s eczema should be speaking with a dermatologist about these 5 important topics. At Optima Dermatology, our expert, board-certified dermatologists specialize in skin conditions in children and know the best approach to treating and managing your child’s eczema. 

Request an appointment to discuss the best treatment plan for your eczema. 

(855) 277–9689

Understanding Hyperpigmentation & Melasma

How to Identify and Treat Common Skin Pigmentation Issues

Hyperpigmentation and melasma are often confused because they present the same way, but they are not the same skin condition. Melasma is a type of hyperpigmentation, but not all hyperpigmentation is melasma. This distinction is important because causes and treatments may vary depending on whether you have melasma or another hyperpigmentation issue.  

In this blog post, we’re going to discuss what hyperpigmentation is – and how to identify it – with insights from Jill Bickford, MSN, APRN, AGNP-BC, who serves patients at our Stratham, NH location, and we’ll focus on melasma, a common and highly treatable type of hyperpigmentation with different causes.

What is Hyperpigmentation? 

Hyperpigmentation is any darkening of the skin’s pigment that is caused by an increase in melanin (melanin is the naturally occurring pigment that gives color to the skin). Hyperpigmentation occurs when the skin’s pigment-making cells, called melanocytes, are stimulated and make a surplus of pigment.  

This surplus can be triggered by sun exposure, inflammatory skin conditions like eczema or acne, medications, or hormones. In fact, hyperpigmentation is common during pregnancy because of the body’s hormonal changes. This is often called the “mask of pregnancy”. 

When hyperpigmentation occurs, it can appear as large blotches of brown spots, or as smaller spots like freckles. Types of hyperpigmentation include: 

How to Treat Hyperpigmentation 

Treatments for hyperpigmentation include medical-grade topical skin care products called tyrosinase inhibitors such as Vitamin C, Azelaic acid, Kojic acid, and Tranexamic acid, which can all aid in decreasing or suppressing melanin production.  

Chemical peels, lasers, and light treatments are offered at Optima Dermatology. These include Forever Young BBL™ (BroadBand Light), HALO® Hybrid Fractional Laser, Fraxel®, and more. Your provider can help you determine the best treatment for your hyperpigmentation issue and work with you to improve its appearance.  

All About Melasma 

Melasma is a highly common skin condition, although the exact cause is not known. Some triggers include: 

Melasma is most often brought on by hormonal changes, and is therefore most common in pregnant women, women taking contraceptives, using hormone replacement therapy drugs (HRT), going through menopause, or experiencing other hormonal changes or imbalance.  

Progesterone and estrogen hormones cause the production of melanocytes on the skin, resulting in darkened or red spots or patches.   

While it is often noticeable, as it typically appears on sun-exposed areas like the nose, cheeks, forehead, or upper lip, it does not cause itching, pain, or burning symptoms.  

This condition most often manifests in women but can occur in anyone at any age. Many describe the appearance of melasma as ‘dirty’, or ‘muddy’. While it is treatable and not serious, the dark patchiness that appears on the face can have emotional impacts such as depression and heightened self-consciousness when out in public. For this reason, it’s important to speak with a dermatologist to understand your treatment options. Additionally, melasma should be checked to rule out cancer if discoloration appears suddenly or in an area of the skin not often exposed to sunlight.  

Identifying and Treating Melasma 

If you notice irregularly shaped, darkened areas on your skin, you may have melasma. It is commonly tan, brown, or gray-brown. It does typically manifest on sun-exposed areas and especially forehead, temples, cheeks, and upper lip, but has been known to appear on other parts of the body as well.  

Melasma is exacerbated by sun exposure or exposure to UV light, so it’s always recommended to wear a sunscreen of at least 30 SPF, wear sun-protective clothing, and avoid tanning beds and long-term direct sunlight. In addition, melasma may flare from exposure to excessive heat from hot weather, hot cars, saunas, steam rooms, hot tubs, and hot yoga) 

Melasma may go away on its own once hormones become more balanced, but is often a lifelong condition that can be managed, but not cured.  At times, changing birth control, or hormone replacement therapy may help reduce melasma.  

Depending on your melasma, your dermatologist may recommend other treatment options that can include: 

It’s important to meet with a dermatology provider to understand your melasma and identify the best treatment option.  

If you think you have hyperpigmentation or melasma, and want to discuss treatment options, schedule an appointment with one of our board-certified dermatologists and providers. We can help you get back to feeling confident in your skin! Book a consultation today.  

(855) 277–9689

Optima Dermatology on New Day Cleveland – Prevention and Treatment of Sunburns


Dr. Gregory Delost Discusses How to Treat and Prevent Sunburn on New Day Cleveland

Sunburns can cause long-term skin damage, so it’s important to treat them promptly and prevent them in the future. Board-certified dermatologist Dr. Gregory Delost from our Mentor, OH, office appeared on New Day Cleveland to share his expertise on what to do if you are sunburned.

Steps to Take After a Sunburn

Even if you’re diligent with sunscreen, sometimes sunburns happen. Here’s what you can do:

  1. Apply Pure Aloe Vera: Aloe is a great option for soothing sunburned skin, but make sure to use a product without additives or latex. For a more natural approach, you can use aloe straight from the plant, though be cautious of any latex it may contain if you have sensitivities.
  2. Take Cool Showers: A cool shower can help alleviate discomfort, reducing the heat and inflammation caused by sunburn.
  3. Stay Hydrated: Hydration is key to recovery, as sunburns can cause dehydration. Drink plenty of water to support your body’s healing process.
  4. Use NSAIDs: Over-the-counter anti-inflammatory medications like ibuprofen can help reduce pain and inflammation.
  5. Consider Vitamin D: Dr. Delost also discussed new research suggesting that taking a mega dose of Vitamin D within an hour of sunburn may reduce skin damage. However, consult your primary doctor before attempting this approach.

How to Prevent Future Sunburns

The best way to manage sunburn is to prevent it altogether. Dr. Delost recommends using sunscreen with at least SPF 30—though he personally suggests higher SPFs, such as 50, 70, or 90, since most people don’t apply sunscreen as thickly as they should. Look for sunscreens containing zinc or titanium, which are not only safer but also more effective.

Common areas people forget to protect include the ears, nose, scalp, hands, and feet, so be sure to apply sunscreen to these spots as well. Reapply every two hours or after swimming or sweating to ensure continuous protection.

Consult with Dr. Delost at Optima Dermatology

If you have concerns about sunburn or other skin conditions, Dr. Gregory Delost is available for consultations at our Mentor, OH, office. Protect your skin and keep it healthy by scheduling an appointment with one of our board-certified dermatologists


Request an appointment to discuss the best preventions and treatment plan for sunburns.

(855) 277–9689

Optima Dermatology on Common Summer Rashes and How to Treat Them

Summer Rashes 

As we enjoy the summer activities, our skin can often react to various environmental factors, leading to uncomfortable and sometimes serious rashes. Let’s discuss the causes, symptoms, tips for prevention, and treatment options of some common summer rashes

Board-Certified Dermatologist, Dr. Daniel Cuozzo sits down with ‪‪CBS13 News‬ to discuss the causes, symptoms, tips for prevention, and treatment options for some common summer rashes.


Poison Ivy & Poison Oak 

Cause: Contact with urushiol oil from these plants. 

Symptoms: Red, itchy rash, often in streaks or lines, blisters. 

Prevention: Avoiding areas where these plants grow, wearing protective clothing. 

Treatment: Immediately rinse your skin with warm, soapy water, and wash your clothing. To avoid getting any oil from the plant on your skin, wear gloves while touching or washing anything that may have oil on it. This includes your pet! 

You can treat the rash at home if it is a mild rash in a small area my using a calamine lotion or hydrocortisone cream and applying cool presses. If your rash is not improving after 7 to 10 days, or you think your rash may be infected, see a board-certified dermatologist

“Swimmer’s Itch” (cercarial dermatitis) 

Cause: Allergic reaction to parasites in contaminated water. Swimmer’s itch occurs in both freshwater and in the marine coastal environments. 

Symptoms: Itchy, patchy red pinpoint skin rash. 

Prevention: Avoiding swimming in infested waters, toweling off immediately after swimming. 

Treatment: You can apply anti-itch creams and cool compresses. Avoid scratching, scratching can cause abrasions leading to infection. If the symptoms persist for longer than 3 days, a dermatologist should be seen. 

Bug bites 

Cause: Bites from insects like mosquitoes, ticks, fleas, and spiders. 

Symptoms: Red, itchy bumps, swelling, sometimes blisters or a rash. 

Prevention: Use insect repellent, wear protective clothing, avoid areas with high insect activity, and pay attention to outbreaks in your area. 

Treatment: For painful bites, such as a bee sting, take an over-the-counter painkiller, such as acetaminophen or ibuprofen. For bites that itch, apply an ice pack or an over-the-counter anti-itch cream, such as hydrocortisone. Another option is to take an over-the-counter oral antihistamine. To reduce swelling, apply an ice pack to the bite. 

If you experience any serious symptoms after a bug bite, such as a rash, fever, or body aches, see your doctor or a board-certified dermatologist immediately. 

Tinea Versicolor 

Cause: Overgrowth of yeast on the skin. Hot, humid weather, lots of sweating, oily skin, and a weakened immune system can cause yeast to overgrow. Tinea versicolor is more common in teens as they tend to have more oily skin. 

Symptoms: Discolored patches of skin; the color of the spots can be white, pink, salmon, red, tan, or brown. 

Prevention: Keeping skin dry, avoiding excessive heat and humidity. 

Treatment: Antifungal creams, shampoos, or oral medications. 

Skin rashes typically seem easily treatable at home, however some rashes can be a sign of a more serious condition or become infected. If you have a rash that persists for more than a week or shows signs of infection visit your local dermatologist for proper diagnosis and treatment.


For more information on skin best practices, please visit optimadermatology.com.

(855) 277–9689

Optima Dermatology on Common Types of Skin Cancer & Treatment Options with WGME

Board-Certified Dermatologist, Dr. Daniel Cuozzo sits down with ‪CBS13 News‬ to discuss common types of skin cancer and treatment options available.

Types of Skin Cancer & Treatment Options 

Skin cancer is the most common form of cancer. Early detection of skin cancer is key to making treatment more effective.  It’s important to ensure you’re in tune with your skin and able to notice any new, changing, or unusual areas. There are many different types of skin cancer. Some of the most common to be aware of include: 

Actinic Keratoses (AK) Precancerous 

  • Very common precancerous skin growths that tend to appear on skin that’s been the most badly damaged by the sun 

  • An actinic keratosis often appears as a reddish spot 

  • If left untreated AKs can lead to squamous cell carcinoma (SCC) 

Basal Cell Carcinoma (BCC) 

  • Non-melanoma skin cancer that grows slowly, and rarely spreads to another part of the body 

  • A common sign is a slowly growing, non-healing spot that sometimes bleeds 

  • treatment is important – over time BCC can grow wide and deep and spread deeply into the skin, wrap around nerves and blood vessels, and invade muscles and bone 

Squamous Cell Carcinoma (SCC) 

  • SCC often develops on skin that’s had lots of sun exposure like the face, hands, or lips 

  • SCCs can show up on the skin in many ways including: 

  • Rough, reddish scaly area 

  • Open sore, often with a raised boarder 

  • Firm, dome shaped growth 

  • Wart-like growth 

  • Sore developing from an old scar 

  • While this skin cancer tends to grow slowly, without treatment, it can grow deep and can also spread to other parts of the body, which can be deadly 

Melanoma 

  • The most serious form of skin cancer 

  • Characterized by uncontrolled growth of pigment producing cells; look for new or changing spots or moles on your skin 

  • Melanoma is highly treatable when detected early, but advanced melanoma can spread to the lymph nodes and internal organs 

If you are diagnosed with skin cancer, there are multiple treatment options.  

CRYOSURGERY (For small skin cancers found in the early stages and AK) 

  • Uses liquid nitrogen to freeze cancerous tissue and falls off as it thaws 

EXCISION 

  • Removes the tumor along with a small perimeter of healthy skin 

MOHS SURGERY (Available in Stratham, NH) 

  • Used to treat areas where skin preservation is important, such as the face or hands 

  • The tumor is removed by individual skin layers until the surgeon no longer detects cancerous cells 

  • Most effective skin cancer treatment, with a 99% cure rate 

Additional treatment options your dermatologist may consider include curettage & electrodesiccation, radiation therapy, and chemotherapy.

For more information, go to optimadermatology.com or call Optima in Scarborough (207) 770-5621.

(855) 277–9689

Kristen French, LE, joins Optima Dermatology’s Stratham, NH Practice

Kristen Provides Excellent Cosmetic Skin Care Services 

Kristen French, LE , a licensed medical esthetician, is the newest addition to Optima Dermatology’s Stratham, NH practice. Having served patients in the Seacoast region since 2010, Kristen brings more than a decade of expertise.  

She graduated as a Licensed Medical Esthetician from the Catherine Hinds Institute of Aesthetics. She also graduated from the University of New Hampshire with a Bachelor of Science, where she completed a semester abroad at Macquarie University in Sydney, Australia. 

Kristen has more than 20 years of experience in the skincare industry and provides a wealth of knowledge on medical-grade skincare products. She provides esthetic services including dermaplaning, HydraFacial®, extractions, chemical peels, eyebrow waxing, and more. 

A Patient-Centered and Care-Focused Approach 

Kristen is dedicated to helping her patients achieve their skincare goals by creating custom treatment plans and offering best-in-class technology, devices, and products.  

Her approach to patient care mirrors Optima’s mission to treat everyone like we would our friends and family, and she looks forward to continuing to provide the Seacoast with individualized and thorough care.  

We recently had the opportunity to learn more about Kristen, her approach, and the path that led her to become a licensed medical esthetician. 

How and when did you know you wanted to be an esthetician? Were you always interested in the industry, and what was your path to get where you are now? 

When I was younger, I was always the one who waxed my friend’s eyebrows and was always interested in the latest skincare treatments. After I graduated from college, I knew I wanted to further my education in either nursing or aesthetics. After graduating from Esthetic School, I moved to Arizona and got a job in sales, selling PCA Chemical Peels and Skincare. After about 5 years in Arizona, I moved back to New Hampshire and started working in a plastic surgery office where I worked for the past 15 years. Once that office closed, I decided to make a change and join the dermatology world where I can continue to grow and use my skills and passion for skincare.  

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

Always apply sunscreen, and don’t forget your neck! 

What do you enjoy most about treating your aesthetic patients and what is unique about your approach? 

I enjoy seeing the results of the treatments. I also enjoy getting to know my patients and building relationships.  

How would you recommend someone get started if they’re interested in medical aesthetic treatments?  

I recommend they start with a consultation, where we can go over their concerns and goals for their skin. From there we can create a personalized skincare plan.  

Which patients would you recommend a HydraFacial® treatment for? What kind of results can patients expect to see? 

HydraFacial® is one of the most versatile treatments that can be done on all skin types. It provides instant results with smoother, more hydrated skin in just one session. There is no downtime, and you walk away with glowing skin.  

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

I’d like my patients to know that I’m excited to be part of their skincare journey and love to help people feel more confident while using a personalized skincare approach.  

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

I enjoy spending time with my family and friends. In the summer you can find us at the beach, and in the winter, you can find us on slopes skiing.  

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

Kristen 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 Stratham, NH location. Request an appointment online or give us a call at 603-942-2171. 

(855) 277–9689

Hair Loss Awareness Month: The Unique Challenges Women Face

Understanding Causes and Treatments for Female Hair Loss.

We’re back with another Derm Deep Dive, a series where we provide expert advice from our board-certified dermatologists about common skin conditions and treatments. This month, we collaborated with Dr. Gregory Delost of our Mentor, OH location. August is Hair Loss Awareness Month, and we’ve asked Dr. Delost to weigh in on the causes of hair loss in women and treatment options. 

The Unique Challenges of Female Hair Loss 

Our hair is an important part of our identities and one of the ways we can express ourselves and our personalities. When an individual experiences hair loss, whether from aging or another trigger, it can impact their self-esteem and everyday life.  

Harvard Health found that one-third of women in the U.S. will experience hair loss at some point in their lifetime, and 85% of men will lose a significant amount of hair by age 50.  

Because hair loss issues are so widespread and often leave individuals wondering what to do, Hair Loss Awareness Month is a great opportunity for dermatologists to spread the word about hair loss conditions and treatments.  

For this blog post, we will focus on female hair loss, which has several causes and can affect women at any age. Fortunately, there are treatment options to get women closer to the healthy head of hair they love.  

What Causes Hair Loss in Women? 

There are several reasons why women lose their hair. Some female hair loss is temporary, while other types are more permanent or require treatment to manage.  

Let’s start with temporary hair loss. While frustrating and even a bit scary to see hair falling out and thin or bare patches form on the scalp, temporary hair loss occurs because of a specific trigger and will regrow once that trigger is resolved.  

Here are some common causes of temporary hair loss: 

Postpartum hair loss: Losing hair after having a baby actually isn’t true hair loss – it’s hair shedding as your body adjusts to falling estrogen levels. During pregnancy, the body holds onto hair, so you aren’t experiencing normal daily hair shedding. After giving birth, all that hair falls out. It may be a bit shocking but it should taper off by four months postpartum and normal hair growth resumes at about one year postpartum. To reduce the appearance of thin or bald spots from postpartum hair loss, we recommend: 

Recovery from a major illness or surgery, or weight loss of 20+ pounds: A major trauma or change to the body can cause telogen effluvium, where more hairs than normal begin shedding at the same time. Similar to postpartum hair loss, hair falls out all at once but will taper off after a few months and normal hair growth resumes.  

Cancer treatment: Chemotherapy targets rapidly-dividing cells, which include hair follicles. Hair loss during chemotherapy treatment is normal, and hair typically grows back once the treatment is complete; however it may be thinner or patchy, something you can manage with different treatment options.  

Psoriasis on the scalp: This condition can cause temporary hair loss as the skin is inflamed and irritated. Once your scalp psoriasis has been treated, normal hair growth typically resumes.  

Alopecia areata: This autoimmune condition causes your immune system to attack the hair follicles, leading to patchy hair loss or hair thinning. Alopecia areata can be triggered by stress or disease, but with management and treatment, you can expect normal hair growth to resume.  

Traction alopecia (hair damage or breakage): How we treat our hair is so important to its overall health and strength from the roots to the ends. Hairstyles that pull the hair can damage follicles over time and lead to hair loss. Shampooing your scalp and conditioning your hair keep it healthier and moisturized. Avoid excessive hair brushing and keep exposure to extreme heat, such as hair straighteners or curling irons, to a minimum. 

Scarring hair loss: Inflammatory or autoimmune disorders can lead to hair loss caused by hair follicle destruction. This type of hair loss can also be caused by skin injuries or burns. Systemic and aggressive treatment may be required, to help avoid permanent scarring and hair loss. Central centrifugal cicatricial alopecia (CCCA), is a specific type of scarring hair loss, it often begins in the center of the scalp as a small, balding, and round patch that grows over time. While more common in Black women, this type of hair loss develops in men and people of all races. If you have this type of hair loss, you want to treat it early. Starting treatment early can prevent CCCA from spreading outward and causing more permanent hair loss. 

Female Pattern Hair Loss 

Female pattern hair loss affects millions of women and typically begins in a woman’s 40s, 50s, or 60s. While it is a normal part of aging, hair loss at any point in one’s life can feel frustrating and have a significant impact on daily life.  

Female pattern hair loss is an ongoing condition that doesn’t improve with time, but unlike male pattern baldness, women do not lose all of their hair; rather, it becomes thinner and sparse in patches. 

It can be treated a number of ways depending on the severity of your hair loss and specific situation. Read on to learn about different treatment options for female hair loss.   

Find Your Hair Loss Treatment Plan 

Treatments for hair loss may help stop or slow down hair loss but will not regrow an entire head of hair. The sooner you begin treating hair loss the better, as female pattern hair loss will continue as you age.  

Here are some common treatment options for female pattern hair loss: 

We don’t recommend medicinal treatments for temporary hair loss since it will grow back with time in these situations. However, if you are struggling with your temporary hair loss, here are a few quick tips to improve your hair’s appearance: 

If you’d like to meet with a dermatologist to discuss hair loss concerns, schedule an appointment at any of our offices in Indiana, Ohio, New Hampshire, and Maine, and start your journey to stronger hair! 

(855) 277–9689

Optima Dermatology to Open New Location in York: Here Are The Details

YORK, Maine — Optima Dermatology is opening a new practice in York on August 5th.

YORK, Maine — Optima Dermatology is opening a new practice in York on August 5th.

The practice will be Optima’s second in Maine and fifth in New England, with three existing practices located throughout New Hampshire.

Optima’s York practice at 10 Market Place Drive will be led by Dr. Joan Sisto, Dr. Virginia Barton, and Jacqueline Watts, PA-C.

Sisto has been serving patients in southern Maine and the New Hampshire Seacoast since 1999. She completed her residency in dermatology at Montefiore Hospital of AECOM and was named Chief Resident during her final year. She earned her Doctor of Medicine from Albert Einstein College of Medicine and was inducted into the Alpha Omega Alpha Medical Honor Society.

“It’s wonderful to be part of Optima’s continued growth and focus on increasing access to dermatology services in New England,” said Sisto. “I value Optima’s approach to dermatology as it reflects my own mission to treat my patients like I would want my friends and family to be treated.”