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Discover the Benefits of PDO Threads by V Soft Lift®

Why PDO Threads are an Excellent Alternative to a Facelift

Looking for a light lift to your face or tightening but unsure about pursuing a facelift procedure? PDO threads are a great, less invasive alternative to a facelift to help the appearance of sagging skin.

At our Macedonia, Ohio practice, Optima Dermatology is now offering PDO thread lifts by V Soft Lift®, an FDA-cleared company that provides a trusted and effective palette of threads for facial rejuvenation, lift, volume, and support.

What Are PDO Threads?

PDO refers to polydioxanone, a polymer used in medical sutures that the body safely absorbs over time. PDO threads have been trusted to both lift and smooth skin on the face and neck for many years. And because the threads are biodegradable and dissolvable, they will break down naturally in the body, leaving behind new production of collagen and elastin that gives skin a firmer, more lifted appearance.

How Do PDO Threads Work?

PDO threads work by causing an increase in blood flow to the area in which they are placed , creating collagen, elastin and hyaluronic production and, in turn, rejuvenating the firmness and radiance of the skin.

PDO threads serve two primary purposes – to lift and to smooth. Each outcome requires a different technique depending on your skin condition and the results you are looking to achieve.

Below, we explain both the lifting and smoothing techniques and how the threads and the treatments differ in order to create the desired effect.

How Do PDO Threads Create Lifting and Smoothing?

For the lifting technique, the needle, called the cannula, is inserted under the skin. The PDO threads are inserted  and released once the needle is removed. The thread then causes an increase in blood flow to that area and begins to produce collagen and elastin. After 6- months, the thread is fully absorbed leaving new collagen in its place, and leaves skin with a firmer more lifted appearance.

For the smoothing technique, several smaller PDO threads are inserted under the skin in a hashtag pattern to ensure uniform collagen production. The thread will increase blood flow to the area and create new collagen and elastin production. The thread is then absorbed over 3-6 months leaving a new production of collagen in its place and skin is left with a noticeably smoother and more radiant appearance.

The smoothing threads can also be used in conjunction with other treatments such as Botox or dermal filler for even stronger results.

What Can I Expect From a PDO Thread Lift Treatment?

A PDO thread treatment typically takes less than an hour with minimal downtime. For a lifting treatment, the effects of a thread lift are visible immediately and continue to improve over time. The results from a smooth thread treatment take more time, about 4-6 weeks after treatment. For a smooth thread treatment, a series is usually recommended for best results.

Recovery varies by patient and treatment. You may experience some bruising or swelling, and most patients are able to return to normal activities right away. We do recommend avoiding rubbing your face or any activities that involve tightening the face, as well as vigorous activities.

Who Is a Good Candidate for a PDO Thread Lift?

Because PDO threads are versatile and can be used for a variety of skin smoothing, rejuvenation, and tightening, many patients are excellent candidates for this treatment.

Some common areas/reasons for PDO thread treatment include:

In order to determine if PDO threads are right for your skin condition and goals, please schedule a consultation with Shelley Plescia, our Medical Aesthetics Provider in Macedonia, OH, accepting patients from the Cleveland area.

Our team of expert dermatologists and medical aesthetic providers are highly skilled, with advanced training and experience in a range of procedures and treatments. Our team also values exceptional patient care above all else, so you’ll know you’re in good hands.

(855) 277–9689

Derm Deep Dive: Skin Cancer Awareness

What You Should Know About Skin Cancer Prevention and Early Detection

We’re back with another Derm Deep Dive, a series where we provide expert advice from one of our board-certified dermatologists about common skin conditions or treatments. May is Skin Cancer Awareness Month, so we’re speaking with Dr. Meredith Reimer, MD, about skin cancer, including early detection and prevention, and treatment.

The Importance of Skin Cancer Awareness

I have always been a proponent for greater skin cancer awareness – what it is, how and how often to check your skin, what to look for, and when to visit a dermatologist.

Early detection of skin cancer is key to making treatment more effective. While skin cancer is usually visible, it often goes undetected, leading to annual increases in skin cancer diagnoses. Did you know…

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.

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.

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.

62,260 invasive melanoma cases occurred among men in 2021, and 43,850 occurred among women, making it the fifth most common cancer among males and the sixth most common among females.

What You Can Do to Detect and Prevent Skin Cancer

To ensure you’re in tune with your skin and able to notice any new, changing, or unusual areas, I recommend a thorough self-exam once each month, in addition to seeing a board-certified dermatologist regularly for skin checks.

A self-exam requires a mirror and a bright light so you can see your skin well, and you should be sure to check areas you don’t see each day (or ever!) like your scalp, back, under the breasts, the buttocks, and the backs of your legs.

You should also keep an eye out for:

The more regularly you conduct a self-exam, the more likely it is that you will notice a new or different spot on your skin and be able to intervene. There are elements of our skin that naturally change over time, but you should always err on the side of caution and see a board-certified dermatologist with any concerns.

At-Home Skin Checks Don’t Replace the Dermatologist

National Skin Care Awareness Month is important for reminding individuals of the importance of visiting a dermatologist for a skin check. However, I try to remind all my patients that a skin check with a dermatologist should be done at least once each year to complement self-exams.

As with any medical visit, your provider is more likely to notice something you may overlook or not see at all. I know many patients may feel hesitant to come in for a skin check, or simply feel that it isn’t necessary, but I’m hoping to dispel any concerns with a breakdown of what you can expect when you come in for a skin check.

As with any medical visit, it’s so important to vocalize any concerns or questions! Even if it is in a sensitive region of your body, or you think it’s not significant, never ignore something on your skin that concerns you. I’m here to help and I’ve seen it all!

Think of Every Month Is Skin Cancer Awareness Month

When it comes to skin cancer, awareness is critical and leads to prevention and greater success rates for treatment. I’m currently accepting new patients – schedule an appointment with me at Optima Dermatology’s Macedonia, OH clinic, serving the Cleveland area, for a skin check. This will allow us to discuss your questions and concerns and begin a healthier approach to skin care

(855) 277–9689

Derm Deep Dive: Rosacea Treatment

All About Rosacea and What You Should Know With Dr. Sara Lohser, MD

We’re back with another Derm Deep Dive, a new series where we provide expert advice from one of our board-certified dermatologists about common skin conditions or treatments. This month, we’re speaking with Dr. Sara Lohser, M from our Mentor, OH clinic, about rosacea, a chronic inflammatory skin condition that affects about 16 million Americans and can come and go throughout an individual’s life. While it’s not entirely known what causes this condition, Dr. Lohser provides more detail and options for rosacea treatment. 

What is Rosacea and What Causes It?

There are several factors that are believed to predispose an individual to rosacea or influence the appearance of rosacea. These include:

If you are predisposed to rosacea, there are other rosacea triggers, such as physical or environmental conditions, that can cause your rosacea to flare up. These include:

If any of these sound familiar to you, don’t worry – I’m going to help you understand how to bring this common skin condition under control even when you can’t avoid triggers all the time. 

But first, let’s understand the four different types of rosacea, what they look like, the symptoms they cause, and help you understand more about your rosacea. 

The Different Types of Rosacea

There are four types of rosacea. Sometimes, individuals can exhibit symptoms of more than one type of rosacea at once.

Erythematotelangiectatic – This is the most common type of rosacea. It gets its (very) long name from the way it causes facial erythema, otherwise known as facial flushing. It can sometimes be accompanied by facial edema, burning, or stinging. The appearance of small, dilated blood vessels is common. Erythematotelangiectatic Rosacea typically affects the central areas of the face and around the nose, but is not commonly found on the forehead or chin. It can sometimes extend to the neck or chest.

Papulopustular – As you may have gathered from the name, this type of rosacea is characterized by acne-like breakouts of pustules or papules that may flare up and then go away intermittently over time. The inflammation most commonly affects the central areas of the face and around the nose and may extend to the neck or chest. It is not as commonly located on the forehead or chin. Unlike acne, the pustules or papules are not accompanied by blackheads. This type of rosacea can sometimes cause burning or stinging. Patients with Papulopustular Rosacea often also exhibit features of Erythematotelangiectatic Rosacea.

Phymatous – This type of rosacea is characterized by a thickening of the skin or irregular surface areas. Most common on the nose, and less often around the chin, forehead, eyes, or ears. Phymatous Rosacea is often, but not always, the result of long-term or untreated rosacea, but it can also develop more rapidly than other rosacea types. It is more frequently found in men.

Ocular – Again, as evidenced by the name, Ocular Rosacea affects the eyes, bringing on inflammation that can cause redness, burning, and itching. More than 50 percent of patients who have rosacea on their face also experience Ocular Rosacea. Irritated eyes can also come on as the first symptom, indicating you may later develop the facial type.

How Can Someone Avoid Rosacea Flareups or Prevent Worsening Symptoms?

There are a few ways you can avoid rosacea flareups or help prevent more severe symptoms if you are experiencing a flareup. 

First, I recommend my patients keep a journal to document when flareups occur. Doing so helps you to identify trends in your activity or environment that could be bringing on your rosacea. 

Once you have identified potential triggers, of course it’s best to avoid them. I know this can be difficult as many triggers are some of my patients’ favorite things – such as chocolate or spicy foods. I simply recommend that if something is a trigger, you exercise moderation or find ways to replace that trigger with something else.

What About Environmental Triggers I Can’t Control?

While we can’t control the weather (hot or cold temperatures, wind, or bright sun), we can certainly prepare and take precautions to protect our skin. I recommend good skin protection to all my patients, but for those with rosacea, here are a few helpful tips:

Who is at Risk of Suffering From Rosacea?

Rosacea can occur at any age, but it is most common between the ages of 30 and 60. Individuals with lighter skin types are most commonly affected; especially those with fair skin, blond hair, and blue eyes.

Rosacea tends to affect individuals of Northern European or Celtic descent. While it was previously thought to have higher incidence rates among women, more recent data doesn’t show this theory to be true. However, it has been shown to present in women going through menopause. 

What Do Rosacea Treatments Look Like?

There are several treatment options for rosacea to help relieve the symptoms and keep flareups at bay.

I approach my patients’ rosacea treatment in a step-by-step process: 

  1. Application of conservative therapies, such as avoiding triggers.
  2. Topical prescriptions, which carry the most benefit for Papulopustular Rosacea and are generally less effective for Erythematotelangiectatic Rosacea. 
  3. Topical medications can help decrease redness. There are two primary topical treatments and I help my rosacea patients understand which one is best for them.
  4. Systemic therapies, including a course of antibiotics to help bring your rosacea under control before tapering off. 
  5. Systemic medications can help decrease flushing. There are a couple of different options for medications, including beta-blockers, which slow down the heart rate and would be prescribed only if applicable for your individual type and severity of rosacea.

Often, a treatment regimen will be applied in conjunction with laser treatment, which targets the vascular component of Erythematotelangiectatic Rosacea, or a skin resurfacing treatment, which can help patients with Phymatous Rosacea.

When Should a Patient Consider Seeing a Dermatologist?

While there are over-the-counter products available for treating rosacea, these options can actually worsen rosacea symptoms because this skin condition is so variable depending on the trigger, type, and severity. 

That being said, sulfur soaps are often helpful for decreasing inflammation caused by rosacea, and patients can use makeup or cover-up products with green and yellow coloring, which can help camouflage the persistent redness associated with rosacea. 

I recommend visiting your dermatologist at the first onset of symptoms to develop a treatment plan, especially if over-the-counter treatments are not working. 

How Soon Should a Patient Expect to See Changes or Improvements?

Most treatments won’t work immediately; however, patients can expect to see improvements within the first few weeks of treatment. Ideal results and improvement can take between eight and 12 weeks. 

When Do You Bring Patients Back in for a Follow-Up Appointment?

I typically bring my rosacea patients back for a follow-up appointment between six and eight weeks after beginning treatment so I can monitor improvement and adjust the treatment regimen if necessary. 

Once the appropriate treatment has been achieved, I typically only need to see patients once every six months or once annually, depending on the severity of their rosacea.

It’s important to know that working with a board-certified dermatologist like myself is the best way to understand what might be causing your rosacea and how to minimize flareups. 

I understand that rosacea, like many other skin conditions – especially those with no determinate cause – can be difficult to manage and interfere with everyday life. I want to help you be confident and in control!

Think You Have Rosacea? Take Dr. Lohser’s Advice.

We hope this Derm Deep Dive provided some helpful advice about rosacea and what to do if you think you have it. 

If you have tried over-the-counter treatments and they haven’t worked, you should contact your dermatologist and discuss treatment options. 

At Optima Dermatology, our expert, board-certified dermatologists know the best approach to treating and managing your rosacea. Request an appointment with Dr. Lohser in the Cleveland area to discuss the best treatment plan for your rosacea.

(855) 277–9689

Derm Deep Dive: Eczema Treatment

All About Eczema and What You Should Know With Dr. Brian M. Connolly, MD, FAAD

Eczema is an extremely common skin condition that affects up to 15 million Americans. Because these itchy, red, irritating bumps are so prevalent and can manifest in many different ways, we wanted to sit down with one of Optima Dermatology’s expert dermatologists, Dr. Brian M. Connolly, to discuss eczema and eczema treatment – and what you should know. 

This conversation with Dr. Connolly is the first in our new Derm Deep Dive series, where we chat with one of our practitioners about a specific dermatological issue so you can learn more about it and your treatment options.

What is Eczema and What Causes It?

Eczema is actually commonly known as “the itch that rashes” because it begins as dry skin that becomes itchy, and as people scratch their dry, itchy skin, it turns into an itchy rash. This type of eczema is the most common and is typically caused by one of two factors: environmental (think skin irritants or dry air), or a genetic defect in the skin’s proteins that help skin cells hold on to moisture.

As far as environmental triggers, for individuals who reside in locations that have dry air, typically from cold weather and from running heaters or furnaces, the skin loses moisture when humidity is removed from the air. Frequent hand washing or bathing can also lead to dry skin. 

Once the skin is dry, it becomes much more sensitive to potential irritants in chemicals found in household cleaning solutions, cosmetics, and other products. 

What Does Eczema Look Like?

The most common signs and symptoms of eczema include red, sometimes scaly, and ill-defined bumps that can grow together into even larger bumps. Eczema is always itchy, which can sometimes lead people to confuse it with poison ivy or an allergic skin rash. 

Eczema tends to flare up in certain areas of the body, which differ based on age. Infant eczema, which is very common, typically appears on the cheeks, around the mouth, and the trunk. 

In adults, eczema manifests most often on the hands, in the folds behind the knees and elbows, on the eyelids, and on the neck. However, it can appear in other places as well, so it is important to consult your dermatologist if you believe you have eczema.

How Can Someone Avoid Common Environmental Triggers for Eczema?

Moisturize, moisturize, moisturize! We can typically tell when our skin is dry, and it’s always best to aggressively moisturize a minimum of three times each day, especially after bathing. 

It’s also helpful to avoid direct skin contact with cleaning products. Always wear gloves to prevent the chemicals in those products from irritating and drying out your skin. If you do have direct contact, wash your hands thoroughly and apply moisturizer. 

Eczema can also be caused by your laundry detergent or sun and sweat exposure, so be sure to evaluate possible triggers based on your lifestyle and when flare-ups tend to occur.

Will Any Moisturizer Do the Trick?

Actually, no. Try to avoid lotions with fragrances as these can cause more irritation and don’t provide much in the way of moisture replenishment. The same goes for cosmetics. Look for fragrance-free moisturizers and creams that are specifically designed to restore moisture to the skin.  

Who is at Risk of Suffering From Eczema?

Eczema can affect anyone at any age, but individuals who live in cold climates with low humidity, who work outside and have a lot of cold or sun exposure, and people who frequently wash their hands for their occupation are more at risk. 

Eczema is also a hereditary condition that can be passed down, so if you have a strong family history of eczema, you are also more at risk. 

This skin condition can manifest at any time, and really at any age, although it is most common in infants and adults. Infants also tend to “grow out” of their eczema at a certain point. 

What Should Parents Look Out for When it Comes to Pediatric Eczema?

While pediatric eczema is very common and typically not a significant concern, it can be difficult to control with an energetic, active child. Parents should primarily look out for any yellow crusting around the eczema sites, as that could be indicative of an infection. Otherwise, there are some good infant eczema creams that can be applied to the irritated areas to manage the symptoms.  

What Do Eczema Treatments Look Like?

The best treatment across the board is moisturizer. A good moisturizer is better than any prescription, but in some cases, we do use medicines to help calm down the skin’s immune system to control eczema. 

Another important treatment is behavioral modification. Whether it’s avoiding the environmental irritants, remembering to moisturize, or keeping yourself from scratching (which makes eczema worse), behavior plays a big role in treating eczema.

When Should a Patient Consider Seeing a Dermatologist?

If at-home, over-the-counter remedies aren’t working, or you feel you need an official diagnosis, extra advice, and support, that is a good time to see a dermatologist. 

I recommend applying a quality moisturizer three times daily for up to two weeks first, and contacting your dermatologist or primary care physician if you still do not see a change.  

How Soon Should a Patient Expect to See Changes or Improvements?

Nothing works immediately, and it may take up to six weeks to notice a significant improvement depending on the severity of the eczema. I always encourage my patients to stick with the treatment – if you don’t feel like the medication is working after a week or two, don’t give up!

When Do You Bring Patients Back in for a Follow-Up Appointment?

It definitely depends on the patient’s specific eczema condition, but I typically recommend a follow-up after three months. 

Can You Provide an Overview of Prescription Treatment Options?

A topical treatment used in conjunction with moisturizers is always advised and is usually the first step when treating moderate or severe eczema. There are many different kinds of topical ointments and creams in varying strengths and formulations, and I work with all of my patients to understand which topical treatment would be best for them.

For more severe or hard-to-treat cases, systemic medications like pills, injections, and special light therapies can be useful. Again, treatment depends on everyone’s unique situation.

Think You Have Eczema? Take Dr. Connolly’s Advice.

We hope this Derm Deep Dive provided some helpful advice about eczema and what to do if you think you have it. 

Your first step after aggressively applying moisturizer should be to contact your dermatologist and discuss treatment options. We have even put together 7 questions you should be sure to ask about eczema at your first appointment. 

At Optima Dermatology, our expert, board-certified dermatologists know the best approach to treating and managing your eczema.

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

(855) 277–9689

Optima Dermatology & Medical Aesthetics Welcomes Randi Toth, MSN, NP-C, Our Newest Dermatology Provider

Expanding Access to Expert  Dermatological Care to Patients in the Cleveland, OH Region

Optima Dermatology’s Mentor, OH team is excited to welcome our newest medical dermatology provider, board-certified Nurse Practitioner Randi Toth. Randi has been serving patients since 2010, and provides a wide range of dermatological services to patients of all ages in the Cleveland region.

Randi is a longtime resident of Ohio, earning both her Masters of Science in Nursing and her undergraduate nursing degree from Ohio University. She is committed to serving members of this great community and looks forward to providing expert care to Optima Dermatology’s valued patients. 

A Dedication to Excellent Dermatological Care

Randi’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. 

Randi’s patients can expect attentive, thorough care that considers how their skin condition impacts their overall well-being and everyday life. She designs a treatment plan that fits each individual and ensures they are involved in each part of their treatment.

We recently had the opportunity to learn more about Randi, her approach, and the path that led her to pursue medical dermatology.

Where did you go to school? Did you know you wanted to focus on dermatology from the start? 

I went to The Ohio State University for both my BSN and MSN. I started as a Family Nurse Practitioner and found dermatology a short time into the start of my practice as a Family NP.

Why did you choose dermatology? What did the path to get there look like for you?  

I discovered the field of dermatology through Dr. Lohser and quickly found it to be both an incredibly complex and rewarding field, allowing me to constantly learn and grow in my practice.

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

My number one tip of how best to take care of your skin is sun protection – even daily sun protection with a daily facial moisturizer in the colder months.

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

I try to spend as much quality time as I can with my two kids and my husband. I also cherish making memories with extended family and friends.

If there was one thing you wish your patients knew about you, what would it be? 

I feel that I am approachable and genuinely love patient interaction.

What is your favorite aspect of dermatology? 

I love getting to meet new people and trying to relate to how their condition impacts their well-being and daily life, and figuring out how we can find a solution together.

What is your approach to treating your patients?

Being open and honest with communication. I realize everyone is unique and the better we can communicate openly, the better I am able to understand what makes each patient’s treatment successful. 

What to Expect From Cosmetic Treatments From Randi and Her Team

When seeking medical dermatology services, it’s important to find a provider you can trust and who has the expertise to understand your unique needs and the best treatment options. 

Our team of seasoned medical dermatology providers, like Randi, has advanced training and experience for a range of procedures and treatments for skin cancers and other skin conditions. These include: 

Randi is accepting new patients at Optima Dermatology’s Mentor, OH practice, with convenient appointment times available! Schedule an appointment today.

(855) 277–9689

‘Very visible’: Big new dermatology center coming to Stratham next to Market Basket

STRATHAM — A co-founder of ConvenientMD has received approval to build a 10,000-square-foot medical office at 23 Portsmouth Ave., on what is now an overgrown lot between the 110 Grill and Market Basket.

The Stratham Planning Board approved on Jan. 19 Optima Dermatology’s application to build what is touted as a cutting-edge medical facility, including 18 exam rooms, a Mohs surgical unit for skin cancer and on-site pathology.

“I believe this will be one of the most beautiful buildings in Stratham,” said Max Puyanic, the ConvenientMD co-founder.

(855) 277–9689

ConvenientMD Founder Takes on Dermatology Access with New Startup

Using the walk-in urgent care model, Optima Dermatology to make New Hampshire debut in February

Max Puyanic wants to do for dermatology what he and his partners did for health care: make it more readily accessible.

He believes improving access to skin care will not only save money but save time and, most importantly in the case of skin cancer, save lives.

“We’re going to see patients sooner, not let the melanoma progress to the next stage. We’re going to save a lot of lives,” says Puyanic.

His new Optima Dermatology, the first of which is opening in February in Exeter while a new stand-alone facility is being built in neighboring Stratham, will be a straighter, more direct line in the diagnosis and treatment of skin disorders.

These facilities – seven are planned for New Hampshire and six in Maine to start – will offer general dermatology and cosmetology services, including pathology, surgery, and clinical trial and research, serving the Seacoast region, according to Puyanic. Their work, he said, is bound by a mission statement “to treat each and every patient the way we would want our friends and family to be treated.”

(855) 277–9689

Optima Dermatology Has Opened Its First New England Practice in Exeter, NH

Exceptional Dermatology Care for Exeter-Area Residents

Optima Dermatology is pleased to announce the opening of our first New England practice, located in Exeter, NH. We’re excited to be expanding access to our expert skin care services to a new area, and look forward to serving patients in Exeter, NH and surrounding areas. 

Our Exeter, NH practice, which officially opened on February 1, is in a temporary location at 1 Hampton Rd., Suite A306 across from the Exeter Town Recreation Department, while our new state-of-the-art facility is being constructed nearby.

Our Exeter practice is led by Dr. Brian M. Connolly, MD, FAAD, and his expert staff, and is currently accepting new patients. We 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 medical aesthetic services, including neurotoxin injections (such as Botox® and Dysport®), fillers, and more.

Leading With Care and Expertise: Get to Know Dr. Brian M. Connolly

Board certified dermatologist Dr. Brian M. Connolly has been serving patients in the Seacoast area since 2018 after completing his residency at John Hopkins School of Medicine. Dr. Connolly shares Optima Dermatology’s core value of treating every patient the way we would want our friends and family to be treated, and has also applied that approach to his patient care throughout his career. 

What does that mean for his patients? You can expect attentive, personalized care with treatments tailored to your specific needs. Everyone is different, and we take the time to identify the best approach to your unique skin and condition. Dr. Connolly continuously makes positive impacts in his patients’ lives by applying the latest advances in dermatological treatments and delivering a comprehensive approach to care.

We are confident patients and providers in the Exeter, NH area will find incredible value in Dr. Connolly’s expert care. 

We recently had the opportunity to chat with Dr. Connolly and learn a little bit more about him, and we’re excited to share our Q&A so you can get to know him too!

Q: Where did you go to college?

A: Cornell University

Q: What made you decide to pursue a career in dermatology?

A: Dermatology is unique because it has a very broad scope. It is one of the only fields where we treat patients of all ages, literally from birth to death. Dermatology is also fun because it combines many different specialities. Dermatology uses oral and injectable medications that require the knowledge base of internal medicine. We also perform surgical excisions and advanced repair techniques in the same manner as surgeons. And lastly, we are all trained as part of our residency to perform advanced cosmetic procedures like Botox, fillers, and lasers. Dermatology truly has it all!

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

A: The number one thing is a consistent routine. Nothing works quickly in dermatology and medicine in general. Maintaining a consistent routine over months is of utmost importance. Exfoliating and SPF daily with a sprinkling of retinoids are a great place to start, but don’t give up too quickly. For most things, a 90-day trial is necessary before declaring a treatment failure. 

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

A: Skin exams can often feel embarrassing! I strive to create a comfortable environment for patients. Please don’t be nervous! 

Q: What is your favorite aspect of being a dermatologist?

A: Treating skin disease is special because it goes well beyond the skin. Often the self confidence that patients develop when their skin improves expands into other arenas of their lives. An improvement in someone’s mood often positively affects social interactions, relationships, and trickles down into every aspect of life. Dermatology is much more than skin deep.

Q: What is your approach to treating your patients?

A: Every patient is an individual. With that being said, medicine (and clinical trials specifically), is very much a population-based science. Balancing individual needs and expectations with results from population-based studies is part of the art of medicine. A one-size-fits-all approach is therefore not appropriate. I work with patients to bring my knowledge of medicine and dermatology into a treatment plan that will work for their individual condition. Sometimes this approach requires some trial and error, but we will find the best regimen that works for a patient. 

Working With Area Providers

As a new dermatology practice in the Seacoast, NH area, we look forward to building partnerships with the local medical community to provide a seamless approach to patient referrals and care. We value our provider relationships and strive to make the referral process an easy and positive experience for providers and patients. 

If you are a provider interested in learning more about our services and our new Exeter, NH practice, or a new patient looking to schedule an appointment with Dr. Connolly, you can contact us and get more information about the new practice here.

(855) 277–9689

SkinPen Microneedling Benefits

Understand How SkinPen Microneedling Can Help Improve Your Skin 

SkinPen microneedling is a safe, comfortable and easy option for treating acne scars, fine lines and wrinkles, and enhancing the overall appearance of  your skin. As the first FDA-cleared device, SkinPen microneedling is made in the USA and rigorously tested for safety. 

What is SkinPen Microneedling?

The SkinPen microneedling device uses tiny, sterilized needles to prick the skin and create microscopic channels that activate the body’s natural healing response, stimulating the production of elastin and collagen. 

Think of a SkinPen microneedling treatment as a reset for your skin. The increased production of collagen and elastin makes the skin look younger, healthier, and more luminous. 

It’s important to note that while microneedling is also available with at-home devices, these treatments are unlikely to produce the same quality and long-lasting results as SkinPen microneedling delivered by a board-certified dermatologist or medical aesthetics provider using the FDA-cleared device. 

At-home treatments can also cause complications like infection or injury due to dull or poorly sterilized needles.For the best long term results for your skin health, we recommend consulting with our dermatologist or specialized medical aesthetic providers who are highly experienced and trained to provide these precision SkinPen treatments.

Do I Need SkinPen Microneedling?

SkinPen microneedling is an effective way to treat a variety of skin conditions. It is typically performed on the face, but can also be used to treat the skin on other areas of the body, such as the neck or decolletage. 

Cosmetic conditions that can be treated with SkinPen microneedling include:

Medical conditions that can be treated with SkinPen microneedling include:

What Can I Expect From a SkinPen Microneedling Treatment?

The treatment typically takes between 10 and 30 minutes and has few side effects. You can expect 3-6 visits to see the full effects of your SkinPen microneedling treatment.

At your visit, your dermatologist or medical aesthetic provider will apply a numbing cream to your face. The SkinPen microneedling device itself will be moved around the treatment area, and tiny needles within the device will prick the surface of the skin. 

Minor bleeding from the treatment is rare but possible. Your provider may apply a soothing cream to alleviate any discomfort. 

SkinPen microneedling has relatively minor side effects, but you may experience any of the following:

Contact your provider if any of these side effects last longer than a few days or cause a severe reaction. In rare cases, scarring or infection can occur. It’s best to discuss all side effects with your dermatologist before beginning a SkinPen microneedling treatment. 

SkinPen Microneedling Before and After

Depending on your goals and skin condition, our providers will create a custom plan with a recommended number of treatments, typically three to six total. Usually, treatments occur four to six weeks apart. While you may not see the full results until 2 to 4 weeks after your final visit, you can see improvements in just one week following the first procedure. Your skin will gradually improve as your body’s healing process promotes collagen remodeling.

Following each treatment, you should take care of your skin by avoiding sun exposure and applying any creams or ointments prescribed by your dermatologist. You will be able to apply makeup the following day post treatment.

We recommend a thorough consultation before beginning treatment so you understand what to expect from SkinPen microneedling before and after the treatment. 

Our team of expert dermatologists and medical aesthetic providers are highly skilled, with advanced training and experience for a range of procedures and treatments. Our team also values exceptional patient care above all else, so you’ll know you’re in good hands. 

Come in for a free consultation to learn what will work best for you. For the month of January, we are offering 15% off a single session of SkinPen microneedling with or without PRP!  Schedule a free consultation with one of our board-certified dermatologists at one of our locations in Indiana, Maine, New Hampshire, and Ohio.

(855) 277–9689

Considering Botox® Injections?

Know What to Expect From Your Botox® Treatment 

For cosmetic issues such as fine lines or wrinkles, and medical conditions like muscle spasms or migraines, Botox® injections are a widely-used treatment. If you’re thinking about getting Botox® to treat a cosmetic or medical condition, you’ve come to the right place to learn more about what Botox® is, how it’s used, and what to expect from your Botox® treatment.

What is Botox®?

Let’s start with the basics. Botox® is a well-known and trusted brand name for a toxin that is made from the bacterium Clostridium Botulinum. There are other brands such as Dysport and Xeomin, but Botox® gained popularity as the first injectable botulinum toxin. 

Put more simply, Botox® is a neurotoxin that blocks signals from the nerves to the muscles, causing muscles to relax and soften. Preventing the nerves from activating certain muscles can have a profound impact on reducing the appearance of wrinkles and fine lines, or relieving more serious or chronic medical conditions. 

Millions of individuals have chosen Botox® injections as an effective way to treat cosmetic and medical conditions and it has a robust safety record over the decades it has been used. 

How is Botox® Used?

Botox® injections can be a helpful and effective solution for a variety of conditions, both cosmetic and medical. 

Cosmetic treatments using Botox® can include:

Medical conditions that can be treated with Botox® include:

What to Expect From Your Treatment: Botox® Before and After

Botox® has been used for many years and has an excellent safety record; however, every person is different and it’s important to understand what to expect from your Botox® treatment. 

A Botox® procedure only takes a few minutes, is non-invasive in most cases, and has few if any major side effects for most people. 

Before your Botox® treatment, it is advised that you avoid alcohol for a week leading up to the procedure, and refrain from taking anti-inflammatory medications such as aspirin or ibuprofen up to two weeks prior to the procedure, as it can increase risk of bruising following treatment. 

Before receiving a Botox® treatment, you will have an in-depth conversation with your provider about what to expect, and you should use this time to ask any questions you have and ensure you are comfortable and feel knowledgeable going into the treatment. 

Following most types of Botox® injections, patients experience mild if any side effects. Possible, temporary side effects can include:

Side effects vary depending on the location of your Botox® treatment and the specific condition you are treating. In most cases, patients are able to go back to their lives as normal following the treatment but may be advised to avoid exercise and remain upright for 4 hours. 

Patients also should avoid rubbing the injection site to prevent spreading the Botox® to other areas. 

The effects from your Botox® treatment should last between 3 to 4 months before activity returns to the muscles. Over time, if you continue to treat the affected area with Botox® injections, your cosmetic or medical condition should improve. 

How to Get the Best Results From Your Botox® Injection

Seeking care from a trained and certified medical aesthetics provider ensures you will have a safe, effective, and positive experience with Botox®. At Optima Dermatology, we work closely with each patient to discuss your needs, present your options, and provide a clear picture of what you can expect from your treatment. 

Our team of aesthetic providers is highly skilled, with advanced training and experience for a range of procedures and treatments. Our team also values exceptional patient care above all else, so you’ll know you’re in good hands. 

Come in for a free consultation to learn what will work best for you. Schedule a free consultation with one of our board-certified dermatologists at one of our locations in Indiana, Maine, New Hampshire, and Ohio.

(855) 277–9689

Meet Shelley Plescia, NP-C, Expert Medical Aesthetics Provider

Take Advantage of Expert Neurotoxin Injections and Other Cosmetic Dermatology Treatments

Optima Dermatology’s Macedonia, OH team is excited to welcome our newest medical aesthetics provider, Shelley Plescia, NP-C. Shelley brings more than 17 years of experience in dermatology and aesthetics, with advanced training and experience with neurotoxin injection treatments, dermal fillers, hair restoration, and microneedling

Shelley has treated patients across the country from South Carolina and Michigan to Orange County and Beverly Hills, CA. With each transition, Shelley sought more training to gain greater experience, and has even provided training to health care providers in aesthetic injection, neurotoxins, and HA fillers. 

A Commitment to Excellent Patient Care

Shelley’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. 

Shelley’s patients can expect custom aesthetic treatment plans tailored to their needs. She is passionate about making a positive impact in her patients’ lives and strives to build long-term relationships with her patients.

We recently had the opportunity to learn more about Shelley, her approach, and the path that led her to pursue aesthetic dermatology.

How/when did you know you wanted to be a nurse practitioner? Were you always interested in medical aesthetics? What was your path to this career?

I was interested in aesthetics when I was 21 and started getting acne facials. I loved my aesthetician and she made me feel so much better about myself, which made me want to make others feel the same way. My aesthetics career started when I became an aesthetician working for a dermatologist and a plastic surgeon doing facials, peels, microdermabrasion, laser hair removal, IPL, Fraxel, and more. Working with physicians and nurses, I was able to see a lot and I learned so much from them. Given this opportunity, I wanted to go back to school to expand my knowledge and skills to have the ability to provide my patients with more advanced treatments. I then decided to go back to school for nursing to expand my scope of practice and to be able to do cosmetic injections, assist in surgeries, and much more. Fast forward a few years – I worked in Orange County and Beverly Hills as a nurse injector and laser specialist prior to moving to Ohio. I then returned to school to pursue my nurse practitioner degree so I could expand my scope of practice even more.

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

I enjoy making my patients feel more confident. First, I make sure to thoroughly consult with my patients to understand their cosmetic concerns and goals. My approach is conservative and natural. I provide my patients with a treatment plan to address their concerns. Each patient is unique; what I recommended for one patient may not be my recommendation for another. To achieve optimal results, a variety of treatments may be recommended, as well as a series of treatments. I make sure my patients have realistic expectations; patient education and communication are key.

What are some common treatment areas for neurotoxin injections, and what technique do you typically apply?

  1. A couple of units of a neurotoxin can create a subtle flip of the top lip for those that are not ready for filler. If a patient has a “gummy smile” we can inject just a few units to keep the top lip from rising too high and showing the gums when smiling.
  1. For vertical lines around the mouth, a neurotoxin can relax the muscles and decrease the “pursing” around the lips that end up creating the lines. Patients will still be able to eat, drink, talk and smile, since the muscles are still active, just not as strong as they were prior to treatment.
  1. There is a muscle that causes the corners of our mouth to turn down, contributing to a “sad face” look, and over time can cause what we call marionette lines. This muscle is the depressor angularis oris (DAO) and can be treated with a few units of neurotoxin to keep the mouth from turning down. The smile is not affected when treating this muscle.
  1. We all know you can treat the “crow’s feet,” and decrease lines around the eyes. But did you know we can create a subtle “brow lift” and open up the eyes without causing a “surprised look”? We do this by treating the tail-end of the brow with a small amount of neurotoxin, as well as a few units between the brows.
  1. The texture of the chin can change over time and cause an “orange peel” or golf ball texture, which is caused by the mentalis muscle that sits in the ball of the chin. This muscle also creates the horizontal line above our chin, which can deepen over time. Treating the mentalis muscle can cause the ball of the chin to come down and prevent it from turning upward, which can cause uneven skin texture and deepen the horizontal line.
  1. The nasalis, aka “bunny lines”, are the small lines on the side of the upper part of the bridge of our nose. Some people scrunch this area when smiling or laughing and lines form. This muscle can be treated with just a few units on each side.
  1. We have superficial muscles in our neck called platysmal bands. The more these muscles are used, the stronger they get, which can cause unwanted skin laxity in the neck and under the chin, making the bands appear more prominent.

What kind of medical conditions can neurotoxin injections help with?

Neurotoxins not only treat lines on the face from repetitive expression and muscle movement but can also help with migraines. Temporomandibular joint disorder (TMJ), and teeth clenching and grinding can also be treated by injecting the masseter muscle. In addition, neurotoxin injections can address hyperhidrosis or excessive sweating under the arms. Blepharospasm, or eye twitching, can also be treated by neurotoxin injections to decrease the muscle contraction that’s causing the spasm or twitch near the eyes.

What are the most common areas you treat with filler?

Cheeks are a common area for filler since we lose volume in our cheeks as we age, which in turn causes the fat pad of our cheeks to flatten over time. This volume reduction can also occur with weight loss or simply having a thin face. 

Another common area is the lips. Patients often want to add more volume to the lip area or to treat the fine lines around the lips called perioral rhytides.

Where are some unexpected areas that you treat with filler that produce great results?

Common areas many people don’t realize that can be treated with filler and make great improvements are the temples, chin, and hands. As we lose volume in our cheeks, we lose volume in our temples. If we only treat the cheeks with filler, we may not have the balance needed for a youthful look. Having filler placed only in the cheek area can make the temples look even more hollow. Treating the chin can help create more balance in the face.

The skin on our hands is thin. Over time, the veins and the tendons become more prominent. We can inject filler to add more volume so that the veins and tendons are not as noticeable, and the skin appears thicker as it once was.

Which patients would you recommend a SkinPen® treatment for? What are the benefits of incorporating PRP into the treatment?

The SkinPen® is a great treatment for improving acne scars, large pores, fine lines, and uneven skin texture. Microneedling done with the SkinPen® is a non-invasive, in-office procedure that helps stimulate collagen, also known as collagen induction therapy. This non-invasive treatment has minimal downtime and can be done on any skin type. We all lose collagen over time, so the SkinPen® is a great way to stimulate the collagen in the skin.

The benefit of incorporating PRP with the SkinPen® treatment is to stimulate even more collagen than the SkinPen® alone can and to promote healing and skin rejuvenation. The PRP contains growth factors that allow more collagen to be stimulated and help with tissue repair. In addition, PRP can also be done in the scalp area for hair growth.

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

I enjoy getting outdoors, being active, and love to hike with my husband and our two mini-Goldendoodles, Luna & Cali. I also enjoy cooking and spending quality time with family and friends. You can also find me running, biking, biohacking, wine tasting, and traveling.

Answer this question: If you know me you would know…

Gymnastics was my first love. I adore my two mini-Goldendoodles. I love the outdoors, especially the mountains and the beach. I always have my sunscreen! Balance is key.

What to Expect From Cosmetic Treatments From Shelley and Her Team

If you’re considering a cosmetic treatment such as HALO™, BBL™, or Botox®, it’s important to understand your options and explore the best treatments for your specific goals. 

Our expert team of specialized medical aesthetic providers, like Shelley, have advanced training and experience for a range of procedures and treatments. These include:

Come in for a free consultation to learn what will work best for you. Shelley is accepting new patients at Optima Dermatology’s Macedonia, OH practice, serving the Cleveland area.

(855) 277–9689

Optima Dermatology is Now Open in Macedonia, Ohio

Temporary Location Will Offer Quality Dermatology Care for Macedonia Residents

Optima Dermatology is now open in Macedonia, Ohio and looks forward to providing expert dermatology care to patients in the greater Cleveland area. We take great pride in making access to our expert skin care easy and convenient, and we’re excited to be serving patients in this community.

The temporary practice is located at 911 East Aurora Rd in Macedonia and is currently accepting new patients. Our exceptional care, provided by Meredith Reimer, MD, FAAD, and her expert staff, address a broad range of medical dermatology conditions and diseases, including skin cancer, eczema, acne, psoriasis, and more. Dr. Reimer and her team also provide cosmetic services, including fillers and neurotoxin injections such as Botox® and Dysport®.

Dr. Reimer has been serving patients in the Cleveland area since 2013, preceded by two years in Colorado and four years in Chicago. 

Cosmetic Services Offering

Another exciting feature of our Macedonia practice is cosmetic services provided by Shelley Plescia, NP. Plescia joins the Optima Dermatology team with more than 17 years of experience in dermatology and aesthetics, treating patients across the country from South Carolina and Michigan to Beverly Hills, CA. 

Plescia has advanced training and experience with  Botox® and Dysport®, dermal fillers, including Juvéderm®, VolumaTM, Vollure, Volbella, and Restylane®, Kybella®, PRP hair restoration, and microneedling. Plescia has also trained healthcare providers in aesthetic injection, neurotoxins, and HA fillers. 

Plescia’s patients can expect custom aesthetic treatment plans tailored to their needs. She is passionate about making a positive impact in her patients’ lives and strives to build long-term relationships with her patients.

Referrals and Our Provider Relationships

We look forward to building trusted partnerships with the local medical community for a more seamless approach to patient referrals and care. We believe in close collaboration to ensure a positive experience for both patients and providers, and to create a welcoming and friendly atmosphere for dermatological skin care.

We work hard to make the referral process easy for patients and providers. If you are a provider interested in learning more about our services and our new Macedonia practice, or a new patient looking to schedule an appointment with Dr. Reimer, you can contact us or get more information here.

Leading With Expertise: Get to Know Dr. Meredith Reimer

We’re thrilled to introduce Dr. Meredith Reimer, board certified dermatologist who will be serving patients at the Macedonia location and overseeing her expert team. Dr. Reimer shares Optima Dermatology’s core value of treating every patient the way we would want our friends and family to be treated and has applied that approach to her patient care throughout her career. 

We are confident patients and providers in the Macedonia area will enjoy working with Dr. Reimer and will find incredible value in her expert care. 

We recently had the opportunity to sit down with Dr. Reimer and learn a little bit more about her, and we’re excited to share our Q&A so you can get to know her too!

Q: Where did you go to college? 

A: I went to college at Northwestern University in Chicago and I studied biomedical engineering. I always knew that I wanted to go to medical school and pursue medicine as a career. I then went to medical school at The Ohio State University. I was interested in lots of different specialties and didn’t decide to pursue dermatology until I did my first dermatology rotation as a 4th-year medical student.

Q: What made you decide to pursue your career in dermatology? 

A: I chose dermatology because I loved the diverse nature of our patient care and patient interaction. I also love seeing patients of all ages and genders. 

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

A: Sun protection!

Q: If there was one thing you wish your patients knew about you, what would it be?

A: I have 4 kids (ages 2-14), so most of my free time is with them! They are a busy crew with lots of activities and sports. Outside of my kids, I try to keep active, spend time with friends and family, travel (during NON-Covid times!), and read.

Q: What is your favorite aspect of being a dermatologist?

A: I love forming relationships with patients and their families. One of my favorite parts of practicing is that I get to know a patient’s whole family, often spanning many generations.

Q: What is your approach to treating your patients?

A: I try very hard to form a collaborative and trusting  relationship with patients

Optima Dermatology is now open and accepting patients in Macedonia, Ohio. If you would like to schedule an appointment, please visit our Macedonia page. We look forward to seeing you at our practice!