Cosmetic Dermatology at NYC Dermatology

NYC COSMETIC DERMATOLOGY

Dr. Gary Rothfeld Board Certified Dermatologist New York, NY

faceTrained in Dermatology, New York Dermatology headed by board certified Dermatologist Dr. Gary Rothfeld in New York City, Manhattan possesses the special knowledge, skills and professional capability that distinguishes him as an outstanding Cosmetic Dermatologist in NYC. Board Certified Dermatologist at New York 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 and the nation by the entertainment industry.

IPL
This 30 minute procedure uses a machine which emits intense pulses of light that penetrate to all levels of the skin, causing collagen and blood vessels beneath the epidermis to constrict. The regimen calls for a series of six full-face light treatments at three-week intervals. Redness following the treatment lasts less than 24 hours for most people. Visible reduction of fine lines and wrinkles occurs gradually, over the span of a few weeks following treatment. IPL treatments are especially good for: fine lines, particularly around the eyes and mouth, shallow acne scars, age spots, broken blood vessels, Rosacea and sun damage. This procedure is thought to reduce the appearance of large pores and dark circles around the eyes, and is especially effective in reducing chronic facial redness. It also can be used to treat sun damage and weathered areas on the neck, arms and chest, as well as the back of the hands. The biggest advantage of IPL treatments is that there is no downtime. The procedure improves the general texture and refinement of the skin according to Dr. Gary Rothfeld.

Affirm
The first micro-thermal rejuvenation system with virtually no down-time reduces wrinkles, stretch marks, acne scars and evens out pigmentation and redness while increasing collagen production. Affirm incorporates Multiplex™ technology with Combined Apex Pulses (CAP) technology - the industry's fastest laser-based energy source-and Xenon Pulsed Light (XPL) technology. The Affirm is a complete skin rejuvenation solution that provides revolutionary results with less downtime than any other laser available.
For more information visit: www.cynosure.com/products/affirm/index.php

Smartlipo
The Smartlipo laser-assisted lipolysis system is a highly efficacious solution for destroying and permanently eliminating fat cells: A laser fiber is introduced through a small cannula, delivering energy directly to subcutaneous fat cells -causing them to rupture. The emitted energy also coagulates tissue, thus inducing collagen retraction and tissue tightening and results in a faster healing and recovery than conventional liposuction methods. Given the cannula's small size and gentleness of the procedure, Smartlipo is a minimally invasive treatment that only requires local anesthesia - enhancing client safety. Typically only one short treatment session is needed to see remarkable results. Smart Lipo and Vaser can be done effectively on the abdomen, "love handles", backs, thighs, hips, knees, arms, neck and chin according to Dr. Gary Rothfeld.

Endolaser
Endolaser is a minimally invasive method for treating large varicose veins. Pulses of laser energy are released along the course of the vein to seal it completely. Endolaser requires only a small nick in the skin and local anesthesia. The patient walks out of the office and returns to his or her normal daily routine immediately without any pain medication. There is no hospital visit, stitches, or injection of chemical substances. This technique can be combined with sclerotherapy to erase any remaining spider veins.
For more information visit: www.endolaser.com or contact board certified dermatologist Gary Rothfeld.


Injectables & Fillers
Botox®
Botox® is a simple, nonsurgical, physician-administered treatment that can temporarily smooth moderate to severe lines in people from 18 to 65 years of age. It is the only treatment of its type approved by the Food and Drug Administration (FDA). Botox® can be injected on the forehead, between and around the eyes (crow's feet), chin and neck bands. With one 10-minute treatment, within a few days you will see a noticeable improvement in moderate to severe lines, which can last up to 6 months. Results may vary.

For more information visit: www.botoxcosmetic.com

Restylane®
RESTYLANE is a crystal-clear, biodegradable gel based on a natural substance, called hyaluronic acid. When Restylane is injected into the skin, it causes a filling, and plumping effect that restores a softer, more youthful appearance to the face. The result is instantaneous and long-lasting, up to six months. Gentle and safe for your skin, Restylane® has a highly favorable safety profile.

Sculptra®
Facial lipoatrophy is the loss of fat beneath the skin, which can result in sunken cheeks, indentations, and hollow eyes. Sculptra® is the first FDA-approved product of its kind for this condition. An injectable product that restores and corrects the signs of lipoatrophy by replacing lost volume and smoothness. Clinical studies have shown results lasting for up to 2 years after the first treatment session.
For more information visit: www.sculptra.com/Index.do or Dr. Gary Rothfeld.

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Mesotherapy Vitamin Therapy
There is only one medical treatment proven to reduce or eliminate cellulite-Mesotherapy. Mesotherapy can be utilized for anti-aging, spot fat reduction and the appearance of cellulite. After being used in France for over 50 years, doctors in the United States are now providing this procedure. This technique where small amounts of medication, vitamins and supplements are injected into the middle layer of skin called the "mesoderm", will offer great results with a series of sessions at NYC Dermatology. Slight bruising and swelling may occur.

Juvéderm™
Juvéderm™ injectable gel is a "next-generation" dermal filler. The smooth consistency gel helps to instantly restore your skin's volume and smooth away facial wrinkles and folds, like your "smile lines" or "parentheses" (the creases that run from the bottom of your nose to the corners of your mouth). Juvéderm™ is a smooth consistency gel made of hyaluronic acid - a naturally occurring substance in your skin that helps to add volume and hydration. The doctor eases the gel under your skin to provide a smooth, natural look and feel. Results last up to six months.
For more information visit: www.juvedermusa.com. Dr. Gary Rothfeld was one of the pioneers in Juvederm at NYC Dermatology in Manhattan, NY

InjectaLift™
InjectaLift™ is a non-surgical cosmetic treatment individually designed to help you rediscover natural, youthful beauty, by re-filling areas of soft tissue (fat) that have diminished with age. The InjectaLift™ is like a face lift in a syringe, restoring youthful contours safely and effectively, in a no-downtime procedure that takes 30 minutes or less. This technique takes cosmetic facial filler such as Restylane®, Sculptra® ,Perlane, cosmoplast and will inject specific amounts into the areas where youthful natural fat is depleted, to fill, lift and plump the skin, and rejuvenate the overall appearance. Depending on the desired outcome, Dr.Gary Rothfeld may suggest combining a variety of non-surgical procedures or services with the Injecta-Lift,™ such as IPL, botox, or chemical peels.


Lunchtime Face-Lift

This new minimally invasive surgical technique can lift the face and neck in one hour with just local anaesthia. This lifting is done while the patient is awake and the recovery is in one week with almost no bruising or swelling. This new and innovative technique removes 10 years of aging in one hour and will last 10 years. Also two major advantages are that the patient's look is not changed and the hairline is maintained. At NYC Dermatology we do this procedure.


Non Surgical Rejuvenation Procedures

Enzyme Hot Peel

Enzymes naturally digest dead skin cells and act on the dermal surface to increase capillary flow, circulation, and stimulating the lymphatic system. Temporarily lifts, tones, and tightens delivering an overall glow to the skin. Perfect skin-prep for any event.

Superficial Salicylic Acid Peel
This beta-hydroxy acid treatment will exfoliate the skin revealing a healthy and younger you. Excellent for oily skin, acne, sun damage and hyper-pigmented skin.

Lactic Peel

This alpha-hydroxy acid will exfoliate, hydrate and brighten the skin. Works well with dry and mature skin.

Light Chemical Peel

The light chemical peel is performed using 20% tri-chloroacetic acid. This will remove the upper layer of the Epidermis. It is painless and takes about 5 days to completely peel. Brown spots and fine lines will be vastly improved and the skin will look more even toned and pore size will be diminished.

Deep Chemical Peel

Phenol based peels have the most profound effect on deep wrinkles and severe sun damage. Recommended for light to pale complexions. Astonishing permanent results, recovery time 2 -4 weeks. Please consult with board certified dermatologist Dr. Rothfeld.

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. Gary 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:

  • change in skin tone color
    For certain skin types, there is a risk of developing a temporary or permanent skin color change. Taking birth control pills, being pregnant, or having a family history of brownish discoloration on the face may increase the possibility of developing the abnormal pigmentation.

  • scarring
    Chemical peels can cause scarring. However, if scarring occurs, it can usually be treated effectively.

  • cold sores and fever blisters
    Those who are susceptible to cold sores, or herpes simplex infections, may have a reactivation of cold sores or fever blisters following a chemical peel.

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.

Chemical Peels?

Phenol, trichloroacetic acid (TCA), and alphahydroxy acids (AHAs) are used for chemical peels. The precise formula used may be adjusted for each patient.

    alphahydroxy acids (AHAs)
    Alphahydroxy acids (AHAs) such as glycolic, lactic, or fruit acids are the mildest of the peel formulas and produce light peels that can often provide smoother, brighter-looking skin. AHA peels may be used to accomplish the following:

    • reduce fine wrinkling
    • treat areas of dryness
    • reduce uneven pigmentation
    • aid in control of acne
    • smooth rough, dry skin
    • improve texture of sun-damaged skin

    AHA peels may cause the following:

    • stinging
    • redness
    • irritation
    • crusting, flaking, or scaling
    • dryness

    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.

    trichloracetic acid (TCA)
    Trichloroacetic acid (TCA) can be used in many concentrations and is used to accomplish the following:

    • smooth fine surface wrinkles
    • remove superficial blemishes
    • correct pigment problems

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.

    phenol
    Phenol is the strongest of the chemical solutions and produces a deep peel. A phenol peel is mainly used to accomplish the following:

    • correct blotches caused by sun exposure, birth control pills, or aging
    • smooth out coarse wrinkles
    • remove precancerous growths

    Phenol:

    • should be used on the face only, as scarring may result if used on the neck or other body areas.

    • is not recommended for darker-skinned individuals.

    • may pose risk for patients with heart problems.

    • may permanently remove facial freckles.

    • may cause permanent skin lightening.

    • may leave lines of demarcation.

    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.

About the procedure:

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. Please consult us at NYC Board Certified Dermatologist Dr. Gary Rothfeld at NYC Dermatology.


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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
1.800.BLEMISH

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