At the Acne NYC Treatment Center in New York, NY which is opened 7 days a week for treatment we believe that Acne is a very common skin problem that shows up as outbreaks of bumps called pimples or zits. These usually appear on the face, neck, back, chest, and shoulders. Acne can be a source of emotional distress, and severe cases can lead to permanent acne scars.
What causes acne?
Acne begins when the pores in the skin become clogged and can no longer drain sebum (an oil made by the sebaceous glands that protects and moisturizes the skin.) The sebum build-up causes the surrounding hair follicle to swell.
Hair follicles swollen with sebum are called comedones. If the sebum stays beneath the skin, the comedones produce white bumps called whiteheads. If the sebum reaches the surface of the skin, the comedones produce darkened bumps called blackheads. This black discoloration is due to sebum darkening when it is exposed to air. It is not due to dirt. Both whiteheads and blackheads may stay in the skin for a long time.
Bacteria called Propionibacterium acnes (P. acnes) that normally live on the top of the skin can enter the clogged pores and infect the sebum. This causes the skin to become swollen, red, and painful.
Infected sebaceous glands may burst, releasing sebum and bacteria into the surrounding skin, creating additional inflammation. In severe cases, larger nodules and cysts may form in the deeper layers of the skin.
What are the different types of acne?
Acne can be categorized by its severity:
Mild acne describes a few scattered comedones (whiteheads or blackheads) with minimal inflammation (no pustules).
Moderate acne describes a denser collection of comedones as well as red, inflamed, pus-filled lesions (pustules).
Severe acne, also called nodular or cystic acne, describes widespread and deep lesions that are painful, inflamed, and red. This form of acne is likely to lead to scarring if left untreated.
Who gets acne?
Anyone can get acne. Acne in teenagers is very common because the surging hormone levels (androgens) associated with puberty create more active sebaceous glands. Acne in adults is also common, particularly among women. Acne is more likely to afflict people whose parents had acne.
What factors make acne worse?
Acne lesions can come and go. These factors can cause acne to flare:
Changing hormone levels in women 2 to 7 days before their menstrual period, during pregnancy, or when starting or stopping birth control pills
Oil from skin products (moisturizers or cosmetics) or grease in the workplace (for example, a kitchen with fry vats)
Pressure from sports helmets or equipment, backpacks, tight collars, or tight uniforms
Environmental irritants, such as pollution and high humidity
Squeezing or picking at blemishes
Hard scrubbing of the skin
What acne treatments are available?
Almost all cases of acne can be effectively treated. The goal of acne treatment is to heal existing lesions, stop new lesions from forming, and prevent acne scars.
Acne treatments control one or more of the underlying causes of acne. Topical retinoids, such as Differin, Retin A Micro, Tazorac, or tretinoin, may help unclog sebaceous glands and keep pores open. Antibiotics may be used to fight the P. acnes bacteria. Accutane or hormonal agents, such as birth control pills, may be used to reduce sebum (oil) production.
Your doctor will prescribe acne medications based on the following factors:
Severity of your acne. Mild acne may respond well to a topical retinoid alone. Moderate acne may respond better to a combination of topical retinoid with an antibiotic or other medication. Severe acne with scarring may need treatment with isotretinoin, the active ingredient of Accutane (Amnesteem, Sotret).
Results of previous treatments. Medications may be added in a step-wise fashion, only if previous treatments are found to be ineffective.
Degree of scarring. More aggressive therapies may be started earlier if acne scars have already started developing.
Gender. Some treatments are available only for females, such as birth control pills.
Non-prescription acne medications may provide sufficient results for some people with mild acne. However, most people with moderate acne and all with severe acne will need to use prescription acne medications for effective treatment.
Whatever your treatment plan, it is important that you give it enough time to work. This may mean waiting 6 to 8 weeks to see results. While the older acne lesions are healing, the medication is hard at work keeping new lesions from forming. Staying on your medication is the most important step to getting acne under control.
How can I keep my acne under control?
After your acne clears, your doctor may recommend that you continue therapy with a topical retinoids to keep it under control. It is always a good idea to maintain good skin care and use skin care products labeled as “non-comedogenic” (do not promote acne)
What about self care and prevention?
For ongoing acne skin care and prevention of acne, follow a few simple guidelines:
Clean skin gently—Use a mild skin cleanser twice a day, and pat skin dry. Harsh cleansers and astringents can actually worsen acne.
Do not pop, squeeze, or pick at acne lesions, as this can promote inflammation and infection. Keep hands away from your face and other acne-prone parts of the skin.
Limit sun exposure—Tanning only masks acne at best. At worst, sun exposure can lead to skin damage, especially if you are using an acne treatment that makes your skin more sensitive to sunlight and UV rays (this includes tanning booths).
Choose cosmetics with care—As mentioned above, choose non-greasy skin products, and look for words like “non-comedogenic,” “oil-free,” and “water-based." Some facial products contain active acne-fighting ingredients, such as benzoyl peroxide or salicylic acid, to help keep mild acne at bay.
Be patient with your treatment—Find out how much time it should take for your acne treatment to work (generally 6-8 weeks) and then stick with it. Stopping treatment early may prevent you from seeing good results or even cause a relapse of symptoms. Your skin may look worse before it begins to improve. You may need to try more than one type of treatment.
New York 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 Park Avenue practice with an international reputation in general, cosmetic, and surgical dermatology.
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 New York Dermatology 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 with our top doc 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.
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Trained in Dermatology, New York Dermatolgy headed by top doc Board Certified Dermatologist 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 New York 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.
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Manhattan Dermatologist, Doctor Gary Rothfeld sees patients 7 days a week including Saturday and Sunday. NYC Cosmetic Dermatologist , Dr. Gary Rothfeld has consulted many entertainers in Hollywood. New York City Dermatologist Dr. Rothfeld always tries to be current on all the latest advancements at NYC Dermatology and Cosmetic Dermatological surgery.
Come in and we will give you the best and top of the line dermatologist advice on how to clear or correct the problem. Dr. Rothfeld at New York Dermatology board certified dermatologist is best known in giving his best in trying to make the patient happy.
Dr. Rothfeld, recognized by the by the entertainment industry of America as one of the best dermatologists in Manhattan, has organized a comprehensive skin care center offering personalized state of the art services including medical,pediatric, and cosmetic dermatology.
New York Dermatology serves the following neighborhoods within New York (NY), which are in close proximity to our office:
Upper East Side Dermatology, Fifth Avenue Dermatology, Park Avenue Dermatology, Madison Avenue Dermatology, Upper West Side Dermatology, Midtown Dermatology, Lower East Side Dermatology,Chelsea Dermatology, Gramercy Park Dermatology, Murray Hill Dermatology, Greenwich Village Dermatology, East Village Dermatology, West Village Dermatology, Soho Dermatology, Tribeca Dermatology, Meat Packing District Dermatology, Sutton Place Dermatology, Wall Street Dermatology, Hells Kitchen Dermatology, and the burroughs of Brooklyn Dermatology , Bronx Dermatology, Queens Dermatology and Staten Island Dermatology.Dr. Gary Rothfeld is recognized as one of the best Dermatologist in New York, NY, Manhattan, NYC, New York City and the nation by the entertainment industry in the United States of America. At New York Dermatology headed by board certified Dermatologist Dr. Rothfeld, sees patients 7 days a week including Saturday and Sunday.
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