Board Certified Dermatologist
New York, NY
Trained in Dermatology, Cosmetic Dermatologist Dr. Gary Rothfeld in NYC , Manhattan possesses the special knowledge, skills and professional capability that distinguishes him as an outstanding Cosmetic Dermatologist in NYC. Board Certified Dermatologist at NYC Cosmetic Dermatology , Dr. Gary Rothfeld treats the most difficult cases until the problem clears. Dr. Rothfeld, a Board Certified Dermatologist is caring, detailed, and meticulous and will never give up until the problem is cleared. Dr. Rothfeld who practices Dermatology in New York, NY has treated many patients in the entertainment and music industry is caring, detailed and meticulous and will not give up until the condition resolves. Dr. Rothfeld is recognized as one of the best Dermatologists in NYC by the entertainment industry.
Acne
Implicated
in a wide range of conditions and illnesses, hormones also play a role
in the development of acne. Androgens, male hormones that are secreted
in different amounts by both men and women, play an important role in
most cases of acne. Androgens stimulate the hormone-sensitive sebaceous
glands, which produce oil, known as sebum. Sebum, in turn, has been
called "the fuel that feeds the flame of acne."
Genetics also seem to play a role. There are
some families in which severe acne is inherited. Unfortunately, the
exact genetic component is not known yet.
If the acne does not respond to home and over-the-counter treatments after two months, it is a good idea to see a dermatologist before the condition produces scarring and/or takes an emotional toll. Dermatologists have numerous prescription medications and procedures available.
Retinoic acids.
Available as creams and lotions, these vitamin A
acids can help unblock pores and reduce the skin's bacteria.
Topical antibacterials or antibiotics.
These creams and lotions can help reduce acne inflammation and skin bacteria.
Oral antibiotics.
Though not usually the first course of
treatment, oral antibiotics such as tetracycline are often used to help
reduce the inflammation of acne.
Birth control pills.
Women who use oral contraceptives may notice
that their acne improves significantly. In fact, the FDA has approved
one birth control pill specifically for acne treatment.
Isotretinoin.
For severe acne that does not respond to other
treatments, your dermatologist may prescribe isotretinoin. This
medication must be used with care, however, since it can cause birth
defects.
Surgery.
It is never a good idea to remove blackheads or
whiteheads (both called comedones) or pimples on your own. A
dermatologist has the proper equipment to extract them without leaving
scars.
Millions of people suffer the ravages of acne scars long after adolescence has passed and the acne condition has faded. Acne in its most severe form can leave sufferers with deep permanent scars. Acne typically results in two types of scars - "icepick," or pitting scars, and "depressed," crater-like scars.
Treating Scars
Thanks to the refinement of a number of
dermatologic surgical techniques, acne scars can be treated with a
variety of safe, effective procedures that improve the appearance of a
patient's skin and boost the patient's self-esteem. Dr. Rothfeld, a
dermatologic surgeon will choose the technique or combination of
treatment approaches based upon the nature of the scarring. The
following are common techniques and procedures used to improve acne
scarring:
Dermabrasion The dermatologic
surgeon freezes the patient's skin or uses tumescent anesthesia and then
removes or "abrades" the skin with a rotary instrument. The skin
undergoes a "remodeling" process as it heals, resulting in a smoother
and fresher appearance.
Excision and Punch Replacement Graft A depressed acne scar is surgically removed, and a patch of skin from elsewhere on the patient's body.
Soft Tissue Fillers Bovine collagen, collagen-related fillers, polymer implants or a patient's own fat (taken from another part of the body) is injected in small quantities below the surface of the skin to elevate depressed scars.
Laser Therapy By delivering short pulses of the laser beam, the dermatologic surgeon can smooth, sculpt and normalize the appearance of acne scars. The ultrapulsed carbon dioxide laser, the erbium YAG laser and the pulsed dye yellow light laser are most commonly used for treating acne scarring.
Chemical Peeling By applying a chemical solution to the skin, mild scarring and certain types of acne may be treated. The procedure enables new, regenerated skin to appear, improving the appearance of the condition. Chemical Chemical peels have been a mainstay of Dermatology for decades. Chemical peels work by ungluing the top layer of damaged skin and discolored skin so it can peel away and reveal the fresh new skin beneath. Come into Dr. Rothfelds' office to discuss the different type of chemical peels that would be appropriate for you.
Chemical peeling uses a chemical solution to improve the skin's appearance. It can reduce or eliminate fine lines under the eyes and around the mouth, correct uneven skin pigmentation, remove precancerous skin growths, and soften acne or treat scars caused by acne. The procedure can also treat wrinkles caused by sun damage and scarring, as well as skin blemishes common with age and heredity. Chemical peels can be performed on the face, neck, chest, hands, arms, and legs.
Possible complications associated with chemical peels may include but are not limited to the following:
A chemical peel is most commonly performed for cosmetic reasons to enhance appearance and self-confidence and may be performed in conjunction with a facelift. However, a chemical peel is not a substitute for a facelift and does not prevent or slow the aging process.
Phenol, trichloroacetic acid (TCA), and alphahydroxy acids (AHAs) are used for chemical peels. The precise formula used may be adjusted for each patient.
Generally, no anesthesia is needed for AHA peels since they cause only a slight stinging sensation during application.
Protecting skin from the sun is important following AHA peels.
TCA can be used on the neck or other body areas, and may require pretreatment with Retin-A or AHA creams. This procedure is preferable for darker-skinned patients.
Anesthesia is not usually required for TCA peels because the chemical solution acts as an anesthetic. Although, sedation may be used before and during the procedure to help the patient relax. Two or more TCA peels may be needed over several months to obtain the desired result, although mild TCA peels may be repeated more frequently.
The results of a TCA peel are usually less dramatic than and not as long-lasting as those of a phenol peel. More than one TCA peel may be needed to achieve the desired result.
TCA-peel patients are advised to avoid sun exposure for several months. The procedure also may produce some unintended color changes in the skin.
Recovery may be slow and complete healing may take several months.
After a phenol peel, new skin may lose its ability to produce pigment. The skin will be lighter and will always have to be protected from the sun.
The procedure involves a chemical solution that is applied to the skin. The solution causes a layer of skin to separate and peel off. The new, regenerated skin underneath is usually smoother, less wrinkled, and more even in color than the old skin
SUNBEDS
Sunbeds: The adverse effects of cosmetic tanning with UVA sunbeds and recommended that people should not use them.(1) We are aware of no studies that show any benefits of sunbed tanning, yet there are a number of short and long term health risks associated with their use.
Many sunbed users believe that skin damage is avoided provided their skin does not burn. Unfortunately this is not true since damage can be shown to occur with UVA exposures below those necessary for burning. The short-term damaging effects of excessive exposure to sunbeds include:
There may also be long-term health effects, including:
The most serious problem that UVA sunbeds may cause is induction of malignant melanoma. There are numerous reports on sunbeds, that there has been accumulating evidence and biological evidence which support the belief that UVA radiation may be important factor in this potentially fatal disease
Dermatitis Papulosis Nigricans
Benign growths occur
frequently in African American skin as it matures. Of the benign
growths, seborrheic keratoses are the most common type that appears.
Dermatosis papulosa nigra (DPN), a cluster of small seborrheic
keratoses, are prominently located on the faces of both African American
men and women. They are small, brown or black stuck on bumps that are
sometimes mistaken for moles. It is felt that a combination of heredity,
aging and exposure to the sun are factors in the development of DPNs.
Since DPNs are non-cancerous, they do not have to be treated. They do, however, increase in number and size as men and women mature and it is for these reasons that many men and women want them treated. Since there is no cream that has the ability to remove DPNs, treatment involves, desiccating (burning) them with an electric needle. This procedure is well generally tolerated and healing generally occurs within one week. Side effects of removal may include light or dark skin discolorations which usually fade rapidly.At NYC Cosmetic Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld has been performing these procedure for over 18 years successfully without any problems.the patients seem to be very happy with this procedure.
Open 7 Days A Week — Se Habla Español
New York Dermatology
Board Certified Dermatologist
30 E. 60th St. Ste. 805 (Park Avenue)
New York, NY 10022
212.644.9494
1.800.BLEMISH