Dealing with hair loss is extremely common. Effective treatment for hair loss begins with finding the cause. Dermatologists have in-depth knowledge about the many causes of hair loss and how to treat it. Dr. Gregory Delost sat down with Natalie Herbick of New Day Cleveland to discuss scarring versus non scarring hair loss, and what treatment options look like. Check out this interview to learn more!
Our newest board-certified nurse practitioner, Jamie Piacentini, NP-C, APRN, DNP, is joining our Scarborough, ME practice after years of experience serving patients in southern Maine and New Hampshire. Jamie has been caring for patients since 2017 and was trained under world-renowned dermatologist Thomas P. Habif, MD.
Jamie earned her Doctor of Nursing Practice from the University of New Hampshire and went on to complete her Master of Science in Nursing at Simmons School of Nursing Health & Health Sciences, where she graduated Summa Cum Laude. She has been named an Advanced Nurse Injector for cosmetics, as well as becoming a member of the Society of Dermatology Nurse Practitioners, the Dermatology Nurses Association, and the American Association of Nurse Practitioners.
In Maine, as part of her final Doctor of Nursing Practice project, Jamie worked with the state’s legislature to pass a law restricting indoor tanning for minors under the age of 18. Such a law had been attempted multiple times, but following Piacentini’s involvement, it passed in 2019.
At our Scarborough, ME practice, Jamie offers a range of medical and surgical dermatology treatments for patients of all ages, including skin cancer screenings, and treatments for skin cancer, acne, psoriasis, eczema, and more.
With years of experience working with patients, Jamie is continuing her personalized and comprehensive care at our Scarborough, MA practice. She is committed to providing the best possible experience to patients, ensuring they receive the treatment that is most appropriate for their particular situation.
We recently had the opportunity to learn more about Jamie, her approach, and the path that led her to become a board-certified nurse practitioner in dermatology.
I received my Bachelor of Science in Nursing from the University of Southern Maine in Portland, and my Master of Science in Nursing from Simmons College in Boston, Mass. I attended the University of New Hampshire in Durham for my Doctor of Nursing Practice.
I worked as a nurse in the intensive care unit at Maine Medical Center and Central Maine Medical Center. I always had an interest in wound care and surgical procedures. While I was a master’s student at Simmons College, I obtained my Advanced Injectors Certificate from Aesthetics Medical Educators Training in New York City. I went on to be the lead injector at Maine Laser Clinic & Spa in Portland, Maine. When I graduated with my nurse practitioner license I was hired straight into a Medical/Surgical Dermatology practice in New Hampshire and trained under world-renowned dermatologist Thomas Habif, author of Clinical Dermatology: A Color Guide to Diagnosis and Therapy.
I love treating moderate-to-severe plaque psoriasis and acne. Treatment for these conditions is life changing and when you are able to clear a patient of their acne or psoriasis, you know you’ve made a difference in that patient’s life and served your purpose as a dermatological provider. I also enjoy performing surgical procedures for skin cancer and other lesions. It has brought a sense of creativity and higher acuity care into my practice.
Working in dermatology has allowed me to build wonderful relationships with my patients, due in large part to the close follow-up that some patients require.
The best advice I’ve ever been given was to trust your instincts and work comprehensively with your team to provide the highest level of care.
Please wear your sunblock and UPF clothing and please avoid tanning beds! Protect your skin in your youngest years to prevent skin cancer, as well as signs of aging.
I strive to deliver the best evidence-based practice while providing kind, compassionate care.
My husband and I have two young boys – 2 and 9 months old. We are very busy chasing them around and are enjoying watching them grow and learn! We love to travel, and spend much of our time on the water or near the ocean. We hope to get our oldest son on a pair of skis soon!
If you’re seeking dermatological care for common skin issues or more complex treatments, including skin cancers, Jamie Piacentini and her team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
Jamie Piacentini is currently accepting new patients at our Scarborough, ME location. Request an appointment online or give us a call at (855) 277 – 9689.
“Psoriasis and eczema are very common skin conditions that cause red, itchy, and sometimes flaky patches. They can look and feel very similar so if you have any of these symptoms, see your dermatologist for proper diagnosis and treatment!“
Holly Morris, MSHS, PA-C, Board-Certified Physician Assistant
It’s important to see your dermatologist for a clear diagnosis as eczema and psoriasis can manifest differently from one person to the next.
Eczema is a type of dermatitis that is caused by an issue with the skin’s outer layer, lead to symptoms of dryness, itch, redness, and skin texture changes.
There are 7 different types of eczema. Each type manifests differently, and depending on which type you have, the treatment plan may vary too. Here’s a quick rundown of eczema types:
Atopic Dermatitis (AD): The most common type of eczema. Most commonly appears on the hands or around the eyes as dry, patchy, or scaly skin.
Contact Dermatitis: Occurs when a skin irritant triggers an itchy reaction.
Dyshidrotic Eczema: Caused by an allergen and manifests as tiny, highly itchy blisters on the hands and feet.
Hand Eczema: Causes dry, painful cracks on the hands accompanied by extremely dry or chapped skin.
Neurodermatitis: Highly common in adults and tends to affect only one or two areas of the body with dry, itchy patches.
Nummular Eczema: Typically brought on by very dry skin, this type can look similar to atopic dermatitis or ringworm.
Stasis Dermatitis: Primarily affecting the lower legs and feet, this type is caused by chronic edema or swelling and results in inflammation, itchiness, scaling, and hyperpigmentation.
Eczema flare-ups can be brought on by exposure to an allergen, or skin irritation from sweat, sun exposure, or stress. Your dermatologist can help you identify what might be causing your eczema, and devise a treatment plan that can reduce the severity and frequency of flare-ups.
Psoriasis is a chronic skin disease that is most often found on the knees, elbows, or scalp. It is thought to be caused by an overactive immune system in which the growth of skin cells occurs very quickly; instead of shedding, they pile up on the skin’s surface and create irritation.
In most cases, psoriasis is characterized by raised areas called plaques on the skin that are typically red, itchy, and can burn or sting. It is a lifelong disease, but it can be managed with the right treatment plan.
There are 5 primary types of psoriasis:
Plaque Psoriasis: This most common type manifests as raised patches of skin called plaques, which are itchy, red, inflamed, and often appear to have silvery scales.
Inverse Psoriasis: Most commonly identified by the lack of scales on the skin that are so common with plaque psoriasis. It is most often found within skin folds.
Guttate Psoriasis: Typically manifests as small red spots, and is frequently found on the arms, legs, chest, stomach, or back.
Pustular Psoriasis: Characterized by pus-filled bumps that are painful and irritated. Most commonly found on the hands and feet, but can appear on any area of the body.
Erythrodermic Psoriasis: Very rarely, individuals with psoriasis may develop redness and excessive shedding of skin layers, which can become severe.
Psoriasis can cause significant discomfort but can be controlled through a skincare routine developed between you and your dermatologist.
Given the similarities between eczema and psoriasis, as well as the discomfort they each can cause, it’s best to consult your dermatologist for a diagnosis and treatment plan so you can find much-needed relief!
For more information about Optima Dermatology and Medical Aesthetics, and to schedule an appointment, visit OptimaDermatology.com.
Acne is one of the most sensitive issues with skincare and often impacts mental health and self-esteem. Early, aggressive, and effective treatment is the best way to minimize and prevent acne scarring. Check out this segment with Dr. Delost to learn more about the different stages of acne, treatment options, and when to see a dermatologist!
Medical Aesthetics Nurse Injector, Sarah Scanlon, BSN, RN, has joined the Optima Dermatology Stratham, NH practice, bringing more than 10 years of healthcare experience.
Sarah has been providing medical aesthetics care to patients in the seacoast region since 2012, and is an expert injector specializing in Botox®, Dysport®, and dermal fillers, including Restylane®, Juvéderm® and Sculptra®. Additionally, she has advanced training in laser and light treatments, microneedling, and more.
Sarah earned her Bachelor of Science in Nursing at Regis College. She is passionate about continuing regular training to remain at the forefront of the latest aesthetic procedures and technology. She has attended the National Laser Institute to receive training in neurotoxins and dermal facial fillers administration, in addition to laser treatments. She is also trained in advanced filler injection techniques with Microcannula.
Sarah is committing to building great relationships with her patients, an approach that is aligned with Optima Dermatology’s mission to treat every patient the way we would want our friends and family to be treated.
We recently had the opportunity to learn more about Sarah, her approach, and the path that led her to pursue a career as a medical aesthetics nurse injector.
How and when did you know you wanted to be a nurse? Were you always interested in aesthetics, and what was your path to get where you are now?
I always had an interest in human anatomy and always admired my favorite aunt growing up who was a nurse at Mass General. In high school, I decided to pursue a career in nursing. I knew that I did not want to work in the traditional hospital setting and always had an interest in aesthetics. I had even considered being an esthetician or cosmetologist.
Throughout nursing school, I worked as a milieu assistant at a locked in-patient psychiatric unit. I quickly became a charge nurse there after graduating nursing school with my BSN. I stayed working within the psychiatric realm for many years. I also worked as a school nurse for a short time. But I always longed for something that encompassed my passion for all things skin and beauty. I finally learned of the opportunity to work as nurse injector and immediately pursued making that happen by attending National Laser Institute to learn the administration of injectables as well as laser modalities. I have worked as a Nurse injector ever since and am so grateful to have found a career that is so rewarding and truly brings me joy.
What is your number one tip when it comes to taking care of your skin?
Wear SPF EVERY day… even in the winter! And reapply often! Also, Botox is magic in a bottle!
What do you enjoy most about treating your aesthetic patients and what is unique about your approach?
I enjoy making my patients look and feel their best! I love being able to restore or improve someone’s self-confidence.
My approach is very patient centered. I try to advise, treat, support, and follow through with all my patients as if they were a family member or close friend. I have my patients’ best interest at heart, and I truly want to give them superior outcomes. My enthusiasm comes across when I am interacting with my patients, as I take the time to explain in detail the various treatments and options available to them. I also take the time to listen to their concerns and answer any questions they may have. This helps to create a trusting bond between us, which I believe is essential for the best possible patient care. I am focused on building long term relationships with my patients and guiding them through the aging process throughout the decades.
For someone who is interested in, but new to medical aesthetic treatments, how do you recommend they get started?
Come in for a consultation. It can be overwhelming if you have never done an aesthetic treatment, but we can tailor a treatment plan to your specific goals/needs. We can do as much or as little as you feel comfortable. It’s important to see an experienced and credentialed provider who can advise and guide you through the journey in order to have safe and optimal results.
Where are the most common areas you treat with dermal filler?
Cheeks and lips; Although Chin is the new Cheeks!!
If there is one thing you want your patients to know about you, what would it be?
That I love what I do! It is important to me for my patients to know how much I enjoy my work. My passion for this field extends far beyond just a job. Innovations in aesthetic technology as well as ever-changing trends in the industry continuously inspire me. I love the challenge of staying up to date with the latest treatments and techniques, and the knowledge I gain helps me to provide the best results for my patients. It’s also important to me that my patients feel comfortable and confident in me and the work I do, and that they know I’m invested in their wellbeing.
What do you like to do when you are not in the office?
My 3- and 4-year-old keep me VERY busy when I’m not in the office. I enjoy spending time outside and going on adventures with them and my husband. My hobbies also include interior décor.
If you’re seeking medical aesthetic services, Sarah and her team at the Optima Dermatology Stratham, NH practice offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
View a complete list of our medical aesthetics services, and come in for a visit to learn more about our approach to patient care. Sarah is accepting new patients at our Stratham, NH location. Give us a call at (603) 942-2171 to schedule an appointment today!
Optima Dermatology is excited to have Jennifer Stead, DO, FAAD, join our Bedford, NH practice, serving the Manchester area. Since 2011, Dr. Stead has been providing patients of all ages in the New England region with a range of medical and surgical dermatology services, as well as medical aesthetic treatments including neuromodulators and dermal fillers.
Dr. Stead earned her Doctor of Osteopathic Medicine from Philadelphia College of Osteopathic Medicine and completed her dermatology residency in Michigan at St. Joseph Mercy Hospital and served as their Chief Resident.
In her career, Dr. Stead has authored numerous clinical publications and is a beloved provider in the southern New Hampshire region. She is also a fellow of the American Academy of Dermatology.
Dr. Stead’s approach to patient care reflects Optima Dermatology’s commitment to treating every patient the way we would want our friends and family to be treated. She is dedicated to providing a comprehensive and personalized experience for each patient.
We recently had the opportunity to learn more about Dr. Jennifer Stead, her approach, and the path that led her to pursue becoming a board-certified dermatologist.
I went to Penn State University in State College, Pennsylvania to study Biology with a minor in Genetics.
The variety of patients we see – medical, surgical, cosmetic! Additionally, early on during medical school rotations, I realized that the dermatology office was a happy place. Our patients are healthy, for the most part, and they really WANT to get better and are motivated because the skin is the largest organ and is on stage for the world to see. This attitude transcends into the office environment.
Working with teenagers who have cystic acne is one of my favorite conditions given that it can be life changing and confidence building for young people at a pivotal time in life. Diagnosing and treating skin cancer at all ages can bring awareness to the population with early detection. The opportunity to empower our patients with the option of cosmetics has always excited me, from small things like chemical peels and skin care regimens, to bigger procedures like laser resurfacing and soft tissue fillers.
Sunscreen, hats and UPF clothing. I wish I had adhered to this philosophy earlier in life! Nothing else is as important as SPF and avoidance of the mid-day rays when it comes to taking care of your skin. And for this current media frenzy/marketing consumption we live in, especially for teenagers, “less is more” in terms of number of products. Invest in a few excellent, medical grade skin care products, alongside a mineral-based sunscreen (I like tinted!) And don’t overdo it. We can help streamline the products, but I find that people are overdoing it with too many non-effective topicals.
I continually seek more education and knowledge in the field of dermatology. It has exploded in so many facets with the introduction of many new psoriasis and atopic dermatitis medications, cosmetic procedures, and options for topical acne medications. I’m constantly humbled by all the different conditions we see on a daily basis. I gain great satisfaction out of helping resolve both acute and chronic dermatologic conditions and will do my best to make patients leave feeling beautiful in their own skin.
How lucky am I to have the best job in medicine?! My patients of 13 years have become friends, sharing their lives and families with me. That is my favorite part – growing up with the patients and treating kids with acne, their parents for skin checks (and a little Botox!) and the grandparents with skin cancer. Dermatology is diverse and I never know what is coming in that week. I like the challenging rashes, the mundane warts, and then the routine skin checks…it’s what makes the day interesting. Innovation in dermatology is all around us at whole foods and target beauty aisles, on TV advertisements and social media, and in the compounding pharmacies we send new and exciting mixtures for preparation. The field has exploded and I’m so thrilled to be a part of it.
My approach to treating dermatologic patients involves listening to their concerns and striving to meet achievable goals. I enjoy helping patients understand their treatment options and navigating the risks and benefits.
Spending time with my husband and three children who are 6, 8, and 11 years old. They are very active in school and sports, and we have enjoyed the experiences and friendships in the Bedford community as a result. We also love to travel, ski, bike, be outdoors and spend time at the beach with friends and family. I adore a good book – a quick thank you to my devoted patients who also enjoy reading and bring me their book lists!
If you’re seeking medical, surgical or cosmetic dermatological care, Dr. Stead and her team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
View a complete list of our dermatology services, and come in to learn more about our approach to patient care. Dr. Stead is accepting new patients at our Bedford, NH location. Give us a call at 855-277-9689 to schedule an appointment today!
Interested to learn more about microneedling? We sat down with Jill Bickford, BSN, RN, based at our Stratham, NH location, to learn more about this treatment method, the conditions it treats, and the results patients can expect. Microneedling is a minimally-invasive skin treatment that uses ultra fine needles to reduce the appearance of fine lines and wrinkles, and to tighten and tone the skin for a younger, healthier looking appearance.
However, like any skin treatment, it’s important to know the facts before making a decision. We always recommend speaking with your dermatologist or provider to determine the best treatment for your specific concerns, but we’ve put together some frequently asked questions about microneedling to help get you started.
Microneedling is a great option for common skin concerns because it is minimally invasive, and uses ultra fine needles to make microscopic holes in the top layer of the skin. Doing so stimulates a healing response in the skin, encouraging the production of collagen and elastin, which both help to keep your skin firm and smooth.
There are two treatments we offer at Optima Dermatology that are widely used and trusted: INTRAcel™ and SkinPen®. They are different treatment approaches, but have both been shown to be highly effective.
INTRAcel™ microneedling is a safe, quick, and effective option for patients who want to rejuvenate their skin to a healthier, more radiant appearance and treat skin laxity, fine lines and wrinkles, scars, textured skin, or enlarged pores.
Through a combination of microneedling and radiofrequency (RF) technology, INTRAcel™ microneedling can precisely target areas of the skin for treatment to improve skin tone, complexion, and texture, as well as other skin issues. INTRAcel™ microneedling is safe for all skin tones and types.
SkinPen® is the first FDA-cleared microneedling device with little to no downtime that is made in the USA and rigorously tested for safety. The SkinPen® microneedling device uses tiny, sterilized needles to prick the skin and create micro-wounds. These micro-wounds trigger the repair mechanisms in the skin, stimulating the production of collagen and elastin, both of which contribute to skin health and luminosity.
Microneedling can treat common skin concerns such as fine lines, wrinkles, and skin laxity, all of which can be caused by age or skin damage. In some cases, microneedling can treat certain medical conditions.
SkinPen® microneedling are typically ideal for:
Medical conditions that can be treated with SkinPen® microneedling include:
INTRAcel™ microneedling treatments are typically ideal for:
In some cases, INTRAcel™ microneedling can also be used to treat skin laxity on other areas of the body such as the thighs, arms, abdomen, or knees.
While we always recommend speaking with your dermatologist to determine the best treatment option and approach, microneedling is safe and effective for anyone looking to treat common skin concerns caused by aging, injury, or a medical condition.
However, if you have any of the following conditions, microneedling may not be recommended and you should consult with your primary care provider or dermatologist prior to pursuing this treatment:
Because treatments are noninvasive, they’re relatively quick – a SkinPen® treatment takes between about 30 minutes, and INTRAcel™ microneedling takes about 30-60 minutes.
Both treatment approaches immediately begin stimulating the body’s natural healing process to produce tighter, firmer skin in the treated area.
If you’re receiving a SkinPen® treatment, your provider will apply a topical numbing cream to the treatment area to make the SkinPen® procedure comfortable. The SkinPen® microneedling device itself will be moved around the affected area of your skin, and tiny needles within the device will make micro-injuries on the surface of the skin. Minor bleeding from the treatment is possible.
SkinPen® microneedling has relatively minor side effects, but you may experience any of the following:
If you’re receiving an INTRAcel™ treatment, there is a sensation of heat, tingling, and pressure during the treatment. There is typically and patients typically report slight tingling or pressure during treatment.
There is virtually no downtime following a microneedling treatment, and healing from the treatment typically takes only 24 hours, but can be longer depending on the treatment. While microneedling is usually considered a ‘no downtime’ procedure, depending on the aggressiveness and condition being treated, patients may experience mild inflammation and redness for several days.
Patients can return to normal activities immediately following treatment, and patients can resume exercise 48-72 hours after treatment.
If you’re receiving a SkinPen® microneedling treatment, you can expect 4-6 visits to see the full effects.
If you’re receiving an INTRAcel™ microneedling treatment, many see improvement after three treatments. you can expect to see improvements after just one treatment. The number of treatments you will need depends on your skin type, skin condition, and the size of the area.
Make an appointment at the Optima Dermatology location closest to you and come in for a free consultation to learn what microneedling treatment will work best for you. We recommend a thorough consultation before beginning treatment so you understand what to expect from microneedling before and after the treatment.
Schedule your appointment today!
Licensed Esthetician, Michelle Nunez, has joined the Optima Dermatology Bedford, NH practice bringing more than 10 years of esthetics experience.
Michelle has been providing esthetics care to patients in the New England region since 2010, and is a certified laser technician through the National Laser Institute. Additionally, she has advanced training in BroadBand Light® (BBL), microneedling, Diamond Glow®, chemical peel treatments and more.
Michelle is a Master Esthetician who graduated from the Catherine Hinds Institute of Esthetics as an Esthetician and Skin Care specialist. During her time there, she completed 1,200 hours of education and training.
Michelle is committing to building great relationships with her patients, an approach that is aligned with Optima Dermatology’s mission to treat every patient the way we would want our friends and family to be treated. Michelle takes a unique “panfacial” treatment approach with her patients in which she considers the entire face into consideration and what aging aspects are causing the specific area of concern.
We recently had the opportunity to learn more about Michelle, her approach, and the path that led her to pursue a career as a licensed 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?
I grew up dreaming of what to be when I was older. It ranged from teaching young girls to dance ballet to working with animals. It wasn’t until I began struggling with acne, that I developed an interest in the skincare industry. Struggling with this affected my self confidence. Upon discovering Elizabeth Grady School of Esthetics, I was intrigued enough to enroll immediately.
After graduating from Elizabeth Grady School of Esthetics, I was fascinated to learn there are so many options in the esthetic world. I decided to pursue the medical part of our industry and enrolled at Catherine Hinds School of Esthetics. I graduated from Catherine Hinds with the most esthetic training offered nationwide. My passion for medical esthetics is part of who I am. I am so happy to be a part of a growing, supportive community.
What is your number one tip when it comes to taking care of your skin?
Many people don’t know you should be reapplying your sunblock about every 2 hours. I recommend keeping a sunblock, such as EltaMD UV stick spf 50+, with you to always be able to reapply. A stick comes in handy while on the go, walking, driving and great for the whole family to easily use.
What do you enjoy most about treating your aesthetic patients and what is unique about your approach?
I enjoy helping others feel their best. It is an honor to have patients come in and trust in me to help with their skincare goals. My approach to aesthetics is unique because my passion and drive in the aesthetic industry continues to grow with each patient I meet. I pride myself to cultivate a trusting relationship, while skillfully tailoring a treatment to provide optimal results.
For someone who is interested in, but new to medical aesthetic treatments, how do you recommend they get started?
If you’re not sure where to begin in medical aesthetic treatments, scheduling a consultation to get a professional assessment of your skin is a great way to get started. Having a professional assessment of your skin can help determine what skincare and treatments are best for you. There are a lot of options available now over the counter and online, it is important to know what is going to give you the result you are looking for and how to safely reach your skincare goal. We carry only high quality medical grade skin care lines, along with the most innovative devices on the market to ensure your skin care goals are satisfied.
Which patients would you recommend a Chemical Peels treatment for? What kind of results can patients expect to see?
Chemical peels are great for brightening the skin and treating hyperpigmentation, diminishing fine lines and wrinkles, smoothing texture, acne and acne scarring.There are superficial chemical peels that have little to no downtime and can be included with a facial to give the skin a boost and help to instantly give a beautiful glow. During the fall and winter, I do treat a lot of patients with medium depth peels. These expedite your exfoliation process and slough off the upper layers of skin to reveal a healthier, brighter complexion. Oftentimes, these are recommended in a series spaced out a month apart for optimal results.
If there is one thing you want your patients to know about you, what would it be?
I love my job! Getting to make others feel more confident in their skin, brings me so much joy. It is so rewarding to be able to help people in such a personal way. Being able to connect on such a deep level with patients is the most incredible feeling.
What do you like to do when you are not in the office?
When I am not in the office I enjoy spending time with my husband, our two children, and pets. When our dog, cats and chickens aren’t keeping us busy, we love spending time by the ocean, lake or our pool. I also enjoy spending time with friends, reading and gardening.
If you’re seeking esthetic services, Michelle and her team at the Optima Dermatology Bedford, NH practice offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
View a complete list of our services, and come in for a visit to learn more about our approach to patient care.Michelle is accepting new patients at our Bedford, NH, location, serving the Greater Manchester area. Give us a call at (603) 942-2003 to schedule an appointment today!
Optima Dermatology is excited to welcome Dr. Sherry H. Yu, MD, FAAD, FACMS, to our Macedonia, OH practice. Dr. Yu is a double board-certified dermatologist and micrographic dermatologic surgeon who specializes in performing surgical dermatology, including Mohs micrographic surgery for skin cancers, as well as medical aesthetics treatments such as neurotoxin injections, dermal fillers, and laser treatments.
Dr. Yu has been serving patients since 2017, having completed her residency in dermatology through the Harvard Combined Dermatology Residency Training Program, as well as a fellowship in Mohs micrographic surgery and dermatologic oncology at Yale University School of Medicine.
Prior to her residency and training at Harvard and Yale, Dr. Yu received her undergraduate degree from Case Western Reserve University, graduating with the highest honors and an induction into the esteemed Phi Beta Kappa honor society. She then attended medical school at Case Western, graduating at the top of her class and again being inducted into a well-respected honor society – Alpha Omega Alpha.
She completed an internship in internal medicine at the Cleveland Clinic Foundation, where she was named “Intern of the Month”. She went on to serve as a Mohs Surgeon at the Cleveland Clinic, as well as an Assistant Professor in Dermatology at Case Western Reserve University School of Medicine.
Dr. Yu also completed the Deland Fellowship in Healthcare and Society at Brigham and Women’s Hospital; is a member of the American College of Mohs Surgery, the American Academy of Dermatology, the American Society of Dermatologic Surgery, and the Women’s Dermatologic Society; and has authored more than 20 peer-reviewed articles.
Dr. Yu has developed a high level of expertise in Mohs surgery, including spending time as a member of Mohs Surgeons Leading the Future and delivering lectures for local, national, and international conferences.
As the newest Mohs surgeon to join the Optima Dermatology family, Dr. Yu offers an exceptional perspective and skill for skin cancer patients undergoing this surgery.
We recently had the opportunity to learn more about Dr. Yu, her approach, and the path that led her to becoming a double board-certified Mohs surgeon and dermatologist.
Case Western Reserve University in Cleveland, Ohio.
I have always liked the balance of medicine and surgery in dermatology and, more specifically, Mohs surgery. Additionally, much of my academic research has focused on how medical conditions affect quality of life and many chronic skin diseases have been shown to have a significant impact on patients.
Wear sunscreen, reapply, and be consistent! It’s much better to have a simple, consistent skincare routine than a complicated one that is hard to maintain.
I want you to leave your visit with me thinking, “That was so much better than I expected”. That goal drives much of what I do.
I love the ability to treat, and almost always, cure skin cancer while providing compassionate, high–level care to my patients. I also love the ability to see skin cancer on a patient, remove it, and see the pathology and tissue under the microscope on the same day.
My approach is to listen, be curious, and have open, direct communication with my patients. I try to always remember that no matter the size of their skin cancer, this is often a bigger surgery or procedure for them. I also try to learn about people, their history, and their interests and have the benefit of spending several hours with patients on the day of surgery to get to know them better.
I enjoy antiquing, hiking, and reading a good book.
If you’re seeking dermatological care for common skin issues or more complex treatments, including skin cancers, Dr. Yu and her team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
Dr. Yu is currently accepting new patients at our Macedonia, OH location. Book an appointment online or give us a call at (855) 277-9689.
Optima Dermatology is excited to welcome Laura Anderson, PA-C, to our Stratham, NH practice. Laura has been serving patients in the Seacoast area of New Hampshire since 2017, offering treatments for a range of skin conditions, including skin cancer screenings and skin cancer treatment, acne, psoriasis, and eczema.
Laura completed her undergraduate education at Stonehill College, earning her Bachelor of Science in Biology and Healthcare Administration. She then went on to earn a Master of Science in the Physician Assistant Program at Rutgers University. While at Rutgers, she mentored and advised students and her peers, tutoring in educational services and leadership.
In 2015, Laura earned the Pathology Award in Excellence. She is also a member of the American Academy of Physicians Assistants and the Society of Dermatology Physician Assistants.
Laura delivers kind and considerate care to her patients, taking an understanding approach to make everyone feel comfortable.
We recently had the opportunity to learn more about Laura, her approach, and the path that led her to pursue becoming a board-certified physician assistant.
I went to Stonehill College in Easton Massachusetts for my undergraduate degree. I attended Rutgers University in Piscataway, New Jersey for my Master of Physician Assistant.
I love skin! It’s the largest organ within the human body and so important to take care of. I love dermatology because you get to act like a detective, finding clues to point you to the most likely diagnosis. After graduation from PA school, I started working in a dermatology office as a medical assistant (despite being board-certified as a PA). It is hard to find a job in the dermatology field, so I worked my way up to where I am now!
The best advice I was ever given on my journey to become a board-certified physician assistant is to ask for help when needed. I love being part of a team that is dedicated to taking the best care of patients and when I can’t figure out a problem, I have colleagues I can turn to and brainstorm ideas.
By far the most important tip in taking care of your skin is sun protection!
I love being able to follow my patients and track improvement in their skin. It is very gratifying when you can actually see the treatments working.
I am an upbeat bubbly provider that thrives on making my patients feel comfortable in their skin. It isn’t easy to take off all your clothes in front of a stranger so my goal is always to make sure I establish a rapport with patients so they can have the best experience possible.
I spend most of my free time with my family and dog. Weekends are usually spent doing as many outdoor activities as possible. I also love hiking, yoga, water sports and skiing.
If you’re seeking dermatological care for common skin issues or more complex treatments, Laura and her team at Optima Dermatology offer a wide range of services and have advanced training and experience to ensure the highest quality of care.
Laura is currently accepting new patients at our Stratham, NH location. Book an appointment online or give us a call at 603-942-2171.
August is Psoriasis Awareness Month, so we’re speaking with Dr. Jennifer Stead, a Board-Certified Dermatologist at our Bedford, NH practice (Manchester area), to learn about the signs, symptoms, and treatments for this persistent skin condition. Psoriasis is a chronic disease marked by itchy, red, and sometimes burning skin. Understanding and managing it is crucial, whether you suspect you have psoriasis or have been diagnosed with it.
Psoriasis is a chronic skin disease that is primarily identified by itchy, red, burning, or stinging skin that won’t go away on its own. If you think you have psoriasis or have been diagnosed with it, it’s important to understand this condition and how to manage it.
Psoriasis is most often found on the knees, elbows, or scalp, and is characterized by raised areas, or plaques, on the skin that are typically red, itchy, and can burn or sting.
It’s important to understand that psoriasis is not contagious, and is not necessarily hereditary. While psoriasis can occur at any age, it first appears most commonly in individuals between the ages of 15 and 35.
The National Psoriasis Foundation states that 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 be shed from the body. However, skin cells impacted by psoriasis finish growing every few days, and instead of shedding, they pile up on the surface of the skin.
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.
Yes! In fact, there are five types of psoriasis that can affect different parts of the body in different ways, and you can have more than one type of psoriasis.
Here are the five types of psoriasis and their characteristics to help you understand which type you may have.
Plaque Psoriasis: This most common type affects 80-90 percent of individuals who have psoriasis. Plaque psoriasis manifests as raised patches of skin called plaques, which are itchy, red, and inflamed, and often appear to have silvery scales or even a dark coloration, depending on skin type.
Inverse Psoriasis: Affecting about 25% of those living with psoriasis, inverse psoriasis is most commonly identified by the lack of scales on the skin that are so common with plaque psoriasis. It is also most often found within skin folds – under arms, under the breasts, or in the genital or buttocks areas.
Guttate Psoriasis: Slightly different in appearance from other types of psoriasis, guttate psoriasis typically manifests as small red spots, and is frequently found on the arms, legs, chest, stomach, or back. Guttate psoriasis is less common, affecting about 8 percent of those living with psoriasis.
Pustular Psoriasis: A far smaller population of people (about 3 percent) are affected by this type of psoriasis, which is characterized by pus-filled bumps that are painful and irritated. While it is most commonly found on the hands and feet, it can also appear on any area of the body.
Erythrodermic Psoriasis: Very rarely, individuals with psoriasis may develop erythrodermic psoriasis, which causes redness and excessive shedding of skin layers. About 2 percent of people with psoriasis suffer from erythrodermic psoriasis, and it can be severe enough to 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.
Psoriasis can lead to other health conditions, including – but rarely – psoriatic arthritis, which can cause symptoms of arthritis in the joints. Psoriatic arthritis affects about 30 percent of individuals with psoriasis. Psoriasis can also affect fingernails and toenails, causing pain, pitting of the nail, separation of the nail from the nail bed, or coloration changes.
While these types of psoriasis vary widely in how they affect people and can be milder or more severe depending on the flare-up and other physical or environmental factors, you should always contact your healthcare provider or dermatologist to ensure a proper diagnosis and treatment.
The symptoms of psoriasis can come and go, but the onset of symptoms, or flare-ups, can vary in severity and be triggered by different things. One common trigger is hot temperatures, such as warm weather in the summer months. Individuals with psoriasis often experience flare-ups when they’re exposed to the sun or from the friction and sweat caused by exercise or summer activities like swimming and hiking.
But don’t worry – there’s no need to stay inside and shelter from the sun if you have psoriasis. Many individuals can take some basic precautions before engaging in summer activities to prevent or at least minimize psoriasis flares.
Here are a few “hot tips” for managing psoriasis in the summer.
And we know the summer is the most popular time to travel, but you don’t have to worry if you have psoriasis – you just have to be prepared. Make sure to bring appropriate clothing for the activities you’ll be doing, as well as enough medication if you’re using any prescription or over-the-counter topical or oral treatments for your psoriasis.
About 7.5 million Americans, and 125 million people worldwide, are living with psoriasis. Psoriasis is a chronic skin disease with no definitive cure, so those who have it will have it for life. However, there are ways to manage symptoms with the right treatments.
There are a few different ways to manage psoriasis, and it’s common for patients to try multiple approaches before finding one or a combination that makes a difference.
Prescription medications that can help include corticosteroids and other topical treatments. Corticosteroid creams, ointments, or sprays can relieve the discomfort of a psoriasis flare-up by reducing inflammation and soothing irritation.
These treatments are typically prescribed by your primary care doctor or your dermatologist.There are also many other topical treatments available, including coal tar, Vitamin D analogs, or salicylic acid.
There are also different prescription drug treatments, or biologics, that have come onto the market to help people manage their psoriasis and have been found to be effective. However, you should consult with your doctor or dermatologist before taking a biologic, as these drugs can suppress the immune system in ways that can lead to serious infections, such as tuberculosis.
Biologic treatments are often considered for individuals who are not responding to any other type of psoriasis treatment, but there are other medications available that can be used when other drugs can’t be given. Further, biologics can be administered orally in liquid or pill form, or through an injection or intravenous infusion. It is best to speak with your dermatologist about the right medication to treat your psoriasis.
There are several non-medication treatments you can consider.
Other non-medication treatments you can try include adjustments to diet, weight loss, or a focus on lifestyle improvements that reduce stress and anxiety.
While there is currently no evidence pointing to diet as a trigger for psoriasis, some patients do notice a correlation between certain foods they eat and their flare-ups, which could be a result of a food allergy or the inflammatory nature of psoriasis. Eating foods that reduce inflammation, such as those high in Omega-3 fatty acids, may be helpful.
Obesity has been shown to correlate with psoriasis, as it can cause some of the triggers that may bring on flare-ups, such as high blood pressure, high cholesterol, or other metabolic conditions. Weight management is beneficial for any individual, especially those struggling with an autoimmune disease.
Finally, starting a meditation routine, exercising regularly, or adjusting your lifestyle to reduce day-to-day stresses can help reduce psoriasis triggers as anxiety and stress are thought to contribute to psoriasis flare-ups.
At Optima Dermatology, we offer ultraviolet light therapy, or phototherapy, in which UVB rays are applied over a consistent period of time to penetrate the skin and help slow the growth of affected skin cells. We offer this treatment at our Mentor, Macedonia, Salem and Bloomington clinics with our Houva device, and will soon also be offering it at our Stratham, NH location.
There are two types of UVB therapy – narrowband and broadband. The primary differences are that narrow-band UVB rays release a smaller range of ultraviolet light, may produce more effective and longer-term results, and may require fewer treatments.
An excimer laser, which emits a high-intensity beam of UVB light, is often used to treat chronic, localized psoriasis plaques as it can target specific areas of the skin, particularly on the scalp.
Light therapy has been found to be effective in treating psoriasis, but the type and duration of this phototherapeutic treatment varies from patient to patient depending on the severity of your psoriasis.
In many cases, there is simply not enough long-term data available to indicate for how long patients will experience reduced symptoms or overall improvements following a course of light therapy treatment.
Psoriasis is a challenging skin disease that not only causes physical discomfort but can have an emotional impact as well. Even mild psoriasis can leave people feeling self-conscious and can even cause social and mental health issues. And because stress and anxiety are considered triggers for psoriasis, patients can often become “stuck” in a difficult cycle that can feel impossible to get out of.
Fortunately, psoriasis awareness has grown significantly. In 1997, the National Psoriasis Foundation designated August as National Psoriasis Month, which has helped spread information about the disease and create a community for those suffering from it to feel less isolated.
We are all now also exposed regularly to ads and commercials for psoriasis drug treatments highlighting the challenges of the disease and treatment options. While the month of August is a great time to focus on awareness around this skin disease, we offer more acceptance and hope year-round for people suffering from psoriasis than ever before.
At Optima Dermatology, we are committed to helping our patients find the right psoriasis treatment. Our goal is to give you power over your psoriasis so you can manage your flare-ups and get back to your life.
Request an appointment today for a diagnosis and to begin conquering your psoriasis.
August is National Psoriasis Awareness Month, and Dr. Gregory Delost of our Mentor, Ohio location sat down with Natalie Herbick of New Day Cleveland to discuss psoriasis, as well as eczema. Psoriasis and eczema are very common skin conditions that cause red, itchy, and sometimes flaky patches. They can look and feel very similar. It’s important to see your dermatologist for a clear diagnosis as eczema and psoriasis can manifest differently from one person to the next, and treatment options for each condition vary. Check out the full interview to learn more!
