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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
Years
of squinting and frowning can leave deep wrinkles that form between the eyebrows and may extend to the bridge of the nose. Wrinkles and frown lines also may appear
across the forehead and at the corners of the eyes ("crow's feet"). Dermatologists can quickly and safely inject
botulinum toxin during an office visit to diminish these wrinkles and lines that create an angry or sad look and detract from
a pleasant facial appearance. What is botulinum toxin? Botulinum
toxin type A and botulinum toxin type B are purified substances, derived from a bacteria, that block muscular nerve signals. Injecting very small amounts into specific facial muscles blocks
the muscle's impulse. This temporarily weakens the muscle and diminishes the unwanted lines. Botulinum
toxin has been used since 1980 to treat many muscle disorders such as lazy eye and uncontrolled blinking. It was pioneered by dermatologic surgeons for cosmetic use in 1987. Botulinum toxin type A is specifically indicated for the
lines between the eyebrows, and it also can be effectively used for "off-label" indications in other facial areas.
Once the muscle is weakened and relaxed, it cannot contract. Since there is no way to make the undesirable
facial expression, the lines gradually smooth out from disuse, and new creases are prevented from forming. Other muscles such
as those needed to raise the eyebrows are not affected, so a natural expression is maintained. For optimal results, botulinum
toxin therapy may be used in combination with other cosmetic skin procedures such as chemical peels, laser resurfacing, and
dermal fillers. Combination therapy also can help prevent the formation of new lines and wrinkles. Botulinum toxin is less
useful for the smile lines around the mouth because muscle action in this area is needed for important functions such as eating
and talking. Botulinum Toxin Therapy Before treatment, the
dermatologist obtains the patient's medical history, including any medications taken. Treatment involves injecting very
small amounts of botulinum toxin directly into the underlying facial muscles to relax them. A tiny needle is used; the procedure
is well tolerated and takes just a few minutes with no "down time" or prolonged recovery period.
Botulinum
toxin takes effect about 3 to 7 days after treatment. The improvement generally lasts about 3 to 4 months; the effect gradually
fades as muscle action returns. Patients require re-injection at various intervals. With repeated treatments, atrophy (thinning)
of the muscle may occur. This usually produces longer-lasting results. Treatment
Areas Vertical lines between the eyebrows and on the bridge of the nose - Squint lines (crow's feet) at the corners of the eyes
- Horizontal lines on the forehead
- Muscle bands visible on the neck, commonly known as "turkey neck"
Are
there any side effects? Side effects are generally minimal, temporary, and typically relate
to the local injection. Soreness or mild bruising, while uncommon, may occur around the injection site. Makeup may be applied
after the treatment, but care should be taken to avoid pressing or massaging the area for several hours. A temporary headache
is not uncommon after injections in the forehead area, especially after the first treatment. In rare instances, patients may
develop weakness of the neighboring muscles leading to a temporary droopy brow or eyelid. All of these possible effects are
mild, reversible, and self-limiting. Other Applications Hyperhidrosis
(excessive sweating) can be treated with injections of a highly diluted form of botulinum toxin which is superficially injected
directly into the underarm skin, skin on the palms of the hands, or on the soles of the feet. This weakens the action of the
skin's sweat glands which are responsible for excessive perspiration. A single treatment session can provide months of
relief, and injections can be repeated when the excessive perspiration returns. Twitching muscles also can be treated by injecting
botulinum toxin into the appropriate muscle.
 
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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
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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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