Optima Dermatology & Medical Aesthetics Welcomes Dr. Shonagh Leonard to its Manchester, NH Practice
Dr. Shonagh Leonard, DO, Offers Medical, Surgical, and Dermatology Services for Patients of All Ages
Optima Dermatology & Medical Aesthetics is excited to welcome Dr. Shonagh Leonard, DO, to its Manchester, NH dermatology practice. Dr. Leonard brings a passion for patient care cultivated through her experience as a licensed nursing assistant in southern New Hampshire.
Dr. Leonard received her Doctor of Osteopathic Medicine from the University of New England and completed her residency in dermatology at Trinity Health, where she served as Academic Chief Dermatology Resident. She also completed an internship at St. Joseph Mercy Ann Arbor through the hospital transitional year program. Throughout her education, Dr. Leonard has also taken on multiple leadership roles in support of the academic success of her peers.
Aligning with our mission of treating every patient the way we treat our family and friends, Dr. Leonard takes a patient-centered approach to care and is excited to join Optima Dermatology and Medical Aesthetics in providing industry-leading dermatology care to patients in Manchester.
We recently had the opportunity to learn more about Dr. Leonard, 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?
From a young age, I knew I wanted to combine my passion for people and science through a career in medicine. I was a nursing assistant throughout my undergraduate years and gained invaluable hands-on experience that guided me to pursue medical school. During my training, I found value in all clinical experiences, but the ability to create long-term relationships with patients of all ages, the art in procedural and cosmetic dermatology, and the level of critical thinking required for each case made dermatology the clear choice for me.
What is your favorite aspect of being a dermatologist?
I love that each day as a dermatologist is different. I am grateful that my patients and their families put their trust in me to treat their baby’s eczema, manage side effects of chemotherapy agents, perform surgeries to cure skin cancers, and help them feel like their best selves through cosmetic dermatology. Being a dermatologist is the best!
What is your approach to treating your patients?
My approach to dermatology is team-based. I pride myself on listening to the wants and needs of my patients and providing individualized care that allows them to be a part of the decision-making process. I continue to forge relationships with local primary care providers and specialists to provide a comprehensive dermatology experience.
What is your number one tip when it comes to taking care of your skin?
Keep it simple and be proactive. Sunscreen and moisturizer should be part of your everyday routine, and yearly skin checks are a must. With so much skincare information, it can be overwhelming. Utilize your local skin experts to address your specific needs.
What is one thing you want your patients to know about you?
I am so grateful to be returning to New Hampshire to provide care to patients and serve the community that shaped me into the person and physician I am today.
What do you like to do when you are not in the office treating patients?
When I am not in the office, I love spending time with my growing family, trying new restaurants, enjoying fresh air on the seacoast, and reading a good book.
What to Expect From Dermatology Care Delivered by Dr. Leonard and Her Team
Dr. Leonard and her team at Optima Dermatology offer exceptional services, advanced training, and experience to ensure the highest quality of care.
Dr. Leonard is accepting new patients at Optima Dermatology & Medical Aesthetics in Manchester, NH. You can request an appointment online or call (855) 277-9689.
Why the Fall Season Is the Best Time for Laser Treatments
Refresh Your Skin After the Heat of Summer
After months of strong summer sun, your skin may be ready for a reset. Fall is an ideal time to consider laser and light treatments because reduced sun exposure helps achieve the best possible results with less risk of complications. Treatments like HALO®, BBL™, Fraxel,and VBeam® can help repair summer skin damage and refresh your look heading into the new season.
But first, let’s talk about what laser treatments are and why you might consider one.
What are Laser Treatments?
Laser skin treatments target wrinkles, sun damage, and other skin conditions to improve the skin’s appearance through focused light beams. There are two types of laser treatments: ablative and non-ablative.
Ablative laser treatments carefully remove the outer layers of skin to improve texture and encourage regeneration. Non-ablative laser treatments target deeper layers of skin, stimulating collagen production while leaving the surface intact.
Either type of laser treatment is highly targeted to generate new skin cells and trigger a healing response, ultimately blending and fading skin pigmentation. Ideal results include:
Reducing the appearance of skin conditions like rosacea, sun spots, age spots, or sun damage
Evening out skin textures
Reducing unwanted hair growth and the appearance of scars
Smoother, tighter skin
Reducing the appearance of wrinkles
Improving skin tone and texture
Summer sun exposure and hot temperatures can impact the effectiveness of laser treatments or even cause unwanted side effects, making fall and winter more ideal seasons for these treatments.
Why Laser Treatments Are Best in the Fall
Take Advantage of Reduced Sun Exposure
Because laser treatments work by targeting specific pigments or structures in the skin, they can make your skin more sensitive to sunlight during the healing process. In the fall, we naturally spend less time outdoors, wear more clothing, and experience lower UV levels overall, all of which reduce the risk of post-treatment complications like hyperpigmentation. Avoiding direct sun exposure is easier and more effective this time of year, helping your skin recover faster and more effectively.
Give Your Skin a Break With Cooler Weather
Laser treatments can leave skin sensitive and dry, and cooler temperatures can make the skin feel more comfortable than in the summer heat and humidity when sun exposure and perspiration can cause irritation during recovery.
Reverse Summer Sun Damage
Increased sun exposure over the summer months can cause pigmentation issues, sunspots, redness, and broken capillaries. In the fall, treatments like HALO® Hybrid Fractional Laser, BroadBand Light (BBL™), Fraxel, or VBeam® laser are excellent options for reversing that damage from the sun, restoring a brighter, clearer complexion.
End and Start the Year With Glowing Skin
Have refreshed, glowing skin for the holiday and New Year’s celebrations. Laser treatments like HALO® hybrid fractional laser or BBL™ (BroadBand Light) offer progressive results, meaning improvements appear over several weeks. Getting these treatments done in the fall gives your skin time to heal and be rejuvenated just in time for the winter season’s celebrations.
Ready to Refresh Your Skin This Fall?
Whether you’re looking to reduce signs of aging, even out skin tone, or prep for next summer, fall is the ideal time to start your laser skincare journey. At Optima Dermatology, our team of providers will work with you to develop a personalized treatment plan that fits your skin goals and lifestyle.
Request an appointment to speak with one of our expert medical aesthetics providers about the right laser treatment for your skin goals. And don’t forget to ask about this year’s Laser Season promotion!
What it Looks Like in Teens, Adults, and Older Adults.
Psoriasis is a chronic autoimmune skin condition that affects more than 7.5 million people in the U.S. alone, according to the National Psoriasis Foundation. While it can begin at any age, the way psoriasis presents and its impact on daily life can vary from adolescence to older adulthood.
In honor of Psoriasis Awareness Month this August, we’re exploring how psoriasis can appear differently in teens, adults, and older adults, and how treatment approaches can be tailored to meet the unique needs of each age group.
Psoriasis in Teens
While psoriasis is less common in children and teens than in adults, it can begin during adolescence. At this stage in life, the most common form is called plaque psoriasis, and it presents as raised, red patches with silvery-white scales, typically appearing on the scalp, elbows, knees, and back.
Key signs of psoriasis in teens:
Itchy or painful skin lesions
Flaking or scaling on the scalp (sometimes mistaken for dandruff)
Sudden onset of symptoms triggered by stress, infections (like strep throat), or skin injuries
Common Challenges: Teenagers with psoriasis, especially on visible areas like the face or hands, may experience embarrassment or anxiety, emotional responses that can actually trigger psoriasis symptoms. Managing psoriasis during this stage often requires both medical treatment and emotional support.
Psoriasis in Adults
Most people are diagnosed with psoriasis between the ages of 15 and 35, and for many, it becomes a lifelong condition. Symptoms of psoriasis in adults may be more widespread and persistent.
Key signs of psoriasis in adults:
Thickened, inflamed patches of skin that may crack or bleed
Psoriatic arthritis: joint stiffness, swelling, and pain
Nail changes: pitting, thickening, or discoloration
Triggers include stress, alcohol use, medications, and infections
Challenges: Adults often juggle work, family, and other responsibilities, making it difficult to keep up with consistent treatment. Psoriasis can also interfere with quality of life, including sleep, mobility, and self-esteem. In adults, psoriasis symptoms can be triggered by stress, alcohol use, medications, and infections, but can also manifest independently of these factors.
Psoriasis in Older Adults
Older adults with existing psoriasis may experience the same or worsening symptoms as they age, but many individuals develop psoriasis for the first time later in life.
At older ages, psoriasis symptoms may become more difficult to manage due to other age-related conditions or sensitivities, such as thinner and more fragile skin that becomes more prone to irritation.
Key signs of psoriasis in older adults:
Slower healing of lesions
Medication interactions that cause skin sensitivity
Challenges: Older adults may need to modify their treatment plans due to medical conditions or reduced tolerance for certain medications. Coordinating care with other providers is essential to ensure safe and effective treatments
Managing Psoriasis at Every Age
No matter your age, psoriasis can be managed with the right care plan. Work with your board-certified dermatologist to create a treatment plan that works for your symptoms, lifestyle, and overall health goals. Some psoriasis treatment options may include:
Topical therapies: Creams or ointments to reduce inflammation and scaling
Phototherapy: Controlled exposure to UV light
Systemic medications: Oral or injectable drugs that target the immune system
Biologics: Advanced medications that block specific immune responses
Your dermatologist can also help you identify and avoid possible triggers, whether they are related to stress, illness or medications, or environmental factors.
Whether you’re a teenager or a centenarian, psoriasis looks and feels different – and treatment options are different too. It’s important to seek the right care and work with a board-certified dermatologist who is going to put you on the right treatment path to manage your symptoms and improve your quality of life.
This Psoriasis Awareness Month, prioritize your skin health. If you’re struggling with psoriasis, request an appointment to explore your treatment options and get the support you need.
Tips to Keep your Skin Glowing & Youthful | Optima Dermatology with New Day Cleveland
Board-Certified Dermatologist Dr. Rachel Delost Discusses How to Maintain Youthful, Healthy Skin on New Day Cleveland
Looking to keep your skin glowing, healthy, and youthful? Board-certified dermatologist Dr. Rachel Delost from our Mentor, OH, location joined New Day Cleveland to share expert advice on maintaining radiant skin and preventing common signs of aging.
Dr. Delost emphasized that it’s never too late to start caring for your skin and that a proactive skincare routine can make a meaningful difference at any age.
Daily Sunscreen is a Must
The most important anti-aging tip Dr. Delost shared is to apply sunscreen every day, year-round, and reapply throughout the day, especially if you’re spending time outdoors. Sunscreen helps prevent fine lines, wrinkles, and sun damage, which are primary contributors to skin aging.
Medical-Grade Skincare Products Can Make a Difference
While many skincare products are available over the counter, Dr. Delost recommends medical-grade skincare products when possible. These products typically have higher concentrations of active ingredients, providing more effective results.
For a personalized approach, Dr. Delost recommends consulting with a dermatologist to tailor your skincare plan based on your skin’s needs and your goals, whether you are focused on prevention or looking to address specific concerns.
Morning and Evening Skincare Routines
Dr. Delost suggests incorporating these products into your routine:
Morning:
Broad-spectrum sunscreen with SPF 30 or higher
Antioxidant serum, such as Vitamin C, to help protect against free radicals from sun exposure and pollution
Evening:
Retinol or prescription-strength retinoid to help with skin cell turnover and reduce signs of aging
A good moisturizer to maintain hydration
Retinoids can sometimes cause irritation when you first begin using them, but your skin will adjust over time. Dr. Delost emphasizes sticking with it and working with your dermatologist to determine the right approach for your skin.
Acne and Oily Skin Management
For those struggling with oily skin and breakouts, Dr. Delost recommends options such as:
Medical-grade skincare routines
Chemical peels
Prescription retinoids to promote skin cell turnover
Consultation with a dermatologist to create a plan for long-term acne management
Advanced Cosmetic Treatments for Aging Skin
Dr. Delost also shared insights on advanced cosmetic procedures that can help address signs of aging, including:
Microneedling (with or without platelet-rich plasma): Helps stimulate collagen production and improve skin texture and firmness.
BBL Laser: Effective for treating brown spots and redness on the skin.
Halo Laser: Stimulates collagen production, improving the appearance of fine lines and wrinkles.
Botox and Dysport: Neuromodulators that help reduce fine lines and wrinkles by relaxing facial muscles, typically lasting 3-4 months.
Dermal Fillers: Address deeper lines and volume loss, lasting 1-2 years depending on the type.
Why It Matters Who Performs Cosmetic Treatments
Dr. Delost emphasized the importance of having cosmetic procedures performed by a licensed, experienced professional. While these treatments are safe and effective in professional hands, they can pose risks when performed improperly, including severe complications.
Ready to Prioritize Your Skin Health?
If you’re interested in learning more about how to prevent and treat signs of aging and want a personalized skincare or cosmetic treatment plan, schedule a consultation with Dr. Rachel Delost at our Mentor, OH, location.
At Optima Dermatology, we’re committed to helping you achieve healthy, beautiful skin at every age with expert, compassionate care. Schedule your appointment today!
The Skin and Autoimmune Connection That Patients Need to Know
We’re back with another Derm Deep Dive, a series where we provide expert advice from our board-certified dermatologists about common skin conditions or treatments. This month, we sought input from our team of expert dermatologists to share information and guidance about autoimmune skin disorders – specifically what they are, how they manifest, and what you can do if you develop one.
Being Aware of Autoimmune Skin Disorders
As our body’s protective barrier, the skin is responsible for a lot, including raising the red flag if there is a deeper, systemic health concern we should be aware of – like autoimmune skin disorders.
Often, we don’t know how to interpret what’s going on with our skin. It can be hard to distinguish eczema from psoriasis, or acne from rosacea, as many signs and symptoms can be similar. When we get unexplained rashes, persistent irritation, or other chronic skin issues, it can be easy to ignore it or hope it goes away, but you should pay attention and seek help as these symptoms can signal underlying autoimmune skin disorders.
When the Immune System Takes Aim at the Skin
Autoimmune skin disorders happen when the body’s immune system mistakenly attacks healthy skin cells, typically causing inflammation, skin damage, or other types of irritation on the skin.
The skin is good at indicating deeper, more systemic health issues, and recognizing and responding to these signs early ensures timely intervention and better long-term outcomes.
We’re going to explain some of the most common types of autoimmune skin disorders and the symptoms that you should look out for.
Cutaneous Lupus
Cutaneous lupus (CLE) specifically attacks the skin, unlike systemic or erythematosus lupus, which attacks organs and other systems in the body. While it affects the skin, cutaneous lupus can be a manifestation of systemic lupus.
CLE symptoms, which include rashes, sores, and lesions on the skin, are often triggered by sun exposure. These systems can manifest in specific ways:
A butterfly-shaped rash across the cheeks and nose
Discoid lesions that leave scars
Sores in the mouth or nose
Since sun exposure is a trigger, UV protection is essential at managing cutaneous lupus. Because CLE is an autoimmune skin disorder with no known cure, treatment is focused on managing symptoms, preventing flare ups, and minimizing long-term skin damage. Specific management plans may include a combination of lifestyle changes, topical and systemic medications, and in some cases, specialized therapies.
Psoriasis and Psoriatic Arthritis
Psoriasis is caused by an overactive immune system in which the growth of skin cells occurs very quickly. Normal skin cells take about a month to finish growing and to be shed from the body, while skin cells impacted by psoriasis finish growing every few days and pile up on the surface of the skin instead of shedding.
There are different types of psoriasis, the most common being plaque psoriasis, which manifests as raised patches of skin called plaques that are typically itchy, red, inflamed, and often appear to have silvery scales or even a dark coloration, depending on skin type.
Other types of psoriasis include:
Inverse psoriasis, which lacks the scaly appearance and typically manifests under the breasts, armpits, or in the genital and buttocks areas.
Guttate psoriasis, which typically manifests as small red spots, and is frequently found on the arms, legs, chest, stomach, or back.
Pustular psoriasis, which is characterized by pus-filled bumps that are painful and irritated. While it often appears on the hands and feet, it can manifest anywhere on the body.
Erythrodermic psoriasis, which is very rare and causes redness and such excessive shedding of skin layers that it can be life-threatening. Symptoms include itching and pain, an almost burned appearance of the skin, as well as more serious conditions such as changes in heart rate or dehydration.
Very rarely, individuals with psoriasis can develop psoriatic arthritis, which can cause symptoms of arthritis in the joints.
Psoriasis can flare up when the immune system reacts to a trigger, such as illness, stress, exposure to hot or cold temperatures, contact with an allergen, or even trauma to the skin, such as a burn or scrape.
Broadly, symptoms of psoriasis typically include:
Thick, scaly patches (plaques) on the elbows, knees, scalp, and lower back
Nail pitting or discoloration
Patches or bumps that are itchy and do not heal on their own
Treatment is focused on reducing inflammation and flare ups through the slowing of skin cell growth and scale removal. If psoriasis symptoms are more mild, it may be effectively managed with topical treatments, while more severe cases may require phototherapy or systemic medications.
Dermatomyositis
This rare, inflammatory disease affects the skin and muscles. It’s characterized by muscle weakness, pain, and a distinctive skin rash. The rash can appear on sun-exposed areas like the face, eyelids, knuckles, and chest.
While the exact cause of dermatomyositis is unknown, it’s believed to involve a combination of genetic predisposition and environmental triggers, such as sun exposure or certain medications.
Symptoms of dermatomyositis can include:
Violet or dusky red rash, especially on the face, eyelids, knuckles, and chest
Muscle weakness
Photosensitivity
While there is no known treatment for dermatomyositis, management of this autoimmune skin disorder focuses on reducing inflammation and improving muscle strength and function. Your dermatologist may prescribe medications like corticosteroids, immunosuppressants, or other immunomodulatory treatments.
Scleroderma
Scleroderma causes hardening and tightening of the skin due to excess collagen production.
Like other autoimmune skin disorders, there is no specific cause of scleroderma, but it has been loosely linked to genetic predisposition, environmental triggers, hormonal imbalances, or immune system dysfunction.
Skin symptoms may include:
Thickened patches of skin
Shiny or tight skin, especially on the hands and face
Raynaud’s phenomenon (color changes in fingers/toes with cold exposure)
There is no definitive cure for scleroderma, but treatments are focused on preventing deeper complications from the disorder. Treatment plans are tailored to the individual depending on severity, but can include medications, physical therapy, or lifestyle modifications.
Cutaneous Vasculitis
Cutaneous vasculitis is a type of vasculitis in which inflammation can damage blood vessel walls, leading to leakage of red blood cells into the surrounding skin and causing purpura (bruising).
Other skin symptoms can include:
Blisters or hive-like lesions
Purplish spots or patches (often on the legs)
Ulcers or open sores
Bruise-like rashes that don’t fade
Treatment for vasculitis primarily involves medications to control inflammation. More severe cases may require immunosuppressants or biologics to calm the immune system and prevent further damage to blood vessels and organs. In some cases, surgery may be necessary to repair damaged blood vessels.
Lichen Planus
Like the other skin conditions in this post, there is no known cause for lichen planus, an autoimmune skin disorder that causes the immune system to target the cells lining the skin, mucous membranes, and other organs, leading to inflammation and the development of characteristic lesions.
This condition has been linked to genetic and environmental factors that may trigger an autoimmune response, and other triggers are thought to include medications, infections, or allergies.
Symptoms of lichen planus can include:
Flat-topped, itchy, purple-colored bumps
White, lacy patches inside the mouth
Nail thinning or ridging
Unlike the other skin conditions in this post, lichen planus often resolves on its own. However, treatment is focused on managing symptoms of inflammation and itchiness through the use of topical corticosteroids. More severe cases may require systemic treatments. Dermatologists also recommend good oral hygiene and reducing stress as methods for managing lichen planus.
Pay Attention to Red Flags That May Be Signaling Something More
While rashes, itching, and other changes to the skin are common and can vary by season or activity, certain signs may be an indicator of an autoimmune disorder. Visit your board-certified dermatologist if you notice:
Rashes that don’t respond to typical treatments such as corticosteroids or antifungals
Joint pain accompanying skin symptoms like swelling, stiffness, or decreased mobility
Nail changes or scalp involvement, such as pitting, ridging, hair loss, or scarring
Photosensitivity or systemic symptoms, including unexplained fatigue, low-grade fevers, or general malaise
Dermatology and Rheumatology Collaborations
While dermatologists specialize in diagnosing and treating conditions of the skin, hair, and nails, and addressing conditions affecting the mucous membranes in and around the nose, mouth, and eyelids, rheumatologists specialize in diagnosing and treating conditions that affect the musculoskeletal system, including the joints, muscles, and bones.
Many autoimmune skin conditions require a collaborative approach between dermatologists and rheumatologists, and your dermatologist may make a referral to a rheumatologist depending on the type and severity of your autoimmune skin disorder.
When We Refer and Why: Our dermatologists may refer you to rheumatology when skin symptoms suggest systemic involvement, such as joint pain or fatigue. Rheumatologists often refer back to dermatology for persistent or unusual rashes.
Diagnostic Tools: Biopsies help confirm a dermatologic diagnosis by examining skin tissue under a microscope. Rheumatologic testing can identify systemic inflammation or specific autoimmune patterns.
Coordinated Treatment Plans: Treating autoimmune skin conditions often involves long-term care and collaboration between dermatologists and rheumatologists.
Shared Treatments: Both dermatologists and rheumatologists may prescribe biologics or immunosuppressants to control immune activity. Treatment plans are tailored based on the extent and location of symptoms.
Managing Expectations: Many autoimmune skin diseases are chronic and relapsing, meaning symptoms may flare even with treatment. If you are suffering from an autoimmune skin disorder, you would benefit most from consistent follow-up and the open communication between your dermatologist and rheumatologist.
Your skin may be trying to tell you something. If you’re experiencing unexplained rashes, persistent skin issues, or symptoms that suggest an autoimmune condition, don’t wait. There is a complex relationship between autoimmune disease and skin health, and early evaluation can make a significant difference in diagnosis and treatment.
At Optima Dermatology, our experienced providers work closely with referring specialists to ensure you receive the care you need.
We’re here to help you, listen to you – and take action. Schedule an appointment with one of our providers to discuss your skin concerns.
Is Mineral Sunscreen Better for Your Skin Than Chemical Sunscreen?
Is Mineral Sunscreen Better for Your Skin Than Chemical Sunscreen?
Summer is here, and while we advocate for applying sun protection year-round, the increased time outside, greater skin exposure, and longer days make sunscreen a critical component of your daily routine. There are so many sunscreen options out there, but the two main types are mineral and chemical. So – is mineral sunscreen better for your skin than chemical sunscreen? How are they different? Which type should you use?
This post will explain everything you need to know to help you choose the right sunscreen for your skin this summer and be skin smart for every outside activity.
Understanding the Two Main Types of Sunscreen
Mineral Sunscreen
Mineral sunscreens use zinc oxide and/or titanium dioxide as active ingredients. These compounds sit on top of the skin and act as a physical barrier, reflecting harmful UV rays away from the skin.
Mineral sunscreen offers immediate protection upon application, making it a great choice for people who need to apply and go. It’s often recommended for sensitive skin types because it is less likely to cause irritation or allergic reactions.
Chemical Sunscreen
Chemical sunscreens contain active ingredients such as avobenzone, oxybenzone, and octinoxate. We know – that’s a lot of alphabet soup. In short, these chemicals are each able to absorb or block UVA and UVB rays by converting them into heat and releasing that heat from the skin.
Chemical sunscreen typically needs 15 to 30 minutes to become effective after application. These formulas are usually more lightweight and easier to rub in, often making them preferable for everyday wear, especially under makeup.
Which Sunscreen Type Is Best for Your Skin Type?
Choosing between mineral and chemical sunscreen depends on your skin’s specific needs and how you plan to use your sunscreen each day. Here are some factors that may help you decide whether to use a mineral or chemical sunscreen:
Sensitive or Acne-Prone Skin: Mineral sunscreens are generally the better choice for sensitive or acne-prone skin. They are less likely to cause irritation, clog pores, or trigger breakouts.
Oily Skin: Many mineral sunscreens now come in matte or oil-free formulations that help absorb excess shine. However, some lightweight chemical sunscreens may also work well, especially non-comedogenic options.
Dry Skin: Chemical sunscreens often come in moisturizing formulas that hydrate while protecting. Look for products with added humectants or emollients.
Darker Skin Tones: Chemical sunscreens tend to blend more seamlessly into the skin without leaving a white residue. Some newer mineral formulas are tinted to help address this issue, but chemical sunscreens generally remain the more cosmetically elegant option.
Active Lifestyles: Mineral sunscreens offer immediate protection, making them a good choice for athletes or kids who move in and out of the sun often. Many are also water-resistant.
Make Sunscreen a Daily Habit
The best sunscreen is the one you’ll wear every day. You may want to use a chemical sunscreen for daily activities but a mineral sunscreen at the beach. It’s up to you! The only key is consistency – regular sunscreen application is critical to protecting your skin from UV damage.
Choose your sunscreen based on your skin type, known skin sensitivities, how it feels and looks on your skin, and when and how often you’ll be applying it.
If you’re still unsure which sunscreen is best for your skin type or have questions about ingredients, our team at Optima Dermatology is here to help. Request an appointment and meet with a board-certified dermatologist to discuss sun protection products that align with your skin’s needs and your summer routine. Stay sun-safe and enjoy the season with confidence!
Optima Dermatology & Medical Aesthetics Welcomes New Physician Assistant to its Bloomington, IN Practice
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.
Understanding Acne Triggers and Treatment Options – June is Acne Awareness Month
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.
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.
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:
Cleanser – Remove makeup, dirt, and oil.
Exfoliant or Retinoid – On the appropriate night of your cycle, apply your active product to clean, dry skin.
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:
A gentle cleanser
A hydrating serum or essence (optional)
A barrier-repairing moisturizer
In the Morning:
A gentle cleanser, which is optional in the morning if you don’t have oily skin.
An antioxidant serum like vitamin C to brighten and protect the skin.
A lightweight and hydrating moisturizer.
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:
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.
Keep your recovery nights simple. Stick with fragrance-free, hydrating products that support your skin’s barrier.
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.
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.
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.
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.
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.
