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Sunscreens
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Sunscreens Definition http://www.nycdermatologist.com Sunscreens are products applied to the skin to protect against the harmful effects of the sun's ultraviolet (UV)
rays. http;//www.dermatologynyc.org Purpose http://www.1800blemish.com http://www.dermatologistsnyc.com/sundamagedskin.html Everyone needs a little sunshine. About 15 minutes of exposure a day helps the body make Vitamin D, which is important for
healthy bones and teeth. But longer exposure may cause many problems, from wrinkles to skin cancer. One particularly deadly
form of skin cancer, malignant melanoma, has been on the rise in recent decades, as tanning has become more popular. Over
the same period, scientists have warned that the thin layer of ozone that protects life on Earth from the sun's ultraviolet
(UV) radiation is being depleted. This allows more UV radiation to get through, adding to the risk of overexposure. http://www.dermatologistsnyc.com Sunscreens help protect against the sun's damaging effects. But just how much protection they provide is a matter
of debate. The sun gives off two kinds of ultraviolet radiation, called UV-A and UV-B. For many years, experts thought that
only UV-B was harmful. However, recent research suggests that UV-A may be just as dangerous as UV-B, although its effects
may take longer to show up. In particular, UV-A may have a role in causing melanoma. Most sunscreen products contain ingredients
that provide adequate protection only against UV-B rays. Even those labeled as "broad spectrum" sunscreens may offer
only partial protection against UV-A radiation. Those containing the ingredient avobenzone give the most protection against
UV-A rays. Some medical experts are concerned that sunscreens give people a false sense of security, allowing
them to stay in the sun longer than they should. Although sunscreens protect the skin from burning, they may not protect against
other kinds of damage. A number of studies suggest that people who use sunscreens may actually increase their risk of melanoma
because they spend too much time in the sun. This does not mean that people should stop using sunscreens. It means that they
should not rely on sunscreens alone for protection. According to the American Academy of Dermatology, sunscreens should be
one part of sun protection, along with wide-brimmed hats and tightly-woven clothing that covers the arms and legs. Description Many brands of sunscreens are available, containing a variety of ingredients. The active ingredients
work by absorbing, reflecting, or scattering some or all of the sun's rays. Most sunscreen products contain combinations
of ingredients. The U.S. Food and Drug Administration requires sunscreen products to carry a sun protection factor
(SPF) rating on their labels. This number tells how well the sunscreen protects against burning. The higher the number, the
longer a person can stay in the sun without burning. Sunscreen products are sold as lotions, creams, gels, oils,
sprays, sticks, and lip balms, and can be bought without a physician's prescription. Recommended dosage Be sure to read the instructions that come with the sunscreen. Some need to be applied as long as 1-2 hours before
sun exposure. Others should be applied 30 minutes before exposure, and frequently during exposure. Apply sunscreen
liberally to all exposed parts of the skin, including the hands, feet, nose, ears, neck, scalp (if the hair is thin or very
short), and eyelids. Take care not to get sunscreen in the eyes, as it can cause irritation. Use a lip balm containing sunscreen
to protect the lips. Reapply sunscreen liberally every 1-2 hours—more frequently when perspiring heavily. Sunscreen
should also be reapplied after going in the water. Precautions Sunscreen alone will not provide full
protection from the sun. When possible, wear a hat, long pants, a long-sleeved shirt, and sunglasses. Try to stay out of the
sun between 10 A.M. and 2 P.M. (11 A.M. to 3 P.M. Daylight Saving Time), when the sun's rays are strongest. The sun can
damage the skin even on cloudy days, so get in the habit of using a sunscreen every day. Be especially careful at high elevations
or in areas with surfaces that reflect the sun's rays, such as sand, water, concrete, or snow. Sunlamps, tanning
beds, and tanning booths were once thought to be safer than the sun, because they give off mainly UV-A rays. However, UV-A
rays are now known to cause serious skin damage and may increase the risk of melanoma. Health experts advise people not to
use these tanning devices. People with fair skin, blond, red or light brown hair, and light colored eyes are at
greatest risk for developing skin cancer. So are people with many large skin moles. These people should avoid exposure to
the sun as much as possible. However, even dark skinned people, including African Americans and Hispanic Americans may suffer
skin damage from the sun and should be careful about exposure. Sunscreens should not be used on children under
6 months because of the risk of side effects. Instead, children this young should be kept out of the sun. Children over 6
months should be protected with clothing and sunscreens of at least SPF 15, preferably lotions. Sunscreens containing alcohol
should not be used on children because they may irritate the skin. Older people who stay out of the sun and use
sunscreens may not produce enough vitamin D in their bodies. They may need to increase the vitamin D in their diets by including
foods such as fortified milk and salmon. A health care professional can help decide if this is necessary. Anyone
who has had unusual reactions to any sunscreen ingredients in the past should check with a physician or pharmacist before
using a sunscreen. The physician or pharmacist should also be told about any allergies to foods, dyes, preservatives, or other
substances, especially the following: http://www.dermatologistsnyc.com/sundamagedskin.html artificial sweeteners anesthetics such as benzocaine, procaine, or tetracaine diabetes medicine taken by
mouth hair dyes sulfa medicines water pills cinnamon flavoring People with skin conditions or
diseases should check with their physicians before using a sunscreen. This is especially true of people with conditions that
get worse with exposure to light. Side effects The most common side effects are drying or tightening
of the skin. This problem does not need medical attention unless it does not improve. Other side effects are rare,
but possible. If any of the following symptoms occur, check with a physician as soon as possible: acne burning,
itching, or stinging of the skin redness or swelling of the skin rash, with or without blisters that ooze and
become crusted pain in hairy parts of body pus in hair follicles Interactions http://www.nycdermatologist.com Anyone who is using a prescription or nonprescription (over-the-counter) drug that is applied to the skin should check
with a physician before using a sunscreen.
FDA Proposes New Sunscreen RulesProposed Sunscreen Regulation Includes a Rating System, New Warning By
Miranda Hitti
WebMD Medical News Reviewed By Louise Chang, MD Aug. 23, 2007 -- Sunscreens may get a new rating system and a warning, thanks to a new FDA proposal. The
FDA today proposed a new regulation that sets standards for formulating, testing, and labeling over-the-counter sunscreens
with ultraviolet A (UVA) and ultraviolet B (UVB) protection. The proposal includes a four-star rating system for sunscreen
protection against UVA light, along with a warning that stresses the importance of not relying solely on sunscreens to prevent
skin cancer and skin damage. Sunlight contains the visible light that we can see and ultraviolet (UV) light that we cannot. There
are two types of UV light, UVA and UVB. UVA light is responsible for tanning and UVB for sunburn. Both can damage the skin
and increase the risk of skin cancer. SPF ratings on sunscreens refer only to UVB protection, not UVA protection. For years, the FDA has been studying UVA's
effects on skin, but until now hasn't required sunscreens to carry specific information on UVA protection. "Only
a few countries have addressed UVA protection in their product labeling," says Douglas Throckmorton, MD, deputy director
of the FDA's Center for Drug Evaluation and Research. The proposed new regulation would include cosmetics that
tout sun protection but not insect repellents that include SPF, according to Matthew Holman, PhD, interdisciplinary scientist
team leader at the FDA's Office of Nonprescription Products. New UVA Sunscreen RatingsThe FDA's proposed
sunscreen regulation is designed to be a consumer-friendly rating system for identifying the level of UVA protection offered
by a product. It rates UVA sunscreen products on a scale of one to four stars. One star would represent low UVA protection,
two stars would represent medium protection, three stars would represent high protection, and four stars would represent the
highest UVA protection available in an over-the-counter sunscreen product. If a sunscreen product does not provide at
least a low level (one star) of protection, the FDA is proposing to require that the product to bear a “no UVA protection”
marking on the front label near the SPF value. The UVA ratings would be based on two tests the FDA proposes to assess
the effectiveness of sunscreens in providing protection against UVA light. One would be a lab test that measures a product's
ability to reduce the amount of UVA radiation that passes through it. The other test would be conducted on people, checking
the product's ability to prevent tanning. This test is nearly identical to the SPF test used to determine the effectiveness
of UVB sunscreen products. If a sunscreen scores higher on one test than the other, it would bear the lower rating,
says Holman. The proposal also includes tweaking the SPF information on sunscreens. For instance, a sunscreen that
currently says "SPF 45" would say "UVB SPF 45" with the word "high" to indicate a high level
of UVB protection. To see an example of what the new labeling would look like, visit the FDA's web page on the
proposed sunscreen labeling at http://www.fda.gov/consumer/updates/sunscreen082307.html. New Sunscreen WarningThe
FDA also proposes requiring all sunscreens to include a "Warnings" statement in the "Drug Facts" box. The
warning would say: "UV exposure from the sun increases the risk of skin cancer, premature skin aging, and other skin
damage. It is important to decrease UV exposure by limiting time in the sun, wearing protective clothing, and using a sunscreen."
The warning is intended to increase awareness that sunscreens are only one part of a sun protection program. The proposed
new sunscreen regulation will also stress instructions to reapply sunscreen at least every two hours and to use sunscreen as directed, says Holman. The FDA
will accept comments on the proposed new rule for 90 days, ending on Nov. 26, 2007. Trade Group RespondsThe
Cosmetic, Toiletry, and Fragrance Association (CTFA) states that it is "pleased that the FDA has proposed these new sunscreen
regulations" and that it looks forward to working with the FDA as it finalizes the sunscreen rules. The CTFA points
out that "while the final rulemaking is ongoing, there are currently strong FDA safety and effectiveness regulations
that govern the manufacture and marketing of all sunscreen products." "Consumers should have a high level
of confidence that sunscreen products are safe and effective when used as directed," states the CTFA. Like the
FDA, AAD, ACS, and other health experts, the CTFA stresses that besides wearing sunscreen, people should minimize their sun
exposure -- especially from 10 a.m. to 4 p.m., when UVA/UVB exposure is highest -- and to wear protective clothing to safeguard
skin. SOURCES: News release, FDA. Douglas Throckmorton, MD, deputy director, Center for Drug Evaluation
and Research, FDA. Matthew Holman, PhD, interdisciplinary scientist team leader, Office of Nonprescription Products, FDA.
News release, American Academy of Dermatology. News release, American Cancer Society. News release, Cosmetic, Toiletry, and
Fragrance Association
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Care. I personally see every new
patient who visits our office. I am not just a physician, I am a Board Certified Dermatologist. This is the type of 5-star care and service that our patients expect, deserve and receive. I treat every patient the way I would want to be treated: with courtesy, dignity and respect.
I carefully listen to their skin-care concerns and offer a variety of options including a treatment plan that I believe will
give them the best results. We also support our patients with a very fine medical staff . Please take a moment to explore
our top of the line winning website. My philosophy is simple…Experience Counts and Quality
Matters. Please allow me to solve your skin problems. After all, at NYC Dermatology , our philosophy is if you look great you will feel great with gorgeous skin.” Best Regards, Dr. Rothfeld
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 The common type of acne is called acne vulgaris. It is a condition that mainly affects adolescents but may persist or even become more severe in adulthood. Most, but not all, acne patients have oily skin (seborrhoea). Clinical features Acne vulgaris may occur on the face, chest, back and sometimes even more extensively. Several types of acne spots occur, often at the same time. Non-inflammatory
lesions: - Open comedones (blackheads)
- Closed comedones (whiteheads)
- Uninflamed
nodules (sometimes called cysts)
Inflammatory lesions: -
Papules (small red bumps)
- Pustules (white or yellow ‘squeezable’ spots)
- Inflamed nodules (large red lumps)
Secondary
lesions: - Excoriations (picked or scratched spots)
-
Erythematous macules (red marks from recently healed spots, mostly in fair skin)
- Pigmented
macules (dark marks from old spots, mostly in dark skin)
- Scars
Individual acne lesions usually last less than two weeks but the deeper papules and nodules may persist
for months. More
images of acne ... Acne grading Acne may be considered mild, moderate
or severe. Comedones and inflammatory lesions are usually considered separately. Many dermatologists
assess the severity of a patient's acne more precisely by using a grading scale, such as the one developed by the Leeds'
group. The inflammatory lesions are compared with a set of standard photographs to determine the grade, which may be 1 (very
mild) to 12 (exceptionally severe). In clinical trials evaluating acne treatment, the numbers
of uninflamed and inflamed lesions are carefully counted at regular intervals. It is remarkably difficult to count consistently.
Treatment Which treatment is best depends on the patient's
age and sex, the extent and the severity of the acne.
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At NYC Dermatology, our goal is to provide compassionate, medically-sound patient care. We respect the trust
our patients and referring physicians place in our opinions.
We provide a complete range of dermatology
services including the most advanced treatment for skin cancer, the most up-to-date treatment for acne, psoriasis, eczema
and work related skin conditions.
We also offer many cosmetic services to reduce the effects of aging on the skin,
including Botox, chemical peels, laser treatment to remove facial veins, sclerotherapy to remove spider veins on the
legs, dermal fillers, cosmetic excisions and repair, and hair removal.
Trained in Dermatology, NYC Dermatolgy by Board Certified Dermatologist NY Dermatology Dr. Gary Rothfeld
possesses the special knowledge, skills and professional capability that distinguishes him as an outstanding Dermatologist
in NYC , Manhattan , New York at NYC Dermatology by Board Certified Dermatologist. Top New York City Dermatologist,
Dr. Rothfeld in Manhattan treats the most difficult cases until the problem clears. Dr. Rothfeld, a Board
Certified Dermatologist at NYC Dermatology in Manhattan, New York is caring, detailed, and meticulous and will never
give up until the problem is cleared. Dr. Rothfeld, a board certified dermatologist in nyc who practices Dermatology
in Manhattan, New York 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.NYC Dermatology is
under the medical supervision of Dr. Gary Rothfeld, a Board Certified Dermatologist.
To enhance every aspect of your
skin care, Dr. Rothfeld has personally created a superb line of cosmetic procedures.. NYC
Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld is a board certified NYC Dermatologist
with a New York City office in Manhattan, New York providing expert skin care, dermatology, and
cosmetic dermatology services. A board certified dermatologist in NYC specializing
in dermatology and dermatologic surgery including state-of-the-art cosmetic surgical procedures, Dr. Gary Rothfeld is
known for his attention to body symmetry and his dedication to meeting patients’ personal goals. His specialties include
full body liposuction using the tumescent technique, facial fat transplantation, Botulinum injection into facial lines and
laser resurfacing. NYC dermatology specializes in chemical peels, vein injections, laser, restylane, Perlane,
Botox injections, JUvederm, non-surgical facelifts, collagen implantation and treatment of skin cancer.
As an expert in the field of dermatology and cosmetic dermatologic
surgery, Dr. Rothfeld is has appeared on national television shows. Dr. Rothfeld has also been quoted in many high
profile national magazines.
Our goal at the manhattan office of Board Certified Derrmatologist , Dr.
Gary Rothfeld is to create an atmosphere of professionalism, trust and complete patient satisfaction at the NYC Dermatology
and Cosmetic Surgery Center in Manhattan, New York. Dr. Rothfeld, Dermatology Director of NYC Dermatolgy is a Board
Certified Dermatologist at NYC Dermatology who has treated many patients in the entertainment industry. Schedule an appointment at
our office which provides top of the line expert skin care, dermatology, cosmetic dermatology services,
and advanced dermatology laser treatments for cosmetic needs and medical skin conditions. We offer a full range of services
including surgery for skin cancer, laser hair removal, Botox®, the Fractionated Resurfacing laser, Titan laser, and acne
photodynamic treatments. Our main goal is to provide you with the most effective and advanced treatment. Join the NYC Laser
Center NYC Dermatology Mailing List Our periodic newsletters include exclusive offers, educational articles, as well
as free treatment & product drawings! Email: nycdermatologist@aol.com in our Media office and including different offers and many more. We offer a variety of services from
Botox® to Liposuction . Please contact us with any questions you may have or schedule an appointment online or by phone for
a consultation. Beauty Is Forever! and Dr. Rothfeld
at NYC Dermatologist has over 20 years of experience with his beauty tips.
.
During
your office consultation and examination you will be provided with a detailed plan of the treatments that will benefit
you most. NYC Laser Center NYC Dermatology top laser dermatology center offering skin care, dermatolgy,cosmetic
dermatology services, and laser treatments for sun damaged skin, acne, acne scars, rosacea, pigmentation, laser
hair removal, broken blood vessels, as well as superficial and deep wrinkles. We offer patients in Manhattan,
services including general dermatology, wrinkle fillers such as Restylane®, Captique, Perlane,Cosmoderm and Cosmoplast, Radiance® (radiesse) and Sculptra. We also offer Botox®,
Cosmelan, Velasmooth, Fotofacial, Titan laser, Refirme, and the Fractionated Resurfacing laser. in the treatment of acne,
rosacea, skin cancer and surgery. Dr. Rothfeld has taught numerous other physicians on the proper use of Botox®, medical
hair transplants, and lasers in the country. Acne Photodynamic Treatment
- Botox® - Botox® for Hyperhidrosis - Cellulite - Cool Laser - Cosmelan Depigmentation Treatment - Glycolic
Acid Peel - Fat Transfer - Fotofacial / IPL Fractionated Resurfacing Laser - Hair Loss - Laser Hair Removal - Liposuction
- - Surgery - Minimal Scar Technique - Photodynamic Rejuvenation Radiance® - Restylane® - Sclerotherapy
- Sculptra - Smoothbeam - Stretch Marks - SunFX - TCA Peel - Tattoo Removal - Titan Laser Facelift - V-beam Laser Treatments
- Velasmooth Our cosmetic surgeon includes Dermatologist Dr. Gary Rothfeld Board Certified Dermatologist
at NYC Dermatology. Our NYC dermatologist offers advanced dermatology laser treatments for cosmetic needs and medical
skin conditions. We offer our services to Manhattan , Brooklyn, Bronx, Queens locations through our Manhattan
office in NYC
Open 7 Days A Week — Se Habla Español
NYC Dermatology - Manhattan Dermatology - Skin Institute of
New York - Skin Cancer Doctor- NYC Cosmetic Dermatology- Cosmetic Dermatological Surgery - New York City -
Board Certified Dermatologist
Manhattan Office
Dr. Gary Rothfeld
NYC Dermatology
- Board Certified Dermatologist - New York, NY
30 E. 60th St. Ste. 805
Manhattan, New York 10022
212.644.9494
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During a chemical peel, chemical solutions of varying strengths are carefully brushed onto the
skin. The chemicals remove skin cells on the surface of the skin and stimulate the production of new skin cells below. This
leaves the skin smoother, less wrinkled, and more youthful in appearance. Chemical peels can be used effectively for a wide range of skin conditions including:
- Fine lines and wrinkles
- Uneven pigmentation
- Shallow
acne scars
- Sun-damaged skin
- Age spots
- Freckling
Chemical peeling can be performed on the face, neck, chest, hands, arms, or legs. It is most effective at
changing the appearance on the surface of the skin. Effects of aging in deeper tissues, such as drooping eyelids and loose
skin below the chin, must be treated with other procedures. Chemical peels are categorized by
how deeply the chemicals penetrate the skin: superficial, medium, or deep. Superficial peels use mild chemicals, such as alpha-hydroxy
acids, which penetrate only the uppermost layer of the epidermis. Medium and deep peels use stronger agents. A superficial chemical peel is usually sufficient to treat fine lines and wrinkles around the eyes and mouth. Patients
with minimal skin damage often respond best to a series of superficial peels combined with a skin care regimen, including
topical retinoids and daily sunscreen use. A medium-depth peel is more effective for patients
with moderate skin damage, including age spots, freckles, and actinic keratoses. It may be combined with another treatment
such as laser resurfacing for maximum effectiveness. Deeper peels may require bandages to be
applied for 1-3 days following treatment. In addition, ointments and creams may be recommended to keep the skin moist. Cosmetics
can be applied after about two weeks. During treatment, most patients experience a warm sensation
for about ten minutes, followed by some stinging. Anesthesia may be recommended for deep peels. In
general, the deeper the peel, the longer the recovery. A superficial peel produces redness similar to mild sunburn and
lasts 3 to 5 days. Medium or deep peels can make the skin look severely burned, sometimes with blistering and peeling for
7 to 14 days. You may be prescribed pain relievers to reduce the discomfort following a deep peel. Following
a treatment, treat your skin gently. Avoid sun exposure because the renewed skin will be tender and susceptible to injury.
Following a chemical peel, your new skin will be tighter, smoother, and perhaps slightly lighter in color
than before surgery. This information is for general educational uses only. It may not apply
to you and your specific medical needs. This information should not be used in place of a visit, call, consultation with or
the advice of your physician or health care professional. Communicate promptly with your physician or other health care professional
with any health-related questions or concerns. Be sure to follow specific instructions
given to you by your physician or health care professional. http://www.nycdermatologist.com/
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