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NYC Dermatology - Dr. Gary Rothfeld Board Certified Dermatologist takes care of all your skin needs. Dermatologist or Dermatologists are physicians specializing in the diagnosis and treatment of diseases and tumors of the skin and its appendages. There are medical and surgical sides to the specialty. [[Dermatologic Surgeon|Dermatologic surgeon]]s practice skin cancer surgery (including Mohs' micrographic surgery), laser surgery, photodynamic therapy (PDT) and cosmetic procedures using botulinum toxin ('Botox'), soft tissue fillers, sclerotherapy and liposuction.
Retinol May Smooth Aging Skin
Retinol Holds Promise for Curbing the Appearance of Fine Wrinkles in Elderly Skin
By Miranda Hitti
WebMD Medical News
Reviewed By Louise Chang, MD
May 22, 2007 -- Retinol lotion may ease the appearance of fine wrinkles in elderly skin, according to a new study on aging skin.
The study comes from skin experts including Sewon Kang, MD, of the University of Michigan's dermatology department.
They added retinol, which is derived from vitamin A, to an over-the-counter moisturizer. For comparison, they also made a placebo lotion containing no retinol.
Kang's team put the lotions in separate, identical bottles so no one could tell which bottle contained the retinol lotion.
The researchers' lotions were tested by 36 healthy people who were at least 80 years old at two senior centers in Michigan.
First, the researchers photographed the skin in participants' inner upper arm -- a spot not likely to be affected by sun damage. Participants also got a skin biopsy from their inner upper arm.
After that, half of the elders got the retinol lotion; the others got the placebo lotion. They were scheduled to use their assigned lotion on their inner upper arm three times weekly for six months.
At the end of the six-month study, participants got another skin biopsy and more photographs of their inner upper arm.
The elders who had used the retinol lotion had a reduction in the appearance of fine wrinkles in their inner upper arm. Those changes started after four weeks of retinol treatment and lasted throughout the study.
Wrinkles didn't change for those in the placebo group.
The before-and-after skin biopsies show that retinol treatment boosted structural components in the elders' skin.
Retinol can irritate the skin. By the end of the study, most patients in the retinol group had some skin dryness or irritation. As instructed, they cut back on their retinol use in light of those side effects.
Retinol didn't erase wrinkles forever. The researchers followed 11 participants for six months after retinol treatment ended. The skin differences seen in the study faded during that time.
Health: Medicine: Medical Specialties: Dermatology: Clinics: United States: New York
New frontiers in medicine At NYC Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld tries to use the latest in digital imagery showing the improvement to the patient before and after treatment with adobe photoshop C3. This gives the patient a better depth of understanding to his or her problem. http://www.dermatologistsnyc.com
Types Of Warts : Warts are benign thickenings in the skin or mucous membranes caused by the human papilloma virus. Warts are also known as verrucae or condylomata. Warts are very common - sometimes warts on the hands, verruca vulgaris, plantar warts and plane warts resolve without treatment but the other times they do not. Warts can be found in individuals of any age and in any location. They are particularly common in children and teenagers. Generally warts occur in those who are sexually active. There is a balance between the virus and the individual’s immune system. Situations that reduce immunity will make it easier for the warts to spread and become more susceptible. There are more than 50 different types of HPV Symptoms .These are DNA viruses. The different types are given numbers. It appears that each number either gives a specific type of wart or a specific location. There is an uncommon type of human papilloma virus that can have a potential to develop cancers especially in the cervix. These are known as Type 16 and 18. Warts are transmitted by skin to skin contact, although plantar warts may well be transferred from moist floors. The transmission of warts depends in part on the immunity and susceptibility of the individual involved. Warts have an incubation period of many weeks to many months.
Types of Warts: Verruca Vulgaris (the common wart) These are thickened bumps called papules or plaques. They have a rough surface and frequently will have small tiny spots which are from blood vessels that have clotted. They are most commonly seen on the hands, elbows and knees. Flat Warts se are flat-topped, smoother looking warts. They are brown or skin coloured. They are most commonly seen on the face of women. They are spread easily by shaving. Plantar Warts are seen on the under-surface of the feet. They are thickened. They can be confused with corns or calluses. Occasionally they can be quite widespread involving large surfaces. They tend to grow into the skin rather than coming outwards as most other warts.Genital Warts appear in the genital peri-anal skin. . They can look like common warts or sometimes they are skin coloured, small papules. They vary in size from tiny papules to much larger typically warty growths. Occasionally they are pigmented. There is a subgroup of these warts caused by HPV 16 and 18 which have been named bowenoid papulosis. They have a small chance of becoming cancerous. Some of the genital warts have been associated with carcinoma of the cervix, Bowenoid papulosis and Bowen's disease.Warts are usually obvious to the experienced doctor. A biopsy can confirm the diagnosis although it is not commonly required. There are specific tests to type the human papilloma virus although these are not done routinely. NYC Dermatology Board Certified Dermatologist NY Dermatology takes care of all these condtions.
NON SURGICAL FACELIFT - THE THREADLIFT
Good candidates for ThreadLift are those patients who are starting to see some droopiness of the brow, cheeks, jowls and/or neck and would like to see a lift effect, but do not want the risk, scars, or recovery of a real browlift, facelift, or necklift operation. The ThreadLift procedure can achieve 60-70% of what a real invasive surgical procedure can deliver. Good candidates must have realistic expectations and be prepared to follow the postoperative recovery protocol and must be accepting of the risks.
Poor candidates include those patients with unrealistic expectations, have uncontrolled medical illnesses that affect would healing, are grossly overweight (with heavy faces) or are excessively thin, loose skin. The ThreadLift may be combined with other, more minor surgical procedures, such as blepharoplasty (lid lift procedures), liposuction, microfat transplantation, Botox, Injectable Fillers, Thermalift, Thermage, Fraxel skin resurfacing, or FotoLift-Polaris treatments. NYC Dermatologist Dr. Rothfeld will examine you and determine if you are a good candidate for this procedure.
Vitiligo<dermatology> This disorderis characterised by regionsof otherwise normalskinof nonpigmented whitepatches of varied sizes, often symmetrically distributed and usually bordered by hyperpigmentedareas. Hairin the affectedareas is usually, but not always, white.
Keloid scars :Occasionally scars enlarge spontaneously to form firm, smooth, hard growths called keloids. Keloids may be uncomfortable or itchy, and may be much larger than the original wound. They can arise soon after the injury, or develop months' later. It is not known why keloids appear. While most people never form keloids, others develop them after minor injuries, even insect bites or pimples. Keloids may form on any part of the body, although the upper chest and shoulders are especially prone to them. Dark skinned people form keloids more easily than Caucasians. Keloid scars are usually just a cosmetic problem. They never become malignant. As wounds heal, scar tissue forms, which at first is often red and somewhat prominent. Over several months, a scar usually becomes flat and pale. If there is a lot of tension on a healing wound, the healing area is rather thicker than usual. This is known as a hypertrophic scar.Hypertrophic scars generally settle in time but keloids may prove resistant to treatment. The following measures are helpful. Dressings should be worn for 12 to 24 hours per day, for at least 8 to 12 weeks, and perhaps for much longer. Self-adhesive polyurethane scar reduction patches Silicone gel dressings Pressure dressings Surgical excision (but may result in a second keloid even larger than the original one) Corticosteroid injection, repeated every few weeks Cryotherapy. Superficial X-ray treatment soon after surgery. Pulsed dye laser. At NYC Dermatology Board Certified Dermatologist we specialize in keloids.
Pseudfolliculitis barbae ( Razor bumps) dermatology> Erythematous follicular papules or, less commonly, pustules resulting from close shaving of very curly hair. The growing tips of hairs consequently reenter the skin adjacent to the follicle producing ingrown hairs. Pseudofolliculitis of the beard area is very common in blacks This is especially problematic for men of African descent and other people with curly hair. If left untreated over time, this can cause keloid scarring in the beard area. http://www.dermatologistsnyc.com
Collagen replacement therapy:Collagen treatment is a safe, non-surgical procedure that softens line and furrows on the face.Tiny quantities of collagen are injected under the line or scar through very fine needles, boosting the skin's natural collagen. The effects can be maintained by small ‘top-up’ collagen injections two or three times a year. What is collagen?Collagen is a natural substance that is found in skin, muscle, tendons and bones and provides structural support. In the dermis (the mid-layer of skin), collagen is made by fibroblast cells. It forms a fibrous network on which new cells can grow. Modified Collagen Could Be a Boon for Medicine
... scar tissue, control the growth of tiny new blood vessels in tissues destined for implantation, and ... engineer Michael (Seungju) Yu described the new collagen modification process and its potential.
Hives (Urticaria) are pink swellings that can vary in size from as small as a pin to very large erythematous (red) plaques.Hives are red and sometimes itchy bumps on your skin. An allergic reaction to a drug or food usually causes them. Allergic reactions cause your body to release chemicals that can make your skin swell up in hives. People who have other allergies are more likely to get hives than other people. Other causes include infections and stress.Hives are very common. They usually go away on their own, but if you have a serious case, you might need medicine or a shot. In rare cases, allergic reactions can cause a dangerous swelling in your airways, making it hard to breathe - which is a medical emergency
Mole<dermatology> A benign pigmented skin lesion or nevus. http://www..dermatologistsnyc.com
Rosaceamost commonly seen in those who have fair skin and is sometimes referred to as the “Curse of the Celts” or a “Peaches and Cream“ complexion. Onset usually occurs between 20-40 years of age. NYC dermatology Board Certified Dermatologist NY dermatology takes care of all these condtions Rosacea is a long lasting, non-scarring skin condition of the face that is often misdiagnosed as adult acne. It varies in severity and does not always worsen with time. Typically, you will experience inappropriate flushing that is not usually associated with sweating and/or persistent facial redness. It is common to have broken blood vessels (telangiectasias) on your cheeks. You may also experience bouts of inflammation that cause red papules (small bumps) or pustules. However, comedones (blackheads and whiteheads) are not part of rosacea. About 50% of those with rosacea suffer eye involvement, including such conditions as conjunctivitis, blepharitis, dry gritty eyes, and recurrent sties. Nose enlargement (rhinophyma) is uncommon and is mostly seen in men.Do I Have Rosacea?is a chronic progressive skin condition that causes inflammation and swelling of the face. As the disease progresses, small vessels and tiny papules begin to precipitate on and around the reddened area especially the nose.
Poison Ivy <botany> A plant that causes a marked allergic (contact) dermatitis in the majority of individuals.
Tinea versicolor: is a yeast infection of the upper layers of the skin. It appears as hypopigmentation and hyperpigmentation patches and scaling. The infection is caused by a yeast-like fungus, which normally resides on the skin surface and it thrives in oily areas of the skin such as the neck,chest, and back. NYC dermatology Board Certified Dermatologist NY Dermatology takes care of all these condtions.
Post-inflammatory hyperpigmentation(Dark Spots) Hyperpigmentation is discoloration of the skin at the site of a healed or healing inflamed acne lesion. It occurs more frequently in darker-skinned people, but occasionally is seen in people with white skin. Early treatment by NYC Dermatology -Dr. Gary Rothfeld Board Certified Dermatologist may minimize the development of post-inflammatory pigmentation (dark spots). Some post-inflammatory pigmentation may persist for up to 18 months, especially with excessive sun exposure. Chemical peeling may hasten the disappearance of post-inflammatory pigment
| Dr. Rothfeld frequently has patients who come to him to "fix" their skin after visiting a poorly-trained laser "technician" who either used the wrong laser for their skin type or treated their skin at levels that were too aggressive. The reversal of such pigmentation problems requires a long series of treatment and rigorous adherence to a a strict sun protection program. |
Skin Tags: Should They Be Removed?
Skin tags are one such skin abnormality, and they are also very common. Skin tags - small portions of skin that appear to be attached to or protrude from normal skin - are a common benign condition of the skin. Usually just a few millimeters in diameter, skin tags vary in appearance. Some are the same color as surrounding skin while others are hyperpigmented (darker than surrounding skin). In most cases, they are attached to the underlying skin by a small band of tissue called a stalk .
The medical term for skin tag is acrochordon. Other synonyms that have sometimes been used to refer to skin tags include soft warts, soft fibromas, fibroepithelial polyps (FEP), fibroma pendulans, and pedunculated fibroma. Skin tags can occur in anyone but tend to increase in frequency as we age. They are also more common in obese persons, possibly due to increased irritation and rubbing of skin folds. Hormonal factors or aging processes may also play a role in the development of skin tags. Skin tags are most commonly found in or near the armpits (axillae) and on the neck, but they occur commonly in all skin folds (such as the groin) and on the back and abdomen.
Most skin tags are asymptomatic, meaning that they cause no symptoms. They are almost universally benign; reports of malignancies arising in skin tags are extremely rare. Skin tags can become irritated and inflamed, especially when located in skin folds or in areas where clothing rubs against them.
Most dermatologists recommend removal of skin tags only when they are irritated or a source of discomfort, or if they constitute a cosmetic problem. Skin tags can be easily removed in Dr. Rothfelds' office by injecting an anesthetic., then excising them off. Freezing, a technique sometimes used to remove warts or other benign lesions of the skin, is also sometimes performed for the removal of skin tags also called cryosurgery whic uses liquid nitrogen. Electrosurgery is another way when you apply heat or a burning sensation which destroys the skin tag or acrochordon then it falls off ina week or two. Dr. Rothfeld board certified NYC dermatologist at NYC Dermatology has a tremendous success with this procedure.
If you are unsure about any changes in your skin or growths arising on the skin, always check with your board certified dermatologist. He or she can identify skin tags and other skin conditions and can help you decide whether skin abnormalities should be removed
Seborrheic Keratosis is usually confused with warts, seborrheic keratoses are non-cancerous growths of the epidermal layer of the skin and appears as stuck on growth or in clusters of stuck on growths. The growths are usually brown, but can vary in color from light tan all the way to black. Dr. Gary Rothfeld Board Certified Dermatologist at NYC Dermatology NY Dermatology takes care of all these condtions.
Sun Damaged Skin (Wrinkles)Look Like? The appearance of sun damaged skin is well recognized, and is different from changes seen with normal chronological aging. The very smooth, fine, pale wrinkling associated with aging seen in the sun protected areas of the skin such as the buttocks are different from those of sun damage. Fine and coarse wrinkles are seen on sun damaged skin. There is a roughness to the skin and a laxity or looseness in advanced damage, patchy or mottled darker patches of increased pigmentation are seen also. Sometimes these patches become irregular and produce what are known as lentigos. In areas around the back of the neck a leathery texture and coarseness with deep lines is frequently seen, the skin may feel dry and scaly. Chronic sun exposure will in many produce a thickened layer in the upper dermis known as solar elastosis, which gives a yellowish chicken skin look. Some individuals will develop more blood vessels, known as telangiectasias or broken blood vessels. If damage is severe, thinning of the skin and bruising may be seen particularly on the hands and forearms. NYC Dermatology Board Certified Dermatologist Dr. Rothfeld is trained in treating sun damaged skin. Please have your skin checked by a dermatologist.
Acne is the most common skin disorder seen by doctors. In fact, it will affect almost every one of us at some time in our lives. It can happen at any time, but teenagers are the ones who get it most often. Acne can cause a great deal of embarrassment and anxiety. If it’s really bad it can cause people to become depressed which can lead to withdrawing from friends, and perform poorly at school or work. The following are visible signs of acne: Comedones: An early acne blemish is caused by blocked pores, and at first the skin does not look red and inflamed. These early blemishes are called open comedones (blackspecks/blackheads) and closed comedones (whiteheads). Papules and pustules: As these early spots get larger and inflamed, they become papules and pustules (pimples or zits).Nodules: Very large and deep lumps can also develop in some people, these are called nodules and cysts (like boils), and can be painful.Oily skin: The sebum production increases so that your skin looksand feels oily. Hyperpigmentation: After the inflammation subsides, the skin can be discolored by brown acne stains (called hyperpigmentation) and damaged by scars. Acne scars are common and may occur even in mild acne. NYC Dermatology Board Certified Dermatologist NY Dermatology takes care of these condtions. It is very responsive to treatment.
Seborrheic Dermatitis: is a inflammatory condtion usually on the scalp , the face involving the forehead , eyebrows nasolabial folds, cheeks,ears, and eyelashes. Can cause itching and thinning of the hair. Usually responds well to treatment.Alopecia areata is a hair loss condition which usually affects the scalp. It can, however, sometimes affect other areas of the body. Hair loss tends to be rather rapid and often involves one side of the head more than the other.Alopecia areata affects both males and females. This type of hair loss is different than male pattern baldness, an inherited condition. Come to NYC dermatology Board Certified Dermatologist NY dermatology takes care of all these condtions and we will persist until the problem is clears. Psoriasis: is a chronic skin disease that generally appears as patches of raised red plaques of skin covered by scaling. Psoriasis is a acceleration of the growth cycle in skin cells, which stack up on the surface when the body can not shed the excess skin cells fast enough. Usally it takes 30 days for the body produce normal skin cells but here it is taking one week. The Body is producing the skin cells too fast hence the condition called Psoriais. Please contact us at NYC Dermatology by Board Certifed Dermatologist Dr. Rothfeld if you have any questions.
Eczema is a form of dermatitis, or inflammation of the upper layers of the skin. The term eczema is broadly applied to a range of persistent or recurring skin rashes characterized by redness, skin edema, itching and dryness, with possible crusting, flaking, blistering, cracking, oozing or bleeding. Areas of temporary skin discoloration sometimes characterize healed lesions, though scarring is rare. At NYC Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld a NYC Dermatologist has 20 years of experience and success in treating this disabling and annoying condition.
Dermatology Glossary | 
confer long-lasting aesthetic and medical benefits, and far surpass the normal aesthetic techniques.
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