Michelle Nunez, LE, Joins Optima Dermatology’s Bedford, NH Practice
Michelle Delivers Expert Esthetics Services to Optima Dermatology’s Bedford, NH Practice
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), 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.
Providing the High Level of Care Patients Expect and Deserve
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.
What to Expect From Dermatology Care From Michelle and Her Team
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!
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.
A Wealth of Experience and Expertise to Guide Patients Forward
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.
Where did you go to college?
Case Western Reserve University in Cleveland, Ohio.
What made you decide to pursue a career in dermatology and Mohs surgery specifically?
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.
What is your number one tip when it comes to taking care of your skin?
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.
If there is one thing you want your patients to know about you, what would it be?
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.
What is your favorite aspect of being a micrographic dermatologic surgeon?
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.
What is your approach to treating your patients?
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.
What do you enjoy doing when you are not in the office treating patients?
I enjoy antiquing, hiking, and reading a good book.
What to Expect From Dermatological Care From Dr. Yu and Her Team
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.
Laura Anderson, Board Certified Physician Assistant, Joins Optima Dermatology
Our Stratham, NH Office Welcomes Its Newest Provider, Laura Anderson, PA-C, and Her Caring Approach to Patient Care
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.
Putting Patients First
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.
Where did you go to college?
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.
What made you decide to pursue a career in dermatology? What did the path to get there look like?
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!
On your journey to become a board-certified physician assistant, what was the best advice you were given?
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.
What is your number one tip when it comes to taking care of your skin?
By far the most important tip in taking care of your skin is sun protection!
What is your favorite aspect of dermatology?
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.
How would you describe your approach to treating patients?
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.
What do you like to do when you are not in the office?
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.
What to Expect From Dermatological Care From Laura and the Stratham Team
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.
Understanding and Managing this Chronic Skin Condition
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.
Signs, Causes, and Symptoms of Psoriasis
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.
Are There Different Types of Psoriasis?
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.
How to Manage Psoriasis Flare-Ups in the Warmer Months
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.
Wear broad-spectrum sunscreen with an SPF of 30 or more. Sunscreen is always recommended regardless of skin conditions, but for those with psoriasis, it provides a valuable barrier between the sun and potential skin irritation. To further help prevent a psoriasis flare-up, choose a sunscreen that is fragrance-free and designated for sensitive skin.
Allow your skin to “breathe” by avoiding fabrics that hold moisture. Even if you’re not doing a vigorous outdoor activity, clothing that doesn’t wick away sweat from the skin will create irritation and cause your psoriasis to flare up. Light, breathable, wicking fabrics make a big difference in any warm weather activity.
Embrace a swim in the ocean or in a saltwater pool. Saltwater can help wash away dead skin and improve the look of your psoriasis. However, because salt water can also dry out the skin, it’s important to clean off and moisturize well afterward.
Grab a spot in the shade, in front of a fan, or in an air-conditioned room whenever you can, as refreshing temperatures help cool down the skin and reduce the chance of flare-ups or additional irritation.
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.
Psoriasis Treatment: Managing and Reducing Symptoms
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.
Light Therapy for Psoriasis Treatment
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.
The Good News: There Is Help Out There for Your Psoriasis!
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.
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!
Faster Skin Cancer Test Results Now Possible with New Dermatopathology Laboratory
Patients Can Begin Treatment Sooner
We’re excited to announce the launch of our in-house dermatopathology laboratory in Portsmouth, NH, which will provide a more standardized process for interpreting patient tests.
Staffed with a team of expert, board-certified dermatopathologistsand histotechnologists, our new dermatopathology laboratory will deliver test results to patients within 24-48 hours, meaning necessary treatment can begin sooner.
Elevated Patient Care, Close to Home
Our dermatopathology laboratory conducts all test reading and interpretation in-house. Patients will not need to visit the lab and can continue to visit their dermatologist at their local practice.
Board-certified dermatopathologists Karen Nguyen Wu, MD, FCAP, and Ian Rosenthal, MD, PhD, will lead the dermatopathology laboratory, working with a team of histotechnologists responsible for preparing and interpreting test slides for all Optima Dermatology locations and Optima’s partner practices that include the Dermatology Center of Indiana, Advanced Dermatology & Skin Cancer Center, and the Indiana Skin Cancer Center.
Dr. Wu has been providing dermatopathology services in New Hampshire since 2013. She earned her Doctor of Medicine degree at Drexel University College of Medicine and went on to complete her residency in anatomic and clinical pathology at Thomas Jefferson University. She also completed an oncologic surgical pathology fellowship at Fox Chase Cancer Center, as well as a dermatopathology fellowship at Ackerman Academy of Dermatopathology. She holds board certifications in anatomic pathology, clinical pathology, and dermatopathology, and is a professional member of the American Academy of Dermatology, the American Society of Dermatopathology, the International Society of Dermatopathology, and the College of American Pathologists. Dr. Wu was named Castle Connolly Top Pathologist in New Hampshire magazine in 2022 and 2023, and she has authored over 10 dermatopathology publications.
Dr. Rosenthal has been practicing dermatopathology since 2015. He earned his medical degree at The Johns Hopkins University, where he also completed his residency in anatomic pathology. Dr. Rosenthal also completed a fellowship in dermatopathology at Memorial Sloan-Kettering Cancer Center and New York Presbyterian Hospital-Weill Cornell Medical College. Dr. Rosenthal received his PhD from The Johns Hopkins University and is a member of the American Society of Dermatology. He holds board certifications in anatomic pathology, as well as dermatopathology.
Dr. Wu, Dr. Rosenthal, and their team will be working directly with Optima’s dermatologists and referring physicians to accurately diagnose skin cancer. This state-of-the-art dermatopathology laboratory enables test results within 24-48 hours, so patients can proceed with their treatment plans sooner. A potential skin cancer diagnosis can be stressful, and we are proud to be able to deliver results faster and start treatment plans sooner. The in-house dermatopathology laboratory further enhances the patient’s experience and demonstrates our commitment to treating each and every patient as we would want our friends and family to be treated.
Dr. Ian Rosenthal, MD, PhDDr. Karen Nguyen Wu, MD, FCAP
The dermatopathology laboratory officially opened in Portsmouth, NH on May 1, 2023. If you’d like to learn more about the lab or inquire about making an appointment at one of our offices, please visit optimadermatology.com.
Sunscreen should be a priority year-round for the face and any other areas of the skin that have direct sun exposure. However this time of year applying sunscreen and practicing safe sun is even more important. Sunscreen provides protection from UV rays. UV rays from the sun impact the skin and its connective tissue over time as a result of repeated sun exposure. Some longer-term consequences of repeated sun exposure can include sun spots, wrinkles and lines, and skin cancer.
Holly Morris, PA-C, board-certified physician assistant at our Scarborough, ME location in the Greater Portland area, had the chance to talk with Aaron Myler of News Center Maine to discuss the importance of sunscreen and share tips on practicing safe sun.
Optima Dermatology & Medical Aesthetics to Open New State-of-the-Art Facility in Stratham, NH
STRATHAM, NH – Optima Dermatology & Medical Aesthetics is excited to be opening a new, state-of-the-art facility at 23 Portsmouth Avenue in Stratham, NH. This 10,000-square-foot practice creates even greater access to expert dermatology care in the Seacoast region, offering medical, surgical, and cosmetic dermatology services. Optima Dermatology’s new location will begin seeing patients on Monday, June 19, 2023, with a grand opening celebration planned for Thursday, July 13th from 4PM to 6PM.
Optima Dermatology in Exeter and Optima Medical Aesthetics in Portsmouth will be coming together in the new Stratham building. Optima Dermatology’s industry-leading, board-certified dermatologists and providers treat a broad range of medical dermatology conditions and diseases, including skin cancer, eczema, acne, psoriasis, and others. In addition to general dermatology, Optima Dermatology offers a full range of medical aesthetic services, including neurotoxin injections (such as Botox® and Dysport®), fillers, microneedling, laser and light treatments, and more. Future expansion of in-house service includes the addition of Mohs surgery with a dedicated surgery suite and lab.
The exceptional team in Stratham is led by board-certified dermatologist Dr. Ryan Karmouta, MD, MBA. Dr. Ryan, who currently also sees patients out of Optima’s Salem, NH practice, specializes in dermatology and medical aesthetics services for all ages.
“I’m thrilled to be able to provide dermatological care to patients in this new, state-of-the-art facility in Stratham,” said Dr. Ryan. “This practice speaks volumes about the level and quality of care Optima Dermatology offers and is just another way that we demonstrate our commitment to treating patients the way we would want our family and friends to be treated.”
Jill Bickford, BSN, RN, medical aesthetics nurse injector, has been caring for patients since 2003. She is an expert injector specializing in neuromodulators and dermal fillers. Additionally, Jill has extensive training in laser and light treatments, microneedling, PRP, and more.
Patients who come to Optima Dermatology’s Stratham facility can expect attentive, personalized care with skincare treatments tailored to their needs. Our expert team is dedicated to making a positive impact on patients’ lives using the most appropriate approach.
Optima Dermatology looks forward to continued partnerships with the local medical community with a collaborative approach to patient care and seamless referral process. If you are a healthcare provider interested in learning more about Optima Dermatology, please contact our medical community team at MedicalCommunity@OptimaDermatology.com.
To schedule an appointment with any of our Stratham providers, please call 603-942-2171. The Patient Support Team is available Monday, Tuesday, and Thursday from 6:30 a.m. – 6:00 p.m. and Wednesday and Friday from 6:30 a.m. – 5:00 p.m.
Optima Dermatology is revolutionizing skin care. Our mission centers on creating greater access to expert dermatology care and delivering an unparalleled patient experience. With a focus on excellence and innovation, our world class team is highly engaged, mission-driven, and inspired to set the new standard in dermatology. Our guiding principle is to treat each and every patient as we would want our friends and family to be treated, and we are committed to being your trusted experts in all aspects of skin care.
June is Acne Awareness month, so we’re talking with Board-Certified Dermatologist, Dr. Gregory Delost, who serves the Cleveland region, about acne scarring. Acne scarring 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. We’re here to help with the understanding of scars and how to work towards healing them.
Before we jump into treatment options, let’s learn more about acne scars and how they are classified.
How are acne scars classified?
Acne scars are classified based on their appearance during an examination with your dermatologist. They can be depressed (atrophic scars) or raised (hypertrophic scars/keloids).
Atrophic scars are the most common. They are caused by the destruction of collagen, and present as indentations.
Atrophic scars can be classified into three categories: ice pick, rolling, and boxcar scars.
Ice pick scars are wider at the top of the skin and taper as they go deeper.
Rolling scars are shallower than ice pick scars. They have a wavy surface due to abnormal collagen attachment.
Boxcar scars are typically round or oval shaped dimples that can either be shallow (less than 0.5mm) or deep (more than 0.5mm).
Hypertrophic scars and keloids are less common. Both are thick, raised scars. Hypertrophic scars stay within the margin of the initial wound whereas keloids spread beyond the margin of the initial wound.
How are acne scars treated?
The ideal way to treat acne scars is a three-step approach, consisting of an initial treatment phase, a collagen remodeling procedure, and finally any additional treatments to address resistant scars and to supplement results of previous procedures.
Step 1: An initial treatment phase.
The initial treatment phase is focused on treating redness, and to treat individual scars that may be resistant to collagen remodeling procedures. Treating redness is important as the redness accentuates the scar and makes it more noticeable.
To target redness, VBEAM®, Forever Young BBL™ and Forever Clear BBL™ are great treatment options available. Typically, three to four treatments spaced out every month are necessary for optimal results.
To treat individual scars that may be resistant to other treatments, typically a surgical approach is preferred. Ice pick and narrow boxcar scars respond to the chemical reconstruction of skin scars technique (CROSS technique) where a high-strength (90-100%) trichloroacetic acid (TCA) peel solution is placed at the base of scars with the goal to promote dermal remodeling. Rolling acne scars are typically treated with subcision, a procedure in which a small needle is inserted under an acne scar with the goal of releasing the fibrosis tissue that teethers the scar and causes the depression.
Finally, another option to treat difficult ice pick and boxcar scars is to surgically remove them by punch biopsy.
Step 2: A collagen remodeling procedure.
This phase of treatment consists of procedures that induce collagen growth. Examples of treatments that can induce collagen growth include the HALO® Hybrid Fractional Laser, chemical peels, and microneedling with platelet-rich plasms (PRP).
Step 3: Additional treatments to address resistant scars and to supplement results of previous procedures.
After step 2 is complete, it is important to assess treatment response and determine if any other procedure would be beneficial. Possible treatment options during this phase include all of the previously mentioned treatments, along with injectable dermal fillers.
Dermal fillers are particularly helpful for broad, rolling scars. Ice pick scars and other tethered scars typically do not respond well to fillers.
At Optima Dermatology & Medical Aesthetics, our board-certified dermatologists and expert providers will work with you to identify the right treatments and help establish lifestyle changes that can promote clearer skin. We are accepting new patients – find your nearest location and schedule an appointment today to begin a healthier approach to skincare!
In Boardman, Ohio Optima Research is leading groundbreaking research and advancements in the dermatological field. Board-certfied Dermatologist and Principal Investigator, Dr. Patrick Shannon, recently spoke with Dave Sess of First News to discuss clinical trials and what to expect. Check out this feature to learn more!
May is National Skin Cancer Awareness Month, and Dr. Gregory Delost of our Mentor, Ohio location sat down with David Moss of New Day Cleveland to share information on the importance of early detection, prevention, and practicing safe sun. Check out the full interview to learn more about annual full body skin exams and practicing sun safety as we head into the summer.
Skin cancer prevention should be top-of-mind year-round, but during the month of May, which is Skin Cancer Awareness Month, we put extra emphasis on the importance of prevention, early detection, and treatment.
The Importance of Skin Cancer Prevention
We all may be aware of skin cancer, but it’s the preventive steps that are critical to helping minimize your chances of getting skin cancer. One of the most important prevention methods is actually quite simple – properly protecting your skin from the sun’s harmful rays.
9,500 people in the U.S. are estimated to be diagnosed with skin cancer every day. Skin cancer is the most common cancer in the U.S., and rates are only increasing, especially among women and individuals under the age of 40.
Repeated exposure to the sun’s UV rays impact the skin and its connective tissue over time, heightening the potential for skin issues like sun spots and wrinkles and lines. However, extended sun exposure can also damage the DNA within your skin cells, causing those cells to grow and divide rapidly. This growth can create a buildup of extra cells that become tumors, which can be cancerous.
3 million Americans are diagnosed each year with nonmelanoma skin cancer. This type of cancer is the most common and includes basal cell carcinoma and squamous cell carcinoma.
1 in 5 Americans will develop skin cancer during their lifetime. Anyone at any age can be diagnosed with skin cancer and should take precautions to prevent or identify skin cancer.
Early detection is key, but just as important is prevention.
Our Expert Dermatologists Provide Their Favorite Sun Protection Product Recommendations
If you’ve ever had a sunburn, you know the more immediate consequences of failing to properly protect your skin from the sun. But even if you don’t end up with a sunburn, the sun is still causing incremental skin damage over time. If you go out in the sun every day for 5 years, but only use sunscreen once in a while, all of those unprotected exposures can impact the skin over that time.
The reality is, you don’t have to be on a beach to need sunscreen. Our skin is exposed to the sun all year long, especially the face, and should always be protected.
Here are some sun protection recommendations from our expert team of dermatologists and providers:
I love EltaMD® sunscreens and the COLORESCIENCE® Sunforgettable Brush. I tell patients the best sunscreen is one that you like (or love) and that’s easy to wear so you can wear it everyday!”
Sunscreen is important year-round, and Revision® Intellishade® Clear has antiaging and sunscreen benefits all in one. You get the protection of a sunscreen with the feel of a medical-grade moisturizer!
I love EltaMD® UV Glow and EltaMD® UV Restore since they contain physical ingredients. COLORESCIENCE® Sunforgettable Brush is another favorite because it is mineral based, contains physical ingredients and water resistant for 80 minutes!
Other Tips for Sun Protection
Our dermatologists and providers also have a few tips to help you master your sunscreen regimen and protect your skin from sun damage.
Use sunscreen with an SPF of at least 50 for extended sun exposure, and reapply every two hours.
Wear a daily moisturizer with an SPF of at least 30. Most facial moisturizers only offer an SPF of 15, which offers some protection but not quite enough.
Apply a lip balm or lip moisturizer with SPF.
Keep sunblock and an SPF moisturizer in your car/bag/purse for easy access when you need it.
Don’t forget about your neck, arms, hands, and legs! Depending on the season, the weather, and your activity, any exposed skin should be protected.
It’s never too late to start focusing on daily sun protection and skin cancer prevention, but if you have concerns about your skin from previous sun exposures, the best thing to do is meet with your local dermatologist for a skin check and to discuss any concerns you may have.
Think of Every Month As Skin Cancer Awareness Month
When it comes to skin cancer, awareness is crucial as it fosters preventive habits and early detection, enhancing the success rates for treatment. Schedule an appointment at Optima Dermatology in Macedonia, OH, or in Scarborough, ME for a skin check, to address your questions and concerns, and to embark on a healthier approach to skin care!
