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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
What
is the best sunscreen? Overall, the safest and most effective sun-protection products
are pure zinc and/or titanium-based sunblocks. These two ingredients have been around a long time and boast great safety data.
The ideal sunscreen blocks both ultraviolet A and B (UVA and UVB) rays, is stable, doesn't break down in the sun, and
doesn't get absorbed through the skin. Is there
any difference between sunscreens and sunblocks? Physical sunscreens like zinc oxide
and titanium dioxide are sunblocks; they physically (like a brick wall) block both UVA and UVB rays. Besides these two, all
other sunscreens are chemical-based sunscreens. Chemical sunscreens like oxybenzone, avobenzone, PABA, etc., are generally
colorless and have special ingredients that filter and reduce UV rays. Not all sunscreens effectively block UVA as well as
UVB rays. The chemical sunscreens break down with sun exposure and may need more frequent application.
When should I use a sunscreen?
Dr. Rothfeld recommends that everyone use sunscreen of at least SPF 15 or greater every day, year-round. If you plan to be
in the sun more than 20-30 minutes a day, you should wear sunscreen of at least SPF 30. Even on cloudy days, about 80% of
the sun's rays pass through the clouds. Nowadays, so many moisturizers, lotions, and makeups have sunscreen built in that
it doesn't make sense to use any products that don't contain sunscreen. It just makes it so mush easier. I recommend,
for example, if you wear any foundation, that there be at least an SPF 15 built in. If not, you may want to change brands.
What is SPF? The sun protection factor (SPF)
is a number that is displayed on sunscreen containers. It typically ranges from 2 to 65 (with some even higher) and refers
to the product's ability to block out the harmful rays of the sun. It is calculated by comparing the amount of time needed
to produce a sunburn on protected skin to the amount of time needed to cause a sunburn on unprotected skin. So, an SPF 30
means that an average person's skin will take 30 times longer before it is damaged than if the person was not wearing
sunscreen. What about sensitive skin? I break out
with almost all kinds of creams. What can I use?
Sunblocks with pure zinc or titanium are the best choices for sensitive skin. (Remember that zinc oxide is actually safely
used on a baby's skin for diaper rashes.) Wash off the sunscreen as soon as you get home in the evening.
How much sunscreen should I use? Ideally, about 1 ounce (5-6
teaspoons) of sunscreen covers the entire body. Sunscreen should be applied at least 30 minutes before going outdoors and
should be reapplied every two hours if you are sweating or getting wet. At
what age can I start applying sunscreen? Experts agree
that children under 6 months old should simply be kept out of direct sun. Zinc- or titanium-based sunscreens with SPF 30 or
higher are great for older children. What about that white, pasty look with zinc? Do
I have to look all white to be protected? No,
not really. The newer preparations all offer microfine zinc or titanium, which blend in much better without leaving as much
of a residue. Newer tinted sunblocks are also becoming available. I used an SPF 65
lotion every two to three hours while on a tropical vacation. I still got very tan. What
went wrong? Not all SPF numbers mean the same thing. Many of the older sunscreen formulations
did not block UVA rays. They blocked only UVB, which are the sun's burning rays. So, in essence, you are fooled into staying
outside much longer, thinking that you never really burned. However, the UVA rays are still very damaging and can cause tanning,
skin cancer, and premature wrinkling and aging. My husband hates the greasy feel of
sunscreens on his face. He refuses to put sunscreen on even though he has already had a skin cancer. Many men (like your husband) don't like lotions and creams, especially in the summer months when they tend to
sweat more. I would suggest nice alcohol-based gel type sunscreens like Clinique sunscreen gel or Coppertone Sport SPF 30.
Gels may have a slight disadvantage in that they may sting a little on initial application, but they don't make you feel
oily. There are also some nice sprays like Neutrogena or Presun, which are very easy to apply; a little squirt here and there,
and out the door you go Am I protected enough if I am
wearing a white T-shirt? Long ago, I was really surprised to find out that a T-shirt
gives you very little protection, equivalent only to about an SPF 7 or 8! That is hardly enough sun protection. Denim clothing
provides an SPF 25-30. There are clothing manufacturers like Solumbra who make cooler, high-SPF fabrics. Some people say using sunscreen may cause skin cancer. What do you think about this?
I have not seen any reliable, large-scale scientific data to suggest
this. On the contrary, everything we have seen points to excess sun as the cause of premature skin aging, wrinkling, precancers,
and skin cancers. Other factors like genetics and heredity also play a role in determining who develops skin cancer, but we
really have no control over our genes. We can't choose different genes or parents, so we ought to do something about what
we do have control over -- our excess exposure to the damaging rays of the sun. I've
read that sunblocks cause vitamin D deficiency.
It is hard to assess this possible association. It is true that recent evidence shows many people may be deficient in vitamin
D. It is recommended that daily calcium and vitamin D supplementation along with a good multivitamin is a good idea for most
of us. What other sunscreen advice do you have for
us this summer? Choose a broad spectrum sunscreen that blocks both UVA and UVB rays.
I still prefer zinc- or titanium containing ones; they are pure physical blockers. Reapply, reapply, reapply! Remember that
the sunscreen that sweats off or is washed off is no longer there protecting you. It is best to reapply sunscreen frequently
when outdoors for a long time. I like applying a quality zinc-based sunblock before leaving home and then applying a spray
sunscreen as needed for touch-ups during the day. What
general skin care tips do you give your patients? The sun is not your friend!
Our main prevention measures are aimed at sun avoidance and sun protection. These include
1. using zinc sunscreens with SPF 30,
2. using wide-brimmed
hats (6 inches),
3. using physical barriers when possible like sun-protective
clothing and sunglasses,
4. avoiding the peak sun hours of 10 a.m. to 4 p.m., and
5.seeking shade
and staying indoors.
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. http://www.nycdermatologist.com/
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 1.800.BLEMISH
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