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NYC Dermatology - Dr. Gary Rothfeld Board Certified Dermatologist takes care of all your skin needs. Dermatologist or Dermatologists are physicians specializing in the diagnosis and treatment of diseases and tumors of the skin and its appendages. There are medical and surgical sides to the specialty. [[Dermatologic Surgeon|Dermatologic surgeon]]s practice skin cancer surgery (including Mohs' micrographic surgery), laser surgery, photodynamic therapy (PDT) and cosmetic procedures using botulinum toxin ('Botox'), soft tissue fillers, sclerotherapy and liposuction.
Acne Scars
Millions of people have scars from the long-lasting inflammation caused by acne. Scars occur most frequently in those with moderate to severe acne. It remains unknown why some people develop scars when others don’t.
Many treatment options are available to diminish the scars’ appearance. Depending on the type and severity of scarring, improvement can be seen in 4 to 6 weeks.
Types of Acne Scars
- Icepick. These deep pits in the skin are a classic sign of acne scarring. They are the most common type of acne scar and usually occur on the cheek. They may be shallow or deep and may be hard or soft to the touch.
- Boxcar. These depressed, crater-like scars are larger than icepick scars.
- Rolling scars. These are curved indentations on the skin.
- Hypertrophic scars. These are elevations or areas of skin thickening. Large hypertrophic scars may be referred to as "keloids" and tend to run in families.
The recommended treatment will depend upon the type of scar being treated, your skin type, your tendency to scar, and cost. Different treatments may be combined for optimal effect.
Treatment options
Topical medications (retinoids). Some medications applied to the skin can help smooth out very superficial acne scars but may not be effective for deeper scars.
- Dermabrasion. During this procedure, the skin is cleansed, numbed, and then vigorously rubbed with a high-speed brush to remove the top layer of skin. This results in a small injury, or "abrasion," that heals over several weeks. The healing process reshapes the skin. This method is effective for superficial scars and reduces the severity of deeper scars, but it is ineffective for icepick scars. The skin may burn or feel sore and appear pink until healing is complete. The results are long-lasting. In darker-skinned people, the procedure may cause changes in skin color that require additional treatments.
- Microdermabrasion. This procedure, lasting about 10-20 minutes, uses a machine to propel small crystals through a vacuum tube onto the skin. This removes superficial layers of the skin, stimulating new skin cell growth and improving skin tone. There are few side effects and almost no recovery time, but it can only treat superficial scars. As many as six treatments may be required, 1-2 weeks apart.
- Excision and punch replacement graft. A scar, or cluster of small scars, is removed with a scalpel. The resulting "hole" is either sewn together or replaced with a patch of normal skin from elsewhere on the body. This treatment is particularly effective for ice-pick or boxcar scars.
- Subcision. The skin is made numb and a probe is inserted beneath the scar, which loosens it from the surrounding tissue. This allows the scar to be elevated to the level of the normal skin. This is used for depressed scars such as a boxed scar or rolling scar.
- Dermal fillers. Different types of “fillers” can be injected beneath a depressed scar to elevate it to the level of the surrounding skin. This treatment is most effective for rolling scars. The benefit from soft tissue fillers usually lasts 3 to 18 months, depending on the material used. Treatment must be repeated to maintain the appearance.
- Chemical peels. Chemicals are applied to the skin to remove the top layer and generate new skin growth beneath the scars. This lifts the scar to the level of the surrounding skin, minimizing its appearance. In general, "medium" or "deep" peels are used to treat acne, meaning that the peel is designed to affect the deeper layers of the skin. Deep peels may cause lightening of the skin and a change in skin texture. Bandages may be required for several days.
- Laser skin resurfacing. This removes the top portion of the scars and creates heat in the deeper layers of the skin. This heat causes the skin to tighten and smooth out the scar. The result is the smoothing out of the skin. Laser resurfacing is particularly helpful for boxcar scars and further improvement of scars treated by other methods. In some cases, only a single treatment is required; however, final results may not be seen for 12-18 months. Redness following treatment may last for several months.
Celebrity Skin Care
We cannot stop the aging of skin, but there are ways of retarding the process. There are a host of skin care products marketed in various ways as preventive as well as curative measures to arrest various skin conditions and also enhance its tone and suppleness. There is a confusing array of external cleansing, nourishing, moisturizing and protecting agents available off the shelves.
Famous celebrities give the utmost importance to Skin Care and Dermatology. Celebrity faces make the cover and front pages of the world's best glossies, print, and television such as NewYork Magazine,GQ, Newsweek, Elle, Vogue, Allure, InStyle, W, Harpers Bazaar, Glamour, Self, Lucky, Shape,the Los Angeles Times,Town & Country, C Magazine, More Magazine, The New York Times,L.A. Confidential, Harper's Bazaar, Elle, InStyle, O Magazine, Cosmopolitan, Mademoiselle, Lucky, Redbook, Shape, Seventeen, YM, Health, Parents, McCall's, Women's Day, More Magazine, Cosmo Girl, Fitness, Ladies Home Journal, Prevention, The New York Times Magazine, The New York Post, The New York Daily News,Newsday CNN, The Oprah Winfrey Show, Good Morning America, The Today Show, The View, MSNBC, CNBC, Fox News, KTLA Live, ExtraPrimetime Live, 20/20, Dateline NBC, CBS News, News 4 New York, NBC "Weekend Today in New York," Fox News, Eyewitness, Lifetime, Oxygen, The Discovery Channel, and BBC. Their bodies grace the hotspots in print publishing across the world. Their lives occupy most of the pages in any popular magazine. These magazines provide consumers expert information and a board certified dermatologist point of view on cosmetic procedures, skin care,dermatology and sun protection.
Whenever a celebrity endorses a skin care regimen or product it is bound to capture the imagination of millions of admirers and fans. Celebrities have become brand ambassadors, spokeswomen and spokespersons to leading manufacturers of cosmetics, beauty care products, apparel, perfumes etc., all over the world.
Hollywood Secrets to Looking Younger
If you are like me, you're constantly surprised when you find out how old some of Hollywood's hottest and still-working celebrities are.
Who knew Susan Sarandon was past 60, or Christie Brinkley (a face of Cover Girl) was born in 1954. Of course, looking young in Hollywood means avoiding an early, forced retirement, but just what ARE these celebrity secrets? And better yet, how can you and I benefit from what they use and what they know?
Keeping skin in gorgeous condition is an incredibly time-consuming and expensive job requirement for the typical celebrity. But here are a few secrets we have uncovered for you, plus tips on how you too can get younger-looking skin.
Secret #1: Injectable fillers
To treat those deep smile lines, forehead wrinkles and crow's feet, celebrities turn to fillers such as Restylane,Cosmoplast,Evolence Juvederm or Juvederm Ultra Plus (for deeper lines).
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Secret #2: Botox is still hot
Botox is certainly not a secret, but according to celebrity dermatologist Tina Alster of Washington, D.C., in the April 2007 issue of Harper's Bazaar, "Botox remains the gold standard for treating crow's lines and wrinkles."
Botox works by paralyzing the muscles beneath wrinkles. If used too much, Botox use can be obvious, as witnessed by several actresses including Halle Berry, Nicole Kidman and Marcia Cross who've fallen victim to "unmoveable forehead" jokes. Results last three to six months.
Secret #3: They go under the laser
As we age, our collagen production slows down significantly making our faces appear thinner, and more gaunt (on the plus side, collagen depletion shows off great bone structure). Boosting collagen production is big business in Hollywood and more and more celebs are turning to laser skin resurfacing to boost theirs.
How it works: Lasers such as Fraxel -- currently the most popular laser on the market -- are able to penetrate deep within the skin to treat damaged skin. According to Fraxel's official Website, the laser creates microscopic tears deep within the skin which trigger the body to naturally produce more collagen in the repairing process.
Secret #4: They get chemical peels
Yes, yes, yes, of course celebrities (the male ones as well) are constantly getting eye lifts and face lifts and the bags removed from under their eyes, but what so many of them are doing that you and I aren't is exfoliating, chemically. And therein lies our secret number four.
Ever notice how your foundation looks when it's applied to scaly, dry skin? You look older and ashier. The celebrities sheer a few years off their faces in under an hour with a professional chemical peel. Chemical peels work by removing the damaged top layers of skin
Secret #5: They stay out of the sun
Nicole Kidman is famously afraid of the sun. She stays out of it at all costs. In fact, many famous dermatologists recommend to simply avoid the sun by wearing hats and slathering on sunscreen. They know the sun is the No. 1 cause of prematurely aging skin.
You and I can avoid the sun by not only wearing hats, but getting in the habit of wearing sunscreen every day, no matter the weather. (I'm also a big fan of teaching sons and daughters about sunscreen very early in life). Please consult with your local dermatologist to find out what the best sunscreen in the world is for you.
Dr. Rothfeld is a very strong advocate on sun protection and anti-aging and has made numerous requests to the media to discuss the implications of sun exposure and how it relates to skin cancer,wrinkling ,and aging.
Secret #6: They are all about retinols
To keep fine lines from becoming wrinkles, actresses in their 20s turn to retinoid creams. Many dermatologists who swear of all the antioxidants, peels, scrubs and injections, retinoids are the best way to wipe years off your face.
Secret #7 They are all about Plastic Surgery
Abdominoplasty, Breast Augmentation, Breast Reconstruction, Breast Implants, Breast Lift, Breast Reduction, Breast Implant, Chin Implant, Ear Lobe Repair, Endoscopic Brow Lift, Eyelid Surgery, Face Lift, Liposuction, Liposculpture, Melanoma Surgery, Mole Removal, Rhinoplasty, Scar Revision
Prescription retinoids like Renova, Tazorac and Retin-A are popular,
Top Dermatologist Tips for Relieving Dry Skin
Following the same skin care routine that worked so well in our youth can take a toll on aging skin — especially when the humidity drops. Mature skin is thinner and drier. Without a change in skin care, dry air can make fine lines and wrinkles more noticeable. It can make skin flake, crack, and even bleed. To help alleviate these unwanted effects, many dermatologists recommend:
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Bathe daily. A daily bath or shower can add much-needed moisture to the skin. To hydrate the skin with a daily bath or shower, follow these guidelines:
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Keep it short. A 5- to 10-minute bath or shower adds moisture. Spend more time in the water and the skin begins to dry.
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Use warm, not hot, water. Hot water removes natural oils from the skin more quickly
than warm water. The more natural oils removed, the drier the skin becomes.
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Close the bathroom door. This keeps the much-needed humidity in the room.
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Use a mild cleanser. Deodorant bars, fragrance in soaps, and products containing alcohol strip natural oils from the skin, which dries the skin. Look for a mild, fragrance-free cleanser that moisturizes.
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Gently pat the skin dry. Gently blotting the skin helps retain moisture and is less irritating to dry, sensitive skin.
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Apply moisturizer within 3 minutes of getting out of the bath or shower. Contrary to popular belief, moisturizer does not add moisture to the skin. Moisturizer traps existing water in the skin, preventing the water from evaporating. To trap water from a bath or shower in the skin, moisturizer must be applied within 3 minutes of bathing. Applied regularly, this helps decrease dryness and itching.
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Moisturize, moisturize, moisture. Dry skin needs moisture. Applying moisturizer within 3 minutes of bathing seals in much-needed water. If skin is noticeably dry and uncomfortable, moisturizing more frequently throughout the day can help the skin heal. Consistent use of moisturizer will help prevent dry skin from returning.
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Select moisturizers best suited to relieve dry skin. Ointments and creams tend to be more effective than lotions. Creams and ointments also usually less irritating to dry, sensitive skin.
Moisturizer does not need to be expensive to be effective. Look at the ingredients not the price. When selecting a moisturizer to soothe dry skin, look for products that contain lactic acid or urea. These help alleviate even severe dryness. Hyaluronic acid, which naturally occurs in the skin and diminishes with age, can help the skin hold water. Dimethicone and glycerin help draw water to the skin and keep it there. Lanolin, mineral oil, and petrolatum (also known as petroleum jelly) effectively trap water in the skin.
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Check the ingredients on anti-aging products. Some anti-aging products contain retinoids or an alpha-hydroxy acid, which can irritate dry, itchy skin. Switching to a more moisturizing formula can bring relief.
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Read the ingredients on other skin care products. Using mild, unscented skin care products can help reduce irritation and make skin feel more comfortable. Deodorant soaps, alcohol-based toners, and products that contain fragrance can irritate dry, sensitive skin. Some people with mature skin find using mild, unscented products year round helps their skin feel better.
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Plug in a humidifier. A humidifier can add much-needed moisture to the air.
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Avoid wearing wool and other rough materials next to the skin. These can irritate dry skin, making the condition worse.
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Give hands the extra attention they deserve. Hands often show the effects of a dry environment more than any other part of the body. These tips may help hands heal and prevent future problems:
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When outdoors in winter, wear gloves. This helps protect the skin from the cold, dry air, which can zap moisture from the skin.
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Apply hand cream after each hand washing. It is important not to skimp on hand washing, which can remove harmful bacteria and viruses. Applying hand cream after each hand washing helps hands retain much-needed moisture. This is especially important for people who frequently immerse their hands in water throughout the day. If more relief is needed, dab petroleum jelly on the hands before bed.
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If hands are frequently immersed in water, wearing waterproof gloves can help protect the hands. Again, it is important not to skimp on hand washing.
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Wear sunscreen every day. This is probably one of the most important and difficult tips to remember. Even in the winter, exposure to the sun’s rays speeds up the aging process in the skin. This exposure increases the risk of developing dry skin, wrinkles, age spots, and spider veins. Daily use of a sunscreen can slow these sun-induced signs of aging and reduce the risk of developing skin cancer. Dermatologists recommend wearing a broad-spectrum sunscreen with a Sun Protection Factor (SPF) of 15 or higher on all skin that will be exposed.
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Apply lip balm often. Carrying a tube of lip balm and applying it frequently throughout the day helps heal dry, cracked lips. If lips are extremely dry, dab on petroleum jelly before bed. Continuing to use lip balm once the lips heal can keep lips soft and supple.Many a famous dermatologist recommend using a lip balm that has an SPF of at least 15. This can help reduce signs of premature aging and prevent skin cancer on the lips.
When to See a Dermatologist
If these changes do not bring relief, make an appointment to see a dermatologist. Very dry skin may require a prescription ointment or cream. Dry skin also can be a sign of an underlying medical condition such as eczema. A type of eczema called eczema craquelé or asteatotic eczema develops in older adults. A dermatologist can examine the skin and explain what will help alleviate the dryness and irritation.
Retinol May Smooth Aging Skin
Retinol Holds Promise for Curbing the Appearance of Fine Wrinkles in Elderly Skin
By Miranda Hitti
WebMD Medical News
Reviewed By Louise Chang, MD
Retinol lotion may ease the appearance of fine wrinkles in elderly skin, according to a new study on aging skin.
The study comes from skin experts including Sewon Kang, MD, of the University of Michigan's dermatology department.
They added retinol, which is derived from vitamin A, to an over-the-counter moisturizer. For comparison, they also made a placebo lotion containing no retinol.
Kang's team put the lotions in separate, identical bottles so no one could tell which bottle contained the retinol lotion.
The researchers' lotions were tested by 36 healthy people who were at least 80 years old at two senior centers in Michigan.
First, the researchers photographed the skin in participants' inner upper arm -- a spot not likely to be affected by sun damage. Participants also got a skin biopsy from their inner upper arm.
After that, half of the elders got the retinol lotion; the others got the placebo lotion. They were scheduled to use their assigned lotion on their inner upper arm three times weekly for six months.
At the end of the six-month study, participants got another skin biopsy and more photographs of their inner upper arm.
The elders who had used the retinol lotion had a reduction in the appearance of fine wrinkles in their inner upper arm. Those changes started after four weeks of retinol treatment and lasted throughout the study.
Wrinkles didn't change for those in the placebo group.
The before-and-after skin biopsies show that retinol treatment boosted structural components in the elders' skin.
Retinol can irritate the skin. By the end of the study, most patients in the retinol group had some skin dryness or irritation. As instructed, they cut back on their retinol use in light of those side effects.
Retinol didn't erase wrinkles forever. The researchers followed 11 participants for six months after retinol treatment ended. The skin differences seen in the study faded during that time.
Health: Medicine: Medical Specialties: Dermatology: Clinics: United States: New York
New frontiers in medicine At NYC Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld tries to use the latest in digital imagery showing the improvement to the patient before and after treatment with adobe photoshop C3. This gives the patient a better depth of understanding to his or her problem. http://www.dermatologistsnyc.com/
Types Of Warts : Warts are benign thickenings in the skin or mucous membranes caused by the human papilloma virus. Warts are also known as verrucae or condylomata. Warts are very common - sometimes warts on the hands, verruca vulgaris, plantar warts and plane warts resolve without treatment but the other times they do not. Warts can be found in individuals of any age and in any location. They are particularly common in children and teenagers. Generally warts occur in those who are sexually active. There is a balance between the virus and the individual’s immune system. Situations that reduce immunity will make it easier for the warts to spread and become more susceptible. There are more than 50 different types of HPV Symptoms .These are DNA viruses. The different types are given numbers. It appears that each number either gives a specific type of wart or a specific location. There is an uncommon type of human papilloma virus that can have a potential to develop cancers especially in the cervix. These are known as Type 16 and 18. Warts are transmitted by skin to skin contact, although plantar warts may well be transferred from moist floors. The transmission of warts depends in part on the immunity and susceptibility of the individual involved. Warts have an incubation period of many weeks to many months.
Types of Warts: Verruca Vulgaris (the common wart) These are thickened bumps called papules or plaques. They have a rough surface and frequently will have small tiny spots which are from blood vessels that have clotted. They are most commonly seen on the hands, elbows and knees. Flat Warts se are flat-topped, smoother looking warts. They are brown or skin coloured. They are most commonly seen on the face of women. They are spread easily by shaving. Plantar Warts are seen on the under-surface of the feet. They are thickened. They can be confused with corns or calluses. Occasionally they can be quite widespread involving large surfaces. They tend to grow into the skin rather than coming outwards as most other warts.Genital Warts appear in the genital peri-anal skin. . They can look like common warts or sometimes they are skin coloured, small papules. They vary in size from tiny papules to much larger typically warty growths. Occasionally they are pigmented. There is a subgroup of these warts caused by HPV 16 and 18 which have been named bowenoid papulosis. They have a small chance of becoming cancerous. Some of the genital warts have been associated with carcinoma of the cervix, Bowenoid papulosis and Bowen's disease.Warts are usually obvious to the experienced doctor. A biopsy can confirm the diagnosis although it is not commonly required. There are specific tests to type the human papilloma virus although these are not done routinely. NYC Dermatology Board Certified Dermatologist NY Dermatology takes care of all these condtions.
Non-Surgical 15-Minute Nose Job
The non-surgical nose job is a new and exciting alternative available to people interested in enhancing/improving the shape of their noses without the pain, the price and the recovery time associated with invasive surgical nose job.
You may wish to have a 15-minute nose job for:
- Bridge augmentation
- Nasal defect/hump correction (straightening your profile)
- Nasal tip projection
- Enhance nose balance and correct asymmetry
The Procedure
To do the nose job, numbing cream is first applied to the outside of the nose. A fine needle is used to inject small amount of Dermal Filler beneath the skin to fill depressions, smooth out sharp angles, or change the angle of the tip of the nose, restoring symmetry and making your nose appear smaller and more attractive.
Once injected, Dr. Rothfeld at the NYC Dermatology and Cosmetic Surgery Center of New York, NY can then mold the substance into a more desirable nose for you, with only his fingers! During the procedure you will have the opportunity to look at yourself in a hand-held mirror and have control over the results.
After the Procedure
The results with dermal fillers are instant. After the treatment the treated area may be slightly red and/or slightly swollen, however you can resume normal activities, drive yourself home or return to work immediately after the treatment.
How Long Will the Effect Last?
The results typically last 6-9 months although the exact length of time will depend on the structure of your skin and other factors such as lifestyle, age and the degree of perfection demanded by the individual. Additional touch up treatments can be performed at any time after the initial treatment.
Are There Any Side Effects?
Although uncommon, possible adverse effects may include:
- Injection-related reactions. There may be some mild redness in the treated area which usually resolves after a few hours. Swelling is also seen immediately after the treatment and lasts on average no more than 48 hours. Occasionally bruising can occur which if significant may last 5-7 days. During this time make-up can be applied.
15-minute nose job avoids the risks of surgery and has no effect on nasal breathing since it involves only injection into the skin. The procedure is much more precise than surgical Rhinoplasty, so detailed adjustments to nasal contour are possible. The procedure does not cause nosebleeds or persistent swelling.
Who is it for?
A nose job without surgery is an excellent option for people who wish to have a non-invasive, non-surgical procedure and who are looking for fast, satisfying results.
Unfortunately those with major nose deformities and those who are looking to significantly reduce the size of their nose are not candidates for this procedure. For these people, surgical intervention is necessary.
NON SURGICAL FACELIFT - THE THREADLIFT
Good candidates for ThreadLift are those patients who are starting to see some droopiness of the brow, cheeks, jowls and/or neck and would like to see a lift effect, but do not want the risk, scars, or recovery of a real browlift, facelift, or necklift operation. The ThreadLift procedure can achieve 60-70% of what a real invasive surgical procedure can deliver. Good candidates must have realistic expectations and be prepared to follow the postoperative recovery protocol and must be accepting of the risks.
Poor candidates include those patients with unrealistic expectations, have uncontrolled medical illnesses that affect would healing, are grossly overweight (with heavy faces) or are excessively thin, loose skin. The ThreadLift may be combined with other, more minor surgical procedures, such as blepharoplasty (lid lift procedures), liposuction, microfat transplantation, Botox, Injectable Fillers, Thermalift, Thermage, Fraxel skin resurfacing, or FotoLift-Polaris treatments. NYC Dermatologist Dr. Rothfeld will examine you and determine if you are a good candidate for this procedure.
Vitiligo<dermatology> This disorderis characterised by regionsof otherwise normalskinof nonpigmented whitepatches of varied sizes, often symmetrically distributed and usually bordered by hyperpigmentedareas. Hairin the affectedareas is usually, but not always, white.
Keloid scars :Occasionally scars enlarge spontaneously to form firm, smooth, hard growths called keloids. Keloids may be uncomfortable or itchy, and may be much larger than the original wound. They can arise soon after the injury, or develop months' later. It is not known why keloids appear. While most people never form keloids, others develop them after minor injuries, even insect bites or pimples. Keloids may form on any part of the body, although the upper chest and shoulders are especially prone to them. Dark skinned people form keloids more easily than Caucasians. Keloid scars are usually just a cosmetic problem. They never become malignant. As wounds heal, scar tissue forms, which at first is often red and somewhat prominent. Over several months, a scar usually becomes flat and pale. If there is a lot of tension on a healing wound, the healing area is rather thicker than usual. This is known as a hypertrophic scar.Hypertrophic scars generally settle in time but keloids may prove resistant to treatment. The following measures are helpful. Dressings should be worn for 12 to 24 hours per day, for at least 8 to 12 weeks, and perhaps for much longer. Self-adhesive polyurethane scar reduction patches Silicone gel dressings Pressure dressings Surgical excision (but may result in a second keloid even larger than the original one) Corticosteroid injection, repeated every few weeks Cryotherapy. Superficial X-ray treatment soon after surgery. Pulsed dye laser. At NYC Dermatology Board Certified Dermatologist we specialize in keloids.
Pseudfolliculitis barbae ( Razor bumps) dermatology> Erythematous follicular papules or, less commonly, pustules resulting from close shaving of very curly hair. The growing tips of hairs consequently reenter the skin adjacent to the follicle producing ingrown hairs. Pseudofolliculitis of the beard area is very common in blacks This is especially problematic for men of African descent and other people with curly hair. If left untreated over time, this can cause keloid scarring in the beard area. http://www.dermatologistsnyc.com/
Collagen replacement therapy:Collagen treatment is a safe, non-surgical procedure that softens line and furrows on the face.Tiny quantities of collagen are injected under the line or scar through very fine needles, boosting the skin's natural collagen. The effects can be maintained by small ‘top-up’ collagen injections two or three times a year. What is collagen?Collagen is a natural substance that is found in skin, muscle, tendons and bones and provides structural support. In the dermis (the mid-layer of skin), collagen is made by fibroblast cells. It forms a fibrous network on which new cells can grow. ... scar tissue, control the growth of tiny new blood vessels in tissues destined for implantation, and ... engineer Michael (Seungju) Yu described the new collagen modification process and its potential.
Hives (Urticaria) are pink swellings that can vary in size from as small as a pin to very large erythematous (red) plaques.Hives are red and sometimes itchy bumps on your skin. An allergic reaction to a drug or food usually causes them. Allergic reactions cause your body to release chemicals that can make your skin swell up in hives. People who have other allergies are more likely to get hives than other people. Other causes include infections and stress.Hives are very common. They usually go away on their own, but if you have a serious case, you might need medicine or a shot. In rare cases, allergic reactions can cause a dangerous swelling in your airways, making it hard to breathe - which is a medical emergency
Mole<dermatology> A benign pigmented skin lesion or nevus. http://www.dermatologistsnyc.com/
Rosaceamost commonly seen in those who have fair skin and is sometimes referred to as the “Curse of the Celts” or a “Peaches and Cream“ complexion. Onset usually occurs between 20-40 years of age. NYC dermatology Board Certified Dermatologist NY dermatology takes care of all these condtions Rosacea is a long lasting, non-scarring skin condition of the face that is often misdiagnosed as adult acne. It varies in severity and does not always worsen with time. Typically, you will experience inappropriate flushing that is not usually associated with sweating and/or persistent facial redness. It is common to have broken blood vessels (telangiectasias) on your cheeks. You may also experience bouts of inflammation that cause red papules (small bumps) or pustules. However, comedones (blackheads and whiteheads) are not part of rosacea. About 50% of those with rosacea suffer eye involvement, including such conditions as conjunctivitis, blepharitis, dry gritty eyes, and recurrent sties. Nose enlargement (rhinophyma) is uncommon and is mostly seen in men.Do I Have Rosacea?is a chronic progressive skin condition that causes inflammation and swelling of the face. As the disease progresses, small vessels and tiny papules begin to precipitate on and around the reddened area especially the nose.
Poison Ivy <botany> A plant that causes a marked allergic (contact) dermatitis in the majority of individuals.
Tinea versicolor: is a yeast infection of the upper layers of the skin. It appears as hypopigmentation and hyperpigmentation patches and scaling. The infection is caused by a yeast-like fungus, which normally resides on the skin surface and it thrives in oily areas of the skin such as the neck,chest, and back. NYC dermatology Board Certified Dermatologist NY Dermatology takes care of all these condtions.
Post-inflammatory hyperpigmentation(Dark Spots) Hyperpigmentation is discoloration of the skin at the site of a healed or healing inflamed acne lesion. It occurs more frequently in darker-skinned people, but occasionally is seen in people with white skin. Early treatment by NYC Dermatology -Dr. Gary Rothfeld Board Certified Dermatologist may minimize the development of post-inflammatory pigmentation (dark spots). Some post-inflammatory pigmentation may persist for up to 18 months, especially with excessive sun exposure. Chemical peeling may hasten the disappearance of post-inflammatory pigment
| Dr. Rothfeld frequently has patients who come to him to "fix" their skin after visiting a poorly-trained laser "technician" who either used the wrong laser for their skin type or treated their skin at levels that were too aggressive. The reversal of such pigmentation problems requires a long series of treatment and rigorous adherence to a a strict sun protection program. |
Skin Tags: Should They Be Removed?
Skin tags are one such skin abnormality, and they are also very common. Skin tags - small portions of skin that appear to be attached to or protrude from normal skin - are a common benign condition of the skin. Usually just a few millimeters in diameter, skin tags vary in appearance. Some are the same color as surrounding skin while others are hyperpigmented (darker than surrounding skin). In most cases, they are attached to the underlying skin by a small band of tissue called a stalk .
The medical term for skin tag is acrochordon. Other synonyms that have sometimes been used to refer to skin tags include soft warts, soft fibromas, fibroepithelial polyps (FEP), fibroma pendulans, and pedunculated fibroma. Skin tags can occur in anyone but tend to increase in frequency as we age. They are also more common in obese persons, possibly due to increased irritation and rubbing of skin folds. Hormonal factors or aging processes may also play a role in the development of skin tags. Skin tags are most commonly found in or near the armpits (axillae) and on the neck, but they occur commonly in all skin folds (such as the groin) and on the back and abdomen.
Most skin tags are asymptomatic, meaning that they cause no symptoms. They are almost universally benign; reports of malignancies arising in skin tags are extremely rare. Skin tags can become irritated and inflamed, especially when located in skin folds or in areas where clothing rubs against them.
Most dermatologists recommend removal of skin tags only when they are irritated or a source of discomfort, or if they constitute a cosmetic problem. Skin tags can be easily removed in Dr. Rothfelds' office by injecting an anesthetic., then excising them off. Freezing, a technique sometimes used to remove warts or other benign lesions of the skin, is also sometimes performed for the removal of skin tags also called cryosurgery whic uses liquid nitrogen. Electrosurgery is another way when you apply heat or a burning sensation which destroys the skin tag or acrochordon then it falls off ina week or two. Dr. Rothfeld board certified NYC dermatologist at NYC Dermatology has a tremendous success with this procedure.
If you are unsure about any changes in your skin or growths arising on the skin, always check with your board certified dermatologist. He or she can identify skin tags and other skin conditions and can help you decide whether skin abnormalities should be removed
Seborrheic Keratosis is usually confused with warts, seborrheic keratoses are non-cancerous growths of the epidermal layer of the skin and appears as stuck on growth or in clusters of stuck on growths. The growths are usually brown, but can vary in color from light tan all the way to black. Dr. Gary Rothfeld Board Certified Dermatologist at NYC Dermatology NY Dermatology takes care of all these condtions.
Sun Damaged Skin (Wrinkles)Look Like? The appearance of sun damaged skin is well recognized, and is different from changes seen with normal chronological aging. The very smooth, fine, pale wrinkling associated with aging seen in the sun protected areas of the skin such as the buttocks are different from those of sun damage. Fine and coarse wrinkles are seen on sun damaged skin. There is a roughness to the skin and a laxity or looseness in advanced damage, patchy or mottled darker patches of increased pigmentation are seen also. Sometimes these patches become irregular and produce what are known as lentigos. In areas around the back of the neck a leathery texture and coarseness with deep lines is frequently seen, the skin may feel dry and scaly. Chronic sun exposure will in many produce a thickened layer in the upper dermis known as solar elastosis, which gives a yellowish chicken skin look. Some individuals will develop more blood vessels, known as telangiectasias or broken blood vessels. If damage is severe, thinning of the skin and bruising may be seen particularly on the hands and forearms. NYC Dermatology Board Certified Dermatologist Dr. Rothfeld is trained in treating sun damaged skin. Please have your skin checked by a dermatologist.
Acne is the most common skin disorder seen by doctors. In fact, it will affect almost every one of us at some time in our lives. It can happen at any time, but teenagers are the ones who get it most often. Acne can cause a great deal of embarrassment and anxiety. If it’s really bad it can cause people to become depressed which can lead to withdrawing from friends, and perform poorly at school or work. The following are visible signs of acne: Comedones: An early acne blemish is caused by blocked pores, and at first the skin does not look red and inflamed. These early blemishes are called open comedones (blackspecks/blackheads) and closed comedones (whiteheads). Papules and pustules: As these early spots get larger and inflamed, they become papules and pustules (pimples or zits).Nodules: Very large and deep lumps can also develop in some people, these are called nodules and cysts (like boils), and can be painful.Oily skin: The sebum production increases so that your skin looksand feels oily. Hyperpigmentation: After the inflammation subsides, the skin can be discolored by brown acne stains (called hyperpigmentation) and damaged by scars. Acne scars are common and may occur even in mild acne. NYC Dermatology Board Certified Dermatologist NY Dermatology takes care of these condtions. It is very responsive to treatment.
Seborrheic Dermatitis: is a inflammatory condtion usually on the scalp , the face involving the forehead , eyebrows nasolabial folds, cheeks,ears, and eyelashes. Can cause itching and thinning of the hair. Usually responds well to treatment.Alopecia areata is a hair loss condition which usually affects the scalp. It can, however, sometimes affect other areas of the body. Hair loss tends to be rather rapid and often involves one side of the head more than the other.Alopecia areata affects both males and females. This type of hair loss is different than male pattern baldness, an inherited condition. Come to NYC dermatology Board Certified Dermatologist NY dermatology takes care of all these condtions and we will persist until the problem is clears.
Psoriasis: is a chronic skin disease that generally appears as patches of raised red plaques of skin covered by scaling. Psoriasis is a acceleration of the growth cycle in skin cells, which stack up on the surface when the body can not shed the excess skin cells fast enough. Usally it takes 30 days for the body produce normal skin cells but here it is taking one week. The Body is producing the skin cells too fast hence the condition called Psoriais. Please contact us at NYC Dermatology by Board Certifed Dermatologist Dr. Rothfeld if you have any questions.
Eczema is a form of dermatitis, or inflammation of the upper layers of the skin. The term eczema is broadly applied to a range of persistent or recurring skin rashes characterized by redness, skin edema, itching and dryness, with possible crusting, flaking, blistering, cracking, oozing or bleeding. Areas of temporary skin discoloration sometimes characterize healed lesions, though scarring is rare. At NYC Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld a NYC Dermatologist has 20 years of experience and success in treating this disabling and annoying condition.
Dermatology Glossary
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